chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.17
Sex: M
Vaccine: IPV
Symptoms: No adverse event, Poor quality product administered, Product storage error
Clinical narrative: patient was administered with punctured ipol with no reported adverse event; Initial information from Regulatory Authority was received on 29-Jan-2024 regarding an unsolicited valid  non-serious case received from a other health professional.  This case involves a 14 month old male patient who was administered with punctured IPV (VERO) [IPOL] with no reported adverse event.  The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided.  Concomitant medications included DIPHTHERIA VACCINE TOXOID, PERTUSSIS VACCINE ACELLULAR, TETANUS VACCINE TOXOID (DTAP) for Prophylactic vaccination.  On 14-Dec-2023, the patient received punctured 0.5 ml, 1X-total of suspect IPV (VERO), Suspension for injection (lot W1C751M and expiry 18-NOV-2025) (strength: unknown) (poor quality product administered, latency same day) via intramuscular route in the left deltoid for prophylactic vaccination (immunization).  Reportedly:- Punctured IPOL Reason: Unknown Max/low temperature reached: 9.3 C for 13 mins 10 C for 10 C Duration: As stated above Human error: Unknown Administered: Yes. Does extended stability data cover the excursion: No  This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Age: 10.0
Sex: M
Vaccine: IPV
Symptoms: Medication error, No adverse event, Poor quality product administered, Product storage error
Clinical narrative: Max/low temperature reached: 9.3 C for 13 mins 10 C for 10 C was administered to patient with no reported adverse event; Initial information was received on 29-Jan-2024 regarding an unsolicited valid  non-serious case received from a other health professional.  This case involves a 10 years old male patient to whom max/low temperature reached: 9.3 c for 13 mins 10 c for 10 c was administered with no reported adverse event.  The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided.  Concomitant medications included hepatitis A vaccine, influenza vaccine (influenza), diphtheria vaccine toxoid, pertussis vaccine acellular, tetanus vaccine toxoid (TDAP) and varicella zoster vaccine (varicella vaccine) for prophylactic vaccination.  On 20-Dec-2023, the patient received a 0.5 ml, once dose of suspect IPV (VERO) (Suspension for injection) (lot: W1C751M, expiry date: 18-Nov-2025, Strength: standard) via intramuscular route in the left deltoid for Immunisation and max/low temperature reached: 9.3 c for 13 mins 10 c for 10 c was administered to patients with no reported adverse event (poor quality product administered) (Latency: same day).  This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive and Regulatory Authority Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Age: 18.0
Sex: F
Vaccine: IPV
Symptoms: No adverse event, Poor quality product administered, Product storage error
Clinical narrative: Punctured ipol exposed to 9.3 C for 13 mins with no reported adverse event; inappropriate use due to administration of punctured ipol with no reported adverse event; Initial information was received on 29-Jan-2024 regarding an unsolicited valid  non-serious case received from a nurse.  This case involves a 18 years old female patient who se punctured IPV (VERO) [IPOL] exposed to 9.3 c for 13 mins with no reported adverse event and inappropriate use due to administration of punctured ipol with no reported adverse event.  The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided.  Concomitant medications included Influenza Vaccine, Hepatitis B Vaccine and HPV Vaccine for Immunisation.  On 28-Dec-2023, the patient received a  dose of 0.5 ml of suspect IPV (VERO) (Suspension for injection) (lot W1C751M, Expiry date : 31-Nov-2025, strength was unknown) via intramuscular route in the left deltoid for Immunization and punctured ipol exposed to 9.3 c for 13 mins with no reported adverse event (product storage error) and inappropriate use due to administration of punctured ipol with no reported adverse event (poor quality product administered) (latency : same day).   Reportedly "Reason: Unknown Max/low temperature reached: 9.3 C for 13 mins 10 C for 10 C Duration: As stated above Human error? Unknown Administered? Yes, it was administered to 50 patients. Does extended stability data cover the excursion? No Nurse verbally consented for a follow up in case Safety team wants additional information. See Transfer Screen for the details of patient 22. This situation is reported as a medication error due to temperature excursion that exceeded the stability data documented in the local labelling and additional supporting stability data. This situation is pre-assessed as a medication error/an inappropriate use due to administration of punctured IPOL that is not suitable for use. "  This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive and Regulatory Authority Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Age: 17.0
Sex: M
Vaccine: IPV
Symptoms: Medication error, No adverse event, Poor quality product administered, Product storage error
Clinical narrative: patient was administered with punctured ipol with no reported adverse event; Initial information was received on 29-Jan-2024 regarding an unsolicited valid non-serious case received from a other health professional.  This case involves a 17 years old male patient who was administered with punctured IPV (VERO) [IPOL] with no reported adverse event.  The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided.  Concomitant medications included DIPHTHERIA VACCINE TOXOID, PERTUSSIS VACCINE ACELLULAR, TETANUS VACCINE TOXOID (TDAP); VARICELLA ZOSTER VACCINE (VARICELLA VACCINE); and MENINGOCOCCAL VACCINE A/C/Y/W CONJ (TET TOX) (MENQUADFI) for Prophylactic vaccination.  On 28-Dec-2023, the patient received punctured 0.5 ml, 1X-total of suspect IPV (VERO), Suspension for injection (lot W1C751M and expiry 18-NOV-2025) (strength: unknown) (poor quality product administered, latency same day) via intramuscular route in the left deltoid for prophylactic vaccination (immunization).  Reportedly:- Punctured IPOL Reason: Unknown Max/low temperature reached: 9.3 C for 13 mins 10 C for 10 C Duration: As stated above Human error: Unknown Administered: Yes. Does extended stability data cover the excursion: No  This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Age: 60.0
Sex: F
Vaccine: FLUC4, TDAP
Symptoms: Injection site induration, Injection site pain, Injection site rash, Injection site warmth
Clinical narrative: Patient reports rash at the injection site approximately 3 inches round with soreness, tightness, and warm to the touch. Patient states it was localized and this was the first time she received the flu vaccine but has received the tetanus vaccine in the past.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time, Blood pressure increased, Brain scan normal, Chest X-ray normal, Computerised tomogram heart
Clinical narrative: Blood pressure escalated to over 200.  My daughter called 911 and paramedics arrived quickly.  They said they got a higher reading than I did on the blood pressure exceeding 200.   I felt very dizzy and nauseous and was perplexed.   They took me to Hospital to get stabilized.   The attending physician order a brain scan (clear), blood work (normal)  chest x ray (normal).  He gave me hydralazine at 8:54 p.m. intravenously to lower the blood pressure.  I felt so much better after that.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram heart normal, Differential white blood cell count, Dizziness, Electrocardiogram, Full blood count
Clinical narrative: Blood pressure escalated to over 200.  My daughter called 911 and paramedics arrived quickly.  They said they got a higher reading than I did on the blood pressure exceeding 200.   I felt very dizzy and nauseous and was perplexed.   They took me to Hospital to get stabilized.   The attending physician order a brain scan (clear), blood work (normal)  chest x ray (normal).  He gave me hydralazine at 8:54 p.m. intravenously to lower the blood pressure.  I felt so much better after that.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: International normalised ratio, Metabolic function test, Nausea, Troponin
Clinical narrative: Blood pressure escalated to over 200.  My daughter called 911 and paramedics arrived quickly.  They said they got a higher reading than I did on the blood pressure exceeding 200.   I felt very dizzy and nauseous and was perplexed.   They took me to Hospital to get stabilized.   The attending physician order a brain scan (clear), blood work (normal)  chest x ray (normal).  He gave me hydralazine at 8:54 p.m. intravenously to lower the blood pressure.  I felt so much better after that.
Sex: U
Vaccine: COVID19-2
Symptoms: Headache, Illness
Clinical narrative: I have had reactions to all of them but the last one that I had was Moderna lasted over very long time and I was really sick; had really bad headache for 10 days/ had headache for like a week for 10 days even really severe headache; This spontaneous case was reported by a patient and describes the occurrence of ILLNESS (I have had reactions to all of them but the last one that I had was Moderna lasted over very long time and I was really sick) and HEADACHE (had really bad headache for 10 days/ had headache for like a week for 10 days even really severe headache) in a patient of an unknown age and gender who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. 043H22A) for COVID-19 prophylaxis.     Concurrent medical conditions included Arthritis (takes already arthritis medication (Intent medical history)).    On 06-Dec-2022, the patient received fifth dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form. On an unknown date, the patient experienced ILLNESS (I have had reactions to all of them but the last one that I had was Moderna lasted over very long time and I was really sick) and HEADACHE (had really bad headache for 10 days/ had headache for like a week for 10 days even really severe headache). At the time of the report, ILLNESS (I have had reactions to all of them but the last one that I had was Moderna lasted over very long time and I was really sick) outcome was unknown and HEADACHE (had really bad headache for 10 days/ had headache for like a week for 10 days even really severe headache) had resolved.            Concurrent medical conditions included thyroid.  Concomitant medications included arthritis medication and thyroid medication.  On 15-Apr-2021, the patient received first dose (batch no. 044B22A), on 14-May-2021, received second dose (batch no. 047B21A), on 17-Nov-2021, received third dose (batch no. 069F21A) and on 18-Apr-2022, received fourth dose (batch no. 056M21A) of Moderna COVID-19 Vaccine.  Reportedly, patient had headache for like a week or 10 days, even really severe headache. Patient had reactions to all of the 5 doses of Moderna but the last one that lasted over very long time and patient was really sick.  Patient had taken Acetaminophen and the other medication Ibuprofen.   This case was linked to US-MODERNATX, INC.-MOD-2024-759019 (E2B Linked Report).; Sender's Comments:  US-MODERNATX, INC.-MOD-2024-759019:Same Patient (Monovalent dose)
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Fear, Rash, Swelling
Clinical narrative: Shortly after the second shot of the first dose  I developed a rash on the right side of my case and major swelling. This caused me to go to urgent care, It got worse and I ended up in ER. I have seen general practitioners, dermatologists, internists, allergists and none of them have been able to help. Whatever they injected me with has caused so much harm to me and I will eventually find out. This is absolutely horrifying.
Age: 39.0
Sex: F
Vaccine: FLU4
Symptoms: Circumstance or information capable of leading to medication error, Extra dose administered
Clinical narrative: Client in office on 2/5/2024. IR reviewed, client was eligible for Hep B, Hep A, Influenza and Covid. Client just wanting flu. After flu vaccine was given documentation was started. Once in the Computer RN noticed that client received a Hep B and a Flu vaccine on 11/10/2023. Vaccines appeared to have failed to transfer to IR. Client's IR was merged previously but vaccine still did not transfer over into IR.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Unevaluable event
Clinical narrative: Unknown
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE GIVEN AFTER VIABILITY DATE.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE GIVEN AFTER VIABILITY DATE
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Contusion, Induration, Rash
Clinical narrative: Red spot and a knot, bruised.
Age: 84.0
Sex: M
Vaccine: RSV
Symptoms: Injection site erythema, Injection site pain, Product administered at inappropriate site
Clinical narrative: Patient called on 02/05, and stated injections site was to low. and the area had redness,soreness and pain
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE GIVEN AFTER VIABILITY DATE.
Age: 76.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Amnesia, Anxiety, Aphasia, Dizziness, Dysarthria
Clinical narrative: He got his vaccines, had no problems.  He got to where he was nervous in his hands, and he could not hardly write.  He had to think of what he was writing down and would have to say each letter of the word and half the time it was worse than the doctors hand writing.  Sometimes he would have to mark through it and rewrite it.  He continues with the nervousness in his hands, and they shake and he can hardly use utensils to eat as he drops them all the time.  He can hardly talk at times, and his memory sometimes it lags behind and has to think about what he is going to stay.  He did not have any of these problems prior to the vaccines.  He went to his doctor who told him not to take the other shot, and he put him on some anxiety pills Xanax which seems to be helping.  Sometimes he gets where he gets an anxiety attack and tries to calm down and take deep breaths to get over it.  He did not have any anxiety issues prior to the vaccines either.   He has an appointment this Thursday to have a brain scan.   It's hard for him to talk at times, and then he has memory loss and has a tough time getting his words together, and having the brain scan to see if there are any problems.  He also gets dizzy at times, but it's not as bad as it was.  He now has to use a walker and he does not drive right now until he finds out what the brain scan shows.
Age: 76.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Dysgraphia, Impaired driving ability, Loss of personal independence in daily activities, Memory impairment, Tremor
Clinical narrative: He got his vaccines, had no problems.  He got to where he was nervous in his hands, and he could not hardly write.  He had to think of what he was writing down and would have to say each letter of the word and half the time it was worse than the doctors hand writing.  Sometimes he would have to mark through it and rewrite it.  He continues with the nervousness in his hands, and they shake and he can hardly use utensils to eat as he drops them all the time.  He can hardly talk at times, and his memory sometimes it lags behind and has to think about what he is going to stay.  He did not have any of these problems prior to the vaccines.  He went to his doctor who told him not to take the other shot, and he put him on some anxiety pills Xanax which seems to be helping.  Sometimes he gets where he gets an anxiety attack and tries to calm down and take deep breaths to get over it.  He did not have any anxiety issues prior to the vaccines either.   He has an appointment this Thursday to have a brain scan.   It's hard for him to talk at times, and then he has memory loss and has a tough time getting his words together, and having the brain scan to see if there are any problems.  He also gets dizzy at times, but it's not as bad as it was.  He now has to use a walker and he does not drive right now until he finds out what the brain scan shows.
Age: 76.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Walking aid user
Clinical narrative: He got his vaccines, had no problems.  He got to where he was nervous in his hands, and he could not hardly write.  He had to think of what he was writing down and would have to say each letter of the word and half the time it was worse than the doctors hand writing.  Sometimes he would have to mark through it and rewrite it.  He continues with the nervousness in his hands, and they shake and he can hardly use utensils to eat as he drops them all the time.  He can hardly talk at times, and his memory sometimes it lags behind and has to think about what he is going to stay.  He did not have any of these problems prior to the vaccines.  He went to his doctor who told him not to take the other shot, and he put him on some anxiety pills Xanax which seems to be helping.  Sometimes he gets where he gets an anxiety attack and tries to calm down and take deep breaths to get over it.  He did not have any anxiety issues prior to the vaccines either.   He has an appointment this Thursday to have a brain scan.   It's hard for him to talk at times, and then he has memory loss and has a tough time getting his words together, and having the brain scan to see if there are any problems.  He also gets dizzy at times, but it's not as bad as it was.  He now has to use a walker and he does not drive right now until he finds out what the brain scan shows.
Age: 1.58
Sex: F
Vaccine: HEPA
Symptoms: Decreased appetite, Dyspnoea, Eye discharge, Irritability, Nasal discharge discolouration
Clinical narrative: Yellow green discharge from both eyes and nose. Puffy/swollen face. Difficulty breathing. Loss of appetite. General fussiness.
Age: 1.58
Sex: F
Vaccine: HEPA
Symptoms: Swelling face
Clinical narrative: Yellow green discharge from both eyes and nose. Puffy/swollen face. Difficulty breathing. Loss of appetite. General fussiness.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE ADMINISTERED AFTER VIABILITY DATE
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE GIVEN AFTER VIABILITY DATE
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE GIVEN AFTER VIABILITY DATE.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous
Clinical narrative: Red bumps with white centers on upper legs and buttocks
Age: 74.0
Sex: M
Vaccine: RSV
Symptoms: Acute kidney injury, Acute myocardial infarction, Malaise, Organ failure, Sepsis
Clinical narrative: Patient c/o not feeling well, presented to hospital on 1/29/2024 for severe sepsis with acute organ dysfunction, acute kidney injury and NSTEMI. Discharged home on 2/1/24 with Hospice for end of life care.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE GIVEN AFTER VIABILITY DATE
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient came to the clinic for a Pfizer Comirnaty 23-24 vaccine. It was administered as he requested. Later when the immunization was entered into the Immunization Registry it was discovered Patient had already received the Comirnaty 23-24 vaccine on 10/24/2023. He received an additional dose of the 23-24 covid vaccine. I spoke with Patient's significant other regarding the additional dose and asked her to let us know if any unusual side effects or adverse reactions occured. No unusual side effects or adverse reaction reported.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac monitoring, Fatigue, Heart rate irregular
Clinical narrative: Pt was taken to ER 2 days after receiving her vaccine. She was experiencing irregular heartbeat that went from 70 to 140 bpm back and forth. She also reported feeling tired and fatigued. As a result, patient is now wearing a heart monitor for a couple of weeks.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE GIVEN AFTER VIABILITY DATE.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE GIVEN AFTER VIABILITY DATE
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Condition aggravated, Pain, Viral infection
Clinical narrative: Developed painful, herpes-like blisters on the left side of my nose. I have had blisters on my nose and eyelid previously that were thought but not confirmed to be zoster (herpes simplex wasn't ruled out) but the last occurrence of a blisetr anywehre other than my lip was 5+ years ago. The shot seems to have reactivated the virus.  I took Valtrex as soon as I noticed the blisters.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE GIVEN AFTER VIABILITY DATE
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE GIVEN AFTER VIABILITY DATE
Age: 73.0
Sex: F
Vaccine: RSV
Symptoms: Injection site discomfort, Injection site pain
Clinical narrative: muscle pain and discomfort at or  just below injection site.  This has continued unabated
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Incorrect dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: no adverse effects noted. adult Hep A given to a pediatric patient.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE GIVEN AFTER VIABILITY DATE.
Age: 4.0
Sex: M
Vaccine: HEPA
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: no adverse effects noted. Adult Hep A given to pediatric patient.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Loss of personal independence in daily activities, Mobility decreased
Clinical narrative: Consistent pain at site of injection (left arm).  Loss of mobility reaching back or stretching forward.  Discomfort in daily routine (showering, dressing, sleeping).
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE GIVEN AFTER VIABILITY DATE
Age: 67.0
Sex: F
Vaccine: FLUA4, PNC20
Symptoms: Syncope
Clinical narrative: few minutes after receiving both vaccines at the same time on different arms, the patient fainted outside of vaccine room
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE GIVEN AFTER VIABILITY DATE.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE GIVEN AFTER VIABILITY DATE.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Myalgia
Clinical narrative: 10 hours after vaccine, all skeletal muscles ached, 6/10 pain.  This lasted =/- 2 hours.  Pain reduced to 2, but remained for 10 months, until mid October.  Severe fatigue continued for approx 2 years.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE GIVEN AFTER VIABILITY DATE
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No reported symptoms. Patient received a 3rd dose by mistake
Age: 15.0
Sex: F
Vaccine: VARCEL
Symptoms: Expired product administered
Clinical narrative: Pt was given a vaccine that expired on 2/2/24.
Age: 61.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus, Urticaria
Clinical narrative: Severe hives throughout body with intense itching, especially ears and palms
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE GIVEN AFTER VIABILITY DATE.
Age: 67.0
Sex: F
Vaccine: RSV, VARZOS
Symptoms: Arthralgia, Dysuria, Fatigue, Inflammation, Neck pain
Clinical narrative: She got her vaccines, didn't have any of them at first.  It started on Saturday and continued to yesterday until she called the pharmacy and they gave her some advice on how to handle it.  She had pain with movement of her shoulder all the way up to the neck and to the back of her neck and down her spine about palms-width down her spine.  She did have vomiting on Saturday and had fever, and was just really tired.  They told her to expect all that.  She was told by the pharmacy to put ice on it, and to tall us.  The ice has helped the pain in her shoulder, and has minimal pain today.  She was told by the pharmacy that it was inflammation.   She did go to UC after she got her vaccine because she had painful urination and she did have a UTI, then they gave her antibiotics, Cipro for that.
Age: 67.0
Sex: F
Vaccine: RSV, VARZOS
Symptoms: Pain, Pyrexia, Spinal pain, Urinary tract infection, Vomiting
Clinical narrative: She got her vaccines, didn't have any of them at first.  It started on Saturday and continued to yesterday until she called the pharmacy and they gave her some advice on how to handle it.  She had pain with movement of her shoulder all the way up to the neck and to the back of her neck and down her spine about palms-width down her spine.  She did have vomiting on Saturday and had fever, and was just really tired.  They told her to expect all that.  She was told by the pharmacy to put ice on it, and to tall us.  The ice has helped the pain in her shoulder, and has minimal pain today.  She was told by the pharmacy that it was inflammation.   She did go to UC after she got her vaccine because she had painful urination and she did have a UTI, then they gave her antibiotics, Cipro for that.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE GIVEN AFTER VIABILITY DATE.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE GIVEN AFTER VIABILITY DATE.
Age: 51.0
Sex: F
Vaccine: FLUC4
Symptoms: Immediate post-injection reaction, Injected limb mobility decreased, Injection site pain, Pain in extremity
Clinical narrative: Pt says she experienced immediate pain when vaccine was given. She has experienced limited movement in arm and intense pain. She went to see general doctor who gave her steroids to take. She also does physical therapy to help with arm pain and movement. She says physical therapy isn't helping much.
Age: 44.0
Sex: F
Vaccine: DTAP
Symptoms: Wrong product administered
Clinical narrative: Patient here today to get Tdap and was accidentally Dtap.
Age: 40.0
Sex: F
Vaccine: VARCEL
Symptoms: Maternal exposure before pregnancy, Pregnancy test positive, Pregnancy with injectable contraceptive, Sexually active
Clinical narrative: Patient was given vaccine on 1/18/2024 and educated by staff about pregnancy within 30 days of receiving vaccine. She came for IUD placement on 2/4/2024 and had positive pregnancy test.  She reported unprotected intercourse 2 days after visit, despite education about backup method for contraception for 7 days after receiving DEPO and was provided with condoms at 1/18/2024 visit.
Age: 0.17
Sex: F
Vaccine: DTAPIPV, HIBV, PNC13
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: patient received kinrix.  Medication not age appropriate.  Kinrix is for 4-6yr olds
Age: 0.42
Sex: M
Vaccine: DTAPIPV, HIBV, PNC13
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: NO ADVERSE REACTION.  CHILD RECEIVED KINRIX WHICH IS FOR 4-6YR OLDS.
Age: 30.0
Sex: F
Vaccine: RSV
Symptoms: Exposure during pregnancy, Product use issue, Wrong product administered
Clinical narrative: Given Arexvy vaccine rather than Abrysvo vaccine. 36 weeks pregnant, unknown estimated date of delivery.
Age: 0.33
Sex: F
Vaccine: DTAPIPV, HIBV
Symptoms: Extra dose administered, No adverse event
Clinical narrative: NO ADVERSE REACTION.  CHILD RECEIVED KINRIX ON TWO OCCASIONS 5/15/23 AND 10/24/23.  THIS IS FOR 4-6YR OLDS
Age: 67.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site pruritus, Injection site swelling, Injection site urticaria
Clinical narrative: Area around the injection site is swelling, has hives, and very itchy
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Chest discomfort, Chills, Headache, Pain, Pyrexia
Clinical narrative: Symptoms started during the night of 2.5.2024 - chills, fever (100.1), headache, congestion, chest tightness, overall aches and pains.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Respiratory tract congestion
Clinical narrative: Symptoms started during the night of 2.5.2024 - chills, fever (100.1), headache, congestion, chest tightness, overall aches and pains.
Age: 0.17
Sex: F
Vaccine: DTAPIPV, HIBV, PNC13
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: no adverse reaction.  Received Kinrix which is for 4-6yr olds.
Age: 67.0
Sex: F
Vaccine: PNC20
Symptoms: Chills, Decreased appetite, Injection site pain, Nausea, Tongue disorder
Clinical narrative: 2nd day sore arm at inection site..72 hours-bad chills, naseau, loss of appetite, tongue issues
Age: 1.0
Sex: F
Vaccine: DTAPIPV, HEPA, MMRV, PNC13
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse reaction noted.  Patient received Kinrex on three different occasions 5/11/23, 10/12/23, and 12/14/23.  This medication is intended for 4-6yr olds.
Age: 0.33
Sex: M
Vaccine: DTAPIPV, HIBV, PNC13
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse reaction noted.  Patient received Kinrex which is to be given between the ages of 4-6 yrs.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cough, Immunisation reaction
Clinical narrative: my adverse reaction a lot of drainage and bad coughing took zyrtex and doctor said it was from the covid vaccine.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Hyperacusis, Migraine, Peripheral swelling, Photophobia
Clinical narrative: PATIENT REPORTED, MOTIONING TO HER LEFT ARM AND SHOULDER, THAT HER ARM SWELLED AND HIVES WENT FROM HER SHOULDER TO HER CHEST "GOT SHINGLES" AND THEY HAVE SINCE SCABBED OVER, SHE SHOWED SCABBED HIVES ON HER CHEST. SHE SAID SHE ALSO HAD A SEVERE MIGRAINE WITH LIGHT AND SOUND SENSITIVITY AND MIGRAINE AFTER THE VACCINE WHEN SHE WAS HEADING HOME.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Scab, Urticaria
Clinical narrative: PATIENT REPORTED, MOTIONING TO HER LEFT ARM AND SHOULDER, THAT HER ARM SWELLED AND HIVES WENT FROM HER SHOULDER TO HER CHEST "GOT SHINGLES" AND THEY HAVE SINCE SCABBED OVER, SHE SHOWED SCABBED HIVES ON HER CHEST. SHE SAID SHE ALSO HAD A SEVERE MIGRAINE WITH LIGHT AND SOUND SENSITIVITY AND MIGRAINE AFTER THE VACCINE WHEN SHE WAS HEADING HOME.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Breast cancer female, Magnetic resonance imaging, Multiple sclerosis
Clinical narrative: Multiple sclerosis  and breast cancer
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain
Clinical narrative: chills, body pain, mild headache, fatigue
Age: 0.75
Sex: M
Vaccine: DTAPIPV, HIBV, PNC20
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was in clinic for his 9 month old well child.  He was due for his Dtap, IPV, Hib, and Prevnar20 vaccinations.  The error occurred when Kinrix was given to patient (which is the combo vax for Dtap and IPV) This is only to be given ages 4 to 6.  Patient's mother was called and given reassurance that no major reactions are anticipated, however, to watch for s/s of allergic reaction (i.e. seizure activity, fever, redness/swelling, trouble with breathing or swallowing).  It was also told to mom that this will be reported in patient's chart, Dr. was notified and it should also count as a valid dose for dtap and IPV as long as he has met the minimum interval between doses.  Asked mom to call with any questions or concerns.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Myalgia, Neck pain, Pain
Clinical narrative: Shot was given in left deltoid with no issues initially. Patient reported having some muscle tenderness in that arm from the vaccination  that went away in a few days, but then reports  pain radiating from her shoulder/neck area is present and has not gone away since vaccination.  Patient stated she has never had issues with any  other vaccination before.  Patient had flu shot a month before this vaccination without incident.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, Death, Disease progression, Gastric ulcer, Gastrointestinal haemorrhage
Clinical narrative: Developed pulmonary nodules, suspected GPA (pulmonary vasculitis). Long complex ICU stay several months after last vaccine resulting in his death 11/10/2023. Death was directly attributable to acute hypoxemic respiratory failure in the setting of concern for GPA progression, vs. TACO/TRALI and hemorrhagic shock from refractory GI bleed (suspected Cameron's lesions).
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Granulomatosis with polyangiitis, Intensive care, Pulmonary mass, Pulmonary vasculitis, Shock haemorrhagic
Clinical narrative: Developed pulmonary nodules, suspected GPA (pulmonary vasculitis). Long complex ICU stay several months after last vaccine resulting in his death 11/10/2023. Death was directly attributable to acute hypoxemic respiratory failure in the setting of concern for GPA progression, vs. TACO/TRALI and hemorrhagic shock from refractory GI bleed (suspected Cameron's lesions).
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Transfusion-related acute lung injury, Transfusion-related circulatory overload
Clinical narrative: Developed pulmonary nodules, suspected GPA (pulmonary vasculitis). Long complex ICU stay several months after last vaccine resulting in his death 11/10/2023. Death was directly attributable to acute hypoxemic respiratory failure in the setting of concern for GPA progression, vs. TACO/TRALI and hemorrhagic shock from refractory GI bleed (suspected Cameron's lesions).
Age: 74.0
Sex: M
Vaccine: RSV, RSV
Symptoms: Areflexia, Asthenia, Atrial fibrillation, Blood glucose increased, Computerised tomogram
Clinical narrative: He got his vaccine, he noticed in his ankles and his calves were tightening up and getting harder for him to stand or walk.  It got to a point that he could not stand long enough to brush his teeth.  The pain in his legs kept climbing up his body and fatigue.  He started to get double vision, and his symptoms were all over the place.  He was weaker and weaker each day, were out of town, and did a video visit appointment and could not do it as he wasn't in state that day.  His wife packed them up and on 12/15/23 drove back home and took him to the ER.  He had a lot of testing, and diagnosed with GBS.  He had no reflexes from the knee down.  Then he was admitted to the hospital and had a lumbar puncture, multiple labs, CT scan, and tons of labs.  He was in the hospital for 5 days, and was then sent home and started him on physical therapy, which he is having still.  He did have IVIG while inpatient in the hospital.  His symptoms are gradually improving day by day and feels that he is getting a little bit better.  He is able to walk and stand now.  He was informed that it was caught pretty early and if they had waited any longer that he would not be so lucky.   His blood sugar went up, he fell into A-fib which he has a history of.  His blood sugar is back under control.  His A-fib has now gone back to sinus rhythm.
Age: 74.0
Sex: M
Vaccine: RSV, RSV
Symptoms: Diplopia, Dysstasia, Fatigue, Gait disturbance, Guillain-Barre syndrome
Clinical narrative: He got his vaccine, he noticed in his ankles and his calves were tightening up and getting harder for him to stand or walk.  It got to a point that he could not stand long enough to brush his teeth.  The pain in his legs kept climbing up his body and fatigue.  He started to get double vision, and his symptoms were all over the place.  He was weaker and weaker each day, were out of town, and did a video visit appointment and could not do it as he wasn't in state that day.  His wife packed them up and on 12/15/23 drove back home and took him to the ER.  He had a lot of testing, and diagnosed with GBS.  He had no reflexes from the knee down.  Then he was admitted to the hospital and had a lumbar puncture, multiple labs, CT scan, and tons of labs.  He was in the hospital for 5 days, and was then sent home and started him on physical therapy, which he is having still.  He did have IVIG while inpatient in the hospital.  His symptoms are gradually improving day by day and feels that he is getting a little bit better.  He is able to walk and stand now.  He was informed that it was caught pretty early and if they had waited any longer that he would not be so lucky.   His blood sugar went up, he fell into A-fib which he has a history of.  His blood sugar is back under control.  His A-fib has now gone back to sinus rhythm.
Age: 74.0
Sex: M
Vaccine: RSV, RSV
Symptoms: Immunoglobulin therapy, Joint stiffness, Laboratory test, Loss of personal independence in daily activities, Lumbar puncture
Clinical narrative: He got his vaccine, he noticed in his ankles and his calves were tightening up and getting harder for him to stand or walk.  It got to a point that he could not stand long enough to brush his teeth.  The pain in his legs kept climbing up his body and fatigue.  He started to get double vision, and his symptoms were all over the place.  He was weaker and weaker each day, were out of town, and did a video visit appointment and could not do it as he wasn't in state that day.  His wife packed them up and on 12/15/23 drove back home and took him to the ER.  He had a lot of testing, and diagnosed with GBS.  He had no reflexes from the knee down.  Then he was admitted to the hospital and had a lumbar puncture, multiple labs, CT scan, and tons of labs.  He was in the hospital for 5 days, and was then sent home and started him on physical therapy, which he is having still.  He did have IVIG while inpatient in the hospital.  His symptoms are gradually improving day by day and feels that he is getting a little bit better.  He is able to walk and stand now.  He was informed that it was caught pretty early and if they had waited any longer that he would not be so lucky.   His blood sugar went up, he fell into A-fib which he has a history of.  His blood sugar is back under control.  His A-fib has now gone back to sinus rhythm.
Age: 74.0
Sex: M
Vaccine: RSV, RSV
Symptoms: Muscle tightness, Pain in extremity, Sinus rhythm
Clinical narrative: He got his vaccine, he noticed in his ankles and his calves were tightening up and getting harder for him to stand or walk.  It got to a point that he could not stand long enough to brush his teeth.  The pain in his legs kept climbing up his body and fatigue.  He started to get double vision, and his symptoms were all over the place.  He was weaker and weaker each day, were out of town, and did a video visit appointment and could not do it as he wasn't in state that day.  His wife packed them up and on 12/15/23 drove back home and took him to the ER.  He had a lot of testing, and diagnosed with GBS.  He had no reflexes from the knee down.  Then he was admitted to the hospital and had a lumbar puncture, multiple labs, CT scan, and tons of labs.  He was in the hospital for 5 days, and was then sent home and started him on physical therapy, which he is having still.  He did have IVIG while inpatient in the hospital.  His symptoms are gradually improving day by day and feels that he is getting a little bit better.  He is able to walk and stand now.  He was informed that it was caught pretty early and if they had waited any longer that he would not be so lucky.   His blood sugar went up, he fell into A-fib which he has a history of.  His blood sugar is back under control.  His A-fib has now gone back to sinus rhythm.
Age: 74.0
Sex: M
Vaccine: RSV, RSV
Symptoms: Condition aggravated, Diplopia, Dysstasia, Fatigue, Gait disturbance
Clinical narrative: He got his vaccine, he noticed in his ankles and his calves were tightening up and getting harder for him to stand or walk.  It got to a point that he could not stand long enough to brush his teeth.  The pain in his legs kept climbing up his body and fatigue.  He started to get double vision, and his symptoms were all over the place.  He was weaker and weaker each day, were out of town, and did a video visit appointment and could not do it as he wasn't in state that day.  His wife packed them up and on 12/15/23 drove back home and took him to the ER.  He had a lot of testing, and diagnosed with GBS.  He had no reflexes from the knee down.  Then he was admitted to the hospital and had a lumbar puncture, multiple labs, CT scan, and tons of labs.  He was in the hospital for 5 days, and was then sent home and started him on physical therapy, which he is having still.  He did have IVIG while inpatient in the hospital.  His symptoms are gradually improving day by day and feels that he is getting a little bit better.  He is able to walk and stand now.  He was informed that it was caught pretty early and if they had waited any longer that he would not be so lucky.   His blood sugar went up, he fell into A-fib which he has a history of.  His blood sugar is back under control.  His A-fib has now gone back to sinus rhythm.
Age: 74.0
Sex: M
Vaccine: RSV, RSV
Symptoms: Guillain-Barre syndrome, Immunoglobulin therapy, Joint stiffness, Laboratory test, Loss of personal independence in daily activities
Clinical narrative: He got his vaccine, he noticed in his ankles and his calves were tightening up and getting harder for him to stand or walk.  It got to a point that he could not stand long enough to brush his teeth.  The pain in his legs kept climbing up his body and fatigue.  He started to get double vision, and his symptoms were all over the place.  He was weaker and weaker each day, were out of town, and did a video visit appointment and could not do it as he wasn't in state that day.  His wife packed them up and on 12/15/23 drove back home and took him to the ER.  He had a lot of testing, and diagnosed with GBS.  He had no reflexes from the knee down.  Then he was admitted to the hospital and had a lumbar puncture, multiple labs, CT scan, and tons of labs.  He was in the hospital for 5 days, and was then sent home and started him on physical therapy, which he is having still.  He did have IVIG while inpatient in the hospital.  His symptoms are gradually improving day by day and feels that he is getting a little bit better.  He is able to walk and stand now.  He was informed that it was caught pretty early and if they had waited any longer that he would not be so lucky.   His blood sugar went up, he fell into A-fib which he has a history of.  His blood sugar is back under control.  His A-fib has now gone back to sinus rhythm.
Age: 74.0
Sex: M
Vaccine: RSV, RSV
Symptoms: Lumbar puncture, Muscle tightness, Musculoskeletal stiffness, Pain in extremity
Clinical narrative: He got his vaccine, he noticed in his ankles and his calves were tightening up and getting harder for him to stand or walk.  It got to a point that he could not stand long enough to brush his teeth.  The pain in his legs kept climbing up his body and fatigue.  He started to get double vision, and his symptoms were all over the place.  He was weaker and weaker each day, were out of town, and did a video visit appointment and could not do it as he wasn't in state that day.  His wife packed them up and on 12/15/23 drove back home and took him to the ER.  He had a lot of testing, and diagnosed with GBS.  He had no reflexes from the knee down.  Then he was admitted to the hospital and had a lumbar puncture, multiple labs, CT scan, and tons of labs.  He was in the hospital for 5 days, and was then sent home and started him on physical therapy, which he is having still.  He did have IVIG while inpatient in the hospital.  His symptoms are gradually improving day by day and feels that he is getting a little bit better.  He is able to walk and stand now.  He was informed that it was caught pretty early and if they had waited any longer that he would not be so lucky.   His blood sugar went up, he fell into A-fib which he has a history of.  His blood sugar is back under control.  His A-fib has now gone back to sinus rhythm.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient received the 12+ age group vaccine instead of the vaccine for younger children. Received 3 times the amount of vaccine than recommended for his age. Did not experience any adverse effects.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dysuria, Fatigue, Injection site erythema
Clinical narrative: 2/1/24: severe chills, fatigue, pain in arm, weakness 2/2/24 started to get discomfort in vaginal area  2/3/24 vaginal area was painful to touch and experienced painful urination. noted ulcers within vaginal walls . circular erythema to L arm where vaccine was administered
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Tenderness, Vaginal ulceration, Vulvovaginal discomfort
Clinical narrative: 2/1/24: severe chills, fatigue, pain in arm, weakness 2/2/24 started to get discomfort in vaginal area  2/3/24 vaginal area was painful to touch and experienced painful urination. noted ulcers within vaginal walls . circular erythema to L arm where vaccine was administered
Age: 37.0
Sex: M
Vaccine: HEP
Symptoms: Extra dose administered, No adverse event
Clinical narrative: I mistakenly gave a 3rd dose of Heplisav 1 month after the 2nd dose.  No adverse reactions noted.
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient requested a Flu Vaccine at her visit; the Fluzone High Dose vaccine that is meant only for patient's age 65 and older given to this patient in error.