chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 64.0
Sex: F
Vaccine: EBZR
Symptoms: Blood pressure increased, Facial paralysis, Hypoaesthesia
Clinical narrative: 15 min after vaccine the patient "felt a weird sensation" of numbness that  started in  left cheek and progressed.  Nurse in clinic noticed left eye drooping.  Vitals signs abnormal with elevated BP 189/105, HR 100.   Employee had similar experience last year at time of covid vaccine but only lasted 2-3 minutes.  Ambulance was called but no treatment provided.  Employee states today improvement in symptoms  but not completely resolved
Age: 1.17
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Computerised tomogram head normal, Drooling, Febrile convulsion, Gaze palsy, Screaming
Clinical narrative: Per mother reported "Yesterday afternoon (5/26/24) patient woke up from her nap - happy & playful. While I was changing her diaper she had a seizure. She screamed out so loudly & did a ?startle reflex?, then got very very quiet & her eyes turned, looking to the upper right corner & started doing a sucking motion while drooling. We hopped in the car & her lips were turning blue - her eyes were open but she was limp. I could hear her moving air, but not enough & gave two rescue breaths. They drove us to the closest ER -OK  about 25 minutes away. They gave her oral Tylenol for her ?fever? (100.5) & did a CT of her head - came back normal. Eventually were transferred by ambulance to the Pediatric ER. After 4 hours of observation, we were released & patient has been just fine since. The conclusion was that she had a febrile seizure. We will be watching her closely for the next week to do what we can ensure she doesn?t have any more."
Age: 1.17
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Seizure
Clinical narrative: Per mother reported "Yesterday afternoon (5/26/24) patient woke up from her nap - happy & playful. While I was changing her diaper she had a seizure. She screamed out so loudly & did a ?startle reflex?, then got very very quiet & her eyes turned, looking to the upper right corner & started doing a sucking motion while drooling. We hopped in the car & her lips were turning blue - her eyes were open but she was limp. I could hear her moving air, but not enough & gave two rescue breaths. They drove us to the closest ER -OK  about 25 minutes away. They gave her oral Tylenol for her ?fever? (100.5) & did a CT of her head - came back normal. Eventually were transferred by ambulance to the Pediatric ER. After 4 hours of observation, we were released & patient has been just fine since. The conclusion was that she had a febrile seizure. We will be watching her closely for the next week to do what we can ensure she doesn?t have any more."
Age: 71.0
Sex: F
Vaccine: PNC20
Symptoms: Erythema, Pruritus, Respiratory tract congestion, Swelling
Clinical narrative: Redness, swelling, itching, possibly congestion but unsure if allergy related to other causes
Age: 12.0
Sex: F
Vaccine: MENB
Symptoms: Wrong product administered
Clinical narrative: Provider ordered meningococcal B (Bexsero) which is not given until the age of 16 yrs and older but not contraindicated at the visit on 8/6/2024. Patient was supposed to receive Meningococcal Oligo (Menveo) instead. Patient came back to our office on 11/19/2024 and mother was informed. All questions were answered at the visit.
Age: 36.0
Sex: M
Vaccine: FLU3, TD, TDAP
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No reaction, no treatment, no adverse reaction just gave both anddidn't need to give both
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cough, Respiratory tract congestion, SARS-CoV-2 test
Clinical narrative: Cough, congestion
Age: 16.0
Sex: F
Vaccine: MENB
Symptoms: Breath sounds abnormal, Chest X-ray, Chest pain, Computerised tomogram, Dizziness
Clinical narrative: Arrived home from patient's physical, where she had received two meningococcal vaccines in her left arm. Patient had been fine all day; no feeling ill or any signs of illness. About an hour and a half later, she was laying in her bed and went to sit up and had severe cp; had never had prior in life. She was unable to take deep breaths; only short ones, d/t the cp. She was unable to stand d/t dizziness. Unable to walk d/t the same. Patient's bp was averaging 180/116. Pulse 123. When she tried to lay flat, the pain worsened. Took her to urgent care and  irretractable vomiting began. There, they were unable to get a vein to check her d-dimer and we were sent to ED. She was immediately taken back and complete cardiac work-up was done.  Diminished lung sounds. Patient now has had continuous left arm pain and is unable to lift said arm. Pain is worsening and awaiting appointment.
Age: 16.0
Sex: F
Vaccine: MENB
Symptoms: Dyspnoea, Dysstasia, Electrocardiogram, Gait inability, Laboratory test
Clinical narrative: Arrived home from patient's physical, where she had received two meningococcal vaccines in her left arm. Patient had been fine all day; no feeling ill or any signs of illness. About an hour and a half later, she was laying in her bed and went to sit up and had severe cp; had never had prior in life. She was unable to take deep breaths; only short ones, d/t the cp. She was unable to stand d/t dizziness. Unable to walk d/t the same. Patient's bp was averaging 180/116. Pulse 123. When she tried to lay flat, the pain worsened. Took her to urgent care and  irretractable vomiting began. There, they were unable to get a vein to check her d-dimer and we were sent to ED. She was immediately taken back and complete cardiac work-up was done.  Diminished lung sounds. Patient now has had continuous left arm pain and is unable to lift said arm. Pain is worsening and awaiting appointment.
Age: 16.0
Sex: F
Vaccine: MENB
Symptoms: Mobility decreased, Pain in extremity, Vomiting
Clinical narrative: Arrived home from patient's physical, where she had received two meningococcal vaccines in her left arm. Patient had been fine all day; no feeling ill or any signs of illness. About an hour and a half later, she was laying in her bed and went to sit up and had severe cp; had never had prior in life. She was unable to take deep breaths; only short ones, d/t the cp. She was unable to stand d/t dizziness. Unable to walk d/t the same. Patient's bp was averaging 180/116. Pulse 123. When she tried to lay flat, the pain worsened. Took her to urgent care and  irretractable vomiting began. There, they were unable to get a vein to check her d-dimer and we were sent to ED. She was immediately taken back and complete cardiac work-up was done.  Diminished lung sounds. Patient now has had continuous left arm pain and is unable to lift said arm. Pain is worsening and awaiting appointment.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Loud ringing in ears: Tinnitus.  Mild tinnitus started approximately 2 years ago after receiving first covid 19 moderna vaccinations, new vaccine received on 11/23/2024 has made tinnitus much louder and unbearable.
Age: 58.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient received two doses of the Influenza Flucelvax. First dose on 09/11/2024 and second dose on 11/24/2024. Patient did not have any reaction
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Eructation, Headache, Injection site erythema, Injection site pain
Clinical narrative: Headaches and upset stomach, with a lot of gagging and burping on the following day, these symptoms went away on day 3. Rash, swollen and red on the upper arm (above the injection site) in the size of a palm, started with pain, then followed by itchiness, and lasted for 4 days.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pruritus, Injection site rash, Injection site swelling, Retching
Clinical narrative: Headaches and upset stomach, with a lot of gagging and burping on the following day, these symptoms went away on day 3. Rash, swollen and red on the upper arm (above the injection site) in the size of a palm, started with pain, then followed by itchiness, and lasted for 4 days.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site swelling, Nasopharyngitis
Clinical narrative: Cold like symptom on the following day and lasted a day. Injection site swollen and pain lasted for 3 days.
Age: 0.92
Sex: M
Vaccine: DTPPVHBHPB
Symptoms: Expired product administered
Clinical narrative: None, Administer on 11/15/2024 and expired on 11/12/2024
Age: 0.17
Sex: F
Vaccine: VARCEL
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: A 2-month-old patient was accidentally administered the varicella vaccine.  No symptoms of adverse effect noted after hours and days of administration.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 10year old Patient who received a covid-19 12+ vaccine
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Headache, Vomiting
Clinical narrative: EE presents for flu vaccine. Stated had dizziness vomiting from flu shot in the past (not medically contraindicated). Vaccine administered at 9:12am. Instructed to stay in office for observation. 9:15 am employee stated she had dizziness V/S 160/92, 89, 100%, 36.7, 20 lungs clear, no cyanosis. EE reported dizziness and vomiting. 911 called. A&Ox1. 9:18 am v/s 166/85, 86, 100%, 36.7, 20. No vomiting, dizziness present, lungs clear. 9:20am V/S 163/86, 91, 100%, 20, A&Ox2. EMS arrived 9:27am. EE reports headache. 9:30am V/S 117/79, 100%, 91, 21 A&Ox3. Departed with EMS at 9:34am to ED.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Laboratory test normal, Skin warm
Clinical narrative: "adverse reaction within 45 mins that caused my arm to get hot, my face and lips to become numb  Called the pharamacist - she recommended 2 Benadryl; after 15 mins called back since there was not any improvement - recommended that I go to the emergency room.  Transported via ambulance from emergency room to hospital"
Age: 71.0
Sex: F
Vaccine: PNC20
Symptoms: Chills, Dizziness, Fatigue, Night sweats, Pain in extremity
Clinical narrative: dizziness, sore arm, extreme fatigue that necessitate bed rest for 2 days, slightly elevated temperature but not a fever, shivering and night sweat
Age: 74.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Blood test normal, Computerised tomogram normal, Electromyogram normal, Hypoaesthesia, Magnetic resonance imaging normal
Clinical narrative: Nervous system problems--numbness, stiffness on both sides of upper and lower extremities, pain and tingling on hands both hands
Age: 74.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Musculoskeletal stiffness, Pain in extremity, Paraesthesia
Clinical narrative: Nervous system problems--numbness, stiffness on both sides of upper and lower extremities, pain and tingling on hands both hands
Age: 74.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Computerised tomogram normal, Electrocardiogram normal, Fall, Hypoaesthesia, Magnetic resonance imaging normal
Clinical narrative: Nervous system problems--numbness, stiffness on both sides of upper and lower extremities, pain and tingling on hands both hands
Age: 74.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Musculoskeletal stiffness, Neurological symptom, Paraesthesia, Vision blurred
Clinical narrative: Nervous system problems--numbness, stiffness on both sides of upper and lower extremities, pain and tingling on hands both hands
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Electrocardiogram, Palpitations, Pharyngeal swelling, Pyrexia
Clinical narrative: Accelerated heart palpitations, felt my heart was going to burst, rash, throat swelling, chills, fever.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Accelerated heart palpitations, felt my heart was going to burst, rash, throat swelling, chills, fever.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Agitation, Amnesia, Anxiety, Aphonia, COVID-19
Clinical narrative: pt says by Dec of 2021 he started experiencing gate problems and nausea. It was not an everyday problem. It would come and go. About every second or third day he would have both of these symptoms. They would come on both together at the same time and last about 20 minutes. He would have to stop what he was doing and lean up against the machinery he was working on until it would pass. When it passed it would left it would linger with a bout of anxiety that lasted for a couple of hours. He was referred to a rehab facility for his mobility after mulitple testing. Jan of 2022 he had covid symptoms. At this point he started experiencing tremors, more nausea, aggitation, worsened gate issues, loss of voice, fatigue, memory loss, vision related problems, stutering, depression, worsened anxienty and electric shocks in his head (like  a tinge unit)He tested positive and treated with abuturol that seems to make his symptoms worse so was take off of it. He was referred to a pulmonogist. He had a chest xray and EKG  was negative. He was started on meds for dizziness and nausea. He was referred to an ENT. His FMLA ended and ended up on long term disability. He is still having these same issues to this and they have progressed. The gate issue never goes away. He still to this day walks like he his off balance. He is now seeing phyiciatrist Dr and she is working as an advocate for him. She has him on Ivermectin 12mg and nattokinase 4000 iu 200mg for micro clotting his vessels and BComplex shots. He is now on complete disability.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray normal, Depression, Dizziness, Dysphemia, Electric shock sensation
Clinical narrative: pt says by Dec of 2021 he started experiencing gate problems and nausea. It was not an everyday problem. It would come and go. About every second or third day he would have both of these symptoms. They would come on both together at the same time and last about 20 minutes. He would have to stop what he was doing and lean up against the machinery he was working on until it would pass. When it passed it would left it would linger with a bout of anxiety that lasted for a couple of hours. He was referred to a rehab facility for his mobility after mulitple testing. Jan of 2022 he had covid symptoms. At this point he started experiencing tremors, more nausea, aggitation, worsened gate issues, loss of voice, fatigue, memory loss, vision related problems, stutering, depression, worsened anxienty and electric shocks in his head (like  a tinge unit)He tested positive and treated with abuturol that seems to make his symptoms worse so was take off of it. He was referred to a pulmonogist. He had a chest xray and EKG  was negative. He was started on meds for dizziness and nausea. He was referred to an ENT. His FMLA ended and ended up on long term disability. He is still having these same issues to this and they have progressed. The gate issue never goes away. He still to this day walks like he his off balance. He is now seeing phyiciatrist Dr and she is working as an advocate for him. She has him on Ivermectin 12mg and nattokinase 4000 iu 200mg for micro clotting his vessels and BComplex shots. He is now on complete disability.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Fatigue, Gait disturbance, Impaired work ability, Nausea
Clinical narrative: pt says by Dec of 2021 he started experiencing gate problems and nausea. It was not an everyday problem. It would come and go. About every second or third day he would have both of these symptoms. They would come on both together at the same time and last about 20 minutes. He would have to stop what he was doing and lean up against the machinery he was working on until it would pass. When it passed it would left it would linger with a bout of anxiety that lasted for a couple of hours. He was referred to a rehab facility for his mobility after mulitple testing. Jan of 2022 he had covid symptoms. At this point he started experiencing tremors, more nausea, aggitation, worsened gate issues, loss of voice, fatigue, memory loss, vision related problems, stutering, depression, worsened anxienty and electric shocks in his head (like  a tinge unit)He tested positive and treated with abuturol that seems to make his symptoms worse so was take off of it. He was referred to a pulmonogist. He had a chest xray and EKG  was negative. He was started on meds for dizziness and nausea. He was referred to an ENT. His FMLA ended and ended up on long term disability. He is still having these same issues to this and they have progressed. The gate issue never goes away. He still to this day walks like he his off balance. He is now seeing phyiciatrist Dr and she is working as an advocate for him. She has him on Ivermectin 12mg and nattokinase 4000 iu 200mg for micro clotting his vessels and BComplex shots. He is now on complete disability.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Thrombosis, Tremor, Visual impairment
Clinical narrative: pt says by Dec of 2021 he started experiencing gate problems and nausea. It was not an everyday problem. It would come and go. About every second or third day he would have both of these symptoms. They would come on both together at the same time and last about 20 minutes. He would have to stop what he was doing and lean up against the machinery he was working on until it would pass. When it passed it would left it would linger with a bout of anxiety that lasted for a couple of hours. He was referred to a rehab facility for his mobility after mulitple testing. Jan of 2022 he had covid symptoms. At this point he started experiencing tremors, more nausea, aggitation, worsened gate issues, loss of voice, fatigue, memory loss, vision related problems, stutering, depression, worsened anxienty and electric shocks in his head (like  a tinge unit)He tested positive and treated with abuturol that seems to make his symptoms worse so was take off of it. He was referred to a pulmonogist. He had a chest xray and EKG  was negative. He was started on meds for dizziness and nausea. He was referred to an ENT. His FMLA ended and ended up on long term disability. He is still having these same issues to this and they have progressed. The gate issue never goes away. He still to this day walks like he his off balance. He is now seeing phyiciatrist Dr and she is working as an advocate for him. She has him on Ivermectin 12mg and nattokinase 4000 iu 200mg for micro clotting his vessels and BComplex shots. He is now on complete disability.
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Extra dose administered
Clinical narrative: Patient was given double vaccine of Varicella.
Age: 12.0
Sex: F
Vaccine: FLU3, HPV9
Symptoms: Dizziness, Feeling abnormal, Pallor
Clinical narrative: Employee's statement Initial vaccine admin went smoothly without any complications 5 minutes after I had administered the vaccines patient asked to use the restroom within 2 minutes she came back into the room with loss of color in her lips and face and stated she felt "weird" after asking what was wrong I walked over and noticed that she was about to pass out I slowly lowered her to the ground protecting her head and body and requested for help RN1 and RN2 came into the room within 15 seconds after requesting for assistance and helped get her off of the ground and layed her down on the exam table. RN2 elevated her legs upwards and RN1 began asking questions/ if this had ever happened before. (she had an episode similar to this when she had gotten her ears pierced but did not know this info before vaccine admin) MA brought the patient water. Had her lay down for about 8 minutes and slowly sat up once patient felt a little better and had her stay on the exam table for an additional ten minutes and had a popsicle. Provider wanted a set of vitals before she left. RN1 went in and did vital signs vitals were normal. After finishing her popsicle, she was able to go home with Grandfather advised to walk slow, and make sure patient got to the car safely.
Age: 9.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Abdominal pain upper, Blood glucose normal, Borrelia test, Diplopia, Dizziness
Clinical narrative: Patient began with headaches and dizziness the afternoon after his covid vaccine was given on 11/11. He has had no hx of reactions after the flu vaccine. Pt reported that he was having a h/a and dizziness 1 - 2 x day since the vaccines were given. Presented to PCP here at our office 11/22 with c/o worsening h/a, stomach pain, then dizziness with feeling lightheaded followed by fatigue. He was c/o loud noises were bothering him. Thought to be a migraine. Wnl neuro exam and vision testing.  Afebrile VSS.  Zofran given po.  He had worsening sx at home on 11/23 - seen @ ER. Presented w/ severe nausea, h/a that woke him from sleep, blurred double vision, and neck pain.
Age: 9.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Fatigue, Headache, Hyperacusis, Nausea, Neck pain
Clinical narrative: Patient began with headaches and dizziness the afternoon after his covid vaccine was given on 11/11. He has had no hx of reactions after the flu vaccine. Pt reported that he was having a h/a and dizziness 1 - 2 x day since the vaccines were given. Presented to PCP here at our office 11/22 with c/o worsening h/a, stomach pain, then dizziness with feeling lightheaded followed by fatigue. He was c/o loud noises were bothering him. Thought to be a migraine. Wnl neuro exam and vision testing.  Afebrile VSS.  Zofran given po.  He had worsening sx at home on 11/23 - seen @ ER. Presented w/ severe nausea, h/a that woke him from sleep, blurred double vision, and neck pain.
Age: 9.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Sleep disorder, Vision blurred
Clinical narrative: Patient began with headaches and dizziness the afternoon after his covid vaccine was given on 11/11. He has had no hx of reactions after the flu vaccine. Pt reported that he was having a h/a and dizziness 1 - 2 x day since the vaccines were given. Presented to PCP here at our office 11/22 with c/o worsening h/a, stomach pain, then dizziness with feeling lightheaded followed by fatigue. He was c/o loud noises were bothering him. Thought to be a migraine. Wnl neuro exam and vision testing.  Afebrile VSS.  Zofran given po.  He had worsening sx at home on 11/23 - seen @ ER. Presented w/ severe nausea, h/a that woke him from sleep, blurred double vision, and neck pain.
Age: 1.67
Sex: M
Vaccine: DTAPIPV
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Quadracel given to a 20-month-old. Should have received Pentacel. No adverse event noted
Age: 9.0
Sex: F
Vaccine: PNC21, VARCEL
Symptoms: Dizziness, Pallor
Clinical narrative: Patient felt dizzy and became pale , almost passed out. Pt in chair, legs elevated, orange juice given. water placed on pt's face and head. water placed on patients face and head. Vital signs taken  87/62 BP  91 pulse 24 resp.  pupils reactive
Age: 16.0
Sex: F
Vaccine: SMALL
Symptoms: Blood pressure decreased, Chills, Hypoaesthesia, Myalgia, Nausea
Clinical narrative: received call from client's guardian;  guardian said client was complaining of nausea, muscle aches, trembling, chills, right thumb numbness; advised guardian to take client to PCP or ER for evaluation; received return call from client's guardian, client taken to ER client had pulse of 120 and low blood pressure and was given fluids; client's guardian said the ER doctor said she probably had reaction to vaccine but was not anaphylactic and  to continue with fluids and Tylenol;
Age: 16.0
Sex: F
Vaccine: SMALL
Symptoms: Tremor
Clinical narrative: received call from client's guardian;  guardian said client was complaining of nausea, muscle aches, trembling, chills, right thumb numbness; advised guardian to take client to PCP or ER for evaluation; received return call from client's guardian, client taken to ER client had pulse of 120 and low blood pressure and was given fluids; client's guardian said the ER doctor said she probably had reaction to vaccine but was not anaphylactic and  to continue with fluids and Tylenol;
Age: 77.0
Sex: M
Vaccine: VARZOS
Symptoms: Extra dose administered, No adverse event
Clinical narrative: extra shot given - no side effects
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Patient was given a 0.25mL (children's dose) of the vaccine instead of the required 0.5mL. She had no symptoms or side effects from this, but it was the incorrect dose.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram cerebral normal, Arteriogram carotid, Differential white blood cell count normal, Dizziness, Electrocardiogram normal
Clinical narrative: Shot given :11/21/24. 11/23/24 :Vertigo, dizziness,  nausea. 11/24 am: Plus vomiting.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count normal, Metabolic function test normal, Nausea, Vertigo, Vomiting
Clinical narrative: Shot given :11/21/24. 11/23/24 :Vertigo, dizziness,  nausea. 11/24 am: Plus vomiting.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: hours after injection got red "goose egg" shaped swelling on location of vaccination. Was also hot to touch for awhile. The swelling and redness have decreased over the past 3 days but is still noticeable.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse event reported. Vaccine was given past the beyond use date
Age: 47.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Injection site rash, Injection site warmth, Pain in extremity, Rash erythematous
Clinical narrative: patient states that he developed a red patch 1 inch below the injection site after the injection and that a rash continued about 2&1/2 inches below that and that the arm was hot and painful.  pain went all the way down the arm.  Benadryl, ibuprofen, and cold pack seemed to help and patient states it is improving as of 11-25-24.  He had called today to identify which vaccine was given in his left arm and to report the adverse reaction.
Age: 68.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Erythema, Paraesthesia, Throat clearing
Clinical narrative: The first vaccine administered to patient on 11-23-2024 was Fluad 2024-2025. Patient indicated that she was bothered by the administration of this vaccine. We noticed that her entire skin turned bright red and she had a continuos clearing of her throat. Also, indicated patient that she felt strange and with tingling in her fingers. Approximate time of side effects appoximately 2- 3 minutes.
Age: 26.0
Sex: F
Vaccine: COVID19, FLU3, PNC20
Symptoms: Erythema, Infection, Swelling
Clinical narrative: Patient reported having redness and swelling (over 3 inches in diameter) that started on 11/23 and persisted through 11/25 when patient reported to pharmacist. Managed with ice and acetaminophen. Patient reports seeing provider morning of 11/25 and they diagnosed for an infection.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site cellulitis, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: pts left arm around the injection site down to the elbow became red, hot to the touch. It was hurting and was itchy and then became swollen. These symptoms began She went to see her doctor and was told it was cellulitus. She was antibiotics.  She was instructed to take benadryl and apply ice pack. This treatment seemed to help and pt is better at this time.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site warmth
Clinical narrative: pts left arm around the injection site down to the elbow became red, hot to the touch. It was hurting and was itchy and then became swollen. These symptoms began She went to see her doctor and was told it was cellulitus. She was antibiotics.  She was instructed to take benadryl and apply ice pack. This treatment seemed to help and pt is better at this time.
Age: 52.0
Sex: M
Vaccine: FLU3
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient was vaccinated with same vaccines on 9/18/2024. No adverse events noted as of yet.
Age: 55.0
Sex: M
Vaccine: COVID19, FLU3, VARZOS
Symptoms: Burning sensation, Chills, Fatigue, Oropharyngeal pain, Pyrexia
Clinical narrative: PATIENT FELT RUN DOWN FOR ABOUT 24 -48 HOURS AFTER VACCINES. THEN HE STARTED TO FEEL A LITTLE BETTER. THEN ON FRIDAY (6 DAYS AFTER THE VACCINES) HE GOT A SORE THROAT, SATURDAY HE STARTED HAVING FEVER AND CHILLS AND FINALLY SATURDAY NIGHT HE DEVELOPED A RASH ON HIS LEFT ARM. PER PATIENT'S WIFE IT LOOKS SIMILAR TO SHINGLES RASH PICTURES SHE IS SEEING ONLINE. IT DOES BURN. HE HAS REACHED OUT TO DR TO GET EVALUATED BUT HAS NOT HEARD BACK YET.  PATIENT TAKING TYLENOL FOR FEVER AND CHILLS.
Age: 55.0
Sex: M
Vaccine: COVID19, FLU3, VARZOS
Symptoms: Rash
Clinical narrative: PATIENT FELT RUN DOWN FOR ABOUT 24 -48 HOURS AFTER VACCINES. THEN HE STARTED TO FEEL A LITTLE BETTER. THEN ON FRIDAY (6 DAYS AFTER THE VACCINES) HE GOT A SORE THROAT, SATURDAY HE STARTED HAVING FEVER AND CHILLS AND FINALLY SATURDAY NIGHT HE DEVELOPED A RASH ON HIS LEFT ARM. PER PATIENT'S WIFE IT LOOKS SIMILAR TO SHINGLES RASH PICTURES SHE IS SEEING ONLINE. IT DOES BURN. HE HAS REACHED OUT TO DR TO GET EVALUATED BUT HAS NOT HEARD BACK YET.  PATIENT TAKING TYLENOL FOR FEVER AND CHILLS.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: PATIENT STATED THE INJECTION SITE BECOME WARM TO THE TOUCH, HARD, AND RED. SHE STATED THESE SYMPTOMS STARTED THE DAY AFTER INJECTION AND HAVE GOTTEN BETTER OVER TIME. SHE REPORTED THESE SYMPTOMS AND TIMELINE TO THIS WRITER ON 11/25/2024 AT 12:05PM. THE PATIENT REPORTED THAT WHILE THE SYMPTOMS HAVE GOTTEN BETTER SHE IS STILL EXPERIENCING REDNESS AND THE AREA IS STILL SLIGHTLY HARD TODAY. THIS WRITER RECOMMENDED THAT THE PATIENT SEEK MEDICAL HELP IF HER SYMPTOMS WORSEN.
Age: 68.0
Sex: F
Vaccine: FLU3, HEPA, PNC20
Symptoms: Agranulocytosis, Biopsy bone marrow abnormal, Febrile neutropenia, Neutropenia, Sepsis
Clinical narrative: neutropenia developed 11/6 with complete agranulocytosis by 11/9, followed bu neutropenic fever and sepsis, at which point patient decided to transition to hospice.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Moderna, frequent dizziness/light headedness
Sex: F
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: Patient started vomiting 2 days after flu vaccine and has continued to vomit for 2 weeks, mainly after  eating.
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache, Injection site pain
Clinical narrative: Pharmacist administered one  dose of Comirnaty (for ages 12 and up) and one dose of Pfizer (ages 5 to under 12) to pt on 11/22/25.  Spoke to father around 10 am on 11/25/24 and he reported pt was still experiencing headache and pain at the site of injection.
Age: 46.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Exercise tolerance decreased, Fatigue, Headache, Hunger, Pain in extremity
Clinical narrative: This is the 2nd year in a row in which my athletic performance and mood has been bad for about a month after COVID and flu shots. I had the usual acute side effects the next day: sore arm, fatigue, headache, etc. but they weren?t bad. My running speed and distance was at least 10% worse for several weeks, and I sometimes didn?t go out for my usual runs or cut them short. Frequently hungry and feeling as if my blood sugar was low. Headaches. I have finally recovered after about a month.
Age: 12.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Bradycardia, Hypotension, Pallor, Syncope
Clinical narrative: Syncope, pallor, hypotension, bradycardia
Age: 65.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Breast mass, COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive for Covid on 11/2. Breast lump detected week after vaccine.
Age: 39.0
Sex: M
Vaccine: FLU3, PNC21
Symptoms: Dizziness, Hyperhidrosis, Loss of consciousness, Nausea
Clinical narrative: passed out. felt light headed , sweat, and nauseous.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Guillain-Barre syndrome
Clinical narrative: Pt is currently hospitalized with Guillain Barre Syndrome. She first sought medical treatment in walk-in clinic on 11/19 then ER 11/20 at which time she was transferred to a higher level of care.
Age: 79.0
Sex: F
Vaccine: RSV
Symptoms: Fatigue, Lip swelling
Clinical narrative: States she woke up on Friday (11/22/2024) and was just feeling exhausted.  Then when she woke up on Saturday (11/23/2024) her lips were swollen inside and out.
Age: 45.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: New employee called 11/25/24 and reported having numbness and tingling down left arm and to fingertips. Symptoms started on 11/18/24 and has continued.  She did take Ibuprofen and warm compress with no relief.  I recommended she follow up with her provider Dr.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Chills, Pyrexia, Swelling face
Clinical narrative: Fever, facial swelling, rigors
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event, Wrong product administered
Clinical narrative: no adverse effects yet, technician accidently gave wrong vaccine to patient. He last had Covid vaccine 9-30-24 and again today 11-25-24
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Headache, Injection site rash, Pyrexia
Clinical narrative: Patient had developed a rash on the left arm where it was administered. Then she developed fever, chills, headache and joint pain.
Age: 45.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Extra dose administered
Clinical narrative: Patient received a duplicate dose. Initial vaccination was on 08/22/2024 and duplicate dose given on 11/21/2024
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Extra dose administered
Clinical narrative: 3rd shot of 2 shot series
Age: 48.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Colitis ulcerative, Condition aggravated, Echocardiogram, Electrocardiogram
Clinical narrative: PFIZER #1 10/24/2021 PFIZER #2 3/14/2022 DEVELOPED FLARE OF UC, ARTHALGIAS, MYALGIAS, POST-EXERTIONAL MALAISE, AND LOSS OF MENTAL CLARITY.  TREATED WITH IVERMECTIN ANDPROTOCOL BASE SPIKE DETOXIFICATION.
Age: 48.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Laboratory test, Malaise, Mental impairment, Myalgia
Clinical narrative: PFIZER #1 10/24/2021 PFIZER #2 3/14/2022 DEVELOPED FLARE OF UC, ARTHALGIAS, MYALGIAS, POST-EXERTIONAL MALAISE, AND LOSS OF MENTAL CLARITY.  TREATED WITH IVERMECTIN ANDPROTOCOL BASE SPIKE DETOXIFICATION.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient was inadvertently administered the 6 month - 11-year formulation. It is a .25 mL dose vs. the .50 mL dose that she needed.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19, UNK
Symptoms: Dysphonia, SARS-CoV-2 test
Clinical narrative: Hoarseness
Age: 50.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient given high dose flu vaccine (65+) instead of low dose flu vaccine.
Age: 0.5
Sex: M
Vaccine: DTAPIPV
Symptoms: Depressed level of consciousness, Dyspnoea, Extra dose administered, Fatigue, Frequent bowel movements
Clinical narrative: Incident Description: A 6-month-old patient presented for a well-child check and to receive routine vaccinations. The clinic stock included Vaxelis (DTaP-IPV-Hib-HepB), which would have resulted in the patient receiving an extra dose of Hepatitis B vaccine due to prior Hep B doses administered (5/9/2024), 9/24/2024, and 7/18/2024. To avoid administering the extra dose of Hep B, Kinrix (DTaP-IPV) was mistakenly given, which is not indicated for patients under 4 years old. Follow-Up Timeline: 11/19/24: RN contacted the patient s mother to inform her that Kinrix, intended for older children, had been given in error. The RN explained its components (DTaP and IPV) and potential for increased symptoms post-vaccination. The mother expressed understanding. 11/20/24: Morning: RN followed up with the patient s mother. She reported the patient experienced some labored breathing overnight but was doing better by morning. The patient had a temperature of 99°F and felt warm but otherwise was okay. Afternoon: The mother reported the patient was fussy, tired, and still warm but without fever. Breathing was normal. The RN planned to check in the next day. 11/21/24: RN left a voicemail for the mother to check in. 11/25/24: The mother called back, expressing concerns about the patient s condition and side effects. The mother reported: The patient was still sleeping outside normal patterns, with slower reaction times and reduced alertness compared to before the vaccine. Increased bowel movements immediately after vaccination, which have since normalized. Urination was unchanged. An increased appetite. Feeling warm but no measurable fever. The patient  scheduled for follow-up clinic visit at 3:40 PM on 11/25/24.
Age: 0.5
Sex: M
Vaccine: DTAPIPV
Symptoms: Hypersomnia, Hyporesponsive to stimuli, Immediate post-injection reaction, Increased appetite, Irritability
Clinical narrative: Incident Description: A 6-month-old patient presented for a well-child check and to receive routine vaccinations. The clinic stock included Vaxelis (DTaP-IPV-Hib-HepB), which would have resulted in the patient receiving an extra dose of Hepatitis B vaccine due to prior Hep B doses administered (5/9/2024), 9/24/2024, and 7/18/2024. To avoid administering the extra dose of Hep B, Kinrix (DTaP-IPV) was mistakenly given, which is not indicated for patients under 4 years old. Follow-Up Timeline: 11/19/24: RN contacted the patient s mother to inform her that Kinrix, intended for older children, had been given in error. The RN explained its components (DTaP and IPV) and potential for increased symptoms post-vaccination. The mother expressed understanding. 11/20/24: Morning: RN followed up with the patient s mother. She reported the patient experienced some labored breathing overnight but was doing better by morning. The patient had a temperature of 99°F and felt warm but otherwise was okay. Afternoon: The mother reported the patient was fussy, tired, and still warm but without fever. Breathing was normal. The RN planned to check in the next day. 11/21/24: RN left a voicemail for the mother to check in. 11/25/24: The mother called back, expressing concerns about the patient s condition and side effects. The mother reported: The patient was still sleeping outside normal patterns, with slower reaction times and reduced alertness compared to before the vaccine. Increased bowel movements immediately after vaccination, which have since normalized. Urination was unchanged. An increased appetite. Feeling warm but no measurable fever. The patient  scheduled for follow-up clinic visit at 3:40 PM on 11/25/24.
Age: 0.5
Sex: M
Vaccine: DTAPIPV
Symptoms: Skin warm, Wrong product administered
Clinical narrative: Incident Description: A 6-month-old patient presented for a well-child check and to receive routine vaccinations. The clinic stock included Vaxelis (DTaP-IPV-Hib-HepB), which would have resulted in the patient receiving an extra dose of Hepatitis B vaccine due to prior Hep B doses administered (5/9/2024), 9/24/2024, and 7/18/2024. To avoid administering the extra dose of Hep B, Kinrix (DTaP-IPV) was mistakenly given, which is not indicated for patients under 4 years old. Follow-Up Timeline: 11/19/24: RN contacted the patient s mother to inform her that Kinrix, intended for older children, had been given in error. The RN explained its components (DTaP and IPV) and potential for increased symptoms post-vaccination. The mother expressed understanding. 11/20/24: Morning: RN followed up with the patient s mother. She reported the patient experienced some labored breathing overnight but was doing better by morning. The patient had a temperature of 99°F and felt warm but otherwise was okay. Afternoon: The mother reported the patient was fussy, tired, and still warm but without fever. Breathing was normal. The RN planned to check in the next day. 11/21/24: RN left a voicemail for the mother to check in. 11/25/24: The mother called back, expressing concerns about the patient s condition and side effects. The mother reported: The patient was still sleeping outside normal patterns, with slower reaction times and reduced alertness compared to before the vaccine. Increased bowel movements immediately after vaccination, which have since normalized. Urination was unchanged. An increased appetite. Feeling warm but no measurable fever. The patient  scheduled for follow-up clinic visit at 3:40 PM on 11/25/24.
Age: 48.0
Sex: F
Vaccine: MMR
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Product preparation error
Clinical narrative: MMRII vaccine was reconstituted with diluent from Shingrix and administered to patient.  Patient reports very sore arm, redness, swelling, and itching at injection site (swelling up to size of golf ball as described by patient), and possible cellulitis which patient will have physician examine if not resolved.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Injection site bruising, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient bruised significantly around site of administration, arm was red, swollen, and warm to the touch. Patient also had flu-like symptoms over the weekend (vaccine administered on Friday and patient returned the following Monday to inquire about rash). Pharmacist instructed the patient to have medical provider assess immunization site. At the time of this report, patient agreed to see walk in care and is currently enroute.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Patient bruised significantly around site of administration, arm was red, swollen, and warm to the touch. Patient also had flu-like symptoms over the weekend (vaccine administered on Friday and patient returned the following Monday to inquire about rash). Pharmacist instructed the patient to have medical provider assess immunization site. At the time of this report, patient agreed to see walk in care and is currently enroute.
Age: 84.0
Sex: F
Vaccine: FLU3
Symptoms: Balance disorder, Chills, Gait inability
Clinical narrative: 2 hours post immunization, patient developed severe chills and rigors lasted 2-3 days. Unsteady on feet and unable to walk unassisted due to unsteadiness 2/2 rigors for 2 days.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Periarthritis
Clinical narrative: The patient states that she has frozen shoulder due to a Flu shot given.  She stated that there was no pain at the time of injection.
Age: 64.0
Sex: F
Vaccine: COVID19, FLU3, VARZOS
Symptoms: Cataract operation, Vision blurred, Visual impairment
Clinical narrative: Patient came in on 10/27/2024 and received all 3 vaccinations without incident.  She had Right eye cataract surgery on 11/5/24.  She went to doctor to have Left eye cataract surgery on 11/12/24.  It was when the patch was removed off of the right eye that she noticed an issue.  She felt that the vision out of that eye was very cloudy but not blurry.  She also had black spots that would appear.   These were unexpected events after surgery.   Per patient physician thinks that these effects are due to her receiving the shingles vaccine so close to surgery. She has not had any issues with the 2nd (left) eye. Patient has received the following medications in the form of samples from the doctor or from the pharmacy post Timolol eye drops (discontinued since) Lumigan eye drops (discontinued since) Valacyclovir 1gm tablets (active), Simbrinza eye drops (status uncertain), & Prednisolone eye drops (Active.) Per patient in 11/23/24 since issue was first reported to pharmacy on 11/19/24 the symptoms have been improving and getting better each day.  Per the patient the physicans office did not screen or ask the patient if they received any vaccinations prior to surgery nor did they recommend that the patient do not get any vaccines prior to surgery.  Talked with doctors office on 11/25 and doctors office said that the complications may or may not be from the vaccine.  There is no diagnosis that they could provide me with.
Age: 18.0
Sex: F
Vaccine: TDAP
Symptoms: Exposure during pregnancy, Extra dose administered
Clinical narrative: Pt given Boostrix on 11/8/24 and then again on 11/13/2024. Pt's EDD is 2/3/25
Age: 3.0
Sex: F
Vaccine: DTAPIPV, FLU3, HEPA
Symptoms: No adverse event, Wrong product administered
Clinical narrative: We have a 3-year-old who was mistakenly given Kinrix (DTAP and IPV) when she only needed a DTAP.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site swelling, Injection site warmth, Rash, Urticaria
Clinical narrative: Swelling at injection site, size of adult hand,  warm-hot to. touch. 4 hours after injection which lasted for. 3 days. Around 26 hours later I had welts and  a rash on my stomach, which lasted for two days.
Age: 64.0
Sex: M
Vaccine: FLU3
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse event has been reported patient or facility
Age: 73.0
Sex: M
Vaccine: FLU3
Symptoms: Dyspnoea, Heart rate increased, Heart rate irregular, Pain in extremity
Clinical narrative: PATIENT HAD ONSET OF IRREGULAR AND RAPID HEARTBEAT APPROXIMATELY 30 MINUTES AFTER RECEIVING VACCINE.  ONSET OF SHORTNESS OF BREATH APPROXIMATELY 2 HOURS AFTER RECEIVING VACCINE.  PATIENT PRESENTED TO ER AFTER SYMPTOM ONSET,  ER VISIT LASTED UNTIL APPROXIMATELY MIDNIGHT THAT NIGHT.  HE ALSO HAD PAIN IN BOTH LEGS (TOP OF THIGHS) WHEN GOING UP THE STAIRS.  AFTER ER DISCHARGE, SAID HAD VERY SHORT BURST OF RAPID/IRREGULAR HEARTBEAT ON NIGHT OF 11/24/24, BUT IT RESOLVED QUICKLY PER PATIENT REPORT.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: No adverse event
Clinical narrative: No adverse event has been reported by facility.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: No adverse event
Clinical narrative: No adverse reaction has been reported by facility.
Age: 34.0
Sex: F
Vaccine: RSV
Symptoms: Exposure during pregnancy, Wrong product administered
Clinical narrative: Pregnant mother was given RSV shot for newborns on mistake. Mom, who was at the time 33 year old G2P1 at 32w6d mistakenly got  the Newborn Vaccine Nirsevimab (RSV (BEYFORTUS), MAB, NIRSEVIMAB-ALIP, 1.0 ML, NEONATE TO 24 MONTHS. Manufacture: SANOFI-PASTEUR. Lot: UK202AA. NDC: 49281-0574-88). Given by my MA on Tue Nov 5, 2024 12:29 PM.   Called Mom 11/25/24, I apologized for my error and took responsibility, no symptoms reported. She still feels baby fetal motion and has follow up with me established. I will be seeing the newborn as well and the pediatrician provider. Will save onto pediatric chart when baby is born as well.
Age: 71.0
Sex: F
Vaccine: PNC21
Symptoms: Injection site pain, Pain, Pain in extremity
Clinical narrative: I had a patient come in today with a still-sore arm 2 days after getting vaccinated . I had her show me her arm and where the shot was injected and it was towards her back maybe an inch or 2 from her armpit crease/ it is not red or swollen. She said she had trouble getting to the bandaid to remove it b/c it was so far back. she said the shot itself was extremely painful and sent pain radiating down her arm. (normally shots don't bother her) She has been taking otc tylenol/ibuprofen with some relief and applying a lidocaine patch and applying heat. When i asked her to show me how much she could move her arm she had to lift it up (to about chest level) with her other arm. we are advising her to see her primary care dr to determine cause.
Age: 40.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Blindness, Brain fog, Dizziness, Headache, Loss of personal independence in daily activities
Clinical narrative: When I woke up on 11/14/24 I felt dizzy and nauseous. I had to stop brushing my teeth to sit down. Then my vision when completely dark for about 30 seconds, but I did not lose consciousness. My vision returned but was blurry and that lasted about 5 more minutes. I was able to start drinking some water/electrolytes and began to feel better. After this episode, I check my blood pressure at home and it was 86/42. I continue to rest and hydrate and my blood pressure rose to 90-100/~60. I felt sick for about another 24 hours - headache, malaise, myalgias, brain fog. I did not do anything else unusual the day before and never have had anything like this before nor any syncopal or pre-syncopal episodes.