chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.5
Sex: M
Vaccine: IPV
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Vaxelis was administered and extra dose of ipv (ipol) was also administered on the same day with no reported adverse event; Initial information received on 18-Mar-2025 regarding an unsolicited valid  non-serious case received from a other health professional.  This case involves a 6 months old male patient who was administered with  Diphtheria Vaccine Toxoid, Hepatitis B Vaccine Rhbsag (Yeast), Hib Vaccine Conj (Menigococcal Protein), Pertussis Vaccine Acellular 5-Component, Polio Vaccine Inact 3v (Vero), Tetanus Vaccine Toxoid [Vaxelis] and extra dose of Poliomyelitis Vaccine (Inactivated) (IPOL) was also administered on the same day 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, Hepatitis B Vaccine Rhbsag (Yeast), Hib Vaccine Conj (Menigococcal Protein), Pertussis Vaccine Acellular 5-Component, Polio Vaccine Inact 3v (Vero), Tetanus Vaccine Toxoid [Vaxelis] for Immunisation.    On 14-Mar-2025, the patient received 0.5mL of suspect IPV (Vero), Suspension for injection (lot W1C741M, expiry date 17-Nov-2025; strength standard and frequency once) via intramuscular route in right thighfor Immunisation and Vaxelis was administered and extra dose of IPV (IPOL) was also administered on the same day with no reported adverse event (extra dose administered) (latency same day).  Reportedly, Office Manager called reporting that a patient was given Vaxelis and then another IPV (IPOL) on the same day and would like to know the safety or any possible adverse reactions.  Action taken was not applicable.  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: 31.0
Sex: F
Vaccine: MEN
Symptoms: Extra dose administered, No adverse event
Clinical narrative: patient got an extra dose of menquadfi with no reported adverse event; Initial information received on 18-Mar-2025 regarding an unsolicited valid non-serious case received from a pharmacist.  This case involves 31 years old female patient who got an extra dose of meningococcal A-C-Y-W135 (T conj) vaccine [Menquadfi] 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 B vaccine for prophylactic vaccination (Immunisation).  On 07-Sep-2024, the patient received an unknown dose of (dose 1) of suspect meningococcal A-C-Y-W135 (T conj) vaccine, Solution for injection then on 19-Jan-2025 she received (dose 2) of same vaccine both with (unknown strength, batch number and expiry date) via unknown route in unknown administration site and on 16-Mar-2025, patient received an extra dose of 0.5 ml (dose 3) of same vaccine, Solution for injection (lot number: U8194AA and expiry date 30-Sep-2027) (strength: standard, frequency: once) via intramuscular route in the left arm for prophylactic vaccination (Immunisation) with no reported adverse event (extra dose administered) (Latency: same day).  Reportedly, They want to get some guidance in terms of if there is any side effects or any issues regarding an extra dose.  Action taken was not applicable.  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: 6.0
Sex: M
Vaccine: UNK
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: 6 year old was administered flublok with no reported adverse event; Initial information received on 19-Mar-2025 regarding an unsolicited valid  non-serious case received from a nurse.  This case involves a 6 years old male patient who was administered with Influenza Trivalent Recombinant Vaccine [Flublok TIV] with no reported adverse event.  The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided.   On an unknown date, the patient received an unknown dose of suspect Influenza Trivalent Recombinant Vaccine, Solution for injection, (unknown strength and expiry date) lot number not reported via unknown route in unknown administration site for Immunisation with no reported adverse events (Inappropriate age at vaccine administration) (Latency same day).  Information on the batch number was requested corresponding to the one at time of event occurrence.  Reportedly, She asked if the patient would get the regular Fluzone next season.  Action taken was not applicable.  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: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Erythema, Pain, Swelling
Clinical narrative: soreness, swelling, redness, chills
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Asthenia, Bursitis, Cartilage injury, Joint impingement
Clinical narrative: Post vaccine bursitis (L) shoulder with impingement (SIRVA) -> resulting to pain, limited range of motion, weakness, & tingling / paresthesia .
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Joint range of motion decreased, Magnetic resonance imaging abnormal, Magnetic resonance imaging joint, Paraesthesia, Rotator cuff syndrome
Clinical narrative: Post vaccine bursitis (L) shoulder with impingement (SIRVA) -> resulting to pain, limited range of motion, weakness, & tingling / paresthesia .
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Shoulder injury related to vaccine administration
Clinical narrative: Post vaccine bursitis (L) shoulder with impingement (SIRVA) -> resulting to pain, limited range of motion, weakness, & tingling / paresthesia .
Age: 1.33
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Injected limb mobility decreased, Ultrasound scan normal
Clinical narrative: After vaccination patient would not bend knee on L leg. She will walk and bear weight but not bend knee. No redness, swelling or bruising. No injury. Ultrasound done on 3/20/25 - No abnormality at injection site, hip or knee of left leg.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site erythema, Injection site induration, Joint swelling, Peripheral swelling
Clinical narrative: VIAL 0188>1A Swollen, Red, hot, arm shoulder where vaccine given. After ice pack and tylenol Subsided Sat 4/17/21  Left arm, both 1st & 2nd Moderna  1st - Slight redness swelling day of 3/17/21, 1 week later, itching redness, swelling  Left arm 2nd - reaction later in the day - next day very red swollen hardness in the are of shot. After ice pack & tylenol for 3 days, subsided.   Have had only slight reaction to flu shot -  some years, not all. Swelling, redness, hard.   Only allergy: insect bites, especially bee sings. Never required Epi pen
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Skin warm
Clinical narrative: VIAL 0188>1A Swollen, Red, hot, arm shoulder where vaccine given. After ice pack and tylenol Subsided Sat 4/17/21  Left arm, both 1st & 2nd Moderna  1st - Slight redness swelling day of 3/17/21, 1 week later, itching redness, swelling  Left arm 2nd - reaction later in the day - next day very red swollen hardness in the are of shot. After ice pack & tylenol for 3 days, subsided.   Have had only slight reaction to flu shot -  some years, not all. Swelling, redness, hard.   Only allergy: insect bites, especially bee sings. Never required Epi pen
Age: 80.0
Sex: M
Vaccine: COVID19, FLU3, PNC20
Symptoms: Death
Clinical narrative: Passed away while on Hospice care
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: passed away on hospice care
Age: 4.0
Sex: M
Vaccine: HPV9
Symptoms: Expired product administered
Clinical narrative: expired vaccine
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Dyspnoea, Pain
Clinical narrative: Patient was experiencing severe pain and shortness of breath, called the squad and went to the ER.  It was determined that the immunization was given in the acromion process.
Age: 85.0
Sex: F
Vaccine: PNC20
Symptoms: Extra dose administered
Clinical narrative: PATIENT RECEIVED DUPLICATE VACCINE- SHE HAD ALREADY RECEIVED A PREVNAR20 ON 3/13/2023 AND IT WAS NOT IN SYSTEM SO SHE RECEIVED PREVNAR 20 ON 3/19/2025
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Vaccine administered before next required dose. Next dose was due in 2031, but was given in 2025.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Localized redness/itching at Kinrix injection site. Provider noted redness extended 10-12 cm vertically and 6-8 cm horizontally, no fluctuance or axillary lymph node swelling. Provider indicated to the family that sx should be resolved within 3-5 days and that it is not likely to progress to a systemic allergy. Okay to receive future tetanus containing vaccines.
Age: 16.0
Sex: F
Vaccine: HEPA, IPV, MMR, MNQ, TDAP, VARCEL
Symptoms: Rash
Clinical narrative: 2 days after being vaccinated, patient developed a rash on the back of both her hands. No other symptoms reported
Age: 3.0
Sex: M
Vaccine: DTAP
Symptoms: Rash, Rash pruritic
Clinical narrative: Mom states itchy rash on feet morning after vaccination.
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Extra dose administered
Clinical narrative: patient received third dose for a 2 dose series
Age: 85.0
Sex: F
Vaccine: COVID19, RSV, RSV
Symptoms: Ageusia, Discomfort, Dry mouth, Dysphonia, Glossodynia
Clinical narrative: I thought maybe i was getting an asthma attack it felt heavy like an elephant was on it. Then my voice got raspy and my husband told me i caught a cold. From then on i started noticing that my mouth was dry and i had no taste. My tongue is all cut up. I have a lump under my voice box it feels like there is something in there. And i have a sore inside of my right cheek the other night, and after a couple of hours it went down by itself. I still have an appetite. I also went to ENT Dr. 11/27/24, 12/03/24, 01/08/25 and i went to the doctors in (redacted) 03/10/25.
Age: 85.0
Sex: F
Vaccine: COVID19, RSV, RSV
Symptoms: Sensation of foreign body, Stomatitis
Clinical narrative: I thought maybe i was getting an asthma attack it felt heavy like an elephant was on it. Then my voice got raspy and my husband told me i caught a cold. From then on i started noticing that my mouth was dry and i had no taste. My tongue is all cut up. I have a lump under my voice box it feels like there is something in there. And i have a sore inside of my right cheek the other night, and after a couple of hours it went down by itself. I still have an appetite. I also went to ENT Dr. 11/27/24, 12/03/24, 01/08/25 and i went to the doctors in (redacted) 03/10/25.
Age: 85.0
Sex: F
Vaccine: COVID19, RSV, RSV
Symptoms: Aphonia, Blood test, Chest X-ray, Dysphonia
Clinical narrative: I thought maybe i was getting an asthma attack it felt heavy like an elephant was on it. Then my voice got raspy and my husband told me i caught a cold. From then on i started noticing that my mouth was dry and i had no taste. My tongue is all cut up. I have a lump under my voice box it feels like there is something in there. And i have a sore inside of my right cheek the other night, and after a couple of hours it went down by itself. I still have an appetite. I also went to ENT Dr. 11/27/24, 12/03/24, 01/08/25 and i went to the doctors in (redacted) 03/10/25.
Vaccine: COVID19, RSV
Symptoms: Ageusia, Discomfort, Dry mouth, Dysphonia, Glossodynia
Clinical narrative: I thought maybe i was getting an asthma attack it felt heavy like an elephant was on it. Then my voice got raspy and my husband told me i caught a cold. From then on i started noticing that my mouth was dry and i had no taste. My tongue is all cut up. I have a lump under my voice box it feels like there is something in there. And i have a sore inside of my right cheek the other night, and after a couple of hours it went down by itself. I still have an appetite. I also went to ENT Dr. 11/27/24, 12/03/24, 01/08/25 and i went to the doctors in (redacted) 03/10/25.
Vaccine: COVID19, RSV
Symptoms: Sensation of foreign body, Stomatitis
Clinical narrative: I thought maybe i was getting an asthma attack it felt heavy like an elephant was on it. Then my voice got raspy and my husband told me i caught a cold. From then on i started noticing that my mouth was dry and i had no taste. My tongue is all cut up. I have a lump under my voice box it feels like there is something in there. And i have a sore inside of my right cheek the other night, and after a couple of hours it went down by itself. I still have an appetite. I also went to ENT Dr. 11/27/24, 12/03/24, 01/08/25 and i went to the doctors in (redacted) 03/10/25.
Age: 34.0
Sex: F
Vaccine: HPV9
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Tingling and numbing over entire body. No treatment yet.
Age: 39.0
Sex: F
Vaccine: HPV9
Symptoms: Lymphadenopathy, Mass
Clinical narrative: Lump in left arm with lymphadenopathy on same side starting on day of injection, worsening until today 3/21. Will treat moving forward with medrol dose pack and if needed antibiotics if infection suspected after steroids.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Inappropriate schedule of product administration, Injection site reaction
Clinical narrative: Patient was contacted by the pharmacy to inform her that  her second dose was sooner than the recommendation by the CDC. She was informed that because of an early dose, she is more likely to experience side effects or adverse events. At this time, patient stated that she did experience side effects that she didn?t  have on dose one. She stated that she developed a rash on her arm. It was larger than just at the injection site. She stated that it did not hurt or itch and so she did not seek medical attention. It resolved within a couple of days on its own.
Age: 11.0
Sex: F
Vaccine: HEPA
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient had received first dose 9/13/24 therefore the 2nd dose was given 5 days too soon. No signs/symptoms of any adverse affects post vaccination administration
Age: 4.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Vaccination site erythema, Vaccination site swelling
Clinical narrative: Large area of erythema and small amount of swelling localized around the vaccine site starting 1 day after vaccination.
Age: 31.0
Sex: F
Vaccine: VARCEL
Symptoms: Contraindication to vaccination, No adverse event
Clinical narrative: Applicant has history of LUpus and reveived Varicella vaccine. No adverse reactions noted at this time. Instructed to monitor for next 21 days. Instructed to notify primary care provider and work clinic of any adverse reactions. ie.e fever,rash.
Age: 66.0
Sex: M
Vaccine: FLU3, VARZOS
Symptoms: Asthenia, Neuromyelitis optica spectrum disorder
Clinical narrative: Patient has Neuromyelitis Optica Spectrum Disorder that is well managed at this time and at the time of vaccine. Patient states that he soon started experiencing weakness in both legs and had 2 serious falls r/t the weakness. Patient states that he spoke with his neurologist at that time and has a follow-up appointment in 1 week. Patient states that he returned to baseline after 2 weeks.
Age: 8.0
Sex: M
Vaccine: COVID19, FLU3, HEPA, IPV, TDAP
Symptoms: Extra dose administered, No adverse event
Clinical narrative: First MMR 9/22/2023 Second MMR 11/9/2023 Third MMR 3/18/25 - dose given inadvertently. No adverse reaction noted.
Age: 64.0
Sex: M
Vaccine: PNC20
Symptoms: Extra dose administered, Pain in extremity
Clinical narrative: Patient received an additional dose of Prevnar 20. His initial dose was 9/7/2023 and pharmacist on duty provided additional dose on 3/20/2025 not meeting timeline CDC guidelines. Patient states his arm is sore from injection but no other symptoms.
Age: 66.0
Sex: F
Vaccine: TDAP
Symptoms: Extra dose administered, Pain in extremity
Clinical narrative: Patient received additional dose of Boostrix on 3/20/2025, previous dose was on 5/15/2024. CDC guidelines not met of 8-10 year apart from 1st dose. Patient arm was sore but no other symptoms.
Age: 1.83
Sex: F
Vaccine: MMRV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse effect at this time. Patient was younger than recommended age.
Sex: F
Vaccine: DTAP
Symptoms: Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: RASH AND SWELLING TO INJECTION SITE, ITCHY. GAVE ORAL BENADRYL AND SENT RX FOR BENADRYL ONITMENT
Age: 13.0
Sex: M
Vaccine: HEPA, HPV9
Symptoms: Dizziness, Pallor
Clinical narrative: Pt here today for immunizations. Pt received havrix and gardasil. After vaccines were administered pt began to turn pale and reported dizziness and this medical assistant helped pt into a supine position to avoid a fall and or injury. As soon as pt was laid down pt immediately reported feeling better and regained color in his face. After providing verbal reassurance pt was instructed to remain lying down and vitals were as followed: 114/64 BP, 86 HR, 18 RR, 98% O2. After 30 minutes pt was A&O x 4 and reported feeling better and expressed wanting to go home. Pt was then discharged.
Age: 29.0
Sex: F
Vaccine: TDAP
Symptoms: Rash
Clinical narrative: Patient developed a rash.  Provider verified it was a reaction to the vaccine.
Age: 44.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Aldolase, Arthralgia, Autoimmune disorder, Blood calcium, Blood creatine phosphokinase
Clinical narrative: The week following both vaccinations, I had an extremely sore arm/shoulder at the injection site.  Once my arm soreness subsided, I did not have any noticeable serious health issues until July 6th of 2022.  On that date, following swimming at the gym, I developed severe chest pain that lasted about 10 to 15 minutes.  This symptom re-occurred several times during physical activity.  I went to urgent care following my third chest pain incident.  Nothing was found at that time, but I was referred to a cardiologist.  The cardiologist gave me a clean bill of health and advised I go back to full exercise.  I continued to have chest pain with exercise and limited my activity significantly.  In October 2022, I was walking slowly on a treadmill and had a bout of severe case of chest pain, muscle spasms all around my torso, passed out, had petechiae in my face and a burst vessel in my eye.  I consulted with my primary care doctor, who had no idea what was happening and referred me to a sports medicine doctor.  The sports medicine doctor did not find anything wrong with me to explain my symptoms, neither did a neurosurgery doctor.  My symptoms continued to worsen with escalating muscle twitching, soreness, spasms, and occasional chest pain (from physical activity).  The muscle twitching and soreness did not correlate to any known physical activity.  I was beginning to have a hard time working, sitting in a chair, and doing the most basic of everyday tasks.  I met with a vaccine injury and long-COVID care clinic doctor and after several visits and tests was advised I very likely have a vaccine injury.  I have been diagnosed with autoimmune disease, including MCAS, and widespread fibrin micro-blood clotting.  My symptoms have improved over the past two years with the help of many therapies/protocols, including continued medication, supplementation, and life-style changes, but my twitching and muscle soreness continues to be a constant struggle with more acute flare-ups periodically.
Age: 44.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood magnesium, Blood phosphorus, Blood test, Bone densitometry, C-reactive protein
Clinical narrative: The week following both vaccinations, I had an extremely sore arm/shoulder at the injection site.  Once my arm soreness subsided, I did not have any noticeable serious health issues until July 6th of 2022.  On that date, following swimming at the gym, I developed severe chest pain that lasted about 10 to 15 minutes.  This symptom re-occurred several times during physical activity.  I went to urgent care following my third chest pain incident.  Nothing was found at that time, but I was referred to a cardiologist.  The cardiologist gave me a clean bill of health and advised I go back to full exercise.  I continued to have chest pain with exercise and limited my activity significantly.  In October 2022, I was walking slowly on a treadmill and had a bout of severe case of chest pain, muscle spasms all around my torso, passed out, had petechiae in my face and a burst vessel in my eye.  I consulted with my primary care doctor, who had no idea what was happening and referred me to a sports medicine doctor.  The sports medicine doctor did not find anything wrong with me to explain my symptoms, neither did a neurosurgery doctor.  My symptoms continued to worsen with escalating muscle twitching, soreness, spasms, and occasional chest pain (from physical activity).  The muscle twitching and soreness did not correlate to any known physical activity.  I was beginning to have a hard time working, sitting in a chair, and doing the most basic of everyday tasks.  I met with a vaccine injury and long-COVID care clinic doctor and after several visits and tests was advised I very likely have a vaccine injury.  I have been diagnosed with autoimmune disease, including MCAS, and widespread fibrin micro-blood clotting.  My symptoms have improved over the past two years with the help of many therapies/protocols, including continued medication, supplementation, and life-style changes, but my twitching and muscle soreness continues to be a constant struggle with more acute flare-ups periodically.
Age: 44.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray, Chest pain, Computerised tomogram heart, Differential white blood cell count, Echocardiogram
Clinical narrative: The week following both vaccinations, I had an extremely sore arm/shoulder at the injection site.  Once my arm soreness subsided, I did not have any noticeable serious health issues until July 6th of 2022.  On that date, following swimming at the gym, I developed severe chest pain that lasted about 10 to 15 minutes.  This symptom re-occurred several times during physical activity.  I went to urgent care following my third chest pain incident.  Nothing was found at that time, but I was referred to a cardiologist.  The cardiologist gave me a clean bill of health and advised I go back to full exercise.  I continued to have chest pain with exercise and limited my activity significantly.  In October 2022, I was walking slowly on a treadmill and had a bout of severe case of chest pain, muscle spasms all around my torso, passed out, had petechiae in my face and a burst vessel in my eye.  I consulted with my primary care doctor, who had no idea what was happening and referred me to a sports medicine doctor.  The sports medicine doctor did not find anything wrong with me to explain my symptoms, neither did a neurosurgery doctor.  My symptoms continued to worsen with escalating muscle twitching, soreness, spasms, and occasional chest pain (from physical activity).  The muscle twitching and soreness did not correlate to any known physical activity.  I was beginning to have a hard time working, sitting in a chair, and doing the most basic of everyday tasks.  I met with a vaccine injury and long-COVID care clinic doctor and after several visits and tests was advised I very likely have a vaccine injury.  I have been diagnosed with autoimmune disease, including MCAS, and widespread fibrin micro-blood clotting.  My symptoms have improved over the past two years with the help of many therapies/protocols, including continued medication, supplementation, and life-style changes, but my twitching and muscle soreness continues to be a constant struggle with more acute flare-ups periodically.
Age: 44.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram, Exercise tolerance decreased, Eye haemorrhage, Fibrin D dimer, Full blood count
Clinical narrative: The week following both vaccinations, I had an extremely sore arm/shoulder at the injection site.  Once my arm soreness subsided, I did not have any noticeable serious health issues until July 6th of 2022.  On that date, following swimming at the gym, I developed severe chest pain that lasted about 10 to 15 minutes.  This symptom re-occurred several times during physical activity.  I went to urgent care following my third chest pain incident.  Nothing was found at that time, but I was referred to a cardiologist.  The cardiologist gave me a clean bill of health and advised I go back to full exercise.  I continued to have chest pain with exercise and limited my activity significantly.  In October 2022, I was walking slowly on a treadmill and had a bout of severe case of chest pain, muscle spasms all around my torso, passed out, had petechiae in my face and a burst vessel in my eye.  I consulted with my primary care doctor, who had no idea what was happening and referred me to a sports medicine doctor.  The sports medicine doctor did not find anything wrong with me to explain my symptoms, neither did a neurosurgery doctor.  My symptoms continued to worsen with escalating muscle twitching, soreness, spasms, and occasional chest pain (from physical activity).  The muscle twitching and soreness did not correlate to any known physical activity.  I was beginning to have a hard time working, sitting in a chair, and doing the most basic of everyday tasks.  I met with a vaccine injury and long-COVID care clinic doctor and after several visits and tests was advised I very likely have a vaccine injury.  I have been diagnosed with autoimmune disease, including MCAS, and widespread fibrin micro-blood clotting.  My symptoms have improved over the past two years with the help of many therapies/protocols, including continued medication, supplementation, and life-style changes, but my twitching and muscle soreness continues to be a constant struggle with more acute flare-ups periodically.
Age: 44.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Glycosylated haemoglobin, Immunoassay, Impaired work ability, Injection site pain, Lipids
Clinical narrative: The week following both vaccinations, I had an extremely sore arm/shoulder at the injection site.  Once my arm soreness subsided, I did not have any noticeable serious health issues until July 6th of 2022.  On that date, following swimming at the gym, I developed severe chest pain that lasted about 10 to 15 minutes.  This symptom re-occurred several times during physical activity.  I went to urgent care following my third chest pain incident.  Nothing was found at that time, but I was referred to a cardiologist.  The cardiologist gave me a clean bill of health and advised I go back to full exercise.  I continued to have chest pain with exercise and limited my activity significantly.  In October 2022, I was walking slowly on a treadmill and had a bout of severe case of chest pain, muscle spasms all around my torso, passed out, had petechiae in my face and a burst vessel in my eye.  I consulted with my primary care doctor, who had no idea what was happening and referred me to a sports medicine doctor.  The sports medicine doctor did not find anything wrong with me to explain my symptoms, neither did a neurosurgery doctor.  My symptoms continued to worsen with escalating muscle twitching, soreness, spasms, and occasional chest pain (from physical activity).  The muscle twitching and soreness did not correlate to any known physical activity.  I was beginning to have a hard time working, sitting in a chair, and doing the most basic of everyday tasks.  I met with a vaccine injury and long-COVID care clinic doctor and after several visits and tests was advised I very likely have a vaccine injury.  I have been diagnosed with autoimmune disease, including MCAS, and widespread fibrin micro-blood clotting.  My symptoms have improved over the past two years with the help of many therapies/protocols, including continued medication, supplementation, and life-style changes, but my twitching and muscle soreness continues to be a constant struggle with more acute flare-ups periodically.
Age: 44.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Loss of consciousness, Loss of personal independence in daily activities, Low density lipoprotein, Magnetic resonance imaging spinal, Magnetic resonance imaging thoracic
Clinical narrative: The week following both vaccinations, I had an extremely sore arm/shoulder at the injection site.  Once my arm soreness subsided, I did not have any noticeable serious health issues until July 6th of 2022.  On that date, following swimming at the gym, I developed severe chest pain that lasted about 10 to 15 minutes.  This symptom re-occurred several times during physical activity.  I went to urgent care following my third chest pain incident.  Nothing was found at that time, but I was referred to a cardiologist.  The cardiologist gave me a clean bill of health and advised I go back to full exercise.  I continued to have chest pain with exercise and limited my activity significantly.  In October 2022, I was walking slowly on a treadmill and had a bout of severe case of chest pain, muscle spasms all around my torso, passed out, had petechiae in my face and a burst vessel in my eye.  I consulted with my primary care doctor, who had no idea what was happening and referred me to a sports medicine doctor.  The sports medicine doctor did not find anything wrong with me to explain my symptoms, neither did a neurosurgery doctor.  My symptoms continued to worsen with escalating muscle twitching, soreness, spasms, and occasional chest pain (from physical activity).  The muscle twitching and soreness did not correlate to any known physical activity.  I was beginning to have a hard time working, sitting in a chair, and doing the most basic of everyday tasks.  I met with a vaccine injury and long-COVID care clinic doctor and after several visits and tests was advised I very likely have a vaccine injury.  I have been diagnosed with autoimmune disease, including MCAS, and widespread fibrin micro-blood clotting.  My symptoms have improved over the past two years with the help of many therapies/protocols, including continued medication, supplementation, and life-style changes, but my twitching and muscle soreness continues to be a constant struggle with more acute flare-ups periodically.
Age: 44.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Mast cell activation syndrome, Metabolic function test, Muscle spasms, Muscle twitching, Myalgia
Clinical narrative: The week following both vaccinations, I had an extremely sore arm/shoulder at the injection site.  Once my arm soreness subsided, I did not have any noticeable serious health issues until July 6th of 2022.  On that date, following swimming at the gym, I developed severe chest pain that lasted about 10 to 15 minutes.  This symptom re-occurred several times during physical activity.  I went to urgent care following my third chest pain incident.  Nothing was found at that time, but I was referred to a cardiologist.  The cardiologist gave me a clean bill of health and advised I go back to full exercise.  I continued to have chest pain with exercise and limited my activity significantly.  In October 2022, I was walking slowly on a treadmill and had a bout of severe case of chest pain, muscle spasms all around my torso, passed out, had petechiae in my face and a burst vessel in my eye.  I consulted with my primary care doctor, who had no idea what was happening and referred me to a sports medicine doctor.  The sports medicine doctor did not find anything wrong with me to explain my symptoms, neither did a neurosurgery doctor.  My symptoms continued to worsen with escalating muscle twitching, soreness, spasms, and occasional chest pain (from physical activity).  The muscle twitching and soreness did not correlate to any known physical activity.  I was beginning to have a hard time working, sitting in a chair, and doing the most basic of everyday tasks.  I met with a vaccine injury and long-COVID care clinic doctor and after several visits and tests was advised I very likely have a vaccine injury.  I have been diagnosed with autoimmune disease, including MCAS, and widespread fibrin micro-blood clotting.  My symptoms have improved over the past two years with the help of many therapies/protocols, including continued medication, supplementation, and life-style changes, but my twitching and muscle soreness continues to be a constant struggle with more acute flare-ups periodically.
Age: 44.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Petechiae, Platelet count, Red blood cell sedimentation rate, SARS-CoV-2 antibody test, Scan myocardial perfusion
Clinical narrative: The week following both vaccinations, I had an extremely sore arm/shoulder at the injection site.  Once my arm soreness subsided, I did not have any noticeable serious health issues until July 6th of 2022.  On that date, following swimming at the gym, I developed severe chest pain that lasted about 10 to 15 minutes.  This symptom re-occurred several times during physical activity.  I went to urgent care following my third chest pain incident.  Nothing was found at that time, but I was referred to a cardiologist.  The cardiologist gave me a clean bill of health and advised I go back to full exercise.  I continued to have chest pain with exercise and limited my activity significantly.  In October 2022, I was walking slowly on a treadmill and had a bout of severe case of chest pain, muscle spasms all around my torso, passed out, had petechiae in my face and a burst vessel in my eye.  I consulted with my primary care doctor, who had no idea what was happening and referred me to a sports medicine doctor.  The sports medicine doctor did not find anything wrong with me to explain my symptoms, neither did a neurosurgery doctor.  My symptoms continued to worsen with escalating muscle twitching, soreness, spasms, and occasional chest pain (from physical activity).  The muscle twitching and soreness did not correlate to any known physical activity.  I was beginning to have a hard time working, sitting in a chair, and doing the most basic of everyday tasks.  I met with a vaccine injury and long-COVID care clinic doctor and after several visits and tests was advised I very likely have a vaccine injury.  I have been diagnosed with autoimmune disease, including MCAS, and widespread fibrin micro-blood clotting.  My symptoms have improved over the past two years with the help of many therapies/protocols, including continued medication, supplementation, and life-style changes, but my twitching and muscle soreness continues to be a constant struggle with more acute flare-ups periodically.
Age: 44.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Scan with contrast, Serum ferritin, Spinal X-ray, Thrombosis
Clinical narrative: The week following both vaccinations, I had an extremely sore arm/shoulder at the injection site.  Once my arm soreness subsided, I did not have any noticeable serious health issues until July 6th of 2022.  On that date, following swimming at the gym, I developed severe chest pain that lasted about 10 to 15 minutes.  This symptom re-occurred several times during physical activity.  I went to urgent care following my third chest pain incident.  Nothing was found at that time, but I was referred to a cardiologist.  The cardiologist gave me a clean bill of health and advised I go back to full exercise.  I continued to have chest pain with exercise and limited my activity significantly.  In October 2022, I was walking slowly on a treadmill and had a bout of severe case of chest pain, muscle spasms all around my torso, passed out, had petechiae in my face and a burst vessel in my eye.  I consulted with my primary care doctor, who had no idea what was happening and referred me to a sports medicine doctor.  The sports medicine doctor did not find anything wrong with me to explain my symptoms, neither did a neurosurgery doctor.  My symptoms continued to worsen with escalating muscle twitching, soreness, spasms, and occasional chest pain (from physical activity).  The muscle twitching and soreness did not correlate to any known physical activity.  I was beginning to have a hard time working, sitting in a chair, and doing the most basic of everyday tasks.  I met with a vaccine injury and long-COVID care clinic doctor and after several visits and tests was advised I very likely have a vaccine injury.  I have been diagnosed with autoimmune disease, including MCAS, and widespread fibrin micro-blood clotting.  My symptoms have improved over the past two years with the help of many therapies/protocols, including continued medication, supplementation, and life-style changes, but my twitching and muscle soreness continues to be a constant struggle with more acute flare-ups periodically.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Dyspnoea, Hypotension
Clinical narrative: Resident was given epinephrine x 1 dose IM .and place on oxygen due to shortness of breath. Resident had symptoms of SOB, and low BP.
Age: 15.0
Sex: F
Vaccine: MMR
Symptoms: Hyperhidrosis, Pallor, Syncope, Tinnitus
Clinical narrative: Patient experienced diaphoresis, syncope, and pallor. Patient complains of head ringing.  Pt had syncopal episode lasting about 2 minutes. Client feet elevated and provided water once alert and oriented to person, place, time, and situation. Client admits to fasting prior to vaccine administration. Patient's mother requested ambulance to be made aware, EMS called arrived on scene about 5-8 mins after call. Upon EMS arrival patient alert and oriented to person, place, time and situation, VS and FS obtained by EMS. Patient's mother declined hospital transport, signed with EMS. Client ambulated from clinic alert and oriented to person, place, time and situation with steady gait.
Age: 23.0
Sex: M
Vaccine: TDAP
Symptoms: Syncope
Clinical narrative: Fainted---monitored, gave water, offered medical attention---patient refused medical attention,  said he felt better and left with the person he arrived with.
Age: 73.0
Sex: M
Vaccine: CHIK, HEPA, IPV, TDAP, TYP
Symptoms: Angiogram, Concussion, Diarrhoea, Loss of consciousness, Skin laceration
Clinical narrative: This client was seen at facility on Fri 2/7. He elected to receive Ixchiq, Hep A #1, Typhoid Vi, TDAP and polio on that day. He was fine over the weekend. Took his normal morning walk on Monday morning. Monday evening, he had laid down on the couch. When he went to get up, he passed out. He tried to get up again and passed out and hit his head on a lamp which broke glass and cut his forehead. He crawled into bed and went to sleep. He was in and out of it on Tuesday, feeling "concussed" with diarrhea. His family caught up with him on Wednesday and took him to the ER.
Age: 76.0
Sex: F
Vaccine: PNC20
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient did not have an adverse reaction. She just received a second dose of Prevnar 20 when she had already received a dose two years ago.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administration error.  Vaccine was 3 days past expiration date
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The use by date was 3/13/25. The patient was given the vaccine on 3/17/25.
Age: 59.0
Sex: M
Vaccine: PNC20
Symptoms: Back pain, Gait disturbance, Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: 8/2/24 started to notice numbness of lower extremities, gradually worsened spreading upward, because unable to ambulate easily and was having low back pain, numbness continued to spread to involve the upper extremities and down around the lips.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Member given extra dose of flu shot. Member given flu shot outside of facility on 2/05/25 and given again today in our office 3/21/25. No adverse reactions noted.
Age: 9.0
Sex: F
Vaccine: HEPA
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient was given the vaccine 5 days too early, no signs or symptoms or any adverse affects noted
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Gave this vaccine after the Beyond use date by accident.  No adverse event reported
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: NO ADVERSE EVENT. EXPIRED VACCINE ADMINISTERED.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: NO ADVERSE EVENT. EXPIRED VACCINE GIVEN
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: NO ADVERSE EVENT. EXPIRED VACCINE ADMINISTERED
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: NO ADVERSE EVENT. EXPIRED VACCINE GIVEN
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: NO ADVERSE EVENT. EXPIRED VACCINE ADMINISTERED
Age: 17.0
Sex: M
Vaccine: MENB
Symptoms: Urticaria
Clinical narrative: Urticaria/Hives-diffuse. Treated with  diphenhydramine, Cetirizine.  Prednisone
Age: 45.0
Sex: F
Vaccine: IPV
Symptoms: Wrong product administered
Clinical narrative: Polio received instead of MMR
Age: 70.0
Sex: F
Vaccine: RSV
Symptoms: Body temperature increased, Breath sounds abnormal, Cough, Dyspnoea, Oedema peripheral
Clinical narrative: I got the shot and then a  day later my shoulder swelled. 2-3 days later i got a black and blue mark it was painful but im on blood thinners so i didnt think much of it . 2 weeks ago i got a cough but its pollen season but then i started having issues breathing and a temp at night every night. And so i have an appointment next tues but i had so much trouble breathing i went yesterday they check my oxygen level i was at 91, they listened to my lungs and they heard no air flow at the bottom of my lungs but the top wasn't doing well either, They put me on oxygen for 20 mins and it went up to 94%, they put me on two meds. I still feel like today i cant get a full breath, everything hurts in the lung area but i have only had 2 pills so far.
Age: 70.0
Sex: F
Vaccine: RSV
Symptoms: Painful respiration, Skin discolouration
Clinical narrative: I got the shot and then a  day later my shoulder swelled. 2-3 days later i got a black and blue mark it was painful but im on blood thinners so i didnt think much of it . 2 weeks ago i got a cough but its pollen season but then i started having issues breathing and a temp at night every night. And so i have an appointment next tues but i had so much trouble breathing i went yesterday they check my oxygen level i was at 91, they listened to my lungs and they heard no air flow at the bottom of my lungs but the top wasn't doing well either, They put me on oxygen for 20 mins and it went up to 94%, they put me on two meds. I still feel like today i cant get a full breath, everything hurts in the lung area but i have only had 2 pills so far.
Age: 3.0
Sex: F
Vaccine: HEPA
Symptoms: Extra dose administered
Clinical narrative: Patient was given third dose of Hepatitis A in error. Provider believed pt needed her second dose, but she had already received two doses on 04-07-2023 and 10-23-2023. Dose given on 3/20/25 was extra dose. Pt is doing well
Age: 59.0
Sex: M
Vaccine: VARZOS
Symptoms: Urticaria
Clinical narrative: The first SHINGRIX vaccine was administered 10/23/2024. I did not notice any changes. A few days after 12/27/2024 SHINGRIX vaccine I noticed hives in areas I don't normally get hives. The were presented on thighs and ankles. I read this is not uncommon. It was on 1/17/2025 that I noticed I had  NOT gotten any of my usual dermatographia hives since the second dose. On 1/20/2025 I saw my first dermatographia hive in the usual places. I still see hives on occasion but only about once ever 2 weeks. This is a decrease from the multiple times a week prior to the SHINGRIX vaccine. I made note in doctor site portal but did not visit medical staff.
Age: 59.0
Sex: F
Vaccine: MMR
Symptoms: Flushing, Skin warm, Throat irritation
Clinical narrative: Advised patient to report to the emergency room for moderate facial flushing, hot ears and scratchy throat.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Mass, Rash, Swelling
Clinical narrative: Received TdaP and menveo one day prior to onset. Localized swelling, mass and lump, unspecified..  It began yesterday.  It is of moderate intensity.  This is the first episode.  The typical duration of an episode is the majority of the day.  There are no obvious aggravating factors.  Nothing relieves the symptoms.  Associated symptoms include rash.  He denies abdominal pain, arthralgias, chest pain, chills, constipation, cough, diarrhea, dysuria, fever, headache, hematuria, jaundice, melena, myalgias, nausea, palpitations, paresthesias, red bloody stools, sore throat, sweats, tachycardia, vomiting or weight loss.
Age: 7.0
Sex: F
Vaccine: DTAP
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: patient is 7 and was mistakenly given Dtap instead of Tdap
Age: 54.0
Sex: M
Vaccine: PNC21
Symptoms: Fatigue, Lymphadenopathy, Pain in extremity
Clinical narrative: Patient had a sore arm the next day but noticed the swollen lymph nodes 2 days after receiving the vaccine. He has also been fatigued.
Age: 1.0
Sex: F
Vaccine: HIBV
Symptoms: Extra dose administered
Clinical narrative: Combo vaccine Vaxelis administered as well which contains HIB. Additional HIB vaccine given at the same time.