chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Staphylococcus test positive
Clinical narrative: pt previously in local Medical Center with c/o worsening SOB, fatigue, weakness; dx with positive COVID test; hypoxemic respiratory failure; on NRB; transferred for higher level of care to local Regional Medical Center; started on Remdesivir, Baricitinib, Dexamethasone, ABX; status worsened requiring intubation with mechanical ventilation; positive for MRSA; CT showed right lower lobe PE; worsening kidney status; started on CRRT; worsening gas exchange and respiratory status; family decided to transition to comfort care; pt extubated and dialysis stopped; pt passed away in the hospital
Age: 35.0
Sex: F
Vaccine: UNK
Symptoms: Pain in extremity
Clinical narrative: patient called pharmacy  on 11-3-22 claiming her arm has been sore since she got her flu shot on 11-20-22. she said it was sore for 2 days and then the pain came back a week later and is still there
Age: 79.0
Sex: M
Vaccine: COVID19-2
Symptoms: Confusional state, Dysstasia, Hyperhidrosis
Clinical narrative: Administered 0.5 mL via Intramuscular route to Deltoid, Right NDC: 80777-282-05 Lot #: 010h22a Manufacturer: Moderna US, Inc. Exp.: 05-23-2023 VIS given: 11-01-2022 VIS published date: Moderna COVID-19 6+ EUA 10/12/2022   "RN from team health is calling reporting patients daughter and spouse was advised to bring patient to go to ER , he was found on the floor naked and sweating, had a covid shot yesterday. BP now 98/47. heart rate 52. very confused beyond baseline. cant not get out of chair without assistance. patient has alzheimer's at baseline. disposition was go to ER." In ER improved back to baseline with IV fluids.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Migraine, Nausea
Clinical narrative: I started having symptoms on 10/30/2022.  I woke up and had chills, but I kept going throughout the day. By night, I had a fever, chills, and body aches. This is when I started wearing a mask. On Tuesday, I developed a strong cough and decided to call my doctor and she called in a prescription. Paxlovid, Azithromycin, and Benzonatate. Since starting the medication, my fever stopped. I tested positive for COVID-19 on 11/01/2022. I still have nausea and migraines at this time.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I started having symptoms on 10/30/2022.  I woke up and had chills, but I kept going throughout the day. By night, I had a fever, chills, and body aches. This is when I started wearing a mask. On Tuesday, I developed a strong cough and decided to call my doctor and she called in a prescription. Paxlovid, Azithromycin, and Benzonatate. Since starting the medication, my fever stopped. I tested positive for COVID-19 on 11/01/2022. I still have nausea and migraines at this time.
Age: 1.25
Sex: F
Vaccine: HIBV
Symptoms: Expired product administered
Clinical narrative: Patient was given expired vaccine. Vaccine was given 11/02/2022 and expired 10/29/2022. Patients parent/guardian was contacted and is now scheduled to receive replacing dose on 12/02/2022.
Age: 2.83
Sex: F
Vaccine: DTAPIPV
Symptoms: Unevaluable event
Clinical narrative: NO
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal sensation in eye, Blindness, Ear infection, Eye inflammation, Eye pain
Clinical narrative: Urgent Care 10/6/2021 and 10/8/2021; Ophthalmologist/specialist  10/11/2021, 10/14/2021, 10/28/2021; Family Physician 11/1/2021; Optometrist 11/15/2021. Treatments: Doxycycline Hc 1000mg, Prednisolone AC 1% Ophth Sus, Methylprednisolone 4mg dospak, Sudafed, Azelastine .1%, Advil.    ACUTE ANTERIOR UVEITIS OF BOTH EYES (diagnosed 10/8/2021).  Symptom start 10/4/2021 - blurred vision, decreased vision, severe eye pain and pressure, eye inflamation, eye redness, light sensitivity, dark spots in field of vision, floating spots, heat around both eyes. Duration - 8 weeks.  OTHER ADVERSE: BLAZING HEADACHE, HEAD PRESSURE/PAIN behind eyes and forehead,  EAR/ SINUS INFECTION, HIGH BLOOD PRESSURE, FEVER, SEVERE BODY ACHES
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Facial pain, Head discomfort, Headache, Hypertension, Iridocyclitis
Clinical narrative: Urgent Care 10/6/2021 and 10/8/2021; Ophthalmologist/specialist  10/11/2021, 10/14/2021, 10/28/2021; Family Physician 11/1/2021; Optometrist 11/15/2021. Treatments: Doxycycline Hc 1000mg, Prednisolone AC 1% Ophth Sus, Methylprednisolone 4mg dospak, Sudafed, Azelastine .1%, Advil.    ACUTE ANTERIOR UVEITIS OF BOTH EYES (diagnosed 10/8/2021).  Symptom start 10/4/2021 - blurred vision, decreased vision, severe eye pain and pressure, eye inflamation, eye redness, light sensitivity, dark spots in field of vision, floating spots, heat around both eyes. Duration - 8 weeks.  OTHER ADVERSE: BLAZING HEADACHE, HEAD PRESSURE/PAIN behind eyes and forehead,  EAR/ SINUS INFECTION, HIGH BLOOD PRESSURE, FEVER, SEVERE BODY ACHES
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Ocular discomfort, Ocular hyperaemia, Pain, Photophobia, Pyrexia
Clinical narrative: Urgent Care 10/6/2021 and 10/8/2021; Ophthalmologist/specialist  10/11/2021, 10/14/2021, 10/28/2021; Family Physician 11/1/2021; Optometrist 11/15/2021. Treatments: Doxycycline Hc 1000mg, Prednisolone AC 1% Ophth Sus, Methylprednisolone 4mg dospak, Sudafed, Azelastine .1%, Advil.    ACUTE ANTERIOR UVEITIS OF BOTH EYES (diagnosed 10/8/2021).  Symptom start 10/4/2021 - blurred vision, decreased vision, severe eye pain and pressure, eye inflamation, eye redness, light sensitivity, dark spots in field of vision, floating spots, heat around both eyes. Duration - 8 weeks.  OTHER ADVERSE: BLAZING HEADACHE, HEAD PRESSURE/PAIN behind eyes and forehead,  EAR/ SINUS INFECTION, HIGH BLOOD PRESSURE, FEVER, SEVERE BODY ACHES
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Sinusitis, Vision blurred, Visual impairment, Vitreous floaters
Clinical narrative: Urgent Care 10/6/2021 and 10/8/2021; Ophthalmologist/specialist  10/11/2021, 10/14/2021, 10/28/2021; Family Physician 11/1/2021; Optometrist 11/15/2021. Treatments: Doxycycline Hc 1000mg, Prednisolone AC 1% Ophth Sus, Methylprednisolone 4mg dospak, Sudafed, Azelastine .1%, Advil.    ACUTE ANTERIOR UVEITIS OF BOTH EYES (diagnosed 10/8/2021).  Symptom start 10/4/2021 - blurred vision, decreased vision, severe eye pain and pressure, eye inflamation, eye redness, light sensitivity, dark spots in field of vision, floating spots, heat around both eyes. Duration - 8 weeks.  OTHER ADVERSE: BLAZING HEADACHE, HEAD PRESSURE/PAIN behind eyes and forehead,  EAR/ SINUS INFECTION, HIGH BLOOD PRESSURE, FEVER, SEVERE BODY ACHES
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Atrial fibrillation, Blood test normal, Electrocardiogram abnormal, Heart rate increased, Palpitations
Clinical narrative: On October 29, 2022, three weeks after my bivalent booster I had a fast heart rate, about 145. My normal rate is 62BPM.  The next morning, I went to a local urgent care clinic because my heart was still racing. I was diagnosed with Atrial Fibrillation. They referred me to the emergency room. I went in an ambulance from the clinic to the hospital. At the ER I was monitored, and my heart was about 165BPM at this point. I was given intravenous drugs and that slowed my heart rate. They also diagnosed me with atrial fibrillation. As of today, I am doing well, but I am now on a beta blocker.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Vaccinated with adult Pfizer monovalent vaccine, 30 mcg/0.3ml instead of pediatric 5-11y Pfizer monovalent vaccine 10mcg/0.2ml. No immediate adverse outcome, called parent and informed of mistake and explained possibility of side effects due to higher dose, Local County Health Officer telephone consult with parent.
Age: 51.0
Sex: F
Vaccine: FLUC4
Symptoms: Dizziness, Dyspnoea, Syncope
Clinical narrative: short of breath, dizzy, faint, get one shot of epinephrine
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Erythema, Immunisation reaction, Peripheral swelling, Pruritus, Skin warm
Clinical narrative: COVID arm (left arm) Symptoms: Red, swollen, hot, mildly itchy 8.5 cm width  x 7 cm height Onset: less than 24 hours. Duration: approximately 1 week  Treatment:  Applied cold compresses and sparing amounts or either hydrocortisone or betamethasone
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Patient expired 11/2/2022.
Age: 36.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Injection site haemorrhage, Loss of consciousness, Pallor, Posture abnormal, Tonic clonic movements
Clinical narrative: Patient had received his flu shot, covered site with fingers and a drop of blood came out. Covered with bandaid. Administered Covid booster, applied bandage. Disposed of sharps and noticed patient went pale. Tonic movements and loss of consciousness noted. Patient slumped over onto his right side. Author said his name, and he woke up within 10-15 seconds. Assisted him onto bed to lie down. Monitored him for over 20 minutes, symptoms improved. Stated he has had syncopal episodes while giving blood only.
Age: 29.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Syncope
Clinical narrative: Patient fainted 10 minutes after the vaccinations. Patient was okay after a minutes of waiting.
Age: 64.0
Sex: F
Vaccine: FLUR4
Symptoms: Injection site rash, Rash erythematous, Rash papular
Clinical narrative: patient developed a 3x3 inch raised red rash on her arm, below the site of the injection
Age: 27.0
Sex: M
Vaccine: COVID19-2
Symptoms: Inappropriate schedule of product administration, Incorrect product formulation administered, Product communication issue
Clinical narrative: A Moderna Bivalent BOOSTER shot was given today instead of a Moderna PRIMARY series. Patient intended to begin his covid series today and  a miscommunication led to the patient receiving the booster vaccine ahead of a primary series first dose.
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain, Pain in extremity
Clinical narrative: Pain in the left arm, especially when moving the arm or trying to put on clothing.  I suspect the arm was injured by the shot, not by the Covid vaccine.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Bed sharing, Cough, Fatigue, Feeling cold, Malaise
Clinical narrative: On 8/30/2022 in the evening, I was not feeling well. I was sneezing, I had congestion. I was coughing. I had congestion in my chest and in my nose. I felt cold. I did not have a fever. I was extremely tired. I just felt very cold. I took a COVID-19 home test and tested positive on 8/31/2022. I called my doctor on 8/31/2022 and she prescribed PAXLOVID for the 5 days and I took it for the 5 days. I had a negative COVID-19 test on 9/10/2022 and my symptoms resolved.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Pulmonary congestion, Respiratory tract congestion, SARS-CoV-2 test positive, Sneezing
Clinical narrative: On 8/30/2022 in the evening, I was not feeling well. I was sneezing, I had congestion. I was coughing. I had congestion in my chest and in my nose. I felt cold. I did not have a fever. I was extremely tired. I just felt very cold. I took a COVID-19 home test and tested positive on 8/31/2022. I called my doctor on 8/31/2022 and she prescribed PAXLOVID for the 5 days and I took it for the 5 days. I had a negative COVID-19 test on 9/10/2022 and my symptoms resolved.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Condition aggravated, Dizziness, Vertigo
Clinical narrative: Vertigo, dizziness. I have had vertigo multiple times in the last 10 or so years and do not know that this is related to this vaccine.  I am taking meclizine 25 mg 3 times daily until the vertigo stops, and also Zyrtec (cetirizine) 10 mg daily at bedtime.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Back pain, Neck pain, Pain in extremity
Clinical narrative: 1/20/2021 This manifested initially in the afternoon as a pain down the arm, through the arm pit, into back and neck.
Age: 77.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Diarrhoea, Injection site hypersensitivity, Pain in extremity, Peripheral swelling, Urinary tract infection
Clinical narrative: PATIENT HAD SWOLLEN, SORE ARM, SENSITIVE SKIN AROUND INJECTION SITE. PT ALSO HAD VOMITING AND DIARRHEA THAT MAY HAVE BEEN RELATED TO THE UTI SHE WAS DIAGNOSED WITH AT THE EMERGENCY ROOM VISIT.
Age: 77.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Vomiting
Clinical narrative: PATIENT HAD SWOLLEN, SORE ARM, SENSITIVE SKIN AROUND INJECTION SITE. PT ALSO HAD VOMITING AND DIARRHEA THAT MAY HAVE BEEN RELATED TO THE UTI SHE WAS DIAGNOSED WITH AT THE EMERGENCY ROOM VISIT.
Age: 62.0
Sex: F
Vaccine: UNK
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 62 year old patient was given the Adjuvanted Fluad Quadrivalent for 65+ in error
Age: 22.0
Sex: F
Vaccine: FLU4
Symptoms: Fall, Head injury, Loss of consciousness, Syncope, Tremor
Clinical narrative: Patient fainted and fell to the floor, hitting her head. Patient also began shaking. Patient was unconscious momentarily and regained consciousness. Pharmacist held her while sitting on the floor, patient was given water, blood pressure and pulse were also measured. Patient also answered questions to ensure she was alert and oriented. Authorities were notified and arrived promptly with EMS. Vitals were checked again and was given option to seek further care, but patient denied and stated she was fine with no issues.
Age: 8.0
Sex: M
Vaccine: COVID19-2
Symptoms: Fall, Loss of consciousness, Nausea, Pallor
Clinical narrative: Pediatric client was with Mom.  Earlier had 2 primary series doses of Pfizer 5-11 without any complications.  Vaccinated without incident by staff  While seating next to Mom in post-vax client said he was nauseous then slumped in chair & lost consciousness.  Mom supported his body so never fell from chair.  Face appeared pale, pulse strong and regular .   He shortly regained consciousness (2-3 min) and was escorted to a cot to lie down.  Remained on cot an additional 15 minutes until able to sit & walk without difficulty.  Mom said he was very nervous about being vaccinated today.  No prior history of a vasovagal response.
Age: 67.0
Sex: F
Vaccine: FLUA4
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site swelling
Clinical narrative: Patient called after receiving vaccine and reported that her arm had developed a lump and some redness under the injection site of vaccine. Was a little painful, no other symptoms. Patient had similar reaction 3 years ago where arm swelled and became red and painful, last 2 years had vaccine with no adverse reaction. Patient was instructed to apply ice, call clinic if symptoms became worse, had difficulty breathing etc.  or go to the nearest emergency room. Patient was also given contact information for clinic staff if she needed to call over the weekend outside clinic hours. Patient was called 3 days later and reported symptoms had all resolved, no other symptoms developed other than the swelling and redness and a little pain.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Back pain, Decreased appetite, Fatigue, Musculoskeletal pain, Pain
Clinical narrative: Patient had overall aching (back, butt, arm). She did not have an appetite and was tired. She did not report a fever. Symptoms resolved after 18 hours.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain in extremity
Clinical narrative: Patient had overall aching (back, butt, arm). She did not have an appetite and was tired. She did not report a fever. Symptoms resolved after 18 hours.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated x3 (Pfizer: 09/24/2021, 10/22/2021, 04/22/2022)  Patient admitted to medical center and tested COVID+ on 11/02/2022
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Computerised tomogram, Electrocardiogram, Eyelid ptosis, Hypoaesthesia
Clinical narrative: Developed Bells Palsey beginning with right eye sagging on Saturday 10/22 by Monday 10/24 all of the right side of my face was numb Went to health care for visit and tests
Age: 58.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test
Clinical narrative: I recently came down with COVID and required Paxlovid antiviral treatment. Someone from your team called me to verify the accuracy of my most recent Vsafe check in and asked me to fill out this form to report the illness following the booster.
Age: 14.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Concussion, Dizziness, Headache, Loss of consciousness, Pallor
Clinical narrative: SHORTLY AFTER VACCINATIONS, PATIENT BEGAN TO FEEL DIZZY--WAS FIRST PLACED ON STOOL, THEN BACK ON CHAIR. SHE WAS PALE AND THEN HER HEAD FELL BACK AS SHE PASSED OUT.  SHE WAS LOWERED TO THE FLOOR TO REST AND REGAINED CONSCIOUSNESS.  SHE WAS GIVING ORANGE JUICE AND ENCOURAGED TO GET UP SLOWLY WHEN READY.  SEEMED FINE WHEN LEAVING.
Age: 14.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Posture abnormal
Clinical narrative: SHORTLY AFTER VACCINATIONS, PATIENT BEGAN TO FEEL DIZZY--WAS FIRST PLACED ON STOOL, THEN BACK ON CHAIR. SHE WAS PALE AND THEN HER HEAD FELL BACK AS SHE PASSED OUT.  SHE WAS LOWERED TO THE FLOOR TO REST AND REGAINED CONSCIOUSNESS.  SHE WAS GIVING ORANGE JUICE AND ENCOURAGED TO GET UP SLOWLY WHEN READY.  SEEMED FINE WHEN LEAVING.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chronic kidney disease, Glomerular filtration rate decreased, Ultrasound scan
Clinical narrative: I did not have any symptoms immediately after I received the shots including the 2 booster shots
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Dry skin, Injection site dryness, Swelling
Clinical narrative: Two days after receiving the vaccine dry skin patches circled the area where the shot was given.  In the time since, the dry skin patches have spread around her body. The patches do not itches, are dry and sometimes raised.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Back pain, Lymphoedema, Neck pain, Pain in extremity
Clinical narrative: This manifested initially in the afternoon as a pain down the arm, through the arm pit, into back and neck on left side.  This waxed and waned but did not go away for about 6 months.  This cleared up when I had a lymphedema treatment.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthropathy, Contusion
Clinical narrative: Unknown
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given after expiration date. Family called and notified.
Age: 1.0
Sex: F
Vaccine: FLU4, HEPA, MMR
Symptoms: Injection site erythema
Clinical narrative: About five minutes after vaccine administration, patient's mother noticed patient's left leg was noted red. Mother informed nurse and provider. Provider assessed patient and advised nurse to five 4 ml of benadryl. Nurse administered 4 ml of benadryl orally. Pt was kept in clinic for further observation. Patient's left leg redness subsided after benadryl administration and patient was discharge home with no other apparent distress.
Age: 85.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine stored frozen longer than manufacturer storage recommendation.  No symptoms/side effects
Age: 87.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cerebral haemorrhage, Confusional state, Death
Clinical narrative: On 10/19/2022 just after having blood drawn, in Mid-morning became confused - not making sense. Called 911. Was taken to ER. Doctor called and said that Patient had suffered a massive hemorrhage on the left side of the brain. Surgery was ruled out as not having a good outcome. Also Patient had said that she didn't want any more surgeries. The last surgery was for the lung and lasted 3 and a half hours. It was on 4/26/2021, and her doctors did not expect her to live.  Her surgeon was "PRIVATE"; her pulmonologist was Dr. "PRIVATE". Patient was admitted to hospital on 10/19/2022. She died at midnight 10/20/2022.
Age: 90.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cerebral haemorrhage, Cerebral mass effect, Cerebrovascular accident, Computerised tomogram head abnormal, Subarachnoid haemorrhage
Clinical narrative: HEMORRHAGIC CVA ON 10/7/22. TRANSFERRED TO LOCAL GENERAL HOSPITAL, THEN TO ALTERNATE MEDICAL CENTER, THEN TO HOSPICE.
Age: 43.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine was given after it had unknowingly experienced a temperature excursion that rendered it not suitable per use per the manufacturer. No adverse event occurred that we know of.
Age: 46.0
Sex: F
Vaccine: COVID19-2
Symptoms: Axillary pain, Back pain, Neck pain, Pain in extremity
Clinical narrative: This manifested initially in the afternoon as a pain down the arm, through the arm pit, into back and neck on right side.  Sought lymphedema treatment and this is clearing up fast, but not gone away.  Feels 90% better
Age: 5.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site vesicles
Clinical narrative: 10/23/22 parents noticed blistering at the site of injection.  Parents had left the bandaid on and thought maybe it was from the adhesive, but the blisters were only at the site, not extending out.  Parents were instructed to keep bandaids off and wash the area and keep it dry.  As of 10/25/22 blisters were beginning to diminish.  No treatment was necessary.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Nasopharyngitis, Oropharyngeal pain
Clinical narrative: I had extremely mild, no aches, and cold like symptoms. I had fatigue, little so throat, and a little cough. I went to a wedding, they were testing for COVID-19 and my test came up positive. I went urgent care and tested positive there again. They prescribed me PAXLOVID.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I had extremely mild, no aches, and cold like symptoms. I had fatigue, little so throat, and a little cough. I went to a wedding, they were testing for COVID-19 and my test came up positive. I went urgent care and tested positive there again. They prescribed me PAXLOVID.
Age: 72.0
Sex: M
Vaccine: COVID19-2, FLU4, COVID19, FLUX, COVID19, FLU4
Symptoms: Balance disorder, Gait inability, Guillain-Barre syndrome, Lumbar puncture abnormal, Mobility decreased
Clinical narrative: Diagnosed with Guillain Barre Syndrome 2.5 weeks after vaccination. Covid and flu vaccinations were given at the same time then 2 weeks later, severe unbearable shooting pain began in arms/neck. Then loss of balance, inability of walk occurred, plus extreme muscle weakness and nerve pain. Loss of motor skills and mobility occurred. First visit to doctor they were unable to diagnosis, visit to ER they were unable to diagnosis, then second visit to ER they diagnosed with GBS.
Age: 72.0
Sex: M
Vaccine: COVID19-2, FLU4, COVID19, FLUX, COVID19, FLU4
Symptoms: Motor dysfunction, Muscular weakness, Neck pain, Neuralgia, Pain
Clinical narrative: Diagnosed with Guillain Barre Syndrome 2.5 weeks after vaccination. Covid and flu vaccinations were given at the same time then 2 weeks later, severe unbearable shooting pain began in arms/neck. Then loss of balance, inability of walk occurred, plus extreme muscle weakness and nerve pain. Loss of motor skills and mobility occurred. First visit to doctor they were unable to diagnosis, visit to ER they were unable to diagnosis, then second visit to ER they diagnosed with GBS.
Age: 72.0
Sex: M
Vaccine: COVID19-2, FLU4, COVID19, FLUX, COVID19, FLU4
Symptoms: Pain in extremity
Clinical narrative: Diagnosed with Guillain Barre Syndrome 2.5 weeks after vaccination. Covid and flu vaccinations were given at the same time then 2 weeks later, severe unbearable shooting pain began in arms/neck. Then loss of balance, inability of walk occurred, plus extreme muscle weakness and nerve pain. Loss of motor skills and mobility occurred. First visit to doctor they were unable to diagnosis, visit to ER they were unable to diagnosis, then second visit to ER they diagnosed with GBS.
Age: 72.0
Sex: M
Vaccine: COVID19-2, FLU4, COVID19, FLUX, COVID19, FLU4
Symptoms: Guillain-Barre syndrome, Lumbar puncture, Magnetic resonance imaging, Vaccination site pain
Clinical narrative: Diagnosed with Guillain Barre Syndrome 2.5 weeks after vaccination. Covid and flu vaccinations were given at the same time then 2 weeks later, severe unbearable shooting pain began in arms/neck. Then loss of balance, inability of walk occurred, plus extreme muscle weakness and nerve pain. Loss of motor skills and mobility occurred. First visit to doctor they were unable to diagnosis, visit to ER they were unable to diagnosis, then second visit to ER they diagnosed with GBS.
Age: 72.0
Sex: M
Vaccine: COVID19-2, FLU4, COVID19, FLUX, COVID19, FLU4
Symptoms: Guillain-Barre syndrome, Vaccination site pain
Clinical narrative: Diagnosed with Guillain Barre Syndrome 2.5 weeks after vaccination. Covid and flu vaccinations were given at the same time then 2 weeks later, severe unbearable shooting pain began in arms/neck. Then loss of balance, inability of walk occurred, plus extreme muscle weakness and nerve pain. Loss of motor skills and mobility occurred. First visit to doctor they were unable to diagnosis, visit to ER they were unable to diagnosis, then second visit to ER they diagnosed with GBS.
Age: 62.0
Sex: M
Vaccine: PNC20
Symptoms: Cellulitis, Chills, Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: 10/27 prevnar 20 injection 10/28 next morning fever 102 and chills, increasing swelling and redness around injection site. 10/29 fever and swelling continue. urgent care diagnosis of cellulitis in left arm, prescribe Cephalexin 500mg 4xdaily 10/30 intermittent fever, swelling and redness expands down through elbow into forearm 10/31 diagnosed with allergic reaction or infection,  Aleve twice per day, Doxycycline twice per day for 7 days, Can take benadryl as needed, STOP taking Keflex. Giving antibiotics (ceftriaxone) in clinic. Cold compresses at home.
Age: 80.0
Sex: M
Vaccine: FLU4
Symptoms: Asthenia, Feeling abnormal, Tremor
Clinical narrative: 4 hours after she had her flu vaccine last visit she started shaking uncontrollably and then by morning she felt so weak and miserable in her extremities that she actually had to crawl to the bathroom.  She states his lasted for several days.
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: Hypoaesthesia, Joint range of motion decreased, Paraesthesia
Clinical narrative: LLE numbness, occasional tingling and decreased range of motion
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abdominal pain upper, Diarrhoea, Nausea
Clinical narrative: About 2 hours post vaccine, at about 4:30PM, I started having stomach pain, I started with diarrhea, I threw up a little bit and I had nausea. I was like that for a week. I went to work the next day, but my stomach really hurt, and I came back home. I went to work the rest of that week, but I did not feel like it. The GI problems lasted for a week, with diarrhea and nausea. I took gas relief medication. I took Pepto Bismal.  I went back to clinic and asked someone there about the symptoms I was having, and they told me it was part of the symptoms of the side effects of the Pfizer vaccine.
Age: 20.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Poor quality product administered, Product storage error
Clinical narrative: Vaccine was given after it had unknowingly experienced a temperature excursion that rendered it not suitable per use per the manufacturer. No adverse event occurred that we know of.
Age: 9.0
Sex: M
Vaccine: FLU4
Symptoms: Culture throat negative, Oropharyngeal pain, Streptococcus test negative, Visual impairment
Clinical narrative: Pt was given the vaccine at visit . Pt states he  had visual disturbance and sore throat . Pt went to the ER for Evaluation. The ER physician  prescribed nothing.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Oropharyngeal pain, Pulmonary pain, SARS-CoV-2 test positive
Clinical narrative: Symptoms included extremely painful, swollen sinus tissues, throat and lungs one day after onset persisting for four days and decreasing over 7-8 days.  Sixth day after onset, trouble breathing developed.  Albuterol and Fluicasone Proprionate aerosols were proscribed relieving symptoms after five days.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Sinus pain, Soft tissue swelling
Clinical narrative: Symptoms included extremely painful, swollen sinus tissues, throat and lungs one day after onset persisting for four days and decreasing over 7-8 days.  Sixth day after onset, trouble breathing developed.  Albuterol and Fluicasone Proprionate aerosols were proscribed relieving symptoms after five days.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine stored outside of manufacturer's storage recommendations.  Specifically, frozen longer.
Age: 32.0
Sex: F
Vaccine: UNK
Symptoms: Photophobia, Vision blurred
Clinical narrative: Patient reported burry vision, which started the evening after receiving her shot.  She also reported light sensitivity and the symptoms lasted about 2 and half days.
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Joint range of motion decreased, Pain
Clinical narrative: This patient received a flu vaccine 9/16/22.  Since administration, she states she has had decreased range of motion to left arm.  She complains of pain with motion of left arm.  She reports that symptoms are unchanging over the last 10 weeks.  PRN ice has not helped.  Pt was advised to follow up with her PCP asap for further evaluation and treatment.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine stored outside of manufacturer's storage recommendations (frozen longer)
Age: 55.0
Sex: F
Vaccine: FLUC4, FLUC4
Symptoms: Immunisation reaction, Myalgia, Pain, Tenderness
Clinical narrative: My left arm is very tender in the underneath side, deep into my arm. Doctor feels it was a vaccine reaction. Muscle pain that is somewhat sore and at times very painful when moving arm.
Age: 55.0
Sex: F
Vaccine: FLUC4, FLUC4
Symptoms: Immunisation reaction, Pain in extremity
Clinical narrative: My left arm is very tender in the underneath side, deep into my arm. Doctor feels it was a vaccine reaction. Muscle pain that is somewhat sore and at times very painful when moving arm.
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine stored outside manufacturer's storage recommendations (frozen longer)
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine stored outside manufacturer's storage recommendations (frozen longer)
Age: 16.0
Sex: M
Vaccine: MENB
Symptoms: Fatigue, Headache, Muscle spasms, Myalgia, Pyrexia
Clinical narrative: high fever, severe muscle aches and spasm, urinary accident at night, headache, severe fatigue.
Age: 16.0
Sex: M
Vaccine: MENB
Symptoms: Urinary incontinence
Clinical narrative: high fever, severe muscle aches and spasm, urinary accident at night, headache, severe fatigue.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Contracted covid, 9/13/2022
Age: 48.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cough, Fatigue, Headache, Hyposmia, Nasal congestion
Clinical narrative: Diminished smell persisting for a few weeks post vaccination.  Initially, had nausea, headache, skin pain, fever/chills, nasal congestion, ST, cough, fatigue that resolved within 2 weeks.   No noted change in sense of smell post COVID infection Aug, 2022 until COVID vaccine in October.
Age: 48.0
Sex: F
Vaccine: COVID19-2
Symptoms: Nausea, Pain of skin, Pyrexia
Clinical narrative: Diminished smell persisting for a few weeks post vaccination.  Initially, had nausea, headache, skin pain, fever/chills, nasal congestion, ST, cough, fatigue that resolved within 2 weeks.   No noted change in sense of smell post COVID infection Aug, 2022 until COVID vaccine in October.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine stored outside manufacturer's storage recommendations (frozen longer)
Age: 12.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: Blood test abnormal, Chest X-ray normal, Chest pain, Electrocardiogram normal, Myocardial necrosis marker normal
Clinical narrative: Woke up with chest pains and BPM was over 160. Mother took him to the ER where he was tested and observed for about 4 hours. Went and saw PCP, then was referred to a Cardiologist. Seeing Cardiology doctor at the end of this month.
Age: 12.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: White blood cell count increased
Clinical narrative: Woke up with chest pains and BPM was over 160. Mother took him to the ER where he was tested and observed for about 4 hours. Went and saw PCP, then was referred to a Cardiologist. Seeing Cardiology doctor at the end of this month.
Age: 23.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event, Product administration error
Clinical narrative: This is an administration error only. The patient did not report an adverse reaction today. She was immunized on 10/31/22 with a Pfizer-Bivalent 12+ injection but never received any primary vaccines.
Age: 29.0
Sex: F
Vaccine: COVID19-2
Symptoms: Muscle spasms, Muscle twitching
Clinical narrative: Facial/cheek muscle twitching/spasm  on same side of body that vaccine was given
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored outside of manufacturer's storage recommendations (frozen longer)
Age: 78.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: patient received pfizer bivalent instead of moderna
Age: 46.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: At and around the injection site, my arm became red, swollen and very itchy.  This lasted for approx 24 hours. I received the flu vacc the day prior; not sure which one it was as that information was not provided to me.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored outside of manufacturer's storage recommendations (frozen longer)
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Vaccine not diluted and 10 doses of vaccine given rather than 1 dose of vaccine
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Decreased appetite, Diarrhoea, Early satiety, Hepatic enzyme increased
Clinical narrative: Breakthrough Covid infection in June 2022.  Infection caused diarrhea that lasted for about 1 month, accompanied by loss of appetite and early satiety.  Now, 4-1/2 months later, I have lost 17 pounds for otherwise unknown reasons, bringing me to 110 pounds from prior 127 pounds.  The weight loss is 15% of my current weight, and 13% of my prior weight.  Also resulted in elevated liver enzymes.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection, Weight decreased
Clinical narrative: Breakthrough Covid infection in June 2022.  Infection caused diarrhea that lasted for about 1 month, accompanied by loss of appetite and early satiety.  Now, 4-1/2 months later, I have lost 17 pounds for otherwise unknown reasons, bringing me to 110 pounds from prior 127 pounds.  The weight loss is 15% of my current weight, and 13% of my prior weight.  Also resulted in elevated liver enzymes.
Age: 76.0
Sex: M
Vaccine: COVID19-2
Symptoms: Arthralgia, Decreased appetite, Feeling cold, Injection site pain, Insomnia
Clinical narrative: fever, chills, pain at site of injection, joint pain, loos of appetite, general malaise, insomnia
Age: 76.0
Sex: M
Vaccine: COVID19-2
Symptoms: Malaise, Pyrexia
Clinical narrative: fever, chills, pain at site of injection, joint pain, loos of appetite, general malaise, insomnia
Age: 27.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pityriasis rosea
Clinical narrative: Developed Pityriasis rosea with in 2 weeks.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Hearing aid user, Tinnitus
Clinical narrative: Tinnitus in both ears-------------no treatment known, varies in volume from a 1 to 5, have it every day.  Afraid of getting another booster as sound may increase, and quality of life will go down.   Have read on line that others have gotten boosters and it was awful.  One committed suicide that I head of and others considering it, just want noise to go away.
Age: 44.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient was mistakenly given Moderna Bivalent as primary dose. No adverse effects.
Age: 49.0
Sex: F
Vaccine: FLU4
Symptoms: Lymphadenopathy, Rash
Clinical narrative: Employee came to Employee Health to report about a week following flu shot started having rash on back of neck and swollen lymph nodes. Was prescribed a cream that was put on rash.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored outside of manufacturer's storage recommendations (frozen longer)
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pfizer booster administered instead of Bivalent.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event
Clinical narrative: No adverse event reported.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored outside of manufacturer's storage recommendations (frozen longer)
Age: 82.0
Sex: M
Vaccine: FLU4
Symptoms: Hyperhidrosis, Hypoacusis, Migraine, Photopsia, Tremor
Clinical narrative: Patient states that 5 hours after receiving flu vaccine on 10/31/22 patient began having reaction. Migraine started in back of head, went to eyebrows, whole head aching pain. Hearing became "staticky like an old radio." Sight got dark with flashes of light. Persisted for 45 minutes. Patient also shook for 3 hours even though not cold. Wife thought patient was having seizure because patient was shaking. Patient was sweating.    Patient states this is the sixth year patient has had these symptoms the evening after getting flu vaccine. Last two years have been the worst.
Age: 82.0
Sex: M
Vaccine: FLU4
Symptoms: Visual impairment
Clinical narrative: Patient states that 5 hours after receiving flu vaccine on 10/31/22 patient began having reaction. Migraine started in back of head, went to eyebrows, whole head aching pain. Hearing became "staticky like an old radio." Sight got dark with flashes of light. Persisted for 45 minutes. Patient also shook for 3 hours even though not cold. Wife thought patient was having seizure because patient was shaking. Patient was sweating.    Patient states this is the sixth year patient has had these symptoms the evening after getting flu vaccine. Last two years have been the worst.
Age: 71.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Ear pain, Hyperaesthesia, Oral hyperaesthesia, Pain
Clinical narrative: 09/25/2022 I AWOKE IN THE MIDDLE OF THE NIGHT WITH A THROBBING "TOOTHACHE". i TOOK ADVIL AND WAS ABLE TO FALL ASLEEP. WHEN i WOKE UP. THE AREA WAS TENDER BUT THE PAIN WAS GONE. WEEKS LATER 10/20/2022 I CONTRACTED COVID AND STARTING ON THE FIRST DAY OF SYMPTOMS, MY RIGHT TEETH ALL HURT AND PAIN RADIATES TO MY RIGHT EAR. SKIN IS SENSITIVE TO TOUCH AND ORAL CAVITY SENSITIVE TO TEMPERATURE. PAIN CONTINUES INTERMITTANTLY AND IS RELIEVED WITH ADVIL AND COLD COMPRESS.  11/03/2022 I WENT TO THE DENTIST (DDS) DUE TO PAIN TO CHECK TO SEE IF I HAD ANY DENTAL ISSUES. DR SAID ALL THE TEETH ON THE RIGHT SIDE WERE FINE AND MY GUMS WERE FINE. SHE SUSPECTS TRIGEMINAL NEURALGA ... BASED ON MY SYMPTOM COMPLAINTS AND HER FINDINGS. SHE SUGGESTED I SHOULD KEEP A DIARY AND WAIT A MONTH TO SEE IF IT CORRECTS ON IT'S OWN. I AM TO NOTIFY EITHER MY PRIMARY CARE PHYSICIAN OR DR. IF SYMPTOMS WORSEN. I MAY NEED TO SEE A NEUROLOGIST.
Age: 71.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Sensitive skin, Sleep disorder, Tenderness, Toothache, Trigeminal neuralgia
Clinical narrative: 09/25/2022 I AWOKE IN THE MIDDLE OF THE NIGHT WITH A THROBBING "TOOTHACHE". i TOOK ADVIL AND WAS ABLE TO FALL ASLEEP. WHEN i WOKE UP. THE AREA WAS TENDER BUT THE PAIN WAS GONE. WEEKS LATER 10/20/2022 I CONTRACTED COVID AND STARTING ON THE FIRST DAY OF SYMPTOMS, MY RIGHT TEETH ALL HURT AND PAIN RADIATES TO MY RIGHT EAR. SKIN IS SENSITIVE TO TOUCH AND ORAL CAVITY SENSITIVE TO TEMPERATURE. PAIN CONTINUES INTERMITTANTLY AND IS RELIEVED WITH ADVIL AND COLD COMPRESS.  11/03/2022 I WENT TO THE DENTIST (DDS) DUE TO PAIN TO CHECK TO SEE IF I HAD ANY DENTAL ISSUES. DR SAID ALL THE TEETH ON THE RIGHT SIDE WERE FINE AND MY GUMS WERE FINE. SHE SUSPECTS TRIGEMINAL NEURALGA ... BASED ON MY SYMPTOM COMPLAINTS AND HER FINDINGS. SHE SUGGESTED I SHOULD KEEP A DIARY AND WAIT A MONTH TO SEE IF IT CORRECTS ON IT'S OWN. I AM TO NOTIFY EITHER MY PRIMARY CARE PHYSICIAN OR DR. IF SYMPTOMS WORSEN. I MAY NEED TO SEE A NEUROLOGIST.
Age: 56.0
Sex: F
Vaccine: FLUR4
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: Pt is claiming she still has arm/shoulder pain after receiving the vaccine 49 days ago.
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site pain
Clinical narrative: Patient stated it felt as the pharmacist hurt her when administering the vaccination/ she stated it hurt as it entered arm and was extremely sore for a few days after the vaccine. The pharmacist on duty who took the information on 11/1/2022 examined her arm and dud not see any redness or bruising and explained that it is a common reaction to have soreness at the vaccination site.
Age: 74.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Pain, Skin warm, Swelling
Clinical narrative: Patient called 11/3/22 at approximately 3 PM. Patient reported local swelling, pain, and feeling warm to the touch starting around 10 PM on 11/2/22.  Patient had been putting ice on the location.
Age: 61.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Anticoagulant therapy, Arthralgia, Back pain, Computerised tomogram abnormal, Joint swelling
Clinical narrative: I started having charley horses in my right calf in the middle of the night. I didn't think anything of it until my ankle, back, leg, and hip started hurting and swelling all on the right side a couple weeks later after the charley horses. I went to the urgent care, and they did some testing and found blot clots all through my leg. I went to a radiologist, and he found a bigger blood clot in my pelvis, and I went into surgery. He removed the blood clot in my pelvis. I still have blood clots in my right leg, and I must take XARELTO.
Age: 61.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Muscle spasms, Pain in extremity, Pelvic venous thrombosis, Peripheral swelling, Surgery
Clinical narrative: I started having charley horses in my right calf in the middle of the night. I didn't think anything of it until my ankle, back, leg, and hip started hurting and swelling all on the right side a couple weeks later after the charley horses. I went to the urgent care, and they did some testing and found blot clots all through my leg. I went to a radiologist, and he found a bigger blood clot in my pelvis, and I went into surgery. He removed the blood clot in my pelvis. I still have blood clots in my right leg, and I must take XARELTO.
Age: 61.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Swelling, Thrombectomy, Thrombosis
Clinical narrative: I started having charley horses in my right calf in the middle of the night. I didn't think anything of it until my ankle, back, leg, and hip started hurting and swelling all on the right side a couple weeks later after the charley horses. I went to the urgent care, and they did some testing and found blot clots all through my leg. I went to a radiologist, and he found a bigger blood clot in my pelvis, and I went into surgery. He removed the blood clot in my pelvis. I still have blood clots in my right leg, and I must take XARELTO.
Age: 1.5
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Cough, Croup infectious, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Age: 18 months  brought in by her mother today with a possible immunization injection site reaction.  She received the DTaP injection on the right and hep A injection of the left on Tuesday for her 18-month well-child check.  Mom noticed today that it was red and she was complaining about it being tender.  She has been fine otherwise.  No fever.  Mom did circle on it with a pen and also gave her some Tylenol for pain relief. She has not had prior injection site reactions. I advised mom to go ahead and give patient some Benadryl and Tylenol as needed.  Can try cold pack over the area also for comfort.  Follow-up if the redness worsens or fever develops.  General: Mood and affect are appropriate. HEENT:  Eyes PERRLA and EOMI.  No icterus. Heart: Regular rate and rhythm no murmur, rubs or gallops. Lungs: Clear to auscultation bilat. Skin: On the anterior aspect of the right upper thigh there is a roughly 3 cm area of erythema and firmness that is mildly tender.  It is circled with a pen and the redness has not extended beyond that circle at this point.
Age: 1.5
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Respiratory tract congestion, Rhinorrhoea, Secretion discharge, Teething
Clinical narrative: Age: 18 months  brought in by her mother today with a possible immunization injection site reaction.  She received the DTaP injection on the right and hep A injection of the left on Tuesday for her 18-month well-child check.  Mom noticed today that it was red and she was complaining about it being tender.  She has been fine otherwise.  No fever.  Mom did circle on it with a pen and also gave her some Tylenol for pain relief. She has not had prior injection site reactions. I advised mom to go ahead and give patient some Benadryl and Tylenol as needed.  Can try cold pack over the area also for comfort.  Follow-up if the redness worsens or fever develops.  General: Mood and affect are appropriate. HEENT:  Eyes PERRLA and EOMI.  No icterus. Heart: Regular rate and rhythm no murmur, rubs or gallops. Lungs: Clear to auscultation bilat. Skin: On the anterior aspect of the right upper thigh there is a roughly 3 cm area of erythema and firmness that is mildly tender.  It is circled with a pen and the redness has not extended beyond that circle at this point.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: When I came home I felt super tried with a runny nose, I took a covid test then I had pcr test came back positive for covid I had a sore throat and exhausted.
Age: 81.0
Sex: M
Vaccine: COVID19-2
Symptoms: Arthralgia, Back pain
Clinical narrative: Patient came into pharmacy on 11/3/22 11:00am and notified pharmacy that he was having pain on upper part of shoulder and his back. He received a dose of the Pfizer bivalent vaccine on 10/29/22. Patient was advised to alternate between hot and cold compress around the clock and take ibuprofen.
Age: 65.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Interchange of vaccine products
Clinical narrative: Patient came with a Novavax prescription from her doctor because she was told that Novavax is better than any other manufacturer. Patient was asked if she ever had any covid vaccine, she said no. Novavax was given to the patient on 10/26/22. Staff (from CDC) called on 11/2/22 saying that the patient already got 4 doses of pfizers. Upon investigation, patient thought she was asked if she ever had Novavax vaccine that's why she said no. On 11/3/22, I spoke to the patient and told her that she can't be given the Novavax vaccine if she already got a Pfizer booster. Patient understand and acknowledged that a misunderstanding happen.