chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.7
Sex: U
Vaccine: FLU4
Symptoms: Drug administered to patient of inappropriate age, No adverse event
Clinical narrative: Local board of health nurse administered 0.25 of FLULAVAL QUADRIVALENT vaccine to a 20 month old patient. (Vaccine licensed for 3 and older). She contacted State Department of Public Health, who let her know that most likely the patient would needed to be contacted and revaccinated. The Local Board of Health nurse stated there were no adverse events noted in the patient. The nurse at the State DPH contacted GSK to ensure that this was indeed the case. A pharmacist at GSK stated that they do not have any data on the 0.25 dose, only on 0.5 dose and that they had recently filed papers to extend the age limit down 6 months on FLULAVAL, but using a 0.5 dose. The GSK pharmacist confirmed that this patient should be revaccinated with the correct flu vaccine for her age. This was communicated to the Local Board of health nurse by the State DPH nurse.
Age: 2.0
Sex: U
Vaccine: FLU4
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Local board of health nurse administered 0.25 FLULVAL Quadrivalent vaccine to a 2 year old patient. (Vaccine licensed for 3 and older). She contacted the State Department of Public Health, who let her know that most likely the patient would need to be contacted revaccinated. The Local Board of Health nurse stated there were no adverse events noted in the patient. The nurse at the State DPH contacted GSK to ensure that this was indeed the case. A pharmacist at GSK stated that they do not have any data on the 0.25 dose, only on 0.5 dose and that they had recently filed papers to extend the age limit down to 6 months on FLULAVAL, but using a 0.5 dose. The GSK pharmacist confirmed that this patient should be revaccinated with the correct flu vaccine for her age. This was communicated to the Local Board of health nurse by the State DPH nurse.
Age: 2.0
Sex: U
Vaccine: FLU4
Symptoms: No adverse event, Underdose
Clinical narrative: Local board of health nurse administered 0.25 of FLULAVAL QUADRIVALENT vaccine to a 2 year old patient. (Vaccine licensed for 3 and older). She contacted the State Department of Public Health, who let her know that most likely the patient would needed to be contacted and revaccinated. The Local Board of Health nurse stated there were no adverse events noted in the patient. The nurse at the State DPH contacted GSK to ensure that this was indeed the case. A pharmacist at GSK stated that they do not have any data on the 0.25 dose, only on 0.5 dose and that they had recently filed papers to extend the age limit down to 6 months on FLULAVAL, but using a 0.5 dose. The GSK pharmacist confirmed that this patient should revaccinated with the correct flu vaccine for her age. This was communicated to the Local Board of health nurse by the State DPH nurse.
Age: 0.8
Sex: U
Vaccine: FLU4
Symptoms: Incorrect dose administered
Clinical narrative: 9 month old was given adult dose of flu vaccine. Parent and Provider notified by nursing staff.
Age: 34.0
Sex: U
Vaccine: FLU4
Symptoms: Expired product administered
Clinical narrative: Expired vaccination administered to staff.
Sex: U
Vaccine: FLU4
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: One-day free flu clinic from 5pm to 9pm. RN administering vaccines at 8 stations. Two stations were assigned for younger kids and families. Wrong age (patient not correct age for vaccine given).
Age: 24.0
Sex: U
Vaccine: FLUR3
Symptoms: Expired product administered
Clinical narrative: Patient was administered an expired influenza vaccine.
Age: 0.42
Sex: U
Vaccine: FLU4
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: I gave a flu shot to a child who had not yet turned 6 months old. Was born on 4/30/2016 and I gave the shot on 10/13/2016.
Age: 1.8
Sex: U
Vaccine: FLU4
Symptoms: Incorrect dose administered
Clinical narrative: Patient came for nurse only visit to received influenza. Nurse gathered immunization but unable to administered so she gave to another nurse who did not verify age and product. Patient received 0.5 ml instead of 0.25 ml.
Age: 2.0
Sex: U
Vaccine: FLU4
Symptoms: Incorrect dose administered
Clinical narrative: Patient came for nurse only visit for influenza vaccine. Nurse collected wrong dose 0.5 ml versus 0.25 ml.
Age: 2.0
Sex: U
Vaccine: FLU4
Symptoms: Drug administered to patient of inappropriate age, No adverse event
Clinical narrative: 2yr 11month old child given 3+yr Flu vaccine, no adverse effects noted.
Age: 0.6
Sex: U
Vaccine: FLU4
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: A 7 month old baby was unintentionally given FLUARIX, intended for ages 3 years and older.
Age: 0.7
Sex: U
Vaccine: FLU3
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: A child less than 3 years old received appropriate dose of flu vaccine but the vaccine was for 4years and greater.
Sex: U
Vaccine: FLU3, PNC13
Symptoms: Syringe issue
Clinical narrative: AFLURIA Flu vaccine: Hospital nursing staff reported 3 leaking vaccine syringes between the hub and needles which also does not 'click in' properly. PREVENAR-13 vaccine: Hospital nursing staff reported 3 leaking vaccine between the barrel and the syringes where the syringe attaches to the plunger. Also reported that the barrel did not attach securely. Our staff at hospital had already reported these info to the manufacturers (Seqirus for AFLURIA; Pfizer for PREVNAR).
Age: 65.0
Sex: U
Vaccine: FLU4
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: Flu vaccines intended for ID, intradermal use and those 18-64y.o., administered to those greater than 65 y.o., without consideration of ID versus IM.
Age: 0.75
Sex: M
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Patient received an extra dose of the FLUZONE QUADRIVALENT PF shot (3 doses in total). I reviewed their immunization card and it showed that they only had one influenza vaccine and needed second dose. I did not review medical records because I assumed that the immunization card was accurate and I followed the orders of the RN. After the patient left I reviewed medical records and noticed that he already 2 doses of influenza vaccine and had given them a third dose. I spoke to Dr. regarding my mistake and she reassured me that there is no harm to the patient.
Age: 0.75
Sex: U
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Patient received an extra dose of the FLUZONE QUADRIVALENT PF shot (3 doses in total). I reviewed their immunization card and it showed that they only had one influenza vaccine and needed second dose. I did not review medical records because I assumed that the immunization card was accurate and I followed the orders of the RN. After the patient left I reviewed medical records and noticed that he already 2 doses of influenza vaccine and had given them a third dose. I spoke to Dr. regarding my mistake and she reassured me that there is no harm to the patient.
Age: 17.0
Sex: U
Vaccine: FLU4
Symptoms: Drug administered at inappropriate site
Clinical narrative: Wrong administration site (e.g., gluteus maximus rather than the deltoid).
Age: 2.0
Sex: U
Vaccine: FLU4
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: A 2 year old child was administered a dose for patients 3 years and older.
Age: 8.0
Sex: U
Vaccine: FLU4
Symptoms: Underdose
Clinical narrative: MA administered pediatric dose to 8 y/o male patient. Second dose was given to achieve age appropriate dose.
Age: 30.0
Sex: U
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: At off site flu shot clinic today, I inadvertently administered the FLUZONE Intradermal twice to this client. I observed no redness or "wheal" at all. So I though that the shot was invalid. When I reviewed the prescribing materials, it stated that redness and/or wheal might occur. It didn't say it must occur. I then administered a second dose to the opposite arm.
Age: 24.0
Sex: U
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: At an off site flu shot clinic today, I advertently administered the FLUZONE Intradermal twice to this client. I observed no redness or "wheel" at all. So I thought that this shot was invalid. When I reviewed the prescribing materials, it stated that redness and/or "wheel" might occur. It didn't say that it must occur. I then administered a second dose to the opposite arm.
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Injection site cellulitis, Injection site erythema, Injection site induration
Clinical narrative: (L) arm injection site erythematous. 2 cms. oval erythema/induration. Patient placed on antibiotics and warm compresses to take care of local site cellulitis.
Age: 72.0
Sex: U
Vaccine: FLU4
Symptoms: Wrong drug administered
Clinical narrative: Pt requesting high dose flu vaccine; incorrectly given regular dose flu vaccine.
Age: 3.0
Sex: U
Vaccine: HIBV
Symptoms: Extra dose administered
Clinical narrative: Pt came in for a 3yr WCC with mother. Pt is on a delayed scheduled and mother requested to specific vaccines to be given that day. Hib and Influenza pres/free. Pt was not given flu but was given Hib. I did not verify if pt had all doses and gave pt 5th dose of Hib.
Age: 0.4
Sex: U
Vaccine: MENB
Symptoms: Wrong drug administered
Clinical narrative: Patient has received MENVEO previously. Nurse practitioner read Men B. Discussed with another physician order given for BEXSERO. Nurse got order and gave. Patient has Sickle Cell high risk patient. Nurse Practitioner believed indication was appropriate.
Age: 30.0
Sex: U
Vaccine: TYP
Symptoms: Wrong drug administered
Clinical narrative: Pt was administered 0.1ml of the Typhoid vaccine, intradermal, in the Left forearm instead of PPD for a tuberculin skin test.
Age: 58.0
Sex: U
Vaccine: HEP
Symptoms: Underdose
Clinical narrative: Client was given a pediatric dose of Hepatitis B instead of a recommended adult dose.
Age: 0.2
Sex: U
Vaccine: PNC13
Symptoms: Expired product administered
Clinical narrative: Vaccine was given on 10/05/2016 then noted it expired on 09/01/2016.
Age: 16.0
Sex: U
Vaccine: VARZOS
Symptoms: Wrong drug administered
Clinical narrative: Patient presented to the clinic for a varicella vaccination and was incorrectly given the ZOSTAVAX vaccination.
Age: 11.0
Sex: U
Vaccine: MNQ
Symptoms: Product preparation error
Clinical narrative: The vaccine came in with 2 vials the mixing solutions and medication. The MA forget to mix the vials together and ended up with just giving the solutions.
Age: 11.0
Sex: U
Vaccine: VARCEL
Symptoms: Extra dose administered
Clinical narrative: Pediatric patient received Varicella vaccine on, 10/03/16, after Provider reviewed the registry. It was later discovered patient received 2 doses of Varicella vaccines previously and did not need this current dose.
Age: 14.0
Sex: F
Vaccine: MMRV, VARCEL
Symptoms: Wrong drug administered
Clinical narrative: MMR was ordered for 2 patients. Both patients got MMR-V instead of MMR by subbing M.A. M.A. sub documented MMR given on chart. Error was noted upon regularly scheduled M.A. revising inventory. Parent of both patients (sisters, 12 yrs 7 mos. and 14 yrs 4 mos.) was notified of error. Older patient also received VZV vaccine on same day/visit. Chart information was changed to reflect the actual vaccine that was given for both patients.
Age: 1.9
Sex: U
Vaccine: DTAPIPVHIB
Symptoms: Product preparation error
Clinical narrative: Patient was accidently given only half of the vaccination, administered only the liquid portion and not the combination portion of HIB.
Age: 0.2
Sex: U
Vaccine: HEP
Symptoms: Extra dose administered
Clinical narrative: Patient was given 2 Hep B vaccines after extern MA double checked doses with trainer MA. Mistake was noticed when they went to document the medication to the patients chart.
Age: 0.2
Sex: U
Vaccine: HEP, HEPA
Symptoms: Wrong drug administered
Clinical narrative: Patient w.
Age: 0.8
Sex: U
Vaccine: DTAPIPV, IPV
Symptoms: Wrong drug administered
Clinical narrative: MA did not double check the vaccine and thought she had Polio only. When MA got vaccine from refrigerator she only saw the IPV and did not notice DTap-IPV. MA is new and other MA was out on lunch.
Age: 0.4
Sex: U
Vaccine: DTAPIPV
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: On 10/10/16 5 month old pt was given KINRIX which is for ages 4-6 years.
Age: 19.0
Sex: U
Vaccine: HEP
Symptoms: Incorrect dose administered
Clinical narrative: 19 year old client was given an adult dose of Hep B Vaccine. Unlike the other immunizations Hep B changes from adolescent to adult dosing at age 20. He B vaccine administration reviewed on CDC immunization web site.
Age: 0.5
Sex: U
Vaccine: DTAPHEPBIP
Symptoms: Expired product administered
Clinical narrative: Pt given expired vaccine, unaware til recording in pts chart.
Age: 15.0
Sex: U
Vaccine: MMRV
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: PROQUAD administered outside of age group.
Age: 1.0
Sex: U
Vaccine: TDAP
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: TdaP administered to 12 month old instead of DTaP.
Age: 35.0
Sex: U
Vaccine: PNC13
Symptoms: Wrong drug administered
Clinical narrative: 35 y/o male smoker received PCV13 in error instead of PPV23.
Age: 26.0
Sex: U
Vaccine: MMRV
Symptoms: Wrong drug administered
Clinical narrative: Client was in for a varicella vaccine. Administered MMRV instead.
Age: 53.0
Sex: M
Vaccine: HPV9, MNQ
Symptoms: Wrong drug administered
Clinical narrative: A dose of MENACTRA was ordered for a patient by the clinician, but the nurse took the incorrect vaccine from the refrigerator (GARDASIL-9) and administered a dose of that vaccine instead. The nurse acknowledged that she did not double check to make sure that she had the correct vaccine. The patient was notified by the clinician that he received the incorrect vaccine and returned that same afternoon to receive the MENACTRA without incident.
Age: 19.0
Sex: U
Vaccine: MNQ
Symptoms: Expired product administered
Clinical narrative: Pharmacy dispensed expired MENACTRA vaccine to clinic and clinic administered the expired vaccine.
Age: 4.0
Sex: U
Vaccine: DTAP
Symptoms: Expired product administered
Clinical narrative: DTaP dosage was administered to a patient on 11/1/16. The DAPTACEL had an expiration date of 10/31/2016. The inventory sheet that has an alert to show that the vaccine is going to expire soon was not printed in color and did not show up red on the border.
Age: 3.0
Sex: M
Vaccine: DTAPHEPBIP, FLUX, HEPA, HIBV, MMR, PPV, VARCEL, DTAPHEPBIP, FLUX, HEPA, HIBV, MMR, PPV, VARCEL
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: Pt cam in for 3yr WCC with mother. Pt is on a delayed vaccine schedule and had not received vaccines since he was 4-6 months old in another state. Pt was given Hep A, HIB, MMR, VAR, PCV, PEDIARIX, and Influenza that day. Pt was given a dose of HIB that was out of age range.
Age: 1.0
Sex: U
Vaccine: MMRV
Symptoms: Product packaging confusion, Wrong drug administered
Clinical narrative: Patient came into the office for one year old immunizations. Patient was given a PROQUAD immunization instead of a MMR immunization due to the fact that the package of the MMR and PROQUAD looks similar.
Age: 36.0
Sex: U
Vaccine: DTAPHEPBIP
Symptoms: Wrong drug administered
Clinical narrative: Patient came in to see provider as they had an injury and requested to get the ADACEL. Nurse grabbed the PEDIARIX vaccine in error and administered that to the patient.
Age: 1.0
Sex: U
Vaccine: HIBV
Symptoms: Extra dose administered, Wrong drug administered
Clinical narrative: Client given HIB vaccine that was not needed, since client was also given a PENTACEL vaccine that contained the HIB. I read the consent form incorrectly (should have just given the DTaP as a separate vaccine, but gave the combination vaccine so the child got an extra dose of HIB).
Age: 4.0
Sex: U
Vaccine: DTAPIPV, HEPA
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Incorrect interval for IPV and Hep. A.
Age: 4.0
Sex: U
Vaccine: DTAPHEPBIP
Symptoms: Wrong drug administered
Clinical narrative: Pediatrician ordered KINRIX, PEDIARIX was removed from the vaccine refrigerator and confirmed with the provider. Vaccine was administered. Upon inputting lot in the system I came to notice this was the wrong vaccine ordered. Provider reviewed CDC website and the vaccine does not need to be repeated. Provider cancelled KINRIX order and then ordered the PEDIARIX that was given.
Sex: U
Vaccine: DTAP
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: Patient was a new patient to the clinic. Immunization record difficult to read and patient had only received 2 Dtap recently. Also the date of birth was incorrect in the chart making the child 6. So INFANRIX was given. After giving we noticed the patient should have received Tdap instead due to the patient being 7 yrs old. Provider notified. Appt given to patients parent to revaccinate. No adverse reaction.
Age: 41.0
Sex: U
Vaccine: HEP
Symptoms: Underdose
Clinical narrative: During Nurse visit, Adult patient was administered Hep B for pediatric/adolescents instead of Hep B for adults.
Age: 0.4
Sex: U
Vaccine: RV1
Symptoms: Product preparation error
Clinical narrative: We have had 5 cases in the past 2 months of only the diluent being administered to the patient.
Age: 27.0
Sex: U
Vaccine: PPV
Symptoms: Expired product administered
Clinical narrative: Expired vaccine administered inadvertently to patient.
Age: 57.0
Sex: U
Vaccine: PPV
Symptoms: Expired product administered
Clinical narrative: Expired vaccine administered inadvertently to patient.
Age: 3.0
Sex: U
Vaccine: HEPA, PNC13
Symptoms: Extra dose administered
Clinical narrative: Immunizations given but not properly documented, patient returned to clinic and both vaccines were administered again.
Age: 18.0
Sex: M
Vaccine: MMRV, VARCEL
Symptoms: Extra dose administered, No adverse event
Clinical narrative: 18 year old male visiting an outpatient clinical service for immunizations was accidentally given MMRV and the single vial varicella vaccine during the visit. Immunizations were required for immigration purposes. Error identified during following week. Client did not report any adverse events to the health department. Case discussed with Coalition for advice and follow up. Plan implemented to reduce probability of error reoccurrence with external event providers in the future.
Age: 5.0
Sex: U
Vaccine: HEP
Symptoms: Drug administered to patient of inappropriate age, No adverse event
Clinical narrative: Adult dose was administered in error. No adverse events/effects observed.
Age: 13.0
Sex: U
Vaccine: HEPA
Symptoms: Incorrect dose administered
Clinical narrative: Pt was given an adult dose of Hep A vs the peds dose.
Age: 13.0
Sex: U
Vaccine: HEP
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Administered adult dose to child in error. No adverse effects/events were observed.
Age: 9.0
Sex: M
Vaccine: HEP
Symptoms: Cold sweat, Disorientation, Drug administered to patient of inappropriate age, Immediate post-injection reaction, Pallor
Clinical narrative: Adult dose was administered to child in error. Child demonstrated some anxiety before injection. Immediately following injection child exhibited seizure-like activity for approximately 5 seconds and seemed disoriented afterwards. He was pale with clammy skin. Minutes later he was oriented to place and self and was able to ambulate, although he was still pale. Vitals were stable and WNL. He was transported to hospital via ambulance.
Age: 4.0
Sex: U
Vaccine: DTAPIPV, MMRV
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: MA based on patient's age as to what imms to give rather than the fact that the child was missing other vaccines due to patient interference of the recommended schedule.
Age: 0.9
Sex: U
Vaccine: IPV
Symptoms: Extra dose administered
Clinical narrative: Provider did not realize patient received multivaccine KINRIX previously and thought she had not received IPV and ordered dose today. Patient received 2 doses IPV. Discussed with CDC to monitor for adverse reaction, none known according to CDC.
Age: 0.5
Sex: U
Vaccine: DTAPHEPBIP, DTAPIPVHIB, PNC
Symptoms: Extra dose administered, Wrong drug administered
Clinical narrative: A PENTACEL was given on the same day as PEDIARIX instead of an ACTHIB. A PREVNAR was also given in the same visit.
Age: 0.33
Sex: U
Vaccine: DTAPIPVHIB
Symptoms: Incorrect product formulation administered, Product preparation error
Clinical narrative: MA gave patient DTAP-IPV and mixed it with sterile water instead of using the HIB to mix it with. So patient did not receive the HIB portion of the vaccine.
Age: 59.0
Sex: U
Vaccine: TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: State registry not checked prior to administering vaccine.
Age: 0.8
Sex: U
Vaccine: HPV9
Symptoms: Wrong drug administered
Clinical narrative: On, 11-22-2016, an HPV vaccine was given in error, it should have been an Hib as the patient was a 10 month old. The mistake was not caught until entering the information into the EHR later that afternoon. Patient was informed, the health department was informed as well as the CDC.
Age: 1.0
Sex: U
Vaccine: VARCEL
Symptoms: Extra dose administered, Wrong drug administered
Clinical narrative: MMR and Varicella ordered for 1 year old. MMR/V and Varicella given. Therefore, extra dose of Varicella given. Employee thought she had picked MMR and instead gave MMRV.
Age: 5.0
Sex: U
Vaccine: DTAP
Symptoms: Expired product administered
Clinical narrative: The patient was administered a vaccine that had expired the prior day.
Age: 1.0
Sex: M
Vaccine: MMRV, VARCEL
Symptoms: Extra dose administered
Clinical narrative: 12 month old male received PROQUAD and Varicella at the same office visit.
Age: 8.0
Sex: U
Vaccine: HPV9
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: Patient age was miscalculated. Administered HPV9 vaccine to an 8 year old, at 2 months prior to 9th birthday.
Age: 0.6
Sex: U
Vaccine: DTAPIPV
Symptoms: Wrong drug administered
Clinical narrative: DTAP and Polio ordered for 7 month old patient, given KINRIX by mistake instead.
Age: 30.0
Sex: U
Vaccine: TDAP
Symptoms: Drug administered at inappropriate site, Exposure during pregnancy, Hypoaesthesia, Joint range of motion decreased, Muscular weakness
Clinical narrative: The medical assistant at my OBGYN clinic: gave me the tDap vaccine incorrectly at my 28 week Obstetrical visit. She administered the vaccine via IM injection too high on my arm, possibly missing my deltoid muscle altogether. I have since experienced adverse reactions including: severe, abnormal pain, muscle weakness, limited range of motion, and numbness/tingling.
Age: 30.0
Sex: U
Vaccine: TDAP
Symptoms: Pain, Paraesthesia
Clinical narrative: The medical assistant at my OBGYN clinic: gave me the tDap vaccine incorrectly at my 28 week Obstetrical visit. She administered the vaccine via IM injection too high on my arm, possibly missing my deltoid muscle altogether. I have since experienced adverse reactions including: severe, abnormal pain, muscle weakness, limited range of motion, and numbness/tingling.
Age: 2.0
Sex: M
Vaccine: FLUX, HEPA
Symptoms: Wrong patient received medication
Clinical narrative: Two children were receiving vaccines. 18 month old was receiving Hep A vaccine as well as flu shot. 2 year old was receiving only the flu shot. The nurse had me sign vaccine paperwork for both children. My 2 year old was first up for his shot. The nurse gave him the shot then waited while I placed our 18 month old on the table. The nurse did not let me know what mistake had been made she just said she would be right back. 20 minutes later our Dr. return to explain that the Hep A vaccine intended for my 18 month old had mistakenly been given to my 2 year old instead. The Dr. said it would not harm him I just needed to know that somehow an error had occurred. My 2 year old then received the correct flu shot and my 18 month old was given her Hep A and flu shot.
Age: 69.0
Sex: U
Vaccine: HPV4
Symptoms: Wrong drug administered
Clinical narrative: HPV-4 was given to a patient instead of PPSV23.
Age: 17.0
Sex: U
Vaccine: UNK, VARCEL
Symptoms: Expired product administered
Clinical narrative: Pediatric patient presented to the office on 11/14/2016 to catch-up on vaccinations. 3 vaccines were pulled and administered without checking the expiration date. The patient received a Varicella vaccine that had expired 11/10/2016. Error was caught at 5:00 PM when charting the information into the electronic health record. Healthcare team was notified of the situation the next day, 11/15/2016. The patient and parent/legal guardian were notified of the error and given the option to get Varicella titres in 6 - 8 weeks or re-vaccinated in 4 weeks.
Age: 18.0
Sex: U
Vaccine: RAB
Symptoms: Unevaluable event
Clinical narrative: I have been contacted by several of my clinics that the needles included with the RABAVERT are not safety needles and pose a hazard to staff. Packaging includes 2 non-safety needles - one for reconstitution and one for administration. Potential issue - there have not been reports of needlestick injuries (yet).
Age: 29.0
Sex: U
Vaccine: HEPA
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: Adult patient received a pediatric dose Hepatitis A vaccine.
Age: 4.0
Sex: U
Vaccine: DTAPIPV, IPV
Symptoms: Extra dose administered
Clinical narrative: KINRIX and IPOL were given together, KINRIX was to be given, but IPOL was given as well, resulting in patient receiving 2x the recommended dose of polio vaccine.
Age: 1.0
Sex: F
Vaccine: HBHEPB, MMR, VARCEL
Symptoms: Drug dispensed to wrong patient
Clinical narrative: I just moved to town about 2 months ago and my daughter was due for her 12 month check up and immunizations. My husband (who is still residing in town) went to my daughters pediatricians office and signed a release of information form to have her medical records sent to her new pediatrician. I arrived to my daughters appointment and per the receptionist and MA they did not receive any medical records for my daughter. I called the pediatricians office, so they can fax the records again. I waited about 20 minutes and the receptionist motioned to me that she received them. We went in to see the doctor, she gave her a checkup and explained to me what vaccinations were going to be given. After she received her shots, I walked to the front to check her out. The MA handed me a copy of records, I noticed that my other daughters name was on the top. The shots were administered to my daughter based on the shot record from my older daughter who is 8 years old. I voiced my concerns to the receptionist in the front. She proceeded to say that its no big deal, that all shot records are the same. I am not sure where to go from here and what I need to do so this does not happen again to someone else.
Age: 46.0
Sex: U
Vaccine: HEPA
Symptoms: Wrong drug administered
Clinical narrative: The nurse administered a pediatric dose of HAVRIX to an adult patient. The syringes were taken out of their box and stocked in the clinic refrigerator. The pediatric syringe does not have "adult" or "pediatric" labeled on them like the box does.
Age: 4.0
Sex: U
Vaccine: DTAPIPV, IPV
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: CA was float unfamiliar with office DTaP and IPV separate were ordered by physician in the EMR as pt was private and at the time private vaccine combined DTaP/IPV was out of stock, the combined DTaP/IPV was in stock in VFC inventory and administered by mistake instead of ordered individual IPV in addition to the appropriately ordered IPV individually. Family notified and had no ill effects will continue to be monitored.
Age: 4.0
Sex: U
Vaccine: TDAP
Symptoms: Wrong drug administered
Clinical narrative: Tdap was ordered and administered accidentally in place of DTaP.
Age: 10.0
Sex: U
Vaccine: MMR
Symptoms: Extra dose administered
Clinical narrative: Patient was given an extra dose of MMR which is not needed because patient has completed a series of MMR. It was overlooked because the MMR was broken down separate column rather than in combo set.
Age: 3.0
Sex: U
Vaccine: TDAP
Symptoms: Expired product administered
Clinical narrative: Patient was given a dose of DTaP on 11/2/16, from a vial that had expired on 10/31/16.
Age: 1.6
Sex: U
Vaccine: MMR, PNC13, VARCEL
Symptoms: Extra dose administered
Clinical narrative: Patient brought immunization records, staff member reviewed records but did not update our records and administered immunization already given.
Age: 60.0
Sex: U
Vaccine: HEP
Symptoms: Underdose
Clinical narrative: The patient was accidentally administered a pediatric dose of Hep B instead of an adult dose of Hep B.
Age: 60.0
Sex: U
Vaccine: HEP
Symptoms: Underdose
Clinical narrative: The patient received a pediatric dose of Hep B instead of an adult dose of Hep B.
Age: 11.0
Sex: U
Vaccine: MNQ
Symptoms: Extra dose administered
Clinical narrative: Duplicate administration of MENACTRA. Patient received dose on 7/29/16. It was documented in the EMR but not in the registry. Came back for f/u with different provider, vaccine was ordered and readministered.
Age: 5.0
Sex: U
Vaccine: DTAP
Symptoms: Expired product administered
Clinical narrative: Medical Assistant did not check expiration date before giving vaccine.
Sex: U
Vaccine: HEP
Symptoms: Expired product administered
Clinical narrative: Vaccine given was expired. Health Department and patient both notified.
Age: 0.2
Sex: U
Vaccine: DTAPIPV
Symptoms: Drug administered to patient of inappropriate age, Wrong drug administered
Clinical narrative: 2 month old received KINRIX vaccine instead of the PEDIARIX.
Age: 39.0
Sex: M
Vaccine: HEPA
Symptoms: Computerised tomogram head normal, Full blood count normal, Headache, Malaise, Metabolic function test normal
Clinical narrative: 1 day after injection he had severe malaise, headache, nausea and has persisted for 1 week.
Age: 39.0
Sex: M
Vaccine: HEPA
Symptoms: Nausea
Clinical narrative: 1 day after injection he had severe malaise, headache, nausea and has persisted for 1 week.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, RV5
Symptoms: Abdominal X-ray, Computerised tomogram head, Crying, Emotional distress, Full blood count
Clinical narrative: She started running a fever and vommiting up everything we fed her. She started screaming and crying, arching her back and thrashing her head from side to side. Nothing we did could calm her down. We gave her tylenol, tried bathing her, putting her in her swing, patting her and bouncing but nothing would calm her down. When we arrived at the Drs office on 9/27/16 the dr did an exam and a CBC. Her WBC was really high, and we were told she had an "infection". Dr sent us home with Hyosyne oral drops and new formula. The drops seemed to help a little at first, but then she started screaming and crying again.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, RV5
Symptoms: Infection, Opisthotonus, Pyrexia, Screaming, Vomiting
Clinical narrative: She started running a fever and vommiting up everything we fed her. She started screaming and crying, arching her back and thrashing her head from side to side. Nothing we did could calm her down. We gave her tylenol, tried bathing her, putting her in her swing, patting her and bouncing but nothing would calm her down. When we arrived at the Drs office on 9/27/16 the dr did an exam and a CBC. Her WBC was really high, and we were told she had an "infection". Dr sent us home with Hyosyne oral drops and new formula. The drops seemed to help a little at first, but then she started screaming and crying again.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, RV5
Symptoms: White blood cell count increased
Clinical narrative: She started running a fever and vommiting up everything we fed her. She started screaming and crying, arching her back and thrashing her head from side to side. Nothing we did could calm her down. We gave her tylenol, tried bathing her, putting her in her swing, patting her and bouncing but nothing would calm her down. When we arrived at the Drs office on 9/27/16 the dr did an exam and a CBC. Her WBC was really high, and we were told she had an "infection". Dr sent us home with Hyosyne oral drops and new formula. The drops seemed to help a little at first, but then she started screaming and crying again.
Age: 74.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Guillain-Barre syndrome
Clinical narrative: Pt states that a few weeks after having HD Flu vaccine, she was hospitalized from late Nov 2016 until mid-January 2017 due to the effects of Guillain-Barre Syndrome.
Age: 77.0
Sex: M
Vaccine: VARZOS
Symptoms: Blood glucose increased
Clinical narrative: Blood sugar reading abnormally high (218) then about 45 minutes later it hand went down to the 170's.
Age: 0.17
Sex: M
Vaccine: DTPIHI
Symptoms: Eczema, Rash generalised
Clinical narrative: Soon after vaccinations my son developed a raised rash over his body and head. We took him to the pediatrician who then dismissed this as ezcema however his skin was perfect prior to 2 month vaccinations. We eliminated any kind of allergen and he still maintained rash. Son was not taken back for anymore vaccines and skin has slowly cleared. I was told if it was ezcema he would likely have it throughout his childhood however it cleared as soon as we stopped his vaccine schedule. This was a raised rash all over his head and body.
Age: 50.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pain
Clinical narrative: Right Deltoid localized redness, swelling, warmth, pain with movement and touch. No radiation, central motor sensation intact.
Age: 50.0
Sex: F
Vaccine: DTAP
Symptoms: Ultrasound scan
Clinical narrative: Right Deltoid localized redness, swelling, warmth, pain with movement and touch. No radiation, central motor sensation intact.
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Pruritus, Rash erythematous
Clinical narrative: Started feeling very itchy on March 6, then two days later noticed red bumps starting to show. Did not get better so when to the doctor on March 9, 2016.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Crying, Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Inconsolable crying(3 hours), high fever, pain, redness, swelling at injection site and entire upper arm x 4 days at present time.
Age: 3.0
Sex: M
Vaccine: DTAP
Symptoms: Autism spectrum disorder, Encephalopathy, Neuropsychiatric syndrome, Obsessive-compulsive disorder, Sensory processing disorder
Clinical narrative: Obsessive compulsive disorder, encephalopathy, sensory processing disorder, Autism Spectrum Disorder, Pediatric acute-onset neuropsychiatric syndrome (PANS).
Age: 75.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Rash, Rash erythematous
Clinical narrative: Patient has red rash on to face.
Age: 30.0
Sex: F
Vaccine: FLUX, FLUX
Symptoms: Injection site pain, Pain
Clinical narrative: My arm was still throbbing with pain in the same spot from where I received the shot. Every time I moved my arm it hurt really bad, the pain is even in my shoulder now. I am trying to make a doctor appointment for next week. It has been months and I still have pain.
Age: 30.0
Sex: F
Vaccine: FLUX, FLUX
Symptoms: Injection site pain, Musculoskeletal pain, Pain, Pain in extremity
Clinical narrative: My arm was still throbbing with pain in the same spot from where I received the shot. Every time I moved my arm it hurt really bad, the pain is even in my shoulder now. I am trying to make a doctor appointment for next week. It has been months and I still have pain.
Age: 34.0
Sex: F
Vaccine: FLUC4
Symptoms: Pruritus generalised, Rash, Urticaria
Clinical narrative: Hives, rash, extreme itching all over whole body. Benedryl taken. Rash and itching continue to present.
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA, HIBV
Symptoms: Abnormal behaviour, Asthenia, Blood heavy metal test, Cytogenetic analysis, Decreased eye contact
Clinical narrative: Loss language, toe walking, stimming, loss of upper body strength, loss of motor skills and loss of eye contact.
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA, HIBV
Symptoms: Language disorder, Motor dysfunction, Nuclear magnetic resonance imaging, Toe walking, Toxicologic test
Clinical narrative: Loss language, toe walking, stimming, loss of upper body strength, loss of motor skills and loss of eye contact.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Breast tenderness, Injection site erythema, Injection site induration, Injection site mass, Injection site pain
Clinical narrative: Hard, hot red lump at site of injection, continued to grow in size for three days. Painful and extremely itchy. Covered most of upper arm by fourth day. Upper arm swollen. Tenderness inside of breast closest to arm. Gradually subsided after fourth day.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Hard, hot red lump at site of injection, continued to grow in size for three days. Painful and extremely itchy. Covered most of upper arm by fourth day. Upper arm swollen. Tenderness inside of breast closest to arm. Gradually subsided after fourth day.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Cellulitis, Injection site erythema
Clinical narrative: Within 2 days patient experienced redness at injection site, went to urgicenter dx with cellulitis, prescribed, day 3 condition worse went back to urgicenter, they sent patient to ED, pt admitted for 3 days then released.
Age: 31.0
Sex: M
Vaccine: TYP
Symptoms: Dizziness, Loss of consciousness, Syncope
Clinical narrative: Approximately 5 minutes after pt received vaccine, he said he felt lightheaded, then fainted. He regained consciousness within a minute. He said he felt fine after regaining consciousness, but we had firefighters check his vitals as well.
Age: 61.0
Sex: M
Vaccine: FLU4
Symptoms: Chills, Productive cough, Sputum abnormal, Sputum discoloured
Clinical narrative: Chills excessvphlegm dark thick sputum.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: Pt complains of arm still being sore and sometimes difficult to move.
Age: 1.67
Sex: F
Vaccine: DTAPIPVHIB, HEPA
Symptoms: Injection site erythema, Vaccination site swelling, Vaccination site warmth
Clinical narrative: Redness, warmth, swelling around vaccine site.
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Area of injection became red and swollen. Mildly painful.
Age: 72.0
Sex: F
Vaccine: PNC
Symptoms: Decreased appetite, Fatigue, Headache, Lethargy
Clinical narrative: EXTREME fatigue, headache, loss of appetite, general feeling of lethargy.
Age: 30.0
Sex: M
Vaccine: MMR
Symptoms: Rash, Rash pruritic
Clinical narrative: PRESENTED WITH RASH AT ANTERIOR TRUNK AND BILATERAL ARMS TO THE CLINIC ON 3/4/2017. NO BROKEN SKIN, NO DRAINAGE. NO PAIN. C/O ITCH AT RASH SITE. STATE RASH HAS IMPROVED SINCE 2/10/2017.
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Lip swelling
Clinical narrative: Reaction started within 1 hour, both lips swelled. Pt reported no pain, tingling, or other reaction. Reaction peak 2-3 hours after vaccine administration, swelling resolved completely within 24 hrs.
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Fatigue, Injection site pain, Injection site warmth, Insomnia, Nausea
Clinical narrative: Patient had a fever of 103 with nausea and fatigue.  He also had heat and pain at the injection site.  He was unable to sleep.  Ibuprofen and acetaminophen brought the temperature down.
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Pyrexia
Clinical narrative: Patient had a fever of 103 with nausea and fatigue.  He also had heat and pain at the injection site.  He was unable to sleep.  Ibuprofen and acetaminophen brought the temperature down.
Age: 74.0
Sex: F
Vaccine: PPV
Symptoms: Abdominal discomfort, Erythema, Hyperhidrosis, Pain in extremity, Peripheral swelling
Clinical narrative: She started with upset stomach and sweating that evening. Then the next day she noticed redness all the way around her arm, swelling, pain and hot to the touch. She took anti-inflammatory and used ice packs.
Age: 74.0
Sex: F
Vaccine: PPV
Symptoms: Skin warm
Clinical narrative: She started with upset stomach and sweating that evening. Then the next day she noticed redness all the way around her arm, swelling, pain and hot to the touch. She took anti-inflammatory and used ice packs.
Age: 57.0
Sex: M
Vaccine: PPV
Symptoms: Chills, Fatigue, Injection site pain, Myalgia
Clinical narrative: CHILLS, NO FEVER, MUSCLE ACHES THROUGH WHOLE BODY, INJECTION SITE TENDERNESS/PAIN, FEELS TIRED STARTING AT AROUND 2 PM 3/4/17 AND CONTINUING THROUGH TODAY 3/5/17. TAKING 3 NAPROXEN TABLETS PER DAY. I ADVISED ADDING TYLENOL AND FOLLOWING UP WITH DOCTOR MONDAY 3/6/17 IF WORSENING, AND FOLLOW-UP WITH PHARMACIST TUESDAY.
Age: 77.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Fatigue, Feeling abnormal, Headache, Malaise
Clinical narrative: Swollen arm, could not lift arm, fever in arm, chills, and aches headache terrible fatigue and malaise. Arm still swollen 3 days later and still feel awful.
Age: 77.0
Sex: F
Vaccine: PPV
Symptoms: Mobility decreased, Pain, Peripheral swelling, Skin warm
Clinical narrative: Swollen arm, could not lift arm, fever in arm, chills, and aches headache terrible fatigue and malaise. Arm still swollen 3 days later and still feel awful.
Age: 74.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: In the morning the day after he noticed his arm was red from the injection site down to his elbow. There was also swelling, pain and it was hot to the touch. It lasted a couple of days,he marked the redness to make sure it was not going farther. He treated with ice pack and anti-inflammatory.
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Injection site inflammation, Injection site swelling
Clinical narrative: Swelling/inflammation of left arm, from shoulder to area just below the elbow.
Age: 74.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain in extremity, Peripheral swelling
Clinical narrative: Arm is red, painful and swollen going down the arm.  Feels like she has a bump under her elbow.
Age: 72.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema
Clinical narrative: Patient reported a 3 inch red band on the top side of her arm under the bottom vaccination site.  FLUZONE administered top and PNEUMOVAX 23 administered below.
Age: 15.0
Sex: F
Vaccine: HPV9
Symptoms: Loss of consciousness, Pallor, Syncope
Clinical narrative: Within one minute of vaccination; patient turned pale and fainted in chair and then was gently placed on ground. She returned to consciousness within 5-10 seconds (didn't recall what had happened) and had no other adverse events. water and snack were given to patient.
Age: 67.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Skin warm
Clinical narrative: PATIENT EXPERIENCES REDNESS AROUND INJECTION SITE. REDNESS SPREAD BIGGER AND WARM TO TOUCH. PATIENT SHOWS NO SIGNS OF PAIN OR FEVER.
Age: 1.08
Sex: F
Vaccine: TDAP
Symptoms: Cellulitis, Injection site swelling
Clinical narrative: Extreme swelling of leg where vaccine was administered.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pruritus
Clinical narrative: Itching began at injection site 2 days after shot. Patient reported to pharmacy 3-5-17 and asked if she could use Calamine lotion or, and suggested BENADRYL. No fever, no redness at site. Localized itching only.
Age: 66.0
Sex: F
Vaccine: FLU4, PPV, FLUX, PPV
Symptoms: Injection site pain
Clinical narrative: Upper arm, deltoid muscle became very sore after flu shot was administered on 12/13/16. I couldn't sleep and was in constant pain. I went back to Dr. and she set up Physical Therapy sessions. I have gone twice a week for 5 weeks, doing suggested exercises in between treatments: Pain persists.
Age: 66.0
Sex: F
Vaccine: FLU4, PPV, FLUX, PPV
Symptoms: Injection site pain, Sleep disorder
Clinical narrative: Upper arm, deltoid muscle became very sore after flu shot was administered on 12/13/16. I couldn't sleep and was in constant pain. I went back to Dr. and she set up Physical Therapy sessions. I have gone twice a week for 5 weeks, doing suggested exercises in between treatments: Pain persists.
Age: 48.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Injection site oedema, Injection site swelling
Clinical narrative: Rt. arm with swelling and pain from just below shoulder to Rt. elbow - warm to touch.
Age: 48.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Rt. arm with swelling and pain from just below shoulder to Rt. elbow - warm to touch.
Age: 0.5
Sex: F
Vaccine: PPV
Symptoms: Decreased appetite, Irritability, Middle insomnia, Rash, Rash erythematous
Clinical narrative: Problems with sleeping. Awoke every 2 hours on night 1. On night 2, baby also woke every 2 hours. On night 3, baby woke every hour, sometimes 2-3x per hour. Within 24 hours, baby had bright red, slightly raised rash covering entire back. Baby is very irritable since receiving shot. Also, baby has not been eating well.
Age: 65.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Asthenia, Diarrhoea, Fatigue, Injection site pain
Clinical narrative: Loose stools (diarrhea), joint pain, throwing up, tiredness, weak, pain at site. Lasted 2 days.
Age: 65.0
Sex: F
Vaccine: TDAP
Symptoms: Vomiting
Clinical narrative: Loose stools (diarrhea), joint pain, throwing up, tiredness, weak, pain at site. Lasted 2 days.
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: This spontaneous report was received from a physician via a company representative, concerning a 70 year-old female patient. There were no concurrent conditions, medical history, drug reactions or allergies or concomitant medications reported. On an unspecified date in February 2016 (reported as "about 1 year ago"), the patient was vaccinated with a dose of ZOSTAVAX (dose, frequency, route, lot # and expiration date were not reported) to prevent shingles. On an unknown date, after getting ZOSTAVAX, the patient experienced "chronic outbreaks of shingles". The outcome of the adverse event was unknown. The causality between the event and ZOSTAVAX was unknown. No product quality complaint was involved (PQC). Additional information has been requested.
Sex: U
Vaccine: HPV9
Symptoms: Incorrect product storage, No adverse event
Clinical narrative: This spontaneous report was received from a nurse referring to 10 unspecified patients of unknown age and gender. The patients' pertinent medical history, drug reactions/allergies, concurrent conditions and concomitant medications were not reported.    From 24-JAN-2017 to 16-FEB-2016, the patients were vaccinated with improperly stored doses of GARDASIL 9 for prophylaxis (dose, route, lot # and expiration date were not reported). It was stated that the vaccine was exposed to a temperature between > 46 Fahrenheit degrees but < 77 Fahrenheit degrees. The time frame was 149 hours. A data logger was used to log temperature. No adverse effects were reported. A product quality complaint was not involved. Additional information has been requested.
Sex: U
Vaccine: HEP
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: This spontaneous report received on 17-FEB-2017 from a medical assistant is concerning an infant patient (gender unknown) who received vaccination with RECOMBIVAX HB (Dates of administration of vaccinations, Dose, injection site, Lot number and expiration date were not reported) for the indication of prophylaxis. The patient's age at the time of administration of RECOMBIVAX HB was 14 days old, 2 months old and 5 months old. No adverse effects reported. No further details provided. Additional information has been requested.