chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound thyroid normal
Clinical narrative: In November 2021 I began to have shortness of breath and tightness it my throat.  It is almost a sensation of a lump in my throat although no lump has been found.  This has gotten progressively worse since February.  I began having heart arrhythmias in April or May of 2022.  They were occasional.  However, recently, the heart palpitations have gotten worse.  It seems that it is related to physical exertion when it gets worse and happens more often.  I saw my doctor in March for the throat issues and shortness of breath.  I had an ultrasound in June on my thyroid.  I learned that is not what is causing my throat issues.  Since June I have seen my doctor about my heart, but the EKG did not show anything because I was not having palpitations at the time.  I also saw my allergist.  He said now I may have asthma.  I learned that I have an allergy to mold.  I have an endoscopy scheduled for the end of September 2022 as advised by my doctor.
Age: 82.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: No adverse.  Reporting procedural error only.  Pfizer Bivalent Booster formula was mistakenly given as immunocompromised dose.  No harm.
Age: 67.0
Sex: M
Vaccine: COVID19-2, UNK
Symptoms: Injection site erythema
Clinical narrative: Erythema around injection site
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Discomfort, Erythema, Hypersensitivity, Rash, Rash erythematous
Clinical narrative: I received the latest Pfizer vaccine (released September 2022) on Monday, September 12. The next day, I saw a red rash forming on my chest and belly. This rash became more pronounced the next morning (Wednesday, September 14), with what used to be small red dots now expanding to large red patches on my chest, belly, and back, and also with smaller dots extending down my arms and thighs. From this point on in time, the rash continued to worsen in my back area, spreading to large patches throughout my back. It also spread to my ears and parts of my lower face.  The rash is itchy, prickly, and feels very irritated, despite my not scratching and avoiding warm or hot showers. I had originally intended to let the allergic reaction to run its course and only took Benadryl the first two days to try and alleviate symptoms. However, the rash continued to grow, and I have seen in the past that my more serious allergic reactions require intervention in order for them to stop. I decided to take a prednisone pill that I had leftover from a previous prescription, both to stop the symptoms from getting worse and also because the rash was very uncomfortable. After I took the prednisone this morning (September 15), the rash started to dissipate, though at this point in time there is still some redness, and my skin is still prickly and irritated.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Rash pruritic, Skin irritation
Clinical narrative: I received the latest Pfizer vaccine (released September 2022) on Monday, September 12. The next day, I saw a red rash forming on my chest and belly. This rash became more pronounced the next morning (Wednesday, September 14), with what used to be small red dots now expanding to large red patches on my chest, belly, and back, and also with smaller dots extending down my arms and thighs. From this point on in time, the rash continued to worsen in my back area, spreading to large patches throughout my back. It also spread to my ears and parts of my lower face.  The rash is itchy, prickly, and feels very irritated, despite my not scratching and avoiding warm or hot showers. I had originally intended to let the allergic reaction to run its course and only took Benadryl the first two days to try and alleviate symptoms. However, the rash continued to grow, and I have seen in the past that my more serious allergic reactions require intervention in order for them to stop. I decided to take a prednisone pill that I had leftover from a previous prescription, both to stop the symptoms from getting worse and also because the rash was very uncomfortable. After I took the prednisone this morning (September 15), the rash started to dissipate, though at this point in time there is still some redness, and my skin is still prickly and irritated.
Age: 73.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Induration
Clinical narrative: localized reaction with redness and firmness
Age: 0.5
Sex: M
Vaccine: DTAPIPV
Symptoms: Wrong product administered
Clinical narrative: On 9/1/22 the provider ordered the incorrect vaccine for a patient.  Quadracel was ordered instead of pentacel.  Provider spoke with clinical educator who then reached out to the manufacturers and per CDC recommendations, patient does not need to repeat any vaccinations, but now needs to get the missing piece of the vaccine (the Hib part).  Provider spoke at length with the patient's mother about this and she was understanding and will be coming in for a nurse visit with son to get the vaccination.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Headache, Pain, Wheezing
Clinical narrative: I had shortness of breath body aches headaches and also coughing and minor wheezing. I was prescribed Paxlovid today 09/15/2022 by my doctor via telehealth.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Pain in extremity
Clinical narrative: HEADACHE, CHILLS AND VERY SORE ARM ON DAY 2.
Age: 57.0
Sex: M
Vaccine: FLU4
Symptoms: Erythema, Influenza like illness, Local reaction, Oxygen saturation decreased, Swelling
Clinical narrative: After getting the shot, pt had a local reaction of redness and swelling, flu-like symptoms, and decreased oxygen levels. He is no longer having these side effects.
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Vaccination site pruritus, Vaccination site rash
Clinical narrative: PATIENT HAS A REACTION TO THE VACCINE A DAY AFTER SHE RECEIVED MODERNA BIVALENT BOOSTER. SHE HAD A RASH  ON THE LEFT ARM BELOW THE VACCINATION SITE. IT WAS ABOUT 4 CM IN DIAMETER AND WAS ITCHING. SHE WAS RECOMMENDED TO TAKE BENADRYL TABLETS AND APPLY BENADRYL CREAM AND KEEP AN EYE ON SEVERE ALLERGIC REACTION SYMPTOMS. IF THISE HAPPEN SHE WAS ADVISED TO GO TO ER.
Age: 18.0
Sex: F
Vaccine: HPV9, MNQ
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient's vaccine info was not updated so an extra dose was administered. No adverse reactions
Age: 58.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Paraesthesia
Clinical narrative: I feel a tingling sensation in my left arm down to my wrist and in my side and a bit in my upper leg.  Never had any reaction like this to a flu shot.  Felt it was important to report immediately.  Had shot at 3:45pm today approx.
Age: 35.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Pt was given 0.25mL dose of bivalent Moderna.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received monovalent  Moderna 0.5ml blue cap, purple label. Patient was intended to receive bivalent to Moderna 0.5ml blue cap gray label.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received Monovalent Moderna 0.5ml blue cap purple label. Patient was intended to receive Bivalant Moderna 0.5ml blue cap gray label.
Age: 23.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Dizziness, Hyperhidrosis, Malaise, Skin warm
Clinical narrative: Patient received Dose #1 of Monkeypox vaccine (JYNNEOS) and reported not feeling well: light-headed, dizzy, feeling of sweatiness. Team activated incident response. Patient assisted to seated position on floor with his back against the wall.  1445: BP 120/80, HR 80, RR 14, Lung Sounds Clear 1450: 130/90, HR 78, RR 14, Lung Sounds Clear, skin warm to touch, patient placed in supine position 1455: BP 124/90, HR 66, RR 14, Lung Sounds Clear, Patient sat back up to chair, given snacks and water.  Held in observation station for additional 30 minutes. Patient verbalized feeling well. Final RN assessment revealed AOX4, normal gait, no gross neurological deficit, and conversational pleasant. Counseled to watch for further adverse effects at home and to call EMS if such occurs.
Age: 80.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Extra dose administered, Wrong technique in product usage process
Clinical narrative: unable to create wheel on first try, administered a second time on right forearm and wheel was successfully created
Age: 13.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Feeling hot, Hypoaesthesia, Loss of consciousness, Seizure like phenomena, Vomiting
Clinical narrative: Patient began feeling very warm about 4 minutes after receiving the vaccine combination.  Patient was waiting in the car for the 15 minute   suggested wait period.  Patient's caregiver stated that about 5 minutes after receiving the vaccines, the patient blacked out in a seizure like behavior and was out for about 25 seconds.  When he became responsive, he vomited and complained of an overall numb feeling.  Patient's blood pressure was checked and it was within normal range.  Pulse was normal.  Respiration was mostly normal.  Over the course of about 10 mintues, the patient was beginning to feel better.  Within 30 to 45 minutes from vaccination, the patient was feeling normal.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus in the ear on the same side as the shots. It has been confirmed a permanent tinnitus diagnosis now by audiologist. I do not listen to loud music or work in loud environments.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular
Clinical narrative: Missed period first month. Irregular periods for 6 months afterwards
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received monovalent  Moderna 0.5ml blue cap, purple label. Patient was intended to receive bivalent to Moderna 0.5ml blue cap gray label.
Age: 14.0
Sex: M
Vaccine: MENB
Symptoms: Inappropriate schedule of product administration
Clinical narrative: received dose too early
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received Monovalent Moderna 0.5ml blue cap purple label.  Patient was intended to receive Bivalent Moderna 0.5ml blue cap gray label.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Balance disorder, Disturbance in attention, Dysgraphia, Feeling abnormal
Clinical narrative: pt states she started feeling like her right foot did not want to work normally and she was having brain fog.  She had trouble concentrating.  When she would stand up her right leg and foot would feel weak. Like the muscles were weak.  Symptoms were always present but would get worse at times.  After her 2nd dose Moderna 5/26/2021 Lot # 033C21A  these symptoms continued to get worse.  She has tingling in her fingers.  Brain fog. She was off balance and her right leg was numb feeling like she was going to fall over every time she stood up.  It stayed that way for a long period of time before getting some better.  At this time she says she still has brain fog and her right leg is still numb.  Her left leg is unaffected. Mainly the middle on the right hand that goes numb and tingles.  All fingers except her thumb on the left had tingles and goes numb. She is worried these symptoms are permanent now and she has not been able to work since then.  She says it has been debilitating and she is not the person she used to be. She has such bad brain fog she has trouble thinking and has trouble writing a grocery list any more.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Impaired work ability, Mental impairment, Mobility decreased, Muscular weakness
Clinical narrative: pt states she started feeling like her right foot did not want to work normally and she was having brain fog.  She had trouble concentrating.  When she would stand up her right leg and foot would feel weak. Like the muscles were weak.  Symptoms were always present but would get worse at times.  After her 2nd dose Moderna 5/26/2021 Lot # 033C21A  these symptoms continued to get worse.  She has tingling in her fingers.  Brain fog. She was off balance and her right leg was numb feeling like she was going to fall over every time she stood up.  It stayed that way for a long period of time before getting some better.  At this time she says she still has brain fog and her right leg is still numb.  Her left leg is unaffected. Mainly the middle on the right hand that goes numb and tingles.  All fingers except her thumb on the left had tingles and goes numb. She is worried these symptoms are permanent now and she has not been able to work since then.  She says it has been debilitating and she is not the person she used to be. She has such bad brain fog she has trouble thinking and has trouble writing a grocery list any more.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: pt states she started feeling like her right foot did not want to work normally and she was having brain fog.  She had trouble concentrating.  When she would stand up her right leg and foot would feel weak. Like the muscles were weak.  Symptoms were always present but would get worse at times.  After her 2nd dose Moderna 5/26/2021 Lot # 033C21A  these symptoms continued to get worse.  She has tingling in her fingers.  Brain fog. She was off balance and her right leg was numb feeling like she was going to fall over every time she stood up.  It stayed that way for a long period of time before getting some better.  At this time she says she still has brain fog and her right leg is still numb.  Her left leg is unaffected. Mainly the middle on the right hand that goes numb and tingles.  All fingers except her thumb on the left had tingles and goes numb. She is worried these symptoms are permanent now and she has not been able to work since then.  She says it has been debilitating and she is not the person she used to be. She has such bad brain fog she has trouble thinking and has trouble writing a grocery list any more.
Age: 14.0
Sex: M
Vaccine: MENB
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: received vaccine too early, no reaction
Age: 71.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site induration, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: Patient called to report localized injection size reaction at 2:15pm. Patient states that area the size of hand was swollen, red and warm to the touch. Patient also states area was hard to the touch. Otherwise no allergies to latex or anything was reported. Patient usually gets annual flu shot with no issues. Patient will continue to monitor at this time.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received monovalent  Moderna 0.5ml blue cap, purple label. Patient was intended to receive bivalent to Moderna 0.5ml blue cap gray label.
Age: 56.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Burning sensation, Dizziness, Nausea, Pyrexia, Urticaria
Clinical narrative: Patient had orange hives and burning sensation down right arm to wrist for 9 days.  Patient also had fever, nausea, vomiting and dizziness.
Age: 56.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Vomiting
Clinical narrative: Patient had orange hives and burning sensation down right arm to wrist for 9 days.  Patient also had fever, nausea, vomiting and dizziness.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Incorrect dose given: MA administered COVID 6 month-4 year dose to this patient. Patient was due for 5yr-11yr Booster dose. Informed family of what occurred. Patient tolerated vaccine well, no reaction. Mom agreed to have patient revaccinated with correct dosage on 10/17/2022.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received Monovalent Moderna 0.5ml blue cap purple label.  Patient was intended to receive Bivalant Moderna 0.5ml blue cap gray label.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Underdose, Wrong product administered
Clinical narrative: Incorrect dose given: administered COVID 6 month-4 year dose to this patient. Patient was due  12+yr Booster dose. Informed family of what occurred. Patient tolerated vaccine well, no reaction. Mom agreed to have patient revaccinated with correct dosage on 10/17/2022.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Epicondylitis, Gait disturbance, Injected limb mobility decreased, Injection site pain
Clinical narrative: Around Sep 1, 2021  I developed severe pain and swelling on my left foot around my thumb, I went to a foot doctor  who incorrectly diagnosed it as gout disease, he treated it with Motrin and after a while it went away.  Around Jan of 2022 I developed severe pain in my right elbow which greatly limited the use of my right Arm, my Doctor diagnosed it as Tennis Elbow, I never play tennis or any sport, I also do not use my hand in a manner that would typically cause tennis elbow, I was prescribed PT twice a week which has helped    Around March 2022 I developed pain in my left foot around the ankle area, this greatly effects the way a walk and caused me to develop a slight limp.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Pain in extremity, Peripheral swelling
Clinical narrative: Around Sep 1, 2021  I developed severe pain and swelling on my left foot around my thumb, I went to a foot doctor  who incorrectly diagnosed it as gout disease, he treated it with Motrin and after a while it went away.  Around Jan of 2022 I developed severe pain in my right elbow which greatly limited the use of my right Arm, my Doctor diagnosed it as Tennis Elbow, I never play tennis or any sport, I also do not use my hand in a manner that would typically cause tennis elbow, I was prescribed PT twice a week which has helped    Around March 2022 I developed pain in my left foot around the ankle area, this greatly effects the way a walk and caused me to develop a slight limp.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received monovalent  Moderna 0.5ml blue cap, purple label. Patient was intended to receive bivalent to Moderna 0.5ml blue cap gray label.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood glucose decreased
Clinical narrative: patient blood sugar read 44 at 2:oopm patient took 4 to 5 glucose tablets
Age: 49.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Product administration error
Clinical narrative: Patient did not meet eligibility criterion for vaccination
Age: 92.0
Sex: F
Vaccine: FLUA4
Symptoms: Blood glucose normal, Electrocardiogram normal, Respiration abnormal, Seizure
Clinical narrative: PATIENT RECEIVED THE FLU SHOT. SHE WAS TALKING WITH OUR TECHNICIAN, THEN NODDED HER HEAD DOWN AND LET OUT A BREATH, THEN SHE BEGAN TO SEIZE. MY TECHNICIAN CALLED ME OVER AND I SAW HER CONVULSING, I THEN LAID HER ON THE FLOOR. THE SEIZURE LASTED ABOUT 10-15 SECONDS. SHE THEN BEGAN TAKING VERY DEEP BREATHS. SHE WAS REPSONSIVE AND ASKED FOR US TO GET HER DAUGHTER. WE CALLED 911 AND EMS SHOWED UP.
Age: 11.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: GAVE PFIZER COVID VACCINE FOR 12 AND UP TO 11 YR OLD
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received Monavalent Moderna 0.5ml blue cap purple label.  Patient was intended to receive Bivalant Moderna 0.5ml blue cap gray label.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Electromyogram normal, Magnetic resonance imaging head normal, Neuropathy peripheral, Paraesthesia, Scan with contrast normal
Clinical narrative: Tingling in both feet. My internist wasn't sure it was caused by the vaccine. She ordered an brain MRI no contrast, it was normal. She  then referred me to a neurologist, he thought initially it was  neuropathy. I then had the 3rd vaccine (1st booster) and no increased tingling.  I saw him again and he did another brain MRI with contrast and EMG, both normal. In December 2021 he said there was more into about side effect from the vaccine and one is tingling in feet. He advised me not to have additional vaccines.
Age: 16.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: patient did not meet eligibility criterion
Age: 34.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incomplete course of vaccination, Wrong product administered
Clinical narrative: turns out patient had not completed their primary series so should not have administered bivalent vax
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: pt was here for bivalent booster- got regular shot
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient received Monovalent Moderna 0.5ml blue cap purple label.  Patient was intended to receive Bivalent Moderna 0.5ml blue cap gray label.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Dyspnoea, Dyspnoea exertional, Electrocardiogram normal
Clinical narrative: Within 30 seconds , chest became constricted and found it difficult to breathe. Felt immediate head rush and thought I was going to pass out or was having a heart attack. Additionally had a pang in the middle of my chest for the next few hours and was out of breath during short. leisurely walks. I have never had this feeling before nor have ever had a reaction to a vaccine.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Head discomfort
Clinical narrative: Within 30 seconds , chest became constricted and found it difficult to breathe. Felt immediate head rush and thought I was going to pass out or was having a heart attack. Additionally had a pang in the middle of my chest for the next few hours and was out of breath during short. leisurely walks. I have never had this feeling before nor have ever had a reaction to a vaccine.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received monovalent  Moderna 0.5ml blue cap, purple label. Patient was intended to receive bivalent to Moderna 0.5ml blue cap gray label.
Age: 4.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Injection site erythema
Clinical narrative: I gave the vaccine IM on her right thigh, advised parents to give patient Tylenol or Motrin as needed, when patient came to clinic 3 days after vaccine was administered her entire right thigh had a red patch going horizontally along the right side to her left side.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, Wrong product administered
Clinical narrative: Wrong vaccine given, Booster given instead of Updated Booster Bivalent
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient given monovalent dose after date of authorization. Authorization expiration  date was 8/31/22. Provider unaware of expiration date at the time of administration. Notified of expiration date on 9/14/22, at which time the Department of Health directed the provider to complete an event report. Shipment of bivalent booster doses were not received until 9/12/22.
Age: 52.0
Sex: M
Vaccine: VARZOS
Symptoms: Deep vein thrombosis, Ultrasound Doppler abnormal
Clinical narrative: DVT two days after second dose of Shingrix ( Given at pharmacy)
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received Monovalent Moderna 0.5ml blue cap purple label.  Patient was intended to receive Bivalant Moderna 0.5ml blue cap gray label.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient received monovalent Moderna 0.5ml blue cap purple label. Patient was intended to receive bivalent Moderna 0.5ml blue cap grey label.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient given monovalent dose after date of authorization. Authorization expiration  date was 8/31/22. Provider unaware of expiration date at the time of administration. Notified of expiration date on 9/14/22, at which time the Department of Health directed the provider to complete an event report. Shipment of bivalent booster doses was not received until 9/12/22.
Age: 23.0
Sex: M
Vaccine: COVID19-2
Symptoms: Extra dose administered, Inappropriate schedule of product administration
Clinical narrative: COVID19 BV vaccine administered despite contraindication disclosed by patient to pharmacy that patient had received JYNNEOS MPX vaccine within four weeks prior (8/18/22) and is a young adult male at increased risk of myocarditis.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Illness, Injection site erythema, Injection site scab
Clinical narrative: SICK for three days  in bed ,i have a round red spot were shot was given and some of it  scabs up it's like this all the time
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, COVID-19, Fatigue, Malaise, Pyrexia
Clinical narrative: Patient became ill at school on 8/8/22 complaining of tiredness and stomach pain and registering a low fever, and vomited twice.  He tested positive for COVID on an antigen home test on 8/9/22, fever continued, no more vomiting, runny nose.  Isolated at home for 5 days with no more fever or stomach symptoms, but runny nose continued.  Positive antigen home test on 8/13/22.  Negative antigen home test on 8/14/22.  Runny nose initially abated, then returned after negative test.  He returned to school on 8/15/22.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Patient became ill at school on 8/8/22 complaining of tiredness and stomach pain and registering a low fever, and vomited twice.  He tested positive for COVID on an antigen home test on 8/9/22, fever continued, no more vomiting, runny nose.  Isolated at home for 5 days with no more fever or stomach symptoms, but runny nose continued.  Positive antigen home test on 8/13/22.  Negative antigen home test on 8/14/22.  Runny nose initially abated, then returned after negative test.  He returned to school on 8/15/22.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received monovalent Moderna 0.5ml blue cap purple label. Patient was intended to receive bivalent Moderna 0.5ml blue cap grey label.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received Monovalent Moderna 0.5ml blue cap purple label.  Patient was intended to receive Bivalent Moderna 0.5ml blue cap gray label.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient given monovalent dose after date of authorization. Authorization expiration  date was 8/31/22. Provider unaware of expiration date at the time of administration. Notified of expiration date on 9/14/22, at which time the regulatory authority directed the provider to complete an event report. Shipment of bivalent booster doses was not received until 9/12/22.
Age: 27.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Unevaluable event
Clinical narrative: Did not meet eligibility criterion
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Death, Respiratory arrest, SARS-CoV-2 test positive
Clinical narrative: This is an instance of breakthrough COVID-19 disease after which death occurred. The individual received Pfizer vaccine on 02/12/2021, 03/05/2021, and 10/25/2021. They tested positive for COVID-19 on 07/20/2022 at the nursing home at which they were a resident. They experienced an episode of acute respiratory arrest and were diagnosed with COVID-19 pneumonia. They died later on the same day,  on 07/20/2022.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: This is an instance of breakthrough COVID-19 disease after which death occurred. The individual received Pfizer vaccine on 02/12/2021, 03/05/2021, and 10/25/2021. They tested positive for COVID-19 on 07/20/2022 at the nursing home at which they were a resident. They experienced an episode of acute respiratory arrest and were diagnosed with COVID-19 pneumonia. They died later on the same day,  on 07/20/2022.
Age: 59.0
Sex: M
Vaccine: COVID19-2
Symptoms: Extra dose administered
Clinical narrative: PATIENT WAS NOT ELIGIBLE TO GET THE BIVALENT BOOSTER BECAUSE IT HAS NOT BEEN 2 MONTHS SINCE THEIR LAST COVID VACCINE. ADDITIONALLY, PATIENT REVEIVED THEIR LAST COVID VACCINE (PFIZER BOOSTER DOSE #2, TOTAL DOSES = 4) ON 8/6/22 ALTHOUGH THEY WERE NOT ELIGIBLE FOR THIS VACCINE (NOT 65 Y/O OR OLDER AND NOT IMMUNOCOMP)
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received monovalent Moderna 0.5ml blue cap purple label. Patient was intended to receive bivalent Moderna 0.5ml blue cap grey label.
Age: 74.0
Sex: F
Vaccine: FLUA4
Symptoms: Pruritus, Urticaria
Clinical narrative: Pt woke up at 4:00 am the morning after getting her flu shot and was itching very badly.  She noticed she had hives on her lower trunk and legs.  She called her physician and they told her to take Benadryl and use hydrocortisone cream.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent booster given instead of Bivalent booster.
Age: 1.08
Sex: F
Vaccine: HEPA, MMRV, VARCEL
Symptoms: Extra dose administered
Clinical narrative: Patient received extra dose of Varicella vaccine accidently. Mother made aware through phone call by Provider and Nursing Director. Per mother child is stable, no changes, mother reports no symptoms at this time. Advised to give Tylenol PRN and monitor patient for any changes, if changes occur take child to Emergency room. RTC for Follow up.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received monovalent Moderna 0.5ml blue cap purple label.  Patient was intended to receive Bivalant Moderna 0.5ml blue cap gray label.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received monovalent Moderna 0.5ml blue cap purple label. Patient was intended to receive bivalent Moderna 0.5ml blue cap grey label.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received monovalent Moderna 0.5ml blue cap purple label.  Patient was intended to receive Bivalant Moderna 0.5mlblue cap gray label.
Age: 78.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event, Wrong product administered
Clinical narrative: Patient requested Moderna bivalent. Pfizer bivalent was drawn up instead. Instead of Pfizer bivalent dose (0.3 ml), 0.5 ml was administered. Higher dose was administered to patient. Patient was observed for 30 minutes without any reaction. Patient was informed of the error,
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given monovalent instead of Bivalent
Age: 1.92
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: None - patient has had no reaction or response, and is doing well
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: None - patient has no aderse reaction or response, and is doing well (per MOC)  - COVID booster was given too early
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received Monovalent Moderna 0.5ml blue cap purple label.  Patient was intended to receive Bivalant Moderna 0.5ml blue cap gray label.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given Moderna monovalent booster instead of Moderna bivalent booster.  Patient was left messages and emailed several times but has not called back yet.  Once patient calls back we will offer bivalent booster in 2 months.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: none, 5 year old given the 6 months to 4 year old mRNA 3mcg/0.2 dose
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given Moderna monovalent booster instead of Moderna bivalent booster.  Patient was left messages and emailed several times but has not called back yet.  Once patient calls back we will offer bivalent booster in 2 months.
Age: 26.0
Sex: F
Vaccine: COVID19-2
Symptoms: Axillary pain, Chills, Pyrexia
Clinical narrative: Fever, chills, armpit pain
Sex: U
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: We gave 6 patients aged 12 and older COVID-19 booster vaccines using the monovalent formulation between dates of service 8/31/2022 and 9/9/2022.    Based on information we received from Health Authority we will contact these patients and offer the bivalent booster to them after two months have passed.
Age: 67.0
Sex: M
Vaccine: FLU4
Symptoms: Bradycardia, Bundle branch block right, Cardiac pacemaker insertion, Echocardiogram normal, Electrocardiogram abnormal
Clinical narrative: Presented to the ED with syncope and found to have bradycardia with sick sinus syndrome with recurrent pauses >5 seconds while awake. Permanent pacemaker placed  # Sinus pauses # Troponin elevation # Incomplete RBBB - resolved 7s pause during sleep then 17s pause during blood draw.  Syncope with 17s pause, emesis afterwards. Second event was possibly related to an exaggerated vagal response. Incomplete RBBB noted on second EKG 9/14 AM, sinus brady on repeat after recent pause 9/15 AM. Troponin elevated on admission but stabilized, repeat after sinus pause remains stable. Not nodal blockers at home. No recent illness, chest pain or typical EKG changes or pericardial effusion on prelim echo to suggest myopericarditis. No history of infiltrative disease, normal real function.
Age: 67.0
Sex: M
Vaccine: FLU4
Symptoms: Renal function test normal, Sinus arrest, Sinus bradycardia, Sinus node dysfunction, Syncope
Clinical narrative: Presented to the ED with syncope and found to have bradycardia with sick sinus syndrome with recurrent pauses >5 seconds while awake. Permanent pacemaker placed  # Sinus pauses # Troponin elevation # Incomplete RBBB - resolved 7s pause during sleep then 17s pause during blood draw.  Syncope with 17s pause, emesis afterwards. Second event was possibly related to an exaggerated vagal response. Incomplete RBBB noted on second EKG 9/14 AM, sinus brady on repeat after recent pause 9/15 AM. Troponin elevated on admission but stabilized, repeat after sinus pause remains stable. Not nodal blockers at home. No recent illness, chest pain or typical EKG changes or pericardial effusion on prelim echo to suggest myopericarditis. No history of infiltrative disease, normal real function.
Age: 67.0
Sex: M
Vaccine: FLU4
Symptoms: Troponin increased, Vomiting
Clinical narrative: Presented to the ED with syncope and found to have bradycardia with sick sinus syndrome with recurrent pauses >5 seconds while awake. Permanent pacemaker placed  # Sinus pauses # Troponin elevation # Incomplete RBBB - resolved 7s pause during sleep then 17s pause during blood draw.  Syncope with 17s pause, emesis afterwards. Second event was possibly related to an exaggerated vagal response. Incomplete RBBB noted on second EKG 9/14 AM, sinus brady on repeat after recent pause 9/15 AM. Troponin elevated on admission but stabilized, repeat after sinus pause remains stable. Not nodal blockers at home. No recent illness, chest pain or typical EKG changes or pericardial effusion on prelim echo to suggest myopericarditis. No history of infiltrative disease, normal real function.
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Patient was administered HD fluzone at age 63 when patient should have been administered regular flu vaccine.  Patient must be 65 or older to qualify for high dose fluzone.
Age: 69.0
Sex: F
Vaccine: UNK
Symptoms: Erythema, Pain in extremity, Peripheral swelling
Clinical narrative: pain, swollen, redness on left arm
Age: 1.08
Sex: F
Vaccine: VARCEL
Symptoms: Viral rash
Clinical narrative: viral exanthem
Age: 11.0
Sex: M
Vaccine: COVID19-2, HPV9, MNQ, TDAP
Symptoms: Incorrect product formulation administered, No adverse event, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Incorrect vaccine given.  Given Bivalent booster 0.3ml (patient 11years of age) No symptoms noted waited 15 min in waiting room.
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Headache, Hot flush, Nausea, Palpitations
Clinical narrative: Nearly immediate nausea, then severe head throbbing and heart racing. Face became very flush and felt hot.
Age: 30.0
Sex: F
Vaccine: HEP
Symptoms: Swelling face
Clinical narrative: THE EMPLOYEE CONTACTED THE FACILITY AND STATED HER LEFT SIDE OF HER FACE IS SWOLLEN FROM THE EYE TO THE EAR. EMPLOYEE STATED SHE WAS ON HER WAY TO THE URGENT CARE AND WOULD GIVE US A CALL ABOUT WHAT THE DOCTOR STATED.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypoaesthesia, Musculoskeletal pain, Pain, Pain in extremity
Clinical narrative: patient had pain in the left arm that radiated thru her should blades and down her right arm.  intermittent numbness in the arms.
Age: 9.0
Sex: M
Vaccine: COVID19-2
Symptoms: Nervousness, No adverse event, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Mom brought her two kids in for their Pfizer vaccines and she was to receive the bivalent Moderna booster. Tech went to give the 9 year old his vaccine and he started getting nervous and she ended up giving him the Moderna vaccine. No adverse reactions were noted while the patient was in the pharmacy.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Developed a rash and hives on arm on 9/14/22. Next day on 9/15/22 woke up with rash on arms and slight rash on cheeks. Later in the evening the rash got worse on cheeks and leg.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age, Underdose
Clinical narrative: Wrong dose for age  of child.  Mother preferred 5 year old receive 2nd Pfizer as a 6mo-4 year dose ( 3mg/ 0.2 ml ) dose. Mother reports that child was lethargic for now day after  dose 1 Pfizer dose for 5 y-11y ( 10mg/0.2 ml) dose was received.  NP consult w/ PCHD physician regarding parental choice. Mother understands that this dose of un authorized vaccine may not provide adequate immunity. VAERS filed to report this parental choice.  No reported adverse side effects
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood test, COVID-19, Flank pain, Infection, Lymph node pain
Clinical narrative: I had the first 2 injections at a drive through clinic and the 3rd dose was at a pop up clinic. I was hard hit in recovering from the vaccine 5 days in bed and pain in several places along my left side, which I now believe are all lymph node sites based on their locations. In April I became ill with an infection that started in my head and swollen lymph nodes and parotid glands as well. It lasted for 3 months and I took 4 rounds of antibiotics between the end of April and the end of July. The swelling hasn't gone away but gets a little better then a little worse. I've had a mammogram and a bunch of other blood tests to rule our cancer, heart disease etc since they are all on my left side. Then I got covid on August 31, took Paxlovid because I'm high risk. The lymph nodes are increasingly swollen and painful and have a general feeling of not being fully well. I'm also still experiencing some symptons of covid.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Lymphadenopathy, Malaise, Mammogram, Mobility decreased, Parotid gland enlargement
Clinical narrative: I had the first 2 injections at a drive through clinic and the 3rd dose was at a pop up clinic. I was hard hit in recovering from the vaccine 5 days in bed and pain in several places along my left side, which I now believe are all lymph node sites based on their locations. In April I became ill with an infection that started in my head and swollen lymph nodes and parotid glands as well. It lasted for 3 months and I took 4 rounds of antibiotics between the end of April and the end of July. The swelling hasn't gone away but gets a little better then a little worse. I've had a mammogram and a bunch of other blood tests to rule our cancer, heart disease etc since they are all on my left side. Then I got covid on August 31, took Paxlovid because I'm high risk. The lymph nodes are increasingly swollen and painful and have a general feeling of not being fully well. I'm also still experiencing some symptons of covid.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: No adverse event experienced. Contacted by Immunization system because on 09/03/2022 the Covid-19 booster recommendations were changed so that the Pfizer (monovalent) should not be used for boosters and instead all boosters should be the new bivalent formulations. Patient was given the monovalent Pfizer instead of the bivalent Pfizer for his 2nd booster.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Nasopharyngitis, Oral herpes, Oral mucosal blistering
Clinical narrative: A significant outbreak of what felt like cold sores (?), internal within the tissues of the lower lip, which lasted about 1.5 weeks.  This has recurred two or three times since getting the second booster, usually if I am under stress or have a mild cold.  I have also experienced cold sore outbreaks (blisters) on the roof of my mouth, concurrent with the internal lip swelling.  Since the issue recurs, I don't know if this is a condition that resolves, and wonder how to proceed with the bi-valent booster that has just become available.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pt given monovalent instead of bivalent
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pt given monovalent instead of bivalent
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pt given monovalent instead of bivalent
Age: 41.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Molluscum contagiosum
Clinical narrative: Pox lesion appeared behind right ear in scalp
Age: 1.83
Sex: F
Vaccine: COVID19
Symptoms: Blister, Blood test normal, Electroencephalogram normal, Enterovirus test positive, Febrile convulsion
Clinical narrative: Developed a fever the morning of August 3. After some abnormal breathing, we took her to the doctor's office where they assessed her and sent her home. Moments after arriving home around 3:10, she had a simple febrile seizure, lasting about 3 minutes. 911 was called and she was given Motrin and taken to the emergency room. Because of family history of seizure disorder, we were given the option to have her admitted for further testing which we chose to do. Her respiratory illness testing came back positive for rhinovirus/enterovirus (negative for everything else). Her EEG and bloodwork was normal. She ended up developing blisters on her diaper area, hands, and feet after being discharged, so we decided she must have Hand Foot and Mouth Disease, which her aunt had had when we had recently seen her (though we were at a distance outside).
Age: 1.83
Sex: F
Vaccine: COVID19
Symptoms: Full blood count normal, Hand-foot-and-mouth disease, Human rhinovirus test positive, Pyrexia, Respiration abnormal
Clinical narrative: Developed a fever the morning of August 3. After some abnormal breathing, we took her to the doctor's office where they assessed her and sent her home. Moments after arriving home around 3:10, she had a simple febrile seizure, lasting about 3 minutes. 911 was called and she was given Motrin and taken to the emergency room. Because of family history of seizure disorder, we were given the option to have her admitted for further testing which we chose to do. Her respiratory illness testing came back positive for rhinovirus/enterovirus (negative for everything else). Her EEG and bloodwork was normal. She ended up developing blisters on her diaper area, hands, and feet after being discharged, so we decided she must have Hand Foot and Mouth Disease, which her aunt had had when we had recently seen her (though we were at a distance outside).
Age: 1.83
Sex: F
Vaccine: COVID19
Symptoms: Respiratory viral panel
Clinical narrative: Developed a fever the morning of August 3. After some abnormal breathing, we took her to the doctor's office where they assessed her and sent her home. Moments after arriving home around 3:10, she had a simple febrile seizure, lasting about 3 minutes. 911 was called and she was given Motrin and taken to the emergency room. Because of family history of seizure disorder, we were given the option to have her admitted for further testing which we chose to do. Her respiratory illness testing came back positive for rhinovirus/enterovirus (negative for everything else). Her EEG and bloodwork was normal. She ended up developing blisters on her diaper area, hands, and feet after being discharged, so we decided she must have Hand Foot and Mouth Disease, which her aunt had had when we had recently seen her (though we were at a distance outside).
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: The incorrect shot was given to the patient. She received the monovalent pfizer vaccine instead of the intended bivalent pfizer booster.
Age: 74.0
Sex: M
Vaccine: FLUA4
Symptoms: Product administration error, Underdose
Clinical narrative: Administration error: patient moved while receiving the vaccine and the majority of the dose ran down the arm. Corrected this by giving the remainder of the dose to make a full dose (corrected the same day).
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chest pain, Heart rate increased, Injection site erythema
Clinical narrative: PATIENT HAD A RED CIRCLE AT INJECTION SITE . SHE ALSO COMPLAINED OF CHEST PAIN AND INCREASE HEART RATE . CONSULTED PT THAT SHE SHOULD SEE A MEDICAL PROVIDER TO DETERMINE THE SYMPTOMS
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Skin warm
Clinical narrative: Pt states her arm became "itchy, red, and warm" after her 1st dose & 4th dose of Moderna COVID-19 vaccine. She said it appeared next day & lasted several days to a week.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: The client requested Moderna booster bivalent, given Moderna monovalent booster by mistake. No signs or symptoms of a reaction. The client was called by health department staff and was informed of the error. Appointment made for revaccination with bivalent Moderna booster for November 15th. This is in 2 months which is indicated by CDC for revaccination.
Age: 81.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Chills, Decreased appetite, Feeling abnormal, Pain
Clinical narrative: Felt awful. Every but of me hurt. I got very Shakey. Chills. No appetite. Weak, No treatment. Felt better in 36 hours.
Age: 81.0
Sex: F
Vaccine: FLU4
Symptoms: Tremor
Clinical narrative: Felt awful. Every but of me hurt. I got very Shakey. Chills. No appetite. Weak, No treatment. Felt better in 36 hours.