chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 83.0
Sex: M
Vaccine: CHIK, CHIK, CHIK
Symptoms: Computerised tomogram abdomen, Computerised tomogram head, Computerised tomogram spine, Fatigue, Gait disturbance
Clinical narrative: Patient reported to have received Chikungunya vaccine on 6-13-24, in preparation for vacation.  At baseline, patient is very active, plays golf, mobile.  Several days after receiving the vaccine, patient started to feel ill, body aches, chills, generalized weakness, and brain fog, and reported minor fall out of bed.  On 6-20-24, patient reported to the Emergency Department at Sequoia Hospital, and workup was completed (included MRI and labs).  Labs showed mild dehydration, elevated LFTs, and dehydration.  Covid, flu, and RSV swab negative.  He was discharged from the ED, but returned on 6-24-24 with ongoing symptoms of weakness.  Pt was admitted and workup done for left lower extremity weakness, neurology and ID consults.  Patient discharged on 6-26-24 with diagnosis of encephalopathy, generalized weakness, reaction suspected to Chikungunya vaccine.
Age: 83.0
Sex: M
Vaccine: CHIK, CHIK, CHIK
Symptoms: Headache, Hypersomnia, Magnetic resonance imaging head, Myalgia, Pyrexia
Clinical narrative: Patient reported to have received Chikungunya vaccine on 6-13-24, in preparation for vacation.  At baseline, patient is very active, plays golf, mobile.  Several days after receiving the vaccine, patient started to feel ill, body aches, chills, generalized weakness, and brain fog, and reported minor fall out of bed.  On 6-20-24, patient reported to the Emergency Department at Sequoia Hospital, and workup was completed (included MRI and labs).  Labs showed mild dehydration, elevated LFTs, and dehydration.  Covid, flu, and RSV swab negative.  He was discharged from the ED, but returned on 6-24-24 with ongoing symptoms of weakness.  Pt was admitted and workup done for left lower extremity weakness, neurology and ID consults.  Patient discharged on 6-26-24 with diagnosis of encephalopathy, generalized weakness, reaction suspected to Chikungunya vaccine.
Age: 83.0
Sex: M
Vaccine: CHIK, CHIK, CHIK
Symptoms: Fatigue, Impaired work ability, Loss of personal independence in daily activities, Malaise, Mobility decreased
Clinical narrative: Patient reported to have received Chikungunya vaccine on 6-13-24, in preparation for vacation.  At baseline, patient is very active, plays golf, mobile.  Several days after receiving the vaccine, patient started to feel ill, body aches, chills, generalized weakness, and brain fog, and reported minor fall out of bed.  On 6-20-24, patient reported to the Emergency Department at Sequoia Hospital, and workup was completed (included MRI and labs).  Labs showed mild dehydration, elevated LFTs, and dehydration.  Covid, flu, and RSV swab negative.  He was discharged from the ED, but returned on 6-24-24 with ongoing symptoms of weakness.  Pt was admitted and workup done for left lower extremity weakness, neurology and ID consults.  Patient discharged on 6-26-24 with diagnosis of encephalopathy, generalized weakness, reaction suspected to Chikungunya vaccine.
Age: 83.0
Sex: M
Vaccine: CHIK, CHIK, CHIK
Symptoms: Myalgia, Pain
Clinical narrative: Patient reported to have received Chikungunya vaccine on 6-13-24, in preparation for vacation.  At baseline, patient is very active, plays golf, mobile.  Several days after receiving the vaccine, patient started to feel ill, body aches, chills, generalized weakness, and brain fog, and reported minor fall out of bed.  On 6-20-24, patient reported to the Emergency Department at Sequoia Hospital, and workup was completed (included MRI and labs).  Labs showed mild dehydration, elevated LFTs, and dehydration.  Covid, flu, and RSV swab negative.  He was discharged from the ED, but returned on 6-24-24 with ongoing symptoms of weakness.  Pt was admitted and workup done for left lower extremity weakness, neurology and ID consults.  Patient discharged on 6-26-24 with diagnosis of encephalopathy, generalized weakness, reaction suspected to Chikungunya vaccine.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Hydrops foetalis, Swelling, Ultrasound antenatal screen abnormal, Ultrasound foetal abnormal
Clinical narrative: Normal ultrasound at 16 weeks.  18 weeks received Covid booster. 9 days later ultrasound showed severe swelling (hydrops) Received covid booster  2 weeks prior to booster showed no swelli 9 days post booster baby had severe swelling on anatomy scan at 20 weeks. Baby was stillborn 5 days later.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Laboratory test, Small fibre neuropathy
Clinical narrative: Small Fiber Neuropathy , since 2021 till now
Age: 4.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Expired product administered, No adverse event
Clinical narrative: No Symptoms or reaction.  After administration, the medical assistant noticed the vaccine expired on 06/10/2024.
Age: 84.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain
Clinical narrative: Pain at injection site, pain stopped immediately after injection, but returned later in the day. Pharmacist recommended ibuprofen and icepack  for pain
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Hypersensitivity, Muscular weakness, Rash
Clinical narrative: Felt usual fatigue, joint pain, muscle weakness.  On Tuesday morning, woke up with a rash covering my trunk and upper/lower extremities. Previously only had Pfizer vaccines, which normally result in shingles outbreak on right side (I receive injection in right arm).  On Tuesday, I was treated at Express Care for hives and allergic reaction. Received Decadron Injection on left arm, and began taking Medrol tapered pack along with hydrocortisone cream,  Prescribed Xanax 6/26/24 to counter effects of methylprednisone.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Felt usual fatigue, joint pain, muscle weakness.  On Tuesday morning, woke up with a rash covering my trunk and upper/lower extremities. Previously only had Pfizer vaccines, which normally result in shingles outbreak on right side (I receive injection in right arm).  On Tuesday, I was treated at Express Care for hives and allergic reaction. Received Decadron Injection on left arm, and began taking Medrol tapered pack along with hydrocortisone cream,  Prescribed Xanax 6/26/24 to counter effects of methylprednisone.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Injection site pain, Migraine, Nausea, Vomiting
Clinical narrative: Migraine, chills, nausea, vomiting, injection site pain
Age: 63.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Erysipelas, Injection site bruising, Injection site cellulitis, Injection site induration
Clinical narrative: I received the Tdap vaccine on Wednesday 6/19/24 and noticed a small ball had formed right where I got the injection. I noticed this the following morning, less than 24 hours from getting the injection placed. I started feeling shivers, intense body aches, and feeling very unwell. I also noticed bruising on the injection site and the ball got larger and harder. My arm was also very hot to the touch. The bruising also worsened and extended further  around the vaccine area. My shoulder was hurting before my visit, this is why i scheduled my appointment. However, the injection has worsened the pain on my shoulder. My arm is still very hot to touch, the ball is much larger, and very hard. The bruising is still there. I called my doctor's office this morning and they scheduled me an appointment for today. I saw a nurse practitioner who told me the injection was administered on the wrong located, significantly lower than appropriate. She prescribed me a 7 day course of antibiotics because  I developed I had developed erysipelas and cellulitis. She advised I follow up if my symptoms continue to worsen. Currently my arm is still very hot, painful, the ball is much harder/larger, and the bruising is still there.
Age: 63.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site mass, Injection site reaction, Injection site warmth, Malaise, Pain
Clinical narrative: I received the Tdap vaccine on Wednesday 6/19/24 and noticed a small ball had formed right where I got the injection. I noticed this the following morning, less than 24 hours from getting the injection placed. I started feeling shivers, intense body aches, and feeling very unwell. I also noticed bruising on the injection site and the ball got larger and harder. My arm was also very hot to the touch. The bruising also worsened and extended further  around the vaccine area. My shoulder was hurting before my visit, this is why i scheduled my appointment. However, the injection has worsened the pain on my shoulder. My arm is still very hot to touch, the ball is much larger, and very hard. The bruising is still there. I called my doctor's office this morning and they scheduled me an appointment for today. I saw a nurse practitioner who told me the injection was administered on the wrong located, significantly lower than appropriate. She prescribed me a 7 day course of antibiotics because  I developed I had developed erysipelas and cellulitis. She advised I follow up if my symptoms continue to worsen. Currently my arm is still very hot, painful, the ball is much harder/larger, and the bruising is still there.
Age: 63.0
Sex: F
Vaccine: TDAP
Symptoms: Product administered at inappropriate site
Clinical narrative: I received the Tdap vaccine on Wednesday 6/19/24 and noticed a small ball had formed right where I got the injection. I noticed this the following morning, less than 24 hours from getting the injection placed. I started feeling shivers, intense body aches, and feeling very unwell. I also noticed bruising on the injection site and the ball got larger and harder. My arm was also very hot to the touch. The bruising also worsened and extended further  around the vaccine area. My shoulder was hurting before my visit, this is why i scheduled my appointment. However, the injection has worsened the pain on my shoulder. My arm is still very hot to touch, the ball is much larger, and very hard. The bruising is still there. I called my doctor's office this morning and they scheduled me an appointment for today. I saw a nurse practitioner who told me the injection was administered on the wrong located, significantly lower than appropriate. She prescribed me a 7 day course of antibiotics because  I developed I had developed erysipelas and cellulitis. She advised I follow up if my symptoms continue to worsen. Currently my arm is still very hot, painful, the ball is much harder/larger, and the bruising is still there.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19, RSV
Symptoms: Deafness neurosensory, Deafness unilateral, Sudden hearing loss
Clinical narrative: 2 June 2024 Sudden hearing loss in right ear on awakening the day after the vaccines.  12 June: visited Ear, Nose and Throat associates. Had hearing test and consultation with PA-C.  Test revealed right ear has moderate to profound  sensorineuaral hearing loss, (SNHL). SNHL probably cauised by an inflamation of the inner ear (cochlea) and nerve after Covid and RSV injections.   Treatement: high dose steroids, prednisone.   He also wants me to get an MRI of the brain.  After one week, no noticeable improvement in hearing, confirmed by hearing test.  26 June: First infusion of Prednisone in r. ear.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19, RSV
Symptoms: Acoustic stimulation tests abnormal, Deafness neurosensory, Deafness unilateral, Inner ear inflammation, Sudden hearing loss
Clinical narrative: 2 June 2024 Sudden hearing loss in right ear on awakening the day after the vaccines.  12 June: visited Ear, Nose and Throat associates. Had hearing test and consultation with PA-C.  Test revealed right ear has moderate to profound  sensorineuaral hearing loss, (SNHL). SNHL probably cauised by an inflamation of the inner ear (cochlea) and nerve after Covid and RSV injections.   Treatement: high dose steroids, prednisone.   He also wants me to get an MRI of the brain.  After one week, no noticeable improvement in hearing, confirmed by hearing test.  26 June: First infusion of Prednisone in r. ear.
Age: 0.5
Sex: F
Vaccine: HIBV
Symptoms: Expired product administered
Clinical narrative: patient was given yesterday (June 19th 2024) an expired dose of Hiberix; This non-serious case was reported by a other health professional via call center representative and described the occurrence of expired vaccine used in a 6-month-old female patient who received Hib (Hiberix) (batch number EX777, expiry date 15-JUN-2024) for prophylaxis.   On 19-JUN-2024, the patient received Hiberix. On 19-JUN-2024, an unknown time after receiving Hiberix, the patient experienced expired vaccine used (Verbatim: patient was given yesterday (June 19th 2024) an expired dose of Hiberix). The outcome of the expired vaccine used was unknown.   Additional Information: GSK receipt date: 20-JUN-2024 6 month old patient was given yesterday (the day before reporting) an expired dose of Hiberix  The Vaccine Administration Facility was the same as Primary Reporter Consented to follow up.
Sex: U
Vaccine: DTPPVHBHPB
Symptoms: Product storage error
Clinical narrative: Nurse called to report TE where products have been administered to patients; This spontaneous safety report, with reference number 02598259, was received by a partner on 08-MAY-2024 and forwarded on the same day, from a HCP in the (PRIVACY).  Due to the nature of the event, the causality between the event "Nurse called to report TE where products have been administered to patients" and Vaxelis was not applicable.  Further information is expected.  Significant follow-up information was received by the partner on 23-MAY-2024 and forwarded on same day, from a HCP in (PRIVACY). The case is maintained as non-serious.  The reporter did not provide an assessment of the causal relationship between VAXELIS and the reported event "Nurse called to report TE where products have been administered to patients".  No further information is expected.
Age: 1.25
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Extra dose administered
Clinical narrative: the patient received an extra dose of IPV and Hib with no reported adverse event; Initial information received on 18-Jun-2024 regarding an unsolicited valid  non-serious case received from a nurse.  This case involves a 15 months old female patient who received an extra dose of ipv and hib with no reported adverse event after receiving Diphtheria/Tetanus/5 Hybrid Ac Pertussis/Ipv(Vero)/Hib(Prp/T) Vaccine [Pentacel (Vero)]  The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. . Concomitant medications included pneumococcal vaccine conj 13v (crm197) (prevnar 13) for prophylactic vaccination; and hib vaccine conj (tet tox) (act hib) for Prophylactic vaccination.  On 18-Jun-2024, the patient received 0.5 ml (dose 4) of suspect Diphtheria/tetanus/5 hybrid ac pertussis/ipv(vero)/hib(prp/t) vaccine Suspension for injection (lot UK019AA) (Expiry date: 30-Jun-2025) (strength: standard) (Frequency: once) via intramuscular route in the right lateral thigh for immunization.  On 18-JUN-2024, the patient received an extra dose of ipv and hib with no reported adverse event (extra dose administered) (latency: same day).  Reportedly, Nurse called for patient who was administered with Prevnar13, ACT-HIB, and PENTACEL. The patient was ordered to be given with 3 different vaccines such as DTAP, Prevnar13, and Hemophilus B Vaccine. The patient was administered also with an initial IPV vaccine before. Upon the documentation of the administration, they didn't realize that PENTACEL has a Hemophilus B component as it is DTAP-IPV-Hib. They want to know if there are any symptoms that they should look out for due to the double dose of IPV and Hib. Nurse verbally consented for a follow up in case Safety team wants additional information.  This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Age: 54.0
Sex: M
Vaccine: COVID19-2
Symptoms: Computerised tomogram, Craniotomy, Haemorrhagic stroke
Clinical narrative: Hemorrhagic stroke with emergency craniotomy 2/13/23
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site inflammation, Lip swelling
Clinical narrative: Injection site inflammation on (L) thigh Moderate Swelling of upper Lip
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Acne, Blood test, Discharge, Pruritus
Clinical narrative: She started having pimples on his face, hands were scratching and same thing and white liquid coming from the skin.  This happened again last year when he got another Moderna vaccine.  He went to his doctor who gave him some cream, which did not help very much.  He has been back to his doctor and informed him that nothing has helped.  He went to the hospital and told him the same thing and told him that it would be the same and gave him some similar cream.  They did not recognize what he had.  This was from a dermatologist that he saw.  He is not under treatment with anything right now, but continues to have the same problem.
Age: 12.0
Sex: F
Vaccine: HPV9, MNQ
Symptoms: Dizziness, Loss of consciousness, Nausea, Posture abnormal, Syncope
Clinical narrative: Patient received meningococcal vaccine in right deltoid followed by HPV  vaccine in the left deltoid. Patient remained seated and within two minutes of receiving the vaccines patient lost consciousness for approximately 15-30 seconds slumping over on to side on the exam table. Believed to be vasovagal syncope. Patient voiced some associated nausea, lightheadedness, and dizziness. Instructed to continue lying down for approximately ten minutes and slowly progressed to sitting with support then independently over the course of 15-20 minutes. Patient returned to baseline status prior to leaving the office.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Dry eye, Immediate post-injection reaction, Vision blurred
Clinical narrative: Bells Palsy- left side immediately after vaccine
Age: 26.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus
Clinical narrative: Localized red & itchy at site. Temporary hard spot under arm at site. Seen by Occupational Health but was cleared up at the time of visit and no treatment necessary.
Age: 1.25
Sex: M
Vaccine: HIBV
Symptoms: Product preparation error, Urticaria
Clinical narrative: Pt received an ActHib that was reconstituted with a diluent from a live vaccines instead of the diluent specific to ActHib. Once error was discovered parent was notified of the error and advised pt will need to receive an additional dose. While on the phone, mother mentioned pt had developed hives the day after the vaccines. Pt did not receive medical care for hives. Mom reports pt still has some spots on his back which are similar to what he had at time of visit, thinks it may be heat rash.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Axillary mass, Injection site reaction, Urticaria
Clinical narrative: Patient had welts develop on left arm (where immunization was administered) from elbow to shoulder. Patient also developed a baseball sized lump under left armpit. Patient reported that symptoms resolved 3 weeks later. Patient reported this event today on the phone with writer.
Age: 25.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Rash, Rash erythematous
Clinical narrative: Small red rash across arms, itchy and red at site.
Age: 2.0
Sex: F
Vaccine: HIBV
Symptoms: Product preparation error
Clinical narrative: Pt received an ActHib that was reconstituted with a diluent meant for a live vaccine instead of the diluent specific for ActHib. Once error was discovered an attempt to contact parent was made. Voice mail left for parent to contact office. Additional attempts will be made until able to reach parent.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Antinuclear antibody positive, Chest pain, Cholecystectomy, Detoxification, Echocardiogram
Clinical narrative: PFIZER #1 3/11/2021 PFIZER #2 4/8/2021  ONE YEAR LATER DEVELOPED CHEST PAIN, PALPITATIONS, DIAGNOSED WITH COVID-19 VACCINE SUBCLINICAL MYOPERICARDITIS.  ALSO HAS CHOLEC YSTECTOMY.   BACKGROUND POSITIVE ANA ON HCQ.  TREATED WITH LOSARTAN FOR BP CONTROL AND THEN CARVEDILOL.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram, Immunisation reaction, Laboratory test, Myopericarditis, Palpitations
Clinical narrative: PFIZER #1 3/11/2021 PFIZER #2 4/8/2021  ONE YEAR LATER DEVELOPED CHEST PAIN, PALPITATIONS, DIAGNOSED WITH COVID-19 VACCINE SUBCLINICAL MYOPERICARDITIS.  ALSO HAS CHOLEC YSTECTOMY.   BACKGROUND POSITIVE ANA ON HCQ.  TREATED WITH LOSARTAN FOR BP CONTROL AND THEN CARVEDILOL.
Age: 40.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: States red and itchy at site; swelling for 24 hours that is clearing up.
Age: 12.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Rash, Rash erythematous
Clinical narrative: PC from the mom stated that the child had developed a red rash that completely covered his upper torso approximately 24 hours after receiving the vaccines.  He stated that she had started giving him Benadryl and if he wasn't better by Thursday, June 27th, she would take him to the doctor for further evaluation.
Age: 18.0
Sex: F
Vaccine: HPV9, MENB
Symptoms: Fatigue, Loss of consciousness, Myoclonus, Syncope
Clinical narrative: Approximetaly 3 minutes following administration of vaccinations, pt experienced syncopal episode. Pt was sitting in chair and lost consciousness for about 30 seconds, followed by myoclonic jerks for about 5 seconds. RN caught pt in chair, keeping her upright. Pt regained consciousness and after a minute, was moved to exam table to lay down, per her request. Pt reported feeling "fine," just tired.
Age: 75.0
Sex: F
Vaccine: RSV
Symptoms: Contusion, Induration
Clinical narrative: hard underneath, vein bruising appeared a week after
Age: 0.5
Sex: F
Vaccine: HEP
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was given a vaccine that expired on 5/12/2024,  no adverse effects
Age: 81.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Erythema, Joint swelling, Mobility decreased, Pain in extremity
Clinical narrative: She got her vaccine, she was fine and didn't notice much pain on her arm.  On Saturday she woke up with severe knee pain and could not bend it, and it has gone to her wrists which are very swollen, her knuckles are very swollen and red, and has been using arthritis cream.  In the mornings she has a slight fever up to 100 degrees.  She called her doctors office and he was away and spoke with NP and she denied that there was any correlation with the vaccine and what she is going through, and did not give her any recommendations.  She has been taking Advil for her symptoms.
Age: 95.0
Sex: F
Vaccine: RAB
Symptoms: Incorrect route of product administration
Clinical narrative: Patient was being treated for a bite by a stray cat on the right hand/arm. Rabies vaccine was administered subcutaneously around the bite area, rather than IM.  ER staff contacted poison control, who contacted the manufacturer; poison control called back and recommended to repeat the dose IM. Dose was repeated as advised.
Age: 56.0
Sex: M
Vaccine: VARZOS
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: PATIENT RECEIVED HIS FIRST DOSE ON 6/7/24; 2ND DOSE GIVEN ON 6/26/24. THIS WAS GIVEN TOO SOON. PATIENT OBSERVED FOR ANY REACTION. MEDICAL DIRECTOR, DR, INFORMED ALONG WITH REGIONAL INFECTION CONTROL NURSE. PATIENT HAS SHOWN NO ADVERSE REACTIONS.
Age: 54.0
Sex: F
Vaccine: PNC20, TDAP
Symptoms: Cellulitis, Erythema, Pain in extremity, Pyrexia
Clinical narrative: seen by provider on 2/5/24 -"Right arm redness, painful, and fever x 3 days from 2/1/2024-2/4/2024. Pt came for physical exam on 2/1/2024 and received pneumonia vaccine (20) and TDaP. By the afternoon of the same day the pt started feeling feverish and the area became painful.  Pt has used Tylenol and salon pas for relief and some of the discomfort has been resolved now."  Diagnoses with Cellulitis on 2/5/2024 and given Rx for Amoxicillin 875 MG oral Tablet to take 1 tablet by mouth 2 times daily.                                                 2/7/24 patient was sent message that "the reaction you are having is an Arthus-reaction to the TDap, an immune response to the toxoid. It doesn't need antibiotics, it will generally resolve within 7-10 days, you can give steroids/antihistamines and can use cold compresses. If no signs of allergy - shortness of breath, wheezing, throat swelling, body urticaria, etc, it is not technically an allergic reaction, and you may stop the amoxicillin. I will prescribe a steroid dose pack and you can take antihistamine of choice, cetirizine, Claritin, etc.                                                    Patient evaluated by MD on 2/7/2024 in PM- Area improved with some distal redness.  It was not tender, indurate or warm.  I believe this is a local reaction to the vaccines and not a cellulitis.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Catheterisation cardiac, Echocardiogram, Electrocardiogram, Immunisation reaction, Laboratory test
Clinical narrative: PFIZER #1 3/2/2021 PFIZER #2 3/23/2021 TWO WEEKS LATER HOSPITALIZED FOR ACUTE TAKASUBO CARDIOMYOPATHY.  LATER DIAGNOSED WITH COVID VACCINE MYOPERICARDITIS.  TREATED WITH LOSARTAN, METOPROLOL, DILTIAZEM, ASPIRIN, AND PROTOCOL BASE SPIKE DETOXIFICATION.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Myopericarditis, Stress cardiomyopathy
Clinical narrative: PFIZER #1 3/2/2021 PFIZER #2 3/23/2021 TWO WEEKS LATER HOSPITALIZED FOR ACUTE TAKASUBO CARDIOMYOPATHY.  LATER DIAGNOSED WITH COVID VACCINE MYOPERICARDITIS.  TREATED WITH LOSARTAN, METOPROLOL, DILTIAZEM, ASPIRIN, AND PROTOCOL BASE SPIKE DETOXIFICATION.
Age: 0.17
Sex: F
Vaccine: RV1
Symptoms: Oral administration complication, Vomiting projectile
Clinical narrative: infant started projectile vomiting during immunization. unable to tell how much of vaccine infant actually received. Will not be continuing rest of series.
Age: 1.25
Sex: M
Vaccine: HIBV
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine expired on 6/8/24, two days before it was given on 6/10/24.  No adverse events noted.
Age: 42.0
Sex: M
Vaccine: FLU4
Symptoms: Blindness unilateral, Blood test abnormal, Headache, Optic neuritis
Clinical narrative: lost vision in left eye, headaches by 12/31/23- treated with steroids at hospital- optic neuritis- seen by neuroophthalmology at other hospital. blood test positive for MOGAD. complete resolution of symptoms
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Client/Child was monitored x20 minutes with no adverse side effects or reactions to first dose Moderna vaccine.  Father advised to continue to monitor for fever, body aches, soreness and redness to site; administer Tylenol as needed. Father advised to also seek emergency care at closest emergency department if any signs of adverse reaction.
Age: 38.0
Sex: M
Vaccine: HEP
Symptoms: Incorrect dose administered
Clinical narrative: RN gave pediatric dose of Hep B vaccine ( Engerix v.s. Heplisv B) to patient. RN spoke with Clinic Manager on next steps regarding incorrect vaccine dosage. RN informed patient of incorrect dosage of Hep B vaccine given, and that the adult dose is 0.5mL more than the pediatric dose. Patient nodded in agreement. RN is unable to give adult Hep B, due to  dose of vaccine not being in stock at the clinic at this time. Patient understood and asked when can he come back for the next dose. RN gave patient an appointment card and said to call back in two-three weeks before coming to the clinic for next dose of Hep B. RN reviewed all other vaccines given with patient and shared needed vaccination history forms for immigration. All questions and concerns were addressed during visit.
Age: 0.17
Sex: M
Vaccine: RV5
Symptoms: Diarrhoea, Haematochezia, Occult blood positive
Clinical narrative: Patient presented to the clinic eight days later on 6/26/24, after receiving Rotavirus orally, complaining of blood in stool that began 6/26/24. Mother of patient stated that the patient had been having loose stools for one week prior to the blood appearing.
Age: 12.0
Sex: M
Vaccine: MENB
Symptoms: No adverse event
Clinical narrative: no symptoms
Age: 1.25
Sex: M
Vaccine: DTPPVHBHPB, HIBV
Symptoms: Extra dose administered
Clinical narrative: A new MA was working with this nurse. She was instructed to prepare 2 vaccines for administration on this patient. She was to take them out of the correct supply and have the vaccine coordinator review them prior to placing needles on the vaccines. This process was completed. The patient was to be given a Hib and a Dtap at this appointment. This nurse administered the hib vaccine to the right leg and the MA administered the Dtap vaccine to the left leg. This nurse documented the vaccines administered. The vaccine coordinator received a notification of an incorrect lot number being documented in database. The lot number was for a Vaxelis vaccine instead of a Dtap. The MA had mistakenly grabbed a Vaxelis (dtap, hib, hep b, IPV combination vaccine) instead of a Dtap. Vaxelis is what was administered into the patients left leg. This nurse contacted the CDC and they stated that there is no risk to the patient if they received an extra dose of any of these vaccines. The vaccine, Dtap, does not need to be repeated since the patient did receive a Dtap from the Vaxelis. The patient may have a minor local reaction of pain and swelling which is a common side effect to vaccine administration. This nurse contacted the patients mother to inform her of the vaccine error, no answer, unable to leave a message, voicemail box is full. Letter was mailed to the address on file requesting the patient's mother to contact this nurse by phone.
Age: 1.67
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Expired product administered
Clinical narrative: AFTER VACCINE GIVEN AND CLIENT LEFT FACILITY REALIZED VACCINE WAS EXPIRED WHEN IT WOULDN'T SCAN INTO THE COMPUTER SYSTEM. VACCINE HAD EXPIRED ON 6/1/2024.  CALLED MANUFACTOR TO LEARN POLICY ON EXPIRED VACCINE. CALLED CLIENT/PARENT TO LET THEM KNOW THE SITUATION AND THAT THE CHILD NEEDED TO RECEIVE THE VACCINE AGAIN AS THE EXPIRED DOSE IS NOT A VALID DOSE.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Asthenia, Injection site erythema, Injection site pain, Insomnia, Pyrexia
Clinical narrative: DAY 1-PAIN AT INJECTION POINT DAY 1-EVENING-INSOMNIA, COULD NOT FALL ASLEEP ALL NIGHT DAY 2-RED PATCH SEEN ON UPPER ARM BELOW INJECTION POINT, PATCH ABOUT 2.5 IN WIDE BY 5.5 IN LONG FORMING RECTANGLE SHAPE, PATCH WARM TO TOUCH DAY 2-PAIN TO TOUCH ASSOCIATED WITH ALL AREAS OF RED PATCH AND INJECTION SITE DAY 2-100.5 DEGREE FEVER, 200MG IBUPROFEN BROKE FEVER IN EVENING DAY 2-GREAT LOSS OF PHYSICAL ENERGY ALL DAY, BODY VERY WEAK ALL DAY DAY 3-ALL SYMPTOMS DISAPPEAR FOR THE MOST PART EXCEPT PAIN ON ARM HOWEVER RED PATCH IS  SLOWLY CLEARING FROM THE BOTTOM UP, MAY TAKE WEEK OR MORE TO DISAPPEAR
Age: 57.0
Sex: F
Vaccine: RSV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: CLIENT REQUESTING VACCINE SINCE MOVING TO ANOTHER COUNTRY. NURSE DIDN'T CALULATE CLIENT'S AGE OR ASK  CLIENT'S AGE. CLIENT APPEARED OLDER THAN 60.  UNAWARE OF AN ADVERSE REACTIONS AS CLIENT DIDN'T CALL CLIENT WITH ANY CONCERNS.
Age: 7.0
Sex: F
Vaccine: DTAPIPV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: NO  side effected, reported and that include no fever, no swelling in the site, no siezure,
Age: 4.0
Sex: F
Vaccine: HEP, HEPA, IPV, PNC15
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient was given an extra dose of Hep B above the 3 recommended doses. Client was to receive DTaP but was given Hep B vaccination instead. No adverse events noted.
Age: 1.0
Sex: M
Vaccine: MMRV, VARCEL
Symptoms: Wrong product administered
Clinical narrative: pt was given Proquad but was intended to receive MMRII. The similarity in the colors of bottle and tops, as well as similar boxes and vial labeling can be easily mistaken.
Age: 3.0
Sex: F
Vaccine: IPV
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: IPV #4 given before due age.  No adverse reaction or symptoms per mother.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Dysphagia, Dyspnoea, Heart rate increased
Clinical narrative: Trouble swallowing, breathing, rapid heart rate while driving home from appointment.  Pulled over took allergy  tablets quick  melts and used my rescue inhaler
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HEPA, MMR, PNC20, VARCEL
Symptoms: Wrong product administered
Clinical narrative: PATIENT CAME IN FOR KINDERGGARTEN SHOTS KINRIX AND PROQUAD. PATIENTS 1 YEAR OLD BROTHER ALSO CAME IN FOR 1 YEAR SHOTS. VACCINEES WERE LAID OUT FOR BOTH PATIENTS, WITH YOUNGEST BROTHER'S VACCINES FIRST. MOM REQUESTED FOR THE OLDEST BROTHER TO BE FIRST. THE VACCINES, HEP A, PREVNAR 20, AND MMR WERE INADVERTENTLY GIVEN IN THE 4 YEAR OLD'S LEFT ARM. THE MISTAKE WAS NOTICED AND REPORTED THE NP,  SHE SPOKE WITH MOM AND EXPLAINED THAT THERE SHOULDN'T BE ANY ADVERSE EFFECT FROM THE VACCINES AND TO CALL IF MOM HAD CONCERNS. WE WILL CHECK WITH MOM IN 1 WEEK. PATIENT WAS IN GOOD HEALTH AND HAPPY WHEN HE LEFT WITH MOM.
Age: 16.0
Sex: M
Vaccine: MENB, MNQ
Symptoms: Chest discomfort, Fall, Feeling abnormal, Head injury, Hypotonia
Clinical narrative: According to staff witness:  Patient and Mom came up front to schedule for next follow up appointment and while waiting for the front staff to attend to them, patient mother was standing right next in front of the staff to get schedule while patient was standing very close to the wall nearby the entrance,  suddenly patient slump and hit his head back on the wall and went down, front staff immediately call for help and patient thereafter gained back his consciousness.  After called for help two md and 3 rn went out. Mas assisted. Pt assessed by MDs. Deemed to be safe. Kept pt on floor. Elevated head due to vagal response. Gave pt peanut butter crackers, juice, water. Pt stood up on own. Feeling better. RN stayed with pt during check out. Pt then started to feel "weird" again. Sat down. Bp check 96/54. Previous to vaccines bp was 114/68. 2nd retake after vaccines bp back to mid teens. Pt felt better. Rn walked to car. Mom called 30min later stating pt said his chest felt "weird" same as just before passed out. Due to this anaphylaxis type response not sure if related to vaccine or fall. Pt sent to ER. Had normal CT scan.
Age: 16.0
Sex: M
Vaccine: MENB, MNQ
Symptoms: Loss of consciousness
Clinical narrative: According to staff witness:  Patient and Mom came up front to schedule for next follow up appointment and while waiting for the front staff to attend to them, patient mother was standing right next in front of the staff to get schedule while patient was standing very close to the wall nearby the entrance,  suddenly patient slump and hit his head back on the wall and went down, front staff immediately call for help and patient thereafter gained back his consciousness.  After called for help two md and 3 rn went out. Mas assisted. Pt assessed by MDs. Deemed to be safe. Kept pt on floor. Elevated head due to vagal response. Gave pt peanut butter crackers, juice, water. Pt stood up on own. Feeling better. RN stayed with pt during check out. Pt then started to feel "weird" again. Sat down. Bp check 96/54. Previous to vaccines bp was 114/68. 2nd retake after vaccines bp back to mid teens. Pt felt better. Rn walked to car. Mom called 30min later stating pt said his chest felt "weird" same as just before passed out. Due to this anaphylaxis type response not sure if related to vaccine or fall. Pt sent to ER. Had normal CT scan.
Age: 38.0
Sex: M
Vaccine: HEPAB, HPV9, TDAP
Symptoms: Seizure
Clinical narrative: for the last few days, feeling like getting a seizure usually in the afternoon
Age: 68.0
Sex: M
Vaccine: RSV
Symptoms: Nasopharyngitis, Pruritus, Rash pruritic, Urticaria
Clinical narrative: Approximately 2 days after vaccine patient began suffering from pruritis with wheels on his back, progressed over several days to whole body predominately on back to arms/buttocks. Seen in emergency room/urgent care on 5/30/24 given generic Zyrtec but symptoms worsened went to emergency department treated with Diphenhydramine and Prednisone(4 days) with some improvement but had to go back when medication finished because rash worsened with itching so treated with Prednisone,  went on 6/9/24 treated again with Prednisone, Diphenhydramine, and Famotidine. However after time developed cold like symptoms but rash still not resolved so returned to emergency room on 6/16/24 treated with Prednisone, generic Allegra, and Hydroxyzine.
Age: 60.0
Sex: F
Vaccine: UNK, VARZOS
Symptoms: Balance disorder, Blood test abnormal, Brain fog, Dizziness, Fatigue
Clinical narrative: She got her vaccines, she woke up feeling nauseated, lethargic, very tired.  She felt like she had brain fog.  She felt like she needed assisatnce to get herself around in the house.  She felt like she may have had a hard core drug, which she has never had.  She imagined it would be like taking an opioid as she was light headed, and out of balance, (has never had any narcotics).  These took over her body for over a week after she got that vaccine.  She wanted to see her doctor who was an intern and he called her the following week but she did not get a chance to see her doctor who suggested the vaccine until 2 weeks or so from today.  She told him what she felt like, she felt like a dog and she did not go back to get a 2nd one.  He told her that many people who were in a study program dropped out because they felt so bad from it.    When she was 40 she had herpes zoster, she then shortly after she got better was in a month.  She then got attack and then she got an attack of shingles in June of 2023.  In March of 2024 she was attacked with herpes and shingles at the same time, and is still having the shingle symptoms, the herpes did go, but they are still attacking her frequently.    The shingles are mainly in her torso area, her lip today is burning internally, the lower part of it, and then she gets the itching, and tries to use the Valtrex or Acyclovir to help the issue.  She tried to take the tablets which were making her sick and then was given Valtrex, and after taking 20 tablets 3000 mg a day this started making her sick.  She told her doctor that she had to get off of it, and she is able to deal with it.  She stopped taking it and feels that the medicines did not work.  There is something seriously wrong based on her low immune system.  Blood work last week was positive for autoimmune problems.  She wonders now does she need to get a 2nd Shingrix vaccine.   She wonders if she gets the 2nd vaccine if it's going to be worse or what should she do.  She needs to get rid of this reactions.    Since she got her vaccine it just seems to be coming back.  She went to a dermatologist who gave her Triamcinalone, told her to take pictures and also steroids.  The itching starts really bad in the evening after 7:00 PM each day and there is a certain part of her torso that will start the itching, tingling, and will take the creams, and by morning it has disappated some and can barely feel it, then it starts all over again around 7:00 PM.  Never had any skin issues like this that does not go away or reoccurs every evening until she got her vaccine.  When she had allergy reactions she would take Allegra and 24 hour allergy medicine  or Claritin, which knocks out that reaction, and does not take it every day.  Feels there is not enough research done on people who have a chronic condition like herpes should not get the vaccine as you are adding more to it, as it does affect people who have underlying herpes conditions.
Age: 60.0
Sex: F
Vaccine: UNK, VARZOS
Symptoms: Lethargy, Nausea, Oral discomfort, Paraesthesia, Pruritus
Clinical narrative: She got her vaccines, she woke up feeling nauseated, lethargic, very tired.  She felt like she had brain fog.  She felt like she needed assisatnce to get herself around in the house.  She felt like she may have had a hard core drug, which she has never had.  She imagined it would be like taking an opioid as she was light headed, and out of balance, (has never had any narcotics).  These took over her body for over a week after she got that vaccine.  She wanted to see her doctor who was an intern and he called her the following week but she did not get a chance to see her doctor who suggested the vaccine until 2 weeks or so from today.  She told him what she felt like, she felt like a dog and she did not go back to get a 2nd one.  He told her that many people who were in a study program dropped out because they felt so bad from it.    When she was 40 she had herpes zoster, she then shortly after she got better was in a month.  She then got attack and then she got an attack of shingles in June of 2023.  In March of 2024 she was attacked with herpes and shingles at the same time, and is still having the shingle symptoms, the herpes did go, but they are still attacking her frequently.    The shingles are mainly in her torso area, her lip today is burning internally, the lower part of it, and then she gets the itching, and tries to use the Valtrex or Acyclovir to help the issue.  She tried to take the tablets which were making her sick and then was given Valtrex, and after taking 20 tablets 3000 mg a day this started making her sick.  She told her doctor that she had to get off of it, and she is able to deal with it.  She stopped taking it and feels that the medicines did not work.  There is something seriously wrong based on her low immune system.  Blood work last week was positive for autoimmune problems.  She wonders now does she need to get a 2nd Shingrix vaccine.   She wonders if she gets the 2nd vaccine if it's going to be worse or what should she do.  She needs to get rid of this reactions.    Since she got her vaccine it just seems to be coming back.  She went to a dermatologist who gave her Triamcinalone, told her to take pictures and also steroids.  The itching starts really bad in the evening after 7:00 PM each day and there is a certain part of her torso that will start the itching, tingling, and will take the creams, and by morning it has disappated some and can barely feel it, then it starts all over again around 7:00 PM.  Never had any skin issues like this that does not go away or reoccurs every evening until she got her vaccine.  When she had allergy reactions she would take Allegra and 24 hour allergy medicine  or Claritin, which knocks out that reaction, and does not take it every day.  Feels there is not enough research done on people who have a chronic condition like herpes should not get the vaccine as you are adding more to it, as it does affect people who have underlying herpes conditions.
Age: 77.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site reaction, Rash erythematous
Clinical narrative: Patient reported a red rash at the injection site which was observed 2 days later by the pharmacist on duty. I told the patient that I had seen this in patients before and that it was a known side effect and would likely resolve with 1-2 weeks maybe sooner but warned that if signs of severe allergic reaction occur (trouble breathing, spreading of rash) patient would need to start benadryl and go to the emergency room.  Patient was not experiencing any of the symptoms and was sure it would be fine but I felt the need to report this rash since in the last 5 years the incidence seems to be increasing.
Age: 18.0
Sex: F
Vaccine: HPV9, MNQ
Symptoms: Dizziness, Dyspnoea, Loss of consciousness
Clinical narrative: after vaccine administration , patient went to stay in waiting area for observation . patient felt lightheaded. patient then appear to loss consciousness.  patient has shortness of breath.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC20
Symptoms: Injection site mass
Clinical narrative: Patient developed knots on both thighs were vaccines were administered without erythema and some increased irritability
Age: 0.83
Sex: M
Vaccine: HEP
Symptoms: Extra dose administered
Clinical narrative: Extra vaccine dose.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Wrong vaccine administered to patient
Age: 40.0
Sex: F
Vaccine: HPVX
Symptoms: Asthenia, Chest pain, Dizziness, Headache, Neck pain
Clinical narrative: Within 30 minutes I had pain in the back of my neck and in my head. Headaches. Dizziness and a little chest pain. I feel weak as well. Emergency Room checked my heart and it was fine.
Age: 77.0
Sex: F
Vaccine: RSV
Symptoms: Asthenia, Chills, Dehydration, Diarrhoea, Fatigue
Clinical narrative: weakness, fatigue, diarrhea, vomiting, chills, fever, dehydration, cold hands and feet
Age: 77.0
Sex: F
Vaccine: RSV
Symptoms: Peripheral coldness, Pyrexia, Vomiting
Clinical narrative: weakness, fatigue, diarrhea, vomiting, chills, fever, dehydration, cold hands and feet
Age: 26.0
Sex: M
Vaccine: HEP
Symptoms: Blood pressure increased, Headache, Malaise
Clinical narrative: 26 y/o M presents to immunizations with malaise, headaches, and elevated BP 136/85 X1 day (26JUN24) following Hep B vaccination.  Pt. was seen by medical staff and given BP log. Additionally, pt. was told to report to medical if symptoms worse or if symptoms do not go away after 72 hours.
Age: 1.83
Sex: F
Vaccine: UNK
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: swelling, erythema of thigh after Hep A and pentacel vaccination
Age: 57.0
Sex: M
Vaccine: MNQ
Symptoms: Product preparation error
Clinical narrative: Mixed Saline instead of correct diluent
Age: 13.0
Sex: M
Vaccine: HPV9
Symptoms: Rash, Rash papular
Clinical narrative: Papular rash started about 16 hours after receiving the vaccine, present on neck and torso, as well as arms and legs (spared face, genitals, buttocks, hands and feet). The rash was not pruritic or bothersome and the patient was otherwise completely asymptomatic.
Age: 54.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Feeling drunk
Clinical narrative: At around 10:12 am, patient requested his first Jynneos vaccine today at the table event. Patient received Jynneos lot # FDP00016 BUD 7/25/2024 in the left arm, subcutaneously, at 10:10 am. Administered by RN. At 10:12 am patient complained of "pain and tingling" down his left arm and into his shoulder. Patient denied dizziness, nausea, blurry vision, denied itchiness. Patient reported "feeling drunk." RN, gave patient juice to drink. Patient alert and oriented to person, time, place, situation. Patient's skin dry and appropriate to Ethinicity. At 10:17 am vitals taken: BP 128/90, HR 86 bpm, 96% SpO2, RR 20. Patient sitting upright in chair, relaxed, regular breathing, not displaying any symptoms of distress. Patient reported "feeling good" and better. Patient continued to drink his juice. Patient reported history of depression, spinal disc bulging with surgery, ETOH use, and substance use disorder. Patient reported has hypertension and has not taken his medications for the past year. Vitals taken again at 10:25 am: BP 132/98. Patient reported that he felt normal again and "all is gone." Patient denied headache, nausea, pain at this time. RN educated and referred client to his primary medical doctor at Clinic this week for follow up evaluation for blood pressure. RN educated client about second Mpox vaccine. Patient walked away at 10:30 am, steady gain, no concerns. Patient sat down at next resource table for services.