chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 84.0
Sex: F
Vaccine: RSV
Symptoms: Body temperature increased, Cellulitis, Hyperhidrosis, Injection site erythema, Injection site pain
Clinical narrative: 24 hours after injection my temperature was 100.6 with 500 mg q 6 hours; diaphoresis occurred with return to normal temperature approx 48 hrs after injection. THEN ~60 hrs post-injection an increase in Swelling, pain, and redness began in the affected area, spreading to most of my upper arm. I applied warm moist heat + Diclofenac gel to the area. throughout the October holiday weekend. The RSV vaccine was injected on a Thursday; the following Wednesday AM my Primary Care Physician saw the arm and diagnosed "Allergic Cellulitis".
Age: 84.0
Sex: F
Vaccine: RSV
Symptoms: Injection site swelling
Clinical narrative: 24 hours after injection my temperature was 100.6 with 500 mg q 6 hours; diaphoresis occurred with return to normal temperature approx 48 hrs after injection. THEN ~60 hrs post-injection an increase in Swelling, pain, and redness began in the affected area, spreading to most of my upper arm. I applied warm moist heat + Diclofenac gel to the area. throughout the October holiday weekend. The RSV vaccine was injected on a Thursday; the following Wednesday AM my Primary Care Physician saw the arm and diagnosed "Allergic Cellulitis".
Age: 18.0
Sex: F
Vaccine: FLU3, MENB
Symptoms: Loss of consciousness
Clinical narrative: Gave the patient her flu vaccine in her left arm and gave the Bexsero in her right arm, as I turned to put the second syringe in the sharps container, I heard her drop her phone and as I turned around it appeared she was bending down off the bed to grab her phone that was on the floor and she went on to her hands and knees and then onto the floor. She landed underneath a chair that was in the room, I then rushed to her and picked her up and she was started to regain consciousness and quickly stated "did I just pass out" I advised her that it appeared so. I asked if she was ok and helped her to the bed and made sure she didn't injure herself in anyway. I laid her down and talked with her about what happened. She stated that she has a history of passing out with lab draws. I waited until she felt better and went and grabbed her some water. We continued to talk until she was able to sit up and feel ok. I then went out and let the provider know that she passed out and that she was ok and I was going back in to recheck her vitals. Repeated her blood pressure and by this point she seemed back to baseline. I advised her to take her time and not to rush out she could take all the time she needed and she assured me she was ok to leave. I came out and asked the provider if she would like to look her over before she left and the provider stated she looked okay as the patient was standing right near our station and she could see her as she was checking out. After checking out she left the building. A short while after she left our office we received a call from her mother stating she had passed out three more times at home and EMS was called and they looked her over and mom was just calling to see if patient had hit her head at all as EMS was inquiring and I assured mom that she did not hit her head.
Age: 49.0
Sex: F
Vaccine: UNK
Symptoms: Pain in extremity, Periarthritis, Peripheral swelling
Clinical narrative: Encapsulitis. Left arm pain, swelling since 9/25/24.  Given a course of steroids, may need physical therapy.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary embolism, Renal vein thrombosis
Clinical narrative: I developed a renal thrombosis just a few weeks after receiving the Moderna Covid booster, and about 1.5 years after receiving the original bivalent Moderna vaccine.  Then in 12/23 I was diagnosed with a pulmonary embolism
Age: 4.0
Sex: M
Vaccine: COVID19, DTAPIPV, FLU3, MMRV
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Covid vaccine vial for his age group was a 3 dose vial to be diluted with 1.1ml. I thought it was a single dose vial. Patient received whole vial undiluted. Notified Dr and nurse manager, RN of error. Dr called family to notify them of the error. Mom reported patient was fine and no reaction. Will follow up as needed.
Age: 4.0
Sex: M
Vaccine: COVID19, DTAPIPV, FLU3, MMRV
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Covid Vaccine vial was a 3 dose vial to be diluted with 1.1ml. I thought the vial was a single dose vial like the other age groups. Patient received whole vial undiluted. Notified Dr. and nurse manager RN of error. Dr. called family to notify. Mom reports patient is fine and no reaction. Will follow up as needed.
Age: 51.0
Sex: F
Vaccine: FLU3, UNK
Symptoms: Arthralgia, Mobility decreased
Clinical narrative: Persistent right shoulder pain with limited range of motion that is worsening
Age: 51.0
Sex: F
Vaccine: FLU3, UNK
Symptoms: Arthritis, Mobility decreased
Clinical narrative: Persistent right shoulder pain with limited range of motion that is worsening
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site warmth
Clinical narrative: -reaction to right arm below injection site, warm to touch
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Loss of consciousness
Clinical narrative: Patient had brief LOC after HPV vaccine, nurse administering vaccine helped patient safe sitting positioned, patient had no laceration or injury. Provider intervened and assisted patient to lying position and elevated lower extremities. Patient was alert and oriented x 4 and conversing normally. Vitals improved and patient improved. Explained vaccine reaction and provided reassurance to parent. Patient was given PO water. After the event, patient stayed in clinic with observation after 15 minutes. VS remained stable and patient was able to leave clinic.
Age: 54.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Chills, Headache, Hypersomnia, Injection site swelling, Pain
Clinical narrative: likely related to the influenza vaccination -- have never had any symptoms from any previous COVID vaccinations/boosters; have had mild cold symptoms once or twice after influenza; do not recall any symptoms from dual vaccination last fall.  woke early the next morning with chills, head and body aches, extreme fatigue, and 'usual' painful left arm, swollen spot where flu vaccine went in. took two tylenol and two baby aspirin ~7:30 a.m. as well as my losartan, omeprazole, and morning duoloxetine; about 7 pm took tylenol and baby aspirin again, as well as gabapentin and night dose of duoloxetine. Slept for 24 hours, waking only for an hour or so a couple times during the day. Woke this morning (the next day) with no symptoms other than slightly sore left arm. reported to Occupational Health and this form.
Age: 54.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Pain in extremity
Clinical narrative: likely related to the influenza vaccination -- have never had any symptoms from any previous COVID vaccinations/boosters; have had mild cold symptoms once or twice after influenza; do not recall any symptoms from dual vaccination last fall.  woke early the next morning with chills, head and body aches, extreme fatigue, and 'usual' painful left arm, swollen spot where flu vaccine went in. took two tylenol and two baby aspirin ~7:30 a.m. as well as my losartan, omeprazole, and morning duoloxetine; about 7 pm took tylenol and baby aspirin again, as well as gabapentin and night dose of duoloxetine. Slept for 24 hours, waking only for an hour or so a couple times during the day. Woke this morning (the next day) with no symptoms other than slightly sore left arm. reported to Occupational Health and this form.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema
Clinical narrative: Red round patch at the injection site, as per the Doctor the patient started OTC Benadryl  tablet & famotidine 20 mg tablet on 10/16/2024.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site reaction, Rash erythematous
Clinical narrative: patient has a rash with 4 erythematous patches  approximatly 2 cm to 2.5 cm in diameter distal from deltoid vaccination site
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Circumstance or information capable of leading to medication error
Clinical narrative: Vaccines administered without physician order
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema
Clinical narrative: Redness to neck & face that started approximately one hour after flu shot.  Patient presented to Employee Health and was evaluated By PAC.  Pt had no SOB or respiratory distress.    Pt started on Pepcid and Prednisone.     Pt phoned in 10/17/24 and reported symptoms have resolved.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain in extremity, Vomiting
Clinical narrative: Every year after getting COVID vaccine I have bad reactions, this is 1st time reporting!!  12 hours after injection...... arm pain,  severe, teeth-chattering chills and vomiting .  Fatigue.    In bed for the next 12 hours.  The whole thing is a 24 hour event, last several years after getting COVID shot.   I don't plan  on getting one again.
Age: 7.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Administration Error; vaccine given outside of recommended age range by manufacturer
Age: 2.0
Sex: F
Vaccine: FLU3
Symptoms: Rash, Rash erythematous, Rash papular, Rash pruritic, Skin warm
Clinical narrative: Patient had a localized rash appear sometime in the first 24 hours after receiving the vaccine. This rash is raised, red, hard and hot to the touch. She complained it was itchy as well. The rash continued to enlarge in size over the next three days. She started an antibiotic, Cephalexin, as her pediatrician felt it might be cellulitis. The rash has continued to grow after the first three 5mL doses. Her pediatrician then recommended increasing her dosage and also trying Zyrtec. We are currently on day 3 and continuing to monitor. I have photographs to show the progression each day.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: tinitus- ear ringing
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram, Electrocardiogram, Laboratory test, Myopericarditis
Clinical narrative: MODERNA #1 01/08/2021 MODERNA #2 02/05/2021 DEVELOPED VACCINE SUBCLINICAL MYOPERICARDITIS, POST-EXERTIONAL MALAISE, FATIGUE, AND RECURRENT COVID-19 INFECTIONS.  TREATED WITH COLCHICINE AND  PROTOCOL BASE SPIKE DETOXIFICATION.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Bursitis, Mobility decreased, Pain
Clinical narrative: Patient says soreness, trouble rotating arm. Went to Clinic and doctor said patient has bursitis do to injection site. Patient received steroid injection as is doing better.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site erythema, Injection site oedema, Injection site swelling, Injection site warmth
Clinical narrative: Pt received Moderna vaccine at a public health clinic run by Hospital. SHe had an immediate swelling after vaccine injection. Ice applied. She then developed a large bruise at injection site, and 4 days later developed erythema, edema, warmth  just distal to injection site, about 5 cm x 4 cm in diameter. We suspect the injection missed her muscle, potentially hit a vein, and the vaccine itself was deposited into the soft tissue, rather than her muscle.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered at inappropriate site
Clinical narrative: Pt received Moderna vaccine at a public health clinic run by Hospital. SHe had an immediate swelling after vaccine injection. Ice applied. She then developed a large bruise at injection site, and 4 days later developed erythema, edema, warmth  just distal to injection site, about 5 cm x 4 cm in diameter. We suspect the injection missed her muscle, potentially hit a vein, and the vaccine itself was deposited into the soft tissue, rather than her muscle.
Age: 77.0
Sex: F
Vaccine: RSV
Symptoms: Erythema, Pruritus, Skin warm
Clinical narrative: RED, ITCHY, WARM, ABOUT 5 DAYS AND ONGOING
Age: 61.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Oedema peripheral
Clinical narrative: Noticed pocket of swelling under right armpit and outside of right breast & inside right upper arm about 2 days after covid vaccine. It is still present(15 days later), and increases with activity of right upper extremity. I have attempted to decrease swelling with light massage. I have not had this reaction with prior doses of Pfizer mRNA, nor Moderna vaccines.
Age: 20.0
Sex: F
Vaccine: FLU3
Symptoms: Extra dose administered
Clinical narrative: Flulaval given in error. Flulaval given by a different nurse in left arm and I gave Flulaval in right arm instead of COVID vaccine.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Headache, Nausea, Pain
Clinical narrative: Pt received vaccine on a Monday and woke up Tuesday with a headache, fever, chills, nausea, diarrhea, and body aches. She felt a little better on Wednesday and is now back to normal Thursday.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Pt received vaccine on a Monday and woke up Tuesday with a headache, fever, chills, nausea, diarrhea, and body aches. She felt a little better on Wednesday and is now back to normal Thursday.
Age: 67.0
Sex: M
Vaccine: PNC20
Symptoms: Extra dose administered, No adverse event
Clinical narrative: patient received 2 doses of Prevnar 20, on 5/19/23 and 6/21/24, no adverse events reported
Age: 0.17
Sex: M
Vaccine: FLU3
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: The patient was scheduled on the Flu clinic and given a Flu shot in error along with the RSV injection. The physician was immediately notified and came in to assess the patient.
Age: 85.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Asthenia, Dysstasia, Feeding disorder, Feeling abnormal, Loss of personal independence in daily activities
Clinical narrative: Weakness felt overall "horrible". Patient reported being bedridden for 3 days started evening of vaccine administration, being unable to eat and perform activities of daily living. Reported being unable to stand to use bathroom. Symptoms began to resolve beginning October 12, 2024 but continues to feel a level of weakness as of October 17, 2024.
Age: 85.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Mobility decreased
Clinical narrative: Weakness felt overall "horrible". Patient reported being bedridden for 3 days started evening of vaccine administration, being unable to eat and perform activities of daily living. Reported being unable to stand to use bathroom. Symptoms began to resolve beginning October 12, 2024 but continues to feel a level of weakness as of October 17, 2024.
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test
Clinical narrative: Runny nose, sore throat
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Cough, Eye discharge, Eye pain, Eye pruritus
Clinical narrative: Four hours after injection I started feeling tightness in my chest, accompanied by coughing when I tried to breathe.  Within an hour or two the tightness faded and I started having head cold symptoms (runny nose, sore/scratchy throat) and by later in the evening my eyes started to hurt and I noticed they were both bright red and weepy.  Not much change overnight but I awoke to a very puffy face/eyes, and still two bright pink eyes.  It is now mid-morning some of the respiratory symptoms are fading but my eyes are still uncomfortable/itchy/red.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Nasopharyngitis, Ocular hyperaemia, Periorbital swelling, Rhinorrhoea, Swelling face
Clinical narrative: Four hours after injection I started feeling tightness in my chest, accompanied by coughing when I tried to breathe.  Within an hour or two the tightness faded and I started having head cold symptoms (runny nose, sore/scratchy throat) and by later in the evening my eyes started to hurt and I noticed they were both bright red and weepy.  Not much change overnight but I awoke to a very puffy face/eyes, and still two bright pink eyes.  It is now mid-morning some of the respiratory symptoms are fading but my eyes are still uncomfortable/itchy/red.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Throat irritation
Clinical narrative: Four hours after injection I started feeling tightness in my chest, accompanied by coughing when I tried to breathe.  Within an hour or two the tightness faded and I started having head cold symptoms (runny nose, sore/scratchy throat) and by later in the evening my eyes started to hurt and I noticed they were both bright red and weepy.  Not much change overnight but I awoke to a very puffy face/eyes, and still two bright pink eyes.  It is now mid-morning some of the respiratory symptoms are fading but my eyes are still uncomfortable/itchy/red.
Age: 79.0
Sex: M
Vaccine: FLU3
Symptoms: Extra dose administered, No adverse event
Clinical narrative: patient received two doses of fluad. talked to patient he does not report any side effects. nor any discomfort. reported as QRE.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Extra dose administered, Feeling abnormal
Clinical narrative: Upon review of immunization records on 10/16/24, it was discovered that this patient received a high dose influenza vaccine from her provider's office on 9/6/24 and then at the pharmacy on 10/2/24. Upon discovery and further questioning on 10/16, patient reported no significant adverse events were observed. She stated she may have felt a little off the following weekend, but could not say that this was necessarily due to her vaccinations. We spoke with the provider's office the same day to confirm duplicate administration and obtain any additional guidance. Office noted administration dates for their records and her provider indicated the patient able to move forward with any indicated vaccines as desired going forward. This was then communicated to the patient.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Erythema, Mass
Clinical narrative: Developed reaction the day after administration, redness and lump got worse throughout the day. Looks better today 10/17. reaction measures to be 6X4 centimeters
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Lymphadenopathy, Musculoskeletal stiffness
Clinical narrative: developed a stiff neck, and swollen glands the morning after flu vaccine was administered, lasting three days so far.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure orthostatic normal, Brain fog, Chest X-ray normal, Computerised tomogram abnormal, Confusional state
Clinical narrative: Over the course of 1-2 months after each Covid 19 vaccine (All Moderna except one Pfizer) , patient has had significant mental fog and/or confusion.  With the most recent MRNA vaccination this pattern was continued.   She had a fall without injury (10/14/24) , a period of " possible Pre syncopal" episode (10/15/24) that included being unresponsive and having a blank stare for 2 minutes.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Fall, Laboratory test normal, Magnetic resonance imaging normal, Unresponsive to stimuli
Clinical narrative: Over the course of 1-2 months after each Covid 19 vaccine (All Moderna except one Pfizer) , patient has had significant mental fog and/or confusion.  With the most recent MRNA vaccination this pattern was continued.   She had a fall without injury (10/14/24) , a period of " possible Pre syncopal" episode (10/15/24) that included being unresponsive and having a blank stare for 2 minutes.
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Pallor, Posture abnormal
Clinical narrative: Pt was highly anxious prior to being vaccinated, immediately upon vaccination PT became pale and head dropped forward. Clinic staff supported the PT, took vitals (all within normal range), PT remained responsive & talking, applied a cold pack & observed for 30 min. Pt was release to his school nurse following the 30 min. clinic observation period. Guardian was notified by the school nurse of the event.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Condition aggravated, Dry eye, Headache, Pyrexia
Clinical narrative: Received Covid vaccine at PCP office Friday 10/4/24, that evening had a very bad headache, fever and chills, woke up Saturday morning 10/5/24 with sudden change in vision, but no other issues. Blurred vision effects distance vision the most but also affecting near site. Seen at PCP office 10/7/24.  PCP note: Strongly recommend sees eye doctor as soon as possible. She has plans to be seen tomorrow. Has known glaucoma. No pain in her eye now. Reassuring exam otherwise. See by Ophthalmology with exam 10/8/24. Plan: Blurred visition OU Most likely secondary to chronic Keratitis Sicca, possibly exacerbated by recent covid vaccine.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred, Visual impairment
Clinical narrative: Received Covid vaccine at PCP office Friday 10/4/24, that evening had a very bad headache, fever and chills, woke up Saturday morning 10/5/24 with sudden change in vision, but no other issues. Blurred vision effects distance vision the most but also affecting near site. Seen at PCP office 10/7/24.  PCP note: Strongly recommend sees eye doctor as soon as possible. She has plans to be seen tomorrow. Has known glaucoma. No pain in her eye now. Reassuring exam otherwise. See by Ophthalmology with exam 10/8/24. Plan: Blurred visition OU Most likely secondary to chronic Keratitis Sicca, possibly exacerbated by recent covid vaccine.
Age: 1.0
Sex: F
Vaccine: DTAP, HEPA, HIBV, MMR, PNC15, VARCEL
Symptoms: Activated partial thromboplastin time, Altered state of consciousness, Autoimmune demyelinating disease, Brain oedema, CSF cell count
Clinical narrative: Alteration of awareness with hemiparesis. MRI evidence of either multiple embolic event vs. autoimmune demyelination. Most deficits were transient and resolved prior to discharge. Definitive cause of events still unclear.
Age: 1.0
Sex: F
Vaccine: DTAP, HEPA, HIBV, MMR, PNC15, VARCEL
Symptoms: CSF glucose, CSF immunoglobulin G index, CSF protein, CSF white blood cell differential, Cerebral artery embolism
Clinical narrative: Alteration of awareness with hemiparesis. MRI evidence of either multiple embolic event vs. autoimmune demyelination. Most deficits were transient and resolved prior to discharge. Definitive cause of events still unclear.
Age: 1.0
Sex: F
Vaccine: DTAP, HEPA, HIBV, MMR, PNC15, VARCEL
Symptoms: Computerised tomogram head normal, Drug screen, Hemiparesis, International normalised ratio, Magnetic resonance imaging head abnormal
Clinical narrative: Alteration of awareness with hemiparesis. MRI evidence of either multiple embolic event vs. autoimmune demyelination. Most deficits were transient and resolved prior to discharge. Definitive cause of events still unclear.
Age: 1.0
Sex: F
Vaccine: DTAP, HEPA, HIBV, MMR, PNC15, VARCEL
Symptoms: Magnetic resonance imaging spinal normal, Oligoclonal band assay, Prothrombin time
Clinical narrative: Alteration of awareness with hemiparesis. MRI evidence of either multiple embolic event vs. autoimmune demyelination. Most deficits were transient and resolved prior to discharge. Definitive cause of events still unclear.
Age: 66.0
Sex: M
Vaccine: COVID19, PNC20, RSV
Symptoms: Asthenia, Atrial fibrillation, Fall, Musculoskeletal injury, Presyncope
Clinical narrative: Received these 3 vaccines at local pharmacy. Developed symptomatic atrial fibrillation with weakness, near-syncope and fall with MSK injuries, no fracture.  Please note that RSV immunization was given at a different pharmacy location: Site of immunization not specified.
Age: 67.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Atrial fibrillation, Echocardiogram, Electrocardiogram
Clinical narrative: 3 weeks after immunization, without complaint, patient presented for routine preventive evaluation found to be in new onset atrial fibrillation with controlled rate. Asymptomatic. Unknown if this is SE of having received immunizations. This combined with my other experience of a patient receiving multiple immunizations leads me to report to VAERS.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site pain, Sleep disorder
Clinical narrative: Chills, headache, couldn't sleep, pain at the injection site
Age: 98.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Client received first dose of Covid Moderna Lot 8080433 IM to the left arm on 10/9/24 during a walk in clinic at.  Then client received a second dose of Covid Moderna Lot 8080433 IM to the left arm on 10/16/24 during the flu/Covid clinic .
Age: 74.0
Sex: F
Vaccine: PNC21
Symptoms: Rash
Clinical narrative: Patient reported rash running down side of the right arm 2 days after receiving vaccine on the same arm. Small, circular, around 3 inches in diameter, not raised, lightly red, lightly itchy, no broken skin. Instructed to monitor for changes, and to contact if rash worsens or does not get better within a few days.
Age: 61.0
Sex: M
Vaccine: UNK
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient accidentally received two doses of 2024-2025 flucelvax vaccine. The first dose was administered on 7/24 and accidentally second dose on 10/16. Patient has not reported any side effects yet.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Muscular weakness, Paraesthesia
Clinical narrative: Left arm weakness started 5 days after administration of flu vaccine and blood draw on same arm. Advised to alternate tylenol and ibuprofen as needed, warm compress 20-30 min at a time to bruise from blood draw, and monitor. Also endorses left hand tingling - same management, except advised on ergonomic at computer, carpal tunnel wrist brace 6-8 hours during the day, monitor and follow up in 2-3 weeks if no improvement
Age: 37.0
Sex: F
Vaccine: RSV
Symptoms: Arrested labour, Caesarean section, Exposure during pregnancy, Hysterectomy, Laboratory test
Clinical narrative: Patient received Abrysvo vaccine in prenatal care clinic on 10/11/2024. She was pregnant (G1P0) at 35 weeks 5 days, but patient was late to prenatal care and dating may not be accurate. On 10/13 at 23:30, patient went into preterm labor with loss of mucous plug and frequent contractions. Patient's risk factors for PTL were treatment for symptomatic BV, vaginal candida, late to prenatal care, SUD/OUD, may or may not have been related to Abrysvo vaccination. Patient progressed quickly into labor through stage I,  but had arrest of labor stage II, which required C-section delivery. Unfortunately, during the procedure, patient had massive postpartum hemorrhage with uterine rupture that required c-hysterectomy. Baby is in NICU
Age: 37.0
Sex: F
Vaccine: RSV
Symptoms: Postpartum haemorrhage, Premature labour, Uterine rupture
Clinical narrative: Patient received Abrysvo vaccine in prenatal care clinic on 10/11/2024. She was pregnant (G1P0) at 35 weeks 5 days, but patient was late to prenatal care and dating may not be accurate. On 10/13 at 23:30, patient went into preterm labor with loss of mucous plug and frequent contractions. Patient's risk factors for PTL were treatment for symptomatic BV, vaginal candida, late to prenatal care, SUD/OUD, may or may not have been related to Abrysvo vaccination. Patient progressed quickly into labor through stage I,  but had arrest of labor stage II, which required C-section delivery. Unfortunately, during the procedure, patient had massive postpartum hemorrhage with uterine rupture that required c-hysterectomy. Baby is in NICU
Age: 79.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Mobility decreased, Periarthritis, Polymyalgia rheumatica
Clinical narrative: Patient came to pharmacy today (10/17/2024) stating that she had two immunizations back on June 13, 2024 and within 3 days after immunization she woke up and could not move her arms. Has been going to physical therapy which has been helping. States one doctor is calling it "frozen shoulder syndrome" and another is referring to it as "rheumatic polymyalgia".
Age: 67.0
Sex: M
Vaccine: RSV
Symptoms: Pain in extremity, Thrombosis, Ultrasound scan, X-ray
Clinical narrative: pian in upper left arm .started two days after vacc. yet to persist.pain is constant.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Echocardiogram, Electrocardiogram, Pain
Clinical narrative: Had onset of generalized pain Tuesday night and chest pain and shortness of breath starting Wednesday morning, diagnosed with pericarditis and treated with motrin and colchicine
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pericarditis, Red blood cell sedimentation rate increased
Clinical narrative: Had onset of generalized pain Tuesday night and chest pain and shortness of breath starting Wednesday morning, diagnosed with pericarditis and treated with motrin and colchicine
Age: 71.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Chills, Diarrhoea, Headache, Myalgia, Pyrexia
Clinical narrative: severe muscle aches/fever chills/gastrointestinal-vomiting and diarrhea/headache
Age: 71.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Vomiting
Clinical narrative: severe muscle aches/fever chills/gastrointestinal-vomiting and diarrhea/headache
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Extra dose administered, No adverse event
Clinical narrative: 63 y/o was administered Fluad at an off-site vaccination clinic - no adverse events reported.
Age: 1.25
Sex: M
Vaccine: DTAP, FLU3, HIBV
Symptoms: Pyrexia, Rash
Clinical narrative: Mom reports they got vaccines on 15th and he got his first flu shot and within less than 24 hours the next morning he woke up with a fever of 101 Fahrenheit.  Mom reports he also had a rash extending from his right ear all the way up to his right side of the face.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Asthenia, Blood test, Pain
Clinical narrative: pt states she has never had a reaction to any of the covid shots but about a week after being vaccinated she developed severe pain in the top of her stomach. It was the worse pain she had every experienced. She took a Tums and laid down. Still in pain she got up and drank water. Over the next couple of days she became extremely weak and had no strength. Her entire body hurt. She went to her PCP. She had blood work and her doctor thought she may have had an acute pancreatitis attack.  She was sent home with instructions to eat a bland diet. The pain has subsidded but she is just now getting some of her strength back. She is very slowly recovering.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Heart rate increased
Clinical narrative: All info comes from watch, so it may be questionable. At 1:43 (while I was sleeping) my heart rate increased from the 90s (which is already higher than normal for sleeping) to a peak of 130 at 3:17AM), at which point my watch woke me up with its hepatic sensor to congratulate me on my level of activity. I also had a splitting headache. I Googled and saw that headache and increased heart rate were known side effects of the Shingles vaccine, so I took some Tylenol, drank some water, and did deep breathing exercises to bring my heart rate down, figuring that would work and I would go back to sleep or it would not and I would go to the ER. I got back to sleep. My resting heart rate this morning has been a little higher than my normal baseline, but not ridiculously higher (in the low 80s instead of the mid 70s).
Age: 68.0
Sex: M
Vaccine: FLU3
Symptoms: Extra dose administered
Clinical narrative: MA did not scan bar code prior to giving a flu shot. Patient did receive a 2nd flu shot.  Patient was contacted and is doing well.  Provider was also notified.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Mobility decreased, Pain in extremity
Clinical narrative: Pain, limited movement of the arm/deltoid with numbness in my fingers
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Facial paralysis, Injected limb mobility decreased, Mobility decreased, Pain in extremity, Sleep disorder
Clinical narrative: patient came to pharmacy on 10/16/24 to report adr he feels is from his pfizer comirnaty 2024-2025 vaccination that was administered on 10/07/2024.  pt reports adr started 2 days after vaccination. symptoms included sore left arm, difficulty lifting left arm. patient reports difficulty opening mouth and both pharmacists observed a drooping on the left side of patient's mouth. patient reports had 2 episodes over 2 days of loss of control of bladder. patient reports sleep disturbance. pt reports no issues with ambulation or weakness in legs. pharmacist advised patient to contact provider immediately due to stroke-like symptoms. patient is feeling that it was the pfizer vaccine that caused adrs. patient has been using icy hot in the am and lidocaine patch on shoulder in the evening to address discomfort.  followed up with patient- he did not contact provider, feels better as of 10/16/24 pm. advised pt to follow up with provider and to immediatly seek medical attention if symptoms reoccur.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Urinary incontinence
Clinical narrative: patient came to pharmacy on 10/16/24 to report adr he feels is from his pfizer comirnaty 2024-2025 vaccination that was administered on 10/07/2024.  pt reports adr started 2 days after vaccination. symptoms included sore left arm, difficulty lifting left arm. patient reports difficulty opening mouth and both pharmacists observed a drooping on the left side of patient's mouth. patient reports had 2 episodes over 2 days of loss of control of bladder. patient reports sleep disturbance. pt reports no issues with ambulation or weakness in legs. pharmacist advised patient to contact provider immediately due to stroke-like symptoms. patient is feeling that it was the pfizer vaccine that caused adrs. patient has been using icy hot in the am and lidocaine patch on shoulder in the evening to address discomfort.  followed up with patient- he did not contact provider, feels better as of 10/16/24 pm. advised pt to follow up with provider and to immediatly seek medical attention if symptoms reoccur.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: No adverse event
Clinical narrative: NO ADVERSE EVENTS
Age: 70.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Catheterisation cardiac normal, Chest pain, Intensive care, Myocarditis, Troponin increased
Clinical narrative: Presented to ED on Saturday 12th at 3am with chest pain.  Admitted to ICU following cath lab. Stayed in in hospital until 15th and discharged home.   Dr. (cardiologist) diagnosed myocarditis secondary to COVID-19 vaccination.
Age: 69.0
Sex: M
Vaccine: FLU3
Symptoms: Pericarditis
Clinical narrative: pericarditis
Age: 41.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Incorrect route of product administration
Clinical narrative: Vaccine was admisitered by medical assistant intramuscularly rather than subcutaneously or subdermally.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: patient reports pain in both deltoid region especially right arm due to moderna covid shot. she said she still experience slight pain after receiving the shot in july 2024.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Malaise
Clinical narrative: Pt reports upon waking today to diarrhea and general feeling of malaise. Pt wanted this reported.
Age: 4.0
Sex: F
Vaccine: FLU3, MMRV
Symptoms: Extra dose administered, No adverse event
Clinical narrative: On 10/12/2024 the patient received MMR/Varicella and flu vaccine. The MMR/Varicella dose that was given was an extra dose given in error. The patient had already received MMR and Varicella at 12 months and at 18 months. The medical assistant believed the patient needed another dose after age 4 and the provider believed that the bloodwork showed that the patient needed the doses due to low immunity, however the patient was immune. There was no harm to the patient.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Incorrect covid vaccine given according to age.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Incorrect covid vaccine given due to age. No treatment needed.
Age: 35.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Dizziness, Fatigue, Hypoaesthesia, Immediate post-injection reaction, Injection site pain
Clinical narrative: Immediate severe pain radiating from the injection site into shoulder/neck, dizziness, visual impairment, numbness/tingling in left hand. Prolonged pain, muscle weakness, and fatigue 9 days post vaccine. Over the counter meds haven't helped. Have not experienced this with other vaccinations.
Age: 35.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Muscular weakness, Pain, Paraesthesia, Visual impairment
Clinical narrative: Immediate severe pain radiating from the injection site into shoulder/neck, dizziness, visual impairment, numbness/tingling in left hand. Prolonged pain, muscle weakness, and fatigue 9 days post vaccine. Over the counter meds haven't helped. Have not experienced this with other vaccinations.
Age: 35.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Arthralgia, Mobility decreased, Muscular weakness, Neck pain, Pain
Clinical narrative: Immediate severe pain radiating from the injection site into shoulder/neck, dizziness, visual impairment, numbness/tingling in left hand. Prolonged pain, muscle weakness, and fatigue 9 days post vaccine. Over the counter meds haven't helped. Have not experienced this with other vaccinations.
Age: 34.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Injection site swelling
Clinical narrative: Swelling around injection site. No bruising.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Incorrect covid vaccine given according to age. No treatment needed.
Age: 8.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received a DTaP at age 8 years instead of Tdap.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, PNC20, VARCEL
Symptoms: Extra dose administered
Clinical narrative: 1 year old vaccines given on 9/16/24 and given again by mistake on 10/10/24
Age: 4.0
Sex: M
Vaccine: FLUN3
Symptoms: Extra dose administered
Clinical narrative: Upon entering FluMist in to Immunization Registry, it was discovered that child received ProQuad on 9/30/24. This rendered FluMist, NOT VALID.
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19, RSV
Symptoms: Back pain, Dizziness, Fall, Hypersomnia
Clinical narrative: I woke up during the night to go to the bathroom, felt dizzy and fell to the floor. Waited awhile got up and went to the bathroom. The next morning , I was light-headed all day and slept. Got up about 5 in the afternoon and felt better, ate a little. The  following day I slept most of the day. The vac was in my left shoulder and this past week I have have felt a ache in my left back (lung?) I was better by Tuesday. I have never had a reaction to a vac before however had RSV last December and was really sick for two weeks.
Age: 72.0
Sex: F
Vaccine: PNC21
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Patient called office on Friday 10/11/2024 with a history of a red, swollen left upper arm.  Hot to touch and pain at injection site. Patient describes a fever as well for which she had been taking advil.
Sex: F
Vaccine: HEP
Symptoms: Incorrect dose administered
Clinical narrative: Pt received an adult Hep B dose instead of pediatric dose.
Age: 53.0
Sex: F
Vaccine: HEP
Symptoms: Blood thyroid stimulating hormone normal, Chest pain, Computerised tomogram head normal, Dyspnoea, Ear pain
Clinical narrative: Patient reported developing a very high fever, headache, bilateral earache, left sided chest pain and shortness of breath and vomiting that began with 12 hours of vaccine. Over the following 2 days had palpitations, shortness of breath and fatigue.  Now 16 months later complaining of chronic fatigue, intermittent headaches and development of hypertension
Age: 53.0
Sex: F
Vaccine: HEP
Symptoms: Fatigue, Full blood count normal, Headache, Hypertension, Metabolic function test normal
Clinical narrative: Patient reported developing a very high fever, headache, bilateral earache, left sided chest pain and shortness of breath and vomiting that began with 12 hours of vaccine. Over the following 2 days had palpitations, shortness of breath and fatigue.  Now 16 months later complaining of chronic fatigue, intermittent headaches and development of hypertension
Age: 53.0
Sex: F
Vaccine: HEP
Symptoms: Palpitations, Pyrexia, Vomiting
Clinical narrative: Patient reported developing a very high fever, headache, bilateral earache, left sided chest pain and shortness of breath and vomiting that began with 12 hours of vaccine. Over the following 2 days had palpitations, shortness of breath and fatigue.  Now 16 months later complaining of chronic fatigue, intermittent headaches and development of hypertension
Age: 24.0
Sex: F
Vaccine: HEP
Symptoms: Hypoaesthesia, Mobility decreased, Pain, Paraesthesia
Clinical narrative: Limited range of motion. Numbness and tingling radiating to left hand finger tips. And pain 7/10 on pain scale.
Age: 35.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Abnormal dreams, Cognitive disorder, Dermatitis, Fatigue, Feeling hot
Clinical narrative: Patient reported feeling "worn out" by mid afternoon, Tuesday October, 15, The evening of Tuesday October 15th she began feeling  feeling general soreness in her limbs. The night of Tuesday October 15th she had interrupted sleep- waking up feeling Hot. Had vivid dreams. Went to work on Wednesday October 16th though still feeling sore and "out of it". By evening on Wednesday October 16th she was reporting feeling "much better" ****THURSDAY OCTOBER 17th***** Patient reported waking up and feeling very hot, especially in her right arm pit. Inflammation of the skin was visibly pink and blotchy extending from her torso to her underarm. Patient was again feeling sore in her limbs and "out of it" cognitively. Patient was seen by PA-C around 11:15am on Thursday October 17th. Patient's BP was 116/68 and o2 was 96. Patient did not report any difficulty breathing.  At time of appointment it was discovered that her left arm pit and the crook of her left arm was also inflammed. PA consulted 3 other providers to review her reaction. Advised antihistamines and rest. at 1:00pm it was also noted that her belly button was also inflamed.
Age: 35.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Pain in extremity, Rash macular, Sleep disorder
Clinical narrative: Patient reported feeling "worn out" by mid afternoon, Tuesday October, 15, The evening of Tuesday October 15th she began feeling  feeling general soreness in her limbs. The night of Tuesday October 15th she had interrupted sleep- waking up feeling Hot. Had vivid dreams. Went to work on Wednesday October 16th though still feeling sore and "out of it". By evening on Wednesday October 16th she was reporting feeling "much better" ****THURSDAY OCTOBER 17th***** Patient reported waking up and feeling very hot, especially in her right arm pit. Inflammation of the skin was visibly pink and blotchy extending from her torso to her underarm. Patient was again feeling sore in her limbs and "out of it" cognitively. Patient was seen by PA-C around 11:15am on Thursday October 17th. Patient's BP was 116/68 and o2 was 96. Patient did not report any difficulty breathing.  At time of appointment it was discovered that her left arm pit and the crook of her left arm was also inflammed. PA consulted 3 other providers to review her reaction. Advised antihistamines and rest. at 1:00pm it was also noted that her belly button was also inflamed.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient was given a pediatric covid vaccine instead of adult dose. Contacted State immunization RN. They recommended an additional adult dose of covid vaccine on top of the pediatric dose. Called patient's mother and informed her of the event and recommended her to bring her son back to the pharmacy to receive an adult covid dose.
Age: 1.67
Sex: F
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: The MA who administered the covid vaccine to patient diluted the vaccine with 1.5 mls of normal saline  instead of 1.1 mls of normal saline. This resulted in the patients getting under-dosed (since it was over diluted).
Age: 63.0
Sex: F
Vaccine: COVID19, RSV
Symptoms: Pain in extremity
Clinical narrative: The patient is still complaining of right arm pain.  She said the doctor has scheduled an x-ray.
Age: 29.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Just under 2 weeks later injection site was sore, as days progressed it became red swollen up to 2.5 inches, hot to the touch and painful. Antibiotics given
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Paraesthesia, Pruritus, Throat tightness
Clinical narrative: Shot was given to patient around 12:11 PM. They reported started feeling symptoms of itching, tingling, and throat tightness roughly 5 minutes after while walking to their vehicle. Patient then returned to pharmacy for treatment and was given an 0.3mL of epinephrine. 5 minutes after receiving the epinephrine, the patient reported feeling improvement in symptoms. After waiting for another 10 minutes, the patient and their spouse, who are both physicians, opted to leave the pharmacy to go back home.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Brain fog, Chills, Headache, Tinnitus
Clinical narrative: Headache, brain fog, chills, tinnitus
Age: 4.0
Sex: M
Vaccine: UNK
Symptoms: Injection site erythema, Injection site induration, Injection site warmth, Pharyngitis streptococcal, Pyrexia
Clinical narrative: I saw the pt 2 days after receiving their influenza vaccine at local pharmacy. He had a fever determined to be due to strep throat. He also had left upper arm 5.5cm erythema/slight induration, with warmth around the vaccine site.  I am sorry I forgot to ask which brand influenza shot it was.
Age: 4.0
Sex: M
Vaccine: UNK
Symptoms: Streptococcus test positive
Clinical narrative: I saw the pt 2 days after receiving their influenza vaccine at local pharmacy. He had a fever determined to be due to strep throat. He also had left upper arm 5.5cm erythema/slight induration, with warmth around the vaccine site.  I am sorry I forgot to ask which brand influenza shot it was.
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Fall, Jaw fracture, Loss of consciousness
Clinical narrative: Patient received the vaccination and was fine. His dad was next to receive his shot, and once he saw the needle, he immediately passed out. He fell face first into the floor. EMS was called and took him to the local hospital where he found out he broke his jaw. He did not require surgery and is home today (the next day) resting and recovering.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Axillary pain, Chills, Mobility decreased, Oedema peripheral, Pain in extremity
Clinical narrative: PATIENT EXPRIENCED A SORE ARM WITHIN A FEW HOURS AFTER THE VACCINE AND WAS UNABLE TO LIFT/USE ARM FOR THE FOLLOWING 2 DAYS. ALSO EXPERIENCED PAINFUL SWELLING IN THE ARMPIT AREA. FEVER AND CHILLS ALSO ACCOMPANIED THE ARM PAIN FOR THE 2 DAYS FOLLOWING THE VACCINE.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: PATIENT EXPRIENCED A SORE ARM WITHIN A FEW HOURS AFTER THE VACCINE AND WAS UNABLE TO LIFT/USE ARM FOR THE FOLLOWING 2 DAYS. ALSO EXPERIENCED PAINFUL SWELLING IN THE ARMPIT AREA. FEVER AND CHILLS ALSO ACCOMPANIED THE ARM PAIN FOR THE 2 DAYS FOLLOWING THE VACCINE.
Age: 7.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: No adverse event, Product administered to patient of inappropriate age, Wrong patient
Clinical narrative: Patient recieved a dose of 6m-4y COVID vaccine intended for her younger sibling. The mistake was noticed immediately, the parents were immediately informed, and a provider was consulted about possible side effects/outcomes. A parent expressed understanding and the patient showed no signs/symptoms of any adverse reaction. The patient was informed of the CDC recommendation to repeat the dose with the correct age range.
Age: 8.0
Sex: F
Vaccine: HPV9
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was given HPV vaccine at 8 years old. Mother stated that the patient is 9 years old and provider and medical assistant overlooked the age. Dose will be invalid, no harm to patient.