chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 69.0
Sex: F
Vaccine: RSV
Symptoms: Chills, Diarrhoea, Dyspnoea, Fatigue, Headache
Clinical narrative: Headache for over 12 days, fever, chills, muscle aches, shortness of breath, fatigue, diarrhea.
Age: 69.0
Sex: F
Vaccine: RSV
Symptoms: Myalgia, Pyrexia
Clinical narrative: Headache for over 12 days, fever, chills, muscle aches, shortness of breath, fatigue, diarrhea.
Age: 44.0
Sex: M
Vaccine: COVID19, FLU4, TDAP
Symptoms: Headache, Hyperhidrosis
Clinical narrative: After receiving Flu, Spikevax and Adacel vaccine, Patient felt light Headache and Sweating. Patient was asked to lay down on his back with elevated legs. Patient was feeling good within 5 mins.
Age: 60.0
Sex: F
Vaccine: COVID19, FLUR4
Symptoms: Extra dose administered
Clinical narrative: Patient was administered an Influenza Vaccine, after she already received one a week prior.
Age: 1.25
Sex: F
Vaccine: DTPPVHBHPB, PNC13
Symptoms: Livedo reticularis, Peripheral coldness, Pyrexia
Clinical narrative: Grandmother called stating the patient's arms were extremely cold the night after the vaccination. She states she noticed mottling the evening of and the day after. Patient also developed a 102 degree fever.
Age: 84.0
Sex: F
Vaccine: RSV
Symptoms: Injection site erythema, Pain in extremity
Clinical narrative: About 3 days after vaccination, patient developed redness near the injection site. It started about an inch below the injection site and covered an area about 3 x 5 inches. The arm had some soreness as expected, but nothing abnormal.  I spoke to her 7 days after the injection. Red area still visible but it was improving according to the patient.
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Patient had fever for 2 days after the Covid vaccine.
Age: 10.0
Sex: M
Vaccine: HEPA, IPV, VARCEL
Symptoms: Crying, Eye movement disorder, Pallor, Syncope, Tonic clonic movements
Clinical narrative: Encounter Date: 10/19/2023   1135: Upon administration of vaccines, patient experienced syncope episode. MA administered Hep A, Varicella, IPV whole patient was sitting down. Patient eyes rolled back, lips pale, unable to respond, generalized tonic movements in extremities. Patient was immediately laid down and vitals were taken.   NPs at patient bedside immediately. Patient unable to respond despite sternal rub. Patient turned to his left side.   1138: BP 133/82 HR 53 room air Patient regained consciousness and began crying, asked for his mom. Mom at bedside.   1139: BP 114/68 HR 63 Patient encouraged to take deep breaths, able to answer questions but obtunded affect.   1146: BP 105/58    Patient able to answer questions.   1150: NP assisted patient to sit up 90 degrees and drink juice. Patient denies dizziness, nausea, blurry vision. Per mom, patient gets "nervous" but has never had a syncope episode. Patient drank soup before clinic visit today. Denies previous medical hx, recent illness or trauma.    1156: BP 102/59 HR 73   1200: Patient able to stand and walk without assistance. Patient speaking in full sentences, AOX3, NAD. Informed mom to notify staff at next vaccine appt that patient had a syncope episode to take proper precautions. Mother verbalized understanding.
Age: 10.0
Sex: M
Vaccine: HEPA, IPV, VARCEL
Symptoms: Unresponsive to stimuli
Clinical narrative: Encounter Date: 10/19/2023   1135: Upon administration of vaccines, patient experienced syncope episode. MA administered Hep A, Varicella, IPV whole patient was sitting down. Patient eyes rolled back, lips pale, unable to respond, generalized tonic movements in extremities. Patient was immediately laid down and vitals were taken.   NPs at patient bedside immediately. Patient unable to respond despite sternal rub. Patient turned to his left side.   1138: BP 133/82 HR 53 room air Patient regained consciousness and began crying, asked for his mom. Mom at bedside.   1139: BP 114/68 HR 63 Patient encouraged to take deep breaths, able to answer questions but obtunded affect.   1146: BP 105/58    Patient able to answer questions.   1150: NP assisted patient to sit up 90 degrees and drink juice. Patient denies dizziness, nausea, blurry vision. Per mom, patient gets "nervous" but has never had a syncope episode. Patient drank soup before clinic visit today. Denies previous medical hx, recent illness or trauma.    1156: BP 102/59 HR 73   1200: Patient able to stand and walk without assistance. Patient speaking in full sentences, AOX3, NAD. Informed mom to notify staff at next vaccine appt that patient had a syncope episode to take proper precautions. Mother verbalized understanding.
Age: 18.0
Sex: M
Vaccine: COVID19, TDAP
Symptoms: Extra dose administered
Clinical narrative: Nurse inadvertently administered extra dose of Covid vaccine after it was originally administered 10/6/23. The vaccine had flagged as due in the eHR, and the patient was asked if he wanted and agreed to have the Covid vaccination.   The patient tolerated the procedure well, and there was no adverse reaction. The patient was informed of the error, and advised that there is no data suggesting that this would be harmful, and that if he has any symptoms to report to urgent care.   This was a pediatric dose.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS STORED IN AN UNAPPROVED STORAGE UNIT
Age: 2.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: redness/warmth to right upper thigh
Age: 51.0
Sex: M
Vaccine: COVID19, FLUC4
Symptoms: Fall, Head injury, Syncope
Clinical narrative: Patient recieved two vaccines Flucelvax and Comirnaty (one in each arm) was sat down and waited 10 minutes before getting up, got up and fainted and fell and hit there head. Patient did report that they have had nausea/ trouble with vaccines in the past. They were checked out by paramedics and released without further care needed.
Age: 61.0
Sex: F
Vaccine: RSV
Symptoms: Insomnia, Myalgia, Pyrexia, Restlessness, Somnolence
Clinical narrative: I had the shot ~2pm on Tue, Oct 24; during the night I felt restless and got up around 2am Wed, Oct 25; tried going back to bed ~3:30am, but couldn't sleep; ~6:00a I was able to go back to sleepy, but it wasn't until much later in the morning (maybe ~10am) that I realized this was probably a vaccine reaction (since I often have trouble sleeping); I noted that my muscles were achy and it felt like I had a fever; I finally took my temperature around 2pm Wed, Oct 25, and found it was 100.6; symptoms felt similar to my COVID reactions, but when I got my COVID vaccine on 10/6/23, I had no adverse reactions this time; also had my flu vaccine on 10/3/23
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS STORED IN AN UNAPPROVED STORAGE UNIT
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Immediate post-injection reaction, Injection site erythema
Clinical narrative: Patient with large area of erythem noted to injection site immediately after injection Monitored x 30 minutes erythema decreased and no further reaction noted
Age: 18.0
Sex: F
Vaccine: MENB
Symptoms: Arthralgia, Joint range of motion decreased
Clinical narrative: Patient was administered the Bexero vaccine in Left Deltoid on 10/16/23 @ 3:00pm. Patient messages the clinic on 10/21/23 stating that extreme shoulder pain and reduced range of motion occurred a few hours after vaccine administration. Pt was offered an in person appointment on 10/24/23 or to go to Urgent Care/Emergency Department for immediate medical care. Patient messages again on 10/25/23 stating that they still have limited mobility after a week and 2 days from the vaccine. Patient will be seen tomorrow 10/26/23 in clinic with one of our providers.
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB, FLU4, PNC20, RV5
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received a flu vaccine at 4 months old. Flu vaccine is given for 6 month and older. Vaccine was administered to early. Notified mother and patient is fine.
Age: 63.0
Sex: F
Vaccine: RAB
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Donor stated in left arm from elbow down to finger tips numbness and tingling constantly. Denies any other symptoms.
Age: 50.0
Sex: F
Vaccine: FLUC4, HEP
Symptoms: Chest pain, Dyspnoea, Eye swelling, Lacrimation increased, Pain
Clinical narrative: Patient reported to the front desk following discharge and labs reporting that she was experiencing shortness of breath post injection of Flucelvax and Heplisav B. Patient was brought back and had visibly swollen and watery eyes. While walking to exam room she states that she has chest pain. Code orange was called at 1050. Dr. evaluating patient. Patient complains of itchy throat and swollen eyes. Benadryl 50 mg ordered and administered by RN to the LD IM. Patient was placed on 4L O2 via NC Patient remains aaox4 and continues to complain of itching throat and pain with speaking. Solumedrol 125 mg ordered and administered IM to the RD by RN. IV 22g started to R AC by RN. IV flushing well. 1104- O2 decreased to 2L NC. 1110- patient reports eyes and throat feel a little better, but she is groggy and feels congested. Oxygen discontinued and patient continues to saturate at 100 %. Patients husband was notified of allergic reaction and advised to pick patient up from clinic. He states that he is on his way. Patient given water and is able to tolerate with no aspiration. Continued to monitor for improvement while awaiting spouse arrival. IV was discontinued at 1138 with catheter intact and no visible redness or inflammation to VI site. Patient was provided with home care instructions by PA-C: Benadryl 50 mg every 6 hours for the next 24 hours. If unable to tolerate 50 mg then it is ok to take 25 mg. Next dose will be at 1700. Per Dr., she would advise that the patient take Zyrtec Non-Drowsy for the next two days. Patient advised that should she experience shortness of breath, difficulty breathing, mouth/lip/tongue swelling, difficulty speaking, chest pain, facial swelling to call 911. Patient verbalized understanding. Written instructions provided as well. Patient left in stable condition with spouse at 1150.   Benadryl 50 mg- NDC: 0641-0376-21 Lot: 042044 Exp: 4/2024 Solumedrol 125 mg- NDC: 0009-0047-25 Lot: GC7790 Exp: 1/2025
Age: 50.0
Sex: F
Vaccine: FLUC4, HEP
Symptoms: Respiratory tract congestion, Somnolence, Swelling of eyelid, Throat irritation
Clinical narrative: Patient reported to the front desk following discharge and labs reporting that she was experiencing shortness of breath post injection of Flucelvax and Heplisav B. Patient was brought back and had visibly swollen and watery eyes. While walking to exam room she states that she has chest pain. Code orange was called at 1050. Dr. evaluating patient. Patient complains of itchy throat and swollen eyes. Benadryl 50 mg ordered and administered by RN to the LD IM. Patient was placed on 4L O2 via NC Patient remains aaox4 and continues to complain of itching throat and pain with speaking. Solumedrol 125 mg ordered and administered IM to the RD by RN. IV 22g started to R AC by RN. IV flushing well. 1104- O2 decreased to 2L NC. 1110- patient reports eyes and throat feel a little better, but she is groggy and feels congested. Oxygen discontinued and patient continues to saturate at 100 %. Patients husband was notified of allergic reaction and advised to pick patient up from clinic. He states that he is on his way. Patient given water and is able to tolerate with no aspiration. Continued to monitor for improvement while awaiting spouse arrival. IV was discontinued at 1138 with catheter intact and no visible redness or inflammation to VI site. Patient was provided with home care instructions by PA-C: Benadryl 50 mg every 6 hours for the next 24 hours. If unable to tolerate 50 mg then it is ok to take 25 mg. Next dose will be at 1700. Per Dr., she would advise that the patient take Zyrtec Non-Drowsy for the next two days. Patient advised that should she experience shortness of breath, difficulty breathing, mouth/lip/tongue swelling, difficulty speaking, chest pain, facial swelling to call 911. Patient verbalized understanding. Written instructions provided as well. Patient left in stable condition with spouse at 1150.   Benadryl 50 mg- NDC: 0641-0376-21 Lot: 042044 Exp: 4/2024 Solumedrol 125 mg- NDC: 0009-0047-25 Lot: GC7790 Exp: 1/2025
Age: 63.0
Sex: M
Vaccine: COVID19, VARZOS
Symptoms: Asthenia, Chills, Chronic obstructive pulmonary disease, Condition aggravated, Cough
Clinical narrative: States that he received the shingles and covid vaccines last Wednesday.  Had symptoms one hr after the vaccines for 12 hrs of chills, SOB, and weakness.  The next day, he started with stiffness, and muscle fatigue in neck and shoulders bilaterally.  He then noticed the rash on the 23rd. Is still feeling off with his breathing, has COPD but seems worse than normal. Had little cough and mucous couple days ago but gone now. Just still feeling sob. .  Has been worse since the vaccines.  No warmth.  Some itchiness.    Rash on both arms, notes on back. And some itching.
Age: 63.0
Sex: M
Vaccine: COVID19, VARZOS
Symptoms: Dyspnoea, Muscle fatigue, Musculoskeletal stiffness, Pruritus, Rash
Clinical narrative: States that he received the shingles and covid vaccines last Wednesday.  Had symptoms one hr after the vaccines for 12 hrs of chills, SOB, and weakness.  The next day, he started with stiffness, and muscle fatigue in neck and shoulders bilaterally.  He then noticed the rash on the 23rd. Is still feeling off with his breathing, has COPD but seems worse than normal. Had little cough and mucous couple days ago but gone now. Just still feeling sob. .  Has been worse since the vaccines.  No warmth.  Some itchiness.    Rash on both arms, notes on back. And some itching.
Age: 63.0
Sex: M
Vaccine: COVID19, VARZOS
Symptoms: Rash erythematous, Secretion discharge
Clinical narrative: States that he received the shingles and covid vaccines last Wednesday.  Had symptoms one hr after the vaccines for 12 hrs of chills, SOB, and weakness.  The next day, he started with stiffness, and muscle fatigue in neck and shoulders bilaterally.  He then noticed the rash on the 23rd. Is still feeling off with his breathing, has COPD but seems worse than normal. Had little cough and mucous couple days ago but gone now. Just still feeling sob. .  Has been worse since the vaccines.  No warmth.  Some itchiness.    Rash on both arms, notes on back. And some itching.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: Patient requested a flu shot after receiving his Covid vaccine.  Paper work was obtained from the office which was filled out in the exam room.  A second Covid injection was administered in error.
Age: 35.0
Sex: M
Vaccine: FLUC4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Client self attested that he had not received the flu shot this season, so he was given a Flucelvax on 10/25/23.  Upon looking in system Client already received a Flucelvax flu shot this season on 8/15/23.  Client did not report a vaccine reaction.
Age: 52.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Injection site pain, Joint noise, Loss of personal independence in daily activities, Pain
Clinical narrative: Pain at injection site increased after 24 hours. Swelling and redness present for 7 days after the administration. Raising arm laterally is impossible without excruciating pain. Pain radiates from shoulder into the bicep. Cannot lift any weight or raise arm except for raising directly in front of body. Daily activities are limited and quality of life decreased. Pain has increased in recent days and there is "clicking" in the shoulder when moved in certain positions. Sleep has been disrupted due to pain.
Age: 52.0
Sex: M
Vaccine: TDAP
Symptoms: Sleep disorder, Swelling
Clinical narrative: Pain at injection site increased after 24 hours. Swelling and redness present for 7 days after the administration. Raising arm laterally is impossible without excruciating pain. Pain radiates from shoulder into the bicep. Cannot lift any weight or raise arm except for raising directly in front of body. Daily activities are limited and quality of life decreased. Pain has increased in recent days and there is "clicking" in the shoulder when moved in certain positions. Sleep has been disrupted due to pain.
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Erythema, Induration, Pain
Clinical narrative: 14 x 10 cm area of induration and erythema, some complaint of pain
Age: 39.0
Sex: F
Vaccine: UNK
Symptoms: Arthralgia, Pain, Product administered at inappropriate site, Sleep disorder
Clinical narrative: Injection on 10/5/2023 was given high on the shoulder, likely into the bursa. Pain began later that evening, around 8PM and  has remained. When not moving, the should feels like it is burning deep inside the joint. It is painful to lift anything heavy with the left arm. It is painful to move the arm over my head, especially with the elbow bent, like when removing a shirt. I cannot sleep on the left side without waking up in extreme pain.  I saw my PCP on 10/25/2023 and she agreed this was caused by incorrect administration of the vaccine. She perscribed progesterone and referred me to Physical Therapy for further treatment if needed.
Age: 16.0
Sex: F
Vaccine: FLUC4, MENB, MNQ
Symptoms: Fatigue, Headache, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Right thigh tenderness and red indurated area about 4" diameter; Left thigh with faint light red area ~4"diameter.  Also has headache, fatigue and general aches and pains.
Age: 16.0
Sex: F
Vaccine: FLUC4, MENB, MNQ
Symptoms: Pain
Clinical narrative: Right thigh tenderness and red indurated area about 4" diameter; Left thigh with faint light red area ~4"diameter.  Also has headache, fatigue and general aches and pains.
Sex: F
Vaccine: RSV
Symptoms: Dizziness, Palpitations
Clinical narrative: patient received RSV vaccine 10/6/2023 and started feeling dizzy with heart racing. went to ED. had testing completed and was treated and released with follow up.
Age: 79.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Patient described redness, swelling and a lot of pain following vaccine administration
Age: 61.0
Sex: F
Vaccine: FLUC4
Symptoms: Arthralgia, Brain fog, Dizziness, Headache, Myalgia
Clinical narrative: Started with slight dizziness and joint pain in the fingers.  Later developed bad muscular pain, 99.9 degrees fever (my normal temperature is about 96.5), bad muscle aches all over the body, cold water on the skin was painful, slight headache, could not stay in one position for too long because of the muscle and joint pain.  Brain fog.  I had lost two pounds by the next day - 98.2 to 96.0.    Tylenol lessened the symptoms after a while.
Age: 61.0
Sex: F
Vaccine: FLUC4
Symptoms: Pain, Temperature intolerance, Weight decreased
Clinical narrative: Started with slight dizziness and joint pain in the fingers.  Later developed bad muscular pain, 99.9 degrees fever (my normal temperature is about 96.5), bad muscle aches all over the body, cold water on the skin was painful, slight headache, could not stay in one position for too long because of the muscle and joint pain.  Brain fog.  I had lost two pounds by the next day - 98.2 to 96.0.    Tylenol lessened the symptoms after a while.
Age: 71.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Vaccination site discomfort, Vaccination site erythema, Vaccination site pruritus, Vaccination site warmth
Clinical narrative: Patient had gotten a vaccination 2 days prior.  Came in to the pharmacy, said that she had been having a warm sensation where she received her two vaccines.  The area was red, uncomfortable and itchy.  It was not bruised, but diffuse red area she said had become larger the day before. I asked if she had ever had a reaction to a vaccine before, if she had noticed any bruising.  She said she had not.  I confirmed she didn't have any allergic reaction symptoms (swelling of lips or tongue, SOB, hives).  I told her to try to ice it and take an allergy tablet to reverse possible allergic reaction.   I followed up with her the next afternoon, she said she did those treatment measures but it remained unchanged.  I told her it may take a week or longer for the symptoms to subside, but call us after a week if it was not staying the same or getting better.  Patient will monitor and follow up if she things its not improving.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody, Double stranded DNA antibody positive, Polyarthritis
Clinical narrative: Developed polyarticular arthritis approx 9 days after vaccination with new +antiDS DNA testing concerned for lupus like drug reaction
Age: 56.0
Sex: M
Vaccine: RSV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: unknown if patient had reaction. Someone under 60 was given RSV vaccine at vaccination clinic by mistake
Age: 62.0
Sex: M
Vaccine: FLU4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: GIVEN HIGH DOSE FOR AGE 65 AND OLDER.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Guillain-Barre syndrome
Clinical narrative: patient reported she was hospitalized with guillain-barre after vaccination with comirnaty. Specific information unknown to pharmacy
Age: 12.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was inadvertently administered the 10mcg Pfizer Covid 19 vaccine instead of the 30mcg COMIRNATY that is recommended for his age. No adverse events post vaccination reported. Parent is aware of error and Pfizer Medical consulted for advice. Advised that administration of age appropriate vaccine (30mcg COMIRNATY) is recommended per CDC and Pfizer guidelines.
Age: 32.0
Sex: F
Vaccine: HEP
Symptoms: Hepatitis B antibody negative
Clinical narrative: Patient presented to clinic and stated she needed repeat vaccination, as she was in nursing school and had negative hepatitis B titers. The patient received 2 previous heplisav-b vaccinations on 8/25/2023 and 10/6/2023. Patient contacted approximately 1 hour after dose administered, no reported adverse symptoms at that time. Patient was counseled that CDC recommends at least 4 weeks between dose and to report to ER if adverse reaction occurs.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Dysphonia, Injection site swelling, Oedema peripheral
Clinical narrative: A few hours after the vaccine she had a raspy throat that was similar to other allergic reactions she has had in the past.  She took a benadryl, and the next day the throat felt better, but she had swelling in her left arm near the injection site, and under the left axilla.  She took another benadryl and ibuprofen.  The next day the swelling was still present so she went to the walk-in clinic at her PCP office.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain
Clinical narrative: Right arm pain where the covid vaccine was administered and mild headache
Age: 0.83
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Notified provider, site leader, and supervisor wrong dose was given to patient.
Age: 79.0
Sex: M
Vaccine: FLU4, RSV
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: pt still has swollen, pain in arm followed arexvy and flushot in same arm
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Computerised tomogram head abnormal, Contusion, Craniofacial fracture, Dizziness, Electrocardiogram abnormal
Clinical narrative: Normal physical, and vaccine given 10-20-23 at 1:36pm.  Complained of arm pain 6:30pm, I gave Tylenol and ibuprofin.  At 8:30pm he was playing video game with his siter and felt lightheaded.  He walked to fridge to get a drink of water, started walking back to his room.  I was in bed and heard what sounded like a tree fall on the house, then heard my daughter yelling for me.  I walked in dining room and he was laying face down in a large pool of blood.  He was unconscious approx 5 minutes.  Ambulance was called-he regained consciousness.  Vitals and blood sugar were good.  Opted to watch him every2hrs at home and get treated Sat 10-21-23.  Went to ER he had a fractured nose, Lt brow contusion, 3 chipped teeth, and an abnormal EKG.  He is set-up for a heart monitor for 10-27-23 and nose surgery 10-31-23.  Perfectly healthy 16yr old before this vaccination.
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Haemorrhage, Loss of consciousness, Syncope, Tooth fracture
Clinical narrative: Normal physical, and vaccine given 10-20-23 at 1:36pm.  Complained of arm pain 6:30pm, I gave Tylenol and ibuprofin.  At 8:30pm he was playing video game with his siter and felt lightheaded.  He walked to fridge to get a drink of water, started walking back to his room.  I was in bed and heard what sounded like a tree fall on the house, then heard my daughter yelling for me.  I walked in dining room and he was laying face down in a large pool of blood.  He was unconscious approx 5 minutes.  Ambulance was called-he regained consciousness.  Vitals and blood sugar were good.  Opted to watch him every2hrs at home and get treated Sat 10-21-23.  Went to ER he had a fractured nose, Lt brow contusion, 3 chipped teeth, and an abnormal EKG.  He is set-up for a heart monitor for 10-27-23 and nose surgery 10-31-23.  Perfectly healthy 16yr old before this vaccination.
Age: 0.67
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product packaging quantity issue
Clinical narrative: Patient was given wrong dose of Moderna. Vial was overloaded.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Erythema, Mass, Pruritus
Clinical narrative: red, itchy, lump for 5 days with general weakness
Age: 1.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Wrong dose given to patient
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Erythema, Mass, Pruritus
Clinical narrative: red, itchy lump with general weakness
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Pain in extremity
Clinical narrative: Patient received 0.3mL of Comirnaty in left arm on 9/30/23 with no events noted on day of administration. Patient later called and spoke with the pharmacist on 10/18/23 complaining of arm and chest pain on left side since receiving the vaccine. Since his symptoms are more indicative of a cardiac event vs vaccine, pharmacist recommended patient seek medical attention. Patient's representative called back on 10/25/23 to discuss the same symptoms and confirmed that the patient had not gone to hospital or provider since the last call. I informed the representative that we would report the event, but strongly recommended that she take the patient to be seen and evaluated for possible cardiac events. I asked that she update the pharmacy after he is seen so we can update our report.
Age: 32.0
Sex: F
Vaccine: FLU4
Symptoms: Electrocardiogram, Full blood count, Hypoaesthesia, Metabolic function test, Musculoskeletal stiffness
Clinical narrative: Flu vaccine administered on 10/19/2023 at approximately 0915, IM in the left deltoid. At approximately 0925-0930, Patient had c/o of numbness and tingling in the left side of her body with pain/stiffness in her neck. She began vomiting. Worried about a possible serious adverse/anaphylactic reaction, patient was sent to Emergency Department. Patient denies any allergies or similar prior episodes. While not expected to be an allergic reaction, patient received Solumedrol 125mg IV x1, Benadryl 25mg IV x1, NS bolus, ondansetron 4mg IV x1, and famotidine 20mg IV x1.  Patient remained medically stable and was discharged from ED on 10/19/2023.
Age: 32.0
Sex: F
Vaccine: FLU4
Symptoms: Neck pain, Paraesthesia, Vomiting
Clinical narrative: Flu vaccine administered on 10/19/2023 at approximately 0915, IM in the left deltoid. At approximately 0925-0930, Patient had c/o of numbness and tingling in the left side of her body with pain/stiffness in her neck. She began vomiting. Worried about a possible serious adverse/anaphylactic reaction, patient was sent to Emergency Department. Patient denies any allergies or similar prior episodes. While not expected to be an allergic reaction, patient received Solumedrol 125mg IV x1, Benadryl 25mg IV x1, NS bolus, ondansetron 4mg IV x1, and famotidine 20mg IV x1.  Patient remained medically stable and was discharged from ED on 10/19/2023.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site mass, Injection site pain
Clinical narrative: lump and muscle soreness at injection site
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS STORED IN AN UNAPPROVED STORAGE UNIT
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS STORED IN AN UNAPPROVED STORAGE UNIT
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Anisocoria, Hypoaesthesia, Mydriasis, Paraesthesia
Clinical narrative: About 30 minutes after receiving the injection, the Left half of my face went numb/tingly; pupils were different sizes (Left pupil was dilated). This lasted for approximately 1 hour and then slowly went away.
Age: 64.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: The patient was expecting to receive a Prevnar 20 vaccine but we accidentally gave her a second Covid vaccine (Spikevax) on 10/20/23.  She had already received a Spikevax vaccine on 9/25/23 at our pharmacy.
Age: 64.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Chills, Fatigue, Feeding disorder, Illness, Mobility decreased
Clinical narrative: The patient was expecting to receive a Prevnar 20 vaccine but we accidentally gave her a second Covid vaccine (Spikevax) on 10/20/23.  She had already received a Spikevax vaccine on 9/25/23 at our pharmacy.
Age: 64.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Nausea, Pyrexia, Wrong product administered
Clinical narrative: The patient was expecting to receive a Prevnar 20 vaccine but we accidentally gave her a second Covid vaccine (Spikevax) on 10/20/23.  She had already received a Spikevax vaccine on 9/25/23 at our pharmacy.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Chest discomfort, Mechanical urticaria, Thyroid function test normal, Urticaria
Clinical narrative: Chronic hives, dermatographia, chest tightness. Duration 2.5 weeks so far.
Age: 87.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Patient incorrectly received two Fluzone HD immunizations
Age: 44.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Chills, Diarrhoea, Fatigue, Malaise
Clinical narrative: Fever, chills, shaking, joint pain, malaise, tiredness, diarrhea
Age: 44.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia, Tremor
Clinical narrative: Fever, chills, shaking, joint pain, malaise, tiredness, diarrhea
Age: 77.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Arthralgia, Injection site pain, Myalgia, Pain in extremity
Clinical narrative: Influenza shot (Right arm) resulted in moderately severe muscle pain in right arm. and severe pain in right wrist.  Moderna Covid shot (Spikevax) in left arm had little effect.  Slight tenderness around injection site.
Age: 59.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Blood glucose abnormal, Blood pressure abnormal, Dizziness, Lethargy
Clinical narrative: One hour post vaccine administration patient complained of feeling faint and nauseous.  Patient was sent home by ambulance was very weak and lethargic.  Vitals all within normal limits except for blood pressure and blood sugar which were both elevated.  Patient went to hospital with emergency medical services.
Age: 59.0
Sex: F
Vaccine: FLU4
Symptoms: Nausea
Clinical narrative: One hour post vaccine administration patient complained of feeling faint and nauseous.  Patient was sent home by ambulance was very weak and lethargic.  Vitals all within normal limits except for blood pressure and blood sugar which were both elevated.  Patient went to hospital with emergency medical services.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Spikevax for ages 11+ administered to 6-year-old in error.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Condition aggravated, Death, Decreased appetite, Pain
Clinical narrative: Patient received Moderna Spikevax In combination with high dose flu vaccine. Family reported that about 2 days later she became weaker, achy and lower appetite. She worsened the next week but refused the emergency room. She was found unresponsive on  morning Wednesday October 18th and passed away on route to the ER in an ambulance. Patient had been declining tests or specialist care for a number of years. She was DNR.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Patient received Moderna Spikevax In combination with high dose flu vaccine. Family reported that about 2 days later she became weaker, achy and lower appetite. She worsened the next week but refused the emergency room. She was found unresponsive on  morning Wednesday October 18th and passed away on route to the ER in an ambulance. Patient had been declining tests or specialist care for a number of years. She was DNR.
Age: 24.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Antiacetylcholine receptor antibody, Antibody test negative, Asthenia, Blood folate normal, CSF cell count normal
Clinical narrative: 26 y.o. male with spastic quadriplegic cerebral palsy, previously high-functioning and self-sufficient prior to decline in 2022, that 6 weeks after covid vaccination, developed global weakness, dysphagia (to point that required new PEG tube), with secondary weight loss of 100lbs, pressure ulcers complicated by infection, and overall failure to thrive.
Age: 24.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: CSF protein normal, CSF test normal, Cerebral atrophy, Computerised tomogram head abnormal, Decubitus ulcer
Clinical narrative: 26 y.o. male with spastic quadriplegic cerebral palsy, previously high-functioning and self-sufficient prior to decline in 2022, that 6 weeks after covid vaccination, developed global weakness, dysphagia (to point that required new PEG tube), with secondary weight loss of 100lbs, pressure ulcers complicated by infection, and overall failure to thrive.
Age: 24.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dysphagia, Electromyogram abnormal, Failure to thrive, Flow cytometry, Gastrostomy
Clinical narrative: 26 y.o. male with spastic quadriplegic cerebral palsy, previously high-functioning and self-sufficient prior to decline in 2022, that 6 weeks after covid vaccination, developed global weakness, dysphagia (to point that required new PEG tube), with secondary weight loss of 100lbs, pressure ulcers complicated by infection, and overall failure to thrive.
Age: 24.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Infected skin ulcer, Magnetic resonance imaging head normal, Magnetic resonance imaging spinal abnormal, Nerve conduction studies abnormal, Neuropathy peripheral
Clinical narrative: 26 y.o. male with spastic quadriplegic cerebral palsy, previously high-functioning and self-sufficient prior to decline in 2022, that 6 weeks after covid vaccination, developed global weakness, dysphagia (to point that required new PEG tube), with secondary weight loss of 100lbs, pressure ulcers complicated by infection, and overall failure to thrive.
Age: 24.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vertebral foraminal stenosis, Vitamin B1, Vitamin B12 normal, Weight decreased
Clinical narrative: 26 y.o. male with spastic quadriplegic cerebral palsy, previously high-functioning and self-sufficient prior to decline in 2022, that 6 weeks after covid vaccination, developed global weakness, dysphagia (to point that required new PEG tube), with secondary weight loss of 100lbs, pressure ulcers complicated by infection, and overall failure to thrive.
Age: 33.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Exposure during pregnancy
Clinical narrative: Currently 24 weeks pregnant. Due 2/12/2024
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age, Product administration error
Clinical narrative: Spikevax for ages 11+ administered to child aged 10 in error.
Age: 58.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: Patient reported excessive soreness and swelling in right arm that lasted over 3 weeks in duration, requring a trip to the doctor to get a steroid pain reliever on 10/25.
Age: 15.0
Sex: M
Vaccine: FLUR4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse event or treatment, outcome parent was notified
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site mass, Injection site pain, Injection site swelling
Clinical narrative: Vaccine administration went well with no immediate side effects.  The day following the vaccine, the patient developed a pea-sized lump at the site of injection that is swollen and painful.  Vaccine was three weeks prior and lump and pain still persist.  Patient advised to seek advice of physician
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: no adverse event occurred
Age: 66.0
Sex: F
Vaccine: PNC20, TDAP
Symptoms: Pain in extremity, Peripheral swelling, Skin reaction, Skin warm
Clinical narrative: PATIENT REPORTS SWELLING, REDNESS, SORENESS, AND HOT TO TOUCH IN LEFT ARM THAT ENCOMPASSES THE ARM FROM THE SHOULDER TO THE MIDDLE OF THE FOREARM.  SHE HAS TRIED ICE, BUT NO ANTIHISTAMINE AND NO RELIEF.  ON 10/25 SHE WAS PRESCRIBED AN ANTIBIOTIC AND STEROID CREAM.
Age: 68.0
Sex: M
Vaccine: COVID19, FLU4, RSV
Symptoms: Lethargy, Pain, Pyrexia, Somnolence
Clinical narrative: Fever,lethargy, body aches, drowsy for over 24 hours.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Patient stated that 4 days after receiving above immunization, he developed a rash that ran from head to toe.  He stated that it resolved in approximately 4 days.  He stated that he took benadryl by mouth for it and did not receive medical attention.  He said it could also have something to do with strawberries and tomatoes that he ate.
Age: 57.0
Sex: F
Vaccine: RSV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: 57 year old was given RSV vaccine- not recommended for under 60 years old. No adverse events
Age: 66.0
Sex: F
Vaccine: RSV
Symptoms: Dizziness, Loss of consciousness, Nausea
Clinical narrative: Felt lightheaded, dizzy, nauseated and then passed out. Happened almost exactly 36 hours after the vaccine. Regained consciousness after a few minutes and within 25-30 minutes I was fine. This was the identical reaction that I had to my 2nd and 3rd Pfizer Covid vaccines.
Age: 74.0
Sex: M
Vaccine: HEPAB
Symptoms: Oropharyngeal pain, Productive cough, Rash, Respiratory tract congestion, Sinus congestion
Clinical narrative: Pt reported topical skin rash that appeared on chest approximately 2 days after vaccination. Rash subsequently spread to surface of entire trunk and down back of legs over the following 3-5 days. Pt also reported symptoms of sinus congestion, sore throat, and chest congestion (productive infrequent cough) that began approximately 3-4 days after vaccination. As of today - topical rash has mostly resolved; pt still reporting minor symptoms of sinus and chest congestion.
Age: 82.0
Sex: F
Vaccine: FLU4
Symptoms: Peripheral swelling
Clinical narrative: Patient had bump on arm
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Increased viscosity of upper respiratory secretion
Clinical narrative: patient began spitting up globs of mucus 13 hours after vaccine and continued for14 hours Patient died 2-4 hours later
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Contusion, Eyelid injury, Pyrexia, Rash
Clinical narrative: When I woke at 8:30am the day after the vaccination, I had a fever and was weak. I fainted four times in succession, resulting in multiple bruises, three bumps on my head and a cut above my eye. I called pharmacy but they seemed unconcerned. I started feeling better in a few hours so I did not seek medical treatment.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Syncope
Clinical narrative: When I woke at 8:30am the day after the vaccination, I had a fever and was weak. I fainted four times in succession, resulting in multiple bruises, three bumps on my head and a cut above my eye. I called pharmacy but they seemed unconcerned. I started feeling better in a few hours so I did not seek medical treatment.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient pulls his arm while getting immunization, therefore  he got 3/4  dose, later gave him 1/4 dose to complete full dose.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Epistaxis
Clinical narrative: Severe nosebleed lasting over an hour despite pinching nostrils, leaning forward, and applying ice to bridge of nose.  I rarely experience even minor nosebleeds, less than once per year.  I have never had a severe persistent nosebleed.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: I have had a nightly fever (ranging from 100-102f) every night since 12 hours after vaccine. My normal body temp is 98.1.
Age: 78.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: At the off site flu clinic, pt. was given Fluzone HD and Comirnaty.  After given the both shots, patient then said she only needs Covid 19 only because she already received Flu shot already.
Age: 72.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: redness and swelling in the lower arm about 4 inches below the injection site
Age: 75.0
Sex: F
Vaccine: RSV
Symptoms: Arthralgia, Diarrhoea, Dizziness, Fatigue, Musculoskeletal pain
Clinical narrative: Patient experienced dizziness after vaccination which subsided shortly after. She also experienced fatigue and pain in muscle and joint on both upper and lower limbs. Muscle and joint pain is slowly easing  down since the vaccination date. Patient also reported she had diarrhea and tissue pain.
Age: 75.0
Sex: F
Vaccine: RSV
Symptoms: Myalgia, Pain in extremity
Clinical narrative: Patient experienced dizziness after vaccination which subsided shortly after. She also experienced fatigue and pain in muscle and joint on both upper and lower limbs. Muscle and joint pain is slowly easing  down since the vaccination date. Patient also reported she had diarrhea and tissue pain.
Age: 33.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Lymphadenopathy
Clinical narrative: Lymphadenopathy on left side of neck starting approximately 5 days after vaccination with both the Comirnaty (Pfizer 2023-2024 formula) COVID-19 vaccine and Afluria quadrivalent flu vaccine.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Asthenia, Diarrhoea, Dysstasia, Gait inability
Clinical narrative: Day 2 after vaccine . Diarrhea, acute abdominal pain , treated with Imodium and resolved.  Day 3 generalized weakness and lack of energy which was not uncommon for this PT.  , day 5  increase in weakness, unable to stand walk. Hallucinations.  Day 6  to ER  admit to ICU .  Still in hospital at this point .
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Hallucination, Intensive care
Clinical narrative: Day 2 after vaccine . Diarrhea, acute abdominal pain , treated with Imodium and resolved.  Day 3 generalized weakness and lack of energy which was not uncommon for this PT.  , day 5  increase in weakness, unable to stand walk. Hallucinations.  Day 6  to ER  admit to ICU .  Still in hospital at this point .
Age: 38.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Impaired work ability, Pain, Rash erythematous, Ulcer, Wound secretion
Clinical narrative: patient developed red rash that started to get streaks and was seen by her primary doctor and placed on keflex on 10/13/23.  patient went to urgent care on 10/19/23, developed an ulcer and was extremely painful.  she missed 5 days of work and it continues to weap and the pain is slowly resolving
Age: 68.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Arthralgia, Asthenia, Myalgia, Pain in extremity
Clinical narrative: Some arm soreness initially, but about 8 hours after the injections, extreme debilitating muscle and joint soreness, fever over 100F. No treatment beyond bed rest and fluids. the most extreme pain lasted about 24 hours, gradually subsided.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Swelling
Clinical narrative: patient was at pharmacy picking up her normal monthly medications and mentioned she had to go to urgent care for redness and a lump on the back of her shoulder from receiving the shingles vaccine. patient was placed on antibiotics
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Confusional state, Dizziness, Dyschromatopsia, Hyperhidrosis
Clinical narrative: Began to make myself breakfast before 6:30 AM. Suddenly everything went gray and I felt like I was going to pass out. I sat down and placed my head between my knees. It did not help. My forehead was wet with perspiration. I stood up. Everything was still gray. I needed to lie down. I took a few steps toward the bedroom. Had to stop and hold onto a table to steady myself. Did not know where I was for a few moments; came to. Took a few more steps and reached the bed. As soon as I lay in the bed, the fainting spell ended. I felt fine. The entire episode lasted a few minutes.
Age: 28.0
Sex: F
Vaccine: FLUC4
Symptoms: Balance disorder, Dizziness, Dysgeusia, Headache, Hypoaesthesia
Clinical narrative: at 11:30 I started feeling pain in my arm. Numbness running down my arm to my thumb. I went to lay down and felt that my heart was racing and that my insides were trying to explode from my skin. I was extremely dizzy and felt that I had taking sleeping medication or another substance. I had a hard time sitting up and felt that I was falling over. When I shut my eyes I kept seeing dark figures coming at me. I had a metallic taste in my mouth. This lasted about 45 minutes-1hour. Nausea and headache occurred after those symptoms subsided.
Age: 28.0
Sex: F
Vaccine: FLUC4
Symptoms: Nausea, Pain in extremity, Palpitations
Clinical narrative: at 11:30 I started feeling pain in my arm. Numbness running down my arm to my thumb. I went to lay down and felt that my heart was racing and that my insides were trying to explode from my skin. I was extremely dizzy and felt that I had taking sleeping medication or another substance. I had a hard time sitting up and felt that I was falling over. When I shut my eyes I kept seeing dark figures coming at me. I had a metallic taste in my mouth. This lasted about 45 minutes-1hour. Nausea and headache occurred after those symptoms subsided.
Age: 90.0
Sex: M
Vaccine: RSV
Symptoms: Abdominal pain upper, Chest X-ray, Chills, Cough, Diarrhoea
Clinical narrative: 9/22 - Stomach pain & diarhea 9/24 - cough 9/27 cough much worse - Doxycyline 10/3 Chills & fever 10/3 Went to Emergency Room at Hospital - admitted medical ICU with Septic shock. 10/13 - discharged from hospital. I would be happy to sign a release for you to obtain all information on lab tests, diagnoses etc.
Age: 90.0
Sex: M
Vaccine: RSV
Symptoms: Intensive care, Laboratory test, Pyrexia, Septic shock
Clinical narrative: 9/22 - Stomach pain & diarhea 9/24 - cough 9/27 cough much worse - Doxycyline 10/3 Chills & fever 10/3 Went to Emergency Room at Hospital - admitted medical ICU with Septic shock. 10/13 - discharged from hospital. I would be happy to sign a release for you to obtain all information on lab tests, diagnoses etc.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Meningitis, Respiratory arrest, Tooth resorption
Clinical narrative: stopped breathing twice, meningitis, tooth resorption X2 and counting
Age: 66.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Joint range of motion decreased, Mobility decreased, Pain in extremity, Peripheral swelling
Clinical narrative: Profound pain with injection followed by 48 hours of intense pain and inability to move arm. Ongoing pain and decreased range of movement.
Age: 66.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Injected limb mobility decreased, Injection site pain, Joint range of motion decreased
Clinical narrative: Profound pain with injection followed by 48 hours of intense pain and inability to move arm. Ongoing pain and decreased range of movement.