chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 27.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site induration, Injection site swelling, Lethargy
Clinical narrative: The day following administration, the patient felt very lethargic and noticed the injection site was very swollen and hard to the touch. At the time of reporting (11/01/22 approximately 5pm) swelling has reduced per patient but is still present. The site is also still hard to the touch.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was administered 6 days after vial expiration date. Parent notified by provider. Provider chosen not to revaccinate. Parent agreed, child doing well.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain in extremity, Tinnitus
Clinical narrative: Ears ringing constantly and arm muscles ache daily
Age: 13.0
Sex: M
Vaccine: COVID19-2, COVID19-2
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was given the  Pfizer Bivalent Booster for 5-11 year olds instead of the Pfizer Bivalent booster for 12 years and older.  Family was notified.  Per guidance, the dose was repeated, during same clinic, with the correct dose for 12 years and older.
Age: 83.0
Sex: F
Vaccine: FLUA4
Symptoms: Abdominal pain lower, Angina pectoris, Pain, Panic reaction
Clinical narrative: Less than 5 minutes after flu shot, patient came to counter in a panic.  Said she is having an angina attack.  Was yelling in pain while emptying her purse.  Sat down, still in pain.  We called 911.  While on the call, our tech found her nitroglycerin and gave her 1 tab.  Within about 3 minutes, patient felt it subside.  She denied having trouble breathing or like an elephant sitting on her chest.  Reported pain in her lower abdominal area.  Shortly after a policeman arrived and took over care.  Patient came back next day to report she spent the night at the hospital and they confirmed it was an angina attack.
Age: 56.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Burning sensation, Erythema, Fatigue, Headache
Clinical narrative: My face on my cheeks on forehead and the sides of my head got very hot and red I took my temperature, but I did not have a fever. I called an after-hours clinic. They stated they thought it may be a mild allergenic reaction to the COVID-19 vaccine that I had gotten that day.  I began not feel well and had a mild headache with extreme fatigue. My lower belly and upper legs just felt like it was burning and on fire with muscle and joint pain, but my feet and hands were very cold. I was too tired to take my temperature during the night but when I woke up the next morning and I did have a fever.
Age: 56.0
Sex: F
Vaccine: COVID19-2
Symptoms: Malaise, Myalgia, Peripheral coldness, Pyrexia, Skin warm
Clinical narrative: My face on my cheeks on forehead and the sides of my head got very hot and red I took my temperature, but I did not have a fever. I called an after-hours clinic. They stated they thought it may be a mild allergenic reaction to the COVID-19 vaccine that I had gotten that day.  I began not feel well and had a mild headache with extreme fatigue. My lower belly and upper legs just felt like it was burning and on fire with muscle and joint pain, but my feet and hands were very cold. I was too tired to take my temperature during the night but when I woke up the next morning and I did have a fever.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Patient received 0.25 mL instead of 0.50 mL
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine vial potentially stored in fridge for longer than recommended period of time (may have been up to 28 days No adverse reactions, no illness
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dysphagia, Fatigue, Rhinorrhoea
Clinical narrative: It started off with a raw throat, swallowing a lot, tired, dry cough, and nose started pouring like a bucket. I went to the hospital drive thru to get a COVID-19 test and it was positive. They gave me medicine and I took it for three days when needed. Then I tested positive for COVID-19 again on 10/30/2022 at home. I had the same symptoms as before but milder.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Throat irritation
Clinical narrative: It started off with a raw throat, swallowing a lot, tired, dry cough, and nose started pouring like a bucket. I went to the hospital drive thru to get a COVID-19 test and it was positive. They gave me medicine and I took it for three days when needed. Then I tested positive for COVID-19 again on 10/30/2022 at home. I had the same symptoms as before but milder.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dry throat, Fatigue, Headache, Impaired work ability
Clinical narrative: I put in the info for my first vaccine, but I had my 2nd booster that was supposed to protect against new variants on 9/23/22. I have had 4 moderna vaccines in total. I had a dry throat starting on 10/21 while arriving for vacation and then tested positive for Covid using at home  tests on 10/26 upon returning home. I had to schedule a doctor's appointment to get a note to say when it was safe to return to work. Starting on 10/27, I had severe congestion, runny nose, reduced ability to smell, headache , and fatigue. I still have some fatigue.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Parosmia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I put in the info for my first vaccine, but I had my 2nd booster that was supposed to protect against new variants on 9/23/22. I have had 4 moderna vaccines in total. I had a dry throat starting on 10/21 while arriving for vacation and then tested positive for Covid using at home  tests on 10/26 upon returning home. I had to schedule a doctor's appointment to get a note to say when it was safe to return to work. Starting on 10/27, I had severe congestion, runny nose, reduced ability to smell, headache , and fatigue. I still have some fatigue.
Age: 67.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I had my vaccination on 09/27/2022.  On 10/25/2022 I woke up with coughing and runny nose. I took a at home COVID-19 test which was Negative. On 10/26/2022 I went to urgent care and tested COVID-19 Positive. I was given Mucinex and Robitussen. I am feeling better but not 100% on 11/01/2022.
Age: 7.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event, Wrong product administered
Clinical narrative: There was no adverse event, the medical assistant just gave the wrong vaccine and dose given to patient.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine stored at potentially longer than recommended period of time (potentially up to 28 days post puncture), no adverse reactions no illness
Age: 75.0
Sex: M
Vaccine: COVID19-2, COVID19
Symptoms: Arthralgia, Asthenia, Body temperature increased, Chest X-ray normal, Chills
Clinical narrative: I started to experience body aches, hip pain, and chills that was on the Sunday and Monday after. On the 18th I was up all night, I was uncomfortable. On the 19th I started to have shortness of breath, I drove to an urgent care near me. My oxygen was measured at 99 percent but when I walked it got down to 90 percent. We called 911 from the medical center and I was taken by ambulance to another medical center. They gave me some IV fluid and IV vancomycin. They ran a viral test, urine test, and chest x-ray. They all came back negative. I was discharged around 3PM on the 19th. On the same day around 4:45PM my temperature spiked to 100.6 degrees. We called 911 to take me back to the hospital. They said all they could do is give me TYLENOL and MOTRIN. I had a temperature on and off from the 18th to the 25th. I also vomited a couple of times during this time. I also had chills. On the 19th I had temperature of 100.6 degrees. On the 22nd it spiked again to 104.7 degrees. My wife pushed fluids every 15 minutes and gave me TYLENOL and MOTRIN. My temperature fluctuated up and down between 99.6 and normal at that point. From 10/16/2022-10/25/2022 I lost about 15 pounds. Now I'm starting to eat more, I have insomnia, and I have trouble walking because I am so weak. I have not recovered. I think it will be a while before I am back to full health.
Age: 75.0
Sex: M
Vaccine: COVID19-2, COVID19
Symptoms: Discomfort, Dyspnoea, Insomnia, Pain, Urine analysis normal
Clinical narrative: I started to experience body aches, hip pain, and chills that was on the Sunday and Monday after. On the 18th I was up all night, I was uncomfortable. On the 19th I started to have shortness of breath, I drove to an urgent care near me. My oxygen was measured at 99 percent but when I walked it got down to 90 percent. We called 911 from the medical center and I was taken by ambulance to another medical center. They gave me some IV fluid and IV vancomycin. They ran a viral test, urine test, and chest x-ray. They all came back negative. I was discharged around 3PM on the 19th. On the same day around 4:45PM my temperature spiked to 100.6 degrees. We called 911 to take me back to the hospital. They said all they could do is give me TYLENOL and MOTRIN. I had a temperature on and off from the 18th to the 25th. I also vomited a couple of times during this time. I also had chills. On the 19th I had temperature of 100.6 degrees. On the 22nd it spiked again to 104.7 degrees. My wife pushed fluids every 15 minutes and gave me TYLENOL and MOTRIN. My temperature fluctuated up and down between 99.6 and normal at that point. From 10/16/2022-10/25/2022 I lost about 15 pounds. Now I'm starting to eat more, I have insomnia, and I have trouble walking because I am so weak. I have not recovered. I think it will be a while before I am back to full health.
Age: 75.0
Sex: M
Vaccine: COVID19-2, COVID19
Symptoms: Viral test negative, Vomiting, Weight decreased
Clinical narrative: I started to experience body aches, hip pain, and chills that was on the Sunday and Monday after. On the 18th I was up all night, I was uncomfortable. On the 19th I started to have shortness of breath, I drove to an urgent care near me. My oxygen was measured at 99 percent but when I walked it got down to 90 percent. We called 911 from the medical center and I was taken by ambulance to another medical center. They gave me some IV fluid and IV vancomycin. They ran a viral test, urine test, and chest x-ray. They all came back negative. I was discharged around 3PM on the 19th. On the same day around 4:45PM my temperature spiked to 100.6 degrees. We called 911 to take me back to the hospital. They said all they could do is give me TYLENOL and MOTRIN. I had a temperature on and off from the 18th to the 25th. I also vomited a couple of times during this time. I also had chills. On the 19th I had temperature of 100.6 degrees. On the 22nd it spiked again to 104.7 degrees. My wife pushed fluids every 15 minutes and gave me TYLENOL and MOTRIN. My temperature fluctuated up and down between 99.6 and normal at that point. From 10/16/2022-10/25/2022 I lost about 15 pounds. Now I'm starting to eat more, I have insomnia, and I have trouble walking because I am so weak. I have not recovered. I think it will be a while before I am back to full health.
Age: 75.0
Sex: M
Vaccine: COVID19-2, COVID19
Symptoms: Arthralgia, Asthenia, Blood culture, Blood test, Body temperature
Clinical narrative: I started to experience body aches, hip pain, and chills that was on the Sunday and Monday after. On the 18th I was up all night, I was uncomfortable. On the 19th I started to have shortness of breath, I drove to an urgent care near me. My oxygen was measured at 99 percent but when I walked it got down to 90 percent. We called 911 from the medical center and I was taken by ambulance to another medical center. They gave me some IV fluid and IV vancomycin. They ran a viral test, urine test, and chest x-ray. They all came back negative. I was discharged around 3PM on the 19th. On the same day around 4:45PM my temperature spiked to 100.6 degrees. We called 911 to take me back to the hospital. They said all they could do is give me TYLENOL and MOTRIN. I had a temperature on and off from the 18th to the 25th. I also vomited a couple of times during this time. I also had chills. On the 19th I had temperature of 100.6 degrees. On the 22nd it spiked again to 104.7 degrees. My wife pushed fluids every 15 minutes and gave me TYLENOL and MOTRIN. My temperature fluctuated up and down between 99.6 and normal at that point. From 10/16/2022-10/25/2022 I lost about 15 pounds. Now I'm starting to eat more, I have insomnia, and I have trouble walking because I am so weak. I have not recovered. I think it will be a while before I am back to full health.
Age: 75.0
Sex: M
Vaccine: COVID19-2, COVID19
Symptoms: Bradykinesia, Chest X-ray, Chills, Cough, Decreased appetite
Clinical narrative: I started to experience body aches, hip pain, and chills that was on the Sunday and Monday after. On the 18th I was up all night, I was uncomfortable. On the 19th I started to have shortness of breath, I drove to an urgent care near me. My oxygen was measured at 99 percent but when I walked it got down to 90 percent. We called 911 from the medical center and I was taken by ambulance to another medical center. They gave me some IV fluid and IV vancomycin. They ran a viral test, urine test, and chest x-ray. They all came back negative. I was discharged around 3PM on the 19th. On the same day around 4:45PM my temperature spiked to 100.6 degrees. We called 911 to take me back to the hospital. They said all they could do is give me TYLENOL and MOTRIN. I had a temperature on and off from the 18th to the 25th. I also vomited a couple of times during this time. I also had chills. On the 19th I had temperature of 100.6 degrees. On the 22nd it spiked again to 104.7 degrees. My wife pushed fluids every 15 minutes and gave me TYLENOL and MOTRIN. My temperature fluctuated up and down between 99.6 and normal at that point. From 10/16/2022-10/25/2022 I lost about 15 pounds. Now I'm starting to eat more, I have insomnia, and I have trouble walking because I am so weak. I have not recovered. I think it will be a while before I am back to full health.
Age: 75.0
Sex: M
Vaccine: COVID19-2, COVID19
Symptoms: Dehydration, Diarrhoea, Dyspnoea, Fatigue, Headache
Clinical narrative: I started to experience body aches, hip pain, and chills that was on the Sunday and Monday after. On the 18th I was up all night, I was uncomfortable. On the 19th I started to have shortness of breath, I drove to an urgent care near me. My oxygen was measured at 99 percent but when I walked it got down to 90 percent. We called 911 from the medical center and I was taken by ambulance to another medical center. They gave me some IV fluid and IV vancomycin. They ran a viral test, urine test, and chest x-ray. They all came back negative. I was discharged around 3PM on the 19th. On the same day around 4:45PM my temperature spiked to 100.6 degrees. We called 911 to take me back to the hospital. They said all they could do is give me TYLENOL and MOTRIN. I had a temperature on and off from the 18th to the 25th. I also vomited a couple of times during this time. I also had chills. On the 19th I had temperature of 100.6 degrees. On the 22nd it spiked again to 104.7 degrees. My wife pushed fluids every 15 minutes and gave me TYLENOL and MOTRIN. My temperature fluctuated up and down between 99.6 and normal at that point. From 10/16/2022-10/25/2022 I lost about 15 pounds. Now I'm starting to eat more, I have insomnia, and I have trouble walking because I am so weak. I have not recovered. I think it will be a while before I am back to full health.
Age: 75.0
Sex: M
Vaccine: COVID19-2, COVID19
Symptoms: Interchange of vaccine products, Oxygen saturation, Oxygen saturation decreased, Pain, Pyrexia
Clinical narrative: I started to experience body aches, hip pain, and chills that was on the Sunday and Monday after. On the 18th I was up all night, I was uncomfortable. On the 19th I started to have shortness of breath, I drove to an urgent care near me. My oxygen was measured at 99 percent but when I walked it got down to 90 percent. We called 911 from the medical center and I was taken by ambulance to another medical center. They gave me some IV fluid and IV vancomycin. They ran a viral test, urine test, and chest x-ray. They all came back negative. I was discharged around 3PM on the 19th. On the same day around 4:45PM my temperature spiked to 100.6 degrees. We called 911 to take me back to the hospital. They said all they could do is give me TYLENOL and MOTRIN. I had a temperature on and off from the 18th to the 25th. I also vomited a couple of times during this time. I also had chills. On the 19th I had temperature of 100.6 degrees. On the 22nd it spiked again to 104.7 degrees. My wife pushed fluids every 15 minutes and gave me TYLENOL and MOTRIN. My temperature fluctuated up and down between 99.6 and normal at that point. From 10/16/2022-10/25/2022 I lost about 15 pounds. Now I'm starting to eat more, I have insomnia, and I have trouble walking because I am so weak. I have not recovered. I think it will be a while before I am back to full health.
Age: 75.0
Sex: M
Vaccine: COVID19-2, COVID19
Symptoms: Rhinitis, SARS-CoV-2 test, Urine analysis, Viral test, Vomiting
Clinical narrative: I started to experience body aches, hip pain, and chills that was on the Sunday and Monday after. On the 18th I was up all night, I was uncomfortable. On the 19th I started to have shortness of breath, I drove to an urgent care near me. My oxygen was measured at 99 percent but when I walked it got down to 90 percent. We called 911 from the medical center and I was taken by ambulance to another medical center. They gave me some IV fluid and IV vancomycin. They ran a viral test, urine test, and chest x-ray. They all came back negative. I was discharged around 3PM on the 19th. On the same day around 4:45PM my temperature spiked to 100.6 degrees. We called 911 to take me back to the hospital. They said all they could do is give me TYLENOL and MOTRIN. I had a temperature on and off from the 18th to the 25th. I also vomited a couple of times during this time. I also had chills. On the 19th I had temperature of 100.6 degrees. On the 22nd it spiked again to 104.7 degrees. My wife pushed fluids every 15 minutes and gave me TYLENOL and MOTRIN. My temperature fluctuated up and down between 99.6 and normal at that point. From 10/16/2022-10/25/2022 I lost about 15 pounds. Now I'm starting to eat more, I have insomnia, and I have trouble walking because I am so weak. I have not recovered. I think it will be a while before I am back to full health.
Age: 63.0
Sex: F
Vaccine: MMR
Symptoms: Rash
Clinical narrative: rash under breasts for 5 days
Age: 35.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Headache, Injection site pain, Myalgia
Clinical narrative: Pain injection site,  muscle pain, joint pain, headache
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine stored longer than recommended period of time, potentially up to 28 days, no adverse reaction, no illness
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine vial stored longer than the recommended time frame (potentially up to 28 days in the fridge) no adverse reaction
Age: 7.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Product was administered without dilution
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine vial stored longer than recommendation post puncture (potentially up to 28 days), no adverse reaction.
Age: 6.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Vaccine was administered undiluted. Patient did not experience any unusual symptoms.
Age: 74.0
Sex: M
Vaccine: COVID19-2
Symptoms: Headache, Heart rate increased, Influenza like illness, Palpitations
Clinical narrative: Patient came into the fire station for another reason. Upon exiting  he mentioned he would like to take a test "just to check."  I replied, "no problem." While Patient was waiting for his test results we began with small. He started to tell me that he had a terrible reaction to the bivalent booster he received from the clinic. His symptoms started the morning after receiving the vaccines. Patient mentioned his heart was racing and reported a maximum heart rate of 170, BP 90/60 and a 10/10 headache. He proceeded to tell me he had a similar but milder reaction with his very first moderna vaccine of his primary series. He has since received other doses of the moderna monovalent vaccine with only mild flu-like symptoms as a reaction after those doses.  He felt he should  have gone to the hospital but chose not to.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine stored for longer than recommended period of time post puncture
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient came to a covid clinic to receive a vaccine. The nurse at the facility, RN, took her covid card to copy it and I thought she was able to receive her bivalent vaccine. I thought the facility nurse looked at the card and verified she was eligible. When the facility nurse came back, she handed me her covid card. I realized that she had received her second Pfizer on 9/27/22 and I had already adminstered her vaccine.  She wasn't eligible until 11/27/22. We monitored the patient for thirty mintues. She verbalized no complaints.
Age: 6.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: Vaccine was administered without dilution. Patient  has not had any adverse reactions.
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: Atrial fibrillation, Tachycardia
Clinical narrative: Tachycardia.  For 30 min.  5 days later first eve case of A Fib.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood test abnormal, Glycosylated haemoglobin increased
Clinical narrative: Increased Glucose levels and A1C    Prior to shot normal  on 9-14-21  went up to 9.2   next test A1C   2-28-22    6.2    Currently  tracked with Lifestyle  as of October 2022  6.1
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Breast pain, Headache, Hypersensitivity, Lymphadenopathy, Pain in extremity
Clinical narrative: Severe pain and swelling in arm, followed by pain and tingling on left side of breast, followed by swollen left lymph node, tingling on left side of face, and some type of allergic reaction/sore on left side of forehead near left eye.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Peripheral swelling
Clinical narrative: Severe pain and swelling in arm, followed by pain and tingling on left side of breast, followed by swollen left lymph node, tingling on left side of face, and some type of allergic reaction/sore on left side of forehead near left eye.
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: Extra dose administered
Clinical narrative: The member was in on 9/16/22 to receive her bivalent booster.  Her CDC card was stamped appropriately; however, the nurse documented that she administered a flu vaccine in error.  The patient continued to receive notification that she was due for a booster and booked another appointment for today.  Because the first booster was documented as a flu vaccine on 9/16/22, when the nurse checked the record, it appeared the member was indeed due for her bivalent booster, so she administered it erroneously.
Age: 40.0
Sex: M
Vaccine: COVID19-2
Symptoms: Limb discomfort, Muscle contractions involuntary, Muscle fatigue, Muscle spasms
Clinical narrative: Muscle fasciculations, tired heavy legs, leg cramps/ spasms
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: Experienced mild covid symptoms, on 10/24/2022. Tested at home. Positive result 10/26/2022. Prescribed /started paxlovid on 10/26/2022 for 5 days. Symptoms began to resolve on 10/29/2022. Tested negative at home on 10/31/2022.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: patient was given incorrect vaccine, Pediatric Bivalent Pfizer vaccine non-diluted 0.3ml IM rather than standard Grey top Pfizer Bivalent vaccine. No adverse effects have been reported.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given a 3rd dose of Pfizer-COVID-19 Monovalent when should have received Bivalent. Writer was unaware of recent CDC/Clinic policy change, clinic also did not have Bivalent supplied.
Age: 52.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dysphagia, Malaise
Clinical narrative: PATIENT CAME BACK TO THE PHARMACY WITH HER HUSBAND INFORMING THE PHARMACIST THAT SHE HAD DIFFICULTY SWALLOWING AND DID NT FEEL WELL IN GENERAL. PHARMACIST ADVISED HER TO GO TO URGENT CARE TO BE EXAMINED BY A PHYSICIAN AND GET A PROPER CARE IN CASE HER SYMPTOMS WERE GOING TO WORSEN BY TIME.
Age: 57.0
Sex: F
Vaccine: UNK
Symptoms: Herpes zoster
Clinical narrative: Had an influenza vaccine. Not sure of type/brand.  Broke out with shingles days after getting the vaccine.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Registered Nurse erroneously gave 0.25 ml instead of 0.5 ml.
Age: 77.0
Sex: M
Vaccine: VARZOS
Symptoms: Blood glucose normal, Eyelid function disorder, Pallor, Seizure like phenomena, Tremor
Clinical narrative: Patient had a Pfizer booster the day before. He then wanted to receive a Fluad and the first dose of Shingrix. He started closing his eyes approximately 3 minutes after the vaccines. His left side of the body shook for 2 seconds showing signs of seisures. His face turned pale/yellow. Emergency services called. The patient's vitals, blood oxygen and blood glucose were checked by the emergency service team. All showed normal. Patient was carried out of the pharmacy into the parking lot where they rechecked his levels. Patient was allowed to go home right after. He is doing fine at home
Age: 77.0
Sex: M
Vaccine: VARZOS
Symptoms: Yellow skin
Clinical narrative: Patient had a Pfizer booster the day before. He then wanted to receive a Fluad and the first dose of Shingrix. He started closing his eyes approximately 3 minutes after the vaccines. His left side of the body shook for 2 seconds showing signs of seisures. His face turned pale/yellow. Emergency services called. The patient's vitals, blood oxygen and blood glucose were checked by the emergency service team. All showed normal. Patient was carried out of the pharmacy into the parking lot where they rechecked his levels. Patient was allowed to go home right after. He is doing fine at home
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Patient given incorrect vaccine, was given Pfizer Pediatric Bivalent non diluted 0.3ml IM instead of Pfizer Bivalent Grey top. Patient has not experienced any signs or symptoms (fever, chills, injection site reactions) post vaccination
Age: 71.0
Sex: M
Vaccine: FLUA4
Symptoms: Extra dose administered
Clinical narrative: pt. signed up online for Flu & Covid booster shots. at time of payment, cashier specifically asked for Flu payment and he and his wife ok'd and paid the copay.  In the immunization room, the intern asked him what vaccines he was here for and showed him 2 syringes, Covid and FLu.  He even asked the pharmacy intern what kind of flu shot he is getting.  He got his shots with no questions and when it was time for the wife, she questioned as to why I am getting 2 shots and was discovered he already got his hi dose flu on 10/27/22 at MD's office.
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Registered Nurse gave 0.25 ml instead of the o.5 ml dose
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19-2
Symptoms: Arthralgia, Discomfort, Paraesthesia
Clinical narrative: My left shoulder has been feeling achy, tingly sometimes - I thought it was just musculoskeletal so I have been getting a massage regularly for a year, I always wonder where I got it. Then when I had my fourth vaccination, the discomfort became even more intense, so I realized I probably got the original ache from my third shot.
Age: 48.0
Sex: F
Vaccine: COVID19-2
Symptoms: Lymphadenopathy
Clinical narrative: Swollen axillary lymph nodes
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Patient came to report that her arm was itchy today after receiving the Shingrix shot last Saturday. I told her that is an uncommon side effect. It became red and swollen Sunday but the itching didn't start until Tuesday. The itchiness is only on the area the shot was given, it did not spread to other parts. The patient did not report any other symptoms. I told the patient to take Benadryl, and if the itchiness did spread, to let the Dr know. Any signs of anaphylaxis reaction to go to ER.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Injection site warmth, Rash pruritic
Clinical narrative: hot itchy rash below injection site
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Rash
Clinical narrative: pt in the evening after receiving the shingrix shot started having severe pain in arm and rash on chest and arm.
Age: 70.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site rash, Injection site swelling
Clinical narrative: Saturday morning 10/30/22 ~ 7:00 am  - Swelling from (R) shoulder to elbow and raised rash from (R) shoulder to (R) elbow.  Temperature 100.3 for 12 hours - dosed Advil every 6 hours with decreased temperature after ward but would rise again in 6 hours.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Circumstance or information capable of leading to medication error, Extra dose administered
Clinical narrative: I pulled up our page in software system called Preventative Health where another staff had entered in his prior vaccine history.  That page noted he had not received his original series and so I spoke to his family who authorized the vaccine.  After vaccinating I pulled up another document I learned about in the same software which noted he had received his original series at clinic in 2021.  I notified his physician and noted to give him the Bivalent Booster in 2 months.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Burning mouth syndrome, Laboratory test, Restless legs syndrome
Clinical narrative: Subsequently diagnosed with primary burning mouth syndrome and restless leg syndrome
Age: 32.0
Sex: F
Vaccine: COVID19-2
Symptoms: Confusional state, Diplopia, Vision blurred
Clinical narrative: Patient called saying she was having double vision, blurry vision and a little confusion.  I told her that these were not normal side effects from the vaccine and that she should follow up with a health care provider right away or go into an urgent care facility to be examined.
Age: 13.0
Sex: M
Vaccine: FLUR4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient is 13 years old, Flublok is indicated for 18+ years old.  No adverse reaction as on 7pm 11/1/22.  Reporting the incident solely due to patient's age.
Age: 92.0
Sex: F
Vaccine: FLUA4
Symptoms: Extra dose administered
Clinical narrative: I spoke with the resident earlier in the afternoon and offered her covid and flu vaccine, according to our records she hadn't received a flu vaccine.  She agreed to both and I went to prepare.  I came back later, she refused at that time and I returned an hour and half later and administered.  After I did so, she then told me in surprise, I just received the flu vaccine last month, September at my Dr.'s office.  I called the PCP and notified then (and they verified that they had administered her flu dose there.)
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: PATIENT WAS GIVEN THE WRONG TYPE OF PFIZER COVID-19 VACCINE. PATIENT WAS SUPPOSED TO GET PFIZER 5-11 ORANGE CAP.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Sterile water instead of the sodium chloride  0.9% was used as diluent for the vaccine. NO POST VACCINATION SIDE EFFECTS NOTICED
Age: 41.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chest pain, Painful respiration
Clinical narrative: Chest pain, discomfort breathing
Age: 74.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Extra dose administered
Clinical narrative: Patient got flu shot twice. She had previously received flu shot on 10/17 . Patient made a duplicate appt and got flu shot again on 11/01/2022. Patient was asked to wait around for 15-30 mins and had no rxn or any other symptoms.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Full blood count, Neutropenia, Pyrexia, Rash, Thrombocytopenia
Clinical narrative: fever and rash.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Breast pain, Breast scan, Breast swelling, Chest pain, Dysmenorrhoea
Clinical narrative: Immediate onset of migraine, nausea, tiredness, early period, painful periods, swollen and painful breasts, new intolerance to gluten, new allergy to nuts, labored breathing, shortness of breath, pain when breathing, general chronic tiredness and fatigue
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Food allergy, Food intolerance, Gluten sensitivity
Clinical narrative: Immediate onset of migraine, nausea, tiredness, early period, painful periods, swollen and painful breasts, new intolerance to gluten, new allergy to nuts, labored breathing, shortness of breath, pain when breathing, general chronic tiredness and fatigue
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular, Migraine, Nausea, Painful respiration, Pharyngeal swelling
Clinical narrative: Immediate onset of migraine, nausea, tiredness, early period, painful periods, swollen and painful breasts, new intolerance to gluten, new allergy to nuts, labored breathing, shortness of breath, pain when breathing, general chronic tiredness and fatigue
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face, Ultrasound pelvis normal, Ultrasound scan normal
Clinical narrative: Immediate onset of migraine, nausea, tiredness, early period, painful periods, swollen and painful breasts, new intolerance to gluten, new allergy to nuts, labored breathing, shortness of breath, pain when breathing, general chronic tiredness and fatigue
Age: 1.5
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Within first 24 hours developed large area of erythema, warmth changed induration around injection site. Lasted ~ 72 hours
Age: 1.33
Sex: M
Vaccine: HIBV, PNC13
Symptoms: Decreased activity, Drooling, Eye movement disorder, Somnolence, Tonic clonic movements
Clinical narrative: the patient had his 15-month immunizations yesterday. Today he was at home being held by the grandmother when he suddenly began to have tonic-clonic contractions of the upper and lower extremities.  He was unresponsive with eyes rolled up and had some drooling.  The episode lasted approximately 5 minutes.  EMS was called but the parents decided not to wait and instead brought the patient to the ER by car.  Upon arrival the patient became sleepy and is currently awake with decreased activity level. He has not had any vomiting o diarrhea..  No fever at home.  No cold runny nose or cough.  There are no sick contacts at home.  He has no past history of febrile seizures.  There is no family history of febrile seizures.
Age: 1.33
Sex: M
Vaccine: HIBV, PNC13
Symptoms: Unresponsive to stimuli
Clinical narrative: the patient had his 15-month immunizations yesterday. Today he was at home being held by the grandmother when he suddenly began to have tonic-clonic contractions of the upper and lower extremities.  He was unresponsive with eyes rolled up and had some drooling.  The episode lasted approximately 5 minutes.  EMS was called but the parents decided not to wait and instead brought the patient to the ER by car.  Upon arrival the patient became sleepy and is currently awake with decreased activity level. He has not had any vomiting o diarrhea..  No fever at home.  No cold runny nose or cough.  There are no sick contacts at home.  He has no past history of febrile seizures.  There is no family history of febrile seizures.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Electromyogram, Grip strength, Grip strength decreased, Neuralgic amyotrophy, Pain
Clinical narrative: Painful brachial plexopathy, consistent with a diagnosis of Parsonage Turner syndrome
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Brachial plexopathy, Electromyogram abnormal, Neuralgic amyotrophy, Pain
Clinical narrative: Painful brachial plexopathy, consistent with a diagnosis of Parsonage Turner syndrome
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: Patient with 3 COVID vaccines who admitted to hospital with COVID detected PCR and symptoms.  Provider d/c note:  "73 YO female with chronic O2 dependence presented with dyspnea, admitted with acute on chronic hypoxic respiratory failure as well as recurrent dysphagia related to esophageal stricture.  Treated for covid pneumonia as well as HAP and COPD with improvement to home O2.  EGD performed, showing worsened esophageal stricture.  She is tolerating full liquids and purees, and will not advance diet until GI follow-up.   Problem list: Acute on chronic respiratory failure with hypoxia, resolved                -Covid, possible HAP, COPD, lung adenocarcinoma with right middle lobe collapse               -LABA/ICS, albuterol                -on home 4L  COVID pneumonia, resolved                -remdesivir complete, dexamethasone complete  Recurrent esophageal dysphagia - radiation vs malignancy?               -Discussed with GI and SLP, pureed diet                -trial carafate solution                -Discussed need for follow-up EGD in a few weeks, eval for malignancy               -Discussed potential for surgical gastrostomy if stricture worsens  Chronic heart failure with preserved ejection fraction                -home furosemide               -carvedilol "
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Malaise, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Patient with 3 COVID vaccines who admitted to hospital with COVID detected PCR and symptoms.  Provider d/c note:  "73 YO female with chronic O2 dependence presented with dyspnea, admitted with acute on chronic hypoxic respiratory failure as well as recurrent dysphagia related to esophageal stricture.  Treated for covid pneumonia as well as HAP and COPD with improvement to home O2.  EGD performed, showing worsened esophageal stricture.  She is tolerating full liquids and purees, and will not advance diet until GI follow-up.   Problem list: Acute on chronic respiratory failure with hypoxia, resolved                -Covid, possible HAP, COPD, lung adenocarcinoma with right middle lobe collapse               -LABA/ICS, albuterol                -on home 4L  COVID pneumonia, resolved                -remdesivir complete, dexamethasone complete  Recurrent esophageal dysphagia - radiation vs malignancy?               -Discussed with GI and SLP, pureed diet                -trial carafate solution                -Discussed need for follow-up EGD in a few weeks, eval for malignancy               -Discussed potential for surgical gastrostomy if stricture worsens  Chronic heart failure with preserved ejection fraction                -home furosemide               -carvedilol "
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Cardiac failure, Chronic obstructive pulmonary disease
Clinical narrative: Patient with 3 COVID vaccines who admitted to hospital with COVID detected PCR and symptoms.  Provider d/c note:  "73 YO female with chronic O2 dependence presented with dyspnea, admitted with acute on chronic hypoxic respiratory failure as well as recurrent dysphagia related to esophageal stricture.  Treated for covid pneumonia as well as HAP and COPD with improvement to home O2.  EGD performed, showing worsened esophageal stricture.  She is tolerating full liquids and purees, and will not advance diet until GI follow-up.   Problem list: Acute on chronic respiratory failure with hypoxia, resolved                -Covid, possible HAP, COPD, lung adenocarcinoma with right middle lobe collapse               -LABA/ICS, albuterol                -on home 4L  COVID pneumonia, resolved                -remdesivir complete, dexamethasone complete  Recurrent esophageal dysphagia - radiation vs malignancy?               -Discussed with GI and SLP, pureed diet                -trial carafate solution                -Discussed need for follow-up EGD in a few weeks, eval for malignancy               -Discussed potential for surgical gastrostomy if stricture worsens  Chronic heart failure with preserved ejection fraction                -home furosemide               -carvedilol "
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Condition aggravated, Dysphagia, Dyspnoea, Malaise, Oesophageal stenosis
Clinical narrative: Patient with 3 COVID vaccines who admitted to hospital with COVID detected PCR and symptoms.  Provider d/c note:  "73 YO female with chronic O2 dependence presented with dyspnea, admitted with acute on chronic hypoxic respiratory failure as well as recurrent dysphagia related to esophageal stricture.  Treated for covid pneumonia as well as HAP and COPD with improvement to home O2.  EGD performed, showing worsened esophageal stricture.  She is tolerating full liquids and purees, and will not advance diet until GI follow-up.   Problem list: Acute on chronic respiratory failure with hypoxia, resolved                -Covid, possible HAP, COPD, lung adenocarcinoma with right middle lobe collapse               -LABA/ICS, albuterol                -on home 4L  COVID pneumonia, resolved                -remdesivir complete, dexamethasone complete  Recurrent esophageal dysphagia - radiation vs malignancy?               -Discussed with GI and SLP, pureed diet                -trial carafate solution                -Discussed need for follow-up EGD in a few weeks, eval for malignancy               -Discussed potential for surgical gastrostomy if stricture worsens  Chronic heart failure with preserved ejection fraction                -home furosemide               -carvedilol "
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Oesophagogastroduodenoscopy abnormal, Pneumonia, Pneumothorax, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Patient with 3 COVID vaccines who admitted to hospital with COVID detected PCR and symptoms.  Provider d/c note:  "73 YO female with chronic O2 dependence presented with dyspnea, admitted with acute on chronic hypoxic respiratory failure as well as recurrent dysphagia related to esophageal stricture.  Treated for covid pneumonia as well as HAP and COPD with improvement to home O2.  EGD performed, showing worsened esophageal stricture.  She is tolerating full liquids and purees, and will not advance diet until GI follow-up.   Problem list: Acute on chronic respiratory failure with hypoxia, resolved                -Covid, possible HAP, COPD, lung adenocarcinoma with right middle lobe collapse               -LABA/ICS, albuterol                -on home 4L  COVID pneumonia, resolved                -remdesivir complete, dexamethasone complete  Recurrent esophageal dysphagia - radiation vs malignancy?               -Discussed with GI and SLP, pureed diet                -trial carafate solution                -Discussed need for follow-up EGD in a few weeks, eval for malignancy               -Discussed potential for surgical gastrostomy if stricture worsens  Chronic heart failure with preserved ejection fraction                -home furosemide               -carvedilol "
Sex: U
Vaccine: VARCEL, VARCEL
Symptoms: No adverse event, Product storage error
Clinical narrative: No additional AE reported; Caller reported VARIVAX that had undergone temperature excursion was administered to a patient.; This spontaneous report has been received from a nurse concerning a 12-month-old patient of unknown gender. The patient's concurrent conditions, medical history, concomitant therapies and drug/allergy history were not reported.  On 27-SEP-2022, the patient was vaccinated with an improper stored dose of varicella virus vaccine live (oka/merck) (VARIVAX) (lot # W002601, has been verified to be a valid lot number for varicella virus vaccine live [oka/merck] [VARIVAX], expiration date reported and upon internal validation established as 24-JAN-2024) (dose, anatomical location and route of administration were not reported). The vaccine was administered for prophylaxis after a temperature excursion during 1 hour and 45 minutes. The vaccine had previous temperature excursions (Product storage error).  No adverse event was reported.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19, FLUC4
Symptoms: Incorrect product formulation administered
Clinical narrative: Subsequent to vaccine individual got first ever shingles lesion. It is a single lesion on face. Individual asked to have reported since lesion started to appear shortly after vaccination.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19, FLUC4
Symptoms: Herpes zoster, Skin lesion
Clinical narrative: Subsequent to vaccine individual got first ever shingles lesion. It is a single lesion on face. Individual asked to have reported since lesion started to appear shortly after vaccination.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Injected limb mobility decreased, Peripheral swelling
Clinical narrative: He got his vaccine, his arm was tight.  On 4/13/22 he started getting stiffness which he felt was going to go away.  The pain and stiffness did not go away, he cannot raise his arm to play basketball and his muscles in his arm hurt.  He has seen 2 orthopedists and he went to the ER.  He was told that they did not see anything that needed to have surgery on.  He also had an x-ray and MRI's and said that there was nothing to be done.  He was given a muscle relaxer which did not work.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Magnetic resonance imaging, Mobility decreased, Muscle tightness, Musculoskeletal stiffness, Myalgia
Clinical narrative: He got his vaccine, his arm was tight.  On 4/13/22 he started getting stiffness which he felt was going to go away.  The pain and stiffness did not go away, he cannot raise his arm to play basketball and his muscles in his arm hurt.  He has seen 2 orthopedists and he went to the ER.  He was told that they did not see anything that needed to have surgery on.  He also had an x-ray and MRI's and said that there was nothing to be done.  He was given a muscle relaxer which did not work.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain, X-ray
Clinical narrative: He got his vaccine, his arm was tight.  On 4/13/22 he started getting stiffness which he felt was going to go away.  The pain and stiffness did not go away, he cannot raise his arm to play basketball and his muscles in his arm hurt.  He has seen 2 orthopedists and he went to the ER.  He was told that they did not see anything that needed to have surgery on.  He also had an x-ray and MRI's and said that there was nothing to be done.  He was given a muscle relaxer which did not work.