chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: U
Vaccine: MMRV, VARCEL
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: No additional AE; Medical assistant called to report a patient inadvertently received both PROQUAD and VARIVAX on 9/12/2024. Caller stated no patient symptoms have been reported. No additional AE/no PQC reported.; This spontaneous report was received from a medical assistant referring to a patient of unknown age and gender. The patient's pertinent medical history, drug reactions/allergies, concurrent conditions and concomitant medications were not reported.      On 12-SEP-2024, the patient was inadvertently vaccinated with one dose of varicella virus vaccine live (oka/merck)(VARIVAX) lot # W039697 with expiration date 13-DEC-2024; and one dose of measles, mumps, rubella and varicella (oka-merck) virus vaccine live (rHA)(PROQUAD) Lot # Y003882 with expiration date 05-AUG-2025; both for prophylaxis (strength, dose, route of administration and anatomical location were not reported for both suspect vaccines) (accidental overdose). The caller stated no patient symptoms had been reported. No additional adverse event (AE) was reported.
Sex: M
Vaccine: DTAPHEPBIP, HEP
Symptoms: Incomplete course of vaccination
Clinical narrative: one at 2 months, one at 4 months, but he never got the six month dose; This non-serious case was reported by a other health professional via call center representative and described the occurrence of incomplete course of vaccination in a 15-year-old male patient who received HBV (Engerix B) for prophylaxis.   Co-suspect products included DTPa-HBV-IPV (Pediarix) for prophylaxis.   Previously administered products included Engerix B (received 1st dose on an unknown date), Pediarix (received 1st dose at 2 months) and Pediarix (received 2nd dose at 4 months).   On an unknown date, the patient did not receive the 2nd dose of Engerix B and the 3rd dose of Pediarix. On an unknown date, an unknown time after receiving Engerix B and Pediarix, the patient experienced incomplete course of vaccination (Verbatim: one at 2 months, one at 4 months, but he never got the six month dose). The outcome of the incomplete course of vaccination was unknown.   This report is made by GSK without prejudice and does not imply any admission or liability for the incident or its consequences.   Additional Information: GSK Receipt Date: 06-SEP-2024 The clinical director informed that a child received his 1st dose of HepB, and 2 doses of Pediarix, one at 2 months, one at 4 months, but he never got the six month dose, so the school nurses say that he was not compliant and they want him to have one dose of Engerix-B, and said that that will catch him up. According to reporter, at time reporting patient was 15 years old. Till the time of reporting, the patient did not receive 3rd dose of Pediarix and 2nd dose of Hepatitis B, which led to incomplete course of vaccination.
Age: 11.0
Sex: F
Vaccine: HPV9
Symptoms: Syncope
Clinical narrative: Patient received total of 5 vaccines, started to collapse after HPV. Was assisted to the floor by RN and her father. Recovered quickly. Was assessed by Dr.  Final Vaccine was administered
Age: 18.0
Sex: F
Vaccine: HEPA, HPV9
Symptoms: Incorrect dose administered, No adverse event, Product administered to patient of inappropriate age, Product administration error
Clinical narrative: Patient is 18 y.o. Pediatric dose of Vaqta was ordered, but it was discovered later that adult dose was administered. Patient has been notified of administration error, did not suffer any adverse effects from receiving the higher dose of vaccine.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Aphasia, Asthenia, Blood albumin, Blood creatine, Blood glucose
Clinical narrative: Pt woke up and was shaking, couldnt talk, clamy, sweating, blurry vision, and real weak. Called EMS went to hospital
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood magnesium, Cold sweat, Computerised tomogram, Full blood count, Heavy metal test
Clinical narrative: Pt woke up and was shaking, couldnt talk, clamy, sweating, blurry vision, and real weak. Called EMS went to hospital
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Hyperhidrosis, Influenza virus test, SARS-CoV-2 test, Thyroid function test, Tremor
Clinical narrative: Pt woke up and was shaking, couldnt talk, clamy, sweating, blurry vision, and real weak. Called EMS went to hospital
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Urine analysis, Vision blurred
Clinical narrative: Pt woke up and was shaking, couldnt talk, clamy, sweating, blurry vision, and real weak. Called EMS went to hospital
Age: 72.0
Sex: M
Vaccine: FLUA4, FLUA4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient was given a second flu shot after receiving one on 09/06/2024. Checking with patient there was no adverse reaction to report. Patient reports no issues.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Loss of personal independence in daily activities, Mobility decreased
Clinical narrative: Per patient: patient could not feel their legs at night after receiving vaccine. They were able to move them the next day. They had to call their friends to help take care of them. Patient reported to pharmacy today 9/16/24 to report adverse event and wanted to report it. Patient stated they also messaged their doctor but have not heard back yet.
Age: 60.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Chills, Injection site erythema, Injection site swelling, Periorbital swelling, Pyrexia
Clinical narrative: Pt stopped by Pharmacy on 09/15/24 & spoke with RPh.  Her right deltoid was still red & swollen. She had severe facial swelling around her eyes. She also had fever and chills. She took Claritin (can't take benadryl due to excessive drowsiness), Ibuprofen and eye drops. I called her on 09/16/24 @ 3:50pm to follow up. She said she is getting better and still some swelling in eyes left. Told her if the symptoms worsen, she needs to go see a Doctor.
Age: 80.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: Extra dose administered, No adverse event, Wrong product administered
Clinical narrative: Pt. received a FLUAD flu shot on 8/06/2024 (lot 388459, serial # 301FW6R1SC, exp 04/15/2025) then received a second flu shot on 09/13/2024 (lot 388459, serial # 32dn73r6f3, exp 04/15/2025) in error. On 9/13/2024 he was looking to get a COVID vaccine but received a flu shot instead. Resulting in a second flu shot. As of the afternoon of 09/13/24, pt. had no experienced any side effects of the second flu shot and elected to receive a COVID shot that afternoon.
Age: 74.0
Sex: F
Vaccine: RSV
Symptoms: Extra dose administered, No adverse event
Clinical narrative: patient was given AREXVY 1st dose on 9-21-2023, and a second dose was given on 9-8-2024. patient reported no side effects at all.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Dizziness, Dizziness postural, Fatigue
Clinical narrative: Starting about five days after vaccination, I started to feel unsteady. By the end of the day, I felt very dizzy when sitting up or standing. If I moved my head, it was like my head was moving too fast and it was an overwhelming feeling. I also felt fatigued for the first four days after dizziness started. The dizziness persisted but gradually got better over about two weeks.
Age: 65.0
Sex: M
Vaccine: PNC20
Symptoms: Extra dose administered
Clinical narrative: Patient has already received Prevnar20 on 9/6/23. 2nd dose not needed
Age: 63.0
Sex: F
Vaccine: HEP
Symptoms: Extra dose administered, No adverse event
Clinical narrative: NO ADVERSE EVENTS. 3 SHOTS GIVEN IN THE SERIES WHEN ONLY 2 SUPPOSED TO BE GIVEN
Age: 74.0
Sex: M
Vaccine: RSV
Symptoms: Extra dose administered, No adverse event
Clinical narrative: patient obtained 1st dose in 9-21-23, and second dose 9-8-24 -no adverse events noted
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary normal, Asthenia, Choking, Dysphonia, Dyspnoea
Clinical narrative: Swelling of feet bilateraly. Which increased up to calves, and became pitting edema 2+. Tachycardia. Heart rate resting 120s. Walking, 150s. Shortness of breath. Generalized weakness. Hoarse voice. Choking on foods, (Tested negative for Covid).
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram T wave abnormal, Fibrin D dimer, Oedema, Peripheral swelling, SARS-CoV-2 test negative
Clinical narrative: Swelling of feet bilateraly. Which increased up to calves, and became pitting edema 2+. Tachycardia. Heart rate resting 120s. Walking, 150s. Shortness of breath. Generalized weakness. Hoarse voice. Choking on foods, (Tested negative for Covid).
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Ultrasound Doppler normal
Clinical narrative: Swelling of feet bilateraly. Which increased up to calves, and became pitting edema 2+. Tachycardia. Heart rate resting 120s. Walking, 150s. Shortness of breath. Generalized weakness. Hoarse voice. Choking on foods, (Tested negative for Covid).
Age: 59.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Arthralgia, Chills, Headache, Neck pain, Pain in extremity
Clinical narrative: very bad chills, shaking, pain in my neck, shoulders, arm and back of head. Kept on for the rest of the evening and started to aleviate the next day and by the evening all of the symptoms had passed. I have never had an adverse reaction to vaccines in the past.
Age: 59.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Tremor
Clinical narrative: very bad chills, shaking, pain in my neck, shoulders, arm and back of head. Kept on for the rest of the evening and started to aleviate the next day and by the evening all of the symptoms had passed. I have never had an adverse reaction to vaccines in the past.
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: Patient is 64 years old, but she was given the High Dose Flu vaccine for patients 65 years and older. Patient was contacted after vaccination and she is aware. Patient was not concerned about any potential side effects at this time. Patient knows she can call the pharmacy if she has any issues.
Age: 57.0
Sex: F
Vaccine: COVID19, FLUR4
Symptoms: Erythema, Flushing, Malaise, Paraesthesia oral, Syncope
Clinical narrative: Patient's skin on face and neck flushed red, she complained of not feeling well and said she felt wheezing when she breathed.  She reported tingling on the tip of her tongue and seeing stars.  I shouted for staff to call EMS and they did.  I held her hand and shoulder to make sure I could guide her to the floor if she fainted.  I also checked her pulse and she seemed to be within normal range.  She quickly started to regain normal skin color and reported breathing was getting better. Emergency staff took her blood pressure and reported it was up to 166/over 88 but quickly resolved. They told her it was most likely due to the excitement of the moment.  They did not see any welts or blisters and had her see if she could stand ok.  She rested in our waiting room where we could keep an eye on her till she felt well enough to return to home.
Age: 57.0
Sex: F
Vaccine: COVID19, FLUR4
Symptoms: Wheezing
Clinical narrative: Patient's skin on face and neck flushed red, she complained of not feeling well and said she felt wheezing when she breathed.  She reported tingling on the tip of her tongue and seeing stars.  I shouted for staff to call EMS and they did.  I held her hand and shoulder to make sure I could guide her to the floor if she fainted.  I also checked her pulse and she seemed to be within normal range.  She quickly started to regain normal skin color and reported breathing was getting better. Emergency staff took her blood pressure and reported it was up to 166/over 88 but quickly resolved. They told her it was most likely due to the excitement of the moment.  They did not see any welts or blisters and had her see if she could stand ok.  She rested in our waiting room where we could keep an eye on her till she felt well enough to return to home.
Age: 69.0
Sex: F
Vaccine: RSV
Symptoms: Blood test, Computerised tomogram, Guillain-Barre syndrome, Lumbar puncture, Magnetic resonance imaging
Clinical narrative: Guillain Barre Syndrom
Age: 69.0
Sex: F
Vaccine: RSV
Symptoms: Nerve conduction studies, Urine analysis
Clinical narrative: Guillain Barre Syndrom
Age: 75.0
Sex: M
Vaccine: FLUA4
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: no adverse effects noted
Age: 73.0
Sex: F
Vaccine: FLUA4, PNC20
Symptoms: Injection site erythema, Injection site infection, Injection site inflammation, Injection site warmth, Wrong technique in product usage process
Clinical narrative: Patient received Prevnar and Fluad vaccines on 9/10/2024, came back to pharmacy on 9/16/24 to state symptoms of red, inflammed, hot-to-touch right upper arm started on 9/14/2024.  Patient took benadryl and applied ice pack on arm.  On 9/16/24, spoke with pharmacist and pharmacist recommended to see a doctor if symptoms were not tolerable.  Patient went to urgent care and prescriber at urgent care told her she had an infection due to improper cleaning of injection site and prescribed antibiotics.  Pharmacist who administered the vaccines has been observed for vaccine administration technique and was observed to follow all vaccine administration procedures.
Age: 72.0
Sex: F
Vaccine: FLUA4
Symptoms: Injected limb mobility decreased, Injection site pain, Loss of personal independence in daily activities
Clinical narrative: Patient experienced sharp pain at the time of injection. Patient complained of having pain and limited mobility for weeks after the injection. Patient stated that her daily activities greatly hindered do to pain and lack of mobility in her left arm.
Age: 73.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: Conjunctivitis, Eye swelling, Influenza
Clinical narrative: Within 24 hours I had full-blown flu symptoms and ping-eye. Sever swelling around my left eye and two days later - my right eye.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Hypoaesthesia, Myalgia, Paraesthesia
Clinical narrative: FEVER, MUSCLE PAIN, JOINT PAIN, HEADACHE, TINNITUS, NUMBNESS & TINGLING IN ARMS
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Tinnitus
Clinical narrative: FEVER, MUSCLE PAIN, JOINT PAIN, HEADACHE, TINNITUS, NUMBNESS & TINGLING IN ARMS
Age: 81.0
Sex: M
Vaccine: RSV, TDAP
Symptoms: Injection site erythema, Injection site pruritus, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: Patient has swelling and redness on his arm at injection site. States it is warm and itchy. The skin has peeled off in that area. The patient reports that the reaction has continued to get worse with time.
Age: 81.0
Sex: M
Vaccine: RSV, TDAP
Symptoms: Skin exfoliation
Clinical narrative: Patient has swelling and redness on his arm at injection site. States it is warm and itchy. The skin has peeled off in that area. The patient reports that the reaction has continued to get worse with time.
Age: 77.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Dizziness, Flushing, Headache, Immediate post-injection reaction, Paraesthesia
Clinical narrative: CUSTOMER GOT FLUSH AND INSTANT HEADACHE AND FELT TINGLY AND LIGHTHEADED.  CUSTOMER WAS GIVEN AN ADULT DOSE OF LIQUID BENADRYL AND WATER. SHE FELT BETTER AFTER 20 MINUTES BUT STILL FELT TINGLY AND HEADACHE. TALKED TO CUSTOMER LATER IN THE DAY AND SHE SAID SHE FELT MUCH BETTER BUT STILL HAD SLIGHT HEADACHE.
Age: 56.0
Sex: M
Vaccine: FLUC4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Was at an associate flu shot clinic on 09/13/2024 when an associate stated he had recently gotten his covid vaccine but not his flu shot. Pharmacy associate was given a flu shot. When trying to process flu shot at pharmacy later in the day after the clinic was finished, it was realized that pt had received a flu shot of 07/30/2024 and not a covid vaccine. Pt was contacted and there has been no reports that pt has suffered from receiving an extra flu shot. Reporting to VAERS per clinical guidelines.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Apathy, Arthralgia, Brain fog, Headache, Hypoaesthesia
Clinical narrative: FEVER, HEADACHE, NECK PAIN, JOINT PAIN, ARM NUMBNESS & TINGLING, BRAIN FOG, INSOMNIA, APATHY
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Insomnia, Neck pain, Paraesthesia, Pyrexia
Clinical narrative: FEVER, HEADACHE, NECK PAIN, JOINT PAIN, ARM NUMBNESS & TINGLING, BRAIN FOG, INSOMNIA, APATHY
Age: 29.0
Sex: M
Vaccine: MMR
Symptoms: Asthenia, Feeling abnormal, Lymphadenopathy, Nodule, Oropharyngeal pain
Clinical narrative: Large  knots  up and down neck and behind ears on both sides, weakness, fever, rash on both hands, swollen glands and sore throat for 11 days, so far. Patient is NEVER sick and this started two days after this horrible vaccine that the hospital required him to get before a clinical rotation there.
Age: 29.0
Sex: M
Vaccine: MMR
Symptoms: Pyrexia, Rash
Clinical narrative: Large  knots  up and down neck and behind ears on both sides, weakness, fever, rash on both hands, swollen glands and sore throat for 11 days, so far. Patient is NEVER sick and this started two days after this horrible vaccine that the hospital required him to get before a clinical rotation there.
Age: 31.0
Sex: F
Vaccine: YF
Symptoms: Erythema, Injection site swelling, Nausea, Paraesthesia, Pyrexia
Clinical narrative: Patient experienced swelling at the injection site, erythema, fevers, nausea and some face tingling (48 hours post injection). All symptoms started Saturday 9/14/24 in the morning. The swelling at the injection site increased in size over the next few days and has not subsided.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Myalgia
Clinical narrative: Muscular pain/weakness right shoulder.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Apathy, Arthralgia, Brain fog, Confusional state, Headache
Clinical narrative: FEVER, NECK PAIN, HEADACHE (WORSE THAN DOSE 1 OR 2), SHOULDER PAIN(CAN NOT RAISE ARMS ABOVE SHOULDER WITHOUT BAD PAIN AND POPPING SOUNDS), ARM WEAKNESS(BOTH ARMS), ARM NUMBNESS & TINGLING, HIP PAIN, BAD BRAIN FOG CONFUSED FORGET WHERE I AM SOMETIMES PROBLEMS TYPING, APATHY DO NOT CARE ABOUT FAMILY FRIENDS RELATIONSHIPS, INSOMNIA
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Insomnia, Mobility decreased, Muscular weakness, Neck pain
Clinical narrative: FEVER, NECK PAIN, HEADACHE (WORSE THAN DOSE 1 OR 2), SHOULDER PAIN(CAN NOT RAISE ARMS ABOVE SHOULDER WITHOUT BAD PAIN AND POPPING SOUNDS), ARM WEAKNESS(BOTH ARMS), ARM NUMBNESS & TINGLING, HIP PAIN, BAD BRAIN FOG CONFUSED FORGET WHERE I AM SOMETIMES PROBLEMS TYPING, APATHY DO NOT CARE ABOUT FAMILY FRIENDS RELATIONSHIPS, INSOMNIA
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Pyrexia
Clinical narrative: FEVER, NECK PAIN, HEADACHE (WORSE THAN DOSE 1 OR 2), SHOULDER PAIN(CAN NOT RAISE ARMS ABOVE SHOULDER WITHOUT BAD PAIN AND POPPING SOUNDS), ARM WEAKNESS(BOTH ARMS), ARM NUMBNESS & TINGLING, HIP PAIN, BAD BRAIN FOG CONFUSED FORGET WHERE I AM SOMETIMES PROBLEMS TYPING, APATHY DO NOT CARE ABOUT FAMILY FRIENDS RELATIONSHIPS, INSOMNIA
Age: 24.0
Sex: F
Vaccine: HEP
Symptoms: Metamorphopsia, Vision blurred
Clinical narrative: On 09/16/2024 at approximately 18:30 employee was brought to medical by another employee for reported adverse event of "blurry vision" to left eye. It was reported by patient that after receiving the Hep B vaccination prior in the day at approximately 13:00 no adverse reaction occurred at the elapsed time of 15min. Patient states that as the day progressed, she noticed her vision in the left eye became increasingly distorted. Patient reports initially under the impression that it was her visor that was creating the change in vision.  Patient reports she went to the bathroom and adjusted the contact lenses in her eye and no change or improvement to vision she reports time of contact adjustment at 17:30. Patient states contacts were 1 week in use prior to event. Immunization was received to left deltoid.  Heb B Vaccine  Lot: 944915 Exp 09/19/2024 Rec:03/28/2024  Initial vaccine
Age: 74.0
Sex: F
Vaccine: RSV
Symptoms: Extra dose administered, Product administration error
Clinical narrative: patient received a second dose of RSV in error. previously received one in 2023 as well
Age: 17.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Headache
Clinical narrative: Severe headache
Age: 61.0
Sex: M
Vaccine: FLUA4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received Fluad, not age appropriate.  Patient should have received Flucelvax.
Age: 78.0
Sex: M
Vaccine: FLUA4
Symptoms: Extra dose administered
Clinical narrative: Pt received a second dose of FLUad after initial dose given on 8/6/2024
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Blister, Myositis, Paralysis, Sjogren's syndrome
Clinical narrative: a couple of months after patient took the vaccine she started to notice difference In her balance and her skin started to blister and peel when in brief contact with the sun, after many visits to doctors, she was diagnosed with Sjogren's Syndrome, and she now regularly has to monitor her life when it comes to sun contact, diet, and random inflamed muscles, paralyzed body part etc;
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Skin exfoliation
Clinical narrative: a couple of months after patient took the vaccine she started to notice difference In her balance and her skin started to blister and peel when in brief contact with the sun, after many visits to doctors, she was diagnosed with Sjogren's Syndrome, and she now regularly has to monitor her life when it comes to sun contact, diet, and random inflamed muscles, paralyzed body part etc;
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Echocardiogram, Electrocardiogram, Head titubation, Immunisation reaction
Clinical narrative: PFIZER #1 3/26/2021 PFIZER #4/16/2021 DEVELOPED CHEST PAIN WENT TO HOSPITAL DEVELOPED VACCINE INDUCED MYOPERICARDITIS, INVOLUNTARY HEAD AND NECK TREMOR, POST EXERTIONAL MALAISE, AND WEIGHT LOSS.  TREATED WITH IVERMECTIN, COLCHICINE, NICOTINE PATCH, AND PROTOCOL BASE SPIKE DETOXIFICATION.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Laboratory test, Malaise, Myopericarditis, Tremor, Weight decreased
Clinical narrative: PFIZER #1 3/26/2021 PFIZER #4/16/2021 DEVELOPED CHEST PAIN WENT TO HOSPITAL DEVELOPED VACCINE INDUCED MYOPERICARDITIS, INVOLUNTARY HEAD AND NECK TREMOR, POST EXERTIONAL MALAISE, AND WEIGHT LOSS.  TREATED WITH IVERMECTIN, COLCHICINE, NICOTINE PATCH, AND PROTOCOL BASE SPIKE DETOXIFICATION.
Age: 6.0
Sex: M
Vaccine: MMRV
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse event/no adverse effects reported.; Caller reported PROQUAD administered after temperature excursions.; This spontaneous report was received from a registered nurse and refers to a 6 year old male patient. The patient's medical history, concurrent conditions, concomitant medications, drug reactions or allergies were not reported.   On 08-JUN-2024, the patient was vaccinated with the second dose of measles, mumps, rubella and varicella (Oka Merck) virus vaccine live (PROQUAD) lot # Y004547, expiration date: 19-AUG-2025, albumin status established as rHA, administered subcutaneously (SC) in the right arm (RA) (strength not provided) as prophylaxis at the private doctors office/hospital, which underwent an unnoticed temperature excursion at a temperature of -12 degrees Celsius (C), during a time frame of 37 minutes (product storage error). There was a previous temperature excursion (value not provided). It was stated that vaccine was administered before vaccine was cleared by manufacturer. Vaccine had been cleared for use. No adverse effects were reported.  This is one of the several reports received from the same reporter.; Sender's Comments:  US-009507513-2409USA005155: US-009507513-2408USA005168:
Sex: U
Vaccine: MMRV
Symptoms: No adverse event, Product storage error
Clinical narrative: No additional AE reported.; Nurse reported PROQUAD was administered after a temperature excursion. Date of administration: Aug 29, 2024. No further information provided. No additional AE reported. No PQC reported.  Names of vaccines involved (including lot/exp): PROQUAD (X02113; This spontaneous report was received from a Nurse and refers to a patient of unknown age and gender.  The patient's medical history, concurrent conditions, drug reactions or allergies and concomitant therapies were not reported. On an unspecified date, the following vaccine underwent a temperature excursion (temperature -14 degree Celsius for 16 minutes): measles, mumps, rubella and varicella (oka-merck) virus vaccine live (recombinant Human Albumin) (PROQUAD) injection, lot #X021130 has been verified to be valid, expiration date: 12-FEB-2025.   On 29-AUG-2024, the patient was vaccinated with the improperly stored measles, mumps, rubella and varicella (oka-merck) virus vaccine live (recombinant Human Albumin) (PROQUAD) injection, once, lot #X021130, expiration date was reported and confirmed as 12-FEB-2025, administered for prophylaxis (strength, exact dose and route of administration were not provided) (Product storage error). On an unspecified date, there was a previous temperature excursion of -0.4 degree Celsius for 1 Hour 31 minutes. Operator of device was reported as health professional. No further information provided. No additional adverse event reported. No product quality complaint reported.  This is one of several reports received from the same reporter.; Sender's Comments:  US-009507513-2409USA005377:
Sex: U
Vaccine: HEP
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Received A Third Dose of Heplisav-B; Initial report received on 27-Aug-2024.  A physician reported that a 50-year-old female (race and ethnicity not provided) received 3 doses of HEPLISAV-B (hepatitis B vaccine) for hepatitis B immunization.  Medical history and concomitant medication were not reported.   On an unknown date, dose 1 of HEPLISAV-B (lot #, expiration date, NDC #, site and route not reported) was administered.  On an unknown date, dose 2 of HEPLISAV-B (lot #, expiration date, NDC #, site and route not reported) was administered. On 27-Aug-2024, the patient mistakenly received a third dose of HEPLISAV-B (lot # 944916, expiration date 29-Oct-2026, and NDC # 43528-0003-01) intramuscularly in the left deltoid from a pharmacist by mistake.  The patient had no further side effects from this.    No further information was available.    Company Comment: The company assessed the event as non-serious.; Sender's Comments: The company assessed the event as non-serious.
Age: 0.08
Sex: M
Vaccine: RV1
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: given a first dose of Rotarix Liquid vaccine early; This non-serious case was reported by a other health professional via call center representative and described the occurrence of inappropriate age at vaccine administration in a 4-week-old male patient who received Rota (Rotarix liquid formulation) (batch number 5N2AN, expiry date 10-MAY-2026) for prophylaxis.   On 06-AUG-2024, the patient received the 1st dose of Rotarix liquid formulation. On 06-AUG-2024, an unknown time after receiving Rotarix liquid formulation, the patient experienced inappropriate age at vaccine administration (Verbatim: given a first dose of Rotarix Liquid vaccine early). The outcome of the inappropriate age at vaccine administration was unknown.   This report is made by GSK without prejudice and does not imply any admission or liability for the incident or its consequences.   Additional Information: GSK receipt date: 09-SEP-2024 Clinical Coordinator stated that a patient was given a first dose of Rotarix Liquid vaccine early, which led to inappropriate age at vaccine administration. Clinical Coordinator wanted to advise on how to proceed on the second dose administration.  Vaccination date and vaccine detail, as well as patient´s demographics were registered in the sections above.  No further detail was provided from the Healthcare Provider during this call. The Vaccine Administration Facility was the same as Primary Reporter Consented to follow up.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal pain, Abdominal pain upper, Chills, Ear discomfort, Headache
Clinical narrative: Roughly 8 to 10 hours after vaccination, started getting ringing in left ear (same side as injection); this was overnight but I had woken up due to other minor side effects.  At 6am (about 11.5 hours after injection), the tinnitus was significant, along with pressure in the ear similar to atmospheric pressure change while descending in an airplane; "yawning" did not clear it at all.  Not painful, but uncomfortable. Hearing was muffled  in left ear, similar to the effect of wearing ear plugs.  This went on for at least 3 hours.  Consulted with Telehealth at 1015 am; doctor advised that I go to urgent care and report the adverse event with VAERS.  At that time, the tinnitis and pressure started slowly diminishing, but Telehealth doctor still advised I go to urgent care.  By the early afternoon though, the tinnitis and pressure was significantly decreased, but I decided to go to urgent care anyway to make sure there wasn't any significant issue (and on the advice of the Telehealth doctor).  By the time I got to urgent care at approximately 7pm, the tinnitis and pressure had resolved.  Urgent care doctor examined ears and did an overall physical exam and didn't find anything concerning.  Was released.  As of 4 days after the vaccination, no further problems.   All other minor side effects (sore arm and neck, mild headache, temporary chills/shivering, sore abdomen/stomach) had resolved by approximately 1.5 days after vaccination.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Hypoacusis, Neck pain, Pain in extremity, Sleep disorder, Tinnitus
Clinical narrative: Roughly 8 to 10 hours after vaccination, started getting ringing in left ear (same side as injection); this was overnight but I had woken up due to other minor side effects.  At 6am (about 11.5 hours after injection), the tinnitus was significant, along with pressure in the ear similar to atmospheric pressure change while descending in an airplane; "yawning" did not clear it at all.  Not painful, but uncomfortable. Hearing was muffled  in left ear, similar to the effect of wearing ear plugs.  This went on for at least 3 hours.  Consulted with Telehealth at 1015 am; doctor advised that I go to urgent care and report the adverse event with VAERS.  At that time, the tinnitis and pressure started slowly diminishing, but Telehealth doctor still advised I go to urgent care.  By the early afternoon though, the tinnitis and pressure was significantly decreased, but I decided to go to urgent care anyway to make sure there wasn't any significant issue (and on the advice of the Telehealth doctor).  By the time I got to urgent care at approximately 7pm, the tinnitis and pressure had resolved.  Urgent care doctor examined ears and did an overall physical exam and didn't find anything concerning.  Was released.  As of 4 days after the vaccination, no further problems.   All other minor side effects (sore arm and neck, mild headache, temporary chills/shivering, sore abdomen/stomach) had resolved by approximately 1.5 days after vaccination.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: On the same day as receiving the COVID-19 vaccine, I began experiencing static/white noise intermittently in my right ear. I have never experienced tinnitus so I'm not exactly sure if that's what this was, but it seems like it based on other peoples' accounts. There was no white noise heard by anyone else around me and I did not hear any through my left ear.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Inappropriate schedule of product administration, Medication error, No adverse event
Clinical narrative: ADACEL administered to a patient earlier than scheduled with no reported adverse event; Initial information received on 05-Sep-2024 regarding an unsolicited valid  non-serious case received from a nurse.  This case was linked to 2024SA261329.  This case involves a 11 years old female patient and the reporter reported that diphtheria-2/tetanus/5 AC pertussis vaccine [Adacel] administered to a patient earlier than scheduled with no reported adverse event.  The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided.  Concomitant medications included HPV vaccine VLP rL1 4v (yeast) (Gardasil) for Immunisation.  On 12-JUN-2024, the patient received an unknown dose of dose 1 diphtheria-2/tetanus/5 AC pertussis vaccine Suspension for injection (unknown batch number and expiry date) and on 05-Sep-2024, the patient received, 0.5 ml of dose 2 of suspect diphtheria-2/tetanus/5 AC pertussis vaccine Suspension for injection standard (lot U8122AA and expiry date- 30-APR-2026) via intramuscular route in the right deltoid for Immunization earlier than scheduled with no reported adverse event (inappropriate schedule of product administration) (latency- same day).  Information on the batch number was requested with respect to dose 1 corresponding to the one at time of event occurrence.  Sender's comment: Reporter can be contacted by Sanofi: Yes  This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.; Sender's Comments:  US-SA-2024SA261329:02211222 (MENQUADFI)
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Diarrhoea, Erythema, Fatigue, Headache
Clinical narrative: Large knot on arm, large red spot on arm, chest congestion, cough, headache, fatigue, lethargy, diarrhea,
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Limb mass, Respiratory tract congestion
Clinical narrative: Large knot on arm, large red spot on arm, chest congestion, cough, headache, fatigue, lethargy, diarrhea,
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Computerised tomogram head, Headache, Musculoskeletal stiffness, Neurological symptom
Clinical narrative: Stiff neck, fever, chills, headache, body aches, pain, stroke like symptoms, Parkinson?s, complete body not working the way it use to.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Parkinson's disease, Pyrexia, Ultrasound Doppler
Clinical narrative: Stiff neck, fever, chills, headache, body aches, pain, stroke like symptoms, Parkinson?s, complete body not working the way it use to.
Age: 1.25
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient revaccinated with same 3 vaccines previously given 3 months earlier, due to an old order not clearing out of the system.  No adverse health effects seen.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Influenza like illness, Injection site pain, Nausea, Pain
Clinical narrative: Pain during injection, then radiating pain down right arm, fever, nausea, severe pain throughout body where I thought I would throw up, night sweats, continued flu-like symptoms that lasted four days
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Pain during injection, then radiating pain down right arm, fever, nausea, severe pain throughout body where I thought I would throw up, night sweats, continued flu-like symptoms that lasted four days
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Itchiness, slight redness at injection site
Age: 1.25
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: No adverse event, Product preparation error, Single component of a two-component product administered
Clinical narrative: There was no adverse reaction to vaccine. Vaccine was mixed incorrectly, nurse did not mix powder into solution prior to giving the vaccine.
Age: 14.0
Sex: F
Vaccine: MMRV
Symptoms: No adverse event, Wrong product administered
Clinical narrative: MMRV administered instead of MMR. Patient overage to receive MMRV. Asymptomatic.
Age: 39.0
Sex: F
Vaccine: RSV
Symptoms: Exposure during pregnancy, No adverse event, Product use issue
Clinical narrative: Patient currently pregnant was given RSV vaccine that has not been approved to receive during pregnancy. The physician notified the patient. No adverse signs, symptoms at this time
Age: 67.0
Sex: F
Vaccine: FLUC4
Symptoms: Wrong product administered
Clinical narrative: Provider Ordered 65 and older Fluad but patient was given regular flucevax dose instead. Patient did not have any adverse symptoms due to this. it was discovered when I went to put information in her chart and realized it was the Flucevax instead of Fluad.  Notified management and Provider, advised by management to contact manufacturer. Per Manufacturer patient was within age limits and she did not need any further treatment.
Age: 23.0
Sex: F
Vaccine: HEP
Symptoms: No adverse event, Underdose
Clinical narrative: Patient did not have any adverse effects but was given the pediatric dose instead of the adult dose of the vaccine.
Age: 34.0
Sex: F
Vaccine: RSV
Symptoms: Exposure during pregnancy, No adverse event, Product use issue
Clinical narrative: Patient currently pregnant was given RSV vaccine that has not been approved to receive during pregnancy. The physician notified the patient. No adverse signs, symptoms at this time
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema
Clinical narrative: Patient called back the next day stating that they had a red area the size of a baseball surrounding the injections site
Age: 62.0
Sex: F
Vaccine: FLUA4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: patient is under 65 and nurse administered 65+ vaccine
Age: 23.0
Sex: F
Vaccine: RSV
Symptoms: Exposure during pregnancy, No adverse event, Product use issue
Clinical narrative: Patient currently pregnant was given RSV vaccine that has not been approved to receive during pregnancy. The physician notified the patient. No adverse signs, symptoms at this time
Age: 44.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Blepharospasm
Clinical narrative: Right lower eyelid is spasming / twitching persistently since vaccination.  Initially once every five minutes for the first week, now slowing to once every 30 minutes after 2 weeks.  No changes to sleep, caffeine levels, etc to explain the change.  Have received the Pfizer covid vaccine many times previously with no issues - this is the first time taking the Moderna version.
Age: 96.0
Sex: M
Vaccine: FLUA4
Symptoms: Extra dose administered
Clinical narrative: Pt got flu shot twice
Age: 35.0
Sex: F
Vaccine: RSV
Symptoms: Exposure during pregnancy, No adverse event, Product use issue
Clinical narrative: Patient currently pregnant was given RSV vaccine that has not been approved to receive during pregnancy. The physician notified the patient. No adverse signs, symptoms at this time
Age: 59.0
Sex: F
Vaccine: IPV, TYP
Symptoms: Abdominal pain upper, Erythema, Headache, Pain
Clinical narrative: 9/17/24 10:15 AM- PATIENT CALLED STATING SHE WOKE UP WITH RED FACE, WHOLE BODY HURTING TO BACK, LEGS, ARMS, STOMACH CRAMPING, AND SEVERE HEADACHE. DENIES ANY REDNESS/SWELLING TO INJECTION SITES OR DIFFICULTY BREATHING. ADVISED TO GO TO ER BUT STATES SHE HAS APPOINTMENT WITH HER NEUROLOGIST TODAY AND WILL FOLLOW UP THERE AS WELL AS TAKE AT HOME COVID TEST.
Age: 35.0
Sex: F
Vaccine: RSV
Symptoms: Exposure during pregnancy, No adverse event, Product use issue
Clinical narrative: Patient currently pregnant EDD 10/16/2024 was given RSV vaccine that has not been approved to receive during pregnancy. The physician notified the patient. No adverse signs, symptoms at this time
Age: 46.0
Sex: F
Vaccine: FLU4
Symptoms: Dysgeusia, Immediate post-injection reaction, Nausea
Clinical narrative: nausea and metallic taste in mouth started immediately and persisted.  Denies headache, blurred vision, vomiting, throat swelling, high fever, hoarseness, weakness, paleness, dizziness, racing heart, trouble breathing, hives, swelling around the eyes or lips, and changes in behavior
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site reaction, Injection site warmth
Clinical narrative: I got a bright red circle surrounding the injection site - often called Moderna arm - that lasted for about 48 hours. It was red and warm to the touch. It also itched.
Age: 72.0
Sex: M
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Patient was given 2 fluzon high dose.
Age: 72.0
Sex: M
Vaccine: FLUA4, FLUA4
Symptoms: Extra dose administered
Clinical narrative: PATIENT GOT ONE IN JULY (7/29/2024) AND ANOTHER 9/16/2024
Age: 58.0
Sex: M
Vaccine: FLUC4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient received 2 flu shots within 1 month of each other.  Patient reported no adverse effects.
Age: 50.0
Sex: M
Vaccine: UNK, UNK
Symptoms: Extra dose administered, No adverse event
Clinical narrative: patient recieved duplicate flucelvax trival 2024-2025 immunization , no side effects ,
Age: 65.0
Sex: F
Vaccine: FLUA4
Symptoms: Extra dose administered
Clinical narrative: Patient received FLUCELVAX TRIVALENT 24-25 on 8/3. Patient requested a FLUAD TRIVALENT 24-25 on 9/16 (turned 65 on 9/05), which was administered. Duplication of therapy.
Age: 29.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Urticaria
Clinical narrative: I received both the COVID-19 vaccine (SPIKEVAX) and a seasonal trivalent influenza vaccine (FLUCELVAX) on the afternoon of 10 Sep 2024. I received 6 prior doses of Pfizer?s COVID-19 vaccine between 2021 and 2023 with no reactions. On the afternoon of 15 Sep 2024, I began to break out in hives on my chest and neck. The hives resolved later on that evening w/o any medication or other treatment. The following afternoon, 16 Sep 2024, the hives reappeared and spread across my chest, neck, shoulders, and back. I took 50 mg of diphenhydramine (BENADRYL) by mouth, and the hives resolved shortly after. At this time, no other symptoms have been noted.
Age: 78.0
Sex: M
Vaccine: FLU4
Symptoms: Angioedema, Pain in extremity
Clinical narrative: Angioedema Left Upper Extremity with Pain
Age: 80.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient got second influenza vaccine this season. Patient should not have received the second as they got their first in August of 2024. The patient does not report any symptoms at this time.
Age: 27.0
Sex: F
Vaccine: COVID19-2, FLU4, COVID19, FLU3
Symptoms: Abdominal pain, Diarrhoea, Nausea, Paraesthesia oral, Throat tightness
Clinical narrative: Approximately 15 minutes after receiving the Moderna COVID booster I started to experience abdominal pain, diarrhea, nausea, tightness in my throat, and tingling in my tongue. I administered my EpiPen and had my coworker call EMS for me.
Age: 27.0
Sex: F
Vaccine: COVID19-2, FLU4, COVID19, FLU3
Symptoms: Anaphylactic reaction
Clinical narrative: Approximately 15 minutes after receiving the Moderna COVID booster I started to experience abdominal pain, diarrhea, nausea, tightness in my throat, and tingling in my tongue. I administered my EpiPen and had my coworker call EMS for me.
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Fall, Lip injury, Skin abrasion, Skin laceration, Syncope
Clinical narrative: Patient developed syncope just outside of office collapsing onto his face - sustaining cuts on chin and left lower lip, left upper incisor was push up into upper jaw with abrasions  on left cheek and left knee.
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Tooth dislocation
Clinical narrative: Patient developed syncope just outside of office collapsing onto his face - sustaining cuts on chin and left lower lip, left upper incisor was push up into upper jaw with abrasions  on left cheek and left knee.
Age: 79.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient received a second influenza vaccine this season. Patient received the first dose on 8/8/2024, and then received a second influenza vaccine by mistake on 9/16/2024. She is not currently experiencing any symptoms.
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Dizziness
Clinical narrative: Patient's twin brother passed out after same immunization outside of office; This patient waited in waiting room with younger siblings while mom was outside with twin. Patient became woozy and laid on the floor (without syncope) for a short time. He was given apple juice and laid on exam table for about 20 min and the was accompanied to family vehicle. Mom wanted him evaluated at Hospital ER as well as twin who sustained lacerations in fall.
Age: 74.0
Sex: F
Vaccine: COVID19, FLUA4, PNC20
Symptoms: Injection site rash
Clinical narrative: Patient got a rash on their left arm below where they received both the covid and influenza shot. Was not spread past the upper arm and did improve each day since. Got vaccine on 9/13/24, wasn't reported until Monday 9/16/24 but said rash appeared over weekend.
Age: 70.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Headache, Injection site pain, Lethargy, Nausea, Pain
Clinical narrative: Very sore at injection site, headache, nausea, body aches, lethargy. Lasted about 36 hrs
Age: 26.0
Sex: F
Vaccine: MMR
Symptoms: Cough, Fatigue, Nausea, Pain, Productive cough
Clinical narrative: Body aches, fatigue, runny nose, cough, phlegm, nausea
Age: 26.0
Sex: F
Vaccine: MMR
Symptoms: Rhinorrhoea
Clinical narrative: Body aches, fatigue, runny nose, cough, phlegm, nausea
Age: 0.17
Sex: F
Vaccine: FLU4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Influenza vaccine mistakenly administered to 2 month old by the Nurse.
Age: 76.0
Sex: F
Vaccine: TDAP
Symptoms: Neck pain, Pain in extremity
Clinical narrative: Patient reports a sore arm as expected, but days later she reported neck pain that was unusual for her. She is not sure if it is from vaccine. She has since returned to normal without pain.
Age: 5.0
Sex: F
Vaccine: MMRV
Symptoms: Rash, Rash pruritic
Clinical narrative: The mother reported the child developed an entire body, itching rash at day 6 post-vaccination that lasted approximately 2-3 days. The child had no other symptoms during this timeframe.
Age: 53.0
Sex: F
Vaccine: FLU4
Symptoms: Pruritus, Urticaria
Clinical narrative: EE reports she got hives and itching on her arms, torso, chest and back after receiving the flu vaccine. She took pepcid 20 mg po, claritin 10mg po and Benadryl 25mg po after reaction. Then 7 hours later itching came back to arms and upper abdomen and took another Benadryl 25 mg po.
Age: 6.0
Sex: F
Vaccine: MNQ
Symptoms: Incorrect product formulation administered
Clinical narrative: The 1-vial presentation of Menveo was administered, when the 2-vial presentation of Menveo should have been given.
Age: 5.0
Sex: M
Vaccine: FLUC4
Symptoms: Injection site erythema, Injection site induration, Injection site reaction
Clinical narrative: Patient was administered vaccine on 9/15/2024 and started having a localized reaction spreading down the arm to the elbow starting 9/16/2024 (reported by mom of child). Mom states child's arm was red and hard and had spread to the elbow but was not having any shortness of breath or signs of anaphylaxis. On 9/17/2024 patient's mom states that the redness and reaction spread past the elbow and child was taken to the ER.
Age: 71.0
Sex: F
Vaccine: COVID19, PNC20
Symptoms: Discontinued product administered, Expired product administered
Clinical narrative: COVID 2023/2024 vaccine administered in September after approval of 2024/2025 vaccine and past vaccine BUD.
Age: 79.0
Sex: F
Vaccine: RSV
Symptoms: Rash pruritic, Skin warm, Swelling
Clinical narrative: warm to the touch rash about 3 inches in diameter that was itchy to the patient.  slightly swollen
Age: 64.0
Sex: M
Vaccine: COVID19, PNC20
Symptoms: Discontinued product administered, Expired product administered
Clinical narrative: Moderna COVID 2023/2024 administered in September 2024 after approval of 2024/2025 vaccine and past vaccine BUD.