chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 9.0
Sex: M
Vaccine: FLU4
Symptoms: Administration site rash, Injection site swelling, Vaccination site swelling, Vaccination site warmth
Clinical narrative: Swelling, redness, and warmth around the site of vaccine administration within the first 24hrs. Then developed progressive worsening of above symptoms over the next day. Rash developed on the skin surrounding administration site over the next few days.
Age: 42.0
Sex: F
Vaccine: FLU4
Symptoms: Expired product administered
Clinical narrative: MA gave expired flu shot to patient. Patient notified, no signs or symptoms reported.  Flu vaccine Expired 06/30/2023.  Patient will return for another shot, due to expired vaccine possibly being not as effective.
Age: 3.0
Sex: F
Vaccine: DTAP, HEPA, HIBV, MMR, PNC13, VARCEL
Symptoms: Extra dose administered
Clinical narrative: Patient parent had no vaccination record when coming to clinic. CMA checked Registry and vaccinated client. After reviewing records from system found patient had already received required doses of Dtap,HepA,PVC13 and HIB. Patient received vaccines that were not needed
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Ear pain, Headache, Myalgia, Rash, Sensitive skin
Clinical narrative: Patient had 1st dose of Shingles vaccine at the pharmacy on 9/15/23.  5 days later noted rash to Left clavicle, then notes lesions to Left neck and shoulder.  Positive myalgia, some headache, ear pain.  Skin very sensitive to the touch.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Skin lesion
Clinical narrative: Patient had 1st dose of Shingles vaccine at the pharmacy on 9/15/23.  5 days later noted rash to Left clavicle, then notes lesions to Left neck and shoulder.  Positive myalgia, some headache, ear pain.  Skin very sensitive to the touch.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Lethargy, Migraine, Pain
Clinical narrative: Body Aches/Pains, Lethargic, Headache/Migraine, Temp between 93*F and 98.6*F, Unsteadiness when standing.  Occurred around 1800 Hrs from Saturday until early Monday Morning. Took plenty of water.   Never had a reaction from previous vaccinations for COVID-19 except for a slight headache for a couple of hours.
Age: 60.0
Sex: F
Vaccine: FLU4
Symptoms: Unevaluable event
Clinical narrative: Pt was given high dose Fluzone per her request instead of regular dose fluzone due to immunocompromising conditions
Age: 4.0
Sex: M
Vaccine: DTPPVHBHPB, HEPA, MMRV, DTPPVHBHPB, HEPA, MMRV
Symptoms: Fatigue, Urticaria
Clinical narrative: Patient's mother called clinic >24 hours after vaccines and and notified us that the patient had developed hives around 24 hours after vaccines were administered. She noted they started on his legs and had started to spread to his arms and torso. No other symptoms were reported. Mother took patient to a local urgent care where he was treated with Benadryl and a steroid (according to mother). Within 8-12 hours hives had almost completely resolved. Mother reported patient was slightly more tired than usual, but otherwise had no other symptoms or different behaviors. Mother reported that patient has returned to normal self after all treatment.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus!  My ears started ringing shortly after my last booster and have never stopped.
Age: 59.0
Sex: M
Vaccine: RSV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pt was given RSV vaccine per request for immunocompromising conditions, however is only 59 years of age
Age: 60.0
Sex: F
Vaccine: FLU4
Symptoms: Chest discomfort, Electrocardiogram normal, Pain, X-ray normal
Clinical narrative: I noticed the next day at dinner time that I had a tightness in my left side breast area or heart!Still feeling the pain come and go on Sat I did then go to the ER on Sunday  I thought I may have pneumonia! They did an EKG which was all normal! And X-ray was normal I have continued to have the pain which will come and stay for a while and then goes away! on Monday which is today as I am writing this!
Age: 2.0
Sex: M
Vaccine: FLU4
Symptoms: Discomfort, Erythema, Pyrexia, Skin reaction, Swelling
Clinical narrative: Developed fever and significant thigh redness and swelling overnight, fever and discomfort have improved, redness and swelling persist, diagnosed as large localized reaction without systemic symptoms
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Feeling hot, Musculoskeletal discomfort, Pain, Pain in extremity
Clinical narrative: Vaccine administered: SPIKEVAX 2023-24 (12Y UP) SYRG Administration date: 09/23/2023, Volume (ml): 0.5ml. In addition to the COVID shot I recieved the FLUCELVAX QUAD 2023-2024 SYR shot.  My arm felt soar, but not that bad. At about 3:30 PM it took a  2 mile walk.  I started feeling a bit warm.  I ate dinner and had about two glasses of wine dinner.  About 7:00 PM I statrted feeling feverish.  My temperature was 98 degrees, but I felt hot and feverish.  My knees felt inflamed and i felt dehydrated.  I drank about a pint of water and went to sleep.  I was achey and woke up about every hour.  I felt very dehydated and drank about a total of 3 pints of water throughout the night.  The next day I was back to feeling normal.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Sleep disorder
Clinical narrative: Vaccine administered: SPIKEVAX 2023-24 (12Y UP) SYRG Administration date: 09/23/2023, Volume (ml): 0.5ml. In addition to the COVID shot I recieved the FLUCELVAX QUAD 2023-2024 SYR shot.  My arm felt soar, but not that bad. At about 3:30 PM it took a  2 mile walk.  I started feeling a bit warm.  I ate dinner and had about two glasses of wine dinner.  About 7:00 PM I statrted feeling feverish.  My temperature was 98 degrees, but I felt hot and feverish.  My knees felt inflamed and i felt dehydrated.  I drank about a pint of water and went to sleep.  I was achey and woke up about every hour.  I felt very dehydated and drank about a total of 3 pints of water throughout the night.  The next day I was back to feeling normal.
Sex: U
Vaccine: VARZOS
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Rash, urticaria, Pruritis persists 2 weeks post changing locations,
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Fracture, General symptom
Clinical narrative: Admitted with unknown symptom onset. Admitted for a fall with fracture.
Age: 40.0
Sex: F
Vaccine: FLUR4
Symptoms: Neuralgia, Pain in extremity
Clinical narrative: nerve pain minutes after vaccine going down into right arm
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Discontinued product administered
Clinical narrative: VACCINE WAS STORED IN AS UNAPPROVED STORAGE UNIT
Age: 62.0
Sex: M
Vaccine: COVID19-2
Symptoms: Discontinued product administered
Clinical narrative: Pt given the vaccine bivalent on 9/15/2023 after Agency redacted Bivalent. pt will be getting updated vaccine
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest pain, Dyspnoea, Electrocardiogram, Exposure during pregnancy
Clinical narrative: 26 hours after receiving Comirnaty (not listed as option) I suddenly felt shortness of breath, chest pain, achy joints, shaking of arms and legs. I was taken to labor and delivery. Was having regular contractions every 4 minutes and tachycardia (heart rate stayed between 105 and 115 for duration of visit).
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Tachycardia, Tremor, Uterine contractions during pregnancy
Clinical narrative: 26 hours after receiving Comirnaty (not listed as option) I suddenly felt shortness of breath, chest pain, achy joints, shaking of arms and legs. I was taken to labor and delivery. Was having regular contractions every 4 minutes and tachycardia (heart rate stayed between 105 and 115 for duration of visit).
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Electric shock sensation, Neuralgia, Pain, Paraesthesia, Small fibre neuropathy
Clinical narrative: The patient said that her doctor told her she has small fiber neuropathy ever since the Moderna  vaccine that we gave her on 6/14/21. She has nerve pain (tingling, shock type pain) all over her body including arms and legs. Her doctors recently linked the neuropathy pain to the Moderna shot she got a couple years ago. She has been seeing multiple doctors for the treatment of the neuropathy, and this is still an ongoing problem.
Age: 24.0
Sex: F
Vaccine: COVID19-2
Symptoms: Discontinued product administered
Clinical narrative: pt given bivalent booster on 9/22/2023
Age: 78.0
Sex: F
Vaccine: COVID19-2
Symptoms: Discontinued product administered
Clinical narrative: pt given bivalent booster on 9/25/2023
Age: 81.0
Sex: M
Vaccine: COVID19-2
Symptoms: Discontinued product administered
Clinical narrative: Bivalent booster given to pt on 9/25/2023
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Discontinued product administered
Clinical narrative: pt given bivalent booster on 9/25/2023
Age: 76.0
Sex: F
Vaccine: RSV
Symptoms: Asthenia, Confusional state, Coordination abnormal, Dry mouth, Fatigue
Clinical narrative: Received RSV injection in right arm from Pharmacy, 9/25/2023 Begin having symptoms related to vaccine around midnight 09/26/2023: Aching, fatigue, feverish, confusion, dry mouth, nervous system issues (slight hand coordination), extremely weak feeling
Age: 76.0
Sex: F
Vaccine: RSV
Symptoms: Nervous system disorder, Pain, Pyrexia
Clinical narrative: Received RSV injection in right arm from Pharmacy, 9/25/2023 Begin having symptoms related to vaccine around midnight 09/26/2023: Aching, fatigue, feverish, confusion, dry mouth, nervous system issues (slight hand coordination), extremely weak feeling
Age: 29.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Exposure during pregnancy, Pain, Pain in extremity, Sleep disorder
Clinical narrative: 27 weeks pregnant Pain  localized to upper deltoid and superior aspect of the shoulder joint and around that area.  Not severe but feels it when moving her arm and when she wakes up in the morning after she has been sleeping on her left side She denies having redness or swelling in are of injection after the received the vaccine
Age: 76.0
Sex: F
Vaccine: PNC20
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient accidently received a second prevnar 20 vaccine 10 days apart. patient expierenced no adverse reactions and 'does not care she got a second one'
Age: 6.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Swelling face
Clinical narrative: Facial redness on left side of face with mild swelling. no difficulty breathing or stridor.  Self resolved after 2 days.  Received phone call from patient's father. Family declined visit as symptoms had resolved.
Age: 79.0
Sex: M
Vaccine: FLUA4
Symptoms: Extra dose administered
Clinical narrative: WE OFFERED A FLU CLINIC AT THE ENTRANCE OF OUR WAREHOUSE. PATIENT CAME TO THE TABLE. WE OFFERED HIM THE FLU SHOT FOR 65 YEARS OF AGE AND OLDER AND HE ACCEPTED. HE NOTED ON HIS FORM THAT HE HAD NOT HAD ANY VACCINES WITHIN THE LAST 4 WEEKS ON HIS IMMUNIZATION CONSENT FORM. I GAVE HIM THE FLUAD VACCINE. AFTER THE CLINIC WAS OVER I ATTEMPTED TO PROCESS THE VACCINE THROUGH HIS INSURANCE AND IT WAS REJECTED NOTING THAT HE RECIEVED THE VACCINE ALREADY ON 9/1/23. PATIENT WAS NOTIFIED AND HE CLAIMED HE THOUGHT HE WAS GETTING THE NEW COVID VACCINE. HE ALSO CLAIMS H IS HAVING MEMORY ISSUES.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cheilitis, Rash, Rash erythematous
Clinical narrative: Red rash on inside of lips and cheeks
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Eczema
Clinical narrative: Red rash on inside of lips and cheeks
Age: 74.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Full blood count normal, Influenza A virus test negative, Influenza B virus test, Metabolic function test
Clinical narrative: Fever of 102 F, chills, shaking, vomiting
Age: 74.0
Sex: F
Vaccine: FLU4
Symptoms: Pyrexia, SARS-CoV-2 test negative, Tremor, Vomiting
Clinical narrative: Fever of 102 F, chills, shaking, vomiting
Age: 67.0
Sex: F
Vaccine: PNC20
Symptoms: Cellulitis, Erythema, Peripheral swelling
Clinical narrative: Patient came in 2 days after vaccination and shows arm to the pharmacist on duty, which redness and swallowing was observed. Patient was asked to go to urgent care in the vicinity to be checked. She was given Cephalexin 500 Mg , 1 capsule three times a day for 10 days, with dx Cellulitis.
Age: 4.0
Sex: M
Vaccine: COVID19-2
Symptoms: Discontinued product administered
Clinical narrative: As part of the administrations actions, the bivalent Moderna and Pfizer-BioNTech COVID-19 vaccines are no longer authorized.
Age: 9.0
Sex: M
Vaccine: VARCEL
Symptoms: Product storage error
Clinical narrative: No symptoms. Diluent was frozen prior to vaccine being administered.
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: Bursitis, Product administered at inappropriate site, Shoulder injury related to vaccine administration, X-ray abnormal
Clinical narrative: Pt was administered the above Influenza vaccine (she is a RN) and immediately noticed after the vaccine was administered that it was administered too high in the arm.   Approximately 1-2 hours later she began to feel pain that did not improve and saw MD who dx pt with SIRVA and Bursitis r/t vaccine administration
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Pain in extremity, Pyrexia, Swelling
Clinical narrative: Extreme arm pain Fever Swelling of the neck Underarm pain
Age: 0.67
Sex: F
Vaccine: COVID19-2
Symptoms: Discontinued product administered
Clinical narrative: As part of the administration's actions, the bivalent Moderna and Pfizer-BioNTech COVID-19 vaccines are no longer authorized.
Age: 11.0
Sex: F
Vaccine: VARCEL
Symptoms: Product storage error
Clinical narrative: No symptoms. Diluent was frozen prior to administration.
Age: 89.0
Sex: F
Vaccine: RSV, RSV
Symptoms: Arthralgia, Nausea, Neck pain, Pain in extremity, Rhinorrhoea
Clinical narrative: Fainted about one hour following innoculation. The next day, EXTREME joint pain in neck, shoulder, arms, sciatic nerve. Mild nausea. Runny nose.
Age: 89.0
Sex: F
Vaccine: RSV, RSV
Symptoms: Sciatica, Syncope
Clinical narrative: Fainted about one hour following innoculation. The next day, EXTREME joint pain in neck, shoulder, arms, sciatic nerve. Mild nausea. Runny nose.
Age: 10.0
Sex: M
Vaccine: COVID19-2
Symptoms: Discontinued product administered
Clinical narrative: As part of the FDA?s actions, the bivalent Moderna and Pfizer-BioNTech COVID-19 vaccines are no longer authorized.
Age: 1.33
Sex: M
Vaccine: VARCEL
Symptoms: No adverse event, Product storage error
Clinical narrative: No symptoms. Diluent was frozen prior to being administered.
Age: 14.0
Sex: M
Vaccine: COVID19-2
Symptoms: Discontinued product administered
Clinical narrative: As part of the FDA?s actions, the bivalent Moderna and Pfizer-BioNTech COVID-19 vaccines are no longer authorized.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Limb injury, Limb mass, Peripheral swelling, Wound
Clinical narrative: Pt stated that shingles vaccine caused a lump, swelling, redness, and then an open wound in her arm. This wound then led her to be admitted into the hospital. However, the arm that she states received the shingle vaccine is not the arm that had the wound.
Age: 25.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Headache, Jaundice, Malaise, Yellow skin
Clinical narrative: Yellow skin color / suspected jaundice for 2 days, headache, malaise/ body weakness
Age: 7.0
Sex: F
Vaccine: MMRV
Symptoms: No adverse event, Product storage error
Clinical narrative: No symptoms. Diluent was frozen prior to being administered.
Age: 64.0
Sex: F
Vaccine: RSV
Symptoms: Injection site erythema, Injection site reaction
Clinical narrative: Pt has injection site reaction about 6 in below injection site. red triangle area by elbow
Age: 30.0
Sex: F
Vaccine: COVID19, FLUR4
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: Pt reported swollen and red painful arm. Potentially also might have a fever. Onset of symptoms was approximately a day after the vaccine
Age: 83.0
Sex: F
Vaccine: RSV
Symptoms: Cough, Ear pain, Erythema, Fatigue, Oropharyngeal pain
Clinical narrative: Some hours after I received my vaccine my arm became sore and red and swollen. Then I got a runny nose, sore throat, sore ears, chest congestion, and coughing. Sneezing. Felt tired, exhausted.
Age: 83.0
Sex: F
Vaccine: RSV
Symptoms: Pain in extremity, Peripheral swelling, Respiratory tract congestion, Rhinorrhoea, Sneezing
Clinical narrative: Some hours after I received my vaccine my arm became sore and red and swollen. Then I got a runny nose, sore throat, sore ears, chest congestion, and coughing. Sneezing. Felt tired, exhausted.
Age: 6.0
Sex: F
Vaccine: MMRV
Symptoms: Product storage error
Clinical narrative: No Symptoms. Diluent was frozen prior to being administered.
Age: 6.0
Sex: F
Vaccine: MMRV
Symptoms: Product storage error
Clinical narrative: No symptoms. Diluent frozen prior to being administered.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Injection site discolouration, Injection site erythema, Injection site induration, Injection site pruritus
Clinical narrative: Covid Arm: bright red spot at site of injection, 5-6cm, swollen, firm, tight and painful when moving arm, slightly itchy; starting to go away today (6 days after), turning light brownish, no longer painful or swollen. I had this happen once before (4th or 5th Covid vax, can't remember if that was Moderna of Pfizer). Last time it took longer for the spot to appear (5 days?) and it lasted longer (at least 2 weeks). Other symptom: 101º temp day after vaccine, only lasted one day.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Pain
Clinical narrative: Covid Arm: bright red spot at site of injection, 5-6cm, swollen, firm, tight and painful when moving arm, slightly itchy; starting to go away today (6 days after), turning light brownish, no longer painful or swollen. I had this happen once before (4th or 5th Covid vax, can't remember if that was Moderna of Pfizer). Last time it took longer for the spot to appear (5 days?) and it lasted longer (at least 2 weeks). Other symptom: 101º temp day after vaccine, only lasted one day.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: VACCINE WAS STORED IN AS UNAPPROVED STORAGE UNIT
Age: 6.0
Sex: M
Vaccine: MMRV
Symptoms: Product storage error
Clinical narrative: No symptoms. Diluent was frozen prior to being administered.
Age: 72.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Chills, Decreased appetite, Fatigue, Headache, Injection site pain
Clinical narrative: Chills at 8 pm  on 9/22/2023 lasting 24 hours Fever at 10 pm on 9/22/2023 lasting 12 hours took ibuprofen  4 times Nausea at 8 pm on 9/22/2023 lasting 48 hours Vomiting at 11pm on 9/22/2023 lasting 2 hours Anorexia at 8pm on 9/22/2023 ending 9/26/2023 Fatigue at 8pm on 9/22/2023 ending 9/26/2023 Headache at 8 pm on 9/22/2023 ending 9/25/2023 Pain at injection site L arm at 11 pm on 9/22/2023 ended 9/26/2023 Pain at injection site R arm at 11 pm on 9/22/2023 ended 9/26/2023 Itching at injection site R arm on 9/23/2023 ended 9/26/2023
Age: 72.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Injection site pruritus, Pyrexia, Vomiting
Clinical narrative: Chills at 8 pm  on 9/22/2023 lasting 24 hours Fever at 10 pm on 9/22/2023 lasting 12 hours took ibuprofen  4 times Nausea at 8 pm on 9/22/2023 lasting 48 hours Vomiting at 11pm on 9/22/2023 lasting 2 hours Anorexia at 8pm on 9/22/2023 ending 9/26/2023 Fatigue at 8pm on 9/22/2023 ending 9/26/2023 Headache at 8 pm on 9/22/2023 ending 9/25/2023 Pain at injection site L arm at 11 pm on 9/22/2023 ended 9/26/2023 Pain at injection site R arm at 11 pm on 9/22/2023 ended 9/26/2023 Itching at injection site R arm on 9/23/2023 ended 9/26/2023
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Immediate post-injection reaction, Injection site swelling
Clinical narrative: patient arm swelling at the injection site immediately following administration
Age: 7.0
Sex: M
Vaccine: MMRV
Symptoms: Product storage error
Clinical narrative: No symptoms. Diluent was frozen prior to being administered.
Age: 40.0
Sex: F
Vaccine: FLU4, FLU4, COVID19, FLUX
Symptoms: Contusion, Heavy menstrual bleeding, Migraine, Muscle spasms
Clinical narrative: - "Usual" side effects with most recent COVID19 vaccine and previous COVID vaccines (with exception of very first one ever, which had none):  pain and swelling at COVID19 injection site for about a week, pain in underarm in same arm as injection site, body aches throughout body, chills and sweating, headache, fatigue, random increases in resting heartrate throughout next 2 days, changes in menstrual cycle (previous COVID19 vaccines - regular monthly menses  was a day or 2 longer, heavier, more intense cramps, migraine. Now that I have the Nexplanon implant, I don't have a regular monthly menses, and have barely had any bleeding in the past year.  The most recent COVID19 vaccine caused me to unexpectedly have bleeding similar to my natural period without the implant - heavy bleeding a day or two longer, intense cramps, migraine.  Hopefully this will return to previous state next month, as with previous COVID19 vaccines).  - "Unusual" new effect - unexplained bruises on L foot and R calf, 8th and 9th days after COVID19 vaccine.  L foot - about 1"x1" purpura bruising.  R outer calf - about 3"x4" dark purple, round bruise.
Age: 40.0
Sex: F
Vaccine: FLU4, FLU4, COVID19, FLUX
Symptoms: Axillary pain, Chills, Contusion, Dysmenorrhoea, Fatigue
Clinical narrative: - "Usual" side effects with most recent COVID19 vaccine and previous COVID vaccines (with exception of very first one ever, which had none):  pain and swelling at COVID19 injection site for about a week, pain in underarm in same arm as injection site, body aches throughout body, chills and sweating, headache, fatigue, random increases in resting heartrate throughout next 2 days, changes in menstrual cycle (previous COVID19 vaccines - regular monthly menses  was a day or 2 longer, heavier, more intense cramps, migraine. Now that I have the Nexplanon implant, I don't have a regular monthly menses, and have barely had any bleeding in the past year.  The most recent COVID19 vaccine caused me to unexpectedly have bleeding similar to my natural period without the implant - heavy bleeding a day or two longer, intense cramps, migraine.  Hopefully this will return to previous state next month, as with previous COVID19 vaccines).  - "Unusual" new effect - unexplained bruises on L foot and R calf, 8th and 9th days after COVID19 vaccine.  L foot - about 1"x1" purpura bruising.  R outer calf - about 3"x4" dark purple, round bruise.
Age: 40.0
Sex: F
Vaccine: FLU4, FLU4, COVID19, FLUX
Symptoms: Headache, Heart rate, Heart rate abnormal, Heavy menstrual bleeding, Hyperhidrosis
Clinical narrative: - "Usual" side effects with most recent COVID19 vaccine and previous COVID vaccines (with exception of very first one ever, which had none):  pain and swelling at COVID19 injection site for about a week, pain in underarm in same arm as injection site, body aches throughout body, chills and sweating, headache, fatigue, random increases in resting heartrate throughout next 2 days, changes in menstrual cycle (previous COVID19 vaccines - regular monthly menses  was a day or 2 longer, heavier, more intense cramps, migraine. Now that I have the Nexplanon implant, I don't have a regular monthly menses, and have barely had any bleeding in the past year.  The most recent COVID19 vaccine caused me to unexpectedly have bleeding similar to my natural period without the implant - heavy bleeding a day or two longer, intense cramps, migraine.  Hopefully this will return to previous state next month, as with previous COVID19 vaccines).  - "Unusual" new effect - unexplained bruises on L foot and R calf, 8th and 9th days after COVID19 vaccine.  L foot - about 1"x1" purpura bruising.  R outer calf - about 3"x4" dark purple, round bruise.
Age: 40.0
Sex: F
Vaccine: FLU4, FLU4, COVID19, FLUX
Symptoms: Injection site pain, Injection site swelling, Migraine, Oligomenorrhoea, Pain
Clinical narrative: - "Usual" side effects with most recent COVID19 vaccine and previous COVID vaccines (with exception of very first one ever, which had none):  pain and swelling at COVID19 injection site for about a week, pain in underarm in same arm as injection site, body aches throughout body, chills and sweating, headache, fatigue, random increases in resting heartrate throughout next 2 days, changes in menstrual cycle (previous COVID19 vaccines - regular monthly menses  was a day or 2 longer, heavier, more intense cramps, migraine. Now that I have the Nexplanon implant, I don't have a regular monthly menses, and have barely had any bleeding in the past year.  The most recent COVID19 vaccine caused me to unexpectedly have bleeding similar to my natural period without the implant - heavy bleeding a day or two longer, intense cramps, migraine.  Hopefully this will return to previous state next month, as with previous COVID19 vaccines).  - "Unusual" new effect - unexplained bruises on L foot and R calf, 8th and 9th days after COVID19 vaccine.  L foot - about 1"x1" purpura bruising.  R outer calf - about 3"x4" dark purple, round bruise.
Age: 40.0
Sex: F
Vaccine: FLU4, FLU4, COVID19, FLUX
Symptoms: Product use issue, Purpura, SARS-CoV-2 test
Clinical narrative: - "Usual" side effects with most recent COVID19 vaccine and previous COVID vaccines (with exception of very first one ever, which had none):  pain and swelling at COVID19 injection site for about a week, pain in underarm in same arm as injection site, body aches throughout body, chills and sweating, headache, fatigue, random increases in resting heartrate throughout next 2 days, changes in menstrual cycle (previous COVID19 vaccines - regular monthly menses  was a day or 2 longer, heavier, more intense cramps, migraine. Now that I have the Nexplanon implant, I don't have a regular monthly menses, and have barely had any bleeding in the past year.  The most recent COVID19 vaccine caused me to unexpectedly have bleeding similar to my natural period without the implant - heavy bleeding a day or two longer, intense cramps, migraine.  Hopefully this will return to previous state next month, as with previous COVID19 vaccines).  - "Unusual" new effect - unexplained bruises on L foot and R calf, 8th and 9th days after COVID19 vaccine.  L foot - about 1"x1" purpura bruising.  R outer calf - about 3"x4" dark purple, round bruise.
Age: 17.0
Sex: F
Vaccine: HPV9, MNQ
Symptoms: Injection site rash, Injection site swelling, Pain, Rash
Clinical narrative: TC from client.   states she got the meningitis vaccine on her right arm Friday morning ( 09.22.2023) at approximately 1030 AM.   Last evening (09.25.2023) late, she noticed she was having red, raised area below that injection site and called poison control.  Poison control told her to use hydrocortison cream and diphenyhydramine.  Client denies any shortness of breath, increased heart rate, etc.   Denies blistering - states rash 'sort of stings' and it is uncomfortable to raise her arm.  Advised continuation of hydrocortisone cream and diphenhydramine as recommended by poison control.  Advised if experiences shortness of breath, increased heart rate, dizziness, etc. to go to ER.  Advised client to follow up with her PCP or urgent care if rash not resolved in another day or so.  Client states she will have her dad call the doctor and make an appointment.
Age: 5.0
Sex: F
Vaccine: MMRV
Symptoms: Product storage error
Clinical narrative: No symptoms. Diluent was frozen prior to being administered.
Age: 8.0
Sex: M
Vaccine: MMRV
Symptoms: Product storage error
Clinical narrative: No symptoms. Diluent was frozen prior to being administered.
Age: 11.0
Sex: M
Vaccine: TD
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient was supposed to receive a Tdap not Td. No adverse events occurred, just wrong vaccine given.
Age: 16.0
Sex: F
Vaccine: FLUR4
Symptoms: Wrong product administered
Clinical narrative: Patient given the wrong manufacter flu vaccine
Age: 4.0
Sex: M
Vaccine: MMRV
Symptoms: Product storage error
Clinical narrative: No symptoms. Diluent was frozen prior to being administered.
Age: 4.0
Sex: F
Vaccine: MMRV
Symptoms: Product storage error
Clinical narrative: No symptoms. Diluent was frozen prior to being administered.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests normal, Tinnitus
Clinical narrative: Patient presented to the pharmacy today (9/26/2023) to state he had tinnitus start roughly one month after his last dose of Moderna in August of 2021.  Patient still suffers from the tinnitus to this day.
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Blood creatine phosphokinase normal, C-reactive protein normal, Exposure during pregnancy, Fasciitis, Impaired driving ability
Clinical narrative: Please note that flu vaccine was also given same date but in contralateral arm to both TDap and eventual pathology. TDap administered high in L arm without pinching muscle. Progressive pain and immobility of L shoulder and arm over 1 week culminating in urgent care visit on 9/24 with no imaging or testing and ED visit on 9/25 with MRI. Has required assistance in ADLs such as dressing, bathing, cooking, cleaning, driving. Limitation and ROM including abduction and flexion of the arm. No weakness noted. MRI revealed fluid in fascial planes of left shoulder including "along the posterior aspect of the shoulder, notably adjacent to the infraspinatus and teres minor muscles... extends to the myotendinous junction of the infraspinatus. Would be difficult to entirely exclude the possibility of an interstitial partial tear. There is a small amount of fluid likely within the deltoid musculature. It does not appear that the fluid extends into the shoulder joint." Requires rest, acetaminophen, exercises for mobility.  28 weeks pregnant at the time with EDD 12/17/23
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Injected limb mobility decreased, Injection site oedema, Injection site pain, Injection site reaction, Joint range of motion decreased
Clinical narrative: Please note that flu vaccine was also given same date but in contralateral arm to both TDap and eventual pathology. TDap administered high in L arm without pinching muscle. Progressive pain and immobility of L shoulder and arm over 1 week culminating in urgent care visit on 9/24 with no imaging or testing and ED visit on 9/25 with MRI. Has required assistance in ADLs such as dressing, bathing, cooking, cleaning, driving. Limitation and ROM including abduction and flexion of the arm. No weakness noted. MRI revealed fluid in fascial planes of left shoulder including "along the posterior aspect of the shoulder, notably adjacent to the infraspinatus and teres minor muscles... extends to the myotendinous junction of the infraspinatus. Would be difficult to entirely exclude the possibility of an interstitial partial tear. There is a small amount of fluid likely within the deltoid musculature. It does not appear that the fluid extends into the shoulder joint." Requires rest, acetaminophen, exercises for mobility.  28 weeks pregnant at the time with EDD 12/17/23
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Loss of personal independence in daily activities, Magnetic resonance imaging abnormal, Metabolic function test normal, Pain in extremity, Product administered at inappropriate site
Clinical narrative: Please note that flu vaccine was also given same date but in contralateral arm to both TDap and eventual pathology. TDap administered high in L arm without pinching muscle. Progressive pain and immobility of L shoulder and arm over 1 week culminating in urgent care visit on 9/24 with no imaging or testing and ED visit on 9/25 with MRI. Has required assistance in ADLs such as dressing, bathing, cooking, cleaning, driving. Limitation and ROM including abduction and flexion of the arm. No weakness noted. MRI revealed fluid in fascial planes of left shoulder including "along the posterior aspect of the shoulder, notably adjacent to the infraspinatus and teres minor muscles... extends to the myotendinous junction of the infraspinatus. Would be difficult to entirely exclude the possibility of an interstitial partial tear. There is a small amount of fluid likely within the deltoid musculature. It does not appear that the fluid extends into the shoulder joint." Requires rest, acetaminophen, exercises for mobility.  28 weeks pregnant at the time with EDD 12/17/23
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Red blood cell sedimentation rate normal, White blood cell count increased
Clinical narrative: Please note that flu vaccine was also given same date but in contralateral arm to both TDap and eventual pathology. TDap administered high in L arm without pinching muscle. Progressive pain and immobility of L shoulder and arm over 1 week culminating in urgent care visit on 9/24 with no imaging or testing and ED visit on 9/25 with MRI. Has required assistance in ADLs such as dressing, bathing, cooking, cleaning, driving. Limitation and ROM including abduction and flexion of the arm. No weakness noted. MRI revealed fluid in fascial planes of left shoulder including "along the posterior aspect of the shoulder, notably adjacent to the infraspinatus and teres minor muscles... extends to the myotendinous junction of the infraspinatus. Would be difficult to entirely exclude the possibility of an interstitial partial tear. There is a small amount of fluid likely within the deltoid musculature. It does not appear that the fluid extends into the shoulder joint." Requires rest, acetaminophen, exercises for mobility.  28 weeks pregnant at the time with EDD 12/17/23
Age: 4.0
Sex: M
Vaccine: MMRV
Symptoms: No adverse event, Product storage error
Clinical narrative: No symptoms. Diluent was frozen prior to being administered.
Age: 5.0
Sex: M
Vaccine: MMRV
Symptoms: Incorrect dose administered
Clinical narrative: No symptoms. Diluent was frozen prior to being administered.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia oral, Vomiting
Clinical narrative: Approximately 16 hours after vaccine was given pt noted lip tingling and vomiting lasted several minutes then resolved spontaneously
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Depressed level of consciousness, Fatigue, Influenza like illness, Pain in extremity
Clinical narrative: dull pain in lower arm, flu like symptoms, trouble staying alert
Age: 4.0
Sex: F
Vaccine: MMRV
Symptoms: No adverse event, Product storage error
Clinical narrative: No symptoms. Diluent was frozen prior to being administered.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Throat irritation
Clinical narrative: 5 MINUTES AFTER RECIEVEING VACCINE, PATIENT STATED THAT HER THROAT WAS ITCHY AND SCRATCHY.  911 WAS CALLED, PARAMEDICS EVALUATED PATIENT AND SHE CHOSE NOT TO GO WITH AND WENT HOME WITH DAUGHTER.
Age: 56.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Guillain-Barre syndrome, Hypoaesthesia, Musculoskeletal disorder, Pain in extremity
Clinical narrative: She got her vaccine, everything was fine.  The very next day the arm was sore, which she was told was going to happen.  She noticed that it was on the evening of the 19th she noticed that her foot had feelings of being numb.  She waited until the next morning, text on the portal and sent them a message and asked if this was a AE to the vaccine as it was numb.  She was told that they did not think it was, and to watch it.  It has progressively gotten worse, and now it's like that her foot does not want to work.  She cannot pull her foot towards her body.  Her ankle and down the side of her leg is numb as well.  She went to her doctor today, just got done being there.  Her doctor felt that it might be the shot that might have caused the Guillaine-Barre and called her in some medicine, a steroid and referred her to a neurologist.
Age: 56.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Hypoaesthesia, Peroneal nerve palsy
Clinical narrative: She got her vaccine, everything was fine.  The very next day the arm was sore, which she was told was going to happen.  She noticed that it was on the evening of the 19th she noticed that her foot had feelings of being numb.  She waited until the next morning, text on the portal and sent them a message and asked if this was a AE to the vaccine as it was numb.  She was told that they did not think it was, and to watch it.  It has progressively gotten worse, and now it's like that her foot does not want to work.  She cannot pull her foot towards her body.  Her ankle and down the side of her leg is numb as well.  She went to her doctor today, just got done being there.  Her doctor felt that it might be the shot that might have caused the Guillaine-Barre and called her in some medicine, a steroid and referred her to a neurologist.
Age: 1.42
Sex: M
Vaccine: MMR
Symptoms: Angiogram pulmonary normal, Breath sounds abnormal, Cough, Drooling, Dysphonia
Clinical narrative: Patient was seen at PCP office the morning of 5/3/2019 for cough, lungs CTA, b/l, no wheezes, rales, or rhonchi.  Tonsils difficult to visualize, rapid flu and strep negative.  Patient is lethargic, clinging to mother.  Patient is drooling and breathing loudly.  No chest retractions.  Due to drooling and harsh breathing, epiglottitis is a concern.  Possible diagnosis:  Epiglottitis, croup, URI.  Once xray results were reviewed, mother advised to take patient to hospital for evaluation and patient was admitted for IV antibiotics. Hospital report noted 18month old that presents for concerns for RPA, several days of history of cough, congestion, and there is a change in cough and voice character yesterday through today, mother described as more muffled.  Patient drooling this morning.  No rash or medication history.  Patient presents well appearing, NAD, awake and interactive during exam, no stridor.  Patient was seen in the hospital for concern of RPA.  While hospitalized he was seen by ENT doctors who recommended starting IV antibiotics.  He continued on antibiotics until he started looking better, then was transitioned to Augmentin by mouth.  When patient improved , his breathing less noisy and he was eating and drinking normally, he was ready for discharge.
Age: 1.42
Sex: M
Vaccine: MMR
Symptoms: Epiglottitis, Imaging procedure abnormal, Influenza A virus test negative, Influenza B virus test, Influenza virus test negative
Clinical narrative: Patient was seen at PCP office the morning of 5/3/2019 for cough, lungs CTA, b/l, no wheezes, rales, or rhonchi.  Tonsils difficult to visualize, rapid flu and strep negative.  Patient is lethargic, clinging to mother.  Patient is drooling and breathing loudly.  No chest retractions.  Due to drooling and harsh breathing, epiglottitis is a concern.  Possible diagnosis:  Epiglottitis, croup, URI.  Once xray results were reviewed, mother advised to take patient to hospital for evaluation and patient was admitted for IV antibiotics. Hospital report noted 18month old that presents for concerns for RPA, several days of history of cough, congestion, and there is a change in cough and voice character yesterday through today, mother described as more muffled.  Patient drooling this morning.  No rash or medication history.  Patient presents well appearing, NAD, awake and interactive during exam, no stridor.  Patient was seen in the hospital for concern of RPA.  While hospitalized he was seen by ENT doctors who recommended starting IV antibiotics.  He continued on antibiotics until he started looking better, then was transitioned to Augmentin by mouth.  When patient improved , his breathing less noisy and he was eating and drinking normally, he was ready for discharge.
Age: 1.42
Sex: M
Vaccine: MMR
Symptoms: Laryngeal disorder, Lethargy, Respiratory syncytial virus test negative, Respiratory tract congestion, Soft tissue disorder
Clinical narrative: Patient was seen at PCP office the morning of 5/3/2019 for cough, lungs CTA, b/l, no wheezes, rales, or rhonchi.  Tonsils difficult to visualize, rapid flu and strep negative.  Patient is lethargic, clinging to mother.  Patient is drooling and breathing loudly.  No chest retractions.  Due to drooling and harsh breathing, epiglottitis is a concern.  Possible diagnosis:  Epiglottitis, croup, URI.  Once xray results were reviewed, mother advised to take patient to hospital for evaluation and patient was admitted for IV antibiotics. Hospital report noted 18month old that presents for concerns for RPA, several days of history of cough, congestion, and there is a change in cough and voice character yesterday through today, mother described as more muffled.  Patient drooling this morning.  No rash or medication history.  Patient presents well appearing, NAD, awake and interactive during exam, no stridor.  Patient was seen in the hospital for concern of RPA.  While hospitalized he was seen by ENT doctors who recommended starting IV antibiotics.  He continued on antibiotics until he started looking better, then was transitioned to Augmentin by mouth.  When patient improved , his breathing less noisy and he was eating and drinking normally, he was ready for discharge.
Age: 1.42
Sex: M
Vaccine: MMR
Symptoms: Streptococcus test negative
Clinical narrative: Patient was seen at PCP office the morning of 5/3/2019 for cough, lungs CTA, b/l, no wheezes, rales, or rhonchi.  Tonsils difficult to visualize, rapid flu and strep negative.  Patient is lethargic, clinging to mother.  Patient is drooling and breathing loudly.  No chest retractions.  Due to drooling and harsh breathing, epiglottitis is a concern.  Possible diagnosis:  Epiglottitis, croup, URI.  Once xray results were reviewed, mother advised to take patient to hospital for evaluation and patient was admitted for IV antibiotics. Hospital report noted 18month old that presents for concerns for RPA, several days of history of cough, congestion, and there is a change in cough and voice character yesterday through today, mother described as more muffled.  Patient drooling this morning.  No rash or medication history.  Patient presents well appearing, NAD, awake and interactive during exam, no stridor.  Patient was seen in the hospital for concern of RPA.  While hospitalized he was seen by ENT doctors who recommended starting IV antibiotics.  He continued on antibiotics until he started looking better, then was transitioned to Augmentin by mouth.  When patient improved , his breathing less noisy and he was eating and drinking normally, he was ready for discharge.
Age: 58.0
Sex: M
Vaccine: COVID19, FLUC4
Symptoms: Chills, Dizziness, Nausea
Clinical narrative: The onset of chills, nausea, and dizziness.  All of which lasted 4 to 6 hours prior to sleep.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Back pain, C-reactive protein increased, Chest X-ray normal, Chest pain
Clinical narrative: The patient is a 76 year old female who presents with chest pain. Woke up in middle of the night on 9/25/2023 with muscle soreness at the top of right back.  Applied heat, went back to bed but then woke up with sternal pain triggered by deep inspiration, radiates to her back and to epigastrium. Anterior neck hurts with inspiration, too. Feels like she was punched in the chest and the back.  Pain not worsened by walking. No cough. No dyspnea.    Very compliant with her Eliquis.  Received Spikevax 9/21/23.  Rapid COVID Ag = negative. Chest x-ray normal. EKG - Sinus rhythm. LBBB unchanged. ESR = 2, CRP = 32.9 (normal <8), CBC normal. Troponin =5 (normal <47).  On 9/26/23 pain 70% improved.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count normal, Myalgia, Neck pain, Pain, Red blood cell sedimentation rate normal
Clinical narrative: The patient is a 76 year old female who presents with chest pain. Woke up in middle of the night on 9/25/2023 with muscle soreness at the top of right back.  Applied heat, went back to bed but then woke up with sternal pain triggered by deep inspiration, radiates to her back and to epigastrium. Anterior neck hurts with inspiration, too. Feels like she was punched in the chest and the back.  Pain not worsened by walking. No cough. No dyspnea.    Very compliant with her Eliquis.  Received Spikevax 9/21/23.  Rapid COVID Ag = negative. Chest x-ray normal. EKG - Sinus rhythm. LBBB unchanged. ESR = 2, CRP = 32.9 (normal <8), CBC normal. Troponin =5 (normal <47).  On 9/26/23 pain 70% improved.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Sleep disorder, Troponin normal
Clinical narrative: The patient is a 76 year old female who presents with chest pain. Woke up in middle of the night on 9/25/2023 with muscle soreness at the top of right back.  Applied heat, went back to bed but then woke up with sternal pain triggered by deep inspiration, radiates to her back and to epigastrium. Anterior neck hurts with inspiration, too. Feels like she was punched in the chest and the back.  Pain not worsened by walking. No cough. No dyspnea.    Very compliant with her Eliquis.  Received Spikevax 9/21/23.  Rapid COVID Ag = negative. Chest x-ray normal. EKG - Sinus rhythm. LBBB unchanged. ESR = 2, CRP = 32.9 (normal <8), CBC normal. Troponin =5 (normal <47).  On 9/26/23 pain 70% improved.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS STORED IN AS UNAPPROVED STORAGE UNIT
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site rash, Syncope
Clinical narrative: Fainting and rash on injection site
Age: 38.0
Sex: M
Vaccine: COVID19-2, FLUR4
Symptoms: Injection site bruising, Injection site pain, Injection site reaction
Clinical narrative: First time looking at my arm since the two vaccine shots and noticed regular bruising at the injection site, but a large red patch below the injection site on my bicep. It looks like a sunburn. It is a bit sensitive to touch (feels like touching a bruise). The red area is about the size of a  softball.
Age: 73.0
Sex: F
Vaccine: RSV
Symptoms: Injection site rash
Clinical narrative: The patient experienced a rash just under the injection site two days later, which spread about 5 inches
Age: 61.0
Sex: M
Vaccine: COVID19, FLU4, RSV
Symptoms: Dizziness, Hyperventilation, Impaired driving ability
Clinical narrative: On September 20, 2023 at about 12:15 PM, I received the 3 vaccines listed above at a pharmacy.  All 3 injections went smoothly.  I felt perfectly fine during the approximately 5 minutes I remained in pharmacy, and continued feeling fine getting into my car.  I started my 15 minute drive home.  About 5 minutes into the drive I started feeling somewhat light-headed, which within a minute or two progressed to very concerning light-headedness bordering on dizziness.  I didn't want to pull to the side of the highway, but knew I would have to if it got any worse.  I found myself purposely hyperventilating on and off to keep being able to drive.  This status continued the remaining 10 minutes to arrive home. I sat down at home.  Within about 3 minutes I noticed my symptoms start to lesson.  Within an hour I no longer felt light-headed at all.   In addition to being dangerous for driving, I consider this adverse event significant because I have never had any adverse reaction to any vaccine I have ever had.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Discontinued product administered
Clinical narrative: VACCINE WAS STORED IN AS UNAPPROVED STORAGE UNIT
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Extra dose administered, Product communication issue
Clinical narrative: The patient received catch up vaccines from two different MAs. Due to lack of communication I administered a second  dose Tdap vaccine. A MA informed me that this patient's tdap vaccine was not ordered on our system, so  I went back to our system to double check and it was not sowing as ordered.  We were about to closed the clinic so I went ahead and administered the vaccine before they left. Later the MA that administered the vaccines told that she did administered the all vaccines including Tdap.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Syringe issue
Clinical narrative: The vaccine did not enter her arm when the vaccine was given and instead ran down her arm. Faulty syringe.