chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: U
Vaccine: HIBV
Symptoms: No adverse event, Product storage error
Clinical narrative: vaccine administered post excursion with no reported adverse event; Initial information received on 24-Sep-2024 regarding an unsolicited valid non-serious case received from a Nurse.  This case was linked to 2024SA269367 (master case).  This case involves Infant of unknown gender patient who was administered HIB (PRP/T) vaccine [ACT-HIB] post excursion with no reported adverse event.  The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided.   On an unknown date in 2024, the patient was administered with a  dose of suspect HIB (PRP/T) vaccine Powder and solvent for solution for injection (strength- unknown, lot UK010AA, UJ995AA, UK006AA) via unknown route in unknown administration site for Prophylactic Vaccination (Immunization), post excursion with no reported adverse event (poor quality product administered) (latency- same day).  Reportedly, from 24-Aug-2024 to 05-Sep-2024 vaccine that was involved in a temperature excursion resulting in below 0 temperature exposure was given to 26 patients. All patients involved in this administration range were one year of age. Per Sanofi guidelines this inactivated doses and all patients have been informed and offered a no cost revaccination.  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-2024SA269367:master case
Age: 1.0
Sex: U
Vaccine: HIBV
Symptoms: No adverse event, Product storage error
Clinical narrative: temperature excursion resulting in below 0 temperature exposure with no reported adverse event; vaccine that was involved in a temperature excursion resulting in below 0 temperature exposure was given to patient with no reported adverse event; Initial information received on 24-Sep-2024 regarding an unsolicited valid  non-serious case received from a nurse.  The case is linked to US-SA-2024SA269367 (Master case).  This case involves a 1 years old and unknown gender patient who received HIB (PRP/T) Vaccine [ACT-HIB] vaccine that was involved in a temperature excursion resulting in below 0 temperature exposure was given to patient.  The patient's past medical history, medical treatment(s), vaccination(s),concomitant medications and family history were not provided.   On an unknown date in 2024, the patient received a unknown dose of suspect HIB (PRP/T) Vaccine (Powder and solvent for solution for injection) lot UK010AA/UJ995AA/UK006AA,strength, expiry date was unknown via unknown route in unknown administration site for Prophylactic vaccination (Immunization) and vaccine that was involved in a temperature excursion resulting in below 0 temperature exposure was given to patient with no reported adverse event (poor quality product administered) (latency : same day) and (product storage error) (unknown latency).  Reportedly "From 8/24/24 to 9/5/24 ,All patients involved in this administration range were one year of age. Per Sanofi guidelines this inactivated doses and all patients have been informed and offered a no cost revaccination."   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-2024SA269367:Master case
Sex: U
Vaccine: HIBV
Symptoms: No adverse event, Product storage error
Clinical narrative: vaccine administered post excursion with no reported adverse event; Initial information received on 24-Sep-2024 regarding an unsolicited valid  non-serious case received from a other health professional.  This case was linked to US-SA-2024SA269367 (master case).  This case involves Infant and unknown gender patient who was administered HIB (PRP/T) vaccine [ACT-HIB] post excursion with no reported adverse event.  The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided.   On an unknown date in 2024, the patient was administered with a  dose of suspect HIB (PRP/T) vaccine Powder and solvent for solution for injection (strength- unknown, lot UK010AA, expiry date- 28-FEB-2025) (other lot numbers reported- UJ995AA, UK006AA) via unknown route in unknown administration site for Prophylactic Vaccination (Immunization), post excursion with no reported adverse event (poor quality product administered) (latency- same day).  Reportedly, from 24-Aug-2024 to 05-Sep-2024 vaccine that was involved in a temperature excursion resulting in below 0 temperature exposure was given to 26 patients. All patients involved in this administration range were one year of age. Per Sanofi guidelines this inactivated doses and all patients have been informed and offered a no cost revaccination.  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-2024SA269367:Master case
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Broke out in hive on my torso 10 days after receiving latest Covid booster vaccine. Hive lasted about 10 days before going away. Took Allegra for Hives during outbreak
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Supraclavicular lymphadenopathy of the right side of my neck.
Age: 11.0
Sex: F
Vaccine: DTAP
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Identified via retrospective data review that patient age was greater than 7 years at time of DTaP (INFANRIX) administration. DTaP is not indicated for ages greater than 7 years, Tdap should have been administered. No known adverse effects noted in the chart.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Dizziness, Dyspnoea, Feeling hot, Rash
Clinical narrative: Pt was brought to the back by employee with complaints of feeling dizzy and warm. Pt had received Depo injection and Flu vaccine. Checked vitals: BP 136/60, pulses 62, Respirations 16. Pt was c/o feeling warm, dizzy and chest tightness. No outward signs of patient having difficulty breathing. Upon moving patient to exam room to recline; rash noted to both arms; time for reaction 11:07. Pt ambulated with assistance to exam room. Pt had to use the bathroom; nurse in bathroom with patient when rash and hives noted to body. Pt given 50 mg of Benadryl IM to right arm. Pt back to exam table. Family notified of patient condition. Pt still c/o feeling dizzy and chest tightness. Unable to obtain blood pressure with machine and manually; however pulse ranging from 44-46. Epi-Pen injection given at 11:22 am; EMTs to exam room at 11:23 am. EMTs unable to get a blood pressure reading on patient. Patient alert and oriented; still c/o same symptoms. After assessment by EMTs; pt was able to ambulate to stretcher with help of EMTs; stretcher located outside of building. Pt information sheet provided to EMTs. Pt transported in stable condition.  22.  Patient was given Medroxyprogesterone 150mg/ml same day #00038503 , Qty: 1, Refills: 0.00, Lot #: PFIHC7078-ST, Exp. Date: 04/30/2026, Site: IM-RIGHT DELTOID (see con't below)
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Pt was brought to the back by employee with complaints of feeling dizzy and warm. Pt had received Depo injection and Flu vaccine. Checked vitals: BP 136/60, pulses 62, Respirations 16. Pt was c/o feeling warm, dizzy and chest tightness. No outward signs of patient having difficulty breathing. Upon moving patient to exam room to recline; rash noted to both arms; time for reaction 11:07. Pt ambulated with assistance to exam room. Pt had to use the bathroom; nurse in bathroom with patient when rash and hives noted to body. Pt given 50 mg of Benadryl IM to right arm. Pt back to exam table. Family notified of patient condition. Pt still c/o feeling dizzy and chest tightness. Unable to obtain blood pressure with machine and manually; however pulse ranging from 44-46. Epi-Pen injection given at 11:22 am; EMTs to exam room at 11:23 am. EMTs unable to get a blood pressure reading on patient. Patient alert and oriented; still c/o same symptoms. After assessment by EMTs; pt was able to ambulate to stretcher with help of EMTs; stretcher located outside of building. Pt information sheet provided to EMTs. Pt transported in stable condition.  22.  Patient was given Medroxyprogesterone 150mg/ml same day #00038503 , Qty: 1, Refills: 0.00, Lot #: PFIHC7078-ST, Exp. Date: 04/30/2026, Site: IM-RIGHT DELTOID (see con't below)
Age: 28.0
Sex: M
Vaccine: DTAP
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Identified via retrospective data review that patient age was greater than 7 years at time of DTaP (INFANRIX) administration. DTaP is not indicated for ages greater than 7 years, Tdap should have been administered. No known adverse effects noted in the chart.
Age: 86.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No adverse reaction took place just received a duplicate.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Tinnitus
Clinical narrative: Patient has been experiencing tinnitus 3 days after vaccination
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Child had received Covid shot at the school the week prior to being seen in the clinic. The child's appointment had been cancelled and rescheduled and the forecaster was printed prior to the child receiving his covid vaccine, so did not have shot on the forecaster.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Muscular weakness, Pain in extremity, Product administered at inappropriate site
Clinical narrative: Patient received vaccine at a pharmacy, outside of our electronic medical record so I do not have specific information regarding vaccine that was administered. Patient reports that back in March when she received her Covid vaccine that it was given higher in her arm than other vaccines she remembers getting. She states she has pain, numbness, and loss of strength in that arm. Since that call, pain has subsided in recent days and is no longer present.
Age: 23.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient received the shot on Thursday at a Pharmacy and we left for vacation the next morning. All vaccination information  is at home.
Age: 23.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lip swelling, Swelling of eyelid
Clinical narrative: Patient received the shot on Thursday at a Pharmacy and we left for vacation the next morning. All vaccination information  is at home.
Age: 68.0
Sex: M
Vaccine: RSV
Symptoms: Arthralgia, Erythema, Joint swelling, Pain in extremity, Skin warm
Clinical narrative: Home health care nurse called 11-11-24 and described patient started with redness in right elbow the day after shot. Throughout weekend the elbow became swollen, warm and painful. On 11-10-24 the Right forearm started to hurt. Home health nurse called primary provider on 11-11-24. No further reported info.
Age: 63.0
Sex: M
Vaccine: FLU3
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Customer did not experience an adverse event,  a second dose of  Flucelvax was administered to the patient.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Muscular weakness
Clinical narrative: Patient described having soreness at the injection site after vaccination on 10/16/24. Today she called the pharmacy to report she still has weakness/soreness in that arm that has persisted.  I told her it is unusual to have vaccine soreness to linger for this long.  I asked her if she felt it was affecting her shoulder joint and she said no.  I recommended icing the site 15 min on, 15 min off to help with pain relief. Also Tylenol or ibuprofen if needed. I recommended she call her doctor to get the area physically examined to see if there is an underlying injury that needs to be treated.
Age: 75.0
Sex: F
Vaccine: DTAP
Symptoms: Headache, Road traffic accident, Skin laceration
Clinical narrative: Document Type: ED Physician Progress Note   Document Subject: ED Progress Note   Performed By: MD on November 11, 2024 23:49 EST   Verified By: MD on November 12, 2024 00:43 EST   Encounter Info: Hospital, Emergency, 11/11/24 - 11/12/24    * Final Report *        Basic Information  Time Seen: MD / 11/11/2024 21:26  Chief Complaint  Motor vehicle crash - minor (Complaint of), Multiple head and/or neck laceration (Complaint of)  History of Present Illness     75-year-old female with past medical history of asthma, hypothyroidism, seizures, hypertension hyperlipidemia presenting with headache status post MVA.  Patient states that she was a restrai
Age: 3.0
Sex: M
Vaccine: DTAP
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient received unscheduled vaccination, no adverse reactions to vaccination reported by MOP after receiving injection
Age: 52.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Injection site bruising, Injection site erythema, Injection site swelling, Injection site urticaria, Injection site warmth
Clinical narrative: Hives, redness, bruising, swelling, warmth at the injection site.
Age: 65.0
Sex: F
Vaccine: FLU3, PNC20
Symptoms: Contraindication to vaccination, Dysstasia, Hypoaesthesia, Muscular weakness
Clinical narrative: FROM NP NOTE: "The patient states that she did do plenty of research that told her she should not receive any vaccines within 2 weeks of her Ocrevus infusion.  However due to her PCP encouraging her to receive her vaccinations due to being high risk the patient did obtain vaccines on 10/28/2024 patient states prior to this she was feeling better with physical therapy and Ocrevus infusion.  On Friday 11/8/24 patient began to notice that she was having right lower extremity weakness which progressively got worse and now is bilateral lower extremity weakness by Saturday she was barely able to stand.  She also has bilateral lower extremity decreased sensation from the knee down. Patient denies being ill, she denies fever chills, chest pain, sob. "
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Swelling
Clinical narrative: swelling redness and large round red circle looking like if a person would have cellulitis
Age: 73.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Cellulitis, Erythema
Clinical narrative: Mild redness noted. Continuing to move across arm. Went to local urgent care facility on evening of 11/2/2024 and was diagnosed with cellulitis.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Peripheral swelling
Clinical narrative: Left Lower Arm Swelling near Elbow
Age: 77.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Cold sweat, Hypotonia, Incoherent, Nausea, Vomiting
Clinical narrative: Patient appeared nervous prior to administration. Post-vax, she sat down in waiting area while husband received his shot. After walking out of the room, we noticed that the patient appeared limp, clammy, and nauseated. Immediately after she started vomiting while going in and out of coherency. RPh called 911. She was given a cold compress and we waited with the patient until EMT arrived. At this time, her husband also claimed to feel the same way, with the same symptoms. EMT opted to treat him as well and both were transferred to the nearest hospital. They were treated and released the same day. Treated and released same day. Tests were inconclusive for a cause. Hospital staff advised the patient to only receive one vaccine at a time.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient presented for COVID and flu vaccine. Pt is 11 y.o. RN pulled and administered vaccine indicated for 12 & up.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Burning sensation, Erythema, Hypoaesthesia, Palpitations, Paraesthesia
Clinical narrative: Severe Hives all over body, redness, palpitations, numbness/tingling, burning sensation
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Severe Hives all over body, redness, palpitations, numbness/tingling, burning sensation
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pt presented to clinic for COVID-19 injection. Pt is 11 and received 12 and up dose.
Age: 77.0
Sex: F
Vaccine: UNK
Symptoms: Lip swelling, Pruritus, Rash, Urticaria
Clinical narrative: itching all over my body...all over....welts the size of quarters, rash on face, swollen lips rash on butt, under eyes
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: This patient was in our office on 11/11/24 for an office visit and a lab appointment. He was on the lab schedule for a lab draw and a covid vaccine per appointment note. Varified with the pt what he was getting done and he agreed, i asked all questions that are on covid consent form, including have you recently been treated for covid and if its been more then 4 months since the last covid vaccine. he agreed that he hadnt been treated recently. I gave the vaccine. Apon getting back to my desk to doccument i noticed he also had a covid vaccine in his office visit today. I then spoke with the MA for that visit to varify that he had infact been given one of these in the office appointment. He had.  Per our protocol i tried calling the help desk to discuss this error and what to do for the pt moving forward however i was unable to get anyone as it is a holiday and there closed. I spoke with medical director about this and She advised me to call the pt to discuss this with him and to let him know we are following protocol and will be reaching back out to him tomorrow after speaking with help desk. Pt was feeling fine and stated he would reach out if he developed any side effects
Age: 64.0
Sex: M
Vaccine: PPV
Symptoms: Arthralgia, Injection site erythema
Clinical narrative: patient stated that his skin on vaccinated arm turned red like a sunburn from elbow to shoulder area around 7:30 am morning following vaccine. also complained of soreness in shoulder area
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Brain fog, Burning sensation, Dizziness, Lethargy, Limb discomfort
Clinical narrative: Heart palpitations, burning arm, general fogginess, lightheaded, lethargic, heavy feeling in limbs.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Heart palpitations, burning arm, general fogginess, lightheaded, lethargic, heavy feeling in limbs.
Age: 80.0
Sex: M
Vaccine: RSV
Symptoms: Extra dose administered
Clinical narrative: pt accidently received 2 doses of the RSV vaccine, pt had an order from E-visit so vaccine was given, unaware that pt had previously received vaccine
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19, UNK, UNK
Symptoms: Wrong product administered
Clinical narrative: Patient: 1 of four adult patients given a peds RSV vaccine instead of an adult vaccine which was in stock. Due diligence was not conducted for med rights. PT was given beyfortus 100mg/1 ml , manufacture Sonofi, Lot AZ230084 child's dose instead of adult dose of Arexvy 0.5 ml made by GSK.. This was found by the LVN who was supervising other MAs with vaccines. An investigation was conducted along with verbal and written warning to all involved. Re-teaching conducted of all staff.  Repeated teaching was recommended for all staff.
Age: 0.25
Sex: M
Vaccine: RSV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: no reaction
Age: 23.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Guillain-Barre syndrome, Intensive care, Mental status changes
Clinical narrative: Patient started showing signs of weakness and altered mental status on 7 November 2024.  Rushed to Hospital where he was diagnosed with Guillan-Barre Syndrome.  Patient is currently in ICU.
Age: 15.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Loss of consciousness, Seizure
Clinical narrative: patient recieved  each vaccine and passed out and was revived but then had a seizure and was treated by ems and taken to hospital for observation
Age: 77.0
Sex: M
Vaccine: FLU3
Symptoms: Extra dose administered, No adverse event
Clinical narrative: PATIENT RECEIVED AN IM SHOT OF FLUAD ON 9/18/2024 (LEFT ARM, LOT#388459) AND THEN RECEIVED A SECOND DOSE BY MISTAKE ON 11/5/2024.  SPOKE WITH PATIENT ON 11/12/2024 AND HE BELIEVED HE GOT THE COVID VACCINE IN SEPTEMBER, AND THE FLU SHOT IN NOVEMBER.  NO ILL EFFECTS REPORTED TO ME.
Age: 78.0
Sex: F
Vaccine: FLU3, PNC21
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Pateint has lots of redness and swelling in the left arm around the injection site.  Patient "thinks it's getting better." She is using something "Hydrocortisone-like" for the itching.
Age: 5.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Syncope
Clinical narrative: Patient received both vaccines, and was watching her three year old sister receive the same two  vaccines when she fainted.  The patient's three year old sister was quite upset and screaming and crying in the process of receiving the shots, which may have upset the patient.   The patient's parents were attending to her crying sister when all of a sudden the patient fainted.     The patient quickly came to and seemed okay, but the parents wanted to take her to an urgent care center to make sure there was no  head injury from the fall.
Age: 20.0
Sex: M
Vaccine: MNQ
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient inadvertently given Menanctra (MCV4) instead of Meningococcal B without any signs and symptoms of adverse reactions. Patient states has had no pain, fevers, local or systemic reactions to report.
Age: 7.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Injection site cellulitis, Injection site erythema, Injection site swelling, Injection site warmth, Product administered to patient of inappropriate age
Clinical narrative: Patient received a dose of Dtap/IPV (Kinrix) at the age of 7 years old. Dtap being dose number 5, Polio being dose number 4 October 28th 2024. Patient woke up the morning of October 30th with redness, swelling and warmth to the touch on her left deltoid area. She was seen at doctors office on 10.30.24  at 9:30 am for the symptoms of Cellulitis. She was treated with the antibiotic Cephalexin 250mg/5mL oral suspension
Age: 83.0
Sex: F
Vaccine: PNC21, RSV
Symptoms: Chills, Erythema, Feeling of body temperature change, Hyperhidrosis, Injected limb mobility decreased
Clinical narrative: pt says she started getting the chills. She went from cold to hot and was sweating. She felt like she was dying. Her left arm started swelling, turning red, and hot to the touch. She was not able to lift her arm.  Her skin was itchy with hives. She took Tylenol for the pain. Today it is still sensitive to the touch. There is still a knot on her arm and she still has some swelling that is warm to touch but seems to be getting better.
Age: 83.0
Sex: F
Vaccine: PNC21, RSV
Symptoms: Nodule, Pain, Peripheral swelling, Pruritus, Skin warm
Clinical narrative: pt says she started getting the chills. She went from cold to hot and was sweating. She felt like she was dying. Her left arm started swelling, turning red, and hot to the touch. She was not able to lift her arm.  Her skin was itchy with hives. She took Tylenol for the pain. Today it is still sensitive to the touch. There is still a knot on her arm and she still has some swelling that is warm to touch but seems to be getting better.
Age: 83.0
Sex: F
Vaccine: PNC21, RSV
Symptoms: Tenderness, Urticaria
Clinical narrative: pt says she started getting the chills. She went from cold to hot and was sweating. She felt like she was dying. Her left arm started swelling, turning red, and hot to the touch. She was not able to lift her arm.  Her skin was itchy with hives. She took Tylenol for the pain. Today it is still sensitive to the touch. There is still a knot on her arm and she still has some swelling that is warm to touch but seems to be getting better.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Pyrexia, Respiratory disorder
Clinical narrative: Prolonged fever, Respiratory illness. Standard treatment. 3-4 weeks.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Chest X-ray, Computerised tomogram thorax, Dizziness, Echocardiogram
Clinical narrative: Fatigue weakness rapid heart rate, body aches hives headache and dizziness
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Electrocardiogram, Fatigue, Headache, Heart rate increased, Laboratory test
Clinical narrative: Fatigue weakness rapid heart rate, body aches hives headache and dizziness
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Scan with contrast, Urticaria
Clinical narrative: Fatigue weakness rapid heart rate, body aches hives headache and dizziness
Age: 20.0
Sex: F
Vaccine: HPV9, TDAP
Symptoms: Pain, Pain in extremity
Clinical narrative: On 11/7/2024 she developed left arm pain, seems to be worsening. Reports ache in entire upper arm at rest, pain is worse with certain movement (lifting arm above 90 degrees, cross body, and behind body) and is predominantly in shoulder. Current pain at rest 2/10 on pain scale. No known injury, she has taken a break from Cross Fit over the past two weeks. She denies redness, swelling, fever, numbness/tingling. It is difficult to assess if arm is week secondary to limited mobility from pain.
Age: 11.0
Sex: F
Vaccine: FLU3, HPV9, MNQ, TDAP
Symptoms: Dizziness, Fatigue, Flushing, Nausea, Pain in extremity
Clinical narrative: Anxious pt received vaccines and sat for 2 minutes then stood in place for 2 minutes.  She then reported dizziness, was sat in a chair and given a cold cloth to place on face and neck.  She sat for 5 minutes until she denied dizziness.  Stood in place for 2 minutes and denied dizziness.  Attempted to walk and again c/o dizziness.  She was sat on floor with knees elevated and given 7 oz can of apple juice.  She remained seated on floor for 5 minutes.  She then stood in place for 3 minutes denying symptoms of dizziness or nausea.  Walked with nurse to hallway of building to sit on bench and wait for parent.  Pt then c/o tiredness, became flushed, tachycardic (124 bpm) and c/o pain in left arm and nausea.  Pt was laid on bench with legs elevated and evaluated by MD.  She was supine for 10 minutes, then transferred with 2 nurses assisting to wheelchair and moved back to exam room.  She transferred to exam table and was supine with legs elevated for 15 minutes with VS taken.  She sat on exam table for 5 minutes then stood next to exam table for 2 minutes.  She c/o dizziness and was seated in chair again for 3 minutes until symptoms resolved.  Stood for 3 minutes denying any symptoms and was escorted to vehicle by nurse without incident.
Age: 11.0
Sex: F
Vaccine: FLU3, HPV9, MNQ, TDAP
Symptoms: Tachycardia
Clinical narrative: Anxious pt received vaccines and sat for 2 minutes then stood in place for 2 minutes.  She then reported dizziness, was sat in a chair and given a cold cloth to place on face and neck.  She sat for 5 minutes until she denied dizziness.  Stood in place for 2 minutes and denied dizziness.  Attempted to walk and again c/o dizziness.  She was sat on floor with knees elevated and given 7 oz can of apple juice.  She remained seated on floor for 5 minutes.  She then stood in place for 3 minutes denying symptoms of dizziness or nausea.  Walked with nurse to hallway of building to sit on bench and wait for parent.  Pt then c/o tiredness, became flushed, tachycardic (124 bpm) and c/o pain in left arm and nausea.  Pt was laid on bench with legs elevated and evaluated by MD.  She was supine for 10 minutes, then transferred with 2 nurses assisting to wheelchair and moved back to exam room.  She transferred to exam table and was supine with legs elevated for 15 minutes with VS taken.  She sat on exam table for 5 minutes then stood next to exam table for 2 minutes.  She c/o dizziness and was seated in chair again for 3 minutes until symptoms resolved.  Stood for 3 minutes denying any symptoms and was escorted to vehicle by nurse without incident.
Age: 3.0
Sex: M
Vaccine: HEPA, MMRV, VARCEL
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Varivax was inadvertently given with Proquad.  No adverse signs or symptoms were observed before or after vaccination.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Musculoskeletal discomfort, Product administered at inappropriate site
Clinical narrative: IM injection administered too close to bursa instead of deltoid; shoulder pain/discomfort continues two weeks post-injection.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine decreased, Blood iron decreased, Blood sodium increased, Death, Full blood count normal
Clinical narrative: Participant found deceased at home on evening of 11/6/24 by his wife, unable to be resuscitated by EMS. He appeared to be in usual state of health that afternoon. Participant had vaccine administered day before (11/5/2024) without apparent reaction.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Iron binding capacity total normal, Metabolic function test normal, Resuscitation, Serum ferritin increased, Transferrin saturation decreased
Clinical narrative: Participant found deceased at home on evening of 11/6/24 by his wife, unable to be resuscitated by EMS. He appeared to be in usual state of health that afternoon. Participant had vaccine administered day before (11/5/2024) without apparent reaction.
Age: 28.0
Sex: F
Vaccine: UNK
Symptoms: Erythema, Pain, Pruritus, Rash, Swelling
Clinical narrative: Rash, raised, pain, red, mild itching
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Chest X-ray abnormal, Contusion, Inflammation, Limb injury
Clinical narrative: The patient presents with a chief complaint of symptoms following a flu shot received on October 17th. She reports experiencing pain, bruising, and difficulty lifting her arm after the vaccination. The bruising appeared the next day, which is unusual as she denies any history of bruising with immunizations (although has a history of bruising spontaneously). The pain in her arm persists and varies in location. She reports pain down her entire arm after the flu shot, which is distinct from the occasional numbness she experiences due to her history of  spinal stenosis.     Right shoulder pain and bruising after receiving influenza vaccine on 10/17/24.  Based on the photo of where the bruise is it appears that the injection was high, could be close/less than 2-3 fingerbreadths below the acromion.  Symptoms sound consistent with shoulder injury/inflammation that started within several hours of vaccination and have persisted since although getting somewhat better and more functional.  That could be consistent with shoulder injury related to vaccination (SIRVA).  Not sure about the neurological symptoms she feels in the region of the ulnar nerve that go into her hand - that would not be consistent with SIRVA but the symptoms localized around the should could be. Recommendations not a contraindication to future vaccination will submit a VAERS and send the patient confirmation via portal as is required when SIRVA suspected f/u with PCM for management - may include PT/OT/ortho referral depending on clinical course
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Mobility decreased, Neurological symptom, Osteoarthritis, Pain in extremity, Product administered at inappropriate site
Clinical narrative: The patient presents with a chief complaint of symptoms following a flu shot received on October 17th. She reports experiencing pain, bruising, and difficulty lifting her arm after the vaccination. The bruising appeared the next day, which is unusual as she denies any history of bruising with immunizations (although has a history of bruising spontaneously). The pain in her arm persists and varies in location. She reports pain down her entire arm after the flu shot, which is distinct from the occasional numbness she experiences due to her history of  spinal stenosis.     Right shoulder pain and bruising after receiving influenza vaccine on 10/17/24.  Based on the photo of where the bruise is it appears that the injection was high, could be close/less than 2-3 fingerbreadths below the acromion.  Symptoms sound consistent with shoulder injury/inflammation that started within several hours of vaccination and have persisted since although getting somewhat better and more functional.  That could be consistent with shoulder injury related to vaccination (SIRVA).  Not sure about the neurological symptoms she feels in the region of the ulnar nerve that go into her hand - that would not be consistent with SIRVA but the symptoms localized around the should could be. Recommendations not a contraindication to future vaccination will submit a VAERS and send the patient confirmation via portal as is required when SIRVA suspected f/u with PCM for management - may include PT/OT/ortho referral depending on clinical course
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: X-ray limb abnormal
Clinical narrative: The patient presents with a chief complaint of symptoms following a flu shot received on October 17th. She reports experiencing pain, bruising, and difficulty lifting her arm after the vaccination. The bruising appeared the next day, which is unusual as she denies any history of bruising with immunizations (although has a history of bruising spontaneously). The pain in her arm persists and varies in location. She reports pain down her entire arm after the flu shot, which is distinct from the occasional numbness she experiences due to her history of  spinal stenosis.     Right shoulder pain and bruising after receiving influenza vaccine on 10/17/24.  Based on the photo of where the bruise is it appears that the injection was high, could be close/less than 2-3 fingerbreadths below the acromion.  Symptoms sound consistent with shoulder injury/inflammation that started within several hours of vaccination and have persisted since although getting somewhat better and more functional.  That could be consistent with shoulder injury related to vaccination (SIRVA).  Not sure about the neurological symptoms she feels in the region of the ulnar nerve that go into her hand - that would not be consistent with SIRVA but the symptoms localized around the should could be. Recommendations not a contraindication to future vaccination will submit a VAERS and send the patient confirmation via portal as is required when SIRVA suspected f/u with PCM for management - may include PT/OT/ortho referral depending on clinical course
Age: 63.0
Sex: F
Vaccine: PNC20
Symptoms: Cellulitis
Clinical narrative: cellulitis to affected shoulder, doxycycline and ultrasound
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Gait disturbance, Inflammation, Joint swelling, Mobility decreased
Clinical narrative: 11/9/24 woke up with a swollen and hurting right knee (both front and back), could barely walk. Put Ice and took ibuprofen. Inflammation went down as the day went on. Left elbow and arm hurt, swollen above the elbow. Right thumb hurts to touch and bend. Right arm hurts to lift and lay on. Sunday left hand/fingers/palm started to swell. Can't bend or straighten. All continue on to Monday.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Pain in extremity, Peripheral swelling, Tenderness
Clinical narrative: 11/9/24 woke up with a swollen and hurting right knee (both front and back), could barely walk. Put Ice and took ibuprofen. Inflammation went down as the day went on. Left elbow and arm hurt, swollen above the elbow. Right thumb hurts to touch and bend. Right arm hurts to lift and lay on. Sunday left hand/fingers/palm started to swell. Can't bend or straighten. All continue on to Monday.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Injection site pain, Injection site pruritus, Injection site swelling, Tremor
Clinical narrative: Pain, itching and swelling at the injection site, mild shaking and elevated temperature x 1.
Age: 11.0
Sex: M
Vaccine: HPV9, TDAP
Symptoms: Loss of consciousness
Clinical narrative: Patient was waiting in room with his mother for 15 minutes following vaccination since he received the HPV vaccine, and he passed out momentarily. Upon nurse/physician arrival to the room, he was awake and talking again. He was moved to a room with an exam table on which he could lay down. BP 120/78 in the left arm lying down. Heart rate 88. Heart rhythm appropriate. Patient AAOx3. Recovered well, was given juice and granola bar. Had not eaten breakfast or anything else so far in the day. Ten minutes later, patient was feeling well and was allowed to leave.
Age: 15.0
Sex: M
Vaccine: UNK, UNK
Symptoms: Dyspnoea, Ear pain, Malaise, Respiratory rate increased, Syncope
Clinical narrative: Patient had vasovagal syncope episode about 5 minutes after HPV vaccination. Patient did not loose consciousness, started feeling uneasy and breathing rapidly and complaints of difficulty breathing and right ear pain. Patient was placed in laying supine position with pillow supporting legs up. MD was requested to come in to examine patient and pulse ox was taken and documented. Patient was advised take deep breaths, cheese crackers and  water and juice provided to patient to drink. MD evaluated patient and was determined he was feeling better to go advised to wait another 10-15 minutes until ready to leave and ambulated out of clinic in no apparent distress.
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Blood test, Body temperature increased, Eye inflammation, Influenza like illness, Ocular hyperaemia
Clinical narrative: CLIENT REPORTED HE STARTED HAVING FLU LIKE SYMPTOMS 10-18-24, SUCH AS BODY ACHES AND ELEVATED TEMP.  STATED ABOUT 1 WEEK LATER HIS EYES BECAME RED AND INFLAMED.  STATES HE WAS SEEN PER DR,MD AND ALSO DR, OPTHAMOLOGIST.
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain
Clinical narrative: CLIENT REPORTED HE STARTED HAVING FLU LIKE SYMPTOMS 10-18-24, SUCH AS BODY ACHES AND ELEVATED TEMP.  STATED ABOUT 1 WEEK LATER HIS EYES BECAME RED AND INFLAMED.  STATES HE WAS SEEN PER DR,MD AND ALSO DR, OPTHAMOLOGIST.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Skin discolouration, Skin exfoliation, Skin hypertrophy
Clinical narrative: Single areas of thickening skin...similar to what I would have called warts. Went to a dermatologist.  He kept referring these spots as wisdom spots and froze them. Made an appointment to see him the next fall when I would come back to state. This progressed to scales on my skin that eventually peeled  off...these itched, even while I tried to keep them moisturized. These areas have lessened, but still with darkened spots and scaling.
Age: 7.0
Sex: M
Vaccine: FLUN3
Symptoms: Decreased appetite, Headache, Lethargy, Nasal congestion, Pyrexia
Clinical narrative: fever: 103.0 F (oral), headache, lethargy, loss of appetite, nasal congestion
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Condition aggravated, Seizure
Clinical narrative: Member had a breakthrough seizure hours after the flu shot was administered. Member went to neurologist and was told it could have been the vaccination.
Age: 9.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: The wrong COVID vaccine was given.  A dose for ages 12 and older was given to this patient.
Age: 83.0
Sex: F
Vaccine: COVID19, FLU3, PNC20, RSV
Symptoms: Condition aggravated, Delirium, Dementia, Laboratory test normal
Clinical narrative: My Mother is experiencing delirium. Its been 3 weeks now. The Dr said he would revisit in a week. He stated it would most likely  be gone in a week or not and has not. There has been no treatment. I thought she may have had a UTI, the results came back negative. She's  had dementia for a few years now after the 4 vaccines  at one it is really bad.    Not sure the nursing home reported this. It was brought to their attention the following day and every day there after.
Age: 68.0
Sex: M
Vaccine: FLU3
Symptoms: Lip swelling, Rash
Clinical narrative: Patient woke up the morning of 11/12/24 with swollen lips and a rash on his back. Patient came to the pharmacy to report and continued to urgent care for treatment.
Age: 82.0
Sex: M
Vaccine: COVID19, FLU3, RSV
Symptoms: Gait disturbance, Walking aid user
Clinical narrative: Patient wife presented to pharmacy on 11/12/2024 asking me to report on her behalf: states about 5-6 days after husband receiving vaccines listed, that he could no longer walk. Said has to use a cane. Said visited doctor and doctor told her it was probably the RSV vaccine causing it. Wife states she thinks it is  Guillain Barre.
Sex: M
Vaccine: FLU3
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was only 64 y.o and 10 month when he received the fluzone HD.
Age: 13.0
Sex: F
Vaccine: FLU3
Symptoms: Anxiety, Dizziness, Syncope
Clinical narrative: Patient had vasovagal syncope episode after Flu vaccination. Patient did not loose consciousness, started feeling uneasy and complained of dizziness Patient was placed in laying supine position with pillow supporting legs up. MD was requested to come in to examine patient and blood pressure, pulse ox was taken and documented. Patient was advised take deep breaths, cheese crackers and  water and juice provided to patient to drink. MD evaluated patient and was determined he was feeling better to go advised to wait another 10-15 minutes until ready to leave and ambulated out of clinic in no apparent distress.
Age: 1.0
Sex: M
Vaccine: MMRV
Symptoms: No adverse event
Clinical narrative: Pt was 12-month-old, received the MMR/Varicella ( proquad vaccine) on 10/09/2024. checked with mother on 11/12/2024. Patient did not had any reaction to vaccine
Age: 60.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: No adverse event, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: no adverse reaction, wrong vaccination given. High Dose flu vaccine given to a 60 year old male.
Age: 76.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Blood test normal, Dehydration, Erythema, Fatigue, Gait disturbance
Clinical narrative: On 10/08/24 i was woken up in the middle of the night with the worst pains in my legs for several mins, and i have never felt anything so painful in my life. It felt like my muscles were vibrating. And the on 10I was in the public libary and the same thing happened in my left arm and this went on  for serveral mins, And both of these made me feel so tired because of how bad they were hurting. And beginning wiht that a day or so later my whole body sorta shut down i could barley move my legs and walk. My legs felt like they weight 100 lbs. i could barley move and was dragging my legs. I could walk up the steps and that includes the step in front of my house, My arms my elbows my legs everything just hurt really bad. When i got up that is when it was the worst and i realized i was dehydrated and after i drank some water i was able to walk slowly.   called the DR to try and make an appointment was told there were no appointments for weeks and  my blood work was normal, these legs pain went on for 2 weeks and was also having heart pulptations, where they ran some test 11/11/2024. I had high blood pressure. 11/02/24 I went to hospital, they gave me steriods and i took that the morning of 11/03/2024 at 7 am and around 10am my cheeks and everything was bright red. I went and got medication for my skin. I went to Urgent Care. and was given more medication for my skin.
Age: 76.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Hypertension, Limb discomfort, Mobility decreased, Muscle discomfort, Pain in extremity
Clinical narrative: On 10/08/24 i was woken up in the middle of the night with the worst pains in my legs for several mins, and i have never felt anything so painful in my life. It felt like my muscles were vibrating. And the on 10I was in the public libary and the same thing happened in my left arm and this went on  for serveral mins, And both of these made me feel so tired because of how bad they were hurting. And beginning wiht that a day or so later my whole body sorta shut down i could barley move my legs and walk. My legs felt like they weight 100 lbs. i could barley move and was dragging my legs. I could walk up the steps and that includes the step in front of my house, My arms my elbows my legs everything just hurt really bad. When i got up that is when it was the worst and i realized i was dehydrated and after i drank some water i was able to walk slowly.   called the DR to try and make an appointment was told there were no appointments for weeks and  my blood work was normal, these legs pain went on for 2 weeks and was also having heart pulptations, where they ran some test 11/11/2024. I had high blood pressure. 11/02/24 I went to hospital, they gave me steriods and i took that the morning of 11/03/2024 at 7 am and around 10am my cheeks and everything was bright red. I went and got medication for my skin. I went to Urgent Care. and was given more medication for my skin.
Age: 76.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Palpitations, Sleep disorder
Clinical narrative: On 10/08/24 i was woken up in the middle of the night with the worst pains in my legs for several mins, and i have never felt anything so painful in my life. It felt like my muscles were vibrating. And the on 10I was in the public libary and the same thing happened in my left arm and this went on  for serveral mins, And both of these made me feel so tired because of how bad they were hurting. And beginning wiht that a day or so later my whole body sorta shut down i could barley move my legs and walk. My legs felt like they weight 100 lbs. i could barley move and was dragging my legs. I could walk up the steps and that includes the step in front of my house, My arms my elbows my legs everything just hurt really bad. When i got up that is when it was the worst and i realized i was dehydrated and after i drank some water i was able to walk slowly.   called the DR to try and make an appointment was told there were no appointments for weeks and  my blood work was normal, these legs pain went on for 2 weeks and was also having heart pulptations, where they ran some test 11/11/2024. I had high blood pressure. 11/02/24 I went to hospital, they gave me steriods and i took that the morning of 11/03/2024 at 7 am and around 10am my cheeks and everything was bright red. I went and got medication for my skin. I went to Urgent Care. and was given more medication for my skin.
Age: 60.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Chest pain, Dizziness, Dyspnoea, Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: Patient received Bexsero and Menveo vaccines in each deltoid today. She has history of anaphylaxis reactions and started complaining of dizziness about 10-15 minutes after vaccines were administered. Soon after she started experiencing numbness around her mouth and face. PIV started in left AC and 25mg Benadryl given. Patient then started to experience some difficulty breathing so 0.3mg Epinephrine was given and 500ml NS bonus was started. Patient started to complain of chest pain and increased difficulty breathing so EMS was called. Patient left with EMS to go to ED. She was awake and able to converse at the time of departure.
Age: 13.0
Sex: M
Vaccine: MENB
Symptoms: Wrong product administered
Clinical narrative: Vaccine given to patient in error.