chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.33
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC13, RV5
Symptoms: Antibody test, Rash, Rash erythematous, Rash maculo-papular
Clinical narrative: Patient was seen at clinic on 02/21/2024 for well child exam, immunization update, and rash to neck, armpit, and umbilical area for 4 days prior to appointment. On 02/21/2024 patient was prescribed the following medications: Hydrocortisone 2.5%  and Mupirocin ointment. Patient's mother presented to clinic today, 02/28/2024 and reported symptoms started 30 minutes post vaccination. New symptoms today includes lacy reticular rash to chest and generalized maculopapular rash. Previous rash to armpit is resolved. All other reported rash still persists. Today, patient was prescribed prednisolone.
Age: 52.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Pt noted pruritis and erythema to scalp on 2/27/2024 then on doctor's exam on 2/28/2024, he was noted to have urticaria to forehead and throughout his scalp.  No airway compromise noted.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: COVID 19
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Bell's palsy
Clinical narrative: Bell's Palsy- treatment with prednisone and valtrex
Sex: U
Vaccine: HEP
Symptoms: Wrong product administered
Clinical narrative: No symptoms reported; RECOMBIVAX HB was inadvertently administered to a pediatric patient instead of Tetanus Toxoid Conjugate; This spontaneous report was received from a medical assistant and referred to a pediatric patient of unknown gender. The patient's medical history, concurrent conditions, concomitant therapies, drug reactions and allergies were not reported.  On 23-FEB-2024, the patient was inadvertently vaccinated with hepatitis b vaccine (recombinant) thimerosal free (RECOMBIVAX HB) intramuscular injection, 0.5 milliliter, lot #X021477, expiration date: 18-MAY-2026, administered intramuscularly for prophylaxis (strength was not provided) instead of Tetanus Toxoid Conjugate (Wrong product administered). No symptoms reported. No additional AE.
Sex: U
Vaccine: COVID19
Symptoms: Abnormal weight gain, COVID-19, SARS-CoV-2 test, Weight
Clinical narrative: Covid-19; I used to only weigh 105 pounds. I am up to 150(pounds); This spontaneous case was reported by a patient and describes the occurrence of COVID-19 (Covid-19) and ABNORMAL WEIGHT GAIN (I used to only weigh 105 pounds. I am up to 150(pounds)) in a patient of an unknown age and gender who received SPIKEVAX NOS (SPIKEVAX NOS) for COVID-19 prophylaxis.     The patient's past medical history included COVID-19 (Before taking the vaccine).    On an unknown date, the patient received dose of SPIKEVAX NOS (SPIKEVAX NOS) (unknown route) 1 dosage form. On an unknown date, the patient experienced COVID-19 (Covid-19) and ABNORMAL WEIGHT GAIN (I used to only weigh 105 pounds. I am up to 150(pounds)). At the time of the report, COVID-19 (Covid-19) and ABNORMAL WEIGHT GAIN (I used to only weigh 105 pounds. I am up to 150(pounds)) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, SARS-CoV-2 test: Positive. On an unknown date, Weight: 105 pounds and 150 pounds.         No concomitant medications were reported. Patient received the vaccine on left arm. Patient had COVID five times. Patient was on antibiotic treatment (Unspecified). Patient was currently taking antibiotics because patient had a sore throat but had been diagnosed with Covid. Patient reported that they were prescribed Paxlovid and had only received the medicine at the time of the report.
Age: 1.83
Sex: F
Vaccine: HPV9
Symptoms: No adverse event, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: No additional AE; a patient inadvertently received GARDASIL 9 instead of PREVNAR 20; 22 months female; This spontaneous report was received from a medical assistant, referring to a 22-month-old female patient. The patient's current conditions, concomitant medications, pertinent medical history and drug reactions/allergies were note reported.  On 20-FEB-2024, the patient was inadvertently vaccinated with hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) injection (0.5 milliliter, lot number 2014634 has been verified to be a valid lot number and expiration date was 20-SEP-2025, frequency, route of administration and anatomical location were not provided) instead of pneumococcal vaccine conj 20v (crm197) (PREVNAR 20) for prophylaxis (wrong product administered, product administered to patient of inappropriate age). The operator of device was health professional. No side effects reported. No additional adverse event (AE) (no adverse event).
Age: 59.0
Sex: M
Vaccine: HEP
Symptoms: Underdose
Clinical narrative: Administration of Engerix-B pediatric formulation to an Adult; Administration of Engerix-B pediatric formulation to an Adult; This non-serious case was reported by a other health professional via call center representative and described the occurrence of underdose in a 59-year-old male patient who received HBV (Engerix B pediatric) (batch number L9Y4G, expiry date 05-APR-2024) for prophylaxis.   On 20-FEB-2024, the patient received the 1st dose of Engerix B pediatric. On 20-FEB-2024, an unknown time after receiving Engerix B pediatric, the patient experienced underdose (Verbatim: Administration of Engerix-B pediatric formulation to an Adult) and adult use of a child product (Verbatim: Administration of Engerix-B pediatric formulation to an Adult). The outcome of the underdose and adult use of a child product were unknown.   Additional Information: GSK Receipt Date: 20-FEB-2024 The medical assistant reported that a adult patient received Engerix-B pediatric formulation, which led to underdose and adult use of a child product.
Age: 0.58
Sex: F
Vaccine: UNK
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Beyfortus 50mg was ordered and Beyfortus 100mg was given. At this time child is not having any reactions. Dr called the family to discuss.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Alcoholic, Back pain, Depression, Economic problem, Gait disturbance
Clinical narrative: Mandated to take the Covid-19 vaccine to work my job, it was against my will. I received the J&J vaccine on 8/13/22 and was hospitalized on 8/30/22 for foot drop. On the evening of 08/13/22, I had the absolute worst burning, fiery excruciating pain in my lumbar area to the point where I was screaming. I could feel my nerves being fried by the chemical reaction of the vaccine attacking my body. I had to have surgery on 11/10/22 to cure the foot drop. Less than one year later I couldn't walk. A second surgery occurred on 2/21/23. I live in chronic pain. I became an alcoholic. I lost my children to my nasty ex. I suffered more depression and attempted suicide to escape the pain. All of this was a direct result of the vaccine. I was healthy prior to this shot. I have lost so much money as a result of the medical conditions I have suffered. It has cost me missed work time, thousands in medical bills and ongoing pain that I never deserved to have. I want justice for my suffering. And for my family. My kids deserve their mother being able to run with them again. And go shopping with them and go to a museum. I can't walk more than 5 minutes. I was 43. I have 3 beautiful daughters 17, 15, 12. The Jennsen vaccine ruined my ability to be a mother to my children. Caused depression, a mother is all I know how to be. My entire identity was stolen from me as result of this negligence. I have suffered every day asking God why??? I WANT JUSTICE.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Impaired work ability, Loss of personal independence in daily activities, Pain, Peroneal nerve palsy, Quality of life decreased
Clinical narrative: Mandated to take the Covid-19 vaccine to work my job, it was against my will. I received the J&J vaccine on 8/13/22 and was hospitalized on 8/30/22 for foot drop. On the evening of 08/13/22, I had the absolute worst burning, fiery excruciating pain in my lumbar area to the point where I was screaming. I could feel my nerves being fried by the chemical reaction of the vaccine attacking my body. I had to have surgery on 11/10/22 to cure the foot drop. Less than one year later I couldn't walk. A second surgery occurred on 2/21/23. I live in chronic pain. I became an alcoholic. I lost my children to my nasty ex. I suffered more depression and attempted suicide to escape the pain. All of this was a direct result of the vaccine. I was healthy prior to this shot. I have lost so much money as a result of the medical conditions I have suffered. It has cost me missed work time, thousands in medical bills and ongoing pain that I never deserved to have. I want justice for my suffering. And for my family. My kids deserve their mother being able to run with them again. And go shopping with them and go to a museum. I can't walk more than 5 minutes. I was 43. I have 3 beautiful daughters 17, 15, 12. The Jennsen vaccine ruined my ability to be a mother to my children. Caused depression, a mother is all I know how to be. My entire identity was stolen from me as result of this negligence. I have suffered every day asking God why??? I WANT JUSTICE.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Screaming, Suicide attempt, Surgery
Clinical narrative: Mandated to take the Covid-19 vaccine to work my job, it was against my will. I received the J&J vaccine on 8/13/22 and was hospitalized on 8/30/22 for foot drop. On the evening of 08/13/22, I had the absolute worst burning, fiery excruciating pain in my lumbar area to the point where I was screaming. I could feel my nerves being fried by the chemical reaction of the vaccine attacking my body. I had to have surgery on 11/10/22 to cure the foot drop. Less than one year later I couldn't walk. A second surgery occurred on 2/21/23. I live in chronic pain. I became an alcoholic. I lost my children to my nasty ex. I suffered more depression and attempted suicide to escape the pain. All of this was a direct result of the vaccine. I was healthy prior to this shot. I have lost so much money as a result of the medical conditions I have suffered. It has cost me missed work time, thousands in medical bills and ongoing pain that I never deserved to have. I want justice for my suffering. And for my family. My kids deserve their mother being able to run with them again. And go shopping with them and go to a museum. I can't walk more than 5 minutes. I was 43. I have 3 beautiful daughters 17, 15, 12. The Jennsen vaccine ruined my ability to be a mother to my children. Caused depression, a mother is all I know how to be. My entire identity was stolen from me as result of this negligence. I have suffered every day asking God why??? I WANT JUSTICE.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dependence, Pain, Spinal operation, Suicide attempt
Clinical narrative: Mandated to take the Covid-19 vaccine to work my job, it was against my will. I received the J&J vaccine on 8/13/22 and was hospitalized on 8/30/22 for foot drop. On the evening of 08/13/22, I had the absolute worst burning, fiery excruciating pain in my lumbar area to the point where I was screaming. I could feel my nerves being fried by the chemical reaction of the vaccine attacking my body. I had to have surgery on 11/10/22 to cure the foot drop. Less than one year later I couldn't walk. A second surgery occurred on 2/21/23. I live in chronic pain. I became an alcoholic. I lost my children to my nasty ex. I suffered more depression and attempted suicide to escape the pain. All of this was a direct result of the vaccine. I was healthy prior to this shot. I have lost so much money as a result of the medical conditions I have suffered. It has cost me missed work time, thousands in medical bills and ongoing pain that I never deserved to have. I want justice for my suffering. And for my family. My kids deserve their mother being able to run with them again. And go shopping with them and go to a museum. I can't walk more than 5 minutes. I was 43. I have 3 beautiful daughters 17, 15, 12. The Jennsen vaccine ruined my ability to be a mother to my children. Caused depression, a mother is all I know how to be. My entire identity was stolen from me as result of this negligence. I have suffered every day asking God why??? I WANT JUSTICE.
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Malaise, Off label use
Clinical narrative: Completed Janssen Baseline Assessment for Tremfya with HIPAA-verified patient who plans to start therapy today, 2/19, without taking the loading doses 4 weeks apart, which is OFF-LABEL dose. Patient said that he did not feel well after dosing with Skyrizi and the doctor discontinued Skyrizi to see if Tremfya would do better. Patient said he is hesitant to take Tremfya because it is made by Johnson and Johnson who made the COVID vaccine that patient had taken and ended up hospitalized for 3 days as a result. Assessment was completed in its entirety. AE complete - ADDENDUM: Patient INELIGIBLE for program due to OFF-LABEL dosing
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hospitalisation
Clinical narrative: Completed Janssen Baseline Assessment for Tremfya with HIPAA-verified patient who plans to start therapy today, 2/19, without taking the loading doses 4 weeks apart, which is OFF-LABEL dose. Patient said that he did not feel well after dosing with Skyrizi and the doctor discontinued Skyrizi to see if Tremfya would do better. Patient said he is hesitant to take Tremfya because it is made by Johnson and Johnson who made the COVID vaccine that patient had taken and ended up hospitalized for 3 days as a result. Assessment was completed in its entirety. AE complete - ADDENDUM: Patient INELIGIBLE for program due to OFF-LABEL dosing
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Death, Myocardial infarction
Clinical narrative: Following Pfizer Covid 19 vaccine; November 2021 had heart attack, May 2022 had stroke and Dec 2023 another stroke resulting in death. NO family history of heart attack or stroke. Clearly the vaccine caused death. Please respond with options for restitution. Wife;
Age: 7.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Expired product administered, No adverse event
Clinical narrative: Expired covid vaccine administered in error Patient did not have any adverse reaction post vaccination in clinic. Once I was informed vaccine was expired, I called the guardian and informed her of error and to check status of reaction on patient. Guardian stated Pt was doing well. No adverse reaction.
Age: 5.0
Sex: F
Vaccine: COVID19, DTAPIPV, FLU4
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pt was given Covid vaccine in which later I found to be expired. After vaccination patient appeared well. I called guardian once I realized vaccine administered was expired. Guardian informed of error and stated that patient was doing well and had no adverse reaction to vaccine.
Age: 0.83
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Expired product administered, No adverse event
Clinical narrative: Expired Covid vaccine administered. There was NO reaction at the time vaccine administered. I called the patient's guardian. She stated that the pt. did not have adverse symptoms or reactions to vaccine and that patient was doing well.
Age: 71.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Pyrexia, Seizure
Clinical narrative: Patient received both flu & covid vaccines on 10/23/23 patient called to report having a seizure 3 days later 2/27/24. Patient says she has lupus but was not due to that. She had 103 degree fever and was taken to ER. She said she received terrible care there and was given nothing then discharged same day. Patient was told not to drive for 6 months. Patient said she received
Age: 65.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Dyspnoea
Clinical narrative: 2/27/24 0130 Woke with SOB and called EMS who administered a nebulizer with good effect. 2/27/24 Seen in primary care office with continued complaints of SOB.  Given nebulizer in office with good effect and new orders for Albuterol, Duoneb nebulizers and short course of Prednisone.
Age: 11.0
Sex: F
Vaccine: MENB
Symptoms: Wrong product administered
Clinical narrative: The patient received Bexero instead of Menveo.
Age: 13.0
Sex: F
Vaccine: MENB
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Provider ordered a Prevnar 20 vaccine. MA prepared and gave a Bexsero vaccine. Discrepancy found when weekly count was done and error reported to provider, manager and MA. Provider called parent to inform of vaccine error and instruct them to schedule appointment to get the Prevnar 20 vaccine. No adverse reaction noted. Patient recieved vaccine that was not recommended for this age.
Age: 16.0
Sex: F
Vaccine: HEPA
Symptoms: Inappropriate schedule of product administration
Clinical narrative: VACCINE ERROR: SECOND DOSE GIVEN TOO SOON. PATIENT RECEIVED FIRST DOSE 12/01/2023, CAME INTO THE CLINIC TO COMPLETE SECOND DOSE OF OTHER VACCINES AND WAS INADVERTANTLY GIVE THE HEP A SECOND DOSE WHICH WAS DUE 06/01/2024.
Age: 1.33
Sex: F
Vaccine: DTAPIPVHIB, FLU4, HEP, PNC20
Symptoms: Blood lead, Extra dose administered, Full blood count, Haemoglobin
Clinical narrative: On 01/30/2024, MA helped to print the patients' vaccine administration and history from system to prepare for patient schedule on February 5, 2024. We prepared in advance due to website has been having technical and logging in issues due to updates.  On February 5, 2024, MA's helped MA to room the patient because they can both speak her language, with the goal of communicating better to the parents.MA's discussed with the parents? what vaccines the patient is due for that day and provided VIS sheets. The patient's parents signed and there were no questions about vaccines nor any mention of recent vaccinations. The patient's parents did not tell MA's that the patient had a recent vaccination elsewhere. So, they proceeded with the vaccination. After vaccination, patient waited at least 15 minutes before checking out. At that time, they could not access system to document the given vaccines because as previously mentioned in this statement system has been having technical issues. Therefore, they cannot print vaccine report for the parents.  On February 6, 2024, MA was able to access system to document given vaccines the day before. Then MA discovered that the patient had received vaccines on February 1, 2024, at Health Department and informed the provider and the supervisor regarding this incident.  On February 8, 2024, upon request of the Doctor, MA called to inform about the patient?s test results, prescription and verify if the patient had received vaccines on February 1, 2024. The patient's parents verified that the patient had received them.
Age: 16.0
Sex: F
Vaccine: HEPA
Symptoms: Inappropriate schedule of product administration
Clinical narrative: VACCINE ERROR: SECOND DOSE GIVEN TOO SOON. PATIENT RECEIVED FIRST DOSE 12/01/2023, CAME INTO CLINIC TO COMPLETE SECOND DOSE OF OTHER VACCINES AND WAS INADVERTENTLY GIVEN THE HEP A SECOND DOSE WHICH WAS DUE 06/01/2023
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine give after beyond use date had passed. Not expired and no temperature excursion. No symptoms noted.
Age: 5.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Redness, swelling, tactile warmth noted on 2/28/24
Age: 26.0
Sex: F
Vaccine: VARCEL
Symptoms: Abdominal pain
Clinical narrative: gradual onset of abdominal pain
Age: 52.0
Sex: F
Vaccine: COVID19, PNC20
Symptoms: Abnormal dreams, Arthralgia, Fatigue, Feeling of body temperature change, Loss of consciousness
Clinical narrative: She got her vaccines, was excited as she had it done after seeing TV ads.  She didn't feel the affects until she went home and then she started with a sore throat.  She went to her usual mix of food and watched TV.  She started feeling very tired and very achy and went to bed.  She then started running fever, and she passed out being tired.  She was feeling hot and cold throughout the night, and had a heavy wool blanket which was not warm enough.  She snuggled under her blanket and she is now feeling overheated at this time.  She is exhausted and feels like she ran a marathon and her knees are hurting, especially the right knee and feels feverish maybe.  She did not take anything for her symptoms.   She is barely able to get up.  Her husband is also in the hospital so she has not been running back and forth to the hospital.   She called her doctor this morning and they gave her our # to call.  They told her to take Advil, Tylenol and to drink a lot of fluids and rest.   She is also having crazy dreams like she is looking for the Holy grail and searching for something, very restless.
Age: 52.0
Sex: F
Vaccine: COVID19, PNC20
Symptoms: Mobility decreased, Oropharyngeal pain, Pain, Pyrexia, Restlessness
Clinical narrative: She got her vaccines, was excited as she had it done after seeing TV ads.  She didn't feel the affects until she went home and then she started with a sore throat.  She went to her usual mix of food and watched TV.  She started feeling very tired and very achy and went to bed.  She then started running fever, and she passed out being tired.  She was feeling hot and cold throughout the night, and had a heavy wool blanket which was not warm enough.  She snuggled under her blanket and she is now feeling overheated at this time.  She is exhausted and feels like she ran a marathon and her knees are hurting, especially the right knee and feels feverish maybe.  She did not take anything for her symptoms.   She is barely able to get up.  Her husband is also in the hospital so she has not been running back and forth to the hospital.   She called her doctor this morning and they gave her our # to call.  They told her to take Advil, Tylenol and to drink a lot of fluids and rest.   She is also having crazy dreams like she is looking for the Holy grail and searching for something, very restless.
Age: 9.0
Sex: F
Vaccine: HPV9, PPV
Symptoms: Cellulitis, Erythema, Immediate post-injection reaction, Pain in extremity, Peripheral swelling
Clinical narrative: Patient was in the clinic for a well child exam on 2/23/24. Patient received 2 immunizations at the visit, HPV9 and PPSV23. HPV9 given in left deltoid and PPSV23 given in right deltoid. Patient reported right arm pain immediately after injection and pain worsened for 3 days after the injection. Patient's father reports redness and swelling to right arm was noted on 2/26/24 in the morning. Patient also reported a low grade fever and one episode of emesis the morning of 2/26/24. Patient presented to the walk in clinic the evening on 2/26/24 and was treated for cellulitis of the right arm. Patient was prescribed antibiotic cephalexin and symptoms are improving and redness to right arm is significantly better per patient's father's report.
Age: 9.0
Sex: F
Vaccine: HPV9, PPV
Symptoms: Pyrexia, Vomiting
Clinical narrative: Patient was in the clinic for a well child exam on 2/23/24. Patient received 2 immunizations at the visit, HPV9 and PPSV23. HPV9 given in left deltoid and PPSV23 given in right deltoid. Patient reported right arm pain immediately after injection and pain worsened for 3 days after the injection. Patient's father reports redness and swelling to right arm was noted on 2/26/24 in the morning. Patient also reported a low grade fever and one episode of emesis the morning of 2/26/24. Patient presented to the walk in clinic the evening on 2/26/24 and was treated for cellulitis of the right arm. Patient was prescribed antibiotic cephalexin and symptoms are improving and redness to right arm is significantly better per patient's father's report.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine administered after beyond use date. no treatment needed. No symptoms present.
Age: 4.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Redness, swelling, tactile warmth noted on 2/27/24
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC20, RV5
Symptoms: No adverse event
Clinical narrative: For 4 month baby  HEP B  vaccine  was apply  in a combination of    by mistake with no reaction to the vaccines
Age: 38.0
Sex: F
Vaccine: RSV, RSV
Symptoms: Blindness, Caesarean section, Cervical dilatation, Eclampsia, Electrocardiogram
Clinical narrative: 32 weeks pregnant on 11/16 with twin boys (di-di).  Not issues or concerns throughout pregnancy.  Overall healthy with no chronic conditions.  Visited maternal fetal specialist on 11/14 for routine appt.  Took baby measurements.  Noticed slight swelling of my ankles and hands but said note to be concerned.  Recommended to take blood pressure.  Began tracking blood pressure evening of 11/14 and was higher than normal (~137/94) but not in range where need for concern (according to doctor).  Received RSV vaccine at ~430pm in left arm at Pharmacy on 11/17.  In evening of 11/17, began to experience headache at 9pm.  Did not sleep well.  Continued into morning.  Made doctor appt.  ~930am threw up bagel.  Headache continued.  Hurt worse when laid down.  Felt I could hear blood circulating in head.  Began to lose eye sight at 11am.  Seized at 1115am and taken to hospital.  Cervix was dilated 3cm and doctor required magnesium sulfate treatment for preeclampsia after found to have eclamptic seizure.  Proceeded with delivery of twin boys at 1728 and 1729 due to malpresentation and eclampsia.  Delivered via cesarean.  Baby A 4lbs 2 oz and Baby B 3lbs 13oz.  Next day had D&C procedure.
Age: 38.0
Sex: F
Vaccine: RSV, RSV
Symptoms: Exposure during pregnancy, Foetal malpresentation, Headache, Hypertension, Joint swelling
Clinical narrative: 32 weeks pregnant on 11/16 with twin boys (di-di).  Not issues or concerns throughout pregnancy.  Overall healthy with no chronic conditions.  Visited maternal fetal specialist on 11/14 for routine appt.  Took baby measurements.  Noticed slight swelling of my ankles and hands but said note to be concerned.  Recommended to take blood pressure.  Began tracking blood pressure evening of 11/14 and was higher than normal (~137/94) but not in range where need for concern (according to doctor).  Received RSV vaccine at ~430pm in left arm at Pharmacy on 11/17.  In evening of 11/17, began to experience headache at 9pm.  Did not sleep well.  Continued into morning.  Made doctor appt.  ~930am threw up bagel.  Headache continued.  Hurt worse when laid down.  Felt I could hear blood circulating in head.  Began to lose eye sight at 11am.  Seized at 1115am and taken to hospital.  Cervix was dilated 3cm and doctor required magnesium sulfate treatment for preeclampsia after found to have eclamptic seizure.  Proceeded with delivery of twin boys at 1728 and 1729 due to malpresentation and eclampsia.  Delivered via cesarean.  Baby A 4lbs 2 oz and Baby B 3lbs 13oz.  Next day had D&C procedure.
Age: 38.0
Sex: F
Vaccine: RSV, RSV
Symptoms: Laboratory test, Peripheral swelling, Poor quality sleep, Pre-eclampsia, Seizure
Clinical narrative: 32 weeks pregnant on 11/16 with twin boys (di-di).  Not issues or concerns throughout pregnancy.  Overall healthy with no chronic conditions.  Visited maternal fetal specialist on 11/14 for routine appt.  Took baby measurements.  Noticed slight swelling of my ankles and hands but said note to be concerned.  Recommended to take blood pressure.  Began tracking blood pressure evening of 11/14 and was higher than normal (~137/94) but not in range where need for concern (according to doctor).  Received RSV vaccine at ~430pm in left arm at Pharmacy on 11/17.  In evening of 11/17, began to experience headache at 9pm.  Did not sleep well.  Continued into morning.  Made doctor appt.  ~930am threw up bagel.  Headache continued.  Hurt worse when laid down.  Felt I could hear blood circulating in head.  Began to lose eye sight at 11am.  Seized at 1115am and taken to hospital.  Cervix was dilated 3cm and doctor required magnesium sulfate treatment for preeclampsia after found to have eclamptic seizure.  Proceeded with delivery of twin boys at 1728 and 1729 due to malpresentation and eclampsia.  Delivered via cesarean.  Baby A 4lbs 2 oz and Baby B 3lbs 13oz.  Next day had D&C procedure.
Age: 38.0
Sex: F
Vaccine: RSV, RSV
Symptoms: Tinnitus, Uterine dilation and curettage, Vomiting
Clinical narrative: 32 weeks pregnant on 11/16 with twin boys (di-di).  Not issues or concerns throughout pregnancy.  Overall healthy with no chronic conditions.  Visited maternal fetal specialist on 11/14 for routine appt.  Took baby measurements.  Noticed slight swelling of my ankles and hands but said note to be concerned.  Recommended to take blood pressure.  Began tracking blood pressure evening of 11/14 and was higher than normal (~137/94) but not in range where need for concern (according to doctor).  Received RSV vaccine at ~430pm in left arm at Pharmacy on 11/17.  In evening of 11/17, began to experience headache at 9pm.  Did not sleep well.  Continued into morning.  Made doctor appt.  ~930am threw up bagel.  Headache continued.  Hurt worse when laid down.  Felt I could hear blood circulating in head.  Began to lose eye sight at 11am.  Seized at 1115am and taken to hospital.  Cervix was dilated 3cm and doctor required magnesium sulfate treatment for preeclampsia after found to have eclamptic seizure.  Proceeded with delivery of twin boys at 1728 and 1729 due to malpresentation and eclampsia.  Delivered via cesarean.  Baby A 4lbs 2 oz and Baby B 3lbs 13oz.  Next day had D&C procedure.
Age: 38.0
Sex: F
Vaccine: RSV, RSV
Symptoms: Exposure during pregnancy, Foetal malpresentation, Headache, Laboratory test, Poor quality sleep
Clinical narrative: 32 weeks pregnant on 11/16 with twin boys (di-di).  Not issues or concerns throughout pregnancy.  Overall healthy with no chronic conditions.  Visited maternal fetal specialist on 11/14 for routine appt.  Took baby measurements.  Noticed slight swelling of my ankles and hands but said note to be concerned.  Recommended to take blood pressure.  Began tracking blood pressure evening of 11/14 and was higher than normal (~137/94) but not in range where need for concern (according to doctor).  Received RSV vaccine at ~430pm in left arm at Pharmacy on 11/17.  In evening of 11/17, began to experience headache at 9pm.  Did not sleep well.  Continued into morning.  Made doctor appt.  ~930am threw up bagel.  Headache continued.  Hurt worse when laid down.  Felt I could hear blood circulating in head.  Began to lose eye sight at 11am.  Seized at 1115am and taken to hospital.  Cervix was dilated 3cm and doctor required magnesium sulfate treatment for preeclampsia after found to have eclamptic seizure.  Proceeded with delivery of twin boys at 1728 and 1729 due to malpresentation and eclampsia.  Delivered via cesarean.  Baby A 4lbs 2 oz and Baby B 3lbs 13oz.  Next day had D&C procedure.
Age: 38.0
Sex: F
Vaccine: RSV, RSV
Symptoms: Pre-eclampsia, Premature delivery, Seizure, Tinnitus, Twin pregnancy
Clinical narrative: 32 weeks pregnant on 11/16 with twin boys (di-di).  Not issues or concerns throughout pregnancy.  Overall healthy with no chronic conditions.  Visited maternal fetal specialist on 11/14 for routine appt.  Took baby measurements.  Noticed slight swelling of my ankles and hands but said note to be concerned.  Recommended to take blood pressure.  Began tracking blood pressure evening of 11/14 and was higher than normal (~137/94) but not in range where need for concern (according to doctor).  Received RSV vaccine at ~430pm in left arm at Pharmacy on 11/17.  In evening of 11/17, began to experience headache at 9pm.  Did not sleep well.  Continued into morning.  Made doctor appt.  ~930am threw up bagel.  Headache continued.  Hurt worse when laid down.  Felt I could hear blood circulating in head.  Began to lose eye sight at 11am.  Seized at 1115am and taken to hospital.  Cervix was dilated 3cm and doctor required magnesium sulfate treatment for preeclampsia after found to have eclamptic seizure.  Proceeded with delivery of twin boys at 1728 and 1729 due to malpresentation and eclampsia.  Delivered via cesarean.  Baby A 4lbs 2 oz and Baby B 3lbs 13oz.  Next day had D&C procedure.
Age: 38.0
Sex: F
Vaccine: RSV, RSV
Symptoms: Uterine dilation and curettage, Vomiting
Clinical narrative: 32 weeks pregnant on 11/16 with twin boys (di-di).  Not issues or concerns throughout pregnancy.  Overall healthy with no chronic conditions.  Visited maternal fetal specialist on 11/14 for routine appt.  Took baby measurements.  Noticed slight swelling of my ankles and hands but said note to be concerned.  Recommended to take blood pressure.  Began tracking blood pressure evening of 11/14 and was higher than normal (~137/94) but not in range where need for concern (according to doctor).  Received RSV vaccine at ~430pm in left arm at Pharmacy on 11/17.  In evening of 11/17, began to experience headache at 9pm.  Did not sleep well.  Continued into morning.  Made doctor appt.  ~930am threw up bagel.  Headache continued.  Hurt worse when laid down.  Felt I could hear blood circulating in head.  Began to lose eye sight at 11am.  Seized at 1115am and taken to hospital.  Cervix was dilated 3cm and doctor required magnesium sulfate treatment for preeclampsia after found to have eclamptic seizure.  Proceeded with delivery of twin boys at 1728 and 1729 due to malpresentation and eclampsia.  Delivered via cesarean.  Baby A 4lbs 2 oz and Baby B 3lbs 13oz.  Next day had D&C procedure.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine administered after beyond use date. no treatment or adverse reaction noted.
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Acoustic stimulation tests abnormal, Deafness, Tinnitus
Clinical narrative: Patient reported intense ringing in both ears, high pitch sounds, and noticeable hearing loss. After a couple of days, the problems in the right ear seemed to resolve. The left ear has not worsened but has not gotten better. Patient has tried two rounds of oral steroids and a steroid injection into the left ear drum with no relief. An MRI has been ordered and a hearing test was performed, which revealed significant hearing loss in left ear. Patient will likely need to undergo a small procedure to try to restore hearing. Patient is a veterinarian ,and this has greatly impacted his ability to care for his patients.
Age: 1.0
Sex: F
Vaccine: HIBV
Symptoms: Inappropriate schedule of product administration
Clinical narrative: No
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine administered after beyond use date. No treatment needed. No adverse reactions noted.
Age: 53.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Chills, Decreased appetite, Fatigue, Injection site erythema, Injection site pain
Clinical narrative: Patient complained of fever, chills, loss of appetite, extreme fatigue, redness at the injection site, swelling at the injection site, and pain at the injection site.
Age: 53.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Injection site swelling, Pyrexia
Clinical narrative: Patient complained of fever, chills, loss of appetite, extreme fatigue, redness at the injection site, swelling at the injection site, and pain at the injection site.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine administered after beyond use date. No treatment needed. No adverse reaction noted.
Age: 48.0
Sex: M
Vaccine: RSV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pt was administered vaccine outside recommended age range.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine administered after beyond use date. No treatment needed. No adverse reaction noted.
Age: 54.0
Sex: F
Vaccine: RSV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was administered vaccine outside of recommended age range.
Age: 59.0
Sex: F
Vaccine: RSV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was administered a vaccine outside the recommended age range.
Age: 1.33
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine administered after beyond use date. no treatment needed. no adverse reaction note.
Age: 59.0
Sex: F
Vaccine: RSV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was administered vaccine outside of recommended age range.
Age: 17.0
Sex: F
Vaccine: COVID19-2, FLU4, HEP, HEPA, HPV9, IPV, MMR, MNQ, TDAP, VARCEL
Symptoms: Dizziness, Feeling hot, Hyperhidrosis, Peripheral coldness
Clinical narrative: At 1039am A 17 year old female with mother received multiple vaccines moderna#8057456, varicella#X023718,mmr#X007688,MCV4#U7939AA,Hep A#L9R92, Hep B#47D3S, Fluzone#U8230CA,IPOL#W1C751M, Tdap#U7928AA, HPV#1957407 being the last vaccine given. At 1040 am patient began to experience dizziness, sweating, cold hands and c/o of being hot. (Baseline BP-104/56, P-78) VS was taken at 1040 am BP 95/63-P-86. Unable to get oxygen Sats due to patient with long acrylic nails. Provider was present and assessed the patient. At 1045 Pt still experiencing some dizziness but feeling better. VS taken again BP 95/65,P-68. Provider assisted patient to stand up but patient was still unstable. Patient monitored and given something to drink. Pt remained in office while being monitored. At 1105, Pt VS was retaken 93/66 p-80. Pt was able to stand and walk with mother to lobby. Where she remained for another 30 minutes.
Age: 1.67
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation error
Clinical narrative: 1) Patient was administered  0.3ml of Pfizer covid-19 in left thigh. Pfizer was NOT diluted prior to administration.  2) Informed lab director,  per lab director have PCP contact family to advise of potential fever & soreness and to let family know that there is no need to repeat dose. 3) Informed PCP.    PCP will call family and advise.
Age: 85.0
Sex: F
Vaccine: RSV
Symptoms: Abdominal pain upper, Diarrhoea, Gaze palsy
Clinical narrative: reaction: diarrhea, stomach cramping, headache.   treatment: loperamide, pain med otc (acetaminophen , possible nsaid if well tolerated).     outcome  of treatment unknown
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Colonoscopy, Diarrhoea, Endoscopy, Flatulence
Clinical narrative: Nausea, diarrhea, gas (painful) started 12/6/24 and continues to this day
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Hepatobiliary scan, Laboratory test, Nausea
Clinical narrative: Nausea, diarrhea, gas (painful) started 12/6/24 and continues to this day
Age: 76.0
Sex: M
Vaccine: RSV, RSV
Symptoms: Guillain-Barre syndrome, Hypoaesthesia, Immunoglobulin therapy, Muscular weakness, Paraesthesia
Clinical narrative: GBS - presented 2/21/24 - complaints of b/l hand tingling and b/l leg weakness/numbness. Received 5 day course of IVIG starting on 2/21/24.
Age: 76.0
Sex: M
Vaccine: RSV, RSV
Symptoms: Guillain-Barre syndrome
Clinical narrative: GBS - presented 2/21/24 - complaints of b/l hand tingling and b/l leg weakness/numbness. Received 5 day course of IVIG starting on 2/21/24.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Correct vaccine was given. Manufacturer expiration date was 05/2024 but beyond use date was 2/12/24 and vaccine was administered on 2/27/24.  Spoke with patient about 8 hours after the vaccine was administered on the phone and notified her of error and that the recommendation was to receive another COVID vaccine because the efficacy will have waned since it was 2 weeks past the beyond use date. Patient agreed to be re-vaccinated and was scheduled to come back in to the clinic on 3/15/24 for another COVID vaccine in order to ensure she has full protection from COVID-19. She denied any side effects or adverse reactions to the COVID vaccine that was given.
Age: 71.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: COVID-19, Cough, Headache, Myalgia, SARS-CoV-2 test positive
Clinical narrative: I m diagnosed positive for Covid as of  Feb 27, 2024.   Mild headache and cough and achy muscles.   Dr treated with steroid shot, Breo and 5 10mg prednisone pills over 5 days.  Also prescribed tussionex for cough.   I m doing better today.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: patient was administer an expired covid vaccine.
Age: 17.0
Sex: M
Vaccine: MMRV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: vaccine administered to person over age of 12 . no known adverse event
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Injection site pain, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: Patients arm swollen from the injection all the way to the elbow. Red and tender to the touch, site is febrile.
Age: 64.0
Sex: F
Vaccine: COVID19, RSV
Symptoms: Fatigue, Influenza like illness, Injection site pain, Injection site swelling
Clinical narrative: Fatigue, injection site pain and swelling, flu like symptoms for 24 hours
Age: 0.5
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Injection site mass
Clinical narrative: Pt tolerated vaccine well. No reaction noted date of vaccine give. , Moc states patient got a little bump but went away. Moc is not worried and she verbalized and understood.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: patient was administered expired covid vaccine.
Age: 4.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Gait disturbance, Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Leg swollen from injection site down to knee cap, Red and tender, child not wanting to walk on leg. Site is febrile
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Dysarthria, Gait disturbance, Impaired driving ability, Laboratory test, Nervous system disorder
Clinical narrative: Neurological disorder, trouble speaking, walking, driving
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: patient was administered an expired Covid Vaccine
Age: 31.0
Sex: M
Vaccine: FLU4, TDAP
Symptoms: Eye movement disorder, Loss of consciousness
Clinical narrative: PATIENT AND PHARMCIST WERE IN THE VACCINATION ROOM . AFTER THE PATIENT RECEIVED THE SECOND SHOT AND A BANDAGE WAS PLACED  ON THE SITE OF ADMINISTRATION. THE PATIENT LOST CONSIOUSNESS AND HIS EYES ROLLED UP FOR FEW SECOND. PHARMACIST SUPPORTED HIM WHILE HE WAS SITTING ON THE CAHIR AND CALLED FOR HELP. HIS COMPANION CAME IN AND SAID HE WILL BE FINE AND THAT IT HAPPENED TO HIM LAST WEEK AFTER GETTING HIS BLOOD DRAWN AT THE DOCTOR OFFICE. HE THEN REQUESTED FOR WATER AND I OFFERED HIM SOME. I ALSO RECOMMENDED THAT HE SIT AROUND FOR ADDITIONAL 20 MINUTES AND DID MONITORED HIM PERIODICALLY
Age: 18.0
Sex: F
Vaccine: HEPA, MENB
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Adult dose of Hepatitis A was given to client who is 18 years of age, not yet 19. No adverse reaction has been reported as of 2/28/2024.
Age: 16.0
Sex: F
Vaccine: COVID19, FLU4, HEP, HPV9, IPV, MENB
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Hep B vaccine administered when not needed. No adverse reactions reported at this time.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Abdominal pain upper, Decreased appetite, Full blood count normal, Haematochezia, Henoch-Schonlein purpura
Clinical narrative: On 2/8/24, pt. came rec'd 4yr vaccines (dtap, ipv, mmr, and varivax) at his 4 yr well visit. On 2/12 Mom brought pt. in with complaints of blood stool, bumps/rash on legs/arms that were spreading, and stomach pain. CBC in office was normal. On the evening of 2/12- Mom took pt. to the ER with complaints of swollen knees, and his feet/ankles were purple/bruised looking. Also, he had wouldn't move or talk. He was given fluids while there.  On 2/13- he was followed up at his PCP's office where he was diagnosed with HSP. Plan to push fluids and monitor stool/urine for blood.  No blood in urine while in office and blood pressure was normal. Plan to recheck weekly. On 2/14 famotidine susp 40mg/5ml, 2ml po BID x 6wks ordered. On 2/20 for follow up- still having stomach, arm, leg pain. Appetite improving. No blood in urine. minor proteins. On 2/27 at PCP for follow up- eating and drinking had greatly improved, Still no blood in urine or stool noted at home. Activity returned to normal and sleeping through the night normally again. No blood in urine or protein while in office.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site rash, Joint swelling, Mobility decreased, Protein urine present, Rash
Clinical narrative: On 2/8/24, pt. came rec'd 4yr vaccines (dtap, ipv, mmr, and varivax) at his 4 yr well visit. On 2/12 Mom brought pt. in with complaints of blood stool, bumps/rash on legs/arms that were spreading, and stomach pain. CBC in office was normal. On the evening of 2/12- Mom took pt. to the ER with complaints of swollen knees, and his feet/ankles were purple/bruised looking. Also, he had wouldn't move or talk. He was given fluids while there.  On 2/13- he was followed up at his PCP's office where he was diagnosed with HSP. Plan to push fluids and monitor stool/urine for blood.  No blood in urine while in office and blood pressure was normal. Plan to recheck weekly. On 2/14 famotidine susp 40mg/5ml, 2ml po BID x 6wks ordered. On 2/20 for follow up- still having stomach, arm, leg pain. Appetite improving. No blood in urine. minor proteins. On 2/27 at PCP for follow up- eating and drinking had greatly improved, Still no blood in urine or stool noted at home. Activity returned to normal and sleeping through the night normally again. No blood in urine or protein while in office.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Skin discolouration, Speech disorder
Clinical narrative: On 2/8/24, pt. came rec'd 4yr vaccines (dtap, ipv, mmr, and varivax) at his 4 yr well visit. On 2/12 Mom brought pt. in with complaints of blood stool, bumps/rash on legs/arms that were spreading, and stomach pain. CBC in office was normal. On the evening of 2/12- Mom took pt. to the ER with complaints of swollen knees, and his feet/ankles were purple/bruised looking. Also, he had wouldn't move or talk. He was given fluids while there.  On 2/13- he was followed up at his PCP's office where he was diagnosed with HSP. Plan to push fluids and monitor stool/urine for blood.  No blood in urine while in office and blood pressure was normal. Plan to recheck weekly. On 2/14 famotidine susp 40mg/5ml, 2ml po BID x 6wks ordered. On 2/20 for follow up- still having stomach, arm, leg pain. Appetite improving. No blood in urine. minor proteins. On 2/27 at PCP for follow up- eating and drinking had greatly improved, Still no blood in urine or stool noted at home. Activity returned to normal and sleeping through the night normally again. No blood in urine or protein while in office.
Age: 1.25
Sex: M
Vaccine: DTAP, MMR, MMRV
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: Proquad was given in error. Varicella should have been given
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HEPA, HIBV, PNC15
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Parent Says Child Is Doing Fine