chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 16.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Urticaria
Clinical narrative: Severe rash and itchiness. Hives day after vaccines given, benadryl given at home w/out improvement. Following day felt lightheaded, little cough and felt "weird". Paramedics called/arrived to home, assessment - normal and stable.  Course of treatment, MD prescribed Prednisolone soln. Advised to try Zyrtec or Allegra OTC.  Recommend to see allergist
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Product label issue
Clinical narrative: This worker was able to draw up 2 doses (of 0.25ml) out of 1 vial that was labeled single dose vial. There was enough vaccine in vial to make up two doses. Gave correct dose of 0.25ml to client who was 6 years old.
Age: 77.0
Sex: M
Vaccine: VARZOS
Symptoms: Laboratory test, Periarthritis, Product administered at inappropriate site
Clinical narrative: Patient stated that he began to experience frozen shoulder from incorrect location of shot and proceeded to emergency room 2 hours after getting the shot.
Age: 58.0
Sex: F
Vaccine: FLU4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: High Does Flu given to person under the age of 65
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine adminstered after BUD
Age: 31.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Patient developed a red rash at the site of injection within 12 hours. Rash was itchy, raised and 2.5 inches wide. Rash went away after 48 hours. Patient did not apply topicals or take medication. This was the first time patient had a reaction to the flu shot.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccin administered after BUD
Age: 52.0
Sex: F
Vaccine: UNK
Symptoms: Erythema, Mobility decreased, No adverse event, Pain, Pain in extremity
Clinical narrative: I DID NOT HAVE AN ADVERSE EVENT. THE EVENT OCCURED FROM BEING INJECTED INTO THE WRONG AREA. CAUSING PAIN, ITCHING, REDNESS. THE FOLLOWING DAY NOT LIMITED ROM AND SHARP SHOOTING PAINS UP AND DOWN MY ARM. TODAY I STILL HAVE LIMITED ROM WITH EXTREME PAIN
Age: 52.0
Sex: F
Vaccine: UNK
Symptoms: Product administered at inappropriate site, Pruritus
Clinical narrative: I DID NOT HAVE AN ADVERSE EVENT. THE EVENT OCCURED FROM BEING INJECTED INTO THE WRONG AREA. CAUSING PAIN, ITCHING, REDNESS. THE FOLLOWING DAY NOT LIMITED ROM AND SHARP SHOOTING PAINS UP AND DOWN MY ARM. TODAY I STILL HAVE LIMITED ROM WITH EXTREME PAIN
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered after BUD
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered after BUD
Age: 52.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Hyperhidrosis, Injection site pain, Malaise, Pain, Sleep disorder
Clinical narrative: VERY VERY SORE  within 1 hour of receiving injection. As night went on,injection site was EXTREMELY sore (waking me up throughout the night). On morning of 10.27.23, EXTREMELY sore and felt achey and sick throughout the day. At one point started to sweat profusely as if I had a fever and it was possibly breaking
Age: 77.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Pt said she already had the flu shot after receiving the shot.
Age: 80.0
Sex: M
Vaccine: FLU4
Symptoms: Blood test, Computerised tomogram, Computerised tomogram head, Pain in extremity, Ultrasound Doppler normal
Clinical narrative: Vaccine was administered on 10/12, B-12 shot the next day. Severe arm pain on the following day.
Age: 13.0
Sex: M
Vaccine: COVID19-2, FLUC4
Symptoms: Insomnia, Pain
Clinical narrative: Very sore , and progressively worse as night went on. Could not sleep, could barely lift arm up without intense pain
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: On 10/24/23 at 03:00 pm, patient received a Covid 19 vaccine during out vaccine clinic. Resident was monitored per our vaccine care plan on this date with no adverse reactions. On 10/26/23 at 04:00 pm, resident recieved a second Covid vaccine, due to the RN was told that she did not get her vaccine during the vaccine clinic.  Resident was monitored again per vaccine care plan with no adverse reactions noted.
Age: 82.0
Sex: F
Vaccine: FLUA4, RSV
Symptoms: Arthralgia, Injection site pain, Nausea, Pain in extremity, Vomiting
Clinical narrative: N&V  and pain in right arm from shoulder to hand. Pt was taken to ER via Ambulance. Pt was sent home. Pt still reports pain in her Right arm.  Care management spoke with pt. daughter 10/26/2023 and advised follow-up with Dr next week and to call if symptoms worsen.
Age: 65.0
Sex: F
Vaccine: FLU4, RSV
Symptoms: Influenza like illness, Injection site pain, Pain
Clinical narrative: Flu like symptoms. Very achy all over but no fever.  Right arm super sore from infection site.  No redness around injection site
Age: 76.0
Sex: F
Vaccine: RSV
Symptoms: Diarrhoea, Fatigue, Headache, Memory impairment
Clinical narrative: pt said she has headache , diarrhea, fatigue and foggy memory since arexvy and thinks its related . im calling,she has copd and autoimmune hep per pt . at consutation. 10/27/2023
Age: 94.0
Sex: F
Vaccine: RSV
Symptoms: Diarrhoea, Fatigue, Fear, Insomnia, Nausea
Clinical narrative: She got her vaccine around noon and she had no reaction, the arm did not hurt, the site at all.  She went and had a light lunch . She came home and felt like she wanted to take a nap.  She went into her bedroom and felt sick to her stomach, and then started throwing up.  She had huge amounts of vomiting coming out very watery, and three different times and each time she threw up 3 times.  In addition to that she had diarrhea, and it too was extremely forceful and very watery, no form to it at all.   Finally around 7:00 PM she was no longer throwing up or having diarrhea.  She did not have anything to eat during that time, but did drink some ginger ale around midnight, which did not come back up, it stayed down.  On Monday, she was just tired, she did not feel like anything, but she did not feel sick.  She was afraid to put anything in her stomach.  Around noon on Monday she was able to eat, but ate light food.  On Monday night she did not get much sleep, but woke up Tuesday morning and felt fairly good.
Age: 94.0
Sex: F
Vaccine: RSV
Symptoms: Somnolence, Vomiting
Clinical narrative: She got her vaccine around noon and she had no reaction, the arm did not hurt, the site at all.  She went and had a light lunch . She came home and felt like she wanted to take a nap.  She went into her bedroom and felt sick to her stomach, and then started throwing up.  She had huge amounts of vomiting coming out very watery, and three different times and each time she threw up 3 times.  In addition to that she had diarrhea, and it too was extremely forceful and very watery, no form to it at all.   Finally around 7:00 PM she was no longer throwing up or having diarrhea.  She did not have anything to eat during that time, but did drink some ginger ale around midnight, which did not come back up, it stayed down.  On Monday, she was just tired, she did not feel like anything, but she did not feel sick.  She was afraid to put anything in her stomach.  Around noon on Monday she was able to eat, but ate light food.  On Monday night she did not get much sleep, but woke up Tuesday morning and felt fairly good.
Age: 80.0
Sex: F
Vaccine: FLU4
Symptoms: Lip swelling, Pruritus, Urticaria
Clinical narrative: Patient reported to DR that after receiving the injection, earlier in the day she developed swelling in her lower lip mostly and some in her upper lip and then hives and itching all over.
Age: 23.0
Sex: F
Vaccine: FLU4
Symptoms: Bursitis, Injection site pain, Joint range of motion decreased, Limb injury
Clinical narrative: Patient was seen by Dr. on 10/20/2023 for right shoulder pain and decreased ROM.  She stated that she received her flu shot at our clinic on 9/29/2023 and it was very painful.  Stated she continued to have pain, but waited for the pain to resolve, which it did not.  Hence, she was seen 3 weeks later.  Dr. placed patient on Meloxicam 15mg daily and referred her to Orthopedic Clinic for further treatment.  Patien thas an appointment on 11/17/2023 with MD at Orthopedic clinic.  The vaccine was administered by Senior Nursing Student during her Community Health Clinical roation.  Patient did not complain of pain to this nurse or to the the Nursing Student who administered the vaccine. Nursing Instructor and I met with student and reviewed her technique in administering vaccines which was appropriate.  The patient is very small in stature, weight and bone structure so this may have factored into the shoulder injury while being vaccinated per Dr.  This nurse spoke with patient on 10/21/2023 and aske how she was feeling.  Patient stated she continued to have pain and some decreased ROM in her R Shoulder.  Patient stated she had not started the Meloxicam yet, but would start in the following day.  Attempted to call patient today (10/27/2023) but had to leave message for her to call me back.  Patient diagnosed with Bursitis of Right Shoulder by Dr.
Age: 52.0
Sex: F
Vaccine: UNK
Symptoms: Angioedema, Hypersensitivity, Pruritus, Swollen tongue, Urticaria
Clinical narrative: Allergic reaction: Hives, full body itching, tongue swelling, angioedema. No SOB,
Age: 68.0
Sex: F
Vaccine: RSV
Symptoms: Cellulitis
Clinical narrative: cellulitis
Age: 71.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Pt received Pfizer 5y-11y 2023-2024 covid vaccine. No noted adverse side effects.
Age: 0.17
Sex: M
Vaccine: RV5
Symptoms: Haematemesis, Ultrasound abdomen normal, Vomiting projectile
Clinical narrative: Onset of projectile vomiting within 24 hours of  administration of Rotatec, requiring pyloric US. No bloody stools. Reports of blood tinged emesis.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Rash, Urticaria
Clinical narrative: post 6 days after shot, patient began having blood like colored hives and rash upon awakening in the morning and a red slap like rash afterwards. could be due to lymphodema
Age: 16.0
Sex: F
Vaccine: MENB
Symptoms: Peripheral swelling, Pyrexia, Somnolence
Clinical narrative: SWELLING LEFT ARM FEVER 102 SLEEPINESS
Age: 18.0
Sex: M
Vaccine: MENB
Symptoms: Pain, Pyrexia
Clinical narrative: Pt had vaccination between 1130 am - 330 pm on 10/26/23.  On 10/27/23 at 930 pm he reported to college staff nurse that he was running a fever of 104 degrees and having body aches.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLU4, MMR, VARCEL
Symptoms: Injection site rash, Rash papular, Skin warm
Clinical narrative: pt in office on 10/25/2023 and received 4 vaccines; by evening on day of office visit MOC noticed right leg with warm raised rash to skin at injection site with approximate size of mini orange (cutie); pt did not have any pain or itch at that time; by next morning sx's were still the same; by Thursday evening (10/26/2023) MOC noticed same sx's to leg leg/thigh with approximate size of a quarter; this morning (Friday 10/27/2023) sx's of rash were lighter in presentation and the rash to right leg appeared to have spread
Age: 8.0
Sex: F
Vaccine: FLUC4
Symptoms: Extra dose administered
Clinical narrative: Pt received 2 doses of flu vaccine within 18 days. No symptoms reported. Parent will monitor and call back if symptoms develop.
Age: 75.0
Sex: F
Vaccine: FLUA4
Symptoms: Back pain, Dizziness, Emotional distress, Immediate post-injection reaction, Impaired driving ability
Clinical narrative: Patient experienced nausea and dizziness seconds after administration of the influenza vaccine.  She became very pale. Pulse was at 70 BPM and pulse ox was at 92%. Pt also experienced sharp pain in her back that lasted a few minutes. No medications were given. An ambulance was called because pt was very upset and we (pharmacy staff) did not feel safe having her drive herself home.  After 30 minutes of examination, pt felt much better and left home with her husband. Pt was advised to call her PCP.
Age: 75.0
Sex: F
Vaccine: FLUA4
Symptoms: Nausea, Pallor
Clinical narrative: Patient experienced nausea and dizziness seconds after administration of the influenza vaccine.  She became very pale. Pulse was at 70 BPM and pulse ox was at 92%. Pt also experienced sharp pain in her back that lasted a few minutes. No medications were given. An ambulance was called because pt was very upset and we (pharmacy staff) did not feel safe having her drive herself home.  After 30 minutes of examination, pt felt much better and left home with her husband. Pt was advised to call her PCP.
Age: 78.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: No adverse event, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Pt received Pfizer 5y-11y 2023-2024 covid vaccine. No noted adverse side effects.
Age: 92.0
Sex: F
Vaccine: FLU4
Symptoms: Wrong product administered
Clinical narrative: 92/F came for her COVID vaccine. Provider grabbed 2 HD flu vaccines as her sister was getting HD flu. Before I gave the shot I confirmed with the patient that we were doing flu and she said yes. Shot was given and it was realized that she wanted COVID. Patient was notified and COVID shot was given per patient request
Age: 25.0
Sex: F
Vaccine: HEP
Symptoms: Blood test, Diarrhoea, Feeling of body temperature change, Magnetic resonance imaging, Pain
Clinical narrative: lots of diarrea, puking, hives, hot and cold, heavy pain,   morphine was given along with saline
Age: 25.0
Sex: F
Vaccine: HEP
Symptoms: Scan with contrast, Urticaria, Vomiting
Clinical narrative: lots of diarrea, puking, hives, hot and cold, heavy pain,   morphine was given along with saline
Age: 67.0
Sex: F
Vaccine: RSV
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: injection site was red and warm to the touch the following day and felt hard in the middle.  Got progressivey worse.  Patient used a compress on it and saw doctor on 10/09/23 and was prescribed Cephalexin.  On 10/20/23  patient saw Dr and was prescribed Doxycycline and Mupirocin ointment.
Age: 67.0
Sex: F
Vaccine: PPV, RSV, TDAP
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Pt got RSV from a different facility in the right arm. Pt also got Tdap and PPSV23 at the same with clinic. Pt states Tdap or PPSV23 was done in the right arm. We are not sure which is correct because of the documentation shows she got Tdap and PPSV in the left arm. Pt has swelling and redness in right arm. Pt came in 10/27/2023 at 1230 to talk about her reaction to the vaccines. Pt was seen by Dr. in clinic.
Age: 32.0
Sex: F
Vaccine: FLU4
Symptoms: Needle issue, No adverse event
Clinical narrative: Appeared to be syringe malfunction, may have cracked when needle was applied to prefilled syringe. When attempted to give, vaccine came out around needle hub and was not injected. No adverse effect and repeat vaccination was given after discussion with pharmacy.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Haematoma, Pain in extremity, Peripheral swelling
Clinical narrative: Patient said her arm was really sore after injection. She said her arm swelled later that evening. She went to her family doctor 10/27/23 because swelling was worse and he told her to stop Xarelto and continue to keep an ice pak on it. Patient  said he thought it was a hemotoma.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Electrocardiogram, Heart rate irregular, Hypotension
Clinical narrative: Received vaccine late afternoon and was awakened by an irregular heartbeat and low blood pressure (~80/50). After some number of hours my heartbeat returned to normal, but sporadically would become irregular again for a shorter period of time.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19-2
Symptoms: COVID-19, Death, SARS-CoV-2 test positive, Sepsis
Clinical narrative: Pt was hospitalized on 10/26 with covid and sepsis. Pt died.
Age: 0.17
Sex: M
Vaccine: RV5
Symptoms: Crying, Infant irritability, Infantile spitting up
Clinical narrative: Irritability Extreme fussiness and crying Spitting up frequently Lasted one day
Age: 70.0
Sex: F
Vaccine: FLU4, RSV
Symptoms: Cardiac disorder, Chest X-ray normal, Cough, Dyspnoea, Electrocardiogram abnormal
Clinical narrative: Coughing, wheezing, shortness of breath
Age: 70.0
Sex: F
Vaccine: FLU4, RSV
Symptoms: Wheezing
Clinical narrative: Coughing, wheezing, shortness of breath
Age: 0.67
Sex: F
Vaccine: HIBV
Symptoms: Expired product administered
Clinical narrative: Received expired vaccine, it expired on 10/5/23.
Age: 0.58
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Incorrect dose administered
Clinical narrative: Patient received 0.5ml of the 6m-11yr Moderna Monovalent vaccine instead of 0.25ml.
Age: 26.0
Sex: F
Vaccine: UNK
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: 10/12/23 Received Flu Vaccine at left arm, felt injection site was too high.  10/13/23 weakness of left arm got better after 4 days and noticed numbness and tingling of left arm withh certain movement untill present.  Referred to Occupational Health for evaluation.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Gait disturbance, Immunisation reaction, Injection site bruising, Injection site induration, Local reaction
Clinical narrative: Distal injection site with area of reddened induration 6 cm (width) x 3.5 cm (length). Proximal injection site with small area of yellow resolving bruising. Dad states patient has been limping off and on and denies noticing patient actively itching site. MD revied and stated it was a local reaction and not an infection. MD advised to apply ice pack PRN to site on 10/26/23.  Seen in clinic 10/27/23: "Large local reaction to immunization.  This is not uncommon and will resolve with conservative cares.  Advised to continue to apply ice.  No difficulty walking during exam today.  No present concern for cellulitis however we should continue to monitor.  I drew an outline around the rash with parental consent so that we can continue to monitor over the weekend.  In light of the upcoming weekend, I sent a prescription for Keflex 25 mg/kg/day for 7 days which I instructed the parent to start should there be any concern for significant worsening of the rash beyond the marked outline.  At this time the antibiotic is not yet needed.  Father is agreeable with this plan." from MD
Age: 4.0
Sex: F
Vaccine: COVID19, DTAPIPV, MMR, VARCEL
Symptoms: Incorrect dose administered
Clinical narrative: Patient received 0.5ml of 6m-11yr Moderna Monovalent COVID vaccine instead of 0.25ml.
Age: 65.0
Sex: F
Vaccine: FLUC4
Symptoms: Erythema, Pain, Pyrexia, Rash, Swelling
Clinical narrative: Swollen, red, rash, fever, pain. Pain was on 10-24 (1 day after)
Age: 66.0
Sex: M
Vaccine: RSV
Symptoms: Productive cough, SARS-CoV-2 test negative, Secretion discharge, Wheezing
Clinical narrative: from patient directly:  had the rsv vaccine ..no pain in the immediate are of the shot..but within 24hrs I developed a wheezing cough and the mucus I'm coughing up is clear but I haven gotten rid of it..no fever and I took a covid self test yesterday that was negative
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Erythema, Pruritus, Skin warm, Swelling
Clinical narrative: Warm, red, oval that is slightly raised 4cm high and 5.5 cm wide.  Mildly itchy, but not bad.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Aortic occlusion, Arterial occlusive disease, Arteriogram coronary abnormal, Death, Muscular weakness
Clinical narrative: Pt BIBA to ED with lower extremity weakness and pain.  CT angio showed occlusion of the aorta and branching vessels.  Pt expired.  It was noted that she received the Moderna COVID vaccine six hours prior to presenting to the ED.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Pt BIBA to ED with lower extremity weakness and pain.  CT angio showed occlusion of the aorta and branching vessels.  Pt expired.  It was noted that she received the Moderna COVID vaccine six hours prior to presenting to the ED.
Age: 46.0
Sex: M
Vaccine: COVID19-2
Symptoms: Unevaluable event
Clinical narrative: NONE
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Headache, Pain, Palpitations
Clinical narrative: Fever, headache, body aches, racing heart rate, shortness off breath, fatigue
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever, headache, body aches, racing heart rate, shortness off breath, fatigue
Age: 79.0
Sex: F
Vaccine: FLU4
Symptoms: Diarrhoea, Headache, Myalgia, Vomiting
Clinical narrative: VOMITING, DIARRHEA, SORE ACHY MUSCLES, HEADACHE. NO FEVER.
Age: 1.25
Sex: M
Vaccine: DTAP, FLU4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient did not have an adverse event. Report made for documentation of additional dose administered of flu vaccine.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Blood test, Computerised tomogram, Electrocardiogram, Magnetic resonance imaging
Clinical narrative: Bell's Palsy
Age: 66.0
Sex: F
Vaccine: RSV
Symptoms: Influenza virus test negative, Myalgia, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Muscle aches and fever, beginning 10/22/2023 and ending 10/26/2023
Age: 53.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: injection area became red, swollen, and itching to patient ~ 12-24 hours after injection  recommended benadryl and ibuprofen for both redness, swelling, and itching patient did state that redness and swelling had started to dissipate after 48 hour mark from injection
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered after BUD
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Ear discomfort, Hypoacusis, Tinnitus
Clinical narrative: Tinnitus in left ear. Pulsing ringing. Sensation of ear being clogged. Guessing about 70% reduction in hearing on that side. The vaccine was the Spikevax version of the Moderna vaccine.
Age: 12.0
Sex: F
Vaccine: COVID19, FLU4, FLU4
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: Patient given high dose flu in error.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered after BUD
Age: 81.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Intense itching and redness at site approx 3 hours after injection .  Redness remains 16 hours later
Age: 30.0
Sex: M
Vaccine: COVID19-2
Symptoms: Unevaluable event
Clinical narrative: none
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered after BUD
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered after BUD
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administerd after BUD
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine adminstered after BUD
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: tinnitus
Age: 15.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Patient accidentally received a seasonal flu vaccine after having already received a seasonal flu vaccine on 9/22/23. Provider ordered in error.
Age: 8.0
Sex: M
Vaccine: FLU4
Symptoms: C-reactive protein, Cellulitis, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pt developed redness, pain, and swelling at injection site on L upper extremity the night of the vaccine being administered. Symptoms progressed over his entire upper arm with warmth present. No fever. Patient seen in emergency room 10/24/23, given Benadryl, ice pack, Motrin, and Tylenol. Pt seen back at clinic on 10/26/23. PCP discussed symptoms of reaction to Infectious Disease physician and that MD recommended to start clindamycin for cellulitis.
Age: 8.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site warmth, White blood cell count normal
Clinical narrative: Pt developed redness, pain, and swelling at injection site on L upper extremity the night of the vaccine being administered. Symptoms progressed over his entire upper arm with warmth present. No fever. Patient seen in emergency room 10/24/23, given Benadryl, ice pack, Motrin, and Tylenol. Pt seen back at clinic on 10/26/23. PCP discussed symptoms of reaction to Infectious Disease physician and that MD recommended to start clindamycin for cellulitis.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: Vaccine was diluted incorrectly. All vaccine contents were injected to the 0.9 % sodium chloride diluent total of 2 ml. Patient was vaccinated with 0.3 ml.
Age: 3.0
Sex: M
Vaccine: PNC15
Symptoms: Vaccination site erythema, Vaccination site swelling
Clinical narrative: As per parents they noticed redness and swelling to the vaccine site. The area measures 7cm long and 5 cm wide.
Age: 28.0
Sex: M
Vaccine: COVID19, FLUC4
Symptoms: Dizziness, Immediate post-injection reaction
Clinical narrative: Patient had appointment to receive 3 vaccines (COVID, flu, and Tdap). Patient received the flu and COVID vaccines, and reported to have started feeling dizzy right away. Elevated patient's legs in the vaccination room, then patient says started feeling better. I escorted the patient out the vaccination room to the waiting area and had the patient rest with legs elevated for 30 minutes. After that the patient said felt much better and both of us agreed to reschedule the Tdap vaccine for another day.  Patient states that this is the first time this has ever happened with vaccines, and only occurred seldom with blood draws. Recommended that patient follow up with primary care.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered after BUD
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Circumstance or information capable of leading to medication error
Clinical narrative: Patient was asked if she wanted a Pfizer or  Moderna shot . Pt responded with Pfizer . After the shot was given , Pt was asking what the time frame was when she can get her other immunizations. Technician asked her if she was asking about her flu shot -- Pt then informed us that she thought it was the flu shot that was given.  Technician told her it was a covid shot and offered to give the flu shot also.  Pt did not want the 2 shots on the same day.  No ill effects from the covid shot.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered after BUD
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site erythema, Vaccination site warmth
Clinical narrative: warmth and redness at site of vaccine injection  started 10/26/23.
Age: 55.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dysgeusia
Clinical narrative: Patient reports developing a metallic taste after receiving the vaccine.  States it lasted several days then went away.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia
Clinical narrative: Patient states she began to develop a metallic taste after receiving the vaccination.
Age: 93.0
Sex: M
Vaccine: FLU4, RSV
Symptoms: Injection site reaction, Monoplegia, Pyrexia
Clinical narrative: 103 degree fever for 2 days right arm and shoulder paralysis for 1.5 weeks
Age: 0.75
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: 10 month old infant received Pfizer 12+ COVID vaccine instead of 6m-4 year COVID vaccine.
Age: 74.0
Sex: F
Vaccine: RSV, RSV
Symptoms: Dysphagia, Rash, Swollen tongue
Clinical narrative: The day after receiving Arexvy the patient reported tongue swelling, inability to swallow and rash.  The patient went to the hospital where she was treated and sent home.
Age: 74.0
Sex: F
Vaccine: RSV, RSV
Symptoms: Dysphagia, Rash, Swollen tongue, Urinary tract infection
Clinical narrative: The day after receiving Arexvy the patient reported tongue swelling, inability to swallow and rash.  The patient went to the hospital where she was treated and sent home.
Age: 15.0
Sex: M
Vaccine: FLUC4
Symptoms: Disturbance in attention, Dizziness, Feeling abnormal, Loss of consciousness, Muscle contracture
Clinical narrative: Patient seemed to have a vasovagal episode promptly following intramuscular administration of the Flucelvax influenza vaccine. Patient claimed to be dizzy and not feeling ok after needle was withdrawn from the left deltoid. Patient claimed that they felt as if they were about to pass out. Mother and father of patient were present to provide comfort to the patient. Patient proceeded to faint while simultaneously flexing their muscles giving an impression that they were having a seizure. Patient remained unconscious for approximately 20 seconds and then became responsive. Upon regaining consciousness patient was responsive to verbal stimuli but had a difficult time processing information. Patient kept repeating that they did not feel ok and occasionally seemed to lose consciousness briefly. Parent's father obtained water for the patient while I obtained an ice pack and some candy all three items were given to patient and they seemed to feel slightly better. I made it clear to the parents that they needed to take the patient to get evaluated and they left with him to go seek further medical attention. Patient was able to walk on his own out of the pharmacy.
Age: 15.0
Sex: M
Vaccine: FLUC4
Symptoms: Presyncope, Seizure, Syncope
Clinical narrative: Patient seemed to have a vasovagal episode promptly following intramuscular administration of the Flucelvax influenza vaccine. Patient claimed to be dizzy and not feeling ok after needle was withdrawn from the left deltoid. Patient claimed that they felt as if they were about to pass out. Mother and father of patient were present to provide comfort to the patient. Patient proceeded to faint while simultaneously flexing their muscles giving an impression that they were having a seizure. Patient remained unconscious for approximately 20 seconds and then became responsive. Upon regaining consciousness patient was responsive to verbal stimuli but had a difficult time processing information. Patient kept repeating that they did not feel ok and occasionally seemed to lose consciousness briefly. Parent's father obtained water for the patient while I obtained an ice pack and some candy all three items were given to patient and they seemed to feel slightly better. I made it clear to the parents that they needed to take the patient to get evaluated and they left with him to go seek further medical attention. Patient was able to walk on his own out of the pharmacy.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebral venous sinus thrombosis, Cerebrovascular accident, Computerised tomogram, Magnetic resonance imaging head abnormal
Clinical narrative: I developed two Cerebral Venous Sinuous Thrombosis. Had two strokes which I thought I were migraines. After 3 CT scans the MRI found them.
Age: 2.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered with diluent that had expired 9 hours earlier.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Peripheral swelling, Tenderness
Clinical narrative: I noticed regular soreness. After a week I noticed that it was still hurting and there was an egg size bump in the crux of my arm and it hurts up into the shoulder and down the entire arm. I cannot lift it without pain. The lump is soft and squishy. It does hurt if you push down into it.
Age: 79.0
Sex: M
Vaccine: FLU4, RSV
Symptoms: Joint effusion, Myalgia, Swelling
Clinical narrative: Four days after receiving vaccinations, patient developed fluid accumulation near elbow.  Per patient, swelling is approximately size of lemon with no skin color or temperature changes.  Area is not tender but deltoid muscle still sore to use.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Wrong vaccine formulation administered
Age: 65.0
Sex: F
Vaccine: RSV
Symptoms: Administration site erythema, Administration site swelling, Administration site warmth
Clinical narrative: Redness and swelling around administration site. Also warm sensation. Signs have been going on for 4 days after administration. Mobility of arm is completely fine.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Really loud ringing in my ears
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS STORED IN AN UNAPPROVED STORAGE UNIT
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Headache, Vomiting
Clinical narrative: Headache within an hour. Severe Vomiting and diarrhea about 5-6 hours later. Half an hour after that event, repeat of vomiting and diarrhea.
Age: 64.0
Sex: M
Vaccine: VARCEL
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Pt did not have any adverse reaction. Before given Varivax vaccine, pt did not report that he had gotten MMR vaccine 6 days ago. Pt  saw his doctor today and MD was not concerned about him receiving 2 live vaccines 6 days apart
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Pruritus, Rash, Rash erythematous, Rash macular
Clinical narrative: The patient came for an outpatient visit. About 1 minute after receiving immunization, pt c/o difficulty breathing. Dr. evaluated the patient - the following were her findings:  The patient was noted to be breathing fast with oxygen on her face. Patient reported itchy burning skin with "some" difficulty breathing. Denied tongue or lip swelling. Saturation was 96-100%. On auscultation patient had clear sounds, with good air movement, and no wheeze. Notable splotchy erythematous rash on forearms and neck, with no wheals to suggest hives. No facial or oral edema. Pt was given O2 and benadryl.  The patient was discharged to home.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory rate increased, Skin burning sensation
Clinical narrative: The patient came for an outpatient visit. About 1 minute after receiving immunization, pt c/o difficulty breathing. Dr. evaluated the patient - the following were her findings:  The patient was noted to be breathing fast with oxygen on her face. Patient reported itchy burning skin with "some" difficulty breathing. Denied tongue or lip swelling. Saturation was 96-100%. On auscultation patient had clear sounds, with good air movement, and no wheeze. Notable splotchy erythematous rash on forearms and neck, with no wheals to suggest hives. No facial or oral edema. Pt was given O2 and benadryl.  The patient was discharged to home.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Loss of consciousness, Syncope
Clinical narrative: The patient experienced syncope while seated after receiving the Pfizer covid vaccine and was unconscious for at least 10-15 seconds. I fanned the patient to cool them off and the partner got them a water to drink. The patient stated that she has experienced this before and that it was nothing I did, that they just got too hot.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Injection site swelling, Injection site warmth, Pain in extremity
Clinical narrative: patient states she had normal arm soreness the first few days after the vaccine. woke up this morning on 10/27 and noticed swelling, rash, and arm warm to the touch around injection site area and a little below. took a benadryl before reporting reaction to the pharmacy.  will follow up with patient the following day 10/28 to monitor reaction and see if benadyrl helps. patient stated that she now remembers having the same reaction to the pfizer covid vaccine last year but never reported the event.
Age: 83.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site rash
Clinical narrative: Patient reported that he woke up the next day with a 4-5 inch rash that was painful and bumpy on the right deltoid area where he had received his Shingrix vaccine. The rash did not itch and was not hot to the touch. It lasted approximately 3 days.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Extra dose administered, International normalised ratio, Laboratory test, Prothrombin time
Clinical narrative: Resident was given 2 of the same vaccine in right arm.
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site bruising, Injection site erythema, Injection site pain
Clinical narrative: Redness at the site of injection, bruise & soreness
Age: 65.0
Sex: F
Vaccine: FLU4, UNK
Symptoms: Asthenia, Blood creatine phosphokinase increased, Blood thyroid stimulating hormone decreased, C-reactive protein increased, Cerebral atrophy
Clinical narrative: Pt. is a 65 y.o. yo female with a past medical history significant of hypertension presents to the emergency department with concerns of weakness.  Patient states that she went to take a bath Tuesday night, and was found to still be in the bathtub tonight around 1800.  Supplemental history provided by patient's daughter, who found her in the bathtub.  When patient's daughter arrived, patient thought that she had only been in the bathtub for a couple hours.  Patient states that she had a doctor's appointment on Tuesday and received her influenza and tetanus vaccine at that time.  She denies any new medications, drugs or alcohol.  They are unsure of head trauma, but patient's daughter states that she was laying on the opposite end of the bathtub that she normally lays on.  Patient denies any headaches, vision changes, numbness or tingling.  The did note that she was having difficulty walking due to weakness.  She can take a few steps, and then would rely on someone close by to help.  They did give her some food and water prior to calling EMS, which she tolerated without difficulty.  Patient denies any musculoskeletal pain or neck pain.  Pt. is a 65 y.o. female with history of HTN, HLD, T2DM, chronic diastolic heart failure, CKD 3A, TIA 2021 who presented 10/12/2023 with bilateral lower extremity weakness and rhabdomyolysis secondary to immobility.  In the ED, patient was hypertensive 171/88. WBC 11, troponin 3, CK 6326 elevated, CRP 5.3 elevated, ESR 86 elevated, TSH 0.29 low.  CT head no acute process, stable right occipital encephalomalacia and generalized volume loss with chronic changes. Received 500ml normal saline bolus.  Admitted to general medicine.  WBCs normalized.  Creatinine kinase down trended to 2298.  Vascular ultrasound of lower extremities bilaterally showed no DVT.  Patient received B12 injections due to low B12.  Patient's weakness improved.  Patient's blood pressure medications were held to prevent AKI in context of rhabdomyolysis slowly reintroduced.  Recommend to monitor patient's blood pressure and adjust medications accordingly.  Other chronic medical problems stable and managed with home medications.  Discharged in stable condition.
Age: 65.0
Sex: F
Vaccine: FLU4, UNK
Symptoms: Computerised tomogram head abnormal, Condition aggravated, Encephalomalacia, Gait disturbance, Hypertension
Clinical narrative: Pt. is a 65 y.o. yo female with a past medical history significant of hypertension presents to the emergency department with concerns of weakness.  Patient states that she went to take a bath Tuesday night, and was found to still be in the bathtub tonight around 1800.  Supplemental history provided by patient's daughter, who found her in the bathtub.  When patient's daughter arrived, patient thought that she had only been in the bathtub for a couple hours.  Patient states that she had a doctor's appointment on Tuesday and received her influenza and tetanus vaccine at that time.  She denies any new medications, drugs or alcohol.  They are unsure of head trauma, but patient's daughter states that she was laying on the opposite end of the bathtub that she normally lays on.  Patient denies any headaches, vision changes, numbness or tingling.  The did note that she was having difficulty walking due to weakness.  She can take a few steps, and then would rely on someone close by to help.  They did give her some food and water prior to calling EMS, which she tolerated without difficulty.  Patient denies any musculoskeletal pain or neck pain.  Pt. is a 65 y.o. female with history of HTN, HLD, T2DM, chronic diastolic heart failure, CKD 3A, TIA 2021 who presented 10/12/2023 with bilateral lower extremity weakness and rhabdomyolysis secondary to immobility.  In the ED, patient was hypertensive 171/88. WBC 11, troponin 3, CK 6326 elevated, CRP 5.3 elevated, ESR 86 elevated, TSH 0.29 low.  CT head no acute process, stable right occipital encephalomalacia and generalized volume loss with chronic changes. Received 500ml normal saline bolus.  Admitted to general medicine.  WBCs normalized.  Creatinine kinase down trended to 2298.  Vascular ultrasound of lower extremities bilaterally showed no DVT.  Patient received B12 injections due to low B12.  Patient's weakness improved.  Patient's blood pressure medications were held to prevent AKI in context of rhabdomyolysis slowly reintroduced.  Recommend to monitor patient's blood pressure and adjust medications accordingly.  Other chronic medical problems stable and managed with home medications.  Discharged in stable condition.
Age: 65.0
Sex: F
Vaccine: FLU4, UNK
Symptoms: Immobile, Mobility decreased, Muscular weakness, Red blood cell sedimentation rate increased, Rhabdomyolysis
Clinical narrative: Pt. is a 65 y.o. yo female with a past medical history significant of hypertension presents to the emergency department with concerns of weakness.  Patient states that she went to take a bath Tuesday night, and was found to still be in the bathtub tonight around 1800.  Supplemental history provided by patient's daughter, who found her in the bathtub.  When patient's daughter arrived, patient thought that she had only been in the bathtub for a couple hours.  Patient states that she had a doctor's appointment on Tuesday and received her influenza and tetanus vaccine at that time.  She denies any new medications, drugs or alcohol.  They are unsure of head trauma, but patient's daughter states that she was laying on the opposite end of the bathtub that she normally lays on.  Patient denies any headaches, vision changes, numbness or tingling.  The did note that she was having difficulty walking due to weakness.  She can take a few steps, and then would rely on someone close by to help.  They did give her some food and water prior to calling EMS, which she tolerated without difficulty.  Patient denies any musculoskeletal pain or neck pain.  Pt. is a 65 y.o. female with history of HTN, HLD, T2DM, chronic diastolic heart failure, CKD 3A, TIA 2021 who presented 10/12/2023 with bilateral lower extremity weakness and rhabdomyolysis secondary to immobility.  In the ED, patient was hypertensive 171/88. WBC 11, troponin 3, CK 6326 elevated, CRP 5.3 elevated, ESR 86 elevated, TSH 0.29 low.  CT head no acute process, stable right occipital encephalomalacia and generalized volume loss with chronic changes. Received 500ml normal saline bolus.  Admitted to general medicine.  WBCs normalized.  Creatinine kinase down trended to 2298.  Vascular ultrasound of lower extremities bilaterally showed no DVT.  Patient received B12 injections due to low B12.  Patient's weakness improved.  Patient's blood pressure medications were held to prevent AKI in context of rhabdomyolysis slowly reintroduced.  Recommend to monitor patient's blood pressure and adjust medications accordingly.  Other chronic medical problems stable and managed with home medications.  Discharged in stable condition.
Age: 65.0
Sex: F
Vaccine: FLU4, UNK
Symptoms: Troponin increased, Ultrasound Doppler normal, Vitamin B12 decreased, White blood cell count increased
Clinical narrative: Pt. is a 65 y.o. yo female with a past medical history significant of hypertension presents to the emergency department with concerns of weakness.  Patient states that she went to take a bath Tuesday night, and was found to still be in the bathtub tonight around 1800.  Supplemental history provided by patient's daughter, who found her in the bathtub.  When patient's daughter arrived, patient thought that she had only been in the bathtub for a couple hours.  Patient states that she had a doctor's appointment on Tuesday and received her influenza and tetanus vaccine at that time.  She denies any new medications, drugs or alcohol.  They are unsure of head trauma, but patient's daughter states that she was laying on the opposite end of the bathtub that she normally lays on.  Patient denies any headaches, vision changes, numbness or tingling.  The did note that she was having difficulty walking due to weakness.  She can take a few steps, and then would rely on someone close by to help.  They did give her some food and water prior to calling EMS, which she tolerated without difficulty.  Patient denies any musculoskeletal pain or neck pain.  Pt. is a 65 y.o. female with history of HTN, HLD, T2DM, chronic diastolic heart failure, CKD 3A, TIA 2021 who presented 10/12/2023 with bilateral lower extremity weakness and rhabdomyolysis secondary to immobility.  In the ED, patient was hypertensive 171/88. WBC 11, troponin 3, CK 6326 elevated, CRP 5.3 elevated, ESR 86 elevated, TSH 0.29 low.  CT head no acute process, stable right occipital encephalomalacia and generalized volume loss with chronic changes. Received 500ml normal saline bolus.  Admitted to general medicine.  WBCs normalized.  Creatinine kinase down trended to 2298.  Vascular ultrasound of lower extremities bilaterally showed no DVT.  Patient received B12 injections due to low B12.  Patient's weakness improved.  Patient's blood pressure medications were held to prevent AKI in context of rhabdomyolysis slowly reintroduced.  Recommend to monitor patient's blood pressure and adjust medications accordingly.  Other chronic medical problems stable and managed with home medications.  Discharged in stable condition.
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: Abdominal pain, Abdominal pain lower, Decreased appetite, Diarrhoea, Fatigue
Clinical narrative: I got the Covid vaccine on Tuesday morning. Mild headache and fatigue that afternoon, and also on Wednesday and Thursday. Very low-grade fever (99.3), On Friday afternoon, had severe stabbing pain in lower middle abdomen with severe cramping. Several bouts of explosive watery diarrhea. No blood in stool, and abdomen not sensitive to touch. But the level of pain was unusual. Pain lasted six hours. Somewhat relieved (so far) by Pepto-Bismol and Bentyl. Will not eat anything, or stay on a bland diet over the weekend to see if this improves.
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: Headache
Clinical narrative: I got the Covid vaccine on Tuesday morning. Mild headache and fatigue that afternoon, and also on Wednesday and Thursday. Very low-grade fever (99.3), On Friday afternoon, had severe stabbing pain in lower middle abdomen with severe cramping. Several bouts of explosive watery diarrhea. No blood in stool, and abdomen not sensitive to touch. But the level of pain was unusual. Pain lasted six hours. Somewhat relieved (so far) by Pepto-Bismol and Bentyl. Will not eat anything, or stay on a bland diet over the weekend to see if this improves.
Age: 61.0
Sex: M
Vaccine: COVID19-2, FLUR4
Symptoms: Needle issue, Underdose
Clinical narrative: The needle popped off in the middle of the injection and some of the vaccine leaked out.  I repeated the dose.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Eyelid function disorder, IIIrd nerve paralysis, Vision blurred
Clinical narrative: Patient came in 10/27/2023 in the morning to report the side effects. She said she went to the hospital down the street on Saturday 10/21/23 and got admitted and didn't leave until yesterday 10/26/23. According to patient after many tests they came in conclusion that she had 3rd cranial nerve palsy due to the covid vaccine she got 10/20/23. Patient showed her left eye lid was not able to open at all. She used her fingers to lift her eyelid she said she can see a blurry vision of two people in front of her.