chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Dizziness, Fatigue, Headache, Impaired work ability
Clinical narrative: The vaccination was administered on Saturday evening, December 19th, 2020. The next morning around 10 am I began to feel nauseous and light-headed. That feeling waxed and waned all day and improved in the evening. The next morning on Monday, December 21st I was 10/10 nauseous and near vomiting. I went to work but had to leave because of nausea. Ultimately I vomited upon returning home and was nauseous with abdominal pain and achy all day. The next morning on Tuesday, December 22 nausea continued but with a rating of around 6/10. Then came the intense headache, body aches, and fatigue. This continued into the next day  (Wednesday, December 23) prompting me to get COVID tested and take off of work on Thursday, December 24th. Nausea improved (5/10)  on December 24th but fatigue, abdominal pain,  and body aches did not. December 25-27 were slow improvements with nausea, abdominal pain, and fatigue but were limiting activities of daily living. By Monday, December 28th most symptoms had cleared.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Nausea, Pain, SARS-CoV-2 test, Vomiting
Clinical narrative: The vaccination was administered on Saturday evening, December 19th, 2020. The next morning around 10 am I began to feel nauseous and light-headed. That feeling waxed and waned all day and improved in the evening. The next morning on Monday, December 21st I was 10/10 nauseous and near vomiting. I went to work but had to leave because of nausea. Ultimately I vomited upon returning home and was nauseous with abdominal pain and achy all day. The next morning on Tuesday, December 22 nausea continued but with a rating of around 6/10. Then came the intense headache, body aches, and fatigue. This continued into the next day  (Wednesday, December 23) prompting me to get COVID tested and take off of work on Thursday, December 24th. Nausea improved (5/10)  on December 24th but fatigue, abdominal pain,  and body aches did not. December 25-27 were slow improvements with nausea, abdominal pain, and fatigue but were limiting activities of daily living. By Monday, December 28th most symptoms had cleared.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Nausea, Vision blurred
Clinical narrative: @12:45pm Pt c/o slight dizziness w/nausea, blurred vision after 5 minutes and diaphoretic, obtained v/s (stable) assisted laying down on stretcher. Bottle water offered and took several sips.    @12:54pm Dr arrived for provisder Assessment and noted stable just continue monitoring. Waiting for longer observation for 20 more minutes. Pt states,"I feel a lot better."   Pt taking Ceftriaxone currently and finished prednisone x2 days after a course of several days.   Pt advise to call if s/sx return or get worse.   Allergies updated and Covid-19 vaccine added, suggested "not recommended for 2nd dose" and 2nd dose appt canceled.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Rash
Clinical narrative: at 4:08 pm, 10 minutes after receiving vaccine pt reports feeling dizzy and has bilateral rash on arms. pt was evaluated by EMS. BP 124/80, P 82, O2 Sat 100%. pt reports feeling better and declined EMS transport to hospital and left AMA 4:26
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Headache, Oropharyngeal pain, Pain, SARS-CoV-2 test negative
Clinical narrative: 01/06/2021 Patient complains of sore throat onset 2030 01/07/2021 Patient continues to have sore throat, temperature 100.1 at 1300 with headache and body aches. Pt also found out she had direct exposure to COVID on 01/04/2021
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Body temperature increased, Chills, Decreased appetite, Diarrhoea, Feeling abnormal
Clinical narrative: 1. pain in rt arm, unable to use for 3 days 2. shivers (body wrapped in clothing, jacket, bath robe and blanket), unable to control shivers. felt very cold 3. temperature up to 102, fluctuated overnight 4. nausea, unable to eat for 5 days (included diarrhea) lost 10 lbs. in 5 days 5. headache  The shivers, temp fluctuation lasted only 24 hours. The arm pain lasted for 3 days. The nausea lasted 5days. I did not contact my doctor nor did I seek treatment the reactions were gone 5-6 days later. I haven't felt this bad for years, but I'll have to say it was over in less than a week, but I'm very wary of taking the second shot.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Feeling cold, Headache, Mobility decreased, Nausea, Pain in extremity
Clinical narrative: 1. pain in rt arm, unable to use for 3 days 2. shivers (body wrapped in clothing, jacket, bath robe and blanket), unable to control shivers. felt very cold 3. temperature up to 102, fluctuated overnight 4. nausea, unable to eat for 5 days (included diarrhea) lost 10 lbs. in 5 days 5. headache  The shivers, temp fluctuation lasted only 24 hours. The arm pain lasted for 3 days. The nausea lasted 5days. I did not contact my doctor nor did I seek treatment the reactions were gone 5-6 days later. I haven't felt this bad for years, but I'll have to say it was over in less than a week, but I'm very wary of taking the second shot.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Weight decreased
Clinical narrative: 1. pain in rt arm, unable to use for 3 days 2. shivers (body wrapped in clothing, jacket, bath robe and blanket), unable to control shivers. felt very cold 3. temperature up to 102, fluctuated overnight 4. nausea, unable to eat for 5 days (included diarrhea) lost 10 lbs. in 5 days 5. headache  The shivers, temp fluctuation lasted only 24 hours. The arm pain lasted for 3 days. The nausea lasted 5days. I did not contact my doctor nor did I seek treatment the reactions were gone 5-6 days later. I haven't felt this bad for years, but I'll have to say it was over in less than a week, but I'm very wary of taking the second shot.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Fatigue, Head discomfort, Headache, Tension headache
Clinical narrative: Patient reported headache-like symptoms with pressure, tightness and extreme fatigue. Patient also reported worsening tinnitus which started 12/22/2020, prior to the vaccine administration date.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Patient reported headache-like symptoms with pressure, tightness and extreme fatigue. Patient also reported worsening tinnitus which started 12/22/2020, prior to the vaccine administration date.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site reaction, Injection site warmth, Nausea, Rash erythematous
Clinical narrative: Patient describes a red, itchy rash at the injection site in a 3" diameter. She also reports nausea and a headache for 2 days. The rash was warm to the touch
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: Patient describes a red, itchy rash at the injection site in a 3" diameter. She also reports nausea and a headache for 2 days. The rash was warm to the touch
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives on torso and upper extremities
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Heart rate increased, Syncope
Clinical narrative: When patient initially received the vaccination, she complained of mild dizziness. She went home after monitoring and returned to work the PM shift rested. Approximately 45 minutes into the shift, she c/o dizziness. She had elevated BP 209/102 and HR 108 and at one point had a syncopal episode. Emergency services was called and she was transferred to the hospital for further evaluation.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Eye pruritus, Feeling abnormal, Injection site pruritus, Ocular hyperaemia
Clinical narrative: Itching on arm in area of injection site, reports feeling weird, eyes are reddened and itchy.  Patient reports feeling short of breath but no noted drop in oxygen saturation.  Oral diphenhydramine 50mg administered.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dry throat, Pruritus, Swollen tongue, Throat irritation
Clinical narrative: Pt stated that she was feeling a tickle in her throat 10 minutes after administration of the vaccine. Pt stated that her throat is dry and feels a sensation to cough. Pt stated that started feeling swelling of the tongue 30 minutes after administration of the vaccine. Pt was given water and says that it helped relieve itching. Pt was given benadryl 25mg IM and is being monitored. Charge nurse is taking over monitoring  and care of patient.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Back pain, Neck pain
Clinical narrative: Patient reported weakness and pain in neck and back
Age: 62.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Erythema, Induration, Pruritus
Clinical narrative: Patient reported by telephone on 1-7-2020 arm redness, itching, and firmness one hand down from the injection site. Patient was counseled to apply a cool compress, could take Benadryl, as well as Tylenol or ibuprofen if needed.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: Patient received IMZ on 12/30/20.  One 1/7/21 at approximately 2:00pm she developed 2 raised areas on her arm with a valley between. There was also pain in the arm at that area.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Blood pressure increased, Chest discomfort, Dyspnoea, Lip swelling
Clinical narrative: patient had Covid 19 vaccine from Pfizer with lot #EJ1686 with expiration date 3/2021 on 1/7/2021 and after 45 minutes, she came back and stated she has chest tightness, lip swelling, chest congestion,  shortness of breath, asthma-like symptoms with mucus type in her chest. her BP at that time was 184/109. She was given 1 EpiPen and 2 Benadryl 25mg tablets.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion
Clinical narrative: patient had Covid 19 vaccine from Pfizer with lot #EJ1686 with expiration date 3/2021 on 1/7/2021 and after 45 minutes, she came back and stated she has chest tightness, lip swelling, chest congestion,  shortness of breath, asthma-like symptoms with mucus type in her chest. her BP at that time was 184/109. She was given 1 EpiPen and 2 Benadryl 25mg tablets.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Heart rate increased, Pyrexia
Clinical narrative: Fever  High heart rate Chills
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Pain in extremity, Tenderness
Clinical narrative: Felt my arm was about to fall it was sever pain I couldn't touch it or do anything with it  I also had lower back ache.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Pain in extremity, Paraesthesia
Clinical narrative: Tingling in left arm about 30 minutes after administration, followed by numbnes in the pinky and ring fingers for approximately 12 hours. Moderate left arm pain for approximately 48 hours.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest discomfort, Chest pain, Chills, Cough
Clinical narrative: About an hour after the injection I had pain and burning going down my left side and in the left side of my chest that lasted about 45 min. I was fine for the next 12 hr. Around midnight I started with chills, joint pain body aches and a headache. I woke up around 2 am with a fever.  All day on the 6th I felt horrible with body aches, joint pain and a severe headache. Around 10 pm on the 6th I started again with chills fever chest pain SOB Cough and vomiting (3 episodes throughout the night.) My lungs currently feel like they are on fire and I continue to have chest tightness, joint pain Severe headache and a cough.  I am approximately 56 hr post second vaccination. I had no problems with the first vaccination
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Headache, Injection site pain, Pain, Pyrexia
Clinical narrative: About an hour after the injection I had pain and burning going down my left side and in the left side of my chest that lasted about 45 min. I was fine for the next 12 hr. Around midnight I started with chills, joint pain body aches and a headache. I woke up around 2 am with a fever.  All day on the 6th I felt horrible with body aches, joint pain and a severe headache. Around 10 pm on the 6th I started again with chills fever chest pain SOB Cough and vomiting (3 episodes throughout the night.) My lungs currently feel like they are on fire and I continue to have chest tightness, joint pain Severe headache and a cough.  I am approximately 56 hr post second vaccination. I had no problems with the first vaccination
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: About an hour after the injection I had pain and burning going down my left side and in the left side of my chest that lasted about 45 min. I was fine for the next 12 hr. Around midnight I started with chills, joint pain body aches and a headache. I woke up around 2 am with a fever.  All day on the 6th I felt horrible with body aches, joint pain and a severe headache. Around 10 pm on the 6th I started again with chills fever chest pain SOB Cough and vomiting (3 episodes throughout the night.) My lungs currently feel like they are on fire and I continue to have chest tightness, joint pain Severe headache and a cough.  I am approximately 56 hr post second vaccination. I had no problems with the first vaccination
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Paraesthesia oral
Clinical narrative: The employee kind of tasted the vaccine then had tingling sensation on the sides of her tongue. After several minutes, her sides of tongue was numb. After 4 hours, she felt fine but had that tingling sensation on the side of her tongue still
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Injection related reaction, Neuralgia
Clinical narrative: Unrelated to vaccine. Related to method of injection. Pt stated she felt ?like a nerve in my arm had been hit?. Medics assessed her further and she AMA?d from their care.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Malaise, Pyrexia
Clinical narrative: fever feeling of unwell fatigue
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain in extremity, Pyrexia
Clinical narrative: fever, soreness in arms and legs,  headache, fatigue,   began last night around midnight (january 7)
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Dysphagia, Dyspnoea, Oropharyngeal discomfort, Pyrexia
Clinical narrative: Patient had her first dose of Pfizer covid 19 vaccine.  She was observed for 30 minutes, 15 minutes longer than normal as a precaution, due to her allergies.  Patient continued to moniter her oxygenation saturation and did not report a drop in oxygen saturation, however, she reported a funny feeling in her throat, difficulty swallowing and shortness of breath.  She was escorted to the emergency department via wheelchair for further observation and treatment.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Wheezing
Clinical narrative: Patient had her first dose of Pfizer covid 19 vaccine.  She was observed for 30 minutes, 15 minutes longer than normal as a precaution, due to her allergies.  Patient continued to moniter her oxygenation saturation and did not report a drop in oxygen saturation, however, she reported a funny feeling in her throat, difficulty swallowing and shortness of breath.  She was escorted to the emergency department via wheelchair for further observation and treatment.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaphylactic reaction, Chills, Cough, Dizziness, Headache
Clinical narrative: Patient had her first dose of Pfizer covid 19 vaccine.  She was observed for 30 minutes, 15 minutes longer than normal as a precaution, due to her allergies.  Patient continued to moniter her oxygenation saturation and did not report a drop in oxygen saturation, however, she reported a funny feeling in her throat, difficulty swallowing and shortness of breath.  She was escorted to the emergency department via wheelchair for further observation and treatment.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Oropharyngeal pain, Pharyngeal paraesthesia, Pruritus, Pyrexia
Clinical narrative: Patient had her first dose of Pfizer covid 19 vaccine.  She was observed for 30 minutes, 15 minutes longer than normal as a precaution, due to her allergies.  Patient continued to moniter her oxygenation saturation and did not report a drop in oxygen saturation, however, she reported a funny feeling in her throat, difficulty swallowing and shortness of breath.  She was escorted to the emergency department via wheelchair for further observation and treatment.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test negative, Tachycardia, Throat tightness, Wheezing
Clinical narrative: Patient had her first dose of Pfizer covid 19 vaccine.  She was observed for 30 minutes, 15 minutes longer than normal as a precaution, due to her allergies.  Patient continued to moniter her oxygenation saturation and did not report a drop in oxygen saturation, however, she reported a funny feeling in her throat, difficulty swallowing and shortness of breath.  She was escorted to the emergency department via wheelchair for further observation and treatment.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Myalgia, Nausea, Vomiting
Clinical narrative: Nausea and vomiting within 30-45 minutes Fatigue and sore muscles the following day
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Hypoaesthesia, Paraesthesia, Skin discolouration
Clinical narrative: Within 2 - 3 minutes of receiving the vaccine in my left deltoid muscle, the upper half of my left middle finger felt numb, had tingling and felt very cold. There was significant color change: it turned white and my pulse oxygen level could not be measured in that finger. It took approximately 25-30 minutes to go back to normal. I?ve never had any type of reaction to a vaccine or injectable medication in the past.   No  treatment was necessary and no additional symptoms  have been noted this evening / 6 hours later.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Pain in extremity
Clinical narrative: Moderna COVID-19 Vaccine EUA Pain in arm for 24 hours  Have redness at injection site  Itch at injection site
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Paraesthesia oral
Clinical narrative: 1633 - patient c/o dizziness and tingling to lips. 1641 - BP 167/63, pulse 80, anxious, Benadryl 25 mg PO administered. Requested water, 2 bottles given. 1643 - BP - 142/91, pulse 75. RN continue to monitor. 1700 - States feels much better.  No further complaints voiced, continue to closely monitor. 1707 - Discharged to home in stable condition.
Age: 83.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Urticaria
Clinical narrative: pt had hives that started 2 weeks after shot. lasted over a month. went to Dr on 12-14-20 to get prednisone 20mg for hives.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Dizziness, Retching, Somnolence, Tachycardia
Clinical narrative: PATIENT COMPLAINED OF LIGHTHEADEDNESS, VOMITING X2, GAGGING, DROWSY, UNSTABLE, TACHYCARDIC HR 110, BP 142/91
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: PATIENT COMPLAINED OF LIGHTHEADEDNESS, VOMITING X2, GAGGING, DROWSY, UNSTABLE, TACHYCARDIC HR 110, BP 142/91
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Pain
Clinical narrative: Patient reported pain and weakness
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Injection site erythema, Injection site inflammation, Injection site warmth, Pain in extremity
Clinical narrative: Day 1 (1-5-21): sore arm bruise Day 2 (1-6-21): more severe sore arm and bruise Day 3 (1-7-21): sore arm that's getting better. Red, inflamed, hot to touch at injection site. 1in x 2in in size.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site mass, Injection site pruritus
Clinical narrative: lump (undulation), itchy, red at vaccine site - 2 days later it is less of a lump, not itchy or red - no other symptoms
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Local reaction, Vaccination site discomfort, Vaccination site lymphadenopathy, Vaccination site pruritus
Clinical narrative: LOCALIZED WELL DEMARCATED REACTION DEVELOPED 8 DAYS AFTER VACCINATION AT SITE ON LEFT ARM. PRURITIC INITIALLY BUT NOW DISCOMFORT WITH LOCALIZED ADENOPATHY AND FATIGUE
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Myalgia, Tremor
Clinical narrative: I awoke at 3 AM with shaking chill and muscle aches of moderate intensity (5 on a scale of 1 to 10).  I took 400 mg of ibuprofen and symptoms subsided substantially in 30 minutes.  Much milder symptoms persisted for 24 more hours and then almost completely resolved.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea
Clinical narrative: I had a positive Covid 11/11/20. My main symptom was loose stools x 3 weeks
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Breast feeding, Dyspnoea, Paraesthesia oral
Clinical narrative: Within 5 minutes after Moderna dose 1 vaccine patient developed tingling around the lips and tongue.   Patient has a history of anaphylaxis to Latex, and ceftriaxone.  HR 86 and regular, BP 130/80, O2 96% on room air with mask on.  After further evaluation patient c/o feeling winded like " I just finished a walk pushing the stroller." Lungs and throat sound clear.  Discussed with patient the pros and cons of administering benadryl and or epi and that would require a visit to the ED for further evaluation. Patient concerned about how the drugs will affect her breast feeding.  Through our conversation, the tingling of the lips and tongue has increased, patient is stable, decision made to wheel patient to the ED for evaluation.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Localized reaction, hot, hard, raised, reddened area (approximately 2" in diameter) at injection site.  Slightly painful and itchy.  Did not occur until 8 days post injection.  No treatment required.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth
Clinical narrative: Localized reaction, hot, hard, raised, reddened area (approximately 2" in diameter) at injection site.  Slightly painful and itchy.  Did not occur until 8 days post injection.  No treatment required.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Muscle spasms
Clinical narrative: Bilateral muscle cramps/ spasm quadriceps. Deep,  severe left hip pain.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia
Clinical narrative: Metallic taste in mouth started about 5 minutes after injection.  lasted approximately for 1 hour
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache
Clinical narrative: Patient describes headache and dizziness, also fatigue.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Paraesthesia
Clinical narrative: Tingling in arm and head fogginess approx 10 min post vaccination. Assessed by paramedics and refused transport AMA.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: Patient reported an "itchy throat" described as a "mild reaction".   Remained under observation for additional time, no intervention or additional treatment provided.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Lethargy, Nausea, Pain in extremity
Clinical narrative: Nausea, chills, low grade fever, headache, lethargy, right arm soreness. I woke up around 5am and noticed these symptoms.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Nausea, chills, low grade fever, headache, lethargy, right arm soreness. I woke up around 5am and noticed these symptoms.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Headache, Nausea, Pain
Clinical narrative: Nausea/vomiting, stomach pains, headache, fever, chills, body aches
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Nausea/vomiting, stomach pains, headache, fever, chills, body aches
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood pressure increased, Facial pain, Feeling abnormal, Headache
Clinical narrative: Developed a severe headache within 2-3 hours of receiving vaccine. Took 2 Tylenol. Headache abated but did not resolve. Within the next 2-3 hours felt tingling in my left upper lip. It grew worse and headache worsened. Lip felt like it was swelling but no change was seen. Then left side of face began to ache. Took 2 more Tylenol. Texted my primary care physician who recommended Benadryl in case it was an allergic reaction. Took Benadryl about 4:30 or 5:00.  Left work and went home. Had severe headache. Took my blood pressure. It was 185/68. Had some old Propanolol 10 mg from 2 years earlier and took one and a Prednisone 10mg. By 9:00 pm still felt bad with facial pain and tingling. BP decreased to 148/89. Took another Benadryl and went to bed. Face ant lip better in the morning. Arm sore for 2 days. Developed body and joint aches for the past 2-3 days. Slowly resolving.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Pain, Pain in extremity, Paraesthesia oral
Clinical narrative: Developed a severe headache within 2-3 hours of receiving vaccine. Took 2 Tylenol. Headache abated but did not resolve. Within the next 2-3 hours felt tingling in my left upper lip. It grew worse and headache worsened. Lip felt like it was swelling but no change was seen. Then left side of face began to ache. Took 2 more Tylenol. Texted my primary care physician who recommended Benadryl in case it was an allergic reaction. Took Benadryl about 4:30 or 5:00.  Left work and went home. Had severe headache. Took my blood pressure. It was 185/68. Had some old Propanolol 10 mg from 2 years earlier and took one and a Prednisone 10mg. By 9:00 pm still felt bad with facial pain and tingling. BP decreased to 148/89. Took another Benadryl and went to bed. Face ant lip better in the morning. Arm sore for 2 days. Developed body and joint aches for the past 2-3 days. Slowly resolving.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Patient reported fever and body aches for 8 hours
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Injection site pain, Muscular weakness
Clinical narrative: EE received flu vaccine in l arm higher than in the past. EE felt pain in left arm/shoulder than increased over time as well as decreased ROM and weakness. EE was seen by provider and has had some slight improvement in symptoms. EE is scheduled for an MRI on 1/18/2021.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Local reaction, Skin warm, Swelling
Clinical narrative: localized reaction red bump. hot to touch. not painful
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Dyspnoea, Presyncope, Pulmonary function test normal
Clinical narrative: Patient developed dyspnea on exertion noted 7 days after his vaccine; Note that he had fully recovered from COVID infection  one month prior with cardio on bicycle without drop  off of performance metrics.   DOE was noticeable  on bike rides - almost had a syncopal  episode on a bike hill climb at post injection day 10; medrol dose pack started - symptoms resolved in one week. No sign of desaturation noted on pulse oximetry; patient elected NOT to pursue the second vaccination shot given the side effects.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Patient reported tingling and numbness to one side of face and spreading down her neck.  Patient transferred to E.D. for observation.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Nausea, Pain
Clinical narrative: ON 12/31/2020 I  HAVE A HAD SLIGHT FEVER, HEADACHE , NAUSEA, BODY ACHES, CHILLS, HAND TREMORS,  DIZZY AND LIGHTHEADED  THAT LASTED FOR 3 DAYS.  SINCE THEN I HAVE  A BAD HEADACHE, FEELING NAUSEA AND  VERY LIGHT HEADED AT TIMES.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tremor
Clinical narrative: ON 12/31/2020 I  HAVE A HAD SLIGHT FEVER, HEADACHE , NAUSEA, BODY ACHES, CHILLS, HAND TREMORS,  DIZZY AND LIGHTHEADED  THAT LASTED FOR 3 DAYS.  SINCE THEN I HAVE  A BAD HEADACHE, FEELING NAUSEA AND  VERY LIGHT HEADED AT TIMES.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Discomfort, Dyspepsia, Swelling of eyelid, Urticaria
Clinical narrative: 33 hours post vaccination: experienced heartburn, discomfort followed by urticaria on my neck, trunk, armpit, and back.  Took diphenhydramine.  Woke up with no itching by some swelling of left eyelid.  At 1500 1/7/21, some outbreak of urticaria on my back, underarm, neck, trunk area, and groin area.  Took lower dose of diphenhydramine.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Herpes zoster, Pain, Papule
Clinical narrative: Beginning January 2nd, 11 days after my covid vaccine I developed right sided back pain. Two days later I had an area of papules on my anterior thigh the size of a half dollar. The right sided back pain then began to radiate around to my hip and the rash began to be painful. My right thigh eventually began to tingle and and the pain increased in severity. On Jan 7th I presented to the acute care clinic at the Clinic and was diagnosed with shingles.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Rash
Clinical narrative: Beginning January 2nd, 11 days after my covid vaccine I developed right sided back pain. Two days later I had an area of papules on my anterior thigh the size of a half dollar. The right sided back pain then began to radiate around to my hip and the rash began to be painful. My right thigh eventually began to tingle and and the pain increased in severity. On Jan 7th I presented to the acute care clinic at the Clinic and was diagnosed with shingles.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Cooling therapy, Dizziness, Nausea, Retching
Clinical narrative: Entered observation @ 1935.  Mother stated to this nurse @ 1950, that daughter felt "light-headed".  Water was given.  @ 1954, patient started to gag.  Went to restroom.  @ 1958, she was walked with this nurse and others to "bed" that's located in vaccination clinic.  Mother explained to this nurse and others that her daughter shows s/s of these symptoms upon each vaccination.  Lightheadedness and nausea lasted for about 10-15 minutes.  Cold compress was applied to help relieve s/s from vaccine.  States she felt better around 2005.  Left observation @ 2005, showed no s/s of distress.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Arthralgia, Asthenia, Back pain, Chills
Clinical narrative: About 24 hours after injection I developed severe side effects as a result. The side effects included; Fever (up to 103.0), body chills, SEVERE vertigo, weakness, back pain, abdominal pain (cramping), diarrhea and joint pain. The side effects took about 3 days to relieve with abdominal cramping and diarrhea lasting for about 1 week.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Pyrexia, Vertigo
Clinical narrative: About 24 hours after injection I developed severe side effects as a result. The side effects included; Fever (up to 103.0), body chills, SEVERE vertigo, weakness, back pain, abdominal pain (cramping), diarrhea and joint pain. The side effects took about 3 days to relieve with abdominal cramping and diarrhea lasting for about 1 week.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis, Injection site bruising, Injection site erythema, Injection site pain, Injection site rash
Clinical narrative: Counting day of vaccination as Day 1. Only mild soreness. Day 2-small red welt on left deltoid surrounding injection site. This continued to grow, red rash expanding from injection site. Sore, itching. By day 5 had gone with only bruising, but still itchy. Yesterday was Day 8. Noticed soreness and red welt was back around injection site. Today day 9 redness continued to grow-itchy and sore. Called ask HR and they recommended calling medical provider. Diagnosed with cellulitis and given 7 day course of antibiotics, claritin to help with itching. Instructions to let vaccination site know.  Will complete antibotics 01/15/2021
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Rash, Rash erythematous, Rash pruritic, Urticaria
Clinical narrative: Counting day of vaccination as Day 1. Only mild soreness. Day 2-small red welt on left deltoid surrounding injection site. This continued to grow, red rash expanding from injection site. Sore, itching. By day 5 had gone with only bruising, but still itchy. Yesterday was Day 8. Noticed soreness and red welt was back around injection site. Today day 9 redness continued to grow-itchy and sore. Called ask HR and they recommended calling medical provider. Diagnosed with cellulitis and given 7 day course of antibiotics, claritin to help with itching. Instructions to let vaccination site know.  Will complete antibotics 01/15/2021
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Injection site pruritus, Myalgia, Nausea, Pain in extremity
Clinical narrative: A few minutes post-vaccination, the patient developed a splitting headache that radiated from the neck up over the head. He had pain down his arm and leg on the opposite side (as well as itching-arm only)the vaccine was administered in. Nausea developed and became worse as time passed. No injection site reaction or trouble breathing reported. Once patient reported that his muscles hurt and he hurt everywhere EMS was called. The patient was transported to Hospital and discharged prior to the end of the clinic with Tylenol and Tums.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: cobid vaccine
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Throat irritation
Clinical narrative: 14 minutes post vaccination the  individual complained of dizziness and itching in her throat.  Vitals signs were obtained, including oxygen saturation,  the individual was assessed my a medical provider and orders were given to administer 50 mg of Diphenhydramine IM.  The individual was monitored for 30 additional minutes. After 30 minutes vitals were obtained,  the individual denied any symptoms. Individual was instructed to follow up with primary care provider.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Vaccination site swelling
Clinical narrative: A week after vaccine was administered I have  redness, swelling and itching on vaccine site
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Hyperhidrosis, Injection site pain, Injection site pruritus, Injection site rash
Clinical narrative: Sore arm second day Right armpit and right front shoulder pain including clavicular area pain starting the fifth day Bump on right area started day 7 Day 8 large rash, itching near injection side Increase sweating from right armpit starting day 7
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Oedema peripheral, Pain in extremity
Clinical narrative: Sore arm second day Right armpit and right front shoulder pain including clavicular area pain starting the fifth day Bump on right area started day 7 Day 8 large rash, itching near injection side Increase sweating from right armpit starting day 7
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Headache, Injection site erythema, Injection site induration
Clinical narrative: 12/29/2020-around 5:00 pm-sore throat and headache for couple of hours; minor blurry vision.  Pain at injection site-hurt to raise arm to head 12/30/2020-little bit of nausea throughout day off and on-around 5:00 pm-fever (99.5), chills, headache, body aches, increased constant nausea.   Moderate pain at injection site, redness 12/31/2020-fever (99.5-100.4), chills, nausea, headache, body aches until about 4:00 pm.  Redness, swelling, moderate pain at injection site-(pain improved-able to move arm more than before), some minor itching off and on at injection site.   1/1/2021-Nausea, headache.    Redness, swelling, pain at injection site-(Pain improved), injection site hard and hot to touch.   Some minor itching off and on.   Receive steroid shot from urgent care and took Benadryl 1/2/2021-Redness, swelling improved.   Minor itching off and on.   Took Benadryl.  Had touch diarrhea. 1/3/2021-Swelling almost gone, redness almost gone.  Minor itching off and on.   Little nausea.  Took Benadryl 1/4/2021-Swelling and redness gone.   Minor itching once or twice-nausea briefly once.   Took Benadryl 1/5/2021-Itching off and on-minor
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth, Nausea
Clinical narrative: 12/29/2020-around 5:00 pm-sore throat and headache for couple of hours; minor blurry vision.  Pain at injection site-hurt to raise arm to head 12/30/2020-little bit of nausea throughout day off and on-around 5:00 pm-fever (99.5), chills, headache, body aches, increased constant nausea.   Moderate pain at injection site, redness 12/31/2020-fever (99.5-100.4), chills, nausea, headache, body aches until about 4:00 pm.  Redness, swelling, moderate pain at injection site-(pain improved-able to move arm more than before), some minor itching off and on at injection site.   1/1/2021-Nausea, headache.    Redness, swelling, pain at injection site-(Pain improved), injection site hard and hot to touch.   Some minor itching off and on.   Receive steroid shot from urgent care and took Benadryl 1/2/2021-Redness, swelling improved.   Minor itching off and on.   Took Benadryl.  Had touch diarrhea. 1/3/2021-Swelling almost gone, redness almost gone.  Minor itching off and on.   Little nausea.  Took Benadryl 1/4/2021-Swelling and redness gone.   Minor itching once or twice-nausea briefly once.   Took Benadryl 1/5/2021-Itching off and on-minor
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, Pyrexia, SARS-CoV-2 test negative, Vision blurred
Clinical narrative: 12/29/2020-around 5:00 pm-sore throat and headache for couple of hours; minor blurry vision.  Pain at injection site-hurt to raise arm to head 12/30/2020-little bit of nausea throughout day off and on-around 5:00 pm-fever (99.5), chills, headache, body aches, increased constant nausea.   Moderate pain at injection site, redness 12/31/2020-fever (99.5-100.4), chills, nausea, headache, body aches until about 4:00 pm.  Redness, swelling, moderate pain at injection site-(pain improved-able to move arm more than before), some minor itching off and on at injection site.   1/1/2021-Nausea, headache.    Redness, swelling, pain at injection site-(Pain improved), injection site hard and hot to touch.   Some minor itching off and on.   Receive steroid shot from urgent care and took Benadryl 1/2/2021-Redness, swelling improved.   Minor itching off and on.   Took Benadryl.  Had touch diarrhea. 1/3/2021-Swelling almost gone, redness almost gone.  Minor itching off and on.   Little nausea.  Took Benadryl 1/4/2021-Swelling and redness gone.   Minor itching once or twice-nausea briefly once.   Took Benadryl 1/5/2021-Itching off and on-minor
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dysstasia, Headache, Impaired work ability, Injected limb mobility decreased
Clinical narrative: On the day of vaccination my arm was sore but at night i had a fever, chills, muscle aches and headache associated with insomnia. Symptoms started to get worse the next day of vaccination as I was hardly moving my left arm and i had to get off work early because i couldn't stand on my feet for a long time. finally on the third day symptoms started to improve.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Insomnia, Myalgia, Pain in extremity, Pyrexia
Clinical narrative: On the day of vaccination my arm was sore but at night i had a fever, chills, muscle aches and headache associated with insomnia. Symptoms started to get worse the next day of vaccination as I was hardly moving my left arm and i had to get off work early because i couldn't stand on my feet for a long time. finally on the third day symptoms started to improve.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Lethargy, Pruritus, Tachycardia, Urticaria
Clinical narrative: Moderna vaccine around 2 this afternoon Had initial reaction of flushing and tachycardia; nurse monitored her and symptoms went away about 15-20 minutes later. Around 5:15 pm this evening felt like "a flip switched" and suddenly felt flushing and itching, hives to chest, and became very lethargic.  EpiPen given at 5:50 and all symptoms resolved.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site rash, Injection site urticaria, Injection site warmth
Clinical narrative: Soreness for 1-2 after injection. Splotchy rash at injection site on day 3.  Itching, hives, rash, and hot to the touch at the injection site and tender lymph nodes in the underarm area 7 days later.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Rash macular
Clinical narrative: Soreness for 1-2 after injection. Splotchy rash at injection site on day 3.  Itching, hives, rash, and hot to the touch at the injection site and tender lymph nodes in the underarm area 7 days later.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysphagia, Throat irritation
Clinical narrative: Soreness for 1-2 after injection. Splotchy rash at injection site on day 3. Itching, hives, rash, and hot to the touch at the injection site and tender lymph nodes in the underarm area 7 days later.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Nausea, Vomiting
Clinical narrative: Patient returned to clinic diaphoretic, nausea and vomiting per ED co-worker.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hypoaesthesia, Nervousness
Clinical narrative: Approximately 45 minutes later on my drive home my face on the left side started to feel numb. It started on my cheek and gradually ran up to right under my left eye and down to under my chin. It lasted for about an hour then gradually started to disappear.  I got a little nervous but checked all signs that I was not having a stroke..  I ate dinner and calmed down.  I also took a Tylenol 500 mg and drank a lot of water It?s gone now. It?s now 8:29 pm.  Just feeling tired now.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Rash, to upper torso, itching on bilateral upper extremities.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Cooling therapy, Fatigue, Headache, Injection site pain, Insomnia
Clinical narrative: 12/23/20- mild arm soreness  12/24-12/25- (worse) very tender arm at injection site 12/24-12/25- extreme fatigue (literally no energy) 12/24- for a couple to several days- restless sleep/insomnia 12/24- (off an on for a few days) headache and runny nose  All symptoms resolved within a week. Only took Tylenol or ibuprofen for headache/arm soreness. Massaged arm to help soreness and applied a cold compress.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Restlessness, Rhinorrhoea
Clinical narrative: 12/23/20- mild arm soreness  12/24-12/25- (worse) very tender arm at injection site 12/24-12/25- extreme fatigue (literally no energy) 12/24- for a couple to several days- restless sleep/insomnia 12/24- (off an on for a few days) headache and runny nose  All symptoms resolved within a week. Only took Tylenol or ibuprofen for headache/arm soreness. Massaged arm to help soreness and applied a cold compress.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site pain, Myalgia, Nausea
Clinical narrative: Fatigue since an hour after injection, muscle pain since an hour after injection, site soreness sense 30 min after injection, chills for 45 minutes starting an hour after injection, and nausea for 45 minutes starting an hour after injection
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Malaise, Pain, Pyrexia
Clinical narrative: Fatigue, malaise, body aches, mild headache starting 12 hours after vaccination  Fever of 101.3 24 hours after vaccination
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient was vaccinated at 11am and was found at the facility in his room deceased at approximately 3:00pm. Nurse did not have cause of death
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Facial paralysis, Paraesthesia, Paraesthesia oral, Rash, Rash erythematous
Clinical narrative: Allergic reaction to vaccine, tingling to upper lip and face, red rash on bilateral forearms, started approximately 10 minutes after receiving vaccine. Reaction resolved with no treatment. Patient developed Bell?s Palsy 2-3 days after vaccine. Currently being treated with high dose steroids and acyclovir.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaccination complication
Clinical narrative: Allergic reaction to vaccine, tingling to upper lip and face, red rash on bilateral forearms, started approximately 10 minutes after receiving vaccine. Reaction resolved with no treatment. Patient developed Bell?s Palsy 2-3 days after vaccine. Currently being treated with high dose steroids and acyclovir.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Facial paralysis, Hypersensitivity, Paraesthesia, Paraesthesia oral, Rash
Clinical narrative: Allergic reaction to vaccine, tingling to upper lip and face, red rash on bilateral forearms, started approximately 10 minutes after receiving vaccine. Reaction resolved with no treatment. Patient developed Bell?s Palsy 2-3 days after vaccine. Currently being treated with high dose steroids and acyclovir.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash erythematous
Clinical narrative: Allergic reaction to vaccine, tingling to upper lip and face, red rash on bilateral forearms, started approximately 10 minutes after receiving vaccine. Reaction resolved with no treatment. Patient developed Bell?s Palsy 2-3 days after vaccine. Currently being treated with high dose steroids and acyclovir.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Headache, Heart rate increased
Clinical narrative: PT COMPLAINED OF HEADACHE, SHORTNESS OF BREATH, INCREASED HEART RATE AND CHEST PAIN. PT TOOK IBUPROFEN 400MG FOR HEADACHE. RESTED FOR ABOUT 30 MINUTES AND FELT BETTER. HAD A NURSE MONITOR HIM FOR ANOTHER 30 MINUTES.
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Syringe issue
Clinical narrative: Influenza shot administered abnormally high, almost in shoulder joint itself. Injection wouldn't go in so needle had to be repositioned a few times to complete the injection. Patient seen by a provider and then referred to Sports Medicine for ongoing symptoms. Patient receiving PT, shoulder has not improved much and still lacking some ROM.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Rash erythematous, Skin warm
Clinical narrative: Pt developed slight red rash with heat and some tingling that went down to hand.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing
Clinical narrative: Flushing of face shortly after injection - diminished after approximately 3 hours
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient reports an episode of dizziness about 2 hours after receiving the Moderna vaccine, lasting a little over an hour. He reports now that the symptoms seem to be overall improved, it is now 4.5 hours after the vaccine injection. Symptoms improved with rest, hydration, a snack and also took Sudafed as he thought it might be ear congestion initially.. Denies weakness, changes in his breathing, new swelling, confusion.  Pt declined office visit appt. Agreed to go to ED/UC  for new/worse/return of symptoms.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Electrocardiogram normal, Eyelid oedema, Full blood count normal, Lip swelling
Clinical narrative: Patient developed substernal chest pressure 5/10 Patient was given Benadryl 50 mg IM  Immediately  Continued observation Patient then developed nausea and continued chest pressure 5/10  Given  Dexamethasone 4 mg IM at 10:30  Continued observation Patient then developed some eyelid edema and upper lip fullness Patient given Epinephrine 0.3 mg IM at 10:43 am NO trouble breathing  NO tongue swelling No throat tightness