chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Photophobia, Vision blurred
Clinical narrative: Persistent migraine. My headache began about 3 hours after and stayed mild until about 30 hours later where it grew to a migraine. It is not day 8 since the vaccine and it has not gone away.  In addition to the migraine I am experiencing light sensitivity, blurred vision, and yesterday I experienced some heart palpitations. I went to urgent care on 2/8 and was prescribed IC Butalb-Acetamin-Caff for the migraine symptom. In addition I have been taking tylenol and advil which are not helping. My injection site pain and brain fog have resolved while the headache has persisted.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Antibody test negative, Ear discomfort, Magnetic resonance imaging normal, Migraine, Pain in jaw
Clinical narrative: Persistent migraine. My headache began about 3 hours after and stayed mild until about 30 hours later where it grew to a migraine. It is not day 8 since the vaccine and it has not gone away.  In addition to the migraine I am experiencing light sensitivity, blurred vision, and yesterday I experienced some heart palpitations. I went to urgent care on 2/8 and was prescribed IC Butalb-Acetamin-Caff for the migraine symptom. In addition I have been taking tylenol and advil which are not helping. My injection site pain and brain fog have resolved while the headache has persisted.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Photophobia, Tension headache
Clinical narrative: Persistent migraine. My headache began about 3 hours after and stayed mild until about 30 hours later where it grew to a migraine. It is not day 8 since the vaccine and it has not gone away.  In addition to the migraine I am experiencing light sensitivity, blurred vision, and yesterday I experienced some heart palpitations. I went to urgent care on 2/8 and was prescribed IC Butalb-Acetamin-Caff for the migraine symptom. In addition I have been taking tylenol and advil which are not helping. My injection site pain and brain fog have resolved while the headache has persisted.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Headache, Migraine, SARS-CoV-2 test, Vaccination site pain, Visual impairment
Clinical narrative: Persistent migraine. My headache began about 3 hours after and stayed mild until about 30 hours later where it grew to a migraine. It is not day 8 since the vaccine and it has not gone away.  In addition to the migraine I am experiencing light sensitivity, blurred vision, and yesterday I experienced some heart palpitations. I went to urgent care on 2/8 and was prescribed IC Butalb-Acetamin-Caff for the migraine symptom. In addition I have been taking tylenol and advil which are not helping. My injection site pain and brain fog have resolved while the headache has persisted.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Joint injury
Clinical narrative: Patient stated that she went to sit down , sat on the tip of the chair and fell to the floor.  Patient had no respiratory distress , no loss of consciousness, but cut her left elbow. Elbow cleaned and bandage. Patient had  a neck brace due to falling 5 weeks ago and fracturing her spine per patient.. Patient refused other medical care-didn't want paramedics called.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Ataxia, Coccydynia, Hypoaesthesia, Lumbar radiculopathy, Pain in extremity
Clinical narrative: Patient presents w/ PMHx of GERD presented to pain clinic by referral from primary care with new, sudden onset 8/10 sharp pain and tingling in lower extremities bilaterally terminating rostrally at the level of the coccyx. These symptoms began 3 days after receiving the first Moderna COVID-19 vaccine of the two-part series. The pain is refractory to acetaminophen and three sessions of physical therapy. The pain and numbness make it difficult for the patient to fall asleep. The b/l leg pain was so disturbing that the patient presented to the ED where she was noted to be ?slightly ataxic? and was treated by the ER physician for lumbar radiculopathy with one Norco that did not help.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Sleep disorder
Clinical narrative: Patient presents w/ PMHx of GERD presented to pain clinic by referral from primary care with new, sudden onset 8/10 sharp pain and tingling in lower extremities bilaterally terminating rostrally at the level of the coccyx. These symptoms began 3 days after receiving the first Moderna COVID-19 vaccine of the two-part series. The pain is refractory to acetaminophen and three sessions of physical therapy. The pain and numbness make it difficult for the patient to fall asleep. The b/l leg pain was so disturbing that the patient presented to the ED where she was noted to be ?slightly ataxic? and was treated by the ER physician for lumbar radiculopathy with one Norco that did not help.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Pruritus, Skin irritation, Skin warm, Swelling
Clinical narrative: Delayed skin irritation, redness around injection site. Approximately 1.25 inches in diameter. Slightly raise, itchy and radiating heat.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Dyspnoea
Clinical narrative: Patient received 2nd dose of Moderna vaccine at around 12:15 pm  Patient is also working with the Covid vaccine team in Facility thus was still here when event happened, An hour after she received her vaccine, she complained of  shortness of breath, lightheadedness and chest tightness. Vital signs taken and was stable. Patient rested for 10 minutes and had PO hydration and felt better after .
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site rash, Injection site swelling
Clinical narrative: 8 days after the 1st injection a warm red rash showed up 3-4 inches and slight swelling.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cardio-respiratory arrest, Cardioversion, Death, Dizziness, Eye movement disorder
Clinical narrative: Few minutes post vaccination, after moving to observation area via wheelchair, the patient complained of dizziness. She took glucose tabs she had brought with her. Staff wheeled her to Triage # 1.  Her eyes rolled back in her head and she lost consciousness. Staff (paramedics on site) transferred her to gurney and started compressions. AED placed, V- Fib was rhythm, Shock # 1 given, CPR resumed. Shocked again.  Fire truck and additional EMT arrived on site and  took over care. Epinephrine was given 3 times via intra-osseous route, Amiodarone given intra-osseous route.  Additional defibrillation with on site AED for a total of 6-7 times. Patient had good chest rise with ambu-bag, no airway obstruction or peri-oral edema noted.  Code called at 12:40 PM.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Intraosseous access placement, Loss of consciousness, Resuscitation, Ventricular fibrillation
Clinical narrative: Few minutes post vaccination, after moving to observation area via wheelchair, the patient complained of dizziness. She took glucose tabs she had brought with her. Staff wheeled her to Triage # 1.  Her eyes rolled back in her head and she lost consciousness. Staff (paramedics on site) transferred her to gurney and started compressions. AED placed, V- Fib was rhythm, Shock # 1 given, CPR resumed. Shocked again.  Fire truck and additional EMT arrived on site and  took over care. Epinephrine was given 3 times via intra-osseous route, Amiodarone given intra-osseous route.  Additional defibrillation with on site AED for a total of 6-7 times. Patient had good chest rise with ambu-bag, no airway obstruction or peri-oral edema noted.  Code called at 12:40 PM.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood glucose increased, Dizziness, Resuscitation, Syncope, Tryptase increased
Clinical narrative: Few minutes post vaccination, after moving to observation area via wheelchair, the patient complained of dizziness. She took glucose tabs she had brought with her. Staff wheeled her to Triage # 1.  Her eyes rolled back in her head and she lost consciousness. Staff (paramedics on site) transferred her to gurney and started compressions. AED placed, V- Fib was rhythm, Shock # 1 given, CPR resumed. Shocked again.  Fire truck and additional EMT arrived on site and  took over care. Epinephrine was given 3 times via intra-osseous route, Amiodarone given intra-osseous route.  Additional defibrillation with on site AED for a total of 6-7 times. Patient had good chest rise with ambu-bag, no airway obstruction or peri-oral edema noted.  Code called at 12:40 PM.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Death, Presyncope, Vaccination complication
Clinical narrative: Few minutes post vaccination, after moving to observation area via wheelchair, the patient complained of dizziness. She took glucose tabs she had brought with her. Staff wheeled her to Triage # 1.  Her eyes rolled back in her head and she lost consciousness. Staff (paramedics on site) transferred her to gurney and started compressions. AED placed, V- Fib was rhythm, Shock # 1 given, CPR resumed. Shocked again.  Fire truck and additional EMT arrived on site and  took over care. Epinephrine was given 3 times via intra-osseous route, Amiodarone given intra-osseous route.  Additional defibrillation with on site AED for a total of 6-7 times. Patient had good chest rise with ambu-bag, no airway obstruction or peri-oral edema noted.  Code called at 12:40 PM.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue
Clinical narrative: Joint aches, fatigue
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Facial discomfort, Hypoaesthesia, Injection site pain, Paraesthesia
Clinical narrative: stiffness and mild pain in the left side of the face discomfort when blinking / smiling slight "numbing" sensation in left side of face  Pain at injection site
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose increased, Laboratory test, Laboratory test abnormal, Lethargy, Palpitations
Clinical narrative: Patient described having palpitations, lethargy and fever. Patient later reported elevated blood glucose
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Patient described having palpitations, lethargy and fever. Patient later reported elevated blood glucose
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site cellulitis, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Vaccine injection site Cellulitis, treated with course of oral antibiotics. Site red/warm/swollen and tender to touch.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood electrolytes, Blood glucose increased, Chest X-ray, Computerised tomogram head
Clinical narrative: Loss of appetite evening of 2/11/2021. 6:30 AM 2/12/21 became weak, diaphoretic, blood sugar 474, primary care physician contacted, instructed by physician on call to go to the Emergency Room, IV fluids, insulin in ER, admitted
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Electrocardiogram, Hyperhidrosis, Influenza virus test, Myocardial necrosis marker
Clinical narrative: Loss of appetite evening of 2/11/2021. 6:30 AM 2/12/21 became weak, diaphoretic, blood sugar 474, primary care physician contacted, instructed by physician on call to go to the Emergency Room, IV fluids, insulin in ER, admitted
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test
Clinical narrative: Loss of appetite evening of 2/11/2021. 6:30 AM 2/12/21 became weak, diaphoretic, blood sugar 474, primary care physician contacted, instructed by physician on call to go to the Emergency Room, IV fluids, insulin in ER, admitted
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Nausea, Palpitations
Clinical narrative: On 2/6/2021, about 2 minutes after the vaccine was administered, I felt dizzy and nauseous.  10 minutes after the Pfizer vaccine was administered, I lost consciousness.  As of 2/12/2021, my heart is somewhat racing and feels like I have been going for a light jog.  I have not gone to a doctor as of 2/12/2021 for my heart rate and I am not sure if this is related to the vaccine.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: On 2/8/21, 2 days after vaccination, itchy redness appeared approximately 3 inches down from injection site on left arm. The redness grew to approximately 3 inches vertically and 2.5 inches horizontally. Redness was still there today 2/12/21 and patient reports warmth over area.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site erythema, Injection site warmth, Pain
Clinical narrative: Chills, achy, headache, fatigue, large red area at injection site that is warm to touch: 7? x 3"
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea
Clinical narrative: THE PATIENT PRESENTED WITH TIGHTNESS IN HIS CHEST AND DIFFICULTY TAKING A DEEP BREATH. NO HISTORY OR ADVERSE REACTIONS TO VACCINES. ON SITE EMS AND PHYSICIAN WAS REQUESTED. BP 98/61  HR 73  OS 97% ON ROOM AIR. HE HAD GONE TO HIS PHYSICIANS OFFICE APPOXIMATELY 2 MONTHS AGO WITH THE SAME SYMPTOMS AND WAS PRESCRIBED ALBUTEROL INHALER. DR ON SCENE SAID NO WHEEZING, HOWEVER CHEST IS TIGHT AND PATIENT COUGHS WHEN TAKING A DEEP BREATH. PATIENT HAD ASTHMA AS A CHILD. PATIENT TRANSPORTED TO HOSPITAL ER BY EMS
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Nasopharyngitis, Pain, Pyrexia
Clinical narrative: 10 hours after injection: Cold, Fever, body aches and pain in joints, muscles,, head.    Lasted 24 hours
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Cold sweat, Dizziness, Feeling abnormal, Headache
Clinical narrative: Patient sitting in chair, alert and oriented x 3, skin color was ashen. Patient felt strange over her chest, light headed, patient said she feels like she was going to pass out immediately after vaccine administration.  VS 100/60 mmHg, pulse 64, RR 22.  Patient complaints of headache, nausea and skin clamy and warm. Site manager made aware, o2 @ 2 L via nasal cannula administered.  EMS transport to hospital.  Daughter was made aware via VM, unable to reach 3x attempts.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pallor, Presyncope, Skin warm
Clinical narrative: Patient sitting in chair, alert and oriented x 3, skin color was ashen. Patient felt strange over her chest, light headed, patient said she feels like she was going to pass out immediately after vaccine administration.  VS 100/60 mmHg, pulse 64, RR 22.  Patient complaints of headache, nausea and skin clamy and warm. Site manager made aware, o2 @ 2 L via nasal cannula administered.  EMS transport to hospital.  Daughter was made aware via VM, unable to reach 3x attempts.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Injection site pain, Musculoskeletal stiffness, Myalgia
Clinical narrative: shortness of breadth;chills;fever 101;muscle aches;neck stiffnes/;site soreness
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: shortness of breadth;chills;fever 101;muscle aches;neck stiffnes/;site soreness
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Loss of personal independence in daily activities, Lymphadenopathy, Malaise, Rash
Clinical narrative: After the Vaccine- Started feeling under the weather in the evening of day 4, with sore lymph nodes in neck,. On day 5 ~ Fatigue and exhaustion, unable to do daily tasks and a rash/ hives lasting  a few hours.  Day 6-9 still feeling fatigued, mainly evenings, but feeling better and able to exercise and do daily tasks.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: After the Vaccine- Started feeling under the weather in the evening of day 4, with sore lymph nodes in neck,. On day 5 ~ Fatigue and exhaustion, unable to do daily tasks and a rash/ hives lasting  a few hours.  Day 6-9 still feeling fatigued, mainly evenings, but feeling better and able to exercise and do daily tasks.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Macular degeneration, Neovascular age-related macular degeneration
Clinical narrative: Prescheduled eye exam (every 6-7 weeks) and and shot in right eye on 2/3/20 for macular degeneration showed a new large wet macular degeneration in left eye which had been stable for over 2 years.  Consequently, shots are now scheduled for both eyes every 6 weeks.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chills, Decreased appetite, Injection site swelling, Malaise
Clinical narrative: My arm swelled up severely around the site, I have pictures I also was very ill for 24 hours after with chills, no appetite, GI upset
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Flushing
Clinical narrative: Patient complained of tightness in chest, red flushing in face.  Epipen 0.3 mg adminstered in left outer thigh.  Within 2 minutes patient stated no difficulty breathing, flushing subsided.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Haematochezia, Nausea
Clinical narrative: I have severe Crohn's disease, but was symptom free before my vaccine. This could be coincidental, or it might not be. About 1:30am on 2/11, I woke up in the middle of the night with severe stomach pain. When I awoke again later that morning, the pain was less, but still there. I was then progressively more and more nauseous through the day on the 11th. That night I was awoken again with severe stomach pain. The morning of the 12th I started having blood in my stool, with continued nausea and stomach pain.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: About 10 PM, I had facial hives and it progressed down to my chest and legs. I had itching. I took Benadryl and Prednisone and it went away. I just one dose of each.
Age: 101.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Cerebrovascular accident, Death, Dysarthria, Hemiparesis
Clinical narrative: Adverse reaction to the vaccine started with variable weakness beginning 1/29/2021.  On 1/30/21 around 8:30pm, he needed assistance in the bathroom related to weakness and had what was later identified as a stroke with left side weakness and slurred speech.  In accordance with his wishes, he had care at home.  Due to his advanced age and frailty, a CT scan was not pursued.  The 325 mg of aspirin that he was previously taking daily was discontinued.  After the stroke, he needed total care. Hospice was established at home.  Nursing assistant care was delivered by daughter.  Death followed 9 days later (2/9/2021).
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pyrexia, Urticaria
Clinical narrative: Horrible headache, mild fever. On the 8th, had hives on legs.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site urticaria, Pruritus
Clinical narrative: Hives on upper arm at site of injection, itching
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site rash, Pruritus
Clinical narrative: Red rash on my left arm on the injection site, showed after a week from Jan 16th (date administered). Noticed itchiness on my neck which calmed down after i applied cortizone ointment.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Aphasia, Dyspnoea, Respiratory failure
Clinical narrative: Resident observed shirtless sitting in wheelchair with 02 @ 2L/M via NC in progress, using substernal accessory muscles, flared nostrils, pursed lip breathing. Alert verbally responsive, unable to speak more than 2-3 words at a time. Reports " I cant breathe". R 30 P 100 02 Sat 89%. Rebreather mask administered, and EMS initiated and transferred patient to emergency room, where he was admitted for respiratory failure.
Age: 61.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Sepsis
Clinical narrative: RECEIVED PFIZER VACCINES ON 01/08/21 & 01/29/21. 02/05/21 SAW PCP IN OFFICE REGARDING NEW RT  ARM REDNESS/PAIN. X2 DAYS. DX: CELLULITIS 02/09/21 WENT TO ER TO REPORT WORSENING ARM REDNESS R/T CELLULITIS. REFUSED INPT TREATMENT ABX AND WAS DISCHARGED ON ORAL ABX. 02/12/21 RETURNED TO ER FOR WORSENING ARM CELLULITIS DESPITE ORAL ABX. ADMITTED FOR  DX SEPSIS AND CELLULITIS.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Dyspnoea, Oxygen saturation decreased, Pruritus, Throat tightness
Clinical narrative: Anaphylaxis, itching, tightness of the throat, shortness of breath, low oxygen levels   Treatment: 1 Benadryl 1130am, 1 Epipen 1155am, 1 Epipen 1225, steroids intravenously 1pm  Outcome: Released home
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Nausea, Pain, Vomiting
Clinical narrative: PATIENT REPORTED BODY ACHES, HEADACHE, NAUSEA AND THREE EPISODES OF VOMITING. HE WAS TREATED WITH IV FLUIDS, ZOFRAN, AND TYLENOL AND REPORTED SIGNIFICANT IMPROVEMENT IN SYMPTOMS.
Age: 61.0
Sex: M
Vaccine: UNK
Symptoms: Injection site induration, Injection site pain, Injection site pruritus
Clinical narrative: Pain and itch and hardness of injection dite
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Vaccine positive rechallenge
Clinical narrative: Dizziness started day after 2nd  dose of vaccine.   I had dizziness the first day after 1st dose, but that went away the next day, and I thought it would go away again.  But after the 2nd dose the dizziness has not gone away, and just the last two days has seemed to increase.  I visited my PCP today and she advised me to report to the CDC  just in case, in addition to treating me with meclizine, exercise and follow up,
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain
Clinical narrative: Full body aches/soreness began ~24 hours after injection and lasted for 30 hours.  Significant fatigue began ~24 hours after injection and lasted for 36 hours Headache began at the same time and lasted 12 hours. Treated with ibuprofen.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Immune Response to vaccine injection with forearm/arm redness/swelling/itching; treated with 3 days of around the clock dosing of Benadryl, along with cold pack application
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Urticaria
Clinical narrative: hives, dizziness, flushing. Treated with antihistamine and steroids.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Headache, Hyperhidrosis, Myalgia
Clinical narrative: Low grade fever, muscle pain, chills, sweating profusely, headache, nausea, sore throat, hurts to take a breath
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Oropharyngeal pain, Pyrexia
Clinical narrative: Low grade fever, muscle pain, chills, sweating profusely, headache, nausea, sore throat, hurts to take a breath
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Nausea, Oropharyngeal discomfort, Paraesthesia
Clinical narrative: "Moderna COVID-19 Vaccine "  pt received vaccine to his left arm. 10 min later (1335) he reported feeling dizzy. allergy tech and i evaluated pt. pt clammy with sweat noted to the back of his neck. pt speaking in full complete sentences. no increased WOB. left radial pulse regular and not elevated, not thready. no hives found. denied itchiness. asked pt if he felt anything stuck in his throat, he swallowed a few times and said "yes". asked if he had much water today, he said no. pt reported it felt a little hard to breathe in his throat. i had him remove his mask. pt reported nausea. denied abdominal pain. had him take a few sips of water. reported he no longer felt anything stuck in his throat, no longer hard to breathe in his throat. pt reported tingling in his left arm. pt worked the night shift. went to work at 1600 on 2/11. ate at 2000, beef and potatoes. had snacks. ate chicken and rice at 0300. usually has a full gallon of water on shift but only had a half gallon. got off at 0400. went to sleep at 0530. usually wakes at 1445-1500 but woke up earlier for this appt. appt was at 1330 but he was here early. had a protein shake 30 min before arrival but has not had much water. thinking the protein shake was causing his symptoms. denies working out today, denied energy drink intake, denied any coffee. pt took a large amount of water and then threw up. pt reported he felt much better. nausea resolved. still no itchiness. no hives. no clamminess. no trouble breathing. no globus. no dizziness. no tingling in his left arm. resolved by 1340. held Epi given he reported complete resolution of his symptoms. seemed likely the combination of being underhydrated, having slept less than usual, facility being a little warm and him wearing a mask and possibly his protein shake contributed. had patient wait 30 minutes (1410). allergy tech sat with patient who continued to speak in full sentences, tell stories, etc. had him stand up slowly. denied dizziness. still no hives, no itchiness, no globus, no trouble breathing, no nausea, no abdominal pain. advised pt of reasons to call 911 (he lives on base where we have ambulance services). advised i would be placing a VAERS report.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: "Moderna COVID-19 Vaccine "  pt received vaccine to his left arm. 10 min later (1335) he reported feeling dizzy. allergy tech and i evaluated pt. pt clammy with sweat noted to the back of his neck. pt speaking in full complete sentences. no increased WOB. left radial pulse regular and not elevated, not thready. no hives found. denied itchiness. asked pt if he felt anything stuck in his throat, he swallowed a few times and said "yes". asked if he had much water today, he said no. pt reported it felt a little hard to breathe in his throat. i had him remove his mask. pt reported nausea. denied abdominal pain. had him take a few sips of water. reported he no longer felt anything stuck in his throat, no longer hard to breathe in his throat. pt reported tingling in his left arm. pt worked the night shift. went to work at 1600 on 2/11. ate at 2000, beef and potatoes. had snacks. ate chicken and rice at 0300. usually has a full gallon of water on shift but only had a half gallon. got off at 0400. went to sleep at 0530. usually wakes at 1445-1500 but woke up earlier for this appt. appt was at 1330 but he was here early. had a protein shake 30 min before arrival but has not had much water. thinking the protein shake was causing his symptoms. denies working out today, denied energy drink intake, denied any coffee. pt took a large amount of water and then threw up. pt reported he felt much better. nausea resolved. still no itchiness. no hives. no clamminess. no trouble breathing. no globus. no dizziness. no tingling in his left arm. resolved by 1340. held Epi given he reported complete resolution of his symptoms. seemed likely the combination of being underhydrated, having slept less than usual, facility being a little warm and him wearing a mask and possibly his protein shake contributed. had patient wait 30 minutes (1410). allergy tech sat with patient who continued to speak in full sentences, tell stories, etc. had him stand up slowly. denied dizziness. still no hives, no itchiness, no globus, no trouble breathing, no nausea, no abdominal pain. advised pt of reasons to call 911 (he lives on base where we have ambulance services). advised i would be placing a VAERS report.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Discomfort, Headache, Influenza like illness
Clinical narrative: 2/10/21 Headache started at 7pm and progressively got worse. Achy joints and muscles began at 9pm. At 11:30pm I was shaking in bed, low-grade fever, teeth-chattering, muscles tense, couldn't get comfortable. Got up to take Tylenol about 12am. Legs were weak, hands/arms shaking. Took two Tylenol and 4 Advil. Became more comfortable and last looked at the clock at 2am. Woke up with flu aches... Body aches, skin sensitivity. This lasted until 10-11pm on 2/11/21. Woke up 2/12/21 with no symptoms.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle tightness, Muscular weakness, Myalgia, Pain, Pyrexia
Clinical narrative: 2/10/21 Headache started at 7pm and progressively got worse. Achy joints and muscles began at 9pm. At 11:30pm I was shaking in bed, low-grade fever, teeth-chattering, muscles tense, couldn't get comfortable. Got up to take Tylenol about 12am. Legs were weak, hands/arms shaking. Took two Tylenol and 4 Advil. Became more comfortable and last looked at the clock at 2am. Woke up with flu aches... Body aches, skin sensitivity. This lasted until 10-11pm on 2/11/21. Woke up 2/12/21 with no symptoms.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Sensitive skin, Tremor
Clinical narrative: 2/10/21 Headache started at 7pm and progressively got worse. Achy joints and muscles began at 9pm. At 11:30pm I was shaking in bed, low-grade fever, teeth-chattering, muscles tense, couldn't get comfortable. Got up to take Tylenol about 12am. Legs were weak, hands/arms shaking. Took two Tylenol and 4 Advil. Became more comfortable and last looked at the clock at 2am. Woke up with flu aches... Body aches, skin sensitivity. This lasted until 10-11pm on 2/11/21. Woke up 2/12/21 with no symptoms.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pyrexia, Rash
Clinical narrative: Chills, fever, rash, very tired
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Heart rate increased, Hyperhidrosis, Supraventricular tachycardia
Clinical narrative: Diaphoretic ; elevated heart rate; SVT
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Neck pain, Pain, Pain in extremity
Clinical narrative: severe pain in arm, radiating to neck - symptom onset: 2/4/2, 11:00 a.m.; symptom end: by morning of 2/5/21  mild arm soreness only lightheadedness, dizziness, nausea, BP 128/78 - 2/5/21 9:00 a.m.; symptoms lasting until noon vomiting - 2/5/21 12:00 p.m. (Patient reports, "I felt a lot better after vomiting though I was still shaky and lightheaded.")
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor, Vomiting
Clinical narrative: severe pain in arm, radiating to neck - symptom onset: 2/4/2, 11:00 a.m.; symptom end: by morning of 2/5/21  mild arm soreness only lightheadedness, dizziness, nausea, BP 128/78 - 2/5/21 9:00 a.m.; symptoms lasting until noon vomiting - 2/5/21 12:00 p.m. (Patient reports, "I felt a lot better after vomiting though I was still shaky and lightheaded.")
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Enlarged uvula, Lip swelling, Swelling face, Urticaria
Clinical narrative: Hives, swelling of the lips, face and uvula
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Swelling at injection site, turned to itchy rash at day 2 and 3. Now spreading and dissipating. Applied hydrocortisone and took Zyrtec.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Vomiting
Clinical narrative: Patient reported feeling dizzy and having nausea and vomiting.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Feeling hot, Headache, Nausea
Clinical narrative: hot at extremities (hands) with concomitant chills with no fever nausea Grade 2-3 vomiting (not able to keep liquids down),  loss of appetite (2 days so far) only able to eat saltines raging headache
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: hot at extremities (hands) with concomitant chills with no fever nausea Grade 2-3 vomiting (not able to keep liquids down),  loss of appetite (2 days so far) only able to eat saltines raging headache
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Feeling abnormal, Feeling cold
Clinical narrative: When I woke up in the morning I was sweaty and cold even though I had blankets on. I had body aches, joint pain, nausea, extreme fatigue to the point that I pretty much sat on my couch all day long zoning out, chills, and fever. Also pain at the injection site and couldn?t lift my arm.  The next day I was fatigued and my arm was sore at the injection site.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Injection site pain, Nausea, Pain, Pyrexia
Clinical narrative: When I woke up in the morning I was sweaty and cold even though I had blankets on. I had body aches, joint pain, nausea, extreme fatigue to the point that I pretty much sat on my couch all day long zoning out, chills, and fever. Also pain at the injection site and couldn?t lift my arm.  The next day I was fatigued and my arm was sore at the injection site.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Large reddened and tender area about two inches below the injection site.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: With in a few minutes of receiving the injection patient said he felt like he was going to faint.  HCP stood next to patient and he remained upright in the chair but his head rolled back, he became pale and sweaty and passed out.  Patient recovered and 10 minutes later repeated the episode.  Patient recovered and 5 or 10 minutes later he repeated the episode.  BP was 90/50, 89/53 and 109/76.  He received 25mg of benedryl.  An ambulance transported him to the hospital for further observation.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Oropharyngeal pain, Pain, Pain in extremity
Clinical narrative: Sore arm, body aches, headache, fever, chills, sore throat
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Sore arm, body aches, headache, fever, chills, sore throat
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: INFECTION
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Arrhythmia, Heart rate increased, Syncope
Clinical narrative: Increased heart rate, faint, arrhythmia
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Hyperhidrosis, Paraesthesia
Clinical narrative: Elevated heart rate at 140 post vaccination (5 mins). Tingling to extremities, some diaphoresis. HR stayed elevated at 140 for 30 minutes, went to 120 for 1 hours, then 109 after 2 full hours. She was sent home with instructions to go to ED if she becomes symptomatic, symptoms explained.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Sudden onset of tinnitus which has not resolved in the ensuing 4 weeks.   It is constant (24/7).  High pitched ringing is present in both ears.  Though constant it could be considered 'mild' in intensity,  It Does not interfere with hearing other things.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Skin exfoliation, Urticaria
Clinical narrative: Peeling and itching to the hands 1 day after vaccine followed by 4 days of arm hives that resolved spontaneously
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster, Tenderness
Clinical narrative: mild case of the shingles on right side of stomach area approx. 6 inches by 4 inches tender to the touch t-shirt hurts the area
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Diarrhoea, Dizziness, Fatigue
Clinical narrative: Overnight, approximately 12 hours after the vaccine, I had extreme chills (while sleeping, approximately 3:30 am) and within two hours we recorded a fever of 102.3. I also experienced extreme fatigue, overall body pain, extreme pain & swelling  at the injection site,  nerve pain and numbness from the injection site (upper left arm) down through and including left hand and fingers. I also had continuous headache, and nausea. I was also dizzy and unable to stand up easily for several hours. I also had diarrhea.  I took Tylenol for the fever, but it only came down to 101. It spiked again to 102, and I took Tylenol again, In the evening, the fever broke, and I immediately started feeling better. Today (48 hours after injection) I am still weak and dizzy, and my arm is still in a lot of pain. i also still have numbness in the same arm.  One more thing, when I was driving home from the vaccine appointment, I felt tingling in my throat. That stopped after about an hour.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia, Injection site hypoaesthesia, Injection site pain, Injection site swelling
Clinical narrative: Overnight, approximately 12 hours after the vaccine, I had extreme chills (while sleeping, approximately 3:30 am) and within two hours we recorded a fever of 102.3. I also experienced extreme fatigue, overall body pain, extreme pain & swelling  at the injection site,  nerve pain and numbness from the injection site (upper left arm) down through and including left hand and fingers. I also had continuous headache, and nausea. I was also dizzy and unable to stand up easily for several hours. I also had diarrhea.  I took Tylenol for the fever, but it only came down to 101. It spiked again to 102, and I took Tylenol again, In the evening, the fever broke, and I immediately started feeling better. Today (48 hours after injection) I am still weak and dizzy, and my arm is still in a lot of pain. i also still have numbness in the same arm.  One more thing, when I was driving home from the vaccine appointment, I felt tingling in my throat. That stopped after about an hour.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pharyngeal paraesthesia, Pyrexia
Clinical narrative: Overnight, approximately 12 hours after the vaccine, I had extreme chills (while sleeping, approximately 3:30 am) and within two hours we recorded a fever of 102.3. I also experienced extreme fatigue, overall body pain, extreme pain & swelling  at the injection site,  nerve pain and numbness from the injection site (upper left arm) down through and including left hand and fingers. I also had continuous headache, and nausea. I was also dizzy and unable to stand up easily for several hours. I also had diarrhea.  I took Tylenol for the fever, but it only came down to 101. It spiked again to 102, and I took Tylenol again, In the evening, the fever broke, and I immediately started feeling better. Today (48 hours after injection) I am still weak and dizzy, and my arm is still in a lot of pain. i also still have numbness in the same arm.  One more thing, when I was driving home from the vaccine appointment, I felt tingling in my throat. That stopped after about an hour.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Computerised tomogram normal, Condition aggravated, Cough, Fatigue
Clinical narrative: COVID dose #2 given on 10FEB @1330. Notes about 1 hour after began to get HA, chills, rhinorrhea, nasal congestion, sore throat, cough, nausea, fatigue and body aches. Shortly thereafter broke out in diffuse red itchy rash of the body. Presented to the ER and was sent to FM to make appt in respiratory clinic. She denies ever having difficulty breathing, sob, wheezing or increased work of breathing. She took 2 Benadryl (50mg) and the rash resolved. Woke 11FEB with L arm tingling and L upper lip swelling. L arm tingling has resolved however lip swelling worsened throughout the day. Denies swelling of the inside of the mouth, tongue, itching or swelling in the back of the throat. Denies globus or difficulty swallowing. Denies dyspnea, wheeze or change in voice tone.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lip swelling, Mouth swelling, Nasal congestion, Nausea
Clinical narrative: COVID dose #2 given on 10FEB @1330. Notes about 1 hour after began to get HA, chills, rhinorrhea, nasal congestion, sore throat, cough, nausea, fatigue and body aches. Shortly thereafter broke out in diffuse red itchy rash of the body. Presented to the ER and was sent to FM to make appt in respiratory clinic. She denies ever having difficulty breathing, sob, wheezing or increased work of breathing. She took 2 Benadryl (50mg) and the rash resolved. Woke 11FEB with L arm tingling and L upper lip swelling. L arm tingling has resolved however lip swelling worsened throughout the day. Denies swelling of the inside of the mouth, tongue, itching or swelling in the back of the throat. Denies globus or difficulty swallowing. Denies dyspnea, wheeze or change in voice tone.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, Paraesthesia, Pharyngeal swelling, Physical examination
Clinical narrative: COVID dose #2 given on 10FEB @1330. Notes about 1 hour after began to get HA, chills, rhinorrhea, nasal congestion, sore throat, cough, nausea, fatigue and body aches. Shortly thereafter broke out in diffuse red itchy rash of the body. Presented to the ER and was sent to FM to make appt in respiratory clinic. She denies ever having difficulty breathing, sob, wheezing or increased work of breathing. She took 2 Benadryl (50mg) and the rash resolved. Woke 11FEB with L arm tingling and L upper lip swelling. L arm tingling has resolved however lip swelling worsened throughout the day. Denies swelling of the inside of the mouth, tongue, itching or swelling in the back of the throat. Denies globus or difficulty swallowing. Denies dyspnea, wheeze or change in voice tone.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash pruritic, Rhinorrhoea, Swollen tongue, Throat irritation
Clinical narrative: COVID dose #2 given on 10FEB @1330. Notes about 1 hour after began to get HA, chills, rhinorrhea, nasal congestion, sore throat, cough, nausea, fatigue and body aches. Shortly thereafter broke out in diffuse red itchy rash of the body. Presented to the ER and was sent to FM to make appt in respiratory clinic. She denies ever having difficulty breathing, sob, wheezing or increased work of breathing. She took 2 Benadryl (50mg) and the rash resolved. Woke 11FEB with L arm tingling and L upper lip swelling. L arm tingling has resolved however lip swelling worsened throughout the day. Denies swelling of the inside of the mouth, tongue, itching or swelling in the back of the throat. Denies globus or difficulty swallowing. Denies dyspnea, wheeze or change in voice tone.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: On yesterday, February 11th, day 7 after getting my 1st shot of Moderna Covid19 vaccine, I woke with an itching feeling just under the injection site. I thought I maybe had been bitten by a bug. As the day progressed it not only itched it became very red and hot in about a 2 inch area. I put an ice pack on it then cortisone cream on it yesterday afternoon and before bed time.  Today, Friday, February 12th, the itching is lessened but I still feel it. The redness has lessened slightly. I did not seek medical attention. I am only reporting it because I looked up on the internet if this was one of the side effects. The article suggested to report it.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Bedridden, Chills, Erythema, Headache, Influenza like illness
Clinical narrative: Fever up to 103 for 36 hours treatable with Tylenol, couldn?t get out of bed. Headache, chills, general flu like symptoms. Feel better 48 hours later. Left with red, swollen arm that is warm to the touch. It is red and splotchy.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pyrexia, Skin discolouration, Skin warm
Clinical narrative: Fever up to 103 for 36 hours treatable with Tylenol, couldn?t get out of bed. Headache, chills, general flu like symptoms. Feel better 48 hours later. Left with red, swollen arm that is warm to the touch. It is red and splotchy.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Hypokinesia, Injection site pain, Sleep disorder
Clinical narrative: Left deltoid pain at site of injection. Pain 7/10. Inability to sleep. Inability to abduct arm greater than 40 degrees. Pain remainded 7/10 x 72 hours.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain, Pyrexia, Syncope
Clinical narrative: Fever, chills, body aches, fatigue, fainting through first night. Body aches and fatigue next day and night. Still have some aching and fatigue on fri, second full day after vaccination
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Red patch about 3 inches round and a little swelling and itching at the injection site.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Hypersensitivity
Clinical narrative: 4 x 7 inch cutaneous allergic reaction that started 9 days after the vaccine was given and is worsening with OTC therapy
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chills
Clinical narrative: Chills starting within a few hours
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Feeling hot, Herpes zoster, Pain, Pain in extremity
Clinical narrative: Tachycardia, legs burning hot, , temp was 99.4,  body aches including hip pain for 36 hours.  Arm pain as well.  Today, I was seen in Urgent Care, and now have Shingles.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: Tachycardia, legs burning hot, , temp was 99.4,  body aches including hip pain for 36 hours.  Arm pain as well.  Today, I was seen in Urgent Care, and now have Shingles.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Cognitive disorder, Loss of personal independence in daily activities
Clinical narrative: Her vaccine was in the afternoon on 2/11. She had no adverse effects for the rest of the day. Today, 2/12, she woke up and did not know where she was and she could not speak in complete sentences. She was unable to dress herself or bath herself. This has persisted throughout the entire day. She has a temp of 101.5 F. She did likely have Covid (undiagnosed) in December and had the same symptoms for about one week. They had since resolved and she has had no other issues since then until today.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pollakiuria, Urinary tract disorder, Urine analysis
Clinical narrative: On 01/05/2021 I had urinary trac symptoms with frequent urination and pain.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling
Clinical narrative: lip swelling approx 26 hours following vaccination. No other s/s of anaphylaxis. 50 mg of benadryl  taken with no improvement
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Dyspnoea, Muscle twitching, Respiration abnormal, Restless legs syndrome
Clinical narrative: Pt started to have restless leg symptoms (which he only feels at night) 15 minutes after vaccination. He also started to have muscle twitching and a visible tremor. He developed some subjective SOB, RR30.  Lung sounds clear. His BP was 179/80. He was given water and monitored for 45 minutes, at which point his RR was 16 and BP dropped to 160 systolic. Tremor cleared up. RLS symptoms resolved. He was sent home with education to go to ED with worsening symptoms.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Pt started to have restless leg symptoms (which he only feels at night) 15 minutes after vaccination. He also started to have muscle twitching and a visible tremor. He developed some subjective SOB, RR30.  Lung sounds clear. His BP was 179/80. He was given water and monitored for 45 minutes, at which point his RR was 16 and BP dropped to 160 systolic. Tremor cleared up. RLS symptoms resolved. He was sent home with education to go to ED with worsening symptoms.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Paraesthesia, Skin warm
Clinical narrative: According to the employee she experienced  systemic tingling, warmth and elevated heart rate.  She tried to relax but a few minutes later she still experienced symptoms.  She reported to the ED for evaluation.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pyrexia, Rash
Clinical narrative: Fever, headache, rash all over torso
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Bilevel positive airway pressure, COVID-19, Chest X-ray, Dyspnoea, Laboratory test
Clinical narrative: Prt received 2nd dose of Covid 2/4 and 2/5 was found to have significant short of breath with RR 40, temp 103 and 02 sat 80%. prt was sent to hospital where he was tested positive for Covid and started treatment with Decardron and Remedesivir  and on BIPAP mask to help with breathing and prt response to the treatment and able to discahrged after 3 days hospitalization  He was hospitalized from 2/5-2/08 and discharged