chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Hyperhidrosis, Pain, Pyrexia
Clinical narrative: Vaccinated 12/23/2020.  On 01/01/2021 developed fever, sweating, ache, cough, and congestion.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Vaccinated 12/23/2020.  On 01/01/2021 developed fever, sweating, ache, cough, and congestion.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain, Pyrexia
Clinical narrative: woke up at 2:30 am with fever.  Did not take it with thermometer but consistent with a 100.00' range no chills, sore injection site and shoulder joint in general including pec insertion.  fevevr lasted for three hours, for fever took 2 ibuprofen 200mg and woke at 7am with no fever.  Continued ibuprofen for rest of day every 4 hours, last doe at 5:30 pm.  Shoulder and injection site pain lasted 3-4 days after
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Induration, Injection site pruritus
Clinical narrative: Hard lump approx 1 inch Red oval skin blotch approx 2.5 inch by 1.5 inch Severe itching Around injection site Began taking OTC Allegra at day 7 Total duration 9 days
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Petechiae, Rash, Rash erythematous
Clinical narrative: non-raise rash on left forearm (petechia), non-itching, erythema  recommend to see PCP if symptoms worsen
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure decreased, Chills, Flushing
Clinical narrative: Chills, BP drop, and flush after Covid-19 vaccine
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Decreased appetite, Dizziness, Erythema
Clinical narrative: 10:45am Injection, mild headache 11am slightly dizzy 11:30am Arm sore - cont. to get more painful as the day/night went on. Eventually, painful to lift. 12:30pm: Nauseous and not feeling well. Headache increasing. 7pm Migraine, chills, feeling awful, tired, muscle & joint pains, body aches, fever, left arm super painful. Slept restlessly Friday: Slept all day restlessly, chills, fever high of 102, tired, migraine, muscle  & joint pain, no appetite. Sat: Migraine, some chills, muscle, joint, arm pain. Sun: Feeling much better, joint pains, arm sore, headache.  Sun PM: Red, swelling, tingling on face around chin and mouth. - right side of face Mon: Rash on neck - right side of face Tues: Rash on torso
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Malaise, Migraine, Myalgia
Clinical narrative: 10:45am Injection, mild headache 11am slightly dizzy 11:30am Arm sore - cont. to get more painful as the day/night went on. Eventually, painful to lift. 12:30pm: Nauseous and not feeling well. Headache increasing. 7pm Migraine, chills, feeling awful, tired, muscle & joint pains, body aches, fever, left arm super painful. Slept restlessly Friday: Slept all day restlessly, chills, fever high of 102, tired, migraine, muscle  & joint pain, no appetite. Sat: Migraine, some chills, muscle, joint, arm pain. Sun: Feeling much better, joint pains, arm sore, headache.  Sun PM: Red, swelling, tingling on face around chin and mouth. - right side of face Mon: Rash on neck - right side of face Tues: Rash on torso
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pain in extremity, Paraesthesia, Pyrexia
Clinical narrative: 10:45am Injection, mild headache 11am slightly dizzy 11:30am Arm sore - cont. to get more painful as the day/night went on. Eventually, painful to lift. 12:30pm: Nauseous and not feeling well. Headache increasing. 7pm Migraine, chills, feeling awful, tired, muscle & joint pains, body aches, fever, left arm super painful. Slept restlessly Friday: Slept all day restlessly, chills, fever high of 102, tired, migraine, muscle  & joint pain, no appetite. Sat: Migraine, some chills, muscle, joint, arm pain. Sun: Feeling much better, joint pains, arm sore, headache.  Sun PM: Red, swelling, tingling on face around chin and mouth. - right side of face Mon: Rash on neck - right side of face Tues: Rash on torso
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Sleep disorder, Swelling face
Clinical narrative: 10:45am Injection, mild headache 11am slightly dizzy 11:30am Arm sore - cont. to get more painful as the day/night went on. Eventually, painful to lift. 12:30pm: Nauseous and not feeling well. Headache increasing. 7pm Migraine, chills, feeling awful, tired, muscle & joint pains, body aches, fever, left arm super painful. Slept restlessly Friday: Slept all day restlessly, chills, fever high of 102, tired, migraine, muscle  & joint pain, no appetite. Sat: Migraine, some chills, muscle, joint, arm pain. Sun: Feeling much better, joint pains, arm sore, headache.  Sun PM: Red, swelling, tingling on face around chin and mouth. - right side of face Mon: Rash on neck - right side of face Tues: Rash on torso
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Appendiceal abscess, Appendicectomy, Appendicitis perforated
Clinical narrative: perforated appendicitis with abscess.  3/17 Abdominal pain started sought treatment.,  Appendix removed 3/19
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Insomnia, Joint swelling, Movement disorder, Musculoskeletal discomfort, Musculoskeletal stiffness
Clinical narrative: On 3/5/2021 patients left elbow showed extreme swelling, while the injection was done on the right arm.  On 3/14 patients 2 knees down to the ankles showed extreme swelling.  By 3/18, patients neck was stiff, and sore created an inability to move and nighttime sleeplessness due to pain/discomfort. By 3/22 patient experienced swelling in the buttocks.  Patient visited ER on 3/16/21, Internist on 3/17/21 and internist again on 3/23/21.  On 3/23/21 internist referred patient to rheumatologist.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Neck pain, Peripheral swelling, Swelling
Clinical narrative: On 3/5/2021 patients left elbow showed extreme swelling, while the injection was done on the right arm.  On 3/14 patients 2 knees down to the ankles showed extreme swelling.  By 3/18, patients neck was stiff, and sore created an inability to move and nighttime sleeplessness due to pain/discomfort. By 3/22 patient experienced swelling in the buttocks.  Patient visited ER on 3/16/21, Internist on 3/17/21 and internist again on 3/23/21.  On 3/23/21 internist referred patient to rheumatologist.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site swelling
Clinical narrative: a 67 y.o. female who received the Pfizer-BioNtech Covid-19 Vaccine, mRNA, BNT162b2 (PF) 30 mcg/0.3 mL IM Susp, Lot ER2613 on 3/23/2021. The patient experienced the following reaction(s) during the immediate   of observation: 9:00am Patient vaccinated. Patient was treated/managed as follows:   9:02am Bruising and swelling noted to vaccinated site, left deltoid. No bleeding noted. Patient denies any other complaints. Ice pack provided and applied. 9:17am No bleeding noted and swelling improved. Patient given educational material regarding vaccine and advised to continue to self-monitor per the CDC guidance. 9:18am Patient escorted to exit.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Electrocardiogram, Laboratory test, Troponin I increased
Clinical narrative: Acute myocardial infarction (NSTEMI).  Hospitalized.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Heart rate increased, Pyrexia
Clinical narrative: Fever, elevated resting pulse (91) for half an hour, dizziness (hour and a half), fatigue
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram normal, Hypertension, Laboratory test, Movement disorder
Clinical narrative: On 02/22/2021 received Pfizer 2nd shot of Covid 19 Vaccine. Next morning, 02/23/2021 around 6am could not lift my head off pillow, the room and everything was spinning around. I called my husband and he tried to get me to sit up but i could not. He took my blood pressure and it was in the high 165+ so he called our neighbor who is a registered nurse, she took the blood pressure and now 179+ and kept going up and at 190+ she called 911 and they took me to the ER at the hospital, they took the blood pressure and it was 212. At the hospital it reached 237 but the dizziness was going away. I came home around 3:14pm. Follow up visit with my doctor on 2/26 and 3/15 by phone call going over testresults. Some of the tests given on 03/02 Electrocardiographics & Vascular lab. Then on 03/15 more test MRI and MRIA. Than on the last Dr. office visit on 03/15 all tests were clean. Before the last visit we did a lot of checking around with people we know (doctors and nurses) about what was going on and mentioned about the Covid-19 vaccine shot given the day before and they mentioned that people were getting dizziness and some vertigo also one we talked with was a nurse, who missed two days of work because she as dizzy the day after the vaccine. So I mentioned this to the Doctor who said he has heard the same thing. He said that this could have caused what happened to me
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: On 02/22/2021 received Pfizer 2nd shot of Covid 19 Vaccine. Next morning, 02/23/2021 around 6am could not lift my head off pillow, the room and everything was spinning around. I called my husband and he tried to get me to sit up but i could not. He took my blood pressure and it was in the high 165+ so he called our neighbor who is a registered nurse, she took the blood pressure and now 179+ and kept going up and at 190+ she called 911 and they took me to the ER at the hospital, they took the blood pressure and it was 212. At the hospital it reached 237 but the dizziness was going away. I came home around 3:14pm. Follow up visit with my doctor on 2/26 and 3/15 by phone call going over testresults. Some of the tests given on 03/02 Electrocardiographics & Vascular lab. Then on 03/15 more test MRI and MRIA. Than on the last Dr. office visit on 03/15 all tests were clean. Before the last visit we did a lot of checking around with people we know (doctors and nurses) about what was going on and mentioned about the Covid-19 vaccine shot given the day before and they mentioned that people were getting dizziness and some vertigo also one we talked with was a nurse, who missed two days of work because she as dizzy the day after the vaccine. So I mentioned this to the Doctor who said he has heard the same thing. He said that this could have caused what happened to me
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Erythema, Syncope
Clinical narrative: The vaccine was administered and the patient said they were starting to feel lightheaded within 2 minutes of receiving it. The patient then fainted in the chair with their head back and their tongue out of their mouth. I was trying to wake the patient up to clarify whether the patient was having trouble breathing or if any part of her mouth or throat was swelling, but I could not wake the patient. Both arms were very red. It sounded like labored breathing for about 30 seconds once I got in the room and then the patient stopped making noise. I could not hear any breaths so I administered one dose of 0.3 mg epinephrine in an Epipen.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: Bells palsy R side
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Musculoskeletal stiffness, Myalgia
Clinical narrative: Beginning on Thurs. 3/18 I have had daily migraine headaches. Very intense involving half the head. there is the main headache from the base of the skull up over forehead accompanied by shooting lines of pain. The headaches last for hours at a time, with very sore suboccipital muscles and neck stiffening. I have a slight warning that the headache is coming with flashes of head pain one to two hours beforehand, then the headache develops fully, usually when I'm sleeping and wakes me up at about 1 to 2 am. Because this is a brand new phenomenon, I have been treating with ice, lying on tennis balls placed at the base of the skull. To date I have not tried Zomig medication as I'm still trying to understand how these headaches work as they are so different from cluster headaches.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Nausea, Palpitations, Pyrexia, Vomiting
Clinical narrative: Chills, fever 102.8, nausea and vomiting, feeling of heart racing
Age: 62.0
Sex: F
Vaccine: ANTH
Symptoms: Arthralgia, Fatigue, Headache, Injection site erythema, Injection site swelling
Clinical narrative: Headache, nausea and repeated vomiting, swelling-redness-heat at injection site, fatigue, sore joints and muscles
Age: 62.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site warmth, Myalgia, Nausea, Vomiting
Clinical narrative: Headache, nausea and repeated vomiting, swelling-redness-heat at injection site, fatigue, sore joints and muscles
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Nausea, Pain, Pain in extremity
Clinical narrative: Chills,body ache,extreme tiredness,pain in vaccine arm,and nausea
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness
Clinical narrative: Dizziness, faint, weak. Patient drank 2 bottles of water. BG 299, BP 129/86, RR 14, 99% room air.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Rash
Clinical narrative: rash, sob
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain, Pyrexia
Clinical narrative: fever, aches, fatigue
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Laboratory test, Peripheral swelling, Pre-eclampsia, Protein urine present
Clinical narrative: I had an increase protein and uric acid in my urine. I had swelling, in my face hands and feet. I was admitted to the hosptial for monitoring and I was diagnosed with mild preaclampsia. I will remain in the hosital until delivery. I am estimated to deliver twins on 03/29/2021
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face, Urine uric acid increased
Clinical narrative: I had an increase protein and uric acid in my urine. I had swelling, in my face hands and feet. I was admitted to the hosptial for monitoring and I was diagnosed with mild preaclampsia. I will remain in the hosital until delivery. I am estimated to deliver twins on 03/29/2021
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was vaccinated 2/25/21, pt then went through a mass clinic and received his second vaccine on 3/1/8/21, a week earlier then recommended.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: One week after the shot, I developed a red, slightly swollen area around 2 inches in diameter at the injection site (left shoulder).  My shoulder itched greatly for about a day.  The redness went away in about a day and the itchiness subsided over the next 2-3 days. I continued to feel strange sensations in my shoulder and arm for several days.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness, Tinnitus
Clinical narrative: Woke up the morning of 1/28 unable to hear any sound out of left ear, gradually possibly gaining hearing back however there's a constant ringing in left ear still concurrent as of today's date 3/23 (almost 2 months of on-set symptoms)
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Burning sensation, Pruritus
Clinical narrative: 4 days after vaccination, burning, itching right middle back and front torso, transient burning patches on left thigh at top and top of left foot: side of neck and ear
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Herpes zoster
Clinical narrative: 4 days after vaccination, burning, itching right middle back and front torso, transient burning patches on left thigh at top and top of left foot: side of neck and ear
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Limb discomfort, Musculoskeletal stiffness, Pain, Peripheral swelling
Clinical narrative: Initial aches and chills that developed the evening of and subsided after 2 to 3 days. Then, on the 4th day, fingers on right hand started to swell. Has continued to improve but is still having some discomfort and stiffness in the right hand. Is now 2 weeks since initial injection.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: fever started at midnight Patient took Tylenol which has subsided fever
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Hot flush, Hypoaesthesia
Clinical narrative: Vaccine given at 1457 hrs. Fifteen minutes later patient started feeling L arm became numb down to fingertips, face flushed & hot, BP 140/80 pulse 88 Temp 96.4.  Seen by Dr.  Benadryl 50 mg po given at 1525 hrs. 1548 hrs patient feeling better, flushing cleared arm numbness improving.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Chills, Fatigue, Head discomfort, Injection site pain
Clinical narrative: soreness at site of injection (1 to 48 hours), mild chills (24 to 48 hours), mild fever (from 24 to 48 hours), mild fatigue (from 24 to 48 hours), mild pain in shoulder joints (24 to 48 hours), heavy headedness (36 to 48 hours). No treatments taken. All resolved completely within 48 hours after injection.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia
Clinical narrative: soreness at site of injection (1 to 48 hours), mild chills (24 to 48 hours), mild fever (from 24 to 48 hours), mild fatigue (from 24 to 48 hours), mild pain in shoulder joints (24 to 48 hours), heavy headedness (36 to 48 hours). No treatments taken. All resolved completely within 48 hours after injection.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Chills, Fatigue, Head discomfort, Pyrexia
Clinical narrative: soreness at site of injection (1 to 48 hours), mild chills (24 to 48 hours), mild fever (from 24 to 48 hours), mild fatigue (from 24 to 48 hours), mild pain in shoulder joints (24 to 48 hours), heavy headedness (36 to 48 hours). No treatments taken. All resolved completely within 48 hours after injection.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vaccination site pain
Clinical narrative: soreness at site of injection (1 to 48 hours), mild chills (24 to 48 hours), mild fever (from 24 to 48 hours), mild fatigue (from 24 to 48 hours), mild pain in shoulder joints (24 to 48 hours), heavy headedness (36 to 48 hours). No treatments taken. All resolved completely within 48 hours after injection.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Rash and itching
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: RASH ON LEGS, ARM, FACE- OCCURRED 8 DAYS POST INJECTION
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chest pain, Gastrooesophageal reflux disease, Oesophageal spasm
Clinical narrative: Esophageal Spasms, GERD, chest/back pains, starting 03/20 at 7 AMA
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Angioplasty, Ataxia, Condition aggravated, Decreased vibratory sense, Hypertension
Clinical narrative: See also earlier documentation; pt noted perhaps mild worsening of bilat fingertip paresthesias after dose 1.  Shortly after dose 2 (Moderna lot #023M20A, 2/25/21), began to feel "floppy," with worsening paresthesias, now hands and feet.  Two days PTA felt unsteady, progressive LE weakness.  Presented to ED 3/4/2021 hypertensive, tachycardic, ataxic, areflexic, decr vibratory sense, toes stationary.  MRI brain spine no explanatory findings, LP no WBC, pro 99, glu 63.  Neurologist  dxed AIDP, pt treated with IVIG.  Was also found to be B12 and vit D deficient.  B12 was 151; repleted.  Pt improved clinically.  Discharged home 3/8/21 and has followed up with Dr.  as an outpatient.  Note his vaccines were given (outside our health system).
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Lumbar puncture, Magnetic resonance imaging head normal, Magnetic resonance imaging normal, Muscular weakness, Paraesthesia
Clinical narrative: See also earlier documentation; pt noted perhaps mild worsening of bilat fingertip paresthesias after dose 1.  Shortly after dose 2 (Moderna lot #023M20A, 2/25/21), began to feel "floppy," with worsening paresthesias, now hands and feet.  Two days PTA felt unsteady, progressive LE weakness.  Presented to ED 3/4/2021 hypertensive, tachycardic, ataxic, areflexic, decr vibratory sense, toes stationary.  MRI brain spine no explanatory findings, LP no WBC, pro 99, glu 63.  Neurologist  dxed AIDP, pt treated with IVIG.  Was also found to be B12 and vit D deficient.  B12 was 151; repleted.  Pt improved clinically.  Discharged home 3/8/21 and has followed up with Dr.  as an outpatient.  Note his vaccines were given (outside our health system).
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Tachycardia, Vitamin B12 deficiency, Vitamin D deficiency
Clinical narrative: See also earlier documentation; pt noted perhaps mild worsening of bilat fingertip paresthesias after dose 1.  Shortly after dose 2 (Moderna lot #023M20A, 2/25/21), began to feel "floppy," with worsening paresthesias, now hands and feet.  Two days PTA felt unsteady, progressive LE weakness.  Presented to ED 3/4/2021 hypertensive, tachycardic, ataxic, areflexic, decr vibratory sense, toes stationary.  MRI brain spine no explanatory findings, LP no WBC, pro 99, glu 63.  Neurologist  dxed AIDP, pt treated with IVIG.  Was also found to be B12 and vit D deficient.  B12 was 151; repleted.  Pt improved clinically.  Discharged home 3/8/21 and has followed up with Dr.  as an outpatient.  Note his vaccines were given (outside our health system).
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Exposure during pregnancy, SARS-CoV-2 test positive
Clinical narrative: 1/14/2021 Pfizer Covid Vaccine #1 2/4/2021 Pfizer Covid Vaccine #2 3/13/2021 Exposure to Covid from Sister in Law 3/19/3021 Employee tested positive for Covid with symptoms with a PCR covid test Employee is pregnant with estimated due date of 8/28/2021
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site rash, Injection site warmth, Pain in extremity, Rash
Clinical narrative: 03/13/21 Woke up with rash at injection site and from elbow to wrist.  Area raised, hot, painful, prickly and burning.  Also noted same rash on left forearm.  03/15/21 Rash and pain in both arm continue and worsened.  03/17/21 Rash and pain worsening  and was seen by provider.  Started on Gabapentin at 300mg 1-2 times per day, recommended to take  Claritin one daily  and also recommended to take Pepcid complete.  03/18/21 she became sleepy and unable to drive after taking the Gabapentin.  Rash and pain continued on both forearms.  03/18/21 MD recommend to stop the Gabapentin and increase the Claritin to twice daily.  Also prescribed a steroid salve ( Triamcinolone 0.1%)  and ordered an Epi Pen for her.  As of 03/24/21 Rash and pain still continue in both of her forearms.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient tested positive for Covid-19 2 days after vaccination
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: Itchiness and firmness continued at the injection side. Was quite tender until Sunday, but is no longer very tender. Itchiness has increased starting yesterday and there is also a large (2-3 in oval shaped) red spot at the site. The injection site is also still warm to the touch.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure measurement, Dizziness, Oxygen saturation
Clinical narrative: Patient reported dizziness about 3 minutes after injection.  BP 88/60, pulse 92.  Given water to drink, declined snack and states she did eat breakfast.  Observed for 30 minutes, and BP 94/70 and pulse 81.  No further complaints and able to ambulate independently.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Insomnia, Nausea, Pain in extremity
Clinical narrative: Headache, nausea, fever, chills, soreness in right arm, and insomnia. No treatment provided. Symptoms ongoing as of 9:45am 03/23/2021
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Headache, nausea, fever, chills, soreness in right arm, and insomnia. No treatment provided. Symptoms ongoing as of 9:45am 03/23/2021
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Syncope following vaccination
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness, Urticaria
Clinical narrative: urticaria, throat closing
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Erythema, Paraesthesia
Clinical narrative: FACE, MAINLY FOREHEAD RIGHT SIDE OF EYE, BOTH CHEEKS, LIPS AND CHIN FEEL LIKE A SUNBURN AND TINGLING FOR THE LAST 28 DAYS. WORST SOME TIMES THAN OTHERS. WORST IS AFTER  TAKING EVENING PILLS. ENTIRE FACE FEELS LIKE IT IS ON FIRE.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Skin warm
Clinical narrative: Red, hot, sore patch on arm that developed 6 days after shot
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dyspepsia, Feeling abnormal, Headache
Clinical narrative: I had immediate soreness at the injection site. Later that evening around 9:30 I felt very weak and shakey. I had a bad headache, fever, chills, muscle aches, and nausea. I couldn't hold down water of food. At 10am the following day (3/21) I was able to take aTylenol and the fever came down. So far, I have taken Tylenol throughout the day and kept the fever down, however I still get bad night sweats and muscle aches. Today (3/23) I feel a little off, but much better.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Myalgia, Nausea, Night sweats, Pyrexia
Clinical narrative: I had immediate soreness at the injection site. Later that evening around 9:30 I felt very weak and shakey. I had a bad headache, fever, chills, muscle aches, and nausea. I couldn't hold down water of food. At 10am the following day (3/21) I was able to take aTylenol and the fever came down. So far, I have taken Tylenol throughout the day and kept the fever down, however I still get bad night sweats and muscle aches. Today (3/23) I feel a little off, but much better.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Diarrhoea, Fatigue, Headache
Clinical narrative: Fever, chills, sweats, Weakness, diarrhea, fatigue, headache, and cloudy vision
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Pyrexia, Vision blurred
Clinical narrative: Fever, chills, sweats, Weakness, diarrhea, fatigue, headache, and cloudy vision
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pruritus, Eye swelling, Pruritus, Rash, Rash erythematous
Clinical narrative: On March 22nd (8 days after the vaccination I noticed a red bump on my right eyebrow that itched. At first, I thought it was an insect bite. Today, March 22rd, I noticed a red rash on my face (similar to rosacea). My cheeks and ears feel warm to the touch, and I have a mild itch on the entire  area. The rash is more prominent on the right side of the face. This has not happened to me before. I am planning on taking an OTC antiallergic to calm the symptoms.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: On March 22nd (8 days after the vaccination I noticed a red bump on my right eyebrow that itched. At first, I thought it was an insect bite. Today, March 22rd, I noticed a red rash on my face (similar to rosacea). My cheeks and ears feel warm to the touch, and I have a mild itch on the entire  area. The rash is more prominent on the right side of the face. This has not happened to me before. I am planning on taking an OTC antiallergic to calm the symptoms.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure measurement, Dizziness, Tremor
Clinical narrative: Approximately 10 minutes after patient received vaccine, she became shaky and lightheaded. BP 125/80, pulse 100, pulse ox 95%. Respirations unlabored at 18/min. Patient was talkative and oriented. She did request further evaluation at the ER. She requested transport to the ER and EMS was called. Patient ambulated to the squad per medic.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Erythema, Limb mass, Rash erythematous, Rash pruritic, Skin warm
Clinical narrative: Within firs 15 min of first vaccine: Red hot rash on face cheeks. Given 50mg liquid Benadryl- began to clear up in 20 min. 9 days later: 2' to 3"  hot itchy rash and hard lump under the skin at sit of short on right arm AND hot red rash on face cheeks. 10th day worse and went to urgent care for treatment (needed weekend access). Given 5 day steroid pack. Cleared up within 5 to 6 days.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Erythema, Feeling hot
Clinical narrative: Within firs 15 min of first vaccine: Red hot rash on face cheeks. Given 50mg liquid Benadryl- began to clear up in 20 min. 9 days later: 2' to 3"  hot itchy rash and hard lump under the skin at sit of short on right arm AND hot red rash on face cheeks. 10th day worse and went to urgent care for treatment (needed weekend access). Given 5 day steroid pack. Cleared up within 5 to 6 days.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests normal, Tinnitus
Clinical narrative: Ringing in the ears. I have seen Primary care doctor, ENT and acupuncturist. Ringing still persists. All doctors agree it will go away and is inflammatory response. It has NOT resolved as of today.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea
Clinical narrative: Chest pains and trouble breathing
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Oral herpes, Pain, Pain in extremity
Clinical narrative: Low fever, body aches/chills, exhaustion, sore arm
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Chills, Dizziness, Headache, Injection site pain
Clinical narrative: Fever, muscle pains, pain shot area, headache, chills, swollen arm pit. Took Aleve for the headache that last two days, second day dizziness and continued arm pit pain and swelling.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Peripheral swelling, Pyrexia
Clinical narrative: Fever, muscle pains, pain shot area, headache, chills, swollen arm pit. Took Aleve for the headache that last two days, second day dizziness and continued arm pit pain and swelling.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Pruritus, Rash
Clinical narrative: Mom started complaining she was itching  all over her body appx 2 days after 2nd injection.  We saw red bumps and gave her topical benadryl, but irritation still persisted.  We called her primary Dr and she recommended we give her oral benadryl.  Yesterday we were out to lunch and the way home mom fainted in the car so we called an ambulance.  They kept her over night for observation.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Taste disorder
Clinical narrative: Metallic taste in mouth, tingly feeling in tongue.  Started about an hour or two after receiving the vaccine and lasted for roughly 24 hours.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation, Throat tightness
Clinical narrative: 1430: 29yo female with complaints of throat itching and tightness. Allergies: Latex, eggs, dairy, wheat Epi-pen has been used in the past.   Patient given Benadryl 25mg Po by Physician on duty Patient symptoms resolved and patient discharged home with friends and boyfriend to watch over patient.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Abscess drainage, Rash, Skin culture, Skin discomfort, Skin swelling
Clinical narrative: I developed a rash during the week after my vaccine. One week later the rash became severe and very uncomfortable and swollen. I went to the doctor where they drained the sores and took a culture. The results came back I have a staph infection and MSRA
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Staphylococcal infection
Clinical narrative: I developed a rash during the week after my vaccine. One week later the rash became severe and very uncomfortable and swollen. I went to the doctor where they drained the sores and took a culture. The results came back I have a staph infection and MSRA
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: * 1.0 ml of COVID 19 Vaccine (Janssen) administered IM to Left Deltoid.  Tolerated Well.  Without observed or reported incidences or adverse events. *  Order reviewed Post Administration and  confirmed that the Prescribed Standing Order Dose was 0.5ml IM for one dose.   *  Immediate notification by RN to other RN,  Staff (on-site) of administered dosage discrepancy.  Patient was  monitored/notified of dosage discrepancy and instructed to contact PCP/Emergent Assistance for any adverse reactions:  shortness of breath, nausea/vomiting, chills, fever, diarrhea, difficulty swallowing and/or acute anaphylactic reactions. *  Patient reported excellent verbal return demonstration of instructions to include confirmation of contact information.   *  Patient left Work Site Clinic with steady and even gait.  Respiratory effort even and unlabored.  No bleeding or bruising at site of vaccine administration.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Dysgeusia
Clinical narrative: At 8:55 am patient complained of metallic taste in her mouth and feeling light headed. V/S BP 136/93, and HR 76. Gave patient bottle of water and her additional 15 minutes fer close observation. 9:10 am  patient says that she feels good and is good to leave.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Tunnel vision
Clinical narrative: Felt lightheaded and had tunnel vision that lasted for 2 minutes. Assisted by staff down to ground. Vitals stable. Pt had not eaten any thing before. Back to baseline almost immediately . Pt fiancé picking up patient
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Feeling cold, Hyperhidrosis, Pallor, Syncope
Clinical narrative: Syncopal episode, no trauma, pale, cool, and diaphoretic.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Bell's palsy, Cerebral palsy, Fall, Fatigue
Clinical narrative: After 24 hours right arm was sore, swollen with large amount of redness around injection area, could not raise it above the shoulder. Entire body was weak and fatigued.  48 hours everything seemed back to 'normal'.  Roughly 80 hours later from the vaccination, suddenly body cramped up and had trouble speaking and pronouncing words. Fell to the ground and had hand spasms similar to bells palsy or cerebral palsy. Could not speak fluently or get up on my own. After 45 minutes to 1 hour, when paramedics were called and came they sat me up. Within a few minutes, like a switch, I could speak normally again and could walk on my own. Walked out to the ambulance and waited for 15 minutes or so, and everything seemed fine and back to 'normal'. Declined to go to hospital, and since that episode things are still 'normal'.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Mobility decreased, Muscle spasms, Speech disorder
Clinical narrative: After 24 hours right arm was sore, swollen with large amount of redness around injection area, could not raise it above the shoulder. Entire body was weak and fatigued.  48 hours everything seemed back to 'normal'.  Roughly 80 hours later from the vaccination, suddenly body cramped up and had trouble speaking and pronouncing words. Fell to the ground and had hand spasms similar to bells palsy or cerebral palsy. Could not speak fluently or get up on my own. After 45 minutes to 1 hour, when paramedics were called and came they sat me up. Within a few minutes, like a switch, I could speak normally again and could walk on my own. Walked out to the ambulance and waited for 15 minutes or so, and everything seemed fine and back to 'normal'. Declined to go to hospital, and since that episode things are still 'normal'.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza like illness
Clinical narrative: Same as the flu
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Began feeling itchy all over.  No rash or hives just itchy. It happened about an hour after my injection and lasted for maybe four hours.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site mass, Injection site swelling, Injection site warmth, Lymphadenopathy
Clinical narrative: I am reporting this AE as the patient. I think I have what people have been calling "vaccine arm." After 1 week after my injection, the injection site has become very swollen, large hard bump, and warm to touch. There is no rash. I have not treated this reaction yet (day 2 of the reaction) however plan to take Zyrtec to help with the swelling. I usually get this type of reaction after I get a bug bite but the symptoms post-vaccine injection are definitely more notable (i.e., more swollen, bigger bump) as compared to a bug bite. I also have swollen lymph nodes on the same side as the injection site (left side of my neck/shoulder).
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: fever, body aches and headache
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Fatigue, Musculoskeletal stiffness, Neck pain
Clinical narrative: For about 5 hours my body ached, my legs, knees, back, neck, shoulders ached and were in pain sitting, and stiff and in pain when standing. I took 3 x 200 mg  Ibuprofen at 5:30. By 10 p.m. My body aches had disappeared but I was extremely fatigued. I am feeling better now.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: For about 5 hours my body ached, my legs, knees, back, neck, shoulders ached and were in pain sitting, and stiff and in pain when standing. I took 3 x 200 mg  Ibuprofen at 5:30. By 10 p.m. My body aches had disappeared but I was extremely fatigued. I am feeling better now.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Rash
Clinical narrative: 1 week after 2nd moderna vaccination patient started to get a rash spreading from injection site, down chest and arm
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Headache, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Covid positive ISOLATION-INFECTIOUS DISEASE HEADACHE FEVER
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Anti-cyclic citrullinated peptide antibody negative, Antinuclear antibody positive, Arthritis reactive, Aspiration joint, Balance disorder
Clinical narrative: Received Pfizer 2nd dose vaccine on 01/20/2021 at 7:00 AM in the patient's right arm - around 5:00 PM the same day, the patient's knees started feeling wobbly, worse on left than the right. Knees continued to swell with limited motion, discomfort on bending, no point tenderness, and a negative meniscal exam. Swelling was worse on the left. X-ray normal. Worsening symptoms continued that limited standing and walking. Labs done on 2/2/2021 came back positive for Lyme disease and reactive arthritis. Swelling initially improved when patient was put on doxycycline, but worsened significantly after physical use. MRI showed large effusion in the left knee consistent with Lyme and a small focal lateral posterior horn meniscal tear not consistent with effusion. Effusion was drained March 1st and was PCR positive for spirochetes. WBC in effusion was 3400. Patient switched to amoxicillin and knee showed improvement by March 12th, 2021.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase normal, Blood immunoglobulin G increased, Blood immunoglobulin M increased, Borrelia test positive, C-reactive protein normal
Clinical narrative: Received Pfizer 2nd dose vaccine on 01/20/2021 at 7:00 AM in the patient's right arm - around 5:00 PM the same day, the patient's knees started feeling wobbly, worse on left than the right. Knees continued to swell with limited motion, discomfort on bending, no point tenderness, and a negative meniscal exam. Swelling was worse on the left. X-ray normal. Worsening symptoms continued that limited standing and walking. Labs done on 2/2/2021 came back positive for Lyme disease and reactive arthritis. Swelling initially improved when patient was put on doxycycline, but worsened significantly after physical use. MRI showed large effusion in the left knee consistent with Lyme and a small focal lateral posterior horn meniscal tear not consistent with effusion. Effusion was drained March 1st and was PCR positive for spirochetes. WBC in effusion was 3400. Patient switched to amoxicillin and knee showed improvement by March 12th, 2021.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dysstasia, Full blood count normal, Gait disturbance, Joint effusion, Joint range of motion decreased
Clinical narrative: Received Pfizer 2nd dose vaccine on 01/20/2021 at 7:00 AM in the patient's right arm - around 5:00 PM the same day, the patient's knees started feeling wobbly, worse on left than the right. Knees continued to swell with limited motion, discomfort on bending, no point tenderness, and a negative meniscal exam. Swelling was worse on the left. X-ray normal. Worsening symptoms continued that limited standing and walking. Labs done on 2/2/2021 came back positive for Lyme disease and reactive arthritis. Swelling initially improved when patient was put on doxycycline, but worsened significantly after physical use. MRI showed large effusion in the left knee consistent with Lyme and a small focal lateral posterior horn meniscal tear not consistent with effusion. Effusion was drained March 1st and was PCR positive for spirochetes. WBC in effusion was 3400. Patient switched to amoxicillin and knee showed improvement by March 12th, 2021.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Joint swelling, Lyme disease, Magnetic resonance imaging joint, Meniscus injury, Pain
Clinical narrative: Received Pfizer 2nd dose vaccine on 01/20/2021 at 7:00 AM in the patient's right arm - around 5:00 PM the same day, the patient's knees started feeling wobbly, worse on left than the right. Knees continued to swell with limited motion, discomfort on bending, no point tenderness, and a negative meniscal exam. Swelling was worse on the left. X-ray normal. Worsening symptoms continued that limited standing and walking. Labs done on 2/2/2021 came back positive for Lyme disease and reactive arthritis. Swelling initially improved when patient was put on doxycycline, but worsened significantly after physical use. MRI showed large effusion in the left knee consistent with Lyme and a small focal lateral posterior horn meniscal tear not consistent with effusion. Effusion was drained March 1st and was PCR positive for spirochetes. WBC in effusion was 3400. Patient switched to amoxicillin and knee showed improvement by March 12th, 2021.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Polymerase chain reaction positive, Red blood cell sedimentation rate normal, Rheumatoid factor, Rheumatoid factor negative, Spirochaetal infection
Clinical narrative: Received Pfizer 2nd dose vaccine on 01/20/2021 at 7:00 AM in the patient's right arm - around 5:00 PM the same day, the patient's knees started feeling wobbly, worse on left than the right. Knees continued to swell with limited motion, discomfort on bending, no point tenderness, and a negative meniscal exam. Swelling was worse on the left. X-ray normal. Worsening symptoms continued that limited standing and walking. Labs done on 2/2/2021 came back positive for Lyme disease and reactive arthritis. Swelling initially improved when patient was put on doxycycline, but worsened significantly after physical use. MRI showed large effusion in the left knee consistent with Lyme and a small focal lateral posterior horn meniscal tear not consistent with effusion. Effusion was drained March 1st and was PCR positive for spirochetes. WBC in effusion was 3400. Patient switched to amoxicillin and knee showed improvement by March 12th, 2021.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Synovial fluid analysis, Synovial fluid analysis abnormal, Synovial fluid cell count, Synovial fluid protein, Synovial fluid white blood cells positive
Clinical narrative: Received Pfizer 2nd dose vaccine on 01/20/2021 at 7:00 AM in the patient's right arm - around 5:00 PM the same day, the patient's knees started feeling wobbly, worse on left than the right. Knees continued to swell with limited motion, discomfort on bending, no point tenderness, and a negative meniscal exam. Swelling was worse on the left. X-ray normal. Worsening symptoms continued that limited standing and walking. Labs done on 2/2/2021 came back positive for Lyme disease and reactive arthritis. Swelling initially improved when patient was put on doxycycline, but worsened significantly after physical use. MRI showed large effusion in the left knee consistent with Lyme and a small focal lateral posterior horn meniscal tear not consistent with effusion. Effusion was drained March 1st and was PCR positive for spirochetes. WBC in effusion was 3400. Patient switched to amoxicillin and knee showed improvement by March 12th, 2021.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray limb normal
Clinical narrative: Received Pfizer 2nd dose vaccine on 01/20/2021 at 7:00 AM in the patient's right arm - around 5:00 PM the same day, the patient's knees started feeling wobbly, worse on left than the right. Knees continued to swell with limited motion, discomfort on bending, no point tenderness, and a negative meniscal exam. Swelling was worse on the left. X-ray normal. Worsening symptoms continued that limited standing and walking. Labs done on 2/2/2021 came back positive for Lyme disease and reactive arthritis. Swelling initially improved when patient was put on doxycycline, but worsened significantly after physical use. MRI showed large effusion in the left knee consistent with Lyme and a small focal lateral posterior horn meniscal tear not consistent with effusion. Effusion was drained March 1st and was PCR positive for spirochetes. WBC in effusion was 3400. Patient switched to amoxicillin and knee showed improvement by March 12th, 2021.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Magnetic resonance imaging, Musculoskeletal stiffness, Neuralgia, Pain in extremity
Clinical narrative: 1 week after 2nd dose, on 1/24/21, woke up with stiff neck (left rear cervical area) which proceeded with nerve pain down left shoulder and arm.  After 2 weeks with no relief OTC remedies, saw PCP on 2/8/21, who ordered PT.  Saw chiropracter for neck pain on 2/8/21.  Weekly PT appts x 5 weeks, no relief.  Saw PCP again on 3/5/21 for extreme nerve pain in arm.  Prescribed Tramadol for pain, put on 11-day course of Prednisone.  Some pain relief, but not resolved.  MRI ordered and completed on 3/19/21 with no findings except arthritis.  Now being referred to Spine Clinic for further diagnosis.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site erythema, Injection site pain, Injection site warmth, Pain
Clinical narrative: I did have a small, round red, sore area about 2 days after the shot.  It last 3 days.  Then on March 10, my upper arm (down to my elbow) became very red all over, very sore and warm to the touch.  This went on for days.  I went to the doctor toward the end of that week.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Blood test, Computerised tomogram, Electrocardiogram
Clinical narrative: Bells Palsy
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling cold, Myalgia, Nausea, Pyrexia
Clinical narrative: Nausea, chills, muscle aches, feever 102F
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Myalgia, Pain
Clinical narrative: Extremely sore right arm, long-lasting headache, achiness, fatigue, sore shoulder muscles. Headache and achiness began overnight, fatigue set in about 24 hours after vaccination.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Sensation of foreign body
Clinical narrative: SOB, GLOBUS SENSATION
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure abnormal, Dizziness
Clinical narrative: Lightheaded, weak BP 197/91, 178/84, 165/72 vitals sitting up 171/78 66 100