chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram, Dysstasia, Gait disturbance, Limb discomfort, Muscle twitching
Clinical narrative: 32-year-old female without any known past medical history presents with an acute onset of bilateral arm weakness and pain.  She reports around 10 PM she was caring for her children when she suddenly started having acute onset upper back and shoulder discomfort which radiated into the arms resulting in significant distal arm weakness bilaterally.  She has some paresthesias and loss of sensation associated with such.  Subsequently she also noticed that her symptoms radiating into her legs and she had difficulty ambulating and standing.  She reported some twitching of her legs during a CT scan that was performed as well.  Patient is otherwise healthy does not take any medications for any chronic medical issues.  She has had gestational diabetes with her pregnancy in 2011, without any subsequent diagnosis of diabetes.  She also had a traumatic motor vehicle collision in November 2020 with some residual chronic low back pain is resolved.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Muscular weakness, Musculoskeletal discomfort, Pain in extremity, Paraesthesia, Sensory loss
Clinical narrative: 32-year-old female without any known past medical history presents with an acute onset of bilateral arm weakness and pain.  She reports around 10 PM she was caring for her children when she suddenly started having acute onset upper back and shoulder discomfort which radiated into the arms resulting in significant distal arm weakness bilaterally.  She has some paresthesias and loss of sensation associated with such.  Subsequently she also noticed that her symptoms radiating into her legs and she had difficulty ambulating and standing.  She reported some twitching of her legs during a CT scan that was performed as well.  Patient is otherwise healthy does not take any medications for any chronic medical issues.  She has had gestational diabetes with her pregnancy in 2011, without any subsequent diagnosis of diabetes.  She also had a traumatic motor vehicle collision in November 2020 with some residual chronic low back pain is resolved.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anterior spinal artery syndrome, Spinal cord infarction
Clinical narrative: 32-year-old female without any known past medical history presents with an acute onset of bilateral arm weakness and pain.  She reports around 10 PM she was caring for her children when she suddenly started having acute onset upper back and shoulder discomfort which radiated into the arms resulting in significant distal arm weakness bilaterally.  She has some paresthesias and loss of sensation associated with such.  Subsequently she also noticed that her symptoms radiating into her legs and she had difficulty ambulating and standing.  She reported some twitching of her legs during a CT scan that was performed as well.  Patient is otherwise healthy does not take any medications for any chronic medical issues.  She has had gestational diabetes with her pregnancy in 2011, without any subsequent diagnosis of diabetes.  She also had a traumatic motor vehicle collision in November 2020 with some residual chronic low back pain is resolved.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac stress test, Pericarditis
Clinical narrative: Pericarditis.  Inflamation of the heart muscle.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Electrocardiogram
Clinical narrative: SHORTNESSS OF BREATH AND CHEST PAINS
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Pain, Pyrexia
Clinical narrative: Patient Presented with body aches and fever, which persisted for 24 hours.  Patient presented with left arm redness at injection site, two days post injection, and showing improvement. The doctor prescribed conservative therapy, hydration, and over the counter Tylenol as needed.  The doctor will continue to follow up daily with the patient for two weeks post injection.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Eye movement disorder, Feeling abnormal, Hyperhidrosis, Hypersomnia, Pallor
Clinical narrative: A little more than 5 minutes after receiving shot had a seizure. Told me his wife he didn't feel right and hands were very sweaty cold his eyes rolled back in head. Lost his color loss control of bodily functions( urine). Throwing up hard. EMT  were called vitals were alright. Once we were home vomiting subsided and he  slept hard.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral coldness, Seizure, Urinary incontinence, Vomiting
Clinical narrative: A little more than 5 minutes after receiving shot had a seizure. Told me his wife he didn't feel right and hands were very sweaty cold his eyes rolled back in head. Lost his color loss control of bodily functions( urine). Throwing up hard. EMT  were called vitals were alright. Once we were home vomiting subsided and he  slept hard.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Syncope
Clinical narrative: On May 5th and May 24th, my daughter syncope'd randomly and this has never happened before. I took her to her general practitioner and her EKG is now abnormal. It never was in the past. We will be taking her to a cardiologist and neurologist for further testing.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Condition aggravated, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Swabbed positive for covid after coming into hospital for SOB and chest heaviness and upper GI bleed blood loss. Stated previously positive 4.16.21 but record not in system.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Upper gastrointestinal haemorrhage
Clinical narrative: Swabbed positive for covid after coming into hospital for SOB and chest heaviness and upper GI bleed blood loss. Stated previously positive 4.16.21 but record not in system.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Pain, Peripheral swelling, Pruritus
Clinical narrative: Right arm bruised, swollen, itchy, felt like a bee sting. Duration about 10 days. Only treatment was cold compress..
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Oedema peripheral
Clinical narrative: Swelling in the armpit.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Anger, Electrocardiogram, Hyperacusis, Impaired work ability, Laboratory test
Clinical narrative: vertigo and extreme nausea 05/20/2021 since , can't work, can't get out of bed, i can hear my eyes move   body aches, can't care for sick family. extreme anger!!!  need to go back to the doctor or hospital! no one seems to be able to help, medicine prescribed make me sleep which stops the vertigo and my life
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Nausea, Pain, Vertigo
Clinical narrative: vertigo and extreme nausea 05/20/2021 since , can't work, can't get out of bed, i can hear my eyes move   body aches, can't care for sick family. extreme anger!!!  need to go back to the doctor or hospital! no one seems to be able to help, medicine prescribed make me sleep which stops the vertigo and my life
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angiogram pulmonary normal, Blood gases, COVID-19 pneumonia, Chest X-ray, Differential white blood cell count
Clinical narrative: Patient hospitalized with COVID-19 pneumonia on day 15 of symptoms. He is requiring supplemental oxygen but is overall stable
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fibrin D dimer, Full blood count, Metabolic function test
Clinical narrative: Patient hospitalized with COVID-19 pneumonia on day 15 of symptoms. He is requiring supplemental oxygen but is overall stable
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Pt developed classic shingles 3 days after first dose.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Computerised tomogram, Feeling abnormal, Gait disturbance, Headache
Clinical narrative: I woke up feeling nauseous with a throbbing headache that would not go away. I also had brain fog, if I was walking I would lose my step. I reached out to my primary care physician, Dr.  and was advised to visit the ER if I didn't feel any better in a few days. Two days later, I went to the  Hospital ER in. I feel better but my energy levels are still low.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: I woke up feeling nauseous with a throbbing headache that would not go away. I also had brain fog, if I was walking I would lose my step. I reached out to my primary care physician, Dr.  and was advised to visit the ER if I didn't feel any better in a few days. Two days later, I went to the  Hospital ER in. I feel better but my energy levels are still low.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Pt felt light headed after witnessing brother's syncopal episode.  BP 111/57, HR 79 -- > 115/71, 81.  Pt felt better after resting.  Pt stable and released from the vaccination site.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Depression, Fatigue
Clinical narrative: Fatigue, 24 hour joint pain, mild depression.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Vaccine was given to the recipient who was 17 years and 8 months old.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Irritability, Tinnitus
Clinical narrative: Ringing ears, headache, brain fog, irritability
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Blood test normal, Dizziness, Headache, Laboratory test normal
Clinical narrative: An hour after vaccination, patient developed weakness in her right leg and tingling in her fingers in both hands. By the time she reached home, she experienced chest palpitation and her blood pressure was elevated. She rested at home and drank fluid for one day. Next morning, she experienced headache and dizziness. As it wasn't going away, she went to the emergency at Medical Center where they conducted radiographic test and blood test and found no abnormalities. Patient no longer have those symptoms after visit to the ER at Medical Center.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Palpitations, Paraesthesia
Clinical narrative: An hour after vaccination, patient developed weakness in her right leg and tingling in her fingers in both hands. By the time she reached home, she experienced chest palpitation and her blood pressure was elevated. She rested at home and drank fluid for one day. Next morning, she experienced headache and dizziness. As it wasn't going away, she went to the emergency at Medical Center where they conducted radiographic test and blood test and found no abnormalities. Patient no longer have those symptoms after visit to the ER at Medical Center.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site hypoaesthesia, Injection site pain, Injection site paraesthesia, Injection site swelling, Laboratory test
Clinical narrative: Shingrix Dose #1 given 9/8/20 L deltoid no reaction.  Patient had Covid Vaccine series 12/22/20 and 1/13/21 both L arm per patient request.  No reaction at that time. She has considerable tenderness, swelling, numbness and tingling at the injection site which tends to radiate down her left arm.   Sometimes the symptoms occur with movement of her arm but other times it is nonpositional and can occur spontaneously She had some poison ivy or perhaps poison oak last week for which she did take prednisone 20 mg daily for 3 days and as needed hydroxyzine to sleep but noticed no change in the symptoms of her left arm. She has had severe crippling myalgias from number of statins to include Crestor, Pravachol and Lipitor.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia, Pain, Paraesthesia, Ultrasound scan normal
Clinical narrative: Shingrix Dose #1 given 9/8/20 L deltoid no reaction.  Patient had Covid Vaccine series 12/22/20 and 1/13/21 both L arm per patient request.  No reaction at that time. She has considerable tenderness, swelling, numbness and tingling at the injection site which tends to radiate down her left arm.   Sometimes the symptoms occur with movement of her arm but other times it is nonpositional and can occur spontaneously She had some poison ivy or perhaps poison oak last week for which she did take prednisone 20 mg daily for 3 days and as needed hydroxyzine to sleep but noticed no change in the symptoms of her left arm. She has had severe crippling myalgias from number of statins to include Crestor, Pravachol and Lipitor.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Hyporesponsive to stimuli, Presyncope
Clinical narrative: Vasovagal. Patient diaphoretic with decreased responsiveness. Resolved on own. Water and juice given. Normal vitals. Observed for 30 minutes and asymptomatic when released. Declined EMS
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Anaemia, Contusion, Dyspnoea, Fatigue, Haematocrit decreased
Clinical narrative: Acute anemia, fatigue, shortness of breath, bruising
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Platelet count decreased
Clinical narrative: Acute anemia, fatigue, shortness of breath, bruising
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pain, Injection site pain, Neck pain, Pain, X-ray
Clinical narrative: pain in arm from point of injection and shooting up the arm-shoulder-collarbone-neck to my ear, which continued for periodically throughout the day mostly from the collarbone  up my neck to my ear until May 2021 at which time just dull pains and sometimes sharp pains
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Flushing, Hyperhidrosis, Syncope, Vomiting
Clinical narrative: Syncope, Vomiting, flushing/sweating.  BP 122/47, HR 51, RR 16 -- > 125/71, 54, 16.  Pt fell to the floor but recovered after resting.  Pt stable and released from the vaccination site.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysarthria
Clinical narrative: Patient felt faint and dizzy, the pharmacist and the patients mother talked to the patient but the patients words were slurred. Breathing exercises were tried with the patient. EMS were offered to be called but were declined twice. Blood pressure was taken and the patients mother purchased Gatorade to hydrate her.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Anxiety, Blood test, Blood thyroid stimulating hormone decreased, Feeling abnormal
Clinical narrative: The week following my 2nd dose I started experiencing heart palpitations/irregular heartbeat, insomnia and anxiety. Thought it was stress related. Symptoms worsened over the next month following sinus surgery. In additions to previous symptoms, I had shakiness, sweating, muscle weakness, brain fog, hair loss. Thought it was from surgery recovery and meds.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate irregular, Hyperhidrosis, Insomnia, Muscular weakness, Palpitations
Clinical narrative: The week following my 2nd dose I started experiencing heart palpitations/irregular heartbeat, insomnia and anxiety. Thought it was stress related. Symptoms worsened over the next month following sinus surgery. In additions to previous symptoms, I had shakiness, sweating, muscle weakness, brain fog, hair loss. Thought it was from surgery recovery and meds.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Scan thyroid gland, Thyroiditis subacute, Thyroxine increased, Tremor
Clinical narrative: The week following my 2nd dose I started experiencing heart palpitations/irregular heartbeat, insomnia and anxiety. Thought it was stress related. Symptoms worsened over the next month following sinus surgery. In additions to previous symptoms, I had shakiness, sweating, muscle weakness, brain fog, hair loss. Thought it was from surgery recovery and meds.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Headache, Pyrexia
Clinical narrative: Mild Dirrahea, Fever, fatique, headache.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: moderate joint pain in fingers, hands, knees  and hips
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Pustule, Rash
Clinical narrative: Disseminate rash over entire body, white pustules on top, extremely itchy
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspepsia, Laboratory test
Clinical narrative: heartburn
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Erythema, Flushing, Pruritus, Skin warm
Clinical narrative: On 4/27 at 6:30 p.m., I became flushed and my skin felt hot. Next, I began itching EVERYWHERE, my arms especially. I scratched so hard I bruised my arms! My skin turned bright red. I chewed 2 Benadryl, and after about an hour it faded somewhat but I kept itching until about midnight. My family monitored me to make sure I didn't go into anaphylactic shock. The nest day I called my physician's assistant and he said just to monitor it, in case it happened again.  It happened again on 5/4/21 at 10:30 p.m. It was not as severe, but I took 2 Benadryl immediately, since I recognized what was happening. I was better by about 12:30 a.m.. I had been in contact with my PA regarding my statins, and he said there wasn't anything they could do but to report it. He didn't think it was the statin that I had been taking, as I had discontinued the statin after the first incident, due to other concerns.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Hospitalization and death
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Fatigue, Malaise, Oropharyngeal pain
Clinical narrative: The day after my daughter received her vaccine, she began to feel congested and tired. This was on Sunday, May 23. We got up for school on Monday, May 24, but she was complaining about a really bad sore throat. The school nurse called and I picked her up from school because she was also getting more congested. She began to cough and sneeze constantly and took a long nap. When she woke, she was saying that she was getting short of breath and it felt like her heart was racing, even though she was just sitting. The next day her throat felt better, but the congestion was the same - still coughing and sneezing but her shortness of breath started getting more obvious. I emailed her pediatrician to ask about bringing her in, and they said to report this to the CDC and bring her if if she's not better in the next few days. Today is Wednesday, May 26 and she is still congested, short of breath and overall feels lousy. She is coughing up lots of mucus - greenish and thick. Yuck. I just gave her one pill of a mucus reducer to see if that would help. My biggest worry is about the shortness of breath because that is exactly what I experienced after my first dose of the vaccine. Mine was Moderna and I have seen dr's about it - and actually ended up in the hospital, but they do not believe it to be connected to the vaccine. I will contact them and let them know about my daughter's shortness of breath and perhaps they will think differently. Oh, she's had a slight fever of 99 F on occasions during this.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Productive cough, Pyrexia, Respiratory tract congestion, Sneezing
Clinical narrative: The day after my daughter received her vaccine, she began to feel congested and tired. This was on Sunday, May 23. We got up for school on Monday, May 24, but she was complaining about a really bad sore throat. The school nurse called and I picked her up from school because she was also getting more congested. She began to cough and sneeze constantly and took a long nap. When she woke, she was saying that she was getting short of breath and it felt like her heart was racing, even though she was just sitting. The next day her throat felt better, but the congestion was the same - still coughing and sneezing but her shortness of breath started getting more obvious. I emailed her pediatrician to ask about bringing her in, and they said to report this to the CDC and bring her if if she's not better in the next few days. Today is Wednesday, May 26 and she is still congested, short of breath and overall feels lousy. She is coughing up lots of mucus - greenish and thick. Yuck. I just gave her one pill of a mucus reducer to see if that would help. My biggest worry is about the shortness of breath because that is exactly what I experienced after my first dose of the vaccine. Mine was Moderna and I have seen dr's about it - and actually ended up in the hospital, but they do not believe it to be connected to the vaccine. I will contact them and let them know about my daughter's shortness of breath and perhaps they will think differently. Oh, she's had a slight fever of 99 F on occasions during this.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dyspnoea exertional, Listless, Pain in extremity
Clinical narrative: Loss of energy/stamina for 20 days. Listless, sore arm, out of breath with simple daily activities
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Parosmia, Taste disorder
Clinical narrative: My sense of taste and smell has increased and the smells and tastes are now unpleasant.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Back pain, Chills, Headache, Injection site pain, Injection site reaction
Clinical narrative: within 2 hours of injection: injection site pain onset 24 hours after injection: severe chills, headache, muscle aches, joint aches, back pain, nausea
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Myalgia, Nausea
Clinical narrative: within 2 hours of injection: injection site pain onset 24 hours after injection: severe chills, headache, muscle aches, joint aches, back pain, nausea
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Back pain, Chills, Headache, Myalgia
Clinical narrative: within 2 hours of injection: injection site pain onset 24 hours after injection: severe chills, headache, muscle aches, joint aches, back pain, nausea
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Vaccination site pain
Clinical narrative: within 2 hours of injection: injection site pain onset 24 hours after injection: severe chills, headache, muscle aches, joint aches, back pain, nausea
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Flushing, Head discomfort, Hyperhidrosis
Clinical narrative: Pt w/ hx of allergy to amoxicillin (unknown rxn).  Pt c/o flushing/sweating, feeling tired, "head heavy", and right sided tiredness.  BP 120/71, HR 80, RR 16.  Pt stable and released from the vaccination site.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Contusion, Deep vein thrombosis, Peripheral swelling, Ultrasound Doppler abnormal
Clinical narrative: Upper left thigh bruised and swollen (April 20) Ultrasound (4/21) results showed DVT.  Prescribed treatment Xarelto starter pack 15/20 mg.  Maintenance dose 20 mg once per day
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Pallor, Syncope
Clinical narrative: Patient turned pale after vaccination; fainted without injury. Completely recovered within minutes with hydration and support.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphonia, Headache, Nasal congestion, Paranasal sinus discomfort, Productive cough
Clinical narrative: Starting 5/20 at around 2PM, experiencing cough (productive), nasal congestion, sinus pressure, slight headache. 5/21 - 5/22 symptoms were cough (productive), chest congestion, sneezing 5/23 - cough (productive), nasal congestion, chest congestion, sneezing, very raspy voice 5/24 through present - cough (productive), chest congestion, raspy voice
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Sneezing
Clinical narrative: Starting 5/20 at around 2PM, experiencing cough (productive), nasal congestion, sinus pressure, slight headache. 5/21 - 5/22 symptoms were cough (productive), chest congestion, sneezing 5/23 - cough (productive), nasal congestion, chest congestion, sneezing, very raspy voice 5/24 through present - cough (productive), chest congestion, raspy voice
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Musculoskeletal stiffness, Pain, Pyrexia
Clinical narrative: Fever 104.  stiff neck at the base of the skull with pain to move in all directions, foggy, fatigued
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia
Clinical narrative: PATIENT RECIEVED SECOND PFIZER COVID-19 VACCINE TODAY. APPROXIMATELY 1 AND 1/2 HOURS AFTER RECEIVING VACCINE, PATIENT CALLED THE PHARMACY REPORTING HORRIBLE METALLIC TASTE IN MOUTH. PER PATIENT "GOES ALL THE WAY DOWN HER THROAT, TASTES LIKE WHEN YOU HAVE A BLOODY NOSE, AND IS MAKING HER GAG." INSTRUCTED PATIENT TO CONTACT DOCTOR AND TO TRY EATING/DRINKING SOMETHING OTHER THAN WATER TO REMOVE TASTE.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Syncope
Clinical narrative: Patient had presumed fainting episode post. Blood pressure checked (117/78) pulse 77. once determine glucose was run and ended up 77 after some lemonade. Patient Denied EMS later and signed AMA. Patient stable, with friend at end and was told s/s to re call ems if needed.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Blindness transient, Dizziness, Fall, Feeling abnormal, Hyperhidrosis
Clinical narrative: At the 10 minute mark of the shot clock, the pt came up to the front desk to state he was feeling light headed and "weird". Pt was advised to sit and upon turning the patient lost his balance and fell backward to the ground.  Pt was advised to remain down for evaluation, but stated he was fine and sat up to move himself over to the chair.  Dr.  was called immed.BP: 65/33, HR: 69, SpO2: 100% and a manual BP: 68/40. He stated he did not hit his head or lose consciousness.  Stated he broke the fall by falling on his right arm. His right elbow had a small abrasion, denied pain, and had PMS in all extremities.  Pt added when he turned he lost his vision, but doesn't feel he hit his head, and shared he began sweating
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Joint injury, Paraesthesia, Skin abrasion
Clinical narrative: At the 10 minute mark of the shot clock, the pt came up to the front desk to state he was feeling light headed and "weird". Pt was advised to sit and upon turning the patient lost his balance and fell backward to the ground.  Pt was advised to remain down for evaluation, but stated he was fine and sat up to move himself over to the chair.  Dr.  was called immed.BP: 65/33, HR: 69, SpO2: 100% and a manual BP: 68/40. He stated he did not hit his head or lose consciousness.  Stated he broke the fall by falling on his right arm. His right elbow had a small abrasion, denied pain, and had PMS in all extremities.  Pt added when he turned he lost his vision, but doesn't feel he hit his head, and shared he began sweating
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Skin discolouration
Clinical narrative: Shortly after the first injection, dark spots appeared on fingers and hands. The spots were not painful or itchy, although have persisted for over one month. They are currently fading.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Neck pain, Pain in extremity, Subarachnoid haemorrhage
Clinical narrative: subarachnoid hemorrhage - severe headache and pain in neck, let pain
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pyrexia
Clinical narrative: high fever, headache. no treatment. resolved after 36 hours
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Deafness neurosensory
Clinical narrative: sudden onset sensorineural hearing loss on the left
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Bipolar disorder, Condition aggravated
Clinical narrative: Increased symptoms of bipolar disorder resulting in hospitalization
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Headache, Heavy menstrual bleeding, Palpitations
Clinical narrative: High fever of 104.3 Heart Palpitations with chest pain, shaking/chills throughout body and splitting headache (not migraine). Heavy mentrual bleeding with clots for long periods of time
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Thrombosis, Tremor
Clinical narrative: High fever of 104.3 Heart Palpitations with chest pain, shaking/chills throughout body and splitting headache (not migraine). Heavy mentrual bleeding with clots for long periods of time
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Fatigue, Pain in extremity
Clinical narrative: Vaccination given 5/24/2021, no adverse event (fatigue), patient has taken tylenol for sore arm.  Mother reports patient is fine with expected side effects.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Pruritus
Clinical narrative: Thoracic itching and pain. Mostly itching in the T4/5 dermatome.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Induration, Injection site pain, Pain, Pruritus, Rash
Clinical narrative: Sore left upper arm to start. As time passed arm became painful to raise arm. Various red rash type patches appeared on upper arm. Skin was very hot to touch. Some patches were elevated off skin. Areas of redness in upper arm were tender and hard to touch versus right arm for example. Upper arm was itchy. Also feels as if there are small knots/ball near one of the areas at end of tenderness.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Skin swelling, Skin warm, Tenderness
Clinical narrative: Sore left upper arm to start. As time passed arm became painful to raise arm. Various red rash type patches appeared on upper arm. Skin was very hot to touch. Some patches were elevated off skin. Areas of redness in upper arm were tender and hard to touch versus right arm for example. Upper arm was itchy. Also feels as if there are small knots/ball near one of the areas at end of tenderness.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Autopsy, Death
Clinical narrative: Death
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoacusis
Clinical narrative: sudden onset partial sensorineural hearing loss sibling had complete
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Nausea, Rash
Clinical narrative: Had major chills and nausea a few hours after the injection.  That was gone next day.  Two days after the injection I developed a whole body rash.  Contacted my health care provider and was told to take Benadryl.  Rash went away within hours of taking the Benadryl and there were no further adverse effects.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Chest discomfort, Hypertension, Neck pain, Vaccine positive rechallenge
Clinical narrative: PT CAME FOR SECOND DOSE OF PFIZER AND NURSE WHO STATED THE PATIENT WAS ADAMENT TO GET THE 2ND DOSE OF PFIZER. PATIENT SAID IN 15 MIN WAITING THAT SHE HAD THE EXACT SAME SYPMTOMS AFTER THE FIRST DOSE AND REFUSED TO GO TO THE ER AT THAT TIME AS WELL. PT C/O SOME CHEST TIGHTNESS, AND PAIN IN NECK AND RIGHT SHOULDER. ABLE TO TALK AND DID NOT APPEAR IN ANY RESP DISTRESS. PT ABLE TO SIT UP IN CHAIR AND NEVER LOST CONCIOUSNESS. EMS EVAL PT AND WANTED HER TO GO TO ER SO CALLED THE AMBULANCE. THE PT REFUSED AND WALKED TO CAR WITHOUT ANY DISTRESS OR CHANGES. HER FAMILY WAS IN THE CAR AND WE REQUESTED HER TO GO TO THE ER OF HER CHOICE. ALSO ENCOURAGED TO CALL HER PRIMARY TO LET THEM KNOW  VS 186/108 PULSE 80  R 20, RECHECK BP 139/68
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Chest discomfort, Neck pain, Vaccine positive rechallenge
Clinical narrative: PT CAME FOR SECOND DOSE OF PFIZER AND NURSE WHO STATED THE PATIENT WAS ADAMENT TO GET THE 2ND DOSE OF PFIZER. PATIENT SAID IN 15 MIN WAITING THAT SHE HAD THE EXACT SAME SYPMTOMS AFTER THE FIRST DOSE AND REFUSED TO GO TO THE ER AT THAT TIME AS WELL. PT C/O SOME CHEST TIGHTNESS, AND PAIN IN NECK AND RIGHT SHOULDER. ABLE TO TALK AND DID NOT APPEAR IN ANY RESP DISTRESS. PT ABLE TO SIT UP IN CHAIR AND NEVER LOST CONCIOUSNESS. EMS EVAL PT AND WANTED HER TO GO TO ER SO CALLED THE AMBULANCE. THE PT REFUSED AND WALKED TO CAR WITHOUT ANY DISTRESS OR CHANGES. HER FAMILY WAS IN THE CAR AND WE REQUESTED HER TO GO TO THE ER OF HER CHOICE. ALSO ENCOURAGED TO CALL HER PRIMARY TO LET THEM KNOW  VS 186/108 PULSE 80  R 20, RECHECK BP 139/68
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pain in extremity, Pyrexia
Clinical narrative: Arm Soreness for 2 days, Fever (cold/hot mix) for around 7 hours, minor headache day after.
Age: 16.0
Sex: M
Vaccine: UNK, COVID19
Symptoms: C-reactive protein normal, Chest pain, Electrocardiogram, Electrocardiogram abnormal, Full blood count normal
Clinical narrative: He came to clinic the morning after receiving his first dose of a Covid vaccine complaining of left sided chest pain.
Age: 16.0
Sex: M
Vaccine: UNK, COVID19
Symptoms: Pericarditis, Red blood cell sedimentation rate normal, Troponin normal
Clinical narrative: He came to clinic the morning after receiving his first dose of a Covid vaccine complaining of left sided chest pain.
Age: 16.0
Sex: M
Vaccine: UNK, COVID19
Symptoms: C-reactive protein, Chest pain, Echocardiogram, Electrocardiogram ST segment elevation, Electrocardiogram normal
Clinical narrative: He came to clinic the morning after receiving his first dose of a Covid vaccine complaining of left sided chest pain.
Age: 16.0
Sex: M
Vaccine: UNK, COVID19
Symptoms: Full blood count, Red blood cell sedimentation rate, Troponin I
Clinical narrative: He came to clinic the morning after receiving his first dose of a Covid vaccine complaining of left sided chest pain.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertensive urgency, Pleural effusion, Troponin increased
Clinical narrative: Patient presented to the ED and was subsequently hospitalized within 6 weeks of receiving COVID vaccination. Diagnosis was elevated troponin, bilateral pleural effusion, hypertensive urgency.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy, Eyelid function disorder, Facial paralysis
Clinical narrative: Bells Palsy - Right sided facial paralysis with inability to fully close right eye. Treated with 1 week of 60mg prednisone, artificial eye drops, and artificial eye ointment.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysarthria, Facial pain, Facial paralysis, Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: Bells Palsy - Right sided facial paralysis with inability to fully close right eye. Treated with 1 week of 60mg prednisone, artificial eye drops, and artificial eye ointment.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Laboratory test, Nasal congestion, Paraesthesia oral
Clinical narrative: Bells Palsy - Right sided facial paralysis with inability to fully close right eye. Treated with 1 week of 60mg prednisone, artificial eye drops, and artificial eye ointment.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No adverse event, patient previously received their first dose Moderna on 4/25/21. This is their second dose.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count normal, Lymphadenopathy, Ultrasound scan abnormal
Clinical narrative: 72hrs after receiving Pfizer Covid-19 vaccine the pt started experiencing left submandibular pain and swelling. 24hrs after symptoms started the pt was seen by his PCP. The PCP exam revealed mild left mandibular swelling, tenderness upon palpation, no erythema of the buccal mucosa/gums, no warmth or erythema of the overlying skin, a small firm mass palpated near the submandibular gland.  Out patient Neck ultrasound obtained that revealed enlarged lymph nodes, CBC done in office that was within normal limits. Pt dx with submandibular lymphendopathy and advised to continue otc Advil as needed for the pain.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Dizziness, like going to faint. Last for about 10 seconds or so then goes away. Started noticing about an hour after shot on yesterday and still happening several times in an hour. I did not get this after first dose, only after second dose
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Oxygen saturation decreased
Clinical narrative: I the pharmacist was not there for the care of the patient. The clinics  directed all of the care and I was not tol dabout it until 2 hours post event. Patient presume dbetween 20 minutes to 2 hours post vaccination (undetermined as ressources mixed) had a pulse ox decompensation in the 70s.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chest pain, Computerised tomogram thorax abnormal, Dyspnoea, Echocardiogram abnormal
Clinical narrative: patient developed an unprovoked (no antecedent ccause) multisegmental Pulmonary embolus.  He developed chest pain, Shortness of breath, and tachycardia on Wednesday 19 May 2021 which continued to worsen until he was hospitalized on May 21 and diagnosed with the PE and possible pneumonia.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer, Full blood count, Metabolic function test, Pulmonary embolism, Scan with contrast abnormal
Clinical narrative: patient developed an unprovoked (no antecedent ccause) multisegmental Pulmonary embolus.  He developed chest pain, Shortness of breath, and tachycardia on Wednesday 19 May 2021 which continued to worsen until he was hospitalized on May 21 and diagnosed with the PE and possible pneumonia.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: patient developed an unprovoked (no antecedent ccause) multisegmental Pulmonary embolus.  He developed chest pain, Shortness of breath, and tachycardia on Wednesday 19 May 2021 which continued to worsen until he was hospitalized on May 21 and diagnosed with the PE and possible pneumonia.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac arrest, Myocardial infarction, Myocardial oedema
Clinical narrative: Got swelling of the heart that gave me a heart attack causing my heart to stop.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Unresponsive to stimuli
Clinical narrative: 18 year old otherwise healthy male, with mild asthma,  and history of vasovagal syncope with prior vaccinations, IV's and any type of injection on multiple occasions.  He has no history of prior seizures or seizure disorder.  He received his vaccine at about 9 AM and walked to our 15 minute observation area.  Within 5 minutes of sitting down,  he stated he was not feeling well, became unresponsive, and had a series of 3 very brief, witnessed tonic clonic seizure activity, each lasting 5 seconds or less, with only a few seconds between.  Following this he was minimally responsive, still sitting up, eyes opened, and only mumbled in response to questions.  He was pale, confused, mildly diaphorectic, BP was 119/99 pule was 61, O2 sat was 96% and resp rate was approximately 20.  He was NOT incontinent of stool or urine.   He was fully conscious and oriented to person place time and situation within 5 minutes.  He soon regained his color and vitals continued to be stable.   He does have a history of "low blood pressure" per his report.   He was feeling well, but because of the history witnessed seizure activity the decision was made to transport to hospital.   He was transported by Ambulance Service to  Hospital.   Prior to vaccination today was feeling well.  He was accompanied by his girlfriend.   Diagnosis per supervising MD, was Post vaso-vagal syncope seizure activity.  Or seizure activity related to vaso-vagal syncope.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Paraesthesia
Clinical narrative: She developed 3 isolated episodes of 30-90 minutes where she has tingling and burning in bilateral hands, worse in right, and worst in the thumb. No symptoms in feet.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Chest pain, Pericarditis
Clinical narrative: Chest pain Pericarditis,  AFIB
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hyperhidrosis, Nausea
Clinical narrative: Fatigue, Nausea, sweats.  No improvement with acetaminophen.
Age: 28.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Heart rate increased
Clinical narrative: My average heart rate was between 60-70BPM, but two days after the second does of Pfizer, it elevated to 90-110 BPM accompanied with tiredness. No other symptoms as of now.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Fatigue, Headache, Mobility decreased, Muscle discomfort
Clinical narrative: pt says about 30 hours after getting the 1st covid vax she had muscular pain all over her body but extremely bad in the lower back and was unable to walk.   She had trouble getting around due to the intense pain and has not been able to sleep more than 4 hours per night yet feels very tired.  She has a head ache along with restless muscles. She had a flare up of her skin disease. These symptoms were still present but was getting better when she got the 2nd dose of the covid vax on 5/20/21 (right arm Lot# 039B21A).  About 24 hours after getting 2nd dose she developed all of the same symptoms she had after getting the 1st dose but more aggressive.  She spoke to Dr. and he told her he could up her prednisone meds which she decided not do.  Pt says she feels like her symptoms are slowly  improving at this time.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Sleep disorder
Clinical narrative: pt says about 30 hours after getting the 1st covid vax she had muscular pain all over her body but extremely bad in the lower back and was unable to walk.   She had trouble getting around due to the intense pain and has not been able to sleep more than 4 hours per night yet feels very tired.  She has a head ache along with restless muscles. She had a flare up of her skin disease. These symptoms were still present but was getting better when she got the 2nd dose of the covid vax on 5/20/21 (right arm Lot# 039B21A).  About 24 hours after getting 2nd dose she developed all of the same symptoms she had after getting the 1st dose but more aggressive.  She spoke to Dr. and he told her he could up her prednisone meds which she decided not do.  Pt says she feels like her symptoms are slowly  improving at this time.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Diarrhoea, Dizziness, Dyspepsia, Fatigue
Clinical narrative: Persistant digestive problems (diarrhea for first two mornings, followed by gas, bloating, pain, indigestion) peaking after about 5 days and gradually subsiding after about 18 days,  accompanying fatigue, occasional brief & mild dizziness,. Also occasional mild tingling/numbness of left fingertips for first few days.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Flatulence, Hypoaesthesia, Pain, Paraesthesia
Clinical narrative: Persistant digestive problems (diarrhea for first two mornings, followed by gas, bloating, pain, indigestion) peaking after about 5 days and gradually subsiding after about 18 days,  accompanying fatigue, occasional brief & mild dizziness,. Also occasional mild tingling/numbness of left fingertips for first few days.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis, Injection site erythema, Vaccination site swelling, Vaccination site warmth
Clinical narrative: It was just swelling, redness, and heat at the site of the vaccination. After sending the picture to my Doctor he thought it was cellulitis and he prescribed me amoxicillin.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Injection site pain, Myofascial pain syndrome, Pyrexia
Clinical narrative: Low-grade fever starting at hour 12 and lasting over 24 hours. Soreness at the injection site lasting over 48 hours. Exacerbation of chronic myofascial pain syndrome starting at hour seven and lasting over 24 hours.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: I had facial numbness (upper lip , nose and che) that started ~2 hrs after the injection and continued for several hours.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness
Clinical narrative: Patient was feeling  dizzy after getting her second Pfizer Covid  shot.  EMS  believed patient was having anxiety attack.  Patient felt better after about 30 min and she went home with her mother.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Confusional state, Dehydration, Depressed level of consciousness
Clinical narrative: My side effects were extreme & hit fast around 1:30am. I was Dizzy & confused & Disoriented  & was in like a semi coma when it first hit. When I could finally wake up around 2am I was very hot & shaking & my heart was racing.  I had severe chills 102.7 fever & could feel my body was in shock. My face was red for days and fever & headache & Very dehydrated quickly extremely weak & could not drive. Went to urgent care on Saturday 5/22 & they check me over & did EKG.  did not improve until late Monday 5/24 & even today 5/26 I still feeling a little dizzy randomly.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Disorientation, Dizziness, Electrocardiogram, Erythema, Feeling hot
Clinical narrative: My side effects were extreme & hit fast around 1:30am. I was Dizzy & confused & Disoriented  & was in like a semi coma when it first hit. When I could finally wake up around 2am I was very hot & shaking & my heart was racing.  I had severe chills 102.7 fever & could feel my body was in shock. My face was red for days and fever & headache & Very dehydrated quickly extremely weak & could not drive. Went to urgent care on Saturday 5/22 & they check me over & did EKG.  did not improve until late Monday 5/24 & even today 5/26 I still feeling a little dizzy randomly.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Loss of personal independence in daily activities, Palpitations, Pyrexia, Shock
Clinical narrative: My side effects were extreme & hit fast around 1:30am. I was Dizzy & confused & Disoriented  & was in like a semi coma when it first hit. When I could finally wake up around 2am I was very hot & shaking & my heart was racing.  I had severe chills 102.7 fever & could feel my body was in shock. My face was red for days and fever & headache & Very dehydrated quickly extremely weak & could not drive. Went to urgent care on Saturday 5/22 & they check me over & did EKG.  did not improve until late Monday 5/24 & even today 5/26 I still feeling a little dizzy randomly.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: My side effects were extreme & hit fast around 1:30am. I was Dizzy & confused & Disoriented  & was in like a semi coma when it first hit. When I could finally wake up around 2am I was very hot & shaking & my heart was racing.  I had severe chills 102.7 fever & could feel my body was in shock. My face was red for days and fever & headache & Very dehydrated quickly extremely weak & could not drive. Went to urgent care on Saturday 5/22 & they check me over & did EKG.  did not improve until late Monday 5/24 & even today 5/26 I still feeling a little dizzy randomly.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Panic attack
Clinical narrative: Panic attack with elevated pulse 110. 12:52pm Patient leave HR 83.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Hyperhidrosis, Nausea, Paraesthesia oral, Presyncope
Clinical narrative: Pt w/ hx of DM currently on Glipizide 10mg BID and Insulin Glargine 12units QHS.  Pt vomited 50mL of digested food.  Pt c/o flushing/sweating, nausea, and tingling at upper lip.  Pt given PO fluid 1120mL inc. orange juice.  Pt likely had a vasovagal episode given flushed and nauseous.  No hives, stridor, wheezing, c/f anaphylaxis. Given lip tingling (as swelling or problem swallowing), given 50mg PO benadryl.  BP 178/115, HR 95, RR 18 -- > 148/100 -- > 145/96, 90, 16 -- > 138/93 -- > 146/97, 86, 16.  Pt feels much improved and requests to leave 30mins after initial adverse reaction began.  Pt stable and released from the vaccination site.  ER precautions discussed.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Pt w/ hx of DM currently on Glipizide 10mg BID and Insulin Glargine 12units QHS.  Pt vomited 50mL of digested food.  Pt c/o flushing/sweating, nausea, and tingling at upper lip.  Pt given PO fluid 1120mL inc. orange juice.  Pt likely had a vasovagal episode given flushed and nauseous.  No hives, stridor, wheezing, c/f anaphylaxis. Given lip tingling (as swelling or problem swallowing), given 50mg PO benadryl.  BP 178/115, HR 95, RR 18 -- > 148/100 -- > 145/96, 90, 16 -- > 138/93 -- > 146/97, 86, 16.  Pt feels much improved and requests to leave 30mins after initial adverse reaction began.  Pt stable and released from the vaccination site.  ER precautions discussed.