chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Injection site pain, Paraesthesia
Clinical narrative: I experienced severe soreness near the injection site. It lasted approximately three days. During the first 48 hours, I experienced tingling/numbness in my right hand (my injection was in my right arm) which felt similar to when your hand falls asleep. To help with this, I stretched my arms to get my blood circulating.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Prolonged Dizziness with history of heart transplant; to ED
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Skin injury, Syncope
Clinical narrative: Syncope, 1.5 cm chin scrape, cut on left fifth finger. BPs 92/58 (pulse 57), 100/62 (pulse 63). Given water.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Patient had extremely enlarged lymph nodes in the crook of her neck. Her doctor told her it would subside with time. She was not given any medication for it.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Livedo reticularis, Oral pruritus, Pharyngeal swelling, Pulmonary pain
Clinical narrative: About 10-15 minutes post-vaccination, she started to have itching in her mouth (her tongue, mainly). Also felt like tongue was swelling and throat was tight/swelling. Chest felt tight as well. She has asthma and said it felt like she had just breathed in the "worst allergen." She did not seek help from the EMT at the site and remained sitting in the observation area. She then developed a flat, mottled rash that started on her neck, spread to her chest and stomach. She sought help from the EMT who took her vitals (BP, HR, O2 sat), which were all normal, per the patient. She was observed closely by the EMT and medical review staff for about another 20 minutes. No treatment was given. The rash resolved on its own
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Swollen tongue, Tongue pruritus
Clinical narrative: About 10-15 minutes post-vaccination, she started to have itching in her mouth (her tongue, mainly). Also felt like tongue was swelling and throat was tight/swelling. Chest felt tight as well. She has asthma and said it felt like she had just breathed in the "worst allergen." She did not seek help from the EMT at the site and remained sitting in the observation area. She then developed a flat, mottled rash that started on her neck, spread to her chest and stomach. She sought help from the EMT who took her vitals (BP, HR, O2 sat), which were all normal, per the patient. She was observed closely by the EMT and medical review staff for about another 20 minutes. No treatment was given. The rash resolved on its own
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: per pt redness at injection site and itching
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: The dose for the Moderna vaccine is .5 mL. The patient inadvertently received an extra 0.01 to 0.02 mL. The manufacturer instructed us to contact the patient to inform them that the increased dosage could potentially lead to side effects that could be local or systemic. No adverse events were reported by the patient.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: sore arms, body aches
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Paraesthesia
Clinical narrative: administered the vaccine to the pt and w/in the 15min observation period, the pt told employee she experienced tingling of the ?hands, feet, and head.? The team took a set of vitals [BP 183/95, HR 69, O2 98%, T 98.4]. conducted a THV visit with the pt and the pt?s family member. During the THV, I observed new onset redness of bilateral hands & pt verbally expressed difficulty breathing. Pt was able to respond to my questions without difficulty and I did not observe labored breathing. Denied feelings of itchiness, swelling of face or throat. I assessed & observed no neurological deficits. Pt shared she is not on bp meds and does not have a PCP. I recommended the pt take a dose of Benadryl in the clinic and go to the nearest ER for evaluation to be safe. We offered to call an ambulance for transport, but the pt opted to be driven to the ER by her family member. Employee assisted the pt while she was in person during the THV and administered the Benadryl. We have not had contact with the pt since the incident. Sharing this information so the healthcare team can add it to the incident report log. Please let us know if you have any questions or concerns. The patient reported on 4/30/2021 that she is now feeling better.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysgeusia, Nausea
Clinical narrative: Pt here for 2nd dose of Pfizer vaccine. Pt after injection in post observation and c/o metallic taste in her mouth and progressed to dizziness and nausea. Pt reports she has not eaten today. Pt given juice and it was tolerated well. AID call to evaluate Pt. Pt reports hx of anxiety with giving blood. Pt stands up per medics request. Pt reports feeling better. Pt cleared to drive home by medics. Medic event lasted approx 30 min.  VS per medics 1230 BP 138/palp HR 98 O2 sat 100% on RA  VS per medics 1240 BP 129/84 HR 80 O2 sat 100% on RA
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Cardiac arrest, Cardio-respiratory arrest, Death, Echocardiogram normal
Clinical narrative: Pt presented to the hospital after a cardiac arrest. Work up  showed renal artery thrombosis b/l causing renal failure and hyperkalemia.  ROSC was achieved and pt coded multiple times after.  We were unable to obtain CT A 2/2 to  pt being unstable so only U/S imaging with doppler was used for diagnosis.  Pt was treated with heparin gtt., hematology work up was sent but cause not identified. ECHO did not show thrombosis in the heart. CCRT was attempted but pt expired.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Haematology test, Hyperkalaemia, Renal artery thrombosis, Renal failure, Ultrasound Doppler abnormal
Clinical narrative: Pt presented to the hospital after a cardiac arrest. Work up  showed renal artery thrombosis b/l causing renal failure and hyperkalemia.  ROSC was achieved and pt coded multiple times after.  We were unable to obtain CT A 2/2 to  pt being unstable so only U/S imaging with doppler was used for diagnosis.  Pt was treated with heparin gtt., hematology work up was sent but cause not identified. ECHO did not show thrombosis in the heart. CCRT was attempted but pt expired.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Physical examination, Unevaluable event
Clinical narrative: Evaluation only, no specific treatment at this time
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Pancreatitis acute, Stool analysis, Ultrasound scan
Clinical narrative: Acute pancreatitis.  Symptoms first appeared on 04/21/2021 Wednesday morning. Diagnosed with acute pancreatitis on Thursday 04/29/2021.
Age: 52.0
Sex: M
Vaccine: UNK
Symptoms: Interchange of vaccine products
Clinical narrative: Vaccination card wan't completely filled out with 1 st dose info. I asked if he got Pfizer, he said " yes, Pfizer". I gave him the pfizer vaccine and explained what to expect. He nodded, then told me " no comprendo" I gave the card to the drawer and found his 1st dose was MODERNA, not Pfizer and was given 4/9/21. We obtained an interpreter from registration and explained to him.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Dizziness, Pyrexia, Syncope
Clinical narrative: Fever/chills, low temperature (up to 100.2F), feeling faint (fainting one time); symptoms lasted for 3 days
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: Limb swelling, left ankle, hard in center, slightly tender
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fall, Hyperhidrosis, Nausea, Pallor
Clinical narrative: Patient experienced syncope/fainting episode approx 15 mins after vaccination. Patient stood from chair and complained of nausea, asked for water. Legs buckled, patient fell to knees. Did not fall all the way to floor or experience head/body trauma. Patient was attended to by supervising pharmacist, and subsequently moved into chair with assistance. Pulse and respirations were normal, but patient was pale, diaphoretic, and complained of nausea and dizziness for another 15-20 minutes. No epinephrine or diphenhydramine was indicated or administered. Patient was observed until approximately 8:30pm, at which time he had made a full recovery.  Patient left under his own power, and safely travelled to his home. Pharmacist called to check on patient and spoke with him twice (4/29, 9:50pm...4/30, 4:30pm). Patient reports feeling fine, no residual effects. Is eager to receive his second dose on 5/20/21.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient experienced syncope/fainting episode approx 15 mins after vaccination. Patient stood from chair and complained of nausea, asked for water. Legs buckled, patient fell to knees. Did not fall all the way to floor or experience head/body trauma. Patient was attended to by supervising pharmacist, and subsequently moved into chair with assistance. Pulse and respirations were normal, but patient was pale, diaphoretic, and complained of nausea and dizziness for another 15-20 minutes. No epinephrine or diphenhydramine was indicated or administered. Patient was observed until approximately 8:30pm, at which time he had made a full recovery.  Patient left under his own power, and safely travelled to his home. Pharmacist called to check on patient and spoke with him twice (4/29, 9:50pm...4/30, 4:30pm). Patient reports feeling fine, no residual effects. Is eager to receive his second dose on 5/20/21.
Age: 63.0
Sex: F
Vaccine: UNK
Symptoms: Dyspnoea, Erythema, Fatigue, Headache, Injection site swelling
Clinical narrative: Swelling of injection site, red hot skin, difficulty taking deep breathes, fatigue, headache. Took over the counter ibuprophen and claritan Better after 3 days but anti histamine made me nauseous after 2 doses.
Age: 63.0
Sex: F
Vaccine: UNK
Symptoms: Skin warm
Clinical narrative: Swelling of injection site, red hot skin, difficulty taking deep breathes, fatigue, headache. Took over the counter ibuprophen and claritan Better after 3 days but anti histamine made me nauseous after 2 doses.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Unusual headaches that come and go
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: The recipient received his second dose at a 21-day interval unintentional. His first dose vaccine was administered on 4/9/2021.  Appointment Verification Personnel: Unable to pinpoint the person involved in this incident for this role.  Vaccinator:  I vaccinated the patient under the impression that the system and the front desk verified that his time was up for his 2nd dose, I have no way of checking the patient's information.   Vaccinator Scribe: I verified the patient's identity but had no way of checking his first dose information.  I assumed the system wouldn't let the patient schedule before his time frame.
Sex: F
Vaccine: COVID19
Symptoms: Blepharospasm, Fatigue
Clinical narrative: Twitching/spasming Left eye, fatigue.  See IR
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Rash
Clinical narrative: feels faint, rash neck/face, EMS evaluated, pt. refused transport.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Tachycardia
Clinical narrative: pt was tachy, c/o chest tightness and sob
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: The dose for the Moderna vaccine is .5 mL. The patient inadvertently received an extra 0.01 to 0.02 mL. The manufacturer instructed us to contact the patient to inform them that the increased dosage could potentially lead to side effects that could be local or systemic. No adverse events were reported by the patient.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: Continued pain at injection site. And arm soreness
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Rash
Clinical narrative: sore arm, rash
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Tinnitus
Clinical narrative: Had normal sickness and headache, but also developed tinnitus that has not since gone away.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Pain, Vomiting
Clinical narrative: Severe diarrhea, vomiting, body aches, etc  In 2nd day but vomiting has stopped.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Influenza like illness, Nausea, Pain, Pyrexia
Clinical narrative: Flu-like symptoms.  Severe fever, chills, body aches, nausea.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Flushing, Pain in extremity, Pyrexia, Urticaria
Clinical narrative: Arm soreness, low grade fever, flushed cheeks, Hives that started in face  7 hours after injection. Upon waking 4/28/21  started taking Benadryl. Now spread to arms and thighs on 4/30/21. Still taking Benadryl.  Face not so red or itchy.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain, Pyrexia
Clinical narrative: Fever, chills, nausea, terrible body aches and headache
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Discharge Nurse Notified PHN that Pt. was Vaccinated 8 days early 2nd dose Pfizer. PHN notified site supervisor, Snap Lead, Site Manger's. Translator used for Spanish speaking Pt. Per translator Pt. knowingly took the second dose of Pfizer early due to an emergency needing to travel to Mexico and assumed she would need to restart the series. Staff was the vaccinator said, "I assumed the reporter checked the dates on the vaccine card." PHN explained to the Pt. using the translator the side effects of the vaccine, when to seek medical attention, re-educated on the time intervals, V-safe, and the CDC guidelines of nor having to restart the series even if its pasted the 42 days.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Dry throat, Hypoaesthesia oral, Throat tightness
Clinical narrative: Patient reports about 30 seconds after receiving vaccine her throat felt dry and small. Tongue felt numb. These symptoms resolved by the next morning. Patient did not tell vaccinator about her symptoms and just went home.  She reports not taking any medicine i.e. benedryl for symptoms (although she takes zyrtec regularly).
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Dyspnoea, Nervousness
Clinical narrative: Patient stated he started having trouble breathing and became shaky about 5 minutes after the vaccine was given. An epipen, gatorade, and an icepack were given to the patient, and he immediately started feeling better.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Herpes zoster
Clinical narrative: I came down with shingles and then bell's palsy
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Syncope
Clinical narrative: Patient fainted after receiving  his dose of the vaccine.   Pharmacist was alerted by another customer that patient fell out of his chair.  Patient was responsive as soon as pharmacist arrived.  Patient states he does not think he hit his head. States he has fainted from needles in the past, but failed to inform pharmacist on VAR sheet. Patient denied emergent medical treatment and left 15 minutes later with his father.
Age: 22.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood test normal, C-reactive protein increased, Capillary nail refill test abnormal, Dyskinesia, Hypoaesthesia
Clinical narrative: Numbness/loss of sensation in toes began around 4/16/2021: Sensation reduced from the toes up to the hip bilaterally (R<L). Strength 5/5 bilaterally. 2+ reflexes in lower extremities. 2-3 beats of clonus bilateral ankle jerk. Mottling on feet, interior ankles, kneecaps. Decreased cap refill in feet, knees, and interior ankles. Feet extremely cold. Presented to urgent care 4/26/2021. While there, noticed purplish discoloration over knees and feet as well as diminished sensation up to both hips as well as over the right arm and right side of face. Subsequently transferred to emergency department from urgent care for further evaluation. Neurology consulted after examination was notable for brisk lower extremity reflexes and bilateral ankle clonus. CRP mildly elevated at 12.5.
Age: 22.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Livedo reticularis, Lumbar puncture normal, Magnetic resonance imaging head normal, Magnetic resonance imaging normal, Magnetic resonance imaging spinal normal
Clinical narrative: Numbness/loss of sensation in toes began around 4/16/2021: Sensation reduced from the toes up to the hip bilaterally (R<L). Strength 5/5 bilaterally. 2+ reflexes in lower extremities. 2-3 beats of clonus bilateral ankle jerk. Mottling on feet, interior ankles, kneecaps. Decreased cap refill in feet, knees, and interior ankles. Feet extremely cold. Presented to urgent care 4/26/2021. While there, noticed purplish discoloration over knees and feet as well as diminished sensation up to both hips as well as over the right arm and right side of face. Subsequently transferred to emergency department from urgent care for further evaluation. Neurology consulted after examination was notable for brisk lower extremity reflexes and bilateral ankle clonus. CRP mildly elevated at 12.5.
Age: 22.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myoclonus, Peripheral coldness, Sensory loss, Skin discolouration
Clinical narrative: Numbness/loss of sensation in toes began around 4/16/2021: Sensation reduced from the toes up to the hip bilaterally (R<L). Strength 5/5 bilaterally. 2+ reflexes in lower extremities. 2-3 beats of clonus bilateral ankle jerk. Mottling on feet, interior ankles, kneecaps. Decreased cap refill in feet, knees, and interior ankles. Feet extremely cold. Presented to urgent care 4/26/2021. While there, noticed purplish discoloration over knees and feet as well as diminished sensation up to both hips as well as over the right arm and right side of face. Subsequently transferred to emergency department from urgent care for further evaluation. Neurology consulted after examination was notable for brisk lower extremity reflexes and bilateral ankle clonus. CRP mildly elevated at 12.5.
Age: 22.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Clonus, Erythema, Hypoaesthesia, Livedo reticularis, Pallor
Clinical narrative: Numbness/loss of sensation in toes began around 4/16/2021: Sensation reduced from the toes up to the hip bilaterally (R<L). Strength 5/5 bilaterally. 2+ reflexes in lower extremities. 2-3 beats of clonus bilateral ankle jerk. Mottling on feet, interior ankles, kneecaps. Decreased cap refill in feet, knees, and interior ankles. Feet extremely cold. Presented to urgent care 4/26/2021. While there, noticed purplish discoloration over knees and feet as well as diminished sensation up to both hips as well as over the right arm and right side of face. Subsequently transferred to emergency department from urgent care for further evaluation. Neurology consulted after examination was notable for brisk lower extremity reflexes and bilateral ankle clonus. CRP mildly elevated at 12.5.
Age: 22.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Reflex test, SARS-CoV-2 test, Sensory loss, Vascular test abnormal
Clinical narrative: Numbness/loss of sensation in toes began around 4/16/2021: Sensation reduced from the toes up to the hip bilaterally (R<L). Strength 5/5 bilaterally. 2+ reflexes in lower extremities. 2-3 beats of clonus bilateral ankle jerk. Mottling on feet, interior ankles, kneecaps. Decreased cap refill in feet, knees, and interior ankles. Feet extremely cold. Presented to urgent care 4/26/2021. While there, noticed purplish discoloration over knees and feet as well as diminished sensation up to both hips as well as over the right arm and right side of face. Subsequently transferred to emergency department from urgent care for further evaluation. Neurology consulted after examination was notable for brisk lower extremity reflexes and bilateral ankle clonus. CRP mildly elevated at 12.5.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Lymph node pain, Lymphadenopathy, Pain
Clinical narrative: Right at 24 hours I experienced chills and body aches, but noticed when I woke up the next morning that the lymph nodes in my right armpit are were swollen to about the size of a small clementine orange.  They lymph nodes are still very swollen and tender.  It hurts to simply let my arm rest on the side of my body.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: The dose for the Moderna vaccine is .5 mL. The patient inadvertently received an extra 0.01 to 0.02 mL. The manufacturer instructed us to contact the patient to inform them that the increased dosage could potentially lead to side effects that could be local or systemic. No adverse events were reported by the patient.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Balance disorder, Blepharospasm, Dry eye, Fatigue
Clinical narrative: initially while driving home, eye spasms and eye dryness, various sharp pains in leg and right foot, a feeling of heightened anxiousness. Following day the typical fatigue, unusual headache, full tunnel feeling in head and ears, off balance feeling, some muscle aches as well as previously mentioned symptoms. this lasted for about 3 days.  some mild relief in fatigue and headache but all of a sudden non stop ear ringing (Tinnitus) high pitched EEEEE with occasional low tone whistle sound. fast forward currently no relief in ear ringing and off and on mild pressure headaches, off balance,(some days worse than others) mild fatigue, some isolated off and on muscle aches. slight fainting feeling (occasional), don't feel grounded..... among other things
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Myalgia, Pain in extremity, Syncope
Clinical narrative: initially while driving home, eye spasms and eye dryness, various sharp pains in leg and right foot, a feeling of heightened anxiousness. Following day the typical fatigue, unusual headache, full tunnel feeling in head and ears, off balance feeling, some muscle aches as well as previously mentioned symptoms. this lasted for about 3 days.  some mild relief in fatigue and headache but all of a sudden non stop ear ringing (Tinnitus) high pitched EEEEE with occasional low tone whistle sound. fast forward currently no relief in ear ringing and off and on mild pressure headaches, off balance,(some days worse than others) mild fatigue, some isolated off and on muscle aches. slight fainting feeling (occasional), don't feel grounded..... among other things
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: initially while driving home, eye spasms and eye dryness, various sharp pains in leg and right foot, a feeling of heightened anxiousness. Following day the typical fatigue, unusual headache, full tunnel feeling in head and ears, off balance feeling, some muscle aches as well as previously mentioned symptoms. this lasted for about 3 days.  some mild relief in fatigue and headache but all of a sudden non stop ear ringing (Tinnitus) high pitched EEEEE with occasional low tone whistle sound. fast forward currently no relief in ear ringing and off and on mild pressure headaches, off balance,(some days worse than others) mild fatigue, some isolated off and on muscle aches. slight fainting feeling (occasional), don't feel grounded..... among other things
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: the patient reported tingling feeling in hands and feet a couple days after the 1st vaccine dose.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Agitation, Chills, Pain in extremity, Vision blurred
Clinical narrative: Slight chills, stomach upset, excitability, sore arm, blurry vision.......these did not last long.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Headache, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test
Clinical narrative: Patient experienced cough, sore throat, headache, and runny nose on 4/27
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Anaemia, Asthenia, Burning sensation, Condition aggravated, Inflammatory marker increased
Clinical narrative: Patient comes with bilateral burning thigh pain and weakness for 2 weeks that began 1 week after Moderna COVID vaccine. MRIs of T & L spine are non significant. Inflammatory markers are elevated and he has worsening kidney disease than his baseline. Also with anemia.  4/29  MRI thigh muscles show extensive edema R>L suggestive of myositis from some source. Nephrology considering renal biopsy for his progressive kidney failure. Patient may have autoimmune or inflammatory process affecting both muscle and kidneys. Have sent for autoimmune antibodies as well as other vasculitic markers and requested muscle biopsy by general surgery. He needs to be started on steroids.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging abnormal, Magnetic resonance imaging spinal abnormal, Myositis, Oedema peripheral, Renal disorder
Clinical narrative: Patient comes with bilateral burning thigh pain and weakness for 2 weeks that began 1 week after Moderna COVID vaccine. MRIs of T & L spine are non significant. Inflammatory markers are elevated and he has worsening kidney disease than his baseline. Also with anemia.  4/29  MRI thigh muscles show extensive edema R>L suggestive of myositis from some source. Nephrology considering renal biopsy for his progressive kidney failure. Patient may have autoimmune or inflammatory process affecting both muscle and kidneys. Have sent for autoimmune antibodies as well as other vasculitic markers and requested muscle biopsy by general surgery. He needs to be started on steroids.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding
Clinical narrative: An unusually heavy and painful (on-time) period.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cardiac stress test, Chest discomfort, Chest pain, Dizziness
Clinical narrative: Pt vaccinated with Moderna (first dose) and was awaiting alongside the booth standing up and within a minute felt dizzy and was short of breath. Son at her side and assisted her to walk over to observation and felt weak all over, extremities and assisted in the wheelchair.   Complained of chest pain/pressure. EMS called and brought to ED.  In ED, EKG normal.  Trops 0.1, 0.04 then 0.01. Exercise Stress test normal Discharged to home with PCP followup.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram normal
Clinical narrative: Pt vaccinated with Moderna (first dose) and was awaiting alongside the booth standing up and within a minute felt dizzy and was short of breath. Son at her side and assisted her to walk over to observation and felt weak all over, extremities and assisted in the wheelchair.   Complained of chest pain/pressure. EMS called and brought to ED.  In ED, EKG normal.  Trops 0.1, 0.04 then 0.01. Exercise Stress test normal Discharged to home with PCP followup.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Back pain, Burning sensation, Herpes zoster, Pruritus
Clinical narrative: Band of itchy, burning, excruciating sparking pain on right side of back and abdomen. Shingles diagnoses, I have know idea it if is related, I've never had Shingles previously
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling, Pruritus, Vaccination complication
Clinical narrative: Covid Arm, swelling, redness, itching. At this point it's been 8 days.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Within a minute of administering vaccine both of patient's hands began to swell and turn bright red but no reports of itchiness and otherwise patient was fine and did not report any other symptoms suggesting a systemic allergic reaction. Oral Benadryl  was administered and patient was monitored for 30 minutes with no issues and no worsening symptoms, though the swelling and redness did not go down during that time. Patient mentioned a similar reaction happened after her 1st dose and that the swelling and redness took several hours to return to normal and that a similar reaction happens when she eats strawberries. Patient left on her own after 30 minutes (could not require her to stay) stating she was fine.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Peripheral swelling, Rash
Clinical narrative: rash on arms and all the way up to the face ; blisters and arms swollen
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Vomiting
Clinical narrative: Fainted approximately 2 minutes after injection. Woke up approximately 1 minute later and immediately vomited.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Body temperature increased, Dizziness, Headache, Inappropriate schedule of product administration
Clinical narrative: Pt received the Anthrax vaccine within x14 days of receiving the COVID vaccine. Pt notes that he received the 1st COVID-Pfizer vaccine on 29Apr2021 and the 2nd dose of Anthrax on 19Apr2021. Pt notes the night of COVID vaccine he developed 99.5 and HA, today he continues to have HA, dizziness and stomachache.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: The dose for the Moderna vaccine is .5 mL. The patient inadvertently received an extra 0.01 to 0.02 mL. The manufacturer instructed us to contact the patient to inform them that the increased dosage could potentially lead to side effects that could be local or systemic. No adverse events were reported by the patient.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Headache, Oropharyngeal pain, Rhinorrhoea
Clinical narrative: Patient experienced cough, sore throat, headache, and runny nose on 4/27
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Myalgia, Pyrexia, Tinnitus
Clinical narrative: Massive ringing and tinnitus in both ears within 8 hours of receiving the vaccine. Constant loud ringing in ears is ongoing, it has not gotten any better since the shot.  Initially got fever (100.5) and chills and muscle aches and ringing in ears, the fever/chills/aches have resolved after 3 days, but the ringing in both ears is still present and loud.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Neck pain
Clinical narrative: Patient called on the phone and told me that her injection site was red,  swollen slightly, painful and that  her jugular vein was throbbing when she pressed down on it and so she was worried.  i asked her if she was able to take tylenol and if she could apply ice pack to the site of injection. i also told her to call her primary care doctor or go to urgent care to asses the throbbing of  vein in her neck.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: shingles
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Chest pain, Cough, Dyspnoea, Fatigue
Clinical narrative: fatigue, nausea, vomiting, cough, shortness of breath, myalgia, chest congestion, chest pain, chest tightness, headache
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Lower respiratory tract congestion, Myalgia, Nausea, Vomiting
Clinical narrative: fatigue, nausea, vomiting, cough, shortness of breath, myalgia, chest congestion, chest pain, chest tightness, headache
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Dyspnoea, Fatigue, Myalgia
Clinical narrative: Fever, chills, sob, myalgias, diarrhea, fatigue
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever, chills, sob, myalgias, diarrhea, fatigue
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: Injection site urticaria, Pyrexia, Vomiting
Clinical narrative: pt reported hives that started near the vaccine and then spread. The hives come and go. Pt also reported having a low grade fever of 100 degrees farenheit as well as intermittent vomiting.  Pt seen in clinic fo reaction.  tx-  - Continue observation of hives - If continue beyond another 1-2 days then could consider trial of daily antihistamine - Report to ED immediately if develops uncontrolled vomiting, respiratory distress, uncontrolled diarrhea, oral swelling, worsening of acute rash, or any other concerns
Age: 28.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Injection site pain, Myalgia, Nausea, Pyrexia
Clinical narrative: NAUSEAS, MUSCLE PAIN, FEVER, TIREDNESS, INJECTION SIDE PAIN,
Age: 28.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Myalgia, Nausea, Pyrexia, Vaccination site pain
Clinical narrative: NAUSEAS, MUSCLE PAIN, FEVER, TIREDNESS, INJECTION SIDE PAIN,
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Pyrexia
Clinical narrative: Fever, fatigue
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Insomnia, Nasal congestion, Nausea
Clinical narrative: I woke up at 3:00 am out of a sound sleep on 3/19/21 with a very, unusual headache, whereby I could hardly keep my eyes open. I also had a stuffy nose, and felt slightly nauseous. I was exhausted and had difficulty going back to sleep. Around 10:00 pm on 3/20/21, I noticed a rash on my upper chest and my midriff was bright red. On 3/21/21 most of my front and back torso began to itch.  On 3/22/21 the itching stopped.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Sleep disorder
Clinical narrative: I woke up at 3:00 am out of a sound sleep on 3/19/21 with a very, unusual headache, whereby I could hardly keep my eyes open. I also had a stuffy nose, and felt slightly nauseous. I was exhausted and had difficulty going back to sleep. Around 10:00 pm on 3/20/21, I noticed a rash on my upper chest and my midriff was bright red. On 3/21/21 most of my front and back torso began to itch.  On 3/22/21 the itching stopped.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Moderna vaccine was given instead of Pfizer for a 17 year old.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Fatigue, Heart rate increased, Oropharyngeal pain
Clinical narrative: Woke up at 8am with high heart rate over 100, occurred throughout sleep up to 110 bpm and continues to be over 100 during inactivity.  Oxygen is good and fatigue is moderate. Not short of breath but have sore throat. Not an allergic reaction. Heart rate has came down by 4pm but is still high 90s.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: The dose for the Moderna vaccine is .5 mL. The patient inadvertently received an extra 0.01 to 0.02 mL. The manufacturer instructed us to contact the patient to inform them that the increased dosage could potentially lead to side effects that could be local or systemic. No adverse events were reported by the patient.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Swelling, Urticaria
Clinical narrative: @ 10 PM, I STARTED GETTING HIVES BEHIND MY LEFT KNEE. THEY GOT WORSE, SPREADING AROUND MY ENTIRE LEG &  @ 12" HIGH. I TOOK A BENADRYL TABLET, APPLIED TOPICAL CORTISONE MULTIPLE TIMES, USED BENADRYL SPRAY MULTIPLE TIMES.  I DID THIS TIL @ 11:30 WITH NO IMPROVEMENT.  I WAS AFRAID TO GO TO SLEEP, SO WE HEADED TO THE ER.  @ 20 MINUTES LATER, THE REDNESS & SWELLING STARTED TO SUBSIDE. WE GOT TO THE HOSPITAL, BUT DECIDED, SINCE THE AFFTETED AREA WAS NOW NORMAL, THAT  WE WOUD GO HOME. mY ONLY GUESS, IS THAT THE MEDICATIONS HAD FINALLY TAKEN EFFECT.  I DO HAVE A PHOTE, IF YOU ARE INTERESTED IN THAT.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: 49 days after the single injection of the Covid Johnson & Johnson vaccine I was diagnosed with Shingles even though I had been vaccinated with the Shingles vaccine in October and December in 2019
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Dizziness, Feeling hot, Hyperhidrosis, Laboratory test
Clinical narrative: Felt hot and sweaty for a few minutes. Walked over to restroom, felt dizzy and fainted for about a minute or so I was told.  I called my primary care provider?s office and I was advised to go to ER which I did. ER records list the cause of the syncope as ?vaccine reaction.?
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Liver function test, Renal function test, Syncope
Clinical narrative: Felt hot and sweaty for a few minutes. Walked over to restroom, felt dizzy and fainted for about a minute or so I was told.  I called my primary care provider?s office and I was advised to go to ER which I did. ER records list the cause of the syncope as ?vaccine reaction.?
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pyrexia
Clinical narrative: Wore up extremely tired,took temperature and had a fever of  99.4  couple of hours later I had a a headache that continued though the day.  Stayed in bed all day fever got higher by 4:00 p.m. took Tylenol
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cachexia, Dermal filler injection, Facial asymmetry
Clinical narrative: I had received about 20CC Bellafill 5 Year Facial Filler .  Four days after my first COVID 19 vaccine, I began to notice loss of volume in my face.  That became severe with hollowing, emaciation, and severe asymmetry.  My face is distorted and remains so today.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood test, Chest X-ray, Computerised tomogram head, Computerised tomogram neck, Dysarthria
Clinical narrative: Slurred speech, drooping left upper lip, feeling funny. One episode at @ 9:00 am, second episode @ 3:00 pm on the same day. Treatments at ER: Plavix, IV fluids
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram, Electrocardiogram, Facial paralysis, Feeling abnormal, Magnetic resonance imaging
Clinical narrative: Slurred speech, drooping left upper lip, feeling funny. One episode at @ 9:00 am, second episode @ 3:00 pm on the same day. Treatments at ER: Plavix, IV fluids
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ultrasound scan
Clinical narrative: Slurred speech, drooping left upper lip, feeling funny. One episode at @ 9:00 am, second episode @ 3:00 pm on the same day. Treatments at ER: Plavix, IV fluids
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Atrial fibrillation, Feeling hot, Lymphadenopathy, Nausea
Clinical narrative: hotness, going to pass out, vomit, stomach issues, afib, swollen lymph nodes, naseau
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Vomiting
Clinical narrative: hotness, going to pass out, vomit, stomach issues, afib, swollen lymph nodes, naseau
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Electric shock, Mobility decreased, Pyrexia
Clinical narrative: Within 6 hours started to feel kind of crappy ;within 12 hours had a 101 fever ;with in 17 hours had a 104 fever. By 24 hours - the 36 hour mark I was fighting that fever. I could not move my arm. the fever finally did go away at the 36 hour mark and now I get these lightning bolt shocks through my joints..... 48 hours later... Now i got severe cold sweats
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect route of product administration
Clinical narrative: Vaccine was given Subcutaneously instead of Intramuscularly
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Haemorrhoids, Ultrasound scan, Varicose vein
Clinical narrative: vulvar varicosity and hemorrhoids
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Dysmenorrhoea, Heavy menstrual bleeding, Menstrual disorder
Clinical narrative: I am perimenopausal and have not had a period in almost 11 months. I started a light period on 4/22 in the morning with light cramping and it continued to be light all day. By 4pm I started to have painful abdominal cramps that became severe. I took about 8 doses of OTC naproxone between 5:30am-8pm but still experienced severe pain that kept me immobile from about 5pm to 9:30pm when I fell asleep. I woke up Friday 4/30 with continued light bleeding. At about 9am the bleeding became profuse for about 10 minutes soaking my pad and pants. Then it returned to light bleeding. This is not a typical period for me.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Hyperhidrosis, Hypopnoea, Respiratory rate increased
Clinical narrative: Within 5 minutes, patient was sweating, flushed, and stated that he was about to faint. Patient fainted and was unable to respond to verbal or motor commands. Patient had rapid, shallow breathing. Patient's hands/arms were twitching very slightly. Patient was moved onto the floor and rolled onto his side after he started to gag like he would vomit. Once on the floor, patient regained consciousness within 1-2 minutes and was able to sit up after another 5 minutes. Paramedics arrived and examined him. He left under his own power.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Retching, Syncope, Unresponsive to stimuli
Clinical narrative: Within 5 minutes, patient was sweating, flushed, and stated that he was about to faint. Patient fainted and was unable to respond to verbal or motor commands. Patient had rapid, shallow breathing. Patient's hands/arms were twitching very slightly. Patient was moved onto the floor and rolled onto his side after he started to gag like he would vomit. Once on the floor, patient regained consciousness within 1-2 minutes and was able to sit up after another 5 minutes. Paramedics arrived and examined him. He left under his own power.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Muscular weakness, Nausea
Clinical narrative: AFTER RECEIVING FIRST DOSE MODERNA, PATIENT REPORTS FEELING DIZZY AND JULD SHORTNESS OF BREATH, , PT HAS ALLERGIES TO TO GENERAL ANASTHESIA, BENADRYL AND SEASONAL ALLERGIES  UPON AMBULATION PATIENT REPORTS FEELING NAUSEOUS, DIZZY, WEAKNESS OF BILATERAL LEGS.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: bodyaches fever chills
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Back pain, Computerised tomogram thorax abnormal, Pain, Pain in extremity
Clinical narrative: My left leg started hurting from my foot all the way up to the top of my thy was swollen painful.. the morning of 4/21/21
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pulmonary thrombosis, Thrombosis, Ultrasound scan abnormal
Clinical narrative: My left leg started hurting from my foot all the way up to the top of my thy was swollen painful.. the morning of 4/21/21
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Menstruation delayed, Mood swings, Pain, Pain in extremity
Clinical narrative: Sore arm, body aches, headache. Delayed menstruated cycle, mood swings (feel related to hormonal changes)
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache
Clinical narrative: Headache, fatigue
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Pruritus
Clinical narrative: Pt called to report reaction post covid vaccination. Pt experienced increasing rash 7in + at vaccine site and itching. Pt contacted Dr and was prescribed medication including a steroid at her local pharmacy for the reaction.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Chest discomfort, Head injury, Loss of consciousness, Partial seizures
Clinical narrative: PT appear to have a Focal Seizure and syncope ensue. PT hit his head but no abrasion. Pt awake and alert. Reported feeling tightness in chest and anxious before passing out. Rescue Team contacted ; PT refuse transfer. Vitals in all normal range; BP:120/70 HR:98 Spo2: 97-98. Pt monitor longer in oberservation by Nurse and Rescue Team REFUSE Transport vitals taken before leaving site. Vitals before leaving site: BP:122/77 HR:90 Spo2 97-99.Pt was able to be ambulatory and leave site
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope, Vital signs measurement
Clinical narrative: PT appear to have a Focal Seizure and syncope ensue. PT hit his head but no abrasion. Pt awake and alert. Reported feeling tightness in chest and anxious before passing out. Rescue Team contacted ; PT refuse transfer. Vitals in all normal range; BP:120/70 HR:98 Spo2: 97-98. Pt monitor longer in oberservation by Nurse and Rescue Team REFUSE Transport vitals taken before leaving site. Vitals before leaving site: BP:122/77 HR:90 Spo2 97-99.Pt was able to be ambulatory and leave site
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Electrocardiogram, Eye movement disorder, Hyperhidrosis, Pallor
Clinical narrative: Patient fainted post-vaccination.  Observed patient beginning to lean forward and RN was able to prevent her from falling.  Patient's eyes observed to roll upward while patient became unresponsive to stimuli and diaphoretic. No incontinence.  EMS called while patient assisted simultaneously to gurney by multiple staff.  Upon lying down, patient awoke and become alert and oriented to person, place, time, and situation, though stayed pale and diaphoretic for several minutes.   VS @ 12:55: BP 120/80, P 59, SAO2 99%, resp unlabored. VS @ 13:00:  BP 138/83, P 62, R 20, SAO2 99% VS @ 13:04:  BP 123/73, P 54, SAO2 99% VS @ 13:10: BP 100/69, P 78, SAO2 98%  Sitting at edge of bed without symptoms at 13:05, alert and conversing with staff and mother. EMS arrived at 13:07 - their monitor showed NSR, random blood sugar = 93. Ate a snack and drank juice, symptoms completely resolved.  Mother declined transport to ED. Discharged home with mother with post-vaccination instructions, will receive 2nd dose while lying down.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Patient fainted post-vaccination.  Observed patient beginning to lean forward and RN was able to prevent her from falling.  Patient's eyes observed to roll upward while patient became unresponsive to stimuli and diaphoretic. No incontinence.  EMS called while patient assisted simultaneously to gurney by multiple staff.  Upon lying down, patient awoke and become alert and oriented to person, place, time, and situation, though stayed pale and diaphoretic for several minutes.   VS @ 12:55: BP 120/80, P 59, SAO2 99%, resp unlabored. VS @ 13:00:  BP 138/83, P 62, R 20, SAO2 99% VS @ 13:04:  BP 123/73, P 54, SAO2 99% VS @ 13:10: BP 100/69, P 78, SAO2 98%  Sitting at edge of bed without symptoms at 13:05, alert and conversing with staff and mother. EMS arrived at 13:07 - their monitor showed NSR, random blood sugar = 93. Ate a snack and drank juice, symptoms completely resolved.  Mother declined transport to ED. Discharged home with mother with post-vaccination instructions, will receive 2nd dose while lying down.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Loss of consciousness, Pallor, Presyncope, Skin warm
Clinical narrative: 'Pt rec'd vaccine lying down on cot. pt stayed 3 min lying down talking to vaccinator. Pt Sat up on cot for  2 more min, gave water for hydration Pt Alert and orientated. Pt stated "I did better than I thought I would."  moved to recovery chair. Pt AAO after sitting another minute stated" I think I need to lie down. " 5:35pm  pt started to have syncoble  episode. + LOC - SOB. Several people came to pt side.  Caught pt to help to floor. pt regained consciousness after 10 sec,  with verbal and sternal rub. Mother at side stated" this happens every time he gets a shot. "  Pt immediately became pale, diaphoretic, warm and alert.  Ice packs to back and front of neck. Elevated feet on chair. Medical MD responded. stated Vasovagal episode occurred.  VS taken  5:37 pm 102/60, HR 48 weak, thready, resp 12 reg non labored SpO2 97%. After 15 min sat pt up on floor. Check head for any bumps. denied hitting head and denied any pain.  No further episide of syncoble.2nd set VS taken 114/72, HR 78 reg, strong, resps 12 reg non labored. SpO2 97%.  Paleness and diaphoresis subsided. pt stated I feel back to normal . Suggested to go to hospital to be checked out. Pt refused hospital. stated this happens all the time.   Ok'd to exit after 30 min.