chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Upper respiratory tract congestion, Vomiting
Clinical narrative: Got the injection On Friday. Saturday around lunch I took a shower and both my upper arms and across my upper back was a bad rash that itched and burned. An hour later, the rash faded away. Saturday I woke up sick with my hear hurting a stuffy nose that has gradually increased my symptoms and here it is a month later and I'm still sick.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Nurse assigned to give second dose Moderna vaccine identified that the first dose was inadvertently given and age requirement was not met. No  adverse reactions or events noted. Parents with child, notified of age discrepancy. Parents informed to refer to pediatrician and return for second dose in one month when child turns 18.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Patient came to a first dose Pfizer Vaccine Clinic on May 7, 2021 and was given his first dose of the two dose series. On the consent form, it was noted that the patient has not received a vaccine in the past 2 weeks and has never received a COVID vaccine. Upon processing his vaccination, an insurance rejection showed that the patient has received the Janssen vaccine on April 8, 2021. When contacting the patient, he initially denied receiving the Janssen vaccine, but called back after to say that he has received this vaccine on April 8. Patient is currently not experiencing any side effects or allergic reactions but is concerned on if he should receive his second Pfizer vaccine dose.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Balance disorder, Cheilitis, Hypoaesthesia, Myalgia
Clinical narrative: nausea, VERY SEVERE Muscle -nerve pain in feet, legs, hips, hands along with numbness, and severe weakness and balance problems--pain unbearable.  Am now getting Oxygam infusions.  Also have had continual sores in mouth and on lips.   I am not over this yet, but pain has gotten some better.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Neuralgia, Stomatitis
Clinical narrative: nausea, VERY SEVERE Muscle -nerve pain in feet, legs, hips, hands along with numbness, and severe weakness and balance problems--pain unbearable.  Am now getting Oxygam infusions.  Also have had continual sores in mouth and on lips.   I am not over this yet, but pain has gotten some better.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Father wrote DOB, one date, on vaccine consent form. Patient actual DOB is another date. Patient received vaccine at 11 years old when it is only indicated for 12 years old and up. No adverse reactions happened to patient.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: generalizied non pruritic hives on B/L UE, TRUNK, CHEST, BACK, and LEGS that started the day after the vaccine. He reports he never had any SOB, difficulty breathing, or feeling like his throat was closing. Denied any other s/sx of allergic reaction other than the hives.  He also reports the hives are not itchy.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Cough, Diarrhoea, Fatigue, Headache
Clinical narrative: Fatigue and headache initially followed by nasal congestion and sore throat, dry cough. However, loose stools about 6 times a day have occurred since the second dose of Moderna on 3/31/2021. She has not been able to form a solid firm stool ever since (more than 6 weeks later). Energy levels have also been low ever since.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nasal congestion, Oropharyngeal pain
Clinical narrative: Fatigue and headache initially followed by nasal congestion and sore throat, dry cough. However, loose stools about 6 times a day have occurred since the second dose of Moderna on 3/31/2021. She has not been able to form a solid firm stool ever since (more than 6 weeks later). Energy levels have also been low ever since.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Patient experienced numbness and tingling in both hands and fingers for approximately 2 hours
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Dyskinesia, Extrasystoles, Fatigue, Headache
Clinical narrative: The day following vaccination, I felt oxygen deprived and nauseous. After going to bed at 12 am, I awoke at 1:30 with hammer like pains in the right thigh, right head, and bottom of right foot. Later I awoke again at 5:30 am with a seizure like jerk. The next day I had stinging pain in my right side and the bottom of the right foot.  My heart raced and skipped beats and felt like it was flopping.  The oxygen deprived feeling  continued for 5 days. The hammer like pains subsided. I continued to feel nauseous and exhausted for 2 weeks after vaccination. The third week I was just very tired. It was such an terrible experience, I didn?t think I would live through it.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test normal, Nausea, Oxygen saturation decreased, Pain in extremity, Tachyphrenia
Clinical narrative: The day following vaccination, I felt oxygen deprived and nauseous. After going to bed at 12 am, I awoke at 1:30 with hammer like pains in the right thigh, right head, and bottom of right foot. Later I awoke again at 5:30 am with a seizure like jerk. The next day I had stinging pain in my right side and the bottom of the right foot.  My heart raced and skipped beats and felt like it was flopping.  The oxygen deprived feeling  continued for 5 days. The hammer like pains subsided. I continued to feel nauseous and exhausted for 2 weeks after vaccination. The third week I was just very tired. It was such an terrible experience, I didn?t think I would live through it.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Fatigue, Headache, Pyrexia
Clinical narrative: Headache the day of after several hours, Fever Chills Stomachache Fatigue after going to sleep.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Head injury, Illness, Syncope, Vomiting
Clinical narrative: Non-stop vomiting, fainting, I fell out of my bathtub and hit my head. The sickest I have ever been in my life. I thought I was dying. I would have never taken this dangerous life-threatening vaccine knowing this.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cold sweat, Facial pain, Flushing, Lip swelling, Paraesthesia
Clinical narrative: 17 days post vaccination as the first step in prep for a colonoscopy I experienced a reaction to the laxative Miralax, a 17 gram dose. First sneezing, the a flushed feeling accompanied by tingling and itching in hands and feet, the swelling of the lips, nose and tongue. The flushed feeling turned into a cold sweat and shaking.  These symptoms started within 20-25 minutes from ingesting the Miralax and lasted for about an hour and 30 minutes before they began to subside. The puffiness and some pain continued in my face until after midnight, the Miralax was taken approximately 5:45pm I cannot say for certain whether I have ever taken Miralax before, I think so as prep for another colonoscopy over 10 years ago but not certain on that. I am reporting this per my doctor's request.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pruritus, Sneezing, Swelling, Swelling face, Swollen tongue
Clinical narrative: 17 days post vaccination as the first step in prep for a colonoscopy I experienced a reaction to the laxative Miralax, a 17 gram dose. First sneezing, the a flushed feeling accompanied by tingling and itching in hands and feet, the swelling of the lips, nose and tongue. The flushed feeling turned into a cold sweat and shaking.  These symptoms started within 20-25 minutes from ingesting the Miralax and lasted for about an hour and 30 minutes before they began to subside. The puffiness and some pain continued in my face until after midnight, the Miralax was taken approximately 5:45pm I cannot say for certain whether I have ever taken Miralax before, I think so as prep for another colonoscopy over 10 years ago but not certain on that. I am reporting this per my doctor's request.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Tremor
Clinical narrative: 17 days post vaccination as the first step in prep for a colonoscopy I experienced a reaction to the laxative Miralax, a 17 gram dose. First sneezing, the a flushed feeling accompanied by tingling and itching in hands and feet, the swelling of the lips, nose and tongue. The flushed feeling turned into a cold sweat and shaking.  These symptoms started within 20-25 minutes from ingesting the Miralax and lasted for about an hour and 30 minutes before they began to subside. The puffiness and some pain continued in my face until after midnight, the Miralax was taken approximately 5:45pm I cannot say for certain whether I have ever taken Miralax before, I think so as prep for another colonoscopy over 10 years ago but not certain on that. I am reporting this per my doctor's request.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chemotherapy, Dysmenorrhoea, Heavy menstrual bleeding, Menstrual disorder
Clinical narrative: I have been on chemo since April 2015 and Double Chemo since April 2017 and am currently still on treatment.  In the years I have been on chemo and I also have an IUD in my uterus (because you can't get pregnant on chemo) I have not had a menstrual cycle in almost 6 years.  After getting my second Moderna shot I had a full blown period/menstrual cycle for 2 whole days (48 hours).  Got the Moderna shot Friday morning and then the menstrual cycle started less than 12 hours later and lasted for two days. There was cramping, heavy flow, bright red blood like how they use to be before chemo.  My Oncologist and My OB/GYN  encouraged me to report this side effect of the Moderna to the CDC
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Menstruation irregular, Oligomenorrhoea
Clinical narrative: After my 2nd shot my menstral cycle was very irregular. I have continued to bleed or spot for over 20 days
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Feeling cold, Headache, Nausea, Pain in extremity
Clinical narrative: Very cold, threw up, naseau, diarrhea, headache, sore arm but not as bad today as first two days
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Very cold, threw up, naseau, diarrhea, headache, sore arm but not as bad today as first two days
Age: 64.0
Sex: F
Vaccine: UNK
Symptoms: Bone pain, Chills, Fatigue, Hyperhidrosis, Myalgia
Clinical narrative: Rash on face, arms and stomach. Severe bone and muscle ache and tiredness. I didn?t get very much sleep Saturday night at all. Also, A a 102 fever,  Sweating and chills.
Age: 64.0
Sex: F
Vaccine: UNK
Symptoms: Pyrexia, Rash, Sleep disorder
Clinical narrative: Rash on face, arms and stomach. Severe bone and muscle ache and tiredness. I didn?t get very much sleep Saturday night at all. Also, A a 102 fever,  Sweating and chills.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Dizziness, Electrocardiogram, Eructation, Pruritus
Clinical narrative: As directed by allergist DR at hospital I premedicated myself with 50 mgs of Benadryl, 8 mg zofran and 20 mg of zyrtec an hour before vaccine.   I provided clearance letter to nurse who was doing registration and will administer the  vaccine  , I explained  prior reaction and escalation to ED due to adverse reaction on 4/24/21. Nurse went to medical section and nurse practitioner who treated me after first reaction was there.  We went over plan and in case of any reaction to raise my hand. Pfizer vaccine was administered at 12:13 pm.  I sat down and at 12:14 pm started burping,. Vomiting, itchiness, lightheaded and chest pressure. nurse practitioner took me to medical section and after 4-5 minutes symptoms were worsening he escalated and contacted EMS for transport to ED to be observed and receive medication.  At arrival to ED I provided premedication plan , allergist information and prior adverse reaction to first Pfizer vaccine.  Attending ED connected DR at hospital. I  was tested with IV, zofran, pepsic and Benadryl 25 mgs. Two  EKG were preformed and I was under observation for 5 hours and then discharged home. Instruction from attending physician at ED and DR at hospital after discharge take Benadryl every 6 hours, zofran 4 mgs every 4-6 hours as needed and zyrtec in the morning and at night.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: As directed by allergist DR at hospital I premedicated myself with 50 mgs of Benadryl, 8 mg zofran and 20 mg of zyrtec an hour before vaccine.   I provided clearance letter to nurse who was doing registration and will administer the  vaccine  , I explained  prior reaction and escalation to ED due to adverse reaction on 4/24/21. Nurse went to medical section and nurse practitioner who treated me after first reaction was there.  We went over plan and in case of any reaction to raise my hand. Pfizer vaccine was administered at 12:13 pm.  I sat down and at 12:14 pm started burping,. Vomiting, itchiness, lightheaded and chest pressure. nurse practitioner took me to medical section and after 4-5 minutes symptoms were worsening he escalated and contacted EMS for transport to ED to be observed and receive medication.  At arrival to ED I provided premedication plan , allergist information and prior adverse reaction to first Pfizer vaccine.  Attending ED connected DR at hospital. I  was tested with IV, zofran, pepsic and Benadryl 25 mgs. Two  EKG were preformed and I was under observation for 5 hours and then discharged home. Instruction from attending physician at ED and DR at hospital after discharge take Benadryl every 6 hours, zofran 4 mgs every 4-6 hours as needed and zyrtec in the morning and at night.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Eructation, Laboratory test normal, Retching, Tryptase
Clinical narrative: As directed by allergist DR at hospital I premedicated myself with 50 mgs of Benadryl, 8 mg zofran and 20 mg of zyrtec an hour before vaccine.   I provided clearance letter to nurse who was doing registration and will administer the  vaccine  , I explained  prior reaction and escalation to ED due to adverse reaction on 4/24/21. Nurse went to medical section and nurse practitioner who treated me after first reaction was there.  We went over plan and in case of any reaction to raise my hand. Pfizer vaccine was administered at 12:13 pm.  I sat down and at 12:14 pm started burping,. Vomiting, itchiness, lightheaded and chest pressure. nurse practitioner took me to medical section and after 4-5 minutes symptoms were worsening he escalated and contacted EMS for transport to ED to be observed and receive medication.  At arrival to ED I provided premedication plan , allergist information and prior adverse reaction to first Pfizer vaccine.  Attending ED connected DR at hospital. I  was tested with IV, zofran, pepsic and Benadryl 25 mgs. Two  EKG were preformed and I was under observation for 5 hours and then discharged home. Instruction from attending physician at ED and DR at hospital after discharge take Benadryl every 6 hours, zofran 4 mgs every 4-6 hours as needed and zyrtec in the morning and at night.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Computerised tomogram, Echocardiogram
Clinical narrative: Severe chest pain, echocardiogram
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Tremor
Clinical narrative: Pt states she had shakes and body aches after the immunization
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Rash pruritic
Clinical narrative: Red, bumpy, itchy rash in area of shot.   Size of a half dollar.
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Headache, Myalgia, Pyrexia
Clinical narrative: Fever, muscle pain, headache, shivering, fatigue
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head normal, Echocardiogram normal, Fatigue, Headache, Hemiparesis
Clinical narrative: 4/3/2021 - severe headache, nausea, and vomiting. I experienced fatigue in subsequent weeks.  4/6/2021 - virtual nurse visit. Lab work. Low vitamin D identified. 4/13/2021 - 11;30 PM - numbness on right side 4/14/2021 - 12:00 PM - numbness on right side (arm, face, tongue, toes), weakness - right leg. Called nurse triage and was advised to go to emergency room. Was admitted as a stroke alert. CT, MRI, echocardio - all negative. Diagnosed with parasthesia. Medical records indicate I had a TIA. Discharged on 4/16/2021. 5/05/2021 - Hospital follow up visit with neurologist. Prescribed baby aspirin for TIA and additional lab work to rule out blood disorder.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Laboratory test, Magnetic resonance imaging head normal, Nausea
Clinical narrative: 4/3/2021 - severe headache, nausea, and vomiting. I experienced fatigue in subsequent weeks.  4/6/2021 - virtual nurse visit. Lab work. Low vitamin D identified. 4/13/2021 - 11;30 PM - numbness on right side 4/14/2021 - 12:00 PM - numbness on right side (arm, face, tongue, toes), weakness - right leg. Called nurse triage and was advised to go to emergency room. Was admitted as a stroke alert. CT, MRI, echocardio - all negative. Diagnosed with parasthesia. Medical records indicate I had a TIA. Discharged on 4/16/2021. 5/05/2021 - Hospital follow up visit with neurologist. Prescribed baby aspirin for TIA and additional lab work to rule out blood disorder.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, SARS-CoV-2 test negative, Scan with contrast normal, Transient ischaemic attack, Vitamin D decreased
Clinical narrative: 4/3/2021 - severe headache, nausea, and vomiting. I experienced fatigue in subsequent weeks.  4/6/2021 - virtual nurse visit. Lab work. Low vitamin D identified. 4/13/2021 - 11;30 PM - numbness on right side 4/14/2021 - 12:00 PM - numbness on right side (arm, face, tongue, toes), weakness - right leg. Called nurse triage and was advised to go to emergency room. Was admitted as a stroke alert. CT, MRI, echocardio - all negative. Diagnosed with parasthesia. Medical records indicate I had a TIA. Discharged on 4/16/2021. 5/05/2021 - Hospital follow up visit with neurologist. Prescribed baby aspirin for TIA and additional lab work to rule out blood disorder.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: 4/3/2021 - severe headache, nausea, and vomiting. I experienced fatigue in subsequent weeks.  4/6/2021 - virtual nurse visit. Lab work. Low vitamin D identified. 4/13/2021 - 11;30 PM - numbness on right side 4/14/2021 - 12:00 PM - numbness on right side (arm, face, tongue, toes), weakness - right leg. Called nurse triage and was advised to go to emergency room. Was admitted as a stroke alert. CT, MRI, echocardio - all negative. Diagnosed with parasthesia. Medical records indicate I had a TIA. Discharged on 4/16/2021. 5/05/2021 - Hospital follow up visit with neurologist. Prescribed baby aspirin for TIA and additional lab work to rule out blood disorder.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Gait disturbance, Vision blurred
Clinical narrative: Approximately 5 minutes after receiving vaccination, patient reportedly became dizzy and stumbled into a floor display in the waiting area. Mother, who was with patient, states there was no loss of consciousness. Patient then sat in chair and after a few minutes stated symptoms began to resolve. Patient stated having a brief period of fuzzy vision. No signs of an allergic reaction were noted. Patient stayed in waiting area for approximately 1/2 and during that time stated symptoms had completed resolved. Patient then left the store.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Therapeutic response unexpected
Clinical narrative: My mild-moderate hearing loss has IMPROVED! The tinnitus has changed timbre and does not overpower regular sound as much.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Pt had fever of 100.6 and body aches
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: pt experienced headache 3 minutes post vaccine. patient was given ice pack and had sit for 30 minutes, left feeling better
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Hyperhidrosis, Inflammation, Myalgia
Clinical narrative: Severe (to the point of debilitation) joint pain, muscle aches and myalgia since vaccination day- ongoing today though slightly less severe.  Am able to moderate pain and inflammation with 800mg Ibuprofen every 5-6 hours for temporary relief, but still seems to come back if I?m not regularly eating pain meds (which is something I don?t normally do/like to do).  I also had a fever over 100 degrees for the first three days accompanied by chills and dramatic sweating events (hair wet like a shower, clothes completely soaked through to the point of being wrung out, bed linens and pillowcase also soaked to the point of removal).  Fourth day the fever broke, but again- the joint pain is still very prevalent and troubling.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Severe (to the point of debilitation) joint pain, muscle aches and myalgia since vaccination day- ongoing today though slightly less severe.  Am able to moderate pain and inflammation with 800mg Ibuprofen every 5-6 hours for temporary relief, but still seems to come back if I?m not regularly eating pain meds (which is something I don?t normally do/like to do).  I also had a fever over 100 degrees for the first three days accompanied by chills and dramatic sweating events (hair wet like a shower, clothes completely soaked through to the point of being wrung out, bed linens and pillowcase also soaked to the point of removal).  Fourth day the fever broke, but again- the joint pain is still very prevalent and troubling.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Nausea, Tinnitus, Vomiting
Clinical narrative: Worsening of tinnitus (went from mild to severe).   Aware of increase in severity at the beginning of April.  Sound is constant and loud enough to be distracting.  At times I believe it interferes with understanding other sounds around me.  At times it increases in intensity and then tapers back to the steady constant.  I do fall asleep at night but I am aware of the sound right as I fall asleep and first thing when I wake up.  At times the wake up sound is slightly less intense.  First vaccine:  had no reaction, no fever or nor mild symptoms of any kind.  Second dose:  started with severe headache about 16 hours after receiving vaccine; severe nausea and vomiting.  All symptoms subsided within 36 hours.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site reaction, Mobility decreased, Peripheral swelling, Rash erythematous
Clinical narrative: Severe right shoulder pain started in the evening, couldn't lift arm well for two days. Arm swelled from shoulder to elbow. One week after dose, itchy red rash began on right shoulder and stayed for two days. Ice and Tylenol helped with swelling.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: Severe right shoulder pain started in the evening, couldn't lift arm well for two days. Arm swelled from shoulder to elbow. One week after dose, itchy red rash began on right shoulder and stayed for two days. Ice and Tylenol helped with swelling.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Steroid therapy, Tinnitus
Clinical narrative: Tinnitus. Steroidal treatment. Ongoing
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Headache, Mobility decreased
Clinical narrative: severe arm pain and stiffness and difficulty moving arm which lasted four days. At time of completing this form (Sunday) still experiencing arm pain with plans to call family doctor on Monday if not any better. headache, chills, muscle pain, diarrhea, nausea 24 hours. Tiredness for two days.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Nausea, Pain, Pain in extremity
Clinical narrative: severe arm pain and stiffness and difficulty moving arm which lasted four days. At time of completing this form (Sunday) still experiencing arm pain with plans to call family doctor on Monday if not any better. headache, chills, muscle pain, diarrhea, nausea 24 hours. Tiredness for two days.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Blood glucose increased, Blood potassium normal, Blood sodium decreased, Brain natriuretic peptide increased
Clinical narrative: 4/30/21 Patient presents to the ED w/complaint of SOB x 2 days. He had rales on exam and RA pulse ox was 88-90%. Troponin was elevated and EKG showed lateral ST-T wave changes. Pt was admitted for COVID and NSTEMI. NSTEMI Hx of CAD sp CABG Presented with dyspnea, Trop of 382, trended up to 859, now trending down CXR with findings of pulmonary edema Started on lovenox, aspirin, coreg, statin Cardiology consulted TTE showed  EF 50 %, normal diastolic dysfunction, moderate AV stenosis S/P Cardiac cath 5/3 with severe disease of SVG to Diag with successful PCI Continue aspirin, plavix, statin, coreg Follow up with cardiac rehab once he has completed quarantine 10 days after 4/29   Pulmonary Edema Acute HFpEF CXR with findings of mild/early bilateral pulmonary edema.  NT ProBNP of 3081 Started on IV lasix and improved Lasix stopped 5/3 due to improvement in symptoms and worsening Na TTE as above Monitor intake and output   COVID 19 infection Symptoms of exertional SOB of 2 days Diagnosed on 4/29 Has received two doses of Pfizer Vaccine, last dose 1 month ago per patient CXR Low lung volume examination with findings suggestive of mild/early bilateral pulmonary edema.  Was on 2L oxygen, now on RA after diuresis Doubt symptoms are due to COVID-19 and suspect more likely cardiac in origin given rapid improvement of oxygen status with dose of lasix Inflammatory markers also not elevated held off on decadron and remdesivir due to patient not requiring oxygen Complete 10 days of quarantine  Patient was discharged home on 5/5/21
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Catheterisation cardiac, Chest X-ray abnormal, Diastolic dysfunction, Dyspnoea
Clinical narrative: 4/30/21 Patient presents to the ED w/complaint of SOB x 2 days. He had rales on exam and RA pulse ox was 88-90%. Troponin was elevated and EKG showed lateral ST-T wave changes. Pt was admitted for COVID and NSTEMI. NSTEMI Hx of CAD sp CABG Presented with dyspnea, Trop of 382, trended up to 859, now trending down CXR with findings of pulmonary edema Started on lovenox, aspirin, coreg, statin Cardiology consulted TTE showed  EF 50 %, normal diastolic dysfunction, moderate AV stenosis S/P Cardiac cath 5/3 with severe disease of SVG to Diag with successful PCI Continue aspirin, plavix, statin, coreg Follow up with cardiac rehab once he has completed quarantine 10 days after 4/29   Pulmonary Edema Acute HFpEF CXR with findings of mild/early bilateral pulmonary edema.  NT ProBNP of 3081 Started on IV lasix and improved Lasix stopped 5/3 due to improvement in symptoms and worsening Na TTE as above Monitor intake and output   COVID 19 infection Symptoms of exertional SOB of 2 days Diagnosed on 4/29 Has received two doses of Pfizer Vaccine, last dose 1 month ago per patient CXR Low lung volume examination with findings suggestive of mild/early bilateral pulmonary edema.  Was on 2L oxygen, now on RA after diuresis Doubt symptoms are due to COVID-19 and suspect more likely cardiac in origin given rapid improvement of oxygen status with dose of lasix Inflammatory markers also not elevated held off on decadron and remdesivir due to patient not requiring oxygen Complete 10 days of quarantine  Patient was discharged home on 5/5/21
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Echocardiogram, Electrocardiogram ST-T change, Haematocrit decreased, Haemoglobin decreased
Clinical narrative: 4/30/21 Patient presents to the ED w/complaint of SOB x 2 days. He had rales on exam and RA pulse ox was 88-90%. Troponin was elevated and EKG showed lateral ST-T wave changes. Pt was admitted for COVID and NSTEMI. NSTEMI Hx of CAD sp CABG Presented with dyspnea, Trop of 382, trended up to 859, now trending down CXR with findings of pulmonary edema Started on lovenox, aspirin, coreg, statin Cardiology consulted TTE showed  EF 50 %, normal diastolic dysfunction, moderate AV stenosis S/P Cardiac cath 5/3 with severe disease of SVG to Diag with successful PCI Continue aspirin, plavix, statin, coreg Follow up with cardiac rehab once he has completed quarantine 10 days after 4/29   Pulmonary Edema Acute HFpEF CXR with findings of mild/early bilateral pulmonary edema.  NT ProBNP of 3081 Started on IV lasix and improved Lasix stopped 5/3 due to improvement in symptoms and worsening Na TTE as above Monitor intake and output   COVID 19 infection Symptoms of exertional SOB of 2 days Diagnosed on 4/29 Has received two doses of Pfizer Vaccine, last dose 1 month ago per patient CXR Low lung volume examination with findings suggestive of mild/early bilateral pulmonary edema.  Was on 2L oxygen, now on RA after diuresis Doubt symptoms are due to COVID-19 and suspect more likely cardiac in origin given rapid improvement of oxygen status with dose of lasix Inflammatory markers also not elevated held off on decadron and remdesivir due to patient not requiring oxygen Complete 10 days of quarantine  Patient was discharged home on 5/5/21
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Heart valve stenosis, Platelet count normal, Pulmonary oedema, Rales, SARS-CoV-2 test positive
Clinical narrative: 4/30/21 Patient presents to the ED w/complaint of SOB x 2 days. He had rales on exam and RA pulse ox was 88-90%. Troponin was elevated and EKG showed lateral ST-T wave changes. Pt was admitted for COVID and NSTEMI. NSTEMI Hx of CAD sp CABG Presented with dyspnea, Trop of 382, trended up to 859, now trending down CXR with findings of pulmonary edema Started on lovenox, aspirin, coreg, statin Cardiology consulted TTE showed  EF 50 %, normal diastolic dysfunction, moderate AV stenosis S/P Cardiac cath 5/3 with severe disease of SVG to Diag with successful PCI Continue aspirin, plavix, statin, coreg Follow up with cardiac rehab once he has completed quarantine 10 days after 4/29   Pulmonary Edema Acute HFpEF CXR with findings of mild/early bilateral pulmonary edema.  NT ProBNP of 3081 Started on IV lasix and improved Lasix stopped 5/3 due to improvement in symptoms and worsening Na TTE as above Monitor intake and output   COVID 19 infection Symptoms of exertional SOB of 2 days Diagnosed on 4/29 Has received two doses of Pfizer Vaccine, last dose 1 month ago per patient CXR Low lung volume examination with findings suggestive of mild/early bilateral pulmonary edema.  Was on 2L oxygen, now on RA after diuresis Doubt symptoms are due to COVID-19 and suspect more likely cardiac in origin given rapid improvement of oxygen status with dose of lasix Inflammatory markers also not elevated held off on decadron and remdesivir due to patient not requiring oxygen Complete 10 days of quarantine  Patient was discharged home on 5/5/21
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin I increased, Troponin increased, White blood cell count decreased
Clinical narrative: 4/30/21 Patient presents to the ED w/complaint of SOB x 2 days. He had rales on exam and RA pulse ox was 88-90%. Troponin was elevated and EKG showed lateral ST-T wave changes. Pt was admitted for COVID and NSTEMI. NSTEMI Hx of CAD sp CABG Presented with dyspnea, Trop of 382, trended up to 859, now trending down CXR with findings of pulmonary edema Started on lovenox, aspirin, coreg, statin Cardiology consulted TTE showed  EF 50 %, normal diastolic dysfunction, moderate AV stenosis S/P Cardiac cath 5/3 with severe disease of SVG to Diag with successful PCI Continue aspirin, plavix, statin, coreg Follow up with cardiac rehab once he has completed quarantine 10 days after 4/29   Pulmonary Edema Acute HFpEF CXR with findings of mild/early bilateral pulmonary edema.  NT ProBNP of 3081 Started on IV lasix and improved Lasix stopped 5/3 due to improvement in symptoms and worsening Na TTE as above Monitor intake and output   COVID 19 infection Symptoms of exertional SOB of 2 days Diagnosed on 4/29 Has received two doses of Pfizer Vaccine, last dose 1 month ago per patient CXR Low lung volume examination with findings suggestive of mild/early bilateral pulmonary edema.  Was on 2L oxygen, now on RA after diuresis Doubt symptoms are due to COVID-19 and suspect more likely cardiac in origin given rapid improvement of oxygen status with dose of lasix Inflammatory markers also not elevated held off on decadron and remdesivir due to patient not requiring oxygen Complete 10 days of quarantine  Patient was discharged home on 5/5/21
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: This dose is a second dose of Moderna vaccine administered to this patient  He is under the age of 18 and should have gotten Pfizer vaccine.  He got Moderna vaccine the first dose so we had to administer Moderna vaccine as a second dose.  He only  had mild flu symptoms with the first dose that lasted for 24 hours
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash erythematous, Rash pruritic
Clinical narrative: three hours after vaccination is given, red itchy patches appeared on elbows, knees, hands, and wrists, and scattered on the upper portion of the arm. Skin itched as well as neck and chest itching (no rash on neck or chest). Taken to ER and given IV benadryl. Benadryl solved the problem and I was able to leave the hospital within 2.5 hours.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Haemorrhage, Head injury, Hypoaesthesia, Paraesthesia
Clinical narrative: Patient received her first dose of the Pfizer COVID19 vaccine at approximately 12pm. Patient felt fine immediately after the vaccination and was instructed to sit and wait for 15 minutes. The immunizer, watched the patient sit down in a chair. A few minutes later the mother of that patient began screaming help, help. Patient had fainted, falling on the floor and hitting her head. I ran our to assist patient, I instructed my technicians to call 911. Patient was on the floor, shaking. I assisted her in rolling over. When she came to I helped her control her breathing and take deep breaths. I used I gauze pad to stop the bleeding on her head. I made sure she was lying flat on the floor. We gave her an ice pack to help with the numbness and tingling in her hands. The paramedics arrived and took patient to the hospital.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Tremor
Clinical narrative: Patient received her first dose of the Pfizer COVID19 vaccine at approximately 12pm. Patient felt fine immediately after the vaccination and was instructed to sit and wait for 15 minutes. The immunizer, watched the patient sit down in a chair. A few minutes later the mother of that patient began screaming help, help. Patient had fainted, falling on the floor and hitting her head. I ran our to assist patient, I instructed my technicians to call 911. Patient was on the floor, shaking. I assisted her in rolling over. When she came to I helped her control her breathing and take deep breaths. I used I gauze pad to stop the bleeding on her head. I made sure she was lying flat on the floor. We gave her an ice pack to help with the numbness and tingling in her hands. The paramedics arrived and took patient to the hospital.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: First day 37,7 max of fever, pain at injection site, tiredless and little headache. Second day injection site swelling and redness (round more than 10 cm of rush) and pain near lymph nodes under the same arm of vaccine injection site.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Pyrexia
Clinical narrative: First day 37,7 max of fever, pain at injection site, tiredless and little headache. Second day injection site swelling and redness (round more than 10 cm of rush) and pain near lymph nodes under the same arm of vaccine injection site.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: vertigo , still on going
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain
Clinical narrative: I feel very tired; my whole body is aching; little bit of a head ache as well. My nasal breath feels warm although I don't have a fever ( I checked my temperature. It is 98.5)
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever (101) during 12 hours.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Heart rate decreased, Swelling, Urticaria
Clinical narrative: Hives Both Arm and Upper Body - Moderate Swelling Decreased pulse left hand. Moderate Swelling with Erythema - Sent To ER for Evaluation and Doppler to evaluate for Blood Clot
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Chills, Diarrhoea, Fatigue, Feeling abnormal
Clinical narrative: Felt nauseous, hot flashes, chills, headache, muscle aches, fatigue, diarrhea, abdominal pain, brain fog and forgetfulness.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hot flush, Memory impairment, Myalgia, Nausea
Clinical narrative: Felt nauseous, hot flashes, chills, headache, muscle aches, fatigue, diarrhea, abdominal pain, brain fog and forgetfulness.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Nervousness, Pain in extremity, Pallor, Syncope
Clinical narrative: AFTER RETURNING TO WAITING AREA, PATIENT BEGAN TO FAINT.  IMMEDIATELY REGAINED CONSCIOUSNESS AND STAYED IN AREA.  PATIENT WAS VERY PALE AND HAD BRIEF NAUSEA.  BOTH HAD SUBSIDED WITHIN ABOUT 5 MINUTS.  PATIENT CONTINUED TO STAY IN THE AREA FOR 20-25 ADDITIONAL MINUTES AND SINCE HAS ONLY A SORE ARM.  PATIENT WAS VERY NERVOUS AND ARM WAS VERY TENSE UPON ADMINISTRATION.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Tension
Clinical narrative: AFTER RETURNING TO WAITING AREA, PATIENT BEGAN TO FAINT.  IMMEDIATELY REGAINED CONSCIOUSNESS AND STAYED IN AREA.  PATIENT WAS VERY PALE AND HAD BRIEF NAUSEA.  BOTH HAD SUBSIDED WITHIN ABOUT 5 MINUTS.  PATIENT CONTINUED TO STAY IN THE AREA FOR 20-25 ADDITIONAL MINUTES AND SINCE HAS ONLY A SORE ARM.  PATIENT WAS VERY NERVOUS AND ARM WAS VERY TENSE UPON ADMINISTRATION.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Place of injection site began to get really sore about 5/8/2021 and lasted until about 5/14/2021. I used ice and took Tylenol and/or ibuprofen. No swelling but the Tylenol and ibuprofen worked for the pain
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Throat tightness
Clinical narrative: Raised Blood pressure, Throat constriction
Sex: U
Vaccine: COVID19
Symptoms: Dizziness, Palpitations
Clinical narrative: On  05/15/2021  at around 4:30 pm I experienced  heart palpitations with light dizziness the heart palpitations lasted for about 4 hours. On 05/16/2021 I'm still experiencing the light headed and dizziness from the previous day.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Asthenia, Chills, Fatigue, Headache
Clinical narrative: Chills, fever up to 102 F, extreme sore right arm and extreme body aches all over, stiffness and neck stiffness, sleeplessness, nausea, fatigue and weakness, congestion, abdominal pain, severe headache. Lasted 36 hours approximately
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Musculoskeletal stiffness, Nausea, Pain, Pain in extremity
Clinical narrative: Chills, fever up to 102 F, extreme sore right arm and extreme body aches all over, stiffness and neck stiffness, sleeplessness, nausea, fatigue and weakness, congestion, abdominal pain, severe headache. Lasted 36 hours approximately
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion
Clinical narrative: Chills, fever up to 102 F, extreme sore right arm and extreme body aches all over, stiffness and neck stiffness, sleeplessness, nausea, fatigue and weakness, congestion, abdominal pain, severe headache. Lasted 36 hours approximately
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Syncope, Tremor
Clinical narrative: pt fainted after getting shot about 1 minute after.  Pt lost consciousness for about a minute then came back to while coughing and shaking.  Within a minute he was talking to us and was getting better.  An EPI pen was administered also and pt was fine within 30 minutes.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dysphagia, Throat tightness
Clinical narrative: Tightness in chest, tightness in throat, hard to swallow
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Palpitations
Clinical narrative: 1530 Heart racing and nausea with heaves no emesis BP 165/108 , HR 161, sats 98%, Resp 20.EKG 4 lead done. Reports Hx of anxiety denies any other medical Hx. 1532 BP 160/105, HR 136-159 , RESP 18, sats 98 denies chest pain. AAOx4. Family members are at his side.  1535 BP 165/103, HR 140, Resp 19, Sats 97%. Nausea relieved.remains on continuous monitoring denies SOB refused oxygen. 1547 Rescue arrives Client refused to be transported. family members present are in agreement with the client decision. BP 163/110,HR 132.Client educated on symptoms to call 911or go to ER. 1553Rescue Left Refused offer of W/C to car. 1600 signed AMA Waiver. Left ambulating accompanied by his family
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Inappropriate schedule of product administration, Pain in extremity, Physical examination
Clinical narrative: Sore arm and fatigue the first and second day. I was supposed to have gone to get my second injection on May 13, 2021 but have not gone since learning of my shingles outbreak on May 6,2021. Awaiting counsel on when I should attempt the second dose
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Facial paralysis, Hypoaesthesia
Clinical narrative: facial numbness/drooping, flare up of bell's palsy
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Hot flush, Hyperhidrosis
Clinical narrative: Began to feel very tired about 6 hours after vaccine, slept for one hour. Nausea began another hour after that along with chills and body aches. Continued throughout the night and low grade fever (max 100.0) started along with headache. Took regular strength Tylenol which helped with chills and body aches but then had hot flashes/sweats. Vomited on 5/16 about 4am. Headache and tiredness and nausea continued on 5/16. Took regular strength Tylenol again at 1pm 5/16. Still have headache.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia, Somnolence, Vomiting
Clinical narrative: Began to feel very tired about 6 hours after vaccine, slept for one hour. Nausea began another hour after that along with chills and body aches. Continued throughout the night and low grade fever (max 100.0) started along with headache. Took regular strength Tylenol which helped with chills and body aches but then had hot flashes/sweats. Vomited on 5/16 about 4am. Headache and tiredness and nausea continued on 5/16. Took regular strength Tylenol again at 1pm 5/16. Still have headache.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Hyperhidrosis, Malaise, Vaccine positive rechallenge
Clinical narrative: Sudden onset chills, lightheadedness, malaise, anxiety, and intense sweating roughly 2-3 minutes after injection, peaking around 6 minutes after injection and subsiding quickly afterwards.  Symptoms are in line with reported cases of hypertension immediately following injection. No treatment needed as symptoms subsided quickly, no tests performed.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Rash
Clinical narrative: A rash redness, begin to form yesterday on the corners of my mouth. I thought it was a burn due to citrus fruit. The rash has now spread, in one day, throughout my chin going up to my nose. It?s been treated with Benadryl and prednisone.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Chills, Injection site pain, Pain
Clinical narrative: Whole body chills and aches, sore armpits, soreness at the site of injection. Aches and chills last throughout the night, but then subsided after taking a dose of Tylenol at 6:30am.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Complication associated with device, SARS-CoV-2 test positive
Clinical narrative: hospitalized 5/12 because unable to dialyze in his unit
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Fatigue, Incorrect dose administered, Pain, Product preparation issue
Clinical narrative: pharmacist administered 0.25 "ml" of air because they forgot to draw up the dose. Patient was anxious about the error but otherwise did not have any adverse effects that were out of the ordinary (mild pain and tiredness)
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: pt went to urgent care due to Bells palsy 7 days post vaccine, they informed her to report to pharmacy so that we could report reaction to vaccine
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Throat tightness
Clinical narrative: Frontal Headache and Throat Tightness for 20 minutes.  Symptoms resolved after mom gave Benadryl 37.5mg orally.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: Nausea light headed
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Neck pain
Clinical narrative: Very stiff, sore neck a few hours after receiving shot.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Pain
Clinical narrative: Body aches Extreme back pain middle back to the point I could hardly move and it hurt to breath. Had to try to lay down the entire day which was painful. I took Tylenol but didn't seem to help much. I stayed hydrated and tried to move around as tolerated. Next day back still painful but little better to be able to move.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time normal, Anion gap decreased, Arachnoid cyst, Benign enlargement of the subarachnoid spaces, Blood calcium decreased
Clinical narrative: Patient presented to the ER and was subsequently admitted for evaluation of stroke like symptoms of left sided weakness and numbness that started the day after her second vaccination with Moderna Covid 19 .  She has associated headache and was admitted to evaluate for possible stroke or other neurologic event.  Her first injection was April 17.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Blood folate normal, Blood magnesium normal, Computerised tomogram abnormal, Computerised tomogram head, Eosinophil percentage decreased
Clinical narrative: Patient presented to the ER and was subsequently admitted for evaluation of stroke like symptoms of left sided weakness and numbness that started the day after her second vaccination with Moderna Covid 19 .  She has associated headache and was admitted to evaluate for possible stroke or other neurologic event.  Her first injection was April 17.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hemiparesis, Hypoaesthesia, Lymphocyte percentage decreased, Metabolic function test
Clinical narrative: Patient presented to the ER and was subsequently admitted for evaluation of stroke like symptoms of left sided weakness and numbness that started the day after her second vaccination with Moderna Covid 19 .  She has associated headache and was admitted to evaluate for possible stroke or other neurologic event.  Her first injection was April 17.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Neutrophil percentage increased, Pregnancy test negative, Prothrombin time normal, Toxicologic test normal, Vitamin B12 normal
Clinical narrative: Patient presented to the ER and was subsequently admitted for evaluation of stroke like symptoms of left sided weakness and numbness that started the day after her second vaccination with Moderna Covid 19 .  She has associated headache and was admitted to evaluate for possible stroke or other neurologic event.  Her first injection was April 17.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient dizzy stating he may pass out
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: The patient fainted after vaccine administration.    The patient was fine after about 30 minutes of sitting.