chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Pain in extremity, Paraesthesia
Clinical narrative: Flu-like symptoms for 2 days, Arm and leg pain and tingling for 1 day
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Tongue pruritus, Vaccine positive rechallenge
Clinical narrative: Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Itching/tingling in facial area. The same happened during first dose.-Mild, Additional Details: Post vaccine, patient experienced itching in facial area/tongue. No difficulty breathing. Diphenhydramine 25 mg x1 given with patient's consent. She was observed for approximately 45 minutes post-vaccine, and was walked to her car after. She feels comfortable to drive home, as she lives 10 minutes away and was feeling better. She was counseled and given instructions for appropriate measures (911) if necessary.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiovascular evaluation, Central nervous system lesion, Cerebral microinfarction, Cerebral thrombosis, Cerebrovascular accident
Clinical narrative: 34 YO male patient with no past medical history presents with sudden stroke-like symptoms including right sided arm and leg weakness, numbness, slurred speech and facial droop.  Symptoms lasted for roughly 45 minutes.  Suspected CVA.  MRI done in hospital was found to be consistent with microinfarcts in the left hemisphere of the brain, mostly along the cortical ribbon with a single lesion in the left parasagittal/lateral pons.  Full neuro and cardio workup is currently being done. ECHO w/ bubble study was weakly positive and plans are for TEE today.  Otherwise, no exact cause identified and few risk factors. Found out that the patent was taking no medications prior and had no past medical history and was otherwise a 34 YO healthy male, who received their first dose of Moderna COVID-19 vaccine on 4/22.  3 days later the patient had this event.  The timing of everything makes me report this as the potential is there that this is a  vaccine ADE and plausible reason for this thrombotic event.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Dysarthria, Echocardiogram abnormal, Facial paralysis, Hemiparesis, Hypoaesthesia
Clinical narrative: 34 YO male patient with no past medical history presents with sudden stroke-like symptoms including right sided arm and leg weakness, numbness, slurred speech and facial droop.  Symptoms lasted for roughly 45 minutes.  Suspected CVA.  MRI done in hospital was found to be consistent with microinfarcts in the left hemisphere of the brain, mostly along the cortical ribbon with a single lesion in the left parasagittal/lateral pons.  Full neuro and cardio workup is currently being done. ECHO w/ bubble study was weakly positive and plans are for TEE today.  Otherwise, no exact cause identified and few risk factors. Found out that the patent was taking no medications prior and had no past medical history and was otherwise a 34 YO healthy male, who received their first dose of Moderna COVID-19 vaccine on 4/22.  3 days later the patient had this event.  The timing of everything makes me report this as the potential is there that this is a  vaccine ADE and plausible reason for this thrombotic event.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head abnormal, Neurological examination, Neurological symptom, Vaccination complication
Clinical narrative: 34 YO male patient with no past medical history presents with sudden stroke-like symptoms including right sided arm and leg weakness, numbness, slurred speech and facial droop.  Symptoms lasted for roughly 45 minutes.  Suspected CVA.  MRI done in hospital was found to be consistent with microinfarcts in the left hemisphere of the brain, mostly along the cortical ribbon with a single lesion in the left parasagittal/lateral pons.  Full neuro and cardio workup is currently being done. ECHO w/ bubble study was weakly positive and plans are for TEE today.  Otherwise, no exact cause identified and few risk factors. Found out that the patent was taking no medications prior and had no past medical history and was otherwise a 34 YO healthy male, who received their first dose of Moderna COVID-19 vaccine on 4/22.  3 days later the patient had this event.  The timing of everything makes me report this as the potential is there that this is a  vaccine ADE and plausible reason for this thrombotic event.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Chills, fever, headache, pulse over 100, aches, fatigue.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Blood culture positive, COVID-19, Cerebral venous sinus thrombosis, Computerised tomogram head abnormal
Clinical narrative: Bilateral dural sinus  and jugular vein thromboses.   Has viridans streptococcal bacteremia.  Thrombosis may be infected.  Patient also tested positive for SARS-CoV2 4/23/2021.  Being treated with antibiotics, Eliquis.  Not thrombocytopenic.  HIT studies pending.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram thorax, Heparin-induced thrombocytopenia test, Jugular vein thrombosis, SARS-CoV-2 test positive, Streptococcal bacteraemia
Clinical narrative: Bilateral dural sinus  and jugular vein thromboses.   Has viridans streptococcal bacteremia.  Thrombosis may be infected.  Patient also tested positive for SARS-CoV2 4/23/2021.  Being treated with antibiotics, Eliquis.  Not thrombocytopenic.  HIT studies pending.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Venogram abnormal
Clinical narrative: Bilateral dural sinus  and jugular vein thromboses.   Has viridans streptococcal bacteremia.  Thrombosis may be infected.  Patient also tested positive for SARS-CoV2 4/23/2021.  Being treated with antibiotics, Eliquis.  Not thrombocytopenic.  HIT studies pending.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: in april 2021 i suddenly  came down with pain in legs and arms went to urgent care  the symptons are that of polymyaliga  and now on prednisone
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Client received Janssen vaccine after already completing 2 dose Moderna series
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Disturbance in attention, Dizziness, Dyspnoea, Ear pain, Headache
Clinical narrative: Left arm rash within minutes of receiving vaccine.  Then resolved. Headache, dizziness, difficulty concentrating, difficulty focusing vision, right ear pain-intermittent. Shortness of breath-improved with albuterol inhaler. History of asthma.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Vision blurred
Clinical narrative: Left arm rash within minutes of receiving vaccine.  Then resolved. Headache, dizziness, difficulty concentrating, difficulty focusing vision, right ear pain-intermittent. Shortness of breath-improved with albuterol inhaler. History of asthma.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure decreased, Dyspnoea, Injection site pain, Myalgia, Pyrexia
Clinical narrative: Blood pressure dropped from around 135/80 to 116/66 for several hours Tuesday afternoon. Today it is back to where it has been. Last night I woke at 2am with a 101.8 fever. (I'm normally 107.8) Today soreness at site of injection, Muscle aches, Slight fever, and shortness of breath.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site rash, Rash pruritic
Clinical narrative: Itchy rash at injection site
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Hyperhidrosis, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Mild
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abnormal, Fibrin D dimer increased, Pulmonary embolism
Clinical narrative: Bilateral PE, currently hospitalized, day 5 of inpatient status
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash macular
Clinical narrative: RED SPOTS ON THE LEGS BELOW THE KNEE
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Incorrect dose administered, Interchange of vaccine products
Clinical narrative: Patient received second dose of pfizer at facility unit on 4/27/2021. It was found that day a card in the patient's bag that she has received the moderna vaccine also from her PCP. Her 1st dose of Moderna was 3/17/1 1st dose pfizer 4/6/21, 2nd dose moderna 3/17/21 and 2nd dose pfizer 4/27/21. She is not exhibiting any adverse reactions at this time.
Age: 1.08
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient was still in clinic to get a lab draw after the vaccinations. Patients reaction was noted approximately 5 minutes after the vaccination. The patients mother voiced concern about the a possible reaction and the lab tech went and got the nurse. The patient was taken back to a room for further observation. Patient's left thigh had some moderate swelling and erythema. Patient was given Benadryl and examined for 15 minutes.  Patient was examined by a provider and no further reactions observed and patient was released.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Pruritus
Clinical narrative: Approximately 10 minutes after receiving Pfizer COVID vaccine pt c/o itching of face and arm at injection site. Pt was medicated with Benadryl 50 mg po and taken to ED stat. Pt was registered and report given to ED triage nurse, Note: Patient was in vaccine clinic getting 1st pfizer vaccine. Patient states that 10 minutes after vaccine, face and injection site began itching. No facial/tongue/lip swelling. No hives. Denies shortness of breath. Speaking in clear complete sentences. Managing secretions. AxOx4. Pt had first dose of Covid vaccine at 1210 and developed itching at injection site and face. Pt given benadryl by staff at vaccine clinic and itching resolved. No throat or tongue swelling.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Injection site swelling, Rash pruritic
Clinical narrative: Itchy rash about 3 inches in diameter at injection site and swelling, only appeared one week post shot.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: The vaccine was given a week too soon. Their first dose was 4-1-2021 so their second dose should have been given later.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Malaise, Taste disorder, Vomiting
Clinical narrative: Client was very petite and approximately 5' 1" tall.  Client stated that immediately after receiving vaccine (Covid--19 Pfizer) she had a strange taste in her mouth.  When she got to the observation tent, client was feeling sick to stomach.  Nurse escorted her to bathroom where she started vomiting.  Client given water.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lymph node pain, Lymphadenopathy
Clinical narrative: Headache Swollen, tender lymph node under left armpit
Age: 1.58
Sex: M
Vaccine: DTAPIPV, MMRV, PNC13
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received the Kinrix Vaccine prior to his fourth birthday.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Back pain, Pain, Swelling
Clinical narrative: Left upper back shooting pain and swelling.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site swelling, Lymphadenopathy
Clinical narrative: Left upper back shooting pain and swelling.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Electroencephalogram abnormal, Petit mal epilepsy, Pupil fixed, Pupillary light reflex tests abnormal
Clinical narrative: Eyes fixed and does not react, it happens frequently.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain, Pain in extremity, Pyrexia
Clinical narrative: Fever of 101, chills, body aches, tired, arm pain.  Fever last for about 10 hours,  felt better by early morning on April 28th.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Error: Second Vaccine given on 21st Day rather than on 28th Day. No adverse event
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient received 0.3ml of Moderna vaccine rather than 0.5ml. Kept patient in observation for over 30 minutes. Spoke with patient about error however, does not recommend revaccinating since patient got over half the dose. No signs or symptoms observed.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: patient presented to urgent care reporting intermittent hives, rash, and itching on lower back and arms since vaccination. Using hydrocortisone cream and fexofenadine that temporarily improve symptoms. Patient denies respiratory and neurologic symptoms. Vital signs all within normal ranges. Patient advised to use oral diphenhydramine and manage at home.
Age: 17.0
Sex: M
Vaccine: UNK
Symptoms: Syncope
Clinical narrative: patient fainted. called EMS. Patient alert until paramedics came.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Nausea, Pain, Vomiting
Clinical narrative: Nausea, vomiting, lethargy, body aches
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Secretion discharge, Seizure, Throat irritation, Tremor
Clinical narrative: Patient arrived to check in for appointment with his wife. Patient does not speak English so his wife translated and shared that the patient wasn't feeling well due to allergies to the pollen and wasn't sure if he could take the shot. I checked the patient's temperature and it was 98.7F. I asked the patient what his symptoms were. Patient reported mucus draining causing irritation to the back of his throat. I recommended OTC nasal spray for the post-nasal drip. I asked if patient had any history of allergic reaction to any vaccine, fainting, or history of seizures and patient denied. I stated patient was in the clear to take the shot if he was comfortable. Patient said okay. Pharmacist administered the shot and patient and his wife were seating in our waiting area to wait 20 min. After 10 min, patient's wife screams that her husband is not feeling well. Pharmacist rushes to the patient and sees his body shaking in the seat and asks a customer to lay him on the ground. Customer calls 911. Seizing lasted less than a minute. I approach the scene and immediately lay the patient to his side. Patient is conscious and breathing. Patient denied chest paint, headache, or tingling sensation in hands and feet. Patient vitals were checked. Paramedics arrive and did a full check up and everything was within normal limits. Patient openly reported he had not eaten all day and has history of fainting after shot due to anxiety of needles. Paramedics encouraged patient to seek medical attention, but patient denied. Patient was given water and a banana and went home.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Upper-airway cough syndrome
Clinical narrative: Patient arrived to check in for appointment with his wife. Patient does not speak English so his wife translated and shared that the patient wasn't feeling well due to allergies to the pollen and wasn't sure if he could take the shot. I checked the patient's temperature and it was 98.7F. I asked the patient what his symptoms were. Patient reported mucus draining causing irritation to the back of his throat. I recommended OTC nasal spray for the post-nasal drip. I asked if patient had any history of allergic reaction to any vaccine, fainting, or history of seizures and patient denied. I stated patient was in the clear to take the shot if he was comfortable. Patient said okay. Pharmacist administered the shot and patient and his wife were seating in our waiting area to wait 20 min. After 10 min, patient's wife screams that her husband is not feeling well. Pharmacist rushes to the patient and sees his body shaking in the seat and asks a customer to lay him on the ground. Customer calls 911. Seizing lasted less than a minute. I approach the scene and immediately lay the patient to his side. Patient is conscious and breathing. Patient denied chest paint, headache, or tingling sensation in hands and feet. Patient vitals were checked. Paramedics arrive and did a full check up and everything was within normal limits. Patient openly reported he had not eaten all day and has history of fainting after shot due to anxiety of needles. Paramedics encouraged patient to seek medical attention, but patient denied. Patient was given water and a banana and went home.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Injection site reaction, Lip swelling, Rash erythematous, Rash pruritic
Clinical narrative: 4 to 5 days after receiving vaccine, she noticed rash under left arm extending to deltoid area to elbow, itchy red. Used cortisone cream to help with itch. next morning she noticed her left lip was swollen, numbness on left upper lip and swollen face. Only lasted for around 24 hours. Notified Dr and hasn't heard much from them. Was advised to speak with Dr in regards to it and getting approval for 2nd dose. She feels better today and never seeked care for this.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: 4 to 5 days after receiving vaccine, she noticed rash under left arm extending to deltoid area to elbow, itchy red. Used cortisone cream to help with itch. next morning she noticed her left lip was swollen, numbness on left upper lip and swollen face. Only lasted for around 24 hours. Notified Dr and hasn't heard much from them. Was advised to speak with Dr in regards to it and getting approval for 2nd dose. She feels better today and never seeked care for this.
Age: 92.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient received a 3rd COVID vaccine in error on 3/24/21. Patient received this 3rd vaccine at an extended-care facility. No adverse events have been noted.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth, Vaccine positive rechallenge
Clinical narrative: Large red patch on arm at injection site. About 3x6 in size. Flat not raised. Warm to touch.  Mild itch. Resolved after 3 days.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Pharyngeal swelling
Clinical narrative: Patient reported lightheadedness, minor throat swelling, "foggy" feeling. Reported some dizziness. Advised patient to lay down and monitored them. Offered snacks and drinks. Patient reported feeling better after an hour and left on own will with no symptoms.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Drug withdrawal syndrome, Fatigue, Headache, Nausea, Pyrexia
Clinical narrative: Fatigue, fever, nausea, headache. Fatigue started about 4 hours after shot. Got out of bed the next morning with a 100.4 fever and nausea. Headache may have been due to caffeine withdrawal (no coffee due to nausea). Symptoms lasted the entire day. Woke up feeling fine on the 25th (headache went away after a cup of coffee!!).
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Chest discomfort, Erythema, Flushing, Malaise
Clinical narrative: AFTER ABOUT 15, 20 MINUTES FROM RECEIVING THE VACCINE, i STARTED HAVING A HEAVY FEELING IN MY CHEST, THE HEART AREA. AT THE SAME TIME I WAS FLUSHED, MY FACE BECAME QUITE RED AND i WASN'T FEELING GOOD. i KNEW SOMETHING WASN'T RIGHT AND BECAUSE OF MY EART PROBLEMS, i ASKED THE NURSE TO TAKE MY BP. SHE DID. iT WAS ELEVATED, BUT i DON'T REMEMBER THE VALUES ANYMORE. MY PULSE WAS 40. the NURSE WAS WORRIED AND TOOK THE MEASURES AGAIN, NO CHANGE. tHEY KEPT US WAITING FOR 40 MINUTES. IN TIME I STARTED FEEING BETTER AND i WAS ALLOWED TO GO HOME. mY HUSBAND WAS WITH ME, SO i DIDN'T HAVE TO DRIVE THE 35 MILES HOME, WHICH WAS GOOD. at HOME i FELT ok, BUT THE NEXT DAY MY RIGHT ARM WAS VERY SORE.THAT LASTED A COUPLE OF DAYS. WHEN WE WENT BACK TO THE I TAKE THE SECOND SHOT? WHAT ABOUT ANY BOOSTER SHOTS? CAN I TAKE THAT? CAN I SWITCH TO ANOTHER VACCINE, MODERNA? I'M NOT COMFORTABLE WITH THE J&J VACCINE  I HAVE TRIED TO FIND ANSWERS TO MY QUESTIONS ONLINE, BUT APPARENTLY MY REACTION TO PFIZER IS NOT A COMMON ONE AS I COULDN'T FIND ANY INFORMATION RELATED TO THAT.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: AFTER ABOUT 15, 20 MINUTES FROM RECEIVING THE VACCINE, i STARTED HAVING A HEAVY FEELING IN MY CHEST, THE HEART AREA. AT THE SAME TIME I WAS FLUSHED, MY FACE BECAME QUITE RED AND i WASN'T FEELING GOOD. i KNEW SOMETHING WASN'T RIGHT AND BECAUSE OF MY EART PROBLEMS, i ASKED THE NURSE TO TAKE MY BP. SHE DID. iT WAS ELEVATED, BUT i DON'T REMEMBER THE VALUES ANYMORE. MY PULSE WAS 40. the NURSE WAS WORRIED AND TOOK THE MEASURES AGAIN, NO CHANGE. tHEY KEPT US WAITING FOR 40 MINUTES. IN TIME I STARTED FEEING BETTER AND i WAS ALLOWED TO GO HOME. mY HUSBAND WAS WITH ME, SO i DIDN'T HAVE TO DRIVE THE 35 MILES HOME, WHICH WAS GOOD. at HOME i FELT ok, BUT THE NEXT DAY MY RIGHT ARM WAS VERY SORE.THAT LASTED A COUPLE OF DAYS. WHEN WE WENT BACK TO THE I TAKE THE SECOND SHOT? WHAT ABOUT ANY BOOSTER SHOTS? CAN I TAKE THAT? CAN I SWITCH TO ANOTHER VACCINE, MODERNA? I'M NOT COMFORTABLE WITH THE J&J VACCINE  I HAVE TRIED TO FIND ANSWERS TO MY QUESTIONS ONLINE, BUT APPARENTLY MY REACTION TO PFIZER IS NOT A COMMON ONE AS I COULDN'T FIND ANY INFORMATION RELATED TO THAT.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Death, Dyspnoea, SARS-CoV-2 test
Clinical narrative: The decedent was found in her bedroom by her daughter. Medical history only includes previous blood clots. Decedent has been complaining of coughing and shortness of breath the past few days. There is no history of drug use. The decedent had a foam cone when found.
Age: 39.0
Sex: F
Vaccine: UNK
Symptoms: Arthralgia, Fatigue, Headache, Lymphadenopathy, Nausea
Clinical narrative: Fever, pain all over body, headache for 5 days, fatigue for 5 days, nausea, join pain, sleep disturbance, lymph notes swelling in the throat
Age: 39.0
Sex: F
Vaccine: UNK
Symptoms: Pain, Pyrexia, Sleep disorder
Clinical narrative: Fever, pain all over body, headache for 5 days, fatigue for 5 days, nausea, join pain, sleep disturbance, lymph notes swelling in the throat
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Extra dose administered, Interchange of vaccine products, Throat tightness
Clinical narrative: Pt did not voice she received Vaccine (Janssen) in county jail (04/08/21) prior to  coming to Prison.  pt was asked if she had a vaciine within the past 14 days and she denied. Pt received Mondera vaccine @ 1222 and a few minutes after voiced tightness in her throat @1228, at this time the pt inmate voiced she received the Janssen injction.  Pt. was administered epinephrine 0.3mg IM as ordered by unit MD, approx. 30 seconds after injection pt. voiced issue had resolved - pt was sent to local ER via 911 call/ ambulance.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Pallor, Presyncope
Clinical narrative: Pt received Pfizer COVID vaccine, was walking with father next to her, felt faint, and father eased her to the floor, no head or body injury. Positive pallor and diaphoresis noted, legs elevated and pt color improved with pt now alert and oriented. Assisted to upright position, onto stretcher, given 1 small bottle water po, BP: 108/68, HR: 87, RR: 16 nonlabored, SaO2: 100% on RA. Pt currently has menses. 1023: drank 1 apple juice, feeling better. 1038: BP: 94/53, HR: 64, RR: 16 nonlabored, Sa02: 100% on RA. Sat upright on stretcher, legs dangling. 1044: BP 91/58, HR: 70, RR: 16 nonlabored, SaO2: 100% on RA, feeling well, drank 2 apple juice cups, standing up. 1049: standing up BP: 84/46, HR: 62, RR: 16 nonlabored, SaO2: 100% on RA. 1100: Pt feeling well, no c/o, escorted to front door of hospital, father at side. Pt aware to drink fluids today and especially during menses. Pt is also a dancer and practices every day. Discussed hydration needs prior to discharge from vaccine clinic. Pt aware to discuss vasovagal response from this injection at next visit so pt can lay down.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: PATIENT RECEIVED A PFIZER COVID-19 VACCINE THAT WAS LEFT OUTSIDE OVER NIGHT PASSED THE 6 HOURS EXPIRATION DATE.  NO ADVERSE EFFECTS REPORTED
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Activated partial thromboplastin time, Chest X-ray, Computerised tomogram thorax, Deep vein thrombosis, Dyspnoea
Clinical narrative: Pt awoke on 02/28/2021 with increased lower extremity edema went to Urgent care had CXR and was told to increase Lasix to 40 mg daily for 4 days. Swelling became worse over next 2 days and patient became short of breath and on 03/02/2021 she went to Hospital and had a CT scan of chest which showed a pulmonary embolus  and  a bilateral lower extremity ultrasound which showed a right femoral DVT and popliteal occlusive thrombus and a posterior tibial and peroneal vein occlusive thrombus. She was started on Lovenox  and admitted to the hospital . she was discharged on 03/05/2021 and had a right femoral thrombectomy as an outpatient on 03/ 08 2021 with complete resolution . She was discharged home on Lovenox and later switched to Eliqus. She is home and doing well at time ofreport.
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: International normalised ratio, Laboratory test, Oedema peripheral, Prothrombin time, Pulmonary embolism
Clinical narrative: Pt awoke on 02/28/2021 with increased lower extremity edema went to Urgent care had CXR and was told to increase Lasix to 40 mg daily for 4 days. Swelling became worse over next 2 days and patient became short of breath and on 03/02/2021 she went to Hospital and had a CT scan of chest which showed a pulmonary embolus  and  a bilateral lower extremity ultrasound which showed a right femoral DVT and popliteal occlusive thrombus and a posterior tibial and peroneal vein occlusive thrombus. She was started on Lovenox  and admitted to the hospital . she was discharged on 03/05/2021 and had a right femoral thrombectomy as an outpatient on 03/ 08 2021 with complete resolution . She was discharged home on Lovenox and later switched to Eliqus. She is home and doing well at time ofreport.
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Swelling, Thrombectomy, Thrombosis, Ultrasound scan
Clinical narrative: Pt awoke on 02/28/2021 with increased lower extremity edema went to Urgent care had CXR and was told to increase Lasix to 40 mg daily for 4 days. Swelling became worse over next 2 days and patient became short of breath and on 03/02/2021 she went to Hospital and had a CT scan of chest which showed a pulmonary embolus  and  a bilateral lower extremity ultrasound which showed a right femoral DVT and popliteal occlusive thrombus and a posterior tibial and peroneal vein occlusive thrombus. She was started on Lovenox  and admitted to the hospital . she was discharged on 03/05/2021 and had a right femoral thrombectomy as an outpatient on 03/ 08 2021 with complete resolution . She was discharged home on Lovenox and later switched to Eliqus. She is home and doing well at time ofreport.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Neuralgia, Pain, Pyrexia
Clinical narrative: Fever, chills...body aches...nerve pains all  after 8 or 830pm monday ...and all day tuesday....
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: HIVES ALL OVER HER BODY
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: headache started 1 hour after shot   persistent x 8 days  no history headaches
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Muscular weakness, Pain, Pain in extremity
Clinical narrative: - Pain in palm of left hand immediately after receiving the injection - Left shoulder/trap pain starting a few hours after injection that continued throughout the night. Couldn?t sleep on left side.  Full pain by left shoulder blade too. Symptoms lasted for about a day or two.  - On eighth day after the injection I noticed stinging pain in the palm of my left hand, and also pain in my left elbow going down to center of my palm, pinky finger, and ring finger.  Fingers/hand felt weak like I couldn?t grasp anything.  Elbow felt like I hit my ?funny bone? with shooting pain down by forearm.  Upper shoulder felt okay.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site irritation
Clinical narrative: Bright red, firm irritated area on right arm around injection site. Approximately 2 x 2 1/2?.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Malaise
Clinical narrative: Pt received first dose of Covid-19 vaccine 03/26/2021. Pt returned 4/28/21 to get second Covid shot.  Approximately 10 minutes later pt states not feeling well, feeling dizzy. RPH took blood pressure using automatic blood pressure machine. After erroring out, got a reading of 80/58, pulse 45. Pt was given a soda at her request as she stated thought her blood sugar might be low. Went to repeat bp monitor approximately 5 minutes later with error (erratic reading). 911 was called.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Activated partial thromboplastin time shortened, Blood creatine phosphokinase MB increased, Blood creatine phosphokinase increased, Blood glucose normal, Blood pH decreased
Clinical narrative: Death due to cardiac arrest on 4/26/2021
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac arrest, Death, Fibrin D dimer increased, International normalised ratio normal, Platelet count normal
Clinical narrative: Death due to cardiac arrest on 4/26/2021
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test negative, Troponin increased
Clinical narrative: Death due to cardiac arrest on 4/26/2021
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient received 0.3ml of Moderna vaccine rather than 0.5ml. Kept patient in observation for over 30 minutes. Spoke with patient about error however, does not recommend revaccinating since patient got over half the dose. No signs or symptoms observed.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site induration, Pain in extremity, Rhinorrhoea
Clinical narrative: Debilitating fatigue for 6 days, which occurred beginning at a progressively later hour of the day each day. Runny nose for one week. Sore arm with hardness at the injection site that resolved after two weeks.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Hallucination, auditory, Pain, Sleep disorder
Clinical narrative: Started with chill, then body ache all over.   At night I experienced audio hallucinations.  On the second night after the vaccine,  I heard my dad calling my name and woke me up from my sleep.   It happened twice that night.  Then the following night,  I heard my daughter calling for me and woke me up from my sleep.  I went back to sleep, then I hear my dad called for me again.  On Sunday night,  it happen again.  This time, my sister calling for me.  Every time it's loud and clear.  It stop after that Sunday night.  I didn't take any treatment.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Off label use
Clinical narrative: Not an adverse effect. Patient received 2nd dose of Moderna off-label per new CDC Guidance, after getting the first one as a medication error on 1/23/2021. Patient suffered no ill effects after vaccination.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous
Clinical narrative: About 30 minutes after vaccination, patient went to rest room and noticed a large red patch on her right anterior thigh.  This became a few red bumps and disappeared within 1.5 hour.  No sob, swelling or airway symptoms were noted.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Feeling hot
Clinical narrative: Patient received Moderna COVID vaccine on 04/28/2021 at 1350 on left deltoid At 1355 patient started feeling lightheaded and passing out. Assisted patient to a room, he lay on exam table  and elevated his legs. At 1400 BP 115/56, HR 61, C/O feeling hot and lightheaded. Legs are elevated and patient closed his eyes At 1405 BP 114/60, HR 67, He reports feeling better but still weak At 1410 Patient sit up and drank some water At 1415 Patient reports feeling back to baseline Recommended patient to follow up with his PCP and Urgent if feel unstable
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma
Clinical narrative: Patient stated she had an asthma attack after she got home from her vaccination. She used a rescue inhaler and the symptoms subsided. Her doctor advised for her to receive the second dose.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Blood pressure increased, Dizziness, Fatigue, Headache
Clinical narrative: dizziness, headache, fevering for five days, sudden hits of fatigue, nausea, stomach upset, vertigo, blood pressure rise, buzzing under skin
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Paraesthesia, Pyrexia, Vertigo
Clinical narrative: dizziness, headache, fevering for five days, sudden hits of fatigue, nausea, stomach upset, vertigo, blood pressure rise, buzzing under skin
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Rash erythematous, Rash pruritic, Skin warm
Clinical narrative: Has a bright red rash on arm where injection was administered. Rash is warm to the touch and itches
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Unknown
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: Patient woke up with swelling of face. Able to resolve mostly with benadryl
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoglycaemia
Clinical narrative: Patient admitted for episodes of hypoglycemia. likely unrelated to vaccine in january
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Pharyngeal paraesthesia, Speech disorder
Clinical narrative: At approximately 1:30 on 4/28/2021, my throat started tingling on the left and right near my glands, and I had trouble speaking. I took three benedryl and then went to the ER at 2pm.  They gave me a steroid in the ER, and also a prescription for prednisone. I returned home at 6pm
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Coronary angioplasty, Coronary artery occlusion, Coronary artery thrombosis, ECG signs of myocardial infarction, Ejection fraction decreased
Clinical narrative: A 40 year old man with no apparent risk factors for current disease presents with an anterior myocardial infarction. At acute in far related angioplasty is LAD is found to be completely included by fresh red clot that was removed using an instruction catheter. Imaging of the interior endothelial surface of the left anterior descending which was occluded by clot did not reveal any ruptured plaque or abnormality in the endothelium. He experience extensive anterior myocardial infarction and now has a left ventricular ejection fraction between 35 and 40%. This was an and usual presentation in a young man who appears to be fit with no family history of cardiac disease. A non-smoker. Normal lipid profile. The nature the invite itself was unusual in that no abnormality of the vessel that was occluded by fresh thrombus could be detected
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Lipids normal, Myocardial infarction, Thrombectomy
Clinical narrative: A 40 year old man with no apparent risk factors for current disease presents with an anterior myocardial infarction. At acute in far related angioplasty is LAD is found to be completely included by fresh red clot that was removed using an instruction catheter. Imaging of the interior endothelial surface of the left anterior descending which was occluded by clot did not reveal any ruptured plaque or abnormality in the endothelium. He experience extensive anterior myocardial infarction and now has a left ventricular ejection fraction between 35 and 40%. This was an and usual presentation in a young man who appears to be fit with no family history of cardiac disease. A non-smoker. Normal lipid profile. The nature the invite itself was unusual in that no abnormality of the vessel that was occluded by fresh thrombus could be detected
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: tingling and numbness to left hand
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Movement disorder, Pain in extremity
Clinical narrative: Patient had pain in left leg and couldn't move
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Off label use, Product administered to patient of inappropriate age
Clinical narrative: No adverse event. Patient was given Dose #2 of Moderna off-label  before the 18th birthday after the 1st was inadvertently given underage.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: No adverse event, but patient and his wife tested positive for COVID19 after full vaccination. Asymptomatic.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swollen lymph node, left side, less than 1 cm, above collarbone
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pyrexia, Rhinorrhoea
Clinical narrative: Debilitating fatigue for 4 days, which occurred beginning at a progressively later hour of the day each day. Runny nose for one week. Low-grade fever 100.1 that lasted for several days.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Urticaria
Clinical narrative: Patient developed redness/hives all over body and face. States this usually occurs when he eats certain foods and/or is stressed. States his breathing/airways are fine. Checked lips and tongue, which were normal and not swollen.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: tinnitis in both ears, still ongoing after 2 weeks
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Fatigue, Heavy menstrual bleeding, Polymenorrhoea
Clinical narrative: Menstrual cycle started 2 weeks early with severe cramping, heavy flow, and overwhelming fatigue (compared to standard cycle)
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram head, Muscle spasms, Slow speech, Tremor
Clinical narrative: A few days after shot 4/27/21- went to ER hospital, with leg, body spasms, could barely talk, shaking uncontrollable - just awful never saw anything like it before.  They did blood test and cat scan of head and couldn't find anything so referred her to neurologist -- waiting to get appt.  We forgot to tell them that she had 2nd cover shot on the 22.  Didn't even think of that then.  They would not admit her.  I had to take her home shaking but they did give her some divan at hospital which helped some.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Loss of consciousness, Pallor, Skin warm, Tremor
Clinical narrative: After the vaccination, the patient was asked to wait at the Waiting Area for at least a few minutes. He was with his father that time and they were seated at the Waiting Area. After a few minutes, the father saw the patient looking somewhat pale and he asked if he is doing okay and he seemed to become unconscious for a brief moment then he started shaking for a few seconds. While this happened, pharmacy called 911 and attended to the patient. His color came back after maybe 5 to 10 minutes, but still had sweats on his forehead. His palms were warm the whole time, no clamminess. 911 came and they attended to the patient and took him.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain in extremity, Pyrexia
Clinical narrative: Sore arm right away after the shot.  Chills started approx. 24hrs later, fever of 102 degrees F
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain, Pyrexia
Clinical narrative: Fever +100 degrees, tiredness, achy
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Swollen lymph node in neck on the same  side of the injection.   After first vaccine the reaction occurred about a week later and took about two weeks for the swelling to decrease. After the second vaccine, the swelling occurred under 24 hours later. The nodule is swollen and painful.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swollen lymph node, rear left side of neck. Sore grape size raised lump on lymph node. Lasted 7 days before subsiding
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash on arms, legs and torso
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Erythema, Peripheral swelling, Pruritus
Clinical narrative: My hands began to swell, turned red, itched, and felt a burning sensation, and it hurt but then it went away. I don?t know what happened.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Discomfort, Injection site pain, Insomnia
Clinical narrative: Dull pain in injection shoulder two weeks after injection. Major discomfort. Unable to sleep comfortably. Advil doesn?t help. Ice has helped some.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Heavy menstrual bleeding, Ultrasound scan normal
Clinical narrative: That evening after I got my first Pfizer shot I experienced many blood clots in my menstrual bleeding. One was larger than a golf ball. They continued for two days and there were hundreds. It was very alarming I made an appointment to see my doctor I went the next day and had an ultrasound done they had seen no reason or cause for all the blood clots and she told me it was from the vaccine.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient provided with Moderna vaccine as 2nd dose after Pfizer vaccine was given for 1st dose
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Cold sweat, Fear of injection, Hyperhidrosis, Loss of consciousness
Clinical narrative: Patient had known fear of needles and despite mitigation strategies, once he knew the vaccine was administered, he began to feel weak and look pale. He lost consciousness twice but only for a few seconds and then he "came to." I helped along with the mother to lay him down to prevent injury. Patient was alert, breathing, and responding, but still appeared pale, "clamy" shaky and sweaty.  Code was followed with store management responding, ambulance arrived to take care of patient within minutes.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Pallor, Tremor
Clinical narrative: Patient had known fear of needles and despite mitigation strategies, once he knew the vaccine was administered, he began to feel weak and look pale. He lost consciousness twice but only for a few seconds and then he "came to." I helped along with the mother to lay him down to prevent injury. Patient was alert, breathing, and responding, but still appeared pale, "clamy" shaky and sweaty.  Code was followed with store management responding, ambulance arrived to take care of patient within minutes.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain
Clinical narrative: Significant fatigue, headache and body aches
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Nausea
Clinical narrative: patient had some nausea, headache after receiving 2nd shot.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein increased, Chest X-ray normal, Chest discomfort, Chest pain, Electrocardiogram normal
Clinical narrative: Chest pain and tightness sensation in chest reported with breathing
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test normal, Red blood cell sedimentation rate increased
Clinical narrative: Chest pain and tightness sensation in chest reported with breathing
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: On 4/27/21, client was brought to vaccine site by case manager, who stated that he is homeless and currently at an inpatient psychiatric facility awaiting placement and needed a COVID vaccine in order to get housing. Case manager assisted client fill out Vaccination Screening Form with client signing it. After reviewing answers to questions with client (client denied having been vaccinated previously), Moderna vaccine was administered at 14:45. Client was monitored for the required 15 minute observation, with no adverse effects and stated "I feel fine." Two hours later, after the close of the vaccine clinic, documentation of the vaccine discovered that a previous COVID vaccine dose had been documented on 2/03/21. Th
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: On 4/27/21, client was brought to vaccine site by case manager, who stated that he is homeless and currently at an inpatient psychiatric facility awaiting placement and needed a COVID vaccine in order to get housing. Case manager assisted client fill out Vaccination Screening Form with client signing it. After reviewing answers to questions with client (client denied having been vaccinated previously), Moderna vaccine was administered at 14:45. Client was monitored for the required 15 minute observation, with no adverse effects and stated "I feel fine." Two hours later, after the close of the vaccine clinic, documentation of the vaccine discovered that a previous COVID vaccine dose had been documented on 2/03/21. Th
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Body aches, high fever (102.7)
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Pt had first Pfizer vaccine on 4/10, 2nd dose give on 4/26/2021
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse event; medication error. Moderna was inadvertently administered off-label to a youth before the 18th birthday.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Swollen tongue, Throat tightness
Clinical narrative: Closed throat, swollen tongue, cough
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Pain in extremity, Pyrexia, Sinus pain
Clinical narrative: At first my left hand started hurting quickly after the shot.  Within about 10 minutes I felt pretty lightheaded but sometimes my blood pressure does drop randomly.  I was able to rest and eat before driving home.   Within a few hours I felt a burning pain in my sinuses, then fatigue and fever.  I felt exhausted/feverish for about two days but mildly improved over the last few days.   I still feel bad but not as bad as initially.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: "COVID arm" Large red, itchy swollen area around injection site one week later
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test abnormal, Diarrhoea, Hepatic enzyme increased
Clinical narrative: Extreme diarrhea which lasted over two weeks. Finally settled down with significant doses of imodium. Also significantly elevated liver enzymes.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Chills, Cough, Fatigue, Headache
Clinical narrative: Fever, chills, fatigue, cough developed, headache,  from 4/12/2021 through current day
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza virus test negative, Pyrexia, SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: Fever, chills, fatigue, cough developed, headache,  from 4/12/2021 through current day
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram head normal, Eye pain, Headache
Clinical narrative: Sharp paint localized behind the right eye; headache localized on the right side of the head. Pain would start approx 11 am and would sustain a pain level of 8 out of 10 within 30min - 1hr of first sign of symptoms. Administer of  painkillers to treat symptoms. Over the counter - Excedrin, Motrin Symptoms dulled after approx 3 hrs but remained persistent daily for the following week. Over the counter medication taken as needed to alleviate pain.