chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Diabetic ketoacidosis, Electrocardiogram normal, Glomerular filtration rate decreased, Headache, Heart rate increased
Clinical narrative: Shot given at 11AM by 6pm chills and shakes began, headache, fever coming on, sore arm, ache in body, nausea, puking, fever of 102, Advil taken at 10PM to help with fever, keytones present, elevated heart rate, insulin resistant, in the emergency room by 4:45AM, given 3 pages of fluids, including magnesium, heart rate as high at 156, chest x-ray and ekg taken. By 2:45pm, stabilized and released home, that night - night sweats, fever broke, and keytones finally released. Every side effected reported, I had after my second shot and it sent my diabetes spiraling into what appeared to be DKA, but luckily I was diligent and went to the ER and was able to get some help.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Human chorionic gonadotropin negative, Insulin resistance, Lipase normal, Nausea, Night sweats
Clinical narrative: Shot given at 11AM by 6pm chills and shakes began, headache, fever coming on, sore arm, ache in body, nausea, puking, fever of 102, Advil taken at 10PM to help with fever, keytones present, elevated heart rate, insulin resistant, in the emergency room by 4:45AM, given 3 pages of fluids, including magnesium, heart rate as high at 156, chest x-ray and ekg taken. By 2:45pm, stabilized and released home, that night - night sweats, fever broke, and keytones finally released. Every side effected reported, I had after my second shot and it sent my diabetes spiraling into what appeared to be DKA, but luckily I was diligent and went to the ER and was able to get some help.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Protein total decreased, Pyrexia, Tremor
Clinical narrative: Shot given at 11AM by 6pm chills and shakes began, headache, fever coming on, sore arm, ache in body, nausea, puking, fever of 102, Advil taken at 10PM to help with fever, keytones present, elevated heart rate, insulin resistant, in the emergency room by 4:45AM, given 3 pages of fluids, including magnesium, heart rate as high at 156, chest x-ray and ekg taken. By 2:45pm, stabilized and released home, that night - night sweats, fever broke, and keytones finally released. Every side effected reported, I had after my second shot and it sent my diabetes spiraling into what appeared to be DKA, but luckily I was diligent and went to the ER and was able to get some help.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Shot given at 11AM by 6pm chills and shakes began, headache, fever coming on, sore arm, ache in body, nausea, puking, fever of 102, Advil taken at 10PM to help with fever, keytones present, elevated heart rate, insulin resistant, in the emergency room by 4:45AM, given 3 pages of fluids, including magnesium, heart rate as high at 156, chest x-ray and ekg taken. By 2:45pm, stabilized and released home, that night - night sweats, fever broke, and keytones finally released. Every side effected reported, I had after my second shot and it sent my diabetes spiraling into what appeared to be DKA, but luckily I was diligent and went to the ER and was able to get some help.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Pt presented to the pharmacy on 4/28/21 with redness, warm to the touch, slight swelling at the injection site. The redness was about baseball sized in diameter around injection site. It had grown and gotten worse over 2-3 days but the swelling was going down after the 3rd day. Pt had applied compresses to the site and was advised they could take OTC tylenol to decrease pain. Was advised if it gets worse instead of better to seek treatment at the dr or ER if needed. Advised patient that this is overall a reported adverse effect of the vaccine and for patient to return if it got worse.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient had an ED visit and/or hospitalization within 6 weeks of receiving COVID vaccine.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Pruritus, Sleep disorder, Urticaria
Clinical narrative: Patient presented to the doctor's office after developing hives two days after receiving his second vaccination. Per PA-C notes on 2/16/21: Patient notes that on 2/14/2021 he received the second COVID-19 vaccine in his right arm.  He notes he had the Pfizer vaccine.  Denies any reaction with the first vaccination however 2 days later he developed body wide hives starting on his back initially and spreading diffusely across his entire body.  He also endorsed some mild fatigue but otherwise had no symptoms from a second vaccination.  Denies any fever or chills.  States he has hives spreading out to his forehead and his nose.  He has been taking Benadryl and using hydrocortisone cream.  States hydrocortisone cream does not help.  Benadryl seems to help some but states he has been struggling to sleep due to the itching.  He does note some itching between the webs of one of his hands as well which is new as of today.  Denies recent travel or staying in a hotel/building other than his house.  No changes in laundry detergents, body washes, lotions, or soaps.  Notes he otherwise feels well.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain, Pyrexia
Clinical narrative: Fever of 101.4,  chills, body aches, headache, nausea all occurred approx. 13  to 18 hours afterward. Tylenol taken.  All reactions subsided within 36 hours.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: 3rd dose out of series given due to initial dose not in database timely.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: severe under arm rash; used hydrocortizone to manage symptoms, started on Tuesday, has not yet gone away
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Cough, Headache, Injection site pruritus, Injection site rash
Clinical narrative: Fever,chills, body aches, cough, sore throat, headaches, rash at site of injection also swollen and itchy as well.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site swelling, Oropharyngeal pain, Pain, Pyrexia, SARS-CoV-2 test
Clinical narrative: Fever,chills, body aches, cough, sore throat, headaches, rash at site of injection also swollen and itchy as well.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Streptococcus test
Clinical narrative: Fever,chills, body aches, cough, sore throat, headaches, rash at site of injection also swollen and itchy as well.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea
Clinical narrative: Pt developed lightheadedness, SOB approx 15min after vaccination. Pt discharged in stable condition.  BP 143/80 HR 100, normal rhythm on auscultation.  RR 20, unlabored.  SpO2 97% RA.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Moaning, Pain, X-ray
Clinical narrative: Pain, limited mobility on March 21st, Orthopedic Urgent visit 4/3/2021-prescribed anti-inflammatory, steroids, Xray 4/13/2021 Orthopaedic visit prescribed anti-inflammatory and physical therapy 4/20/2021 Began Physical therapy 2 times weekly 4/27/2021 Follow up Orthopedic visit-continue anti-inflammatory and physical therapy, 2 times weekly.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Laboratory test
Clinical narrative: Extensive right DVT
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient had an ED visit and/or hospitalization within 6 weeks of receiving COVID vaccine.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Feeling hot, Hyperhidrosis, Panic attack
Clinical narrative: sweaty, anxiety, really hot, anxiety or panic attack
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Abscess oral, Herpes virus infection, Mouth swelling, Nausea, Pain
Clinical narrative: Two to three days following I ran a low temp, was nauseaus and felt achy. Day three I developed a rash on my left arm that itched. A week after the shot I had swelling in the upper back left top of my mouth. Though I had an absessed tooth. After seeing my dentist I was told my tooth was fine, but that the swelling and blisters were herpes. I was given Valacylovir HCL 1 gram to take once per day for 14 days.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash pruritic
Clinical narrative: Two to three days following I ran a low temp, was nauseaus and felt achy. Day three I developed a rash on my left arm that itched. A week after the shot I had swelling in the upper back left top of my mouth. Though I had an absessed tooth. After seeing my dentist I was told my tooth was fine, but that the swelling and blisters were herpes. I was given Valacylovir HCL 1 gram to take once per day for 14 days.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Immunisation, Underdose
Clinical narrative: RPH on duty incorrectly mixed the vaccine incorrectly. Instead of using a new vial of vaccine and adding 1.8ml of Sodium Chloride 0.9%, he accidently used a used vial of little to no vaccine and added 1.8ml of NACL 0.9%  and drew up 6 shots of this.  Therefore, patient got Sodium Chloride instead of the actual vaccine. However, the mistake was caught early and patient was able to come back the same day to get revaccinated with the correct dose of the vaccine. No adverse reaction reported as of 4/29/21.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: Fully vaccinated with Pfizer-BioNTech vaccine. Was exposed to COVID-19 by family members, COVID-19 positive tests for family members were on 4/19 and 4/20.  His positive test was on 4/21/2021.  He was asymptomatic.  He was tested as part of routine testing done at the Correctional Facility.  He remains symptom free at this time.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Pallor, Posture abnormal
Clinical narrative: Approximately 10 minutes after being administered with Pfizer COVID vaccine patient became lightheaded and almost fainted. Patient did not fall out of chair, but did slouch over in chair. The patient's father alerted pharmacy staff and the nurse administering vaccines today, and I went out to check on him. Patient was sitting up in chair at this time, but was very sweaty, pale and cloudy. Nurse instructed him to place his head down by his knees and provided him with water, Gatorade, and cold compresses. Once patient was feeling a little bit better we moved him into a private room with father and let him lay down at rest. When patient felt okay to leave he was advised to lay flat when he got home and eat. Father was also advised to stay with him until he was feeling 100%. Event lasted approximately 30 minutes.  A call was placed to parents around 3pm to check on him and he was doing well. (moving around and playing video games)
Age: 39.0
Sex: U
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: 39 y/o female c/o dizziness 15 mins after receiving the first dose of the vaccine. She noted that she had COVID-19 in Dec 2020, took OTC tx at home, other med hx is MVP. She was assessed and monitored by NP, EMT, and paramedic. BP  - 143/87, HR.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood test, Computerised tomogram thorax abnormal, Condition aggravated, Decreased appetite
Clinical narrative: Flu like symptoms for 3 days, then continue loss of appetite, weakness, so much so that on April 5, 2021, I was taken to the emergency room for immediate treatment.  The hospital then discovered 2 pulmonary embolisms (blood clots), one in each lung and pneumonia.  At this time, I was extremely weak and in major physical stress.  NOTE:  I do not have a history of ever having blood clots.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram, Influenza like illness, Intensive care, Pneumonia, Pulmonary embolism
Clinical narrative: Flu like symptoms for 3 days, then continue loss of appetite, weakness, so much so that on April 5, 2021, I was taken to the emergency room for immediate treatment.  The hospital then discovered 2 pulmonary embolisms (blood clots), one in each lung and pneumonia.  At this time, I was extremely weak and in major physical stress.  NOTE:  I do not have a history of ever having blood clots.
Age: 19.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Back pain, Chest discomfort, Dyspnoea, Fatigue
Clinical narrative: At 7:40 pm on 04/27 I received my second Pfizer COVID19 shot. I felt okay for the rest of the night and went to bed around 2am that night. The next day, I woke up around 10:30am and was sore until about 12pm when I began to feel completely awful. I was tired and no pain reliever helped with the muscle aches in my shoulders and back. I felt like my chest was being weighed down and it felt like a horrible chore to even breathe. About 24 hours after the shot, under my jaws began to hurt terribly and ice didn't do much to help it. I finally fell asleep on 04/28 around 2am and woke up on 04/29 without any pain.
Age: 19.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Feeling abnormal, Myalgia, Pain in jaw
Clinical narrative: At 7:40 pm on 04/27 I received my second Pfizer COVID19 shot. I felt okay for the rest of the night and went to bed around 2am that night. The next day, I woke up around 10:30am and was sore until about 12pm when I began to feel completely awful. I was tired and no pain reliever helped with the muscle aches in my shoulders and back. I felt like my chest was being weighed down and it felt like a horrible chore to even breathe. About 24 hours after the shot, under my jaws began to hurt terribly and ice didn't do much to help it. I finally fell asleep on 04/28 around 2am and woke up on 04/29 without any pain.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Disturbance in attention, Pain, Pyrexia
Clinical narrative: Developed mild chills the evening of the day of vaccination. Chills, body aches, inability to concentrate, and fever up to 100.2 persisted through the next day but were gone on the morning of the second day after the day of vaccination.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient had an ED visit and/or hospitalization within 6 weeks of receiving COVID vaccine.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Paraesthesia, Peripheral coldness
Clinical narrative: Tingling in arms and legs.  Cold feet, burning in the arms and trunk of the body.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis
Clinical narrative: DVT left leg 10 days post
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Injection site warmth, Post-acute COVID-19 syndrome, Rash, Rash erythematous
Clinical narrative: She received the first dose of the Moderna vaccine on 4/16.  She reports last night she developed a half dollar sized raised, warm, red rash just below the injection site on her left arm. It has now spread to the size of an iphone and her neck also has patches of scattered red dots that just appeared today. She denies pain or itching.  Denies swelling of the neck or face.  Denies fever. Saw PCP on 4/28-diagnosed with "COVID arm" Zyrtec, Benadryl, famotidine and ice TO call if symptoms worsen
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Rash papular
Clinical narrative: She received the first dose of the Moderna vaccine on 4/16.  She reports last night she developed a half dollar sized raised, warm, red rash just below the injection site on her left arm. It has now spread to the size of an iphone and her neck also has patches of scattered red dots that just appeared today. She denies pain or itching.  Denies swelling of the neck or face.  Denies fever. Saw PCP on 4/28-diagnosed with "COVID arm" Zyrtec, Benadryl, famotidine and ice TO call if symptoms worsen
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Lymphadenopathy, Nausea, Pain in extremity, Peripheral swelling
Clinical narrative: Fever 101, diarrhea, nausea started 4/29/2021. Arm pain with swelling up to her neck with some lymph node enlargement in her neck area.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Swelling
Clinical narrative: Fever 101, diarrhea, nausea started 4/29/2021. Arm pain with swelling up to her neck with some lymph node enlargement in her neck area.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site mass, Injection site warmth, Muscular weakness, Pain
Clinical narrative: Injection done in bursa area of right arm, via drive through clinic. 4/8/21  Developed a dime size bump and then increased in size to quarter size and larger, red, large, hot inflamed area to the right of injection site.  Weakness in right arm, pain radiating to finger, constant throbbing pain, red inflamed hot area on right arm increased 3 days after injection. Family dr stated covid arm- prescribed prednisone dose 4/14/21, tapered, after completion arm weakness, pain, constant, radiating.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, SARS-CoV-2 test negative
Clinical narrative: Injection done in bursa area of right arm, via drive through clinic. 4/8/21  Developed a dime size bump and then increased in size to quarter size and larger, red, large, hot inflamed area to the right of injection site.  Weakness in right arm, pain radiating to finger, constant throbbing pain, red inflamed hot area on right arm increased 3 days after injection. Family dr stated covid arm- prescribed prednisone dose 4/14/21, tapered, after completion arm weakness, pain, constant, radiating.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertension, Rash, Systemic inflammatory response syndrome
Clinical narrative: Patient presented to the ED and was subsequently hospitalized for 3 days on 1/9/2021. On 1/21/2021 he presented to the ED with rash and hypertension. On 1/23/2021 patient presented to the ED and was subsequently hospitalized for 6 days for SIRS.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure measurement, Dizziness, Palpitations
Clinical narrative: Patient came in feeling anxious about the vaccine. RPh spoke with her for 5 minutes before giving the vaccine and she felt calm and reassured getting it. 10 minutes after vaccine patient complained of feeling lightheaded and that her heart was racing. She said she took no blood pressure medicine and that it was controlled with a "Zeal" drink. RPh checked her blood pressure 3 times, with the last reading being 174/100. RPh advised patient to go to the ER. With her consent we called 911 and EMS arrived. They checked blood pressure again and it was 194/105. She said she felt calmer and didn't want to go to the ER. I told her to call her PCP as soon as she got home. I followed up with her after she got home and she said she left a message with the Dr. I had her check her blood pressure and she called back a few hours later and it was 134/88. RPh advised her to continue monitoring it a few times today and make sure she speaks with the doctor before the weekend.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Blood lactic acid increased, Burning sensation, C-reactive protein increased, Electrocardiogram abnormal
Clinical narrative: 4/17/21 - Started with burning on arms and legs.4/18 and 4/19 - pain and burning everywhere on body, fever, head ache .Felt like I was going to die. 4/20/21 - fever, severe headache, pain and burning everywhere - urinary retention started.4/21//21 - Went to ER - had not voided in 18 hours. Fever, pain every body part, every joint skin burning, back and chest red and itching.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Feeling abnormal, Headache, Pain, Pruritus
Clinical narrative: 4/17/21 - Started with burning on arms and legs.4/18 and 4/19 - pain and burning everywhere on body, fever, head ache .Felt like I was going to die. 4/20/21 - fever, severe headache, pain and burning everywhere - urinary retention started.4/21//21 - Went to ER - had not voided in 18 hours. Fever, pain every body part, every joint skin burning, back and chest red and itching.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia, Red blood cell sedimentation rate increased, Skin burning sensation, Urinary retention
Clinical narrative: 4/17/21 - Started with burning on arms and legs.4/18 and 4/19 - pain and burning everywhere on body, fever, head ache .Felt like I was going to die. 4/20/21 - fever, severe headache, pain and burning everywhere - urinary retention started.4/21//21 - Went to ER - had not voided in 18 hours. Fever, pain every body part, every joint skin burning, back and chest red and itching.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Oropharyngeal pain
Clinical narrative: mild fatigue with onset the day after vaccination lasting 3 days mild sore throat with onset the day after vaccination and lasting for 24 hours
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Client received Janssen, then scheduled Pfizer and received it unnecessarily. State system was unable to check state registry to verify client had already gotten Janssen dose.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Disseminated varicella zoster virus infection, Herpes virus infection
Clinical narrative: Pt developed a disseminated Zoster-kin lesions on 4/21
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Disturbance in attention, Fatigue, Headache, Lymph node pain, Lymphadenopathy
Clinical narrative: Swollen & painful Lymph nodes under left arm and above left Clavicle, headaches, fatigue and problems concentrating.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash on neck
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature increased, Chills, Hyperhidrosis, Myalgia
Clinical narrative: Severe muscle and joint pain lasting about 36 hours. 7-7-8/10 on pain scale.  Fever of 102.3 lasting for about 8-10 hours.  Fever broke early morning Saturday.  Sweats and severe chills that caused entire body to shake lasting about 6-8 hours Friday night.  No OTC meds helped. Tried Advil and Tylenol.  Stayed in bed and waited it out. Decided not to call doctor after reading info booklet on vax saying it was ?normal ? reaction to have pain, fever, sweats and chills.  All symptoms were subsided by Sunday evening.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Severe muscle and joint pain lasting about 36 hours. 7-7-8/10 on pain scale.  Fever of 102.3 lasting for about 8-10 hours.  Fever broke early morning Saturday.  Sweats and severe chills that caused entire body to shake lasting about 6-8 hours Friday night.  No OTC meds helped. Tried Advil and Tylenol.  Stayed in bed and waited it out. Decided not to call doctor after reading info booklet on vax saying it was ?normal ? reaction to have pain, fever, sweats and chills.  All symptoms were subsided by Sunday evening.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Computerised tomogram thorax, Dyspnoea, Fatigue, Fibrin D dimer increased
Clinical narrative: Severe Leg pain (especially calves.  Both legs equally) Major Leg swelling Elevated D-Dimer Low platelets Elevated Liver enzymes General Body Aches. Shortness of breath Fever Rash Fatigue / Malaise
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count, Hepatic enzyme increased, Influenza virus test, Malaise, Metabolic function test
Clinical narrative: Severe Leg pain (especially calves.  Both legs equally) Major Leg swelling Elevated D-Dimer Low platelets Elevated Liver enzymes General Body Aches. Shortness of breath Fever Rash Fatigue / Malaise
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Peripheral swelling, Platelet count decreased, Pyrexia
Clinical narrative: Severe Leg pain (especially calves.  Both legs equally) Major Leg swelling Elevated D-Dimer Low platelets Elevated Liver enzymes General Body Aches. Shortness of breath Fever Rash Fatigue / Malaise
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, SARS-CoV-2 test, Ultrasound scan
Clinical narrative: Severe Leg pain (especially calves.  Both legs equally) Major Leg swelling Elevated D-Dimer Low platelets Elevated Liver enzymes General Body Aches. Shortness of breath Fever Rash Fatigue / Malaise
Age: 30.0
Sex: U
Vaccine: COVID19
Symptoms: Chest discomfort, Hypersensitivity
Clinical narrative: 30-year-old female complained of chest tightness 15 mins after receiving the first dose of the vaccine. She reported her only history is environmental allergies. She was assessed and monitored by NP, EMT and paramedic. BP - 115/89, HR - 90, RESP - 26, O2SAT - 97%.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Paraesthesia
Clinical narrative: had normal fatigue after vaccination that started the following morning,  parasthesias in left side of face and left leg below knee, comes and goes, worse in am and pm and when tired
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Fatigue, Headache, Pain
Clinical narrative: dizziness, body ache, slight headache, weakness, sore arm, and just tired. Drink lots of water, and sleep. Symptom started around 6am the following day after the vaccine. Started with sore arm, then weakness and tiredness. Later body ache, dizziness and slight headache.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: dizziness, body ache, slight headache, weakness, sore arm, and just tired. Drink lots of water, and sleep. Symptom started around 6am the following day after the vaccine. Started with sore arm, then weakness and tiredness. Later body ache, dizziness and slight headache.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: Pt reported having one seizure the evening of his vaccination and two seizures back to back the morning after his vaccination. Per neurology, pt will be admitted to an epilepsy monitoring unit to better characterize the seizures.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Pharyngeal paraesthesia, Throat tightness
Clinical narrative: Approximatley, 10 minutes after receiving her vaccine, patient noted fullness in her throat when swallowing and a slight tingling in the back of her throat.   Did not experience shortness of breath, wheezing, diffiuclty breathing, nausea/vomiting, hives or rash. Patient received Bendryl 50 mg with great results.   No further referrals needed.  Completely resolved.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Oropharyngeal pain, Paranasal sinus discomfort
Clinical narrative: Sore throat,cough,sinus pressure
Age: 30.0
Sex: U
Vaccine: COVID19
Symptoms: Amnesia, Dizziness, Hypoaesthesia, Injection site pain, Loss of consciousness
Clinical narrative: pt initially reported injection site pain. Patient also of numbness, lightheaded, while in the car, patient had memory loss and blacked out.  While in the car, Patient slid out the side door resulting in two abrasions- one on each knee. he did not fall or hit his head. he takes Zoloft 150mg last dose last night. he reported similar response to blood draws. patient was brought to the medical tent with the following vital signs: BP100/52  PR 59   OXYGEN SAT 98% . When pulse was rechecked it was PR62  OXYGEN SAT 98% Patient knee were bandaged and was encouraged to stay hydrated. Patient left with partner in the stable condition
Age: 30.0
Sex: U
Vaccine: COVID19
Symptoms: Skin abrasion
Clinical narrative: pt initially reported injection site pain. Patient also of numbness, lightheaded, while in the car, patient had memory loss and blacked out.  While in the car, Patient slid out the side door resulting in two abrasions- one on each knee. he did not fall or hit his head. he takes Zoloft 150mg last dose last night. he reported similar response to blood draws. patient was brought to the medical tent with the following vital signs: BP100/52  PR 59   OXYGEN SAT 98% . When pulse was rechecked it was PR62  OXYGEN SAT 98% Patient knee were bandaged and was encouraged to stay hydrated. Patient left with partner in the stable condition
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Guillain-Barre syndrome
Clinical narrative: Guillain-Barre Syndrome
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Aphasia, Computerised tomogram head, Facial paralysis, Guillain-Barre syndrome
Clinical narrative: Guillain-Barre Syndrome
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia oral, Immunoglobulin therapy, Intensive care, Lumbar puncture abnormal, Visual impairment
Clinical narrative: Guillain-Barre Syndrome
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus has worsened drastically.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Erythema, Sensitive skin, Skin warm
Clinical narrative: dermal reaction about the size of my hand - red, warm to the touch, and sensitive. No other symptoms
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Bone pain, Cough, Decreased appetite, Headache, Injection site hypoaesthesia
Clinical narrative: Fevers, headache, slight cough, bone pain, poor appetite, arm where the injection was given asleep.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fevers, headache, slight cough, bone pain, poor appetite, arm where the injection was given asleep.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Not an adverse event, but a medication error. Pfizer vaccine was administered off-label to this 13 year old patient. However, the parent that completed her paperwork incorrectly listed her age as 16 and her DOB. When the vaccine was entered into system, we verified her actual DOB by cross checking with her pediatrician's EHR.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Abdominal pain upper, Ageusia, Anosmia, Breast tenderness
Clinical narrative: Extreme digestive pain on same day as first dose.  Diarrhea last about two days.  Digestive upset lasted two weeks.  Milder stomach pain and cramping every time I ate food of any kind for two weeks.  Metallic taste - appeared 2 days after 1st dose- still present today Decreased taste and smell - appeared 1 day later -still present today  Breast tenderness few weeks later with menstrual cycle - cycle is now over and breast tenderness still present today. ( NEVER had breast tenderness before with menstrual cycle.)  Depression - about 1 week after 1st dose.  Depression was so bad didn't hardly get off couch for days.  Depression is getting better but still present today.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Depression, Diarrhoea, Dysgeusia, Dyspepsia
Clinical narrative: Extreme digestive pain on same day as first dose.  Diarrhea last about two days.  Digestive upset lasted two weeks.  Milder stomach pain and cramping every time I ate food of any kind for two weeks.  Metallic taste - appeared 2 days after 1st dose- still present today Decreased taste and smell - appeared 1 day later -still present today  Breast tenderness few weeks later with menstrual cycle - cycle is now over and breast tenderness still present today. ( NEVER had breast tenderness before with menstrual cycle.)  Depression - about 1 week after 1st dose.  Depression was so bad didn't hardly get off couch for days.  Depression is getting better but still present today.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Herpes Zoster
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Head discomfort, Headache
Clinical narrative: Pt. reported feeling  "headache" across frontal portion of head, along with feeling "flushed".  Reports pain initially 7/10 of pressure to head. Vitals:  10:35am  128/96 74 18;  10:40am  126/94 76 18;  10:45am  122/92 72 18;   Disposition:  Refer pain 2 on a scale of 0-10 to head.  Pt. left via personal vehicle @ 11:00am.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site warmth
Clinical narrative: 4/29/21 1400 - LUE site warmth, firm, itching, and redness. Temperature 98.3 F, blood pressure 127/90, heart rate 90 bpm. No treatment plan, ongoing monitoring.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: pt got vaccine 3 days too early ( 7 days before the 28th day)
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Rash
Clinical narrative: Lip swelling approximately 5 hours after vaccine, rash starting 3 weeks after vaccine on palms of hands and soles of feet.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Headache, Menstruation irregular
Clinical narrative: I started having menstrual cramps on Tuesday, 4-27. I had some spot bleeding yesterday and seem to have actually stayed menstruating today. I have always been very regular and even more so on Larissia. The cramps started 11 days after my first shot, 13 days before it was expected. This is really unusual for me.  I have been tracking my period for a few years and the only time it has been irregular was when my body was adjusting the last time I quit birth control. I have no tests or treatment to report other than the usual ibuprofen if the cramps get bad. I also have had headaches on and off, but it was the extremely early period that drove me to report.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Patient developed red hard area on arm near immunization site 7-8 days after immunization. Resolved on its own within a few days.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Insomnia, Oropharyngeal pain, Pain
Clinical narrative: Severe fatigue, moderate body aches, and mild headache started approximately 12 hours after vaccine administration and led to insomnia on night of 04/27/2021. Severe fatigue and moderate body aches persisted for 36 hours. Mild fatigue continues through 04/29/2021. Mild sore throat started midday on 04/29/2021 and continues.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blindness, Chills, Cold sweat, Dyspnoea
Clinical narrative: Stayed for 15 minutes, reaction came approximately 10 minutes after I left the pharmacy. Adverse episodes occurred twice; once approximately half hour after injection that occurred for 30 minutes, second approximately 30 minutes after first that occurred for approximately 30-40 minutes.  Felt rush through my body Arms first, then across my chest up over my back and into my face White, clammy palms Tingling in arms/fingers Blood felt "itchy" Tingling in lips Trouble breathing Extreme thirst Vision impairment Throbbing feeling in neck that persisted for first day Joint pain Numb teeth  Evening Fever/chills  Day after Extreme fatigue  Shortness of breath Feeling ?off?
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Hypoaesthesia oral, Neck pain, Pain
Clinical narrative: Stayed for 15 minutes, reaction came approximately 10 minutes after I left the pharmacy. Adverse episodes occurred twice; once approximately half hour after injection that occurred for 30 minutes, second approximately 30 minutes after first that occurred for approximately 30-40 minutes.  Felt rush through my body Arms first, then across my chest up over my back and into my face White, clammy palms Tingling in arms/fingers Blood felt "itchy" Tingling in lips Trouble breathing Extreme thirst Vision impairment Throbbing feeling in neck that persisted for first day Joint pain Numb teeth  Evening Fever/chills  Day after Extreme fatigue  Shortness of breath Feeling ?off?
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Paraesthesia oral, Pruritus, Pyrexia, Thirst
Clinical narrative: Stayed for 15 minutes, reaction came approximately 10 minutes after I left the pharmacy. Adverse episodes occurred twice; once approximately half hour after injection that occurred for 30 minutes, second approximately 30 minutes after first that occurred for approximately 30-40 minutes.  Felt rush through my body Arms first, then across my chest up over my back and into my face White, clammy palms Tingling in arms/fingers Blood felt "itchy" Tingling in lips Trouble breathing Extreme thirst Vision impairment Throbbing feeling in neck that persisted for first day Joint pain Numb teeth  Evening Fever/chills  Day after Extreme fatigue  Shortness of breath Feeling ?off?
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Pain, Pyrexia, Sleep disorder
Clinical narrative: Headache, body aches, fever, difficulty resting bc I feel so awful.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lymph node pain, Lymphadenopathy
Clinical narrative: Headaches for a week, plus a swollen, sore lymph node under left arm -- the size of a chicken egg -- that grew over the course of a week and a half, then took a few days to subside.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Fatigue, Headache, Pain in extremity
Clinical narrative: Low grade temperature.  Fatigue, weak. Joint pain. Arm felt tight and painful. Really bad headache.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Skin tightness
Clinical narrative: Low grade temperature.  Fatigue, weak. Joint pain. Arm felt tight and painful. Really bad headache.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Ear swelling, Erythema, Pruritus, Pulmonary embolism
Clinical narrative: Patient had Moderna #1 COVID-19 vaccine this morning in office. Due to history of anaphylaxis to PCN she waited for 30 minutes following injection. Near the 30 minute mark she reported having generalized itching, more pronounced in palms of hand and left ear. She denied lightheadedness, tongue itching/swelling, SOB, N/V/D, abdominal pain. No prior reaction to vaccinations in the past.  She was evaluated by myself and was in no acute distress. She had swelling and itching of left external ear and redness and itching to her palms. No rash was noted. Lungs CTA.    Patient was monitored in office for 30 minutes following reaction. She was given 50mg Benadryl po and 20mg Pepcid po. Ice pack applied to left ear for itching and swelling. Vitals remained stable throughout visit. Patient felt comfortable leaving, husband drove her. I spoke with her via phone four hours later and all symptoms had resolved other than fatigue.  BP 140/70, Pulse 93, O2 99%, Temp 97.7F
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Seizure
Clinical narrative: 10 minutes following vaccination patient had difficulty breathing. Pharmacist helped patient to the ground. Intern called 911. Patient had two seizures as well. Pharmacist attempted to administer epinephrine. Medics arrived and patient was doing better. Patient came back a few hours later to let us know she was ok and thanked us.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received second dose on 4/29/2021 after receiving first dose of Moderna covid-19 vaccine on 4/13/2021.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Pt saw sign for covid vaccine and asked for a covid shot. Pharmacist reiterated COVID shot and said the second dose is on may 27 and she said ok. Later when reporting to registry we discovered the fact that patient  already got both doses of pfizer vaccine. informed doctor (talked to MA and she was going to have doctor call the patient)
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Chest pain, Fall, Gait inability, Headache
Clinical narrative: SPOUSE REPORTS THE FOLLOWING FOR PATIENT  4/21/2021 @ 9PM GENERAL MALAISE  4/22/2021 APPROX 4AM SEVERE HEADACHE TOOK IBUPROFEN  4/23/2021 AFTER LUNCH, PATIENT WAS UNABLE TO WALK AS PREVIOUS AND HAD 4 FALLS, ALSO COMPLAINED OF A SORE THROAT. 4/24/2021 DID NOT FEEL WELL, TEMP UP TO 100.4, NAUSEA AND VOMITTING X 1 AND CHEST PAIN, CALLED EMS AND WAS TRANSPORTED TO MEDICAL CENTER ER.  4/26/2021 PATIENT WAS DISCHAGED HOME AFTER TREATMENT FOR RHABDOMYOLYSIS AND RETURNED TO THE HOSTPITAL AGAIN ON 04/27/2021 WITH RHABDOMYOLYSIS AS PRIMARY DIAGNSOSIS. RESIDENT DISCHARGED TO SNF ON 04/28/2021.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Malaise, Nausea, Oropharyngeal pain, Rhabdomyolysis
Clinical narrative: SPOUSE REPORTS THE FOLLOWING FOR PATIENT  4/21/2021 @ 9PM GENERAL MALAISE  4/22/2021 APPROX 4AM SEVERE HEADACHE TOOK IBUPROFEN  4/23/2021 AFTER LUNCH, PATIENT WAS UNABLE TO WALK AS PREVIOUS AND HAD 4 FALLS, ALSO COMPLAINED OF A SORE THROAT. 4/24/2021 DID NOT FEEL WELL, TEMP UP TO 100.4, NAUSEA AND VOMITTING X 1 AND CHEST PAIN, CALLED EMS AND WAS TRANSPORTED TO MEDICAL CENTER ER.  4/26/2021 PATIENT WAS DISCHAGED HOME AFTER TREATMENT FOR RHABDOMYOLYSIS AND RETURNED TO THE HOSTPITAL AGAIN ON 04/27/2021 WITH RHABDOMYOLYSIS AS PRIMARY DIAGNSOSIS. RESIDENT DISCHARGED TO SNF ON 04/28/2021.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: SPOUSE REPORTS THE FOLLOWING FOR PATIENT  4/21/2021 @ 9PM GENERAL MALAISE  4/22/2021 APPROX 4AM SEVERE HEADACHE TOOK IBUPROFEN  4/23/2021 AFTER LUNCH, PATIENT WAS UNABLE TO WALK AS PREVIOUS AND HAD 4 FALLS, ALSO COMPLAINED OF A SORE THROAT. 4/24/2021 DID NOT FEEL WELL, TEMP UP TO 100.4, NAUSEA AND VOMITTING X 1 AND CHEST PAIN, CALLED EMS AND WAS TRANSPORTED TO MEDICAL CENTER ER.  4/26/2021 PATIENT WAS DISCHAGED HOME AFTER TREATMENT FOR RHABDOMYOLYSIS AND RETURNED TO THE HOSTPITAL AGAIN ON 04/27/2021 WITH RHABDOMYOLYSIS AS PRIMARY DIAGNSOSIS. RESIDENT DISCHARGED TO SNF ON 04/28/2021.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: No reaction on previous exposure to drug
Clinical narrative: Vaccine vial was not properly reconstituted and patient was ultimately getting only the diluent ( Sodium Chloride 0.9% ) administered. Patient was contacted later same day about incident and was given the properly reconstituted vaccine dose. No adverse reactions were reported by patient when they returned to get the satisfactory vaccination dose.
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fall, Lethargy, Seizure, Unresponsive to stimuli
Clinical narrative: The patient was in the observation area with wife after being vaccinated. At 13:22 the patient fell out of his chair, he became unresponsive and started having a seizure which lasted 2 minutes. The paramedics arrives at 13:23 and took his vitals. At 1325 the patient had another seizure which lasted 1 minute and 42 seconds. After the seizures he became responsive, but very lethargic. He was transported to the hospital at via ambulance at 13:26.
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Head injury, Laboratory test, Loss of consciousness
Clinical narrative: The patient was in the observation area with wife after being vaccinated. At 13:22 the patient fell out of his chair, he became unresponsive and started having a seizure which lasted 2 minutes. The paramedics arrives at 13:23 and took his vitals. At 1325 the patient had another seizure which lasted 1 minute and 42 seconds. After the seizures he became responsive, but very lethargic. He was transported to the hospital at via ambulance at 13:26.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Headache, Pain, Pyrexia
Clinical narrative: fever (102.0), chills, body aches, headache, diarrhea - all symptoms persisted for approximately 36 hours  No medical treatment was sought, recovered at home.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dry skin, Pruritus, Rash, Rash macular, Skin irritation
Clinical narrative: Splotchy rash in patches from neck to navel, large splotches on and around nipples.  This rash improves and then worsens and new irritations appear.  Skin becomes dry and irritated. Very itchy. I am prone to skin rashes and have a high tolerance for itchiness, but have been unable to stop scratching.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Immunisation, Underdose
Clinical narrative: RPH on duty incorrectly mixed the vaccine incorrectly. Instead of using a new vial of vaccine and adding 1.8ml of Sodium Chloride 0.9%, he accidently used a used vial of little to no vaccine and added 1.8ml of NACL 0.9%  and drew up 6 shots of this.  Therefore, patient got Sodium Chloride instead of the actual vaccine. However, the mistake was caught early and patient was able to come back the same day to get revaccinated with the correct dose of the vaccine. No adverse reaction reported as of 4/29/21.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Fall, Gait disturbance, Pain in extremity
Clinical narrative: Pt reported that the morning after the dose, she was weak and had trouble walking. Pt fell that morning due to weakness, stated that she "felt like a truck had run over" her. She is now having pain in her left hand and shoulder. Pt still feeling weak 3 days after dose.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: Patient sat in the waiting area and soon she said she is feeling dizzy and  wants to lay down. Helped her get on the floor to lay down. She said she also had a vision black out. She was conscious throughout and said she is feeling better after laying down. This was her 2nd shot and she had done fine with that. She had not eaten for a while and then said she had similar reaction with the 3rd HPV shot. Took her BP and  it was normal. She laid on the back for a while and then sat in the chair with her feet elevated. After about 40 minutes she said she is doing fine and left.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pruritus, Urticaria
Clinical narrative: Had typical body aches during first 36 hours post 2nd shot (had no reaction to 1st dose).  In addition, at about 24 hours after getting 2nd dose, I developed hives. First patches on upper back and front of torso. Hives spread each day to a new location on lower back, upper legs and arms, butt and eventually in crevices at elbows and behind knees. Each patch dried up after 2-3 days. Whole episode lasted 9 days, then poof, gone. Since hives weren't terribly itchy (except after shower or if rubbed by clothes), I didn't take any antihistamine or put cream on them.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Dysphagia, Injection site hypoaesthesia, Swelling face
Clinical narrative: clammy, swollen left cheek, difficulty swallowing, upper arm (site of injection)  had no feeling
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Hypoaesthesia, Magnetic resonance imaging, Paraesthesia, Ultrasound scan
Clinical narrative: woke up left side of face was numb and tingling  like a shot of novocaine.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ear swelling, Erythema
Clinical narrative: Patient (date of birth: 01/27/1974) received the 1st COVID vaccine (PFIZER, Lot #: EW0179, and expiration date: 08/2021) at 11:48AM. EMT made contact with the patient in the observation area around 1225. The patient complained of "right ear redness and swelling" and stated it was a "sign" to her of an impending allergic reaction. EMT visually assessed the patient's ear and saw no swelling, only light redness. Patient was advised to sit in the zero gravity chair for further evaluation. At 1227, baseline vital signs were taken, while patient was sitting: blood pressure: 114/68, heart rate: 77, respiratory rate: 12. Skin was cool, dry, and normal for ethnicity. Nurse then responded to EMT with patient. EMT asked the patient if she was taking any medications. She stated that she is taking WELLBUTRIN and has allergies to gluten and latex. At 1233, a second set of vitals were taken: blood pressure: 118/78, heart rate: 84, respiratory rate: 12. Skin was cool, dry, and normal for ethnicity. Patient was negative for orthostatic pressures. EMT advised the patient to continue to sit in the zero gravity chair for an additional 30 minutes, to observe for additional signs and symptoms. Patient was educated by EMT regarding the signs and symptoms to look out for and when the patient should contact her primary care provider. The patient was also given the information to sign up for V- safe as well as educated regarding the importance of doing so. After the observation time was completed, around 1: 00PM, the patient walked out of the site unassisted and with a steady gait.