chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Fear of injection, Hypoacusis, Visual acuity reduced
Clinical narrative: Patient reported to immunizer that she did not like needles. Following her vaccine, the patient walked around the pharmacy shopping during wait time. Once at POS counter, she collapsed (did not hit head) ~5pm. Patient thought she half fell and half sat down. She sat on floor leaning against cupboard. She reported reduced vision and hearing. BP ~100/60mmHg at ~5:05pm. She was provided water and cool cloth. Friend was brought into store from parking lot to be with her as well. She reported vision improving and was able to go back into vaccination room to rest. She reported not eating much that day - patient was provided with Hershey candy bar and sucker. ~5:15pm her BP was 100/62 and she continued to feel better/improve. 5:35pm patient reported felt well enough to go home (with friend). Throughout event, patient declined call parents or anyone else.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: The dose for the Moderna vaccine is .5 mL. This patient inadvertently received an overage of 0.01 to 0.02 mL.  The manufacturer instructed us to contact the patient to inform  them that the increased dosage could potentially lead to side effects that could be local or systemic. No serious adverse events were reported by the patient.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Musculoskeletal stiffness
Clinical narrative: Migraines and very stiff neck
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Lymphadenopathy, Oral mucosal blistering, Pain
Clinical narrative: Patient reports swollen glands, blisters inside nose and mouth, achy body, and pain similar to his past shingle infections. Patient believes he is now having an outbreak of shingles. Patient also reports feeling overall very weak 48 hours after the vaccine.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster, Rash
Clinical narrative: Eight days after vaccine patient experienced painful bumps on back and sides of his scalp. After five days, patient went to clinic where he was diagnosed with Shingles.  Was prescribed Valacyclovir. Patient is recovering.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Eye swelling
Clinical narrative: Swelling below right eye
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Chest pain, Dizziness, Hypoaesthesia, Nausea
Clinical narrative: patient felt dizzy, lightheaded, nauseous after receiving pfizer covid-19 vaccine. I checked her blood pressure, it was normal 127/96; pulse was 87. I gave patient ice pack and she said she was feeling numbness in her left arm and fingers. After 5 minutes she was feeling some chest pain and wanted me to call 911. She said she was feeling anxious and hadn't eaten all day. patient takes weekly methotrexate injections.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dizziness postural, Fatigue, Feeling abnormal, Feeling jittery
Clinical narrative: She was vaccinated with johnson and johnson product on 4/11/21.  On 4/11/21, developed fatigue.  She reports on 4/12/21 she developed paresthesias in her B feet, and these spread to involve her B hands and forearms on 4/13/21.  She did also within 24 hrs of vaccination develop fatigue, lightheadedness, headache,and "brain fog".  She also feels "jittery" and "figety" like it is hard to sit still.  She has some improvement in paresthesias from 4/13-4/16, but recurrence in this symptom on 4/17.  Lightheadedness also worsened on 4/17, especially with physical activities or bending over/position changes.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Paraesthesia
Clinical narrative: She was vaccinated with johnson and johnson product on 4/11/21.  On 4/11/21, developed fatigue.  She reports on 4/12/21 she developed paresthesias in her B feet, and these spread to involve her B hands and forearms on 4/13/21.  She did also within 24 hrs of vaccination develop fatigue, lightheadedness, headache,and "brain fog".  She also feels "jittery" and "figety" like it is hard to sit still.  She has some improvement in paresthesias from 4/13-4/16, but recurrence in this symptom on 4/17.  Lightheadedness also worsened on 4/17, especially with physical activities or bending over/position changes.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Eye movement disorder, Feeling hot, Musculoskeletal stiffness, Tension
Clinical narrative: IMMEDIATELY AFTER INJECTION PATIENT BECAME DIZZY, EYES STARTED ROLLING BACK AND FORTH, PATIENT'S BODY BECAME HOT, PATIENT'S BODY BECAME TENSE AND STIFF, AND PATIENT VOMITTED.  911 WAS IMMEDIATELY CALLED AND PATIENT WAS TAKEN BY PARAMEDICS.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: IMMEDIATELY AFTER INJECTION PATIENT BECAME DIZZY, EYES STARTED ROLLING BACK AND FORTH, PATIENT'S BODY BECAME HOT, PATIENT'S BODY BECAME TENSE AND STIFF, AND PATIENT VOMITTED.  911 WAS IMMEDIATELY CALLED AND PATIENT WAS TAKEN BY PARAMEDICS.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Hyperhidrosis, Nausea, Pyrexia
Clinical narrative: Headache  fever, nausea  chill sweats
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient received 1st dose of Moderna Covid Vaccine at pharmacy. Patient was instructed to wait 15 minutes, but did not comply. Patient fainted but was fully conscious. Patient received some Gatorade and was ok after that. Paramedics were called to check on patient.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Myalgia, Pyrexia
Clinical narrative: Chills, mild fever (99.9), tiredness, muscle aches
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia
Clinical narrative: Dose 1 side effect: fever of 102 °F at 4:30pm, muscle ache, chills at 3am Treatment with Tylenol, felt fine by Monday 3/30  Dose 2: fever 101°F at 4pm, treatment: Tylenol and Vicks -NyQuil Acetaminophen, felt fine by Monday  4/19
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Paraesthesia
Clinical narrative: Patient was feeling faint and dizzy and complained of  tingling. He was give benadryl 25mg and monitored for 38 minutes. Symptoms were resolved before he left.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: The dose for the Moderna vaccine is .5 mL. This patient inadvertently received an overage of 0.01 to 0.02 mL.  The manufacturer instructed us to contact the patient to inform  them that the increased dosage could potentially lead to side effects that could be local or systemic. No serious adverse events were reported by the patient.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Dyspnoea, Fatigue, Headache
Clinical narrative: Difficult breathing, headache, fatigue, tiredness, dizziness, pain inside the chest, palpitations
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Difficult breathing, headache, fatigue, tiredness, dizziness, pain inside the chest, palpitations
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Dyspnoea, Injection site discomfort, Injection site paraesthesia, Nausea
Clinical narrative: A few minutes after injection into left arm, said arm began to feel tingly and heavy. Staff checked on me and suggest I recline, which I did. A few moments later my lips, tongue, lower arms, and lower legs began to tingle and I began to feel light headed. Nurse came to transfer me to ER. While in transit, breathing became a bit erratic, but no sensation of lacking air. By the time I was put in a wheelchair to bring me from the parking lot into the hospital I began to experience tremors throughout the body. Then came nausea and dizziness. Nausea decreased once out of wheelchair.  Trembling violently and tingling continued for approximately an hour, after which all symptoms but mild nausea and mild lightheaded sensation subsided.  After an additional hour all symptoms subsided. Released from observation at 12:15pm. Tingling in face and lips returning at about 7pm the same evening.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia, Paraesthesia oral, Tremor
Clinical narrative: A few minutes after injection into left arm, said arm began to feel tingly and heavy. Staff checked on me and suggest I recline, which I did. A few moments later my lips, tongue, lower arms, and lower legs began to tingle and I began to feel light headed. Nurse came to transfer me to ER. While in transit, breathing became a bit erratic, but no sensation of lacking air. By the time I was put in a wheelchair to bring me from the parking lot into the hospital I began to experience tremors throughout the body. Then came nausea and dizziness. Nausea decreased once out of wheelchair.  Trembling violently and tingling continued for approximately an hour, after which all symptoms but mild nausea and mild lightheaded sensation subsided.  After an additional hour all symptoms subsided. Released from observation at 12:15pm. Tingling in face and lips returning at about 7pm the same evening.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Dizziness, Headache, Musculoskeletal stiffness, Nausea
Clinical narrative: A few minutes after injection into left arm, said arm began to feel tingly and heavy. Staff checked on me and suggest I recline, which I did. A few moments later my lips, tongue, lower arms, and lower legs began to tingle and I began to feel light headed. Nurse came to transfer me to ER. While in transit, breathing became a bit erratic, but no sensation of lacking air. By the time I was put in a wheelchair to bring me from the parking lot into the hospital I began to experience tremors throughout the body. Then came nausea and dizziness. Nausea decreased once out of wheelchair.  Trembling violently and tingling continued for approximately an hour, after which all symptoms but mild nausea and mild lightheaded sensation subsided.  After an additional hour all symptoms subsided. Released from observation at 12:15pm. Tingling in face and lips returning at about 7pm the same evening.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Paraesthesia, Peripheral swelling, Tremor
Clinical narrative: A few minutes after injection into left arm, said arm began to feel tingly and heavy. Staff checked on me and suggest I recline, which I did. A few moments later my lips, tongue, lower arms, and lower legs began to tingle and I began to feel light headed. Nurse came to transfer me to ER. While in transit, breathing became a bit erratic, but no sensation of lacking air. By the time I was put in a wheelchair to bring me from the parking lot into the hospital I began to experience tremors throughout the body. Then came nausea and dizziness. Nausea decreased once out of wheelchair.  Trembling violently and tingling continued for approximately an hour, after which all symptoms but mild nausea and mild lightheaded sensation subsided.  After an additional hour all symptoms subsided. Released from observation at 12:15pm. Tingling in face and lips returning at about 7pm the same evening.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Hunger, Hypoglycaemia, Tremor
Clinical narrative: 4 days of hypoglycemia - shakiness and ravenous to try to neutralize the shakiness
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardiac arrest, Pulmonary embolism
Clinical narrative: massive Pulmonary embolism causing cardiac arrest
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram pulmonary abnormal, Pulmonary embolism, Pulseless electrical activity
Clinical narrative: massive Pulmonary embolism causing cardiac arrest
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Diaphragmalgia, Paraesthesia
Clinical narrative: Mild pain on my diaphragm Intense stomach cramping Pins and needles in my hand
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness unilateral, Injection site erythema, Injection site induration, Injection site mass, Injection site swelling
Clinical narrative: Patient had a severe migraine with loss of vision in the left eye the day after her second dose of Moderna (4/29/21),  and a swollen, red, hot, hard lump at injection site.  Patient called her doctor but they cannot see her and told her to call the pharmacy.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Migraine
Clinical narrative: Patient had a severe migraine with loss of vision in the left eye the day after her second dose of Moderna (4/29/21),  and a swollen, red, hot, hard lump at injection site.  Patient called her doctor but they cannot see her and told her to call the pharmacy.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Nausea, Retching
Clinical narrative: Nausea, dry heaves from 11:30 pm the night of the vaccine and still going on 4/30 at 10:30pm. Tiredness from same time period.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: The dose for the Moderna vaccine is .5 mL. This patient inadvertently received an overage of 0.01 to 0.02 mL.  The manufacturer instructed us to contact the patient to inform  them that the increased dosage could potentially lead to side effects that could be local or systemic. No serious adverse events were reported by the patient.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site rash, Injection site warmth
Clinical narrative: Large, red, warm rash around injection location
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Tinnitus
Clinical narrative: I developed a very bad headache on 2/27/2021. The following day, 2/28/2021, the headache was a little better but I noticed a loud sound that I thought was a jet plane or machinery running outside. After checking outside and seeing nothing in site, I realized that the sound was in my head. On 3/5/2021, I emailed my primary care physician and told her that I believe I have a severe case of tinnitus. She advised me to see an audiologist. I meet with an audiologist on 3/8/2021. The audiologist referred me to an ENT. The ENT confirmed that I had tinnitus and gave me some literature on tinnitus, and suggested that I see a neurologist for my headaches. I had a video visit with the neurologist on 4/14/2021.The neurologist scheduled me for an MRI which will be on May 3, 2021.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Pleurisy
Clinical narrative: Chest pain, pleurisy, shortness of breathe
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Injection site swelling
Clinical narrative: Swelling, redness and rash around the injection site appeared almost a week after the vaccine.  Initial muscle pain and soreness started about 12 hours after the injection but disappeared after 3 days.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: The dose for the Moderna vaccine is .5 mL. This patient inadvertently received an overage of 0.01 to 0.02 mL.  The manufacturer instructed us to contact the patient to inform  them that the increased dosage could potentially lead to side effects that could be local or systemic. No serious adverse events were reported by the patient.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Injection site erythema, Injection site inflammation, Injection site pain, Injection site pruritus
Clinical narrative: Injection site swelling, redness appearing in concentric rings, inflammation, warm to the touch, slight burning/itching reappeared 7 days after injection. Lower back pain as well that resolves with ibuprofen.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Injection site swelling, redness appearing in concentric rings, inflammation, warm to the touch, slight burning/itching reappeared 7 days after injection. Lower back pain as well that resolves with ibuprofen.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling cold, Hyperhidrosis, Mobility decreased, Pain
Clinical narrative: Within 12 hours I had uncontrollable shaking due to being very cold, 102 fever, profuse sweating all over body for 5 days and completely drenched during the night, severe body aches - loss of full mobility in arms and legs, extremely tired. These symptoms lasted for 48 hours. The sweating continued for 5-6 days throughout the day and was worse at night.   The week after the vaccine, a bump developed on my wrist. It's believed to be a ganglion cyst, but I won't have confirmation until after I see a specialist. About a week or two after the vaccine I also developed burning in my feet and it became uncomfortable to walk.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Skin burning sensation, Synovial cyst, Tremor
Clinical narrative: Within 12 hours I had uncontrollable shaking due to being very cold, 102 fever, profuse sweating all over body for 5 days and completely drenched during the night, severe body aches - loss of full mobility in arms and legs, extremely tired. These symptoms lasted for 48 hours. The sweating continued for 5-6 days throughout the day and was worse at night.   The week after the vaccine, a bump developed on my wrist. It's believed to be a ganglion cyst, but I won't have confirmation until after I see a specialist. About a week or two after the vaccine I also developed burning in my feet and it became uncomfortable to walk.
Age: 29.0
Sex: F
Vaccine: UNK
Symptoms: Heavy menstrual bleeding, Intermenstrual bleeding, Oligomenorrhoea
Clinical narrative: I have had a spotting/heavy period non stop since i received the first vaccine. Its ongoing to this date.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Headache, Menstrual disorder, Mood swings, Oligomenorrhoea
Clinical narrative: the next period I experienced after my second Moderna vaccine was extremely abnormal for me; it lasted two weeks (from 2/25/21 to 3/8/21), and was much heavier than normal; I also experienced more intense cramps, mood swings, and headaches than I normally get when I menstruate.
Age: 77.0
Sex: F
Vaccine: PPV
Symptoms: Mobility decreased, Pain in extremity, Rash, Rash erythematous, Tenderness
Clinical narrative: Patient came back to the pharmacy 2 days later reporting pain and red rash on her left arm.  Patient reports not being able to lift her arm up for 2 days and that the red area on her arm is tender to the touch.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: The dose for the Moderna vaccine is .5 mL. This patient inadvertently received an overage of 0.01 to 0.02 mL.  The manufacturer instructed us to contact the patient to inform  them that the increased dosage could potentially lead to side effects that could be local or systemic. No serious adverse events were reported by the patient.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Eczema
Clinical narrative: A very bad Flare up of Eczema on right hand. Very unusual since I have my eczema under control.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Joint swelling, Rash
Clinical narrative: Bad Rash, swollen knees and hair loss
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain, Pyrexia
Clinical narrative: Fever, chills, aches, tiredness
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Disturbance in attention, Sleep disorder, Tinnitus
Clinical narrative: Tinnitus developed in both ears after COVID vaccine (1st dose). Loud persistent high pitched ringing making it difficult to sleep or concentrate. For example, I need to use a loud floor fan to drown out the ringing at night.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Endoscopy, Gastrooesophageal reflux disease, Oesophageal achalasia, Oesophageal disorder
Clinical narrative: On the second day after the second Modera shot, I had a fever and chills. Within the week, I started having problems with holding down water or food. I have lost 40 pounds since March and continue to vomit most of the food and water I take in.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: On the second day after the second Modera shot, I had a fever and chills. Within the week, I started having problems with holding down water or food. I have lost 40 pounds since March and continue to vomit most of the food and water I take in.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lethargy, Pain, Pyrexia, Tremor
Clinical narrative: Fever, uncontrollable shaking, extreme lethargy, unbearable headache, all over body pain.  Symptoms lasted approximately 72 hours
Age: 36.0
Sex: M
Vaccine: UNK, COVID19
Symptoms: Deep vein thrombosis, Pain in extremity, Peripheral swelling, Platelet count decreased, Thrombocytopenia
Clinical narrative: Johnson and Johnson Vaccine 30 days prior, presents with 2 days of RLE swelling and pain. Pt found to have with doppler U/S fully occluded DVT RLE distal femoral vein to popliteal vein, + thrombocytopenia platelets 112.
Age: 36.0
Sex: M
Vaccine: UNK, COVID19
Symptoms: Ultrasound Doppler abnormal
Clinical narrative: Johnson and Johnson Vaccine 30 days prior, presents with 2 days of RLE swelling and pain. Pt found to have with doppler U/S fully occluded DVT RLE distal femoral vein to popliteal vein, + thrombocytopenia platelets 112.
Age: 36.0
Sex: M
Vaccine: UNK, COVID19
Symptoms: Arthralgia, Decreased activity, Deep vein thrombosis, Erythema, Induration
Clinical narrative: Johnson and Johnson Vaccine 30 days prior, presents with 2 days of RLE swelling and pain. Pt found to have with doppler U/S fully occluded DVT RLE distal femoral vein to popliteal vein, + thrombocytopenia platelets 112.
Age: 36.0
Sex: M
Vaccine: UNK, COVID19
Symptoms: Non-pitting oedema, Oedema peripheral, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: Johnson and Johnson Vaccine 30 days prior, presents with 2 days of RLE swelling and pain. Pt found to have with doppler U/S fully occluded DVT RLE distal femoral vein to popliteal vein, + thrombocytopenia platelets 112.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Laboratory test, Malaise, Vomiting
Clinical narrative: I haven't been feel well for days. Consistent chills, headaches, also vomiting.  Mostly get headaches on the left side of my head. Seen my primary care doctor but it was over the phone and I really don't see how you can diagnose someone like that because I know how I feel and I dont feel good at all. Even went to the emergency room on 4/24/21 and they just kept saying im fine and my blood work is good but I know how I feel and today is the 4/30/21 and I still have chills and headaches and vomited today. Im suppose to get the 2nd shot 5/10/21 and im very skeptical.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: The nurse gave the 16 year old patient a moderna vaccine. Moderna is only for 18 and older.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: The dose for the Moderna vaccine is .5 mL. This patient inadvertently received an overage of 0.01 to 0.02 mL.  The manufacturer instructed us to contact the patient to inform  them that the increased dosage could potentially lead to side effects that could be local or systemic. No serious adverse events were reported by the patient.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Tenderness, soreness, swollen, itchiness at injection site. Began a few days after receiving the vaccine and while tenderness is gone, redness/bruising is still visible 12 days after vaccination.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Postmenopausal haemorrhage, Postmenopause
Clinical narrative: I am post menopause over 3 years with no period.  I started my period after vaccine.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cold sweat, Dizziness, Fatigue, Injection site rash
Clinical narrative: Fatigue, dizziness, cold sweats, weakness, rash around injection
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Coagulopathy, Heavy menstrual bleeding
Clinical narrative: Heavy menstrual bleeding and clotting lasting more than 2 weeks.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Hypersensitivity, Nasopharyngitis, Pain, Pain in extremity
Clinical narrative: MAIN- Intense mechanoreceptor hypersensitivity- pain with sitting in bed/down at all, persistent sensation of feeling clothes I was wearing, most severe in the lower extremities bilaterally- even pain with just covers over pare legs ^ Pain so severe it woke me up in the middle of the night- 8/10 in severity- somewhat alleviated with Tylenol extra strength 500mg x2 PO Q6hr Also- joint pain/aches, cold, exacerbation of Reynauds (pre-existing), facial pallor, chills Over 24 hours post 2nd vaccine- intense hypersensitivity mostly resolved with mild sensitivity remaining on continues Tylenol regimen, other symptoms about 80% resolved
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Pallor, Sensation of foreign body
Clinical narrative: MAIN- Intense mechanoreceptor hypersensitivity- pain with sitting in bed/down at all, persistent sensation of feeling clothes I was wearing, most severe in the lower extremities bilaterally- even pain with just covers over pare legs ^ Pain so severe it woke me up in the middle of the night- 8/10 in severity- somewhat alleviated with Tylenol extra strength 500mg x2 PO Q6hr Also- joint pain/aches, cold, exacerbation of Reynauds (pre-existing), facial pallor, chills Over 24 hours post 2nd vaccine- intense hypersensitivity mostly resolved with mild sensitivity remaining on continues Tylenol regimen, other symptoms about 80% resolved
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding
Clinical narrative: Heavy blood clotting Menstrual cycle.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pain, Pain in extremity, Pyrexia
Clinical narrative: Dose 1: swollen lymph nodes. Dose 2: had fever, sore arm and body aches.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Patient came in for second dose of Pfizer and was given Moderna vaccine instead.  Medical assistant realized that wrong vaccine was administered to patient when medical assistant was filling out vacination card he then realized wrong vaccine was administered.   -Tolerated vaccination without difficulty - Completed 15-minute observation without incident - Aware of after-care instructions, reasons to seek medical attention
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Headache, Hyperhidrosis, Injection site induration, Movement disorder
Clinical narrative: Started sweating about 4 hours after the vaccine.  From 4/18 to  4/22 my temperature continued to read 97.2 (temporal thermometer that usually reads 98.9-99.1 - my normal temp). Headaches were constant and still happening. Injection site was extremely hard and I couldn't move my arm for about 72 hrs. On 4/30 I noticed my arm getting warm and swollen again, redness also evident.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Skin warm
Clinical narrative: Started sweating about 4 hours after the vaccine.  From 4/18 to  4/22 my temperature continued to read 97.2 (temporal thermometer that usually reads 98.9-99.1 - my normal temp). Headaches were constant and still happening. Injection site was extremely hard and I couldn't move my arm for about 72 hrs. On 4/30 I noticed my arm getting warm and swollen again, redness also evident.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Muscular weakness, Pain in extremity
Clinical narrative: ~1 week after vaccination, noticing weakness of entire left arm (not hands or fingers). ~9-10 days after vaccination, painful streak volar left arm from wrist to axilla.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chills, Dyspnoea, Myalgia, Pyrexia
Clinical narrative: Fever, chills, myalgias, chest pressure SOB
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Condition aggravated, Fatigue, Headache, Lymphadenopathy
Clinical narrative: -Consistent fever between 99-102 degrees continuous for three days following vaccine, from early morning of 4/17/21 until evening of 4/19/21.  Extreme fatigue, headache, chills, and muscle pain throughout body during this same period. -Intermittent nausea during the day of 4/17/21. -Flare of Sjogren?s Syndrome symptoms consisting of swollen lymph nodes and extreme fatigue starting morning of 4/18/21 and lasting through morning of 4/21/21. -All symptoms except fatigue cleared up on 4/21/21. -Fatigue gradually subsided from 4/21/21-4/22/21.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Pyrexia, Sjogren's syndrome
Clinical narrative: -Consistent fever between 99-102 degrees continuous for three days following vaccine, from early morning of 4/17/21 until evening of 4/19/21.  Extreme fatigue, headache, chills, and muscle pain throughout body during this same period. -Intermittent nausea during the day of 4/17/21. -Flare of Sjogren?s Syndrome symptoms consisting of swollen lymph nodes and extreme fatigue starting morning of 4/18/21 and lasting through morning of 4/21/21. -All symptoms except fatigue cleared up on 4/21/21. -Fatigue gradually subsided from 4/21/21-4/22/21.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: MOM & PATIENT CAME IN FOR  A SCHEDULED COVID VACCINATION.  PHARMACY WAS GIVING BOTH PFIZER (2ND DOSES) & MODERNA 04/30/2021.  PATIENT GIVEN MODERNA. REALIZED AGE AFTER VACCINE GIVEN.  PATIENT 16 YO.  MODERNA INDICATED FOR 18 YOU & UP. BOTH PATIENT AND MOM AWARE OF THE SITUATION.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination complication
Clinical narrative: COVID arm, redness spreading from injection site, hard lump where the redness and swelling is. Itchy also.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Eye contusion, Eye pain, Ocular discomfort, Urticaria
Clinical narrative: The area around my right eye was tended approx 18 hours after my 1st shot.  Approx 36 hours after the shot, the area surrounding my right eye is noticeably bruised, very tender, with a large welt under my eye.  I feel a lot of pressure in my eye but my vision is good.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Hyperthermia, Syncope
Clinical narrative: Fainting, Dizziness, Sweating, and feeling overheated without anxiety within 5 minutes of receiving the vaccine.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Arthralgia, Diarrhoea, Fatigue, Feeling cold
Clinical narrative: Sore arm, Exhaustion, heaviness, freezing couldn?t get warm, joint pain, achy,  nerve pain, swollen limp node in right armpit, diarrhea and upset stomach. Got Covid Arm(rash at the site of shot) 6 days after first dose.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Limb discomfort, Lymphadenopathy, Myalgia, Neuralgia, Pain in extremity
Clinical narrative: Sore arm, Exhaustion, heaviness, freezing couldn?t get warm, joint pain, achy,  nerve pain, swollen limp node in right armpit, diarrhea and upset stomach. Got Covid Arm(rash at the site of shot) 6 days after first dose.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination complication
Clinical narrative: Sore arm, Exhaustion, heaviness, freezing couldn?t get warm, joint pain, achy,  nerve pain, swollen limp node in right armpit, diarrhea and upset stomach. Got Covid Arm(rash at the site of shot) 6 days after first dose.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Lethargy
Clinical narrative: Chills began last night at 6:45 pm and lasted until midnight. Legs were weak. Very lethargic. Feeling like this may occur again tonight. Felt fine all day today.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Muscle spasms
Clinical narrative: Within 6 to 12 hours of my first shot I was launched into heavy cramping and menstrual bleeding which is mainly concerning because I have an IUD. I haven?t experienced menstrual symptoms of this sort for years.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: TESTED COVID-19 POSITIVE, TEST PERFORMED ON 4/27/2021
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: The dose for the Moderna vaccine is .5 mL. This patient inadvertently received an overage of 0.01 to 0.02 mL. The manufacturer instructed us to contact the patient to inform them that the increased dosage could potentially lead to side effects that could be local or systemic. No serious adverse events were reported by the patient.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus began sometime following my second dose of Moderna.  I did not correlate the two right away, so I am uncertain about the exact date the tinnitus started.  The tinnitus is a high-pitched hum like the sound of cicadas.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Computerised tomogram thorax, Condition aggravated, Pulmonary embolism, Respiratory distress
Clinical narrative: Patient found to have pulmonary embolism 22 days after receiving vaccine. Onset of symptoms occurred 18-19 days after receiving vaccination, however, very likely PE related to patient hx of small cell lung cancer. He is currently hospitalized for respiratory distress as of 4/30/21
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Small cell lung cancer
Clinical narrative: Patient found to have pulmonary embolism 22 days after receiving vaccine. Onset of symptoms occurred 18-19 days after receiving vaccination, however, very likely PE related to patient hx of small cell lung cancer. He is currently hospitalized for respiratory distress as of 4/30/21
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cold sweat, Fatigue, Headache, Myalgia
Clinical narrative: High fever, chills, splitting headache,  muscle aches, tiredness, cold sweat, congestion.  Treatment: Lots of water, rest, and Tylenol
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Nasal congestion, Pyrexia
Clinical narrative: High fever, chills, splitting headache,  muscle aches, tiredness, cold sweat, congestion.  Treatment: Lots of water, rest, and Tylenol
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Malaise, Paraesthesia
Clinical narrative: pt was administered covid19 Pfizer vaccine and was told by rph to stay for 15 minutes for any side effects or reactions. After about 5 minutes, pt stated started feeling light headed, dizzy, and sweaty and not feeling good.  She was given some water at which point she stated she was starting to feel tingly all over. Paramedics were called and came within 5 minutes.  About 15 minutes later pt was able to walk out of the pharmacy with paramedics and drive home.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Condition aggravated, Headache, Heart rate irregular, Mobility decreased
Clinical narrative: My ears are ringing much louder than previously, I'm having stabbing pains in my wrists, arms, fingers, My wrists hurt so bad I couldn't pull my comforter up in the night and the pain woke me. I have been diagnosed with RA, but haven't had symptoms.  I have to rest frequently, had to stop three times just to walk over a walkway. Have a headache most of the time. Heart is beating irregularly. Noticed symptoms the following morning after the vaccine.  I have been waiting for them to go away, but am afraid it's gone on beyond a few days. I didn't know I should seek medical attention. I'm just hoping and praying it will go away.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Sleep disorder, Tinnitus
Clinical narrative: My ears are ringing much louder than previously, I'm having stabbing pains in my wrists, arms, fingers, My wrists hurt so bad I couldn't pull my comforter up in the night and the pain woke me. I have been diagnosed with RA, but haven't had symptoms.  I have to rest frequently, had to stop three times just to walk over a walkway. Have a headache most of the time. Heart is beating irregularly. Noticed symptoms the following morning after the vaccine.  I have been waiting for them to go away, but am afraid it's gone on beyond a few days. I didn't know I should seek medical attention. I'm just hoping and praying it will go away.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Patient received incorrect COVID vaccine.  Patient received Moderna vaccine when he should have received Pfizer second dose.   COVID-19 questionnaire reviewed Patient was incorrectly given the Moderna vaccine. He was observed without incident for 15 minutes thereafter. ED precautions reviewed
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19 immunisation
Clinical narrative: Patient received incorrect COVID vaccine.  Patient received Moderna vaccine when he should have received Pfizer second dose.   COVID-19 questionnaire reviewed Patient was incorrectly given the Moderna vaccine. He was observed without incident for 15 minutes thereafter. ED precautions reviewed
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test normal, Heavy menstrual bleeding, Monocyte count increased, Thrombosis
Clinical narrative: After 2 days of receiving my first COVID vaccine, I started my menstrual cycle. My cycle was very heavy with large clots. It lasted four weeks. Very unusual, I never had a menstrual cycle like this before.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Inappropriate schedule of product administration, Pain in extremity
Clinical narrative: Same day reaction was extremely sore arm. That cleared up. On 3/10/21, I started getting a shingles rash on the right side of my mid-back. Due to extreme internal itching, as well as itching on my back, I did not receive the second dose of the vaccine when s scheduled on 3/15/21.  Doctor confirmed shingles on 3/16/21, but did not think it was because of  the vaccine.  I received the second dose on 4/12/21, 7 weeks after the first one. No reactions after that one except sore arm and fatigue.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Soon after, and constantly since, first dose of COVID-19 Vaccination I have had ringing in both ears  - at times (such as following 2nd dose) level has amplified for several hours, then returned to the more constant level.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: The dose for the Moderna vaccine is .5 mL. This patient inadvertently received an overage of 0.01 to 0.02 mL.  The manufacturer instructed us to contact the patient to inform  them that the increased dosage could potentially lead to side effects that could be local or systemic. No serious adverse events were reported by the patient.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Chills
Clinical narrative: Patient presented with significant rigors eight hours following vaccination. Received Acetaminophen, Ketorolac, and Diphenhydramine and was given warm blankets with resolution of symptoms within two hours.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Approx 5 minutes after receiving the vaccine, patient fainted briefly and leaned onto the patient next to them. We administered aid by laying him down with feet elevated. Approx 10 minutes later, the patient was comfortable enough to sit upright in the chair and another 15 minutes later was comfortable enough to leave.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site discomfort, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Circle of red itchy skin approximately 3.5 inches in diameter appeared around injection site 8 days after vaccination. Sore muscle, skin is swollen and hot to the touch. No previous symptoms following vaccination. Discomfort reduced through ibuprofen and a topical antihistamine.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Pruritus
Clinical narrative: Circle of red itchy skin approximately 3.5 inches in diameter appeared around injection site 8 days after vaccination. Sore muscle, skin is swollen and hot to the touch. No previous symptoms following vaccination. Discomfort reduced through ibuprofen and a topical antihistamine.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Contraception, Menstruation irregular
Clinical narrative: After receiving the vaccine, 2 days later I have started my period which I haven?t had in 5 years as I have been on the birth control Nexplanon.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Nausea, Pain, Pyrexia, Sleep disorder
Clinical narrative: The next morning I was awoken by intense full body aches and pains. I had a fever with chills. I suffered from nausea but no vomiting.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac imaging procedure abnormal, Chest pain, Dizziness, Echocardiogram normal, Electrocardiogram normal
Clinical narrative: Developed chest pain, dizziness, palpitations, and diaphoresis 3 days after receiving 2nd dose of Pfizer COVID-19 vaccination. Ultimately found to have myocarditis. Discharged to home in stable condition, asymptomatic. Supportive care.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Myocarditis, Palpitations, Troponin increased
Clinical narrative: Developed chest pain, dizziness, palpitations, and diaphoresis 3 days after receiving 2nd dose of Pfizer COVID-19 vaccination. Ultimately found to have myocarditis. Discharged to home in stable condition, asymptomatic. Supportive care.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Injection site pain, Injection site pruritus, Injection site rash
Clinical narrative: Headache and strange tingling / slight swelling in mouth within 30 min (shortly after leaving pharmacy) and arm soreness. Headache and weird mouth sensations went away after a day, but exactly 7 days after first shot, woke up to find a huge itchy sore welt / rash at site of injection (about 5inches diameter) and a really sore swollen lymph node in left armpit, and slight mouth tingling / swelling sensation which persisted all day. Spoke to physician remotely and will check in with someone at urgent care if symptoms persist
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Mouth swelling, Pain in extremity, Paraesthesia, Paraesthesia oral
Clinical narrative: Headache and strange tingling / slight swelling in mouth within 30 min (shortly after leaving pharmacy) and arm soreness. Headache and weird mouth sensations went away after a day, but exactly 7 days after first shot, woke up to find a huge itchy sore welt / rash at site of injection (about 5inches diameter) and a really sore swollen lymph node in left armpit, and slight mouth tingling / swelling sensation which persisted all day. Spoke to physician remotely and will check in with someone at urgent care if symptoms persist
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Headache and strange tingling / slight swelling in mouth within 30 min (shortly after leaving pharmacy) and arm soreness. Headache and weird mouth sensations went away after a day, but exactly 7 days after first shot, woke up to find a huge itchy sore welt / rash at site of injection (about 5inches diameter) and a really sore swollen lymph node in left armpit, and slight mouth tingling / swelling sensation which persisted all day. Spoke to physician remotely and will check in with someone at urgent care if symptoms persist
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Peripheral swelling
Clinical narrative: One hour post vaccine - severe SOB lasting maybe 30 min, followed by right leg/ankle/foot swelling - not painful, but would not resolve with furosemide 40 mg.  Severe Swelling persisted for over  2 weeks before eventually resolving.   My concern is I?m due to get #2 vaccine 5/2/21 and am worried about possible blood clot as I have a past history of a blood clot (left leg) 14 years ago.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Deafness unilateral, Tinnitus
Clinical narrative: Onset of tinnitus  7/10 on scale.  Remains steady and has not decreased.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Fluid retention, Lymphadenopathy
Clinical narrative: Swollen lymph nodes in left and right arm pit. Left was swollen and fluid was in pectoral muscle area.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Feeling abnormal
Clinical narrative: Upper stomach had real funky feeling everyday, diarrhea 4-5 times day till the 25th then stomach felt 85% better.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Tinnitus
Clinical narrative: Tinnitus non-stop for nearly 6 weeks. Hasn't stopped.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Ringing in both ears constantly
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness, Diplopia, Headache, Magnetic resonance imaging, Transient ischaemic attack
Clinical narrative: TIA, Loss of vision. Disoriented,  crossed vision, headache
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Deafness neurosensory, Magnetic resonance imaging
Clinical narrative: SSNHL
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Livedo reticularis, Pain, Pain in extremity, Peripheral swelling
Clinical narrative: 4.3.21:  soreness throughout body, fever 4.4.21: fingers turned blue 4.5.21: tongue swelled and turned bright red fingers mottled for 5 days intense body aches for 6 days 4.26.21: antecubital fossa hot, swollen and red, significant pain 4.27.21: pain extends down into forearm and red and streaked 4.30.21: pain continues
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Skin discolouration, Skin warm, Swollen tongue
Clinical narrative: 4.3.21:  soreness throughout body, fever 4.4.21: fingers turned blue 4.5.21: tongue swelled and turned bright red fingers mottled for 5 days intense body aches for 6 days 4.26.21: antecubital fossa hot, swollen and red, significant pain 4.27.21: pain extends down into forearm and red and streaked 4.30.21: pain continues
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Optic neuritis
Clinical narrative: Optic neuritis
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Chest pain, Cold sweat, Dizziness, Nausea
Clinical narrative: syncope: feeling faint  nausea clammy skin 415 feeling nauseas 430 BP  112/74  80 pulse 445 feeling better less nausea  feels less pressure  on chest 5PM 123/79  pulse 77
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Cold sweat, Dizziness, Nausea, Syncope
Clinical narrative: syncope: feeling faint  nausea clammy skin 415 feeling nauseas 430 BP  112/74  80 pulse 445 feeling better less nausea  feels less pressure  on chest 5PM 123/79  pulse 77
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Pain
Clinical narrative: I took Pfizer vaccine on March 20th and I had to go to the emergency room on March 23rd. The diagnosis: shingles which evolve to a severe case. It took three-four weeks to start to get better, but the pain still persists. I am supposed to get the second shot before the 42 days, but not sure if I should take it or not.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal tenderness, Asthenia, Chills, Dysstasia, Gait disturbance
Clinical narrative: 65-year old man with PMH notable for CAD s/p 3v CABG 2015, HFrEF (EF 54% 11/2020), CKD, T2DM (A1c 7.5% 9/2020), and OSA, presenting with 2 days of weakness, malaise, difficulties getting out of bed and walking. The patient was in his normal state of health until he got the 2nd dose of the moderna covid vaccine two days ago; since then he has been somnolent, weak, not eating or drink much, and slid out of his bed and woke up on the floor once. He came to the ED because he was so weak that he couldn't walk. He furthermore endorses suprapubic and generalized right-sided abdominal tenderness that started after two episodes of nonbloody emesis and chills while waiting in the ED. He denies fevers, chest pain, dyspnea, orthopnea, lower extremity swelling, palpitations, brbpr, melena, dysuria, rash, easy brusing/bleeeing, headache, vision changes, and sensory changes.