chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vitamin B12
Clinical narrative: Chunks of hair have fallen out of my head since getting my vaccine. However, I didn't notice anything was amiss until early June when I was flipping my hair in a way that exposed one of them. The other patch was discovered by a nurse practitioner when I went to see her about the first bald patch on June 9, 2021 (the appointment was also to address musculoskeletal widespread pain and fatigue). In my patient notes, she wrote "patches on head without erythema, edema, warmth. Hair follicles visible, no scarring evident. Mild thinning of hair in 0.5cm border of each area." These patches look similar to pictures of patients with alopecia areata, which is not a condition I've ever been diagnosed with. The nurse practitioner referred me to a dermatologist, whom I will be seeing on July 2, 2021.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Breast abscess, Breast pain, Erythema, Skin warm, Ultrasound breast abnormal
Clinical narrative: 2 weeks after the patient received the COVID vaccine in her left arm she developed an abscess in her LEFT breast requiring ultrasound and treatment with antibiotics. She started with left breast pain then developed redness and warmth of the breast. She was seen in the office for evaluation then sent for an ultrasound. The ultrasound indicated a 10mmx10mmx8mm abscess. She was then referred to a breast surgeon that day for surgical intervention. The surgeon did not feel that surgical incision and drainage necessary at that time and agreed with the plan to treat initially with antibiotics.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Lung opacity, Pulmonary artery occlusion, Pulmonary embolism
Clinical narrative: Pulmonary embolism
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Lip blister, Oral herpes
Clinical narrative: I got the 2nd vaccine on 3/24/2021 and around 6/1/2021 I got 2 fever blisters on my bottom lip.  The fever blisters lasted for 4 to 5 days then it went away.
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure congestive, Chronic kidney disease, Death, Dysphagia, Hypertension
Clinical narrative: Death 6/2/2021 Causes of death listed on death certificate: 1) aspiration pneumonia  2) dysphagia  3) esophageal stenosis  Other: congestive heart failure, hypertension, chronic kidney disease stage 3
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Oesophageal stenosis, Pneumonia aspiration
Clinical narrative: Death 6/2/2021 Causes of death listed on death certificate: 1) aspiration pneumonia  2) dysphagia  3) esophageal stenosis  Other: congestive heart failure, hypertension, chronic kidney disease stage 3
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Headache, Pain, SARS-CoV-2 test positive
Clinical narrative: c/o body aches and headache X 1 day after inoculation. Current complaint as of 6/22/2021 - contracted COVID-19 virus post vaccination.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Mammogram
Clinical narrative: I had swollen lymph nodes and I received the symptoms when I had my mammogram.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Cerebrovascular accident, Dysstasia, Hemiparesis, Monoparesis
Clinical narrative: CVA- 4 BLOCKAGES IN SEPARATE LOBES ON LEFT SIDE OF BRAIN, OCCURRED IN TEMPORAL, THALAMUS, OCCIPITAL LOBES HAS EXTREME WEAKNESS ON THE RIGHT SIDE OF BODY, UNABLE TO USE RIGHT ARM AT TIME OF SUBMISSION, CAN MOVE RIGHT LEG MINIMALLY, CAN STAND WITH ASSISTANCE, SEVERE APHASIA
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cold sweat, Lymphadenopathy, Nausea
Clinical narrative: Clammy, chills, nausea, lymph node in left armpit enlarged to size of a line
Age: 16.0
Sex: M
Vaccine: HEPA
Symptoms: Urticaria
Clinical narrative: Onset of hives the morning following vaccine.  Continued at the time of this report. Taking Benadryl per Dr. Will update with symptoms as needed
Age: 80.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: I63.9 - Acute CVA (cerebrovascular accident) (CMS/HCC)
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Acute kidney injury, Bacterial test negative, CSF test, Chills
Clinical narrative: Pt presented with fever, chills, severe abdominal pain, headache, photophobia and nausea a few hours after the second dose of the vaccine was administered. Few days later, pt was hospitalized comatose, and required intubation. Spinal tap showed lymphocytic pleocytosis but all viral and bacterial testing were normal. Elevated LFTs, AKI with GFR at 6 Pt had meningioencephilitis as seen on MRI brain, EEG, and CSF.  Pt improved with
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Coma, Electroencephalogram, Encephalitis, Endotracheal intubation, Glomerular filtration rate
Clinical narrative: Pt presented with fever, chills, severe abdominal pain, headache, photophobia and nausea a few hours after the second dose of the vaccine was administered. Few days later, pt was hospitalized comatose, and required intubation. Spinal tap showed lymphocytic pleocytosis but all viral and bacterial testing were normal. Elevated LFTs, AKI with GFR at 6 Pt had meningioencephilitis as seen on MRI brain, EEG, and CSF.  Pt improved with
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Liver function test increased, Lumbar puncture, Magnetic resonance imaging head abnormal, Nausea
Clinical narrative: Pt presented with fever, chills, severe abdominal pain, headache, photophobia and nausea a few hours after the second dose of the vaccine was administered. Few days later, pt was hospitalized comatose, and required intubation. Spinal tap showed lymphocytic pleocytosis but all viral and bacterial testing were normal. Elevated LFTs, AKI with GFR at 6 Pt had meningioencephilitis as seen on MRI brain, EEG, and CSF.  Pt improved with
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Photophobia, Pleocytosis, Pyrexia, Viral test negative
Clinical narrative: Pt presented with fever, chills, severe abdominal pain, headache, photophobia and nausea a few hours after the second dose of the vaccine was administered. Few days later, pt was hospitalized comatose, and required intubation. Spinal tap showed lymphocytic pleocytosis but all viral and bacterial testing were normal. Elevated LFTs, AKI with GFR at 6 Pt had meningioencephilitis as seen on MRI brain, EEG, and CSF.  Pt improved with
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebral haemorrhage, Chest X-ray, Computerised tomogram head abnormal, Computerised tomogram thorax, Unresponsive to stimuli
Clinical narrative: found unresponsive  CT of head show large frontotemporal intra-axial hemorrhage
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Lymphadenopathy, Pyrexia
Clinical narrative: Fever of 102.7 for 21 hours, starting at midnight on day of vaccine (14 hours later), headache, swollen lymph nodes in neck, armpits and groin, nausea , extreme fatigue. With the exception of fever, the other reactions are continuing throughout day three.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dysphagia, Facial paralysis, Tenderness
Clinical narrative: PT CALLED  SAYING SYMPTOMS STARTED TODAY 6/30: DROOPING ON ONE SIDE OF FACE, REPORTS TENDERNESS, TROUBLE SWALLOWING; DENIES TROUBLE BREATHING OR SIGNIFICANT PAIN IN AREA. EXPLAINED IT MAY BE BELLS PALSY. PT WILL BE GOING TO ER TO BE FURTHER EVALULATED.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy, Facial paralysis, Injection site pain, Odynophagia, Tenderness
Clinical narrative: PT CALLED  SAYING SYMPTOMS STARTED TODAY 6/30: DROOPING ON ONE SIDE OF FACE, REPORTS TENDERNESS, TROUBLE SWALLOWING; DENIES TROUBLE BREATHING OR SIGNIFICANT PAIN IN AREA. EXPLAINED IT MAY BE BELLS PALSY. PT WILL BE GOING TO ER TO BE FURTHER EVALULATED.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dysphagia, Facial paralysis, Tenderness
Clinical narrative: Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: Bell's Palsy-Medium, Additional Details: PT DESCRIBED DROOPING ON ONE SIDE OF FACE AND TENDER TO TOUCH; EXPRESSED SLIGHT PAIN SWALLOWING; DENIED TROUBLE BREATHING OR SIGNIFICANT PAIN
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy, Facial paralysis, Injection site pain, Odynophagia, Tenderness
Clinical narrative: Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: Bell's Palsy-Medium, Additional Details: PT DESCRIBED DROOPING ON ONE SIDE OF FACE AND TENDER TO TOUCH; EXPRESSED SLIGHT PAIN SWALLOWING; DENIED TROUBLE BREATHING OR SIGNIFICANT PAIN
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Received Pfizer vaccine in March and April 2021 with 2 doses of Pfizer. Developed cough, fever and chills on 6/27/2021. Tested POSITIVE for COVID with Rapid Antigen on 6/28/2021.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Dyspnoea, Headache, Pain
Clinical narrative: Fever (101° F), Chills, Body Aches, Chest Pain, Headache, Shortness of Breath
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever (101° F), Chills, Body Aches, Chest Pain, Headache, Shortness of Breath
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Heart rate increased
Clinical narrative: About 5 minutes after receiving the vaccine. The patient experienced dizziness, followed by accelerated heart rate.  Ambulance was called and patient was taken to the hospital as a precaution for observation.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Systemic inflammatory response syndrome
Clinical narrative: Acute kidney failure, unspecified SIRS (systemic inflammatory response syndrome)
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Breast swelling, Breast tenderness, Dysmenorrhoea, Heavy menstrual bleeding, Menstruation delayed
Clinical narrative: Irregular period starting at the end of May 2021. Heavy bleeding, severe cramping, and nausea lasting 1-2 days. Late start to period. Consistent breast tenderness and growth.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular, Nausea
Clinical narrative: Irregular period starting at the end of May 2021. Heavy bleeding, severe cramping, and nausea lasting 1-2 days. Late start to period. Consistent breast tenderness and growth.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient received Moderna vaccine on 06/05/2021 and received Pfizer on 06/29/2021
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: redness with elevation/swelling and itching to injection site. progressively spread to a larger area per caller.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Muscular weakness, SARS-CoV-2 test positive
Clinical narrative: leg weakness,  Positive COVID 19 test
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dizziness, Headache, Oropharyngeal pain
Clinical narrative: Fever 101, chills, sore throat and extremely severe body aches, headache, weakness and dizziness.  Treatment: Tylenol 325 mg Ibuprofen 600mg No improvement in symptoms
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Fever 101, chills, sore throat and extremely severe body aches, headache, weakness and dizziness.  Treatment: Tylenol 325 mg Ibuprofen 600mg No improvement in symptoms
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ischaemic stroke
Clinical narrative: I63.9 - Acute ischemic stroke (CMS/HCC)
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Pain in extremity
Clinical narrative: Shingles; arms hurt.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Ear discomfort
Clinical narrative: I went to the DR April 28th 2021 and she prescribed medication for eardrops, it still lingered so I went to urgent care twice. I had two different kinds of penicillin and took ear drops as well. I went to urgent care about two weeks ago in mid June 2021. I have an appointment on July 12th to see an ENT as well.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Epistaxis, Thrombocytopenia
Clinical narrative: Epistaxis Thrombocytopenia, unspecified
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood culture, Chest X-ray normal, Chills, Fatigue, Kidney infection
Clinical narrative: The day of the 9th, I started having chills and body aches in the evening and that went through the weekend. I slept a lot and had fatigue. I didn't have any other symptoms. Monday morning, the 12th, I woke up at 04:00 am with rigors. I knew something was wrong. Shaking chills so bad that your teeth are going. I went ER - a friend took me. My fever went up to 102.9 after I got to ER.  I had a bag and 1/2 of fluids with antibiotic - Rocephin. After I went home, the next day, a doctor from Kaiser called me to be admitted to hospital because my blood cultures showed bacteria - so I went back to the same ER Hospital within 24 hours. The second time, the RN asked me why I was there because I looked good. They worked me up again with tests and they did blood cultures again and started me on the IV again. The doctor came in and said that I didn't get need to come in again because the new doctor had made a mistake. He said there wasn't enough bacteria in there to be re-admitted since I had already had the Rocephin. They gave me another dose though of it and IV fluids - and I was out again after that. I didn't have any problems after that. I had a follow doctor appt a week later - on the April 21st, 2021 and that was an in office visit and then I talked to her on the phone on the 29th.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Pain, Pyrexia, Somnolence, Tremor
Clinical narrative: The day of the 9th, I started having chills and body aches in the evening and that went through the weekend. I slept a lot and had fatigue. I didn't have any other symptoms. Monday morning, the 12th, I woke up at 04:00 am with rigors. I knew something was wrong. Shaking chills so bad that your teeth are going. I went ER - a friend took me. My fever went up to 102.9 after I got to ER.  I had a bag and 1/2 of fluids with antibiotic - Rocephin. After I went home, the next day, a doctor from Kaiser called me to be admitted to hospital because my blood cultures showed bacteria - so I went back to the same ER Hospital within 24 hours. The second time, the RN asked me why I was there because I looked good. They worked me up again with tests and they did blood cultures again and started me on the IV again. The doctor came in and said that I didn't get need to come in again because the new doctor had made a mistake. He said there wasn't enough bacteria in there to be re-admitted since I had already had the Rocephin. They gave me another dose though of it and IV fluids - and I was out again after that. I didn't have any problems after that. I had a follow doctor appt a week later - on the April 21st, 2021 and that was an in office visit and then I talked to her on the phone on the 29th.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis
Clinical narrative: The day of the 9th, I started having chills and body aches in the evening and that went through the weekend. I slept a lot and had fatigue. I didn't have any other symptoms. Monday morning, the 12th, I woke up at 04:00 am with rigors. I knew something was wrong. Shaking chills so bad that your teeth are going. I went ER - a friend took me. My fever went up to 102.9 after I got to ER.  I had a bag and 1/2 of fluids with antibiotic - Rocephin. After I went home, the next day, a doctor from Kaiser called me to be admitted to hospital because my blood cultures showed bacteria - so I went back to the same ER Hospital within 24 hours. The second time, the RN asked me why I was there because I looked good. They worked me up again with tests and they did blood cultures again and started me on the IV again. The doctor came in and said that I didn't get need to come in again because the new doctor had made a mistake. He said there wasn't enough bacteria in there to be re-admitted since I had already had the Rocephin. They gave me another dose though of it and IV fluids - and I was out again after that. I didn't have any problems after that. I had a follow doctor appt a week later - on the April 21st, 2021 and that was an in office visit and then I talked to her on the phone on the 29th.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Pulmonary embolism
Clinical narrative: I26.99 - Other pulmonary embolism without acute cor pulmonale N17.9 - Acute kidney failure, unspecified
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient had PCR test done on 6/28/2021 and result came back positive today 6/30/2021.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Patient got her 1st shot of COVID Moderna Vaccine at the pharmacy on 06/30 @ 11:40 AM. After 15 minutes of sitting in the waiting area, patient reports that she is feeling a general mild itchy feeling all over her body that comes and goes in phases. Patient did not report swelling, throat tightening, injection site pain, or injection site itching. Injection site redness or swelling was not observed. Pharmacist decided to administer one dose of diphenhydramine 25mg, gave one more capsule for patient to take home, and counseled on the sign and symptoms of anaphylaxis allergic reaction. Patient feels fine after another 15 minutes observation.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Brain natriuretic peptide, C-reactive protein increased, Chest pain, Electrocardiogram ST segment elevation, Electrocardiogram abnormal
Clinical narrative: Chest pain with evidence of pericarditis on EKG discharged with close PMD follow-up and NSAIDs
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Pericarditis, Red blood cell sedimentation rate normal, Troponin normal
Clinical narrative: Chest pain with evidence of pericarditis on EKG discharged with close PMD follow-up and NSAIDs
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: Patient reported numbness around mouth, chin and neck area within 30 minutes of receiving their 2nd dose of COVID-19 vaccine. RN monitored patient for additional 15 minutes, patient reported feeling better with numbness being isolated to neck area only, and able to drink water without difficulty. Patient continued to improve with reduced area of numbness, and was subsequently released to home at 0952. Vitals:  0930 ( BP 188/112 HR 90 O2 Sat 98%, RR 18 ) 0945 (BP 178/112 HR 81 O2 Sat 96% RR 18).  Lot# EW0196
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: First trimester pregnancy, Haemorrhage in pregnancy, Vaginal haemorrhage
Clinical narrative: Vaginal bleeding in pregnancy, first trimester
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Myositis
Clinical narrative: Myositis left arm/shoulder
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abnormal uterine bleeding, Vaginal haemorrhage
Clinical narrative: N93.9 - Abnormal uterine and vaginal bleeding, unspecified
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebral haemorrhage, Death, Malaise
Clinical narrative: Patient was feeling in good health prior to receipt of vaccination- Patient reported not feeling well  right after receiving the dose; fainted the following day- sought medical care that same day- no issues detected; patient continued to say he did not feel like something was right. Patient  died on June 4, 2021- brain bleed - transferred to different hospital-intraparenchymal bleed ---please note- there are NO LOT NUMBERS WRITTEN ON PT VACCINE RECORD!
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray normal, Chest pain, Computerised tomogram abnormal, Dyspnoea
Clinical narrative: She had the vaccine on 5/16 around 10:00am. The symptoms started at 5:00pm on 5/16 exp extreme sharp chest pains with difficulty breathing. We did give her Tylenol for pain for sharp pain around 7 pm started to come back. She was taken to ER to make sure it was not related to the vaccine. At the ER she had Chest X-rays, EKG, Bloodwork and her D-Dimer test was elevated she had a CT scan done showed  swollen lymph nodes on (left arm)no problems with her heart.We was told to follow up with pcp told to continue to watch her for myocarditis. She has a follow up Sonogram scheduled on 7/16 to ensure the swelling of the lymph nodes has went down.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Fibrin D dimer increased, Lymphadenopathy
Clinical narrative: She had the vaccine on 5/16 around 10:00am. The symptoms started at 5:00pm on 5/16 exp extreme sharp chest pains with difficulty breathing. We did give her Tylenol for pain for sharp pain around 7 pm started to come back. She was taken to ER to make sure it was not related to the vaccine. At the ER she had Chest X-rays, EKG, Bloodwork and her D-Dimer test was elevated she had a CT scan done showed  swollen lymph nodes on (left arm)no problems with her heart.We was told to follow up with pcp told to continue to watch her for myocarditis. She has a follow up Sonogram scheduled on 7/16 to ensure the swelling of the lymph nodes has went down.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Gait disturbance, Injection site pain, Injection site swelling, Mobility decreased
Clinical narrative: Swelling and pain at injection site hours after the injection.  The next day my entire body was sore and in pain. I could feel it all the way down to my bones. It was like this for over a week. My lower back has remained in constant  pain since 5/25/2021. It is difficult to get up in the morning and often times hard to walk.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Swelling and pain at injection site hours after the injection.  The next day my entire body was sore and in pain. I could feel it all the way down to my bones. It was like this for over a week. My lower back has remained in constant  pain since 5/25/2021. It is difficult to get up in the morning and often times hard to walk.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Angina pectoris, Blood test, Deafness, Dyspnoea, Echocardiogram
Clinical narrative: Severe Heart ache, Left arm severe pain. Swelling, shortness of breath, hearing loss, low blood pressure, rapid heart rate.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Electroencephalogram, Heart rate increased, Hypotension, Laboratory test, Pain in extremity
Clinical narrative: Severe Heart ache, Left arm severe pain. Swelling, shortness of breath, hearing loss, low blood pressure, rapid heart rate.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: Severe Heart ache, Left arm severe pain. Swelling, shortness of breath, hearing loss, low blood pressure, rapid heart rate.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Pain
Clinical narrative: Increased tiredness, dizziness, body aches
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Numbness of the pinkie toe of the right foot. First noticed 2-3 weeks after first dose, still present 6 weeks after vaccination. Exacerbated after a hot shower and while walking.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site reaction, Rash, Urticaria
Clinical narrative: Patient experienced a welt at the site of injection.  He then developed a rash down his arm.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Urticaria
Clinical narrative: Patient experienced fatigue and soreness at the site that improved. This morning developed uticaria - all over .
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Right arm and hand become numb within 5 minutes after vaccination. Can feel only pressure in R upper extremity.  Patient will follow up with urgent care if symptoms persist.
Sex: U
Vaccine: COVID19
Symptoms: Angina pectoris, Audiogram, Blood test, Cardiac rehabilitation therapy, Deafness
Clinical narrative: Severe Heart ache, Left arm severe pain. Swelling, shortness of breath, hearing loss, low blood pressure, rapid heart rate.
Sex: U
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram, Electroencephalogram, Heart rate increased, Hypotension
Clinical narrative: Severe Heart ache, Left arm severe pain. Swelling, shortness of breath, hearing loss, low blood pressure, rapid heart rate.
Sex: U
Vaccine: COVID19
Symptoms: Pain in extremity, Swelling
Clinical narrative: Severe Heart ache, Left arm severe pain. Swelling, shortness of breath, hearing loss, low blood pressure, rapid heart rate.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Lymphadenopathy, Peripheral swelling, Pyrexia, Ultrasound scan
Clinical narrative: STARTED WITH FEVER AND THEN LYMP NODES ENLARGED ON L ARM PIT ,2 DAYS LATER MOVED TO R ARM PIT  AFTER  A WEEK R LEG SWOLLEN BELOW THE KNEE AND MOVED TO THE LOWER LEG. WITH LOTS OF PAIN AT THE KNEE
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt currently has Covid 19
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Chest pain, Echocardiogram, Electrocardiogram, Troponin
Clinical narrative: chest pain X 4 days seen in ER. EKG, Echo, CXR and Troponin done.  given colchicine and now being followed up, Pt still being followed up at the time of this note.
Age: 44.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Bell's palsy, Blood glucose, Blood test, Chest X-ray
Clinical narrative: Approximately one month after my second shot, beginning around 5/20, I began to lose the sense of taste on the right side of my tongue. I thought it would go away but by 5/23 I had partial paralysis on the right side of my face. Fearing a stroke I went to the ER and after a full battery of tests I was diagnosed with Bell's Palsy. The symptoms worsened for a few days and I was unable to close my right eye, had difficulty breathing out of my right nostril and both eating and drinking were difficult because my lips would not close fully. The symptoms stabilized and then finally began to improve after steroid and antiviral treatment for a week, then on to regular aspirin.
Age: 44.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram, Computerised tomogram head, Coronavirus test negative, Dyskinesia, Dyspnoea
Clinical narrative: Approximately one month after my second shot, beginning around 5/20, I began to lose the sense of taste on the right side of my tongue. I thought it would go away but by 5/23 I had partial paralysis on the right side of my face. Fearing a stroke I went to the ER and after a full battery of tests I was diagnosed with Bell's Palsy. The symptoms worsened for a few days and I was unable to close my right eye, had difficulty breathing out of my right nostril and both eating and drinking were difficult because my lips would not close fully. The symptoms stabilized and then finally began to improve after steroid and antiviral treatment for a week, then on to regular aspirin.
Age: 44.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram, Eyelid function disorder, Facial paralysis, Fear, Magnetic resonance imaging head
Clinical narrative: Approximately one month after my second shot, beginning around 5/20, I began to lose the sense of taste on the right side of my tongue. I thought it would go away but by 5/23 I had partial paralysis on the right side of my face. Fearing a stroke I went to the ER and after a full battery of tests I was diagnosed with Bell's Palsy. The symptoms worsened for a few days and I was unable to close my right eye, had difficulty breathing out of my right nostril and both eating and drinking were difficult because my lips would not close fully. The symptoms stabilized and then finally began to improve after steroid and antiviral treatment for a week, then on to regular aspirin.
Age: 44.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Magnetic resonance imaging neck, Urine analysis
Clinical narrative: Approximately one month after my second shot, beginning around 5/20, I began to lose the sense of taste on the right side of my tongue. I thought it would go away but by 5/23 I had partial paralysis on the right side of my face. Fearing a stroke I went to the ER and after a full battery of tests I was diagnosed with Bell's Palsy. The symptoms worsened for a few days and I was unable to close my right eye, had difficulty breathing out of my right nostril and both eating and drinking were difficult because my lips would not close fully. The symptoms stabilized and then finally began to improve after steroid and antiviral treatment for a week, then on to regular aspirin.
Age: 16.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Dyspnoea
Clinical narrative: PATIENT BEGAN HAVING DIFFICULTY BREATHING.   MOM TOOK HER TO THE ER AND WAS TERATED AND RELEASED.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Death 6-28-2021
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Anti-thyroid antibody positive, Arthralgia, Blood thyroid stimulating hormone normal, Brain natriuretic peptide normal, C-reactive protein normal
Clinical narrative: 30 minutes after first Covid jab she experienced tachycardia, tingling in neck and chest. Her legs gave out when she got home and she felt unwell for the rest of the day, but recovered.  Second Covid jab was on 4/11/21 and she felt her throat close up afterwards. Numbness in toes, feet, thighs and hand, felt tingling in throat, tongue and face. She took prednisone taper and experienced hip and knee pain, then took ibuprofen, which caused chest discomfort. Since then she has lost 8# because of dryness in throat and tightness in throat when she tries to swallow or eat. Feels short of breath although pulse ox readings have been normal. Fatigue and light-headedness with some reduced hearing and tinnitus.  Symptoms are gradually improving after visits to primary care, neurologist and cardiologist. Still experiences heart pounding when she stands up first thing in the morning and light-headedness. Also experiences heart pounding when she eats. Sometimes pounding in the middle of the night that wake her up from sleep. Tingling in arms and legs continues.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Dry throat, Dyspnoea, Fatigue
Clinical narrative: 30 minutes after first Covid jab she experienced tachycardia, tingling in neck and chest. Her legs gave out when she got home and she felt unwell for the rest of the day, but recovered.  Second Covid jab was on 4/11/21 and she felt her throat close up afterwards. Numbness in toes, feet, thighs and hand, felt tingling in throat, tongue and face. She took prednisone taper and experienced hip and knee pain, then took ibuprofen, which caused chest discomfort. Since then she has lost 8# because of dryness in throat and tightness in throat when she tries to swallow or eat. Feels short of breath although pulse ox readings have been normal. Fatigue and light-headedness with some reduced hearing and tinnitus.  Symptoms are gradually improving after visits to primary care, neurologist and cardiologist. Still experiences heart pounding when she stands up first thing in the morning and light-headedness. Also experiences heart pounding when she eats. Sometimes pounding in the middle of the night that wake her up from sleep. Tingling in arms and legs continues.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoacusis, Hypoaesthesia, Palpitations, Paraesthesia, Paraesthesia oral
Clinical narrative: 30 minutes after first Covid jab she experienced tachycardia, tingling in neck and chest. Her legs gave out when she got home and she felt unwell for the rest of the day, but recovered.  Second Covid jab was on 4/11/21 and she felt her throat close up afterwards. Numbness in toes, feet, thighs and hand, felt tingling in throat, tongue and face. She took prednisone taper and experienced hip and knee pain, then took ibuprofen, which caused chest discomfort. Since then she has lost 8# because of dryness in throat and tightness in throat when she tries to swallow or eat. Feels short of breath although pulse ox readings have been normal. Fatigue and light-headedness with some reduced hearing and tinnitus.  Symptoms are gradually improving after visits to primary care, neurologist and cardiologist. Still experiences heart pounding when she stands up first thing in the morning and light-headedness. Also experiences heart pounding when she eats. Sometimes pounding in the middle of the night that wake her up from sleep. Tingling in arms and legs continues.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal paraesthesia, Red blood cell sedimentation rate normal, Throat tightness, Thyroxine free normal, Tinnitus
Clinical narrative: 30 minutes after first Covid jab she experienced tachycardia, tingling in neck and chest. Her legs gave out when she got home and she felt unwell for the rest of the day, but recovered.  Second Covid jab was on 4/11/21 and she felt her throat close up afterwards. Numbness in toes, feet, thighs and hand, felt tingling in throat, tongue and face. She took prednisone taper and experienced hip and knee pain, then took ibuprofen, which caused chest discomfort. Since then she has lost 8# because of dryness in throat and tightness in throat when she tries to swallow or eat. Feels short of breath although pulse ox readings have been normal. Fatigue and light-headedness with some reduced hearing and tinnitus.  Symptoms are gradually improving after visits to primary care, neurologist and cardiologist. Still experiences heart pounding when she stands up first thing in the morning and light-headedness. Also experiences heart pounding when she eats. Sometimes pounding in the middle of the night that wake her up from sleep. Tingling in arms and legs continues.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin normal, Weight decreased
Clinical narrative: 30 minutes after first Covid jab she experienced tachycardia, tingling in neck and chest. Her legs gave out when she got home and she felt unwell for the rest of the day, but recovered.  Second Covid jab was on 4/11/21 and she felt her throat close up afterwards. Numbness in toes, feet, thighs and hand, felt tingling in throat, tongue and face. She took prednisone taper and experienced hip and knee pain, then took ibuprofen, which caused chest discomfort. Since then she has lost 8# because of dryness in throat and tightness in throat when she tries to swallow or eat. Feels short of breath although pulse ox readings have been normal. Fatigue and light-headedness with some reduced hearing and tinnitus.  Symptoms are gradually improving after visits to primary care, neurologist and cardiologist. Still experiences heart pounding when she stands up first thing in the morning and light-headedness. Also experiences heart pounding when she eats. Sometimes pounding in the middle of the night that wake her up from sleep. Tingling in arms and legs continues.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac flutter, Chest discomfort
Clinical narrative: Felt like I had a quick heart attack on 6-19-21. Since then I've been having fluttering, and tightness in my chest.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Heart rate increased, Menstruation irregular, Migraine
Clinical narrative: Fever, migraine, anxiety, light headedness, anxiety attack led to fast heart rate, shaking legs, feeling faint, menstrual cycle either missed or late by 3-4 weeks (not pregnant)
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever, migraine, anxiety, light headedness, anxiety attack led to fast heart rate, shaking legs, feeling faint, menstrual cycle either missed or late by 3-4 weeks (not pregnant)
Age: 78.0
Sex: F
Vaccine: UNK
Symptoms: Headache, Neck pain
Clinical narrative: Intermittent headaches temple and back of neck
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Culture stool negative, Diarrhoea, Muscle spasms, Pain
Clinical narrative: Severe watery stools several times a time times 8 weeks, accompanied by pain/cramping. Did not matter what was eaten. Stool specimen for Cdiff, blood, parasites, infection  was neg. Could not get an appt. with Gastroenterology until June 10th. By that time, I had taken matters into my own hands. Did detoxing and intentionally focused on gut health. Condition was greatly improved by June 10th. Back to 95% by June 30th. Still having to watch gut health do do not have flare ups.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Headache, Nausea
Clinical narrative: 6/20/21 Diarhea at 4 am.    6/11/21 Diarhea at 6 am.  6/12/21 Severe Diarhea, nausea, headache, extremely tired beginning  at 6am. This lasted till 6/13/21 .
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Floris experienced two welts on her back, almost a week after receiving the shot.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Heart rate irregular
Clinical narrative: Rapid heart beat. Heart feeling like it is beating harder than it should.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Atrial fibrillation, Encephalopathy, Endocarditis, General physical health deterioration
Clinical narrative: Injection recieved 4/10/21, a-fib started 5/16/21. Admitted to hospital 6/19/21 with sepsis syndrome in the mechanical cardiac valve, leukipenia, thrombocytopenia, encephalopaty, acute kidney injury, respiratory failure, tachycardia, new onset afib. Patient is currently still hospitalized and declining in status- on ventalator
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Leukopenia, Mechanical ventilation, Respiratory failure, Sepsis syndrome
Clinical narrative: Injection recieved 4/10/21, a-fib started 5/16/21. Admitted to hospital 6/19/21 with sepsis syndrome in the mechanical cardiac valve, leukipenia, thrombocytopenia, encephalopaty, acute kidney injury, respiratory failure, tachycardia, new onset afib. Patient is currently still hospitalized and declining in status- on ventalator
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Tachycardia, Thrombocytopenia
Clinical narrative: Injection recieved 4/10/21, a-fib started 5/16/21. Admitted to hospital 6/19/21 with sepsis syndrome in the mechanical cardiac valve, leukipenia, thrombocytopenia, encephalopaty, acute kidney injury, respiratory failure, tachycardia, new onset afib. Patient is currently still hospitalized and declining in status- on ventalator
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Neurological symptom
Clinical narrative: Patient stated that left side of face become numb. Patient thought she was having a stroke. Malpasily.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pruritus, Urticaria
Clinical narrative: Sore left arm two hours after the vaccine was administered. on 6/21. Soreness subsided the next day.  On 6/27 hives were noticed on both arms with mild itchy symptoms. 6/28 hives appeared on both legs with mild itchy symptom.  Hives are still noticeable the morning of 6/30 on both legs and arms, Benadryl was given at 9:00 am.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Musculoskeletal stiffness, Pain
Clinical narrative: The patient received her 2nd dose of Moderna on 6/26/2021. The patient states that she felt fine immediately after the shot on Saturday around 2 PM. On Sunday afternoon, the patient reports feeling muscle stiffness and soreness all over. The patient tried to use ibuprofen, fish oil, and turmeric to help with her muscle stiffness with little success. Patient states that she also experienced loss of appetite, and mostly slept and remained inactive. The patient's stiffness/soreness gradually improved through the week and until she called on 6/30/2021. She reports still continuing to feel the muscle stiffness/soreness as of the time she called the pharmacy. The patient has not sought out any additional medical care at this time and says that she feels fine otherwise.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac monitoring, Cardiac stress test normal, Chest discomfort, Electrocardiogram abnormal, Heart rate irregular
Clinical narrative: My heart started feeling funny. I walk a lot and we usually walk four miles 4 or 5 days a week. I told her my chest felt funny. It didn't funny. It felt like heart was pounding. I waited about a month before I went to doctor - never had it in my life this kind of thing. It beats out of whack ( my heart) - I feel it mostly at rest. If I lie down I can hear heart beating in my ear. It is still occurring. The next step would maybe be to take beta blockers but haven't tried that yet. My doctor can hear it. It's constant - it is always is doing it. When I stop and slow down, I hear that it's beating irregular.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Sleep disorder, Ventricular extrasystoles
Clinical narrative: My heart started feeling funny. I walk a lot and we usually walk four miles 4 or 5 days a week. I told her my chest felt funny. It didn't funny. It felt like heart was pounding. I waited about a month before I went to doctor - never had it in my life this kind of thing. It beats out of whack ( my heart) - I feel it mostly at rest. If I lie down I can hear heart beating in my ear. It is still occurring. The next step would maybe be to take beta blockers but haven't tried that yet. My doctor can hear it. It's constant - it is always is doing it. When I stop and slow down, I hear that it's beating irregular.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Asthenia, Dizziness, Fatigue, Feeling hot
Clinical narrative: HORRIBLE experience!!!  Felt faint the second the shot went into my arm, and for about 20 minutes afterwards.  (I practice meditation, and I can assure you this was NOT a panic attack or based on nervousness).  Felt heat in my neck and ears, and immediate arm pain.  After 30 minutes, drove home, and felt "spacey" the entire ride home.  Ate some breakfast to see if that would help.  Within 3 hours, I was getting a high fever, muscle aches (EVERYTHING hurt...including the tops of my hands...absoltuely miserable!!), fatigue, dizziness.  THE WORST SIDE EFFECT WAS HEART PALPITATIONS.  MY HEART WAS BEATING OUT OF MY CHEST (ELEVATED BETWEEN 90-120 BPM) FOR A STRAIGHT 36-HOURS!!!!!  HOW COULD THIS BE NORMAL?????  I THOUGHT I WAS GOING TO DIE.  I WORK OUT EVERY DAY...SO MY HEART RATE IS NORMALLY MUCH LOWER...SO THIS WAS EXTREME FOR ME.  It took FOUR DAYS for all of my symptoms to subside.  FOUR DAYS!!!!!  This vaccine is NOT safe, despite what you are telling the general public.  I am an extremely healthy person...I eat healthy (no processed foods), do not drink or do drugs, meditate daily...this was an extreme reaction.  Then, about 5 days later, news broke that the CDC was halting distribution of J+J due to blood clots.  For two weeks, I developed severe anxiety, thinking that I would be a blood clot victim.  Next to my breast cancer experience, this was the WORST health experience I've had in my entire lifetime.  I WOULD NEVER GET ANOTHER VACCINE AGAIN!!!
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Myalgia, Pain, Pain in extremity, Palpitations
Clinical narrative: HORRIBLE experience!!!  Felt faint the second the shot went into my arm, and for about 20 minutes afterwards.  (I practice meditation, and I can assure you this was NOT a panic attack or based on nervousness).  Felt heat in my neck and ears, and immediate arm pain.  After 30 minutes, drove home, and felt "spacey" the entire ride home.  Ate some breakfast to see if that would help.  Within 3 hours, I was getting a high fever, muscle aches (EVERYTHING hurt...including the tops of my hands...absoltuely miserable!!), fatigue, dizziness.  THE WORST SIDE EFFECT WAS HEART PALPITATIONS.  MY HEART WAS BEATING OUT OF MY CHEST (ELEVATED BETWEEN 90-120 BPM) FOR A STRAIGHT 36-HOURS!!!!!  HOW COULD THIS BE NORMAL?????  I THOUGHT I WAS GOING TO DIE.  I WORK OUT EVERY DAY...SO MY HEART RATE IS NORMALLY MUCH LOWER...SO THIS WAS EXTREME FOR ME.  It took FOUR DAYS for all of my symptoms to subside.  FOUR DAYS!!!!!  This vaccine is NOT safe, despite what you are telling the general public.  I am an extremely healthy person...I eat healthy (no processed foods), do not drink or do drugs, meditate daily...this was an extreme reaction.  Then, about 5 days later, news broke that the CDC was halting distribution of J+J due to blood clots.  For two weeks, I developed severe anxiety, thinking that I would be a blood clot victim.  Next to my breast cancer experience, this was the WORST health experience I've had in my entire lifetime.  I WOULD NEVER GET ANOTHER VACCINE AGAIN!!!
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: HORRIBLE experience!!!  Felt faint the second the shot went into my arm, and for about 20 minutes afterwards.  (I practice meditation, and I can assure you this was NOT a panic attack or based on nervousness).  Felt heat in my neck and ears, and immediate arm pain.  After 30 minutes, drove home, and felt "spacey" the entire ride home.  Ate some breakfast to see if that would help.  Within 3 hours, I was getting a high fever, muscle aches (EVERYTHING hurt...including the tops of my hands...absoltuely miserable!!), fatigue, dizziness.  THE WORST SIDE EFFECT WAS HEART PALPITATIONS.  MY HEART WAS BEATING OUT OF MY CHEST (ELEVATED BETWEEN 90-120 BPM) FOR A STRAIGHT 36-HOURS!!!!!  HOW COULD THIS BE NORMAL?????  I THOUGHT I WAS GOING TO DIE.  I WORK OUT EVERY DAY...SO MY HEART RATE IS NORMALLY MUCH LOWER...SO THIS WAS EXTREME FOR ME.  It took FOUR DAYS for all of my symptoms to subside.  FOUR DAYS!!!!!  This vaccine is NOT safe, despite what you are telling the general public.  I am an extremely healthy person...I eat healthy (no processed foods), do not drink or do drugs, meditate daily...this was an extreme reaction.  Then, about 5 days later, news broke that the CDC was halting distribution of J+J due to blood clots.  For two weeks, I developed severe anxiety, thinking that I would be a blood clot victim.  Next to my breast cancer experience, this was the WORST health experience I've had in my entire lifetime.  I WOULD NEVER GET ANOTHER VACCINE AGAIN!!!
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood test, Nausea, Pain
Clinical narrative: Extreme nausea, body pain and weakness
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Dizziness, Heart sounds abnormal, Nausea, Pallor
Clinical narrative: Approx 5-10 minutes after administration of 2nd Pfizer vaccination, employee became very very pale and complained of feeling faint.  Auscultation of lungs revealed clear to all fields and heart sounds revealed an irregular rhythm.  Assessed if employee had ever had a cardiac issue in the past and employee stated that nothing was known.  Employee continued to be near syncopal and EMS was activated.  Upon their arrival, EMS also noted the irregularity and offered to transport employee to ER for further evaluation.  Employee refused to go to ER.  Monitoring of employee by facility staff continued for approx 40 minutes longer and condition did improve but did not resolve.  Employee admitted having vertigo and some nausea but refused to be taken home or go to ER despite much encouragement from nursing leadership and supervisor.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Presyncope, Vertigo
Clinical narrative: Approx 5-10 minutes after administration of 2nd Pfizer vaccination, employee became very very pale and complained of feeling faint.  Auscultation of lungs revealed clear to all fields and heart sounds revealed an irregular rhythm.  Assessed if employee had ever had a cardiac issue in the past and employee stated that nothing was known.  Employee continued to be near syncopal and EMS was activated.  Upon their arrival, EMS also noted the irregularity and offered to transport employee to ER for further evaluation.  Employee refused to go to ER.  Monitoring of employee by facility staff continued for approx 40 minutes longer and condition did improve but did not resolve.  Employee admitted having vertigo and some nausea but refused to be taken home or go to ER despite much encouragement from nursing leadership and supervisor.