chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fall, Feeling hot, Head injury, Loss of consciousness
Clinical narrative: Patient is a 34 year old male with a past medical history of asthma who presented to the vaccine site today for his first dose of the vaccine. He received his dose at about 1710 and went t o observation area for his 15 min wait. About 5 minutes into his wait he reports feeling lightheaded and feeling hot then had a syncopal episode with loss of consciousness and fell out of his chair. He hit the left side of his head on the floor. This writer her a loud thud and looked out to see him on floor. I immediately ran over to him. He was unresponsive to tactile and verbal stimuli. He finally regained consciousness with sternal rub. He was out for about 30-45 seconds.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Patient is a 34 year old male with a past medical history of asthma who presented to the vaccine site today for his first dose of the vaccine. He received his dose at about 1710 and went t o observation area for his 15 min wait. About 5 minutes into his wait he reports feeling lightheaded and feeling hot then had a syncopal episode with loss of consciousness and fell out of his chair. He hit the left side of his head on the floor. This writer her a loud thud and looked out to see him on floor. I immediately ran over to him. He was unresponsive to tactile and verbal stimuli. He finally regained consciousness with sternal rub. He was out for about 30-45 seconds.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Crying, Facial discomfort, Hypoaesthesia, Paraesthesia, Skin tightness
Clinical narrative: Sudden facial discomfort on left side of face (pressure, numbness, tingling) and unexpected crying; 24 hours later mostly subsided but still decreased sensation in left side of face and feeling of pressure/tightness in left side of face.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Myalgia, Nausea
Clinical narrative: At 10:00 pm I started getting severe chills I had a severe headache, joints and muscles starting to hurt and I had I was nauseous
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Light Dizziness
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Incorrect product formulation administered, No adverse event
Clinical narrative: Patient received a 2nd dose of undiluted pfizer covid vaccine (0.3ml). The patient was observed for full 15 minutes after administration and followed up 45 minutes after administration. No adverse drug reaction was noticed.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Fever, body aches, headache, fatigue. Started aprox 7 hours after vaccination.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Muscle tightness, Nausea, Pyrexia
Clinical narrative: Same day I received the shot, I experienced naseau, fever, and chills.   On Sunday (2 days later), I awoke covered in a raised, itchy rash all over my body.   It lasted until Tuesday.   On Wednesday, I had severe muscle tightening in both calves, originating in the muscle behind my knees.  It was so painful, I couldn?t stand in one spot for longer than 10-15 seconds.   I had to either sit or walk.  I finally have relief from that pain today (Friday).
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash papular
Clinical narrative: Same day I received the shot, I experienced naseau, fever, and chills.   On Sunday (2 days later), I awoke covered in a raised, itchy rash all over my body.   It lasted until Tuesday.   On Wednesday, I had severe muscle tightening in both calves, originating in the muscle behind my knees.  It was so painful, I couldn?t stand in one spot for longer than 10-15 seconds.   I had to either sit or walk.  I finally have relief from that pain today (Friday).
Age: 67.0
Sex: F
Vaccine: UNK, COVID19
Symptoms: Death
Clinical narrative: THE POLICE OFFICER CALLED US TODAY TO NOTIFY US THAT THE PATIENT PASSED AWAY WITH NO FURTHER INFORMATION WHETHER THE DEATH IS RELATED TO THE VACCINE OR NOT.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Bradycardia, Hyperhidrosis, Hypotension, Irritable bowel syndrome
Clinical narrative: Sudden onset one hour after vaccine of severe irritable bowel.  Became diaphoretic, bradycardic and hypotensive and extreme abd pain.  Was taken to the Emergency Room by coworker (I work in the hospital)
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Impaired work ability
Clinical narrative: Extreme fatigue,  was unable to go to work day after vaccination. Lasted  12 hours.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Nausea, Pain, Pyrexia
Clinical narrative: Severe body aches, fever, chills, nausea
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue
Clinical narrative: No appetite. Feeling tired.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Blepharospasm, Pharyngeal paraesthesia, Throat tightness
Clinical narrative: 3:00PM - patient reported throat felt tingly, somewhat constrictive and his right eye was twitching 3:07PM - 25mg of benadryl given 3:13-3:20 - throat symptoms improving but still feeling somewhat constrictive, eye still twitching 3:23PM - blood pressure 137/97 3:34PM - blood pressure 135/87 3:37PM - patient feeling well enough and comfortable to leave with wife as a driver due to benadryl  Called the patient at 7:00PM to check in.  Symptoms had resolved completely and the patient required no further interventions
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood glucose normal, Dizziness, Nausea, Paraesthesia
Clinical narrative: 1449: Pt reporting complaints of lightheadedness, nausea, weakness, tingling in toes, BP 82/42, HR49, O2 96%, Blood glucose 93 1454: Provided pt crackers and sprite to pt d/t him not eating at all today 1455: BP 78/40, HR 56, O293% EMS called  1501: BP Rarm 88/42, BP Larm 90/50, HR 59, O2 95%, pt declines nausea/SOB/dyspnea 1507: EMS left with pt via stretcher
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature increased, Decreased appetite, Lymphadenopathy, Nausea
Clinical narrative: 102.9F fever the next day, swollen glands, nausea and dry heaves no appetite. treated with Tylenol every 6 hours  then the 2nd day - bad nausea, fever 101F then when up in temp on Monday to Tuesday Tues. morning glands going down but top of the left shoulder painful  Wed . swollen glands on the left of neck , below the neck front a swollen lump and below neck left shoulder a 2 inch wide ridge swollen and 1 inch wide and now starting on the right side
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Nodule, Peripheral swelling, Retching
Clinical narrative: 102.9F fever the next day, swollen glands, nausea and dry heaves no appetite. treated with Tylenol every 6 hours  then the 2nd day - bad nausea, fever 101F then when up in temp on Monday to Tuesday Tues. morning glands going down but top of the left shoulder painful  Wed . swollen glands on the left of neck , below the neck front a swollen lump and below neck left shoulder a 2 inch wide ridge swollen and 1 inch wide and now starting on the right side
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: SEVERE COPD EXACERBATION
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site hypoaesthesia, Injection site paraesthesia
Clinical narrative: Patient reported numbness and tingling on vaccination arm right site.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Palpitations
Clinical narrative: Took Benadryl 50mg prophylactically prior to vaccine. 5 min after shot experienced heart racing, mild air hunger and SOB. 15 min after symptoms started to subside. At 30-36 min later felt normal.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Ringing in my ears/head. A loud high pitched ring. Making me crazy. Started around March 10th. Is not getting better.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain, Pyrexia
Clinical narrative: Fever,chills, aches, fatigue
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site inflammation, Injection site pruritus, Injection site rash
Clinical narrative: I developed a large, circular skin rash at the injection site.  The area was slightly inflamed with a mild itch on the  day that I noticed it.  I treated it by applying hydrocortisone cream 2-3 times a day for 3 days. The rash has gradually decreased in size and color over the past 5 days and hasn't itched since the first day. Although there is still some faint skin redness, there is no inflammation and I consider this reaction recovered.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 2nd dose given too early, 1st dose 2/27/21, 2nd dose 3/16/21
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Face injury, Fall, Loss of consciousness
Clinical narrative: PT RECEIVED 1ST DOSE OF PFIZER COVID VACCINE. SHE SAT ON A CHAIR FOR 15 MINUTES AND WAS FINE WHILE SEATED. AFTER 15 MINUTES SHE STOOD UP TO LEAVE AND WALKED ABOUT 25 YARDS WHERE SHE SUDDENLY FELT DIZZY AND PASSED OUT. SHE FELL TO THE GROUND, HER FACE SLAMMING THE FLOOR. AFTER A FEW SECONDS SHE WAS CONSCIOUS AND BREATHING. WE KEPT HER LAYING ON THE GROUND AND TOLD HER TO KEEP BREATHING. SHE WAS CONSCIOUS AND RESPONDING TO OUR QUESTIONS. WE CALLED 911 AND EMT ARRIVED AND TOOK OVER HER TREATMENT
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Chills, Diarrhoea, Fatigue, Headache
Clinical narrative: Chills, aches, muscle pain, upset stomach, Diarrhea and cramps, tiredness, pain and redness at injection site, headache
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Muscle spasms, Myalgia, Pain
Clinical narrative: Chills, aches, muscle pain, upset stomach, Diarrhea and cramps, tiredness, pain and redness at injection site, headache
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Dysarthria, Facial paralysis
Clinical narrative: Patient received 1st dose of Moderna vaccine on 01/30/2021.  Patient received second dose on 2/27/2021 and within an hour noticed slurred speech and drooped face.  Patient went to ER and was transferred to another Hospital on 2/27/21 due to stroke.  Now patient believes stoke may have started 2/26/21, as she was somewhat confused  that day, but didn't realize stroke until after vaccine.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Malaise, Unresponsive to stimuli
Clinical narrative: Administered 0.5 ml of Moderna Covid EUA vaccine IM to patient's left arm. Patient went out to waiting room after told to wait 15 minutes before leaving store. Approximately 2 minutes later caregiver and patient approached register and stated patient wasn't feeling well.  Brought patient back into consultation room. Patient was slouching and not responding to questions. "Are you okay" & "Can you sit up" Patient continued to slouch. Administered EpiPen 0.3mg to patients left thigh and called 911. Patient then began to respond to questions. Paramedics showed up and assessed patient. Paramedics took patient to emergency room after their evaluation of patient.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Erythema, Headache, Injection site mass, Injection site pain
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA headache first day, immediate itching and redness and lump at injection site, nausea and shortness of breath, tenderness on injection site, arm soreness it is now day 9 since my 1st shot, and everything else has gone away except for the redness, itchiness, and the lump size which has progressively gotten worse not cleared up in 7 to 10 days
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Pain in extremity, Pruritus
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA headache first day, immediate itching and redness and lump at injection site, nausea and shortness of breath, tenderness on injection site, arm soreness it is now day 9 since my 1st shot, and everything else has gone away except for the redness, itchiness, and the lump size which has progressively gotten worse not cleared up in 7 to 10 days
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Injection site erythema, Injection site mass, Pain in extremity, Pruritus
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA headache first day, immediate itching and redness and lump at injection site, nausea and shortness of breath, tenderness on injection site, arm soreness it is now day 9 since my 1st shot, and everything else has gone away except for the redness, itchiness, and the lump size which has progressively gotten worse not cleared up in 7 to 10 days
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Feeling hot
Clinical narrative: Feels super warm and abnormal. Felt better after sitting or 5 minutes without any interventions
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Incorrect route of product administration, Infection, Peripheral swelling, Skin warm
Clinical narrative: Injection was put in the fatty tissue and not in the actual muscle tissue  - it may have been administered too low in my arm. Everything was fine for first five days - and I noticed where the shot mark was and I noticed a lighter ring around it and about 3 or 4 days later - ring around it that was four inches in size- it was warm to the touch; swollen. Inner part was bright red and about five inches out it was lighter - it looked like an infection. I sent a photo to my doctor and asked him and was put on antibiotic  - about a week - just in case. It may have helped a little - after the antibiotics, I could still see it was there (although no swelling anymore).
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Dysstasia, Muscular weakness
Clinical narrative: weakness in legs and trying to stand up and keep my balance
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: Patient received vaccine at 3:42 pm.  At 3:50pm, patient was unconscious but breathing in his chair in the post-vaccine waiting area.  911 was called.  Patient was placed on the floor in the recovery position, he regained consciousness after about 1 minute.  He stated that he has passed out previously after giving blood as he has a fear of needles.  EMS took his BP several times (last reading at 4:13 pm was 96/63) after arriving at 3:57pm.  At 4:13 pm he signed a waiver that he did not want to go to the ER.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Diarrhoea, Dizziness, Feeling hot, Headache
Clinical narrative: Extreme nausea, abdominal cramping, diarrhea, dizziness. Also headache and warm face (low fever) occurring for 2 hours , beginning 4 hours after vaccination.  Then  a little less severe for the following 2 hours. Then further diminishing over the next four  hours.  Felt OK  after 12 hours.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Extreme nausea, abdominal cramping, diarrhea, dizziness. Also headache and warm face (low fever) occurring for 2 hours , beginning 4 hours after vaccination.  Then  a little less severe for the following 2 hours. Then further diminishing over the next four  hours.  Felt OK  after 12 hours.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Gait disturbance, Vertigo
Clinical narrative: wobbly legs, spinning head, shortness of breath
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Amnesia, Hallucination, Incontinence
Clinical narrative: The night of the second dose the wife reports that he experienced hallucinations, amnesia and incontinence. According to the wife, an ambulance was called and he was taken to the hospital.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Lethargy, Listless, Pain
Clinical narrative: Aches, chills, fever about 7 hours after receiving the dose. Lethargic, tired the next day. Same symptoms but  less but less severity than the night before. Slept all day the second day. The third day almost back to normal except for a little listlessness. Took Tylenol the first night and the next morning.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Aches, chills, fever about 7 hours after receiving the dose. Lethargic, tired the next day. Same symptoms but  less but less severity than the night before. Slept all day the second day. The third day almost back to normal except for a little listlessness. Took Tylenol the first night and the next morning.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: NONE
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Periorbital swelling, Rash, Swelling face
Clinical narrative: Day 3 of swollen face . started to get rash and eyes all puffy. some rash underneath armpits and right knee randomly. None on the rest of body. Had trouble breathing after first dose of vaccine and was started on steroids. when she went to get her second dose she started the steroids immediately. she ended last Tuesday or Wednesday and the rash and puffy eyes started 3 days ago . was on antibiotic with the first dose but none since . Intermittently has had trouble breathing. breathing felt much better when on steroid.
Age: 80.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood thyroid stimulating hormone decreased, C-reactive protein increased, Fatigue, Malaise, Mobility decreased
Clinical narrative: Severe fatigue and subjective fevers, with bilateral upper extremity pain, unable to raise arms above shoulders for 2 weeks, malaise, fatigue and body aches persisting for ~ 18 days but improving.    Had received the following vaccines recently: Moderna 2/4/2021, 1/7/2021 Shingrix 12/16/2020, 03/01/2021
Age: 80.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pain in extremity, Pyrexia, Red blood cell sedimentation rate
Clinical narrative: Severe fatigue and subjective fevers, with bilateral upper extremity pain, unable to raise arms above shoulders for 2 weeks, malaise, fatigue and body aches persisting for ~ 18 days but improving.    Had received the following vaccines recently: Moderna 2/4/2021, 1/7/2021 Shingrix 12/16/2020, 03/01/2021
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Infection, Monoclonal antibody immunoconjugate therapy
Clinical narrative: Case tested positive for COVID-19 on 3/1/2021 by rapid antigen and then again on 3/3/2021 by PCR.  Case was admitted to hospital on 3/3/2021 for shortness of breath and occult infection.  Case was previously admitted and discharged from hospital on 2/22/2021 after a lumbar compression fracture.  Case had monoclonal antibody infusions; was afebrile and denied chills, but had a dry cough.  Case was a previous smoker, quit 2 years prior.  Case developed pneumonia.  Case required supplemental oxygen.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pneumonia, SARS-CoV-2 test positive, Spinal compression fracture
Clinical narrative: Case tested positive for COVID-19 on 3/1/2021 by rapid antigen and then again on 3/3/2021 by PCR.  Case was admitted to hospital on 3/3/2021 for shortness of breath and occult infection.  Case was previously admitted and discharged from hospital on 2/22/2021 after a lumbar compression fracture.  Case had monoclonal antibody infusions; was afebrile and denied chills, but had a dry cough.  Case was a previous smoker, quit 2 years prior.  Case developed pneumonia.  Case required supplemental oxygen.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Discomfort
Clinical narrative: developed episodic HA. "Feels like a pressure in my head." Travels from one spot to another. Episodic. Lasts for several minutes before spontaneously resolving.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: HCW was given pfizer first dose on 12/17/20.  HCW thought she will have to re-start the series all over because she waited too long to get 2nd dose of pfizer so she opted for the Janssen vaccine. She did not inform vaccinator that she had already received a covid-19 vaccine. HCW denies any side affects or adverse reactions at this time.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site rash, Injection site warmth
Clinical narrative: On March  15  my injection sight was really sore  so I looked at it and I had  a large rash  When I massage it feels warm to the touch.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site rash
Clinical narrative: Large, fist-sized circular rash near injection site; exacerbated Carpal Tunnel-like symptoms in are
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Pain, Sinus congestion
Clinical narrative: TERRIBLE HEADACHE, NAUSEA, BODY ACHES, SINUS CONGESTION
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertension, Pruritus, Urticaria
Clinical narrative: I sat down for 15 min and felt fine for the rest of the day. The hives started about 30 mins after I had dinner. It started on my shoulders and back, so I took a Benadryl, which was expired. So, I went to get some more and took a second dose around midnight. I won't up with none, but they were back around noon. That happened for a few days with it happening around lunch and dinner. On Tues, they started spreading more, so I went to the doctor. There was no swelling of the tongue. They lessened over the next couple of days. As of today, I have a small amount of itching, but nothing bad. I've also been taking Claritin since yesterday. I have not seen any the same size as before, but I notice that they seem to be worse at night. I took my BP a few times and it was high at those times, but it went back to normal the next day. I will be seeing an allergist in the near future.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Injection site warmth
Clinical narrative: Shot site was fine. No soreness. About five days later, I noticed a rash - 4 inches below the shot site. Nothing bad but nothing around the shot site. No itching. No swelling. A little warm to the touch. No treatment. The rash was there for about a week and a half. - about 10 or 12 days.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pyrexia
Clinical narrative: I had fever, every joint ached extremely painfully
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Computerised tomogram, Craniotomy, Haematoma evacuation, Magnetic resonance imaging
Clinical narrative: Stroke - CVA - craniotomy & evacuation of IHC hematoma.
Sex: U
Vaccine: UNK
Symptoms: Asthenia, Blood pressure diastolic, Cardiac flutter, Confusional state, Diarrhoea
Clinical narrative: Janssen COVID-19 Vaccine EUA Terrible headache (teeth even hurt) 7 days and on going, elevated diastolic blood pressure 5 days and on going, irregular heart rhythm 5 days and on going, shortness of breath after simple physical movements 5 days and on going,  diarrhea for 3 days, fatigue and weakness 7 days and on going.  Tylenol extra strength- no results,  blood pressure check 3/18/2021, blood work ordered and drawn 3/19/2021.
Sex: U
Vaccine: UNK
Symptoms: Dyspnoea, Fatigue, Headache, Heart rate irregular, Hyperhidrosis
Clinical narrative: Janssen COVID-19 Vaccine EUA Terrible headache (teeth even hurt) 7 days and on going, elevated diastolic blood pressure 5 days and on going, irregular heart rhythm 5 days and on going, shortness of breath after simple physical movements 5 days and on going,  diarrhea for 3 days, fatigue and weakness 7 days and on going.  Tylenol extra strength- no results,  blood pressure check 3/18/2021, blood work ordered and drawn 3/19/2021.
Sex: U
Vaccine: UNK
Symptoms: Insomnia, Laboratory test, Neurological examination, Peripheral coldness, Sensation of blood flow
Clinical narrative: Janssen COVID-19 Vaccine EUA Terrible headache (teeth even hurt) 7 days and on going, elevated diastolic blood pressure 5 days and on going, irregular heart rhythm 5 days and on going, shortness of breath after simple physical movements 5 days and on going,  diarrhea for 3 days, fatigue and weakness 7 days and on going.  Tylenol extra strength- no results,  blood pressure check 3/18/2021, blood work ordered and drawn 3/19/2021.
Sex: U
Vaccine: UNK
Symptoms: Toothache
Clinical narrative: Janssen COVID-19 Vaccine EUA Terrible headache (teeth even hurt) 7 days and on going, elevated diastolic blood pressure 5 days and on going, irregular heart rhythm 5 days and on going, shortness of breath after simple physical movements 5 days and on going,  diarrhea for 3 days, fatigue and weakness 7 days and on going.  Tylenol extra strength- no results,  blood pressure check 3/18/2021, blood work ordered and drawn 3/19/2021.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Paraesthesia, Vital signs measurement
Clinical narrative: Tingling in arm, heart racing 128/80, 80, 18 Patient refused transport informed to follow up with PCP if symptoms continue
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Fatigue, Lethargy
Clinical narrative: I was exposed to Covid-19 in September, but my tests were negative. I had the same chest pain as when I thought I had Covid-19 on the third morning after vaccination. Started in the back with trouble breathing. I was lethargic and tired but I had a lot of trouble breathing for a week.  I also took a course of Zithromax and the symptoms resolved after eight days but the tiredness persisted. I gave blood on the day of vaccination after the shot and it may have some effect.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Myalgia
Clinical narrative: Muscle pain Fatigue  Headache
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram head, Diplopia, Headache, IIIrd nerve paralysis, Ophthalmological examination
Clinical narrative: Since shot constant headache, double/blurred vision right eye, diagnosed as 3 Third Nerve Palsy by primary doctor and ophthalmologist.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: Since shot constant headache, double/blurred vision right eye, diagnosed as 3 Third Nerve Palsy by primary doctor and ophthalmologist.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Peripheral swelling, Pruritus, Pyrexia, Rash
Clinical narrative: Beginning about 12 or so hours after second shot, developed whole body rash from neck to upper legs.  Slightly itchy but more tender than anything.  This lasted for about 48 hours.  Also, both hands were swollen and extremely itchy.  This happened the first and second nights after the injection.  Benadryl helped the itching.  In addition i had fever to about 100.1  and fatigue.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Tenderness
Clinical narrative: Beginning about 12 or so hours after second shot, developed whole body rash from neck to upper legs.  Slightly itchy but more tender than anything.  This lasted for about 48 hours.  Also, both hands were swollen and extremely itchy.  This happened the first and second nights after the injection.  Benadryl helped the itching.  In addition i had fever to about 100.1  and fatigue.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: N /A
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Fatigue, Headache, Nausea, Retching
Clinical narrative: I woke at 1:30 in the morning to a burning throat, head ache, upset stomach, nausea.    When I arose I started the dry heaves.   This lasted all day.    I was also very tired and slept on and off all day.   I slept well that night and woke feeling fine but still a bit on the tired side.   Thankfully, no more nausea or headache.   I had no treatments except what I did for myself which was to drink lots of fluids and have very bland food and little of it.   I live alone and have no family near so I take care of myself. I do need to know if I should have the second shot.    I have one scheduled but would rather not go through that nasty experience again.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Somnolence, Throat irritation
Clinical narrative: I woke at 1:30 in the morning to a burning throat, head ache, upset stomach, nausea.    When I arose I started the dry heaves.   This lasted all day.    I was also very tired and slept on and off all day.   I slept well that night and woke feeling fine but still a bit on the tired side.   Thankfully, no more nausea or headache.   I had no treatments except what I did for myself which was to drink lots of fluids and have very bland food and little of it.   I live alone and have no family near so I take care of myself. I do need to know if I should have the second shot.    I have one scheduled but would rather not go through that nasty experience again.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash, Injection site warmth
Clinical narrative: hot itchy welt on upper left arm around where the shot was given.  Showed up about 28 hours after second dose of Moderna vaccine
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Abdominal pain, Eructation, Pain
Clinical narrative: Developed abdominal bloating and burping then abdominal cramping and pain
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Facial paralysis, Hypoaesthesia, Immediate post-injection reaction, Pain in jaw
Clinical narrative: Pt reports some facial drooping in the right eye about 30 minutes after the vaccine. She also reports a numb sensation in the jaw followed by jaw pain. She compares it to a Bell?s palsy type reaction. She drank a lot of water and reports symptoms resolved within 30 minutes and did not return.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Paraesthesia oral
Clinical narrative: while patient was waiting the 15 minutes post vaccine in the waiting area she reported feeling tingling in her tongue. she described the feeling as if  "brushing her tongue with a very sharp toothpaste". told the patient that we will keep her for an additional 15 minutes to make sure it doesn't get worse or if it gets better.  After 30 minutes the patient reported no change. Gave the patient 10ml (25mg) of liquid benadryl ( 12.5mg/5ml sus)  which she said she will not take just yet but wait a little longer. took patients blood pressure which was high 160/100 (patient has history of BP) told the patient to wait inside the counseling room where I can keep a direct eye on but will check her BP again in 15 mins.  after 15 mins the patients blood pressure was 140/85. she stated that her tongue was feeling a little better but the sensation wasn't completely gone. she said that she feels comfortable leaving and that she will take the benadryl if she felt worse.  Tried calling the patient at 6:30pm but patient didn't answer.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Headache, Injection site erythema, Injection site warmth, Night sweats
Clinical narrative: FIRST ONE I HAD MOST OF MY COVID SYMPTOMS RETURN:  HIGH FEVER, CHILLS, BODY ACHES, NIGHT SWEATS, HEAD ACHE.  LASTED ABOUT 1 DAY.  SECOND SHOT BODY ACHES, CHILLS. LASTED ABOUT 1.5 DAYS.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: FIRST ONE I HAD MOST OF MY COVID SYMPTOMS RETURN:  HIGH FEVER, CHILLS, BODY ACHES, NIGHT SWEATS, HEAD ACHE.  LASTED ABOUT 1 DAY.  SECOND SHOT BODY ACHES, CHILLS. LASTED ABOUT 1.5 DAYS.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Nervousness
Clinical narrative: Patient stated she felt nervous and anxious inside the tent . More post vaccine. Felt better outside in colder air.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cold sweat, Dizziness, Dyspnoea, Fatigue
Clinical narrative: I felt very comfortable and stared to sweat cold and felt I could not breath. I lost conscious for some time and my husband was able to hold my before I heat the floor. I felt I needed to use the restroom. Went to the restroom and pooped. I felt better and walk back to the chair and drink a little bit of water. After 5 minutes I started feeling terrible very very sleepy and cold not breath and my hart was going fast. Was loosing conscious again and felt I needed to go to the bathroom. I vomit and had to use the restroom. I still feel very weak and and having difficulty breathing. I'll update if I need too.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Palpitations, Vomiting
Clinical narrative: I felt very comfortable and stared to sweat cold and felt I could not breath. I lost conscious for some time and my husband was able to hold my before I heat the floor. I felt I needed to use the restroom. Went to the restroom and pooped. I felt better and walk back to the chair and drink a little bit of water. After 5 minutes I started feeling terrible very very sleepy and cold not breath and my hart was going fast. Was loosing conscious again and felt I needed to go to the bathroom. I vomit and had to use the restroom. I still feel very weak and and having difficulty breathing. I'll update if I need too.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site reaction, Injection site warmth, Rash erythematous
Clinical narrative: Covid arm started 1 week after injection.... red rash in a circle around the injection site. Slightly warm to touch, itchy, slightly raised bumps. Applied cool wash cloth. Not severe. Next day slightly less noticeable.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash treated with Benadryl
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Headache.  Began the evening of the injection and has worsened over the next 7 days.  Feels like head is in a vice grip.  Combination of 3 ibuprofen and 2 Excedrin Migraine every 4 hours makes the pain tolerable, but after about 4 hours, the pain returns with a vengeance.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: Joint pain, Onset on 3/1721 - mild. Increases on 3/18 and 19th.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Sleep disorder
Clinical narrative: Very painful skin rash on back and chest. Still spreading as of 3-12-2021 and preventing sleep. Doctor prescribed triamcinolone acetonide 0.1% for two weeks maximum. Still symptomatic after 1 week twice a day but seems to be calming down.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Bed rest, Dizziness, Ear disorder, Headache, Nausea
Clinical narrative: Head ache and fever started the evening of March. Severe vertigo and nausea began sometime overnight or early the next morning. I was bed-ridden most of the day. I took zofran and ibuprofen. From then on the severe vertigo happened only while changing positions such as laying down and getting up. I saw a nurse practitioner on March 16th who told me it was due to ear wax. I received a prescription (meclizine) for the nausea and dizziness and bought an ear wax kit. The next a friend said her husband had the exact same symptoms as I was experiencing and that it was called facility. My husband assisted me with the epley maneuver twice on March 17th. By March 18th the vertigo was gone, with just slight dizziness during the day.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vertigo
Clinical narrative: Head ache and fever started the evening of March. Severe vertigo and nausea began sometime overnight or early the next morning. I was bed-ridden most of the day. I took zofran and ibuprofen. From then on the severe vertigo happened only while changing positions such as laying down and getting up. I saw a nurse practitioner on March 16th who told me it was due to ear wax. I received a prescription (meclizine) for the nausea and dizziness and bought an ear wax kit. The next a friend said her husband had the exact same symptoms as I was experiencing and that it was called facility. My husband assisted me with the epley maneuver twice on March 17th. By March 18th the vertigo was gone, with just slight dizziness during the day.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: NONE
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy, Magnetic resonance imaging head normal
Clinical narrative: Pt developed L sided Bell's Palsy one day after administration of vaccine
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy
Clinical narrative: Pt developed L sided Bell's Palsy one day after administration of vaccine
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Lethargy, Migraine, Nausea, Pain
Clinical narrative: very lethargic, nausea, severe migraines, cold sweats, severe body aches
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Fatigue, Feeling cold, Injection site pain
Clinical narrative: 12 hours after shot  cold feet/body  pain at injection site  aggressive shakes/shivers normally associated with fever for 1.5 hours awoke in am very very tired/lethargic/no appetite for whole day. awoke second day feeling fine.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Tremor
Clinical narrative: 12 hours after shot  cold feet/body  pain at injection site  aggressive shakes/shivers normally associated with fever for 1.5 hours awoke in am very very tired/lethargic/no appetite for whole day. awoke second day feeling fine.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Peripheral coldness
Clinical narrative: Reaction to vaccine similar to historical reaction to flu vaccine. Starting with cold hand and progressing to coughing fit. Patient  took medication recommended by allergist. 50mg Benadryl and 2x puffs albuterol inhaler from home.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Hypoaesthesia
Clinical narrative: Reaction to vaccine similar to historical reaction to flu vaccine. Starting with cold hand and progressing to coughing fit. Patient  took medication recommended by allergist. 50mg Benadryl and 2x puffs albuterol inhaler from home.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cough, Dizziness, Dyspnoea, Fatigue
Clinical narrative: JANSSEN COVID-19 VACCINE EUA 12PM Sore deltoid left side up the neck BY  2PM lightheadedness, dizziness, nausea, headache, fatigue BY 4PM Dry cough and chills, BY 6PM Muscle soreness on the entire left side of body By 10PM 101 fever, aching in every joint of body, trouble breathing By 2AM hot and feverish. All symptoms continued through Sunday, many abating by Monday. However, I am still fatigued, coughing, lightheaded, dizzy, and nauseous since then to even now 3/19/2021. Headache comes and goes and slight difficulties in breathing from the normal. COVID rapid result test came back Negative today from facility.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling hot, Headache, Injection site pain, Myalgia, Nausea
Clinical narrative: JANSSEN COVID-19 VACCINE EUA 12PM Sore deltoid left side up the neck BY  2PM lightheadedness, dizziness, nausea, headache, fatigue BY 4PM Dry cough and chills, BY 6PM Muscle soreness on the entire left side of body By 10PM 101 fever, aching in every joint of body, trouble breathing By 2AM hot and feverish. All symptoms continued through Sunday, many abating by Monday. However, I am still fatigued, coughing, lightheaded, dizzy, and nauseous since then to even now 3/19/2021. Headache comes and goes and slight difficulties in breathing from the normal. COVID rapid result test came back Negative today from facility.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: JANSSEN COVID-19 VACCINE EUA 12PM Sore deltoid left side up the neck BY  2PM lightheadedness, dizziness, nausea, headache, fatigue BY 4PM Dry cough and chills, BY 6PM Muscle soreness on the entire left side of body By 10PM 101 fever, aching in every joint of body, trouble breathing By 2AM hot and feverish. All symptoms continued through Sunday, many abating by Monday. However, I am still fatigued, coughing, lightheaded, dizzy, and nauseous since then to even now 3/19/2021. Headache comes and goes and slight difficulties in breathing from the normal. COVID rapid result test came back Negative today from facility.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Fatigue, Feeling abnormal, Headache
Clinical narrative: Within about two minutes my head started feeling "off", my mouth started to go numb, my heart started to race, my face started itching/sweating and I could feel a headache coming on. I had a headache, chills, fatigue, increased body temperature (2+ degrees) and a sore arm for the rest of the day. I woke up this morning with a really sore arm. I could only lift my arm halfway up, due to the deep muscle pain.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Hypoaesthesia oral, Joint range of motion decreased, Myalgia, Pain in extremity
Clinical narrative: Within about two minutes my head started feeling "off", my mouth started to go numb, my heart started to race, my face started itching/sweating and I could feel a headache coming on. I had a headache, chills, fatigue, increased body temperature (2+ degrees) and a sore arm for the rest of the day. I woke up this morning with a really sore arm. I could only lift my arm halfway up, due to the deep muscle pain.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Pruritus
Clinical narrative: Within about two minutes my head started feeling "off", my mouth started to go numb, my heart started to race, my face started itching/sweating and I could feel a headache coming on. I had a headache, chills, fatigue, increased body temperature (2+ degrees) and a sore arm for the rest of the day. I woke up this morning with a really sore arm. I could only lift my arm halfway up, due to the deep muscle pain.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Pain in extremity
Clinical narrative: 4 days after injection where shot was given it hurt deep.  In the morning it was itchy, inflamed and hurt. deep pain in areas down to fingers.. enflamed area has increased still with itching and deep pain along the arm and fingers.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site inflammation, Injection site warmth
Clinical narrative: Redness, hot, inflammed skin at shot location and rectangular patch (1inch x 3inches) below shot location. Both are present 15 days after getting the vaccine.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Rash, Rash papular, Rash pruritic
Clinical narrative: Swollen nymph node after two days.  That subsided and  on day 9 after shot rash over whole body - head to legs but most on torso- raised red dots very itchy.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash erythematous, Rash macular, Rash pruritic
Clinical narrative: Initially mildly itchy on left arm and neck. Noticed red blotchy rash end of the following day. Worst bright red and itchy end of the second day after the vaccine. Took antihistamine. Nearly resolved by the end of the third day
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Dizziness, Electrocardiogram normal, Hypertension
Clinical narrative: Felt dizzy as we were leaving the facility where I received the shot. Extremely dizzy and light headed for 5 days after that. Called to report the dizzyiness and they sent me to Urgent Care
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Vaccine positive rechallenge, Vertigo
Clinical narrative: On 2/13/21 at 4 AM, experienced vertigo/dizziness and a second episode, lasting 2-4 minutes, on 2/22/21 At 5 AM. After the second vaccination (on 3/6), frequent episodes started on 3/17 and every day after that.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Dry throat, Hypoaesthesia, Hypoaesthesia oral, Pharyngeal hypoaesthesia
Clinical narrative: At 2:57 PM S/P Moderna,, vaccination to right deltoid patient repots numbness to throat and lips and nose. denies difficulty breathing and swollowing. Lungs auscultated and clear lungs. Vital signs within normal range except bp elevated (150/90). Patient continues to report dry throat. Benadryl given as protocol 25 mg (0.5ml) at 3.55pm left deltoid. Patient was continued monitoring maintained. patient reported to live 8 minutes away from the facility so he was asked to call wife to be escorted home.  vitals signs were taken times four which were within normal limits.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: 3/4/2021 redness,warm injection site,  itchiness  3/18/2021 redness, warm injection site , itchiness
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Hyperhidrosis, Hypotension, Incontinence, Loss of consciousness
Clinical narrative: Patient reported history of queasiness after injection. Patient fell weak, diaphoretic after injection. Patient was escorted to a chair when she fainted and became unconscious for approximately 1 minute, had an episode of incontinence. EMS service was ordered. Patient's BP was recorded by the EMS and was hypotensive. Patient refused to go to ER and was escorted to the car where her family member was waiting to take her home.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Syncope
Clinical narrative: Patient reported history of queasiness after injection. Patient fell weak, diaphoretic after injection. Patient was escorted to a chair when she fainted and became unconscious for approximately 1 minute, had an episode of incontinence. EMS service was ordered. Patient's BP was recorded by the EMS and was hypotensive. Patient refused to go to ER and was escorted to the car where her family member was waiting to take her home.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Chills, Lymphadenopathy, Pain, Tenderness
Clinical narrative: Chills and Body Aches began the following morning after the injection and by 2:00 pm in the afternoon a large (ping pong ball sized) lump developed in the left axillary area that is very painful. The pain is constant when area is touched or with any arm movement. It feels like a knife is stuck inside my left axilla. I am guessing it may be a lymph node that swelled, but have not had it checked by a doctor. My last mammogram  on November 16th, 2020 was clear and no indication of any lumps or swollen lymph nodes. This new lump appeared the following day after my Covid 19 vaccine.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain, Sleep disorder
Clinical narrative: Moderate soreness I?m at injection site. Still severe to touch. Can?t sleep on it but can exercise with little pain.  Continued inflammation. No other side effects noted.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Patient reported numbness and tingling in hand shortly after administration.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: DIZZYNESS, Numbness of hand arm and mouth right side only
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash erythematous
Clinical narrative: Ted rash on arm on day 7
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Pain, Pain in extremity, Rash papular, Swelling
Clinical narrative: My arm was sore within an hour. By the evening I was achy and started to get a migraine (which is normal). The next day I was fine with the exception of a really sore arm. It was extremely painful. 24 hours later I started to feel achy again, but I didn't want to take any meds. By the 3rd day, my arm was better. On day 8, I noticed this red, puffy, itchy, raised area that was about 3 inches by the end of the day. I messaged by friend who is an allergist, I put some topical cream on it and it was cleared up in about 3 days.
Age: 11.0
Sex: M
Vaccine: FLUR4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Pt is under 18 years of age that flublok is FDA approved for and was administered by error during an offsite clinic. Pt didn't have any adverse effect from the vaccine.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody, Blood creatine phosphokinase normal, Blood folate, Blood thyroid stimulating hormone, Chest pain
Clinical narrative: Symptoms initially started with exacerbation of my ulnar neuropathy (pain, numbness of the left 4th & 5th digits) as well as chest pain. The chest pain was midline and severe enough the evening of 1/12/21 that I sought care in the ED for evaluation. Since that time, I continue to have intermittent but daily episodes of left arm and chest pain as well as intermittent left face, neck, and head pains.