chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Bronchitis, Cough, Hypersomnia, Migraine
Clinical narrative: Period: 2+ weeks: severe non-stop cough (bronchitis, non- productive, dry), severe migraines (3 continuous days; 5 severe in 7 days, sore throat, weakness, excessive sleep over 2+ weeks, upper respiratory infection  Treated with Z-pac & tussione 2 negative Covid tests over 4 days; no neck pain or fever. No swelling of ankles; negative Streep test
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, SARS-CoV-2 test negative, Streptococcus test negative, Upper respiratory tract infection
Clinical narrative: Period: 2+ weeks: severe non-stop cough (bronchitis, non- productive, dry), severe migraines (3 continuous days; 5 severe in 7 days, sore throat, weakness, excessive sleep over 2+ weeks, upper respiratory infection  Treated with Z-pac & tussione 2 negative Covid tests over 4 days; no neck pain or fever. No swelling of ankles; negative Streep test
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Laboratory test abnormal
Clinical narrative: Shingles
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Chest discomfort, Diarrhoea, Fatigue, Gait disturbance
Clinical narrative: Exaggerated side effects (sore arm, flu like symptoms, tiredness)- the first day Severe head pain (sharp) not normal headache - still present Equilibrium is off to the point of almost falling, unsteady feeling-still present Tightness in chest, productive cough-still present Diarrhea
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Influenza like illness, Pain in extremity, Productive cough
Clinical narrative: Exaggerated side effects (sore arm, flu like symptoms, tiredness)- the first day Severe head pain (sharp) not normal headache - still present Equilibrium is off to the point of almost falling, unsteady feeling-still present Tightness in chest, productive cough-still present Diarrhea
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: I broke out in a terrible rash, Itched SO MUCH.  I was on vacation so I just took Benedryl (over the counter dose) and used Gold Bond anti itch cream.  When I retd. home on 4/18 I waited a few days to see if it would clear up. The itching was getting worse so I went to Urgent Care on 4/23/22. I was given a RX for 40 mg Prednisone and Hydroxzine 25 mg and told to see my Dr. as soon as I could.  On 4/26, I saw my Primary Care, she put me on 20 mg Prednisone and Hydroxzine 20 mg for 5 addl. days.  The rash started to disappear , BUT on 5/1 it came back. On 5/3 I saw Dr., who is a Dermatologist and he put me on a topical treatmet. Fluocinonide .05% Creamne . It was working, but on May 13, 2022 the rash and itch reappeared.
Age: 74.0
Sex: F
Vaccine: COVID19, PNC20
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Patient stated that her left arm became itchy around the injection site later in the day after receiving her Prevnar 20 vaccination in her left deltoid. This itchiness persisted after removing the bandage covering the injection site. Two days later, the patient called the pharmacy to report that her left arm around the site of vaccination is red, swollen, and warm to the touch. She has been managing with ice. The pharmacist who discussed this with the patient advised her to continue with the ice treatment, as well as utilize OTC medications such as Tylenol and Ibuprofen to manage the pain and inflammation and to seek medical treatment if her symptoms persist for more than a few days.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Blindness unilateral, Cerebrovascular accident, Magnetic resonance imaging head abnormal
Clinical narrative: partial loss of sight in right eye due to stroke
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Hypersensitivity, Hypoaesthesia, Influenza like illness, Magnetic resonance imaging head normal
Clinical narrative: The day after the shot, fairly violent chills/flu like symptoms that faded within a day or two.  A week after the shot, I had spasms in my legs that woke me up.  Since then, I have had numbness, nerve sensitivity and motor issues on the right side of my body as well as tingling on the right side (teh side of hte injection) .We do not know if hte damage is permanent, but it is new, had never happened before and has been persistent in different forms for a year.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging spinal normal, Motor dysfunction, Muscle spasms, Nerve conduction studies normal, Nervous system disorder
Clinical narrative: The day after the shot, fairly violent chills/flu like symptoms that faded within a day or two.  A week after the shot, I had spasms in my legs that woke me up.  Since then, I have had numbness, nerve sensitivity and motor issues on the right side of my body as well as tingling on the right side (teh side of hte injection) .We do not know if hte damage is permanent, but it is new, had never happened before and has been persistent in different forms for a year.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Neuropathy peripheral, Paraesthesia, Sleep disorder
Clinical narrative: The day after the shot, fairly violent chills/flu like symptoms that faded within a day or two.  A week after the shot, I had spasms in my legs that woke me up.  Since then, I have had numbness, nerve sensitivity and motor issues on the right side of my body as well as tingling on the right side (teh side of hte injection) .We do not know if hte damage is permanent, but it is new, had never happened before and has been persistent in different forms for a year.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Influenza like illness, Pain
Clinical narrative: The full lot number is illegible on my card but begins with 9399. About 12 hours post vaccine, I woke up with the expected flu-like symptoms, like my Pfizer 2nd shot, but then I began having searing pain in my left side. Over the next 10 hours, it resolved itself, but I wake up every morning with a milder version of it. I?ve been to doctors and had a CT scan. No explanation.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Bad tinnitus 4 hours after shot (2nd booster)
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Fasting, Hypotension, Syncope
Clinical narrative: patient fainted 10 min after shot. paramedics were called. bp was low at 80. father stated patient has been in fasting state since last nite. systolic went up to 110 and patient refused transport to hospital
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenopia, Eye pain, Pain
Clinical narrative: Shortly after receiving the Covid booster, I had shooting pain in my left eye.  It didn't last long.  That was on Friday afternoon and it happened again on Saturday.  I contacted pharmacy on Sunday (they were closed but called me back) and told them about the pain and asked if it was a symptom of the booster.  They said no, but to check the fact sheet online.  I only had the shooting pain twice but my left eye felt tired and sore especially if I looked to the left for several days.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest X-ray, Chest pain, Computerised tomogram thorax, Drain placement, Dyspnoea
Clinical narrative: After each vaccine I received 2/28/2021, 3/21/2021 and 10/23/2021. I experienced severe chest pain in heart area, lung pain in both lungs and dyspnea. It went away after 2 days so I did not seek medical help. After each vaccine the adverse reaction was worse. After the 10/2022 vaccine I experienced repeated symptoms on and off until the beginning of May, 2022 at which time these symptoms did not go away. The became so severe that I went the the ER feeling like I was having a heart attack. I was given IV morphine, had a CT of the chest, a chest x-ray and multiple echocardiograms. Diagnosis - pericarditis. I had surgery on 5/9/2022 at which time a pigtail drain was inserted. This did not resolve the problem. On 5/13/2022 I had surgical subxiphoid pericardial drainage by a cardio vascular surgeon. I have now been hospitalized from 5/8/2022 through today 5/14/2022. I was told I will continue to stay inpatient for 2-3 may 4 more days.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Echocardiogram, Pericarditis, Pulmonary pain, Surgery
Clinical narrative: After each vaccine I received 2/28/2021, 3/21/2021 and 10/23/2021. I experienced severe chest pain in heart area, lung pain in both lungs and dyspnea. It went away after 2 days so I did not seek medical help. After each vaccine the adverse reaction was worse. After the 10/2022 vaccine I experienced repeated symptoms on and off until the beginning of May, 2022 at which time these symptoms did not go away. The became so severe that I went the the ER feeling like I was having a heart attack. I was given IV morphine, had a CT of the chest, a chest x-ray and multiple echocardiograms. Diagnosis - pericarditis. I had surgery on 5/9/2022 at which time a pigtail drain was inserted. This did not resolve the problem. On 5/13/2022 I had surgical subxiphoid pericardial drainage by a cardio vascular surgeon. I have now been hospitalized from 5/8/2022 through today 5/14/2022. I was told I will continue to stay inpatient for 2-3 may 4 more days.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Breath sounds abnormal, Dyskinesia, Dysphagia, Exposure to SARS-CoV-2
Clinical narrative: Had nerve pain in arm and swelling from the evening of the shot but Tuesday May 3rd I woke up with sciatica down my left leg.  Thursday shooting nerve pain in lower arms and wrists AND the left leg.  On Tuesday May 10th My neck and shoulder hurt REALLY bad like a inflamed pinched nerve.  By 5 pm I realized I had swelling on the  left side like the mumps and it was difficult to open my mouth.   Couldn't sleep it hurt so bad and very  difficult to swallow. Continued to worse, where Wednesday May 30th I had times  my breathing whistled and swelling had spread down both shoulders and neck.  I could only open my mouth slightly - enough to get a pinky finger in with some effort.    Used heating pads, sat in a recliner and  Had nerve pain in arm and swelling from the evening of the shot but Tuesday May 3rd I woke up with sciatica down my left leg.  Thursday shooting nerve pain in lower arms and wrists AND the left leg.  On Tuesday May 10th My neck and shoulder hurt REALLY bad like a inflamed pinched nerve.  By 5 pm I realized I had swelling on the  left side like the mumps and it was difficult to open my mouth.   Couldn't sleep it hurt so bad and very  difficult to swallow. Continued to worse, where Wednesday May 30th I had times  my breathing whistled and swelling had spread down both shoulders and neck.  I could only open my mouth slightly - enough to get a pinky finger in with some effort.    Used heating pads, sat in a recliner and took 800mg Ibuprofen every 6 hours.  Negative Covid Home tests on Tuesday May 10th and Thursday May 11th.  Took because on May 6 our daughter came to visit and commented her throat was "dry from allergies" no other symptoms but on Sunday she tested positive for Covid with a home test and a PCR.  I reported this so my doctor had to see me via video.  Had a telehealth visit with my doctor, on Thursday morning.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Neck pain, Neuralgia, Pain, Pain in extremity
Clinical narrative: Had nerve pain in arm and swelling from the evening of the shot but Tuesday May 3rd I woke up with sciatica down my left leg.  Thursday shooting nerve pain in lower arms and wrists AND the left leg.  On Tuesday May 10th My neck and shoulder hurt REALLY bad like a inflamed pinched nerve.  By 5 pm I realized I had swelling on the  left side like the mumps and it was difficult to open my mouth.   Couldn't sleep it hurt so bad and very  difficult to swallow. Continued to worse, where Wednesday May 30th I had times  my breathing whistled and swelling had spread down both shoulders and neck.  I could only open my mouth slightly - enough to get a pinky finger in with some effort.    Used heating pads, sat in a recliner and  Had nerve pain in arm and swelling from the evening of the shot but Tuesday May 3rd I woke up with sciatica down my left leg.  Thursday shooting nerve pain in lower arms and wrists AND the left leg.  On Tuesday May 10th My neck and shoulder hurt REALLY bad like a inflamed pinched nerve.  By 5 pm I realized I had swelling on the  left side like the mumps and it was difficult to open my mouth.   Couldn't sleep it hurt so bad and very  difficult to swallow. Continued to worse, where Wednesday May 30th I had times  my breathing whistled and swelling had spread down both shoulders and neck.  I could only open my mouth slightly - enough to get a pinky finger in with some effort.    Used heating pads, sat in a recliner and took 800mg Ibuprofen every 6 hours.  Negative Covid Home tests on Tuesday May 10th and Thursday May 11th.  Took because on May 6 our daughter came to visit and commented her throat was "dry from allergies" no other symptoms but on Sunday she tested positive for Covid with a home test and a PCR.  I reported this so my doctor had to see me via video.  Had a telehealth visit with my doctor, on Thursday morning.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, SARS-CoV-2 test negative, Sciatica, Swelling
Clinical narrative: Had nerve pain in arm and swelling from the evening of the shot but Tuesday May 3rd I woke up with sciatica down my left leg.  Thursday shooting nerve pain in lower arms and wrists AND the left leg.  On Tuesday May 10th My neck and shoulder hurt REALLY bad like a inflamed pinched nerve.  By 5 pm I realized I had swelling on the  left side like the mumps and it was difficult to open my mouth.   Couldn't sleep it hurt so bad and very  difficult to swallow. Continued to worse, where Wednesday May 30th I had times  my breathing whistled and swelling had spread down both shoulders and neck.  I could only open my mouth slightly - enough to get a pinky finger in with some effort.    Used heating pads, sat in a recliner and  Had nerve pain in arm and swelling from the evening of the shot but Tuesday May 3rd I woke up with sciatica down my left leg.  Thursday shooting nerve pain in lower arms and wrists AND the left leg.  On Tuesday May 10th My neck and shoulder hurt REALLY bad like a inflamed pinched nerve.  By 5 pm I realized I had swelling on the  left side like the mumps and it was difficult to open my mouth.   Couldn't sleep it hurt so bad and very  difficult to swallow. Continued to worse, where Wednesday May 30th I had times  my breathing whistled and swelling had spread down both shoulders and neck.  I could only open my mouth slightly - enough to get a pinky finger in with some effort.    Used heating pads, sat in a recliner and took 800mg Ibuprofen every 6 hours.  Negative Covid Home tests on Tuesday May 10th and Thursday May 11th.  Took because on May 6 our daughter came to visit and commented her throat was "dry from allergies" no other symptoms but on Sunday she tested positive for Covid with a home test and a PCR.  I reported this so my doctor had to see me via video.  Had a telehealth visit with my doctor, on Thursday morning.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urine present, Joint swelling, Malaise
Clinical narrative: Patient came to the pharmacy to state that he had blood in his urine for 2 days following vaccination with his first booster dose of Moderna. Pt also stated that his knees were swollen.  Symptoms did improve, but he stated that he felt very ill after his booster dose.  Pt had no problems from his first 2 shots of Moderna.  Pt does have IGA vasculitis and it is possible he had a flare-up after vaccination.  He was told to look for blood in his urine, as this is a sign that his kidneys are affected.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Pain, Pyrexia, Respiratory arrest
Clinical narrative: Turned Covid-19 positive, stopped breathing for 30 seconds and began choking on mucus. Febrile, weak,  sharp body aches.  Being working up for possible pneumonia related to covid.  Supportive treatments in place, tylenol, Ibuprofen, Zinc, vitamin C, Chest PT
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Secretion discharge
Clinical narrative: Turned Covid-19 positive, stopped breathing for 30 seconds and began choking on mucus. Febrile, weak,  sharp body aches.  Being working up for possible pneumonia related to covid.  Supportive treatments in place, tylenol, Ibuprofen, Zinc, vitamin C, Chest PT
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Neuralgia, Rash
Clinical narrative: PATIENT DEVELOPED SHINGLES DAY AFTER RECEIVING 2ND BOOSTER SHOT OF MODERNA.  DIAGNOSIS WAS CONFIRMED DURING TELEMEDICINE APPOINTMENT WITH DR. PATIENT HAD PAINFUL RASH ON BACK AROUND BRA STRAP AREA.  GIVEN 7-DAY COURSE OF VALACYCLOVIR 1 GRAM TID.  AND GABAPENTIN 300MG TO TAKE AS NEEDED FOR NERVE PAIN
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injected limb mobility decreased, Injection site nodule, Pain, Pain in extremity
Clinical narrative: I feel that I had adverse events: my arm was swollen and a bump on the site of injection. It was very painful to even move it. I was fatigued aching all over and suffered two days with a very sore arm
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: I feel that I had adverse events: my arm was swollen and a bump on the site of injection. It was very painful to even move it. I was fatigued aching all over and suffered two days with a very sore arm
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Aphasia, Bundle branch block right, Computerised tomogram head normal, Electrocardiogram abnormal, Full blood count normal
Clinical narrative: Sudden onset of difficulty speaking, difficulty finding the words he wished to speak and speaking the wrong word.  Also developed kaleidoscope vision of the left eye.  Lasted approximately 30 minutes and then resolved.  No prior history of stroke.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test, Speech disorder, Troponin normal, Visual impairment
Clinical narrative: Sudden onset of difficulty speaking, difficulty finding the words he wished to speak and speaking the wrong word.  Also developed kaleidoscope vision of the left eye.  Lasted approximately 30 minutes and then resolved.  No prior history of stroke.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death, Myocardial infarction, Rectal haemorrhage, Thrombosis
Clinical narrative: Received March 6, 2021. Heavy rectal bleeding with clots, and multiple heart attacks 9 days after the Moderna booster vaccine.  Outcome was death on 3/15/22 at 12pm. Spoke to daughter.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Ear infection, Lymphadenopathy, Malaise, Migraine with aura
Clinical narrative: I was initially fine having the vaccine. I got covid in August 28, 2021.  I only had mild symptoms.  Around February 28, 2022, I had some type of cold symptoms.  It was not covid.  A week later, I had swollen lymphnodes on the left side of my body.  Later, I got diagnosed with bilateral ear infections.  I have had chronic ear infections since March.  It feels like my body went into over reaction mode after having some type of cold symptoms that was not covid.  Later along with the ear infections, I had two incidences of aural migraine.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Nasopharyngitis
Clinical narrative: I was initially fine having the vaccine. I got covid in August 28, 2021.  I only had mild symptoms.  Around February 28, 2022, I had some type of cold symptoms.  It was not covid.  A week later, I had swollen lymphnodes on the left side of my body.  Later, I got diagnosed with bilateral ear infections.  I have had chronic ear infections since March.  It feels like my body went into over reaction mode after having some type of cold symptoms that was not covid.  Later along with the ear infections, I had two incidences of aural migraine.
Age: 56.0
Sex: M
Vaccine: HEP, PNC20, TDAP
Symptoms: Arthralgia, Back pain, Hypoaesthesia, Injection site pain, Pain
Clinical narrative: Patient got all three vaccines on 5/7/22. His symptoms started on 5/12/22. The symptoms are are limited to the left arm and are asa follows ; soreness at the injection site, numbness of the fingers, and Shooting pain radiating to his shoulder and back
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Feeling abnormal
Clinical narrative: Date of death 11/26/2021.  Started feeling bad within 1 day of receiving the vaccine.
Age: 38.0
Sex: M
Vaccine: VARCEL
Symptoms: Incorrect route of product administration
Clinical narrative: Varicella vaccine was given via IM route instead of SC route.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was given beyond use date of April 19, efficacy concerns
Age: 68.0
Sex: M
Vaccine: PPV, VARZOS
Symptoms: Pain, Swelling, Tenderness
Clinical narrative: Tenderness in the arm, swollen and pain. patient went to emergency room.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Hypoaesthesia, Paraesthesia
Clinical narrative: Tingling/numbness starting mid chest, and spreading upwards and over head, including face and scalp.  Reoccurence of facial numbness experienced with 1st J&J dose from April 3rd, 2021. Initial brief dizziness while sitting  Tingling diminished over the course of 15-20 minutes, moved into Right Lateral Hand.   Experienced Transient chest tightness with onset of chest numbness No itching and no hives  7 months post vaccine, still some residual intermittent facial numbness on left corner of mouth(same side as reaction from J&J) even though opposite arm injected
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test, Burning sensation, Computerised tomogram, Crying
Clinical narrative: Burning sensation in in legs from knees down for 6 months.  Prescribed  gabapentin with Doctor.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Exercise tolerance decreased, Fear, Fibrin D dimer, Head discomfort, Nerve injury
Clinical narrative: Burning sensation in in legs from knees down for 6 months.  Prescribed  gabapentin with Doctor.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Neurological symptom, Paraesthesia, Ultrasound Doppler
Clinical narrative: Burning sensation in in legs from knees down for 6 months.  Prescribed  gabapentin with Doctor.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Angioedema
Clinical narrative: Pt called pharmacy to report possible adverse event after the first Shingles vaccination. per pt's son, pt woke up around 8:30 AM with angioedema of face, mostly eye lids, no breathing difficulties. Pt took Claritin 10 mg and experienced  symptoms improvement within an hour. Pharmacist advised to visit local ER to be seen by MD.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Lymphadenopathy
Clinical narrative: Just under a week after receiving the first vaccination dose,  the injection site on 02/02/2021 became red, raised, sore, swollen, tender, much moreso than the expected initial response to the vaccine of slight redness and tenderness which I experienced the day after the vaccination. This significant discomfort was accompanied by swollen and tender lymph nodes in my right arm and axilla. It was difficult to wear a bra, move my arm about, sleep on my right side, or conduct my day's work.  The discomfort was helped by taking Tylenol. By 02/08/2021 all symptoms had subsided except for the swollen lymph nodes which took a few days longer to resolve.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Myocarditis, Troponin increased
Clinical narrative: Patient was admitted for post-vaccine myocarditis after presenting with chest pain, shortness of breath, and an elevated troponin.
Age: 31.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Back pain, Death, Pain in extremity, Resuscitation, Syncope
Clinical narrative: Started Guanfacine 1 mg twice daily and Prozac 10 mg every other day on Monday, April 11, 2022. Saturday April 16, 2022 began having dull ache in back and left arm, discontinued Guanfacine. Thursday, April 21, 2022, collapsed and was unable to be resusitated. Pronounced dead.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient fainted a few seconds after receiving vaccine and regained consciousness a few seconds afterward and started to feel better.  I elevated her feet on the chair and monitored patient until she fully recovered and then also asked her mom to stay a long with her to be monitored for at least another 15 min. Patient has fully recovered from incident.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hypoaesthesia, Lymphoedema, Pain in extremity
Clinical narrative: shortness of breath, numbness and pain in left arm,  lymphedema, for months.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Injection site swelling, Laboratory test normal, Laryngitis, Lymph node pain
Clinical narrative: Tylenol was take 1hr after vaccine on 5/8. On 5/9 @ approximately 11am severe fatigue unlike anything i ever felt, whole body muscle aches, 5in round swollen injection site along with swollen lymph nodes in underarm. Gland behind left ear swelled and throat felt tight. All symptoms listed above perused 48hrs the fatigue and muscle aches subsided. Under arm lymph nodes still swollen and painful and scratchy throat turned into laryngitis.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Lymphadenopathy, Myalgia, SARS-CoV-2 test negative, Throat irritation, Throat tightness
Clinical narrative: Tylenol was take 1hr after vaccine on 5/8. On 5/9 @ approximately 11am severe fatigue unlike anything i ever felt, whole body muscle aches, 5in round swollen injection site along with swollen lymph nodes in underarm. Gland behind left ear swelled and throat felt tight. All symptoms listed above perused 48hrs the fatigue and muscle aches subsided. Under arm lymph nodes still swollen and painful and scratchy throat turned into laryngitis.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Viral test negative
Clinical narrative: Tylenol was take 1hr after vaccine on 5/8. On 5/9 @ approximately 11am severe fatigue unlike anything i ever felt, whole body muscle aches, 5in round swollen injection site along with swollen lymph nodes in underarm. Gland behind left ear swelled and throat felt tight. All symptoms listed above perused 48hrs the fatigue and muscle aches subsided. Under arm lymph nodes still swollen and painful and scratchy throat turned into laryngitis.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abnormal loss of weight, Alopecia, Arthralgia, Biopsy skin, Blood test
Clinical narrative: Sudden global joint pains, bone pain, rashes, rapid / unintentional excessive weight loss, sudden bilateral kidney lesions, severe spinal degeneration and deformities ( scoliosis, lordosis, kyphosis), sleep disturbances, night sweats, inability to move finger joints, hair loss
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Bone pain, Bone scan, Computerised tomogram, Condition aggravated, Kyphosis
Clinical narrative: Sudden global joint pains, bone pain, rashes, rapid / unintentional excessive weight loss, sudden bilateral kidney lesions, severe spinal degeneration and deformities ( scoliosis, lordosis, kyphosis), sleep disturbances, night sweats, inability to move finger joints, hair loss
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Lordosis, Magnetic resonance imaging, Mobility decreased, Myelopathy, Night sweats
Clinical narrative: Sudden global joint pains, bone pain, rashes, rapid / unintentional excessive weight loss, sudden bilateral kidney lesions, severe spinal degeneration and deformities ( scoliosis, lordosis, kyphosis), sleep disturbances, night sweats, inability to move finger joints, hair loss
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Rash, Renal mass, Scoliosis, Sleep disorder, Spinal deformity
Clinical narrative: Sudden global joint pains, bone pain, rashes, rapid / unintentional excessive weight loss, sudden bilateral kidney lesions, severe spinal degeneration and deformities ( scoliosis, lordosis, kyphosis), sleep disturbances, night sweats, inability to move finger joints, hair loss
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: X-ray
Clinical narrative: Sudden global joint pains, bone pain, rashes, rapid / unintentional excessive weight loss, sudden bilateral kidney lesions, severe spinal degeneration and deformities ( scoliosis, lordosis, kyphosis), sleep disturbances, night sweats, inability to move finger joints, hair loss
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Amnesia, Arthralgia, Bone pain, Cognitive disorder, Contusion
Clinical narrative: Sudden global joint pains, bone pain, rashes, rapid / unintentional excessive weight loss, sudden bilateral kidney lesions, severe spinal degeneration and deformities ( scoliosis, lordosis, kyphosis), sleep disturbances, night sweats, inability to move finger joints, hair loss
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fatigue, Femoroacetabular impingement, Full blood count, Loss of personal independence in daily activities, Rash
Clinical narrative: Sudden global joint pains, bone pain, rashes, rapid / unintentional excessive weight loss, sudden bilateral kidney lesions, severe spinal degeneration and deformities ( scoliosis, lordosis, kyphosis), sleep disturbances, night sweats, inability to move finger joints, hair loss
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Sleep disorder, Spinal deformity, Weight, Weight decreased
Clinical narrative: Sudden global joint pains, bone pain, rashes, rapid / unintentional excessive weight loss, sudden bilateral kidney lesions, severe spinal degeneration and deformities ( scoliosis, lordosis, kyphosis), sleep disturbances, night sweats, inability to move finger joints, hair loss
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Feeling of body temperature change, Headache, Malaise, Pain
Clinical narrative: ? Vomiting started after 12 hours.  Vomited 5 times over the next 5 hours.  ? Chilled/heated, achy, sicky feeling for 7 days. ? Headache, appetite loss (note:  lost 4 lbs) ? Trunk rash starting on 2nd day. Visually gone by 4th day, but still itchy. ? Ringing left ear starting on 3rd day.   Started prednisone on 5th day, but tinnitus continues today (14th day). I had the same symptoms after the 3rd shot and the ENT said he reported it.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Tinnitus, Vomiting, Weight decreased
Clinical narrative: ? Vomiting started after 12 hours.  Vomited 5 times over the next 5 hours.  ? Chilled/heated, achy, sicky feeling for 7 days. ? Headache, appetite loss (note:  lost 4 lbs) ? Trunk rash starting on 2nd day. Visually gone by 4th day, but still itchy. ? Ringing left ear starting on 3rd day.   Started prednisone on 5th day, but tinnitus continues today (14th day). I had the same symptoms after the 3rd shot and the ENT said he reported it.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Chest X-ray normal, Dizziness, Electrocardiogram normal, Hyperhidrosis
Clinical narrative: symptoms: knot in chest around sternum area, profuse sweating, lightheadedness, increased breathing.  called 911 went to local hospital. had cardiac workup (EKG, blood tests, chest x-ray) negative for heart attack. released in evening. follow-up scheduled with primary care doc.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Nodule, Respiratory rate increased
Clinical narrative: symptoms: knot in chest around sternum area, profuse sweating, lightheadedness, increased breathing.  called 911 went to local hospital. had cardiac workup (EKG, blood tests, chest x-ray) negative for heart attack. released in evening. follow-up scheduled with primary care doc.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: fever 101.1, aches, chills
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Lethargy, Malaise, Pyrexia
Clinical narrative: 101° Fever, High Pulse Rate ~ 110, Malaise & Lethargy x 4 Days. Symptoms Lasted x 4Days Not Experienced With Other Doses
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Delivery, Live birth, Maternal exposure before pregnancy
Clinical narrative: Product origin unknown; Prior doses were given on 05/15/2007, 07/17/2007, 04/03/2008./ NSVO - full term, delivery date: 9.22.2018 sex= m; This spontaneous retrospective pregnancy report was received from a medical assistant referring to a 12-year-old female patient. The patient's concurrent conditions included hypothyroidism. Information about patient's medical history, concomitant medications and drug reactions/ allergies was not provided.   On 15-MAY-2007, 17-JUL-2007 and 03-APR-2008, the patient was vaccinated with the 3 doses of an unknown brand of a HPV vaccine (dose, route of administration, lot number and expiration date not reported) for prophylaxis (product origin unknown).  It was estimated that the patient became pregnant with last menstrual period (LMP) of 16-DEC-2017 and estimated delivery date (EDD) of 22-SEP-2018. Exposure to the unknown brand of a HPV vaccine took place before the pregnancy (maternal exposure before pregnancy). On XX-SEP-2018, the pregnancy outcome was live birth - full term. The sex of the baby was male (M). The delivery type was normal spontaneous vaginal delivery (NSVD). Fetal outcome was unknown. The outcome of the event of exposure before pregnancy was reported as recovered.   This is one of two reports received from the same reporter.; Sender's Comments:  US-009507513-2204USA004140:
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Patient initially presented on 2/22/2022 with a chief complaint of generalized weakness fatigue with severe myalgia associated with productive cough and shortness of breath.    Upon evaluation in the ED BP was 148/68 with a heart rate of 92, temperature 99.2° with a SpO2 92% in room air.  Patient noted to have wheezing and tachypnea per ED physician.  Lab work abnormal for mildly elevated creatinine of 1.4, otherwise unremarkable CMP and CBC.  CRP was elevated and D-dimer was 1580. Bilateral lower extremity duplex studies did not show any evidence 40 point thrombosis per radiologist. Patient tested positive for COVID-19 PCR.   Patient was subsequently admitted for COVID-19 infection under Hospital Medicine.  Patient was started on dexamethasone and Remdesivir.  Patient was given analgesic for significant myalgia.  She was started on Tessalon Perles 200 mg 3 times a day.  Patient started improve significantly and the felt ready for discharge and requesting to be discharged.  Patient is discharged at stable condition
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Blood creatinine increased, C-reactive protein increased, COVID-19, Dyspnoea
Clinical narrative: Patient initially presented on 2/22/2022 with a chief complaint of generalized weakness fatigue with severe myalgia associated with productive cough and shortness of breath.    Upon evaluation in the ED BP was 148/68 with a heart rate of 92, temperature 99.2° with a SpO2 92% in room air.  Patient noted to have wheezing and tachypnea per ED physician.  Lab work abnormal for mildly elevated creatinine of 1.4, otherwise unremarkable CMP and CBC.  CRP was elevated and D-dimer was 1580. Bilateral lower extremity duplex studies did not show any evidence 40 point thrombosis per radiologist. Patient tested positive for COVID-19 PCR.   Patient was subsequently admitted for COVID-19 infection under Hospital Medicine.  Patient was started on dexamethasone and Remdesivir.  Patient was given analgesic for significant myalgia.  She was started on Tessalon Perles 200 mg 3 times a day.  Patient started improve significantly and the felt ready for discharge and requesting to be discharged.  Patient is discharged at stable condition
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Fibrin D dimer increased, Full blood count normal, Metabolic function test, Myalgia
Clinical narrative: Patient initially presented on 2/22/2022 with a chief complaint of generalized weakness fatigue with severe myalgia associated with productive cough and shortness of breath.    Upon evaluation in the ED BP was 148/68 with a heart rate of 92, temperature 99.2° with a SpO2 92% in room air.  Patient noted to have wheezing and tachypnea per ED physician.  Lab work abnormal for mildly elevated creatinine of 1.4, otherwise unremarkable CMP and CBC.  CRP was elevated and D-dimer was 1580. Bilateral lower extremity duplex studies did not show any evidence 40 point thrombosis per radiologist. Patient tested positive for COVID-19 PCR.   Patient was subsequently admitted for COVID-19 infection under Hospital Medicine.  Patient was started on dexamethasone and Remdesivir.  Patient was given analgesic for significant myalgia.  She was started on Tessalon Perles 200 mg 3 times a day.  Patient started improve significantly and the felt ready for discharge and requesting to be discharged.  Patient is discharged at stable condition
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Productive cough, SARS-CoV-2 test positive, Tachypnoea, Ultrasound scan normal, Wheezing
Clinical narrative: Patient initially presented on 2/22/2022 with a chief complaint of generalized weakness fatigue with severe myalgia associated with productive cough and shortness of breath.    Upon evaluation in the ED BP was 148/68 with a heart rate of 92, temperature 99.2° with a SpO2 92% in room air.  Patient noted to have wheezing and tachypnea per ED physician.  Lab work abnormal for mildly elevated creatinine of 1.4, otherwise unremarkable CMP and CBC.  CRP was elevated and D-dimer was 1580. Bilateral lower extremity duplex studies did not show any evidence 40 point thrombosis per radiologist. Patient tested positive for COVID-19 PCR.   Patient was subsequently admitted for COVID-19 infection under Hospital Medicine.  Patient was started on dexamethasone and Remdesivir.  Patient was given analgesic for significant myalgia.  She was started on Tessalon Perles 200 mg 3 times a day.  Patient started improve significantly and the felt ready for discharge and requesting to be discharged.  Patient is discharged at stable condition
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Herpes zoster, Neuralgia
Clinical narrative: Shingles breakout with bad, lingering nerve pain.  Per PCP, took Valtrex, Gabapentin, prescription ointment for skin pain/breakouts.  The nerve pain continued for approximately 2 months, of which I stayed on gabapentin for relief. Additional care was with rheumatologist.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Herpes zoster, Neuralgia, Pain of skin
Clinical narrative: Shingles breakout with bad, lingering nerve pain.  Per PCP, took Valtrex, Gabapentin, prescription ointment for skin pain/breakouts.  The nerve pain continued for approximately 2 months, of which I stayed on gabapentin for relief. Additional care was with rheumatologist.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Agonal respiration, Amnesia, Cold sweat, Dizziness, Fatigue
Clinical narrative: My blood pressure began dropping about five minutes after the vaccination. Blood pressure was 100/68. The NP said my breathing was agonal. They could not find a pulse. they performed chest compressions for about 30 seconds. I remained lying on the floor for about 5 to 10 minutes before  EMS came. Blood pressure was reassessed  at that time and was 130/70. I have an appointment with a cardiologist on Tuesday, May 17.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Feeling abnormal, Hyperhidrosis, Hypotension, Irregular breathing, Loss of consciousness
Clinical narrative: My blood pressure began dropping about five minutes after the vaccination. Blood pressure was 100/68. The NP said my breathing was agonal. They could not find a pulse. they performed chest compressions for about 30 seconds. I remained lying on the floor for about 5 to 10 minutes before  EMS came. Blood pressure was reassessed  at that time and was 130/70. I have an appointment with a cardiologist on Tuesday, May 17.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pulse absent, Resuscitation, Somnolence, Syncope
Clinical narrative: My blood pressure began dropping about five minutes after the vaccination. Blood pressure was 100/68. The NP said my breathing was agonal. They could not find a pulse. they performed chest compressions for about 30 seconds. I remained lying on the floor for about 5 to 10 minutes before  EMS came. Blood pressure was reassessed  at that time and was 130/70. I have an appointment with a cardiologist on Tuesday, May 17.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Agonal respiration, Blood pressure decreased, Pulse absent, Resuscitation
Clinical narrative: My blood pressure began dropping about five minutes after the vaccination. Blood pressure was 100/68. The NP said my breathing was agonal. They could not find a pulse. they performed chest compressions for about 30 seconds. I remained lying on the floor for about 5 to 10 minutes before  EMS came. Blood pressure was reassessed  at that time and was 130/70. I have an appointment with a cardiologist on Tuesday, May 17.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Oropharyngeal pain
Clinical narrative: Next morning was very tired, bad headache, slight sore throat. Daytime flu medication helped a lot and by evening  felt back to normal.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myeloid leukaemia, Cellulitis, Thrombocytopenia
Clinical narrative: Cellulitis started occurring 08/25/2021 follwed by thrombocytopenia. Patient was diagnosed with Acute Myeloid Leukemia on Jan 12, 2022 with 50% blastcells.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Diarrhoea, Fatigue, Nausea, Pain
Clinical narrative: Severe continuing diarrhea. Nausea, body aches, fatigue, loss of appetite, bad taste in mouth, ceaseation of urine
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Taste disorder, Urine output decreased
Clinical narrative: Severe continuing diarrhea. Nausea, body aches, fatigue, loss of appetite, bad taste in mouth, ceaseation of urine
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Ultrasound Doppler abnormal
Clinical narrative: Deep Vein Thrombosis
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Joint injury, Limb injury, Pain, Paraesthesia
Clinical narrative: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Error: Dose in Series Given Too Early-
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Dizziness, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Medium
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Autoimmune disorder, Cardiac disorder, Confusional state, Death, Fatigue
Clinical narrative: Site: Pain at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Autoimmune Disease (diagnosed by MD)-Medium, Systemic: Cardiac Disorder (diagnosed by MD)-Medium, Systemic: Confusion-Medium, Systemic: Exhaustion / Lethargy-Severe, Systemic: Heart Attack-Severe, Systemic: MIS (Multisystem Inflammatory Syndrome)(diagnosed by MD)-Severe, Additional Details: Death cetificate stated that patient had a hyperactive immune response which led to hyper coagulation which resulted in cardioac thrombosis
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Hypercoagulation, Injection site pain, Injection site swelling, Intracardiac thrombus, Lethargy
Clinical narrative: Site: Pain at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Autoimmune Disease (diagnosed by MD)-Medium, Systemic: Cardiac Disorder (diagnosed by MD)-Medium, Systemic: Confusion-Medium, Systemic: Exhaustion / Lethargy-Severe, Systemic: Heart Attack-Severe, Systemic: MIS (Multisystem Inflammatory Syndrome)(diagnosed by MD)-Severe, Additional Details: Death cetificate stated that patient had a hyperactive immune response which led to hyper coagulation which resulted in cardioac thrombosis
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Multisystem inflammatory syndrome, Myocardial infarction
Clinical narrative: Site: Pain at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Autoimmune Disease (diagnosed by MD)-Medium, Systemic: Cardiac Disorder (diagnosed by MD)-Medium, Systemic: Confusion-Medium, Systemic: Exhaustion / Lethargy-Severe, Systemic: Heart Attack-Severe, Systemic: MIS (Multisystem Inflammatory Syndrome)(diagnosed by MD)-Severe, Additional Details: Death cetificate stated that patient had a hyperactive immune response which led to hyper coagulation which resulted in cardioac thrombosis
Age: 84.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Additional Details: Patient reported swelling and redness of arm after vaccine adminstration.  Swelling progressed to the size of "half a lemon" before seeking treatment in emergency department. Pt was prescribed antibiotic and symptoms have resolved.
Age: 33.0
Sex: F
Vaccine: HEPA
Symptoms: Confusional state, Dizziness, Dyskinesia, Flushing, Hyperhidrosis
Clinical narrative: Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Shakiness-Severe, Additional Details: jerking movements for a couple of seconds loss of consciousness lots of sweating, never confirmed by ems but for a moment felt like seizure for very short time i would same about 30 sec-40 sec
Age: 33.0
Sex: F
Vaccine: HEPA
Symptoms: Loss of consciousness, Seizure like phenomena, Syncope, Tremor, Unresponsive to stimuli
Clinical narrative: Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Shakiness-Severe, Additional Details: jerking movements for a couple of seconds loss of consciousness lots of sweating, never confirmed by ems but for a moment felt like seizure for very short time i would same about 30 sec-40 sec
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Syringe issue
Clinical narrative: Error: Leaking from Syringe-
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Lethargy, Pyrexia
Clinical narrative: Systemic: Exhaustion / Lethargy-Severe, Systemic: Fever-Severe
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Atelectasis, Blood creatinine increased, COVID-19, Chest X-ray abnormal
Clinical narrative: Pt was admitted on 2/10/2022 for confusion, weakness, and multiple falls. patient's vital signs were stable with exception of tachypnea of 22 saturating 93% . Patient was noted to have generalized weakness, labs were obtained which revealed elevated creatinine at 1.6 (baseline 1.0), mild leukocytosis 11.39, troponins negative, head CT obtained revealed no acute process. Chest x-ray showed right lower lobe opacity, suggestive of pneumonia versus atelectasis. COVID-19 test positive. Patient did have an elevated procalcitonin at 0.95 and therefore admitted for further management of care.   Patient started on IV fluid hydration as well as ceftriaxone (completed 7days), azithromycin (completed 5 days) and remdesivir (completed 3d).    Patient continued to have mild shortness of breath above baseline, patient was started on Symbicort transitioned to Stiolto Respimat. He will be discharged on Spiriva.   At the time of discharge, the pt was afebrile, clinically stable without active complaints.  Warning signs for which to return to the hospital were discussed with patient who verbalized understanding and agreed with the plan of care.