chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: About 12 hrs after the 2nd injection I got very severe joint pains accompanied by a fever of 100 degrees F. My legs became very weak, and I even fell, as I couldn't stand.  This episode lasted about 6 hours, but I also experienced weakness in my hands, which came and went for a full week. Both my PCP, and my rheumatologist, both said I had am inflammatory response (I do have significant arthritis). My PCP had me take an anti-inflammatory for a full week after this episode until this calmed down significantly.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Blood magnesium abnormal, Carbon dioxide abnormal, Chills, Electrocardiogram normal, Fatigue
Clinical narrative: A few hours after the Thursday afternoon injection, my temp shot up and stayed right around 102, my heart rate was 135- just sitting, and my oxygen level was 93%. I shook uncontrollably the first 10-12 hours, and had chills. Tinnitus. Nothing inproved until the middle of Friday night- I sweated through sheets. Still had fever, high heart rate, and up and down oxygen for 18-20 days. My heart rate (I'm on 2 anti-arrhythmia drugs so my rate is rarely above 65) was still high but better by day 22. Fever is also better but not gone. Exhausted.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Hyperhidrosis, Laboratory test, Oxygen saturation decreased, Pyrexia
Clinical narrative: A few hours after the Thursday afternoon injection, my temp shot up and stayed right around 102, my heart rate was 135- just sitting, and my oxygen level was 93%. I shook uncontrollably the first 10-12 hours, and had chills. Tinnitus. Nothing inproved until the middle of Friday night- I sweated through sheets. Still had fever, high heart rate, and up and down oxygen for 18-20 days. My heart rate (I'm on 2 anti-arrhythmia drugs so my rate is rarely above 65) was still high but better by day 22. Fever is also better but not gone. Exhausted.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus, Tremor
Clinical narrative: A few hours after the Thursday afternoon injection, my temp shot up and stayed right around 102, my heart rate was 135- just sitting, and my oxygen level was 93%. I shook uncontrollably the first 10-12 hours, and had chills. Tinnitus. Nothing inproved until the middle of Friday night- I sweated through sheets. Still had fever, high heart rate, and up and down oxygen for 18-20 days. My heart rate (I'm on 2 anti-arrhythmia drugs so my rate is rarely above 65) was still high but better by day 22. Fever is also better but not gone. Exhausted.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Pharyngeal paraesthesia
Clinical narrative: tingling in throat, moving into chest.  Duration was approximately 15-20 minutes.  When presented for second dose described symptoms and dose #2 was not given due to potential allergic reaction.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Pain, Pain in extremity, Somnolence
Clinical narrative: headache and arm pain morning after shot, went away with tylenol headache, drowsiness, dizziness, muscle aches around 24 hours after shot - stopped during sleep
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Sensory disturbance
Clinical narrative: Later at night on the same day as my vaccine, the roof of my mouth began to feel almost numb. There is no pain or swelling that I am aware of, but there is a sensation that has not gone away since that time.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Diarrhoea, Insomnia, Joint swelling, Neuralgia
Clinical narrative: 102.2 degree fever. Tremors and shaking for hours and hours. Insomnia. Diarrhea. Nerve pain. Joint swelling. Loss of taste
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Tremor
Clinical narrative: 102.2 degree fever. Tremors and shaking for hours and hours. Insomnia. Diarrhea. Nerve pain. Joint swelling. Loss of taste
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Asthenia, Chest discomfort, Dizziness, Hypopnoea
Clinical narrative: Had shot 4/7/21 at 2:30pm. Started getting aches and pains about 6:30pm the next day. The 2nd day after I have been experiencing weakness, dense feeling in my chest, breathing shallower, some upset stomach for a short time, ears ringing, woozyness. Had virtual appointment with P.A. and described how I felt.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Tinnitus
Clinical narrative: Had shot 4/7/21 at 2:30pm. Started getting aches and pains about 6:30pm the next day. The 2nd day after I have been experiencing weakness, dense feeling in my chest, breathing shallower, some upset stomach for a short time, ears ringing, woozyness. Had virtual appointment with P.A. and described how I felt.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Menstruation irregular
Clinical narrative: I had an odd menstrual cycle - the byproduct was a lot more clumpy and clotty than usual. I have typically been having regular cycles for the last few years (28 days), but this one occurred 14 days after the last ended (March 1), and 15 days before the next started (April 5). It lasted a typical amount of time (3 days). I have been feeling more tired than usual. Could be other factors.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Feeling abnormal
Clinical narrative: About 1 minute after receiving the vaccine patient reported dizziness and "feeling funny", she alerted nursing who then called the PA to evaluate. Patient RR and HR stable however, BP was elevated on initial read at 192/139 (L arm) then repeated on opposite arm with 216/136. Patient stated that she did not take her antihypertensive medications this AM (lisinopril) in addition to the day before. After five minutes, repeated blood pressure at 199/118- she denied any symptoms other than dizziness and possibly some nausea. Patient was transported to the ED by wheelchair
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Back pain, Chills, Dizziness, Feeling cold
Clinical narrative: Cold chills, migraine, lightheaded,  stomach cramping,  back pain, body aches
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Pain
Clinical narrative: Cold chills, migraine, lightheaded,  stomach cramping,  back pain, body aches
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Fatigue, Headache
Clinical narrative: 8:00pm april 6 2021 body aches and headache. April 7 10:00pm chills and fever of 101.3 f. Tylenol helped fever but returned a couple of hours later. Body aches and joint pain accompanied with fatigue and weakness and overall not feeling well. April 9 woke up at 5:00am and my whole body felt as if i had done hard labor all day making any activity uncomfortable and painful
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Pain, Pyrexia
Clinical narrative: 8:00pm april 6 2021 body aches and headache. April 7 10:00pm chills and fever of 101.3 f. Tylenol helped fever but returned a couple of hours later. Body aches and joint pain accompanied with fatigue and weakness and overall not feeling well. April 9 woke up at 5:00am and my whole body felt as if i had done hard labor all day making any activity uncomfortable and painful
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Impaired work ability, Loss of consciousness, Loss of personal independence in daily activities
Clinical narrative: Loss of consciousness during sleep at 1:00 AM on 4/6/2021 about 8 hours after vaccination. Loss of consciousness lasted approximately  20 seconds. Diarrhea has persisted since 4/6/2021 and has affected daily activities including work
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain upper, Diarrhoea, Loss of consciousness
Clinical narrative: Loss of consciousness during sleep at 1:00 AM on 4/6/2021 about 8 hours after vaccination. Loss of consciousness lasted approximately  20 seconds. Diarrhea has persisted since 4/6/2021 and has affected daily activities including work
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Feeling hot
Clinical narrative: Patient reported chest tightness/warmth within 15 minutes of vaccination.  Patient was transported to ER by EMS.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Pt experienced vasovagal syncope within 15 minutes of vaccination. Supportive care provided and pt recovered without incidence.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Fatigue, Feeling abnormal, Injection site pain
Clinical narrative: The day after the shot:  Fatigue, shortness of breath, pain at injection site, dizziness, foggy brain.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient reports dizziness lasting many days after vaccination
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Admitted to Hospital after episode of Syncope.
Age: 67.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Dizziness, Dry throat, Dysphagia, Dyspnoea, Fatigue
Clinical narrative: nausea, body aches & pains, fever, fatigue,  dizziness. Spent 2 days flat in bed, severe headache. fever, body aches, nausea. Ate only dry toast & soup. By 3rd day fever left and  I felt ok at first but after breakfast I became very nauseated. On 4th day I felt fair, went to Easter service, but throat was dry and shortness of breath,  nausea, 1/2 day in bed, On 5th day, I called my primary care Dr. My tongue was white and throat very dry. I could hardly swallow. Still short of breath. He prescribed a mouthwash of Nystatin. It has helped some but I still am nauseated, short of breath and easily fatigued. Today, day 9, I am back in bed, dizzy and fatigued, nauseated and short of breath. I thought I'd be better by now.  First shot my arm bruised badly plus red and sore, but otherwise I felt okay.
Age: 67.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Headache, Nausea, Pain, Pyrexia, Tongue discolouration
Clinical narrative: nausea, body aches & pains, fever, fatigue,  dizziness. Spent 2 days flat in bed, severe headache. fever, body aches, nausea. Ate only dry toast & soup. By 3rd day fever left and  I felt ok at first but after breakfast I became very nauseated. On 4th day I felt fair, went to Easter service, but throat was dry and shortness of breath,  nausea, 1/2 day in bed, On 5th day, I called my primary care Dr. My tongue was white and throat very dry. I could hardly swallow. Still short of breath. He prescribed a mouthwash of Nystatin. It has helped some but I still am nauseated, short of breath and easily fatigued. Today, day 9, I am back in bed, dizzy and fatigued, nauseated and short of breath. I thought I'd be better by now.  First shot my arm bruised badly plus red and sore, but otherwise I felt okay.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: body aches and fever reaching 100.8 - lasted 8 hours - came and went suddenly
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Pruritus, Skin discolouration
Clinical narrative: about 2 hours after the vaccine the patient complained of a burning feeling, itchy and tattoo became discolored. Patient has had the tattoo for 2 years.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Ear discomfort, Loss of consciousness, Pain, Syncope
Clinical narrative: Fainted, blacked out, for maybe a few seconds - I was alone.   Whooshing in my ears, dizziness lasted appx. 15-20 minutes.  I didn?t think it was a big deal, but it was unusual for me to faint.  I haven?t fainted since I moved in 1985 because of altitude.  I also had moderate body aches different from my fibromyalgia or RA symptoms.  This all happened about 25 hours after I received the Johnson Johnson vaccine.  I didn?t think to report it until I read the news.  I am fine now and don?t need any help.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bell's palsy, Facial discomfort, Facial paralysis, Hypoaesthesia
Clinical narrative: Vaccine administered in left arm. Pain spread down left arm into middle 3 fingers at 10 minutes. Pain spreading up to left shoulder at 10 minutes. Told I could leave facility at 15 minutes. Tingling and facial tingling starting at left jaw line and spreading up to left sinus cavity then around left eye and back to left ear at 30 minutes. Tightness, tingling and discomfort described above lasted 48 hours. Tightness and Tingling turned into swelling, numbness and drooping all on the left side of the face and left side of tongue at 48 hours post dose. Medical attention sought at advice of PCP at Urgent Care at 50 hours post dose. Diagnosos: Bell's Palsey Treatment: Steroid and antiviral, plus home care. Return or go to ER if symptoms worsen. Referral to neurologist, if needed.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle tightness, Pain in extremity, Paraesthesia, Physical examination, Skin tightness
Clinical narrative: Vaccine administered in left arm. Pain spread down left arm into middle 3 fingers at 10 minutes. Pain spreading up to left shoulder at 10 minutes. Told I could leave facility at 15 minutes. Tingling and facial tingling starting at left jaw line and spreading up to left sinus cavity then around left eye and back to left ear at 30 minutes. Tightness, tingling and discomfort described above lasted 48 hours. Tightness and Tingling turned into swelling, numbness and drooping all on the left side of the face and left side of tongue at 48 hours post dose. Medical attention sought at advice of PCP at Urgent Care at 50 hours post dose. Diagnosos: Bell's Palsey Treatment: Steroid and antiviral, plus home care. Return or go to ER if symptoms worsen. Referral to neurologist, if needed.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: Vaccine administered in left arm. Pain spread down left arm into middle 3 fingers at 10 minutes. Pain spreading up to left shoulder at 10 minutes. Told I could leave facility at 15 minutes. Tingling and facial tingling starting at left jaw line and spreading up to left sinus cavity then around left eye and back to left ear at 30 minutes. Tightness, tingling and discomfort described above lasted 48 hours. Tightness and Tingling turned into swelling, numbness and drooping all on the left side of the face and left side of tongue at 48 hours post dose. Medical attention sought at advice of PCP at Urgent Care at 50 hours post dose. Diagnosos: Bell's Palsey Treatment: Steroid and antiviral, plus home care. Return or go to ER if symptoms worsen. Referral to neurologist, if needed.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood pressure measurement, Dizziness, Dyspnoea, Hyperhidrosis, Nausea
Clinical narrative: U/A found EMS with 56 yo F seated in stationary vehicle, CAO x 4, c/o N/V and dizziness approx 10 mins after receiving her Covid vaccine (Johnson & Johnson). Paramedic advised that pt had initial BP of 90 mmHG systolic, 12 lead showed sinus rhythm w/o ectopy, and that he attempted ODT zofran w/o success due to pt's vomiting, all prior to EMS arrival. Pt. denied CP, abd pain, diarrhea, fever, cough, HA, syncope, neck or back pain. Pt. stated she felt SOB immediately after vomiting. All assessments/interventions as noted in rest of ePCR. GCS= 15, skin pink, warm, diaphoretic. No obvious signs of trauma. Pt. assisted from vehicle to stretcher, secured w/ straps. VS taken, WNL. Abd. soft, non-tender to palpation. Cardiac monitor showed sinus rhythm, rate of 60 bpm. Pt. actively vomited x 3 while IV access attempted and established. Pt. given 4 mg zofran IV w/ improvement in N/V. Pt requested transport for further evaluation. During transport, pt's VS remained WNL, and pt stated she was feeling better, that dizziness and nausea had stopped. Noted occasional unifocal PVC on 4 lead as well as increase of HR to 124 bpm for approx. 3 seconds during transport, then returning to baseline of sinus rhythm or sinus brady. Pt. stated she normally had a low HR and BP, and had felt palpitations in the past, but no episodes of palpitations today, including during transport. Pt. transported COLD traffic to where pt care, 12 lead, and report were transferred to RN in triage w/o incident.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Skin discolouration, Skin warm, Vital signs measurement, Vomiting
Clinical narrative: U/A found EMS with 56 yo F seated in stationary vehicle, CAO x 4, c/o N/V and dizziness approx 10 mins after receiving her Covid vaccine (Johnson & Johnson). Paramedic advised that pt had initial BP of 90 mmHG systolic, 12 lead showed sinus rhythm w/o ectopy, and that he attempted ODT zofran w/o success due to pt's vomiting, all prior to EMS arrival. Pt. denied CP, abd pain, diarrhea, fever, cough, HA, syncope, neck or back pain. Pt. stated she felt SOB immediately after vomiting. All assessments/interventions as noted in rest of ePCR. GCS= 15, skin pink, warm, diaphoretic. No obvious signs of trauma. Pt. assisted from vehicle to stretcher, secured w/ straps. VS taken, WNL. Abd. soft, non-tender to palpation. Cardiac monitor showed sinus rhythm, rate of 60 bpm. Pt. actively vomited x 3 while IV access attempted and established. Pt. given 4 mg zofran IV w/ improvement in N/V. Pt requested transport for further evaluation. During transport, pt's VS remained WNL, and pt stated she was feeling better, that dizziness and nausea had stopped. Noted occasional unifocal PVC on 4 lead as well as increase of HR to 124 bpm for approx. 3 seconds during transport, then returning to baseline of sinus rhythm or sinus brady. Pt. stated she normally had a low HR and BP, and had felt palpitations in the past, but no episodes of palpitations today, including during transport. Pt. transported COLD traffic to where pt care, 12 lead, and report were transferred to RN in triage w/o incident.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Axillary pain, Blood pressure decreased, Dizziness, Electrocardiogram normal, Laboratory test abnormal
Clinical narrative: U/A found EMS with 56 yo F seated in stationary vehicle, CAO x 4, c/o N/V and dizziness approx 10 mins after receiving her Covid vaccine (Johnson & Johnson). Paramedic advised that pt had initial BP of 90 mmHG systolic, 12 lead showed sinus rhythm w/o ectopy, and that he attempted ODT zofran w/o success due to pt's vomiting, all prior to EMS arrival. Pt. denied CP, abd pain, diarrhea, fever, cough, HA, syncope, neck or back pain. Pt. stated she felt SOB immediately after vomiting. All assessments/interventions as noted in rest of ePCR. GCS= 15, skin pink, warm, diaphoretic. No obvious signs of trauma. Pt. assisted from vehicle to stretcher, secured w/ straps. VS taken, WNL. Abd. soft, non-tender to palpation. Cardiac monitor showed sinus rhythm, rate of 60 bpm. Pt. actively vomited x 3 while IV access attempted and established. Pt. given 4 mg zofran IV w/ improvement in N/V. Pt requested transport for further evaluation. During transport, pt's VS remained WNL, and pt stated she was feeling better, that dizziness and nausea had stopped. Noted occasional unifocal PVC on 4 lead as well as increase of HR to 124 bpm for approx. 3 seconds during transport, then returning to baseline of sinus rhythm or sinus brady. Pt. stated she normally had a low HR and BP, and had felt palpitations in the past, but no episodes of palpitations today, including during transport. Pt. transported COLD traffic to where pt care, 12 lead, and report were transferred to RN in triage w/o incident.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Mobility decreased, Nausea, Pain, Pain in extremity, Pyrexia
Clinical narrative: U/A found EMS with 56 yo F seated in stationary vehicle, CAO x 4, c/o N/V and dizziness approx 10 mins after receiving her Covid vaccine (Johnson & Johnson). Paramedic advised that pt had initial BP of 90 mmHG systolic, 12 lead showed sinus rhythm w/o ectopy, and that he attempted ODT zofran w/o success due to pt's vomiting, all prior to EMS arrival. Pt. denied CP, abd pain, diarrhea, fever, cough, HA, syncope, neck or back pain. Pt. stated she felt SOB immediately after vomiting. All assessments/interventions as noted in rest of ePCR. GCS= 15, skin pink, warm, diaphoretic. No obvious signs of trauma. Pt. assisted from vehicle to stretcher, secured w/ straps. VS taken, WNL. Abd. soft, non-tender to palpation. Cardiac monitor showed sinus rhythm, rate of 60 bpm. Pt. actively vomited x 3 while IV access attempted and established. Pt. given 4 mg zofran IV w/ improvement in N/V. Pt requested transport for further evaluation. During transport, pt's VS remained WNL, and pt stated she was feeling better, that dizziness and nausea had stopped. Noted occasional unifocal PVC on 4 lead as well as increase of HR to 124 bpm for approx. 3 seconds during transport, then returning to baseline of sinus rhythm or sinus brady. Pt. stated she normally had a low HR and BP, and had felt palpitations in the past, but no episodes of palpitations today, including during transport. Pt. transported COLD traffic to where pt care, 12 lead, and report were transferred to RN in triage w/o incident.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Visual impairment, Vomiting
Clinical narrative: U/A found EMS with 56 yo F seated in stationary vehicle, CAO x 4, c/o N/V and dizziness approx 10 mins after receiving her Covid vaccine (Johnson & Johnson). Paramedic advised that pt had initial BP of 90 mmHG systolic, 12 lead showed sinus rhythm w/o ectopy, and that he attempted ODT zofran w/o success due to pt's vomiting, all prior to EMS arrival. Pt. denied CP, abd pain, diarrhea, fever, cough, HA, syncope, neck or back pain. Pt. stated she felt SOB immediately after vomiting. All assessments/interventions as noted in rest of ePCR. GCS= 15, skin pink, warm, diaphoretic. No obvious signs of trauma. Pt. assisted from vehicle to stretcher, secured w/ straps. VS taken, WNL. Abd. soft, non-tender to palpation. Cardiac monitor showed sinus rhythm, rate of 60 bpm. Pt. actively vomited x 3 while IV access attempted and established. Pt. given 4 mg zofran IV w/ improvement in N/V. Pt requested transport for further evaluation. During transport, pt's VS remained WNL, and pt stated she was feeling better, that dizziness and nausea had stopped. Noted occasional unifocal PVC on 4 lead as well as increase of HR to 124 bpm for approx. 3 seconds during transport, then returning to baseline of sinus rhythm or sinus brady. Pt. stated she normally had a low HR and BP, and had felt palpitations in the past, but no episodes of palpitations today, including during transport. Pt. transported COLD traffic to where pt care, 12 lead, and report were transferred to RN in triage w/o incident.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dizziness, Dizziness postural, Hyperhidrosis, Immediate post-injection reaction, Mobility decreased
Clinical narrative: U/A found EMS with 56 yo F seated in stationary vehicle, CAO x 4, c/o N/V and dizziness approx 10 mins after receiving her Covid vaccine (Johnson & Johnson). Paramedic advised that pt had initial BP of 90 mmHG systolic, 12 lead showed sinus rhythm w/o ectopy, and that he attempted ODT zofran w/o success due to pt's vomiting, all prior to EMS arrival. Pt. denied CP, abd pain, diarrhea, fever, cough, HA, syncope, neck or back pain. Pt. stated she felt SOB immediately after vomiting. All assessments/interventions as noted in rest of ePCR. GCS= 15, skin pink, warm, diaphoretic. No obvious signs of trauma. Pt. assisted from vehicle to stretcher, secured w/ straps. VS taken, WNL. Abd. soft, non-tender to palpation. Cardiac monitor showed sinus rhythm, rate of 60 bpm. Pt. actively vomited x 3 while IV access attempted and established. Pt. given 4 mg zofran IV w/ improvement in N/V. Pt requested transport for further evaluation. During transport, pt's VS remained WNL, and pt stated she was feeling better, that dizziness and nausea had stopped. Noted occasional unifocal PVC on 4 lead as well as increase of HR to 124 bpm for approx. 3 seconds during transport, then returning to baseline of sinus rhythm or sinus brady. Pt. stated she normally had a low HR and BP, and had felt palpitations in the past, but no episodes of palpitations today, including during transport. Pt. transported COLD traffic to where pt care, 12 lead, and report were transferred to RN in triage w/o incident.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Nausea, Visual impairment, Vomiting
Clinical narrative: U/A found EMS with 56 yo F seated in stationary vehicle, CAO x 4, c/o N/V and dizziness approx 10 mins after receiving her Covid vaccine (Johnson & Johnson). Paramedic advised that pt had initial BP of 90 mmHG systolic, 12 lead showed sinus rhythm w/o ectopy, and that he attempted ODT zofran w/o success due to pt's vomiting, all prior to EMS arrival. Pt. denied CP, abd pain, diarrhea, fever, cough, HA, syncope, neck or back pain. Pt. stated she felt SOB immediately after vomiting. All assessments/interventions as noted in rest of ePCR. GCS= 15, skin pink, warm, diaphoretic. No obvious signs of trauma. Pt. assisted from vehicle to stretcher, secured w/ straps. VS taken, WNL. Abd. soft, non-tender to palpation. Cardiac monitor showed sinus rhythm, rate of 60 bpm. Pt. actively vomited x 3 while IV access attempted and established. Pt. given 4 mg zofran IV w/ improvement in N/V. Pt requested transport for further evaluation. During transport, pt's VS remained WNL, and pt stated she was feeling better, that dizziness and nausea had stopped. Noted occasional unifocal PVC on 4 lead as well as increase of HR to 124 bpm for approx. 3 seconds during transport, then returning to baseline of sinus rhythm or sinus brady. Pt. stated she normally had a low HR and BP, and had felt palpitations in the past, but no episodes of palpitations today, including during transport. Pt. transported COLD traffic to where pt care, 12 lead, and report were transferred to RN in triage w/o incident.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Pain in extremity, Pruritus, Skin lesion
Clinical narrative: Large, raised bump that lasted 11 days at injection site. Very sore, some days itchy. Did develop a small red ring around the bump, but did not show every single day,
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Patient reported severe pain on the right side of his body and radiating down his leg starting 1 week after administration of the vaccine. After the second dose it got much worse.
Age: 18.0
Sex: F
Vaccine: HPV9, MENB, MNQ
Symptoms: Seizure
Clinical narrative: PATIENT HAD SEIZURE IN LESS THAN ONE MINUTE AFTER RECEIVING THIRD IMMUNIZATION.  IMMUNIZATIONS GIVEN IN THIS ORDER - MENACTRA, TRUEMBA, GARDASIL
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Diarrhoea, Headache, Pain in extremity
Clinical narrative: Patient reports burning in chest, arm pain, headache, chills that have lasted 3 days after vaccine.   Also with diarrhea
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Malaise
Clinical narrative: Moderna COVID-19 Vaccine   adverse events: low-grade fever, chills, headache, fatigue, muscle weakness, malaise, runny nose, exhaustion, joint pain  treatment: ibuprofen, acetaminophen, long periods of rest, fluids  outcomes: resolved on it's own after about 36 hours.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Pyrexia, Rhinorrhoea
Clinical narrative: Moderna COVID-19 Vaccine   adverse events: low-grade fever, chills, headache, fatigue, muscle weakness, malaise, runny nose, exhaustion, joint pain  treatment: ibuprofen, acetaminophen, long periods of rest, fluids  outcomes: resolved on it's own after about 36 hours.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dizziness, Fall, Fatigue
Clinical narrative: 3/29 11pm: severe chills, body aches began 3/30 3am: ** syncopal episode, loss of consciousness, ground level fall - pt ambulated to bathroom independently, became dizzy, lost consciousness, fell to the ground, total loss of consciousness approx 30 seconds, aroused easily by family member 3/30 continued all day - chills, body aches, fatigue, nausea, headache, dizziness, "brain fog", overall malaise and weakness,  ** 1:00pm another syncopal episode and loss of consciousness 3/31 and 4/1 continued fatigue, overall malaise weakness, dizziness, brain fog 4/2 no symptoms 4/3 symptoms recur - significant fatigue, malaise, generalized weakness, nausea, brain fog 4/4 no symptoms
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Loss of consciousness, Malaise, Nausea
Clinical narrative: 3/29 11pm: severe chills, body aches began 3/30 3am: ** syncopal episode, loss of consciousness, ground level fall - pt ambulated to bathroom independently, became dizzy, lost consciousness, fell to the ground, total loss of consciousness approx 30 seconds, aroused easily by family member 3/30 continued all day - chills, body aches, fatigue, nausea, headache, dizziness, "brain fog", overall malaise and weakness,  ** 1:00pm another syncopal episode and loss of consciousness 3/31 and 4/1 continued fatigue, overall malaise weakness, dizziness, brain fog 4/2 no symptoms 4/3 symptoms recur - significant fatigue, malaise, generalized weakness, nausea, brain fog 4/4 no symptoms
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Syncope
Clinical narrative: 3/29 11pm: severe chills, body aches began 3/30 3am: ** syncopal episode, loss of consciousness, ground level fall - pt ambulated to bathroom independently, became dizzy, lost consciousness, fell to the ground, total loss of consciousness approx 30 seconds, aroused easily by family member 3/30 continued all day - chills, body aches, fatigue, nausea, headache, dizziness, "brain fog", overall malaise and weakness,  ** 1:00pm another syncopal episode and loss of consciousness 3/31 and 4/1 continued fatigue, overall malaise weakness, dizziness, brain fog 4/2 no symptoms 4/3 symptoms recur - significant fatigue, malaise, generalized weakness, nausea, brain fog 4/4 no symptoms
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bone pain, Chills, Confusional state, Gait disturbance
Clinical narrative: Approximately 13 hours after receiving the vaccine, I woke up in the night with nausea, chills, fever, spinal pain, joint and bone pain, and the worst headache of my life that I could feel in my brain stem and spinal cord. I also experienced confusion and difficulty walking to the bathroom. The headache was not relieved by OTC pain relievers. I had difficulty sleeping and felt restless. I felt the fever ?break? around 5am with profuse sweating. I had to miss work today (I am a nurse myself who was actually working at the clinic when I received my vaccine). It is now 3pm and after taking a sleep aid and sleeping all day, I do feel better, but the headache remains. I had H1N1 about 10 years ago and aside from that, this is probably the sickest I?ve ever been and it is, with certainty, due to the Covid vaccine.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Impaired work ability, Insomnia, Nausea
Clinical narrative: Approximately 13 hours after receiving the vaccine, I woke up in the night with nausea, chills, fever, spinal pain, joint and bone pain, and the worst headache of my life that I could feel in my brain stem and spinal cord. I also experienced confusion and difficulty walking to the bathroom. The headache was not relieved by OTC pain relievers. I had difficulty sleeping and felt restless. I felt the fever ?break? around 5am with profuse sweating. I had to miss work today (I am a nurse myself who was actually working at the clinic when I received my vaccine). It is now 3pm and after taking a sleep aid and sleeping all day, I do feel better, but the headache remains. I had H1N1 about 10 years ago and aside from that, this is probably the sickest I?ve ever been and it is, with certainty, due to the Covid vaccine.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Restlessness, Spinal pain
Clinical narrative: Approximately 13 hours after receiving the vaccine, I woke up in the night with nausea, chills, fever, spinal pain, joint and bone pain, and the worst headache of my life that I could feel in my brain stem and spinal cord. I also experienced confusion and difficulty walking to the bathroom. The headache was not relieved by OTC pain relievers. I had difficulty sleeping and felt restless. I felt the fever ?break? around 5am with profuse sweating. I had to miss work today (I am a nurse myself who was actually working at the clinic when I received my vaccine). It is now 3pm and after taking a sleep aid and sleeping all day, I do feel better, but the headache remains. I had H1N1 about 10 years ago and aside from that, this is probably the sickest I?ve ever been and it is, with certainty, due to the Covid vaccine.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Blood calcium decreased, Blood potassium decreased, Dehydration, Dizziness, Headache
Clinical narrative: Patient waited 15 minutes after vaccination in drug store afternoon of 4/2/21, then departed.  Headache began shortly after leaving.  He returned to work, and began feeling fatigued, light-headed, and nauseous.  His right arm was swollen and "solid" from the elbow up.  He proceeded to emergency department.  Blood pressure was 198/118.  Emergency department staff drew labs, and said he was dehydrated, hypocalcemic and hypokalemic.  Patient had also forgotten to take his blood pressure medication that morning.  Reports no dyspnea or rash.  He said he felt fine Monday 4/ 5/21 afternoon.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Hypocalcaemia, Hypokalaemia, Laboratory test, Nausea, Peripheral swelling
Clinical narrative: Patient waited 15 minutes after vaccination in drug store afternoon of 4/2/21, then departed.  Headache began shortly after leaving.  He returned to work, and began feeling fatigued, light-headed, and nauseous.  His right arm was swollen and "solid" from the elbow up.  He proceeded to emergency department.  Blood pressure was 198/118.  Emergency department staff drew labs, and said he was dehydrated, hypocalcemic and hypokalemic.  Patient had also forgotten to take his blood pressure medication that morning.  Reports no dyspnea or rash.  He said he felt fine Monday 4/ 5/21 afternoon.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia
Clinical narrative: SHE COMPLAINED OF DIFFICULTY SWALLOWING AFTER THE VACCINE. ON SITE EMS RESPONDED AND VITALS ARE BELOW. DIPHENHYDRAMINE 25MG GIVEN. VITALS LISTED BELOW. SHE HAS EPI PEN AT HOME DUE TO SHELLFISH ALLERGY. SHE WAS RELEASED TO HOME
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: Itchy and warm red area around the injection site. I also had fatigue the day after vaccination.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Pt experienced vasovagal syncope within 15 minutes of vaccination. Supportive care provided and pt recovered without incidence.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia, Pyrexia
Clinical narrative: Severe chills, severe muscle aches, and low grade fever about 8 hours after. Severe headache the next morning. Chills, fever and muscle aches 2nd night.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Dysgeusia, Immediate post-injection reaction
Clinical narrative: Immediate metallic taste in my mouth, other wise no other side effects.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Chest pain, Dyspnoea
Clinical narrative: Patient called office on 4/9/21 approximately 1430 complaining of chest pain.  Patient states that she had some mild chest pain after her first COVID-19 vaccine in March, which lasted 30 minutes, then went away and she was fine.  She states that 30 minutes after the vaccine today, approximately 1100, she began having chest pain in the middle part of her chest.  She also states she has had shortness of breath, more than her normal.  The chest pain has continued for several hours and not let up, worse when up and moving around, as well as the shortness of breath. Denies any other symptom.  Patient states she also does have anxiety, which she attributed the chest pain after the first vaccine to.  Advised patient that she should call the squad to get to the ER asap. Pt. agrees.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Dizziness, Fatigue, Headache
Clinical narrative: Jansen Covid 19 vaccine  Headache increased in intensity by midnight got worse with no relief through the night with Tylenol or ibuprofen.  Fever of 100 and chills. Extreme tiredness through Thursday with nausea and diarrhea. Fever has subsided on Friday still have extreme tiredness and dizziness . I tested positive for Covid 19 on 1/14/21
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia
Clinical narrative: Jansen Covid 19 vaccine  Headache increased in intensity by midnight got worse with no relief through the night with Tylenol or ibuprofen.  Fever of 100 and chills. Extreme tiredness through Thursday with nausea and diarrhea. Fever has subsided on Friday still have extreme tiredness and dizziness . I tested positive for Covid 19 on 1/14/21
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: No adverse reaction. Patient received a small increase in the recommended dosage.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: FAINTING REACTION SYNCOPE - PATEINT REPORTS OF PREVIOUS HISTORY OF FAINTING REACTION TO NEEDLE PRICKS IN THE PAST. PATIENT WAS STABLE ABD MONITORED FOR MORE THAN 30 MINUTS
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Headache
Clinical narrative: Headache, Light headed and dizzy
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Pharyngeal swelling, Swollen tongue
Clinical narrative: Throat/tongue swelling/ difficulty swallowing. Refused epi.  Called for EMS - transported to ER
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: One large raised bump on left arm - about 2inches diameter.  One smaller raised bump about 1" diameter.  Red, painful like a bruise - not itchy.  Not sure if either bump is directly on the injection spot, but in the general area of injection.  Noticed it on April 6th. The one larger bump has increased in radius. It has been 3 days so far.  Pain is not as bad as day one.  No treatment except advil for pain.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Limb discomfort, Muscle spasms, Pyrexia, Thrombosis
Clinical narrative: fever and associate shivering day after the injection. Sever incapacitating muscle spasm in left leg two days after ijection . Three weeks later second muscle spasm but not as sever. Discomfort in leg prsisted and diagnosed through ultra sound blood clot in left leg.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound Doppler abnormal
Clinical narrative: fever and associate shivering day after the injection. Sever incapacitating muscle spasm in left leg two days after ijection . Three weeks later second muscle spasm but not as sever. Discomfort in leg prsisted and diagnosed through ultra sound blood clot in left leg.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chromatopsia, Disorientation, Ophthalmoplegic migraine
Clinical narrative: second vaccine was at 10:30AM on 3/29/21. I experienced increased frequency of ocular migraines (Kaleidoscopic irregular frame in field of vision that starts small and increases in size till it disappears over 15-30 minutes. That is followed by a mild headache and mild disorientation. This has been the usual symptom of an ocular migraine for me. Difference was a big increase in frequency.)  Ocular migraines occurred in PM of 3/2/21, AM on 3/3/21, AM and PM on 3/5/21, PM 3/6/21, PM 3/7/21, AM  3/11/21, PM 3/15/21, PM 3/19/21, and AM 3/20/21. I had one instance on an ocular migraine after the second Moderna dose on 4/1/21. I contacted both my PCP and Opthamologist on 3/8/21. Doctor followed up with me to find out whether the migraines were always occurring in the same field of my vision from instance to instance later in the week as well. I told him they seemed to be occurring in different spots including a perceived difference in which eye. Only treatment was to watch and see if it stayed as frequent or subsided in frequency. It seems to have resolved itself by today 4/9/21.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor, Unresponsive to stimuli
Clinical narrative: Patient developed shaking (reported as seizure-like activity) and became non-responsive within 15 minutes of vaccination.  IV started and patient was transported to ER by EMS.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: none
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Thyroiditis
Clinical narrative: thyroiditis
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Redness that is spreading out from the injection site. Feels hot to the touch, patient says can't have any clothing touching it or it is painful. Slightly swollen. Patient already contacted doctors office, informed patient to take some Benadryl and see if that helps.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bacterial test, Blood test normal, Pyrexia, Vaccine positive rechallenge, Viral test negative
Clinical narrative: On the above date and time previously stated,(nine days after first vaccination) I experienced diarrhea, nasal drip, gas symptoms in addition to the urge to defecate. Rectal discharge consist of loose stool and an odorless - clear mucus concentration minus any indication of blood. Frequent toilet visits consisted of 7 to 12 times in a 24 hour period. Bowel issues appeared to be improving during the week of March 28 through April 3rd. My original symptoms have since returned on 04/08/2021 (seven days after second vaccination). I have had no fever with exception to the day after second vaccination, no weight loss, no stomach pain, no fatigue and no change in diet since the onset of these symptoms.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Hyperhidrosis, Lymphadenopathy, Mobility decreased, Peripheral swelling
Clinical narrative: Woke up at 5am, walked to kitchen, started sweating and then fainted. Other symptoms include swollen red arm up to her neck, swollen glands, and hard to turn neck.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Woke up at 5am, walked to kitchen, started sweating and then fainted. Other symptoms include swollen red arm up to her neck, swollen glands, and hard to turn neck.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Fatigue, Gait disturbance, Local reaction, Mobility decreased
Clinical narrative: 3:30 local reaction of red swollen itchy baseball sized knot on left upper arm.  Red swollen knot still there but itching gone. So fatigued can barely walk across room, pain in lungs.  Currently feel the same
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Nodule, Pruritus, Pulmonary pain, Swelling
Clinical narrative: 3:30 local reaction of red swollen itchy baseball sized knot on left upper arm.  Red swollen knot still there but itching gone. So fatigued can barely walk across room, pain in lungs.  Currently feel the same
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Hypotension, Loss of consciousness, Pallor
Clinical narrative: Pt was CAO x 4 upon EMS arrival. EMS 3 stated pt experienced a syncopal episode after getting her COVID vaccine. Pt had a brief LOC and was initially hypotensive. IV was initiated by EMS 3 and NS was started. VS were WNL upon EMS arrival. Pt skin was still pale and clammy during assessment. Pt stated this has happened in the past with shots and blood draws, however, she has never fully lost consciousness. Pt was still c/o dizziness. Pt requested transport to REX ER. Pt was on the cardiac monitor upon EMS 14 arrival and a sinus rhythm was noted. 12 lead revealed a sinus rhythm with no STEMI criteria met. Pt was able to stand and pivot onto the stretcher without incident. Pt secured via straps and loaded into the unit. Once in the unit, VS reassessed. NS was reduced to a KVO rate due to improvement in BP. Pt had received approx 200mL of NS at the time. Pt denied any chest pain, SOB, N/V, or abd pain. Pt only complaint was dizziness. Pt was initially very anxious and was coached through breathing techniques which improved her anxiety. EMS left en route to REX ER. Pt was monitored during transport with improvement in her condition. Pt skin color and condition improved and her VS remained WNL. Pt denied any complaints during transport other than dizziness which she reported was improving. EMS arrived at REX ER. Pt was taken into the ER triage area and was able to stand and pivot onto a wheel chair. NS DC'd, pt received approx 300mL total. Report given to the triage RN and care transferred to same.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Pt was CAO x 4 upon EMS arrival. EMS 3 stated pt experienced a syncopal episode after getting her COVID vaccine. Pt had a brief LOC and was initially hypotensive. IV was initiated by EMS 3 and NS was started. VS were WNL upon EMS arrival. Pt skin was still pale and clammy during assessment. Pt stated this has happened in the past with shots and blood draws, however, she has never fully lost consciousness. Pt was still c/o dizziness. Pt requested transport to REX ER. Pt was on the cardiac monitor upon EMS 14 arrival and a sinus rhythm was noted. 12 lead revealed a sinus rhythm with no STEMI criteria met. Pt was able to stand and pivot onto the stretcher without incident. Pt secured via straps and loaded into the unit. Once in the unit, VS reassessed. NS was reduced to a KVO rate due to improvement in BP. Pt had received approx 200mL of NS at the time. Pt denied any chest pain, SOB, N/V, or abd pain. Pt only complaint was dizziness. Pt was initially very anxious and was coached through breathing techniques which improved her anxiety. EMS left en route to REX ER. Pt was monitored during transport with improvement in her condition. Pt skin color and condition improved and her VS remained WNL. Pt denied any complaints during transport other than dizziness which she reported was improving. EMS arrived at REX ER. Pt was taken into the ER triage area and was able to stand and pivot onto a wheel chair. NS DC'd, pt received approx 300mL total. Report given to the triage RN and care transferred to same.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Fatigue, Gait disturbance, Nausea, Pyrexia
Clinical narrative: fever 101.7, nausea, fatigue, chest pain, couldn't walk
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Heart rate increased, Injection site pain, Lymphadenopathy, Pain in extremity
Clinical narrative: 1. Within first 15 minutes -  burning at injection site; resting heart rate rapid/ increased and recorded by staff to 130's; trembling 2. 9-10 days after injection; swollen lymph node and discomfort in armpit of same arm where injection occurred
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain in extremity
Clinical narrative: Soreness in arm getting progressively stronger until 11:00am. Mild headache throughout second day. General fatigue
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pustule, Injection site vesicles, Nodule, Orbital oedema, Rash
Clinical narrative: Pt received 2nd dose of COVID-19 vaccine.  About 8-12 hours later pt develeopd vesicles/pustules  near injection site.  The maculopapular rash was a diameter of approximately 8 inches. Pt further reports other areas on his legs, and in the medial thigh which waxed and waned.  Pt has had a 3 day history of facial swelling, and orbital edema.   Further states nodules on trunk and groin area.  Pt has taken diphenhydramine with minimal relief.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Rash maculo-papular, Skin mass, Swelling face
Clinical narrative: Pt received 2nd dose of COVID-19 vaccine.  About 8-12 hours later pt develeopd vesicles/pustules  near injection site.  The maculopapular rash was a diameter of approximately 8 inches. Pt further reports other areas on his legs, and in the medial thigh which waxed and waned.  Pt has had a 3 day history of facial swelling, and orbital edema.   Further states nodules on trunk and groin area.  Pt has taken diphenhydramine with minimal relief.