chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Tunnel vision, Vision blurred
Clinical narrative: WHILE PATIENT WAS WAITING 15 MINUTES, HE STARTED LOSING FEELING IN HIS ARMS AND LEGS, NEXT HE LOST ALL STRENGTH IN ALL EXTREMITIES, STATED PAIN IN ARM AND SIDE OF RIB CAGE, STARTED LOSING VISION TO TUNNEL VISION AND BLURINESS. LIPS APPEARED SWELLING. WRITER CALLED 911 AND GAVE PATIENT EPI SHOT. EMT TOOK TO HOSPITAL
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site reaction, Injection site warmth, Rash erythematous
Clinical narrative: A red rash surrounds injection site, it's hot to the touch and slightly itchy. It hasn't changed in 24 hours.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac stress test, Chest X-ray, Chest discomfort, Echocardiogram, Pain in extremity
Clinical narrative: Chest heaviness and Extremely bad leg pain; lower leg (calves) hurt the worse. I have been feeling the pain since Monday, March 15.  I went to the Urgent Care on March 16; I was sent to the ER where I stayed overnight. They ruled out heart related issues and blood clots. I had a follow up appointment on March 26; he said that he had seen patients who experienced the same, and it was due to the vaccine. Unlike them, my pain remained. He thinks that the vaccine triggered something else in me. After his appointment, I saw my orthopedist who prescribed meds to help with leg pain. If pain is not better in a month, then he will order a MRI. I saw my rheumatologist Monday, April 5. She is going to work with my orthopedists to treat me. Currently, I am doing the exercises that were prescribed for me to do at home, and I am on pain meds.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Spinal X-ray, Ultrasound Doppler, Vaccination complication
Clinical narrative: Chest heaviness and Extremely bad leg pain; lower leg (calves) hurt the worse. I have been feeling the pain since Monday, March 15.  I went to the Urgent Care on March 16; I was sent to the ER where I stayed overnight. They ruled out heart related issues and blood clots. I had a follow up appointment on March 26; he said that he had seen patients who experienced the same, and it was due to the vaccine. Unlike them, my pain remained. He thinks that the vaccine triggered something else in me. After his appointment, I saw my orthopedist who prescribed meds to help with leg pain. If pain is not better in a month, then he will order a MRI. I saw my rheumatologist Monday, April 5. She is going to work with my orthopedists to treat me. Currently, I am doing the exercises that were prescribed for me to do at home, and I am on pain meds.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Nausea, Vomiting
Clinical narrative: Nausea, Vomiting, Dizzy, Chills around 4:30pm on Wednesday, April 7th until the morning of April 9th.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dyspnoea, Fatigue, Pain in extremity
Clinical narrative: 12 hours after receiving my vaccine, I had a fever, chills, body aches, shortness of breath, fatigue, weakness, and a sore arm
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 12 hours after receiving my vaccine, I had a fever, chills, body aches, shortness of breath, fatigue, weakness, and a sore arm
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, Headache, Malaise, Myalgia
Clinical narrative: headache, body ache, muscle joint aches, stomach cramps, malasia
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: headache, body ache, muscle joint aches, stomach cramps, malasia
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Syringe issue
Clinical narrative: When the CMA administered the 2nd dose COVID vaccine the needle malfunctioned and most of the vaccine leaked down the arm. There is no way to be able to tell how much the person received. We spoke to medical director and Pharmacist to consult on what we should do. It was advised to give the person another dose in the other arm. Patient was okay with getting another dose in the other arm.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Nausea
Clinical narrative: Tiredness and nausea
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Paraesthesia
Clinical narrative: Pharmacist checked with patient 5-10 minutes after administration and inquired how patient was. Patient reported feeling lightheaded and was experiencing nausea with a "tingling sensation" that was moving from their arms to both arms. Patient was brought back into vaccine administration room from waiting room by pharmacist. The pharmacist laid the patient on floor and attached a blood pressure cuff. Pharmacist took blood pressure reading and monitored blood pressure with intern every five minutes as the pharmacist called 911. Patient's first blood pressure was 104/69 mmHg with pulse of 71 bpm. Consequential blood pressure readings and pulses were 132/69 with 75bpm and 129/86 with 75 bpm. Upon arrival of EMT, patient had reported having little to no tingling and was no longer feeling lightheaded or nauseous. EMT performed a work-up of the patient and ultimately informed the patient that they seemed fine and were OK to go. Patient informed the pharmacy and left of their own accord.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Headache, Nausea
Clinical narrative: 56 yo F with history of depression and hyperlipidemia received Covid-19 Janssen vaccine lot # 207A21A in her right arm ~1600. During the 5 minute observation period and immediately following vaccination, patient reported feeling "weakness, nausea, and headache." BP and HR stable. Patient without any known history of reactions after vaccines or blood draws.  Patient reclined with ice pack under neck. Transferred to provider room for assessment by provider and observation. Symptoms resolved without further intervention within 30 minutes. Discharged to home.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Patient developed hives on her chest and neck roughly 2 hours after receiving her second dose of the Moderna vaccine.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot
Clinical narrative: Following vaccination, patient reported feeling dizzy and hot during 15 minute waiting period.  Took patient back into immunization room and recorded her blood pressure (122/86) and had her sit. Had patient remove mask for optimal airflow as store was warm and gave patient a bottle of water. Patient sat for 30 minutes longer and felt better, enough to stand and drive home.  Called patient after 45 minutes and she was feeling better and made it home safely
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Ear pruritus, Erythema, Lymphadenopathy, Pharyngeal erythema
Clinical narrative: The morning after I woke up and got out of bed and I was extremely dizzy to the point that I went downstairs on my seat (bottom) so I could go down. I then stayed on the couch and called for  help. My tongue swelled up and filled my mouth. My neck glands were swelling and my  hands itched and they were red (no welts) like crazy. I took  Benadryl and it eased up and I went back to bed. The next morning that was gone. I have had another allergic reaction since then and this time I thought I was getting shingles - my throat got very very red, ears itched and my hands itched and I had ropey welts where my bra sat. My whole stomach area was very itchy. I called the doctor  (after hours phone call - on the 31st) - and she assured me that I wasn't getting shingles as I already have had them twice. I took  Benadryl and then the doctor prescribed a non-drowsy antihistamine  - Claritin - and I am taking that every day. I am not someone that has allergic stuff occur. These took it down and I haven't had it again.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Swollen tongue, Urticaria
Clinical narrative: The morning after I woke up and got out of bed and I was extremely dizzy to the point that I went downstairs on my seat (bottom) so I could go down. I then stayed on the couch and called for  help. My tongue swelled up and filled my mouth. My neck glands were swelling and my  hands itched and they were red (no welts) like crazy. I took  Benadryl and it eased up and I went back to bed. The next morning that was gone. I have had another allergic reaction since then and this time I thought I was getting shingles - my throat got very very red, ears itched and my hands itched and I had ropey welts where my bra sat. My whole stomach area was very itchy. I called the doctor  (after hours phone call - on the 31st) - and she assured me that I wasn't getting shingles as I already have had them twice. I took  Benadryl and then the doctor prescribed a non-drowsy antihistamine  - Claritin - and I am taking that every day. I am not someone that has allergic stuff occur. These took it down and I haven't had it again.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Dysphagia, Dyspnoea, Hypertension, Pyrexia
Clinical narrative: High blood pressure, trouble breathing, swallowing, sharp abdominal pains. Fever  Crushed 2 Benedetto and swallowed within 0 minutes of taking shot.  Took Tylenol and Pepcid AC. Took third Benadryl later in evening.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Three days after I received the Covid vaccination I began symptoms of Shingles. I ended up having Shingles on the left side of my face.
Age: 54.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthritis, Injection site pain, Injection site reaction, Paraesthesia
Clinical narrative: PATIENT REPORTS THAT HE HAS HAD TINGLING SENSATION AND PAIN RADIATING FROM THE INJECTION EVER SINCE THE FIRST DOSE FROM DECEMBER 2020.  PATIENT STATES THAT IT FEELS LIKE ARTHRITIS AND HAS BEEN APPLYING TOPICAL PAIN RELIVEING CREAM FOR RELIEF,
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Severe nausea
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Sleep disorder
Clinical narrative: Body ache, fever (101.6), headache, nausea, hard time sleeping. Lasted just over 36 hours. Took nyquil/dayquil and was better after day and a half.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Disturbance in attention, Feeling abnormal, Hypersomnia, Nasopharyngitis
Clinical narrative: The night of Monday April 5 I started to feel like I was fighting off a cold. That night I slept almost 11 hours, abnormal for me and woke up with heavy brain fog which has not gone away. I feel cloudy, unclear, slow, it is sometimes hard to finish sentences and complete thoughts.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Lethargy, Seizure
Clinical narrative: Pt started to becomes lethargic and was placed on cot. Pt was laying down and started to have seizures. She would become alert and more responsive between seizures. She was laying down to keep her safe and prevent a head injury. 911 was called and arrived. She did not want to be touched, not even for vital signs, she only talked  by emergancy services.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Injection site pain, Neck pain, Sleep disorder
Clinical narrative: 3/27 got 1st pfizer vaccine in her right arm  had injection site pain for a week  and finally resolved  the next day woke up with severe right arm pain, hurts to lift it  sleeps on side and this also hurts it  no weakness but hurts to raise it up  no prior injuries  no trauma  pain in lateral shoulder, minimal neck pain, no pain distal to elbow  no numbness or tingling  on warfarin so has been afraid to take anything for this pain  5/10 at rest and much worse with movement
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure measurement, Heart rate, Nasal congestion, Oxygen saturation, Respiratory rate
Clinical narrative: pt arrived approx. 30min after vaccine adminstartion with complaints of congestion. pt denied any complaints of throat swelling sob, nausea vomiting head ache chest pain. pt vitals were taken multiple times. pt bp 130/93 hr 96 spo2 100%ra rr 18. pt wanted to be reevaluted just to "make sure I am ok". pt appeared to be stable and not suffering from any anaphylaxis. pt refused treatment and transport. pt report can be found through agency pcr
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Vital signs measurement
Clinical narrative: pt arrived approx. 30min after vaccine adminstartion with complaints of congestion. pt denied any complaints of throat swelling sob, nausea vomiting head ache chest pain. pt vitals were taken multiple times. pt bp 130/93 hr 96 spo2 100%ra rr 18. pt wanted to be reevaluted just to "make sure I am ok". pt appeared to be stable and not suffering from any anaphylaxis. pt refused treatment and transport. pt report can be found through agency pcr
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Dizziness, Feeling abnormal, Vital signs measurement
Clinical narrative: Pt c/o feeling lightheaded s/p 2nd moderna vaccine. Vital signs stable BP 140/70, HR 58, RR 14. Exam provided. Pt reported feeling "off-balance and unsteady" when standing. Provider recommended that she go to ER immediately with ambulance. Pt and daughter refused.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Second shot 7 days after first shot
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Differential white blood cell count, Dizziness, Dyspnoea, Electrocardiogram, Fall
Clinical narrative: Left vaccination facility at 1:10PM, March 7th, 2021.  About 2 hours later, hives and rash appeared on my upper torso and top of both thighs.  When I woke up the next day, the hives and rash covered everywhere except my head.  I took a shower and it became hard to breath, my eyes were very light sensitive, nauseous, and very dizzy.  I tried to make it back to my bed, but fell twice.  The second time I fell I stayed on the ground for about 5 minutes.  When I got up, everything was back to normal.  I left soon after to the Hospital emergency room to get checked.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count, Metabolic function test, Nausea, Photophobia, Rash
Clinical narrative: Left vaccination facility at 1:10PM, March 7th, 2021.  About 2 hours later, hives and rash appeared on my upper torso and top of both thighs.  When I woke up the next day, the hives and rash covered everywhere except my head.  I took a shower and it became hard to breath, my eyes were very light sensitive, nauseous, and very dizzy.  I tried to make it back to my bed, but fell twice.  The second time I fell I stayed on the ground for about 5 minutes.  When I got up, everything was back to normal.  I left soon after to the Hospital emergency room to get checked.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin I, Urticaria
Clinical narrative: Left vaccination facility at 1:10PM, March 7th, 2021.  About 2 hours later, hives and rash appeared on my upper torso and top of both thighs.  When I woke up the next day, the hives and rash covered everywhere except my head.  I took a shower and it became hard to breath, my eyes were very light sensitive, nauseous, and very dizzy.  I tried to make it back to my bed, but fell twice.  The second time I fell I stayed on the ground for about 5 minutes.  When I got up, everything was back to normal.  I left soon after to the Hospital emergency room to get checked.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Muscle spasms, Vaccine positive rechallenge
Clinical narrative: Got covid vax (Moderna) during recovery from MASSIVE surgery for stage 4 endometriosis. HUGE amounts taken off my entire pelvic bowl and sidewalls, in adding to tons between my rectum and vagina, in addition to having to remove my Left ovary, uterus, both fallopian tubes, and appendix. Though I was towards the end of my 1st stage of recovery (took TONS of different types of meds from Jan 28 when surgery happened, though the first week of March...I HATE meds and normally take 0, but due to surgery I had to take many hundreds of pills, of various kinds, to mitigate pain, mitigate the side effects of the pain meds, NSAIDS, and muscle relaxers. Marijuana is a safer, non-addictive, low-no side-effect med I chose to start taking ASAP so I could get off everything that was prescribed because prescriptions scrambled my brain and made me feel terrible.   At the time of 1st vax on Feb 25, no shocking or adverse reactions occurred, but I was still on muscle relaxers (flexerol) taking 7.5mg multiple times a day in addition to the medicinal marijuana pills and some advil I was still taking.   At the time of vax 2 on March 25, I was not taking anything. Not even medicinal marijuana. The night after I started taking this was when I believe the muscle spasms came back in significant length and at significant level of pain #6. They continued and i reported to my PCP and my GYN who did surgery. I wasn't worried about the spasms...I knew how to control them and they were nothing compared to the extraordinary pain of all of Feb, but they were significant as a side effect of my vax #2  After a week or so the symptoms had gradually diminished.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Malaise
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: Injection site/right bicep pain 36 hours; tiredness 12 hours; feeling unwell 12 hours. No treatment sought.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue
Clinical narrative: Shortness of breath and fatigue.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Constipation, Headache, Pain, Pyrexia
Clinical narrative: Fever, chills, headache, aches, constipation
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Nausea, Syncope
Clinical narrative: Syncope/Nausea/Light-headed, Diaphoretic
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest discomfort, Chills, Cough, Headache
Clinical narrative: I had discomfort in my chest, my left side was swollen, chills, weakness, cough, fever and headache.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test normal, Pyrexia, Swelling
Clinical narrative: I had discomfort in my chest, my left side was swollen, chills, weakness, cough, fever and headache.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Blepharospasm, Blood test, Computerised tomogram, Muscle twitching
Clinical narrative: Patient started to get a twitching of the eye and some mouth tightening and loosening two days after vaccine.  He went in and was seen by the physician twice.  The first time was for a CT and other blood tests to ensure he didn't have a stroke.  The second appointment was to tell him that it wasn't a stroke and nothing else was wrong, so they assumed it was the vaccine.  He also went to the eye doctor during this time to ensure that it wasn't going to affect his stigmatism due to the fact that he couldn't wear his contacts only his glasses and his stigmatism is so bad he has to wear hard contacts.  Due to the twitching he couldn't wear the contacts.  It was reported to us on 04/08/2021 and he was still have some eye twitching, but not bad and his mouth symptoms had pretty much resolved.  The physician said that it should go away in 1-2 weeks and if not he was suppose to see her one more time.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Dizziness, Eye pruritus, Nasal pruritus, Ocular hyperaemia
Clinical narrative: About 5-10 minutes after vaccination, patient felt suddenly "dizzy like the room was spinning and felt lightheaded." Shortly after right eye started itching and was red. Then at 20 minutes after, patient started sneezing and reported itchy nose. At 30 minutes, she reported genralized itching on face, arms, and chest. No chest pain, shortness of breath, rashes or tongue swelling. Benedryl 50 mg IM was given at 30 minutes post vaccination. Vital signs normal throughout entire episode. Patient reported resolution of symptoms and was released to go home.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Sneezing, Vertigo
Clinical narrative: About 5-10 minutes after vaccination, patient felt suddenly "dizzy like the room was spinning and felt lightheaded." Shortly after right eye started itching and was red. Then at 20 minutes after, patient started sneezing and reported itchy nose. At 30 minutes, she reported genralized itching on face, arms, and chest. No chest pain, shortness of breath, rashes or tongue swelling. Benedryl 50 mg IM was given at 30 minutes post vaccination. Vital signs normal throughout entire episode. Patient reported resolution of symptoms and was released to go home.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Heart rate increased, Migraine, Myalgia, Pyrexia
Clinical narrative: About ten hours after receiving the vaccine I started to get a fever, chills, and muscle pain. The fever got worse overnight and I woke up repeatedly with a higher than normal heart rate and a severe migraine that lasted throughout the next day. I took Tylenol (two doses, 12 hours apart) to some relief.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Hyperventilation, Seizure
Clinical narrative: Client received 1st dose of Moderna vaccine at 9:55 am. The client who was learning disabled, became extremely anxious, rocking and hyper-ventilating at approximately 10:10 AM. She had two events that may have been seizures, each lasted approximately 5 seconds. Vitals taken at 10:12 were BP 130/74, O2 98%, HR 102. 911 was called at 10:15 am. When the paramedics arrived, they knew the client by name and transported her to Hospital. Client's PCP was called and a message was left. PCP called back and confirmed message was received.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Swollen tongue
Clinical narrative: PATIENT C/O SWELING OF HER TONGUE AND MILD ITCHING.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal pain upper, Injection site discomfort, Injection site nodule, Injection site pruritus
Clinical narrative: Client reports abdominal discomfort started ~ 3 hours after vaccination.  Described discomfort as intermittent sharp pains.  Further reports discomfort subsided the following day to an ache-like discomfort.  Denies N, V, D.  Also reports site of injection discomfort day of vaccine that continues to time of report.  Reports injection site started to feel itchy today.  Denies redness or visible rash.  Reports she can feel a lump/bump at site of injection which is decreasing in size since day of injection.  Reports injection site feels warm and slightly puffy.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Client reports abdominal discomfort started ~ 3 hours after vaccination.  Described discomfort as intermittent sharp pains.  Further reports discomfort subsided the following day to an ache-like discomfort.  Denies N, V, D.  Also reports site of injection discomfort day of vaccine that continues to time of report.  Reports injection site started to feel itchy today.  Denies redness or visible rash.  Reports she can feel a lump/bump at site of injection which is decreasing in size since day of injection.  Reports injection site feels warm and slightly puffy.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse reaction, Condition aggravated, Ultrasound antenatal screen
Clinical narrative: Vaccination occurred 03/24/2021 03:30O the 03/25/2021 11:00A Bleeding became worse around 12:30P went to Dr. 1:00P treatment was limited activity. History of bleeding 8 weeks of this preganancy and adverse reaction occurred at 13 weeks of this pregnancy. About a week in half to fully recover and lifted from restrictions.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Decreased appetite, Diarrhoea, Fatigue
Clinical narrative: Extreme fatigue, joint and muscle pain, headache, diarrhea, weakness, loss of appetite,
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia
Clinical narrative: Extreme fatigue, joint and muscle pain, headache, diarrhea, weakness, loss of appetite,
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Paraesthesia oral, Rash macular, Throat tightness
Clinical narrative: 10 mins after injection, developed tingling in mouth and lips, tightening in throat, blotchy chest and neck. arrived to obs, 1830 bp 140/69 hr 95 rr 18 sats 96%, feeling hot. water and apple juice given, started feeling relief and blotchy neck and chest improving. 1838 bp 112/66 hr 97 rr 18 sats 95% on ra. 1847 bp 118/67 hr 67 rr 20 sats 99% on ra, blotchty areas resolved, and facial/mouth tingling resolved as well as throat tightness. escorted to exit with no further issues. instructed on benadryl once home.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstruation irregular
Clinical narrative: Very heavy period for 8 days.  A significant amount of blood loss.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Night sweats, Pain in extremity
Clinical narrative: Moderna COVID-19 Vaccine EUA.  Night sweats. Arm soreness. Fatigue. Lasted 4/2-4/4/21.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia oral, Throat tightness
Clinical narrative: Patient received vaccine at 1345 and developed mild throat tightening, lip tingling at 1400 patient states similar symptoms that she developed to her first dose on 3/17 pt did not require medication after first dose- per pt report.  Pt was administered 50 mg Benadryl PO at 1440 due to possible slight worsening/ not improving  pt was sent top the ER at 1500 due to no improvement, possible slight improvement in symptoms, per pt report.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy exposure to ultraviolet light, Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Raised, red and itchy rash about 1.5? in diameter at site of injections appeared one week after shot.  (Exposure to sun). Also, on 4/3 began severe sore throat with redness and jelly-like uvula. No swelling. Ended 4/8. Left untreated.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain
Clinical narrative: Raised, red and itchy rash about 1.5? in diameter at site of injections appeared one week after shot.  (Exposure to sun). Also, on 4/3 began severe sore throat with redness and jelly-like uvula. No swelling. Ended 4/8. Left untreated.
Age: 12.0
Sex: M
Vaccine: DTAP
Symptoms: Wrong product administered
Clinical narrative: Wrong vaccine administered. Patient should have been given Tdap. Provider notified and immunization.org stated "DTaP given to a person age 11 years or older: count this dose as a routine Tdap dose." Mother was notified.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: full body generalized rash itchy, antihistamines not helpful, nor topical steroids, trying PO steroids and referring to allergy
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Injection site rash
Clinical narrative: Started to develop a rash around injection site after about 5 minutes.  She also said her stomach was a little wonky, Treated with benadryl, she stayed in our lobby for about 2 hours. No further symptoms developed. She than left the pharmacy.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure measurement, Dizziness, Oxygen saturation, Rheumatoid arthritis, Vital signs measurement
Clinical narrative: Post vaccination reports feeling lightheaded w/ no additional symptoms or complaints; medical monitoring w/ vital assessment: BP 138/79 P89 O2 sat 98% RA; rest w/ symptom resolve, released home w/ self.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Heart rate decreased, Hyperhidrosis, Hypotension
Clinical narrative: Patient began to feel lightheaded, diaphoretic, vital signs: 94/60, hr 48, saturation 94%. Paramedics called to assess for low heart and low blood pressure.- Patient feeling better, encouraged to call family or friend for drive home, patient insisted on driving self home. Patient encouraged to follow up with primary MD.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Cough, Fatigue, Pneumonia, Pyrexia
Clinical narrative: Cough fever fatigue ended up with pneumonia 5 days
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, X-ray
Clinical narrative: Cough fever fatigue ended up with pneumonia 5 days
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Chest discomfort, Electrocardiogram
Clinical narrative: 39 y/o F  with PMHx of migranous vertigo, brain cyst, asthma, migraines with aura began to experience some chest tightness about 10 minutes after receiving the Pfizer vaccine, first dose. She had a previous anaphylaxis to shellfish that required an epipen. She was immediately assessed by paramedics and clinicians on site. She stated that her blood pressure has been relatively high over the past year because she went through a lot of emotional stress. She had her vitals taken and her blood pressure was elevated.  Denies HA currently, numbness, tingling, swelling, flushed skin, rashes, edema, hives, pruritis, dyspnea, SOB, wheezing, n/v     Vitals @11:55 am: BP: 172/108; HR: 98 bpm; SpO2: 98% @ 11:57 am: BP: 167/PMHx migranous headaches, brain cyst, asthma, migraines with aura.  Medications: Tumeric, Vitamin D;  Allergies: NKDA, Shellfish (anaphylaxis)  Vitals @11:55 am BP: 172/108 HR: 98 bpm SpO2: 98%  @ 11:57 am BP: 167/108   Orthostatic vitals BP: 181/119 HR: 105  @ 12:21 BP: 189/103 HR: 106  EKG: 3 Lead and 12 lead completed - showing possible bundle branch block and inverted P waves in contiguous leads (Lead III and aVF)  Transported Patient to  ER for further evaluation and recommended to see a cardiologist for better control of BP and questionnable EKG. Also recommended to go to neurologist due to increased frequency of headaches.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dizziness, Fatigue, Pain
Clinical narrative: Started to feel very light-headed, like standing too fast. After bedtime, starting hurting all over, every joint. No fever, a brief episode of chills the next day. The total body pain continued for 2 days. Fatigue started on Day of injection, but continued all week.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Moderna arm. Hot red sore at injection site. Did not appear until 2 weeks after shot.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain upper, Back pain, Lip swelling, Throat irritation
Clinical narrative: Patient's lips started to swell, itchy throat, back pain and stomachache, no fever, gave benadryl, called 911 after 30mins
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blindness, Dry mouth, Eye pruritus, Rash, Skin burning sensation
Clinical narrative: Patient's lips started to swell, itchy throat, back pain and stomachache, no fever, gave benadryl, called 911 after 30mins
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Swelling, Thermal burns of eye
Clinical narrative: Patient's lips started to swell, itchy throat, back pain and stomachache, no fever, gave benadryl, called 911 after 30mins
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: Dose was administered at 0805, patient passed out at 0810. Patient reported that he had worked all night and hadn't eaten for a while. He also said he has passed out from blood draws before.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Nodule, Pruritus, Skin exfoliation, Swelling
Clinical narrative: 1 week delay, severe swelling and itching, scaley skin, small puss nodule
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Vaccinator delivered incorrect vaccine. Patient was labeled, scanned, and identified as a Booster dose of Pfizer.  An error was made with the vaccinator picking the wrong syringe. Janssen syringes are 3mL, Pfizer syringes are 1mL. All Janssen syringes are labeled as well. Patient had no symptoms, No complaints, and  was given necessary information to report to VAERS in addition to this report.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Skin burning sensation, Swelling face, Throat tightness, Urticaria
Clinical narrative: The adverse reaction did not occur until two weeks after my Moderna vaccine. The night before, I noticed hives on my throat and swollen lymph nodes in the neck. Throughout the night, I felt burning and scratching on neck and face. Next morning, when I woke face was swollen up like a balloon so that I could not open my eyes, I did manage to see out of a slit in my right eye. (I do not get reactions like this). Lymph nodes in neck were visibly sticking out. Later on, my throat was somewhat closed (this was not recorded, it happened during the day after my appointment).
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Dizziness, Fatigue, Loss of consciousness, Pain
Clinical narrative: Fever of 101.5, fatigue, body aches, passed out, light headed
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Pain, Pyrexia
Clinical narrative: Fever, extreme body aches, difficulty breathing and dizzy. All started the night after I was vaccinated and continued the entire next day. Symptoms became more mild on the second day.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site urticaria
Clinical narrative: Hives at injection site.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Nausea, Pain, Pyrexia
Clinical narrative: Around 5PM I started to get chills and body aches. Later that night I had a fever of high 103F, chills, nausea, body aches, could barely move or lift my right arm. I felt worse than I did when I actually had covid back in December.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Syncope
Clinical narrative: PATIENT SAID HE WAS FEELING DIZZY ABOUT 10 MINUTES AFTER RECEIVING HIS VACCINE. RPH WAS IN THE PROCESS OF CHECKING HIS BP, WHEN HE FAINTED. 911 WAS CALLED . HE SHORTLEY GAINED BACK CONSCIOUSNESS AFTER EPI PEN WAS ADMINISTERED
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Brain scan abnormal, Cerebrovascular accident
Clinical narrative: stroke
Age: 52.0
Sex: F
Vaccine: UNK
Symptoms: Chest discomfort, Chest pain, Chills, Headache, Malaise
Clinical narrative: Severe Chest pain 10/10 that occured while lying down and last for 30-45 minutes. MIdsternal, Pressure.  Was not relieved with antacid, Peptobismal.  Severe pressure in Midsternal area especially when lying flat.  Eventually resolved but occured 2 evening in a row.  Also have fever > 102, chills, malaise, Headache.
Age: 52.0
Sex: F
Vaccine: UNK
Symptoms: Pyrexia
Clinical narrative: Severe Chest pain 10/10 that occured while lying down and last for 30-45 minutes. MIdsternal, Pressure.  Was not relieved with antacid, Peptobismal.  Severe pressure in Midsternal area especially when lying flat.  Eventually resolved but occured 2 evening in a row.  Also have fever > 102, chills, malaise, Headache.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dyspnoea
Clinical narrative: Became short of breath and transported.  Likely anxiety. No rx given
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypoaesthesia, Paraesthesia, Tinnitus
Clinical narrative: Johnson and Johnson vaccine.   Dizziness, numbness and tingling left side of face, arm and hand.  Ringing in ears.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Decreased appetite, Dizziness, Impaired work ability, Pain
Clinical narrative: Light-headedness, full-body aches and pains including abdominal pain, loss of appetite; no treatment; inability to work for 36 hours, lingering pain for about 72 hours.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dysphonia, Fatigue, Headache, Pain
Clinical narrative: Moderna COVID-19 Vaccine  Body aches Chest congestion and hoarseness Sluggish/tired Dizziness Headache Chills Sore arm  After 2nd dose: Headache Body aches Chills Sluggish/tired Sore arm with large rash lasting several days. Itchy rash on arm
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pulmonary congestion, Rash, Rash pruritic, Sluggishness
Clinical narrative: Moderna COVID-19 Vaccine  Body aches Chest congestion and hoarseness Sluggish/tired Dizziness Headache Chills Sore arm  After 2nd dose: Headache Body aches Chills Sluggish/tired Sore arm with large rash lasting several days. Itchy rash on arm
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Chills, Dizziness, Loss of consciousness
Clinical narrative: Patient felt dizzy while smoking, weakness chills and ended up passing out, once awake oxygen was 85 ended up resuming to normal after just a few minutes
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hot flush, Hyperhidrosis, Loss of consciousness, Vision blurred
Clinical narrative: Patient felt dizzy while smoking, weakness chills and ended up passing out, once awake oxygen was 85 ended up resuming to normal after just a few minutes
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Chills, Headache, Vomiting
Clinical narrative: Loss of smell and taste, Chill, Vomiting and headaches.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose increased, Blood pressure increased
Clinical narrative: Blood pressure over 200 /80 with increased hydrazaline. And clonodine  Sugar levels elevated from  average 130 to  150  went to over 200.  Sugars started to come down after 5 weeks Blood pressure seems to be going higher
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody positive, Blood immunoglobulin A, Blood immunoglobulin G, Blood immunoglobulin M, Blood test normal
Clinical narrative: tips of toes of right foot developed lesions, slightly swollen, red/dark red and painful to touch or any pressure.  Painful small bumps below skin on balls of both big toes.  Also exacerbation of mild putative Raynaud's syndrome (first symptoms in middle age); for first time, fingertips and feet began turning blue/purple when inactive or chilled even slightly.  First thought it was from ill-fitting footwear.  Sought medical help when did not seem to be healing.  Telemedicine visit w. Dr.  3-9-21, he advised rest, conservative care, avoid wearing closed-toe footwear.  Did not resolve.  Office visit with Dr.  on 3-26-21.  He prescribed Triamcinolone .1% cream, continue to limit walking and closed-toe shoes.  He also ordered blood and urine tests for possible systemic pathologies.  See below.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein normal, Cardiolipin antibody negative, Differential white blood cell count normal, Double stranded DNA antibody, Full blood count normal
Clinical narrative: tips of toes of right foot developed lesions, slightly swollen, red/dark red and painful to touch or any pressure.  Painful small bumps below skin on balls of both big toes.  Also exacerbation of mild putative Raynaud's syndrome (first symptoms in middle age); for first time, fingertips and feet began turning blue/purple when inactive or chilled even slightly.  First thought it was from ill-fitting footwear.  Sought medical help when did not seem to be healing.  Telemedicine visit w. Dr.  3-9-21, he advised rest, conservative care, avoid wearing closed-toe footwear.  Did not resolve.  Office visit with Dr.  on 3-26-21.  He prescribed Triamcinolone .1% cream, continue to limit walking and closed-toe shoes.  He also ordered blood and urine tests for possible systemic pathologies.  See below.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Liver function test normal, Pain in extremity, Peripheral swelling, Rash, Skin discolouration
Clinical narrative: tips of toes of right foot developed lesions, slightly swollen, red/dark red and painful to touch or any pressure.  Painful small bumps below skin on balls of both big toes.  Also exacerbation of mild putative Raynaud's syndrome (first symptoms in middle age); for first time, fingertips and feet began turning blue/purple when inactive or chilled even slightly.  First thought it was from ill-fitting footwear.  Sought medical help when did not seem to be healing.  Telemedicine visit w. Dr.  3-9-21, he advised rest, conservative care, avoid wearing closed-toe footwear.  Did not resolve.  Office visit with Dr.  on 3-26-21.  He prescribed Triamcinolone .1% cream, continue to limit walking and closed-toe shoes.  He also ordered blood and urine tests for possible systemic pathologies.  See below.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Skin lesion, Total complement activity test, Urine analysis normal
Clinical narrative: tips of toes of right foot developed lesions, slightly swollen, red/dark red and painful to touch or any pressure.  Painful small bumps below skin on balls of both big toes.  Also exacerbation of mild putative Raynaud's syndrome (first symptoms in middle age); for first time, fingertips and feet began turning blue/purple when inactive or chilled even slightly.  First thought it was from ill-fitting footwear.  Sought medical help when did not seem to be healing.  Telemedicine visit w. Dr.  3-9-21, he advised rest, conservative care, avoid wearing closed-toe footwear.  Did not resolve.  Office visit with Dr.  on 3-26-21.  He prescribed Triamcinolone .1% cream, continue to limit walking and closed-toe shoes.  He also ordered blood and urine tests for possible systemic pathologies.  See below.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Headache, Pain
Clinical narrative: Chills, headache, temperature, aches
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Throat irritation
Clinical narrative: While in observation area. Patient complain of itching and redness to bilateral arm.  vitals 125/73 HR 76 02:96%RR 18 Brought to nurse station. complain of new onset of throat itching Benadryl 50 mg PO administered. Observed for additional 40  mins. patient reports "throat itching " resolved and improvement of bilateral arm itching . Bilateral arm remain with small areas of redness which has improved since initial assessment. d/c home no acute distress ER precuation Pt verbalized understanding (Patient verbalized is following an Allergy specialist that cleared him for initial vaccine administration, patient educated to follow Allergist prior to second dose administration)
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Joint swelling, Oedema, Pain in extremity, Peripheral swelling
Clinical narrative: First noted swelling and pain in left ankle/foot on 3-27 that progressed up calf and right foot/ankle began visibly swelling with +2 pitting edema bilaterally evident by 3-31.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Neck pain
Clinical narrative: severe neck and back pain started the evening of the vaccine and did not stop
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: I woke up in the middle of the night around 4am in extreme pain (vaccination was yesterday at 12:40pm).  I cannot lift my left arm, pain shooting down my side and through my lower back.  This has continued throughout the day and I've struggled to get out of bed because of the pain.  I've taken Advil which has provided slight relief.  It is now 7:00pm and although slightly better, I am still in a lot of pain.  I am a very active and fit 51 year old.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: PATIENT CAME IN WITH MOM, GRANDMA, AND BROTHER TO GET THE COVID VACCINE.MINOR (16) GIVEN THE  JOHNSON AND JOHNSON VACCINE BY MISTAKE. BY STAFF. PATIENT WAS MONITORED FOR 30 MINS WITH NO ADVERSE REACTIONS. CALLED AGENCY WHO ADVISED TO HAVE PARENTS MONITOR FOR ANY SEVERE SIDE EFFECTS. DISCUSSED WITH PARENT WHO VERBALIZED UNDERSTANDING.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Sensitive skin
Clinical narrative: 7 days after the injection site turned red, approximately size of 50 cent piece itching, yellow bruising appearance extending down from site, sensitivity to touch.  Continuing as of 04/09.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Disorientation, Face injury, Fall, Head injury, Loss of consciousness
Clinical narrative: Patient received the vaccine and approximately 5 minutes later, patient passed out and fell out of her chair onto the floor. 911 was called. Patient was unresponsive for approximately 30 seconds. She came to and was very disoriented and her pupils were extremely dilated. The paramedics came and did blood pressure checks and several other evaluations. They advised her to go with them by ambulance to the ER to be evaluated due to falling directly on her face/head. Patient went outside and was evaluated further in the ambulance but was not willing to go to the ER.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Mydriasis, Unresponsive to stimuli
Clinical narrative: Patient received the vaccine and approximately 5 minutes later, patient passed out and fell out of her chair onto the floor. 911 was called. Patient was unresponsive for approximately 30 seconds. She came to and was very disoriented and her pupils were extremely dilated. The paramedics came and did blood pressure checks and several other evaluations. They advised her to go with them by ambulance to the ER to be evaluated due to falling directly on her face/head. Patient went outside and was evaluated further in the ambulance but was not willing to go to the ER.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Blood pressure decreased, Dizziness, Electrocardiogram normal, Hypotension
Clinical narrative: 10 minutes after receiving vaccination she became dizzy, faint, nauseated, and her blood pressure bottomed out. 10 minutes later from 100 resting hear rate her heart rate jumped to 230.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Syncope, Urine analysis abnormal, Vital signs measurement
Clinical narrative: 10 minutes after receiving vaccination she became dizzy, faint, nauseated, and her blood pressure bottomed out. 10 minutes later from 100 resting hear rate her heart rate jumped to 230.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Feeling cold, Hyperhidrosis, Nausea, Swollen tongue
Clinical narrative: Approximately 14 minutes post-vaccination patient stood up from chair in waiting area complaining of nausea and GI complaints. Patient was instructed by pharmacist on duty giving vaccinations to immediately sit down. Patient described nausea and feeling a little cold. Patient's smart watch reported a heart rate of 56 bpm at around 1:18pm.  Pharmacist assessment showed that patient was cold to the touch, not dizzy, slightly uncomfortable, and after a few minutes was visibly perspiring. Patient took 1/3 of a bottle of water provided to him while waiting for Emergency Responders were contacted. Patient then noted that they had some tongue swelling and upon observation by Pharmacist on duty patient's tongue was inflammed and lightly swollen. Emergency Responders advised against further fluids or food intake so patient was denied further fluids until Emergency Responders arrived. Patient was layed flat on the floor as a precaution until Emergency Responders arrived. Patient was assessed at around 1:20pm by Firefighters who arrived on the scene first and vitals were taken. Upon instruction by Firefighters patient stood up straight and noted no signs of dizziness. Firefighters did note some swelling of the tongue and patient insisted on being evaluated at the Hospital.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Injection site bruising, Pruritus, Rash, Rash erythematous
Clinical narrative: SECONDARY ALLERGIC REACTION IN THE WHOLE BODY, RASH ON THE SKIN, TINY BUMPS AND RED SPOTS, AND A LOT OF ITCHING, LARGE BRUSE IN THE AREA OF THE INJECTION
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Migraine, Myalgia, Nausea
Clinical narrative: migraine with nausea, joint pain, muscle pain
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Condition aggravated, Dysarthria, Eye movement disorder, Hypertension
Clinical narrative: PATIENT'S HUSBAND SAID SHE WAS FEELING REALLY SLEEPY.  I ASKED IF SHE WAS NERVOUS BECAUSE SHE JUST SAW ANOTHER PATIENT FAINT AND SHE SAID YES.  SHE FAINTED JUST AFTER THAT AND HER HUSBAND HELPED ME MOVE HER TO THE FLOOR.  SHE WAS STILL BREATHING BUT SHE WAS IN AND OUT OF CONSCIOUSNESS SO WE CALLED 911.  PATIENT WAS RESPONDING TO CONVERSATION BUT WOULD SLUR SOMETIMES AND EYES WOULD ROLL BACK AS SHE LOST CONSCIOUSNESS AGAIN.  PLACED COLD COMPRESS ON FOREHEAD AND BACK OF NECK.  PATIENT'S HEART RATE WFLUCTUATED THE WHOLE TIME.  PARAMEDICS CAME TO ASSESS HER, BLOOD PRESSURE WAS HIGH 180 SYSTOLIC (DIASTOLIC WOULDN'T READ), AND SUGAR WAS 401. PATIENT DECIDED TO GO TO ER VIA AMBULANCE AFTER SHE ALMOST FAINTED AFTER STANDING.