chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 38.0
Sex: F
Vaccine: UNK
Symptoms: Skin warm, Throat irritation, Urticaria
Clinical narrative: Within 15-20 minutes of receiving the flu shot I experienced a red patch around the injection site followed by patches of hives on my chest, neck, shoulder back, under my arms, wrist, and palms of my hands. The hives and itchy continued to my ears, eyebrows, scalp and eventually my throat and tongue became irritated. My voice turned hoarse.  Both of my legs became weak. I received the flu shot at work. The pharmacy came to my place of employment. I was given a benedryl and had to be picked up from a family member. The symptoms did not improve, so my doctor office is treating me with a 5 day dose of steroids twice a day for 5 days. Tomorrow morning will be 48 hours since the shot, and I am still experiencing the above symptoms. My skin is itchy and almost feels hot. I continue to take the benedryl and steroid.
Age: 66.0
Sex: F
Vaccine: FLUA4, PPV
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 84.0
Sex: F
Vaccine: FLU4
Symptoms: Dyspnoea, Loss of consciousness, Muscular weakness, Tremor
Clinical narrative: I was out of breath, hands were shaking, everything went dark, I believe I passed out (I started to have weak legs in a store and left the store and went to my car.  I was alone and sat in my car.).  When I got to the car I put my head on the steering wheel, believed I passed out for a short time, woke up and stayed in my car for 15-20 minutes and then drove home.  When I got home I laid down and felt normal again about an hour later.
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Approximately 6 hours after immunization, patient phone the pharmacy complaining that the immunization site was red and tender and starting to swell.
Age: 14.0
Sex: M
Vaccine: HEP, MNQ
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Pt started with (L) Deltoid redness same night as vaccine given 9/23/20. Site became Progressively red, hard, swollen and tender.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Headache, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 1st Pain down left arm to pinky finger.  Then very hot burning at right side of left palm; especially pinky finger.  Then stabbing, severe tingling at right side of left palm; especially pinky finger for roughly 5-6 hours.   Upper left arm pain and very hot to touch, 2?-3? Below inject site began to be red, hot to touch & swollen 3? x 5? across which lasted 4 days.  Severe headache for 7 days.  Loss of sleep.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Insomnia, Pain in extremity, Paraesthesia, Skin warm
Clinical narrative: 1st Pain down left arm to pinky finger.  Then very hot burning at right side of left palm; especially pinky finger.  Then stabbing, severe tingling at right side of left palm; especially pinky finger for roughly 5-6 hours.   Upper left arm pain and very hot to touch, 2?-3? Below inject site began to be red, hot to touch & swollen 3? x 5? across which lasted 4 days.  Severe headache for 7 days.  Loss of sleep.
Age: 72.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Injection site bruising, Peripheral swelling, Skin warm
Clinical narrative: patient stated that she got reaction witin 30 minutes, her left arm started swelling, redness and warm to touch. she came to see me on 9/25/20 and the swelling was reduced but I still can see part of her arm still looked swelling and seemed like retain some water. Right at the injection site, the spot turn yellow, like bruising
Age: 46.0
Sex: F
Vaccine: FLUC4, PNC13
Symptoms: Fatigue, Injection site erythema, Injection site swelling, Injection site warmth, Malaise
Clinical narrative: RED CIRCLE AROUND INJECTION SITE, WARM TO TOUCH & RAISED, TINGLING IN FINGERS, GENERALIZED FATIQUE AND NOT FEELING WELL
Age: 46.0
Sex: F
Vaccine: FLUC4, PNC13
Symptoms: Paraesthesia
Clinical narrative: RED CIRCLE AROUND INJECTION SITE, WARM TO TOUCH & RAISED, TINGLING IN FINGERS, GENERALIZED FATIQUE AND NOT FEELING WELL
Age: 68.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Fatigue, Hyperhidrosis, Muscle spasms
Clinical narrative: Muscle spasms, fatigue, and chills lasting a couple of hours. Then sweating.  Managed to sleep through it and felt better by morning.
Age: 64.0
Sex: M
Vaccine: FLUC4
Symptoms: Fatigue, Headache, Nausea, Vomiting
Clinical narrative: Woke up next morning nauseous, vomited, headache, extremely tired.  I slept for most of the day and was fine by the evening.    I am only reporting for record keeping and metrics.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Decreased appetite, Fatigue, Headache
Clinical narrative: Symptoms: flu-like with aches, chills, severe shaking, headache, joint pain, no appetite, extreme fatigue that lasted 2.5 days. Had to remain in bed. Took ibuprofen for pain. Unable to work or leave home for 3 days until recovered
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Impaired work ability, Influenza like illness, Pain, Tremor
Clinical narrative: Symptoms: flu-like with aches, chills, severe shaking, headache, joint pain, no appetite, extreme fatigue that lasted 2.5 days. Had to remain in bed. Took ibuprofen for pain. Unable to work or leave home for 3 days until recovered
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: Feeling cold, Myalgia, Pain
Clinical narrative: Patient experienced chills overnight the evening after receiving the vaccine.  She reported that she did not have a fever. The next morning the chills went away but patient reported that she was sore all over and complained about muscle soreness.
Age: 40.0
Sex: F
Vaccine: FLUC4
Symptoms: Extensive swelling of vaccinated limb
Clinical narrative: Patient called the pharmacy and reported that her left arm has swollen severely.  Patient said that the swelling started the evening of the same day after receiving the vaccine.  She called back the next day to let us know that her arm is still swollen.  The swelling was near the vaccination site and surrounding areas - even under the arm.
Age: 12.0
Sex: F
Vaccine: FLU4, MNQ, TDAP, FLU4, MNQ, TDAP
Symptoms: Dizziness, Syncope
Clinical narrative: Patient was very apprehensive/anxious about receiving vaccines. After injections she was pacing/walking in room. Approx 3-5 minutes after injections, she became dizzy and fainted. Her mother and myself were next to her and able to lower her to the floor without injury. She regained consciousness after approximately 30 seconds and approximately 1 minute after that was able to stand and move to chair. She was allowed to rest, and given some water. She was completely back to pre-vaccination condition in approximately 5 minutes. She remained in the clinic for another 10 minutes and then was discharged with her mother.
Age: 12.0
Sex: F
Vaccine: FLU4, MNQ, TDAP, FLU4, MNQ, TDAP
Symptoms: Syncope
Clinical narrative: Patient was very apprehensive/anxious about receiving vaccines. After injections she was pacing/walking in room. Approx 3-5 minutes after injections, she became dizzy and fainted. Her mother and myself were next to her and able to lower her to the floor without injury. She regained consciousness after approximately 30 seconds and approximately 1 minute after that was able to stand and move to chair. She was allowed to rest, and given some water. She was completely back to pre-vaccination condition in approximately 5 minutes. She remained in the clinic for another 10 minutes and then was discharged with her mother.
Age: 51.0
Sex: F
Vaccine: UNK
Symptoms: Chest discomfort, Fatigue, Headache, Nausea
Clinical narrative: Slight nausea, slight headache, extreme fatigue (I couldn't do anything but sleep for 17 hours straight), heaviness on chest
Age: 63.0
Sex: M
Vaccine: FLU4
Symptoms: Dizziness, Hypersensitivity, Immediate post-injection reaction, Jaw fracture, Loss of consciousness
Clinical narrative: Immediately my arm felt itchy. I thought it would go away, so I left the clinic. Started to drive to a grocery store, within 5 minutes my torso started to itch , I noticed hives on my torso ad arm, my tongue started to swell. I decided to return to the clinic. When I got to the clinic I started to feel faint. Got out of the car and stared to walk in, but passed out in the parking lot, I was takin by ambulance to Hospital.
Age: 63.0
Sex: M
Vaccine: FLU4
Symptoms: Orthognathic surgery, Pruritus, Skin laceration, Suture insertion, Swollen tongue
Clinical narrative: Immediately my arm felt itchy. I thought it would go away, so I left the clinic. Started to drive to a grocery store, within 5 minutes my torso started to itch , I noticed hives on my torso ad arm, my tongue started to swell. I decided to return to the clinic. When I got to the clinic I started to feel faint. Got out of the car and stared to walk in, but passed out in the parking lot, I was takin by ambulance to Hospital.
Age: 63.0
Sex: M
Vaccine: FLU4
Symptoms: Urticaria
Clinical narrative: Immediately my arm felt itchy. I thought it would go away, so I left the clinic. Started to drive to a grocery store, within 5 minutes my torso started to itch , I noticed hives on my torso ad arm, my tongue started to swell. I decided to return to the clinic. When I got to the clinic I started to feel faint. Got out of the car and stared to walk in, but passed out in the parking lot, I was takin by ambulance to Hospital.
Age: 48.0
Sex: F
Vaccine: UNK
Symptoms: Fatigue, Heart rate increased
Clinical narrative: Fast heartbeat (continued until at least 1am 9/27 and slowed at some point before 7am when I awakened. extreme fatigue ( started 3-4pm 9/26 went back to sleep after 7am and awaken again 10:30a still tired)
Age: 58.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Pruritus, Rash
Clinical narrative: patient stated she had adverse reaction to vaccine following day. stated she was doing garden work outside and became itchy and had rash afterwards. patient unaware if rash is contact dermatitis or hives. doctor not able to confirm hives. doctor also stated she should not have gotten both vaccines on the same day
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site bruising, Pain in extremity
Clinical narrative: ARM IS VERY SORE AND PATIENT HAS BEEN IN PAIN FOR TWO WEEKS SINCE SHE RECEIVED THE VACCINE. ARM IS ALSO VISIBLY BRUISED AROUND THE INJECTION SITE.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Hyperhidrosis, Influenza like illness, Pain in extremity
Clinical narrative: Arm pain, fever of 101 with chills and sweating, flu like symptoms lasting 24 hours. Tiredness.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Arm pain, fever of 101 with chills and sweating, flu like symptoms lasting 24 hours. Tiredness.
Age: 14.0
Sex: M
Vaccine: FLU4
Symptoms: Fall, Oxygen saturation normal
Clinical narrative: pt fell on floor. pt remained alert and consious. pt drank gator ade. mother sat with patient until ems arrived. pt's pulse-ox was 100%. pt left store healthy.
Age: 67.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Feeling cold, Headache, Injection site pain, Nausea
Clinical narrative: Also had 1 dose (of  2) of Shingrix 50mcg injected into muscle of left arm at same event.  Suspect symptoms are from flu shot, given anecdotes from other local recipients of the high dose senior flu shot.  I was sick for 3 days with chills, tolerable soreness at injection sites, low grade fever (99-100), post nasal drip, dizzying headache leading to nausea and one vomiting event.  Was the worst reaction to a vaccine to date.
Age: 67.0
Sex: F
Vaccine: FLU4
Symptoms: Pyrexia, Upper-airway cough syndrome, Vomiting
Clinical narrative: Also had 1 dose (of  2) of Shingrix 50mcg injected into muscle of left arm at same event.  Suspect symptoms are from flu shot, given anecdotes from other local recipients of the high dose senior flu shot.  I was sick for 3 days with chills, tolerable soreness at injection sites, low grade fever (99-100), post nasal drip, dizzying headache leading to nausea and one vomiting event.  Was the worst reaction to a vaccine to date.
Age: 76.0
Sex: F
Vaccine: FLUA4
Symptoms: Chills, Gait disturbance, Headache, Malaise, Pain
Clinical narrative: PATIENT STATED DID NOT FEEL WELL THE DAY FOLLOWING HER VACCINE ADMINISTRATION.  BY DINNER TIME SHE CAME DOWN WITH CHILLS, ACHES, HEADACHE, UNCONTROLLABLE SHAKING (THAT LASTED 2 HOURS) AND SHE HAD TROUBLE WALKING     THIS LASTED FOR 48 HOURS AND THEN SHE FELT BETTER
Age: 76.0
Sex: F
Vaccine: FLUA4
Symptoms: Tremor
Clinical narrative: PATIENT STATED DID NOT FEEL WELL THE DAY FOLLOWING HER VACCINE ADMINISTRATION.  BY DINNER TIME SHE CAME DOWN WITH CHILLS, ACHES, HEADACHE, UNCONTROLLABLE SHAKING (THAT LASTED 2 HOURS) AND SHE HAD TROUBLE WALKING     THIS LASTED FOR 48 HOURS AND THEN SHE FELT BETTER
Age: 68.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Contusion, Haemorrhage, Pain, Pyrexia
Clinical narrative: Extensive bruising, patient states bleeding down arm the day/evening of vaccine, significant swelling, fever, chills, generalized pain
Age: 68.0
Sex: F
Vaccine: FLU4
Symptoms: Swelling
Clinical narrative: Extensive bruising, patient states bleeding down arm the day/evening of vaccine, significant swelling, fever, chills, generalized pain
Sex: U
Vaccine: UNK
Symptoms: Amenorrhoea, Blood follicle stimulating hormone increased, Chromosome analysis normal, Menstruation irregular, Premature menopause
Clinical narrative: Premature Ovarian Failure. On January of 2018 I began having irregular periods then in August of 2018 I stopped having periods altogether. I went through numerous tests and recieved the diagnosis of premature ovarian failure I have no familly history of anyone having early ovarian failure of fertility problems or any autoimmune disorders
Sex: U
Vaccine: UNK
Symptoms: Ultrasound pelvis normal
Clinical narrative: Premature Ovarian Failure. On January of 2018 I began having irregular periods then in August of 2018 I stopped having periods altogether. I went through numerous tests and recieved the diagnosis of premature ovarian failure I have no familly history of anyone having early ovarian failure of fertility problems or any autoimmune disorders
Age: 70.0
Sex: F
Vaccine: FLUR4
Symptoms: Pain in extremity, Pruritus, Swelling, Urticaria
Clinical narrative: PT RECEIVED INJECTION IN AM AND BROKE OUT IN HIVES LATER THAT EVENING. HIVES VARIED IN SIZE FROM LARGE (HALF-DOLLAR) TO SMALL (DIME) AND ONLY APPEARED ON THE LEFT ARM BELOW THE INJECTION SITE. PT APPLIED A COLD PACK TO THE ARM WHICH HELPED DECREASE THE SWELLING. SHE REPORTED THE HIVES WERE MILDLY ITCHY BUT TOLERABLE, NOT PAINFUL, BUT TYPICAL ACHEY ARM AS EXPERIENCED WITH ALL PREVIOUS INFLUENZA VACCINATIONS.
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Injected limb mobility decreased
Clinical narrative: I GAVE A FLU SHOT MID AFTERNOON ON 08/25/20. I SAW THE PATIENT AGAIN IN THE PHARMACY ON 09/25/20 AND JUST HAPPENED TO ASK HER HOW SHE WAS DOING. SHE STATED HER ARM HAD BEEN BOTHERING HER FOR SINCE THE SHOT. I CALLED LATER IN THE SAME DAY AND SHE STATED SHE WAS GOING TO AN ORTHO APPT IN OCTOBER DUE TO HER ARM NOT BEING ABLE TO BE RAISED HIGH TO PERFORM DAILY TASKS. SHE STATED IN THE RX SHE ONLY WAS ABLE TO LIFE HER ARM UP SO HIGH. I AM CALLING HER BACK WEEKLY UNTIL HER APPT TO SEE HER PROGRESSION.
Age: 8.0
Sex: M
Vaccine: FLUR4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: The patient received the flublok vaccine, which isn't routinely recommended in children under 18.  It is a higher concentration, and may result in more headaches or arm pain.
Age: 66.0
Sex: F
Vaccine: FLU4
Symptoms: Blood pressure increased, Malaise, Serum sickness
Clinical narrative: patient not feeling well after immunization, last night (9-26) blood pressure spiked to 180 / ? and daughter took her to ER. Was monitored for 2 hours and diagnosed with serum sickness per ER doctor.
Age: 23.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Blood glucose decreased, Dysphonia, Dyspnoea, Enlarged uvula, Fatigue
Clinical narrative: (Note: You'll want to contact my doctor to verify which flu vaccine I was given. The records I have access to only say "Influenza (IM) Preservative Free.")  -Soreness in both arms within two hours of receiving vaccines on 9/24/20 -Within four hours, could no longer lift either arm -Within four hours, small pink welts appeared on right arm surrounding place where flu vaccine was administered -Within four hours, soreness of throat and shortness of breath -By evening (about 6:00 pm), neither arm can be touched without flinching and outcry, though pain is significantly worse in right arm  -9/25/20: Uvula swollen (light purple) and extreme hoarseness (approximately 7:30 am) -Still could not raise arms without great pain. Welts on right arm have grown in size, swollen, combined into two large welts, turned red, and seem to be hives. Even the brush of a shirt sleeve causes great pain. (Noted at approximately 7:30 am) -Approximately 10 am: left arm seems to have recovered. Left arm can move normally without pain.  -Rests. Cannot walk across a room without labored breathing.   -Labored breathing worsens. Fatigue. Forehead feels warm. Left arm feels fine; right arm in great pain. Rests all morning. (approximately 9 am) -Red-ish, purple patch the size of a half dollar coin appeared on chest (approximately 11:45 am) -By approximately 4 pm, redness on chest has turned pink, barely visible -Treated with one  Equate Allergy Relief pill (Diphenhydramine HCI, 25 mg) on 9/26/20  (approximately 4 pm) -Drowsiness, assumed to be a result of the pill. (Approximately 4:30 pm) -Woke up covered in sweat: head, chest, arms, back, stomach, legs. Fever had broken. Could touch area of right arm affected by hives (hives still present) without flinching, though some pain was still present. Pinkness on chest no longer visible. Blood sugar had dropped to 35. Treated blood sugar with snack. (6:20 pm)  -As of now (10:23 am on 9/27/20), hives have disappeared in region of right arm where vaccine was administered, though the site is still tender. Throat is still hoarse. Uvula still swollen.
Age: 23.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Hyperhidrosis, Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site urticaria
Clinical narrative: (Note: You'll want to contact my doctor to verify which flu vaccine I was given. The records I have access to only say "Influenza (IM) Preservative Free.")  -Soreness in both arms within two hours of receiving vaccines on 9/24/20 -Within four hours, could no longer lift either arm -Within four hours, small pink welts appeared on right arm surrounding place where flu vaccine was administered -Within four hours, soreness of throat and shortness of breath -By evening (about 6:00 pm), neither arm can be touched without flinching and outcry, though pain is significantly worse in right arm  -9/25/20: Uvula swollen (light purple) and extreme hoarseness (approximately 7:30 am) -Still could not raise arms without great pain. Welts on right arm have grown in size, swollen, combined into two large welts, turned red, and seem to be hives. Even the brush of a shirt sleeve causes great pain. (Noted at approximately 7:30 am) -Approximately 10 am: left arm seems to have recovered. Left arm can move normally without pain.  -Rests. Cannot walk across a room without labored breathing.   -Labored breathing worsens. Fatigue. Forehead feels warm. Left arm feels fine; right arm in great pain. Rests all morning. (approximately 9 am) -Red-ish, purple patch the size of a half dollar coin appeared on chest (approximately 11:45 am) -By approximately 4 pm, redness on chest has turned pink, barely visible -Treated with one  Equate Allergy Relief pill (Diphenhydramine HCI, 25 mg) on 9/26/20  (approximately 4 pm) -Drowsiness, assumed to be a result of the pill. (Approximately 4:30 pm) -Woke up covered in sweat: head, chest, arms, back, stomach, legs. Fever had broken. Could touch area of right arm affected by hives (hives still present) without flinching, though some pain was still present. Pinkness on chest no longer visible. Blood sugar had dropped to 35. Treated blood sugar with snack. (6:20 pm)  -As of now (10:23 am on 9/27/20), hives have disappeared in region of right arm where vaccine was administered, though the site is still tender. Throat is still hoarse. Uvula still swollen.
Age: 23.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Oropharyngeal pain, Pain in extremity, Rash erythematous, Skin warm, Somnolence
Clinical narrative: (Note: You'll want to contact my doctor to verify which flu vaccine I was given. The records I have access to only say "Influenza (IM) Preservative Free.")  -Soreness in both arms within two hours of receiving vaccines on 9/24/20 -Within four hours, could no longer lift either arm -Within four hours, small pink welts appeared on right arm surrounding place where flu vaccine was administered -Within four hours, soreness of throat and shortness of breath -By evening (about 6:00 pm), neither arm can be touched without flinching and outcry, though pain is significantly worse in right arm  -9/25/20: Uvula swollen (light purple) and extreme hoarseness (approximately 7:30 am) -Still could not raise arms without great pain. Welts on right arm have grown in size, swollen, combined into two large welts, turned red, and seem to be hives. Even the brush of a shirt sleeve causes great pain. (Noted at approximately 7:30 am) -Approximately 10 am: left arm seems to have recovered. Left arm can move normally without pain.  -Rests. Cannot walk across a room without labored breathing.   -Labored breathing worsens. Fatigue. Forehead feels warm. Left arm feels fine; right arm in great pain. Rests all morning. (approximately 9 am) -Red-ish, purple patch the size of a half dollar coin appeared on chest (approximately 11:45 am) -By approximately 4 pm, redness on chest has turned pink, barely visible -Treated with one  Equate Allergy Relief pill (Diphenhydramine HCI, 25 mg) on 9/26/20  (approximately 4 pm) -Drowsiness, assumed to be a result of the pill. (Approximately 4:30 pm) -Woke up covered in sweat: head, chest, arms, back, stomach, legs. Fever had broken. Could touch area of right arm affected by hives (hives still present) without flinching, though some pain was still present. Pinkness on chest no longer visible. Blood sugar had dropped to 35. Treated blood sugar with snack. (6:20 pm)  -As of now (10:23 am on 9/27/20), hives have disappeared in region of right arm where vaccine was administered, though the site is still tender. Throat is still hoarse. Uvula still swollen.
Age: 59.0
Sex: M
Vaccine: PPV, VARZOS
Symptoms: Insomnia, Joint range of motion decreased, Pain in extremity
Clinical narrative: Per patient, his arm is extremely sore and painful due to vaccinations given in the same arm. Patient also states that vaccines may have been given too high up in the arm. Patient is having trouble sleeping due to pain and limited range of motion.
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Injection site pain, Pyrexia
Clinical narrative: Patient called the pharmacy on 09/27/2020 to report that she has a fever of 102, chills and a sore arm from the flu shot Fluzone HD on 09/26/2020.
Age: 62.0
Sex: F
Vaccine: FLUR4
Symptoms: Musculoskeletal stiffness, Neck pain
Clinical narrative: Neck soreness/stiffness
Age: 64.0
Sex: M
Vaccine: UNK, VARZOS
Symptoms: Pyrexia
Clinical narrative: Noted elevated temperature 12 hrs after injections. Fever peaked at 101.2 F at about 14 hrs after injection. Took Tylenol which lowered temperature to 100 F within an hour. Temperature returned to under 99 F within 48 hrs. I don't know the type of flu or shingles vaccine. The shingles injection was the first of two, with the second to be taken 2-6 months later.
Age: 67.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Nausea, Pain in extremity
Clinical narrative: Patient received fluzone HD and Pneumovax on 9/24. Came in to pharmacy in the evening on 9/25 to report that his arm was still feeling sore and also that he has been experiencing a good deal of nausea today.  Pharmacist explained that his arm should expect to be sore for a few more days and this is very common. Nausea is less common, however is listed as one of the side effects in both the flu vaccine (<12%) and in the Pneumovax (1.8%).Recommended ice and tylenol for the pain.  Followed up with the pt on 9/27, his arm was no longer sore and also was no longer experiencing nausea
Age: 51.0
Sex: M
Vaccine: UNK
Symptoms: Nausea, Vomiting
Clinical narrative: Woke up with intense vomiting and nausea. Vomiting continued for 6-8 hours, any liquid intake was swiftly vomited. Pepto and Tylenol helped by late afternoon.  Symptoms gone by next day but recovery took days Food poisoning ruled out,
Age: 49.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Joint range of motion decreased, X-ray
Clinical narrative: Moderate Pain left upper arm at site of injection worse with range of motion of left arm. Topical diclofenac muscle rub with no relief, no swelling or redness
Age: 48.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Patient has reported a red, raised and itchy area on the underside of her arm.  This was the same arm of the injection but was on the underside of the arm and not near the injection site.  The area is about the size of 3 quarters.
Age: 46.0
Sex: F
Vaccine: FLU4
Symptoms: Axillary pain, Lymphadenitis
Clinical narrative: Per Patient: It was actually not a usual sore arm side effect, in the area where the shot was administered.   My arm pit area (under the arm) was swollen and sore. I was advised it was probably swollen gland in my armpit.  It felt like I had a ball under my armpit when I put my arm down next to my side.  It was a very unusual feeling.   I usually have the flu shot, and this is the first time I had this reaction.  It is back to normal now.
Age: 62.0
Sex: M
Vaccine: FLU4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient received fluzone hd and is not 65 years of age. Patient was contacted and we talked about adveres effects/reactions , he has reported NO signs/symptoms of adverse effects, but was told to contact us if anything occurs. We looked up the package insert and patient does not require an addition flu shot.
Age: 79.0
Sex: M
Vaccine: FLU4
Symptoms: Subdural haematoma
Clinical narrative: There is a Hematoma under the skin that got better but not resolved completely even after 2 weeks. His son is a doctor.
Age: 60.0
Sex: M
Vaccine: FLUC4
Symptoms: Burning sensation, Cardiac monitoring normal, Dyspnoea, Electrocardiogram normal, Erythema
Clinical narrative: I received the following Flu Shot (FLUCELVX PFS 2020-21   INJ 0.5 ML).  That evening I started getting Hives all over my body.  I was having an extremely allergic reaction.  My Hands turned red and were extremely itchy and burning.  I was having trouble breathing.  I went to the ER and they did an ECG.  I was provided, DiphenhydrAMINE (Benadryl), Famotidine (Pepcid) and MethylPREDNI Solone sodium Succ (Solo-Medrol).  These treatments worked.  I was released from the ER approximately 4 hours after I was admitted.
Age: 60.0
Sex: M
Vaccine: FLUC4
Symptoms: Hypersensitivity, Pruritus, Urticaria
Clinical narrative: I received the following Flu Shot (FLUCELVX PFS 2020-21   INJ 0.5 ML).  That evening I started getting Hives all over my body.  I was having an extremely allergic reaction.  My Hands turned red and were extremely itchy and burning.  I was having trouble breathing.  I went to the ER and they did an ECG.  I was provided, DiphenhydrAMINE (Benadryl), Famotidine (Pepcid) and MethylPREDNI Solone sodium Succ (Solo-Medrol).  These treatments worked.  I was released from the ER approximately 4 hours after I was admitted.
Age: 68.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Cellulitis, Injection site erythema, Injection site inflammation, Injection site pain, Injection site swelling
Clinical narrative: PER PATIENT: HER UPPER RIGHT ARM BECAME INFLAMMED, RED, HOT, SWOLLEN, BUMPY AND PAINFUL. PATIENT PROCEEDED TO THE ER ON 09/23/2020 MORNING AND WAS DIAGNOSED WITH CELLULITIS INFECTION. SHE RECEIVED DOXYCYCLINE ANTIBIOTIC FOR THE INFECTION.  THE INFECTION HAS RESOLVED.
Age: 68.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Injection site warmth
Clinical narrative: PER PATIENT: HER UPPER RIGHT ARM BECAME INFLAMMED, RED, HOT, SWOLLEN, BUMPY AND PAINFUL. PATIENT PROCEEDED TO THE ER ON 09/23/2020 MORNING AND WAS DIAGNOSED WITH CELLULITIS INFECTION. SHE RECEIVED DOXYCYCLINE ANTIBIOTIC FOR THE INFECTION.  THE INFECTION HAS RESOLVED.
Age: 67.0
Sex: M
Vaccine: FLUR4, PPV
Symptoms: Chills, Fatigue, Feeling abnormal, Muscle spasms, Productive cough
Clinical narrative: fever, chills, coughing up stuff, muscle spasms, fatigue, feels bad all over
Age: 67.0
Sex: M
Vaccine: FLUR4, PPV
Symptoms: Pyrexia
Clinical narrative: fever, chills, coughing up stuff, muscle spasms, fatigue, feels bad all over
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Dysgeusia, Hypoaesthesia, Hypoaesthesia oral, Paraesthesia
Clinical narrative: PATIENT STATES SHE HAD NUMBNESS AND TINGLING IN THE OPPOSITE ARM (HER LEFT) AND NUMB LIPS SIMILAR TO WHEN SHE HAD A MINN-STROKE. ALSO, HAD A METALLIC TASTE IN HER MOUTH
Age: 50.0
Sex: F
Vaccine: FLUR4
Symptoms: Erythema, Urticaria
Clinical narrative: the patient's husband came in the next day asking what to do because  had red hives all over her body. I told her to take benadryl every 4-6 hours and see her primary doc if continued.
Age: 19.0
Sex: F
Vaccine: FLUR4
Symptoms: Syncope
Clinical narrative: Patient Fainted
Age: 81.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Redness and swelling of arm for a week- Benadryl Possible cellulitis- Antibiotic
Age: 57.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Headache, Myalgia
Clinical narrative: Severe headache, upset stomach, and severe muscle soreness at injection arm
Age: 82.0
Sex: F
Vaccine: FLUA4
Symptoms: Immediate post-injection reaction, Injection site swelling, Rash erythematous, Rash pruritic
Clinical narrative: Red itchy rash with swelling around the injection site. Itching started immediately after administration with a little bit of redness and swelling within a half hour the size of a dime. The next morning  on 9/26/20 it was the size of a quarter and then on 9/27/20 it was the size of a half dollar per the patient. The patient was instructed by a pharmacist to apply ice for the swelling and to take an antihistamine and use hydrocortisone cream for the itching and irritation.
Age: 70.0
Sex: F
Vaccine: FLU4
Symptoms: Diarrhoea, Haematochezia
Clinical narrative: the patients husband called the pharmacy on 9/24/2020 stating that she received the flu vaccine on 9/23/2020 and that overnight she experienced diarrhea with bloody stools. I informed him that though diarrhea was listed as a possible side effect, I couldn't find any information on bloody stools. I asked if she was taking any blood thinners, but her husband said she wasn't.  I advised  him to seek emergency services on her behalf asap, however he stated that they would prefer to monitor the symptoms and see how she was doing, before seeking emergency services.  I called the patient on 9/25/20 to check on her and she said she was doing better, the symptoms had subsided. I had reviewed her medication profile and notified her at this point that the elmiron or the clopidogrel may have been responsible for the bloody stools, and once more advised her to seek medical attention. this time via her primary care physician ( since she said her symptoms had subsided)
Age: 4.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Patient started having redness/swelling/pain/heat at site of injection, became progressively firmer over the next 2-3 days. Patient was prescribed Bactrim, told to continue ibuprofen and Benadryl as needed, start cold compresses to site. Have not completed follow up call to patient/guardian yet.
Age: 64.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Injection site rash
Clinical narrative: Rash on left arm at fluzone injection site
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Body temperature increased, Chills, Cough, Fatigue
Clinical narrative: chills, full-body pain, nausea, dry cough, severe headache, temperature of 103-104f 20 hours after injection. vomiting, extreme fatigue and weakness and light sensitive.   Nausea subsided after taking Zofran (glad we had that on hand).  Ate crackers and drank Liquid IV hydrating packets the rest of the day.  Chicken noodle soup later at night.  Two days after injection, temperature has dropped to 99f, body pain, fatigue.  Injection site is still very tender.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Injection site pain, Nausea, Pain, Photophobia
Clinical narrative: chills, full-body pain, nausea, dry cough, severe headache, temperature of 103-104f 20 hours after injection. vomiting, extreme fatigue and weakness and light sensitive.   Nausea subsided after taking Zofran (glad we had that on hand).  Ate crackers and drank Liquid IV hydrating packets the rest of the day.  Chicken noodle soup later at night.  Two days after injection, temperature has dropped to 99f, body pain, fatigue.  Injection site is still very tender.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Vomiting
Clinical narrative: chills, full-body pain, nausea, dry cough, severe headache, temperature of 103-104f 20 hours after injection. vomiting, extreme fatigue and weakness and light sensitive.   Nausea subsided after taking Zofran (glad we had that on hand).  Ate crackers and drank Liquid IV hydrating packets the rest of the day.  Chicken noodle soup later at night.  Two days after injection, temperature has dropped to 99f, body pain, fatigue.  Injection site is still very tender.
Age: 51.0
Sex: F
Vaccine: FLU4
Symptoms: Immobile, Loss of personal independence in daily activities, Pain in extremity
Clinical narrative: Patient called 09/27/20 to report that her arm was practically immobile and she was unable to perform daily tasks with it without having a lot of pain.  An example she gave was that she had not been able to dry her hair in over a week. No PCP on file.  Also gave her the phone number for the National Vaccine Injury Compensation Program.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Rash, Tenderness, Vaccination site erythema, Vaccination site swelling
Clinical narrative: Day after patient received the vaccine, (9/26/20) patient woke up with much swelling on the left arm where the vaccine was given. Patient reports painful to move arm and painful to touch, with red, raised border around where the vaccine was given roughly 2 inches in diameter. Patient drew a line around the rash to see if spreading , started applying ice and taking oral advil to alleviate. The next day, 9/27/20, patient came to pharmacy to discuss with me what had happened. From the previous day the patient reports the rash around the area has gotten smaller and has gotten a little bit better but was still there when i viewed it. Patient reports still taking advil and medication to help with symptoms.
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain, Pyrexia
Clinical narrative: Patient complained of fever and body aches a day after receiving the vaccine
Age: 66.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Diarrhoea, Metabolic function test, Nausea, SARS-CoV-2 test
Clinical narrative: After getting vaccinated;  husband's patient notify that he had to bring her to emergency room due to diarrhea, nausea, general weakness.
Age: 57.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: Abdominal pain upper, Headache, Pain, Photophobia, Vomiting
Clinical narrative: full body aches, sensitivity to light, massive headache, stomach pains, inability to hold down food or water
Age: 72.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site bruising, Injection site pain
Clinical narrative: She states that she is having pain in her arm at the injection site (no swelling, no redness, just a small bruise). She thinks the pain may have gotten worse since the time of administration.
Age: 70.0
Sex: F
Vaccine: FLUA4
Symptoms: Injection site swelling, Limb discomfort, Pruritus
Clinical narrative: The vaccine given in her left arm just after we opened at 9 am, but the patient called later in the afternoon to let the pharmacy know she might be having an allergic reaction.  I asked what exactly she was experiencing and she mentioned having swelling in her arm from the injection site down to her elbow and seemed to be getting worse.  She also mentioned itching and discomfort in the arm due to the swelling.  I mentioned she could put ice on it to help the swelling  and Benadryl but she said due to her condition she could not take Benadryl.  For the pain, I mentioned to take Tylenol and if the swelling got any worse or lasted another day to go to the ER or urgent care for extra relief.
Age: 8.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Fall, Feeling hot, Hyperhidrosis, Syncope
Clinical narrative: Around 5 minutes after injection patient felt dizzy, warm, sweat, then experienced syncope.  Fell with no injuries.  Regained consciousness immediately.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Headache, Nausea, Pain
Clinical narrative: Fever 100.1F Headache Body aches  Chills Naussea Painful knees
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Fever 100.1F Headache Body aches  Chills Naussea Painful knees
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Body temperature increased, Injection site erythema, Injection site warmth, Pain
Clinical narrative: pt called and stated she had reaction to the site with redness , warmth and 100 degree temp and localized pain
Age: 65.0
Sex: M
Vaccine: FLUA4, PNC13
Symptoms: Immediate post-injection reaction, Peripheral swelling
Clinical narrative: Patient immediately developed a bump in his left arm below the injection site after the pneumonia vaccine was administered.  Patient reported that the bump disappeared within a couple of days.
Age: 84.0
Sex: F
Vaccine: FLUA3, PPV, VARZOS
Symptoms: Feeding disorder, Vomiting, Weight decreased
Clinical narrative: PATIENT STATES "HER WHOLE BODY SHUT DOWN" WHEN SHE GOT ALL 3 SHOTS AT ONCE (CANT EAT, THROWING UP, LOST 7 POUNDS), she also went to the hospital.
Age: 13.0
Sex: F
Vaccine: FLU4
Symptoms: Fall, Loss of consciousness
Clinical narrative: Vaccine was given, patient stood up and was talking to her sister when she all of a sudden fell face first onto the floor. She was unconscious for less than 1 minute, 911 was called. She was placed on her back on the floor. she regained consciousness and was alert, talking to mom and dad. EMS arrived and she was taken to a nearby hospital for treatment.
Age: 27.0
Sex: F
Vaccine: FLUR4
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Patient reports via phone, redness, pain at injection site, itchiness, and swelling. Denies other affected areas or symptoms. She self applied Benadryl cream for itchiness, seems to be improving at this point.
Age: 64.0
Sex: F
Vaccine: FLUR4
Symptoms: Hypersensitivity, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: PT INITIALLY STARTED WITH SORE ARM WITHIN A COUPLE HRS. THE ARM BECAME RED WITH HEAT AND SWOLLEN AND COULD NOT SLEEP THE NEXT DAY. THE REDNESS SPREAD TO HALF OF INNER BICEPS, THEN SHE WENT TO SEE A DR AT ER. THE PATIENT WAS GIVEN PREDNISONE AND CEPHALEXIN UNKNOWN DOSE AT THE OFFICE. THE PATIENT'S REDNESS SUBSIDED THEN SHE WAS DISCHARGED THE SAME NIGHT WITH CEPHALEXIN 1000MG BID X7D AND PREDNISONE 60MG QD FOR 4 DAYS. THE PHYSICIAN DIAGNOSED AS ALLERGIC REACTION WITH NO SIGNS OF INFECTION.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Erythema, Pruritus, Pyrexia, Urticaria
Clinical narrative: patient initially had mild fever and weakness which she took tylenol for and felt better, then the next day she started to experience all over itching hives/welts and redness.  She took 2 doses of benadryl which seemed to help
Age: 80.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Chest discomfort, Chills, Dyspnoea, Feeling abnormal
Clinical narrative: After getting home (within 30 minutes of receiving vaccine ) patient said she felt off. She had chills (non-febrile), she said her symptoms progressed to a rash on her arms and abdomen, chest discomfort and shortness of breath. She said she  took her sublingual nitroglycerin when she experienced chest discomfort and took some tylenol at some point. Patient said she didn't seek any medical treatment she "toughed it out" as her symptoms leveled off the day of vaccination. Patient said the next day she just felt really weak, but was feeling back to normal within a couple of days.
Age: 80.0
Sex: F
Vaccine: FLU4
Symptoms: Rash
Clinical narrative: After getting home (within 30 minutes of receiving vaccine ) patient said she felt off. She had chills (non-febrile), she said her symptoms progressed to a rash on her arms and abdomen, chest discomfort and shortness of breath. She said she  took her sublingual nitroglycerin when she experienced chest discomfort and took some tylenol at some point. Patient said she didn't seek any medical treatment she "toughed it out" as her symptoms leveled off the day of vaccination. Patient said the next day she just felt really weak, but was feeling back to normal within a couple of days.
Age: 47.0
Sex: F
Vaccine: FLUC4
Symptoms: Dizziness, Erythema, Headache, Musculoskeletal stiffness, Nausea
Clinical narrative: Swollen arm, redness covering 4 inches x 5 inches, temp of arm 102, pain, tenderness, dizziness, nausea, woke with stiff neck the next day, headache. Pictures if desired from past 2 years with similar reactions
Age: 47.0
Sex: F
Vaccine: FLUC4
Symptoms: Pain, Peripheral swelling, Skin warm, Tenderness
Clinical narrative: Swollen arm, redness covering 4 inches x 5 inches, temp of arm 102, pain, tenderness, dizziness, nausea, woke with stiff neck the next day, headache. Pictures if desired from past 2 years with similar reactions
Age: 13.0
Sex: F
Vaccine: FLUC4
Symptoms: Loss of consciousness, Syncope
Clinical narrative: shortly after receiving vaccination and placing band-aid, patient slowly starting leaning forward, so i stood up to hold on so she did not fall, mom came over quickly and spoke her name and she seemed to have blacke out/fainted for less than a minute; she came to and wasn't sure what had happened, but she did know where she was at, and said she did not feel ill, just asked for water; I advised the mom to leave her seated, she was calling father to come help, meanwhile i went to front of store to get a employee to bring her a scooter to be safe; when i came back mom said the fainting happened shortly again, but patient still said she felt fien, and ok after drinking some water; the full time was a good 15- 20 minutes, till scooter arrived and we helped her walk to sit on scooter, but hse stated she felt fine.
Age: 61.0
Sex: F
Vaccine: FLUR4, PPV
Symptoms: Blindness unilateral
Clinical narrative: per pt she received both the flu shot and pneumonia shot on 9/21/20, then on 9/26/20 she lost vision in 1 eye for about 10 seconds, eye sight recovered, and this happened again about 10 min later, but her eye sight has returned to normal since then
Age: 19.0
Sex: F
Vaccine: FLUC4
Symptoms: Urticaria
Clinical narrative: Large hives all over body.
Age: 67.0
Sex: M
Vaccine: FLUA3
Symptoms: Chest pain, Cough, Upper respiratory tract infection
Clinical narrative: Reported cough, chest pain and upper respiratory infection leading to antibiotic and medical attention
Age: 55.0
Sex: F
Vaccine: PPV
Symptoms: Mobility decreased, Peripheral swelling, Skin warm
Clinical narrative: Patient stated the day after recieving vaccine that arm was swollen, warm to touch and could not move arm at all.
Age: 91.0
Sex: F
Vaccine: FLUA4, PNC13
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: Noticed pink large area on right arm of injection site on day 2 following Prevnar-13 pneumonia vaccine. Applied some ice. Following day redder and area going down arm and to inside of bicep. Very itchy and hot. Tried OTC cortisone cream and Benadryl spray and Benadryl pills for 2 days. More pink now rather than red on day 9 and itchiness stopped.
Age: 60.0
Sex: M
Vaccine: MNQ, PPV
Symptoms: Asthenia, Blood culture negative, Cerebrovascular accident, Chest X-ray normal, Computerised tomogram head abnormal
Clinical narrative: Patient had flu vaccine (Flulaval Quad Lot# 4TM23)  on 9/8 at Cardiology office. Came to PCP office following day for routine follow-up with no concerns. Wanted updated vaccines for asplenia. Patient had vomiting in the evening of 9/9 and then was lethargic and weak with hypotension requiring ICU level care with pressor support due to sepsis, AMS, secondary adrenal insufficiency, and acute CVA.
Age: 60.0
Sex: M
Vaccine: MNQ, PPV
Symptoms: Culture urine negative, Echocardiogram normal, Electroencephalogram abnormal, Hypotension, Intensive care
Clinical narrative: Patient had flu vaccine (Flulaval Quad Lot# 4TM23)  on 9/8 at Cardiology office. Came to PCP office following day for routine follow-up with no concerns. Wanted updated vaccines for asplenia. Patient had vomiting in the evening of 9/9 and then was lethargic and weak with hypotension requiring ICU level care with pressor support due to sepsis, AMS, secondary adrenal insufficiency, and acute CVA.
Age: 60.0
Sex: M
Vaccine: MNQ, PPV
Symptoms: Lethargy, Magnetic resonance imaging brain abnormal, Mental status changes, Secondary adrenocortical insufficiency, Sepsis
Clinical narrative: Patient had flu vaccine (Flulaval Quad Lot# 4TM23)  on 9/8 at Cardiology office. Came to PCP office following day for routine follow-up with no concerns. Wanted updated vaccines for asplenia. Patient had vomiting in the evening of 9/9 and then was lethargic and weak with hypotension requiring ICU level care with pressor support due to sepsis, AMS, secondary adrenal insufficiency, and acute CVA.
Age: 60.0
Sex: M
Vaccine: MNQ, PPV
Symptoms: Ultrasound liver normal, Vomiting
Clinical narrative: Patient had flu vaccine (Flulaval Quad Lot# 4TM23)  on 9/8 at Cardiology office. Came to PCP office following day for routine follow-up with no concerns. Wanted updated vaccines for asplenia. Patient had vomiting in the evening of 9/9 and then was lethargic and weak with hypotension requiring ICU level care with pressor support due to sepsis, AMS, secondary adrenal insufficiency, and acute CVA.
Age: 67.0
Sex: M
Vaccine: FLU4
Symptoms: Pain, Product administered at inappropriate site
Clinical narrative: Patient reports that he received the vaccine in his left shoulder, instead of his left deltoid.  This has left him in considerable pain for the past week.  He has consulted his physician who is currently monitoring the patient.
Age: 22.0
Sex: M
Vaccine: FLU4
Symptoms: Body temperature decreased, Heart rate decreased, Loss of consciousness
Clinical narrative: Patient walked away from the immunization area with his girlfriend about 5 minutes after receiving the flu vaccine, then passed out on the floor for several seconds. Patient's responded to us by calling his name, today's date, and where he is. Patient was able to stand up with little assistance and to walk back to immunization area. He sat down and being monitored for his pulse and temperature. His pulse was strong and slow, but his temperature was dropping from 94.5 F at 13:00 to 93.3 F at 13:06.  911 was called and 4 EMS staffs arrived at 13:13. Patient was then reviewed and monitored by EMS staffs. No special treatment has been done by EMS staffs. He was then left the facility with his girlfrend.