chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Intermenstrual bleeding
Clinical narrative: I experienced Intermenstrual spotting for 12 days. My period is typically 3 to 4 days, so this is very unusual. Spotting went away yesterday (day 11), but is present again today (day 12). I will continue to monitor my period. There were no other problems with bleeding. I experienced mild abdominal cramps on day 7. I have no history of on/gyn concerns and I have never been pregnant. I am not on any birth control.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Balance disorder, Drooling, Fall
Clinical narrative: The next morning after first shot Patient stood up and fell. Due to brain stem stroke there are balance issues.  Patient fell twice within first week of shot.  He was extremely weak/unstable.  He was starting to walk without his cane or walker.  He could no longer walk on his own. He refused to talk because he was drooling all the time.  There was little to no drooling before first shot. All the progress he made in the last 6 months is gone.  He is just starting to feel like himself. Patient's second Pfizer shot was cancelled and will not be rescheduled.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal distension, Colonoscopy normal, Constipation, Free prostate-specific antigen, Irritable bowel syndrome
Clinical narrative: Constipation, bloating, cramping, irritable bowel syndrome
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Muscle spasms, Rectal examination normal
Clinical narrative: Constipation, bloating, cramping, irritable bowel syndrome
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Gastrointestinal pain
Clinical narrative: Constipation, bloating, cramping, irritable bowel syndrome
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, Asthenia, Back pain, Chills
Clinical narrative: started with felt like someone punched me in my stomach, by the third day after shot i felt terrible went to sleep woke up with terrible back and hip ache, chills getting harder to breathe coughing  weakness fever couldn't get out of bed to weak 6days . still having problems breathing and still coughing  i'm differently not up to par  wondering will i ever be  I WON'T BE TAKING THE 2ND DOSE.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Feeling abnormal, Pyrexia
Clinical narrative: started with felt like someone punched me in my stomach, by the third day after shot i felt terrible went to sleep woke up with terrible back and hip ache, chills getting harder to breathe coughing  weakness fever couldn't get out of bed to weak 6days . still having problems breathing and still coughing  i'm differently not up to par  wondering will i ever be  I WON'T BE TAKING THE 2ND DOSE.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Hyperhidrosis, Pallor
Clinical narrative: Pt was found pale, diaphoretic and clammy,  no LOC. Assisted to recumbent position on floor with BLEs elevated on chair. VS as follows: BP 109/70, HR 60, sats 94% on RA. Pt given water, snacks, cold compress applied. Pt was assisted to seated position after 3-5 mins, VS as follows: BP 115/74, HR 70, sats 96% on RA. Pt recovered within 10 mins and ambulated out of clinic in NAD after 20 min observation period.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Thrombosis, Ultrasound scan
Clinical narrative: About 12+ hours after vaccination I began experiencing pain in the back of my right leg. On 4/14 my PCP sent me to the ER. After an ultrasound it was found that I had blood clots.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Vomiting
Clinical narrative: Vomiting after vaccine. Felt headache and then vomiting after vaccine. There was slight dehydration before taking vaccine.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Nausea
Clinical narrative: Nausea, joint pain, headache,
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, SARS-CoV-2 test negative
Clinical narrative: 30 yo healthy male received Pfizer BioNTech COVID vaccine #1 on 14 APR 21. He reported complete loss of taste and smell on day 3, which continued for 24 hours, and then slowly improved and resolved by day 5.  PCR testing for COVID infection was negative.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 2nd  dose given 6 days early.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Patient reported feeling his heart race during observation. Vitals within normal range.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Fall, SARS-CoV-2 test negative
Clinical narrative: Suffered a fall, stopped eating, on February 28, 2021 was found without vital signs.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Syncope
Clinical narrative: patient was leaving  and fainted in chair while waiting 15 minutes, no fall reported,  checked pulse and pupils, regained consciousness within 1-2 minutes. left under own power.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Rash, Vomiting
Clinical narrative: Vomiting and nausea began approximately 30 minutes after receiving the vaccine. Extreme nausea continued for one week. Rash occurred one week after receiving vaccine. The nausea continued through week two post vaccine but decreased to a tolerable level with Zofran. Extreme nausea and vomiting returned with the second dose and the nausea continues 10 days post vaccine. I have needed Zofran to stop the vomiting almost every day since receiving the first dose.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dysarthria, Forced vital capacity, Immunoglobulin therapy, Myasthenia gravis
Clinical narrative: Myasthenia Gravis Exacerbation - slurring of speech, bulbar symptoms
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Plasmapheresis
Clinical narrative: Myasthenia Gravis Exacerbation - slurring of speech, bulbar symptoms
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue
Clinical narrative: Extremely tired and sometime light headed.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site mass, Injection site swelling, Muscle tightness, Pain in extremity
Clinical narrative: ?COVID arm?. Swelling at injection site, a large lump under the skin about a day after injection. Sore arm all the way to base of fingers. Tight feeling like blood pressure sleeve is on it. Treating with sitz bath, ice pack, antihistamines, ibuprofen.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Asthenia, Diarrhoea, Fatigue
Clinical narrative: Extreme symptoms for a full week after 1st Pfizer vaccine. Extremely painful muscle aches everywhere but worse in my legs. Constant nausea, could not taste or smell food, watery diarrhea, profound weakness, extreme fatigue, nightmares.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Nightmare, Pain in extremity
Clinical narrative: Extreme symptoms for a full week after 1st Pfizer vaccine. Extremely painful muscle aches everywhere but worse in my legs. Constant nausea, could not taste or smell food, watery diarrhea, profound weakness, extreme fatigue, nightmares.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pyrexia
Clinical narrative: 6PM FEVER STARTED AND CHILLS INCREASING TO 105.4 BY 7:30PM. HIGH GRADE FEVER- LASTED UNTIL 10AM ON 1/14 FOLLOWED BY LOW GRADE FEVER 101 UNTIL 4PM 1/14. MOTRIN & TYLENOL ALTERNATING EVERY 4 HRS AND HYDRATION.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Atrial flutter, Death, Generalised oedema, Hypothyroidism
Clinical narrative: This 82  year old  male hospice patient received the Covid shot on  3/6/21    and went to the ED on  4/6/21     and was admitted  on  4/6/21  with respiratory distress, acute hypoxemic respiratory failure, anasarca, atrial flutter, hypothyroid and died on  4/15/21. Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory distress
Clinical narrative: This 82  year old  male hospice patient received the Covid shot on  3/6/21    and went to the ED on  4/6/21     and was admitted  on  4/6/21  with respiratory distress, acute hypoxemic respiratory failure, anasarca, atrial flutter, hypothyroid and died on  4/15/21. Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Contusion, Ultrasound scan normal
Clinical narrative: I got  my first Pfizer shot around 3 weeks ago, after the shot, like 3 days later,  I  found a big bruise on my right calf, on the outside side, pretty big, around 2.5 inches diameter, at that time I thought I bumped into something and did not realized it. Then I got my second shot on Saturday April 17th, on Monday 19 I was taking a shower and I felt a pinch on the back of my calf , right side again, and saw a big bruise developing I have varicose veins , but I never ever got bruises like that from nothing I feel the vaccine got something to do with this First time in my life this happening , and it is more than a coincidence after each shot appeared  After that shower I run to the hospital and did blood test , coming up good, thanks god, and also ultrasound on my leg , they did not find any clot. Im a Pro of vaccination , I want to help and inform my case , but also im really scared something could happened to me
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Migraine
Clinical narrative: Severe increase in migraine headaches post vaccine. Saw neurologist. Changed abortive medication. Added nausea medication. Still struggling with uncontrolled headaches.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site lymphadenopathy, Nausea
Clinical narrative: CHILLS, SEVERE FATIGUE, NAUSEA, SWOLLEN ARIAL LYMPH NODE LEFT SIDE (INJECTION SITE), AND HEADACHE. TOOK TYLENOL AND MOTRIN. REST. SYMPTONS LASTED 24-48 HRS
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Pt reported feeling dizzy s/p IM injection. She was assisted to a seated position on the floor, no LOC, no diaphoresis s or other signs of syncope. VS at 1438 as follows: BP 111/68, HR 100, sats 98% on RA. Pt given water and snacks. Repeat VS at 1448 as follows: BP 108/73, HR 82, sats 98% on RA. Pt recovered within 15 mins and ambulated out of clinic.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Injection site pain, Myalgia
Clinical narrative: Starting around 6pm - pain at injection site, severe chills, muscle pain, joint pain, and extreme fatigue. Symptoms continued through 1/27 and around 6am started to feel nausea.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Starting around 6pm - pain at injection site, severe chills, muscle pain, joint pain, and extreme fatigue. Symptoms continued through 1/27 and around 6am started to feel nausea.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular
Clinical narrative: Light period spotting for two days.  Haven?t previously spotted in over 7 years.  After second does spotting started within 2 hours.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Injection site swelling, Pain in extremity, Skin warm
Clinical narrative: 11 days after my vaccination on April 20, 2021, I experienced swelling in my left arm approximately 3 inches below where the needle penetrated my arm for the COVID vaccine. The swollen area is oblong, about 3.5 inches on the longest side and 2.5 inches on the shortest side. The area is swollen (raised 1/8 of an inch), looks bruised in a reddish purple hue, is hot/feverish to the touch, is painful like a bruise.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Nausea, Pain, Pyrexia
Clinical narrative: SEVERE CHILLS;  SEVERE BODY PAIN; FEVER; NAUSEA; LASTED 18 HRS. FATIGUE NEXT 3 HRS/ TOOK ZOFRAN, MOTRIN AND TYLENOL TO RELIEVE SYMPTOMS.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fall
Clinical narrative: Pt walked to observation area, stated to girlfriend that he was feeling dizzy and fell to his the ground on his face. Pt was sitting up and alert when staff arrived to help.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: My reaction was not life threatening, but I wasn't able to report the first couple days via the CDC app, so I'm providing the dat here. Fever, chills devere fatigue, localized pain and swelling at vaccination site started about 8 hours after my injection and worsened until about 36 hours then symptoms abated after another 24 hr.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: patient tested positive for COVID-19 by PCR on 3/23/21, >2 wks after fully vaccinated. Asymptomatic, tested due to exposure to COVID-19.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Antinuclear antibody negative, Blood glucose increased, Computerised tomogram abnormal, Dyspnoea, Fatigue
Clinical narrative: Had moderate fatigue/malaise and mild progressive respiratory shortness of breath within 2 weeks of the first vaccine, then progressed to severe after the 2nd vaccine and was hospitalized on 4/9/2021 with acute pneumonitis for 2 days with steroid treatment and Oxygen, discharged 4/11/21.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Glomerular filtration rate decreased, Malaise, Oxygen saturation decreased, Pneumonitis, Rheumatoid factor negative
Clinical narrative: Had moderate fatigue/malaise and mild progressive respiratory shortness of breath within 2 weeks of the first vaccine, then progressed to severe after the 2nd vaccine and was hospitalized on 4/9/2021 with acute pneumonitis for 2 days with steroid treatment and Oxygen, discharged 4/11/21.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test negative, X-ray
Clinical narrative: Had moderate fatigue/malaise and mild progressive respiratory shortness of breath within 2 weeks of the first vaccine, then progressed to severe after the 2nd vaccine and was hospitalized on 4/9/2021 with acute pneumonitis for 2 days with steroid treatment and Oxygen, discharged 4/11/21.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site cellulitis
Clinical narrative: Pt developed cellulitis surrounding the injection site
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anaemia, Death, Dyspnoea, Hyponatraemia, Metastatic neoplasm
Clinical narrative: This 72 year old   male hospice patient received the Covid shot on  2/20/21   and went to the ED on  3/27/21   and was admitted  on  3/27/21    with shortness of breath, pneumonia, hyponatremia, anemia, bilateral pleural effusion, metastatic cancer and died on 4/17/21.  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pleural effusion, Pneumonia
Clinical narrative: This 72 year old   male hospice patient received the Covid shot on  2/20/21   and went to the ED on  3/27/21   and was admitted  on  3/27/21    with shortness of breath, pneumonia, hyponatremia, anemia, bilateral pleural effusion, metastatic cancer and died on 4/17/21.  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dizziness, Fatigue, Headache, Myalgia
Clinical narrative: About 24 hours after receiving the second dose, I experienced very mild joint pain, muscle aches, headache, and fatigue. I did not feel ill enough to stay home from work or discontinue my regular routine. Three weeks later I am still experiencing the same symptoms. On a few occasions I have felt dizzy as well. Although I am still working and going about my normal routine, I am taking Excedrin on a regular basis.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dysphonia, Fatigue, Injection site erythema, Injection site pruritus, Renal pain
Clinical narrative: Injection site turned red and became itchy and patient developed hoarseness within a few minutes of injection.  Received Benadryl onsite that resolved itching.  4 days later patient still hoarse, chronic tinnitus worse, pain in right kidney, fatigue.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: Injection site turned red and became itchy and patient developed hoarseness within a few minutes of injection.  Received Benadryl onsite that resolved itching.  4 days later patient still hoarse, chronic tinnitus worse, pain in right kidney, fatigue.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness exertional, Dizziness postural, Dysphonia, Erythema, Headache
Clinical narrative: Injection site turned red and became itchy and patient developed hoarseness within a few minutes of injection.  Received Benadryl onsite that resolved itching.  4 days later patient still hoarse, chronic tinnitus worse, pain in right kidney, fatigue.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Injection site swelling, Malaise, Pruritus, Tinnitus
Clinical narrative: Injection site turned red and became itchy and patient developed hoarseness within a few minutes of injection.  Received Benadryl onsite that resolved itching.  4 days later patient still hoarse, chronic tinnitus worse, pain in right kidney, fatigue.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Anosmia, Back pain, Blood test, Decreased appetite
Clinical narrative: Yellow mucus / vomiting/ diarrhea 15+ / headache/ body ache/ stomach ache / can?t smell / can?t eat / lower back is hurting
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Headache, Pain, Secretion discharge, Vomiting
Clinical narrative: Yellow mucus / vomiting/ diarrhea 15+ / headache/ body ache/ stomach ache / can?t smell / can?t eat / lower back is hurting
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Myalgia, Pain in extremity
Clinical narrative: Patient received her second Pfizer COVID vaccine yesterday.  She reports today she has a sore arm (no redness, warmth or swelling), a headache, feels tired, and has some muscles and joint aches.  She is using Tylenol (advised to not exceed 3000mg in 24 hours), gatorade, water, rest, and ice.  She questioned how long these symptoms will last and was advised that generally they lessen within the first 24-36 hours.  She was advised to call if she did not start to feel better within that time frame.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Given 2nd dose 6 days early
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Rash maculo-papular
Clinical narrative: Received vaccine 4/11/2021 and woke up on 4/16/2021 with a generalized maculopapular rash.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Chills, fever, body aches, headache, fatigue.  Chills and fever went away after about 2 hours from onset, body aches about 8 hours, and finally the headache and fatigue lasted about 24-36 hours from time of onset.  I started getting symptoms about 8 or 9 hours after the shot.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test, Dyspnoea, Eye swelling, Periorbital swelling, Pharyngeal swelling
Clinical narrative: Hives on body, in mouth; facial swelling, swelling around eyes.  New reactivity to soaps, shampoos, makeup, - seems to be things containing PEG and palm oil and coconut.  Also reacted with mouth hives from avocado. Hives still present as of today 4/21/2021, but reducing in frequency and severity.   Some hives present after first vaccine, and did contact physician .  They remained up until 2nd dose at which time they increased in frequency and amount.   Had throat swelling, swollen eyes and hives around eyes after ingesting salmon post 2nd vaccine.  Not a previous food allergy.  Shortness of breath was exacerbated after first dose of Pfizer, with significant increase in shortness of breath and accompanying throat tightness after 2nd dose.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face, Urticaria
Clinical narrative: Hives on body, in mouth; facial swelling, swelling around eyes.  New reactivity to soaps, shampoos, makeup, - seems to be things containing PEG and palm oil and coconut.  Also reacted with mouth hives from avocado. Hives still present as of today 4/21/2021, but reducing in frequency and severity.   Some hives present after first vaccine, and did contact physician .  They remained up until 2nd dose at which time they increased in frequency and amount.   Had throat swelling, swollen eyes and hives around eyes after ingesting salmon post 2nd vaccine.  Not a previous food allergy.  Shortness of breath was exacerbated after first dose of Pfizer, with significant increase in shortness of breath and accompanying throat tightness after 2nd dose.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: Patient passed out after receiving first dose of Pfizer COVID19 vaccine. He did not hit the ground as someone else caught him. His BP was taken and read 70/59 originally and then came back up to 144/83 after laying on floor with feet on chair. Patient said that this has happened before when giving blood or dealing with needles.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Fatigue, Pain in extremity, Tinnitus
Clinical narrative: Sore arm and a just a little bit tired after both doses of vaccine.  However, after the second dose the volume of my tinnitus increased that evening and is still at the increased level 1 week later.  Contacted ENT office, no treatments available.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Contusion, Evans syndrome, Haemolytic anaemia, Immune thrombocytopenia
Clinical narrative: 89 yo female with PMH HTN and hepatitis B was COVID19+ on 2/2/2021.  On 2/20/21, patient received a first dose of Pfizer BioNTech COVID19 vaccine 30 mcg/0.3 mL IM x 1 (lot# EL9261; left arm). Was seen in ED c/o back pain and bruising.  On admission Platelets=3k and Hgb=8.6.  Patient treated for Evans syndrome: ITP and hemolytic anemia. Patient received 1 units platelets, IVIG 55gm IV daily x 2 days, Rituximab 560mg IV weekly x 4 (1 dose given during this admission), dexamethasone 40mg IV x 4 days followed by a prednisone taper. Per hematology, "spontaneous development of warm atuimmune hemolytic anemia as well as ITP is of unclear etiology. No malignancy has been isolated. There are some rare case reorts of ITP from COVID vaccination. Ultimately, we cannot prove whether this is due to the COVID vaccine."  Patient was counseled to not undergo the second dose of COVID vaccine.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Immunoglobulin therapy, Platelet count decreased, Platelet transfusion
Clinical narrative: 89 yo female with PMH HTN and hepatitis B was COVID19+ on 2/2/2021.  On 2/20/21, patient received a first dose of Pfizer BioNTech COVID19 vaccine 30 mcg/0.3 mL IM x 1 (lot# EL9261; left arm). Was seen in ED c/o back pain and bruising.  On admission Platelets=3k and Hgb=8.6.  Patient treated for Evans syndrome: ITP and hemolytic anemia. Patient received 1 units platelets, IVIG 55gm IV daily x 2 days, Rituximab 560mg IV weekly x 4 (1 dose given during this admission), dexamethasone 40mg IV x 4 days followed by a prednisone taper. Per hematology, "spontaneous development of warm atuimmune hemolytic anemia as well as ITP is of unclear etiology. No malignancy has been isolated. There are some rare case reorts of ITP from COVID vaccination. Ultimately, we cannot prove whether this is due to the COVID vaccine."  Patient was counseled to not undergo the second dose of COVID vaccine.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dysstasia, Pyrexia, Vertigo
Clinical narrative: @am Sun morn woke up couldnt get out of bed 2am felt like covid all over again fever, weakness, slept till6pm on Sunday  had been  in hosp in Dec for a week with long term covid. Spent Sun and Mon in bed up Tues, weak head going in circles.  Today, Wed is first  day ive felt like doing  anything  Daughter had to help me out of bed Sun and Mon just couldnt stand up.
Age: 17.0
Sex: U
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient is 17 years old.  MODERNA is not recommended for those under the age of 18.  Patient attended mass vax event with family.  No adverse events reported at time of vaccination or post-vaccine.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Brain neoplasm malignant, Death, Decreased appetite, Lung neoplasm malignant
Clinical narrative: This  69 year old female received the Covid shot on  3/10/21    and went to the ED on  3/14/21   and was admitted  on  3/14/21  with weakness, lack of appetite, malignant neoplasm of brain and lung  and died on  4/18/21.  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation.
Age: 39.0
Sex: F
Vaccine: UNK
Symptoms: COVID-19, Pain in extremity, Pyrexia, SARS-CoV-2 test positive, Urticaria
Clinical narrative: Hives, fever, sore arm for 4 + days.  Positive Covid test on January 23, 2021
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus in both ears, began about 22 hours after second dose of Pfizer vaccine
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Blood urine present, Chills, Discomfort
Clinical narrative: About 9 pm I felt fatigue, I went to bed. I took 800 mg of ibuprofen and 1000 mg Tylenol as a pain medication. I drank a bunch of water and took an Emergen-C. I fell asleep by 10:00. I slept and I woke up - shocked awake around 04:30 am - I was super thirsty. My whole body was really sore and stiff and I had a headache.  It was uncomfortable but not unmanageable. I decided to take more Tylenol and Ibuprofen and drink more water again. I got back in bed and was feeling a lot of symptoms - I was really sore in my thigh muscles, lower back, knees and forearms. I had slight chills; I was pretty uncomfortable. I couldn't get back to sleep - I couldn't sleep on my arm with the injection site. This was about 5 pm. I never actually had a fever. But just a lot of fatigue and body aches. For the next day or two - I took 800 mg of ibuprofen and 1000 mg Tylenol every 6 hours. Within 48 hours, the body aches started to subside. I still felt a bit fatigued and I still do feel fatigued to this day. Into the next week, I started feeling like (towards the middle of the week - about the 7th) I was having an urinary urgency feeling. It was a sensation in my lower back like a UTI was coming on. I haven't gotten one in a long time ( I use to). On Friday or Saturday, when I wiped, I was seeing a slight pinkish hue  - a trace of blood - in my urine. Decided to take probiotics and Vit C. and I started to feel better. But Sunday morning, I was back to feeling pretty bad. I visited the Urgent Care on Sunday, the 11th. In the visit, they took a urine specimen. Dr. saw blood in my urine from the test. And an absence of nitrates in the urine and she said it wasn't  a typical UTI. They decided to culture the urine specimen. Macrobid - 2 times a day for 7 days - antibiotics was prescribed. I felt a little better the second day of taking it, I thought, but it was up and down. Culture showed there was no UTI.  Friday, the 16th, I had my annual visit with my PCP, I was feeling okay by this time. But I still had a sensation in my lower back - not a pain but a sensation and I still feel this sensation now (on my left side). She asked me to come back after the antibiotics to take another urine sample. Lab test. I feel some fatigue but I'm doing normal daily life.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Headache, Micturition urgency, Musculoskeletal stiffness
Clinical narrative: About 9 pm I felt fatigue, I went to bed. I took 800 mg of ibuprofen and 1000 mg Tylenol as a pain medication. I drank a bunch of water and took an Emergen-C. I fell asleep by 10:00. I slept and I woke up - shocked awake around 04:30 am - I was super thirsty. My whole body was really sore and stiff and I had a headache.  It was uncomfortable but not unmanageable. I decided to take more Tylenol and Ibuprofen and drink more water again. I got back in bed and was feeling a lot of symptoms - I was really sore in my thigh muscles, lower back, knees and forearms. I had slight chills; I was pretty uncomfortable. I couldn't get back to sleep - I couldn't sleep on my arm with the injection site. This was about 5 pm. I never actually had a fever. But just a lot of fatigue and body aches. For the next day or two - I took 800 mg of ibuprofen and 1000 mg Tylenol every 6 hours. Within 48 hours, the body aches started to subside. I still felt a bit fatigued and I still do feel fatigued to this day. Into the next week, I started feeling like (towards the middle of the week - about the 7th) I was having an urinary urgency feeling. It was a sensation in my lower back like a UTI was coming on. I haven't gotten one in a long time ( I use to). On Friday or Saturday, when I wiped, I was seeing a slight pinkish hue  - a trace of blood - in my urine. Decided to take probiotics and Vit C. and I started to feel better. But Sunday morning, I was back to feeling pretty bad. I visited the Urgent Care on Sunday, the 11th. In the visit, they took a urine specimen. Dr. saw blood in my urine from the test. And an absence of nitrates in the urine and she said it wasn't  a typical UTI. They decided to culture the urine specimen. Macrobid - 2 times a day for 7 days - antibiotics was prescribed. I felt a little better the second day of taking it, I thought, but it was up and down. Culture showed there was no UTI.  Friday, the 16th, I had my annual visit with my PCP, I was feeling okay by this time. But I still had a sensation in my lower back - not a pain but a sensation and I still feel this sensation now (on my left side). She asked me to come back after the antibiotics to take another urine sample. Lab test. I feel some fatigue but I'm doing normal daily life.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, SARS-CoV-2 test negative, Sleep disorder, Thirst
Clinical narrative: About 9 pm I felt fatigue, I went to bed. I took 800 mg of ibuprofen and 1000 mg Tylenol as a pain medication. I drank a bunch of water and took an Emergen-C. I fell asleep by 10:00. I slept and I woke up - shocked awake around 04:30 am - I was super thirsty. My whole body was really sore and stiff and I had a headache.  It was uncomfortable but not unmanageable. I decided to take more Tylenol and Ibuprofen and drink more water again. I got back in bed and was feeling a lot of symptoms - I was really sore in my thigh muscles, lower back, knees and forearms. I had slight chills; I was pretty uncomfortable. I couldn't get back to sleep - I couldn't sleep on my arm with the injection site. This was about 5 pm. I never actually had a fever. But just a lot of fatigue and body aches. For the next day or two - I took 800 mg of ibuprofen and 1000 mg Tylenol every 6 hours. Within 48 hours, the body aches started to subside. I still felt a bit fatigued and I still do feel fatigued to this day. Into the next week, I started feeling like (towards the middle of the week - about the 7th) I was having an urinary urgency feeling. It was a sensation in my lower back like a UTI was coming on. I haven't gotten one in a long time ( I use to). On Friday or Saturday, when I wiped, I was seeing a slight pinkish hue  - a trace of blood - in my urine. Decided to take probiotics and Vit C. and I started to feel better. But Sunday morning, I was back to feeling pretty bad. I visited the Urgent Care on Sunday, the 11th. In the visit, they took a urine specimen. Dr. saw blood in my urine from the test. And an absence of nitrates in the urine and she said it wasn't  a typical UTI. They decided to culture the urine specimen. Macrobid - 2 times a day for 7 days - antibiotics was prescribed. I felt a little better the second day of taking it, I thought, but it was up and down. Culture showed there was no UTI.  Friday, the 16th, I had my annual visit with my PCP, I was feeling okay by this time. But I still had a sensation in my lower back - not a pain but a sensation and I still feel this sensation now (on my left side). She asked me to come back after the antibiotics to take another urine sample. Lab test. I feel some fatigue but I'm doing normal daily life.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis
Clinical narrative: About 9 pm I felt fatigue, I went to bed. I took 800 mg of ibuprofen and 1000 mg Tylenol as a pain medication. I drank a bunch of water and took an Emergen-C. I fell asleep by 10:00. I slept and I woke up - shocked awake around 04:30 am - I was super thirsty. My whole body was really sore and stiff and I had a headache.  It was uncomfortable but not unmanageable. I decided to take more Tylenol and Ibuprofen and drink more water again. I got back in bed and was feeling a lot of symptoms - I was really sore in my thigh muscles, lower back, knees and forearms. I had slight chills; I was pretty uncomfortable. I couldn't get back to sleep - I couldn't sleep on my arm with the injection site. This was about 5 pm. I never actually had a fever. But just a lot of fatigue and body aches. For the next day or two - I took 800 mg of ibuprofen and 1000 mg Tylenol every 6 hours. Within 48 hours, the body aches started to subside. I still felt a bit fatigued and I still do feel fatigued to this day. Into the next week, I started feeling like (towards the middle of the week - about the 7th) I was having an urinary urgency feeling. It was a sensation in my lower back like a UTI was coming on. I haven't gotten one in a long time ( I use to). On Friday or Saturday, when I wiped, I was seeing a slight pinkish hue  - a trace of blood - in my urine. Decided to take probiotics and Vit C. and I started to feel better. But Sunday morning, I was back to feeling pretty bad. I visited the Urgent Care on Sunday, the 11th. In the visit, they took a urine specimen. Dr. saw blood in my urine from the test. And an absence of nitrates in the urine and she said it wasn't  a typical UTI. They decided to culture the urine specimen. Macrobid - 2 times a day for 7 days - antibiotics was prescribed. I felt a little better the second day of taking it, I thought, but it was up and down. Culture showed there was no UTI.  Friday, the 16th, I had my annual visit with my PCP, I was feeling okay by this time. But I still had a sensation in my lower back - not a pain but a sensation and I still feel this sensation now (on my left side). She asked me to come back after the antibiotics to take another urine sample. Lab test. I feel some fatigue but I'm doing normal daily life.
Age: 48.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pulmonary embolism
Clinical narrative: pulmonary embolism-2 weeks later
Age: 48.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood test, Dyspnoea, Loss of consciousness, Near death experience, Pulmonary thrombosis
Clinical narrative: pulmonary embolism-2 weeks later
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Thrombosis, X-ray
Clinical narrative: Blood clots
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Headache, Nausea, Pain
Clinical narrative: Headache, nausea, severe aches, shortness of breathe
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Dysphagia
Clinical narrative: Metallic taste in mouth with difficulty of swallowing
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Chest discomfort, Chills, Cough, Diarrhoea
Clinical narrative: Eve of shot (3-25-21): Pressure on chest, headache,  queasy, chills, armpit pain on shot side. Next day, really sore arm, chills, diarrhea. Through 4-3-21: sore throat, dry cough, itchy shot site, low grade fever (99.3) and burning eyes, most troublesome? swollen achy/bruised feeling armpits and behind knees, both sides.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Eye irritation, Headache, Injection site pruritus, Nausea, Oropharyngeal pain
Clinical narrative: Eve of shot (3-25-21): Pressure on chest, headache,  queasy, chills, armpit pain on shot side. Next day, really sore arm, chills, diarrhea. Through 4-3-21: sore throat, dry cough, itchy shot site, low grade fever (99.3) and burning eyes, most troublesome? swollen achy/bruised feeling armpits and behind knees, both sides.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Swelling
Clinical narrative: Eve of shot (3-25-21): Pressure on chest, headache,  queasy, chills, armpit pain on shot side. Next day, really sore arm, chills, diarrhea. Through 4-3-21: sore throat, dry cough, itchy shot site, low grade fever (99.3) and burning eyes, most troublesome? swollen achy/bruised feeling armpits and behind knees, both sides.
Age: 78.0
Sex: M
Vaccine: UNK
Symptoms: Headache, Insomnia
Clinical narrative: head pain day and  night, difficult sleeping
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Incontinence, Pallor, Seizure, Syncope
Clinical narrative: Patient became pale, diaphoretic, and experienced a syncopal episode, laid flat and then had simple partial seizure lasting 10 seconds, became incontinent, IV started, A and O x4 , transported to hospital via ambulance
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Herpes zoster
Clinical narrative: I developed a mild case of shingles 2 weeks after my first Pfizer shot (3/30/21). Yesterday I read a news report about research in Israel identifying shingles as a possible side effect to the first Pfizer shot. I also heard several TV news reports about shingles appearing as a side effect to the first Pfizer shot.  A link to the news report I found is enclosed.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Cough, Dizziness, Dysgeusia, Dyspnoea
Clinical narrative: Patient stated she had new onset metallic taste in her mouth. Within 5 minutes patient complained of lightheadedness and "feeling weird." Moved patient to cot and patient complained of nausea. Offered patient snack, which she ate before complaining of tightness in chest with difficulty in breathing.  Oxygen applied at 2L per nasal canula. Vital signs normal. AMR was called at 1035. Patient developed dry cough. AMR arrived at 1042, ambulance arrived at 1047. Patient was sent with AMR.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Nausea
Clinical narrative: Patient stated she had new onset metallic taste in her mouth. Within 5 minutes patient complained of lightheadedness and "feeling weird." Moved patient to cot and patient complained of nausea. Offered patient snack, which she ate before complaining of tightness in chest with difficulty in breathing.  Oxygen applied at 2L per nasal canula. Vital signs normal. AMR was called at 1035. Patient developed dry cough. AMR arrived at 1042, ambulance arrived at 1047. Patient was sent with AMR.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness postural, Heart rate increased
Clinical narrative: severe dizziness when physically getting up from bed and when lying down.  Mild dizziness throughout the day.  Rapid heart beat.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Odynophagia, Rash macular, Throat tightness
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: patient reports throat tightness, mild pain with swallowing (but able to swallow), flushing, and blotchy skin on forehead, cheeks, and neck after vaccination. Vital signs: blood pressure 146/93 mmHg (repeat 136/100 mmHg), pulse 74 beats per minute, oxygen saturation 98% on room air. Patient denies chest pain and shortness of breath. Administered oral diphenhydramine and left vaccination clinic stable with symptom improvement and drinking fluids without difficulty.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Hyperhidrosis, Tinnitus
Clinical narrative: headache, ringing in ears, vertigo, chills, sweats, no fever, exhaustion
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: headache, ringing in ears, vertigo, chills, sweats, no fever, exhaustion
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Diplopia, Fatigue, Hypersomnia, Muscular weakness
Clinical narrative: Extreme fatigue, vertigo, double vision, blurry vision, excessive sleeping, muscle weakness, muscle soreness, mild fever, no energy
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia, Vertigo, Vision blurred
Clinical narrative: Extreme fatigue, vertigo, double vision, blurry vision, excessive sleeping, muscle weakness, muscle soreness, mild fever, no energy
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Loss of consciousness
Clinical narrative: About 5 minutes after the shot, patient tried to get up and knock on the door to the vaccination room but he fell to the floor. He was not responding when asked questions but was still breathing.  His hands had little tremors. Then after a few minutes patient was responding and talking to the staff. We still called 911 because patient was unresponsive again (second time). Shortly after patient was responsive again. Patient's spouse also came to the scene in a short time. His wife said patient had same problem previously when he had his blood drawn. Paramedics assessed that patient was stable and did not need further medical help. Patient left the store with his wife.  We recommended him to have second shot with primary care provider or at a facility with more medical assistance.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Eye pain, Fatigue, Migraine
Clinical narrative: I had been sick since this past Friday; high fever, all over body pain, constant cough and frequent sneezing, migraines , eye pain and extreme fatigue. I tested positive for Covid April 21, 2021.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test positive, Sneezing
Clinical narrative: I had been sick since this past Friday; high fever, all over body pain, constant cough and frequent sneezing, migraines , eye pain and extreme fatigue. I tested positive for Covid April 21, 2021.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Loss of personal independence in daily activities, Oropharyngeal pain, Pyrexia
Clinical narrative: About two days after shot had sore throat and fatigue.  Began running fever of 100 - 102 later in day and extreme fatigue set in.  Am still running fever and fatigued after normal daily activities 9 days after shot and 7 days after first onset of side effects.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: pt hospitalized within 6 weeks of COVID vaccine
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: pt hospitalized within 6 weeks of COVID vaccine
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Muscle spasms
Clinical narrative: Pain in right hip; quite severe at times.   Usually when I stand up from a lying or sitting position.  Moving does not always alleviate it.  Took Tylenol and seemed to be improving, but pain started getting worse a few days later and had muscle spasms occasionally.   Dr suggested  using Motrin instead of Tylenol during the day and 1/2 10 mg Baclofen tablet nightly.   Appears to be getting better at the moment, but that happened earlier before I went to the DR.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Hyperhidrosis, Pain
Clinical narrative: HEADACHE, CHILLS, SWEATS, FEVER OF 101.3, BODY ACHES, EXTREME FATIGUE. I BROKE THE FEVER BUT THE HEADACHE AND FATIGUE IS STILL HERE.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: HEADACHE, CHILLS, SWEATS, FEVER OF 101.3, BODY ACHES, EXTREME FATIGUE. I BROKE THE FEVER BUT THE HEADACHE AND FATIGUE IS STILL HERE.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient was due for second dose of her Pfizer vaccine but was mistakenly given Moderna instead. Talked to patient 30 minutes after immunization and she did not report any adverse effects yet. Told her to let her know if she experiences any side effects that she feels are not usual effects from immunization. She said she would call us if she feels unwell at any point. I will call again tomorrow to check in on her as well.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Erythema, Peripheral swelling, Skin reaction
Clinical narrative: Localized redness and swelling in Right arm
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Lymphadenopathy, Nausea, Rash, Stomatitis
Clinical narrative: Two days following vaccine, patient experienced N/V and right lymphadenopathy (on same side as injection) which continued for two additional days.  On Day 5, patient experienced neck and facial swelling, rash, itchy mouth, throat tightening,  and difficulty breathing following lunch (chicken with cashews, no prior food nor medication allergies nor prior symptoms with any tree nuts nor peanuts nor soy). Symptoms improved with 50 mg diphenhydramine, but swelling continued, administered corticosteroids at urgent care facility and continued Medrol dose pack. Food allergy testing scheduled for mid-May.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Swelling, Swelling face, Throat tightness, Vomiting
Clinical narrative: Two days following vaccine, patient experienced N/V and right lymphadenopathy (on same side as injection) which continued for two additional days.  On Day 5, patient experienced neck and facial swelling, rash, itchy mouth, throat tightening,  and difficulty breathing following lunch (chicken with cashews, no prior food nor medication allergies nor prior symptoms with any tree nuts nor peanuts nor soy). Symptoms improved with 50 mg diphenhydramine, but swelling continued, administered corticosteroids at urgent care facility and continued Medrol dose pack. Food allergy testing scheduled for mid-May.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Shingles around chest and back.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Arthropod sting, Pruritus, Rash, Rash pruritic
Clinical narrative: SEVERE BODY RASH ON BOTH ARMS FROM WRIST TO SHOULDER. SEVERE RASH ON TRUNK, LEFT LEG, FACE, NECK, CHEST, BREASTS. I STILL HAVE THE RASH FOR 6 DAYS AND IT IS ITCHY AND VERY UNCOMFORTABLE AND STINGS.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Head discomfort, Palpitations, Tremor
Clinical narrative: Patient received dose 1 of the COVID Moderna vaccine (lot 047B21A, exp 5/2021) at 1350. At 1405, patient alerted EMT that she felt dizzy, fatigued, shakey, with a racing heart rate. Returning from break, entering the room found EMT assisting the patient to supine position in zero-gravity chair. Vital signs: blood pressure 118/68, O2 98%, pulse 90, respirations 18. Patient was given water. Patient reported she ate breakfast and lunch but did an intense weightlifting workout in the morning. Patient denied allergies or medical conditions. Medication includes Zoloft. Patient reported a similar reaction 2 weeks ago when she had a heated argument with a family member. At 1413, PHN  offered patient Benadryl but patient declined. PHN  encouraged patient to notify provider and when to contact 911. Patient reported her symptoms were improving but she still felt shaky with a heavy head/fatigue. Vital signs: O2 97%, pulse 94, blood pressure 112/70. At 1420, patient reported feeling cold and stated "I feel low blood sugar." Patient denied diabetes. At 1427, patient was moved to sitting position by PHN and EMT . Patient consumed fruit cup reporting she felt lightheaded and shaky. Vital signs: blood pressure 120/70, pulse 94, O2 96%, respirations 14. At 1435, patient reported her symptoms had resolved. Vital signs: blood pressure 112/74, pulse 98, O2 96%, respirations 14. Patient stood up, closely monitored by PHN , reported no symptoms. Patient left walking with steady gait at 1442.