chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Sensitive skin
Clinical narrative: PFIZER COVID-19 VACCINE (EUA) Starting at 5pm on 4/29:  Swelling, soreness, redness and heat at injection site and 3" diameter around it. Persisted for 2 days  Starting at 2am on 4/30: Fever Chills Headache Skin sensitivity (all over body) Joint aches Persisted for 24 hours  Starting around 4pm on 4/30: Swollen and painful lymph node in left armpit. Persisted for 2.5 days.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The excursion expiration date of 7 days thawed in the refrigerator  was followed because of the Pfizer email approving the 7 days. Pharmacy policy was to follow the expiration of 5 days.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Compression fracture, Cough, Dyspnoea
Clinical narrative: Admitted with intractable back pain (known compression fracture).  Per ED note, patient found to have cough and labored breathing.  New onset A fib
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Vertigo
Clinical narrative: Vertigo within minutes of receiving vaccine. pt states she has similar symptoms when BP is too high. Blood glucose 323 prior to arrival at site (taken at home). BP 147/73, HR 113, 100% on RA. Given water and monitored for 45 minutes. Symptoms started to improve without further intervention.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Hyperhidrosis, Immediate post-injection reaction, Pallor
Clinical narrative: Upon arrival, patient noted laying down on floor with feet elevated. Patient noted pale, sweaty and clammy. Patient awake, alert and oriented x3. Patient states that he started feeling light headed immediately after receiving his vaccine. Bp 143/95 P 70 T 97.7 O2 99% on room air and Blood glucose 114. Patient states that he had breakfast around 8am and fruit as a snack at 1030am.  Vitals reassessed Bp 137/88 P 80. Patient states that he is feeling much better. Patient able to sit up without feeling dizzy or weak. Bp 126/91 Hr 83 Patient had granola bar and water. Patient had to rest an additional 30mins. will continue to monitor O2 remains @99% on room air. Patient states that he feels great. Vitals reassessed Bp 130/80 Hr 78 O2 99% on room air.  Patient left facility in stable condition.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acoustic stimulation tests, Tinnitus
Clinical narrative: I HAVE BEEN EXPERIENCING AN ANNOYING CONTINUOUS SOUND IN BOTH EARS. THE SITUATION IS VERY DIFFICULT TO PUT UP WITH. I NEED HELP TO OVERCOME THIS ANNOYING SITUATION.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: I HAVE BEEN EXPERIENCING AN ANNOYING CONTINUOUS SOUND IN BOTH EARS. THE SITUATION IS VERY DIFFICULT TO PUT UP WITH. I NEED HELP TO OVERCOME THIS ANNOYING SITUATION.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, C-reactive protein increased, Gait disturbance, Pain in extremity, Red blood cell sedimentation rate increased
Clinical narrative: April 9, excrutiating pain in Left foot.  April 10, excrutiating pain in right foot.  April 11, pain in both feet.  Can hardly walk, all of a sudden out of nowhere!  Went to Urgent care April 12th.  Unknown.  Podiatrist April 14th, Unknown.  Another Podiatrist April 21st, Unknown, but orders X-Rays.  Show nothing.  Walking like a crippled person in pain.  Again, all of a sudden out of nowhere!. Sunday, April 25, excrutiating pain, weight-bearing on right foot.  Husband carries me to the car and drives to ER .  NOTE: All physical exams did not cause pain when manipulating joints.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: April 9, excrutiating pain in Left foot.  April 10, excrutiating pain in right foot.  April 11, pain in both feet.  Can hardly walk, all of a sudden out of nowhere!  Went to Urgent care April 12th.  Unknown.  Podiatrist April 14th, Unknown.  Another Podiatrist April 21st, Unknown, but orders X-Rays.  Show nothing.  Walking like a crippled person in pain.  Again, all of a sudden out of nowhere!. Sunday, April 25, excrutiating pain, weight-bearing on right foot.  Husband carries me to the car and drives to ER .  NOTE: All physical exams did not cause pain when manipulating joints.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Immediate post-injection reaction, Loss of consciousness, Vomiting
Clinical narrative: Immediately after patient was given vaccine, the patient passed out for 1-2 minutes, then vomited, became light-headed, and broke out into sweats. After 2 minutes the patient regained consciousness, however, the other symptoms persisted for about 10 minutes.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Petechiae, Tongue blistering
Clinical narrative: Blood blister under tongue, Petechia in spots on skin, Blood donation on 4/29 - difficult to stop bleeding from both finger stick (iron check) and from left arm which was used for donation.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray abnormal, Chills, Diarrhoea, Fatigue
Clinical narrative: DIARRHEA, SWOLLEN TONGUE, TONGUE SORES, FEVER, CHILLS, ACHES, HEADACHE, TONGUE SWELLED MORE THE NEXT DAY AND SORES WERE BECOMING INTOLLERABLE. MAJOR FATIGUE. HEART PALPITATIONS, WEAK LEGS. EVERYTHING SEEMED FOGGY.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Muscular weakness, Pain, Palpitations
Clinical narrative: DIARRHEA, SWOLLEN TONGUE, TONGUE SORES, FEVER, CHILLS, ACHES, HEADACHE, TONGUE SWELLED MORE THE NEXT DAY AND SORES WERE BECOMING INTOLLERABLE. MAJOR FATIGUE. HEART PALPITATIONS, WEAK LEGS. EVERYTHING SEEMED FOGGY.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Pregnancy test, Pyrexia, Stomatitis, Swollen tongue
Clinical narrative: DIARRHEA, SWOLLEN TONGUE, TONGUE SORES, FEVER, CHILLS, ACHES, HEADACHE, TONGUE SWELLED MORE THE NEXT DAY AND SORES WERE BECOMING INTOLLERABLE. MAJOR FATIGUE. HEART PALPITATIONS, WEAK LEGS. EVERYTHING SEEMED FOGGY.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Incorrect dose administered, Nausea, Syringe issue
Clinical narrative: Today, at approx. 10:45, vaccinator  was administering a first Moderna dose to , .  felt extreme back pressure in the syringe, a Magellan 3ml syringe., Lot 729413.  The vaccine squirted out of the back of the syringe, and very little vaccine was administered.  Patient got very lightheaded and nauseated.    Dr.  saw the patient and offered to re-do the vaccine.  The patient refused, but wishes to use her second dose appointment as her first dose.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Disorientation, Hyperhidrosis, Loss of consciousness
Clinical narrative: Patient passed out after receiving vaccine while waiting afterwards. He woke up disoriented, sweating. He said he had passed out previously and it felt the same. EMS checked him out and he left on his own.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lymphadenopathy, Paraesthesia
Clinical narrative: Swollen lymph node in armpit of left arm, tingly feeling in left arm, headache
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Hypoaesthesia, Paraesthesia
Clinical narrative: Burning, tingling from elbow to fingers. Slight numbness on left fingertips, especially the smallest finger. Felt better after resting and moving Left arm/hand. Stable, released from vaccination site.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The excursion expiration date of 7 days (thawed in refrigerator) was followed because of the Pfizer email approving the 7 days. Policy was to follow the expiration of 5 days.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Discomfort, Disturbance in attention, Dysgeusia, Ophthalmic migraine
Clinical narrative: Sore arm began a few hours after receiving shot and lasted for 2 days. On day 2, began experiencing swollen tongue and metallic taste; these lasted for 1 day. On day 3, began having difficulty concentrating / thinking clearly,  experiencing anxiety, general sense of bodily discomfort, uneasiness. This lasted 2 days. On day 6, experienced an ocular migraine. No treatment was given, no further symptoms to date.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Swollen tongue
Clinical narrative: Sore arm began a few hours after receiving shot and lasted for 2 days. On day 2, began experiencing swollen tongue and metallic taste; these lasted for 1 day. On day 3, began having difficulty concentrating / thinking clearly,  experiencing anxiety, general sense of bodily discomfort, uneasiness. This lasted 2 days. On day 6, experienced an ocular migraine. No treatment was given, no further symptoms to date.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Headache, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Headache  Congestion or running nose
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood test, Computerised tomogram, Gait inability, Guillain-Barre syndrome, Hypoaesthesia
Clinical narrative: Sudden bilateral leg weakness a little over 2 weeks from vaccine dose. Also had the inability to walk. Bilateral increasing numbness to both arms and legs. Progressive weakness. Admitted to hospital. Had CT scan, MRI scan, LP puncture, blood work. Findings/lab work state GBS (Gillian Barre syndrome)
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Lumbar puncture, Magnetic resonance imaging, Muscular weakness
Clinical narrative: Sudden bilateral leg weakness a little over 2 weeks from vaccine dose. Also had the inability to walk. Bilateral increasing numbness to both arms and legs. Progressive weakness. Admitted to hospital. Had CT scan, MRI scan, LP puncture, blood work. Findings/lab work state GBS (Gillian Barre syndrome)
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Guillain-Barre syndrome, Lumbar puncture, Magnetic resonance imaging neck, Magnetic resonance imaging thoracic, Plasmapheresis
Clinical narrative: Sudden bilateral leg weakness a little over 2 weeks from vaccine dose. Also had the inability to walk. Bilateral increasing numbness to both arms and legs. Progressive weakness. Admitted to hospital. Had CT scan, MRI scan, LP puncture, blood work. Findings/lab work state GBS (Gillian Barre syndrome)
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Protein total, White blood cell count decreased
Clinical narrative: Sudden bilateral leg weakness a little over 2 weeks from vaccine dose. Also had the inability to walk. Bilateral increasing numbness to both arms and legs. Progressive weakness. Admitted to hospital. Had CT scan, MRI scan, LP puncture, blood work. Findings/lab work state GBS (Gillian Barre syndrome)
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood test, Computerised tomogram, Gait inability, Guillain-Barre syndrome, Hypoaesthesia
Clinical narrative: Guillain Barre Syndrome, currently under treatment with Plasma exchange.  started 4/30/21
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Lumbar puncture, Magnetic resonance imaging, Muscular weakness
Clinical narrative: Guillain Barre Syndrome, currently under treatment with Plasma exchange.  started 4/30/21
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Guillain-Barre syndrome, Lumbar puncture, Magnetic resonance imaging neck, Magnetic resonance imaging thoracic, Plasmapheresis
Clinical narrative: Guillain Barre Syndrome, currently under treatment with Plasma exchange.  started 4/30/21
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Protein total, White blood cell count decreased
Clinical narrative: Guillain Barre Syndrome, currently under treatment with Plasma exchange.  started 4/30/21
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Swollen tongue
Clinical narrative: Light-headed, dizzy and felt like her tongue was very swollen after her first dose. Not to the point where she was unable to breath. Then she was "exhausted" the remainder of the day. She did not say how long her tongue was swollen, but it happen 5-10 minutes after her first dose. She recieved her second dose with us and The Pharmacy. She did not have any reaction within 30 minutes of the second vaccine. She was sent home with Benadryl just in case. Second dose recieved 5/3/21.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lymph node pain, Lymphadenopathy, Pyrexia
Clinical narrative: Swollen/tender lymph nodes under left armpit presenting about 6 hours after injection. Fever and headache presenting approximately 12-14 hours after injection
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation delayed, Oral herpes
Clinical narrative: Period delayed two weeks. My cycle is very regular but after the vaccine it was delayed two weeks from the expected date. Additionally, I had a cold sore outbreak starting on April 11.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Disorientation, Vision blurred, Visual impairment
Clinical narrative: 2/10 first dose, on 4/12 after 2nd dose that evening my eyes went completely into prisms and I could see 3 or 4 of everything and I was disoriented and it lasted about 5 minutes, then it went away then there was a change where I felt something in my eye and my right eye is extremely blurry and now there's a fog over my eye and it seems to be depleting.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: CLIENT PASSED OUT OR FAINTED AFTER RECEIVING THE VACCINE WHILE VACCINATOR WAS PROVIDING HER WITH INSTRUCTIONS. CLIENT WAS ASSISTED TO THE FLOOR. NO INJURIES OBTAINED. CLIENT CAME TO IN SECONDS AND EXPLAINED SHE OFTEN FAINTS AFTER VACCINATION. CLIENT REMAINED UPRIGHT FOR 10 MINUTES AND DRANK WATER. WHEN ABLE TO WALK, CLIENT WAS ESCORTED TO A COT IN THE MONITORING AREA AND LAID DOWN. CLIENT WAS STABLE AND REMAINED AT FACILITY FOR 30 MINUTES UNTIL ABLE TO WALK AND WAS NO LONGER LIGHT HEADED.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus in both ears.  A very loud, high-pitched "ringing" noise, like an "angry" violin, in both ears
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Neck pain, Pain
Clinical narrative: Nausea. Headache, 8/10, piercing -- radiating from neck. Patient has history of migraines. Stable, released from vaccination site.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling hot, Nausea, Pain
Clinical narrative: Approximately at 2am on 5/2/21, I began feeling nauseous and extremely hot.  Within 30 minutes, I was vomiting and went from being hot to shivering from chills. I didn?t  have a temperature reader, but I was fairly certain I was suffering from a fever. I continued to vomit and shake from chills until approximately 10am after taking Tylenol. From 10am to 11pm, I suffered from fatigue and body aches. I woke up at 11am 5/3/21 feeling no longer suffering from side effects. In addition to side effects after the vaccine, I was also suffering from head cold symptoms (sore throat, coughing, congestion). I had these symptoms start 4/30/21, so I tested for COVID-19 that day and my results came back negative.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative, Vomiting
Clinical narrative: Approximately at 2am on 5/2/21, I began feeling nauseous and extremely hot.  Within 30 minutes, I was vomiting and went from being hot to shivering from chills. I didn?t  have a temperature reader, but I was fairly certain I was suffering from a fever. I continued to vomit and shake from chills until approximately 10am after taking Tylenol. From 10am to 11pm, I suffered from fatigue and body aches. I woke up at 11am 5/3/21 feeling no longer suffering from side effects. In addition to side effects after the vaccine, I was also suffering from head cold symptoms (sore throat, coughing, congestion). I had these symptoms start 4/30/21, so I tested for COVID-19 that day and my results came back negative.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: A 16-year-old patient was inadvertently given the Johnson & Johnson COVID-19 vaccine approved for 18-years-old and older.  No adverse reactions were notes at time of vaccination or during observation time.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pain
Clinical narrative: fever (103.5 degrees), body aches, chills, nausea, fatigue, headache; beginning about 6 hours after vaccination, at its worst about 10 hours after vaccination and beginning to subside about 24 hours after vaccination; now, about 36 hours after vaccination, just fatigued
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: fever (103.5 degrees), body aches, chills, nausea, fatigue, headache; beginning about 6 hours after vaccination, at its worst about 10 hours after vaccination and beginning to subside about 24 hours after vaccination; now, about 36 hours after vaccination, just fatigued
Age: 57.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Abdominal pain upper, Arthralgia, Chills, Fatigue, Feeling cold
Clinical narrative: Very tried the first day and then second day good.  Went for a 5 K run. Right after the run my right knee starting hurting so bad that I couldnt walk on that leg.  Still today I have a knot on the back on my knee and pain when trying to stretch or pull the knee into my chest.  I cant pull the leg around to my side to stretch or sit on my knees with excessive pain.  Before the shot there was no pain in my right knee.   2nd shot dead tired the first day.  The next day hot and cold chills for two days, weak, head ache for one week and stomach pain.  Kneed still is hurting.
Age: 57.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Feeling hot, Gait disturbance, Headache, Nodule, Pain
Clinical narrative: Very tried the first day and then second day good.  Went for a 5 K run. Right after the run my right knee starting hurting so bad that I couldnt walk on that leg.  Still today I have a knot on the back on my knee and pain when trying to stretch or pull the knee into my chest.  I cant pull the leg around to my side to stretch or sit on my knees with excessive pain.  Before the shot there was no pain in my right knee.   2nd shot dead tired the first day.  The next day hot and cold chills for two days, weak, head ache for one week and stomach pain.  Kneed still is hurting.
Age: 38.0
Sex: F
Vaccine: UNK
Symptoms: Dizziness, Injection site erythema, Injection site pruritus, Injection site warmth, Nausea
Clinical narrative: My arm was sore and red then it was red all around the injection spot it was itchy and hot. I was dizzy and light headed felt like i was going to throw up.  Now my whole left arm just had a pain in it
Age: 38.0
Sex: F
Vaccine: UNK
Symptoms: Pain in extremity
Clinical narrative: My arm was sore and red then it was red all around the injection spot it was itchy and hot. I was dizzy and light headed felt like i was going to throw up.  Now my whole left arm just had a pain in it
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Echocardiogram, Electrocardiogram, Hypoaesthesia
Clinical narrative: Arm went numb within and hr.  Resulted in multiple neurological symptoms .  Face numbness, leg weakness and numbness.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Lumbar puncture, Magnetic resonance imaging, Muscular weakness, Neurological symptom
Clinical narrative: Arm went numb within and hr.  Resulted in multiple neurological symptoms .  Face numbness, leg weakness and numbness.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle twitching
Clinical narrative: intermittent twitching of the muscle at the location of the injection site
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Burning sensation, Pruritus, Rash
Clinical narrative: I woke up the morning after the vaccination with a rash between my breasts approximately 4 inches long. I have had shingles twice as well as the shingrix vaccine, but it looked and felt just like shingles. It was itchy, and it burned to touch or scratch the rash. After three days of no healing without treatment, I went to an urgent care facility on 5/2/21 where they said it appears to be shingles. They prescribed Valacyclovir as well as Triderm cream.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster, Pain of skin, Rash, Rash macular, Sensitive skin
Clinical narrative: Dose 1 (lot no. ER8730) was 03/24/2021 at same pharmacy.  Dose 2 (described above) was 04/21/2021.  I started feeling very sensitive skin when I woke up the morning of 04/28/2021.  On 05/01/2021 red splotches began to appear on my right shoulder, upper chest, and neck.  The skin from the top of my scalp (right side) to my right hand is sensitive.  The condition has been diagnosed as shingles.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Cough, Dyspnoea, Myalgia
Clinical narrative: Pt developed chest pain 30 mins after vaccination, associated with feeling of shortness of breath and persistent cough that has lasted for 7 days.  She developed fever/chills/muscle aches 14 hours after vaccination that lasted for 1-2 days and then resolved.  Pt referred from our health center to local ED  for more thorough evaluation to r/o PE.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Pt developed chest pain 30 mins after vaccination, associated with feeling of shortness of breath and persistent cough that has lasted for 7 days.  She developed fever/chills/muscle aches 14 hours after vaccination that lasted for 1-2 days and then resolved.  Pt referred from our health center to local ED  for more thorough evaluation to r/o PE.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Dizziness, Exposure during pregnancy, Malaise, Nausea
Clinical narrative: I got really sick where I could not sit up, severe nausea and vomiting, body aches and dizziness, malaise and abdominal pain, lasting for several days and then they stopped. At the time of the vaccine I was 15 weeks pregnant.  I went to urgent care and got a Covid test.  An ultrasound was also performed to monitor the baby.  My estimated date of delivery: 08-01-2021.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, SARS-CoV-2 test, Ultrasound antenatal screen, Vomiting
Clinical narrative: I got really sick where I could not sit up, severe nausea and vomiting, body aches and dizziness, malaise and abdominal pain, lasting for several days and then they stopped. At the time of the vaccine I was 15 weeks pregnant.  I went to urgent care and got a Covid test.  An ultrasound was also performed to monitor the baby.  My estimated date of delivery: 08-01-2021.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Blood glucose abnormal, Blood test, Computerised tomogram, Confusional state
Clinical narrative: I received my vaccine in a drive through clinic held in a parking garage. I waited in my car after the vaccine. Right before I was told i could leave I started to get a headache but it wasn't until I left the garage and he sun was super bright did I realize I was having a migraine. My headache was piercing and I could not handle the bright light, I almost had to pull over. I do not have a history of migraines. I got home and went to bed immediately and had to lay still because the migraine was so bad. By 3 pm I had started vomiting, dizzy, unable to tolerate any light, was shaking and my body was hurting in my joints and abdomen. By 4 pm I was not talking clearly and was neurologically confused and my husband took me to the ER. They had to give me several medications to reverse the migraine and nausea.  They said I had a complex migraine and my blood sugar was elevated near 200 (had not eaten all day and normally do not have high bloodsugar). The doctor said it appeared my body was having an adverse autoimmune response.  Since the reaction I have gained 10 lbs and have an appt with an endocrinologist to follow up on reaction
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Migraine, Nausea, Pain
Clinical narrative: I received my vaccine in a drive through clinic held in a parking garage. I waited in my car after the vaccine. Right before I was told i could leave I started to get a headache but it wasn't until I left the garage and he sun was super bright did I realize I was having a migraine. My headache was piercing and I could not handle the bright light, I almost had to pull over. I do not have a history of migraines. I got home and went to bed immediately and had to lay still because the migraine was so bad. By 3 pm I had started vomiting, dizzy, unable to tolerate any light, was shaking and my body was hurting in my joints and abdomen. By 4 pm I was not talking clearly and was neurologically confused and my husband took me to the ER. They had to give me several medications to reverse the migraine and nausea.  They said I had a complex migraine and my blood sugar was elevated near 200 (had not eaten all day and normally do not have high bloodsugar). The doctor said it appeared my body was having an adverse autoimmune response.  Since the reaction I have gained 10 lbs and have an appt with an endocrinologist to follow up on reaction
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Photophobia, Tremor, Vomiting
Clinical narrative: I received my vaccine in a drive through clinic held in a parking garage. I waited in my car after the vaccine. Right before I was told i could leave I started to get a headache but it wasn't until I left the garage and he sun was super bright did I realize I was having a migraine. My headache was piercing and I could not handle the bright light, I almost had to pull over. I do not have a history of migraines. I got home and went to bed immediately and had to lay still because the migraine was so bad. By 3 pm I had started vomiting, dizzy, unable to tolerate any light, was shaking and my body was hurting in my joints and abdomen. By 4 pm I was not talking clearly and was neurologically confused and my husband took me to the ER. They had to give me several medications to reverse the migraine and nausea.  They said I had a complex migraine and my blood sugar was elevated near 200 (had not eaten all day and normally do not have high bloodsugar). The doctor said it appeared my body was having an adverse autoimmune response.  Since the reaction I have gained 10 lbs and have an appt with an endocrinologist to follow up on reaction
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Nasal congestion, Rhinorrhoea
Clinical narrative: Cough  Headache  Congestion or running nose
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, SARS-CoV-2 test positive
Clinical narrative: Cough  Headache  Congestion or running nose
Age: 51.0
Sex: F
Vaccine: UNK
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: Red itchy rash on neck and chest for one week and then reoccurring 3 times. 3rd time rash is on neck and chest as well as right arm.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Lymphadenopathy, Myalgia, Nausea, Pyrexia
Clinical narrative: Fatigue, muscle aches, fever, nausea, and swollen lymph nodes in left arm
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Erythema, Rash, Rash pruritic, Swelling
Clinical narrative: Pt has had a rash on neck and face X 3 days. She reports its slightly itchy, swollen and red. Not painful. It started on neck and spread to face. No fever, no trouble breathing. Very slight tight feeling in her throat yesterday with mild difficult in swallowing, but otherwise no issues swallowing/breathing today. Had first dose of covid pfizer vaccine 10 days ago. Has tried benadryl and hydrocortisone (one dose/application each) with no significant improvement.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: Pt has had a rash on neck and face X 3 days. She reports its slightly itchy, swollen and red. Not painful. It started on neck and spread to face. No fever, no trouble breathing. Very slight tight feeling in her throat yesterday with mild difficult in swallowing, but otherwise no issues swallowing/breathing today. Had first dose of covid pfizer vaccine 10 days ago. Has tried benadryl and hydrocortisone (one dose/application each) with no significant improvement.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Developed Shingles outbreak.  No reason for it.  Had them before - maybe 25 years ago.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Cold sweat, Fatigue, Feeling abnormal
Clinical narrative: I felt awful for 2 -3 days after the second vaccine shot (weak, muscle fatigue, joint pains, nausea, cold sweats, racing heartbeat, just overall exhaustion). I felt a little bit better day 4 and went back to my normal activities, but then felt awful again on Monday. I have had some "good days" where I just feel weak and tired, but other days are worse and I have to stay in bed from weakness.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle fatigue, Nausea, Palpitations
Clinical narrative: I felt awful for 2 -3 days after the second vaccine shot (weak, muscle fatigue, joint pains, nausea, cold sweats, racing heartbeat, just overall exhaustion). I felt a little bit better day 4 and went back to my normal activities, but then felt awful again on Monday. I have had some "good days" where I just feel weak and tired, but other days are worse and I have to stay in bed from weakness.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Pruritus, Tremor, Urticaria
Clinical narrative: Shakes, dizziness, hives(mild), itchiness -- took benadryl
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Electrocardiogram, Hypoaesthesia oral, Nausea, Pruritus
Clinical narrative: Pt was given the Moderna COVID vaccine at 1141.  At 1150, she reported that she was nauseous and itchy.  Pt received Benadryl 50 mg IM and one dose of Epipen.  She continued to c/o itchiness and began to have numb lips, throat irritation and chest tightness.  She was transported to the ER and was subsequently admitted to our inpatient floor for observation overnight and discharged on 5/1.  On 5/2, she was readmitted for observation after her symptoms returned and was discharged later that day.  During her stay, she received Benadryl, Zyrtec, epinephrine, solumedrol, albuterol and pulmicort nebs, famotidine, hydroxyzine, prevacid, and prednisone.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: Pt was given the Moderna COVID vaccine at 1141.  At 1150, she reported that she was nauseous and itchy.  Pt received Benadryl 50 mg IM and one dose of Epipen.  She continued to c/o itchiness and began to have numb lips, throat irritation and chest tightness.  She was transported to the ER and was subsequently admitted to our inpatient floor for observation overnight and discharged on 5/1.  On 5/2, she was readmitted for observation after her symptoms returned and was discharged later that day.  During her stay, she received Benadryl, Zyrtec, epinephrine, solumedrol, albuterol and pulmicort nebs, famotidine, hydroxyzine, prevacid, and prednisone.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Pustule, Rash, Scab
Clinical narrative: EXTREMELY ITCHY full body rash including entire left arm, entire right arm, both underarms, right trunk, both legs, right groin. Raised red itchy bumps, some becoming pustules and bursting to scab over.   Moderna COVID-19 Vaccine EUA
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: A medical assistant put the epired dose vial back in the fridge instead of throwing awaye on 04/30/2021.  Another medical assistant unknowingly drew up and administred this vaccine to patient.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Mobility decreased, Pain, Pain in extremity
Clinical narrative: The day after the vaccine my left arm hurt, and I thought it was normal. After two days I was in a lot of pain and I couldn't lift my arm up. I have to lay on the other side at nights because it hurts. It is constant pain and Motrin does not help the pain. It is still painful at the end of the day after three weeks.  I went to the ER and they thought that it was nerve damage from the vaccine administration. I was given Steroids which helped a little at first but then the pain returned. It was only a three day course because I am Diabetic and it effects my blood sugar. I can raise my arm a little now but not above my head.  Three weeks after the vaccine my right ear started to ring and it was very intense and I couldn't hear for about four hours. I went to the ER and all the tests were negative. The ringing in my ears is still coming and going. It is very sensitive to sound and it is hard for me to hear. If there is any loud noise the ringing becomes very uncomfortable. It feels like I need to pop my ear all the time. I was told it might be related to the vaccine. I have never experienced anything like this before.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder, Tinnitus
Clinical narrative: The day after the vaccine my left arm hurt, and I thought it was normal. After two days I was in a lot of pain and I couldn't lift my arm up. I have to lay on the other side at nights because it hurts. It is constant pain and Motrin does not help the pain. It is still painful at the end of the day after three weeks.  I went to the ER and they thought that it was nerve damage from the vaccine administration. I was given Steroids which helped a little at first but then the pain returned. It was only a three day course because I am Diabetic and it effects my blood sugar. I can raise my arm a little now but not above my head.  Three weeks after the vaccine my right ear started to ring and it was very intense and I couldn't hear for about four hours. I went to the ER and all the tests were negative. The ringing in my ears is still coming and going. It is very sensitive to sound and it is hard for me to hear. If there is any loud noise the ringing becomes very uncomfortable. It feels like I need to pop my ear all the time. I was told it might be related to the vaccine. I have never experienced anything like this before.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Hyperhidrosis
Clinical narrative: Flusing/sweating, dizziness. Patient laid down, given water. Stable & released from vaccination site.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Nodule
Clinical narrative: red lump on hip
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle twitching
Clinical narrative: Approximately 2 days after second shot, my right arm (not the arm injected) started involuntarily twitching periodically throughout the day.  It happens about 5 - 7 times per day and has not gone away since it started.  I have no history of this occurring previously.  I believe it is neurological as I can concentrate on the twitch and it will stop.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: HIV antibody negative, Herpes simplex, Oral mucosal eruption, Oral pain, Rash
Clinical narrative: Moderna COVID-19 Vaccine EUA  Patient developed copious purulent vaginal discharge along with vaginitis. Patient notes "white bumps" on her legs and in her mouth. Sores in mouth are very painful and make it uncomfortable to talk.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Rheumatoid factor positive, Stomatitis, Vaginal discharge, Vaginal infection
Clinical narrative: Moderna COVID-19 Vaccine EUA  Patient developed copious purulent vaginal discharge along with vaginitis. Patient notes "white bumps" on her legs and in her mouth. Sores in mouth are very painful and make it uncomfortable to talk.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: A 17-year-old patient was inadvertently given the Johnson & Johnson COVID-19 vaccine approved for 18-years-old and older.  No adverse reactions were notes at time of vaccination or during observation time.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Full blood count normal, Heart rate decreased, Hypotension, Loss of consciousness
Clinical narrative: The next morning I was standing and passed out.  Was sat down and passed out again and while down I was advised I developed a rash that moved up my neck, chest and face and was really tingly which did go away on its own later that day.  My BP an HR went extremely low  also
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Rash, SARS-CoV-2 test negative
Clinical narrative: The next morning I was standing and passed out.  Was sat down and passed out again and while down I was advised I developed a rash that moved up my neck, chest and face and was really tingly which did go away on its own later that day.  My BP an HR went extremely low  also
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Dizziness
Clinical narrative: 61 y/o male with past medical history of HTN and Hypercholesterolemia, who presents with dizziness onset after vaccination. Patient states that this is his 2nd vaccination in two-dose series. Patient denies reaction to first vaccination, states that he went home and went to sleep. Patient received the vaccination to the Left arm. NP and Paramedics at patient side. Patient placed on cot and placed in Trendelenburg. Patient vitals within normal limits of his medical history (145/95 BP, 77 HR, 14 Resp, 98% RA, Glucose 149). Patient observed for 25 minutes with resolution of symptoms. Patient states that he is going to go to his mothers? house to sleep. Patient cleared to be discharged home.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Cerebrovascular accident, Computerised tomogram, Electrocardiogram, Magnetic resonance imaging
Clinical narrative: Minor Stroke or TIA.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Transient ischaemic attack
Clinical narrative: Minor Stroke or TIA.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Nausea, Pain, Rash
Clinical narrative: Mouth watering 15 mins after being injected with 2nd dose.  Hour later chills and fatigue.  Next day pain throughout my entire body and nausea.  Two days later rash on arm.  Fine now.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Secretion discharge
Clinical narrative: Mouth watering 15 mins after being injected with 2nd dose.  Hour later chills and fatigue.  Next day pain throughout my entire body and nausea.  Two days later rash on arm.  Fine now.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Head discomfort, Paraesthesia, Paraesthesia oral
Clinical narrative: Pt says within about 15 minutes of vaccine, she had tingling in hands and feet, tingling in her upper lip, and she felt like there was a rubber band around her head.  I ave her water and referred her to the urgent care next door. When I followed up with her today (5.3), she says the symptoms self-resolved and she never received any actual medical attention
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Herpes zoster, Impetigo, Rash
Clinical narrative: Blisters/rash on chin. Went to Dr 4/15 was giving an antibiotic cream, 4/16 went to urgent care and diagnosed Impetigo, went to dermatologist on 4/28 treated fro shingles.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Pyrexia
Clinical narrative: Symptoms:  Fever of 102.7, Chills, and Weakness. Treatment:  Extra Strength Tylenol Tylenol reduced fever to low-grade 100.2
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal pain upper, Gait disturbance
Clinical narrative: Within a few hours I experienced severe stomach cramping. The cramping has turned into chronic gut pain, possibly ovarian/uterus. Its become uncomfortable for me to even walk, which is surprising because I'm very active and fit. I can press into my lower right gut and feel isolated pain, like the vaccine put a hole in my intestines. It doesn't hurt to digest food, but when my bowel is activated I feel jolts of pain in the localized spot.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Fatigue, Headache, Pyrexia, Somnolence
Clinical narrative: Expected side effects were experienced for three days, including low grade fever, headache, stomach cramps. Fourth day and until now continued exhaustion not relieved by sleeping 8 hours plus intermittent napping.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysarthria, Paraesthesia, Rash, Tongue eruption
Clinical narrative: Three hours after receiving my first Covid vaccine, I suddenly got two large bumps on my tongue. About a minute later, I couldn't speak clearly. Next, I got extremely dizzy, to the point I couldn't stand up. After that, I got a rash across my chest, then my shin started tingling. Finally, my scalp started tingling as well. This went on for about 10 minutes and then each symptom went away, one by one, until I was completely fine, as if it never occurred. I had not gone anywhere or done anything out of the ordinary that day besides drive from my home office to the fairgrounds for my shot and then came straight home. I don't know if I am supposed to get my second shot on 5/17/21, as my doctor told me I need to talk to the CDC.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chills, Dizziness, Feeling abnormal, Pyrexia
Clinical narrative: Chills, fever, stomach upset, dizziness, rash over entire body, brain fog
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Chills, fever, stomach upset, dizziness, rash over entire body, brain fog
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swollen lymph nodes by clavicle and armpits
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Axillary pain, Body temperature increased, Diarrhoea, Fatigue
Clinical narrative: 05/01 Day after shot i ran 99.5 temp. Trouble sleeping.  Next morning (05/02) woke up with whiplash feel in left shoulder and neck, very tired. 9pm on (05/02) began running 100.5 temp and pain in left armpit and left side of neck and shoulder still hurting.  This morning (05/03) still have 99.3 temp, diarrhea  and left armpit,neck and shoulder still hurting.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Neck pain, Sleep disorder
Clinical narrative: 05/01 Day after shot i ran 99.5 temp. Trouble sleeping.  Next morning (05/02) woke up with whiplash feel in left shoulder and neck, very tired. 9pm on (05/02) began running 100.5 temp and pain in left armpit and left side of neck and shoulder still hurting.  This morning (05/03) still have 99.3 temp, diarrhea  and left armpit,neck and shoulder still hurting.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Dizziness, Hyperhidrosis, Malaise, Nausea
Clinical narrative: Client received 2nd dose of COVID-19 vaccine at 3:26pm. At 3:32pm RN was notified that client was not feeling well and had requested water. Check in with client who reported he was feeling dizzy and nauseous. Took client to cot by wheel chair. Check pulse (92bpm) and pulse ox (95 SpO2). Gave cold compress for neck and forehead. Client vomited small amount of yellow vomitous. Client grey/ashen in color when mask removed. LPN assesed for neck/back, jaw, and shoulder pain. Client became diaphoretic and he removed his vest. Client stated he had jaw pain and pain in back. Also reported arm pain and felling tired a few days before. EMS called. Interpreter used for interaction at cot.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pain in jaw, Pallor, Vomiting
Clinical narrative: Client received 2nd dose of COVID-19 vaccine at 3:26pm. At 3:32pm RN was notified that client was not feeling well and had requested water. Check in with client who reported he was feeling dizzy and nauseous. Took client to cot by wheel chair. Check pulse (92bpm) and pulse ox (95 SpO2). Gave cold compress for neck and forehead. Client vomited small amount of yellow vomitous. Client grey/ashen in color when mask removed. LPN assesed for neck/back, jaw, and shoulder pain. Client became diaphoretic and he removed his vest. Client stated he had jaw pain and pain in back. Also reported arm pain and felling tired a few days before. EMS called. Interpreter used for interaction at cot.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Blood glucose increased, Blood lactic acid increased, Chest X-ray normal, Computerised tomogram thorax
Clinical narrative: Pulmonary embolism of right lung. Required hospitalization x1 overnight. Was started on enoxaparin inpatient, then transitioned to Eliquis 10mg twice daily with intent to drop down to 5mg daily. Presented to ER on 3/3/21 with chest pain. Patient continues to follow up in clinic.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test normal, Pulmonary embolism, White blood cell count increased
Clinical narrative: Pulmonary embolism of right lung. Required hospitalization x1 overnight. Was started on enoxaparin inpatient, then transitioned to Eliquis 10mg twice daily with intent to drop down to 5mg daily. Presented to ER on 3/3/21 with chest pain. Patient continues to follow up in clinic.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Hot flush, Motion sickness
Clinical narrative: Fever, chills, hot flashes, nausea, dizziness, swelling from my shoulder blade down to my fingertips, muscle weakness in my legs, shivering while under 4 blankets, tiredness, continuing mild nausea and motion sickness, continuing swelling of my upper left arm after 5 days
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Nausea, Peripheral swelling, Pyrexia
Clinical narrative: Fever, chills, hot flashes, nausea, dizziness, swelling from my shoulder blade down to my fingertips, muscle weakness in my legs, shivering while under 4 blankets, tiredness, continuing mild nausea and motion sickness, continuing swelling of my upper left arm after 5 days
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Nasal congestion, Oropharyngeal pain
Clinical narrative: On 4/25/21 he began experiencing congestion, sore throat, fevers, loss of taste and smell. He recently returned from travelling and tested negative for COVID on 4/23/21.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: On 4/25/21 he began experiencing congestion, sore throat, fevers, loss of taste and smell. He recently returned from travelling and tested negative for COVID on 4/23/21.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The excursion expiration date of 7 days thawed in refrigerator was followed because of the Pfizer email approving  the 7 day. Pharmacy policy was to follow the expiration of 5 days.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Blood potassium decreased, Chest pain, Electrocardiogram abnormal, Full blood count normal, Heart rate increased
Clinical narrative: Moderna COVID-19 Vaccine EUA: patient seen in emergency department two hours and seven days after vaccination for tachycardia and chest pain.  First visit pulse 125 beats per minute, bloodp ressure 186/108 mmHg, rest of vitals within normal ranges. Patient administered intravenous fluids, Maalox + lidocaine, NSAID, and discharged to home stable when symptoms resolved and vitals improved. Second visit pulse 103 beat per minute, blood pressure 170/101 mmHg, rest of vitals within normal ranges. No medications administered and patient discharged to home stable when symptoms resolved and vitals improved with prescription for antihypertnsive medication.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertension, Laboratory test normal, Liver function test normal, Tachycardia, Troponin normal
Clinical narrative: Moderna COVID-19 Vaccine EUA: patient seen in emergency department two hours and seven days after vaccination for tachycardia and chest pain.  First visit pulse 125 beats per minute, bloodp ressure 186/108 mmHg, rest of vitals within normal ranges. Patient administered intravenous fluids, Maalox + lidocaine, NSAID, and discharged to home stable when symptoms resolved and vitals improved. Second visit pulse 103 beat per minute, blood pressure 170/101 mmHg, rest of vitals within normal ranges. No medications administered and patient discharged to home stable when symptoms resolved and vitals improved with prescription for antihypertnsive medication.