chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site pain, Injection site rash
Clinical narrative: Day 9 rash started below where I got the vaccine, continued to increase in size till maximum of 10 cm by 13 cm.  Tissue beneath rash  varies between tender to painful with areas of hardness.  Treated with hydrocortisone cream until I saw health care provider 9 days after rash began then changed to betamethasone.  This is day 21, rash light pink now but tenderness remains mostly in area around injection site measuring approximately 5 cm by 5 cm.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Oral discomfort, Paraesthesia oral, Tongue discomfort
Clinical narrative: Difficulty swallowing, tingling and burning on tongue and lips. Epi was given prior to coming to the ER. Patient also took 50 mg benadryl by mouth one hour prior to arrival.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Erythema, Headache, Injection site pain
Clinical narrative: Symptoms of a fever (chills, sensitive skin, headache, dizziness) beginning ~12hrs after the injection and subsiding ~ 24hrs after the injection. 48hrs after the injection began to experience ?Covid arm?.  Red swelling that is warm to the touch and slight itchiness.  Extends around from the tricep to bicep and mostly below the injection site, down to near the elbow. No pain besides that of a normal IM vaccination.  Currently still experiencing the symptoms, but not taking any treatment as none are necessary.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral swelling, Pruritus, Pyrexia, Sensitive skin, Skin warm
Clinical narrative: Symptoms of a fever (chills, sensitive skin, headache, dizziness) beginning ~12hrs after the injection and subsiding ~ 24hrs after the injection. 48hrs after the injection began to experience ?Covid arm?.  Red swelling that is warm to the touch and slight itchiness.  Extends around from the tricep to bicep and mostly below the injection site, down to near the elbow. No pain besides that of a normal IM vaccination.  Currently still experiencing the symptoms, but not taking any treatment as none are necessary.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea, Pain
Clinical narrative: for 24 hours I had extreme body aches, headache, nausea, fatigue
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue
Clinical narrative: I was just very fatigued for two days and could hardly get out of bed to work.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Flushing
Clinical narrative: Facial flushing and dizziness, symptoms resolved with time. Observed by Dr. Pt discharged home.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Limb discomfort, Rash pruritic, Urticaria
Clinical narrative: itchy hives/rash on right ankle and top of foot continued to next day. Similar to my reaction to iodine injection for previous MRI
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dry skin, Erythema, Rash macular
Clinical narrative: 1st Vaccine Injection:  I developed small red spots on my arms and hands bilaterally, and also developed a red, rough, dry patch of skin on my left supra-pubic area for which I had continual itching for a period of 2 weeks.     2nd Vaccine Injection:  I developed a cylindrical area on my supra-pubic area approximately 1 week after the injection, which continues intermittently at this time ( over 1 month later) becoming slightly red with a rough, dry patch of skin on the right side of the area.
Age: 76.0
Sex: F
Vaccine: UNK
Symptoms: Blood test, Cognitive disorder, Condition aggravated, Loss of personal independence in daily activities, Magnetic resonance imaging
Clinical narrative: Mom went from occasional resting tremor to FULL ON shaking non stop uncontrollably.  She can no longer hold a glass or put in her hearing aids, or any task that requires her to be exact.  She also seems to have advanced dramatically related to cognitive decline.
Age: 76.0
Sex: F
Vaccine: UNK
Symptoms: Tremor, Urine analysis
Clinical narrative: Mom went from occasional resting tremor to FULL ON shaking non stop uncontrollably.  She can no longer hold a glass or put in her hearing aids, or any task that requires her to be exact.  She also seems to have advanced dramatically related to cognitive decline.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Crying, Depression, Feeling abnormal, Sleep disorder, Suicidal ideation
Clinical narrative: About 3:30 am. awoke crying which has never happen. Low feeling of depression lasted for 49 hours. Felt like a totally different human being. At that time, also experienced suicidal thoughts.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Feeling abnormal, Feeling cold, Gastrooesophageal reflux disease
Clinical narrative: I received the vaccine at 4:30 PM and later that night, I had a headache and I felt very out of it. By the end of the day; however, I was feeling better. The next day, I woke up around 5 AM and my muscles were all tensing very strongly and I could not stop shaking. This went on for about 30 minutes, and then I stopped shaking and tensing  so much, though my muscles still felt a bit tense. I can't really eat in the morning, so I drank two glasses of water over the course of a few hours and took 2 acetaminophen. I stayed in bed until around 10 AM. Then, I took a shower, but while taking it, I felt very lightheaded and my vision had some black spots, and I had to sit down several times. After I got out, I tried to eat something, but then I felt really nauseous and had acid reflux for at least 30 minutes. Afterwards, I drank a bit of water and went back to bed. My muscles started tensing and shaking again, though not quite as intensely as when I first woke up. I felt very cold, so I turned up the heat and put on warm clothes. I fell asleep for about 20 minutes around 12, and when I woke up I felt a little less nauseous and headache-y. I stayed in bed for an hour, and I ate some pudding over the course of an hour or two, but I thinking about eating much else made me feel nauseous. I fell asleep around 5:30 and woke up again around 7:30. I felt better after waking up, but still had a bit of a headache and my muscles were slightly tense. On Sunday and Monday (today) I felt about the same, physically tired but otherwise mostly ok.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Muscle tightness, Nausea, Tremor, Visual impairment
Clinical narrative: I received the vaccine at 4:30 PM and later that night, I had a headache and I felt very out of it. By the end of the day; however, I was feeling better. The next day, I woke up around 5 AM and my muscles were all tensing very strongly and I could not stop shaking. This went on for about 30 minutes, and then I stopped shaking and tensing  so much, though my muscles still felt a bit tense. I can't really eat in the morning, so I drank two glasses of water over the course of a few hours and took 2 acetaminophen. I stayed in bed until around 10 AM. Then, I took a shower, but while taking it, I felt very lightheaded and my vision had some black spots, and I had to sit down several times. After I got out, I tried to eat something, but then I felt really nauseous and had acid reflux for at least 30 minutes. Afterwards, I drank a bit of water and went back to bed. My muscles started tensing and shaking again, though not quite as intensely as when I first woke up. I felt very cold, so I turned up the heat and put on warm clothes. I fell asleep for about 20 minutes around 12, and when I woke up I felt a little less nauseous and headache-y. I stayed in bed for an hour, and I ate some pudding over the course of an hour or two, but I thinking about eating much else made me feel nauseous. I fell asleep around 5:30 and woke up again around 7:30. I felt better after waking up, but still had a bit of a headache and my muscles were slightly tense. On Sunday and Monday (today) I felt about the same, physically tired but otherwise mostly ok.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Immediate post-injection reaction
Clinical narrative: I felt extremely dizzy right after getting the shot. I have a history of dizziness associated with an acoustic neuroma that I have, but was not dizzy at all before getting the shot. I was asked to sit for a half hour before leaving. The dizziness subsided in about 15-20 minutes. No other side effect other than sore arm.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Diarrhoea, Fatigue, Myalgia, Pyrexia
Clinical narrative: Fever of 101°f. Joint pain, Fatigue, Muscle aches. Beginning about 10 hours after vaccination. Lasting about 16 hours. Vomiting and diarrhea with fever of 99°f about 60 hours after vaccination.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Fever of 101°f. Joint pain, Fatigue, Muscle aches. Beginning about 10 hours after vaccination. Lasting about 16 hours. Vomiting and diarrhea with fever of 99°f about 60 hours after vaccination.
Age: 24.0
Sex: M
Vaccine: FLUC4, TDAP
Symptoms: Hypotension, Syncope
Clinical narrative: Hypotension, syncope
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Administration error.  Patient received 0.3 ml instead of 0.5 ml.  Per CDC guidelines dose was not repeated.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Paraesthesia oral
Clinical narrative: wooziness, tongue felt funny
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood calcium decreased, Blood sodium decreased, COVID-19, Dehydration
Clinical narrative: Patient was admitted to hospital on 3/3/21 for weakness and dehydration. Had presented to ED with nausea, vomiting, and diarrhea for 3 days.  Tested COVID 19 positive. Found to be hyponatremic.  Was treated with IV fluids.  Discharged on 3/6/21. Follow labs on 3/8/21.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Full blood count, Hyponatraemia, Metabolic function test, Nausea
Clinical narrative: Patient was admitted to hospital on 3/3/21 for weakness and dehydration. Had presented to ED with nausea, vomiting, and diarrhea for 3 days.  Tested COVID 19 positive. Found to be hyponatremic.  Was treated with IV fluids.  Discharged on 3/6/21. Follow labs on 3/8/21.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vomiting
Clinical narrative: Patient was admitted to hospital on 3/3/21 for weakness and dehydration. Had presented to ED with nausea, vomiting, and diarrhea for 3 days.  Tested COVID 19 positive. Found to be hyponatremic.  Was treated with IV fluids.  Discharged on 3/6/21. Follow labs on 3/8/21.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Patient called several hours after being vaccinated and said a rash developed on her arms and legs
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Throat irritation, Urticaria
Clinical narrative: Gave shot, patients throat started to itch, and face got red with hives.  Gave 25 mg benydrl and called EMS
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling, Pruritus
Clinical narrative: Moderna COVID-19 Vaccine EUA   Near the arm I had vaccine, my arm has an area that is red, swelling and a bit itcy. Now the area is getting bigger after 2 weeks.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Myalgia, X-ray
Clinical narrative: After first injection, I felt that my left rotary cuff tore. Then my right starting to feel the same. Went to Doctor, got Xray and initial assessment with only minor arthritis. But could not tell why the pain unless it was a tear. I describe this as sever joint pain at the rotarty cuff. Symptoms got better (not fully resolved) before next immunization. After 2nd shot, the next day my joint on the shoulder hurt but then my knee (which I have lived with out a ACL hurt a ton and swelled up). I also noticed muscle pain on the extremities and joint pain and minor swelling on finger joints. I do not have a history of arthritis and not prevalent in my family history.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Hypertension, Palpitations
Clinical narrative: 10 minutes after COVID vaccine was administered, pt reported facial flushing to pharmacy staff. Per pt, her heart is pounding. RPh checked the blood pressure of the patient, blood pressure reading was 168/60, HR was 77. RPh spoke to another RPh in the store, RPh reported that BP was high for patient and per RPh if we administer EpiPen that can increase the patient's blood pressure even more. RPh gave the patient Benadryl 50 mg. RPh spoke to patient and patient's husband, he recommended to visit the nearest urgent care.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Pain
Clinical narrative: Sore at sight annoying headaches , body aches and fatigue still going on  Taking Tylenol and   Ibuprofen
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Bed rest, Chills, Headache, Influenza like illness, Nausea
Clinical narrative: Beginning eight hours after injection,  severe flu-like symptoms - high fever, headache, chills, shakes, nausea and vomitting.  Confined to bed for 24 hours. Fever broke  the next evening,  One additional day required to return to normal activity.  Also, several hours following administering of vaccine, upper left arm was in extreme pain extending to the elbo.  Continued to be very sore for 36 hours, and slightly bothersome for 72 hours.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Tremor, Vomiting
Clinical narrative: Beginning eight hours after injection,  severe flu-like symptoms - high fever, headache, chills, shakes, nausea and vomitting.  Confined to bed for 24 hours. Fever broke  the next evening,  One additional day required to return to normal activity.  Also, several hours following administering of vaccine, upper left arm was in extreme pain extending to the elbo.  Continued to be very sore for 36 hours, and slightly bothersome for 72 hours.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Headache, Injection site urticaria, Myalgia
Clinical narrative: Reaction began with a headache, hives surrounding the injection site,  and arm soreness 1 week after receiving the vaccine. Within 12 hours of the initial symptoms additional symptoms of muscle soreness, fatigue, low appetite, and low-grade fever developed. All of these symptoms lasted for 5 days.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Reaction began with a headache, hives surrounding the injection site,  and arm soreness 1 week after receiving the vaccine. Within 12 hours of the initial symptoms additional symptoms of muscle soreness, fatigue, low appetite, and low-grade fever developed. All of these symptoms lasted for 5 days.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Urticaria
Clinical narrative: 1ST DAY PATIENT HAD HIVES AND WAS TIRED TOOK BENADRYL 2ND DAY WENT TO WALK IN CLINIC AND GOT A CORTISONE SHOT 3RD DAY HIVES IN MOUTH AND DOWN THROAT TAKING PREDNISONE, A STEROID OINT, BENADRYL  EVERY 4 HOURS AND PEPCID AC
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dehydration, Pain, Pyrexia
Clinical narrative: Severe body aches. Fever 101 for 5 hours. Tylenol didn?t help. Dehydrated.  Could not get up by myself without help.  Very weak.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Diarrhoea, Flatulence, Haematochezia
Clinical narrative: 2/23 5am diarrhea in bed with some blood; 24th  diarrhea, 2 bouts in a.m. at 7 pm stomach pain, gas, nauseus sweating chills, 25th woke up feeling better, but in the night again complained of stomach pain and nausea; on 26th again some liquid diarrhea in bed (Blood?)  Since 28th no problems
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Nausea
Clinical narrative: 2/23 5am diarrhea in bed with some blood; 24th  diarrhea, 2 bouts in a.m. at 7 pm stomach pain, gas, nauseus sweating chills, 25th woke up feeling better, but in the night again complained of stomach pain and nausea; on 26th again some liquid diarrhea in bed (Blood?)  Since 28th no problems
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Hyperhidrosis, Presyncope
Clinical narrative: Pre syncopal , dizzy, flushing, diaphoretic. Evaluated by EMS-Cleared
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Loss of personal independence in daily activities, Myalgia
Clinical narrative: 10 days of muscle and joint pain.  Extreme difficulty with perform daily activities.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Pt. received his second moderna vaccine on 03/05/2021 and his son reported that the pt. passed away after receiving his vaccine.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis
Clinical narrative: Sweating, without fever
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Axillary pain
Clinical narrative: Left armpit was sore and tender the day after injection and lasted about 3 days.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lymph node pain
Clinical narrative: Left armpit was sore and tender the day after injection and lasted about 3 days.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Hyperhidrosis, Nausea
Clinical narrative: 1115: After receiving the Covid vaccine, the patient c/o feeling weak, nauseous & diaphoretic 1117: Pt supine in driver seat, alert. BP 100/-- HR 37; repeat BP 100/60 HR 43 SpO2 96-100%. O2 2L N/C given to pt.  Juice given.   1121: HR 60 SpO2 98%  Pt alert & talking 1142: BP 98/64 HR 68 1205: Pt released home
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: dizziness. Evaluated by EMS-Cleared
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Agitation, Eye pruritus, Flushing, Headache
Clinical narrative: 24 hours after the injection I started to flush on my face neck and ears. I itched all over especially my eyes and throat. I was very agitated and shaking. I took an allergy Med at 2 pm and again at 7pm. The 2 Nd dose calmed me enough to get to sleep around 11pm. I was very close to going to the ER. In the morning I had a stomach ache like I have experienced before with and allergic reaction. Cramping pain , it lasted all day there was no nausea. The 3 day a headache that seemed appropriate for the vaccine.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Muscle spasms, Pain, Pruritus, Throat irritation
Clinical narrative: 24 hours after the injection I started to flush on my face neck and ears. I itched all over especially my eyes and throat. I was very agitated and shaking. I took an allergy Med at 2 pm and again at 7pm. The 2 Nd dose calmed me enough to get to sleep around 11pm. I was very close to going to the ER. In the morning I had a stomach ache like I have experienced before with and allergic reaction. Cramping pain , it lasted all day there was no nausea. The 3 day a headache that seemed appropriate for the vaccine.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: 24 hours after the injection I started to flush on my face neck and ears. I itched all over especially my eyes and throat. I was very agitated and shaking. I took an allergy Med at 2 pm and again at 7pm. The 2 Nd dose calmed me enough to get to sleep around 11pm. I was very close to going to the ER. In the morning I had a stomach ache like I have experienced before with and allergic reaction. Cramping pain , it lasted all day there was no nausea. The 3 day a headache that seemed appropriate for the vaccine.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea
Clinical narrative: Headache, chills, nauseous
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased activity, Erythema, Fatigue, Pain, Peripheral swelling
Clinical narrative: The second day (3/4/21) after the injection I woke up feeling rather achy. By noon I was experiencing a feeling of total body aches and nothing would take the aches away. I finally took 3 advil and the aches went from horrible to tolerable. My left arm though felt very hot to the touch and it was swelling and very red. It swelled all the way to my elbow. There was a definite distinction of where the redness and swelling started and stopped. 3/5/21 the fatigue was also a problem. Any activity was debilitating. My upper arm was swollen and red all through Sunday (3/7/21) evening. Monday (3/8/21) morning it was starting to go down.  At 5:00 pm on Monday, it is still slightly red and warm to the touch.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: The second day (3/4/21) after the injection I woke up feeling rather achy. By noon I was experiencing a feeling of total body aches and nothing would take the aches away. I finally took 3 advil and the aches went from horrible to tolerable. My left arm though felt very hot to the touch and it was swelling and very red. It swelled all the way to my elbow. There was a definite distinction of where the redness and swelling started and stopped. 3/5/21 the fatigue was also a problem. Any activity was debilitating. My upper arm was swollen and red all through Sunday (3/7/21) evening. Monday (3/8/21) morning it was starting to go down.  At 5:00 pm on Monday, it is still slightly red and warm to the touch.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Impaired work ability, Influenza like illness, Rash, Rash pruritic
Clinical narrative: I had moderate flu like symptoms the day after receiving the second dose of the Moderna Vaccine. Two days later, I developed a painful rash on my torso (under my breast on the right hand side). On  3/5 the rash spread to my back (if you drew a line from the rash on my torso to the rash on my back they would be in around the same spot on the right hand side).  The pain and itching intensified. I was able to get a Teladoc appointment. I participated in a video  appointment and had to send pictures of my rash. I was diagnosed with Shingles. I have never had Shingles prior to this. I?m only 38 years old.  The symptoms are still present with the same intensity and I am not able to work.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: After 30 minute observation period, pt. remoed her bandaid and stated she had a slight itching at the injection site.  Slight redness noted, but pt. had been scratching.  No swelling.  Denied any other symptoms and states has had allergic reactions before and this didn't feel like one.  Pt. was instructed to go to the ED if she had any worsening or concerning symptoms.  Pt. verbalized understanding.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Lip swelling, Swollen tongue
Clinical narrative: swelled tongue and lips , felt dizzy
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Diarrhoea, Dyspnoea, Fatigue, Feeding disorder
Clinical narrative: I was okay until after arriving home at which time I developed and headache and exhaustion. I went straight to bed for 2 days with headache, stomach pain, couldn't eat or drink. I started to feel a little better but still was unable to eat and was fatigued. When I did try to eat I got terrible diarrhea almost immediately. Over the next few days, realizing this was probably not normal, I contacted the advice nurse at my provider and eventually talk to a doctor on Friday (March 5). That doctor thought it sounded like I contracted COVID. I had a test that day that came back the next day negative. I have an appointment to talk to my regular doctor on Wednesday (March 10), particularly to get advise about whether to get the 2nd dose on March 20. My blood pressure has been unusually low (as low as 85/58) but is now about 120/60. I did not have a fever. My breathing has been more labored than usual, but my oxygen level is at 97% and my pulse is around 65.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypersomnia, SARS-CoV-2 test negative
Clinical narrative: I was okay until after arriving home at which time I developed and headache and exhaustion. I went straight to bed for 2 days with headache, stomach pain, couldn't eat or drink. I started to feel a little better but still was unable to eat and was fatigued. When I did try to eat I got terrible diarrhea almost immediately. Over the next few days, realizing this was probably not normal, I contacted the advice nurse at my provider and eventually talk to a doctor on Friday (March 5). That doctor thought it sounded like I contracted COVID. I had a test that day that came back the next day negative. I have an appointment to talk to my regular doctor on Wednesday (March 10), particularly to get advise about whether to get the 2nd dose on March 20. My blood pressure has been unusually low (as low as 85/58) but is now about 120/60. I did not have a fever. My breathing has been more labored than usual, but my oxygen level is at 97% and my pulse is around 65.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Myalgia, Pain in extremity, Somnolence
Clinical narrative: On 3/7/2021 after I returned home, I ate broiled, skinless chicken, salad and  small amount of corn at 5:00pm.  I started having diarrhea about 5:30pm.  Later in the evening  around 8:30pm, I had more diarrhea.  Around the same time I became very, very sleepy and had extreme fatigue.  My right arm where I received the shot did not hurt and still does not hurt.  Around 6:00pm, my left arm starting hurting in the same spot where I received the vaccine in the right arm.   On the morning of 3/8/2021, I ate breakfast consisting of whole wheat bread and peanut butter and weak coffee (my usual breakfast) and had diarrhea again soon after eating.  At 3:30pm, I ate broiled, skinless chicken, green beans and small amount of instant mashed potatoes.  Around 5:00pm, I had diarrhea again.  I have been drinking a great deal of water on both 3/7/2021 and 3/8/2021 as I normally do every day.  At 6:30pm, I had more diarrhea.  Soon after, I took two imodium gelcaps and hoping they will help the diarrhea.  My left arm has become increasingly more sore and hurts in the muscle.  No other symptoms.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Audiogram abnormal, Deafness neurosensory, Hypoacusis
Clinical narrative: Patient states distorted and decreased hearing 2 days after the shot.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Joint swelling, Skin warm
Clinical narrative: After receiving the first dose of vaccine at 5:30 pm noticed swelling around and below elbow with resdness and warmth to touch. Denies pain
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient given dose after the 6 hour expiration puncture date.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Rash
Clinical narrative: Rash appeared on back, and leg about 7 days after 1st dose. Was treated with Predisone for 12 days and Hydrooxyzine. Rash  started to get better. 24 hours after 2nd shot on 3/4/2021 the rash reappeared, much more severe, it is on his back, legs, arms, hips with severe itching. He also has the chills.  he saw the doctors and was put back on predisone,for 13 more days, Cefuroxine Axetil 500mg twice daily for 10 days, and told to continue to take Hydrooxyzine. he was also told to apply Aquafor and Cetaphil  daily to skin. The doctor thought it my be Grooves rash.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Fatigue, Feeling abnormal, Tremor, Vomiting
Clinical narrative: Extreme fatigue, loopiness, slight vomiting in first two days but not since, shaking hands (happened on two days, was worse in the mornings but improved as day went on), cold sweats.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: vomiting
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Dysphagia, Dyspnoea, Skin burning sensation
Clinical narrative: Skin became hot, burning, difficulty swallowing, difficulty breathing, anxiety, dizziness, light headed.  Took benadryl po 50 mg.  Was seen at ER. Received albuterol neb, steroids IV, and prevacid PO.  Sent home with po steroids and benadryl.  S/S improved after treatment.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: Skin became hot, burning, difficulty swallowing, difficulty breathing, anxiety, dizziness, light headed.  Took benadryl po 50 mg.  Was seen at ER. Received albuterol neb, steroids IV, and prevacid PO.  Sent home with po steroids and benadryl.  S/S improved after treatment.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling cold, Respiration abnormal, Tremor
Clinical narrative: Breathing feels slowed/ not enough, afraid to sleep in case I'm not breathing well enough, intense fatigue, intense sense of trembling like when your blood sugar is low, cold mouth, chills
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fall, Pallor
Clinical narrative: The patient took the first dose of the moderna vaccine around 10 minutes into the post observation time he become dizzy and fell to the floor.  The patient was pale. 02 sat was between 78% -96 %. Oxygen 10/L per minute was administered. EMS services were called.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Cognitive disorder, Fatigue, Feeling abnormal, Magnetic resonance imaging head
Clinical narrative: On 2/28/20 I woke up with balance problems made worse with eyes closed or when moving my head. These balance issues are slowly improving but remain ever present. I am also experiencing some cognitive issues including word finding problems, difficulty processing verbal information, and general brain fog. I?ve had an increase in fatigue as well. The same weekend the balance issues began I had some visual disturbances as well.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging neck, Thyroid function test normal, Visual impairment
Clinical narrative: On 2/28/20 I woke up with balance problems made worse with eyes closed or when moving my head. These balance issues are slowly improving but remain ever present. I am also experiencing some cognitive issues including word finding problems, difficulty processing verbal information, and general brain fog. I?ve had an increase in fatigue as well. The same weekend the balance issues began I had some visual disturbances as well.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Injection site erythema, Injection site pruritus, Neck pain
Clinical narrative: Redness and itching at injection site Severe joint pain in neck, shoulder, hipd, knees, ankles for 36 hours
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood test, Pain, Palpitations
Clinical narrative: I had upper body aches and heart palpitations. This lasted about a month.  I went to a walk-in clinic and they told me that they have seen the same reactions in Covid shots in other individuals . My  AST and ALT levels were elevated.  The  PVC lasted about a month and upper body aches lasted about a week.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Ventricular extrasystoles
Clinical narrative: I had upper body aches and heart palpitations. This lasted about a month.  I went to a walk-in clinic and they told me that they have seen the same reactions in Covid shots in other individuals . My  AST and ALT levels were elevated.  The  PVC lasted about a month and upper body aches lasted about a week.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Injection site pain, Palpitations, Peripheral swelling
Clinical narrative: Chest pain  & rapid palpitations, shortness of breath , headache , swollen at the left side of my armpit & pain in sore in the area of administration
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Headache, Hyperhidrosis
Clinical narrative: Janssen COVID-19 Vaccine EUA Chills, Bodyaches, Fever (102.6), Headache, Sweating, Dizzy, Nauseated, very tired. Fever started 4 hours after vaccine and broke the following day around 2pm. I continued to be nauseated, dizzy and have a headache through Sunday March 7th and Monday ( today) I am still tired and have dizzy spells and nauseated off and on. I do feel like it is improving though. The first night was really rough.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia
Clinical narrative: Janssen COVID-19 Vaccine EUA Chills, Bodyaches, Fever (102.6), Headache, Sweating, Dizzy, Nauseated, very tired. Fever started 4 hours after vaccine and broke the following day around 2pm. I continued to be nauseated, dizzy and have a headache through Sunday March 7th and Monday ( today) I am still tired and have dizzy spells and nauseated off and on. I do feel like it is improving though. The first night was really rough.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Rash
Clinical narrative: Rash, on the left side of my body, neck, both sides, and face. Looks similar to a heat rash on body and neck, looks like a sunburn on my face.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site pain, Nausea
Clinical narrative: Headache, chills, nausea, fatigue, soreness at injection site
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: Full body aches,  101° Fever, severe headache by 2am 3/6/21; all symptoms continuing through the end of 3/7/21 Resolving by 3/8/21
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Peripheral swelling
Clinical narrative: swelling and muscle pain in rt arm
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache
Clinical narrative: Chills, severe headache, tired
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Discomfort, Dizziness, Loss of personal independence in daily activities, Nausea
Clinical narrative: Since March 1, every day I have felt dizziness and some nausea throughout the day, when I get up out of bed in the morning,  bend down and come up when doing laundry, cleaning, kitchen work, dressing, exercise and other normal daily activities.  I must keep my upper body and head upright, and avoid bending,  in order to prevent this dizziness.  As a result, I feel weak and uncomfortable, and fear doing normal movement and activity.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Erythema, Nausea, Swelling face
Clinical narrative: Patient developed swelling and redness in the face, tightness in the chest, and nausea in the stomach.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Pt. reported dizziness for less than 2 minutes while waiting in observation after vaccine.  She ate right before coming.  She was given a snack and water and waited another 15 minutes.  After 30 minutes she felt better.  Pt. instructed to go to the ED with any worsening or new concerning symptos.  Pt. verbalized understanding.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: I started  getting hives the following evening.  I took Benadryl  and they went away.  First the welts were on my shoulders and around my bra band.  I have had recurring hives all except one night when I took Benadryl prophylactically.   I have since gotten the rash on my neck,buttocks,leg,arm and inner thighs.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pruritus
Clinical narrative: Significant itching on most of body   with NO rash Chills intermittently
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site mass, Injection site pruritus
Clinical narrative: Large (egg size lump at the injection site with itching to hat has lasted until 3//8/2021
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Chills, Fatigue, Lymphadenopathy, Pyrexia
Clinical narrative: Left axillary pain Swollen lymph nodes left inner arm and armpit Fever Chills Fatigue
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Decreased appetite, Fatigue, Headache
Clinical narrative: 3/6 arm pain starting about 3pm and continuing until 3/8 when it decreased to mild soreness  3/6 8:30 pm chills,  aches, sweats until approx 8:00 am on 3/7 3/7 8:00 am bad headache across forehead for majority of day until approx 5:00pm. No appetite  Extremely tired and lethargic until   Slept approx 18 hours 3/8 took Tylenol and went to work felt better but ?like a wet noodle?  still not much appetite
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Hypersomnia, Lethargy, Pain, Pain in extremity
Clinical narrative: 3/6 arm pain starting about 3pm and continuing until 3/8 when it decreased to mild soreness  3/6 8:30 pm chills,  aches, sweats until approx 8:00 am on 3/7 3/7 8:00 am bad headache across forehead for majority of day until approx 5:00pm. No appetite  Extremely tired and lethargic until   Slept approx 18 hours 3/8 took Tylenol and went to work felt better but ?like a wet noodle?  still not much appetite
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Asthma, Chills, Condition aggravated, Cough
Clinical narrative: I received my vaccine this morning at 6:12AM and felt fine after. Around 7:45AM I started to feel slightly short of breathe, but figured it was just from the cold outside and my Asthma. The shortness of breathe feeling goes away. Later in the day sometime after 3 PM, I start to feel as if I am getting stuffy. I take a nap on the buss on my way home, and when I wake up I suddenly feel like I am freezing and have chills all throughout my body. I get home and jump in a hot shower to warm up, but it did not help. I then heat up some food to eat dinner, and I go to drink some soda, and I notice I have no taste. I figured the soda was flat, but even flat soda has some taste to it. I then drink a Cherry Gatorade, and still no taste. Now I check my temperature and it is at 101.4, and I have a slight cough.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Feeling cold, Nasal congestion
Clinical narrative: I received my vaccine this morning at 6:12AM and felt fine after. Around 7:45AM I started to feel slightly short of breathe, but figured it was just from the cold outside and my Asthma. The shortness of breathe feeling goes away. Later in the day sometime after 3 PM, I start to feel as if I am getting stuffy. I take a nap on the buss on my way home, and when I wake up I suddenly feel like I am freezing and have chills all throughout my body. I get home and jump in a hot shower to warm up, but it did not help. I then heat up some food to eat dinner, and I go to drink some soda, and I notice I have no taste. I figured the soda was flat, but even flat soda has some taste to it. I then drink a Cherry Gatorade, and still no taste. Now I check my temperature and it is at 101.4, and I have a slight cough.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Dysarthria, Electroencephalogram, Facial paralysis
Clinical narrative: Extreme fatigue for two weeks, change in gait and hand tremors over that time - culminated into - inability to walk, hand tremors, drooping face and slurred, garbled speech - I thought he was having a stroke and called 911
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Gait disturbance, Gait inability, Magnetic resonance imaging head normal, Neurological symptom
Clinical narrative: Extreme fatigue for two weeks, change in gait and hand tremors over that time - culminated into - inability to walk, hand tremors, drooping face and slurred, garbled speech - I thought he was having a stroke and called 911
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Extreme fatigue for two weeks, change in gait and hand tremors over that time - culminated into - inability to walk, hand tremors, drooping face and slurred, garbled speech - I thought he was having a stroke and called 911
Age: 89.0
Sex: F
Vaccine: UNK
Symptoms: Back pain, Diarrhoea, Erythema
Clinical narrative: Diarrhea twice, Red area left arm, Backache
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Immune thrombocytopenia, Pyrexia
Clinical narrative: On 2/5/2021 mom called clinic with c/o high fever of 104, no other symptoms. Advised of home treatment. On 2/6/2021 mom called and stated that fever still at 103 and circulation looked to be problematic. Mom called back a short while later and stated that after putting a blanket on patient, he appeared to be okay. MD gave precautions if fever went beyond 4 days to come back in. On 3/5/2021 mom called and stated that for the past 3 days the patient was admitted to DCMC and was diagnosed with ITP. Mom read that MMR can cause ITP so she was concerned.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort
Clinical narrative: Pt presented for second vaccine and stated after his first vaccine he experienced severe chest tightness. He was watched by the EMS but the symptoms never progressed. Prior to receiving his second dose the patient was given 50 mg Benadryl, waiting 15 minutes and then given his vaccine. The patient felt well and did not experience any symptoms. The patients wife was the driver.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Pharyngeal paraesthesia, Throat irritation
Clinical narrative: Throat feeling inflamed and tingling, "my tonsils are closing on me" "throat is getting worse and so is my cough" Told through interpreter. Epi 0.3 mg (epi-pen) Mylan OFM407 expires 2/2022 given in left vastus lateralis at 515m
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Redness around shot area within 4 hours. Swelling and itchiness started 24 hours later, and persisted for 2 days.  The surrounding shot area has become redder and more raised 1 week later.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site pain, Joint range of motion decreased, Myalgia
Clinical narrative: Extreme muscular pain everywhere. Chills  ? could not get warm. Severe pain at injection site which limited use of left arm.  Symptoms lasted 15 hours
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: pt was given a shot that was outside of the 6 hour puncture expiration date. No ADR's reported. Administering another 2nd dose since this dose is considered invalid per CDC guidance.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Lymph node in right armpit was swollen and very tender for 4 days.  Swelling subsided by 4th day.  Tenderness subsided by third day.  1st and 2nd day large and very painful.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Recieved vaccine Friday afternoon with small rash on both arms approx. 6 hours after first dose. Continued to be itchy the next day (Saturday) with no obvious rash. Sunday still itchy and obvious small bumps on both arms. Monday (after taking allergy meds) rash gone but just a little itchy.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Ringing in ears for two weeks
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Epistaxis
Clinical narrative: Bloody nose, treated at home, bloody nose within 24 hrs of 1st dose also!
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Facial paralysis, Hypoaesthesia
Clinical narrative: EXACTLY 3 WEEKS AFTER 1ST DOSE OF MODERNA, I WOKE UP WITH BELL'S PALSY. THE LEFT SIDE OF MY FACE WAS NUMB AND DROOPED DOWN. I WENT TO URGENT CARE THE NEXT DAY. THEY PRESCRIBED ME VALACYCLOVIR HCL 1 GRAM TABLET AND PREDNISONE 20 MG TABLET FOR 7 DAYS. IT IS SLOWLY RESOLVING BUT HAS NOT YET FULLY RESOLVED TO DATE.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Pain, Pyrexia
Clinical narrative: fever,aches,stiff neck
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: 7 days after receiving moderna covid-19 vaccine, patient's arm started feeling itchy (Friday) and over the next 24 hours got red, hot, painful, with slight swelling near injection site . The symptoms started to subside on the following Monday. This was when patient reported adverse event to pharmacy.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Arrhythmia, Chills
Clinical narrative: Around 12 hours after my shot, I experienced chills and irregular heartbeat for around 30 minutes.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness
Clinical narrative: The doctor was called STAT to evaluate this patient who was having feelings of weakness and feeling faint in the observation area after she received her first Pfizer COVID vaccine yesterday morning at the vaccination cite. She had already been given an IM Epi Pen injection of epi by the PA prior to my arrival.  I had her lie supine with head down and legs elevated and she felt better.  She declined EMS transport to ER.  Further talk with her dad revealed she had been up since 2 am and had no breakfast.  I don't think an allergy.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Rash
Clinical narrative: Moderna COVID-19 Vaccine EUA  8 days after vaccine developed rash at injection site, rash under arms and lower back
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Rash, Skin warm
Clinical narrative: injection site started to itch 6 days after dose 1; 8 days after dose 1 a large rash appeared on arm; rash was warm to the touch. 11 days post vaccine rash is still present.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Injection site swelling, Rash erythematous
Clinical narrative: Approximately 15 days after the shot noticed large red patch where the shot had been administer. Was not there for at least 7 days after the shot. No itch, slight swelling.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Eyelid oedema, Swelling of eyelid
Clinical narrative: 2/25/2021 OS became swollen to the point where she could not open her eye. It was swollen for two days. On 3/3/2021 OD became swollen. Pt seen at eye doctor 3/5/2021 who diagnosed eyelid edema of unknown cause and reccomended hot compresses bid. Full resolution today 3/8/2021.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was vaccinated at a non-approved age (Moderna is indicated for 18 years and older) on January 18, 2021.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Syncope
Clinical narrative: patient stated she was fine after vaccine, then after a few minutes she stated she felt dizzy. before pharmacist could get back around counter to patient, she fainted and slid out of her chair.  patient was alert moments after landing on the floor.  patient was laid out on floor and vitals monitored.  once vitals returned to normal and patient felt better, she was given water and a banana.  EMT arrived and evaluated patient.  patient was taken to hospital per EMT  suggestion.  time frame: 17:26-17:52
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site erythema, Injection site warmth, Pyrexia
Clinical narrative: Redness and heat around injection site 3 inches in diameter;  Fever, chills about 16 hours after injection, lasted 12 hours
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Dermatitis atopic, Rash, Viral test
Clinical narrative: Rash consistent with atopic dermatitis, rx clobetasol 0.5%. Seen today, 3/8 for symptoms x 3 days.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Hypersomnia, Lymphadenopathy
Clinical narrative: First vaccine was fine.  With second, was fine til about 28 hours later, started to feel fatigued, then low grade fever, body aches, chills, headache.  32 hours later, rash on arms, inner legs, belly.  Slept a lot.  Rash bumps went away over night, 40 hrs later had just red arms and body, light fever, headache, body / skin aches AND lymph node in neck , on injection side, swelled up and visible bump.  Took benedryl ... hope tomorrow is better.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Rash
Clinical narrative: First vaccine was fine.  With second, was fine til about 28 hours later, started to feel fatigued, then low grade fever, body aches, chills, headache.  32 hours later, rash on arms, inner legs, belly.  Slept a lot.  Rash bumps went away over night, 40 hrs later had just red arms and body, light fever, headache, body / skin aches AND lymph node in neck , on injection side, swelled up and visible bump.  Took benedryl ... hope tomorrow is better.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea
Clinical narrative: diarrhea/loose stool