chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Erythema, Musculoskeletal discomfort, Pain, Pruritus
Clinical narrative: Persistent hives all over body with significant redness, itching and  discomfort particularly at joint sites secondary to swellinG; mild to moderate pain over hive sites
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling, Urticaria
Clinical narrative: Persistent hives all over body with significant redness, itching and  discomfort particularly at joint sites secondary to swellinG; mild to moderate pain over hive sites
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Eye inflammation, Photophobia, Thyroid function test normal, Vision blurred, Visual impairment
Clinical narrative: Blurry vision in both eyes, inflammation of both eyes, light sensitivity of both eye, unstable vision of both eye, lessen vision of both eyes.  Use lotemax ointment on both eyes lids for two weeks at bedtime and every Monday, Wednesday and Friday at bedtime after the two weeks
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Patient vaccinated with Pfizer vaccine mixed with sterile water instead of 09% Normal Saline, preservative free. Consulted with FDA and CDC to determine next steps for patient after discovery. Re-vaccination advised and outreach team contacting impacted patient and offering to speak with a physician to discuss.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient over 12 years old vaccinated with Pfizer Children's dose, which is a vaccine error. At time of vaccination, patient's father stated she was 11 years old and age was not verified with patient herself. After realizing medication error, her mother was called and explained situation and asked to come in next day for another dose of vaccine correct dosage. Troubleshooting: scribe and vaccinator did not validate age. Unreported as error, found in data mining.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Pediatric vaccine was diluted with 0.13 ml instead of 1.3 ml so the patient got a more concentrated dosage than recommended. No adverse effects reported.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Patient vaccinated with Pfizer vaccine mixed with sterile water instead of 09% normal saline, preservative free. Consulted FDA and CDC to determine next steps for patient after discovery. Re-vaccination advised. Outreach team contacted impacted patient and offered to speak with a physician to discuss.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Exposure to SARS-CoV-2, Fatigue, Malaise
Clinical narrative: Client was vaccinated with 2 doses of Pfizer vaccine for Covid in February 2021.  Had contact with son who was Covid + and then  client developed symptoms on 11/7 - cough, fatigue.  Tested + PCR on 11/8/2021.  Reported as a case of breakthrough Covid illness in a vaccinated person.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Client was vaccinated with 2 doses of Pfizer vaccine for Covid in February 2021.  Had contact with son who was Covid + and then  client developed symptoms on 11/7 - cough, fatigue.  Tested + PCR on 11/8/2021.  Reported as a case of breakthrough Covid illness in a vaccinated person.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chills, Electrocardiogram ambulatory, Electrocardiogram normal, Fatigue
Clinical narrative: The evening that I received my vaccine I felt feverish and head a headaches and body aches and chills. I didn't feel ok until 4 pm the next day. Then I just felt fatigued for about a week. On 11/3 2021 I fainted randomly while with a patient. I had no warning signs, and my blood sugar was normal. I called my doctor the next day and made an appointment. They ran a bunch of tests including a COVID-19 test. The COVID-19 test was negative. My PCP told me she has had other patients who have fainted after the vaccine as well.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pyrexia, SARS-CoV-2 test negative, Syncope
Clinical narrative: The evening that I received my vaccine I felt feverish and head a headaches and body aches and chills. I didn't feel ok until 4 pm the next day. Then I just felt fatigued for about a week. On 11/3 2021 I fainted randomly while with a patient. I had no warning signs, and my blood sugar was normal. I called my doctor the next day and made an appointment. They ran a bunch of tests including a COVID-19 test. The COVID-19 test was negative. My PCP told me she has had other patients who have fainted after the vaccine as well.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis
Clinical narrative: The evening that I received my vaccine I felt feverish and head a headaches and body aches and chills. I didn't feel ok until 4 pm the next day. Then I just felt fatigued for about a week. On 11/3 2021 I fainted randomly while with a patient. I had no warning signs, and my blood sugar was normal. I called my doctor the next day and made an appointment. They ran a bunch of tests including a COVID-19 test. The COVID-19 test was negative. My PCP told me she has had other patients who have fainted after the vaccine as well.
Age: 61.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Loss of consciousness
Clinical narrative: PATIENT RECEIVED THE FLUZONE VACCINE IN UPPER LEFT DELTOID AND PFIZER BOOSTER (THIRD DOSE) IN LOWER LEFT DELTOID. PATIENT DID NOT INDICATE ANY REACTIONS WITH FIRST TWO DOSES OF PFIZER OR ANY FAINTING FROM PREVIOUS VACCINES. I TOLD PATIENT TO WAIT IN SEATED AREA IN FRONT OF PHARMACY FOR 15 MINUTES, SAME AS PREVIOUS DOSES. I CONTINUED WITH MY VACCINE APPOINTMENTS AND SHORTLY AFTER GIVING THE PATIENT HIS VACCINES, A CUSTOMER CAME TO THE PHARMACY TO ASK FOR HELP, A WOMAN CUSTOMER WAS SHOUTING FOR HELP IN THE STORE PARKING LOT. I IMMEDIATELY CALLED FOR STORE MANAGEMENT TO ASSIST THE CUSTOMER (I WAS UNAWARE AT THE TIME THAT THIS PATIENT WAS THE ONE NEEDING HELP AS THE CUSTOMER SAID IT WAS A WOMAN CUSTOMER SHOUTING FOR HELP). AFTER MANAGEMENT WENT OUT TO THE PARKING LOT TO ASSIST THE CUSTOMER, MANAGEMENT INFORMED ME THAT IT WAS MY PATIENT. PATIENT HAD PASSED OUT IN THE PARKING LOT. PATIENT TOLD MANAGEMENT THAT THEY GET NERVOUS WITH NEEDLES AND JUST RECEIVED THE VACCINES. PATIENT DID NOT WANT ANY MEDICAL ASSISTANCE AND DID NOT WANT US TO CALL 911. PATIENT WAS INFORMED TO WAIT AND I WOULD COME OUT TO ASSIST PATIENT BACK INSIDE THE STORE TO ASSURE HE DID NOT NEED FURTHER MEDICAL ASSISTANCE. PATIENT DID NOT WANT TO WAIT AND DROVE AWAY AS MANAGEMENT WAS COMING INTO THE PHARMACY TO GET ME.  I CALLED PATIENT TO FOLLOW UP WITH THEM TO ASSURE THEY WERE OKAY AND PATIENT THEN TOLD ME THEY SOMETIMES GET NERVOUS WITH NEEDLES AND AS HE WAS SITTING IN HIS CAR IN THE PARKING LOT, HE PASSED OUT AND HIS SON RAN TO GET A CUSTOMER TO ASK FOR HELP. PATIENT TOLD ME THIS REACTION DOES SOMETIMES HAPPEN BUT NOT ALL THE TIME. PATIENT WAS THEN INFORMED AGAIN TO WAIT IN THE SEATED WAITING AREA IN FRONT OF THE PHARMACY FOR 15 MINUTES NEXT TIME TO ASSURE HE IS OKAY.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Delirium, Fatigue, Headache
Clinical narrative: Extreme fatigue, extreme body aches, fever (102.5-100.5) and chills (the shaking from chills was not a good match with the body aches), intense headaches when coughing or bending over, delirious night. I have gone through 4 childbirths and this was worse! It has been almost 48 hours since the side effects began and I am only now starting to feel a bit better.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Tremor
Clinical narrative: Extreme fatigue, extreme body aches, fever (102.5-100.5) and chills (the shaking from chills was not a good match with the body aches), intense headaches when coughing or bending over, delirious night. I have gone through 4 childbirths and this was worse! It has been almost 48 hours since the side effects began and I am only now starting to feel a bit better.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient vaccinated with Pfizer vaccine mixed with sterile water instead of 09% Normal Saline, preservative free. Consulted with FDA and CDC to determine next steps for patient after discovery. Re-vaccination advised and outreach team contacting impacted patient and offering to speak with a physician to discuss.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: swollen lymph nodes under armpit
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: Pediatric vaccine was diluted with 0.13 ml instead of 1.3 ml so the patient got a more concentrated dosage than recommended. No adverse effects reported.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: At 2:45pm on 11/11/21, patient received the Pfizer-BioNTech Covid-19 vaccine 12-17 years formulation (purple cap) INSTEAD OF the Pfizer-BioNTech Covid-19 vaccine 5-11 years formulation (orange cap). Patient was observed in the office for 15 minutes without adverse reactions and was taken home by her mother. The on call pediatric Infectious Disease physician was paged by Dr. Dr called the family to inform them of the event and for reassurance and education on  symptoms. Facility will monitor patient closely.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Blood test, Musculoskeletal stiffness, Myalgia, Pain, Polymyalgia rheumatica
Clinical narrative: Patient awoke on December 27th extremely stiff and sore with muscle ache. He went to see Doctor the following week as the problem only got worse.  The doctor treated him for a couple of weeks before referring him to another doctor.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Dizziness, Electrocardiogram normal, Nausea, Neurological examination normal
Clinical narrative: Dizziness, Vertigo, Nausea started one day after shot. Has lasted for two weeks to date. Occurs daily. No remission.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Dizziness, Vertigo, Nausea started one day after shot. Has lasted for two weeks to date. Occurs daily. No remission.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: Pt began feeling throat scratching  and coughing 30 minutes after vaccine administration. Pt was given Benadryl 50 mg orally per MD order and symptoms started to resolved 22 minutes after Benadryl administration.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Bone pain, COVID-19, Chills, Cough, Fatigue
Clinical narrative: Low grade fever, chills, moderate fatigue, moderate muscle and skeletal aches, mild sinus congestion, and mild cough starting less than 12 hrs from vaccination. Progression of symptoms to only moderate fatigue and moderate sinus congestion with continuing mild cough at 36 hrs after vaccination. Sinus pressure & inflammation, congestion, headaches, and fatigue worsening from that point to day 6 after vaccination. On day 6 after vaccination, I took a rapid test for COVID and received a positive result.  Symptoms Improving now (late in day 6 after vaccination).
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Inflammation, Myalgia, Paranasal sinus discomfort, Pyrexia
Clinical narrative: Low grade fever, chills, moderate fatigue, moderate muscle and skeletal aches, mild sinus congestion, and mild cough starting less than 12 hrs from vaccination. Progression of symptoms to only moderate fatigue and moderate sinus congestion with continuing mild cough at 36 hrs after vaccination. Sinus pressure & inflammation, congestion, headaches, and fatigue worsening from that point to day 6 after vaccination. On day 6 after vaccination, I took a rapid test for COVID and received a positive result.  Symptoms Improving now (late in day 6 after vaccination).
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: Low grade fever, chills, moderate fatigue, moderate muscle and skeletal aches, mild sinus congestion, and mild cough starting less than 12 hrs from vaccination. Progression of symptoms to only moderate fatigue and moderate sinus congestion with continuing mild cough at 36 hrs after vaccination. Sinus pressure & inflammation, congestion, headaches, and fatigue worsening from that point to day 6 after vaccination. On day 6 after vaccination, I took a rapid test for COVID and received a positive result.  Symptoms Improving now (late in day 6 after vaccination).
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus
Clinical narrative: 26-year-old female patient administer her first dose of Pfizer and upon entering the observation area at 5:45pm she presented Generalized itching throughout the body. It is estimated to be oriented in time, place and person. Presents redness in the area of the thorax and upper extremities. Patient was evaluated with B/P: 110/70, 86 Pulse, 18 RESP and clear lungs on auscultation. In addition, there is no edema in the upper airway, there is no stridor. On the other hand the patient denies feeling fatigues. The case was consulted with Doctor and was ordered intramuscular BENADRYL via telephone. The same was administered in the upper external Gluteus. After 10 minutes body itching decreases and after 30 minutes the patient was evaluated again and the vital signs were B/P: 110/75mmHg, 16 Resp, and 80 of strong and regular pulse, capillary filling 2 seconds, there is no edema and clear lungs to auscultation.
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: Cardiac monitoring normal, Chest discomfort, Dizziness, Erythema, Injection site erythema
Clinical narrative: Patient had just received flu vaccine to left deltoid and within minutes (<5 min) had redness/rash, itching  and swelling  near injection site. She felt her heart racing and some dizziness. Denied shortness of breath of chest discomfort initially. The rash/redness/itching started to travel up to her chest/neck area and down her left arm.  She was wheelchaired to the ER for immediate intervention. Upon arrival to ER triage area, she did report some tightness in her chest and started to feel some throat discomfort, but denied shortness of breath or difficulty breathing.  In ER:  Temp 98 degrees, HR 82, RR 18, pulse ox 99% on room air, BP 139/82 She was given Decadron 10mg IV push, Pepcid 20mg IV push & Benadryl 50mg IV push.   Upon re-evaluation, chest tightness, chest wall pain & redness to left arm was resolving.  On discharge from ER, she was given Rx for Prednisone x 7days and instructed to follow-up with PCP.
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pruritus, Injection site rash, Injection site swelling, Musculoskeletal chest pain, Oropharyngeal discomfort
Clinical narrative: Patient had just received flu vaccine to left deltoid and within minutes (<5 min) had redness/rash, itching  and swelling  near injection site. She felt her heart racing and some dizziness. Denied shortness of breath of chest discomfort initially. The rash/redness/itching started to travel up to her chest/neck area and down her left arm.  She was wheelchaired to the ER for immediate intervention. Upon arrival to ER triage area, she did report some tightness in her chest and started to feel some throat discomfort, but denied shortness of breath or difficulty breathing.  In ER:  Temp 98 degrees, HR 82, RR 18, pulse ox 99% on room air, BP 139/82 She was given Decadron 10mg IV push, Pepcid 20mg IV push & Benadryl 50mg IV push.   Upon re-evaluation, chest tightness, chest wall pain & redness to left arm was resolving.  On discharge from ER, she was given Rx for Prednisone x 7days and instructed to follow-up with PCP.
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: Palpitations, Pruritus, Rash
Clinical narrative: Patient had just received flu vaccine to left deltoid and within minutes (<5 min) had redness/rash, itching  and swelling  near injection site. She felt her heart racing and some dizziness. Denied shortness of breath of chest discomfort initially. The rash/redness/itching started to travel up to her chest/neck area and down her left arm.  She was wheelchaired to the ER for immediate intervention. Upon arrival to ER triage area, she did report some tightness in her chest and started to feel some throat discomfort, but denied shortness of breath or difficulty breathing.  In ER:  Temp 98 degrees, HR 82, RR 18, pulse ox 99% on room air, BP 139/82 She was given Decadron 10mg IV push, Pepcid 20mg IV push & Benadryl 50mg IV push.   Upon re-evaluation, chest tightness, chest wall pain & redness to left arm was resolving.  On discharge from ER, she was given Rx for Prednisone x 7days and instructed to follow-up with PCP.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test, Guillain-Barre syndrome, Headache, Hypoaesthesia
Clinical narrative: Loss body feeling-weak-numb Headache Uses a wheelchair now Was hospitalized for 3days Her body shakes uncontrollably, and she can't stop it Has been diagnosed with Guillevin Barre Syndrome She sees a neurologist now to try to figure out the try to figure how to get her nerves to react, but nothing takes away the pain
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Lumbar puncture, Magnetic resonance imaging, Nerve conduction studies, Pain, Tremor
Clinical narrative: Loss body feeling-weak-numb Headache Uses a wheelchair now Was hospitalized for 3days Her body shakes uncontrollably, and she can't stop it Has been diagnosed with Guillevin Barre Syndrome She sees a neurologist now to try to figure out the try to figure how to get her nerves to react, but nothing takes away the pain
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Wheelchair user
Clinical narrative: Loss body feeling-weak-numb Headache Uses a wheelchair now Was hospitalized for 3days Her body shakes uncontrollably, and she can't stop it Has been diagnosed with Guillevin Barre Syndrome She sees a neurologist now to try to figure out the try to figure how to get her nerves to react, but nothing takes away the pain
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary pain, Incorrect dose administered, Injection site pain
Clinical narrative: Pediatric vaccine was diluted with 0.13 ml instead of 1.3 ml so the patient got a more concentrated dosage than recommended.  Patient presented pain at injection site that extended to the armpit
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Chills, Disturbance in attention, Fatigue
Clinical narrative: Severe migraine for 8 hours with vomiting, followed by headaches for 3 weeks (still have), body aches, fatigue & chills all started @ 9:00pm  the day of vaccination (11 hours after).  I still suffer from headaches, body aches, especially lower back, joint pain, hot flashes, insomnia, heart palpitations, fatigue & difficulty concentrating.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hot flush, Insomnia, Migraine, Pain
Clinical narrative: Severe migraine for 8 hours with vomiting, followed by headaches for 3 weeks (still have), body aches, fatigue & chills all started @ 9:00pm  the day of vaccination (11 hours after).  I still suffer from headaches, body aches, especially lower back, joint pain, hot flashes, insomnia, heart palpitations, fatigue & difficulty concentrating.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Vomiting
Clinical narrative: Severe migraine for 8 hours with vomiting, followed by headaches for 3 weeks (still have), body aches, fatigue & chills all started @ 9:00pm  the day of vaccination (11 hours after).  I still suffer from headaches, body aches, especially lower back, joint pain, hot flashes, insomnia, heart palpitations, fatigue & difficulty concentrating.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Tinnitus
Clinical narrative: Tinnitus Injection site pain Fatigue
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus. Started mild, but now 8 months later it is severe ringing in the ears like a siren.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Pediatric dose of Pfizer COVID vaccine administered to a 12 year old.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Patient vaccinated with Pfizer vaccine mixed with sterile water instead of 09% Normal Saline, preservative free. Consulted with FDA and CDC to determine next steps for patient after discovery. Re-vaccination advised and outreach team contacting impacted patient and offering to speak with a physician to discuss.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Chest discomfort, Erythema, Pruritus, Sensory disturbance
Clinical narrative: Starting itching and redness/hives @ 9:00pm 11/9, woke up next morning 11/10 with a globus sensation and chest discomfort (like heart burn). Took pepcid 40mg and feeling was there all day. Went to sleep woke up 11/11 globus sensation and chest discomfort not there any more, now my hands, bilaterally,  are red, hives, burning itching. Been taking ibuprofen, pepcid, Claritin and Zyrtec barley any relief maybe 30 mins here and there
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Starting itching and redness/hives @ 9:00pm 11/9, woke up next morning 11/10 with a globus sensation and chest discomfort (like heart burn). Took pepcid 40mg and feeling was there all day. Went to sleep woke up 11/11 globus sensation and chest discomfort not there any more, now my hands, bilaterally,  are red, hives, burning itching. Been taking ibuprofen, pepcid, Claritin and Zyrtec barley any relief maybe 30 mins here and there
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: 5 minutes into the 15-minute observation period patient fainted; after using the ice pack patient slowly felt better.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Blood potassium decreased, Drug screen negative, Echocardiogram normal, Electrocardiogram normal
Clinical narrative: 5 year old previously healthy boy who presented to the emergency department with an episode of altered mental status/pre-syncope like event that self resolved or did so with IVF.  This occurred 3 days after his 1st Pfizer Covid vaccination.  He presented to the ED with mild hypothermia to 95F, mild hypoglycemia to 63, and a K+ of 2.7.  He had negative EKG, echo, and troponin in the ed.  He had no fevers.  His drug screen was negative.  His lab abnormalities resolved on recheck.  he was observed for 7 hours in the ED and sent home as he was well appearing.   He did have a mildly sore arm reported on the day of the vaccination and complained of mild belly pain twice the following day, but otherwise had no clear or obvious vaccine reactions.   This episode reported was not clearly vaccine related but is being reported as it's etiology was certain.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoglycaemia, Hypothermia, Laboratory test abnormal, Mental status changes, Pain in extremity
Clinical narrative: 5 year old previously healthy boy who presented to the emergency department with an episode of altered mental status/pre-syncope like event that self resolved or did so with IVF.  This occurred 3 days after his 1st Pfizer Covid vaccination.  He presented to the ED with mild hypothermia to 95F, mild hypoglycemia to 63, and a K+ of 2.7.  He had negative EKG, echo, and troponin in the ed.  He had no fevers.  His drug screen was negative.  His lab abnormalities resolved on recheck.  he was observed for 7 hours in the ED and sent home as he was well appearing.   He did have a mildly sore arm reported on the day of the vaccination and complained of mild belly pain twice the following day, but otherwise had no clear or obvious vaccine reactions.   This episode reported was not clearly vaccine related but is being reported as it's etiology was certain.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Presyncope, Troponin normal
Clinical narrative: 5 year old previously healthy boy who presented to the emergency department with an episode of altered mental status/pre-syncope like event that self resolved or did so with IVF.  This occurred 3 days after his 1st Pfizer Covid vaccination.  He presented to the ED with mild hypothermia to 95F, mild hypoglycemia to 63, and a K+ of 2.7.  He had negative EKG, echo, and troponin in the ed.  He had no fevers.  His drug screen was negative.  His lab abnormalities resolved on recheck.  he was observed for 7 hours in the ED and sent home as he was well appearing.   He did have a mildly sore arm reported on the day of the vaccination and complained of mild belly pain twice the following day, but otherwise had no clear or obvious vaccine reactions.   This episode reported was not clearly vaccine related but is being reported as it's etiology was certain.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Ear discomfort, Tinnitus
Clinical narrative: I am experiencing a ringing in both ears after getting my booster shot of Moderna. I have mild tinnitus from before but now it is more intense with also a feeling of slight ear stuffiness. I don't recall having any condition like this from my previous shots.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Cough, Fatigue, Oropharyngeal pain, Pain
Clinical narrative: 10/09/2021 I woke up and felt fine day after the vaccine, however around 2pm I was overrun by a feeling of fatigue and had to lay down immediately and slept through the rest of the day, Sunday I began to feel a sore throat, body aches, and on Monday it then developed into a cough with the following day's symptoms. I went to the doctor that stated I may be having an adverse reaction to the vaccine. Symptoms were continuous for about a week and then began to improve. 5 weeks forward I received the flu vaccine and symptoms seem to have returned with body aches. My teeth have also been hurting as well.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Toothache
Clinical narrative: 10/09/2021 I woke up and felt fine day after the vaccine, however around 2pm I was overrun by a feeling of fatigue and had to lay down immediately and slept through the rest of the day, Sunday I began to feel a sore throat, body aches, and on Monday it then developed into a cough with the following day's symptoms. I went to the doctor that stated I may be having an adverse reaction to the vaccine. Symptoms were continuous for about a week and then began to improve. 5 weeks forward I received the flu vaccine and symptoms seem to have returned with body aches. My teeth have also been hurting as well.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test normal, Skin exfoliation, Skin fissures
Clinical narrative: I had cracks in the sides of my mouth. I had a scaly, round mark on my back that I'm going to go to the dermatologist for. They are going to take a biopsy for that. It's still there - it's not worse but it gets scaly. It keeps regenerating a scaliness on it.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, Injected limb mobility decreased, Injection site pain
Clinical narrative: Pediatric vaccine was diluted with 0.13 ml instead of 1.3 ml so the patient got a more concentrated dosage than recommended. Patient presented  severe pain at inyection site and could not  raise the arm for 48 hours
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever of 105.9
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Jaw clicking, Mastication disorder, Muscle tightness, Pain in jaw
Clinical narrative: This is my second report:  My left back jaw is very resistant and painful with a popping sensation when opening and closing my mouth and while chewing food since Friday, October 1, 2021.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Vomiting
Clinical narrative: vomiting, diarrhea
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient vaccinated with Pfizer vaccine mixed with sterile water instead of 09% Normal Saline, preservative free. Consulted with FDA and CDC to determine next steps for patient after discovery. Re-vaccination advised and outreach team contacting impacted patient and offering to speak with a physician to discuss.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia
Clinical narrative: 80-year-old female receives her first dose of Pfizer at 5:30pm. After completing her 30 minute's in the observation area the paramedic approaches to ask her how she feels or if she has itching and she refers to feeling difficulty swallowing. Patient was taken to the observation area and incidents in a wheelchair to take vital signs which were: 130.80 mmHg, Sat.99% with clear lungs on auscultation,19 breaths, no upper airway edema and respiratory stridor. The case was consulted with Doctor at 6:17pm which indicated administering 4 mg of Dexamethasone IM in the buttock left upper outer. The patient was kept under observation and after 30 minutes she indicated that she was not felt the aforementioned symptoms. Before being discharged, her vitals were taken again which were: 130/80mmHg, 19 breaths with clear lungs on auscultation, no upper airway edema, 83 with a strong and regular pulse.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Magnetic resonance imaging head normal, Palpitations, Visual impairment
Clinical narrative: Approximately 3 weeks after second shot vision problem started to surface, 5-6 months after second shot heart pounding and rapid heart beats. Things I did not have before vaccinations.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Incorrect dose administered, Injection site pain, Product preparation issue
Clinical narrative: Pediatric vaccine was diluted with 0.13 ml instead of 1.3 ml so the patient got a more concentrated dosage than recommended. Patient presented fatigue and pain at injection site.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Patient vaccinated with Pfizer vaccine mixed with sterile water instead of 09% Normal Saline, preservative free. Consulted with advisory organizations to determine next steps for patient after discovery. Re-vaccination advised and outreach team contacting impacted patient and offering to speak with a physician to discuss.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Dissociation, Feeling abnormal, Glassy eyes
Clinical narrative: Glassy eyes; disassociation; foggy brain.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Throat tightness
Clinical narrative: Patient complained of tingling of the ears and throat tightness
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody, Arthralgia, Back pain, Blood creatine phosphokinase, C-reactive protein
Clinical narrative: Fatigue, back pain, bilateral hip pain, leg cramping/aching/heaviness
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Limb discomfort, Muscle spasms, Pain in extremity, Red blood cell sedimentation rate
Clinical narrative: Fatigue, back pain, bilateral hip pain, leg cramping/aching/heaviness
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Rheumatoid factor
Clinical narrative: Fatigue, back pain, bilateral hip pain, leg cramping/aching/heaviness
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Patient vaccinated with Pfizer vaccine mixed with sterile water instead of 09% Normal Saline, preservative free. Consulted with FDA and CDC to determine next steps for patient after discovery. Re-vaccination advised and outreach team contacting impacted patient and offering to speak with a physician to discuss.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in jaw, Sialoadenitis, Swelling, Swelling face
Clinical narrative: pain started in jaw line under left ear in the A.M. swelling began shortly after first pain. went to the doctor about 1:00 P.M. he said it was a salivary gland infection and gave me a prescription for amoxicillin 500 mg capsule 3 a day for 10 days, The swelling continued by 5:00 P.M. the entire left side of jaw was swollen from ear to jaw line. On Nov 3 when I got up in the morning my neck was very swollen.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Nasal congestion, Nasopharyngitis, Oropharyngeal pain, Pain
Clinical narrative: Severe cold/sinus symptoms (sore throat, stuffy head, runny nose, aches) borderline nausea
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, Sinus disorder
Clinical narrative: Severe cold/sinus symptoms (sore throat, stuffy head, runny nose, aches) borderline nausea
Age: 24.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Pt presented for covid booster shot when she was offered the flu shot by reception, she accepted. Flu questionnaire was reviewed with pt, VIS was given and flu vaccine was administered. When attempting to document the flu administration a red alert appeared stating the pt already received the flu shot this season. I confirmed the information with pt and pt stated that she had "forgotten." And added that she didn't remember if she had gotten the flu vaccine this year or last year.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Dry mouth, Dry throat, Dyspnoea, Fatigue, Hypopnoea
Clinical narrative: Extremely dry mouth. Inflamed dry throat. Shallow breath. Rash that covers most the body, but is worse around the chest and neck. Fatigue. Hard to breathe. Red; hot; itchy rash. Waking up at night gasping for air. Finally given steroids. I am currently taking them to see if it calms down.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal swelling, Rash, Rash erythematous, Rash pruritic, Skin warm
Clinical narrative: Extremely dry mouth. Inflamed dry throat. Shallow breath. Rash that covers most the body, but is worse around the chest and neck. Fatigue. Hard to breathe. Red; hot; itchy rash. Waking up at night gasping for air. Finally given steroids. I am currently taking them to see if it calms down.
Age: 0.75
Sex: F
Vaccine: FLU4
Symptoms: Urticaria
Clinical narrative: Hives 1hr after vaccination.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Patient vaccinated with Pfizer vaccine mixed with sterile water instead of 09% Normal Saline, preservative free. Consulted with FDA and CDC to determine next steps for patient after discovery. Re-vaccination advised and outreach team contacting impacted patient and offering to speak with a physician to discuss.
Age: 47.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Abdominal pain upper, Fatigue, Feeding disorder, Pyrexia
Clinical narrative: Fever is currently at 102. Exhausted. Can eat due to stomach cramps
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient vaccinated with Pfizer vaccine mixed with sterile water instead of 09% Normal Saline, preservative free. Consulted with FDA and CDC to determine next steps for patient after discovery. Re-vaccination advised and outreach team contacting impacted patient and offering to speak with a physician to discuss.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: The day after my booster, the injection site swelled, got very red, hot, and itchy. It was circular...about 3 inches in diameter.  I put Benadryl cream on it, and cortisone cream , iced a bit and took Zyrtec for the itching (which helped).  Today, almost a week later from the reaction, it is much better.  still a bit red, heat is  gone. It might be a bit swollen, but not too visible .In the 2 previous shots this did not happen.  only achy and tired and headache the 2nd time.  had  a headache this time too.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Product administration error, Vaccination complication
Clinical narrative: This was a administration error and an adverse event.
Age: 60.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Chills, Headache, Hyperhidrosis, Pain, Pyrexia
Clinical narrative: FEVER 100.1-101.9, CHILLS, SWEATING, BODY ACHES, SLIGHT HEADACHE, LASTING 12-15 HOURS, BED REST.  I TAKE ADVIL AND TRAMODOL FOR OTHER MEDICAL ISSUES.  I DID NOT TAKE ADDITIONAL MEDICATION.  FULL RECOVERY.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Blepharospasm, Hypoaesthesia, Muscle twitching
Clinical narrative: 02/09/2021-right side of face was numb that I keep close my eye and my cheek was twitching. 02/15/2021 Virtual health visit- Bell's palsy was diagnosed. Prednisone and Valtrex was prescribed.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Injection site pain, Product preparation issue
Clinical narrative: Pediatric vaccine was diluted with 0.13 ml instead of 1.3 ml so the patient got a more concentrated dosage than recommended. Patient presented mild pain at injection site.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Pallor
Clinical narrative: Patient became lightheaded after COVID vaccine.  Was allowed to lie down on exam table.  Clinical staff did vitals - normal   Pale.  HR 72,  Regular Heart regular rate, no murmur   About 15 minutes later, had eaten a little, drank a little juice.  Felt back to normal
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site urticaria
Clinical narrative: Itching, redness, hives at injection site developed five days after injection-- resolved within approximately three hours.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site extravasation
Clinical narrative: AFTER INJECTION, THE VACCINE SOLUTION LEAKED OUT OF THE INJECTION SITE.  PT HAS REQUESTED THAT WE RE-ADMINISTER HER 0.25ML BOOSTER MODERNA VACCINATION.  WE CURRENTLY PLAN TO RE-ADMINISTER THIS DOSE ASAP (PT STATED SHE WOULD COME BACK ON FRIDAY 11/12/2021 IN THE MORNING).
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site erythema, Injection site haemorrhage, Injection site induration, Injection site pruritus, Injection site warmth
Clinical narrative: AFTER INJECTION, THE VACCINE SOLUTION LEAKED OUT OF THE INJECTION SITE.  PT HAS REQUESTED THAT WE RE-ADMINISTER HER 0.25ML BOOSTER MODERNA VACCINATION.  WE CURRENTLY PLAN TO RE-ADMINISTER THIS DOSE ASAP (PT STATED SHE WOULD COME BACK ON FRIDAY 11/12/2021 IN THE MORNING).
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Urticaria
Clinical narrative: AFTER INJECTION, THE VACCINE SOLUTION LEAKED OUT OF THE INJECTION SITE.  PT HAS REQUESTED THAT WE RE-ADMINISTER HER 0.25ML BOOSTER MODERNA VACCINATION.  WE CURRENTLY PLAN TO RE-ADMINISTER THIS DOSE ASAP (PT STATED SHE WOULD COME BACK ON FRIDAY 11/12/2021 IN THE MORNING).
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site extravasation
Clinical narrative: The tech put a circular Band-Aid on the site and injected through it. The injection was incredibly fast and felt like the needle was immediately pulled out. It was unusual. The Band-Aid began to come off immediately. I pressed it down and my fingers became wet with an odorless liquid. The tech said this sometime happened, dried the site and applied another round bandage. It came off after a few seconds, She left, returned with a strip Band-Aid, again dried the injection site and applied this Band-Aid. It stayed on. The site began itching soon after. 24-hours later the site blood remains and is red. The redness has spread for several inches and  contains a hard hot welt about 3 inches long. I had no skin reactions to my first two injections. The arm is sore. This occurred with the previous injections.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site erythema, Injection site haemorrhage, Injection site induration, Injection site pruritus, Injection site warmth
Clinical narrative: The tech put a circular Band-Aid on the site and injected through it. The injection was incredibly fast and felt like the needle was immediately pulled out. It was unusual. The Band-Aid began to come off immediately. I pressed it down and my fingers became wet with an odorless liquid. The tech said this sometime happened, dried the site and applied another round bandage. It came off after a few seconds, She left, returned with a strip Band-Aid, again dried the injection site and applied this Band-Aid. It stayed on. The site began itching soon after. 24-hours later the site blood remains and is red. The redness has spread for several inches and  contains a hard hot welt about 3 inches long. I had no skin reactions to my first two injections. The arm is sore. This occurred with the previous injections.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Urticaria
Clinical narrative: The tech put a circular Band-Aid on the site and injected through it. The injection was incredibly fast and felt like the needle was immediately pulled out. It was unusual. The Band-Aid began to come off immediately. I pressed it down and my fingers became wet with an odorless liquid. The tech said this sometime happened, dried the site and applied another round bandage. It came off after a few seconds, She left, returned with a strip Band-Aid, again dried the injection site and applied this Band-Aid. It stayed on. The site began itching soon after. 24-hours later the site blood remains and is red. The redness has spread for several inches and  contains a hard hot welt about 3 inches long. I had no skin reactions to my first two injections. The arm is sore. This occurred with the previous injections.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient vaccinated with Pfizer vaccine mixed with sterile water instead of 09% Normal Saline, preservative free. Consulted to determine next steps for patient after discovery. Re-vaccination advised and outreach team contacting impacted patient and offering to speak with a physician to discuss.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea
Clinical narrative: Pt received his Moderna Booster vaccine 11-11-2021 at approximately 11:30am after receiving his vaccine he and his wife were leaving the store walking to their car when Pt began to feel shortness of breath and tightness in his chest his wife walked with him back into the store. He sat in the observation area, checked his BP 1st reading 146/90 pulse 77 he remained sitting for approximately 10 more minutes with no relief, emergency services was called and EMT's arrived within a few minutes, while waiting on EMTs took a 2nd BP reading (149/98 pulse 77). Patient refused transport to the hospital with paramedics but wife did take him.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Fear of injection, Hyperhidrosis, Pallor, Syncope
Clinical narrative: Brought to my attention that patient had syncopal episode and was escorted to exam room table. When I initially saw patient, she was awake, pale, diaphoretic but was alert and oriented to time, place, and situation.  We observed her for 30 minutes, and she became more pink, less diaphoretic but still clammy, and she had drank 4 oz water and had a lollipop in mouth. I checked initially for any bleeding of mouth, no obvious head injury. She was stable upon discharge. I suspect trypanophobia given patient's history with needles. Still encourage 2nd dose but inform injector, stay for 30 minutes observation, and 15 grams of sugar such as a soda or juice carton.   She was driven home in private car with an accompanied older female adult relative. Instructed on emergency care immediately for any increased difficulty breathing, chest pain, or increased weakness. Otherwise, anticipate common reactions, such as fever, body aches, and arm injection site pain to be treated with fluids, rest, and Tylenol as needed.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchitis, Sinusitis
Clinical narrative: Sinusitis and bronchitis  Augmenting and Prednisone
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site inflammation
Clinical narrative: Patient has red inflammation at sight of injection.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Syncope, Unresponsive to stimuli
Clinical narrative: About 2 minutes after client received Pfizer dose, he had an episode of syncope and became unresponsive for about 3 seconds.  Client recovered and had stable vital signs during a 30 minute observation period.  No apparent physical injury occurred with the fall.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Patient vaccinated with Pfizer vaccine mixed with sterile water instead of 09% Normal Saline, preservative free. Consulted with FDA and CDC to determine next steps for patient after discovery. Re-vaccination advised and outreach team contacting impacted patient and offering to speak with a physician to discuss.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Pediatric vaccine was diluted with 0.13 ml instead of 1.3 ml so the patient got a more concentrated dosage than recommended. Patient presented mild pain at injection site the first 24 hours
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling cold, Headache, Pain
Clinical narrative: The same day of having the vaccine, 10/29/2021 at around 6:00pm I started to feel achy all over, headache, tired, cold.   Took a hot shower and went to bed.  I sleep til 8:30.  Got up for about half hour & went back to bed.  Still felt achy, still had a headache, still felt cold.  I got up again about 5:00 and stayed up till I went back to bed about 9:00 pm.  I still was achy, headache, cold & tired.  The following morning, Sunday morning, I did feel better when I woke up.  As of today, November 11, 2021, I have not had any further symptoms.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Anticoagulant therapy, Chest X-ray abnormal, Dyspnoea, Feeling abnormal
Clinical narrative: A few days after my son received the booster shot, he started to say he didn?t feel good. Almost daily he said that. On 10/31/2021 about 10:15 PM he said his whole torso hurt and he couldn?t breathe well. Finally on 11/01/2021 about 2:15 AM  my son said his heart felt hot. We headed to the local hospital. The X-ray showed a clot in the right lung. 5 days in the hospital on heparin and now daily Eliquis.  Because my son had a blood clot in his leg 2.5 years ago, they said it had to be due to that.  My son started complaining soon after the 3rd shot but we just thought it would go away.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling hot, Pulmonary thrombosis
Clinical narrative: A few days after my son received the booster shot, he started to say he didn?t feel good. Almost daily he said that. On 10/31/2021 about 10:15 PM he said his whole torso hurt and he couldn?t breathe well. Finally on 11/01/2021 about 2:15 AM  my son said his heart felt hot. We headed to the local hospital. The X-ray showed a clot in the right lung. 5 days in the hospital on heparin and now daily Eliquis.  Because my son had a blood clot in his leg 2.5 years ago, they said it had to be due to that.  My son started complaining soon after the 3rd shot but we just thought it would go away.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient vaccinated with Pfizer vaccine mixed with sterile water instead of 09% Normal Saline, preservative free. Consulted to determine next steps for patient after discovery. Re-vaccination advised and outreach team contacting impacted patient and offering to speak with a physician to discuss.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain lower, Amenorrhoea, Human chorionic gonadotropin negative, Inappropriate schedule of product administration, Pregnancy test negative
Clinical narrative: I received my first Covid vaccine dose on 8/10/21 and had my period on 8/16/21. Then I had my second dose on 9/8/21 and to this day (11/11/21) I have still not gotten my period since August. I had a blood test to check for pregnancy and it came back negative, so I believe this was caused by the vaccine. Along with amenorrhea, I also have severe intermittent cramping in my lower abdomen.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Anal incontinence, Cardiac function test normal, Computerised tomogram normal, Dysstasia, Heart rate irregular
Clinical narrative: Patient received vaccination on Friday. Started developing symptoms Saturday at around 5pm.  ADR: lost all muscle control, unable to stand, lost control of bowels and bladder (urinary incontinence). Developed irregular heartbeat.   Patient received fluid in ambulance