chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site warmth, Pyrexia, Urine analysis normal
Clinical narrative: Began running a fever, chiils, headache,  temp reached 104 degrees the day after the injection.  Went to ER  to be seen.  Several tests run all negative Discharged same evening advised to take Tylenol and reaction should be gone within 24 hours.  Arm began to swell in the area of the injection site and that continues 2 days after the injection.  Arm at injection site is warm to the touch.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 17 y/o received Moderna vaccine
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site mass, Injection site rash, Pain in extremity, Pyrexia
Clinical narrative: Head was throbbing, arm was very painful, developed large lump in arm (about 2inches by 3 inches), fever at injection site, rash at injection site (about 4 inches in diameter). It has been 15 days now since shot. Only symptom left is slight soreness. I have a photo of what my arm looked like... but I don't see a way to attach it to this comment. I would have gone to the doctor afterwards, but I do not have insurance, I only work part time, my husband is on disability for cancer, and I couldn't afford to go to the doctor.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature increased, Injection site pain, Joint effusion, Joint range of motion decreased
Clinical narrative: Injection site pain for 3 days following injection. Elevated temperature for 5 days following injection (99.1 degrees, 96.1 basal measured at site). Left elbow joint effusion commencing 30 hours post injection and continuing as of 6 days post injection. Treated with 5 day course of 4x 500mg cephalexin. Patient reports joint pain and reduced range of motion. Patient had radial head reattachment surgery of the affected elbow in 2014, three titanium screws were installed and remain.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Syncope
Clinical narrative: Patient fainted after the Shot  and regained consciousness  .He complained about dizziness and nausea. 911 was called. He was advised to sit and be observed until they arrived
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pyrexia
Clinical narrative: Fatigue Chills Fever of 101.2
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Urticaria to upper extremity
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Syncope
Clinical narrative: dizziness, fainting feeling post vaccination, has hx DM on oral meds, no meds given, stable and DC AMA with son driving pt home
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pyrexia
Clinical narrative: Fever, chills, headache, complete fatigue resulting in spending the whole next day in bed.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest pain, Dyspnoea, Erythema, Urticaria
Clinical narrative: Severe Urticaria, hives, redness, chest pain, SOB. Went to ED X2. PCP prescribed prednisone but was ineffective. Referred to allergist. He prescribed both RX meds and OTC meds. Which were slightly effective. Blood work drawn. Awaiting f/u appointment now.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Dry mouth, Heart rate increased
Clinical narrative: At approx. 5pm I started to have severe dry mouth and my heart rate was elevated.  I decided to check my BP and it was 211/110.  I called my doc and she had me take Benedryl and then waited about an hour.  My BP was still 200/100 so she had me go to the ER.  They gave me some Ativan to help my BP and heart rate and after around 3 hours my BP was down to 155/96.  It has continued to run higher than normal this week.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Loss of consciousness
Clinical narrative: I TOOK THE SHOT ON 03/20/2021, FELT BREATHLESS WHILST TAKING A WALK ON THE TRAIL ON 03/27/2021. DIZINESS ABOUT FOUR TIMES ON 03/27/2021 AND I PASSED OUT MOMENTARILY/CHECKED INTO ER. NOT EXACTLY SURE IF THE VACCINE IS THE CAUSE, BUT IT REQUIRES LOOKING INTO BECAUSE I HAVE NEVER HAD SUCH AN EXPERIENCE IN MY ENTIRE LIFE.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Audiogram abnormal, Deafness unilateral, Magnetic resonance imaging normal
Clinical narrative: Total hearing loss in right ear
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: COVID Arm           Hot, swollen, red, extremely itchy rash R arm injection sight.  10 days after second shot.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Chills, Dizziness, Fatigue, Feeling abnormal
Clinical narrative: First Dose of Moderna on 3-3-21:  Dizzy and lightheaded within the 15 minutes for the wait time at facility. This feeling continued for 3 hours post-injection. 2 Hours after injection, more fatigued than normal and that continued until early evening. Arm pain lasted 2 days.  Second Dose of Moderna on 3-31-21:  Extreme fatigue began 7 hours after injection. 13 hours post-injection, awoke to extreme severe arm pain, slight headache, slight, but fleeting chills, skin extremely sensitive and hurt like with the flu, sore glands in throat, off and on sweating , severe joint pain in knees, elbows, shoulders, toes, back and neck, felt foggy minded. These symptoms lasted until the morning of 4-2-2021.  4 Advil every 6 hours helped to alleviate aches somewhat.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Hyperhidrosis, Pain in extremity, Sensitive skin
Clinical narrative: First Dose of Moderna on 3-3-21:  Dizzy and lightheaded within the 15 minutes for the wait time at facility. This feeling continued for 3 hours post-injection. 2 Hours after injection, more fatigued than normal and that continued until early evening. Arm pain lasted 2 days.  Second Dose of Moderna on 3-31-21:  Extreme fatigue began 7 hours after injection. 13 hours post-injection, awoke to extreme severe arm pain, slight headache, slight, but fleeting chills, skin extremely sensitive and hurt like with the flu, sore glands in throat, off and on sweating , severe joint pain in knees, elbows, shoulders, toes, back and neck, felt foggy minded. These symptoms lasted until the morning of 4-2-2021.  4 Advil every 6 hours helped to alleviate aches somewhat.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Chills, Fatigue, Headache, Injection site erythema
Clinical narrative: 29Mar2021 Approx. 5pm = slight pain at injection site (left upper arm) when I lift my arm 30Mar2021 Approx. 1pm = Nasty persistent headache with fatigue 30Mar2021 Approx. 8:30pm = Tiredness + chills. I went to bed. 31Mar2021 Approx. 11am = Felt good except for slight pain in left armpit when I move my arm. 01Apr2021 woke up at 6:30am feeling like I have a golf ball in my left armpit which look swollen compare to my right armpit (no problem here). Additionally, itching, readness on left arm skin 2 inches below vaccine injection site spreading towards my armpit. 02Apr2021 Left armpit still swollen but the golf ball feeling less prominent than the day before.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Lymphadenopathy
Clinical narrative: 29Mar2021 Approx. 5pm = slight pain at injection site (left upper arm) when I lift my arm 30Mar2021 Approx. 1pm = Nasty persistent headache with fatigue 30Mar2021 Approx. 8:30pm = Tiredness + chills. I went to bed. 31Mar2021 Approx. 11am = Felt good except for slight pain in left armpit when I move my arm. 01Apr2021 woke up at 6:30am feeling like I have a golf ball in my left armpit which look swollen compare to my right armpit (no problem here). Additionally, itching, readness on left arm skin 2 inches below vaccine injection site spreading towards my armpit. 02Apr2021 Left armpit still swollen but the golf ball feeling less prominent than the day before.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Dry mouth, Dry throat, Dysphagia, Lip swelling, Myalgia
Clinical narrative: Got shot at hospital . ...sat for 15/20 minutes.....left to come home..noticed dry mouth, throat. about 10 minutes later I noticed i was having a hard time swallowing..i kept trying and trying and thought I better get somewhere, was on way to hospital and I started to be able to swallow. no idea what happened but was so glad i was able to swallow..I had severe muscle pain that night of the shot and the next 3 days. . Then later on the 3rd or 4th  I noticed my bottom lip swelling, then it felt like my nose was swelling, tingly...then a hive came out on my face. I took an allergy pill and in about 30 minutes it started to subside a little...I called my Dr before I went back for the second shot and was advised not to take it.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Swelling face
Clinical narrative: Got shot at hospital . ...sat for 15/20 minutes.....left to come home..noticed dry mouth, throat. about 10 minutes later I noticed i was having a hard time swallowing..i kept trying and trying and thought I better get somewhere, was on way to hospital and I started to be able to swallow. no idea what happened but was so glad i was able to swallow..I had severe muscle pain that night of the shot and the next 3 days. . Then later on the 3rd or 4th  I noticed my bottom lip swelling, then it felt like my nose was swelling, tingly...then a hive came out on my face. I took an allergy pill and in about 30 minutes it started to subside a little...I called my Dr before I went back for the second shot and was advised not to take it.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site swelling, Rash, Urticaria
Clinical narrative: Bad rash all over body. Symptoms included wheals, swelling of skin, and itching. Symptoms relieved with Caladryl Clear lotion (applied as needed) and oral Benadryl  (50mg/q 6hrs) . Symptoms subsided after 5 days.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis
Clinical narrative: Patient was given the first dose of Moderna on 03/5/21 and upon getting the second dose today 04/02/21 she informed the pharmacy she had cellulitis after the first dose and was hospitalized for over a week.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea, Vomiting
Clinical narrative: Severe tiredness, nausea, vomiting, headache
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: 8 days after injection of first Moderna shot the injection site became itchy, swollen (egg size), and tender to the touch. I cannot tell if there is a rash because I have a half sleeve tattoo.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: I am 9 weeks after my second shot and I have tested positive with minor symptoms
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Red, swollen, painful, itchy, and hard, at injection site
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth
Clinical narrative: Red, swollen, painful, itchy, and hard, at injection site
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Fatigue, Pain in extremity, Rash erythematous
Clinical narrative: Experienced temperature of 101-102, chills, sore arm, fatigue.  Two days after second vaccination my arm has large red, itchy rash...
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: Experienced temperature of 101-102, chills, sore arm, fatigue.  Two days after second vaccination my arm has large red, itchy rash...
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Dermatitis bullous, Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Patient stated that he broke out in a rash that mimicked bug bites all under the vaccination arm and then it spread across his chest to his other arm.  His armpit on the right arm (vaccination site) was red and swollen also.  It itched but did not hurt.  It cleared up after about 2 weeks.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Patient stated that he broke out in a rash that mimicked bug bites all under the vaccination arm and then it spread across his chest to his other arm.  His armpit on the right arm (vaccination site) was red and swollen also.  It itched but did not hurt.  It cleared up after about 2 weeks.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Exposure during pregnancy, Fatigue, Headache
Clinical narrative: redness,  soreness at injection site, nausea,  vomiting,  low grade fever,  chills, headache, extreme fatigue, diarrhea.   Estimated delivery date: 9/17/2021 [pregnancy #3]
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Nausea, Pyrexia, Vomiting
Clinical narrative: redness,  soreness at injection site, nausea,  vomiting,  low grade fever,  chills, headache, extreme fatigue, diarrhea.   Estimated delivery date: 9/17/2021 [pregnancy #3]
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Injection site erythema, Injection site warmth, Pain in extremity, Pruritus
Clinical narrative: ARM became sore around 5 pm.  Pain continued down my arm. Then I began to itch on left arm then scalp, then neck & face real bad.  Left Ear became real hot and last til bout 8 am.   Body felt like i had a sunburn. I applied 2 ice packs from 9 to 10 pm on arm . Red around injection site and felt hot to the touch since 5pm yesterday.   when I woke up I tried to call clinic, they were closed. I took  generic benadryl and it has helped but started itching again around 7pm 4/2/21.  So I am going to take another beadryl.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain
Clinical narrative: Headache, Body Aches, Fatigue
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills
Clinical narrative: Chills Lower back achy/dull
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Vaccination site induration, Vaccination site swelling
Clinical narrative: Swelling, itching, redness, hardness, at vaccination site 7 days from injection
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Osteitis, Swelling face
Clinical narrative: Inflammation of the face, jaw area extending from the left ear to the lower part of the jaw near the neck and to the middle of the cheek
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Bone pain, Dyspnoea, Fatigue, Headache, Nausea
Clinical narrative: Fatigue, shortness of breathe, ache bones, nausea, soreness, fever and headaches all occurred within 14 to 24 hours
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fatigue, shortness of breathe, ache bones, nausea, soreness, fever and headaches all occurred within 14 to 24 hours
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation, Throat tightness
Clinical narrative: A few minutes after receiving vaccine patient began to have irritation in throat and tightness in the chest. 911 was called. 50 mg of diphenhydramine was given to patient with their consent and denied any allergy to benadryl. Counseled patient that benadryl could cause drowsiness. Patient denied any history of anaphylaxis in the past. The EMTs arrived and took over care. Vitals were good per EMT's. The EMTs escorted patient from the pharmacy. Per the EMTs, the patient was advised to self-monitor at home and seek medical attention if any worsening of symptoms, and they advised the patient not to drive home, and alternate transportation was arranged.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain, Pyrexia
Clinical narrative: 10 hours after receiving the shot, I had fever, chills, fatigue and aches. These symptoms have gradually lessened. 36 hours after the shot and I am close to normal.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: No adverse symptoms reported. came back after having received Pfizer vaccine.  had not communicated that this was his second dose prior to vaccination and had noticed that the vaccine he received was not the same one listed on his vaccine card. Apparently,  had received Moderna vaccine on 3/4/2021.  were concerned, so came back to clinic. No symptoms reported from time vaccine received.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Balance disorder, Dizziness, Erythema, Fatigue
Clinical narrative: Same evening started freezing cold. tired. went to bed to try to get warm.  Woke 3 a.m. so dizzy I had to hold furniture to get to bathroom, Headache, achy, feverish but too unsteady to take temp or aspirin. Woke after daylight to 101 fever, usually 97. headache, took aspirin. Mild upset stomach. achy. mildly dizzy. Not clear-headed; filling out this report was too much. By Sunday fever almost gone. A blister inside top lip. Sunday evening well enough to dress & discovered arm sore, red, hot & swollen.  I removed bandaid, and it got better over the next few days.   Headache continued a few more days but not as bad. I was still very tired; slept most of Friday, Sat & Sunday. That improved but was still unusually tired for a while.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Feeling cold, Headache, Lip blister, Pain
Clinical narrative: Same evening started freezing cold. tired. went to bed to try to get warm.  Woke 3 a.m. so dizzy I had to hold furniture to get to bathroom, Headache, achy, feverish but too unsteady to take temp or aspirin. Woke after daylight to 101 fever, usually 97. headache, took aspirin. Mild upset stomach. achy. mildly dizzy. Not clear-headed; filling out this report was too much. By Sunday fever almost gone. A blister inside top lip. Sunday evening well enough to dress & discovered arm sore, red, hot & swollen.  I removed bandaid, and it got better over the next few days.   Headache continued a few more days but not as bad. I was still very tired; slept most of Friday, Sat & Sunday. That improved but was still unusually tired for a while.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: Same evening started freezing cold. tired. went to bed to try to get warm.  Woke 3 a.m. so dizzy I had to hold furniture to get to bathroom, Headache, achy, feverish but too unsteady to take temp or aspirin. Woke after daylight to 101 fever, usually 97. headache, took aspirin. Mild upset stomach. achy. mildly dizzy. Not clear-headed; filling out this report was too much. By Sunday fever almost gone. A blister inside top lip. Sunday evening well enough to dress & discovered arm sore, red, hot & swollen.  I removed bandaid, and it got better over the next few days.   Headache continued a few more days but not as bad. I was still very tired; slept most of Friday, Sat & Sunday. That improved but was still unusually tired for a while.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever above 101F
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain
Clinical narrative: Pain in vaccine site arm evening of and day after getting vaccine; headache ~18+ hours after getting vaccine; fatigued day after getting vaccine
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site mass, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: During first night arm developed lump under skin at injection site and was slightly itchy.  By next morning it was bright red, about 3 inches across in diameter and VERY hot to touch. This lasted about four then finally turned to being  warm vs. hot to touch.  Now it is warm and not as bright red and just a bit itchy and still swollen with subtle lump or knot under skin.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Blood test, Cardiac monitoring, Dyspnoea, Electrocardiogram
Clinical narrative: within 10 minutes, had trouble breathing and tingling hands.  got Benadryl shot and then had shakes throughout body. rising blood pressure. admitted to ER. After approximately 4 hours it subsided.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Tremor, Troponin
Clinical narrative: within 10 minutes, had trouble breathing and tingling hands.  got Benadryl shot and then had shakes throughout body. rising blood pressure. admitted to ER. After approximately 4 hours it subsided.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Dysgeusia, Flushing, Hypoaesthesia oral, Throat irritation
Clinical narrative: Patient received Pfizer EW0150 by Nurse. Patient in observation area notified Nurse stated feeling of dizziness, flushness, numbness in tongue, throat itching and metallic taste. No audible wheezing, no shortness of breath, and no difficulty swallowing. (BP 153/99, HR, 77, Spo2: 98%) Patient with history of Asthma/Anaphylactic reactions. Allergies to Penicillin. Under observation, patient reports of improvement in condition, although still persistent throat itching and tongue numbness. 25mg Benadryl PO administered. HR: 83, BP:118/80, Spo2: 99%, patient further monitored and states feeling well with all symptoms completely resolve. Pt dc/ed educated on s/s to look out for. (HR 77, BP:112/70 O2:99%)
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypertension, Shock, Stress
Clinical narrative: Patient received Pfizer EW0150 by Nurse. Patient in observation area notified Nurse stated feeling of dizziness, flushness, numbness in tongue, throat itching and metallic taste. No audible wheezing, no shortness of breath, and no difficulty swallowing. (BP 153/99, HR, 77, Spo2: 98%) Patient with history of Asthma/Anaphylactic reactions. Allergies to Penicillin. Under observation, patient reports of improvement in condition, although still persistent throat itching and tongue numbness. 25mg Benadryl PO administered. HR: 83, BP:118/80, Spo2: 99%, patient further monitored and states feeling well with all symptoms completely resolve. Pt dc/ed educated on s/s to look out for. (HR 77, BP:112/70 O2:99%)
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pyrexia
Clinical narrative: Extreme tiredness.  Minor Chills. Minor fever.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Eating disorder
Clinical narrative: Can not eat beef, chicken, scallops since the second vaccine.   I can cook it for my husband, but have no desire to eat it and have no interest in it and cannot put it in my mouth .    Never been a fussy eater before.  Otherwise,  appetite is normanl
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus
Clinical narrative: After waiting 30 minutes for observation, patient reported itching and redness in neck. Pharmacist gave patient oral Benadryl and observed patient. Patient symptoms resolved and patient left 1 hr later with husband. Pharmacist educated patient to seek medical treatment if symptoms appear again and worse such as trouble breathing.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Dysphagia, Neck pain, Oesophagogastroduodenoscopy, Sensation of foreign body
Clinical narrative: Dysphahia, pain in neck, feel like lump in throat beginning week or two after vaccine
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Swallow study
Clinical narrative: Dysphahia, pain in neck, feel like lump in throat beginning week or two after vaccine
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Nasopharyngitis, Nausea, Pain
Clinical narrative: Cold and very achy. Nausea intermittent. General malaise
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Headache, Myalgia, Tension headache
Clinical narrative: To begin, I never, ever experience headaches and I never take Tylenol.  7 days after receiving the first vaccine, on the evening of the 03/31, I developed a severe headache.  It felt like a tightness around the perimeter of my forehead.  As the night went on, I took 1 table of extra strength Tylenol (Thank goodness my SO had a travel supply in his back pack) and went to bed.  The next morning I woke up with a mild headache and started working from home.  As the morning went on I developed chills, muscle aches, the headache got worse and I developed a dry cough.  Every time I coughed, it hurt my head.   After I drank 16 oz of electrolytes and took another tablet of extra strength Tylenol.  I started to feel better.  Went to bed, however, I was woken up at 1:45AM with the headache again and body chills.   When I woke up to start work, I still had the headache.   After eating breakfast, I took another tablet of extra strength Tylenol and drank more electrolytes.  By mid afternoon, I started to feel better.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea
Clinical narrative: Headache, nausea
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Hypoaesthesia, Injection site pain, Insomnia
Clinical narrative: Symptoms started around midnight with having string headache, joint pains,  extremely sore arm, numbness in left hand fingers and insomnia.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Injection site pain, Injection site swelling, Nausea
Clinical narrative: High fever,  uncontrollable shaking, nausea, dizziness, and headache.  Pain and swelling at the injection site.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tremor
Clinical narrative: High fever,  uncontrollable shaking, nausea, dizziness, and headache.  Pain and swelling at the injection site.
Age: 17.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Moderna given off label to 17 year old
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Chills, Decreased appetite, Fatigue, Pyrexia
Clinical narrative: Received Janssen Lot 1808980 at 10:15AM on 4/1/2021. No symptoms at first other than missing appetite. Around 9:00pm started to feel chills and tired with low grade fever (100 C). Around 1:30am started feeling right side back pain in my kidney area that woke me up. By 2:15am the pain was almost unbearable, and I could no longer lay in bed. At 3:00am I took 2x 500mg Tylenol as I debated whether to call my doctor or go straight to ER. By the 3:45am pain was subsiding and was I able to get back in bed by 4am. Today no pain.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: Received Janssen Lot 1808980 at 10:15AM on 4/1/2021. No symptoms at first other than missing appetite. Around 9:00pm started to feel chills and tired with low grade fever (100 C). Around 1:30am started feeling right side back pain in my kidney area that woke me up. By 2:15am the pain was almost unbearable, and I could no longer lay in bed. At 3:00am I took 2x 500mg Tylenol as I debated whether to call my doctor or go straight to ER. By the 3:45am pain was subsiding and was I able to get back in bed by 4am. Today no pain.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site pain, Migraine, Myalgia
Clinical narrative: Migraines Muscle Soreness Fever Chills Fatigue Nausea Pain at Injection Site Right Arm Pain "COVID Arm"
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia
Clinical narrative: Migraines Muscle Soreness Fever Chills Fatigue Nausea Pain at Injection Site Right Arm Pain "COVID Arm"
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Bone pain, Headache, Joint swelling, Nausea, Neck pain
Clinical narrative: Intense bone pain, headache, body pain, neck pain, fever 100.8, joint swollen hands, legs, nausea, taking extra strong tylenol and rizatriptan.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Intense bone pain, headache, body pain, neck pain, fever 100.8, joint swollen hands, legs, nausea, taking extra strong tylenol and rizatriptan.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Condition aggravated, Head discomfort, Tinnitus, Vision blurred
Clinical narrative: I felt OK for the first 3 days and then I started having worse symptoms of my MCAS and POTS condition.  Note, I had NOT had POTS symptoms for 7 years.  I was originally diagnosed with POTS in 2010 but slowly got better over 3 -4 years time and have not had issues with POTS since until after the 1st dose of the Covid 19 vaccine.  Once my mast cell issues seemed to improve after the first week or so then the POTS symptoms kept getting worse.  I am now one month out from the first shot and my heart rate and blood pressure are so bad I'm mostly couch ridden.  I'm seeing a cardiologist on Monday.  Heart rate even when sleeping at night is shooting up to 125-136 without exertion, just sleeping or standing.  I have almost passed out while driving 5 times.  Until I improve I won't be driving on major freeways.  My vision has also been severely effected.  Very blurry and one time all I could see were prisms blinding my view of almost everything.  Also very weak all of the time and a lot of pressure in my head, it feels like someone is pushing my head forward. Some ringing of the ears as well.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: I felt OK for the first 3 days and then I started having worse symptoms of my MCAS and POTS condition.  Note, I had NOT had POTS symptoms for 7 years.  I was originally diagnosed with POTS in 2010 but slowly got better over 3 -4 years time and have not had issues with POTS since until after the 1st dose of the Covid 19 vaccine.  Once my mast cell issues seemed to improve after the first week or so then the POTS symptoms kept getting worse.  I am now one month out from the first shot and my heart rate and blood pressure are so bad I'm mostly couch ridden.  I'm seeing a cardiologist on Monday.  Heart rate even when sleeping at night is shooting up to 125-136 without exertion, just sleeping or standing.  I have almost passed out while driving 5 times.  Until I improve I won't be driving on major freeways.  My vision has also been severely effected.  Very blurry and one time all I could see were prisms blinding my view of almost everything.  Also very weak all of the time and a lot of pressure in my head, it feels like someone is pushing my head forward. Some ringing of the ears as well.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose decreased, Dizziness, Nasopharyngitis
Clinical narrative: Patient got first dose of Covid vaccine (Prizer) on 04/02/21 around 11:00am. Patient started develop adverse effects of dizziness, cold and low blood glucose. He almost passed out. He refused us calling 911. However after 20 minutes, symptoms get worse . We call 911 and AMR arrived.
Age: 64.0
Sex: M
Vaccine: UNK
Symptoms: Back pain, Vomiting
Clinical narrative: vomiting multiple times, back ache
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Feeling hot, Injection site discomfort, Injection site hypoaesthesia, Injection site paraesthesia
Clinical narrative: Patient reported feeling hot, nauseated, heart palpitations, tingling around lips and discomfort and tingling/numbness/discomfort in left arm within 5 minutes after injection in left arm. (She was negative for lip or oral mucosa swelling, voice change, SOB, rash, visible flushing, urticaria) Her vitals remained stable and initial sx resolved spontaneously within 15-120 minutes apart from  swelling (without erythema or induration) and tenderness on left medial anticube, which was treated with ice. Patient had normal ROM, strength of left arm. Patient was observed or 50 minutes and cleared by NP and MD to leave with instructions to FU with ED if return of symptoms.  Arm swelling was resolving when called the next day.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Palpitations, Paraesthesia oral, Peripheral swelling, Tenderness
Clinical narrative: Patient reported feeling hot, nauseated, heart palpitations, tingling around lips and discomfort and tingling/numbness/discomfort in left arm within 5 minutes after injection in left arm. (She was negative for lip or oral mucosa swelling, voice change, SOB, rash, visible flushing, urticaria) Her vitals remained stable and initial sx resolved spontaneously within 15-120 minutes apart from  swelling (without erythema or induration) and tenderness on left medial anticube, which was treated with ice. Patient had normal ROM, strength of left arm. Patient was observed or 50 minutes and cleared by NP and MD to leave with instructions to FU with ED if return of symptoms.  Arm swelling was resolving when called the next day.
Age: 32.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Erythema, Feeling hot, Flushing, Hyperhidrosis, Pruritus
Clinical narrative: Started with sweeping of hands, feeling hot and flushed, then redness of face. Extremely itchy. Fainted once arrived to ER.
Age: 32.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Syncope
Clinical narrative: Started with sweeping of hands, feeling hot and flushed, then redness of face. Extremely itchy. Fainted once arrived to ER.
Age: 32.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Feeling hot, Peripheral swelling, Syncope, Urticaria
Clinical narrative: Started with sweeping of hands, feeling hot and flushed, then redness of face. Extremely itchy. Fainted once arrived to ER.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Nerve stimulation test
Clinical narrative: Bell's palsy (left-side facial paralysis). 72-hour onset. Symptoms started 3/26/21. Diagnosed 3/28/21. Prednisone and Zorivax prescribed.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site reaction, Rash papular, Rash pruritic, Respiratory tract congestion
Clinical narrative: ?Covid Arm? raised circle itchy rash at Moderna vaccine injection site. Congestion, fatigue, painful sinuses.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus pain, Vaccination complication
Clinical narrative: ?Covid Arm? raised circle itchy rash at Moderna vaccine injection site. Congestion, fatigue, painful sinuses.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Fatigue, Pyrexia, Somnolence
Clinical narrative: Severe drowsiness 45 minutes after injection, slept 12 hours straight during day/evening, awaken for one hour then slept til 6 am. Awake 4 hours then slept 6 more. Chills noted from 2100on 4/1/21 til present.Fever of 100.5 noted at 1830 on 4/2/21, took ibuprofen 600mg po. Pending results. Still 100.5F-101.3F. Keeping fluids down. Body weakness/fatigue noted since 1100 am on 4/2/21.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Skin warm, Urticaria
Clinical narrative: For 36 hrs post vaccine there was some itching with a hard, hot welt. Was gone by 72 hrs post vaccine. 8 days after dose the same symptoms returned on a larger scale. Welt is about 3-4 inches in diameter, itchy, red, and hot. No other symptoms. Using topical anti-itch cream and ibuprofen.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pyrexia
Clinical narrative: headache, chills, fatigue, fever (102.2 degrees F)
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Computerised tomogram, Dyskinesia, Eye movement disorder
Clinical narrative: Diagnosed with Bell's Palsy on 03/14/2021 left side of face, could not close left  eye, left side mouth would not move, could not wrinkle left forehead..
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Malaise, Pain
Clinical narrative: Body aches, headache and malaise.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fall, Feeling abnormal, Head injury, Hyperhidrosis
Clinical narrative: Approx 4 minutes after the patient, received his Covid-19 Vaccine, he went to take a seat in his chair in the observation area. It was then witnessed by another patient, that Client had turned his head to the left looking "dazed" or "out of it" then fell to the floor. It was observed by other surrounding patients that he hit the left side of his head when he fell to the floor. I, RN, ran to his aide to find him turning to his right side and incoherent. Approx. 5 seconds went by until the patient came to and was able to talk to me and answer questions assessing his alertness. Another patient nearby was prompted by this nurse to call ED.The patients vitals were taken by the nurse and diaphoresis was observed from the patient. The patient stated he had "just felt sleepy and had not eaten prior to receiving his vaccine". His mother, was brought inside the buiding and stated that the patient had no prior health issues. This patient reported no pain to the head, neck or back but reported some dizziness prior to falling down. Patient stated that he remembers the entire event and did admit to losing consciousness for a short period of time. Fire dept and Paramedics arrived on scene at approx 5:56pm and assessed the patient. Vitals were taken and the patient refused to go to the hospital to be checked out. A juice box on site was given to the patient and the patient waited another approx 10 minutes before leaving with his mother to go home. Both the patient and the mother felt comfortable leaving the site.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Incoherent
Clinical narrative: Approx 4 minutes after the patient, received his Covid-19 Vaccine, he went to take a seat in his chair in the observation area. It was then witnessed by another patient, that Client had turned his head to the left looking "dazed" or "out of it" then fell to the floor. It was observed by other surrounding patients that he hit the left side of his head when he fell to the floor. I, RN, ran to his aide to find him turning to his right side and incoherent. Approx. 5 seconds went by until the patient came to and was able to talk to me and answer questions assessing his alertness. Another patient nearby was prompted by this nurse to call ED.The patients vitals were taken by the nurse and diaphoresis was observed from the patient. The patient stated he had "just felt sleepy and had not eaten prior to receiving his vaccine". His mother, was brought inside the buiding and stated that the patient had no prior health issues. This patient reported no pain to the head, neck or back but reported some dizziness prior to falling down. Patient stated that he remembers the entire event and did admit to losing consciousness for a short period of time. Fire dept and Paramedics arrived on scene at approx 5:56pm and assessed the patient. Vitals were taken and the patient refused to go to the hospital to be checked out. A juice box on site was given to the patient and the patient waited another approx 10 minutes before leaving with his mother to go home. Both the patient and the mother felt comfortable leaving the site.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Pain, Sluggishness
Clinical narrative: Severe migraine headache, Imitrex (2 doses) did not resolve. Headache subsided after 12 hours. Next day sluggish/achy.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Swelling face
Clinical narrative: Swollen lips, face and cheeks. No trouble breathing
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site inflammation, Injection site pruritus
Clinical narrative: INFLAMATION, REDNESS AND ITCHING AROUND INJECTION SITE AND ABOUT TWO INCHES BELOW THE INJECTION SITE.  THE PATIENT INFORMED  HIS DOCTOR AND HIS DOCTOR ASKED HIM TO CONTACT ME.  PATIENT WAS ADVISED TO TAKE CETIRIZINE 10MG AT BEDTIME FOR THE ITCHING.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder
Clinical narrative: Mensturation started two weeks early.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Rash
Clinical narrative: 3 days after 1st moderna vaccine. Got rash on forehead eye.  Went to dermotologist and was diagnosed with shingles on right side of face
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Hypoacusis, Magnetic resonance imaging, Tinnitus
Clinical narrative: After receiving the first vaccine on 12/29/20,  I woke the morning of 12/31/20 with muffled hearing in my left ear. This lasted for the entire day of 12/31. When I woke up the next morning 1/1/21, the muffled sensation in my ear was gone, but I noticed a ringing in my left ear only. The left sided tinnitus continues, 3 months later.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper
Clinical narrative: Stomach pain BP 119/90 Pulse 58 Resp 14 SpO2 97% RA
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site pruritus, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Large rash at injection site that is hot to touch, itchy, and raised. It is also somewhat hard. It causes pain when I lift my arm straight up (flexing my right deltoid).
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Large rash at injection site that is hot to touch, itchy, and raised. It is also somewhat hard. It causes pain when I lift my arm straight up (flexing my right deltoid).
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Throat irritation
Clinical narrative: Client received first dose of Pfizer vaccine @ approximately 2 pm, started to feel itchiness in throat and ear areas @ 2:15pm, made RN aware at 2:30pm.  No rashes or hives noted in said areas by RN, client denies trouble breathing.  RN offered Benadryl, client declines stating she does not like drowsiness from Benadryl, prefers to take her own medicine loratadine in car.  Client left home with husband, aware to follow up with primary physician.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Administration / scheduling error:  Vaccine given outside of recommended window of time - given too late after initial dose.  1st dose administered 1/20/2021.  2nd dose administered 3/30/2021.  60 days apart.  Timeframe is past window.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Woke on morning of 3/14/2021 at 5:30 with debilitating dizziness that lasted a few hours. Moving my head quickly to left or right worsened the dizziness. After sitting for an hour, the dizziness lessened, but was light headed for rest of day. My normal resting heart rate in mornings is low to mid 60?s and during the dizzy spell it was down to 55. My HR has never gone that low. I measure every morning and night so aware when Out of range.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache
Clinical narrative: Chills, fatigued, tiredness, headaches
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pruritus, Rash
Clinical narrative: Pain at injection site 9 days after injection in morning. Rash & itchiness starting later same evening. No treatment.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Head discomfort, Nausea, Pain in extremity, Palpitations
Clinical narrative: Felt dizzy and lightheaded  after 5 minutes post injection. Also had tingling  sensation on the tongue through the evening. Palpitations after 40 mInutes after vaccine  one time for a few seconds. Slight nausea after 1 hour  and 1/2.  Heavy head feeling  and dizziness like a cold without the congestion for 8 hours. Arm soreness was the least of my concern.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral
Clinical narrative: Felt dizzy and lightheaded  after 5 minutes post injection. Also had tingling  sensation on the tongue through the evening. Palpitations after 40 mInutes after vaccine  one time for a few seconds. Slight nausea after 1 hour  and 1/2.  Heavy head feeling  and dizziness like a cold without the congestion for 8 hours. Arm soreness was the least of my concern.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain
Clinical narrative: Body Aches, chills, severe headache, fatigue
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Have had mild tinnitus for many years.  Within two weeks of my first injection I noticed a major increase in the hissing condition.  Generally daytime noise and background noise would mask the earlier condition.  With the worsened condition background noise will no longer mask the noise.  It's constant.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Nausea, Pyrexia
Clinical narrative: Nausea, fatigue, chills, fever
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Injection site pruritus, Lymphadenopathy, Nausea
Clinical narrative: Severe itching on vaccinated are, chest , stomach and back. Rashes and hives, Burning skin, Sneezing, over active sinuses, Nausea, swelling in neck glands and ear glands, facial swelling at mouth and eyes, tightness in chest and difficulty breathing. The symptoms got worse each day and I went to Urgent Care on the 6 th day when the swelling started. I was given a Steroid shot and a prescription for Predizone for 10 days. The shot helped within a hour or two but the symptoms are still there but not as severe. All these symptoms have happened to me before when I have accidentally injested Gluten or Wheat. Is there Wheat in the fillers?  I am very nervous about having the 2nd shot !!!!!!!
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Sinus disorder, Skin burning sensation, Sneezing
Clinical narrative: Severe itching on vaccinated are, chest , stomach and back. Rashes and hives, Burning skin, Sneezing, over active sinuses, Nausea, swelling in neck glands and ear glands, facial swelling at mouth and eyes, tightness in chest and difficulty breathing. The symptoms got worse each day and I went to Urgent Care on the 6 th day when the swelling started. I was given a Steroid shot and a prescription for Predizone for 10 days. The shot helped within a hour or two but the symptoms are still there but not as severe. All these symptoms have happened to me before when I have accidentally injested Gluten or Wheat. Is there Wheat in the fillers?  I am very nervous about having the 2nd shot !!!!!!!
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face, Urticaria
Clinical narrative: Severe itching on vaccinated are, chest , stomach and back. Rashes and hives, Burning skin, Sneezing, over active sinuses, Nausea, swelling in neck glands and ear glands, facial swelling at mouth and eyes, tightness in chest and difficulty breathing. The symptoms got worse each day and I went to Urgent Care on the 6 th day when the swelling started. I was given a Steroid shot and a prescription for Predizone for 10 days. The shot helped within a hour or two but the symptoms are still there but not as severe. All these symptoms have happened to me before when I have accidentally injested Gluten or Wheat. Is there Wheat in the fillers?  I am very nervous about having the 2nd shot !!!!!!!
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Allergy test negative, Immediate post-injection reaction, Swelling face
Clinical narrative: She started swelling around her face immediately
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hemiparesis, Swelling face
Clinical narrative: She started swelling around her face immediately
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Cough, Dyspnoea, Nausea, Neck pain
Clinical narrative: Patient presented complaining of worsening shortness of breath onset 50 minutes ago after receiving first COVID vaccination.  Sx started as a "pin pricks" in her throat and move down her neck and have continued to worsen. Also c/o nausea, coughing. She received PO Benadryl at vaccination site. Brought to ED and found to be tachycardiac, tachypneic, O2 saturation at 100% on room air with no stridor or wheezing. Pt actively coughing on exam leading to mild respiratory distress, severe anxiety. In ED, given Epinephrine IM, inhaled racemic epi, benadryl 25 mg, Zofran, Decadron, Pepcid. Sx improved over 30-45 minutes, observed for 6 hours with no recurrence.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Respiratory distress, Tachycardia, Tachypnoea
Clinical narrative: Patient presented complaining of worsening shortness of breath onset 50 minutes ago after receiving first COVID vaccination.  Sx started as a "pin pricks" in her throat and move down her neck and have continued to worsen. Also c/o nausea, coughing. She received PO Benadryl at vaccination site. Brought to ED and found to be tachycardiac, tachypneic, O2 saturation at 100% on room air with no stridor or wheezing. Pt actively coughing on exam leading to mild respiratory distress, severe anxiety. In ED, given Epinephrine IM, inhaled racemic epi, benadryl 25 mg, Zofran, Decadron, Pepcid. Sx improved over 30-45 minutes, observed for 6 hours with no recurrence.