chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Dizziness, Fatigue, Headache
Clinical narrative: 12/28 8am- Pfizer vaccine (lot#EL0140) received in L arm at Hospital 12:45pm- out on a walk. Lightheaded, fatigue, chills, mild nausea, stomach cramping, and muscle weakness all hit pretty hard at once. Notice slight arm soreness as well. Went back inside and essentially collapsed on the couch 5:30pm- Arm soreness is worse. Chills and lightheadedness only mild now. Fatigue has gone down to where I can resume daily activity  12/29 Wake up with moderate sore throat Stabbing arm soreness at injection site Moderate fatigue  and nausea persist. Mild chills. Tried to go for a walk outside and found a 30 minute very slow walk extremely tough  12/30-1/2 Moderate sore throat continues. Other symptoms gone 1/1-2 Arm/ injection site soreness slowly fades  1/2: exercise for the day= 70 min yoga and 7.5 miles of walking. Had a couple glasses of wine at dinner (possibly relevant if issues with vaccine are related to high histamine food issues)  1/3  Moderate headache, fatigue, and muscle aches. Skin feels hot. Sore throat worse than the previous days. Mild runny nose. Severe nausea. Go to Urgent care for COVID test and Zofran Rx. COVID rapid test and PCR test both negative. No fever, higher than usual blood pressure  1/4-5 (current) Nausea lower but still moderate, requiring Zofran. Sore throat persists. Mild fatigue and muscle aches. Skin still feels warm. Mild vertigo during exercise
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Muscular weakness, Myalgia, Nausea, Oropharyngeal pain
Clinical narrative: 12/28 8am- Pfizer vaccine (lot#EL0140) received in L arm at Hospital 12:45pm- out on a walk. Lightheaded, fatigue, chills, mild nausea, stomach cramping, and muscle weakness all hit pretty hard at once. Notice slight arm soreness as well. Went back inside and essentially collapsed on the couch 5:30pm- Arm soreness is worse. Chills and lightheadedness only mild now. Fatigue has gone down to where I can resume daily activity  12/29 Wake up with moderate sore throat Stabbing arm soreness at injection site Moderate fatigue  and nausea persist. Mild chills. Tried to go for a walk outside and found a 30 minute very slow walk extremely tough  12/30-1/2 Moderate sore throat continues. Other symptoms gone 1/1-2 Arm/ injection site soreness slowly fades  1/2: exercise for the day= 70 min yoga and 7.5 miles of walking. Had a couple glasses of wine at dinner (possibly relevant if issues with vaccine are related to high histamine food issues)  1/3  Moderate headache, fatigue, and muscle aches. Skin feels hot. Sore throat worse than the previous days. Mild runny nose. Severe nausea. Go to Urgent care for COVID test and Zofran Rx. COVID rapid test and PCR test both negative. No fever, higher than usual blood pressure  1/4-5 (current) Nausea lower but still moderate, requiring Zofran. Sore throat persists. Mild fatigue and muscle aches. Skin still feels warm. Mild vertigo during exercise
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Rhinorrhoea, SARS-CoV-2 test negative, Skin warm, Vertigo
Clinical narrative: 12/28 8am- Pfizer vaccine (lot#EL0140) received in L arm at Hospital 12:45pm- out on a walk. Lightheaded, fatigue, chills, mild nausea, stomach cramping, and muscle weakness all hit pretty hard at once. Notice slight arm soreness as well. Went back inside and essentially collapsed on the couch 5:30pm- Arm soreness is worse. Chills and lightheadedness only mild now. Fatigue has gone down to where I can resume daily activity  12/29 Wake up with moderate sore throat Stabbing arm soreness at injection site Moderate fatigue  and nausea persist. Mild chills. Tried to go for a walk outside and found a 30 minute very slow walk extremely tough  12/30-1/2 Moderate sore throat continues. Other symptoms gone 1/1-2 Arm/ injection site soreness slowly fades  1/2: exercise for the day= 70 min yoga and 7.5 miles of walking. Had a couple glasses of wine at dinner (possibly relevant if issues with vaccine are related to high histamine food issues)  1/3  Moderate headache, fatigue, and muscle aches. Skin feels hot. Sore throat worse than the previous days. Mild runny nose. Severe nausea. Go to Urgent care for COVID test and Zofran Rx. COVID rapid test and PCR test both negative. No fever, higher than usual blood pressure  1/4-5 (current) Nausea lower but still moderate, requiring Zofran. Sore throat persists. Mild fatigue and muscle aches. Skin still feels warm. Mild vertigo during exercise
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Developed shingles on 12/23/20- went to urgent care on 12/24/20, was given Prednisone and Acyclovir prescriptions.  Rash sites dried on 12/28/20.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Throat irritation
Clinical narrative: Feeling of itchy throat and coughing then started. Evaluated by EMT Gave 25 mg po Benadryl at 3:02PM.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Vertigo
Clinical narrative: Patient reported dizziness (vertigo) that lasted nearly 12 hours.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspepsia
Clinical narrative: Sudden and continuous heartburn on 12/20/2020 which lasted all day.  Took Lansoprazole on 12/20 and 12/21.  Symptom resolved on 12/21.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site rash
Clinical narrative: sore arm with rash/redness at injection site
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Herpes zoster, Rash, Skin swelling
Clinical narrative: Employee got COVID vaccine to right arm 12/21/2020. He noticed a rash to his right arm on the night of 12/27/2020. The rash was red and raised, he didn't think anything of it at the time. The rash persisted and was growing in a linear fashion and seemed to have an unusual appearance. He scheduled a telehealth visit with a Hospital Urgent Care on 12/31/2020. At this time he was diagnosed with Shingles and started on an antiviral. Multiple providers on the telehealth visit think that Shingles is a reaction to the Covid vaccine, as he is otherwise healthy and young and had recently gotten the vaccine. His symptoms are improving and he will be on antivirals for a week total. He denies other symptoms or concerns at this time.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Chest pain, Musculoskeletal chest pain
Clinical narrative: I  had left chest wall pain (lateral) while  breathing and laughing. I don't believe it was muscular.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Facial paralysis
Clinical narrative: Bell?s palsy
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Nausea, Somnolence, Vertigo
Clinical narrative: I'm a employee at Airport  on the Day of the vaccine, i had a severe headache and had to take Tylenol  and Butal-acet-caff  50-325-40 mg  and slept the whole day. The next day I woke up better but a lingering headache persists to this date.  Also, along with the headache I have nausea and light headedness the whole day. As well as dizzy spells where everything spins even if I am sitting down.  Dr.   prescribed  methylprednisolone 4 mg dose pack. Can I take this medication or what can I take because it's not getting any better
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dysstasia, Headache
Clinical narrative: Four hours after vaccination, headache on left side. Next morning, pain was so intense, couldn't stand up. Still has light lingering headache
Age: 53.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Muscle tightness
Clinical narrative: Sore left shoulder not relieved by ice/heat/anti-inflammatories, tightness going up into back of neck
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site rash, Limb discomfort
Clinical narrative: sore arm with rash/redness at injection site
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site urticaria, Skin tightness
Clinical narrative: Subject was administered the COVID vaccine on Thursday, December 31st. Over the weekend she noticed the injection spot was turning red. On Monday, January 4th, 2021, the injection area had now become quite large and looked like she had hives. The area is red and raised. She consulted her PCP and was administered Cetirizine and told to use cold compresses to reduce the spread and the redness. She said the red area was a feeling of tightness, but no pain. She did not miss any work. She is in no pain. She will continue to monitor the area for any changes.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Chest discomfort, Peripheral swelling, Pruritus, Urticaria
Clinical narrative: Within 15 min of receiving the vaccination she began to be itchy and her arm swole right leg began to itch and her ears began to burn, hives around the lips. She said her chest felt tight. She received 25 mg of Benadryl.  After 20 minutes she received another dose of Benadryl.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Blood pressure increased, Chest discomfort, Fatigue, Herpes zoster
Clinical narrative: I experienced Fatigue, chest tightness, and increased blood pressure the first 2 days. Day 5 I started having pain in my upper back, left side. The next day had increased discomfort and developed a rash. Today, it is extremely painful and spread from the upper back to across my left  breast. My PCP agrees that it is Shingles. I am beginning a course of Valtex today, to lesson the severity of symptoms.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: I experienced Fatigue, chest tightness, and increased blood pressure the first 2 days. Day 5 I started having pain in my upper back, left side. The next day had increased discomfort and developed a rash. Today, it is extremely painful and spread from the upper back to across my left  breast. My PCP agrees that it is Shingles. I am beginning a course of Valtex today, to lesson the severity of symptoms.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Initially redness amd swelling. resolved on 12/29/20, redness, swelling and pain reocurred on 1/3/21, Better on 1/5/21
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Blepharospasm, Paraesthesia, Pruritus
Clinical narrative: At 1623 patient reports itchiness all over face, tingling to jaw line & right eye twitching. BP 109/76, P 77, R 20, SpO2 100%.  At 1628 pt. examined by NP, reporting no redness/swelling to throat and lungs clear upon auscultation.  Pt. given oral solution of Benadryl 25 mg along with water to drink. Reports increase to itchiness to face.  At 1640 Reports itchiness only along jaw line with the  other symptoms resolved.  BP 111/76, P 80, R 20, SpO2 98%.  At 1643 patient states able to drive home.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Nausea, Pain, Pyrexia
Clinical narrative: Patient called to report nausea, ache, and fever (does not know temperature but knows when she has a fever)
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation
Clinical narrative: burning sensation in my flank area of left back, extending  from the spine. I couldn't wear clothing because it was unbearable, It lasted until Monday. I texted my friend that is a Dr and he recommended to wait it out. I still get brief sensations but I am more or less over it
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Fever 100.1, Chills and body aches.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site rash, Pain in extremity
Clinical narrative: sore arm with rash/redness at injection site
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Oral pruritus, Pruritus
Clinical narrative: itching in mouth, flushed face, itching chin/cheeks
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site rash, Pain in extremity
Clinical narrative: sore arm with rash/redness at injection site
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Malaise
Clinical narrative: Really fatigue for 24 hours, Like she was hit by a car.  It went away after 24 hours.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Chest X-ray normal, Chills, Cough, Influenza virus test negative
Clinical narrative: A few hours after Shingrix vaccine (2nd dose) = Started having Fever 100.4, Chills, Cough, Extreme body aches, Sore left arm, Extreme weakness. These side effects continued for the next 4 days.  On 12/31/20 in the AM, started hurting when taking a  deep breath in right rear lung area. This continued. Went to Urgent Care. A Covid test and Flu test was done = Negative. A chest X-Ray showed clear but Dr. thought I might have Pleurisy, since I've had Pleurisy many times in the past. I was given an injection of steroid, Dexasone.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pain in extremity, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: A few hours after Shingrix vaccine (2nd dose) = Started having Fever 100.4, Chills, Cough, Extreme body aches, Sore left arm, Extreme weakness. These side effects continued for the next 4 days.  On 12/31/20 in the AM, started hurting when taking a  deep breath in right rear lung area. This continued. Went to Urgent Care. A Covid test and Flu test was done = Negative. A chest X-Ray showed clear but Dr. thought I might have Pleurisy, since I've had Pleurisy many times in the past. I was given an injection of steroid, Dexasone.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Influenza like illness, Injection site induration, Injection site mass
Clinical narrative: "I began  to have flu like symptoms around 1000 am after receiving the vaccine around 730 am Monday 12/28. By the time I arrived home around 3 pm I had chills, achiness but never ran a fever. This went on throughout that evening. When I woke up the next day I felt great until approximately 1000 am and then began having diarrhea. That lasted for about 5 hours. I had some soreness in my L arm where the shot was given however the following  Monday (1-4-21) I had a hard lump where the shot was given and a red rash that appeared. The rash has improved today but is not completely gone."
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site reaction, Pain, Rash erythematous
Clinical narrative: "I began  to have flu like symptoms around 1000 am after receiving the vaccine around 730 am Monday 12/28. By the time I arrived home around 3 pm I had chills, achiness but never ran a fever. This went on throughout that evening. When I woke up the next day I felt great until approximately 1000 am and then began having diarrhea. That lasted for about 5 hours. I had some soreness in my L arm where the shot was given however the following  Monday (1-4-21) I had a hard lump where the shot was given and a red rash that appeared. The rash has improved today but is not completely gone."
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Differential white blood cell count, Dyspnoea, Electrocardiogram, Full blood count, Heart rate increased
Clinical narrative: Patient has a history of heart disease. Post vaccine patient experienced abnormally high blood pressure, even for that of a patient with preexisting disease. Blood pressure was monitored and recorded at least three times a day. Around 48 hours post vaccine, patient experienced sweats and shortness of breath while at work. Heart rate per monitoring device recorded around 145+ even reaching a max heart rate of 160. 72 hours post dose on New Years Eve around 23:00 patient experienced high blood pressure and sinus arrhythmia resulting in admission to the emergency department. Labs and an ECG were ordered.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Hypertension, Sinus arrhythmia
Clinical narrative: Patient has a history of heart disease. Post vaccine patient experienced abnormally high blood pressure, even for that of a patient with preexisting disease. Blood pressure was monitored and recorded at least three times a day. Around 48 hours post vaccine, patient experienced sweats and shortness of breath while at work. Heart rate per monitoring device recorded around 145+ even reaching a max heart rate of 160. 72 hours post dose on New Years Eve around 23:00 patient experienced high blood pressure and sinus arrhythmia resulting in admission to the emergency department. Labs and an ECG were ordered.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Lower respiratory tract infection, Malaise, Rash, Rash erythematous
Clinical narrative: About 4 or 5 hours after vaccine, I was covered in a red rash from head to toe. I went to the ER and got a shot of steroids and I was put on oral steroids for 5 days. Two days after, I had a full blown chest cold and flu like symptoms. I started antibiotics with breathing treatments. I'm better now. I've been sick for a good 10 days.
Age: 51.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Asthenia, Chills, Erythema, Hypoaesthesia
Clinical narrative: Redness and painful swelling of left arm lasted for 3 days. Fever, chills , and body ache for 24 hrs. Soreness in my left arm and shoulder have continued since then. Feels like I have been punched in the arm, and also feels weak and numb at times. I sometimes have trouble lifting my arm over my head without pain and weakness, almost like my arm is giving out. I have not had any other injury to that arm or shoulder in recent memory. I sleep on my right side, with my left arm resting on a body pillow. There are times when the pain and/or numbness makes it difficult to sleep.
Age: 51.0
Sex: M
Vaccine: VARZOS
Symptoms: Insomnia, Pain, Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: Redness and painful swelling of left arm lasted for 3 days. Fever, chills , and body ache for 24 hrs. Soreness in my left arm and shoulder have continued since then. Feels like I have been punched in the arm, and also feels weak and numb at times. I sometimes have trouble lifting my arm over my head without pain and weakness, almost like my arm is giving out. I have not had any other injury to that arm or shoulder in recent memory. I sleep on my right side, with my left arm resting on a body pillow. There are times when the pain and/or numbness makes it difficult to sleep.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Flushing, Hypertension, Palpitations, Tachycardia
Clinical narrative: 15 minutes after vaccine, had flushing, hypertension and tachycardia. 50 mg benadryl liquid.  Patient anxious with these symptoms, feet shaking, felt heart "beating out of chest." Vitals gradually improved after benadryl over one hour. Sent home in care of husband. Will call tomorrow to check on patient and work with allergist on follow up vaccine before receiving.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: 15 minutes after vaccine, had flushing, hypertension and tachycardia. 50 mg benadryl liquid.  Patient anxious with these symptoms, feet shaking, felt heart "beating out of chest." Vitals gradually improved after benadryl over one hour. Sent home in care of husband. Will call tomorrow to check on patient and work with allergist on follow up vaccine before receiving.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Cough, Hyperhidrosis, Laboratory test, Laryngoscopy
Clinical narrative: 24 minutes post shot developed itchy scratchy throat, clearing throat, dry cough, sweating, sense of impending anaphylaxis ( same feeling I get with shellfish reaction) Bp stable, o2 says dropped 88%RA, tachycardia. Epi x 1 given 50 mg IM Benadryl and O2 placed seats normalized.  Symptoms did not resolve, 6 minutes later second Epi shot given. Within 3 minutes symptoms starting to resolve.  125 Iv solumedrol, and given oral pred 40 mg daily x 3 days   Felt fine next day(1/3)  then  1/4/2020 recurrence of symptoms ( 2nd dose pred a little late 30 hours after last dose)  Gave Epi shot, Benadryl 50 mg po ( pred on board)  Symptoms did not resolve but no desaturation , bp stable, tachy, persistent throat clearing and dry cough 2nd Epi shot given Iv famotidine Iv solumedrol 125 mg, symptoms resolved, albuterol helpful lungs clear Pred 40 mg daily x 3 days add famotidine bid, add cetirizine bid 1/5/2021 felt fine in am, sensation of throat swelling itching and dry cough recurred , albuterol used helped temporarily ( had already taken morning cetirizine, famotidine and pred 40 mg) Saw allergist. Says fine, breathing fine slightly tachy, lungs clear, O2 says wnl, sweaty Albuterol given, helped  Laryngoscopes with ENT negative for swelling, just mild vocal cord swelling from cough  Started on pred taper 40 mg daily x 3, 20 mg qd x3, 10 mg dailyx3 Add Benadryl prn  Add advair bid  Continue cetirizine and famotidine
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, Pharyngeal swelling, Tachycardia, Throat clearing, Throat irritation
Clinical narrative: 24 minutes post shot developed itchy scratchy throat, clearing throat, dry cough, sweating, sense of impending anaphylaxis ( same feeling I get with shellfish reaction) Bp stable, o2 says dropped 88%RA, tachycardia. Epi x 1 given 50 mg IM Benadryl and O2 placed seats normalized.  Symptoms did not resolve, 6 minutes later second Epi shot given. Within 3 minutes symptoms starting to resolve.  125 Iv solumedrol, and given oral pred 40 mg daily x 3 days   Felt fine next day(1/3)  then  1/4/2020 recurrence of symptoms ( 2nd dose pred a little late 30 hours after last dose)  Gave Epi shot, Benadryl 50 mg po ( pred on board)  Symptoms did not resolve but no desaturation , bp stable, tachy, persistent throat clearing and dry cough 2nd Epi shot given Iv famotidine Iv solumedrol 125 mg, symptoms resolved, albuterol helpful lungs clear Pred 40 mg daily x 3 days add famotidine bid, add cetirizine bid 1/5/2021 felt fine in am, sensation of throat swelling itching and dry cough recurred , albuterol used helped temporarily ( had already taken morning cetirizine, famotidine and pred 40 mg) Saw allergist. Says fine, breathing fine slightly tachy, lungs clear, O2 says wnl, sweaty Albuterol given, helped  Laryngoscopes with ENT negative for swelling, just mild vocal cord swelling from cough  Started on pred taper 40 mg daily x 3, 20 mg qd x3, 10 mg dailyx3 Add Benadryl prn  Add advair bid  Continue cetirizine and famotidine
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Vocal cord thickening
Clinical narrative: 24 minutes post shot developed itchy scratchy throat, clearing throat, dry cough, sweating, sense of impending anaphylaxis ( same feeling I get with shellfish reaction) Bp stable, o2 says dropped 88%RA, tachycardia. Epi x 1 given 50 mg IM Benadryl and O2 placed seats normalized.  Symptoms did not resolve, 6 minutes later second Epi shot given. Within 3 minutes symptoms starting to resolve.  125 Iv solumedrol, and given oral pred 40 mg daily x 3 days   Felt fine next day(1/3)  then  1/4/2020 recurrence of symptoms ( 2nd dose pred a little late 30 hours after last dose)  Gave Epi shot, Benadryl 50 mg po ( pred on board)  Symptoms did not resolve but no desaturation , bp stable, tachy, persistent throat clearing and dry cough 2nd Epi shot given Iv famotidine Iv solumedrol 125 mg, symptoms resolved, albuterol helpful lungs clear Pred 40 mg daily x 3 days add famotidine bid, add cetirizine bid 1/5/2021 felt fine in am, sensation of throat swelling itching and dry cough recurred , albuterol used helped temporarily ( had already taken morning cetirizine, famotidine and pred 40 mg) Saw allergist. Says fine, breathing fine slightly tachy, lungs clear, O2 says wnl, sweaty Albuterol given, helped  Laryngoscopes with ENT negative for swelling, just mild vocal cord swelling from cough  Started on pred taper 40 mg daily x 3, 20 mg qd x3, 10 mg dailyx3 Add Benadryl prn  Add advair bid  Continue cetirizine and famotidine
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: my right arm at injection site is still red and swollen a week and a day from injection
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Mobility decreased, Pyrexia
Clinical narrative: Around 11pm, a pain began in my left arm around the injection site that extended down to my elbow. The pain steadily increased throughout the night until I was no longer able to move my arm above the elbow joint. The pain stopped increasing by morning but has been holding steady for all of today (the day after the injection) and I am still mostly unable to move my arm. A fever of 100.0 - 100.5 developed around 10:00am on 1/5/21 and still remains.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood pressure increased, Hypoaesthesia, Nausea
Clinical narrative: Nausea,  arm numbness, weakness elevated blood pressure, (210/80) heart rate of  120bpm. All occurred 5 min post vaccination
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Impaired work ability, Product administered at inappropriate site
Clinical narrative: I felt that maybe they administered it too high, like the muscle area of my deltoid, and then around 10PM my shoulder started to hurt and then the next morning my pain level was 9/10 and it was unbearable.  I was very fatigued and could not use my arm to work since the pain in the arm. I took some Ibuprofen and took a nap and then after that it got a little better, it still hurt but at least I could I use my arm. The next day it was fine.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Nausea, Swelling, Vomiting
Clinical narrative: Redness and swelling next day, which resolved but 4 days later developed recurrent swellingwith nausea and vomiting
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site pruritus, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Rash bump at site of injection. Appeared 7 days after receiving the vaccine. Warm/hard to the touch. Itches. Increased in size from day 7-8
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Eye pruritus, Fatigue, SARS-CoV-2 test negative
Clinical narrative: Pt. reported feeling aches in her back, skin sensitivity, tiredness and chills starting the evening of 01-02-21 going into 01-03-21.  She took ibuprofen on Sat. and Sunday with some improvement in symptoms starting on Monday.  Today 01-05-21 she noted an approximately 4 inch in diameter oval shaped rash slightly to anterior and below to her vaccine site in the Left arm.  She is also having itchy eyes, reported as an allergy symptom
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Sensitive skin, Vaccination site rash
Clinical narrative: Pt. reported feeling aches in her back, skin sensitivity, tiredness and chills starting the evening of 01-02-21 going into 01-03-21.  She took ibuprofen on Sat. and Sunday with some improvement in symptoms starting on Monday.  Today 01-05-21 she noted an approximately 4 inch in diameter oval shaped rash slightly to anterior and below to her vaccine site in the Left arm.  She is also having itchy eyes, reported as an allergy symptom
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: scratchy throat
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Injection site pain and swelling  the day after vaccination
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Dyspnoea, Heart rate increased, Laboratory test, Wheezing
Clinical narrative: Severe dyspnea, wheezing, heart rate greater than 130
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Rash
Clinical narrative: One hour after receiving the vaccine I experienced a moderate headache that was relived by Ibuprofen.  24 hours after receiving the vaccine I experienced a rash (small raised red bumps) on both arms. lower back, and below knees on both legs.  36 hours after receiving the vaccine I experienced the same rash on my neck.  48 hours after receiving the vaccine I experienced the same rash on my upper chest.
Age: 41.0
Sex: F
Vaccine: UNK
Symptoms: Pain, Pyrexia
Clinical narrative: 102 fever, aches
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Pruritus, Rash
Clinical narrative: development  of rash on arms,  itchy feeling on arms and torso;  feeling of increased warmth all over body--temp 96.8 temporal but felt very, very warm took Benadryl rash faded,  decreased itchiness
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Diarrhoea, Fatigue, Lethargy, Malaise
Clinical narrative: Since 4pm Tuesday 29th, extremely lethargic, sleeping heavily and wet productive cough with clear sputum. No fever, has had body aches, lethargy, malaise, fatigue, bloodshot eyes and diarrhea, loss of appetite.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Ocular hyperaemia, Pain, Productive cough
Clinical narrative: Since 4pm Tuesday 29th, extremely lethargic, sleeping heavily and wet productive cough with clear sputum. No fever, has had body aches, lethargy, malaise, fatigue, bloodshot eyes and diarrhea, loss of appetite.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Dizziness, Dyspnoea, Erythema, Obstructive airways disorder
Clinical narrative: Anaphylactic reaction ( swelling and redness of face and torso, shortness of breath, constriction of airway and dizziness)
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling, Swelling face
Clinical narrative: Anaphylactic reaction ( swelling and redness of face and torso, shortness of breath, constriction of airway and dizziness)
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dysarthria, Flushing, Paraesthesia
Clinical narrative: After leaving clinic - 20 minutes of observation, patient was driving home when you experienced slurred speech, flushed face, tingle, dizziness and felt like he would pass out. Lasted for approximately 30 minutes on side of the road. Patient rested in his vehicle until he felt better. Symptoms then resolved and he was able to drive home. All symptoms are fully resolved.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Injection site pain
Clinical narrative: Injection site pain, joint pain, fatigue all started morning after vaccination. Fatigue was decreasing by 1200.
Age: 56.0
Sex: F
Vaccine: UNK
Symptoms: Rash
Clinical narrative: non-urticarial rash
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Diarrhoea, Fatigue, Lymphadenopathy, Nausea
Clinical narrative: Left arm swelling and tingling within 2 hours of injection, swollen lymph nodes in neck the following morning, within 72 hours severe abdominal pain, nausea, vomiting, and diarrhea that lasted 5 days, fatigue, and low grade fever (no higher than 100.8)
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Peripheral swelling, Pyrexia, Vomiting
Clinical narrative: Left arm swelling and tingling within 2 hours of injection, swollen lymph nodes in neck the following morning, within 72 hours severe abdominal pain, nausea, vomiting, and diarrhea that lasted 5 days, fatigue, and low grade fever (no higher than 100.8)
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Chills, Decreased appetite, Dizziness, Dyspepsia
Clinical narrative: Pain on left side of body- from site of injection to fingertips, shoulder, left side of torso (began 12/31 late pm) Chills (began 1/1 in morning) Fever (began 1/1 in morning) Headache  (began 12/31 late pm) Nausea (began 1/1 late am) Dizziness ( began 1/1 late am) Night sweats ( began 1/1 late am) Muscle pain( began 12/31 late pm) Lack of appetite( began 1/1 early am) Heartburn( began 12/31 late pm) Tingling/ burning sensation when clothes touched skin (began 1/1 in afternoon)  Took tylenol every 4- 5 hours (500 mg); took dramamine (25 mg ) on 1/1, and on 1/2 24 hour increment;  Pushed fluids: water, Gatorade,  Temperature check every 6 hours.  Muscle pain, pain at injection sight, headache subsided 1/4 Chills, heartburn, lack of appetite, nausea, and dizziness subsided 1/3 Tingling/burning, fever, night sweats subsided 1/2
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Myalgia, Nausea, Night sweats
Clinical narrative: Pain on left side of body- from site of injection to fingertips, shoulder, left side of torso (began 12/31 late pm) Chills (began 1/1 in morning) Fever (began 1/1 in morning) Headache  (began 12/31 late pm) Nausea (began 1/1 late am) Dizziness ( began 1/1 late am) Night sweats ( began 1/1 late am) Muscle pain( began 12/31 late pm) Lack of appetite( began 1/1 early am) Heartburn( began 12/31 late pm) Tingling/ burning sensation when clothes touched skin (began 1/1 in afternoon)  Took tylenol every 4- 5 hours (500 mg); took dramamine (25 mg ) on 1/1, and on 1/2 24 hour increment;  Pushed fluids: water, Gatorade,  Temperature check every 6 hours.  Muscle pain, pain at injection sight, headache subsided 1/4 Chills, heartburn, lack of appetite, nausea, and dizziness subsided 1/3 Tingling/burning, fever, night sweats subsided 1/2
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Paraesthesia, Pyrexia
Clinical narrative: Pain on left side of body- from site of injection to fingertips, shoulder, left side of torso (began 12/31 late pm) Chills (began 1/1 in morning) Fever (began 1/1 in morning) Headache  (began 12/31 late pm) Nausea (began 1/1 late am) Dizziness ( began 1/1 late am) Night sweats ( began 1/1 late am) Muscle pain( began 12/31 late pm) Lack of appetite( began 1/1 early am) Heartburn( began 12/31 late pm) Tingling/ burning sensation when clothes touched skin (began 1/1 in afternoon)  Took tylenol every 4- 5 hours (500 mg); took dramamine (25 mg ) on 1/1, and on 1/2 24 hour increment;  Pushed fluids: water, Gatorade,  Temperature check every 6 hours.  Muscle pain, pain at injection sight, headache subsided 1/4 Chills, heartburn, lack of appetite, nausea, and dizziness subsided 1/3 Tingling/burning, fever, night sweats subsided 1/2
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Headache, Injection site abscess, Injection site erythema, Injection site pain
Clinical narrative: - This is client's 1st dose, client is a receptionist at the Health Department - Day of vaccination (12/28/2020): swelling at injection site, bruising & headaches - Day 1 (12/29/2020) through Day 7 (01/04/2021): swelling, bruising & headaches - Day 8 (01/05/2021) : abscess-looking bump to left deltoid area (the size of a small tangerine), itching to site, redness (mild-rash-looking), warm to touch, tender, pain to site, and states "feels as if something stung" - Client was sent home from work today (01/05/2021) mid morning and went to see Dr. from Primary Care - Clinic - Client states MD told her that reaction was from vaccine, to monitor reaction, to take over-the-counter Benadryl orally, to apply cold compresses, and was given release letter to return back to work on Wednesday 01/06/2021
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: - This is client's 1st dose, client is a receptionist at the Health Department - Day of vaccination (12/28/2020): swelling at injection site, bruising & headaches - Day 1 (12/29/2020) through Day 7 (01/04/2021): swelling, bruising & headaches - Day 8 (01/05/2021) : abscess-looking bump to left deltoid area (the size of a small tangerine), itching to site, redness (mild-rash-looking), warm to touch, tender, pain to site, and states "feels as if something stung" - Client was sent home from work today (01/05/2021) mid morning and went to see Dr. from Primary Care - Clinic - Client states MD told her that reaction was from vaccine, to monitor reaction, to take over-the-counter Benadryl orally, to apply cold compresses, and was given release letter to return back to work on Wednesday 01/06/2021
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Today is 8 days after covid vaccination. Skin is raised and red about 4 inches around injection site in right arm. Injection site is sore to the touch.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Swelling
Clinical narrative: swelling  and redness next day, resolved, but reocurred 8 days later
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Numbness and tingling in arm and especially in fingers and hand of the vaccinated arm. Numbness for over 4 hours and continues at this time, but lessening. Numbness also felt on tip of nose- lasted an hour on tip of nose and then dissipated.  No treatments provided only watched for anything worsening.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Impaired work ability, Injection site pain
Clinical narrative: Injection site pain Extremely tired, chills, fever, brief sinus pain, body/joint pain Symptoms resolved at 8:00PM the following day (approximately 29 hours after vaccine administered). Stayed home from work the day after the vaccine administered.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Sinus pain
Clinical narrative: Injection site pain Extremely tired, chills, fever, brief sinus pain, body/joint pain Symptoms resolved at 8:00PM the following day (approximately 29 hours after vaccine administered). Stayed home from work the day after the vaccine administered.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypogeusia, Oropharyngeal pain, SARS-CoV-2 test
Clinical narrative: Sore throat  Decreased taste Headache
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal distension, Abdominal pain, Fatigue, Lymphadenopathy, Myalgia
Clinical narrative: Abdominal cramps and bloating starting approx 24 hours after vaccine lasting 1-2 days, fatigue for 2 days, deltoid soreness with movement for 1 week, tender left axillary adenopathy noted Monday Jan 4th.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Abdominal cramps and bloating starting approx 24 hours after vaccine lasting 1-2 days, fatigue for 2 days, deltoid soreness with movement for 1 week, tender left axillary adenopathy noted Monday Jan 4th.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Multiple allergies
Clinical narrative: Employee stated that she is allergic to multiple medications and was anxious that she may get a reaction to the vaccine. After sitting for about 1/2 hour after receiving the vaccine, she began to c/o of a sharp epigastric pain. Employee stated that she only had a banana to eat for breakfast. She was transferred over to the first responders area, where she was assessed.Her vitals were within normal range.  After few minutes on the stretcher employee stated that  the pain was slowly subsiding, she then opted to leave.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: PM Tingling and numbness to both legs. She said this is the type of reaction she gets when she has an allergic reaction to a decongestant. 50mg of PO Benadryl. Vitals where unremarkable throughout. Dismissed her by wheel chair directly to her husband at 9PM on 1/4/2021 due to legs still being a little shaky.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site lymphadenopathy, Injection site pain, Lymphadenopathy
Clinical narrative: Injection site pain, swollen Lymph node under arm on the side on vaccination. Started the day after vaccination.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Vomiting
Clinical narrative: 15 min after injection, pt reports dizziness. She was closely monitored and then she threw up as well
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis, Mass, Pain, Ultrasound scan
Clinical narrative: On 1-03-21, I noticed a large lump on the left side of my clavicle the size of a quarter and increased pain.  I went to urgent care and the PA was unable to diagnose what caused the lump or what the lump was.  On 12-31-20 and 1-04-21 had nose bleeds. Nose bleeds are not a normal occurrence for me and I emailed my NP for further treatment options.  No response yet.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache
Clinical narrative: At 1054 patient c/o headache at a 8/10 on the Wong pain scale, dizziness. BP 159/66, P 57, R 20, SpO2 96%. At 1110 headache 2/10 on pain scale, dizziness gone. BP 150/60, P 52, R 20, SpO2 96%. At 1120 PCP here to assess patient, instructions to return next week to clinic for an office visit.  Pt. reports headache gone. At 1122 BP 154/59, P 54 with symptoms still gone.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Cough, Dizziness, Feeling abnormal, Paraesthesia oral
Clinical narrative: Five minutes after injection, tingling tongue, severe dizziness, foggy brain, chest pressure, then coughing non stop
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Activated partial thromboplastin time, Antinuclear antibody, Full blood count, Prothrombin time, Rash
Clinical narrative: Red raised flat and raised bumps/rash on thighs front and back, knees, shins, ankles, and feet. Very small amount on back maybe 3-4 bumps
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Rash erythematous, Rash papular, SARS-CoV-2 test
Clinical narrative: Red raised flat and raised bumps/rash on thighs front and back, knees, shins, ankles, and feet. Very small amount on back maybe 3-4 bumps
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Herpes simplex test negative, Petechiae, Rash, Varicella virus test negative
Clinical narrative: Red raised flat and raised bumps/rash on thighs front and back, knees, shins, ankles, and feet. Very small amount on back maybe 3-4 bumps
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Petechiae, Rash, SARS-CoV-2 test
Clinical narrative: Red raised flat and raised bumps/rash on thighs front and back, knees, shins, ankles, and feet. Very small amount on back maybe 3-4 bumps
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: rhinorrhea, headache, tested for COVID-19 on 1/04/2021 and was Positive
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Eye pain, Eye swelling, Ocular hyperaemia
Clinical narrative: Redness swelling and tender to touch to left eye
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Paraesthesia oral, Throat tightness
Clinical narrative: Patient began feeling symptoms of tongue and hand tingling and throat tightening 5 minutes after receiving her dose. Her vitals were taken and were stable. After 5 more minutes her hands stopped tingling and within 15 minutes her throat symptoms resolved. She continued to have tongue tingling without any facial or tongue swelling. After 25 minutes a physician was contacted and cetirizine 10mg was administered. 25 minutes later her symptoms were resolved and her vitals are stable. She was allowed to go home after that time and was advised to follow up to her PCP.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Lower right leg skin rash. Localized size of Quarter
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Areflexia, Aspartate aminotransferase increased, Asthenia, Blood chloride normal, Blood creatinine normal
Clinical narrative: Pt describes falling with onset of weakness below the hip level about 6 inches above the patella with missing clonus reflex. The pt cannot squat down with associated observable loss of strength, pt is not able to stand up. The pt has fallen 7 times since symptom onset around lunchtime between 1200 and 1300. Pt denies LOC.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Blood potassium decreased, Blood sodium normal, Blood urea decreased, Carbon dioxide normal
Clinical narrative: Pt describes falling with onset of weakness below the hip level about 6 inches above the patella with missing clonus reflex. The pt cannot squat down with associated observable loss of strength, pt is not able to stand up. The pt has fallen 7 times since symptom onset around lunchtime between 1200 and 1300. Pt denies LOC.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Differential white blood cell count abnormal, Drug screen, Dysstasia, Fall, Full blood count abnormal
Clinical narrative: Pt describes falling with onset of weakness below the hip level about 6 inches above the patella with missing clonus reflex. The pt cannot squat down with associated observable loss of strength, pt is not able to stand up. The pt has fallen 7 times since symptom onset around lunchtime between 1200 and 1300. Pt denies LOC.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Haematocrit normal, Haemoglobin normal, Leukocytosis, Mean cell haemoglobin normal, Mean cell volume normal
Clinical narrative: Pt describes falling with onset of weakness below the hip level about 6 inches above the patella with missing clonus reflex. The pt cannot squat down with associated observable loss of strength, pt is not able to stand up. The pt has fallen 7 times since symptom onset around lunchtime between 1200 and 1300. Pt denies LOC.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased, Muscular weakness, Platelet count normal, Red blood cell sedimentation rate normal, Rheumatoid factor
Clinical narrative: Pt describes falling with onset of weakness below the hip level about 6 inches above the patella with missing clonus reflex. The pt cannot squat down with associated observable loss of strength, pt is not able to stand up. The pt has fallen 7 times since symptom onset around lunchtime between 1200 and 1300. Pt denies LOC.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Shift to the left
Clinical narrative: Pt describes falling with onset of weakness below the hip level about 6 inches above the patella with missing clonus reflex. The pt cannot squat down with associated observable loss of strength, pt is not able to stand up. The pt has fallen 7 times since symptom onset around lunchtime between 1200 and 1300. Pt denies LOC.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain, Pyrexia
Clinical narrative: That evening experienced significant fatigue. By next morning felt like "she'd been hit by a semi-truck" was too fatigued to get out of bed, had a low grade fever of 100.1, and significant body aches. Spent 2 days in bed.
Age: 10.0
Sex: M
Vaccine: HPV9, TDAP
Symptoms: Erythema, Pain, Skin warm, Swelling, Vaccination site bruising
Clinical narrative: Beginning the evening of his vaccines, he developed marked redness, swelling, warmth and pain. 4 days post-vaccine he still had redness of 2/3 of his arm with bruising around the inferior vaccine site.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: redmess,swelling, and itchy
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pain
Clinical narrative: Fever 99 to 102, nauesous, body aches allover, headache with congestion, chills, fatigue
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion
Clinical narrative: Fever 99 to 102, nauesous, body aches allover, headache with congestion, chills, fatigue
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Joint swelling
Clinical narrative: Large swelling and redness on left shoulder. Growing in size numerous days in a row.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: 1459: vaccine administered 1508: Patient reported feeling lightheaded and dizzy; VS 97.3, HR 58, BP 106/50, 97% room air- First responder called 1513: patient transported to be by first response team (seeing "black") VS temp 98, BP 68/36, HR 46, O2 97% 1516: patient reports feeling a "little better" VS temp 98, BP 104/55, HR 63, O2 98% Pt denied needing transport to ED for further treatment. Continued sitting in clinic, drinking juice and was monitored. At 1600, patient discharged from clinic back to his work department- reported "feeling fine"