chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy, Computerised tomogram head normal, Facial paralysis
Clinical narrative: Right facial droop, dx with Bells Palsy
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy, Borrelia test negative, Computerised tomogram head normal, Facial paralysis
Clinical narrative: Right facial droop, dx with Bells Palsy
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Death, Headache, Nausea, Pain
Clinical narrative: According to Medical Center's report,  patient was brought to ED deceased upon arrival via EMS on 03/12/2021 at 8:57am.  Patient had been seen on 3/11/2021 at same ED complaining of a heavy type of chest pain in the mid chest, also noting body aches, headache, and nausea.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Oropharyngeal pain, Rhinorrhoea
Clinical narrative: Received Pfizer COVID vaccine  12/21/2020.    12/27/2020 developed cough, headache, rhinorrhea, and sore throat.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Received Pfizer COVID vaccine  12/21/2020.    12/27/2020 developed cough, headache, rhinorrhea, and sore throat.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Tremor
Clinical narrative: I started feeling mildly shaky sometime between 10:16 PM and 10:32 PM.  I am a diabetic, so I took a blood glucose reading to determine if my blood glucose levels were low (which can cause mild shakiness).  They were not (reading was 172 mg/dL), but by the time I took that reading at 10:32 my shakiness had increased from onset, and I was so shaky at 10:35 PM that I was not sure if I could take my bedtime injection of Levemir safely.  I was only able to do so by injecting myself and then letting the insulin rest on the palm of my hand (rather than hold it firmly as I usually do).  Although the shakiness began to subside several minutes later, I was unable to fully control my toothbrush in my mouth when brushing my teeth.  I then got in bed, and the shakiness was gone by around 11:00 PM (I didn't record the exact time).
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Hypoaesthesia, Limb discomfort, Paraesthesia
Clinical narrative: Patient was having heaviness in left arm after receiving vaccination checked vitals BP was elevated at 175/128, one minute late they checked again it was 184/109. Patient reported that heaviness on left side was getting worse. Nurse working the clinic got a wheelchair and took patient to Emergency Room. While they were on the way to the ER, patient started complaining of numbness and tingling down left side of arm.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: pt received pfizer as second dose when was due for moderna
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Headache, Nasal congestion, Pain in extremity, Somnolence
Clinical narrative: Very sore arm  Stuffy nose  Slight headache  Drowsiness  Slight back ache   Taking 2 Tylenol for the above.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash
Clinical narrative: diffuse rash after Pfizer Covid-19 vaccine. Treated with H2 and H1 blockers
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain upper, Chills, Dyspnoea, Nausea, Peripheral swelling
Clinical narrative: diffuse rash after Pfizer Covid-19 vaccine. Treated with H2 and H1 blockers
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: diffuse rash after Pfizer Covid-19 vaccine. Treated with H2 and H1 blockers
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA I've had a slight headache above my right eye  since the day after vaccine (3/6/21).
Age: 45.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site pain, Rotator cuff syndrome
Clinical narrative: Patient communicated over the weekend with the doctor on 3/2021 that she was told that she had rotator cuff injury because of the influenza vaccine that was administered on September 10 2020. She had called the office on September 22nd 2020, to report she had pain at the injection site. The doctor called her and instructed to ice, take ibuprofen as needed.  Since then there was no communication with the doctor. She just informed the doctor that she continued to have pain after six months of the vaccine and  in last few months she has started physical therapy and was told that this injury is because of influenza vaccine. The doctor does not have any records available.  However, the doctor recommended her to see a shoulder orthopedist,  and follow-up with her as needed.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site erythema, Injection site pain, Injection site warmth, Nausea
Clinical narrative: Pain at injection site Injection site is red Injection site is very warm Nausea Extreme fatigue
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Dry throat, Fatigue, Nausea, Pain
Clinical narrative: Woke at 6am  to feeling fatigue and nausea.  Shortly after fever started to climb, highest was 99.7.  I took Tylenol at 10am and it started to go back down.  Entire body hurts.  Head feels like a head cold but no runny nose.  Throat very dry, feel dehydrated but not.   Now it is 5pm temperature normal, extreme fatigue and entire body aches.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus congestion
Clinical narrative: Woke at 6am  to feeling fatigue and nausea.  Shortly after fever started to climb, highest was 99.7.  I took Tylenol at 10am and it started to go back down.  Entire body hurts.  Head feels like a head cold but no runny nose.  Throat very dry, feel dehydrated but not.   Now it is 5pm temperature normal, extreme fatigue and entire body aches.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: Complained of "scratchy throat".  No other symptoms.  25 mg Benadryl po given.  Was observed until symptoms went away
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Dehydration, Fatigue, Hypersomnia
Clinical narrative: Patient states the day after her first dose she was very tired, so tired that she mostly slept for a week. She states she went to the ER and they said she was dehydrated and did not think this was related to the vaccine. She states that the past week she has felt better and is back to her baseline starting 3/11/2021
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Employee developed COVID-19 positive result on 3/9/21. S/sx began on 3/11/21
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received 1st dose of Moderna vaccine on 2/11/21 then received 2nd dose on 2/25/21 instead of the intended 3/11/21.
Age: 55.0
Sex: F
Vaccine: TD
Symptoms: Expired product administered
Clinical narrative: Pt. was administered this vaccine on 2/1/21 and the vaccine had an expiration date of 1/28/21. Pt. didn't report any adverse effects of the vaccine.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling
Clinical narrative: I developed a week later redness, swelling moving up and down my arm.  I went to the Dr. they thought it might be an acute reaction or a deep tissue infection and gave me antibiotics.  This lasted about a week.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Diarrhoea, Dizziness, Dry eye, Dyspnoea
Clinical narrative: Started with some dizziness and lethargy, shortness of breath, then a  slight fever that slowly increased to 99.8 at high point over the next 24 hours, some nausea and diarrhea, increase in headache and swollen/dry eyes.  Temperature gradually reduce over the next 12 hours and other symptoms faded as well.  Used Acetaminophen and Ventolin to treat symptoms. isolated during course of fever.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Eye swelling, Headache, Lethargy, Nausea, Pyrexia
Clinical narrative: Started with some dizziness and lethargy, shortness of breath, then a  slight fever that slowly increased to 99.8 at high point over the next 24 hours, some nausea and diarrhea, increase in headache and swollen/dry eyes.  Temperature gradually reduce over the next 12 hours and other symptoms faded as well.  Used Acetaminophen and Ventolin to treat symptoms. isolated during course of fever.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Injection site pain, Myalgia, Oropharyngeal pain
Clinical narrative: Pain at injection site, fever, headache, sore throat, achy joints and muscles
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Pain at injection site, fever, headache, sore throat, achy joints and muscles
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Lightheaded, dizzy post vaccination. PT AMA recorded at ER  Janssen COVID-19 Vaccine EUA
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Fatigue, Feeling abnormal
Clinical narrative: Chills, weakness Shoulder and arm pain Joint pain Fatigue  Fever 100.1-100.2 Brain fog Tinnitis Felt like the Flu, and would not describe as mild. Symtoms began the evening after the shot. Fever gone but still unusually tired as of 3/12/2021 at 4:00 pm. Missed 3 days of work.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Influenza like illness, Pain in extremity, Pyrexia, Tinnitus
Clinical narrative: Chills, weakness Shoulder and arm pain Joint pain Fatigue  Fever 100.1-100.2 Brain fog Tinnitis Felt like the Flu, and would not describe as mild. Symtoms began the evening after the shot. Fever gone but still unusually tired as of 3/12/2021 at 4:00 pm. Missed 3 days of work.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Body height, Chills, Feeling abnormal, Feeling cold, Moaning
Clinical narrative: Woke up at 1:00 a.m. shivering and freezing, teeth chattering. Could not get warm.  Sleep again. Woke up at 4:00 a.m. Intense bodily pain, brain dead spacey head. Could not stand or walk, or sit up unaided.  Could not speak legibly. Kept groaning and moaning.  Spent 31 hours in this fashion.  After 31 hours sleeping and groaning, felt better - maybe 50%.  This was a completely hellish experience that I would not wish upon my worst enemy.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pain, Sleep disorder
Clinical narrative: Woke up at 1:00 a.m. shivering and freezing, teeth chattering. Could not get warm.  Sleep again. Woke up at 4:00 a.m. Intense bodily pain, brain dead spacey head. Could not stand or walk, or sit up unaided.  Could not speak legibly. Kept groaning and moaning.  Spent 31 hours in this fashion.  After 31 hours sleeping and groaning, felt better - maybe 50%.  This was a completely hellish experience that I would not wish upon my worst enemy.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Eye haemorrhage, Fatigue, Headache
Clinical narrative: 101 degree fever, chills, headache, joint aching for a little over 24 hours. Fever broke around 24 hours.  Fatigued for 72 hours.  Treated with Tylenol.  Hemorrhaged a blood vessel in right eyeball, not yet resolved.  Seeking medical consultation today.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 101 degree fever, chills, headache, joint aching for a little over 24 hours. Fever broke around 24 hours.  Fatigued for 72 hours.  Treated with Tylenol.  Hemorrhaged a blood vessel in right eyeball, not yet resolved.  Seeking medical consultation today.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: delayed injection site reaction of redness and slight swelling
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Flushing, Headache, Tremor, Vomiting
Clinical narrative: 6 hours of Diarrhea, vomiting, flushing, headache, shaking.   No fever
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Pain in extremity, Pyrexia, Rash
Clinical narrative: I had normal side effects to both the original shot (administered 1/11/2021) and the 2nd (3/10/2021), namely fever (~100), fatigue, arm soreness, all of which subsided within 24-48 hours.  But this morning a little area of my chest was itching  - after showering, I looked in the mirror and noticed a small area of rash (about the size of a credit card).  I put some hydrocortisone cream on it for the day, and it has not been itching and has subsided a bit so far.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: I was alerted on 3.11.21 by the patient's wife that patient had passed away the night after having received the vaccine. The wife informed me that she did not wake up the next morning.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Numb and tingling sensation, primarily in arms and face, later whole body. 50mg Benadryl has made it slightly better but it fades in and out throughout the day
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: Right hand swelling with no numbness or tingling.  Looked in no acute distress.  Observed for 30 minutes and discharged home in a stable condition.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Ten days after first vaccine, developed a large lump (3"x5") and a bright red, warm to the touch rash slightly below injections site.  Lump went away in 24 hours but the rash took 7 days to fade away but would still come back in hot showers.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Swollen tongue
Clinical narrative: Patient reported tongue tingling/swelling after her 30 minutes timer went off. I called 911. They asked several questions about her condition and asked me to sit with her until EMS arrived and to call back if her symptoms get worse. The EMS team approximately 20 minutes later. There were no changes in her condition. The team took her to their vehicle for further treatment.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Fatigue, Feeling hot, Muscle fatigue, Myalgia
Clinical narrative: Warm - No fever, just very warm with a red face Muscle fatigue and soreness General fatigue from using any muscle... standing... walking...etc. I have no issues at all with performing any of these activities  All symptoms were gone after approximately 36 - 48 hours
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site induration, Injection site pruritus, Injection site rash, Pain in extremity
Clinical narrative: 8 days after the injection my arm started to hurt.  Rash itch hard at I ejection site.  Headache . Today is day 9 still have symptoms.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Seizure
Clinical narrative: She has history of seizures and was given the vaccine and then had a seizure. She was transferred to  local ER for further evaluation. She was given Ativan and has been discharged.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Impaired work ability, Nausea, Vaccine positive rechallenge
Clinical narrative: significant persistent nausea unrelieved by zofran. no vomiting. same reaction with vaccine on 2/7 but reaction is more severe this time causing work loss
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Injection site erythema, Injection site pain, Nausea
Clinical narrative: Fever (100,8) , chills, extreme weakness,  slight nausea, soreness and redness at injection site.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever (100,8) , chills, extreme weakness,  slight nausea, soreness and redness at injection site.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Tongue pruritus
Clinical narrative: 10 minutes after vaccine lips swelled, itching tongue after 45 minutes. Monitored for 1 hour at hospital then for another 2 hours at home. No medicine was given, but was offered. I have history of anaphylaxis and said I wanted to wait and see if it would resolve without medicine or at least not get worse. So far still I worse, if it would have gotten worse it would have happened already.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was given second Pfizer dose 1 week after first shot.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site erythema, Injection site rash, Injection site swelling, Pain in extremity
Clinical narrative: I got a large bruise at the injection sight.  A few days later I got a  rash/redness/swelling  right under the injection sight 3 inches in width and length.  I still have the redness/swelling  two weeks after my 1st shot.  My arm is still a little sore and tender and warm to the touch. but not painful.  I called my doctor and they were concerned my arm might be infected.  They told me to call back Monday or if it gets worse to go to urgent care.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm, Tenderness
Clinical narrative: I got a large bruise at the injection sight.  A few days later I got a  rash/redness/swelling  right under the injection sight 3 inches in width and length.  I still have the redness/swelling  two weeks after my 1st shot.  My arm is still a little sore and tender and warm to the touch. but not painful.  I called my doctor and they were concerned my arm might be infected.  They told me to call back Monday or if it gets worse to go to urgent care.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pruritus, Rash papular, Tenderness
Clinical narrative: raised red rash on left bicep, started with itchy sensation, rash has increased in size over the past 22 hours.  Tenderness similar to day after shot is located at closer to armpit.  No other symptoms such as fever or body aches.  I did have a headache the day before (Tuesday 3/9/21)
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Diverticulitis, Gait disturbance, Gastrointestinal pain
Clinical narrative: Starting Sunday after vaccine, patient started experiencing gut pain and immediately started a liquid diet. In spite of that it progressed. By Tuesday she was not able to walk upright. She went to urgent care and was sent immediately to ER for a CT to r/o possible perforation. Dx was Severe diverticulitis flare requiring antiemetic, pain medication, CT scan at ER antibiotics. She has had flares in the past, but it?s always due to diet and mild. This time she had been compliant with her diet for weeks or months.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fall, Headache, Nausea, Skin abrasion
Clinical narrative: 34-year-old woman with no significant past medical history presents with syncope event after receiving a COVID-19 vaccination prior to arrival. Patient describes lightheadedness and eventually falling forward. She did sustain facial abrasions to her forehead, bridge of the nose, and right zygomatic arch region. Complains of mild headache with without any nausea.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: 34-year-old woman with no significant past medical history presents with syncope event after receiving a COVID-19 vaccination prior to arrival. Patient describes lightheadedness and eventually falling forward. She did sustain facial abrasions to her forehead, bridge of the nose, and right zygomatic arch region. Complains of mild headache with without any nausea.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Tremor
Clinical narrative: Patient is a 32 y.o. female who received the Janssen Covid vaccine Lot# 1805020  on 3/12/2021. The patient experienced the following reaction(s) during the immediate   of observation: Shakiness Dizzy  Patient was treated/managed as follows:    Pt was given gatorade and VS checked: 0928: 120/84 HR:87 O2: 98% on room air 09:38: 116/80 HR: 79 O2: 97% on room air Patient given educational material regarding vaccine and advised to continue to self-monitor per the CDC guidance. Pt reports feeling better and escorted out by RN:
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Hot flush, Hyperhidrosis, Sleep disorder
Clinical narrative: I woke up in the middle of the night after the vaccine with hot flashes. I was really sweaty and warm. My whole body was sweaty. It was just that one night, and it did not occur again.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fall, Hyperhidrosis, Loss of consciousness, Muscle twitching
Clinical narrative: Pt was in seated position in a chair and slumped over to right side and fell to floor.  Pt appeared to twitch slowly for aobut 20 seconds.  Pt was brought to seated position on floor. Appeared pale and diaphoretic.  Pt verbalized he did not realize he fainted and loss consciousness for about 20-50 seconds.  BP: 67/27. HR: 36. MDP doctor called over to assess situation.  2nd set of vitals taken. BP 51/27.  HR 41.  Pt given water. States he feels dizzy and light headed. Vision is "weird."  Sees colors more vibrantly. The Dr. recommends pt go to ED.  Pt transported via wheelchair by the Dr and clinic NP with Anaphylaxis kit. In ED, pt's BP was 86/60.  Blood Sugar 91.  Pt admitted for fluid hydration and monitoring.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Pallor, Syncope, Visual impairment
Clinical narrative: Pt was in seated position in a chair and slumped over to right side and fell to floor.  Pt appeared to twitch slowly for aobut 20 seconds.  Pt was brought to seated position on floor. Appeared pale and diaphoretic.  Pt verbalized he did not realize he fainted and loss consciousness for about 20-50 seconds.  BP: 67/27. HR: 36. MDP doctor called over to assess situation.  2nd set of vitals taken. BP 51/27.  HR 41.  Pt given water. States he feels dizzy and light headed. Vision is "weird."  Sees colors more vibrantly. The Dr. recommends pt go to ED.  Pt transported via wheelchair by the Dr and clinic NP with Anaphylaxis kit. In ED, pt's BP was 86/60.  Blood Sugar 91.  Pt admitted for fluid hydration and monitoring.
Age: 69.0
Sex: M
Vaccine: UNK, COVID19
Symptoms: Aphonia, Death, Dyspnoea, Pain in extremity, Respiratory tract congestion
Clinical narrative: caller stated a few days after he got the vax he started getting a sore arm. On 3/2 he lost voice, had runny nose and head congestion.  On 3/4 he had difficulty breathing and chest congestion.  On 3/5 he was transported from (hospice patient) home to Hospital where he later died.
Age: 69.0
Sex: M
Vaccine: UNK, COVID19
Symptoms: Rhinorrhoea
Clinical narrative: caller stated a few days after he got the vax he started getting a sore arm. On 3/2 he lost voice, had runny nose and head congestion.  On 3/4 he had difficulty breathing and chest congestion.  On 3/5 he was transported from (hospice patient) home to Hospital where he later died.
Age: 69.0
Sex: M
Vaccine: UNK, COVID19
Symptoms: Aphonia, Breath sounds abnormal, Chills, Death, Dry throat
Clinical narrative: caller stated a few days after he got the vax he started getting a sore arm. On 3/2 he lost voice, had runny nose and head congestion.  On 3/4 he had difficulty breathing and chest congestion.  On 3/5 he was transported from (hospice patient) home to Hospital where he later died.
Age: 69.0
Sex: M
Vaccine: UNK, COVID19
Symptoms: Dyspnoea, Eye movement disorder, Fatigue, Immobile, Nasopharyngitis
Clinical narrative: caller stated a few days after he got the vax he started getting a sore arm. On 3/2 he lost voice, had runny nose and head congestion.  On 3/4 he had difficulty breathing and chest congestion.  On 3/5 he was transported from (hospice patient) home to Hospital where he later died.
Age: 69.0
Sex: M
Vaccine: UNK, COVID19
Symptoms: Pain in extremity, Pallor, Pneumonia, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: caller stated a few days after he got the vax he started getting a sore arm. On 3/2 he lost voice, had runny nose and head congestion.  On 3/4 he had difficulty breathing and chest congestion.  On 3/5 he was transported from (hospice patient) home to Hospital where he later died.
Age: 69.0
Sex: M
Vaccine: UNK, COVID19
Symptoms: Tremor
Clinical narrative: caller stated a few days after he got the vax he started getting a sore arm. On 3/2 he lost voice, had runny nose and head congestion.  On 3/4 he had difficulty breathing and chest congestion.  On 3/5 he was transported from (hospice patient) home to Hospital where he later died.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose, Blood pressure measurement, Dizziness, Nausea, Oxygen saturation
Clinical narrative: dizziness, nausea, vomit x 1
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: dizziness, nausea, vomit x 1
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sleep disorder
Clinical narrative: Jan 14, 2021 1st Dose Moderna COVID19 vac-Rec'd in R-arm. Sore muscle-bearable lasted 4 days. Tiredness lasted 1 day. Vac site swollen, red and itchy-Bearable. Sore muscle and vac site reaction all done by 5th day. Did not take anything for the discomfort. Feb 12, 2021 2nd Dose Moderna COVID19 VAC-Rec'd in R-arm at 1:35p. 1. Feb 12 8:30pm my neck from the base of my skull down to top of my shoulders in pain and muscle spasms severe for a couple of hours. Felt faint until it was over. 2. Feb 12th and 13th The R-arm muscle ached with much pain coupled with soreness all night-no sleep. Did not take anything for this discomfort. No  fever during the night. 3. Feb 13th Muscle left with little movement. Felt like it was going to break if I forced it past its abnormal limitation this morning. Took nothing for the muscle pain. Awoke with dull headache left side of head morning of the 13th. Fever of 99.1. My normal is 97.7. Took nothing for the fever. 4. Fever all day until approximately 6pm. Fluctuated all day long between 99.1 and 100.2; never going lower or higher. Fever broke on its own approx 6pm. 5. Feb 14 No Fever. Felt pretty good. No headache; muscle still very tight and sore but still working with it. Tiredness but went about my daily activities. Took nothing for the muscle pain.  6. Feb 15 No Fever. Over did it on the 14th. Did nothing all day. This is the day the injection site became very swollen red and extremely itchy. Started ice cold compresses to relieve that irritating itch. This reaction lasted thru day 7. By day 8 the extreme itchy and swelling was gone. First day to bed by 7pm. Slept all night until 5am. 7. Feb 16 Day 4 after vac. No fever. I picked up my activity slightly from the day before. Tired. To bed again at 7p. Slept until 5:40am. 8. Feb 17 Day 5 after vac. No fever. Felt real good. Energetic! Had pretty much a normal day yet careful to not over do. 9. Feb 18 & 19 Days 6 & 7 after vaccine. HORRIBLE. Woke up with a splitting headache both days! No fever! The following happened all on the left side of my head and face. a. Left eye left corner painful. No twitching. Tight. b. Left side of face on cheek above where my mandible has been deteriorating since 2016 with associated bone infection that has been subsided since Dec 9, 2020 a blemish appeared. Not a pimple. But a blemish that had opened sometime during the night bled a little and had scabbed over. There was nothing there before I went to bed. c. A BLISTER had formed on top of the left side of my scalp. It was extremely sore. 10. Feb 20 Day 8 after receiving vaccine EVERYTHING was gone as though nothing happened, the splitting 2 day headache, the 2 day painful left eye, and the 2 day painful blister on my scalp. The blemish on my cheek was clear in 3 days from appearing on Feb 18th. Please note that I had not taken any medicine to alleviate any of these side effects. I allowed it to run its course. Also, the last 2 days of side effects beginning on the 18th and 19th  were so severe (to me) I felt compelled to report my side effects. End of side effect reporting.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Syringe issue
Clinical narrative: Patient was administered a prefilled Covid-19 vaccine injection in L deltoid. Patient was monitored for 15 minutes following vaccine administration. Post injection the clinic soon realized the injection was empty without the vaccine present. The "prefilled' Johnson and Johnson vaccine was pulled back to 0.5 ml and individually packed and appeared to be a single use vaccine. The patient was called and notified via phone call of the situation and that the patient unintentionally did not receive COVID-19 immunization. Advised patient to FU for any questions or concerns. The Health Department was notified. Patient was understanding and denies acute concerns.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chills, Fatigue, Headache, Myalgia
Clinical narrative: Severe itching and burning in the palms of my hands, and started on the soles of my feet. Also had typical  side effects: chills, aches, fever, headache, tired, muscle pain, that subsided within 48 hours. Was given a dose of a liquid steroid and prednisone for five days.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pruritus, Pyrexia, Skin burning sensation
Clinical narrative: Severe itching and burning in the palms of my hands, and started on the soles of my feet. Also had typical  side effects: chills, aches, fever, headache, tired, muscle pain, that subsided within 48 hours. Was given a dose of a liquid steroid and prednisone for five days.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: 5 minutes after receiving vaccine patient started complaining of tingling to her left arm that radiated to the face, monitored in nurse treatment room, vitals stable 118/70, HR 81, O2 sat 99% on room air. Symptoms resolved in about 8 minutes then tingling returned to the left arm, face and chest and patient reports she felt "heavy." Dr. ordered benadryl 50mg IM and was given. Patient went home with husband after being monitored for 1.5 hours after injection given and tingling resolved, patient reported she felt better.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Electrocardiogram, Feeling abnormal, Heart rate increased
Clinical narrative: On Friday, March 12th, 2021 approximately 10:35 am, 60-year-old female received her first dose of Moderna Vaccine (Lot Number: 003A21A) in her left deltoid at the facility.  Patient received the Moderna Vaccine. After which she sat in the designated medical observation area for her allotted 15 minutes. Approximately nine minutes post-injection around 10:44 am, she felt a bit ?wobbly? when standing up. A medical assistant called Emergency Medical Services (EMS) immediately and the Physicians Assistant went over to assess patient's symptoms.   During the wait time for EMS?s arrival, the physicians assistant performed an assessment. Patient states to have experienced lightheaded-ness, mouth/tongue tingling, shortness of breath and palpitations. She denied throat constriction, denied itching, redness or pain at the site of injection. She said the tingling she did experience resolved around 20 mins post-injection.   During the assessment, the physicians assistant noted clear breath sounds, irregular health rhythm, increased heart rate, extra-ocular movements intact with no nystagmus, no redness or swelling on the injection site and good grip strength.   Upon EMS arrival at approximately 10:48 pm, the firefighters triaged as per their assessment. She expressed that she is taking ?Lexapro? and allergic to sulfa-drugs. She claims to be ?borderline diabetic? and that the lightheaded-ness has ?never happened before?  The EMS took her to a separate room in the building and assessed her further. After approximately 20 minutes she left and did not leave in an ambulance against medical advice.  She left with her husband and went home. She was made aware that she should go to the hospital immediately if she felt her health was compromised.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate irregular, Oxygen saturation, Palpitations, Paraesthesia oral
Clinical narrative: On Friday, March 12th, 2021 approximately 10:35 am, 60-year-old female received her first dose of Moderna Vaccine (Lot Number: 003A21A) in her left deltoid at the facility.  Patient received the Moderna Vaccine. After which she sat in the designated medical observation area for her allotted 15 minutes. Approximately nine minutes post-injection around 10:44 am, she felt a bit ?wobbly? when standing up. A medical assistant called Emergency Medical Services (EMS) immediately and the Physicians Assistant went over to assess patient's symptoms.   During the wait time for EMS?s arrival, the physicians assistant performed an assessment. Patient states to have experienced lightheaded-ness, mouth/tongue tingling, shortness of breath and palpitations. She denied throat constriction, denied itching, redness or pain at the site of injection. She said the tingling she did experience resolved around 20 mins post-injection.   During the assessment, the physicians assistant noted clear breath sounds, irregular health rhythm, increased heart rate, extra-ocular movements intact with no nystagmus, no redness or swelling on the injection site and good grip strength.   Upon EMS arrival at approximately 10:48 pm, the firefighters triaged as per their assessment. She expressed that she is taking ?Lexapro? and allergic to sulfa-drugs. She claims to be ?borderline diabetic? and that the lightheaded-ness has ?never happened before?  The EMS took her to a separate room in the building and assessed her further. After approximately 20 minutes she left and did not leave in an ambulance against medical advice.  She left with her husband and went home. She was made aware that she should go to the hospital immediately if she felt her health was compromised.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Disturbance in attention, Pruritus, Pyrexia
Clinical narrative: 11:30pm. Woke up itching around my mouth and nose, and it quickly went to my scalp, back, shoulders.  I've been through this many times before, so took 25 mg  Hydroxyzine HCL, sat in a very hot tub, and went back to bed.   Next day  feverish, which is likely the shot.  Total lack of focus, ability to function was likely the Atarax.  (Hate the stuff, but it works.). 2nd day:  feverish, achy joints, and some ability to focus, but overall not a productive day.   I went into this shot with a completely clean diet of things I know I can tolerate, exercise, lots of liquids.  I will add acupuncture before and after the next shot.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal
Clinical narrative: Brain fog, fatigue
Age: 80.0
Sex: F
Vaccine: UNK
Symptoms: Influenza like illness
Clinical narrative: Flu like systems.. aches and head aches
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Hot flush, Injection site erythema
Clinical narrative: Muscle aches, joint pain, fatigue, mild nausea, slight nerve pain, ear pain, hot flashes, chills, redness at injection site, pain at injection site, swelling at injection site.  All symptoms started overnight from 3/10-3/11 and most were gone by noon on 3/12.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Myalgia, Nausea, Neuralgia
Clinical narrative: Muscle aches, joint pain, fatigue, mild nausea, slight nerve pain, ear pain, hot flashes, chills, redness at injection site, pain at injection site, swelling at injection site.  All symptoms started overnight from 3/10-3/11 and most were gone by noon on 3/12.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Neurological examination, Vertigo
Clinical narrative: I have had vertigo when I lay down since a few days after I had my shot.  I have had some headaches during the day, which I never have, but mostly bothers me at night.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Ear pruritus, Fatigue, Heart rate increased, Hypoaesthesia
Clinical narrative: 10-15 min. After shot, throat felt slightly tight, heart beating fast, slight itch in inner right ear. Given Benadryl. After about an hour, felt better to go home and rest. Two days after injection, left foot-big toe goes numb periodically.  That?s occurred a couple of times now. Today I?m very fatigue, heart beating fast, at times hard to catch my breath.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: 10-15 min. After shot, throat felt slightly tight, heart beating fast, slight itch in inner right ear. Given Benadryl. After about an hour, felt better to go home and rest. Two days after injection, left foot-big toe goes numb periodically.  That?s occurred a couple of times now. Today I?m very fatigue, heart beating fast, at times hard to catch my breath.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Bradycardia, Cardiomyopathy, Death, Dyspnoea
Clinical narrative: SHORTNESS OF BREATH Bradycardia Hypothermia Cardiomyopathy  Elevated troponin Acute renal failure (ARF)  Death
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypothermia, Troponin increased
Clinical narrative: SHORTNESS OF BREATH Bradycardia Hypothermia Cardiomyopathy  Elevated troponin Acute renal failure (ARF)  Death
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Swollen tongue
Clinical narrative: Tongue  felt a little swollen then had trouble with the swallowing motion. Had to force a swallow
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Eye haemorrhage, Paraesthesia
Clinical narrative: TINGING IN THE LEFT  (STARTED DAY OF, BUT TOOK THIS AS A SIDE EFFECT ON WEDNESDAY BC TINGLING DIDN'T GO AWAY).  BODY DOESN'T FEEL NORMAL STILL.  WOKE UP ON 3/12/2021 WITH A POPPED BLOOD VESSEL IN RIGHT EYE
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Electrocardiogram, Feeling abnormal, Full blood count, Hypertension
Clinical narrative: About 12 minutes after my injection my head and neck started tingling. I alerted the staff at the site. They checked my blood pressure. It was 160/110.  I was taken to lie down on a cot. My blood pressure was checked three more times at the site. The lowest it went was 147/97.  I was allowed to leave so I went home . I was waiting for the tingling head and pounding heart to go away. It stayed so a few days later I went to the emergency room as I thought I was having a heart attack. The paramedics checked my bp and it was still 160/108.  At the emergency room I was given nitroglycerin. After about 6 hours my blood pressure came down to 147/90. I was discharged , prescribed omeprazole,  and told to follow up with cardiologist.  I went to cardiologist. My blood pressure was 164/98 in left arm and 148/102 in right arm. He scheduled tests but gave me no medication.  The next day I still felt really bad so I called  my primary and he prescribed blood pressure pills. They brought my blood pressure back under control.  Ramparil 2.5 mg
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Paraesthesia
Clinical narrative: About 12 minutes after my injection my head and neck started tingling. I alerted the staff at the site. They checked my blood pressure. It was 160/110.  I was taken to lie down on a cot. My blood pressure was checked three more times at the site. The lowest it went was 147/97.  I was allowed to leave so I went home . I was waiting for the tingling head and pounding heart to go away. It stayed so a few days later I went to the emergency room as I thought I was having a heart attack. The paramedics checked my bp and it was still 160/108.  At the emergency room I was given nitroglycerin. After about 6 hours my blood pressure came down to 147/90. I was discharged , prescribed omeprazole,  and told to follow up with cardiologist.  I went to cardiologist. My blood pressure was 164/98 in left arm and 148/102 in right arm. He scheduled tests but gave me no medication.  The next day I still felt really bad so I called  my primary and he prescribed blood pressure pills. They brought my blood pressure back under control.  Ramparil 2.5 mg
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Headache, Immediate post-injection reaction
Clinical narrative: Within 5 minutes of second injection had headache 8/10 and sensation of feet being hot. No other symptoms reported. She was given Benadryl at her request. Symptoms improved in about 15 minutes. She left with her spouse and did not need any additional care.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Dizziness, Nausea
Clinical narrative: Chills, dizzy, nausea, 101.6 temp x2 days
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Flushing, Headache, Hyperhidrosis, Limb injury
Clinical narrative: 8 am the following morning after the vaccine, I became very flushed and hot and don't remember leaving my seat at the breakfast table. I found myself on the floor on the other side of the table.  I had fainted which has never happened  to me in my lifetime.  I was drenched in sweat, and nauseous, and a headache began and lasted the day.  I spent the day resting and was fine the following day.  I do have an occasional hot flash, even at 71 years old.   I was alert, oriented, and had a bruise on my shoulder.  I had now reoccurring issues .
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Syncope
Clinical narrative: 8 am the following morning after the vaccine, I became very flushed and hot and don't remember leaving my seat at the breakfast table. I found myself on the floor on the other side of the table.  I had fainted which has never happened  to me in my lifetime.  I was drenched in sweat, and nauseous, and a headache began and lasted the day.  I spent the day resting and was fine the following day.  I do have an occasional hot flash, even at 71 years old.   I was alert, oriented, and had a bruise on my shoulder.  I had now reoccurring issues .
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Tremor
Clinical narrative: Chills, tremors, joint pain
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Device connection issue, Syringe issue
Clinical narrative: Needle came loose during the vaccination so patient may not have gotten the full dose of the vaccine.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Dyspnoea, Fatigue, Headache
Clinical narrative: Light headed 30 minutes after shot and slight headache.  Following day; extreme fatigue, fever, chills, shortness of breath. Had Covid-19 virus December 17, 2020.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Light headed 30 minutes after shot and slight headache.  Following day; extreme fatigue, fever, chills, shortness of breath. Had Covid-19 virus December 17, 2020.
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Lip swelling, Malaise, Throat tightness
Clinical narrative: 1055 pt received vaccination.   1110 and stated she "felt a little off". pt denied difficulty breathing and waited another 10 min at site. 1120 pt stated feeling her throat was tightening and dizziness. pt was placed on a gurney. vitals retrieved. HR 117 BP 150/90 RR 24 O2 99%. was put on 5L O2 via face mask. lip swelling confirmed and EMS alerted.  1121 IM dose of Epinephrine 0.3ml administer.  1125 EMS arrived on scene. O2 99% HR 113 BP 140/90 RR 20.  1128 pt transported off site by EMS to ED
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Chest discomfort, Cyanosis, Dyspnoea, Lip swelling
Clinical narrative: 1055 pt received vaccination.   1110 and stated she "felt a little off". pt denied difficulty breathing and waited another 10 min at site. 1120 pt stated feeling her throat was tightening and dizziness. pt was placed on a gurney. vitals retrieved. HR 117 BP 150/90 RR 24 O2 99%. was put on 5L O2 via face mask. lip swelling confirmed and EMS alerted.  1121 IM dose of Epinephrine 0.3ml administer.  1125 EMS arrived on scene. O2 99% HR 113 BP 140/90 RR 20.  1128 pt transported off site by EMS to ED
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pharyngeal swelling, SARS-CoV-2 test negative, Vital signs measurement, X-ray
Clinical narrative: 1055 pt received vaccination.   1110 and stated she "felt a little off". pt denied difficulty breathing and waited another 10 min at site. 1120 pt stated feeling her throat was tightening and dizziness. pt was placed on a gurney. vitals retrieved. HR 117 BP 150/90 RR 24 O2 99%. was put on 5L O2 via face mask. lip swelling confirmed and EMS alerted.  1121 IM dose of Epinephrine 0.3ml administer.  1125 EMS arrived on scene. O2 99% HR 113 BP 140/90 RR 20.  1128 pt transported off site by EMS to ED
Age: 58.0
Sex: M
Vaccine: VARZOS
Symptoms: Body temperature, Chills, Pain
Clinical narrative: Pt received vaccine at pharmacy.  Called clinic today to report body aches/chills, temperature of 99.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Syringe issue
Clinical narrative: Patient was administered a prefilled Covid-19 vaccine injection in L deltoid. Patient was monitored for 15 minutes following vaccine administration. Post injection the clinic soon realized the injection was empty without the vaccine present. The "prefilled' Johnson and Johnson vaccine was pulled back to 0.5 ml and individually packed and appeared to be a single use vaccine. The patient was called and notified via phone call of the situation and that the patient unintentionally did not receive COVID-19 immunization. Advised patient to FU for any questions or concerns. The Health Department was notified. Patient was understanding and denies acute concerns.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Chills, Cough, Dyspnoea, Endotracheal intubation
Clinical narrative: Shortness of breath, chest pain. coughing, diffuse headache and some body aches, fever, chills, sweats. increased work of breathing, tachycardic, tachypnic,
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Hyperhidrosis, Pain, Pyrexia, Sedative therapy
Clinical narrative: Shortness of breath, chest pain. coughing, diffuse headache and some body aches, fever, chills, sweats. increased work of breathing, tachycardic, tachypnic,
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tachycardia, Tachypnoea
Clinical narrative: Shortness of breath, chest pain. coughing, diffuse headache and some body aches, fever, chills, sweats. increased work of breathing, tachycardic, tachypnic,
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Dyspnoea
Clinical narrative: Shortness of breath, chest pain. coughing, diffuse headache and some body aches, fever, chills, sweats. increased work of breathing, tachycardic, tachypnic,
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Neck pain
Clinical narrative: stiff/painful neck that started 4 days post-vaccine. "Arthritis of the spine ? took Topamax for a while until she found out she was allergic to it. Takes gabapentin now; with diclofenac. Counseled to take Tylenol every 8 hours on schedule and apply cold packs. Patient was taking ibuprofen prn; advised to discontinue. If event becomes acute: present to ER. If event gets gradually worse: see primary doctor.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: pain  1=10  a 6 to 7  shoulder
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: patient stated when came for second vaccine that left under arm lymph nodes were swollen
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain in extremity
Clinical narrative: mild headache, sore arm, fatigue
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Pain, Pyrexia
Clinical narrative: 12 hours post 2nd vaccine,  severe chills and severe body aches followed by temp of 102.2 for 14 hours. After 14 hours symptoms improved with mild low grade temp of 99.3 and no flu like symptoms.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Hypersensitivity, Pruritus
Clinical narrative: itchy, dizzy, difficulty breathing, allergic reaction.  Evaluated by EMS-Transported to Emergency room/department or urgent care.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site pruritus
Clinical narrative: Itchy, firm about 1 inch in diameter around injection site
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Chest pain, Nausea, Paraesthesia oral, Throat tightness
Clinical narrative: Due to extensive history of allergies and concerns she was pre-medicated 30 minutes prior to vaccination with 25 mg of Benadryl. At 1209 she started getting anxious and having tingling on her tongue. She progressed to nausea, throat tightness, shaking and then chest pain. EMS was called to transport to the ED