chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Eosinophil count increased, Fear, Feeling cold, Nausea
Clinical narrative: 2 weeks after each COVID vaccine, I experienced sudden drop in BP.  First vaccine on 3/17 was followed 2 weeks later with BP drop.  First BP reading on 4/1 was 88/58.  Minutes later, I double-checked & BP reading was 72/53.  Was cold and clammy; felt faint.  Grew nauseous and threw up.  Had no EPI pen.  Feared this was anaphylaxsis & took the most logical thing I could think of  37.5 mg phentermine.  Symptoms subsided in about 20 minutes(?)  2d Covid shot received 4/7.  2 weeks later  nearly identical reaction occurred:  BP plummeted, cold clammy.  Did not throw up this time.  I took 37.5 mg phentermine right away - and was OK.   Also, significant breast swelling (from C to D), which has NOT gone away.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: 2 weeks after each COVID vaccine, I experienced sudden drop in BP.  First vaccine on 3/17 was followed 2 weeks later with BP drop.  First BP reading on 4/1 was 88/58.  Minutes later, I double-checked & BP reading was 72/53.  Was cold and clammy; felt faint.  Grew nauseous and threw up.  Had no EPI pen.  Feared this was anaphylaxsis & took the most logical thing I could think of  37.5 mg phentermine.  Symptoms subsided in about 20 minutes(?)  2d Covid shot received 4/7.  2 weeks later  nearly identical reaction occurred:  BP plummeted, cold clammy.  Did not throw up this time.  I took 37.5 mg phentermine right away - and was OK.   Also, significant breast swelling (from C to D), which has NOT gone away.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Came in for a vaccine shot, I greeted him and asked if he was getting his first or second vaccine and he stated that he was getting his second shot and I asked if it was Pfizer he said yes and i directed him to an open nurses station and administer the vaccine once the scribe was done taking his info. the person answered all the questions and then received the shot ,once receiving his vaccination card he said he thinks he took Jansen (J&J) the first shot . at that point he was instructed by the pharmacist of what he could expect for side effects being he got Pfizer on top of J&J. and what to do about the side effects.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Atelectasis, Balance disorder, Blood creatinine increased, Blood sodium decreased, COVID-19
Clinical narrative: 8/9/2021: Patient is a 56 year old female presented with complaints of shortness of breath, fatigue, cough and diarrhea x 1 week. Pt notes being vaccinated fully for covid-19 with Pfizer vaccine since May 2021. In the ED she is found to have a positive covid-19 test, her oxygen saturation 89% on room air, elevated d dimer 1.8, Na 129, SCr 2.89. Chest x-ray showed mildly decreased lung volumes, stable from prior with accentuated vascular markings and mild left basilar atelectasis. She states she gets dizzy when standing and has trouble with her balance. 8/16/2021: Patient still admitted at the time of this report She was given IVF and Dexamethasone in the ED and will be admitted for further evaluation and management.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray abnormal, Cough, Diarrhoea, Dizziness postural, Dyspnoea
Clinical narrative: 8/9/2021: Patient is a 56 year old female presented with complaints of shortness of breath, fatigue, cough and diarrhea x 1 week. Pt notes being vaccinated fully for covid-19 with Pfizer vaccine since May 2021. In the ED she is found to have a positive covid-19 test, her oxygen saturation 89% on room air, elevated d dimer 1.8, Na 129, SCr 2.89. Chest x-ray showed mildly decreased lung volumes, stable from prior with accentuated vascular markings and mild left basilar atelectasis. She states she gets dizzy when standing and has trouble with her balance. 8/16/2021: Patient still admitted at the time of this report She was given IVF and Dexamethasone in the ED and will be admitted for further evaluation and management.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Fibrin D dimer, SARS-CoV-2 test positive
Clinical narrative: 8/9/2021: Patient is a 56 year old female presented with complaints of shortness of breath, fatigue, cough and diarrhea x 1 week. Pt notes being vaccinated fully for covid-19 with Pfizer vaccine since May 2021. In the ED she is found to have a positive covid-19 test, her oxygen saturation 89% on room air, elevated d dimer 1.8, Na 129, SCr 2.89. Chest x-ray showed mildly decreased lung volumes, stable from prior with accentuated vascular markings and mild left basilar atelectasis. She states she gets dizzy when standing and has trouble with her balance. 8/16/2021: Patient still admitted at the time of this report She was given IVF and Dexamethasone in the ED and will be admitted for further evaluation and management.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Heart rate irregular, Hypoaesthesia
Clinical narrative: Numness in legs and feet.  Irratic heart beat.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Head injury, Seizure
Clinical narrative: Patient received vaccine at 10:30 am.  Patient waiting in monitoring area and fell out of the chair to the floor hitting the R side of his head on the floor at 10:35am.  O2 sats 78%, P-78 bpm  Unable to obtain a bp.  Patient alert and talking.  Patient seized for 30 seconds after sitting up.  O2 @ 2L per NC administered.  911 called at 10:43 am.  Patient taken by ambulance to ER at 10:53am.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Bell's palsy, Blood test normal, Ear pain, Facial paralysis
Clinical narrative: Starting in spring of 2021 I noticed I would have an irregular heart rate when running, something I had not experienced prior. I also started having severe abdominal pain to the point I went to my PCP to inquire. It was not stated what the cause of this was, blood work was done everything looked OK and ultrasound was offered. I declined as I knew I would be told ?I don?t know what it is.? Sunday, August 1, 2021 I went to bed with ear pain in my right ear, a headache and a tightness in my neck. I woke up Monday, August 2, 2021 to the right side of my face being paralyzed. After going to the ER that day they diagnosed me with Bell?s palsy. Monday will be three weeks I have had it. I?m experiencing constant dizziness, nausea, pain in my ear & neck.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Heart rate irregular, Muscle tightness, Nausea
Clinical narrative: Starting in spring of 2021 I noticed I would have an irregular heart rate when running, something I had not experienced prior. I also started having severe abdominal pain to the point I went to my PCP to inquire. It was not stated what the cause of this was, blood work was done everything looked OK and ultrasound was offered. I declined as I knew I would be told ?I don?t know what it is.? Sunday, August 1, 2021 I went to bed with ear pain in my right ear, a headache and a tightness in my neck. I woke up Monday, August 2, 2021 to the right side of my face being paralyzed. After going to the ER that day they diagnosed me with Bell?s palsy. Monday will be three weeks I have had it. I?m experiencing constant dizziness, nausea, pain in my ear & neck.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Discomfort, Feeling cold, Headache
Clinical narrative: Had some pain at the time of initial injection but nothing extreme. Patient reports that he developed pain in his left arm and shoulder with a sensation of numbness and cold feeling within 1-2 days of his vaccine.    Also reported some muscle twitching.  Had pain and numbness in left neck for the first week which has now resolved.  No significant redness or swelling of his left arm.  He is now 31 days post vaccine and the symptoms are not fully resolved.  Continues to note some pain in his left shoulder and sensation of weakness if he uses his left arm a lot.    He did have some typical fever, chills, headache, bodyache for a couple days after the vaccine as well - but the arm symptoms were less typical.    On exam over telemedicine, he has full range of motion in his shoulder with mild discomfort with external rotation - states it feels like something is in his shoulder.  He has no redness or swelling.  On self-palpation, he notes no swollen axillary nodes.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Joint range of motion decreased, Muscle twitching, Muscular weakness, Neck pain
Clinical narrative: Had some pain at the time of initial injection but nothing extreme. Patient reports that he developed pain in his left arm and shoulder with a sensation of numbness and cold feeling within 1-2 days of his vaccine.    Also reported some muscle twitching.  Had pain and numbness in left neck for the first week which has now resolved.  No significant redness or swelling of his left arm.  He is now 31 days post vaccine and the symptoms are not fully resolved.  Continues to note some pain in his left shoulder and sensation of weakness if he uses his left arm a lot.    He did have some typical fever, chills, headache, bodyache for a couple days after the vaccine as well - but the arm symptoms were less typical.    On exam over telemedicine, he has full range of motion in his shoulder with mild discomfort with external rotation - states it feels like something is in his shoulder.  He has no redness or swelling.  On self-palpation, he notes no swollen axillary nodes.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: Had some pain at the time of initial injection but nothing extreme. Patient reports that he developed pain in his left arm and shoulder with a sensation of numbness and cold feeling within 1-2 days of his vaccine.    Also reported some muscle twitching.  Had pain and numbness in left neck for the first week which has now resolved.  No significant redness or swelling of his left arm.  He is now 31 days post vaccine and the symptoms are not fully resolved.  Continues to note some pain in his left shoulder and sensation of weakness if he uses his left arm a lot.    He did have some typical fever, chills, headache, bodyache for a couple days after the vaccine as well - but the arm symptoms were less typical.    On exam over telemedicine, he has full range of motion in his shoulder with mild discomfort with external rotation - states it feels like something is in his shoulder.  He has no redness or swelling.  On self-palpation, he notes no swollen axillary nodes.
Age: 61.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: COVID-19, Cough, Decreased appetite, Diarrhoea, Feeling abnormal
Clinical narrative: 8/8/21: Patient states he decided to go get tested for COVID19 due to being exposed to a co-worker that was feeling poorly.  He reports he had a positive COVID test on 07/30/2021 and states he was not really having symptoms at that time but eventually started having persistent diarrhea, occasional nausea and decreased appetite as well as having a nonproductive cough, that was exacerbated with deep breathing.  He reports he came to the ED due to not feeling any better.  Repeat COVID testing on 8/8/21 in ED was positive again and patient was admitted for further eval. He reports being fully vaccinated with Johnson & Johnson vaccine in May 2021.  8/9/21: Patient discharged home  He states he has been using over-the-counter Robitussin at home but has not been on any other prescription medications.  In the ED, patient had O2 saturations 91% on room air and was placed on 2 L nasal cannula.  Repeat COVID testing positive again.  He received a normal saline bolus, Decadron, and Zofran in the ED and reports feeling better.
Age: 61.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Nausea, Occupational exposure to SARS-CoV-2, Oxygen saturation decreased, SARS-CoV-2 test positive
Clinical narrative: 8/8/21: Patient states he decided to go get tested for COVID19 due to being exposed to a co-worker that was feeling poorly.  He reports he had a positive COVID test on 07/30/2021 and states he was not really having symptoms at that time but eventually started having persistent diarrhea, occasional nausea and decreased appetite as well as having a nonproductive cough, that was exacerbated with deep breathing.  He reports he came to the ED due to not feeling any better.  Repeat COVID testing on 8/8/21 in ED was positive again and patient was admitted for further eval. He reports being fully vaccinated with Johnson & Johnson vaccine in May 2021.  8/9/21: Patient discharged home  He states he has been using over-the-counter Robitussin at home but has not been on any other prescription medications.  In the ED, patient had O2 saturations 91% on room air and was placed on 2 L nasal cannula.  Repeat COVID testing positive again.  He received a normal saline bolus, Decadron, and Zofran in the ED and reports feeling better.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Chills, Diarrhoea, Injection site pain, Injection site rash
Clinical narrative: Fever, extreme chills, nausea, diarrhea, loss of arm strength, bad soreness around injection site, minor rash
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Pyrexia
Clinical narrative: Fever, extreme chills, nausea, diarrhea, loss of arm strength, bad soreness around injection site, minor rash
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Electrocardiogram, Fatigue, Heart rate irregular, Postural orthostatic tachycardia syndrome
Clinical narrative: Tachycardia and POTS since 1 hour after vaccination. Heart rate ranging 111-203 constantly up and down no lower for at leat 73 hours after injection. Fatigue.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: Tachycardia and POTS since 1 hour after vaccination. Heart rate ranging 111-203 constantly up and down no lower for at leat 73 hours after injection. Fatigue.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Cellulitis, Infection, Neck pain
Clinical narrative: Presumed cellulitis near deltoid muscle on right arm (unsure if my 1st or 2nd was in my right arm) right sided neck and shoulder pain during this infection as well.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Bilevel positive airway pressure, COVID-19 pneumonia, Death, Endotracheal intubation
Clinical narrative: 2ND COVID19 VACCINE ADMINISTERED 4/13/2021. ADMITTED TO MEDICAL CENTER ON 08/06/2021 WITH COVID PNEUMONIA AND ACUTE HYPOXIC RESPIRATORY FAILURE. WAS TREATED WITH REMDESEVIR IV, DEXAMETHASONE, AND PLACED ON HIGH FLOW O2. PATIENT DECOMPENSATED, WAS PLACED ON BIPAP, AND THEN TRANSFERRED TO ICU AND INTUBATED. CONTINUED TO HAVE INCREASING VENTILATORY SUPPORT. FAMILY EVENTUALLY REQUESTED COMFORT-FOCUSED CARE. EXTUBATED AND EXPIRED ON 8/18/2021.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Extubation, Intensive care
Clinical narrative: 2ND COVID19 VACCINE ADMINISTERED 4/13/2021. ADMITTED TO MEDICAL CENTER ON 08/06/2021 WITH COVID PNEUMONIA AND ACUTE HYPOXIC RESPIRATORY FAILURE. WAS TREATED WITH REMDESEVIR IV, DEXAMETHASONE, AND PLACED ON HIGH FLOW O2. PATIENT DECOMPENSATED, WAS PLACED ON BIPAP, AND THEN TRANSFERRED TO ICU AND INTUBATED. CONTINUED TO HAVE INCREASING VENTILATORY SUPPORT. FAMILY EVENTUALLY REQUESTED COMFORT-FOCUSED CARE. EXTUBATED AND EXPIRED ON 8/18/2021.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Dizziness, Fatigue, Injection site pruritus, Injection site rash
Clinical narrative: Day 1 - nausea, felt like insides were shaking, lightheaded, sore arm, insides were cramping, Day 2 - tired, felt like inside were shaking, Day 3-tired, nausea, cramping , Day 5-stomach cramping, Day 6-vaginal bleeding (lasting 8 days), Day 7- developed arm soreness again, swollen lymph nodes under arm on side of injection, Day 8-continue arm sore, developed rash, itching, on arm side of injection.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Muscle spasms, Nausea, Pain in extremity, Tremor
Clinical narrative: Day 1 - nausea, felt like insides were shaking, lightheaded, sore arm, insides were cramping, Day 2 - tired, felt like inside were shaking, Day 3-tired, nausea, cramping , Day 5-stomach cramping, Day 6-vaginal bleeding (lasting 8 days), Day 7- developed arm soreness again, swollen lymph nodes under arm on side of injection, Day 8-continue arm sore, developed rash, itching, on arm side of injection.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Vaginal haemorrhage
Clinical narrative: Day 1 - nausea, felt like insides were shaking, lightheaded, sore arm, insides were cramping, Day 2 - tired, felt like inside were shaking, Day 3-tired, nausea, cramping , Day 5-stomach cramping, Day 6-vaginal bleeding (lasting 8 days), Day 7- developed arm soreness again, swollen lymph nodes under arm on side of injection, Day 8-continue arm sore, developed rash, itching, on arm side of injection.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chest pain, Dyspnoea, Heart rate increased, Pruritus
Clinical narrative: That same night I was very itchy all over my legs.  My legs felt bumpy but it was dark so I just went to sleep. 08/13/2021 the next morning I was still itchy and AFTER I scratched my legs I broke out in hives all over where I scratched.  After that my legs were normal again and no more hives. I have very sensitive skin so I assumed I would have some type of skin reaction as a symptom. Not horrible.  08/15/2021 I have started to feel quick flashes of pain in my middle chest area and even my stomach area. Today is 08/20/2021 and I still get the flashes of pain. Its a 3 on a scale of 1 to 10. I felt shortness of breath one time and my heart beat really fast at the same exact time I had shortness of breath. Im nervous to take my second dose now.  I havent noticed other symptoms at all so far.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Sensitive skin, Urticaria
Clinical narrative: That same night I was very itchy all over my legs.  My legs felt bumpy but it was dark so I just went to sleep. 08/13/2021 the next morning I was still itchy and AFTER I scratched my legs I broke out in hives all over where I scratched.  After that my legs were normal again and no more hives. I have very sensitive skin so I assumed I would have some type of skin reaction as a symptom. Not horrible.  08/15/2021 I have started to feel quick flashes of pain in my middle chest area and even my stomach area. Today is 08/20/2021 and I still get the flashes of pain. Its a 3 on a scale of 1 to 10. I felt shortness of breath one time and my heart beat really fast at the same exact time I had shortness of breath. Im nervous to take my second dose now.  I havent noticed other symptoms at all so far.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chills, Cold sweat, Dizziness, Injection site bruising
Clinical narrative: Feeling of pressure in chest first noticed upon awakening at 8:00. The symptom is still present. Light headed and pale, especially when bending or climbing stairs.  Chills and cold sweats on and off. Bruising at injection site.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Pallor
Clinical narrative: Feeling of pressure in chest first noticed upon awakening at 8:00. The symptom is still present. Light headed and pale, especially when bending or climbing stairs.  Chills and cold sweats on and off. Bruising at injection site.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: U07.1 - COVID-19
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Lymphadenopathy, Nausea, Pain, Pyrexia
Clinical narrative: Extreme dizziness, nausea, fever, aches, lymph nodes in neck on side of vaccination. Vaccine given in r arm, brst cancer was in left side.
Age: 24.0
Sex: M
Vaccine: RAB, RAB
Symptoms: Demyelinating polyneuropathy, Electromyogram abnormal, Exposure to communicable disease, Hypoaesthesia, Immunoglobulin therapy
Clinical narrative: Patient reports developing bilateral hand and leg numbness after 1st rabies vaccine on 8/15. Patient scheduled for second dose today.  24-year-old man without past medical history presents emergency department with sensation of decreased sensation to bilateral arms and lower extremities status post finding about in his room 2 weeks previously currently has had rabies vaccine x3 now.  Denies any weakness no other symptoms fevers chills.  Better without intervention.  Chief Complaint:   PT was exposed to bat, had rabies vaccine, and has numbness all over body post vaccine, seen by neurologist today and needs MRI. ,  Patient is a 24 year old male with no significant prior medical history who presented to AHH 8/19 @ 1814 per request of neurology. On 8/12/2021 he woke up and found a bat in his room--he is unsure if he was bitten by the bat  He wa seen on 8/14 in ED at which time he was asymptomatic. He was  requesting rabies vaccination.  At time he was given rabies immuneglobin and rabies vaccine and was to followup with infusion center or PCP for remainder of vaccinations.  He returned to the ED on 8/17 with complaint of numbness of his extremities since his first vaccination but did receive his second vaccination.  Symptoms continued to worsen and he was seen by Dr. as an outpatient on 8/19 and had EMG which showed demylinating polyneuropathy--given his history he was admitted to the hospital.  He underwent MRI series of his spine--unremarkable with some mild L5-S1 hernitation.  He was started on IVIG 1/5 infusions last evening.
Age: 24.0
Sex: M
Vaccine: RAB, RAB
Symptoms: Intervertebral disc protrusion, Magnetic resonance imaging spinal abnormal, Sensory loss
Clinical narrative: Patient reports developing bilateral hand and leg numbness after 1st rabies vaccine on 8/15. Patient scheduled for second dose today.  24-year-old man without past medical history presents emergency department with sensation of decreased sensation to bilateral arms and lower extremities status post finding about in his room 2 weeks previously currently has had rabies vaccine x3 now.  Denies any weakness no other symptoms fevers chills.  Better without intervention.  Chief Complaint:   PT was exposed to bat, had rabies vaccine, and has numbness all over body post vaccine, seen by neurologist today and needs MRI. ,  Patient is a 24 year old male with no significant prior medical history who presented to AHH 8/19 @ 1814 per request of neurology. On 8/12/2021 he woke up and found a bat in his room--he is unsure if he was bitten by the bat  He wa seen on 8/14 in ED at which time he was asymptomatic. He was  requesting rabies vaccination.  At time he was given rabies immuneglobin and rabies vaccine and was to followup with infusion center or PCP for remainder of vaccinations.  He returned to the ED on 8/17 with complaint of numbness of his extremities since his first vaccination but did receive his second vaccination.  Symptoms continued to worsen and he was seen by Dr. as an outpatient on 8/19 and had EMG which showed demylinating polyneuropathy--given his history he was admitted to the hospital.  He underwent MRI series of his spine--unremarkable with some mild L5-S1 hernitation.  He was started on IVIG 1/5 infusions last evening.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Headache, Parosmia
Clinical narrative: I got the 1st dose of the pfizer vaccine on 7/29/21 and the next day I had a taste in my mouth that was like a metallic taste but I could smell ink from a pen.It was like I had pen ink in my mouth.It lasted about a week and I started getting headaches that I am still having to this day.I have to go for an mri related to the headaches next week.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Memory impairment
Clinical narrative: Patient complains of memory changes since vaccination, started not long after the injection and has persisted now 8 months. Says he cannot remember people or names, forgetful, and sometimes off balance
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Pruritus, Rash
Clinical narrative: Whole body rash, SOB, itching that lasted several days despite taking allergy medications.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVIC + on 08/18/2021
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Fatigue, Headache
Clinical narrative: Breakthrough case: I tested positive for Covid-19 on August 11, 2021. My symptoms include: Headaches Sore throat Body aches Chills Fatigue Runny nose Coughing
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, Rhinorrhoea, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case: I tested positive for Covid-19 on August 11, 2021. My symptoms include: Headaches Sore throat Body aches Chills Fatigue Runny nose Coughing
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Injection site hypoaesthesia, Rash, Rash papular, Rash vesicular
Clinical narrative: I had a rash that started to itch underneath my right breast.  About 2.5 inches width by 1 inch height.  This rash got worse and the bumps were raised/blistered.  I went back to the same clinic I received the vaccine to see a doctor on site.  She was able to see me that day within the hour.  She did confirm that I had a mild shingles outbreak and prescribed me antiviral to take for a week.  Since taking the medication the outbreak has not worsened and is very, very slowly getting a little better.  I am experiencing numbness at the site now as well which has started just yesterday (08/19/2021).  I understand that the vaccine does not CAUSE shingles, but that factors can contribute to an outbreak of shingles such as stress or immune conditions (my system was potentially weakened by the vaccine which allowed this outbreak??)   I have never had a shingles outbreak before in my life, so I would say this is indeed an adverse event related to the vaccination I received.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Discomfort, Flank pain, Influenza like illness, Mass, Pain
Clinical narrative: In left flank area feels like a lump or mass on inside. Don't feel a lump topically but it feel (sensation) like something is there inwardly. With occasionally heaviness pain (dull). Also had flu like symptoms for a day and a half early August
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ultrasound scan normal
Clinical narrative: In left flank area feels like a lump or mass on inside. Don't feel a lump topically but it feel (sensation) like something is there inwardly. With occasionally heaviness pain (dull). Also had flu like symptoms for a day and a half early August
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Vomiting
Clinical narrative: Patient was accidentally given the 2nd dose in the Moderna vaccine series at 21 days instead of 28 days. Patient reported to us 8 days after getting the dose that they have had vomiting issues for 3 days.  Patient was triaged by a nurse and deemed stable and not in need to go to ER. Patient will come into clinic to be evaluated further.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: Patient states arm was swollen to the width of her hand
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Malaise
Clinical narrative: Positive covid case with symptoms
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Death, SARS-CoV-2 test positive
Clinical narrative: 6/30/2021 symptoms: cough,  7/6/2021 Positive COVID-19 7/19/2021 died
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angina pectoris, Atrioventricular block, Blood test, Cardiac imaging procedure abnormal, Cardiac stress test
Clinical narrative: on 5/28/2021 I went to the emergency room after experiencing chest and jaw pain that radiated down the back of my arms. I was diagnosed with a heart attack and admitted for a cardiac cath. I did not receive a stent as they did not initially find any blockages however, upon further review a small blockage was found but it did not require a stent.   After follow up I was diagnosed with a myocardial infarction, coronary artery disease with angina. After the cardiac MRI  I was diagnosed with myopercarditis as well.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Catheterisation cardiac abnormal, Chest pain, Coronary artery disease, Echocardiogram, Electrocardiogram
Clinical narrative: on 5/28/2021 I went to the emergency room after experiencing chest and jaw pain that radiated down the back of my arms. I was diagnosed with a heart attack and admitted for a cardiac cath. I did not receive a stent as they did not initially find any blockages however, upon further review a small blockage was found but it did not require a stent.   After follow up I was diagnosed with a myocardial infarction, coronary artery disease with angina. After the cardiac MRI  I was diagnosed with myopercarditis as well.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Myocardial infarction, Myocarditis, Pain, Pain in extremity, Pain in jaw
Clinical narrative: on 5/28/2021 I went to the emergency room after experiencing chest and jaw pain that radiated down the back of my arms. I was diagnosed with a heart attack and admitted for a cardiac cath. I did not receive a stent as they did not initially find any blockages however, upon further review a small blockage was found but it did not require a stent.   After follow up I was diagnosed with a myocardial infarction, coronary artery disease with angina. After the cardiac MRI  I was diagnosed with myopercarditis as well.
Age: 6.0
Sex: M
Vaccine: DTAPIPV, HEPA, VARCEL
Symptoms: Incorrect dose administered
Clinical narrative: Patient was inadvertently given Hepatitis A- adult instead of Hepatitis A- pediatric dose. Talked to the patient 3 days later and patient's father stated the child had no signs or symptoms of an adverse reaction.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Aphasia, Atrial fibrillation, Atrial flutter, Cardiac ablation
Clinical narrative: All day 4/2 had shortness of breath and pharyngitis.  Around 5PM became dizzy, had short blackout, followed by confusion/stumbling/inability to speak.  In the E.R. was checked for stroke - diagnosed T.I.A.   Heart was found to be in A-Fib.  Next day heart had converted to A-Flutter and I was discharged with script for Eliquis.  Returned to hospital 6/23 for cardiac ablation and by 7/1 had returned to normal sinus rhythm  (Even with all this -- took second vaccination on 4/29.)  History: I had a syncopy episode in 2014 and as a result was given numerous cardiac stress tests and heart was found to be "Strong and trouble free."
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Dizziness, Dyspnoea, Gait disturbance, Loss of consciousness
Clinical narrative: All day 4/2 had shortness of breath and pharyngitis.  Around 5PM became dizzy, had short blackout, followed by confusion/stumbling/inability to speak.  In the E.R. was checked for stroke - diagnosed T.I.A.   Heart was found to be in A-Fib.  Next day heart had converted to A-Flutter and I was discharged with script for Eliquis.  Returned to hospital 6/23 for cardiac ablation and by 7/1 had returned to normal sinus rhythm  (Even with all this -- took second vaccination on 4/29.)  History: I had a syncopy episode in 2014 and as a result was given numerous cardiac stress tests and heart was found to be "Strong and trouble free."
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Pharyngitis, Transient ischaemic attack
Clinical narrative: All day 4/2 had shortness of breath and pharyngitis.  Around 5PM became dizzy, had short blackout, followed by confusion/stumbling/inability to speak.  In the E.R. was checked for stroke - diagnosed T.I.A.   Heart was found to be in A-Fib.  Next day heart had converted to A-Flutter and I was discharged with script for Eliquis.  Returned to hospital 6/23 for cardiac ablation and by 7/1 had returned to normal sinus rhythm  (Even with all this -- took second vaccination on 4/29.)  History: I had a syncopy episode in 2014 and as a result was given numerous cardiac stress tests and heart was found to be "Strong and trouble free."
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Headache, Nausea, Pain
Clinical narrative: headache, body aches , and nausea after getting 3rd covid vaccine
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Injection site bruising
Clinical narrative: Woke up with bruises most prominent on left arm where injection was received.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity
Clinical narrative: PATIENT VISIT HOSPITAL THREE TIMES DUE TO DIFFERENT TYPES OF ALLERGIES, SEVERE ALLERGIES. HOSPITAL STAFF INDICATED IT MUST BE DUE TO COVID VACCINE SINCE BEFORE ADMINISTRATION PATIENTS WAS NOT ALLERGIC TO ANYTHING,
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Nodule, Pain in extremity, Pruritus
Clinical narrative: Developed a know on left arm with pain and itching. She put ice pack and  took ibuprofen and hydrocortisone cream to area.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Cough, Dyspnoea, Exposure to SARS-CoV-2, Myalgia
Clinical narrative: 57 yo male s/p full Pfizer vaccination: dose 1 on 3/24 and dose 2 on 4/14. On 8/3 patient reports new onset chills, cough, SOB/difficulty breathing, muscle/body aches, and congestion/runny nose. He confirms close contact with a COVID+ individual. COVID PCR test resulst positive on 8/3. Patient receives  casirivimab/imdevimab infusion on 8/4.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: 57 yo male s/p full Pfizer vaccination: dose 1 on 3/24 and dose 2 on 4/14. On 8/3 patient reports new onset chills, cough, SOB/difficulty breathing, muscle/body aches, and congestion/runny nose. He confirms close contact with a COVID+ individual. COVID PCR test resulst positive on 8/3. Patient receives  casirivimab/imdevimab infusion on 8/4.
Age: 18.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Abnormal uterine bleeding, Vaginal haemorrhage
Clinical narrative: Abnormal uterine and vaginal bleeding, unspecified abdominal pain
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Myalgia
Clinical narrative: 52 yo female s/p full COVID Pfizer vaccination: dose 1 on 3/19, dose 2 on 4/9. Pt reports new onset cough, muscle/body aches, new loss of taste/smell, and congestion/runny nose on 8/3. Denies known exposure to COVID-19. PCR test results positive on 8/3. Patient receives  casirivimab/imdevimab infusion on 8/5.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nasal congestion, Pain, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: 52 yo female s/p full COVID Pfizer vaccination: dose 1 on 3/19, dose 2 on 4/9. Pt reports new onset cough, muscle/body aches, new loss of taste/smell, and congestion/runny nose on 8/3. Denies known exposure to COVID-19. PCR test results positive on 8/3. Patient receives  casirivimab/imdevimab infusion on 8/5.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Rash, Urticaria
Clinical narrative: Patient developed hives and bumps. Her skin was pink, red and itchy
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head abnormal, Optic neuritis
Clinical narrative: Bilateral optic neuritis with pos MOG antibody
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Anti-thyroid antibody, Antibody test normal, Anxiety, Blood magnesium normal, Depressed mood
Clinical narrative: On day 3 after injection began to have difficulty sleeping.  On day 4, he very suddenly began to have feelings of deep sadness, depression, inability to feel joy, severe headaches, nosebleeds, continued difficulty sleeping.  Frequently described by patient as "mental anguish".  This lasted for 4 days before began to slowly improve.  Three weeks out, the patient has days that are without symptoms and days with symptoms, but nothing like the initial 4 day of max symptoms.  No other precipitating factors.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Depression, Epistaxis, Full blood count normal, Headache, Insomnia
Clinical narrative: On day 3 after injection began to have difficulty sleeping.  On day 4, he very suddenly began to have feelings of deep sadness, depression, inability to feel joy, severe headaches, nosebleeds, continued difficulty sleeping.  Frequently described by patient as "mental anguish".  This lasted for 4 days before began to slowly improve.  Three weeks out, the patient has days that are without symptoms and days with symptoms, but nothing like the initial 4 day of max symptoms.  No other precipitating factors.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test, Metabolic function test normal, Thyroid function test normal, Tri-iodothyronine free normal, Vitamin D
Clinical narrative: On day 3 after injection began to have difficulty sleeping.  On day 4, he very suddenly began to have feelings of deep sadness, depression, inability to feel joy, severe headaches, nosebleeds, continued difficulty sleeping.  Frequently described by patient as "mental anguish".  This lasted for 4 days before began to slowly improve.  Three weeks out, the patient has days that are without symptoms and days with symptoms, but nothing like the initial 4 day of max symptoms.  No other precipitating factors.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Tinnitus
Clinical narrative: pain in left arm on 6th day horrible tinnitus in left ear. went to doctor on 7th day. no ear infection doesn't know why its happening. also starting 6th day I was very exhausted for 4 more days. I'm on day 16 and the tinnitus is still really bad.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Molluscum contagiosum, Rash
Clinical narrative: Woke up with rash all over back, less severe on arms and chest. Most likely molluscum contagiosum.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: 62 yo female s/p full Pfizer COVID vaccination: dose 1 on 1/19 and dose 2 on 2/9. PCR test resulted positive on 8/4. Pt received casirivimab/imdevimab infusion on 8/7.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Muscle spasms
Clinical narrative: Muscle spasms in left front upper leg. Muscle spasms in left upper arm both within 30 min of shot. Lasted one hour then stopped. Swelling around injection site (muscle in right shoulder).
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac flutter, Echocardiogram, Electrocardiogram abnormal, Sensation of blood flow
Clinical narrative: Heart flutters/whooshing feeling like a misfire. Diagnosed with minor myocarditis through ECG.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: 43 yo female s/p full Pfizer COVID vaccination: dose 1 on 5/24 and dose 2 on 6/14. On 8/4, pt reports new onset of congestion/runny nose. They confirm possible exposure to COVID-19. COVID PCR results positive on 8/4. Patient receives  casirivimab/imdevimab infusion on 8/9.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Peripheral swelling
Clinical narrative: Approx 2 weeks after vaccination I experienced acute pain in my left knee.  After approximately a day of this severe knee pain I noticed that my left leg was visibly swollen below the knee
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient fainted in parking lot after vaccine administration
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, C-reactive protein normal, COVID-19, COVID-19 pneumonia
Clinical narrative: 67M with dementia, HTN, HLD, DM2, subarchnoid hemorrhage due to ruptured right middle cerebal artery distribution aneurysm s/p craniotomy complicated by encephalomalacia, seizure disorder and hydrocephalus s/p ventriculoperitoneal shunt 2010, vaccinated w/ Moderna 3/18, seen in ED for seizure 8/4, tested covid + (asymptomatic), presented on 8/13 with generalized weakness, found on the floor at home   Methylpredniolone 125 BID, iNO (8/13-8/15) Decadron 10mg BID (8/16- Completed 5 days remdesivir today (8/14-8/18)   FiO2 35L, 90%    Covid pneumonia/acute respiratory failure - received tocilizumab in ED. Admitted to ICU and treated with methylpredniolone 125 BID, iNO (8/13-8/15) and HFNC. FiO2 req is variable. He is more alert today -cont HFNC and wean as tolerated -cont decadron 10mg  BID 8/16- -cont to trend inflammatory markers
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Fibrin D dimer normal, Intensive care, SARS-CoV-2 test positive
Clinical narrative: 67M with dementia, HTN, HLD, DM2, subarchnoid hemorrhage due to ruptured right middle cerebal artery distribution aneurysm s/p craniotomy complicated by encephalomalacia, seizure disorder and hydrocephalus s/p ventriculoperitoneal shunt 2010, vaccinated w/ Moderna 3/18, seen in ED for seizure 8/4, tested covid + (asymptomatic), presented on 8/13 with generalized weakness, found on the floor at home   Methylpredniolone 125 BID, iNO (8/13-8/15) Decadron 10mg BID (8/16- Completed 5 days remdesivir today (8/14-8/18)   FiO2 35L, 90%    Covid pneumonia/acute respiratory failure - received tocilizumab in ED. Admitted to ICU and treated with methylpredniolone 125 BID, iNO (8/13-8/15) and HFNC. FiO2 req is variable. He is more alert today -cont HFNC and wean as tolerated -cont decadron 10mg  BID 8/16- -cont to trend inflammatory markers
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Fatigue, SARS-CoV-2 test positive
Clinical narrative: 68 yo female s/p full Pfizer COVID vaccination: dose 1 on 2/18 and dose 2 on 3/11. Reports fatigue and possible exposure to COVID-19 on 8/3. PCR test results positive on 8/4. Pt receives casirivimab/imdevimab infusion on 8/5.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Abnormal faeces, Cholecystectomy, Fatigue, Genitourinary symptom, Hepatic enzyme increased
Clinical narrative: Patient stated that he had been feeling sick but really didn't pay any attention to the symptom. He said he just stated to monitor himself. He was still working around the far but he was experiencing more fatigue. Around 7/23/2021 he did some work but he noticed that his stool was pale and his pee was concentrated. On the following Tuesday he could no longer take the pain He went to the hospital on 7/28/21 he was admitted to the hospital for pancreatic. He ended up getting his gallbladder removed. He had his liver checked. He does not drink or smoke. His liver count was high. Patient was released on August 5th 2021.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Pain, Pancreatitis
Clinical narrative: Patient stated that he had been feeling sick but really didn't pay any attention to the symptom. He said he just stated to monitor himself. He was still working around the far but he was experiencing more fatigue. Around 7/23/2021 he did some work but he noticed that his stool was pale and his pee was concentrated. On the following Tuesday he could no longer take the pain He went to the hospital on 7/28/21 he was admitted to the hospital for pancreatic. He ended up getting his gallbladder removed. He had his liver checked. He does not drink or smoke. His liver count was high. Patient was released on August 5th 2021.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Blood follicle stimulating hormone increased, Blood oestrogen decreased, Coagulopathy, Fatigue, Heart rate increased
Clinical narrative: For the  week following receiving the 2nd Moderna vaccine (2/19/21)  I experienced a rapid heart rate, shakes, significantly elevated blood pressure (~190/100 and my average BP is ~116/74). My periods starting in March 2021 have been completed irregular, severely heavy with clotting and lasting much longer than they usually do (average 9-10 days). My periods prior to  getting the Covid vaccine were ALWAYS 28 day cycles since I started getting a period at age 12. I am NOT in birth control pills and have had a tubal ligation.  I am also experiencing severe fatigue still since the 2nd vaccine.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Menstruation irregular, Progesterone decreased, Tremor, Tri-iodothyronine increased
Clinical narrative: For the  week following receiving the 2nd Moderna vaccine (2/19/21)  I experienced a rapid heart rate, shakes, significantly elevated blood pressure (~190/100 and my average BP is ~116/74). My periods starting in March 2021 have been completed irregular, severely heavy with clotting and lasting much longer than they usually do (average 9-10 days). My periods prior to  getting the Covid vaccine were ALWAYS 28 day cycles since I started getting a period at age 12. I am NOT in birth control pills and have had a tubal ligation.  I am also experiencing severe fatigue still since the 2nd vaccine.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: I got Covid
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Pulmonary embolism
Clinical narrative: bilateral saddle PE, chest pain, shortness of breath
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Ultrasound antenatal screen abnormal, Uterine disorder
Clinical narrative: Pregnancy due date is 12-6-2021.  Baby has bilateral clubfeet.  This is my 4th child.  No abnormalities with my precious three. Specialists do not believe this abnormaliry to be related to the vaccineas they believe it was due to a septum in my uterus but I wanted this reported.
Age: 96.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chest X-ray, Dyspnoea, Failure to thrive, Hypoxia
Clinical narrative: weak, short of breath, failure to thrive, hypoxia leading to hospitalization
Age: 96.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test
Clinical narrative: weak, short of breath, failure to thrive, hypoxia leading to hospitalization
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Nasal congestion, Pyrexia
Clinical narrative: 51 yo male s/p full Pfizer vaccination: dose one on 3/1/2021 and dose two on 3/22/2021. Pt received first kidney transplant in 1994, which failed in 2007. He subsequently received a second kidney transplant in 2007. He is immunosuppressed on Gengraf, mycophenolate mofetil, and prednisone. Pt reports new onset of fever, cough, headache, and congestion/runny nose on 8/4. He denies any known exposure to COVID-19. COVID PCR results back positive on 8/4.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: 51 yo male s/p full Pfizer vaccination: dose one on 3/1/2021 and dose two on 3/22/2021. Pt received first kidney transplant in 1994, which failed in 2007. He subsequently received a second kidney transplant in 2007. He is immunosuppressed on Gengraf, mycophenolate mofetil, and prednisone. Pt reports new onset of fever, cough, headache, and congestion/runny nose on 8/4. He denies any known exposure to COVID-19. COVID PCR results back positive on 8/4.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood test, Catheterisation cardiac, Chest pain, Discomfort, Electrocardiogram abnormal
Clinical narrative: Chest pains, abnormal EKG. Diagnosed as Pleurisy, and pain and discomfort continues
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pleurisy
Clinical narrative: Chest pains, abnormal EKG. Diagnosed as Pleurisy, and pain and discomfort continues
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Lymphadenopathy, Palpitations
Clinical narrative: The second day after the first shot I started having heart palpitations and it was more noticeable when I sat down or layed down. This lasted for about four days and then went away. After the second shot it lasted for about a day and went away. Four weeks ago my lymph node swelled in my neck and the heart palpitations started again and I had extreme fatigue. I did not get tested for Covid because I have had Covid before and I was immunized.  The heart palpitations are getting better but they still come and go and it has been about four weeks.  The lymph node swelling went down after about a week and the fatigue also went away in about a week
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Pallor, Syncope
Clinical narrative: BP: 77/47  HR: 53 Pale Faintish  unconscious