chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Fatigue, Feeling cold, Impaired work ability
Clinical narrative: " COVID-19 Vaccine EUA" Day 3 following injection 1-11-21--Difficult breating, chest pressure all day and night. Extreme fatique and weakness. Day 4 following---continued difficulty breathing and chest pressure continuous. Moderate fatique and weakness.  Day 5 following--- breathing difficulty improved significantly. Right arm muscle spasms and severe pain radiating to neck and chest and back (right side only), and stiffening of right hand and fingers. Tingling in are and pale color along with it feeling very cold. Small rash also at injection site. Moderate fatique and weakness. Day 6 following---breathing back to normal. Arm stiffening better.  Still severe pain in right arm, neck, chest and back muscles. Less fatique and weakness.  Day 7 following---Pain in right side of body continued. Chest tightness and cough started. 100 Temperature at 7pm. Fatique and weakness worsened.  Day 8 following--- Pain in right side of body continued w a little less severity. Chest tightness and cough w 99.8 temperature.  Day 9 -10following--- Pain in right side continues now with injection site (R arm) red, itcy and warm at site.  Days 11-18----symptoms at there least. Overall felt well. Day 19 following--- sore throat, heavy chest tightness and cough w slight breathing difficulty.  Day 20 following ---Severe body aches, cough, lowgrade fever of 99, Extreme fatigue. Sore throat. Difficulty breathing, moderately. Unable to work. Day 21 (today 1-29-21)---chest tightness, cough, lowgrade fever 99.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site rash, Injection site warmth, Joint stiffness
Clinical narrative: " COVID-19 Vaccine EUA" Day 3 following injection 1-11-21--Difficult breating, chest pressure all day and night. Extreme fatique and weakness. Day 4 following---continued difficulty breathing and chest pressure continuous. Moderate fatique and weakness.  Day 5 following--- breathing difficulty improved significantly. Right arm muscle spasms and severe pain radiating to neck and chest and back (right side only), and stiffening of right hand and fingers. Tingling in are and pale color along with it feeling very cold. Small rash also at injection site. Moderate fatique and weakness. Day 6 following---breathing back to normal. Arm stiffening better.  Still severe pain in right arm, neck, chest and back muscles. Less fatique and weakness.  Day 7 following---Pain in right side of body continued. Chest tightness and cough started. 100 Temperature at 7pm. Fatique and weakness worsened.  Day 8 following--- Pain in right side of body continued w a little less severity. Chest tightness and cough w 99.8 temperature.  Day 9 -10following--- Pain in right side continues now with injection site (R arm) red, itcy and warm at site.  Days 11-18----symptoms at there least. Overall felt well. Day 19 following--- sore throat, heavy chest tightness and cough w slight breathing difficulty.  Day 20 following ---Severe body aches, cough, lowgrade fever of 99, Extreme fatigue. Sore throat. Difficulty breathing, moderately. Unable to work. Day 21 (today 1-29-21)---chest tightness, cough, lowgrade fever 99.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Musculoskeletal stiffness, Neck pain, Oropharyngeal pain, Pain
Clinical narrative: " COVID-19 Vaccine EUA" Day 3 following injection 1-11-21--Difficult breating, chest pressure all day and night. Extreme fatique and weakness. Day 4 following---continued difficulty breathing and chest pressure continuous. Moderate fatique and weakness.  Day 5 following--- breathing difficulty improved significantly. Right arm muscle spasms and severe pain radiating to neck and chest and back (right side only), and stiffening of right hand and fingers. Tingling in are and pale color along with it feeling very cold. Small rash also at injection site. Moderate fatique and weakness. Day 6 following---breathing back to normal. Arm stiffening better.  Still severe pain in right arm, neck, chest and back muscles. Less fatique and weakness.  Day 7 following---Pain in right side of body continued. Chest tightness and cough started. 100 Temperature at 7pm. Fatique and weakness worsened.  Day 8 following--- Pain in right side of body continued w a little less severity. Chest tightness and cough w 99.8 temperature.  Day 9 -10following--- Pain in right side continues now with injection site (R arm) red, itcy and warm at site.  Days 11-18----symptoms at there least. Overall felt well. Day 19 following--- sore throat, heavy chest tightness and cough w slight breathing difficulty.  Day 20 following ---Severe body aches, cough, lowgrade fever of 99, Extreme fatigue. Sore throat. Difficulty breathing, moderately. Unable to work. Day 21 (today 1-29-21)---chest tightness, cough, lowgrade fever 99.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pallor, Paraesthesia
Clinical narrative: " COVID-19 Vaccine EUA" Day 3 following injection 1-11-21--Difficult breating, chest pressure all day and night. Extreme fatique and weakness. Day 4 following---continued difficulty breathing and chest pressure continuous. Moderate fatique and weakness.  Day 5 following--- breathing difficulty improved significantly. Right arm muscle spasms and severe pain radiating to neck and chest and back (right side only), and stiffening of right hand and fingers. Tingling in are and pale color along with it feeling very cold. Small rash also at injection site. Moderate fatique and weakness. Day 6 following---breathing back to normal. Arm stiffening better.  Still severe pain in right arm, neck, chest and back muscles. Less fatique and weakness.  Day 7 following---Pain in right side of body continued. Chest tightness and cough started. 100 Temperature at 7pm. Fatique and weakness worsened.  Day 8 following--- Pain in right side of body continued w a little less severity. Chest tightness and cough w 99.8 temperature.  Day 9 -10following--- Pain in right side continues now with injection site (R arm) red, itcy and warm at site.  Days 11-18----symptoms at there least. Overall felt well. Day 19 following--- sore throat, heavy chest tightness and cough w slight breathing difficulty.  Day 20 following ---Severe body aches, cough, lowgrade fever of 99, Extreme fatigue. Sore throat. Difficulty breathing, moderately. Unable to work. Day 21 (today 1-29-21)---chest tightness, cough, lowgrade fever 99.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: At 0908, RRT was called at the post-vaccination monitoring area for an 89 y/o male that was experiencing dizziness after administration of the Pfizer vaccine at 0900. Client?s car was off, 4 RRT nurses responded to the scene with the E-kit, stethoscope, and pulse oximeter. Head-to-toe assessment done, all WNL. Reports a Sulfa allergy and denies taking any medications today. Initial vitals ? HR: 79, RR: 18, BP: 137/70, denies pain. Client reports that he fell once last week and once this week. With the second fall this week, client reports he hit his head but he states it wasn?t a big deal. He is AA0x4, in no acute distress. During RRT, client was on the phone with his doctor?s office and doctor?s office reported that his PSA level was elevated and he was positive for E.Coli in the urine. 911 called by Site Manager, Deryl Bactad, at 0923. Fire Engine #94 arrived at 0942 and report was given to them. Their initial vitals were: HR: 79, BP: 146/106, O2: 98% on RA. Client denies pain and remains AAOx4. He stated he was fine to drive home. Client refused transport to the hospital at 0957. Last BP before paramedics left: 146/95. Client remains AA0x4, no acute distress noted. Client advised to wait in monitoring area for an additional 15 minutes. Client verbalized understanding. Upon leaving, client was AA0x4, in no acute distress, reported feeling fine to drive. Client advised that if symptoms worsen or if he is SOB, to contact his PCP and/or call 911 and/or get to the nearest hospital. Client verbalized understanding of all information given. All questions answered, all concerns met. Client left at 1015 via car, by himself.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: 12/27/2020  swollen lymph nodes below left clavicle, no pain
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Injection site erythema
Clinical narrative: Chills, Body aches and joint pain, headache, fatigue.  Reddened area at the injection site approximately 6x3 inches. Site hard, hot and itchy.  Tylenol and fluids, hydrocortisone topically for the arm. Symptoms subsided in 2.5 days. Reddened rash like area on arm diminished in 1 week but still present.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site pruritus, Injection site warmth, Pain
Clinical narrative: Chills, Body aches and joint pain, headache, fatigue.  Reddened area at the injection site approximately 6x3 inches. Site hard, hot and itchy.  Tylenol and fluids, hydrocortisone topically for the arm. Symptoms subsided in 2.5 days. Reddened rash like area on arm diminished in 1 week but still present.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site inflammation, Injection site pruritus, Injection site rash, Injection site warmth
Clinical narrative: Developed a rash, inflammation, even with and directly under shot spot on left arm, size approx 4 1/2" long and 2 1/2" wide, kind of sporadic.  It itched, became red, warm.  Starting to become lighter in color on 1/29/21.   Left message for Dr. he/she was not in on 1/28/21.  Still waiting for call back.  Hopefully it will go away.   Since it has not totally gone away, I said "No" to Item 20.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Urticaria
Clinical narrative: ELEVEN days after vaccination my right upper arm was a little sore at the injection site.  In the morning on the 12th day, January 29, 2021, I have a red, hard, slightly raised welt in the area of the injection site which is a little sore. I would say this is kind of circular and about 3 inches across.  The only effect I had the day  right after the shot was a little soreness and a little redness.  Today the area of the welt is a lot bigger and harder.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Decreased appetite, Fatigue, Headache, Mobility decreased
Clinical narrative: First 2 days after 2nd dose I felt chills, body aches, headache, fatigue,  day 9 still extremely exhausted exhausted, no appetite, body aches, unable to function for more than a few minutes at a time.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain
Clinical narrative: First 2 days after 2nd dose I felt chills, body aches, headache, fatigue,  day 9 still extremely exhausted exhausted, no appetite, body aches, unable to function for more than a few minutes at a time.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Headache, Peripheral swelling, Skin warm, Tenderness
Clinical narrative: The initial arm tenderness, redness subsided after day 4 of receiving the injection. However, on day 11 after receiving the injection, my shoulder became quite red, swollen, hot to the touch, and sore again. This lasted until day 14. The afternoon of day 14, my arm felt better; however, a headache began and is still ongoing today now day 18.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Flushing
Clinical narrative: Patient reported feeling abrupt onset at about 5 minutes after injection of a sensation of 1/2 of her head feeling hot like she was in a hot shower and a flushed feeling.  No other sx that would suggest anaphylaxis.  40 minutes in while still experiencing above affected side ear was flushed.  Given 50mg of benadryl at that time and all symptoms resolved by 65minutes
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Fatigue, Injection site erythema, Injection site pruritus
Clinical narrative: 1/8/21 (evening): Feeling weakness and tiredness 1/9/21: Itching and redness around the injection site, all joints aching badly (8/10 pain scale) 1/10/21: White ring around injection site; Itching continued 1/11/21: White ring around injection site; Itching continued *Itching continued through 1/15/21. * White ring around injection site currently still visible on 1/29/21. No treaments given; advise by clinic to report via V-Safe.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: 10-12 days after vaccination I started with intense itching all over the body, without evidence of rash. Since is something that had never happened, I wonder if it may be a an adverse reaction because I haven't changed my alimentary habits, nor soaps or detergents.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Malaise, Pain, Pyrexia, Urticaria
Clinical narrative: Low grade fever three days; aches; headache;malaise for three days hives on day four
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Discomfort, Fatigue
Clinical narrative: Received shot at 2:45pm. Sore/stiff arm started around 6pm. Went to sleep and woke up at 1:00am shaking with a fever and chills. Severe headache, throat sore with swollen glands, could barely walk/move or get out of bed. Also experienced nausea. Took tylenol around 1:00am and again at 5:00am.  Could not move from bed on Wednesday and had to call out of work Thursday with a bad headache, weakness, and overall body pain/discomfort. It is now Friday and I am still having very bad joint and muscle pain when I walk and move and still have a headache and fatigue/weakness.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Headache, Impaired work ability, Lymphadenopathy, Mobility decreased
Clinical narrative: Received shot at 2:45pm. Sore/stiff arm started around 6pm. Went to sleep and woke up at 1:00am shaking with a fever and chills. Severe headache, throat sore with swollen glands, could barely walk/move or get out of bed. Also experienced nausea. Took tylenol around 1:00am and again at 5:00am.  Could not move from bed on Wednesday and had to call out of work Thursday with a bad headache, weakness, and overall body pain/discomfort. It is now Friday and I am still having very bad joint and muscle pain when I walk and move and still have a headache and fatigue/weakness.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Movement disorder, Musculoskeletal stiffness, Myalgia, Nausea, Oropharyngeal pain
Clinical narrative: Received shot at 2:45pm. Sore/stiff arm started around 6pm. Went to sleep and woke up at 1:00am shaking with a fever and chills. Severe headache, throat sore with swollen glands, could barely walk/move or get out of bed. Also experienced nausea. Took tylenol around 1:00am and again at 5:00am.  Could not move from bed on Wednesday and had to call out of work Thursday with a bad headache, weakness, and overall body pain/discomfort. It is now Friday and I am still having very bad joint and muscle pain when I walk and move and still have a headache and fatigue/weakness.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pyrexia, Tremor
Clinical narrative: Received shot at 2:45pm. Sore/stiff arm started around 6pm. Went to sleep and woke up at 1:00am shaking with a fever and chills. Severe headache, throat sore with swollen glands, could barely walk/move or get out of bed. Also experienced nausea. Took tylenol around 1:00am and again at 5:00am.  Could not move from bed on Wednesday and had to call out of work Thursday with a bad headache, weakness, and overall body pain/discomfort. It is now Friday and I am still having very bad joint and muscle pain when I walk and move and still have a headache and fatigue/weakness.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Syncope
Clinical narrative: DIZZINESS, SYNCOPE
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Discomfort, Erythema, Limb discomfort, Peripheral swelling
Clinical narrative: Did not have an immediate reaction to injection. 8 days after injection. started to have discomfort, swelling, temperature  went up to 100.3 that lasted for a couple of hrs and then went away. slept real good and woke up and not long after waking up my arm started feel very uncomfortable and swelling, turning red and a little itchy. and took a little Acedimidafin and now its back to normal.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Swelling
Clinical narrative: Did not have an immediate reaction to injection. 8 days after injection. started to have discomfort, swelling, temperature  went up to 100.3 that lasted for a couple of hrs and then went away. slept real good and woke up and not long after waking up my arm started feel very uncomfortable and swelling, turning red and a little itchy. and took a little Acedimidafin and now its back to normal.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous
Clinical narrative: On 1/21/21 developed all over the body red rash. No swelling, no itching.  On 1/22/21 it was gone when she woke up.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Agitation, Confusional state, Dyspnoea, Fatigue, Headache
Clinical narrative: fatigue, confusion, agitation. racing thoughts, rapid heartbeat, SOB, headache, and body aches X 3 days so far. (Ongoing not as severe as day one)
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Pain, Tachyphrenia
Clinical narrative: fatigue, confusion, agitation. racing thoughts, rapid heartbeat, SOB, headache, and body aches X 3 days so far. (Ongoing not as severe as day one)
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Rash, Rash macular
Clinical narrative: vaccine administered left deltoid @ 1409 1414 c/o rash to left hand at the thumb.  Slight itchy on arm, not at the injection site.  Left posterior thumb with small blotchy red spot.  No additional rash observed.  No SOB or difficulty breathing.  No discomfort in throat or difficulty swallowing. No chest pain or pressure.  No HA, dizziness, or lightheadedness. - HR 107, SAT 98% RA - A&Ox3, HRR, S1S2, LS clear, resp. even and non-labored - Some increase in rash with blotchy, light red areas noted to left arm area, no additional rash to trunk or back.  No hives. 1415 Benadryl 25 mg PO administered 1425 HR 104, BP 122/96, SAT 99% RA - itching maybe slightly better, no new symptoms 1445 HR 101, BP 100/78, SAT 98%, rash appears nearly completely resolved, no new symptoms, feels essentially normal.  Reviewed S/S to cont. to monitor at home.  Stated good understanding and denied questions.  Ambulated out of clinic without difficulty.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Electric shock sensation, Electrocardiogram, Fatigue, Feeling hot
Clinical narrative: 1.  Tingling down left arm down into forearm, followed by tenderness.  Began having muscle spasms in arm.   2.  Headache and body aches developed, felt like she was being electrocuted.  Low grade fever. 3.  Later in the evening, began feeling hot with unbearable headache.  Temperature 104.5 F. 4.  Became dizzy.  Went to ED with severe pain in rib cage on inspiration and unbearable body pains..  elevated HR, tachycardia. 5.  Exhaustion and fatigue.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Heart rate increased, Laboratory test, Muscle spasms, Pain
Clinical narrative: 1.  Tingling down left arm down into forearm, followed by tenderness.  Began having muscle spasms in arm.   2.  Headache and body aches developed, felt like she was being electrocuted.  Low grade fever. 3.  Later in the evening, began feeling hot with unbearable headache.  Temperature 104.5 F. 4.  Became dizzy.  Went to ED with severe pain in rib cage on inspiration and unbearable body pains..  elevated HR, tachycardia. 5.  Exhaustion and fatigue.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Painful respiration, Paraesthesia, Pyrexia, Tachycardia, Tenderness
Clinical narrative: 1.  Tingling down left arm down into forearm, followed by tenderness.  Began having muscle spasms in arm.   2.  Headache and body aches developed, felt like she was being electrocuted.  Low grade fever. 3.  Later in the evening, began feeling hot with unbearable headache.  Temperature 104.5 F. 4.  Became dizzy.  Went to ED with severe pain in rib cage on inspiration and unbearable body pains..  elevated HR, tachycardia. 5.  Exhaustion and fatigue.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Chills, body aches, fever, fatigue, headache; 48 hrs duration; treated withTylenol 650 mg alternated with  Ibuprofen 1000mg
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Rash
Clinical narrative: Patient developed a rash and tingling on both legs about 90 to 100 minutes after administration.  I administered 50 mg of Chewable Diphenhydramine and observed patient for 30 minutes.  the rash started to improve and I followed up this morning and patient continues to improve
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Impaired work ability, Pain
Clinical narrative: In the evening I went swimming and felt really tired so I cut it short. Next morning I went running and I felt exhausted, so I cut it short as well, as the day progressed I called in at work because I was extremely tired. My body was generally achy and I started with a headache. By noon I took some Tylenol and Motrin and took a nap by 2PM I felt fine. I might have had a slight fever no thermometer available, unable to check. Mostly was chills and the extreme fatigue my main symptoms.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain, Pyrexia
Clinical narrative: ran fever of 101.9, body aches, fatigue,
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Moderna Covid-19 VAccine EUA
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Vomiting
Clinical narrative: severe vomiting and diarrhea
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Chest discomfort, Cough, Dyspnoea, Flushing
Clinical narrative: HPI: Pt presents 5-10 minutes s/p initial Moderna COVID-19 vaccination with complaint of numb tongue evolving to perceived wheezing and chest tightness.  No dizziness, shortness of breath, tongue swelling, lightheadedness, chest pain.  Innoculation happened at the left deltoid. PE: VS at presentation: HR 118, SpO2 99%, BP 148/100, no tachypnea, speaks in complete sentences. AAO.  Seems anxious.  Conjunctiva clear.  Mucous membranes moist.  Tongue midline and normal.  No angioedema or lip swelling.  Breathing unlabored, but she is developing an increased frequency of cough during the observation period.  No wheezing initially, developed slight expiratory wheezing during the observation period.  HR tachycardic, regular.  +2 bilateral radial pulses.  Skin flushed on anterior chest, dermatographia on the face, left arm.  Site of innoculation is not swollen, red, or tender.  Able to ambulate.  COURSE: Pt assisted to the acute treatment area and vitals taken. Pt developed cough, she took puffs of her personal albuterol MDI (w/o spacer).  Did not note relief. Provided 25 mg PO diphenhydramine.  Observed. Able to speak in complete sentences.  Says she feels anxious.  Lungs generally clear. Pt perceived need for additional doses of MDI.  I recommended 2 additional. Developed mild wheezing.  Still speaks in complete sentences. Observed.  Stable.  Said she had to use the restroom.  RN escorted pt to restroom.  This also served as a test of exercise capacity and progression of symptoms.  Pt returns feeling more short of breath.  Has expiratory wheezing, increase anxiousness. Administered 0.3 mg IM epinephrine lateral right thigh using aseptic technique.  Provided 25 mg additional PO benadryl. I recommended transfer of pt to the CMC ED for continued workup and observation.  Pt agreed. Bangs Ambulance arrived to pick up the patient.  I provided verbal handoff report to EMT-P.  VS at time of transfer: HR 102, SpO2 99% on RA, BP 140/90.  At time of transfer no wheezing, pt speaking in complete sentences.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Mechanical urticaria, Tachycardia, Wheezing
Clinical narrative: HPI: Pt presents 5-10 minutes s/p initial Moderna COVID-19 vaccination with complaint of numb tongue evolving to perceived wheezing and chest tightness.  No dizziness, shortness of breath, tongue swelling, lightheadedness, chest pain.  Innoculation happened at the left deltoid. PE: VS at presentation: HR 118, SpO2 99%, BP 148/100, no tachypnea, speaks in complete sentences. AAO.  Seems anxious.  Conjunctiva clear.  Mucous membranes moist.  Tongue midline and normal.  No angioedema or lip swelling.  Breathing unlabored, but she is developing an increased frequency of cough during the observation period.  No wheezing initially, developed slight expiratory wheezing during the observation period.  HR tachycardic, regular.  +2 bilateral radial pulses.  Skin flushed on anterior chest, dermatographia on the face, left arm.  Site of innoculation is not swollen, red, or tender.  Able to ambulate.  COURSE: Pt assisted to the acute treatment area and vitals taken. Pt developed cough, she took puffs of her personal albuterol MDI (w/o spacer).  Did not note relief. Provided 25 mg PO diphenhydramine.  Observed. Able to speak in complete sentences.  Says she feels anxious.  Lungs generally clear. Pt perceived need for additional doses of MDI.  I recommended 2 additional. Developed mild wheezing.  Still speaks in complete sentences. Observed.  Stable.  Said she had to use the restroom.  RN escorted pt to restroom.  This also served as a test of exercise capacity and progression of symptoms.  Pt returns feeling more short of breath.  Has expiratory wheezing, increase anxiousness. Administered 0.3 mg IM epinephrine lateral right thigh using aseptic technique.  Provided 25 mg additional PO benadryl. I recommended transfer of pt to the CMC ED for continued workup and observation.  Pt agreed. Bangs Ambulance arrived to pick up the patient.  I provided verbal handoff report to EMT-P.  VS at time of transfer: HR 102, SpO2 99% on RA, BP 140/90.  At time of transfer no wheezing, pt speaking in complete sentences.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Death
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: Fever, chills, body aches, headache
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis, Erythema, Induration, Pruritus, Skin warm
Clinical narrative: 8 days after first injection a large red circle was noticeable, area grew daily & was itchy, warm to the touch & hard to the touch. Diagnosed with cellulitis and given a dose of keflex & OTC allergy medication
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Induration, Pain in extremity, Pruritus, Rash erythematous
Clinical narrative: 1/13-1/15 sore arm, 600 MG OF ADVIL FIRST DAY,   ONE WEEK LATER : 1/21 itching, lump in arm and redness. 1/22 same with larger swollen area, 1/23 more swelling and red  type rash, 1/24 same, 1/25-present, minimal itching, most swelling gone, red rash a bit LARGER  JUST REPORTING REACTION, NO MEDICAL ATTENTION SOUGHT
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: 1/13-1/15 sore arm, 600 MG OF ADVIL FIRST DAY,   ONE WEEK LATER : 1/21 itching, lump in arm and redness. 1/22 same with larger swollen area, 1/23 more swelling and red  type rash, 1/24 same, 1/25-present, minimal itching, most swelling gone, red rash a bit LARGER  JUST REPORTING REACTION, NO MEDICAL ATTENTION SOUGHT
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: redness, swelling, itching, and rash below injection site
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Rash
Clinical narrative: Vaccine admin at 12:00 pm.  At 12:20 pm, patient developed redness-rash to chest, neck area.  12:25 pm oral Benadryl admin. 12:45 Patient feeling ok.  Left vaccination facility with instructions to seek medical services if symptoms re -appear, worsen.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site hypoaesthesia
Clinical narrative: complained of numbness at the injection site minutes after the vaccine was administered
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Blood pressure increased, Chest discomfort, Chills, Computerised tomogram abnormal
Clinical narrative: Right after injection felt dizzy immediately. Within minutes chest became tight. blood pressure was taken and read 158/103. pulse ox was 86. evaluated by physician at the vaccine clinic.   took 50 ml of Benadryl.  Close monitoring continued and 02 went up to 95.  Tightness in chest continued throughout the day. Began experiencing abdominal pain approx. 730pm. on 1/13.  At 930pm began with worsening  severe abdominal pain with continued shortness of breath.  At that time, pt. went to the Hospital ER. for evaluation.  In the ER, her pulse ox was in the 90's.  She received Benadryl, lab work, and CT Scan of abdomen, and was discharged to home.   Day 2 pt.  continued to experience  abdominal pain and shortness of breath. The third day fever and chills. Day 4 body aches.  pt. is completely recovered at this time, and is recommended by her health care provider to NOT receive the second dose of the vaccine.  pt. s not taking the second dose of the Moderna vaccine.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Immediate post-injection reaction, Laboratory test, Pyrexia
Clinical narrative: Right after injection felt dizzy immediately. Within minutes chest became tight. blood pressure was taken and read 158/103. pulse ox was 86. evaluated by physician at the vaccine clinic.   took 50 ml of Benadryl.  Close monitoring continued and 02 went up to 95.  Tightness in chest continued throughout the day. Began experiencing abdominal pain approx. 730pm. on 1/13.  At 930pm began with worsening  severe abdominal pain with continued shortness of breath.  At that time, pt. went to the Hospital ER. for evaluation.  In the ER, her pulse ox was in the 90's.  She received Benadryl, lab work, and CT Scan of abdomen, and was discharged to home.   Day 2 pt.  continued to experience  abdominal pain and shortness of breath. The third day fever and chills. Day 4 body aches.  pt. is completely recovered at this time, and is recommended by her health care provider to NOT receive the second dose of the vaccine.  pt. s not taking the second dose of the Moderna vaccine.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Joint range of motion decreased, Pain in extremity
Clinical narrative: 1/27/21-pt. developed left arm pain 10/10 and Limited ROM, has been taking tylenol and ibuprofen without relief
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Exposure during pregnancy, Nausea, Pallor, Presyncope
Clinical narrative: Given 1st dose of Covid vaccine on 1/5/21 and 24 weeks pregnant with hx of hypotension with pregnancy.  Felt nauseous and lightheaded after about 15 minutes, near syncopal episode, pallor color, taken to ED for evaluation and discharged
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Flushing, Rash macular
Clinical narrative: Post vaccination after approx. 15 min. of observation pt. noted blotchy cheeks. 1616 HR 82, BP 157/110, O2 SAT 99% RA - No complaint of SOB or difficulty breathing.  No pruitis. No chest pain or pressure. - back with blotchy redness, no hives, no difficulty swallowing - no history of HTN, multiple environmental allergies - A&Ox3, HRR, S1S2, LS clear throughout 1619 BP 174/112 - feels flushed - Benadryl 25 mg PO administered 1622 BP 164/107 1629 BP 144/101 1635 BP 161/112, HR 74, O2 SAT 99% RA - feels better, less flushed, not itchy, no new symptoms - rash on back fainter 1640 BP 151/106, HR 80 - "I feel fine." - Discussed risks associated with elevated BP, denies additional questions and concerns.  Works at Bangs as EMS and feels comfortable monitoring at home. - Reviewed repeating benadryl 25 mg PO once home and monitoring rash, reviewed S/S progressive reaction.  Stated good understanding and repeated feeling well.  Ambulated out of clinic without difficulty.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Headache, Muscle spasms, Myalgia, Pyrexia
Clinical narrative: Strong headache, fever, muscular pain, especially in lower back portion of the body, muscle cramp
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vertigo, Vomiting
Clinical narrative: Onset of vertigo with nausea, vomiting
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Pruritus
Clinical narrative: Started Itching PM on 1/28/21.  Next morning  a tiny bit sore and red.  Four hours later still red but hasn't increased.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Induration, Skin warm
Clinical narrative: Developed hard raised and red area on arm 2 inches in circumference, about 1 inch down and over from injection site.  Area very warm to touch.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Sleep disorder
Clinical narrative: Moderna COVID-19 Baccine EUA  Unable to fall asleep from 9PM-12PM, slept for 3 hours, awake for rest of night and all of the following day. Second night was normal. No pain but felt wide awake and alert. Almost like I had a small dose of adrenaline. No high or nervousness. Quite normal except for the fact that it wasn't daytime! Check online and saw that Pfizer had sleeplessness as a side effect but not Moderna. It was not an "adverse" event for me...rather fascinating since I've never had anything like that before.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Culture urine negative, Influenza virus test negative, Lethargy, Pyrexia
Clinical narrative: Elevated temperature 101.6, lethargy, low pulse oximeter identified at 0407 this morning.  Fever has continued throughout
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, SARS-CoV-2 test negative, Urine analysis normal
Clinical narrative: Elevated temperature 101.6, lethargy, low pulse oximeter identified at 0407 this morning.  Fever has continued throughout
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Eye haemorrhage, Pain in extremity
Clinical narrative: After my second dose, I felt fin at around 10pm like the first dose my arm started to become achy.  I go to work around 230AM and when I was putting my contacts in my right eye had a huge busted vessel to the right side of my pupil.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Palpitations
Clinical narrative: 1 day after recipient received the vaccine she developed heart palpitations, chills, and shortness of breath that resolved within 12 hours.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Nausea, Pain, Pyrexia
Clinical narrative: 102.3 fever, body aches, weakness, nausea
Age: 60.0
Sex: F
Vaccine: UNK
Symptoms: Body temperature increased, Injection site rash, Neck pain, Pain in extremity
Clinical narrative: First shot given on 12/31/2020 vaccine was given in left arm About 3 days after the vaccine was given, left arm between shoulder and elbow had a red rash that was warm to the touch and the left arm hurt. Urgent Care physician put me on an antibiotic to calm down the "infection" and it did. So recovered from first injection  Second shot given 1/28/2021 vaccine was given in left arm 1/29/2021 100 degree temp (taken at home) muscles painful from below left ear down left arm small rash seems to be starting around injection site
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Headache, Impaired work ability, Influenza like illness, Injection site pain
Clinical narrative: "Moderna COVID-19 Vaccine EUA"  Received second dose at ~3pm on 1/26/21. Symptoms began ~6am on 1/27/21 (~15 hours post vaccination). Symptoms experienced included: significant injection site pain, axillary tenderness, headache, fever, body/flu-like aches, nausea, and significant back pain resulting in missed day of work on 1/27/21. Fever, body/flu-like aches, nausea, and back pain persisted on 1/28/21 resulting in leaving work 3 hours early on 1/28/21. All symptoms were gone by ~5am on 1/29/21 (~47 hours hour post onset of symptoms; ~62 hours post vaccination).
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia, Tenderness
Clinical narrative: "Moderna COVID-19 Vaccine EUA"  Received second dose at ~3pm on 1/26/21. Symptoms began ~6am on 1/27/21 (~15 hours post vaccination). Symptoms experienced included: significant injection site pain, axillary tenderness, headache, fever, body/flu-like aches, nausea, and significant back pain resulting in missed day of work on 1/27/21. Fever, body/flu-like aches, nausea, and back pain persisted on 1/28/21 resulting in leaving work 3 hours early on 1/28/21. All symptoms were gone by ~5am on 1/29/21 (~47 hours hour post onset of symptoms; ~62 hours post vaccination).
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pyrexia
Clinical narrative: called complaining of uncontrollable chills and a fever this morning.  He was advised to seek an appointment with his PCP or a walk in facility
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Multiple use of single-use product, No adverse event
Clinical narrative: There was no adverse reaction, the patient was exposed to a used needle
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Oral pain, Pain in jaw, Tooth infection
Clinical narrative: After the 1st dose, two days later I had an infected tooth.  After 2nd dose of Moderna vaccine, I woke up the 2nd day with my neck lymph glands completely swollen, my jaw hurt really bad, and every tooth in my mouth hurt, and I had another infected tooth on the other side of my mouth.  I had to take an antibiotic for both tooth infections.  Teeth were not infected prior.  By the end of day 2, my lymph nodes were back to normal using Advil for swelling.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling cold, Impaired work ability, Sleep disorder
Clinical narrative: Extream fatigue and chills unable to continue work. I am on day 3  now at home coming in and out of sleep and freezing cold. Hoping it won't last much longer.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram, Palpitations, Pruritus
Clinical narrative: 1/29/2021 1000 10 minutes after Moderna COVID-19 vaccination, resident reports "heart racing" and pruritis. No SOB, no throat complaints, no n/v/d, abd cramping, rhinorrhea, or dizziness. On exam, NAD, lungs CTAB, HR 103, rhythm regular, no murmur; lungs CTAB, no increased WOB. No oropharyngeal edema. No difficulty speaking or swallowing, no hives.O2 sat 97% RA. 1006: Physical exam unchanged, continues to report pruritis. 25 mg benadryl PO given. 1017: physical exam unchanged, reports L side chest burning, 4/10. No other complaints. Escorted to medical for EKG, which is unremarkable and unchanged from prior: SR, rate 90 BPM, nonspec t wave abnormality. QRS 93ms, QTc 414 ms. Symptoms resolved by end of visit in medical clinic. 1325 call to cookchill LPN: resident completely asymptomatic. A/P: abnormal s/s after vaccination,No evidence of anaphylaxis. No rash ever evolved. Pruritis resolved very soon after benadryl administration. report in VAERS.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I had COVID test 2 months ago and was negative and I went two times and both negative.  Then I got the vaccine 3 weeks ago.  Today I tested positive for COVID19 and believe the vaccine caused me to be positive. Asymptomatic as of now.   Wants the public to be made aware that you may test positive for COVID  after receiving the vaccine.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Pruritus, Rash macular, Sensation of foreign body
Clinical narrative: Heart racing, blotchy face lumpy throat, itchy head. Gave benadryl po. Patient improved.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Depressed level of consciousness, Muscle twitching, Parosmia, Taste disorder
Clinical narrative: taste/smell alteration within 1 hour of vaccine / facial twitching 3 days later / CNS depression
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Just had a low grade fever of about 99.2. Took some tylenol and it is gone
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza, Injection site rash, Nasopharyngitis
Clinical narrative: Rash at injection site one week after vaccination. Cold and flu like symptoms 15-20 hours after injection.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: At 4:45 am on 1/28/2021, woke up having body aches, and headache.   At 3:30pm, began having chills.  At 6pm, had 101.9 fever. Continued to have body aches and chills. Took tylenol. Fever broke around 9pm. Body aches contininued until next morning .  Felt back to normal on 1/29/2021 around noon.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Pruritus, Rash papular
Clinical narrative: Resident s/p Covid 19 Vaccination on 01/19/21.. Resident stated she got 3 small raised areas (2.0L X 2.0W cm) (1.5L X 1.5W cm) (1.0L X 1.0W cm) on Right lower leg and one small raised area (1.0L X 1.0W cm) on left lower leg. She noticed them the next day after the vaccination (1/20/21). Besides, She also noted raised, red, area on the injection site on her right upper arm on  01/27/21. She also stated that she had bad reaction, dry heaving after she had her Flu and Pneumonia vaccine last year. Denied shortness of breath, difficulty breathing, fever, tender, pain upon touch but very itchy and asking any medication.  Wellness Nurse explained resident to keep the area clean and dry, no scratching and to let us know if there is increased redness/ area or skin breakdown.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Movement disorder, Nausea
Clinical narrative: couldn't move left arm above head initally. Dizzy, pale, tired, chills, aches, nausea then vomiting fever 102.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pallor, Pyrexia, Vomiting
Clinical narrative: couldn't move left arm above head initally. Dizzy, pale, tired, chills, aches, nausea then vomiting fever 102.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Nausea, Pain, Pyrexia
Clinical narrative: Patient reports subjective fevers, nausea, bodyaches, and multiple episodes of diarrhea 12 hrs after receiving vaccine.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: High grade fever (104.5) F Tylenol No change
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Swollen tongue
Clinical narrative: Slight swelling of tongue (sensation that tongue is suddenly too big for mouth) about 20 minutes following the shot and continuing over the next 22 hours and currently.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site pain, Pain, Pyrexia, Somnolence
Clinical narrative: Chills Low grade temp 99.2 - Took Tylenols Mild body ache Sleepy Injection site tenderness All symptoms disappeared next morning, except for arm tenderness.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site warmth, Poor quality sleep, Pruritus
Clinical narrative: Starting on 1/22/21 her arm started to itch, got red circle around injection site about a quarter size, warm and hard in that area.  On 1/23/21, started to put warm compresses x 3, Sunday the same thing and by Monday it had dissipated and was fine.  Then last night 1/29/21, about 1:30 AM got up as she was not sleeping well, took two Aleve.  Woke up this morning with arm itching, red again and kind of warm.  Feels fine but that location has reappeared from the initial injection.  Pink in color and warm to touch.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Pain, Pyrexia
Clinical narrative: fever, body aches. called in sick to work.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Throat tightness
Clinical narrative: COVID- 19 Vaccine Patient used own Epi-pen after vaccine due to sensation of throat tightness and shortness of breath. Symptoms had resolved completely prior to presenting to emergency department. Patient treated with diphenhydramine 50 mg oral, dexamethasone 6 mg oral, and famotidine 40 mg oral. Discharged home with complete resolution of symptoms after two hours of observation.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Palpitations, Sensation of foreign body, Tachycardia
Clinical narrative: Pt is a 51yo otherwise healthy F with no cardiac or anaphylactic/allergic reaction hx presenting with concern for reaction from Moderna vaccination.  Pt had vaccination at 11:40am.  At 12:15n, pt returned to the clinic after leaving with CC of "lump in throat" She describes lump in throat, dizzy and feeling as though her symptoms are becoming worse. Her VS were obtained: 155/87, 98%, HR 81  Rechecked at 12:26p - pt describes worsening symptoms 12:27p - lying down, pt feels improved, sitting upright, her symptoms returned 12:29 - pt was given 50mg PO Benadryl and 0.3 epinephrine. Pt feels slightly tachy, but overall, feeling improved.  12:40p continues to have heart racing, moderate in severity. VS obtained: 118/77, 98%, HR 106  Pt transported to the ED by EMS at 12:45p.  Pt feels improved.  Ambulating well.  No additional symptoms.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Tenderness, Wrong technique in product usage process
Clinical narrative: Vaccine given in tricep instead of deltoid (believe to have been 1 inch needle). Normal redness, localized tenderness.
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Asthenia, Dysarthria, Hypotension, Lethargy
Clinical narrative: Patient did not have any issues until 1/29/21 at around 8:40 AM (the day after vaccination). Her symptoms are: Pale, lethargic, hypotension, slurred speech, unable to verbalize, and weak.  Her blood pressure was found to be 68/34.  Pulse was 66, O2 93, and temperature was 98.6 degrees F. EMT was called and the resident was sent out. Hospital has been called and they are unknown what is going on and unsure if the resident will be admitted or not.
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Pallor
Clinical narrative: Patient did not have any issues until 1/29/21 at around 8:40 AM (the day after vaccination). Her symptoms are: Pale, lethargic, hypotension, slurred speech, unable to verbalize, and weak.  Her blood pressure was found to be 68/34.  Pulse was 66, O2 93, and temperature was 98.6 degrees F. EMT was called and the resident was sent out. Hospital has been called and they are unknown what is going on and unsure if the resident will be admitted or not.
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Blood test, Computerised tomogram, Herpes zoster, Rash
Clinical narrative: pt started having abdominal pains a day or two after vax. Pt visited his PCP on 1/12/201 which ordered X-ray and Cat scan, blood work which came back normal.  On 1/16/2021 pt was having more abdominal pain so went to the ER where they did another Cat scan which was also normal so he was given a pain pill and sent home.  When pt got home from ER a rash had developed on right side of torso.  Pt saw his PCP on 1/18/2021 for the rash and was diagnosed w/ Shingles.  Rash is still visible but fading.
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: X-ray
Clinical narrative: pt started having abdominal pains a day or two after vax. Pt visited his PCP on 1/12/201 which ordered X-ray and Cat scan, blood work which came back normal.  On 1/16/2021 pt was having more abdominal pain so went to the ER where they did another Cat scan which was also normal so he was given a pain pill and sent home.  When pt got home from ER a rash had developed on right side of torso.  Pt saw his PCP on 1/18/2021 for the rash and was diagnosed w/ Shingles.  Rash is still visible but fading.
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Blood test, Computerised tomogram, Computerised tomogram abdomen, Herpes zoster
Clinical narrative: pt started having abdominal pains a day or two after vax. Pt visited his PCP on 1/12/201 which ordered X-ray and Cat scan, blood work which came back normal.  On 1/16/2021 pt was having more abdominal pain so went to the ER where they did another Cat scan which was also normal so he was given a pain pill and sent home.  When pt got home from ER a rash had developed on right side of torso.  Pt saw his PCP on 1/18/2021 for the rash and was diagnosed w/ Shingles.  Rash is still visible but fading.