chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Menstruation irregular
Clinical narrative: Change in menstrual cycle. Within 5 days of vaccine, 1st menstrual cycle (bleeding) started. That menstrual cycle was 2 weeks early. Menstrual cycle has since occurred every other week, with bleeding lasting about 5 days each time. So 5 days actively bleeding, roughly 10 days not bleeding in between, and then cycle begins again. Menstrual cycle previously averaged every 28 days for at least 5 years consistently. Cycle is now increasingly more painful, heavy, passing clots, etc.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Fatigue, Headache
Clinical narrative: I had a severe sore throat and severe fatigue. I had a fever, chills, dry cough, body aches, headache, slight congestion, runny nose. I also didn't want to eat. Once I was positive for covid I was prescribed a Z-Pak, Tessalon Perles (which didn't help), and magic mouthwash for my sore throat. I feel better now but by the time evening comes I am overly exhausted with fatigue and body aches. I get headaches much more often than I ever had before.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: I had a severe sore throat and severe fatigue. I had a fever, chills, dry cough, body aches, headache, slight congestion, runny nose. I also didn't want to eat. Once I was positive for covid I was prescribed a Z-Pak, Tessalon Perles (which didn't help), and magic mouthwash for my sore throat. I feel better now but by the time evening comes I am overly exhausted with fatigue and body aches. I get headaches much more often than I ever had before.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: I had a severe sore throat and severe fatigue. I had a fever, chills, dry cough, body aches, headache, slight congestion, runny nose. I also didn't want to eat. Once I was positive for covid I was prescribed a Z-Pak, Tessalon Perles (which didn't help), and magic mouthwash for my sore throat. I feel better now but by the time evening comes I am overly exhausted with fatigue and body aches. I get headaches much more often than I ever had before.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, Anticoagulant therapy, Blood gases abnormal, Blood pH normal
Clinical narrative: Received Pfizer vaccine on 1/29/21 and 2/18/21. Presented to ER on  1/19/22 and was COVID positive on 1/17/22. presented with a chief complaint of shortness  of breath and chest pain that has been going on for approximately the past  week.  Accompanied by a cough with productive sputum.  Cough is greenish in  color.  She is found to have a COVID positive tested a couple of days ago,  found to be positive, called the Urgent Care.  Oxygenation does drop down in  the emergency room tonight.  She was 97% on room air, but does drop down with  small amounts of movement.  She had an ABG, which showed a pH of 7.4,  oxygenation was 65%, pO2 of 32.  Likely this is a venous sample.  Also has  lactic acidosis likely from hypoxia.  She had a CT angio of her chest, which  did show a small pulmonary emboli in the right lower lobe pulmonary artery  along with mild bilateral ground-glass opacities significant for COVID  pneumonia.  She is agreeable to hospitalization at this time for acute hypoxic  respiratory failure secondary to COVID pneumonia and pulmonary emboli.  She  received a dose of Lovenox at therapeutic dose. Received remdesivir and dexamethasone. Based on 6 minutes walk test, patient need 1 L oxygen with exertion. Discharged on 1/24/22
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest pain, Dyspnoea, Embolism arterial
Clinical narrative: Received Pfizer vaccine on 1/29/21 and 2/18/21. Presented to ER on  1/19/22 and was COVID positive on 1/17/22. presented with a chief complaint of shortness  of breath and chest pain that has been going on for approximately the past  week.  Accompanied by a cough with productive sputum.  Cough is greenish in  color.  She is found to have a COVID positive tested a couple of days ago,  found to be positive, called the Urgent Care.  Oxygenation does drop down in  the emergency room tonight.  She was 97% on room air, but does drop down with  small amounts of movement.  She had an ABG, which showed a pH of 7.4,  oxygenation was 65%, pO2 of 32.  Likely this is a venous sample.  Also has  lactic acidosis likely from hypoxia.  She had a CT angio of her chest, which  did show a small pulmonary emboli in the right lower lobe pulmonary artery  along with mild bilateral ground-glass opacities significant for COVID  pneumonia.  She is agreeable to hospitalization at this time for acute hypoxic  respiratory failure secondary to COVID pneumonia and pulmonary emboli.  She  received a dose of Lovenox at therapeutic dose. Received remdesivir and dexamethasone. Based on 6 minutes walk test, patient need 1 L oxygen with exertion. Discharged on 1/24/22
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Lactic acidosis, Lung opacity, Oxygen saturation decreased, PO2 decreased
Clinical narrative: Received Pfizer vaccine on 1/29/21 and 2/18/21. Presented to ER on  1/19/22 and was COVID positive on 1/17/22. presented with a chief complaint of shortness  of breath and chest pain that has been going on for approximately the past  week.  Accompanied by a cough with productive sputum.  Cough is greenish in  color.  She is found to have a COVID positive tested a couple of days ago,  found to be positive, called the Urgent Care.  Oxygenation does drop down in  the emergency room tonight.  She was 97% on room air, but does drop down with  small amounts of movement.  She had an ABG, which showed a pH of 7.4,  oxygenation was 65%, pO2 of 32.  Likely this is a venous sample.  Also has  lactic acidosis likely from hypoxia.  She had a CT angio of her chest, which  did show a small pulmonary emboli in the right lower lobe pulmonary artery  along with mild bilateral ground-glass opacities significant for COVID  pneumonia.  She is agreeable to hospitalization at this time for acute hypoxic  respiratory failure secondary to COVID pneumonia and pulmonary emboli.  She  received a dose of Lovenox at therapeutic dose. Received remdesivir and dexamethasone. Based on 6 minutes walk test, patient need 1 L oxygen with exertion. Discharged on 1/24/22
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Productive cough, Pulmonary embolism, SARS-CoV-2 test positive, Sputum discoloured, Walking distance test abnormal
Clinical narrative: Received Pfizer vaccine on 1/29/21 and 2/18/21. Presented to ER on  1/19/22 and was COVID positive on 1/17/22. presented with a chief complaint of shortness  of breath and chest pain that has been going on for approximately the past  week.  Accompanied by a cough with productive sputum.  Cough is greenish in  color.  She is found to have a COVID positive tested a couple of days ago,  found to be positive, called the Urgent Care.  Oxygenation does drop down in  the emergency room tonight.  She was 97% on room air, but does drop down with  small amounts of movement.  She had an ABG, which showed a pH of 7.4,  oxygenation was 65%, pO2 of 32.  Likely this is a venous sample.  Also has  lactic acidosis likely from hypoxia.  She had a CT angio of her chest, which  did show a small pulmonary emboli in the right lower lobe pulmonary artery  along with mild bilateral ground-glass opacities significant for COVID  pneumonia.  She is agreeable to hospitalization at this time for acute hypoxic  respiratory failure secondary to COVID pneumonia and pulmonary emboli.  She  received a dose of Lovenox at therapeutic dose. Received remdesivir and dexamethasone. Based on 6 minutes walk test, patient need 1 L oxygen with exertion. Discharged on 1/24/22
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Ataxia, CSF protein increased, Computerised tomogram head normal, Fatigue, Full blood count normal
Clinical narrative: Severe ataxia requiring hospitalization. Treated with 5 days of IVIG. Normal gait when not fatigued but recurs, mildly, in late afternoon. when fatigued.  Continues with bilateral upper extremity tremors.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Gait disturbance, Immunoglobulin therapy, Tremor
Clinical narrative: Severe ataxia requiring hospitalization. Treated with 5 days of IVIG. Normal gait when not fatigued but recurs, mildly, in late afternoon. when fatigued.  Continues with bilateral upper extremity tremors.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Rash
Clinical narrative: small bumps covering arm of injection site as well as torso and spreading to other arm. Bump went from wrist to shoulder and from navel to neck. did not go away until i covered myself in cortizone 10 and took benedryl for 5-7 days
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: She reports around 1409 she started noticing an itchy rash on her bilateral hands.
Age: 98.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Diagnosed and hospitalized with Covid while vaccinated.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Muscular weakness, Nasopharyngitis, Pallor
Clinical narrative: Minor was in the observation area when he manifested dizziness and weakness in his legs. Mother indicates patient turned sweaty, pale, and cold. Patient was taken to the stretcher area, vital signs are taken, he was placed in the "anti-shock" position. Vital signs: -P-98 - SPO2 - 99 - B/P - 100/60 -R-24 - GCS - 15/15 After taking the Vital Signs and observing for 30 minutes, the patient indicates that he feels well. The mother is advised on possible causes of the event and post-vaccination care at home.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Lymphadenopathy, Swelling
Clinical narrative: Lymph node swelling on the side where vaccine was received (left).  Lymph nodes enlargement approximately the size of tennis ball.  Extreme fatigue.  Swelling eventually subsided after 2 weeks.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: Covid positive through household contact
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient came in to receive a Pfizer booster dose. Patient was screened by one of our nurses and was vaccinated. Patient did have CDC card during her appointment with us. Per their CDC card patient received their 2nd dose of Pfizer on 10/6/2021 which means they got their booster dose 3 months too early. The immunizer reports that the patient felt fine after their 15-minute waiting period.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, COVID-19, Chest X-ray normal, Nausea, Presyncope
Clinical narrative: Covid-19 breakthrough. 1st vaccine received on 03/03/2021. 59 yo PMHx of HTN, HLD, DM, GERD and neuropathy presents to ED with c/o multiple near syncope episodes past several weeks that has increased in frequency past 3 days.  Patient also c/o upper abdominal pain, N/V. CXR- no acute findings, febrile T-101. Room air sat 95%. Patient started on IV ABX.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Vaccine breakthrough infection, Vomiting
Clinical narrative: Covid-19 breakthrough. 1st vaccine received on 03/03/2021. 59 yo PMHx of HTN, HLD, DM, GERD and neuropathy presents to ED with c/o multiple near syncope episodes past several weeks that has increased in frequency past 3 days.  Patient also c/o upper abdominal pain, N/V. CXR- no acute findings, febrile T-101. Room air sat 95%. Patient started on IV ABX.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Unknown
Age: 25.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Chills, Headache, Pain, Product administered to patient of inappropriate age, Respiratory rate increased
Clinical narrative: Patient came in for a varicella vaccine and instead was given the shingrix shot which she is not eligible for because of her age below 50 years.  The pharmacist on duty thought that shingrix was the indicated vaccine for varicella in error and administer to patient.  In follow up questions she seems to have a typical response to the vaccine as those that are 50 and older do including achiness, chills, headache.  Patient also said she had an increase in respiration but no rash, hives, swelling of tongue or lips were present.  The increased breathing may have been due to the stress of knowing she received the incorrect vaccine.
Age: 25.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Stress, Wrong product administered
Clinical narrative: Patient came in for a varicella vaccine and instead was given the shingrix shot which she is not eligible for because of her age below 50 years.  The pharmacist on duty thought that shingrix was the indicated vaccine for varicella in error and administer to patient.  In follow up questions she seems to have a typical response to the vaccine as those that are 50 and older do including achiness, chills, headache.  Patient also said she had an increase in respiration but no rash, hives, swelling of tongue or lips were present.  The increased breathing may have been due to the stress of knowing she received the incorrect vaccine.
Age: 0.75
Sex: M
Vaccine: HEPA, PNC13, VARCEL
Symptoms: No adverse event, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Patient was administered three incorrect vaccines: Hep A, PCV 13, and VZV. Parent was advised to monitor patient for fever through out the night and to come the next day to see pediatrician for observation. No signs of adverse reaction noted by pediatrician or reported by mother.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Botulinum toxin injection, COVID-19, SARS-CoV-2 test positive, Syncope
Clinical narrative: Pt has diabetes mellitus, COPD, pharyngeal cancer s/p laryngeal resection and tracheostomy dependence.  He was found to be COVID positive when in the ER due to syncopal episodes post Botox injection.  Pt has no shortness of breath, fever, or chills.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Intensive care, Positive airway pressure therapy
Clinical narrative: Patient received Pfizer COVID vaccine on 3/18/21 and 4/13/21. On 1/24/22, patient admitted to our CCU with BiPAP for acute hypoxic respiratory failure due to severe COVID PNA and possible superimposed bacterial PNA. As of today (1/26/22), patient is still admitted in CCU with BiPAP.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient received Pfizer COVID vaccine on 3/18/21 and 4/13/21. On 1/24/22, patient admitted to our CCU with BiPAP for acute hypoxic respiratory failure due to severe COVID PNA and possible superimposed bacterial PNA. As of today (1/26/22), patient is still admitted in CCU with BiPAP.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Atelectasis, Blood creatine increased, COVID-19, COVID-19 pneumonia
Clinical narrative: Patient is fully vaccinated.  COVID positve on 12/28/2021 on admission to hospital;.  DX pneumonia due to COVID. Chief complaint:  SOB. Patient states she has been feeling fatigued, with body aches and worsening shortness of breath on exertion over the last 2 days. She also has had a productive cough.She is slightly hypoxic at urgent care and was advised to come into the emergency room. Patient wears 2 L of oxygen at home. She admits to associated symptoms of diaphoresis, fever, palpitations.Her oxygenation improved with 4 L of supplemental oxygen. She was also found to be hypertensive and was given home dose Norvasc. Repeat blood pressures have improved. D-dimer was negative at 457. Pro-calcitonin was negative as well. Creatinine was 1.33, around baseline. Troponin 0.04, 0.05.Chest x-ray demonstrated subsegmental atelectasis left left lung base. She was given Decadron and magnesium sulfate, and remdesivir. BP (!) 215/85  | Pulse 67  | Temp 97.4 °F (36.3 °C) (Oral)  | Resp 20  | Ht 157.5 cm (5' 2")  | Wt 62.1 kg (137 lb)  | SpO2 96%  | BMI 25.06 kg/m² HTN treatment: Norvasc, hydralazine, hydrochlorothiazide, cozaar, metoprolol.  DVT prophylaxis: Lovenox. Discharged
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Dyspnoea, Dyspnoea exertional, Fatigue, Fibrin D dimer increased
Clinical narrative: Patient is fully vaccinated.  COVID positve on 12/28/2021 on admission to hospital;.  DX pneumonia due to COVID. Chief complaint:  SOB. Patient states she has been feeling fatigued, with body aches and worsening shortness of breath on exertion over the last 2 days. She also has had a productive cough.She is slightly hypoxic at urgent care and was advised to come into the emergency room. Patient wears 2 L of oxygen at home. She admits to associated symptoms of diaphoresis, fever, palpitations.Her oxygenation improved with 4 L of supplemental oxygen. She was also found to be hypertensive and was given home dose Norvasc. Repeat blood pressures have improved. D-dimer was negative at 457. Pro-calcitonin was negative as well. Creatinine was 1.33, around baseline. Troponin 0.04, 0.05.Chest x-ray demonstrated subsegmental atelectasis left left lung base. She was given Decadron and magnesium sulfate, and remdesivir. BP (!) 215/85  | Pulse 67  | Temp 97.4 °F (36.3 °C) (Oral)  | Resp 20  | Ht 157.5 cm (5' 2")  | Wt 62.1 kg (137 lb)  | SpO2 96%  | BMI 25.06 kg/m² HTN treatment: Norvasc, hydralazine, hydrochlorothiazide, cozaar, metoprolol.  DVT prophylaxis: Lovenox. Discharged
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Hypertension, Hypoxia, Pain, Palpitations
Clinical narrative: Patient is fully vaccinated.  COVID positve on 12/28/2021 on admission to hospital;.  DX pneumonia due to COVID. Chief complaint:  SOB. Patient states she has been feeling fatigued, with body aches and worsening shortness of breath on exertion over the last 2 days. She also has had a productive cough.She is slightly hypoxic at urgent care and was advised to come into the emergency room. Patient wears 2 L of oxygen at home. She admits to associated symptoms of diaphoresis, fever, palpitations.Her oxygenation improved with 4 L of supplemental oxygen. She was also found to be hypertensive and was given home dose Norvasc. Repeat blood pressures have improved. D-dimer was negative at 457. Pro-calcitonin was negative as well. Creatinine was 1.33, around baseline. Troponin 0.04, 0.05.Chest x-ray demonstrated subsegmental atelectasis left left lung base. She was given Decadron and magnesium sulfate, and remdesivir. BP (!) 215/85  | Pulse 67  | Temp 97.4 °F (36.3 °C) (Oral)  | Resp 20  | Ht 157.5 cm (5' 2")  | Wt 62.1 kg (137 lb)  | SpO2 96%  | BMI 25.06 kg/m² HTN treatment: Norvasc, hydralazine, hydrochlorothiazide, cozaar, metoprolol.  DVT prophylaxis: Lovenox. Discharged
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Procalcitonin, Productive cough, Pyrexia, SARS-CoV-2 test positive, Troponin increased
Clinical narrative: Patient is fully vaccinated.  COVID positve on 12/28/2021 on admission to hospital;.  DX pneumonia due to COVID. Chief complaint:  SOB. Patient states she has been feeling fatigued, with body aches and worsening shortness of breath on exertion over the last 2 days. She also has had a productive cough.She is slightly hypoxic at urgent care and was advised to come into the emergency room. Patient wears 2 L of oxygen at home. She admits to associated symptoms of diaphoresis, fever, palpitations.Her oxygenation improved with 4 L of supplemental oxygen. She was also found to be hypertensive and was given home dose Norvasc. Repeat blood pressures have improved. D-dimer was negative at 457. Pro-calcitonin was negative as well. Creatinine was 1.33, around baseline. Troponin 0.04, 0.05.Chest x-ray demonstrated subsegmental atelectasis left left lung base. She was given Decadron and magnesium sulfate, and remdesivir. BP (!) 215/85  | Pulse 67  | Temp 97.4 °F (36.3 °C) (Oral)  | Resp 20  | Ht 157.5 cm (5' 2")  | Wt 62.1 kg (137 lb)  | SpO2 96%  | BMI 25.06 kg/m² HTN treatment: Norvasc, hydralazine, hydrochlorothiazide, cozaar, metoprolol.  DVT prophylaxis: Lovenox. Discharged
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Diagnosed and hospitalized with COVID-19 despite fully vaccinated.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy skin, Pruritus, Rash
Clinical narrative: History of patients Pfizer shot vaccine    1/28/21  First Pfizer shot 1/31/21 Rash started with a lot of itching from waste on up on chest, back and arms 2/15/21  Second Pfizer shot 2/18/21  Rash and itching got worst  2/25/21 Seen DR. Prednisone for 10 days. Everything cleared up in two days after starting prednisone  Stopped Prednisone and in 2-3 days rash and itching came back. Took approximately 3-4 more weeks to clear up.  10/07/21  Booster shot of Pfizer   10/09/21  Rash returned to all of upper body as before plus both front and back of legs down to and including top of feet. Much worst than before. 10/15/21  Called Dr office and was prescribed Prednisone, (10 days) rash cleared up in 2-3 days.  10/27/21  rash and itching returned.  12/03/21  Seen  PA. Prednisone for 10 days, Cleared up in 2-3 days. Stopped Prednisone and in 2-3 days rash and itching returned.  12/21/21  online meeting with an, allergist. Said I need to see a dermatologist. He could not help me.  1/13/2022   Seen  dermatologist, prescribed Triamcinolone 0.1% ointment. little relief  Been using otc Benadryl, 1% Hydrocortisone for itching with some relief, Vaseline and Eucerin cream with Vaseline helping the most for my dry skin. Also tried Claritin for itching.  01/07/22  notice rash starting to clear up, especially on legs.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Biopsy skin abnormal, Blood test, Hepatic enzyme increased, Pruritus, Skin lesion
Clinical narrative: Vasculitis - 5 weeks of itching and lesions covering my entire body.   Elevated liver enzymes requiring a referral to further specialists.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vasculitis
Clinical narrative: Vasculitis - 5 weeks of itching and lesions covering my entire body.   Elevated liver enzymes requiring a referral to further specialists.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood test, COVID-19, Chest X-ray normal, Chest discomfort, Cough
Clinical narrative: Breakthrough COVID at hospital. Patient is fully vaccinated with booster on 10/8/21. Patient was set to ED from nephrology office for SOB on 1/24/22. The week prior the patient admits to attending a family funeral where six other attendees also ended up COVID+. Patient endorses chest pressure, SOB and dry, hacky cough but denies all other symptoms. Chest XR normal. ED workup included IV steroids, normal Chest XR and routine bloodwork.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea, Exposure to SARS-CoV-2, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID at hospital. Patient is fully vaccinated with booster on 10/8/21. Patient was set to ED from nephrology office for SOB on 1/24/22. The week prior the patient admits to attending a family funeral where six other attendees also ended up COVID+. Patient endorses chest pressure, SOB and dry, hacky cough but denies all other symptoms. Chest XR normal. ED workup included IV steroids, normal Chest XR and routine bloodwork.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Unknown
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Asthenia, Atrial fibrillation, Blood alkaline phosphatase normal
Clinical narrative: Pt presented to ED 1/16/22 for flu-like symptoms, worsening weakness and dizziness.  - ED workup significant for fever T-max 101°, HR 148, RR 22, elevated BUN 35, elevated troponin 70 (baseline 29-31) and BNP elevated 12,916, elevated liver enzymes with alk-phos 119, AST 56 and ALT 45.  Normal lactic acid 1.7 - EKG reveals atrial fibrillation with rapid ventricular response and diltiazem 20 IV x1 given in the ED.- Chest x-ray with bilateral opacities concerning for pulmonary edema versus bilateral infiltrates.   - COVID-19 positive (son and DIL both positive) - COVID + 1/16/22. Received Pfizer vaccine 2/15/21 & 03/09/21.  Discharged 1/21/22.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood lactic acid, Blood urea increased, Brain natriuretic peptide increased, COVID-19, Chest X-ray abnormal
Clinical narrative: Pt presented to ED 1/16/22 for flu-like symptoms, worsening weakness and dizziness.  - ED workup significant for fever T-max 101°, HR 148, RR 22, elevated BUN 35, elevated troponin 70 (baseline 29-31) and BNP elevated 12,916, elevated liver enzymes with alk-phos 119, AST 56 and ALT 45.  Normal lactic acid 1.7 - EKG reveals atrial fibrillation with rapid ventricular response and diltiazem 20 IV x1 given in the ED.- Chest x-ray with bilateral opacities concerning for pulmonary edema versus bilateral infiltrates.   - COVID-19 positive (son and DIL both positive) - COVID + 1/16/22. Received Pfizer vaccine 2/15/21 & 03/09/21.  Discharged 1/21/22.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Dizziness, Electrocardiogram abnormal, Hepatic enzyme increased, Influenza like illness
Clinical narrative: Pt presented to ED 1/16/22 for flu-like symptoms, worsening weakness and dizziness.  - ED workup significant for fever T-max 101°, HR 148, RR 22, elevated BUN 35, elevated troponin 70 (baseline 29-31) and BNP elevated 12,916, elevated liver enzymes with alk-phos 119, AST 56 and ALT 45.  Normal lactic acid 1.7 - EKG reveals atrial fibrillation with rapid ventricular response and diltiazem 20 IV x1 given in the ED.- Chest x-ray with bilateral opacities concerning for pulmonary edema versus bilateral infiltrates.   - COVID-19 positive (son and DIL both positive) - COVID + 1/16/22. Received Pfizer vaccine 2/15/21 & 03/09/21.  Discharged 1/21/22.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lung infiltration, Lung opacity, Pulmonary oedema, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Pt presented to ED 1/16/22 for flu-like symptoms, worsening weakness and dizziness.  - ED workup significant for fever T-max 101°, HR 148, RR 22, elevated BUN 35, elevated troponin 70 (baseline 29-31) and BNP elevated 12,916, elevated liver enzymes with alk-phos 119, AST 56 and ALT 45.  Normal lactic acid 1.7 - EKG reveals atrial fibrillation with rapid ventricular response and diltiazem 20 IV x1 given in the ED.- Chest x-ray with bilateral opacities concerning for pulmonary edema versus bilateral infiltrates.   - COVID-19 positive (son and DIL both positive) - COVID + 1/16/22. Received Pfizer vaccine 2/15/21 & 03/09/21.  Discharged 1/21/22.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Troponin increased
Clinical narrative: Pt presented to ED 1/16/22 for flu-like symptoms, worsening weakness and dizziness.  - ED workup significant for fever T-max 101°, HR 148, RR 22, elevated BUN 35, elevated troponin 70 (baseline 29-31) and BNP elevated 12,916, elevated liver enzymes with alk-phos 119, AST 56 and ALT 45.  Normal lactic acid 1.7 - EKG reveals atrial fibrillation with rapid ventricular response and diltiazem 20 IV x1 given in the ED.- Chest x-ray with bilateral opacities concerning for pulmonary edema versus bilateral infiltrates.   - COVID-19 positive (son and DIL both positive) - COVID + 1/16/22. Received Pfizer vaccine 2/15/21 & 03/09/21.  Discharged 1/21/22.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: *1220 - Vaccinator alerted safety officer of vaccine error for client . *Client was given booster today before 150 day eligibility. *Client?s vaccination card labeled 2nd dose ?9/30/21? was written in poor handwriting ? 9 looked like a 4. *Spreadsheet from registration was inputted as 4/30/21. *Previous doses were done outside pharmacy.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Nasal congestion, Respiratory symptom, Respiratory tract congestion, Sinus congestion
Clinical narrative: First day post vaccination, began with symptoms of upper respiratory illness including oral pharyngeal, nasal pharyngeal, and sinus related congestion with persistent shortness of breath which has persisted since
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Nausea, Pain
Clinical narrative: sudden onset fever, chills, all over achiness, nausea, and inability to stand without dizziness. Extreme fatigue. - I had no symptoms from initial 2 of the series.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: sudden onset fever, chills, all over achiness, nausea, and inability to stand without dizziness. Extreme fatigue. - I had no symptoms from initial 2 of the series.
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Unknown
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Dyspnoea, Palpitations, Vision blurred
Clinical narrative: Client reported dizziness to EMT. The client ambulated and sat down in the anti-gravity chair. The anti-gravity chair was reclined to a semi-fowler's position. Lead RNs responded. The client reported blurry vision, dizziness, and chest pressure. The client reported that he has been experiencing chest pressure and body aches for the last few days. The client also stated he felt he was, "not able to fully fill my lungs." Vitals obtained at 11:56AM were as follows: BP 122/70, HR 88, O2 99%. The client stated his chest pressure was currently at a 7 on a 10 point scale. The client started drinking water. The client stated the chest pressure has been at a 6/7 out of 10 the last few days. The client stated the chest pressure has been intermittent over the last few days and that sitting makes it worse. The client denies any current medications, chronic conditions, or known allergies. The client stated his symptoms were "getting a little better." The client stated he did eat about one hour before coming to the vaccination site but has not consumed any water today. The client reported "trouble focusing" his vision. The client also stated that his dizziness was a little better. Repeat vitals obtained at 12:02PM were as follows: BP 118/66, HR 93, O2 99% The client reported that his chest pressure was "a little better" and rated it at a 3/10. The client stated his breathing was "better." The client stated his dizziness was going away. The client denied any other signs or symptoms of anaphylaxis.  Repeat vitals obtained at 12:07PM were as follows: BP 122/60, HR 88, O298%. The client was sitting in a high fowler's position. The client stated the dizziness was at a 2/10 and "still there a little bit." The client declined any snacks. RN provided education regarding possible adverse reactions, when to seek care, and V-Safe. RN also recommended the client follow up with a primary care physician regarding his ongoing chest pressure. The client voiced understanding of this education. RN provided the client a list of community clinics. The client reported a history of anxiety and stated he "sort of had the same chest pressure before." Vitals obtained at 12:17PM were as follows: BP 124/62, HR 68, O299%. The client stated the dizziness was at a 1/10 and that he was able to focus his eyes. The client also stated he has been experiencing palpitations over the last few days and is experiencing some now. RN noted lungs clear to auscultation and no gallups, rubs, or murmurs noted. The client stood up unassisted and denied any current dizziness. The client stated he "felt normal." The client stated his mother was driving him home. The client ambulated unassisted with a steady gait out of the vaccination site at 12:26PM.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: Client reported dizziness to EMT. The client ambulated and sat down in the anti-gravity chair. The anti-gravity chair was reclined to a semi-fowler's position. Lead RNs responded. The client reported blurry vision, dizziness, and chest pressure. The client reported that he has been experiencing chest pressure and body aches for the last few days. The client also stated he felt he was, "not able to fully fill my lungs." Vitals obtained at 11:56AM were as follows: BP 122/70, HR 88, O2 99%. The client stated his chest pressure was currently at a 7 on a 10 point scale. The client started drinking water. The client stated the chest pressure has been at a 6/7 out of 10 the last few days. The client stated the chest pressure has been intermittent over the last few days and that sitting makes it worse. The client denies any current medications, chronic conditions, or known allergies. The client stated his symptoms were "getting a little better." The client stated he did eat about one hour before coming to the vaccination site but has not consumed any water today. The client reported "trouble focusing" his vision. The client also stated that his dizziness was a little better. Repeat vitals obtained at 12:02PM were as follows: BP 118/66, HR 93, O2 99% The client reported that his chest pressure was "a little better" and rated it at a 3/10. The client stated his breathing was "better." The client stated his dizziness was going away. The client denied any other signs or symptoms of anaphylaxis.  Repeat vitals obtained at 12:07PM were as follows: BP 122/60, HR 88, O298%. The client was sitting in a high fowler's position. The client stated the dizziness was at a 2/10 and "still there a little bit." The client declined any snacks. RN provided education regarding possible adverse reactions, when to seek care, and V-Safe. RN also recommended the client follow up with a primary care physician regarding his ongoing chest pressure. The client voiced understanding of this education. RN provided the client a list of community clinics. The client reported a history of anxiety and stated he "sort of had the same chest pressure before." Vitals obtained at 12:17PM were as follows: BP 124/62, HR 68, O299%. The client stated the dizziness was at a 1/10 and that he was able to focus his eyes. The client also stated he has been experiencing palpitations over the last few days and is experiencing some now. RN noted lungs clear to auscultation and no gallups, rubs, or murmurs noted. The client stood up unassisted and denied any current dizziness. The client stated he "felt normal." The client stated his mother was driving him home. The client ambulated unassisted with a steady gait out of the vaccination site at 12:26PM.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Alanine aminotransferase normal, Aspartate aminotransferase increased, Blood creatinine increased, Blood glucose normal
Clinical narrative: The patient presents to ED with a 5-day history of fatigue, shortness of air, nausea, anorexia, and diarrhea.  His wife noted that his blood pressure was 77/53 which prompted ED evaluation.  On arrival he was found to be hypotensive which improved slightly with fluid bolus (2 L)  to 81/49.  Oxygen saturation was found to be 89% which improved to 96-97% after application of 2 L by nasal cannula.  He was found to be Covid-19 positive, and with acute kidney injury (creatinine 2.46).  Significant labs: Glucose 103, sodium 129, potassium 4.4, creatinine 2.46, AST 46, ALT 24, WBCs 10.74, Hgb 16.5, HCT 47.6, platelets 173.  Thus far the patient has received 2 doses of Pfizer vaccine.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood potassium normal, Blood sodium decreased, COVID-19, Decreased appetite, Diarrhoea
Clinical narrative: The patient presents to ED with a 5-day history of fatigue, shortness of air, nausea, anorexia, and diarrhea.  His wife noted that his blood pressure was 77/53 which prompted ED evaluation.  On arrival he was found to be hypotensive which improved slightly with fluid bolus (2 L)  to 81/49.  Oxygen saturation was found to be 89% which improved to 96-97% after application of 2 L by nasal cannula.  He was found to be Covid-19 positive, and with acute kidney injury (creatinine 2.46).  Significant labs: Glucose 103, sodium 129, potassium 4.4, creatinine 2.46, AST 46, ALT 24, WBCs 10.74, Hgb 16.5, HCT 47.6, platelets 173.  Thus far the patient has received 2 doses of Pfizer vaccine.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Fatigue, Haematocrit normal, Haemoglobin normal, Hypotension
Clinical narrative: The patient presents to ED with a 5-day history of fatigue, shortness of air, nausea, anorexia, and diarrhea.  His wife noted that his blood pressure was 77/53 which prompted ED evaluation.  On arrival he was found to be hypotensive which improved slightly with fluid bolus (2 L)  to 81/49.  Oxygen saturation was found to be 89% which improved to 96-97% after application of 2 L by nasal cannula.  He was found to be Covid-19 positive, and with acute kidney injury (creatinine 2.46).  Significant labs: Glucose 103, sodium 129, potassium 4.4, creatinine 2.46, AST 46, ALT 24, WBCs 10.74, Hgb 16.5, HCT 47.6, platelets 173.  Thus far the patient has received 2 doses of Pfizer vaccine.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Nausea, Platelet count normal, SARS-CoV-2 test positive, White blood cell count increased
Clinical narrative: The patient presents to ED with a 5-day history of fatigue, shortness of air, nausea, anorexia, and diarrhea.  His wife noted that his blood pressure was 77/53 which prompted ED evaluation.  On arrival he was found to be hypotensive which improved slightly with fluid bolus (2 L)  to 81/49.  Oxygen saturation was found to be 89% which improved to 96-97% after application of 2 L by nasal cannula.  He was found to be Covid-19 positive, and with acute kidney injury (creatinine 2.46).  Significant labs: Glucose 103, sodium 129, potassium 4.4, creatinine 2.46, AST 46, ALT 24, WBCs 10.74, Hgb 16.5, HCT 47.6, platelets 173.  Thus far the patient has received 2 doses of Pfizer vaccine.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: twice experienced hives on torso, neck, and face. never before have experienced hives. no new products, food, or other novel exposure prior to onset.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Diagnosed and hospitalized with Covid while vaccinated.
Age: 69.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Patient received duplicate flu vaccine 5 weeks after receiving seasonal flu vaccine
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Angioedema, Pruritus, Urticaria
Clinical narrative: hives, itching, angiodema
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Full blood count, Headache, Laboratory test, Pain of skin
Clinical narrative: Around the first week of January, I started to notice a large amount of scalp hair on the bathroom floor and sink area. I have always had thick hair. I started finding it in other places as well. In just a few days, I could tell there was a lot less volume in my hair. Around the second week of January, I experienced scalp discomfort and tenderness, along with headache pain that was as though I was wearing a headband. When I combed through my hair with my fingers, I noticed more scalp. The dermatologist told me that it could have been a stressful event that occurred in my life, two to three months prior, that may have caused this, but I'm not sure. This was not a gradual thing, it was abrupt. I continue to lose hair in the shower and notice this daily.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Serum ferritin, Vitamin D
Clinical narrative: Around the first week of January, I started to notice a large amount of scalp hair on the bathroom floor and sink area. I have always had thick hair. I started finding it in other places as well. In just a few days, I could tell there was a lot less volume in my hair. Around the second week of January, I experienced scalp discomfort and tenderness, along with headache pain that was as though I was wearing a headband. When I combed through my hair with my fingers, I noticed more scalp. The dermatologist told me that it could have been a stressful event that occurred in my life, two to three months prior, that may have caused this, but I'm not sure. This was not a gradual thing, it was abrupt. I continue to lose hair in the shower and notice this daily.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: General symptom
Clinical narrative: Onset of symptoms 7/20/21
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Contusion, Injected limb mobility decreased, Oedema peripheral, Pain
Clinical narrative: SEVERE LEFT UNDER ARM/ARMPIT PAIN UNABLE TO LIFT ARM, SWOLLEN ARMPIT SEVERE LEFT GROIN SWOLLEN PAIN BRUISES ON BREASTS APPEARED AFTER BOOSTER SHOT
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: SEVERE LEFT UNDER ARM/ARMPIT PAIN UNABLE TO LIFT ARM, SWOLLEN ARMPIT SEVERE LEFT GROIN SWOLLEN PAIN BRUISES ON BREASTS APPEARED AFTER BOOSTER SHOT
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea, Biopsy, Biopsy endometrium normal, Female sex hormone level, Haemorrhage
Clinical narrative: Irregular vaginal bleeding after 3 months (April, May, June) of no period.  Sept.--hemorrhaging and hormone taper.  Oct.--benign results from cyst and endometrial biopsies.  Dec.--uterine polyp detected.  No period since November.  Hormone levels are postmenopausal.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Uterine polyp, Vaginal haemorrhage
Clinical narrative: Irregular vaginal bleeding after 3 months (April, May, June) of no period.  Sept.--hemorrhaging and hormone taper.  Oct.--benign results from cyst and endometrial biopsies.  Dec.--uterine polyp detected.  No period since November.  Hormone levels are postmenopausal.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: General symptom
Clinical narrative: symptom onset 9/27/21
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Diagnosed and hospitalized with Covid while vaccinated.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Malaise, Oxygen saturation decreased, SARS-CoV-2 test positive, Syncope
Clinical narrative: Patient started feeling ill 1/15. He tested positive for COVID on 1/18 at ED where he presented with syncope but not hypoxic and was discharged from the ED. His wife has been caring for him at home with IVs and oxygen, but oxygen sats dropped today to the 60s, so he presented to the ED for evaluation.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was given 2nd dose of Moderna too early.  Patient had 1st dose 01-04-2022 and then 2nd dose 01-25-2022.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Patient received third dose of Maderna vaccine.  14 days after hives appeared to body.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lip swelling
Clinical narrative: Approximately 6 months after first dose, I started experiencing extreme swelling of my lower lip.  This has continued roughly monthly each month since .  Swelling seems to respond to Benadryl and my lip returns to normal after approximately 24-30 hours.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives on hands, arms, neck and face
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Near Syncopal episode, treated on site by Ems and transported to Emergency Dept for further assessment.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood test normal, Botulinum toxin injection, Computerised tomogram normal, Headache, Magnetic resonance imaging head normal
Clinical narrative: 3 months after my 2nd vaccine I started getting headaches. They were just in the front and temples at 1st but soon became ALL over my head, including the back where your head hits the pillow. They got more and more intense. They got even worse after my booster shot, serious every day non-stop pain. I went to every type of doctor to determine the cause: ENT, Allergist, Cardiologist, Dentist, Oral Surgeon, PCP, Orthopedist, Neurologist. I had blood work for everything, also a head Cat scan, neck and brain MRI?s and nothing was found. I was given migraine injections which did nothing for the pain, I was taken off some medications which, again, did nothing for the pain even after being off them 60 days and longer. Finally, I was given Botox injections all over my head and neck which almost completely removed the headaches for 30 days, but I still had pain in the back of the head where your head hits the pillow. I?ve NEVER had headaches like this before. No one could can them.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Magnetic resonance imaging neck
Clinical narrative: 3 months after my 2nd vaccine I started getting headaches. They were just in the front and temples at 1st but soon became ALL over my head, including the back where your head hits the pillow. They got more and more intense. They got even worse after my booster shot, serious every day non-stop pain. I went to every type of doctor to determine the cause: ENT, Allergist, Cardiologist, Dentist, Oral Surgeon, PCP, Orthopedist, Neurologist. I had blood work for everything, also a head Cat scan, neck and brain MRI?s and nothing was found. I was given migraine injections which did nothing for the pain, I was taken off some medications which, again, did nothing for the pain even after being off them 60 days and longer. Finally, I was given Botox injections all over my head and neck which almost completely removed the headaches for 30 days, but I still had pain in the back of the head where your head hits the pillow. I?ve NEVER had headaches like this before. No one could can them.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Feeling cold, Headache, Hyperhidrosis, Nausea
Clinical narrative: Client presented to walk in vaccination site with Mother to receive Pfizer Dose 1 Lot#FL8095. At Approximately 1152 within a minute after vaccination by nurse, client began sweating and was pale. Nurse notified co-lead RN. Wheelchair was brought in for the client. Client was brought to EMT observation area for observation. Client was placed in zero gravity chair. Client reported feeling sweaty, hot to touch, nauseous, pale, and light-headed. EMT and RN assessed client. Vitals BP 110/60 R 18 HR 61 02 98% RA. Client A&Ox3 but sluggish to respond. At 1202 Client stated he felt ?good?, no nausea and no longer lightheaded, but had a headache rated 2/10 in pain scale. At 1202 vitals BP 129/63 R 18 HR 99 02 99% RA. At 1206 Client was given mom's jacket because he felt ?cold?. At 1213 client had no symptoms, and stated he felt ?great?. Vitals BP 110/58 HR 69 02 100% and AAOx3. At 1223 client had no symptoms. Vitals 110/70 HR 66 R 16 02 100%. Client and parents were educated by RN on Emergency room precautions for returning or worsening symptoms and recommended follow up with Primary care provider within 24 hrs. Client and Mother left vaccination site in a steady gait at 1228.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Pallor, Skin warm
Clinical narrative: Client presented to walk in vaccination site with Mother to receive Pfizer Dose 1 Lot#FL8095. At Approximately 1152 within a minute after vaccination by nurse, client began sweating and was pale. Nurse notified co-lead RN. Wheelchair was brought in for the client. Client was brought to EMT observation area for observation. Client was placed in zero gravity chair. Client reported feeling sweaty, hot to touch, nauseous, pale, and light-headed. EMT and RN assessed client. Vitals BP 110/60 R 18 HR 61 02 98% RA. Client A&Ox3 but sluggish to respond. At 1202 Client stated he felt ?good?, no nausea and no longer lightheaded, but had a headache rated 2/10 in pain scale. At 1202 vitals BP 129/63 R 18 HR 99 02 99% RA. At 1206 Client was given mom's jacket because he felt ?cold?. At 1213 client had no symptoms, and stated he felt ?great?. Vitals BP 110/58 HR 69 02 100% and AAOx3. At 1223 client had no symptoms. Vitals 110/70 HR 66 R 16 02 100%. Client and parents were educated by RN on Emergency room precautions for returning or worsening symptoms and recommended follow up with Primary care provider within 24 hrs. Client and Mother left vaccination site in a steady gait at 1228.