chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Anxiety, Atrial tachycardia, Chest discomfort, Chest pain
Clinical narrative: 48 y.o female with history of atrial tachycardia who presents to the ED via EMS for a possible adverse reaction to Covid vaccine.  Patient received her Covid vaccine around 1600 today, and soon became diaphoretic, shaky, and lightheaded.  She had presented to the emergency department.  Currently she denies any chest pain, difficulty breathing, throat swelling, tongue swelling, or any other symptoms currently except for palpitations.  Allergic Reaction The primary symptoms are  shortness of breath. The primary symptoms do not include cough, abdominal pain, vomiting, dizziness or rash. The current episode started 1 to 2 hours ago. The problem has not changed since onset. The onset of the reaction was associated with a new medication. Significant symptoms also include flushing.   48-year-old female with a history of atrial septal defect, status post atrial septal defect repair in 1980. She works as a nurse at Hospital and has been experiencing increasing rapid palpitations associated with chest pain, and hypertension.  With her episodes, she experiences marked lightheadedness, dyspnea, and feeling marked anxiety, as well as chest tightness. She received the COVID-19 vaccine today and while waiting in the observation room,she started feeling unwell, with rapid palpitations, associated with lightheadedness and dyspnea. She last had a sustained episode 2 - 3 weeks ago and had presented to ER and Hospital. No syncope. No orthopnea, PND or increased lower extremity swelling. Active Hospital Problems   Diagnosis ? Atrial paroxysmal tachycardia ? History of repair of atrial septal defect       1. Paroxysmal atrial tachycardia in setting of prior atrial septal defect repair - she is having breakthrough episodes through flecainide/digoxin - it is likely her atrial tachycardia is related to her ASD patch. Will hold flecainide/digoxin for now, and try to schedule an ablation during her hospital admission due to highly symptomatic episodes resulting in multiple ER visits.   2. Acute renal insufficiency - most likely pre-renal - iv fluids started.   3. Possible COVID-19 vaccine reaction - she probably had an incidental atrial tachycardia episode post vaccine administration, rather than an actual adverse reaction. Continue to monitor.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Flushing, Hyperhidrosis, Hypersensitivity
Clinical narrative: 48 y.o female with history of atrial tachycardia who presents to the ED via EMS for a possible adverse reaction to Covid vaccine.  Patient received her Covid vaccine around 1600 today, and soon became diaphoretic, shaky, and lightheaded.  She had presented to the emergency department.  Currently she denies any chest pain, difficulty breathing, throat swelling, tongue swelling, or any other symptoms currently except for palpitations.  Allergic Reaction The primary symptoms are  shortness of breath. The primary symptoms do not include cough, abdominal pain, vomiting, dizziness or rash. The current episode started 1 to 2 hours ago. The problem has not changed since onset. The onset of the reaction was associated with a new medication. Significant symptoms also include flushing.   48-year-old female with a history of atrial septal defect, status post atrial septal defect repair in 1980. She works as a nurse at Hospital and has been experiencing increasing rapid palpitations associated with chest pain, and hypertension.  With her episodes, she experiences marked lightheadedness, dyspnea, and feeling marked anxiety, as well as chest tightness. She received the COVID-19 vaccine today and while waiting in the observation room,she started feeling unwell, with rapid palpitations, associated with lightheadedness and dyspnea. She last had a sustained episode 2 - 3 weeks ago and had presented to ER and Hospital. No syncope. No orthopnea, PND or increased lower extremity swelling. Active Hospital Problems   Diagnosis ? Atrial paroxysmal tachycardia ? History of repair of atrial septal defect       1. Paroxysmal atrial tachycardia in setting of prior atrial septal defect repair - she is having breakthrough episodes through flecainide/digoxin - it is likely her atrial tachycardia is related to her ASD patch. Will hold flecainide/digoxin for now, and try to schedule an ablation during her hospital admission due to highly symptomatic episodes resulting in multiple ER visits.   2. Acute renal insufficiency - most likely pre-renal - iv fluids started.   3. Possible COVID-19 vaccine reaction - she probably had an incidental atrial tachycardia episode post vaccine administration, rather than an actual adverse reaction. Continue to monitor.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Malaise, Palpitations, Tremor
Clinical narrative: 48 y.o female with history of atrial tachycardia who presents to the ED via EMS for a possible adverse reaction to Covid vaccine.  Patient received her Covid vaccine around 1600 today, and soon became diaphoretic, shaky, and lightheaded.  She had presented to the emergency department.  Currently she denies any chest pain, difficulty breathing, throat swelling, tongue swelling, or any other symptoms currently except for palpitations.  Allergic Reaction The primary symptoms are  shortness of breath. The primary symptoms do not include cough, abdominal pain, vomiting, dizziness or rash. The current episode started 1 to 2 hours ago. The problem has not changed since onset. The onset of the reaction was associated with a new medication. Significant symptoms also include flushing.   48-year-old female with a history of atrial septal defect, status post atrial septal defect repair in 1980. She works as a nurse at Hospital and has been experiencing increasing rapid palpitations associated with chest pain, and hypertension.  With her episodes, she experiences marked lightheadedness, dyspnea, and feeling marked anxiety, as well as chest tightness. She received the COVID-19 vaccine today and while waiting in the observation room,she started feeling unwell, with rapid palpitations, associated with lightheadedness and dyspnea. She last had a sustained episode 2 - 3 weeks ago and had presented to ER and Hospital. No syncope. No orthopnea, PND or increased lower extremity swelling. Active Hospital Problems   Diagnosis ? Atrial paroxysmal tachycardia ? History of repair of atrial septal defect       1. Paroxysmal atrial tachycardia in setting of prior atrial septal defect repair - she is having breakthrough episodes through flecainide/digoxin - it is likely her atrial tachycardia is related to her ASD patch. Will hold flecainide/digoxin for now, and try to schedule an ablation during her hospital admission due to highly symptomatic episodes resulting in multiple ER visits.   2. Acute renal insufficiency - most likely pre-renal - iv fluids started.   3. Possible COVID-19 vaccine reaction - she probably had an incidental atrial tachycardia episode post vaccine administration, rather than an actual adverse reaction. Continue to monitor.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Blood thyroid stimulating hormone normal, Electrocardiogram abnormal, Fatigue, Fibrin D dimer normal
Clinical narrative: COVID vaccine admin 1645 around 1715 sudden onset heart palpitations feels like heart racing, employee heart rate was noted to be 170s, employee was escorted to the ED.   12/23/2020 1030 spoke with Employee she advised d/c from ED last pm, this am resting heart rate 90s, but 140's-150's with ambulation. Denies chest pain, shortness of breath, palpitations, cold symptoms, n/v/d. Has reported moderate fatigue this am.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count normal, Metabolic function test, Palpitations, Sinus tachycardia
Clinical narrative: COVID vaccine admin 1645 around 1715 sudden onset heart palpitations feels like heart racing, employee heart rate was noted to be 170s, employee was escorted to the ED.   12/23/2020 1030 spoke with Employee she advised d/c from ED last pm, this am resting heart rate 90s, but 140's-150's with ambulation. Denies chest pain, shortness of breath, palpitations, cold symptoms, n/v/d. Has reported moderate fatigue this am.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Nasal congestion, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test
Clinical narrative: Loose stool on 12/20/20, post nasal drip 12/21/20, nasal and chest congestion, fever of 100.7 on 12/22/20.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Upper-airway cough syndrome
Clinical narrative: Loose stool on 12/20/20, post nasal drip 12/21/20, nasal and chest congestion, fever of 100.7 on 12/22/20.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Fatigue, Headache, Injection site pain, Myalgia
Clinical narrative: injection site soreness, mild headache, fatigue, muscle aches with hear palpitations x 2 days then it started to improve  and resolved on day 3. I am also breastfeeding an infant.  There were mild heart palpitations the day prior to getting vaccine as well, which are not uncommon to patient during times of stress.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: injection site soreness, mild headache, fatigue, muscle aches with hear palpitations x 2 days then it started to improve  and resolved on day 3. I am also breastfeeding an infant.  There were mild heart palpitations the day prior to getting vaccine as well, which are not uncommon to patient during times of stress.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Headache, Heart rate increased, Impaired work ability
Clinical narrative: At 0030 (about 12 hours after receiving shot), awoke to sudden development of severe epigastric pain, severe headache, fever (temp 101 F, maximum later at 102 F), and rigors. Rigors quickly abated, while abdominal pain, fever and headache maintained for next 12 to 14 hours. Abdominal pain was unrelenting, could not sit up, work, sleep, or interact. Mild nausea, no vomiting or diarrhea. Pulse ox 99%, pulse in the high 90s (baseline 50s). Took 325 mg acetaminophen at about 1100 (11 hours after symptom onset) with mild relief. Experienced more relief by about 1500. Was able to eat a small meal about 1700. Mild post-flu-like symptoms the next day, and no symptoms after that.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza like illness, Nausea, Posture abnormal, Pyrexia, Sleep disorder
Clinical narrative: At 0030 (about 12 hours after receiving shot), awoke to sudden development of severe epigastric pain, severe headache, fever (temp 101 F, maximum later at 102 F), and rigors. Rigors quickly abated, while abdominal pain, fever and headache maintained for next 12 to 14 hours. Abdominal pain was unrelenting, could not sit up, work, sleep, or interact. Mild nausea, no vomiting or diarrhea. Pulse ox 99%, pulse in the high 90s (baseline 50s). Took 325 mg acetaminophen at about 1100 (11 hours after symptom onset) with mild relief. Experienced more relief by about 1500. Was able to eat a small meal about 1700. Mild post-flu-like symptoms the next day, and no symptoms after that.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose increased, Chest X-ray normal, Electrocardiogram, Glycosylated haemoglobin decreased, SARS-CoV-2 test negative
Clinical narrative: Tachycardia, rate 135
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: Tachycardia, rate 135
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Hyperhidrosis, Nausea
Clinical narrative: Patient reports having horrible symptoms such as sweats, chills, bad HA, nausea and vomiting, arm pain, extreme fatigue and tachycardia. She states she feels much better now and is taking Motrin for the HA.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Tachycardia, Vomiting
Clinical narrative: Patient reports having horrible symptoms such as sweats, chills, bad HA, nausea and vomiting, arm pain, extreme fatigue and tachycardia. She states she feels much better now and is taking Motrin for the HA.
Age: 58.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Blood test, Bone scan, Chills, Computerised tomogram abdomen
Clinical narrative: 48 hours post injection, febrile,shaking chills,malise. 2 weeks post debilitating joint pain fatigue. Later diagnosis of atypical rheumatoid arthritis. September 2020
Age: 58.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Laboratory test, Magnetic resonance imaging joint, Magnetic resonance imaging spinal, Malaise
Clinical narrative: 48 hours post injection, febrile,shaking chills,malise. 2 weeks post debilitating joint pain fatigue. Later diagnosis of atypical rheumatoid arthritis. September 2020
Age: 58.0
Sex: M
Vaccine: VARZOS
Symptoms: Positron emission tomogram, Pyrexia, Rheumatoid arthritis, Scan with contrast
Clinical narrative: 48 hours post injection, febrile,shaking chills,malise. 2 weeks post debilitating joint pain fatigue. Later diagnosis of atypical rheumatoid arthritis. September 2020
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: I received the first Pfizer Covid 19 vaccine on 12/22/2020 at Hospital.  I woke up on 12/23/2020 with a fever of 102 degrees, body aches and headache.   I was advised by Employee Health that if my symptoms are still bad that I should follow established protocol and take the next day off of work.  December 23rd is my normal day off of work.  I am scheduled to work on December 24th.  I was also advised that if I felt I could work with a fever that I should go into work tomorrow.  I filled out a form and a Covid 19 questionnaire.  Someone is supposed to call me within 24-48 hours.  I suppose I should take Tylenol for the fever/headache.  Employee Health had no advise for me as to what I should do for the symptoms.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness
Clinical narrative: Staff member complained of a stiff arm. Was seen by Dr. and advised to see personal physician if problem persists. Stuff arm went away.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Patient began with hives and itching all over. Patient given 50mg IM Benadryl Patient watched for 40 minutes. All sx improved.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Nausea, Night sweats, Pyrexia
Clinical narrative: Patient reported experiencing fever, night sweats and nausea. Patient called out from work next day due to symptoms.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Activated partial thromboplastin time normal, Asthenia, Blood creatinine normal, Blood electrolytes normal, Blood glucose normal
Clinical narrative: I received the vaccine and the sat to wait the 15 minutes of observation. Within 5 minutes of receiving the vaccine I started to feel flushed and felt my heart rate increasing . They took my vitals and my heart rate increased to 175. I was taken to the Emergency room. Given IV fluids, IV benadryl, and  monitored. My heart rate came down but continues to stat at 90-100s at rest.  Almost 24 hours in now and I am very weak with no energy.  I still get dizzy intermittently and my heart rate increases easily.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood urea normal, Brain natriuretic peptide normal, Differential white blood cell count normal, Dizziness, Fibrin D dimer normal
Clinical narrative: I received the vaccine and the sat to wait the 15 minutes of observation. Within 5 minutes of receiving the vaccine I started to feel flushed and felt my heart rate increasing . They took my vitals and my heart rate increased to 175. I was taken to the Emergency room. Given IV fluids, IV benadryl, and  monitored. My heart rate came down but continues to stat at 90-100s at rest.  Almost 24 hours in now and I am very weak with no energy.  I still get dizzy intermittently and my heart rate increases easily.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Flushing, Full blood count normal, Heart rate increased, Human chorionic gonadotropin negative, International normalised ratio normal
Clinical narrative: I received the vaccine and the sat to wait the 15 minutes of observation. Within 5 minutes of receiving the vaccine I started to feel flushed and felt my heart rate increasing . They took my vitals and my heart rate increased to 175. I was taken to the Emergency room. Given IV fluids, IV benadryl, and  monitored. My heart rate came down but continues to stat at 90-100s at rest.  Almost 24 hours in now and I am very weak with no energy.  I still get dizzy intermittently and my heart rate increases easily.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Laboratory test, Troponin I normal, X-ray normal
Clinical narrative: I received the vaccine and the sat to wait the 15 minutes of observation. Within 5 minutes of receiving the vaccine I started to feel flushed and felt my heart rate increasing . They took my vitals and my heart rate increased to 175. I was taken to the Emergency room. Given IV fluids, IV benadryl, and  monitored. My heart rate came down but continues to stat at 90-100s at rest.  Almost 24 hours in now and I am very weak with no energy.  I still get dizzy intermittently and my heart rate increases easily.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Flushing, Heart rate increased, Laboratory test, Palpitations
Clinical narrative: I received the vaccine and the sat to wait the 15 minutes of observation. Within 5 minutes of receiving the vaccine I started to feel flushed and felt my heart rate increasing . They took my vitals and my heart rate increased to 175. I was taken to the Emergency room. Given IV fluids, IV benadryl, and  monitored. My heart rate came down but continues to stat at 90-100s at rest.  Almost 24 hours in now and I am very weak with no energy.  I still get dizzy intermittently and my heart rate increases easily.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Abdominal pain upper, Arthralgia, Blood pressure decreased, Diarrhoea
Clinical narrative: fatigue ,headache ,myalgia ,arthralgia ,diarrhea , stomach ache ,bloating & blood pressure dropped down . still have stomach ache ,  bloating & low blood pressure
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Myalgia
Clinical narrative: fatigue ,headache ,myalgia ,arthralgia ,diarrhea , stomach ache ,bloating & blood pressure dropped down . still have stomach ache ,  bloating & low blood pressure
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Headache started a couple of hours after the vaccine . Tried 600 mg of Motrin that evening. The next morning still had headache tried excedrin. 6 hours later tried zomig. Still have the headache.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia
Clinical narrative: Patient had metal taste in mouth upon administration of vaccine that lasted the duration of patient's observation period of 15 minutes.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia oral, Pharyngeal swelling
Clinical narrative: Tongue tingling and throat swelling
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypersensitivity, Pharyngeal paraesthesia, Pharyngeal swelling
Clinical narrative: Tongue tingling and throat swelling
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Balance disorder, Dysstasia, Pain, Pain in extremity
Clinical narrative: Patient reports shooting pain down left leg the following day, followed by loss of balance and inability to stand on leg. Intermittent excruciating pain in the days after in the same leg, which then started in the other leg and has continued since.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Gastric disorder, SARS-CoV-2 test negative
Clinical narrative: Diarrhea and stomach issues. They were resolved by 8pm. I took an Covid Test and it was negative
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Fatigue, Illness, Impaired work ability
Clinical narrative: 12pm started feeling fatigue and sickness throughout body. 3pm nausea. 6pm body aches and chills. Slept horribly like I was getting the flu. Up at 4:30am to go to work. Still fatigue, nausea, chills and some little bit of upper back pain, between shoulder blades. Went home early today from work.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Nausea, Pain, Poor quality sleep
Clinical narrative: 12pm started feeling fatigue and sickness throughout body. 3pm nausea. 6pm body aches and chills. Slept horribly like I was getting the flu. Up at 4:30am to go to work. Still fatigue, nausea, chills and some little bit of upper back pain, between shoulder blades. Went home early today from work.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Pruritus
Clinical narrative: Pt stated experiencing the onset of itching in her left arm and face after receiving the Covid vaccine in her left arm.  Pt also stated experiencing a mild episode of feeling light headed after the administration of Covid vaccine.  No Redness, Swelling, or Rash at injection site or on face.  25mg Benedryl administered p.o. at 9:21am.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Migraine, Nausea, Pain, Pain in extremity
Clinical narrative: Migraines, body aches, severely sore Lt arm, extremely fatigued, nausea, and congestion
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion
Clinical narrative: Migraines, body aches, severely sore Lt arm, extremely fatigued, nausea, and congestion
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pyrexia
Clinical narrative: Fever 27 hours after injection. Started with chills prior to me checking  my temperature.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Injection site pain, Myalgia
Clinical narrative: 3 hrs after shot:  chills, fever 100.7, joint pain, muscle aches, headache pain in upper left arm
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 3 hrs after shot:  chills, fever 100.7, joint pain, muscle aches, headache pain in upper left arm
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Paraesthesia, Paraesthesia oral
Clinical narrative: Flush of torso / face / arms;   tingle tongue / face / fingers,
Age: 78.0
Sex: M
Vaccine: TDAP, VARZOS
Symptoms: Pain in extremity, Tenderness
Clinical narrative: First 3 night severe left upper arm pain. 12/23/20 left upper arm still tender not as severe pain. Ibuprofen some relief
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: injection site pain, L arm pain resolved in 24 hours
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Nausea
Clinical narrative: c/o dizziness, HA, nausea, went to ED on 12/18 for tx, will f/u with rheumatologist on 12/21
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Neck pain, Pain
Clinical narrative: Soreness had spread to neck at 6:45 when patient woke up
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: The day after I received the vaccine I noticed some redness and swelling at the injection site.  Over the next 2 day the swelling increased to about 2-2.5 inches in diameter and became itchy.  At the time this form was filled out, the swelling had decreased to about 1.5 inches in diameter but the redness had not decreased and there was still mild itching at times.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Fatigue, Nausea, Pain in extremity, Sleep disorder
Clinical narrative: Moderna COVID-19 Vaccine EUA  Left arm pain started 15 min post vaccination and has not subsided.  General fatigue started 2 hours post vaccination and has not subsided.  Nausea started 5 hours post vaccination and subsided by 4:45AM the following day.  Tinnitus usually sits at 2 on a scale of 1 to 10 with 10 being obnoxiously loud and distracting causing lack of concentration.  Tinnitus started to increase 2 hours post vaccination and topped out at about 8 at around 6 hours post vaccination.    Could not sleep well and maybe got 2 hours of sleep due to tinnitus and increasing left arm pain.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Moderna COVID-19 Vaccine EUA  Left arm pain started 15 min post vaccination and has not subsided.  General fatigue started 2 hours post vaccination and has not subsided.  Nausea started 5 hours post vaccination and subsided by 4:45AM the following day.  Tinnitus usually sits at 2 on a scale of 1 to 10 with 10 being obnoxiously loud and distracting causing lack of concentration.  Tinnitus started to increase 2 hours post vaccination and topped out at about 8 at around 6 hours post vaccination.    Could not sleep well and maybe got 2 hours of sleep due to tinnitus and increasing left arm pain.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site discomfort, Injection site pain, Oropharyngeal pain, Pain
Clinical narrative: Some burning, discomfort in the injection site within the first 15 minutes, which dissipated after about an hour later.  Some itching/irritation in the back of the throat, about 30 minutes after injection, that turned into a inflamed/sore tonsil on the right side around 8:00pm in the evening.  Waking this morning the day after, around 7:00am, the soreness and irritation in the throat is on both sides, but has dissipated after a few hours, and drinking dome water. My arm has increased soreness the next day, described as a dull ache at rest, and painful with movement. I also have a residual headache that has not dissipated since waking up, but is barely noticeable, and will treat most of these side effects with Ibuprofen.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation, Tonsillar inflammation
Clinical narrative: Some burning, discomfort in the injection site within the first 15 minutes, which dissipated after about an hour later.  Some itching/irritation in the back of the throat, about 30 minutes after injection, that turned into a inflamed/sore tonsil on the right side around 8:00pm in the evening.  Waking this morning the day after, around 7:00am, the soreness and irritation in the throat is on both sides, but has dissipated after a few hours, and drinking dome water. My arm has increased soreness the next day, described as a dull ache at rest, and painful with movement. I also have a residual headache that has not dissipated since waking up, but is barely noticeable, and will treat most of these side effects with Ibuprofen.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Pruritus
Clinical narrative: Patient noticed mild tingling and itching after vaccine was given.  Patient denies the need for any medications or creams to treat her reaction.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Rash
Clinical narrative: Systemic: Rash (other than injection site)-Mild, Systemic: Headache-Mild, Systemic: EpiPen was given by nurse. Her vitals were fine 140/82, Oxy 98%. 2 benadryls were also given. Pt will be pretreated before second dose
Age: 77.0
Sex: U
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: None. Resident was given Shingrix vaccine (2nd dose in series) on 12/14/2020
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Malaise, Pyrexia
Clinical narrative: fever, malaise, light headedness-- taking Tylenol
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Fatigue, Feeling cold
Clinical narrative: Patient felt chilled and very tired. She started falling asleep while sitting upright. She also became acutely confused and could not identify what year it is, what her phone code was, etc. 911 was notified, but pt felt better about an hour later and did not go to the emergency department for evaluation.
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Feeling hot, Flushing, Palpitations, SARS-CoV-2 test negative
Clinical narrative: Sensation of palpitations.  Then,  she felt warm and flushed.
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Flushing, Palpitations, Paraesthesia oral, Pharyngeal paraesthesia, Rash
Clinical narrative: Sensation of palpitations.  Then,  she felt warm and flushed.
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test negative, Urine analysis normal
Clinical narrative: Sensation of palpitations.  Then,  she felt warm and flushed.
Age: 61.0
Sex: M
Vaccine: FLU4
Symptoms: Facial pain, Muscle twitching, Musculoskeletal stiffness, Neuralgia, Paraesthesia
Clinical narrative: Facial nerve pain/neuralgia.  This started five days after vaccine.  Face pain, stiffness, increased muscle twitching (the twitching had almost completely resolved), tingling across face into nose. Treating with anti-inflammatory medications. This is slowly improving but not resolved.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Fatigue, Flushing, Headache
Clinical narrative: 12 hours after dose - headache and bodyaches 18 horus after 1st dose - rigors, chills, hot flashes (flushing).  Severe sore arm (could barely move arm that received dose, could not touch it) 24 hours after 1st dose - fatigue, bodyaches, headache, persistent flushing without fever (max temp 99.1 F) 36 hours after 1st dose - headache, flushing. Arm soreness significantly improved 48 hours after 1st dose - mild flushing, rest of symptoms resolved
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Hot flush, Injected limb mobility decreased, Pain, Pain in extremity, Tenderness
Clinical narrative: 12 hours after dose - headache and bodyaches 18 horus after 1st dose - rigors, chills, hot flashes (flushing).  Severe sore arm (could barely move arm that received dose, could not touch it) 24 hours after 1st dose - fatigue, bodyaches, headache, persistent flushing without fever (max temp 99.1 F) 36 hours after 1st dose - headache, flushing. Arm soreness significantly improved 48 hours after 1st dose - mild flushing, rest of symptoms resolved
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site pain, Injection site reaction, Injection site swelling
Clinical narrative: Redness, pain, swelling hardness injection site  Ice/Cold compress, Ibuprofen
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Malaise, Swollen tongue
Clinical narrative: Associate complained of headache and that she didnt feel well. Associate noted to have a swollen tongue and rapid response was called. Associate was taken to ED. HR 80. BP 100/70
Age: 16.0
Sex: F
Vaccine: HEPA, MENB
Symptoms: Dizziness, Syncope
Clinical narrative: Patient had syncopal episode seconds after receiving vaccines.  Regained consciousness after approximately 15 seconds.  Pt states she felt lightheaded and like she was "going to pass out" prior to episode.  Patient lied down on exam table, w/ feet elevated.  Patient was given crackers and juice.  BP was taken x 2.  Physician performed exam.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Muscle tightness, Skin warm, Throat tightness
Clinical narrative: c/o throat tightness, neck hot and tight about 8 minutes after injection. Gave Epipen at 17:10 and taken by wheelchair to our ER.  Employee states she was monitored and given 1 liter of IV fluids and benadryl.  States she was discharged home about 3 hours later.  Felt exhausted 12/22/20.  Today feeling better.  Planning to see primary MD 12/24/20 for follow up.
Age: 51.0
Sex: M
Vaccine: UNK
Symptoms: Back pain, Computerised tomogram abnormal, Impaired work ability, Insomnia, Muscle disorder
Clinical narrative: I started feeling pain in my left arm, neck, and lower left back right afterwards.  I called in and I was told that is a normal response.  I complained again, and I was told the same.  Finally, treatment began with a check up in February 2020.  This included adding diclofenac sodium which helped a little.  I rated  my pain at a 7/8.  It was getting so I couldn't work.  The pain worsened.  I had X-rays and a CT scan that revealed a tear, I believe in my muscle.  By April 2019 I was unable to work anywhere do to the pain and lack of sleep.  My APR tried cyclobenzaprine and that did not help.  She tried trazadone to help me sleep.  It did not help.  I had a total shoulder replacement on 11/9/2020 at the recommendation of a referral doctor, Dr.  I am still experiencing pain in my left neck and back.  The pain in my left arm has, so far, reduced to a 2/3.
Age: 51.0
Sex: M
Vaccine: UNK
Symptoms: Neck pain, Pain in extremity, Shoulder arthroplasty, X-ray abnormal
Clinical narrative: I started feeling pain in my left arm, neck, and lower left back right afterwards.  I called in and I was told that is a normal response.  I complained again, and I was told the same.  Finally, treatment began with a check up in February 2020.  This included adding diclofenac sodium which helped a little.  I rated  my pain at a 7/8.  It was getting so I couldn't work.  The pain worsened.  I had X-rays and a CT scan that revealed a tear, I believe in my muscle.  By April 2019 I was unable to work anywhere do to the pain and lack of sleep.  My APR tried cyclobenzaprine and that did not help.  She tried trazadone to help me sleep.  It did not help.  I had a total shoulder replacement on 11/9/2020 at the recommendation of a referral doctor, Dr.  I am still experiencing pain in my left neck and back.  The pain in my left arm has, so far, reduced to a 2/3.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram head normal, Computerised tomogram thorax normal, Electroencephalogram, Generalised tonic-clonic seizure
Clinical narrative: Seizure (Grand mal)
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Malaise, Nausea
Clinical narrative: Mild headache the day of injection. Moderate nausea and overall malaise on day 1 after  injection. Mild nausea, overall malaise, mild fatigue on day 2 after injection.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Patient reported that she developed tingling in her face on the same date of her vaccine. Was evaluated by provider on 12/22/2020 and Kenalog 40mg IM given as one time dose. Patient was contacted that same evening and reported that her symptoms had resolved.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Flushing
Clinical narrative: Became flush and clammy 2-3 times. Recovered after 30 minutes of observation
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Myalgia, Pain
Clinical narrative: symptoms started afternoon following day (Saturday)around 3 pm as chills denied fever, muscle aches and pains, soreness all over, Tx Motrin as needed. The following day (Sunday) had 2x loose bowel movement last episode 6 hours before showing up for work. Denied any more symptoms.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: phone call
Age: 66.0
Sex: M
Vaccine: FLU4
Symptoms: No adverse event, Wrong product administered
Clinical narrative: This patient received last year's (2019-20) influenza Vaccine on 9/26/20 due to oversight in the supply management process. The patient was notified and had not experienced any adverse effects from that vaccine. The patient did return to the office and received the appropriate Fluad Quadrivalent (2020-21) Influenza Vaccine.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaphylactic reaction, Electrocardiogram, Full blood count, Hypertension, Intensive care
Clinical narrative: Anaphylactic with throat swelling , tachycardia and high BP.  Pt was given steroids, epi pen, Benadryl and observed in ICU overnight.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pharyngeal swelling, Tachycardia
Clinical narrative: Anaphylactic with throat swelling , tachycardia and high BP.  Pt was given steroids, epi pen, Benadryl and observed in ICU overnight.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Alanine aminotransferase normal, Aspartate aminotransferase normal, Basophil count decreased, Basophil percentage decreased, Blood albumin normal
Clinical narrative: Anaphylactic with throat swelling , tachycardia and high BP.  Pt was given steroids, epi pen, Benadryl and observed in ICU overnight.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium normal, Blood chloride normal, Blood creatinine normal
Clinical narrative: Anaphylactic with throat swelling , tachycardia and high BP.  Pt was given steroids, epi pen, Benadryl and observed in ICU overnight.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood glucose increased, Blood osmolarity decreased, Blood potassium normal, Blood sodium decreased, Blood urea normal
Clinical narrative: Anaphylactic with throat swelling , tachycardia and high BP.  Pt was given steroids, epi pen, Benadryl and observed in ICU overnight.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Carbon dioxide decreased, Chest discomfort, Chest pain, Dysphagia, Dyspnoea
Clinical narrative: Anaphylactic with throat swelling , tachycardia and high BP.  Pt was given steroids, epi pen, Benadryl and observed in ICU overnight.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram T wave abnormal, Eosinophil count decreased, Eosinophil percentage decreased, Glomerular filtration rate, Haematocrit normal
Clinical narrative: Anaphylactic with throat swelling , tachycardia and high BP.  Pt was given steroids, epi pen, Benadryl and observed in ICU overnight.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Haemoglobin normal, Hypoaesthesia, Immunoglobulins, Lymphocyte count decreased, Lymphocyte percentage decreased
Clinical narrative: Anaphylactic with throat swelling , tachycardia and high BP.  Pt was given steroids, epi pen, Benadryl and observed in ICU overnight.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal, Monocyte count decreased, Monocyte percentage decreased
Clinical narrative: Anaphylactic with throat swelling , tachycardia and high BP.  Pt was given steroids, epi pen, Benadryl and observed in ICU overnight.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Neutrophil count increased, Neutrophil percentage increased, Pharyngeal swelling, Platelet count increased, Protein total normal
Clinical narrative: Anaphylactic with throat swelling , tachycardia and high BP.  Pt was given steroids, epi pen, Benadryl and observed in ICU overnight.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Red blood cell count normal, Red blood cell nucleated morphology, Red cell distribution width normal, SARS-CoV-2 test negative, White blood cell count increased
Clinical narrative: Anaphylactic with throat swelling , tachycardia and high BP.  Pt was given steroids, epi pen, Benadryl and observed in ICU overnight.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaphylactic reaction, Electrocardiogram, Full blood count, Hypertension, Intensive care
Clinical narrative: Patient was receiving her COVID-19 vaccine earlier today.  While waiting the required 15 minutes after administration, she experienced chest tightness, throat swelling, and shortness of breath.  She was initially treated with oral prednisone and Zyrtec.  However, she did not have improvement in her symptoms and was admitted to the ED for further management.  She had continued shortness of breath, throat swelling, chest pressure, and intermittent chest pain.  She was given IM epinephrine 0.3 mg, prednisone 20 mg, and famotidine with improvement in her symptoms.  Shortly after, she experienced recurrent symptoms and required another dose of epinephrine.  Due to risk of recurrent anaphylaxis, ICU was consulted for evaluation and monitoring of patient.  At the time of evaluation, patient endorses chest pressure, mild shortness of breath, dysphagia, and left finger numbness.  She denies any headache, blurry vision, odynophagia, chest pain, cough, abdominal pain, nausea, vomiting, diarrhea, constipation, weakness, or increased swelling in the extremities.  She endorses history of anaphylactic reaction to sulfa drugs but not previous vaccination.  Also denies any food allergies.  12/22/2020 1529 EPINEPHrine (EPIPEN) 0.3 mg/0.3 mL injection syringe 0.3 mg    12/22/2020 1532 diphenhydrAMINE (BENADRYL) capsule 25 mg 25 mg oral   12/22/2020 1532 famotidine (PEPCID) tablet 20 mg 20 mg oral  12/22/2020 1557 predniSONE (DELTASONE) tablet 20 mg 20 mg oral  12/22/2020 1557 diphenhydrAMINE (BENADRYL) injection 25 mg 25 mg intraMUSCULAR   12/22/2020 1616 EPINEPHrine (EPIPEN) 0.3 mg/0.3 mL injection syringe 0.3 mg 0.3 mg intraMUSCULAR   12/22/2020 1631 sodium chloride 0.9 % bolus 1,000 mL 1,000 mL intraVENOUS  12/22/2020 1701 methylPREDNISolone sodium succinate PF (SOLU-Medrol) injection 40 mg
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pharyngeal swelling, Tachycardia
Clinical narrative: Patient was receiving her COVID-19 vaccine earlier today.  While waiting the required 15 minutes after administration, she experienced chest tightness, throat swelling, and shortness of breath.  She was initially treated with oral prednisone and Zyrtec.  However, she did not have improvement in her symptoms and was admitted to the ED for further management.  She had continued shortness of breath, throat swelling, chest pressure, and intermittent chest pain.  She was given IM epinephrine 0.3 mg, prednisone 20 mg, and famotidine with improvement in her symptoms.  Shortly after, she experienced recurrent symptoms and required another dose of epinephrine.  Due to risk of recurrent anaphylaxis, ICU was consulted for evaluation and monitoring of patient.  At the time of evaluation, patient endorses chest pressure, mild shortness of breath, dysphagia, and left finger numbness.  She denies any headache, blurry vision, odynophagia, chest pain, cough, abdominal pain, nausea, vomiting, diarrhea, constipation, weakness, or increased swelling in the extremities.  She endorses history of anaphylactic reaction to sulfa drugs but not previous vaccination.  Also denies any food allergies.  12/22/2020 1529 EPINEPHrine (EPIPEN) 0.3 mg/0.3 mL injection syringe 0.3 mg    12/22/2020 1532 diphenhydrAMINE (BENADRYL) capsule 25 mg 25 mg oral   12/22/2020 1532 famotidine (PEPCID) tablet 20 mg 20 mg oral  12/22/2020 1557 predniSONE (DELTASONE) tablet 20 mg 20 mg oral  12/22/2020 1557 diphenhydrAMINE (BENADRYL) injection 25 mg 25 mg intraMUSCULAR   12/22/2020 1616 EPINEPHrine (EPIPEN) 0.3 mg/0.3 mL injection syringe 0.3 mg 0.3 mg intraMUSCULAR   12/22/2020 1631 sodium chloride 0.9 % bolus 1,000 mL 1,000 mL intraVENOUS  12/22/2020 1701 methylPREDNISolone sodium succinate PF (SOLU-Medrol) injection 40 mg
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Alanine aminotransferase normal, Aspartate aminotransferase normal, Basophil count decreased, Basophil percentage decreased, Blood albumin normal
Clinical narrative: Patient was receiving her COVID-19 vaccine earlier today.  While waiting the required 15 minutes after administration, she experienced chest tightness, throat swelling, and shortness of breath.  She was initially treated with oral prednisone and Zyrtec.  However, she did not have improvement in her symptoms and was admitted to the ED for further management.  She had continued shortness of breath, throat swelling, chest pressure, and intermittent chest pain.  She was given IM epinephrine 0.3 mg, prednisone 20 mg, and famotidine with improvement in her symptoms.  Shortly after, she experienced recurrent symptoms and required another dose of epinephrine.  Due to risk of recurrent anaphylaxis, ICU was consulted for evaluation and monitoring of patient.  At the time of evaluation, patient endorses chest pressure, mild shortness of breath, dysphagia, and left finger numbness.  She denies any headache, blurry vision, odynophagia, chest pain, cough, abdominal pain, nausea, vomiting, diarrhea, constipation, weakness, or increased swelling in the extremities.  She endorses history of anaphylactic reaction to sulfa drugs but not previous vaccination.  Also denies any food allergies.  12/22/2020 1529 EPINEPHrine (EPIPEN) 0.3 mg/0.3 mL injection syringe 0.3 mg    12/22/2020 1532 diphenhydrAMINE (BENADRYL) capsule 25 mg 25 mg oral   12/22/2020 1532 famotidine (PEPCID) tablet 20 mg 20 mg oral  12/22/2020 1557 predniSONE (DELTASONE) tablet 20 mg 20 mg oral  12/22/2020 1557 diphenhydrAMINE (BENADRYL) injection 25 mg 25 mg intraMUSCULAR   12/22/2020 1616 EPINEPHrine (EPIPEN) 0.3 mg/0.3 mL injection syringe 0.3 mg 0.3 mg intraMUSCULAR   12/22/2020 1631 sodium chloride 0.9 % bolus 1,000 mL 1,000 mL intraVENOUS  12/22/2020 1701 methylPREDNISolone sodium succinate PF (SOLU-Medrol) injection 40 mg
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium normal, Blood chloride normal, Blood creatinine normal
Clinical narrative: Patient was receiving her COVID-19 vaccine earlier today.  While waiting the required 15 minutes after administration, she experienced chest tightness, throat swelling, and shortness of breath.  She was initially treated with oral prednisone and Zyrtec.  However, she did not have improvement in her symptoms and was admitted to the ED for further management.  She had continued shortness of breath, throat swelling, chest pressure, and intermittent chest pain.  She was given IM epinephrine 0.3 mg, prednisone 20 mg, and famotidine with improvement in her symptoms.  Shortly after, she experienced recurrent symptoms and required another dose of epinephrine.  Due to risk of recurrent anaphylaxis, ICU was consulted for evaluation and monitoring of patient.  At the time of evaluation, patient endorses chest pressure, mild shortness of breath, dysphagia, and left finger numbness.  She denies any headache, blurry vision, odynophagia, chest pain, cough, abdominal pain, nausea, vomiting, diarrhea, constipation, weakness, or increased swelling in the extremities.  She endorses history of anaphylactic reaction to sulfa drugs but not previous vaccination.  Also denies any food allergies.  12/22/2020 1529 EPINEPHrine (EPIPEN) 0.3 mg/0.3 mL injection syringe 0.3 mg    12/22/2020 1532 diphenhydrAMINE (BENADRYL) capsule 25 mg 25 mg oral   12/22/2020 1532 famotidine (PEPCID) tablet 20 mg 20 mg oral  12/22/2020 1557 predniSONE (DELTASONE) tablet 20 mg 20 mg oral  12/22/2020 1557 diphenhydrAMINE (BENADRYL) injection 25 mg 25 mg intraMUSCULAR   12/22/2020 1616 EPINEPHrine (EPIPEN) 0.3 mg/0.3 mL injection syringe 0.3 mg 0.3 mg intraMUSCULAR   12/22/2020 1631 sodium chloride 0.9 % bolus 1,000 mL 1,000 mL intraVENOUS  12/22/2020 1701 methylPREDNISolone sodium succinate PF (SOLU-Medrol) injection 40 mg
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood glucose increased, Blood osmolarity decreased, Blood potassium normal, Blood sodium decreased, Blood urea normal
Clinical narrative: Patient was receiving her COVID-19 vaccine earlier today.  While waiting the required 15 minutes after administration, she experienced chest tightness, throat swelling, and shortness of breath.  She was initially treated with oral prednisone and Zyrtec.  However, she did not have improvement in her symptoms and was admitted to the ED for further management.  She had continued shortness of breath, throat swelling, chest pressure, and intermittent chest pain.  She was given IM epinephrine 0.3 mg, prednisone 20 mg, and famotidine with improvement in her symptoms.  Shortly after, she experienced recurrent symptoms and required another dose of epinephrine.  Due to risk of recurrent anaphylaxis, ICU was consulted for evaluation and monitoring of patient.  At the time of evaluation, patient endorses chest pressure, mild shortness of breath, dysphagia, and left finger numbness.  She denies any headache, blurry vision, odynophagia, chest pain, cough, abdominal pain, nausea, vomiting, diarrhea, constipation, weakness, or increased swelling in the extremities.  She endorses history of anaphylactic reaction to sulfa drugs but not previous vaccination.  Also denies any food allergies.  12/22/2020 1529 EPINEPHrine (EPIPEN) 0.3 mg/0.3 mL injection syringe 0.3 mg    12/22/2020 1532 diphenhydrAMINE (BENADRYL) capsule 25 mg 25 mg oral   12/22/2020 1532 famotidine (PEPCID) tablet 20 mg 20 mg oral  12/22/2020 1557 predniSONE (DELTASONE) tablet 20 mg 20 mg oral  12/22/2020 1557 diphenhydrAMINE (BENADRYL) injection 25 mg 25 mg intraMUSCULAR   12/22/2020 1616 EPINEPHrine (EPIPEN) 0.3 mg/0.3 mL injection syringe 0.3 mg 0.3 mg intraMUSCULAR   12/22/2020 1631 sodium chloride 0.9 % bolus 1,000 mL 1,000 mL intraVENOUS  12/22/2020 1701 methylPREDNISolone sodium succinate PF (SOLU-Medrol) injection 40 mg