chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Chest pain, Dizziness, Nausea, Throat tightness
Clinical narrative: Anaphylaxis (hives, throat tightening, chest pain, dizziness, nausea)  after booster dose with Pfizer-BioNTech COVID-19 vaccine.  Took patient to urgent care. Gave diphenhydramine 50 mg IV. Gave epinephrine and glucagon 1 mg IV. Contacted EMS. EMS gave additional dose of epinephrine and transported patient to ED. Limited data from outside ED, but looks like patient was discharged in stable condition with instructions to return if symptoms return. Given home EpiPen prescription.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Anaphylaxis (hives, throat tightening, chest pain, dizziness, nausea)  after booster dose with Pfizer-BioNTech COVID-19 vaccine.  Took patient to urgent care. Gave diphenhydramine 50 mg IV. Gave epinephrine and glucagon 1 mg IV. Contacted EMS. EMS gave additional dose of epinephrine and transported patient to ED. Limited data from outside ED, but looks like patient was discharged in stable condition with instructions to return if symptoms return. Given home EpiPen prescription.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Rash, Thrombosis, Ultrasound scan abnormal, Ultrasound scan normal
Clinical narrative: Rash on both forearms lasting for about 3 weeks after dose #1.  Blood clot in right lower leg after dose #2.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Hypoaesthesia, Paraesthesia
Clinical narrative: Vaccine was administered in the Left Deltoid via IM injection at 3:30 pm and as he was being monitored for adverse reaction @ 3:35 approximately he begean to c/o  tingling and numbness in his left arm.  As time progressed his symptoms worsened to more numbness and to response to painful stimulus in the L arm.  His BP was 200/102 and he was diapheretic.  He was taken to urgent care to be evaulated.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: no adverse reaction
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient had ED visit 9 days after COVID vaccine dose #2 and was admitted to hospital 10 days after COVID vaccine dose #2.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Erythema, Fatigue, Nodule, Pain
Clinical narrative: Cold sweats. Aches in whole body. Extreme fatigue. Lump and redness on arm.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: None. Administration Error - dose administered 6 days after the QR code expiry date.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Malaise, Pyrexia
Clinical narrative: Fever,  malaise,  headache
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Intermenstrual bleeding
Clinical narrative: breakthrough  menstrual bleeding ~1 week after vaccination
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Back pain, Chest pain, Cough, Diarrhoea
Clinical narrative: I have been sick for over a week I have been freezing or burning up I have been vomiting and had diarrhea, coughing, chest pain, back pain, kidney pain, sore throat, weakness, extreme fatigue, dizzy
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Feeling of body temperature change, Illness, Oropharyngeal pain
Clinical narrative: I have been sick for over a week I have been freezing or burning up I have been vomiting and had diarrhea, coughing, chest pain, back pain, kidney pain, sore throat, weakness, extreme fatigue, dizzy
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Renal pain, Vomiting
Clinical narrative: I have been sick for over a week I have been freezing or burning up I have been vomiting and had diarrhea, coughing, chest pain, back pain, kidney pain, sore throat, weakness, extreme fatigue, dizzy
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Inappropriate schedule of product administration, Interchange of vaccine products
Clinical narrative: Booster dose given early. Pfizer series started on 3/19/2021 and completed on 10/07/2021.  Moderna booster dose administered on 11/29/2021 after patient attested to being due.
Age: 29.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: None. Administration Error - dose administered 6 days after the QR code expiry date.
Age: 73.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Insomnia, Night sweats, Pain
Clinical narrative: Woke up with chills and body aches which she thought was very difficult to deal with. She also had night sweats and couldn't sleep.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose increased, Blood uric acid normal, Gait disturbance, Nodule
Clinical narrative: About 2-3 week after the vaccine I begin having difficulty walking on my right foot.  I had stepped on something sharp,  but it has healed, but a few days later it I begin not being able to walk.  I went to see the Podiatrist who saw a nodule on the bottom of my foot and prescribed Naproxen to help with the symptoms, but  2 days later I ended up in the Hospital because I couldn't walk and was diagnosed with GOUT like symptoms.  Because my Uric acid level was fine the didn't want to diagnose actual GOUT While in the hospital I was hydrated with a saline solution and IV steroid drip to help deal with the various symptoms I was experiencing.  The next day I was released but Drs. could provide any explanation as to what was happening with me because all levels were fine.  My glucose levels were elevated and was advised to monitor for potential diabetes.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: no adverse event reported
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Body temperature increased, Chills, Diarrhoea, Headache
Clinical narrative: Vomiting, temperature of 100.3, headache, body aches, chills, diarrhea. Started at 4:30am 12/1/21 with vomiting, and headache. Vomiting stopped at 5:30am still had stomach pain. After the vomiting stopped body aches, chils, temperature, diarrhea and headache continued until Thursday 12/2/21. As of 12/3/21 still complaining of headache and lethargy.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Pain, Vomiting
Clinical narrative: Vomiting, temperature of 100.3, headache, body aches, chills, diarrhea. Started at 4:30am 12/1/21 with vomiting, and headache. Vomiting stopped at 5:30am still had stomach pain. After the vomiting stopped body aches, chils, temperature, diarrhea and headache continued until Thursday 12/2/21. As of 12/3/21 still complaining of headache and lethargy.
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Cough, Hypoxia, SARS-CoV-2 test positive
Clinical narrative: This case meets criteria vaccine breakthrough review. SxS include cough on Tuesday PTA, weakness Wednesday PTA, Friday PTA positive COVID+ x2 via home test, hypoxia.  Caregiver tested positive.
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: This case meets criteria vaccine breakthrough review. SxS include cough on Tuesday PTA, weakness Wednesday PTA, Friday PTA positive COVID+ x2 via home test, hypoxia.  Caregiver tested positive.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient was admitted to hospital 26 days after receiving covid vaccine #1
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstruation irregular
Clinical narrative: Menstrual cycle changes. MC appeared 9 days early, heavier, and with a clot (very unusual for patient). Otherwise MC the same as normal eg length and pain. No concerns about long term fertility but wanted to share unusual response.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: no event
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: None. Administration Error - dose administered 16 days after the QR code expiry date.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Underdose
Clinical narrative: Patient was administered a pediatric dose of Pfizer and then immediately administered an adult dose of Pfizer once administration error was discovered per CDC administration error revaccination guidelines. Patient was made aware of administration error immediately. No adverse symptoms were noted at time of administration.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Decreased appetite, Fatigue
Clinical narrative: Joint pains fatigue lasted 30 hrs  no appetite  Same effect as previous 2 doses
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram ambulatory, Heart rate increased, Vital signs measurement
Clinical narrative: on 11/10/2021 about an hour after dose 3 my heart rate went up to 225 BPM for 9 seconds. I am already on a heart monitor for. 11/14/2021 I had another even that my heart rate went up to almost 150 BMP.  I turned the heart monitor on  11/16/2021 but I do feel I had another rapid heart rate increase on 11/25/2021.  On 12/2102021 I will be going in for a stress test and we will know results then.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Chest discomfort, Dyspepsia, Dyspnoea, Electrocardiogram
Clinical narrative: Patient while in observation during a 30 minute hold due to previous allergy notation. Began to verbalize a complaint of Shortness of breath and a feeling of anxiousness. Patient during observation did not present with any signs of redness, rash or itch but soon developed an indigestion feeling and chest pressure without any signs of anxiety or hyperventilation. Lungs remained clear, grips equal with suggestion of Neuro. No swallowing concerns and speaking full sentences. Vital signs initially 146/82, 96 on cardiac monitor, 14 and 99% room air.  Worked thru additional assessment with pain rated as a pressure at "4" not subsiding with therapeutic conversation, slight anxiousness remains. Patient agreed for EMS transport with a slight pressure on transfer to the ED. 118/84, 93 on cardiac monitor with good pulses.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test
Clinical narrative: Patient while in observation during a 30 minute hold due to previous allergy notation. Began to verbalize a complaint of Shortness of breath and a feeling of anxiousness. Patient during observation did not present with any signs of redness, rash or itch but soon developed an indigestion feeling and chest pressure without any signs of anxiety or hyperventilation. Lungs remained clear, grips equal with suggestion of Neuro. No swallowing concerns and speaking full sentences. Vital signs initially 146/82, 96 on cardiac monitor, 14 and 99% room air.  Worked thru additional assessment with pain rated as a pressure at "4" not subsiding with therapeutic conversation, slight anxiousness remains. Patient agreed for EMS transport with a slight pressure on transfer to the ED. 118/84, 93 on cardiac monitor with good pulses.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient was hospitalized 16 days after receiving COVID dose #3.  Patient passed away 56 days after receiving COVID dose #3.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cardiac arrest, Cyanosis, Death
Clinical narrative: pt to ED c/o weakness, fatigue, dyspnea, unable to ambulate, hyperglycemia, diaphoretic, hypoxemic, cyanotic, tachycardia, hypotensive, COVID positive, sepsis, respiratory failure; treated with Levophed, Baricitinib, remdesivir, dexamethasone; pt experienced cardiac arrest; CPR performed but pt died in the ED
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Gait inability, Hyperglycaemia, Hyperhidrosis
Clinical narrative: pt to ED c/o weakness, fatigue, dyspnea, unable to ambulate, hyperglycemia, diaphoretic, hypoxemic, cyanotic, tachycardia, hypotensive, COVID positive, sepsis, respiratory failure; treated with Levophed, Baricitinib, remdesivir, dexamethasone; pt experienced cardiac arrest; CPR performed but pt died in the ED
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Hypoxia, Respiratory failure, Resuscitation, SARS-CoV-2 test positive
Clinical narrative: pt to ED c/o weakness, fatigue, dyspnea, unable to ambulate, hyperglycemia, diaphoretic, hypoxemic, cyanotic, tachycardia, hypotensive, COVID positive, sepsis, respiratory failure; treated with Levophed, Baricitinib, remdesivir, dexamethasone; pt experienced cardiac arrest; CPR performed but pt died in the ED
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Sepsis, Tachycardia
Clinical narrative: pt to ED c/o weakness, fatigue, dyspnea, unable to ambulate, hyperglycemia, diaphoretic, hypoxemic, cyanotic, tachycardia, hypotensive, COVID positive, sepsis, respiratory failure; treated with Levophed, Baricitinib, remdesivir, dexamethasone; pt experienced cardiac arrest; CPR performed but pt died in the ED
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Moderna booster administered early. Moderna series started 5/20/2021 and completed 6/17/2021.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Product administration error, Underdose
Clinical narrative: On 15 Nov 2021, I received my Moderna Covid-19 booster.  I have concerns about how the vaccine was administered and its potential lack if efficacy.   The first thing that raised my concern during the vaccination was how slowly the vaccine administrator was pressing the syringe into my arm.  Second, after getting through my skin layer, the administrator had to apply additional force (while still pressing slowly) to get the needle into the muscle tissue.  Third, she slowly pressed the plunger to inject the vaccine into my arm.  Fourth, and most significant, when she pulled the needle from my arm, a significant amount of the vaccine was flowing down my arm from the injection site.  The injection  was one of (if not the most) uncomfortable injections I recall ever receiving.  Being concerned about the slow technique, I commented to vaccine administrator that I never recall having an injection done that slowly.  Her response was that her slow technique prevents or minimizes pain.    In the days following the booster injection, I did not experience the usual soreness around the injection site.  Prior to this booster during the 2021 calendar year, I received Moderna shots #1 and #2, shingles shots #1 and #2, and a flu shot.   All of them resulted in my arm being sore for a few days at the injection site.     Having seen much of the medication leak out when the needle was removed, I believe that the lack of soreness following the Moderna injection is evidence that an insufficient amount of the vaccine made it into my arm.    The most significant concern is that I do not believe that I received enough of the booster for it to do its job.   Given the possibly of not having received a sufficient amount, is it reasonably safe to simply repeat the booster to boost both my immunity and confidence?
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory distress syndrome, COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID-19 infection resulting in hospital admission and acute respiratory distress syndrome
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: no adverse event none
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angioplasty, Asthenia, COVID-19, Cough, Dyspnoea
Clinical narrative: This case meets criteria for vaccine breakthrough review. SxS include fever, cough, SOB, weakness for 1 week PTA after exposure.  Tested positive 11/20.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Exposure to SARS-CoV-2, Pyrexia, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: This case meets criteria for vaccine breakthrough review. SxS include fever, cough, SOB, weakness for 1 week PTA after exposure.  Tested positive 11/20.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Exposure to SARS-CoV-2, Pyrexia, SARS-CoV-2 test, SARS-CoV-2 test positive, Vaccination failure
Clinical narrative: This case meets criteria for vaccine breakthrough review. SxS include fever, cough, SOB, weakness for 1 week PTA after exposure.  Tested positive 11/20.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: This case meets criteria for vaccine breakthrough review. SxS include fever, cough, SOB, weakness for 1 week PTA after exposure.  Tested positive 11/20.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: None. Administration Error - dose administered 6 days after the code expiry date.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Heart rate increased, Pain, Pyrexia
Clinical narrative: Had all common side effects i.e. fever, chills, body aches, but also had an elevated heart rate above 100 bps. All side effects lasted for around 15 hours
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Psoriasis
Clinical narrative: Psyriosis
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: None. Administration Error - dose administered 6 days after the code expiry date.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Chills, Impaired work ability, Myalgia
Clinical narrative: Within 7-8 hours arm pain and chill, body muscles and joint pains in feet and toes in the joints about 32 hrs. Back pains occurred on Sunday 11/14/2021 at 530PM I was bending over had nothing in my hand had a shooting pain in my lower back and can't sit up and took Advil and heating pad through Sunday-Monday till the 16 Nov at 4PM and and 17 Nov doctor responded and meds did not improve through 20Nov2021. 16-19 Nov did not go to work. Recovered now but still feel a little bit of pain.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Sitting disability
Clinical narrative: Within 7-8 hours arm pain and chill, body muscles and joint pains in feet and toes in the joints about 32 hrs. Back pains occurred on Sunday 11/14/2021 at 530PM I was bending over had nothing in my hand had a shooting pain in my lower back and can't sit up and took Advil and heating pad through Sunday-Monday till the 16 Nov at 4PM and and 17 Nov doctor responded and meds did not improve through 20Nov2021. 16-19 Nov did not go to work. Recovered now but still feel a little bit of pain.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient was admitted to hospital 13 days after receiving COVID vaccine dose #2.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: HUGE Welt on my arm that remained for a week that was EXTREMELY itchy.  As it disappeared, my skin got SUPER itchy on my hands, scalp and feet (all areas where my psoriasis has flared up in the past).
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: None. Administration Error - dose administered 6 days after the QR code expiry date.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Chondrocalcinosis pyrophosphate, Feeling of body temperature change, Mobility decreased, Pain in extremity
Clinical narrative: About 2 weeks later I started developing the same gout like symptoms I experienced from dose 2  where it became difficult to move my right toe and my right foot again.  Experiencing internal hot/cold feelings periodically but if you touch the actual foot it felt totally normal.  I experienced some of these same feelings after dose 2, but  6mo after dose 2 all symptoms had subsided, but returned 2 weeks after dose 3.  I became very proactive because I didn't want to go to the hospital again so my PCP put me on an antibiotic, 5 day dose of steroid and a 1 day GOUT medication to help, but after the steroids were completed all symptoms returned.  On 11/26 I was then prescribed prednisone and an another dose of GOUT med which I am still taking to date.  I am still experiencing the hot/cold sensations and I have limited movement of that right toe again but so far the steroids seem to be working.
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, SARS-CoV-2 test positive
Clinical narrative: WEAKNESS
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No adverse events.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Nausea, Pain
Clinical narrative: Chills, intense body aches, nausea, fatigue
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Product administration error, Product storage error
Clinical narrative: None. Administration Error - dose administered 6 days after the QR code expiry date.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Myalgia, Nausea, Pain in extremity
Clinical narrative: Tinnitus started the morning after. Very sore arm. Stomach a little queasy. Achy muscles. Mild headache and brain fogginess. All symptoms started the morning after, except the sore arm, which started the evening of the shot(7-9 hours later)
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus started the morning after. Very sore arm. Stomach a little queasy. Achy muscles. Mild headache and brain fogginess. All symptoms started the morning after, except the sore arm, which started the evening of the shot(7-9 hours later)
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Headache, Pyrexia, Vomiting
Clinical narrative: Several hours after the vaccine was administered, the recipient felt very weak, and vomited about 4 times. Also had a constant headache and ran a fever, with chills.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Fatigue, Headache
Clinical narrative: Patient contracted COVID after being fully vaccinated; no booster. Headache, fever, chills, congestion, runny nose, cough, fatigue.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: Patient contracted COVID after being fully vaccinated; no booster. Headache, fever, chills, congestion, runny nose, cough, fatigue.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient had ED visit and was hospitalized 36 days after receiving first COVID vaccine
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received booster dose of Moderna 4 months after being fully vaccinated, instead of the recommended 6 months.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: . This case meets criteria for vaccine breakthrough review. SxS started 11/17, tested positive 11/22 (unknown where).  Cough, SOB.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: None. Administration Error - dose administered 12  days after the QR code expiry date.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None. Administration Error - dose administered 6 days after the QR code expiry date.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Body temperature increased, Flushing, Headache, Injection site pain
Clinical narrative: Felt fine until evening then became flush.  Very little arm pain at site. Took Blood Pressure at 8:00 pm was 190/85.  Waited 1/2 hour and took it again BP was 195/101.  Took it again in 15 minutes was 190/108.  Had  a slight headache and went to hospital .
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin increased, White blood cell count increased
Clinical narrative: Felt fine until evening then became flush.  Very little arm pain at site. Took Blood Pressure at 8:00 pm was 190/85.  Waited 1/2 hour and took it again BP was 195/101.  Took it again in 15 minutes was 190/108.  Had  a slight headache and went to hospital .
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient had ED visit and was admitted to hospital 39 days after receiving covid vaccine dose #2.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstruation irregular
Clinical narrative: Very irregular and long periods. The cycle went form 26 days, to 14-16 days.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: no adverse event
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None. Administration Error - dose administered 6 days after the QR code expiry date.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient had ED visit 40 days after receiving first COVID vaccine, and was admitted to hospital 41 days after this dose.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Immediate post-injection reaction, Vertigo
Clinical narrative: Immediately following the shot, I was very dizzy. I remained for 30 minutes for monitoring. The dizziness continued throughout the day (11/30/21). At 6:00am on 12/1/21, I started to experience severe vertigo. The entire room was spinning. I felt that I could not take more than a step or two without feeling that i was going to faint. This vertigo continued through most of the day into the evening. It dissipated after 12/1/21; however the dizziness (mild) continued through 12/02/2021.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Tinnitus
Clinical narrative: Tinnitus after second shot. Had third booster 11-20-21 at clinic, daily worsening tinnitus since.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None. Administration Error - dose administered 17 days after the QR code expiry date.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Cough, Dyspnoea, Exposure to SARS-CoV-2, Myalgia
Clinical narrative: This case meets criteria for vaccine breakthrough review. SxS include SOB, body aches, myalgias, cough, weakness.  Known family exposures.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain
Clinical narrative: This case meets criteria for vaccine breakthrough review. SxS include SOB, body aches, myalgias, cough, weakness.  Known family exposures.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: 12-year-old patient received Pfizer peds (5-11) dose instead of the Pfizer adult dose.
Age: 57.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Abdominal discomfort, Headache, Injection site erythema, Injection site swelling, Myalgia
Clinical narrative: Nausea, pain, fever, redness and swelling at injection site (left arm?Shingrex), upset stomach, headache, muscle ache
Age: 57.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Nausea, Pain, Pyrexia
Clinical narrative: Nausea, pain, fever, redness and swelling at injection site (left arm?Shingrex), upset stomach, headache, muscle ache
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient was brought into clinic to receive his first covid vaccination with his mother.  Family is going on a cruise and mother needs him to be vaccinated.  Nurse mixed the vaccine with 1.3mls of diluent and injected 0.2mls into left deltoid of the patient.   No adverse effects were reported from parent.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Shingles on left-side of chest and along dermatome to left side of spine. No treatment other than topical Benadryl for itching and Tylenol for pain as needed. Patient outside of 72-hour window for antiviral treatment. Mom stated rash has been present for one week.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None. Administration Error - dose administered 6 days after the QR code expiry date.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: hives
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Arrhythmia, Atrial flutter, Cardiac failure congestive, Cardioversion, Dyspnoea
Clinical narrative: NEw onset atrial flutter with rapid ventricular response resulting in SOB and ? CHF ADmitted to hospital 12/3/2021  for treatment (TEE CV )
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram, Electrocardiogram abnormal
Clinical narrative: NEw onset atrial flutter with rapid ventricular response resulting in SOB and ? CHF ADmitted to hospital 12/3/2021  for treatment (TEE CV )
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Anxiety, Anxiety disorder, Biopsy site unspecified normal, Blood cholesterol increased
Clinical narrative: Note: I have no history of anxiety or panic attacks.  Roughly one week after the first dose, I had what was ultimately described as a panic attack - I went to the ER thinking it was a heart attack, where they did blood panels, x-ray, and a chest CT.  I was later discharged.  The problem recurred (but worse) the next day.  I have been chasing this ever since.  What happened - Six ish days after the first dose of Pfizer, I began having chest/abdomen pains, panic/anxiety problems.  Symptoms have lessened over time but returned later.  Symptoms - chest pain in middle-to-upper-left; panic/anxiety attacks began; unable to sleep many nights due to pain/constantly waking up with "impending doom" fears  What has been done - Four ER visits, several GP followups and lots of testing.  X-rays, chest/abdomen/pelvis CTs, blood panels, endoscopy and colonoscopy.  Diet changes.    All doctors (GP, ER) I've mentioned the timing to have mostly shrugged-off the timing with the vaccine, however, no other causes have been identified to-date, and the symptoms are still occurring - some days are better than others.  At this point, I'm wondering about the booster shot.
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood test, Chest X-ray, Chest pain, Cholelithiasis, Colonoscopy
Clinical narrative: Note: I have no history of anxiety or panic attacks.  Roughly one week after the first dose, I had what was ultimately described as a panic attack - I went to the ER thinking it was a heart attack, where they did blood panels, x-ray, and a chest CT.  I was later discharged.  The problem recurred (but worse) the next day.  I have been chasing this ever since.  What happened - Six ish days after the first dose of Pfizer, I began having chest/abdomen pains, panic/anxiety problems.  Symptoms have lessened over time but returned later.  Symptoms - chest pain in middle-to-upper-left; panic/anxiety attacks began; unable to sleep many nights due to pain/constantly waking up with "impending doom" fears  What has been done - Four ER visits, several GP followups and lots of testing.  X-rays, chest/abdomen/pelvis CTs, blood panels, endoscopy and colonoscopy.  Diet changes.    All doctors (GP, ER) I've mentioned the timing to have mostly shrugged-off the timing with the vaccine, however, no other causes have been identified to-date, and the symptoms are still occurring - some days are better than others.  At this point, I'm wondering about the booster shot.
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram abdomen, Computerised tomogram abdomen abnormal, Computerised tomogram thorax normal, Electrocardiogram, Endoscopy
Clinical narrative: Note: I have no history of anxiety or panic attacks.  Roughly one week after the first dose, I had what was ultimately described as a panic attack - I went to the ER thinking it was a heart attack, where they did blood panels, x-ray, and a chest CT.  I was later discharged.  The problem recurred (but worse) the next day.  I have been chasing this ever since.  What happened - Six ish days after the first dose of Pfizer, I began having chest/abdomen pains, panic/anxiety problems.  Symptoms have lessened over time but returned later.  Symptoms - chest pain in middle-to-upper-left; panic/anxiety attacks began; unable to sleep many nights due to pain/constantly waking up with "impending doom" fears  What has been done - Four ER visits, several GP followups and lots of testing.  X-rays, chest/abdomen/pelvis CTs, blood panels, endoscopy and colonoscopy.  Diet changes.    All doctors (GP, ER) I've mentioned the timing to have mostly shrugged-off the timing with the vaccine, however, no other causes have been identified to-date, and the symptoms are still occurring - some days are better than others.  At this point, I'm wondering about the booster shot.
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Panic attack, Panic disorder, Sleep disorder
Clinical narrative: Note: I have no history of anxiety or panic attacks.  Roughly one week after the first dose, I had what was ultimately described as a panic attack - I went to the ER thinking it was a heart attack, where they did blood panels, x-ray, and a chest CT.  I was later discharged.  The problem recurred (but worse) the next day.  I have been chasing this ever since.  What happened - Six ish days after the first dose of Pfizer, I began having chest/abdomen pains, panic/anxiety problems.  Symptoms have lessened over time but returned later.  Symptoms - chest pain in middle-to-upper-left; panic/anxiety attacks began; unable to sleep many nights due to pain/constantly waking up with "impending doom" fears  What has been done - Four ER visits, several GP followups and lots of testing.  X-rays, chest/abdomen/pelvis CTs, blood panels, endoscopy and colonoscopy.  Diet changes.    All doctors (GP, ER) I've mentioned the timing to have mostly shrugged-off the timing with the vaccine, however, no other causes have been identified to-date, and the symptoms are still occurring - some days are better than others.  At this point, I'm wondering about the booster shot.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Injection site pain, Pain
Clinical narrative: Participant states that she had no energy, muscle aches, headache, & injection site was sore for about 36 hours.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Incorrect dose administered, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Client received 0.5 ml dose as booster dose instead of 0.25 ml dose of Moderna on Friday 11/19. She reports body aches, fatigue, fever, injection site swelling, redness, and tenderness develop within 24 hours. Symptoms persisted for about 24-48 hours with complete resolution at this time.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Client received 0.5 ml dose as booster dose instead of 0.25 ml dose of Moderna on Friday 11/19. She reports body aches, fatigue, fever, injection site swelling, redness, and tenderness develop within 24 hours. Symptoms persisted for about 24-48 hours with complete resolution at this time.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Deafness unilateral, Sudden hearing loss
Clinical narrative: Complete sudden hearing loss in right ear about 50 hours after the first dose. Vaccination: 11/19/20201 ~ 3:30 pm, Adverse event: 11/21/2021 ~ 5:30pm, had a pediatrician's appointment at 2:50pm on 11/23/2021. Ear exam showed no blockages, fluid, or infection. Ear drum was intact. Performed hearing test. Left ear was normal, could not hear anything in the right ear. Follow-up appointment scheduled for 12/7 with Audiology at local hospital
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hypophagia, Sick relative
Clinical narrative: SOB, decreased PO intake, multiple family members ill
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Magnetic resonance imaging, Magnetic resonance imaging neck, No adverse event, X-ray of pelvis and hip
Clinical narrative: None stated.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac discomfort, Cardiac flutter, Cardiac monitoring, Cardiac stress test, Chest discomfort
Clinical narrative: About 6-7 days after the second vaccine I began having palpitations, fluttering, pounding heart, increased SOB, chest tightness, severe fatigue, arm/leg tingling that seemed to increase in intensity and frequency over about 2-3 weeks, then chest pain that felt like I was having a heart attach on Thanksgiving Day (severe SOB, chest pain into my left jaw/neck/arm) and went to the ED.  Symptoms remain but less frequent and intense.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Computerised tomogram, Dyspnoea, Echocardiogram, Electrocardiogram
Clinical narrative: About 6-7 days after the second vaccine I began having palpitations, fluttering, pounding heart, increased SOB, chest tightness, severe fatigue, arm/leg tingling that seemed to increase in intensity and frequency over about 2-3 weeks, then chest pain that felt like I was having a heart attach on Thanksgiving Day (severe SOB, chest pain into my left jaw/neck/arm) and went to the ED.  Symptoms remain but less frequent and intense.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram ambulatory, Fatigue, Fibrin D dimer, Myocardial necrosis marker, Neck pain
Clinical narrative: About 6-7 days after the second vaccine I began having palpitations, fluttering, pounding heart, increased SOB, chest tightness, severe fatigue, arm/leg tingling that seemed to increase in intensity and frequency over about 2-3 weeks, then chest pain that felt like I was having a heart attach on Thanksgiving Day (severe SOB, chest pain into my left jaw/neck/arm) and went to the ED.  Symptoms remain but less frequent and intense.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pain in jaw, Palpitations, Paraesthesia
Clinical narrative: About 6-7 days after the second vaccine I began having palpitations, fluttering, pounding heart, increased SOB, chest tightness, severe fatigue, arm/leg tingling that seemed to increase in intensity and frequency over about 2-3 weeks, then chest pain that felt like I was having a heart attach on Thanksgiving Day (severe SOB, chest pain into my left jaw/neck/arm) and went to the ED.  Symptoms remain but less frequent and intense.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary function test, SARS-CoV-2 test
Clinical narrative: About 6-7 days after the second vaccine I began having palpitations, fluttering, pounding heart, increased SOB, chest tightness, severe fatigue, arm/leg tingling that seemed to increase in intensity and frequency over about 2-3 weeks, then chest pain that felt like I was having a heart attach on Thanksgiving Day (severe SOB, chest pain into my left jaw/neck/arm) and went to the ED.  Symptoms remain but less frequent and intense.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cardiac arrest, Death, Dyspnoea
Clinical narrative: pt to ED after being diagnosed positive for COVID; x 3 days worsening SOB, generalized weakness; PMH:  positive for sarcoidosis of lung and GERD; supplemental O2 given; hypoxemia worsened requiring BiPAP; transferred to ICU; intubated; tracheostomy later done but pt began to have fever and hypotension; tracheostomy leak suspected and tracheostomy was removed; reintubated; pt's condition continued to decline; worsening shock; experienced cardiac arrest and unable to be resuscitated; pt died in the hosp
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Endotracheal intubation, Endotracheal intubation complication, Hypotension, Hypoxia, Intensive care
Clinical narrative: pt to ED after being diagnosed positive for COVID; x 3 days worsening SOB, generalized weakness; PMH:  positive for sarcoidosis of lung and GERD; supplemental O2 given; hypoxemia worsened requiring BiPAP; transferred to ICU; intubated; tracheostomy later done but pt began to have fever and hypotension; tracheostomy leak suspected and tracheostomy was removed; reintubated; pt's condition continued to decline; worsening shock; experienced cardiac arrest and unable to be resuscitated; pt died in the hosp
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Positive airway pressure therapy, Pyrexia, Resuscitation, SARS-CoV-2 test positive, Shock
Clinical narrative: pt to ED after being diagnosed positive for COVID; x 3 days worsening SOB, generalized weakness; PMH:  positive for sarcoidosis of lung and GERD; supplemental O2 given; hypoxemia worsened requiring BiPAP; transferred to ICU; intubated; tracheostomy later done but pt began to have fever and hypotension; tracheostomy leak suspected and tracheostomy was removed; reintubated; pt's condition continued to decline; worsening shock; experienced cardiac arrest and unable to be resuscitated; pt died in the hosp
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Tracheostomy, Tracheostomy tube removal
Clinical narrative: pt to ED after being diagnosed positive for COVID; x 3 days worsening SOB, generalized weakness; PMH:  positive for sarcoidosis of lung and GERD; supplemental O2 given; hypoxemia worsened requiring BiPAP; transferred to ICU; intubated; tracheostomy later done but pt began to have fever and hypotension; tracheostomy leak suspected and tracheostomy was removed; reintubated; pt's condition continued to decline; worsening shock; experienced cardiac arrest and unable to be resuscitated; pt died in the hosp
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administration error: Dose administered 6 days after the expiry date.
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, Fatigue, SARS-CoV-2 test positive
Clinical narrative: WEAKNESS AND FATIGUE,
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: no none adverse event
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Hypotension, Mental status changes, SARS-CoV-2 test positive
Clinical narrative: Patient presented to emergency department from a long term care facility on 10/27/2021 for altered mental status and hypotension. He was diagnosed with COVID-19 on 10/11/2021 and was treated for infection. He was positive during presentation on 10/27/2021. He had a complicated hospital stay and expired on 11/17/2021.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Diarrhoea, Fatigue, Joint swelling
Clinical narrative: Severe diarrhea, exhaustion, swollen ankles and confusion.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Pruritus, Rash
Clinical narrative: full body rash mostly on trunk. pruritic in nature. no other identified causes. improving currently. 2 weeks of steroids and benadryl has helped.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Epstein-Barr virus antibody positive, Lymphadenopathy, Nodule
Clinical narrative: Cervical lymphadenopathy with 2x2 cm node,  shoulder pain.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None. Administration Error - dose administered 6 days after the QR code expiry date.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia, Vomiting
Clinical narrative: NAUSEA, VOMITING, FEVER, BODY ACHES LASTING APROXIMATELY 36 HOURS
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, Electrocardiogram
Clinical narrative: May have developed Atrial Fibrillation from COVID19 vaccine
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None Administration Error- dose administered 6 days after QR code expiry date
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Mobility decreased, Pain, Pain in extremity, Skin warm
Clinical narrative: Severe pain in arm & limited movement, more-so than normal from injection.  Took 5 weeks before I could use arm with no pain after 1st shot.  Got 2nd injection on July 3 - severe pain once more that is still with me today, December 3, 2021 !  Unable to use arm fully without severe pain, cannot sleep on Right side at all and arm feels hot most times.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: Severe pain in arm & limited movement, more-so than normal from injection.  Took 5 weeks before I could use arm with no pain after 1st shot.  Got 2nd injection on July 3 - severe pain once more that is still with me today, December 3, 2021 !  Unable to use arm fully without severe pain, cannot sleep on Right side at all and arm feels hot most times.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Administration error: Dose administered 16 days after the expiry date.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: no adverse event
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site swelling, Lymphadenopathy, Oedema peripheral, Pruritus
Clinical narrative: This was the Pfizer Covid19 Booster.  Started with bad chills approx 24 hrs after vaccine.  Within 24 hrs I had swollen lymph nodes in my underarm area and swelling at injection site.   Appox 2-3 days after, swelling underarm, next to injection site and breast which became itchy.  (I assume all lymph node areas).  It is now 5 days later and still have the swelling and itching.    I did have swollen lymph nodes after 2nd Pfizer Covid19 vaccine, but just underarm and no itching.
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Immunisation, Underdose
Clinical narrative: Patient was administered a pediatric dose of Pfizer and then immediately administered an adult dose of Pfizer once administration error was discovered per CDC administration error revaccination guidelines. Patient was made aware of administration error immediately. No adverse symptoms were noted at time of administration.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None Administration Error- dose administered 6 days after QR code expiry date
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None. Administration Error - dose administered 6 days after the QR code expiry date.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pain, Headache, Otitis media, Pyrexia
Clinical narrative: I had a fever and a headache for a few days.  The headache did not go away.  It traveled to my ear.  When, I went to my doctor.  It had turned into an ear infection in my middle drum. I was prescribed antibiotics.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Electrocardiogram normal, Feeling hot, Heart rate increased
Clinical narrative: Patient stating she was dizzy and hot during 15 minute monitoring period post vaccine. Patient provided with water and wet wash cloth. Noticed red splotches on patient's neck and she proceeded to say she felt like there was a lump in throat. Notified  APRN. Patient was examined with EKG performed. EKG normal, heart rate elevated. Patient then given Benadryl 25mg IM. Monitored. EKG was normal, heart rate normal and SpO2 good after Benadryl. Patient refused steroid injection or transport to ED for monitoring. Patient was released to her father once stabilized and feeling okay. Spoke with patient this morning 12/3/21, patient feeling well. Stated she did take Benadryl po last night when hives started to return.  Spoke with patient this morning 12/3/21 at 11:30am., hives, chest pain and throat tightness returned and patient went to Emergency Department. Currently being assessed.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Rash macular, Sensation of foreign body, Throat tightness, Urticaria
Clinical narrative: Patient stating she was dizzy and hot during 15 minute monitoring period post vaccine. Patient provided with water and wet wash cloth. Noticed red splotches on patient's neck and she proceeded to say she felt like there was a lump in throat. Notified  APRN. Patient was examined with EKG performed. EKG normal, heart rate elevated. Patient then given Benadryl 25mg IM. Monitored. EKG was normal, heart rate normal and SpO2 good after Benadryl. Patient refused steroid injection or transport to ED for monitoring. Patient was released to her father once stabilized and feeling okay. Spoke with patient this morning 12/3/21, patient feeling well. Stated she did take Benadryl po last night when hives started to return.  Spoke with patient this morning 12/3/21 at 11:30am., hives, chest pain and throat tightness returned and patient went to Emergency Department. Currently being assessed.