chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Incontinence, Loss of consciousness, Paraesthesia, Seizure
Clinical narrative: Pfizer covid vaccine was administered to patient at around 2:10pm and was advised to stay in sight for 15 min before leaving the store. At around 2:15pm patient started to faint. Patient was accompanied by her mother. Rph on duty rushed to the scene noticed that patient had lost consciousness and started to have a seizure. I also noticed that the patient had passed urine while unconscious. I notified my technician to call 911. I quickly grabbed an EpiPen and administered one dose into the patient thigh. I assisted the patient along with her mother until the patient regained consciousness. Paramedic arrived to the seen few mins later. They checked all vital signs and patient was responding better and but still exhibiting some tingling effect in her hands. Patient decided not to ride with the paramedics. I advised her to stay for another 30 - 45 min so that I could monitor her. She was feeling much better and was released to go home along with a EpiPen.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Hangover, Headache, Limb discomfort, Pain, Pain in extremity
Clinical narrative: Headache that feels like I drank hard alcohol (which I don't) and have a bad hangover starting the morning after the vaccination and it has not stopped after 14 days. Leg pain is off and on which feels heavy and with shooting pain.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Facial pain, Swelling face
Clinical narrative: 48 hours after receiving vaccine, I woke up/washed my face, realized my left cheek was both swollen and sore. Felt like it was bruised. It didn't look swollen in the mirror, but I could see it was swollen in my peripheral view.  I had fillers in that area (on both sides) June 1, 2020. The swelling/soreness gradually went away over the next 2 days.
Age: 47.0
Sex: F
Vaccine: UNK
Symptoms: Immunisation, Product preparation issue
Clinical narrative: Client given normal saline instead of Pfizer vaccine. Client re-vaccinated 4/19/2021. Client given Pfizer EW0162 IM in right deltoid.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site pain, Injection site pruritus, Injection site reaction, Injection site warmth
Clinical narrative: Hot, tight, red lesion at injection site. Tender and slightly itchy.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Skin lesion
Clinical narrative: Hot, tight, red lesion at injection site. Tender and slightly itchy.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Had fever reaching 103 degrees.  Lasted 2 days before returning to normal. Tested positive on 2/26/21.  Had negative tests on 3/15/21 and 3/18/21. It was like having COVID all over again, except it didn?t last as long and I wasn?t fatigued after the fever left. I?m wondering what will happen on my 2nd shot scheduled for 5/6/21?
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Fatigue, Heavy menstrual bleeding, Menstruation irregular, Myalgia
Clinical narrative: Fatigue and muscle aches about 24 hours after. Fever of over 102 about 36 hour after Early menstrual cycle, heavy with cramps a week after vaccine
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fatigue and muscle aches about 24 hours after. Fever of over 102 about 36 hour after Early menstrual cycle, heavy with cramps a week after vaccine
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Tinnitus
Clinical narrative: Slight ringing began to occur on 03/28/2021 in both ears.  On 03/30/2021, ringing was more noticeable in both ears.   On 03/31/2021, ringing was constant and even louder in both ears but more so in left ear.   Ringing has continued since with no change in loudness.   No history of ear damage or ringing in ears.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Nausea
Clinical narrative: Nausea, chest pressure. Evaluated by EMS-Cleared.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Fatigue, Injection site pain, Swollen tongue, Tongue discolouration
Clinical narrative: I had a sore arm for a couple of days after the vaccine - at the site of injection. I was tired for a couple of days.  Two days after the injection - I started experiencing a  chalky layer on my tongue. I felt like my tongue was a little bit swollen slightly. Two days after that, I started having a sour taste and white bumps towards back of tongue. I showed my OB/GYN and she told me go to the my primary care doctor.  My primary care provider wasn't sure what it was - could have been thrush - she put me on an anti-fungal mouthwash called Nystatin. I've been doing that - 5 ml rinse four times a day for seven to 14 days. The mouthwash isn't  helping so I will be scheduling an appt with my PCP for next week.   1st Pregnancy
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Tongue disorder
Clinical narrative: I had a sore arm for a couple of days after the vaccine - at the site of injection. I was tired for a couple of days.  Two days after the injection - I started experiencing a  chalky layer on my tongue. I felt like my tongue was a little bit swollen slightly. Two days after that, I started having a sour taste and white bumps towards back of tongue. I showed my OB/GYN and she told me go to the my primary care doctor.  My primary care provider wasn't sure what it was - could have been thrush - she put me on an anti-fungal mouthwash called Nystatin. I've been doing that - 5 ml rinse four times a day for seven to 14 days. The mouthwash isn't  helping so I will be scheduling an appt with my PCP for next week.   1st Pregnancy
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Immunisation, Product preparation issue
Clinical narrative: Client given normal saline instead of Pfizer vaccine. Client re-vaccinated 4/17/2021 with EW0162 IM in left deltoid.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Lymphadenopathy
Clinical narrative: Swollen painful lymph node under left armpit
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Pallor
Clinical narrative: After about 5 minutes of receiving his covid vaccine the patient became pale and was sweaty. I took his blood pressure and it was 105/64 with a pulse of 62. I brought him a cold pack from fridge to put on his wrist and neck. We watched him closely afterwards. I asked that he wait for 30 minutes so we could watch him. He felt better before he left and had a healthy appearance.
Age: 20.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient was given Pfizer as dose 2 in COVID series, instead of Moderna (dose 1).
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, First trimester pregnancy, Herpes zoster
Clinical narrative: On 04/14/2021 I got covid arm & I also got shingles. I went to the urgent care on 04/18/2021. They prescribed me an antiviral for the shingles. I am 12 weeks pregnant my due date 11/04/2021 & everything is going well with my pregnancy.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Low level tuning in the ears . Constant.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Fall, Heart rate decreased, Hyperhidrosis, Nausea
Clinical narrative: Approximately 10 min after receiving the vaccine pt started feeling nauseated. Pt stood up to go to the bathroom and had a syncopal episode. Pt landed face first onto the hard floor. Pt was treated by medics on scene and was taken into a private waiting room. During further assessment pt had another syncopal episode with his hr dropping into the 40's. Pt became pale and diaphoretic. Pt transported to ER via ambulance
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Pallor, Sinus bradycardia, Syncope
Clinical narrative: Approximately 10 min after receiving the vaccine pt started feeling nauseated. Pt stood up to go to the bathroom and had a syncopal episode. Pt landed face first onto the hard floor. Pt was treated by medics on scene and was taken into a private waiting room. During further assessment pt had another syncopal episode with his hr dropping into the 40's. Pt became pale and diaphoretic. Pt transported to ER via ambulance
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Deep vein thrombosis, Ultrasound scan
Clinical narrative: Right peroneal vein DVT
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Pain in extremity, Thrombosis
Clinical narrative: Right peroneal vein DVT
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Hypoaesthesia, Muscle spasms, Pain in extremity, Pallor
Clinical narrative: After about a half an hour after the shot (on the way home), I noticed my left arm was tingling from the elbow down.  By day 2 both my arms and legs in their entirety and the lower right side of my face were tingling.  My ears were ringing more than usual.   My heart seemed to be beating a little fast.  My husband said I looked pale. I called my PCP.  His nurses relayed that this should  go away in 2-3 days,  It didn't.  It got much worse.  By day 3, my entire arms and legs had gone numb.  I have weird burning sensations in my insides and arms and legs that come and go.  Now after 5+ weeks I am beginning to get occasional cramps in my legs.  At times, my hands and feet are very cold.  I feel pain in my hands, feet, etc. It doesn't feel like it's getting any better.  It feels like it's getting worse.  It's worse at night with increased tingling and it's hard to get to sleep.  I've had ongoing discussions about these reactions  with various pharmacists both via e-mail and by phone.  I don't know if this is ever going away.  I didn't mark permanent damage below because I don't know yet.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Peripheral coldness, Skin burning sensation, Sleep disorder, Tinnitus
Clinical narrative: After about a half an hour after the shot (on the way home), I noticed my left arm was tingling from the elbow down.  By day 2 both my arms and legs in their entirety and the lower right side of my face were tingling.  My ears were ringing more than usual.   My heart seemed to be beating a little fast.  My husband said I looked pale. I called my PCP.  His nurses relayed that this should  go away in 2-3 days,  It didn't.  It got much worse.  By day 3, my entire arms and legs had gone numb.  I have weird burning sensations in my insides and arms and legs that come and go.  Now after 5+ weeks I am beginning to get occasional cramps in my legs.  At times, my hands and feet are very cold.  I feel pain in my hands, feet, etc. It doesn't feel like it's getting any better.  It feels like it's getting worse.  It's worse at night with increased tingling and it's hard to get to sleep.  I've had ongoing discussions about these reactions  with various pharmacists both via e-mail and by phone.  I don't know if this is ever going away.  I didn't mark permanent damage below because I don't know yet.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Menopause, Vaginal haemorrhage
Clinical narrative: Menopause for 16 months and started bleeding 3 days after shot 2 of Moderna
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chest pain, Decreased appetite, Fatigue, Headache
Clinical narrative: Fever up to 101F for one day Severe headache, chest pain , neck and upper back pain, loss of appetite, tired
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pyrexia
Clinical narrative: Fever up to 101F for one day Severe headache, chest pain , neck and upper back pain, loss of appetite, tired
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Cooling therapy, Diarrhoea, Headache
Clinical narrative: Clinical signs noticed upon waking the day following vaccination #2. Flu-like symptoms: cold chills, joint and muscle aches, headache, general malaise, tenderness in left axillary region, loose stool
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Malaise, Myalgia, Tenderness
Clinical narrative: Clinical signs noticed upon waking the day following vaccination #2. Flu-like symptoms: cold chills, joint and muscle aches, headache, general malaise, tenderness in left axillary region, loose stool
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Fatigue, Headache, Hyperhidrosis, Myalgia
Clinical narrative: Super sick headache chills sweats fever muscle pain and exhaustion for 32 hours after each vaccine.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia
Clinical narrative: Super sick headache chills sweats fever muscle pain and exhaustion for 32 hours after each vaccine.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Presyncope
Clinical narrative: At ~0926 patient experienced a vasovagal response.  pt stated she blacked out momentarily and was assisted to floor in recumbent position. Was given juice and patient recovered several minutes later. At 0945, patient stated she was ok and was able to leave vaccine clinic independently.
Age: 38.0
Sex: F
Vaccine: UNK
Symptoms: Immunisation, Product preparation issue
Clinical narrative: Client given normal saline instead of Pfizer vaccine. Client re-vaccinated 4/19/2021 with EW0162 IM in left deltoid.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Dry skin, Dyspnoea, Palpitations, Physical examination, Rash
Clinical narrative: Patient's wife noticed red blotches on his arm and suspected hives. Patient brought back to Med OBs at 2:55, he was alert and vital signs were: HR: 63, BP: 134/51, SPO2: 99. denied itchiness, SOB, throat tightening, palpitations. Scattered dry, red blotches on bilateral arms.  Examined legs, back, and chest, no other blotches noted. Had patient wait with us for observation. At 1545 rechecked vitals: HR:65, BP:128/55, SPO2:98, patient had no further redness and continued to deny any symptoms. he felt he was ready to go home. discharged to home with wife. consulted patient and wife he could take Benadryl.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Rash macular, Rash pruritic, Throat tightness, Urticaria, Vital signs measurement
Clinical narrative: Patient's wife noticed red blotches on his arm and suspected hives. Patient brought back to Med OBs at 2:55, he was alert and vital signs were: HR: 63, BP: 134/51, SPO2: 99. denied itchiness, SOB, throat tightening, palpitations. Scattered dry, red blotches on bilateral arms.  Examined legs, back, and chest, no other blotches noted. Had patient wait with us for observation. At 1545 rechecked vitals: HR:65, BP:128/55, SPO2:98, patient had no further redness and continued to deny any symptoms. he felt he was ready to go home. discharged to home with wife. consulted patient and wife he could take Benadryl.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain
Clinical narrative: PT STATED LOWER BACK PAIN AFER FIRST DOSE OF VACCINE . PT IS TAKING TYLENOL/ADVIL
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Ocular hyperaemia, Pruritus
Clinical narrative: 10 minutes after receiving 1st dose of Moderna COVID 19 vaccine patient experienced itch on left side of neck associated with redness. no shortness of breath, nausea.  bp 150/96, HR 86.  No stridor no wheeze cardiac regular administered diphenhydramine 50 mg, famotidine 20 mg itch and redness extended onto left arm, above eyes. still no other symptoms. No improvement after 20 minutes. referred to ER for observation.  Patient stated similar reaction when receiving any medication containing alcohols
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chills, Diarrhoea, Pain, Pyrexia
Clinical narrative: OVER THE NEXT 4 DAYS I HAD FULL BODY ACHES, CHILLS, FEVER UP TO 101, STOMACH UPSET, DIARRHEA. FELT SAME AS WHEN I HAD COVID IN JULY 2020.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Headache, Hypopnoea, Injection site swelling, Nausea
Clinical narrative: April 22, 2021 Body aches and sore arm around 4pm Shallower breathing than normal and chest pains around 6pm Subjective fever around 9pm Fever of 102 and nauseated from 11pm-8am next day (04/23/2021) Headaches all day long April 23, 2021 Fever all day long 99.5-102 with symptoms included above April 24, 2021 Bump around injection sight  Fever gone Still shallow breathing and chest pains Headaches still Body aches still, back worse
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: April 22, 2021 Body aches and sore arm around 4pm Shallower breathing than normal and chest pains around 6pm Subjective fever around 9pm Fever of 102 and nauseated from 11pm-8am next day (04/23/2021) Headaches all day long April 23, 2021 Fever all day long 99.5-102 with symptoms included above April 24, 2021 Bump around injection sight  Fever gone Still shallow breathing and chest pains Headaches still Body aches still, back worse
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Dyskinesia, Headache, Muscle spasms, Nausea
Clinical narrative: Muscle spasms in upper extremities. Reported jerking movement of upper extremities.  Nausea  Fever Headache
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Muscle spasms in upper extremities. Reported jerking movement of upper extremities.  Nausea  Fever Headache
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swollen armpit left side
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Disorientation, Heart rate increased, Nausea, Pain in extremity
Clinical narrative: Fever, chills, nausea, pain in arm, increased resting heart rate, heart palpatations, disoriented
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Pyrexia
Clinical narrative: Fever, chills, nausea, pain in arm, increased resting heart rate, heart palpatations, disoriented
Age: 23.0
Sex: M
Vaccine: UNK
Symptoms: Wrong product administered
Clinical narrative: Client given normal saline instead of Pfizer vaccine. Client re-vaccinated 4/19/2021 with Pfizer EW0162 IM in left deltoid.
Age: 40.0
Sex: F
Vaccine: UNK
Symptoms: Dyspnoea, Swelling face, Throat tightness
Clinical narrative: Pt had facial swelling and reported an episode of sob and throat tightening
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Generalised tonic-clonic seizure
Clinical narrative: Post injection epileptic episode. Approx 10 minutes after receiving first dose of Modern vaccine:  Tonic Clonic, Grand-mal seizure.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Shingles (rash on the right side of abdomen, pain in the abdomen and in the back) valacyclovir
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Epistaxis, Pain, Pyrexia
Clinical narrative: 11:30pm: fever, chills, teeth chattering, achy. Lasted through the AM. Around 1pm the next afternoon nosebleed began.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site mass, Injection site warmth
Clinical narrative: Still have a big lump at the injection site, still a little red and a little warm to touch
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Nausea, Pyrexia, Vomiting
Clinical narrative: 96 hours after shot- nausea, vomiting, diarrhea, fever (highest 102.0F)
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pain, Fatigue, Oropharyngeal pain, Tinnitus
Clinical narrative: EAR ACHES, TINNITUS, SORE THROAT (TINNITUS BEGAN AFTER SECOND SHOT); EAR ACHE BEGAN 20 DAYS AFTER SECOND SHOT; FATIGUE (NEED NAP IN AFTERNOON UNLIKE PRE-VACCINE);;BEGAN AFTER FIRST SHOT AND CONTINUES 20 DAYS POST SECOND SHOT
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Headache, Insomnia
Clinical narrative: Dizziness and weakness immediately upon standing up from the chair. I didn't think much of it at the time because I often get light-headed with needles. And the room was stuffy, alcohol scent. After the 15 minutes, I drove home. During the drive home I started to think I wanted to be in bed. I got home, was hungry, ate lunch, and went to bed. I got up around 5, still feeling weak but not tired. I went to bed again at my normal bed time but did not sleep well. In the morning I still felt weak, but was fine by early afternoon. Then the next day in the afternoon I got a pinpoint headache in the back right of my head. Also started feeling weak again. Today the headache is still there but not localized. Still feel weak.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Anal incontinence, Loss of consciousness
Clinical narrative: PT REPORTED SHE FELT LIKE SHE LOST CONSCIOUSNESS FOR A MOMENT AND LOST CONTROL OF HER BOWELS.  PATIENT VISIBLY SOILED HERSELF IMMEDIATELY FOLLOWING VACCINE ADMINISTRATION.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Nausea, Vital signs measurement, Vomiting
Clinical narrative: Patient reports feeling nauseous and lightheaded. Patient appears sweaty, pale, and is vomiting. Assisted patient in to wheelchair and wheeled him to recovery area. Assisted patient to gurney. Vital signs at 1507: BP 122/88, P 74, O2 98%. No known allergies. Provided patient with granola bar and water. After 25 minutes, patient reports feeling back to baseline.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Decreased appetite
Clinical narrative: Complete loss of appetite
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Arthralgia, Arthritis, Burning sensation, Disorientation
Clinical narrative: Immediate pain upon injection. Burning sensation down left arm. Within a few minutes dizziness/disorientation. 3/19/21 at 1 AM wake to joint pain. Any injury, i.e. broken bone, sprain, etc. ever had was now inflamed & painful. Awake for 2 days due to pain. Overall muscle weakness. Attempted to "carry on" except the worst symptom appeared, BRAIN FOG. Could not remember words that started with s, sc, sh, etc. Would lose my car in parking lots. Couldn't finish sentences. Saw primary care physician on 3/26/21. Ordered MRI w/o contrast on 4/14with no acute process or findings to report. Saw masseuse on 3/26/21 & she wanted to know, "Why are you joints hot?" Symptoms began to subside around 4/19/21.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Inflammation, Injection site pain, Insomnia
Clinical narrative: Immediate pain upon injection. Burning sensation down left arm. Within a few minutes dizziness/disorientation. 3/19/21 at 1 AM wake to joint pain. Any injury, i.e. broken bone, sprain, etc. ever had was now inflamed & painful. Awake for 2 days due to pain. Overall muscle weakness. Attempted to "carry on" except the worst symptom appeared, BRAIN FOG. Could not remember words that started with s, sc, sh, etc. Would lose my car in parking lots. Couldn't finish sentences. Saw primary care physician on 3/26/21. Ordered MRI w/o contrast on 4/14with no acute process or findings to report. Saw masseuse on 3/26/21 & she wanted to know, "Why are you joints hot?" Symptoms began to subside around 4/19/21.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Muscular weakness
Clinical narrative: Immediate pain upon injection. Burning sensation down left arm. Within a few minutes dizziness/disorientation. 3/19/21 at 1 AM wake to joint pain. Any injury, i.e. broken bone, sprain, etc. ever had was now inflamed & painful. Awake for 2 days due to pain. Overall muscle weakness. Attempted to "carry on" except the worst symptom appeared, BRAIN FOG. Could not remember words that started with s, sc, sh, etc. Would lose my car in parking lots. Couldn't finish sentences. Saw primary care physician on 3/26/21. Ordered MRI w/o contrast on 4/14with no acute process or findings to report. Saw masseuse on 3/26/21 & she wanted to know, "Why are you joints hot?" Symptoms began to subside around 4/19/21.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cough, Decreased appetite, Dysstasia, Influenza
Clinical narrative: I became ill one week after my vaccination. I started out with a scratchy throat and coughing (April19th to April 15th) . By the next day, I was week and couldn't get out of bed. It felt as if I had the flu. I lost my appetite as well for a brief period.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Throat irritation
Clinical narrative: I became ill one week after my vaccination. I started out with a scratchy throat and coughing (April19th to April 15th) . By the next day, I was week and couldn't get out of bed. It felt as if I had the flu. I lost my appetite as well for a brief period.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Nervousness
Clinical narrative: Patient is a 30 year old male A & O x4 with chief complaint of dizziness.  10 minutes after receiving the vaccine patient stated that he felt shaky and dizzy.  Patient placed in a seated position, vital signs obtained and EMS called.  Vital signs stable.  Negative medical history, allergies or medications.  Patient stated that the symptoms resolved and he felt much better.  Negative chest pain, SOB, weakness, dizziness, numbness, tingling, with no signs of stroke or allergic reaction.  Patient denied any other complaint.  Fire Dept Medic Engine and ambulance  arrived on scene and assumed patient care.  Patient signed AMA and went home via private vehicle.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Moderna COVID-19 Vaccine EUA was received mid afternoon on Day 0. I woke the next day around 8AM (as personally typical) with significant dizziness. After an additional hour of rest and following a few anti-vertigo maneuver attempts, I was able to rise. More than three weeks later, I still experience moderate dizziness when waking and often if tilting my head back more than 45 degrees in the normal course of the day. No medical treatment has bee prescribed.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pain in jaw, Paraesthesia, Paraesthesia oral, Swelling face
Clinical narrative: Symptoms began with a tingling sensation in the back corner of the mouth, which spread to the rest of the cheek. Pain similar to the tension of muscles was felt upon touching the left jaw and neck area. Soon it was noticed that left cheek/jaw area was swollen.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: PATIENT RECIEVED FIRST DOSE PFIZER AFTER RECEIVING MODERNA.  HEALTH RECORD INDICATES PATIENT RECEIVED FIRST AND SECOND DOSES OF MODERNA (2/15 & 3/12) HOWEVER PATIENT STATES THAT SHE ONLY RECIEVED ONE DOSE.  SHE MARKED "NO" WHEN ASKED IF SHE EVER RECEIVED A COVID19 VACCINE. SHE ALSO RESPONDED NO WHEN VERBALLY ASKED PRIOR TO VACCINE BEING ADMINSTERED.  I CALLED AND EMAILED THE PATIENT AND RECIEVED A TEXT RESPONSE.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue
Clinical narrative: Fatigue for about 24 hours. One week later awoke at 3am with dizziness. Almost a vertigo type feeling except there was no nausea.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Syringe issue, Underdose
Clinical narrative: Certified Technician administered the vaccine to patient in the administration cubicle in front of the pharmacy.  As he was administering the vaccine, some of the vaccine leaked out/sprayed out from the point at which the needle is attached to the syringe. Most of the vaccine was administered. The syringe used was a 1ml VanishPoint syringe, it comes with the needle already attached to it, the needle is non-removable but retractable. We pulled the rest of the syringes from that box and hazwasted them as a precaution/prevention for this happening again. Per CDC, since more than half of the dose was administered, we did not repeat the dose.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Anticoagulant therapy, Bacteraemia, Cerebrovascular accident, Culture positive
Clinical narrative: Pt previously healthy other than controlled HTN received her 2nd moderna vaccine on 4/15- hospitalized on 4/18 (sxs starting 4/17) with a large L thalamic cryptogenic CVA/ sepsis/acute bacteremia/encephalopathy/lactic acidosis. carotid dopplers neg for acute pathology, echo normal and neg bubble study. Pt now with short term memory impairement, flat affect, and amnesia surrounding events of admission and hospitalization. She is a  Lifelong non smoker. No past hx of atrial fibrillation- no atrial fibrillation noted on tele. PT/OT/speech path seen. ldl 108- started on lipitor, started on aspirin. aic 6.0, Gram negative bacteremia/e coli in cx- unclear GI source. Possibly diverticular.  MRCP showed nothing acute. Home with a few more days of augmentin per ID dc home with home health services 4/22
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram normal, Encephalopathy, Escherichia bacteraemia, Flat affect, Glycosylated haemoglobin
Clinical narrative: Pt previously healthy other than controlled HTN received her 2nd moderna vaccine on 4/15- hospitalized on 4/18 (sxs starting 4/17) with a large L thalamic cryptogenic CVA/ sepsis/acute bacteremia/encephalopathy/lactic acidosis. carotid dopplers neg for acute pathology, echo normal and neg bubble study. Pt now with short term memory impairement, flat affect, and amnesia surrounding events of admission and hospitalization. She is a  Lifelong non smoker. No past hx of atrial fibrillation- no atrial fibrillation noted on tele. PT/OT/speech path seen. ldl 108- started on lipitor, started on aspirin. aic 6.0, Gram negative bacteremia/e coli in cx- unclear GI source. Possibly diverticular.  MRCP showed nothing acute. Home with a few more days of augmentin per ID dc home with home health services 4/22
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Lactic acidosis, Low density lipoprotein normal, Magnetic resonance cholangiopancreatography, Memory impairment, Sepsis
Clinical narrative: Pt previously healthy other than controlled HTN received her 2nd moderna vaccine on 4/15- hospitalized on 4/18 (sxs starting 4/17) with a large L thalamic cryptogenic CVA/ sepsis/acute bacteremia/encephalopathy/lactic acidosis. carotid dopplers neg for acute pathology, echo normal and neg bubble study. Pt now with short term memory impairement, flat affect, and amnesia surrounding events of admission and hospitalization. She is a  Lifelong non smoker. No past hx of atrial fibrillation- no atrial fibrillation noted on tele. PT/OT/speech path seen. ldl 108- started on lipitor, started on aspirin. aic 6.0, Gram negative bacteremia/e coli in cx- unclear GI source. Possibly diverticular.  MRCP showed nothing acute. Home with a few more days of augmentin per ID dc home with home health services 4/22
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Thalamic infarction, Ultrasound Doppler normal
Clinical narrative: Pt previously healthy other than controlled HTN received her 2nd moderna vaccine on 4/15- hospitalized on 4/18 (sxs starting 4/17) with a large L thalamic cryptogenic CVA/ sepsis/acute bacteremia/encephalopathy/lactic acidosis. carotid dopplers neg for acute pathology, echo normal and neg bubble study. Pt now with short term memory impairement, flat affect, and amnesia surrounding events of admission and hospitalization. She is a  Lifelong non smoker. No past hx of atrial fibrillation- no atrial fibrillation noted on tele. PT/OT/speech path seen. ldl 108- started on lipitor, started on aspirin. aic 6.0, Gram negative bacteremia/e coli in cx- unclear GI source. Possibly diverticular.  MRCP showed nothing acute. Home with a few more days of augmentin per ID dc home with home health services 4/22
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot
Clinical narrative: The patient came in for his shot. Once he received his shot, he sat down on the chair for observation. All of a sudden he got up and started sitting down on the floor asking to lay down. He felt dizzy, faint. He kept saying faint. He also was feeling hot. The patient drank water and was feeling better. He wasn't always answering right away. He laid there for less than 15 minutes and then was able to get up and sit on the chair for another 5-10 minutes before he left the store. He called his wife to let her know. The store manager was with the patient the whole time.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Chest discomfort, Chest pain, Pain in jaw, Painful respiration
Clinical narrative: Sharp tight pain in the middle of my chest with right jaw burning radiating from chin to right ear. First the nerve pain started about 1-2 mins after injection and then immediately after the nerve burning in my face was the chest tightness and sharp pain. Like it hurt to take a deep breath as well. The burning pain in my right side of my face passed after 20-30 mins and then the chest tightness and sharp pain passed a little longer about an hour.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Computerised tomogram, Dyskinesia, Dysphemia, Electrocardiogram
Clinical narrative: At 10 hours after the vaccine, I started to chatter my teeth uncontrollably, stuttering of speech, involuntary movements of my limbs and passing out. This lasted for 4 hours.  I was transferred to the hospital via ambulance. Vitals were all stable and reactions continued. Once treated with Ativan I was released and remained in bed for 4 days from pure exhaustion.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Loss of consciousness
Clinical narrative: At 10 hours after the vaccine, I started to chatter my teeth uncontrollably, stuttering of speech, involuntary movements of my limbs and passing out. This lasted for 4 hours.  I was transferred to the hospital via ambulance. Vitals were all stable and reactions continued. Once treated with Ativan I was released and remained in bed for 4 days from pure exhaustion.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Photopsia
Clinical narrative: Dizziness and flashes
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Axillary pain, Fatigue, Pain
Clinical narrative: fatigue, body ache, fever (101 F); pain/sensitivity in left arm pit, left shoulder
Age: 22.0
Sex: F
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: Client given normal saline instead of Pfizer vaccine. Client re-vaccinated 4/19/2021 with Pfizer EW0162 IM right deltoid.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspepsia, Pain
Clinical narrative: J&J COVID-19 Vaccine EUA.  I experienced severe heartburn for 12 days following the Janssen vaccination.  Heartburn was painful and continuous but exaggerated by certain foods.  Normally I never have heartburn.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Family came into the COVID Vaccination clinic at because its been 4 weeks since his first dose - which he got Moderna.  Spoke with Dr. and he approved getting the second dose as per CDC Administration and Errors COVID19 guidance report
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Throat irritation
Clinical narrative: about ten minutes after injection was given Patient started to complain of a sore and scratchy throat. Brought back to med obvs at 11:36 and was alert and stable at that point in time. Initial VS were: HR: 48, BP: 117/69, SPO2: 99. Patient remained in med obvs with improvement in throat sensation, was able to tolerate drinking water, denied pain or swelling in throat just complained of it feeling dry. At 12:30 patient was stable and felt well enough to go home.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site rash
Clinical narrative: Eight days after receiving the Moderna COVID-19 vaccine, I developed a rash at the injection site, approximately 3 inches by 2 inches in size, accompanied by soreness. I took Benadryl, which reduced the rash. It went away on its own about three days later.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Colitis, Colonoscopy, Computerised tomogram, Feeling hot
Clinical narrative: All over pain, neasous, felt on fire, migraine, colitis
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Nausea, Pain
Clinical narrative: All over pain, neasous, felt on fire, migraine, colitis
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Felt nauseous within 5 minutes after receiving Moderna vaccine. Patient started feeling better after drinking some cold water and was stable approximately 10 minutes after. Patient was under pharmacist's observation for 30 minutes.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Underage for vaccination
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature increased, Chills, Fatigue, Headache
Clinical narrative: 4/10/21 - I took 4 low dose Bayer aspirin about 11:45 AM on 4/10/21.  I received the Janseen COVID19 vaccine about 12:45 PM on 4/10/21.  I cleared the 15 minute monitor period at 1:05 PM.  About 8:00 PM on 4/10/21 I felt slight chills and left wrist was achy.  About 9:00 PM on 4/10/21 chills persisted and I felt fatigued.  About 9:45 PM on 4/10/21 I felt more body aches and took 4 low dose Bayer aspirin at 81 mg.  About 10:15 PM I had a temp of 100.4 F and body chills.  4/11/21 - About 2:35 AM I had a body temp of 101.6 F with body chills and night sweats.  About 11:25 AM body temp decreased to 99.9 F and had a headache.  I took another dose of 4 low dose Bayer aspirin.  I slept a total of about 3 hours from 10 PM on 4/10 to 10 AM on 4/11.  About 9:00 PM body temp was 99.6 F.  4/12/21 - About 8:30 AM body temp was 97.9 and slept more than 5 hours with light to moderate night sweats.  Experienced injection site pain from 4/10/21 to 4/13/21.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Insomnia, Night sweats, Pain
Clinical narrative: 4/10/21 - I took 4 low dose Bayer aspirin about 11:45 AM on 4/10/21.  I received the Janseen COVID19 vaccine about 12:45 PM on 4/10/21.  I cleared the 15 minute monitor period at 1:05 PM.  About 8:00 PM on 4/10/21 I felt slight chills and left wrist was achy.  About 9:00 PM on 4/10/21 chills persisted and I felt fatigued.  About 9:45 PM on 4/10/21 I felt more body aches and took 4 low dose Bayer aspirin at 81 mg.  About 10:15 PM I had a temp of 100.4 F and body chills.  4/11/21 - About 2:35 AM I had a body temp of 101.6 F with body chills and night sweats.  About 11:25 AM body temp decreased to 99.9 F and had a headache.  I took another dose of 4 low dose Bayer aspirin.  I slept a total of about 3 hours from 10 PM on 4/10 to 10 AM on 4/11.  About 9:00 PM body temp was 99.6 F.  4/12/21 - About 8:30 AM body temp was 97.9 and slept more than 5 hours with light to moderate night sweats.  Experienced injection site pain from 4/10/21 to 4/13/21.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Angioedema, Erythema, Induration, Skin warm
Clinical narrative: Giant hive like lesion  mid arm 10x10 , warm with induration and also some erythema extending dorsally and distally occurring 8 days after administration. Initially no reaction noted by patient. The lesion began 2-3 cm distal to expected area of immunization on the 14th ( a standard deltoid IM immunization). Patient awoke with the lesion which worsened somewhat through the day and presented to the urgent care here after contacting the pharmacy and her PCP
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site nodule, Injection site pain, Injection site pruritus
Clinical narrative: approximately a week after vaccine, small raised area on arm at injection site. very slightly red color, feels like a hard lump/knot in muscle. tender to touch but not painful. mildly itchy (enough to notice, not unbearable or overwhelming)
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling
Clinical narrative: approximately a week after vaccine, small raised area on arm at injection site. very slightly red color, feels like a hard lump/knot in muscle. tender to touch but not painful. mildly itchy (enough to notice, not unbearable or overwhelming)
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Feeling hot, Hyperhidrosis, Nausea, Thirst
Clinical narrative: Pt report feeling clammy and "vision going like about to faint about 2 to 3 minutes after the shot. Pharmacist went over to check and found that patient is sweating. Patient also complained about nausea, hot and thirsty. Pharmacist did not find any rash or swelling on the face. Patient drank some water and did some slow, deep breathing. He reported feeling better after about 10 to 15 minutes. Pharmacy staffs called 911 when pharmacist first checking on the patient. EMR arrived in about 10 to 15 minutes and got blood pressure 125/76 heart rate 60 to 64. Patient said that he feels okay and EMR that he does not need to go to hospital. Patient agreed to check with MD and let pharmacy follow up next day.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: Pt report feeling clammy and "vision going like about to faint about 2 to 3 minutes after the shot. Pharmacist went over to check and found that patient is sweating. Patient also complained about nausea, hot and thirsty. Pharmacist did not find any rash or swelling on the face. Patient drank some water and did some slow, deep breathing. He reported feeling better after about 10 to 15 minutes. Pharmacy staffs called 911 when pharmacist first checking on the patient. EMR arrived in about 10 to 15 minutes and got blood pressure 125/76 heart rate 60 to 64. Patient said that he feels okay and EMR that he does not need to go to hospital. Patient agreed to check with MD and let pharmacy follow up next day.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Tenderness
Clinical narrative: Red, raised, hard, and tender lump on arm just below injection site. Not warm to touch.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Fatigue
Clinical narrative: Chills, temp, fatigue
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site nodule, Injection site warmth
Clinical narrative: Palpable, 2 inch diameter knot, warm to touch, appear on same arm as injection site 6 days after first dose of vaccine.  knot is approximately 3.5 inches below injection site.  No other side effects from vaccination until now.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: PATIENT RECIEVED FIRST DOSE P AFTER RECEIVING M.  HEALTH RECORD INDICATES PATIENT RECEIVED FIRST AND SECOND DOSES OF COVID (2/15 & 3/12) HOWEVER PATIENT WIFE STATES THAT HE ONLY RECIEVED ONE DOSE.  HE MARKED "NO" WHEN ASKED IF HE EVER RECEIVED A COVID19 VACCINE. HE ALSO RESPONDED NO WHEN VERBALLY ASKED PRIOR TO VACCINE BEING ADMINSTERED.  I CALLED AND EMAILED THE PATIENTS WIFE SENT A TEXT RESPONSE.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Sensory disturbance
Clinical narrative: Pins and needles sensation through out my body, mainly in my feet
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Feeling hot, Pruritus, Pyrexia, Swelling
Clinical narrative: Redness, itching,  swelling, feels feverish and hot.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Mass, Tenderness
Clinical narrative: Growth of mass on L trunk, tender.  About 3x5 cm.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Tremor
Clinical narrative: Patient complained of dizziness and lightheadedness about 10 minutes after receiving vaccine, had visible tremors. Requested a cool cloth, was feeling hot. No complaints of problems breathing or swelling. No 'racing heart.' No EpiPen given. EMS arrived and took her to local ER. Patient was conscious and oriented entire time.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Nausea, Nervousness
Clinical narrative: Patient received the vaccine and felt fine. Had indicated no hx of fainting or dizziness, but felt nervous. Patient thought it wasn't as bad afterwards and indicated they felt fine. Patient had a seat in front of the pharmacy, started to feel dizzy but didn't tell anyone. Put her head between her knees, that didn't help and she figured she'd splash some water on her face, went to the bathroom and felt like she maybe needed to throw up, knelt over the toilet and next thing she knew she woke up on the floor.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysphonia, Dyspnoea, Wheezing
Clinical narrative: Pt had difficulty breathing, wheezing, shortness of breath, worsening voice hoarseness decrease in O2 saturation from 99% to 94%. Pt given 2 IM Epi injections, 25 mg oral Benadryl before being transferred into EMS care. They administered an additional 25mg IM Benadryl, placed pt on oxygen and transferred her to the E.D.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaphylactic reaction, Full blood count, Metabolic function test, Tryptase
Clinical narrative: Pt had difficulty breathing, wheezing, shortness of breath, worsening voice hoarseness decrease in O2 saturation from 99% to 94%. Pt given 2 IM Epi injections, 25 mg oral Benadryl before being transferred into EMS care. They administered an additional 25mg IM Benadryl, placed pt on oxygen and transferred her to the E.D.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysphonia, Dyspnoea, Wheezing
Clinical narrative: Anaphlyaxis
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaphylactic reaction, Full blood count, Metabolic function test, Tryptase
Clinical narrative: Anaphlyaxis
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Breast mass, Chest pain, Computerised tomogram thorax normal, Fibrin D dimer increased, Full blood count normal
Clinical narrative: Pt recived her 2nd pfizer covid 19 vaccine on march  28th.   hospitalized 3 weeks later with chest pain and possible new breast lesion and non specific lung nodules and elevated d dimer.  -cardiac cause ruled out - seen by cardiology -Pt with tender pea sized nodule to 9 o clock position of left breast which reproduces her pain. ordered breast u/s of the area asap as out pt  CT scan chest showing Non specific Multiple bilateral lung micro nodules, none measuring larger than 4 mm.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary mass, Troponin normal
Clinical narrative: Pt recived her 2nd pfizer covid 19 vaccine on march  28th.   hospitalized 3 weeks later with chest pain and possible new breast lesion and non specific lung nodules and elevated d dimer.  -cardiac cause ruled out - seen by cardiology -Pt with tender pea sized nodule to 9 o clock position of left breast which reproduces her pain. ordered breast u/s of the area asap as out pt  CT scan chest showing Non specific Multiple bilateral lung micro nodules, none measuring larger than 4 mm.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Seizure
Clinical narrative: Patient developed a headache & then had a seizure. Called 911, patient came out of seizure while paramedics were with him and was taken to the hospical
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal X-ray, Blood test, Computerised tomogram, Computerised tomogram abdomen, Dyspnoea
Clinical narrative: My tongue began to swell around 4pm.  I took a Benadryl.  The swelling did not resume until 8pm.  I took a second Benadryl around 8:30 pm.  By 9pm the swelling began to impede my breathing.  Sought medical attention at hospital at 9:30pm where there was no ED.   A security guard called 911 and paramedics transported me to a second Hospital ED arrived approximately 10-10:15pm.  ED triage staff came to talk to me I sat upright on the gurney, vomited and my airways closed.  I managed to say "I can't breathe!" and remember nothing until 36-48 hours later during sleep/wake cycle in ICU.   I had to be intubated nasally upon admission.  **See more on Continuation page** I had to be intubated nasally upon admission.  Doctors said my airway was almost completely blocked with only a sharpie pen sized passage to insert the tube.  I am still recovering from my IUC stay.  Regaining endurance, strength, stamina as well as vocal range and strength.