chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dizziness, Pyrexia
Clinical narrative: That night, I started to feel very faint. I developed a small cough and a fever. I decided to take Nyquil and went to sleep. I had a virtual visit with my doctor and she suggested that I continue with the Nyquil 2x a day.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Rash
Clinical narrative: R21 - Rash N17.9 - AKI (acute kidney injury)  Z86.79 - H/O CHF
Age: 17.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Moderna vaccine given to 17 year old .   I asked nurse if this was approved has my daughter is 17 and nurse stated yes Moderna is approved and that they have been giving to other teens
Age: 17.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Moderna vaccine given to 17 year old .   I asked nurse if this was approved has my daughter is 17 and nurse stated yes Moderna is approved and that they have been giving to other teens
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Audiogram, Balance disorder, Dizziness, Hypoacusis, Middle ear effusion
Clinical narrative: Within 5 minutes of receiving the vaccine, she noticed a gradual decreasing of hearing in her left ear.  It sounded like when you have an ear infection when you cannot hear, without any popping or changes by positioning. No pain, but imbalance/dizziness which sent her to a clinic. She feels that she lost about 80-85% of her hearing on the left side. She was told that she had fluid in her ear - to go home take a decongestant and nasal spray. At 3 days, there was no improvement, so she went to her PCP. They examined her ear and did not see any fluid, but referred her to an ENT MD. As it would have taken more time to get in to see an ENT, she made an appointment with an audiologist. She saw the audiologist on 3/17/2021. Her hearing had returned by this time. The audiologist said she had seen several patients who had experienced hearing loss and about 50% had not had their hearing return. This client's hearing tested above average at this time.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypersomnia, Pain in extremity, Pyrexia
Clinical narrative: I woke up feeling like someone punched me hard in the arm, my entire arm hurt from the shoulder to my elbow and was even worse to the touch.  The next day I started running a fever and slept most of the day.  By day 2 I had a headache only.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fall, Fatigue, Gait inability, Headache
Clinical narrative: 18 hours after the 2nd Covid19 Pfizer vaccine, I began to feel lightheaded with a headache. 15 minutes later I became extremely fatigued and felt like I was going to pass out. I stumbled down the hallway to a family member for help and collapsed. I could not stand or walk and could barely talk. The family member helped me to a vehicle and drove me to urgent care. I had to be taken inside by wheelchair as I could not walk, could barely move. At the urgent care facility they took my vitals and all were normal. Oxygen at 100%, BP  was a bit high. They said this was a "normal" reaction to the Covid 19 vaccine. I had read about extreme fatigue....but not to the point of not being able to even stand up. I was sent home and slept almost non-stop for the next 48 hours. The fatigue lasted another 4 days after that.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Presyncope
Clinical narrative: 18 hours after the 2nd Covid19 Pfizer vaccine, I began to feel lightheaded with a headache. 15 minutes later I became extremely fatigued and felt like I was going to pass out. I stumbled down the hallway to a family member for help and collapsed. I could not stand or walk and could barely talk. The family member helped me to a vehicle and drove me to urgent care. I had to be taken inside by wheelchair as I could not walk, could barely move. At the urgent care facility they took my vitals and all were normal. Oxygen at 100%, BP  was a bit high. They said this was a "normal" reaction to the Covid 19 vaccine. I had read about extreme fatigue....but not to the point of not being able to even stand up. I was sent home and slept almost non-stop for the next 48 hours. The fatigue lasted another 4 days after that.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Gave vaccination outside of recommended time interval was only 3 weeks instead of 2 months
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Bone pain, Chills, Fatigue, Injection site pain, Injection site pruritus
Clinical narrative: 12 hours after 2nd Moderna shot: Arm pain 24 hours after 2nd Moderna shot: Fever 101, chills, nausea, aches all over, extremely tired 36 hours after 2nd Moderna shot: Intense arm pain (Worst pain I've ever felt...felt like a fibromyalgia flare up but only in right arm. It went from my fingertips to my shoulder and lasted about an hour.) 48 hours after 2nd Moderna shot: Tiny rash at injection site, itchy, swollen, hurts. Lymph node near collar bone inflamed. Day 3 and 4: Intese pain with my collar bone on right side. Experienced swollen lymph nodes from collar bone all the way up behind my right ear.  It was hard to hold my head upright. Day 5: Back to normal.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Injection site swelling, Lymphadenopathy, Nausea, Pain
Clinical narrative: 12 hours after 2nd Moderna shot: Arm pain 24 hours after 2nd Moderna shot: Fever 101, chills, nausea, aches all over, extremely tired 36 hours after 2nd Moderna shot: Intense arm pain (Worst pain I've ever felt...felt like a fibromyalgia flare up but only in right arm. It went from my fingertips to my shoulder and lasted about an hour.) 48 hours after 2nd Moderna shot: Tiny rash at injection site, itchy, swollen, hurts. Lymph node near collar bone inflamed. Day 3 and 4: Intese pain with my collar bone on right side. Experienced swollen lymph nodes from collar bone all the way up behind my right ear.  It was hard to hold my head upright. Day 5: Back to normal.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Posture abnormal, Pyrexia
Clinical narrative: 12 hours after 2nd Moderna shot: Arm pain 24 hours after 2nd Moderna shot: Fever 101, chills, nausea, aches all over, extremely tired 36 hours after 2nd Moderna shot: Intense arm pain (Worst pain I've ever felt...felt like a fibromyalgia flare up but only in right arm. It went from my fingertips to my shoulder and lasted about an hour.) 48 hours after 2nd Moderna shot: Tiny rash at injection site, itchy, swollen, hurts. Lymph node near collar bone inflamed. Day 3 and 4: Intese pain with my collar bone on right side. Experienced swollen lymph nodes from collar bone all the way up behind my right ear.  It was hard to hold my head upright. Day 5: Back to normal.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure
Clinical narrative: Acute respiratory failure with hypoxia
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: POSITIVE COVID 19 TEST 2/11/2021
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Feeling abnormal
Clinical narrative: Patient reports feeling "funny" and notes this is similar to what she feels with her anxiety.  After lying down and relaxing, patient reports relief of symptoms by 10:30am
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: Severe joint pain knee
Age: 18.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Menstrual disorder, Mood altered, Muscle spasms
Clinical narrative: Severe cramps, moodiness and Menstruated more frequently (was on a 28 day cycle prior to vaccination): 3/17/21 6 days, 4/4/21 6 days, 4/17/21 6 days, 5/2/21 still bleeding.   Long term effects still unknown!!
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Abdominal wall haematoma, Activated partial thromboplastin time normal, Alanine aminotransferase increased, Arrhythmia
Clinical narrative: 80 yo woman with hx of HTN, anxiety dneies any other conditions, presented to ER due to epigastric pain, vomiting x1. In Er presented with elevated heart rate, EKG with sinus tachycardia, regular rythm. CXR with COPD changes. There are bibasilar infiltrates suspicious for pneumonitis in the appropriate clinical setting. PAtient admitted to unit for further treatment and workup.  WBC  16.91 4/27/2021
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Aspartate aminotransferase increased, Asthenia, Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin normal
Clinical narrative: 80 yo woman with hx of HTN, anxiety dneies any other conditions, presented to ER due to epigastric pain, vomiting x1. In Er presented with elevated heart rate, EKG with sinus tachycardia, regular rythm. CXR with COPD changes. There are bibasilar infiltrates suspicious for pneumonitis in the appropriate clinical setting. PAtient admitted to unit for further treatment and workup.  WBC  16.91 4/27/2021
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Blood calcium decreased, Blood chloride normal, Blood creatinine increased, Blood glucose increased, Blood potassium normal
Clinical narrative: 80 yo woman with hx of HTN, anxiety dneies any other conditions, presented to ER due to epigastric pain, vomiting x1. In Er presented with elevated heart rate, EKG with sinus tachycardia, regular rythm. CXR with COPD changes. There are bibasilar infiltrates suspicious for pneumonitis in the appropriate clinical setting. PAtient admitted to unit for further treatment and workup.  WBC  16.91 4/27/2021
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Blood sodium normal, Blood urea increased, Carbon dioxide decreased, Chest X-ray abnormal, Chronic obstructive pulmonary disease
Clinical narrative: 80 yo woman with hx of HTN, anxiety dneies any other conditions, presented to ER due to epigastric pain, vomiting x1. In Er presented with elevated heart rate, EKG with sinus tachycardia, regular rythm. CXR with COPD changes. There are bibasilar infiltrates suspicious for pneumonitis in the appropriate clinical setting. PAtient admitted to unit for further treatment and workup.  WBC  16.91 4/27/2021
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Coagulation test, Computerised tomogram, Deep vein thrombosis, Dyspnoea, Electrocardiogram abnormal
Clinical narrative: 80 yo woman with hx of HTN, anxiety dneies any other conditions, presented to ER due to epigastric pain, vomiting x1. In Er presented with elevated heart rate, EKG with sinus tachycardia, regular rythm. CXR with COPD changes. There are bibasilar infiltrates suspicious for pneumonitis in the appropriate clinical setting. PAtient admitted to unit for further treatment and workup.  WBC  16.91 4/27/2021
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Hypotension, Hypovolaemic shock, International normalised ratio increased, Lung infiltration
Clinical narrative: 80 yo woman with hx of HTN, anxiety dneies any other conditions, presented to ER due to epigastric pain, vomiting x1. In Er presented with elevated heart rate, EKG with sinus tachycardia, regular rythm. CXR with COPD changes. There are bibasilar infiltrates suspicious for pneumonitis in the appropriate clinical setting. PAtient admitted to unit for further treatment and workup.  WBC  16.91 4/27/2021
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic acidosis, Metabolic function test, Pneumonitis, Protein total normal, Prothrombin time prolonged
Clinical narrative: 80 yo woman with hx of HTN, anxiety dneies any other conditions, presented to ER due to epigastric pain, vomiting x1. In Er presented with elevated heart rate, EKG with sinus tachycardia, regular rythm. CXR with COPD changes. There are bibasilar infiltrates suspicious for pneumonitis in the appropriate clinical setting. PAtient admitted to unit for further treatment and workup.  WBC  16.91 4/27/2021
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Retroperitoneal haemorrhage, SARS-CoV-2 test negative, Sinus tachycardia, Troponin normal, Vomiting
Clinical narrative: 80 yo woman with hx of HTN, anxiety dneies any other conditions, presented to ER due to epigastric pain, vomiting x1. In Er presented with elevated heart rate, EKG with sinus tachycardia, regular rythm. CXR with COPD changes. There are bibasilar infiltrates suspicious for pneumonitis in the appropriate clinical setting. PAtient admitted to unit for further treatment and workup.  WBC  16.91 4/27/2021
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count increased
Clinical narrative: 80 yo woman with hx of HTN, anxiety dneies any other conditions, presented to ER due to epigastric pain, vomiting x1. In Er presented with elevated heart rate, EKG with sinus tachycardia, regular rythm. CXR with COPD changes. There are bibasilar infiltrates suspicious for pneumonitis in the appropriate clinical setting. PAtient admitted to unit for further treatment and workup.  WBC  16.91 4/27/2021
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Metabolic function test normal, Positron emission tomogram normal, Ventricular tachycardia
Clinical narrative: ventricular tachycardia: A ventricular high rate detection on 2/12/2021 at 2259 hrs. lasting 6 seconds and 13 beats with max V rate 213 bpm; EGM appeared to show sudden onset and conclusion of V>A on remote device check 2/19/2021.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac arrest, Dyspnoea, Echocardiogram, Endotracheal intubation, Respiratory arrest
Clinical narrative: After taking normal  medications prior to bed became acutely short of breath, mother states patients face turned blue then respiratory arrested followed by cardiac arrest. CPR was performed for approximately 10 minutes before pulse returned.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Skin discolouration
Clinical narrative: After taking normal  medications prior to bed became acutely short of breath, mother states patients face turned blue then respiratory arrested followed by cardiac arrest. CPR was performed for approximately 10 minutes before pulse returned.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Cough
Clinical narrative: Pt presented to ED w/N/V, coughing, headache, fevers, fatigue x 1 week and inability to keep PO intake down. Started developing symptoms on 4/16, tested negative for COVID on 4/19.  Was found to be COVID positive despite getting Pfizer vaccines (3/11/21 & 4/1/2021).  Was admitted for additional management of acute hypoxic respiratory failure due to COVID-19 pneumonia and N/V/D with electrolyte imbalances. Treated w/remdesivir and dexamethasone.  Her N/V and electrolyte imbalances improved w/IVFs and zofran. Was discharged on 4/28 w/follow-up in 5-7 days.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Electrolyte imbalance, Fatigue, Headache, Hypophagia, Lung opacity
Clinical narrative: Pt presented to ED w/N/V, coughing, headache, fevers, fatigue x 1 week and inability to keep PO intake down. Started developing symptoms on 4/16, tested negative for COVID on 4/19.  Was found to be COVID positive despite getting Pfizer vaccines (3/11/21 & 4/1/2021).  Was admitted for additional management of acute hypoxic respiratory failure due to COVID-19 pneumonia and N/V/D with electrolyte imbalances. Treated w/remdesivir and dexamethasone.  Her N/V and electrolyte imbalances improved w/IVFs and zofran. Was discharged on 4/28 w/follow-up in 5-7 days.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: Pt presented to ED w/N/V, coughing, headache, fevers, fatigue x 1 week and inability to keep PO intake down. Started developing symptoms on 4/16, tested negative for COVID on 4/19.  Was found to be COVID positive despite getting Pfizer vaccines (3/11/21 & 4/1/2021).  Was admitted for additional management of acute hypoxic respiratory failure due to COVID-19 pneumonia and N/V/D with electrolyte imbalances. Treated w/remdesivir and dexamethasone.  Her N/V and electrolyte imbalances improved w/IVFs and zofran. Was discharged on 4/28 w/follow-up in 5-7 days.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pulmonary embolism
Clinical narrative: I26.99 - Pulmonary embolism (CMS/HCC)
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain in extremity, Pruritus, Urticaria
Clinical narrative: Pain in injection arm. Hives on arm as well as stomach. The hives were incredibly painful and itchy and lasted for over nearly two weeks.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Computerised tomogram head, Impaired work ability, Loss of personal independence in daily activities, Migraine
Clinical narrative: Janssen COVID-19 Vaccine EUA. 7 days after shot I have the worst headache/migraine. I have gone to Er for CT scans that show clear so no blog clots. I do not have a history of migraines.  I am unable to move. Work. Do anything. This is day 2. Idk how I'm to get thru this!!
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Carpal tunnel syndrome, Pain
Clinical narrative: Janssen COVID-19 Vaccine EUA. 7 days after shot I have the worst headache/migraine. I have gone to Er for CT scans that show clear so no blog clots. I do not have a history of migraines.  I am unable to move. Work. Do anything. This is day 2. Idk how I'm to get thru this!!
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Tachypnoea, Wheezing
Clinical narrative: Patient received her initial dose of Materna vaccine and approximately 10 minutes later began to have shortness of breath, wheezing and was brought down to the emergency department for evaluation.  Patient initially was fairly tachypneic, wheezing throughout all lung fields and was given duo nebs.  Patient improved significantly afterwards.  She did not show any other signs of allergic reaction including hives, urticaria, oral swelling, diarrhea.  She was discharged to follow-up with allergist as an outpatient.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Throat irritation, Wheezing
Clinical narrative: Patient received her initial dose of Materna vaccine and approximately 10 minutes later began to have shortness of breath, wheezing and was brought down to the emergency department for evaluation.  Patient initially was fairly tachypneic, wheezing throughout all lung fields and was given duo nebs.  Patient improved significantly afterwards.  She did not show any other signs of allergic reaction including hives, urticaria, oral swelling, diarrhea.  She was discharged to follow-up with allergist as an outpatient.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient had an ED visit and/or hospitalization within 6 weeks of receiving COVID vaccine.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Blood test normal, Cerebral disorder, Diarrhoea, Dyspnoea
Clinical narrative: This are sysmptoms that I feel after the vaccine and that continued and worsened but there is no way for me to assert that this is due to the vaccine, I can say that nothing else changed in my day to day other than getting the vaccine,and I am reporting in case other people had the same reactions.  I had brain cramps, my right leg got swollen and I have been on and off feeling pressure on the inside part of that knee, nausea, shortness of breath, and after six days of these I got very strong diarrhea and taquichardia that would not go away after 12 hours. So I ended up going to the emergency room. The overall diahrrea lasted for 10 days, and after eating a bland diet for two weeks I am finally seeing the cramps in my intestine go away.  Three weeks after the vaccine I finally started to feel normal again.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Joint swelling, Muscle spasms, Nausea
Clinical narrative: This are sysmptoms that I feel after the vaccine and that continued and worsened but there is no way for me to assert that this is due to the vaccine, I can say that nothing else changed in my day to day other than getting the vaccine,and I am reporting in case other people had the same reactions.  I had brain cramps, my right leg got swollen and I have been on and off feeling pressure on the inside part of that knee, nausea, shortness of breath, and after six days of these I got very strong diarrhea and taquichardia that would not go away after 12 hours. So I ended up going to the emergency room. The overall diahrrea lasted for 10 days, and after eating a bland diet for two weeks I am finally seeing the cramps in my intestine go away.  Three weeks after the vaccine I finally started to feel normal again.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram
Clinical narrative: 29 y/o White male approach staff member and c/o dizziness ten minutes after receiving  2nd dose of Pfizer vaccine. Staff member notified EMS and NP of the incident   PT was evaluated by on-site by  EMS and NP.  Patient stated he had not eaten since yesterday afternoon prior to coming in for vaccine. VS were taken and EKG initiated. Patient stated he was feeling better after eating a snack and asked to leave. Patient has a medical Hx of Anxiety D/O and PTSD. NP advised patient that since his vitals were still elevated and dizziness still present she recommended he be transported via rescue for further evaluation. Patient declined and was asked to sign an AMA form. Patient agreed and picked up from the facility by family member.
Age: 26.0
Sex: F
Vaccine: UNK
Symptoms: Menstrual disorder, Vaginal haemorrhage
Clinical narrative: The first dose to phfizer I had bleeding 6 days after. I have pcos and do not have periods... it?s been 3 years. Then 5 days after my second dose I start bleeding again.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebral infarction, Hemiparesis, Mental status changes, Speech disorder
Clinical narrative: R41.82 - Altered mental status R53.1 - Left-sided weakness R47.9 - Speech difficult to understand I63.9 - Cerebral infarction, unspecified
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Pain, Pain in extremity
Clinical narrative: EXTREME PAIN IN ARM PIT AND INSIDE UPPER ARM OF ARM THE VACCINE WAS ADMINISTERED THE DAY AFTER. ON 2ND DAY AFTER THE PAIN WAS CONSTANT WITH BURNING PAIN IF TOUCHED AT THE INSIDE UPPER ARM. ON 3RD DAY AFTER DULL ACHE WITH BURNING PAIN IF TOUCHED. ON 4TH DAY AFTER DULL ACHE WITH TIGHT FEELING IN ARMPIT AND INSIDE UPPER ARM AND STILL BURNING PAIN IF TOUCHED OR PRESSED ON. ON DAY I TOOK OTC TYLENOL DAY 2 TOOK TYLENOL, TYLENOL PM AND ICED AREA DAY 3 TOOK ALEVE AND HEATING PAD ON AREA DAY 4 TOOK ALEVE
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Induration, Injection site pruritus, Injection site swelling
Clinical narrative: Arm is red, raised, swollen, warm and itchy around injection site.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Computerised tomogram, Myocarditis, Troponin I increased
Clinical narrative: Chest pain, inpatient therapy 4-17-2021 to 4-19-2021. Discharge diagnosis of myo -pericarditis
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Transient ischaemic attack
Clinical narrative: Patient self-reported TIA approx. 40 mins after receiving 1st dose of moderna vaccine.  Pt states she did not go in for diagnostic imaging or medical care, but knows what a TIA "feels like," as she has had approx. 6 in her lifetime (self-reported, only 1 TIA found on her medical record).
Age: 32.0
Sex: U
Vaccine: COVID19
Symptoms: Anxiety, Chills, Feeling hot
Clinical narrative: +Chills  +Warm  +Feeling anxious
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Fatigue, Hyperhidrosis, Lethargy, Refusal of treatment by patient
Clinical narrative: On 4/30/2021 @1423 DOB 7/24/1954 received his first dose of the Pfizer Vaccine Lot Number EW0173 Expiration Date 5/2/2021 to Left arm. Per , RN she administered the vaccine and the patient and his wife were laughing and joking and the pt walked over to the observation area in no apparent signs of distress. 1430- Pt was sitting in observation area with his wife and him and his wife signaled to EMT's for help. Per nurse, EMT pt was diaphoretic, complaining of being tired, rapid increasing in lethargy, and frequent yawning, vitals were SpO2 97% @RA, 108/60 BP, 90 pulse, A&O to person and place. Per pt's wife pt doesn't have a history of impaired memory. Lead Nurse and  Co-lead nurse instructed EMT to call 911. 1438- Pt continues to decline as evidenced by SpO2 96% @ RA, pulse-47, BP 90/unable to assess, A&Ox1 to person. Pt's wife stated ?he's diabetic and I don't think he has eaten much?.1440- Co lead nurse assisted pt with oral glucose gel. 1447- Paramedics arrive and assess pt. Pt stated ?I feel much better now that I had the gel?I didn't remember anything that happened. I think I just need to eat?. Per paramedics VS were SpO2 96% @ RA, Pulse 77, BP127/82, Pt A&Ox3, no longer sweating, lethargy resolved, RBS via finger stick 144mg/dL. Paramedics instructed pt that a hospital visit is warranted and pt refused. Paramedics instructed pt to finish the oral glucose gel and he did. Pt was observed by paramedics and paramedics educated pt that a ER visit is warranted and pt refused again. Paramedics gave AMA form and pt signed the form. Pt was educated by Lead Nurse, Co-Lead Nurse and Paramedics that he could not drive home. Pt's nephew came to a lady with his wife, who is also a nurse. They said they would drive the pt to their house and follow up with PCP. Final vital signs: SpO2 96% @ RA, Pulse -75, BP 128/82, Temp 97.6, A&Ox3, pt calm and stable Negative for signs and symptoms of distress. Pt and family were instructed when to seek emergency intervention, all parties verbalized 100% understanding. Pt left ambulatory @ 1515.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Yawning
Clinical narrative: On 4/30/2021 @1423 DOB 7/24/1954 received his first dose of the Pfizer Vaccine Lot Number EW0173 Expiration Date 5/2/2021 to Left arm. Per , RN she administered the vaccine and the patient and his wife were laughing and joking and the pt walked over to the observation area in no apparent signs of distress. 1430- Pt was sitting in observation area with his wife and him and his wife signaled to EMT's for help. Per nurse, EMT pt was diaphoretic, complaining of being tired, rapid increasing in lethargy, and frequent yawning, vitals were SpO2 97% @RA, 108/60 BP, 90 pulse, A&O to person and place. Per pt's wife pt doesn't have a history of impaired memory. Lead Nurse and  Co-lead nurse instructed EMT to call 911. 1438- Pt continues to decline as evidenced by SpO2 96% @ RA, pulse-47, BP 90/unable to assess, A&Ox1 to person. Pt's wife stated ?he's diabetic and I don't think he has eaten much?.1440- Co lead nurse assisted pt with oral glucose gel. 1447- Paramedics arrive and assess pt. Pt stated ?I feel much better now that I had the gel?I didn't remember anything that happened. I think I just need to eat?. Per paramedics VS were SpO2 96% @ RA, Pulse 77, BP127/82, Pt A&Ox3, no longer sweating, lethargy resolved, RBS via finger stick 144mg/dL. Paramedics instructed pt that a hospital visit is warranted and pt refused. Paramedics instructed pt to finish the oral glucose gel and he did. Pt was observed by paramedics and paramedics educated pt that a ER visit is warranted and pt refused again. Paramedics gave AMA form and pt signed the form. Pt was educated by Lead Nurse, Co-Lead Nurse and Paramedics that he could not drive home. Pt's nephew came to a lady with his wife, who is also a nurse. They said they would drive the pt to their house and follow up with PCP. Final vital signs: SpO2 96% @ RA, Pulse -75, BP 128/82, Temp 97.6, A&Ox3, pt calm and stable Negative for signs and symptoms of distress. Pt and family were instructed when to seek emergency intervention, all parties verbalized 100% understanding. Pt left ambulatory @ 1515.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Eye discharge, Eye irritation, Eyelid margin crusting, Ocular discomfort, Ocular hyperaemia
Clinical narrative: 1st Shingrix shot on 11-25-2019 - no adverse reaction.  2nd Shingrix shot on 2-18-2021.   Late in the evening of 2-21-21, left eye was scratchy & irritated.  Condition worsened by morning with redness and a crusty discharge.   Went to Urgent Care morning of 2-22-21.  Initial diagnosis was possible bacterial infection. Rx for Ciprofloxacin.  No improvement so returned to Urgent Care 2-24-21.  Slit-lamp exam revealed dendritic lesion on cornea - diagnosis of dendritic keratitis. Referred to ophthalmologist. Saw ophthalmologist afternoon of 2-24-21.  Image taken of anterior segment. Assessment:  Dendritic keratitis of left eye due to herpes simplex virus.  Artificial tears recommended. RX for valACYclovier HCl-1 - 1 gm oral tablet. RX for Zirgan 0.l1% ophthalmic gel was not approved by insurance company.  Rx for Trifluridine added several days later.  Follow-ups with ophthalmologist on 2-26-21 and 3-3-21.  Advised lesion was gone and no scar tissue was visible.  Condition slowly improved over the next week but irritation upon awakening continued for an additional week or so.  The event was extremely stressful as I feared I would suffer with permanent scar tissue resulting in impaired vision.  NOTE:  I had shingles under my eye (thought it was under my right eye, but one of the ophthalmologists said it was likely under my left eye) when I was between 11-14 years old.  PCP does not think the dendritic keratitis was a reaction to the Shingrix vaccine but the timing is very suspect.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Ophthalmic herpes simplex
Clinical narrative: 1st Shingrix shot on 11-25-2019 - no adverse reaction.  2nd Shingrix shot on 2-18-2021.   Late in the evening of 2-21-21, left eye was scratchy & irritated.  Condition worsened by morning with redness and a crusty discharge.   Went to Urgent Care morning of 2-22-21.  Initial diagnosis was possible bacterial infection. Rx for Ciprofloxacin.  No improvement so returned to Urgent Care 2-24-21.  Slit-lamp exam revealed dendritic lesion on cornea - diagnosis of dendritic keratitis. Referred to ophthalmologist. Saw ophthalmologist afternoon of 2-24-21.  Image taken of anterior segment. Assessment:  Dendritic keratitis of left eye due to herpes simplex virus.  Artificial tears recommended. RX for valACYclovier HCl-1 - 1 gm oral tablet. RX for Zirgan 0.l1% ophthalmic gel was not approved by insurance company.  Rx for Trifluridine added several days later.  Follow-ups with ophthalmologist on 2-26-21 and 3-3-21.  Advised lesion was gone and no scar tissue was visible.  Condition slowly improved over the next week but irritation upon awakening continued for an additional week or so.  The event was extremely stressful as I feared I would suffer with permanent scar tissue resulting in impaired vision.  NOTE:  I had shingles under my eye (thought it was under my right eye, but one of the ophthalmologists said it was likely under my left eye) when I was between 11-14 years old.  PCP does not think the dendritic keratitis was a reaction to the Shingrix vaccine but the timing is very suspect.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Cough, Dyspnoea
Clinical narrative: 87-year-old male with history of chronic systolic heart failure and atrial flutter as well as significant renal dysfunction presented to facility seen hospital with increasing shortness of breath and cough.  The patient had completed his COVID-19 vaccination but his wife had elected not to be vaccinated she evidently had contracted COVID-19 pneumonia and the patient likely obtain his infection due to close contact with her.  He predominantly noted increased weakness and shortness of breath at the time of admission.  He did require initially 2 L of supplemental oxygen which was relatively quickly weaned off over his 2nd hospital day.   The patient was placed on remdesivir and dexamethasone for treatment of his COVID-19 pneumonia.  He steadily improved over the course of his hospital stay
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Loss of consciousness, Tremor
Clinical narrative: Patient felt light-headed, began sweating and trembling, and passed out. EMS provided water and continued to monitor patient.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chest pain, Chills, Hyperhidrosis, Nausea
Clinical narrative: Approximately 12 hours after the vaccination was administered I began to feel chills and then sweats. Fever ranged anywhere from 101-102. Was vomiting and the nausea lasted for about 6 hours.  Currently still feel achy and have pain in stomach, chest and jaw.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in jaw, Pyrexia, Vomiting
Clinical narrative: Approximately 12 hours after the vaccination was administered I began to feel chills and then sweats. Fever ranged anywhere from 101-102. Was vomiting and the nausea lasted for about 6 hours.  Currently still feel achy and have pain in stomach, chest and jaw.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Headache, Rhinorrhoea
Clinical narrative: Cough, headache and runny nose x 4 days.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood iron decreased, Laboratory test, Ocular discomfort, Paraesthesia
Clinical narrative: Ongoing tingling sensation across face (especially on forehead, below eyes around the noise, and cheeks).  Sensitivity when blinking eyes.   Took Claritin and Zrytek for two weeks attempting to counteract the reaction.  Went to my Primary Physician  on April 19.  He prescribed Methylprednisolone 4MG Dospak.  Started to feel some relief, took second vaccine and symptoms acceleted again.  Finished the Methylprednisolone and still struggling with this reaction. After feeling sensations moving from my face to my arms and legs, went to emergency room.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, SARS-CoV-2 test
Clinical narrative: no sense of taste or smell, tightness in chest
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Nausea, Rash, Rash pruritic
Clinical narrative: 38 y.o. female who had concerns including Rash (Acute Visit).   HPI She has a CoVId vaccine 1/11 and has a rash on left arm. Itching. Has put a cold compress on arm. Some nausea, headache, dizziness yesterday. Rash started 1 week after injection. Warm to touch yesterday  Patient Active Problem List Diagnosis ? Alport syndrome ? Depressive disorder ? Underweight ? Tobacco abuse      Outpatient Medications Marked as Taking for the 1/21/21 encounter (Office Visit) with APRN Medication Sig ? oxycodone-acetaminophen (PERCOCET) 5-325 MG Take 1 tablet by mouth every 8 (eight) hours as needed for Moderate Pain. Do not exceed a daily dose of 3 tablets      Allergies Allergen Reactions ? Metronidazole Rash ? Morphine Hives and Rash     Patient's medications, allergies, past medical, histories were reviewed and updated as appropriate.     ROS: Negative ROS except for those pertinent positive symptoms as listed above in HPI.      Objective    Vitals Vitals:   01/21/21 1504 BP: 114/64 BP Location: Left arm Patient Position: Sitting Cuff Size: Regular Adult Pulse: 72 Resp: 14 Temp: 99 °F (37.2 °C) TempSrc: Temporal SpO2: 98% Weight: 99 lb 14.4 oz (45.3 kg) Height: 5' 2" (1.575 m)    Body mass index is 18.27 kg/m².   Physical Exam Constitutional:      Appearance: She is well-developed.  HENT:     Head: Normocephalic.  Eyes:     General: Lids are normal.     Conjunctiva/sclera: Conjunctivae normal.  Neck:     Musculoskeletal: Normal range of motion.     Trachea: Trachea normal.  Cardiovascular:     Rate and Rhythm: Normal rate and regular rhythm.     Heart sounds: Normal heart sounds.  Pulmonary:     Effort: Pulmonary effort is normal.     Breath sounds: Normal breath sounds.  Abdominal:     General: Bowel sounds are normal.     Tenderness: There is no abdominal tenderness.  Skin:    General: Skin is warm and dry.     Comments: Left upper arm as below  Neurological:     Mental Status: She is alert and oriented to person, place, and time.  Psychiatric:        Speech: Speech normal.               Assessment/Plan    1. Adverse effect of vaccine, initial encounter Comments: will try topical steroid think related to vaccine Orders: -     triamcinolone (KENALOG) 0.1 % cream; Apply topically 2 (two) times daily.   2. Laboratory exam ordered as part of routine general medical examination -     CBC and differential; Future -     Comprehensive metabolic panel; Future -     Lipid panel; Future       Return for March for physical.     APRN Electronically Signed 1/21/2021 3:30 PM
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm, Vaccination complication
Clinical narrative: 38 y.o. female who had concerns including Rash (Acute Visit).   HPI She has a CoVId vaccine 1/11 and has a rash on left arm. Itching. Has put a cold compress on arm. Some nausea, headache, dizziness yesterday. Rash started 1 week after injection. Warm to touch yesterday  Patient Active Problem List Diagnosis ? Alport syndrome ? Depressive disorder ? Underweight ? Tobacco abuse      Outpatient Medications Marked as Taking for the 1/21/21 encounter (Office Visit) with APRN Medication Sig ? oxycodone-acetaminophen (PERCOCET) 5-325 MG Take 1 tablet by mouth every 8 (eight) hours as needed for Moderate Pain. Do not exceed a daily dose of 3 tablets      Allergies Allergen Reactions ? Metronidazole Rash ? Morphine Hives and Rash     Patient's medications, allergies, past medical, histories were reviewed and updated as appropriate.     ROS: Negative ROS except for those pertinent positive symptoms as listed above in HPI.      Objective    Vitals Vitals:   01/21/21 1504 BP: 114/64 BP Location: Left arm Patient Position: Sitting Cuff Size: Regular Adult Pulse: 72 Resp: 14 Temp: 99 °F (37.2 °C) TempSrc: Temporal SpO2: 98% Weight: 99 lb 14.4 oz (45.3 kg) Height: 5' 2" (1.575 m)    Body mass index is 18.27 kg/m².   Physical Exam Constitutional:      Appearance: She is well-developed.  HENT:     Head: Normocephalic.  Eyes:     General: Lids are normal.     Conjunctiva/sclera: Conjunctivae normal.  Neck:     Musculoskeletal: Normal range of motion.     Trachea: Trachea normal.  Cardiovascular:     Rate and Rhythm: Normal rate and regular rhythm.     Heart sounds: Normal heart sounds.  Pulmonary:     Effort: Pulmonary effort is normal.     Breath sounds: Normal breath sounds.  Abdominal:     General: Bowel sounds are normal.     Tenderness: There is no abdominal tenderness.  Skin:    General: Skin is warm and dry.     Comments: Left upper arm as below  Neurological:     Mental Status: She is alert and oriented to person, place, and time.  Psychiatric:        Speech: Speech normal.               Assessment/Plan    1. Adverse effect of vaccine, initial encounter Comments: will try topical steroid think related to vaccine Orders: -     triamcinolone (KENALOG) 0.1 % cream; Apply topically 2 (two) times daily.   2. Laboratory exam ordered as part of routine general medical examination -     CBC and differential; Future -     Comprehensive metabolic panel; Future -     Lipid panel; Future       Return for March for physical.     APRN Electronically Signed 1/21/2021 3:30 PM
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Blood test normal, Fatigue, Headache
Clinical narrative: pt says about half hour after taking vax she started having joint pain and headache.  She was in the bed for the next 3 days because she was so fatigued and weak she could barely move.  She went to her PCP and was told the vax had to run its course.  About 7 days later she developed a shingles type rash.  On 3/29/21 she went to ER.  They did blood work and wanted to prescribe steroids but she did not want to take them so she decided to wait it out.  A couple days later the rash was worsening so she went back to her PCP where she was given steroids to treat her symptoms.  Her symptoms were better after taking steroids.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Rash
Clinical narrative: pt says about half hour after taking vax she started having joint pain and headache.  She was in the bed for the next 3 days because she was so fatigued and weak she could barely move.  She went to her PCP and was told the vax had to run its course.  About 7 days later she developed a shingles type rash.  On 3/29/21 she went to ER.  They did blood work and wanted to prescribe steroids but she did not want to take them so she decided to wait it out.  A couple days later the rash was worsening so she went back to her PCP where she was given steroids to treat her symptoms.  Her symptoms were better after taking steroids.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient presented by nursing facility staff for COVID vaccination.  Upon completion; Pharmacy while inputting vaccine information into their site that patient already completed series 3/5/21 and 3/25/21 via Pfizer from other provider. No adverse event occurred accept to say patient has received three doses.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood creatinine normal, Blood glucose normal, Blood potassium decreased, Blood sodium normal, Haematocrit normal
Clinical narrative: Patient received her second dose of Pfizer COVID-19 vaccine on 4/21/2021.   She has a purpura-like rash on extremities and trunk that started within days of receiving her second COVID-19 vaccination from Pfizer.  Assessment:   Purpura (HCC)  Thrombocytopenic purpura (HCC)  Plan:  CMP D-dimer, Quantitative CBC w/ diff, PT, PTT Referral to Hematology/Oncology
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Haemoglobin normal, International normalised ratio normal, Liver function test normal, Platelet count decreased, Prothrombin time shortened
Clinical narrative: Patient received her second dose of Pfizer COVID-19 vaccine on 4/21/2021.   She has a purpura-like rash on extremities and trunk that started within days of receiving her second COVID-19 vaccination from Pfizer.  Assessment:   Purpura (HCC)  Thrombocytopenic purpura (HCC)  Plan:  CMP D-dimer, Quantitative CBC w/ diff, PT, PTT Referral to Hematology/Oncology
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Purpura, Rash, Thrombocytopenic purpura, White blood cell count increased
Clinical narrative: Patient received her second dose of Pfizer COVID-19 vaccine on 4/21/2021.   She has a purpura-like rash on extremities and trunk that started within days of receiving her second COVID-19 vaccination from Pfizer.  Assessment:   Purpura (HCC)  Thrombocytopenic purpura (HCC)  Plan:  CMP D-dimer, Quantitative CBC w/ diff, PT, PTT Referral to Hematology/Oncology
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient presented to the ED and subsequently hospitalized within 6 weeks of receiving COVID vaccination.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Blood culture negative, Chest X-ray abnormal, Cough, Culture urine negative, Dizziness
Clinical narrative: 4/5 Night sweats; 4/9 dizziness at work.  Admitted to the hospital on 4/20/21 with fever, dry cough, difficulty sleeping, shortness of breath, headaches and muscle aches and pains
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Headache, Lung infiltration, Myalgia, Night sweats
Clinical narrative: 4/5 Night sweats; 4/9 dizziness at work.  Admitted to the hospital on 4/20/21 with fever, dry cough, difficulty sleeping, shortness of breath, headaches and muscle aches and pains
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative, Sleep disorder
Clinical narrative: 4/5 Night sweats; 4/9 dizziness at work.  Admitted to the hospital on 4/20/21 with fever, dry cough, difficulty sleeping, shortness of breath, headaches and muscle aches and pains
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: EMS evaluated patient after she reported nausea. Patient was eventually driven home by mother.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Fatigue, Headache, Injection site pain, Lip swelling
Clinical narrative: 8:30 am the day after the vaccine my lower right lip and lower right face swelled.  For 14 days every day I had a headache and cramps.  Daily fatigue.  One day it felt like a giant hand was squeezing me around the chest and back.  Random periods of nausea.  One day I had overwhelming fatigue, it took every ounce of my strength to lift myself.  It felt like something was laying on me pushing me down.  Another day my upper  right lip and upper right face swelled. Arm hurt at vaccine site.  All this went on over a period of 2 weeks.  To this day my upper right lip randomly swells.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Muscle spasms, Nausea, Swelling face
Clinical narrative: 8:30 am the day after the vaccine my lower right lip and lower right face swelled.  For 14 days every day I had a headache and cramps.  Daily fatigue.  One day it felt like a giant hand was squeezing me around the chest and back.  Random periods of nausea.  One day I had overwhelming fatigue, it took every ounce of my strength to lift myself.  It felt like something was laying on me pushing me down.  Another day my upper  right lip and upper right face swelled. Arm hurt at vaccine site.  All this went on over a period of 2 weeks.  To this day my upper right lip randomly swells.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lip swelling, Swelling face
Clinical narrative: 8:30 am the day after the vaccine my lower right lip and lower right face swelled.  For 14 days every day I had a headache and cramps.  Daily fatigue.  One day it felt like a giant hand was squeezing me around the chest and back.  Random periods of nausea.  One day I had overwhelming fatigue, it took every ounce of my strength to lift myself.  It felt like something was laying on me pushing me down.  Another day my upper  right lip and upper right face swelled. Arm hurt at vaccine site.  All this went on over a period of 2 weeks.  To this day my upper right lip randomly swells.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient had an ED visit and/or hospitalization within 6 weeks of receiving COVID vaccine.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Medication Error:  Client requested Janssen Covid-19 vaccine and received Pfizer Covid-19 vaccine in error.  RN who administered vaccine spoke with client and explained the error. Client stated understanding of needing to return for 2nd dose in 3 weeks. No adverse effects have been reported by client to this facility. Per  policy, a  report is required to be completed
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Malaise, Night sweats, Pyrexia
Clinical narrative: A few days after the second vaccine began to experience malaise symptoms in the early evening hours continuing throughout the night with low grade fever, headache.   ~ 3 weeks later continues to experience the same with night  sweats.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Body temperature increased, Chills, Decreased appetite, Dyspepsia
Clinical narrative: 4/29/21, 12 hours following dose, 99 degrees, chills, Tylenol
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Malaise, Pain, Pruritus
Clinical narrative: 4/29/21, 12 hours following dose, 99 degrees, chills, Tylenol
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Somnolence
Clinical narrative: 4/29/21, 12 hours following dose, 99 degrees, chills, Tylenol
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Drooling, Hyperhidrosis, Unresponsive to stimuli
Clinical narrative: After patient received vaccine, ~20 minutes later patient became difficult to arouse. Patient was diaphoretic and drooling, caregiver suspected glucose levels were out of range. Clinic manager called 911, EMS arrived on scene. Blood glucose was checked reading 302. Caregiver noted patient did not eat this morning. After EMS arrived on the scene patient became responsive to everyone. EMS determined no acute concerns.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Patient reports mild headache, rated 3/10.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Dermatitis, Injection site reaction, Skin swelling
Clinical narrative: Patient experienced an injection site reaction; skin became swollen and inflamed. EMS advised her to take Benadryl if reaction worsened.