chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Blood glucose decreased, Headache, Hypophagia, Limb mass
Clinical narrative: The patient is a 50 y.o. female who presents to the Emergency Department with 3 days of a low abdominal discomfort with nausea and vomiting just today.  She says that she had decreased oral intake today due to her other symptoms and she had a low blood sugar of 65 earlier today.  She did not take her evening Lantus because of this.  She had already taken her usual Metformin and glipizide. She denies any fevers, denies any diarrhea.  Her last bowel movement was this morning and normal.  Denies any blood in the stools.  Denies any significant cough or breathing difficulty. Denies urinary symptoms, dysuria, hematuria. She reports that she is also had about 2 weeks of a left arm pain that comes and goes, and it seems to radiate to her trapezius.  She says that when the pain comes she feels a lump in her left outer arm.  She did see her PCP for this and was started on diclofenac about 1 week ago.  She says that this does help some.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain in extremity, Vomiting
Clinical narrative: The patient is a 50 y.o. female who presents to the Emergency Department with 3 days of a low abdominal discomfort with nausea and vomiting just today.  She says that she had decreased oral intake today due to her other symptoms and she had a low blood sugar of 65 earlier today.  She did not take her evening Lantus because of this.  She had already taken her usual Metformin and glipizide. She denies any fevers, denies any diarrhea.  Her last bowel movement was this morning and normal.  Denies any blood in the stools.  Denies any significant cough or breathing difficulty. Denies urinary symptoms, dysuria, hematuria. She reports that she is also had about 2 weeks of a left arm pain that comes and goes, and it seems to radiate to her trapezius.  She says that when the pain comes she feels a lump in her left outer arm.  She did see her PCP for this and was started on diclofenac about 1 week ago.  She says that this does help some.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pain
Clinical narrative: Headache, body aches
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral swelling, Ultrasound Doppler
Clinical narrative: My foot left foot swelled up, I am taking water pills to reduce the swelling.  Had an ultrasound for blood clots in my leg which came back negative.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Shingles diagnosis
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Muscular weakness, Paraesthesia
Clinical narrative: WEEKNESS IN LEGS AND FEET, TINGLING IN FEET, FALL, GETTING WORSE
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram abnormal, Dyspnoea, Pain in extremity, Thrombosis, Ultrasound scan abnormal
Clinical narrative: ON 4/28 felt intense pain in legs and blurry eyes, slowly went away after taking advil, came back at night, on thursday 4/29 pain continued and had shortness of breath decided to go to urgent care made appt for 4/30 813AM, at Urgent Care  symptoms pointed to blood clots was told to go to local imaging company to get sonogram, sonogram showed blood clots in leg told to go to emergency room, went to Hospital and was admitted, confirmed blood clots and put on blood thinner neprin IV, released 5/2 at 1PM, at home now on blood thinner pills 10mg Eliquis
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vision blurred
Clinical narrative: ON 4/28 felt intense pain in legs and blurry eyes, slowly went away after taking advil, came back at night, on thursday 4/29 pain continued and had shortness of breath decided to go to urgent care made appt for 4/30 813AM, at Urgent Care  symptoms pointed to blood clots was told to go to local imaging company to get sonogram, sonogram showed blood clots in leg told to go to emergency room, went to Hospital and was admitted, confirmed blood clots and put on blood thinner neprin IV, released 5/2 at 1PM, at home now on blood thinner pills 10mg Eliquis
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Thrombosis
Clinical narrative: ON 4/28 felt intense pain in legs and blurry eyes, slowly went away after taking advil, came back at night, on thursday 4/29 pain continued and had shortness of breath decided to go to urgent care made appt for 4/30 813AM, at Urgent Care  symptoms pointed to blood clots was told to go to local imaging company to get sonogram, sonogram showed blood clots in leg told to go to emergency room, went to Hospital and was admitted, confirmed blood clots and put on blood thinner neprin IV, released 5/2 at 1PM, at home now on blood thinner pills 10mg Eliquis
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Hyperhidrosis, Pain in extremity, Pyrexia
Clinical narrative: About 2 hours after, I developed a sore arm. At 6:30am the following day, I woke up with a 102 degree fever, chills, a headache, and the sweats. They went away with tylenol and fluids.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pneumonia
Clinical narrative: Pneumonia, unspecified organism
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Diarrhoea, Headache
Clinical narrative: Patient received first COVID vaccine Pfizer on 4/14/21. Subsequently, he developed fever, dry cough, HA, chills/shakes, nausea with diarrhea. Patient presented to ED on 4/29/21 and found to be COVID-19 ( ) w/hypoxemia. File this incident for record keeping.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Nausea, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient received first COVID vaccine Pfizer on 4/14/21. Subsequently, he developed fever, dry cough, HA, chills/shakes, nausea with diarrhea. Patient presented to ED on 4/29/21 and found to be COVID-19 ( ) w/hypoxemia. File this incident for record keeping.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Imaging procedure, Needle issue
Clinical narrative: piece of needle broke off and remained in arm
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Hyperhidrosis, Hypertension
Clinical narrative: Patient complained of diaphoresis and feeling cold. BP 177/96, HR 86, RR 20, o2 sat 100%. Patient reported that she has high blood pressure but does not take blood pressure medication as they were stopped by PCP. Given acetaminophen x 1 for diaphoresis & Instructions to follow-up with PCP regarding BP.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cough, Dyspnoea
Clinical narrative: Cough, chill, dyspnea developed 4/30/2021
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Blood cannabinoids decreased, Seizure
Clinical narrative: for 18 y.o. woman who experienced a 10-15 second seizure in observation area. No trauma. Found to have low CBG, history of anemia. No seizure disorder. Alert and talking while waiting for transport.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Patient had onset of whole-body hives within 6-8 hours after receiving this vaccine. Symptoms were mild and self-resolved without other notable symptoms. He has a history of allergies with allergy symptoms that day, but does not often get hives with this and no other known exposures.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Headache, Nausea, Pain
Clinical narrative: After 12 hours: headache, fatigue. By 48 hours post vaccine: nausea, fatigue. 72 hours post vaccine: severe diarrhea, fever, shaking, aches, vomiting and nausea, headache. 4 days post vaccine: headache and diarrhea.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tremor, Vomiting
Clinical narrative: After 12 hours: headache, fatigue. By 48 hours post vaccine: nausea, fatigue. 72 hours post vaccine: severe diarrhea, fever, shaking, aches, vomiting and nausea, headache. 4 days post vaccine: headache and diarrhea.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Diabetes mellitus, Dyspnoea
Clinical narrative: Covid-19 R06.02 - Shortness of breath E11.9 - Diabetes (CMS/HCC) J18.9 - Multifocal pneumonia U07.1, J12.82 - Pneumonia due to COVID-19 virus
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain, Pyrexia
Clinical narrative: Headache Fever  Chills Body aches Nausea
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Computerised tomogram, Laboratory test, Magnetic resonance imaging, Muscular weakness
Clinical narrative: Bell's Palsy Left side of face, no muscle control
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 101.8 fever
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Burning sensation, Neuralgia
Clinical narrative: After one week, I started getting burning on the backs of my arms, leading up to my shoulders.  One day it would burn, the next it wouldn't.  As the weeks went on, the burning became more intense and the burning seemed to travel throughout my body - as of today, May 4,, 2001, it is a constant burning - sometimes on the tops of my arms, the tops of my legs, my chest, my back.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Antibody test positive, Erythema, Eye pruritus, Ocular hyperaemia, Palpitations
Clinical narrative: About 20 minutes after my first dose of COVID-19 Moderna, my eyes became very red and itchy. Then my entire body. My tongue started to feel enlarged and my heart was racing. I went to the ER and where they administered steroids and Benadryl. The symptoms became better but still had the mild symptoms of itchy and weird tongue that lasted for two weeks.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Pruritus, Tongue pruritus
Clinical narrative: About 20 minutes after my first dose of COVID-19 Moderna, my eyes became very red and itchy. Then my entire body. My tongue started to feel enlarged and my heart was racing. I went to the ER and where they administered steroids and Benadryl. The symptoms became better but still had the mild symptoms of itchy and weird tongue that lasted for two weeks.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: PATIENT WAS ADVISED AFTER RECEIVING VACCINE TO SIT FOR 15 MINUTES.  SHE THEN SAID SHE NEEDED TO GO TO THE BATHROOM.  PERSON WATCHING HER SAID THIS IS OK, BUT SHE WOULD ESCORT PATIENT.  PT THEN PASSED OUT ON THE WAY TO RESTROOM, BUT WAS CAUGHT BY PERSON WATCHING HER AND LAID TO THE GROUND.  HER FEET WERE ELEVATED AND SHE WOKE UP WITHING A FEW SECONDS.  HER MASK WAS REMOVED AND SHE WAS ALLOWED TO LAY DOWN A FEW MINUTES, THEN WAS SLOWLY BROUGHT BACK TO A SITTING POSITION, THEN EVENTUALLLY UP TO HER FEET AND TO THE BATHROOM, THEN BACK TO HER CHAIR TO SIT. SHE THEN SAT ANOTHER 25 MINUTES.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: "Patient c/o chest pain, states happened after first dose and resolved.  Vital signs taken at 1004: pain 3/10, BP 100/p, pulse 66, Spo2 98%.  Denied need for medical attention, felt comfortable leaving - instructed to notify physician and call EMS if condition worsens.  Verbalized understanding."
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient under age 16 was vaccinated with Pfizer, which is a vaccine error.  He will be age 16 for second shot. Troubleshooting: Scribe and vaccinator did not validate age;  screeners at the beginning of the process did not ask or turn away on a Moderna-only day. Unreported as error, found in data mining. All parties ignored the age restriction/confirmation of birthdate that was put in place to prevent this type of error.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Respiratory failure, Sepsis, Urinary tract infection
Clinical narrative: Covid-19 J96.90 - Respiratory failure (CMS/HCC) N39.0 - Urinary tract infection A41.9 - Sepsis (CMS/HCC) U07.1, J12.82 - Pneumonia due to COVID-19 virus
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Feeling hot, Paraesthesia, Rash erythematous, Rash pruritic
Clinical narrative: Client describes a tingling in her legs, feet and arms that started about 6-8 hours after receiving the shot. She also felt her face getting red and feeling hot and took Tylenol after going to bed. The next day, she had a rash on her forehead, scalp, neck, arms (elbows to hands) and ankles - red and a little itchy. She used soap and alcohol which had helped previously with other sensitive skin issues. This did not help for this and she starting using hydrocortisone cream, which helped some, but the rash returns. The rash which appears on her forehead has blisters.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Rash vesicular
Clinical narrative: Client describes a tingling in her legs, feet and arms that started about 6-8 hours after receiving the shot. She also felt her face getting red and feeling hot and took Tylenol after going to bed. The next day, she had a rash on her forehead, scalp, neck, arms (elbows to hands) and ankles - red and a little itchy. She used soap and alcohol which had helped previously with other sensitive skin issues. This did not help for this and she starting using hydrocortisone cream, which helped some, but the rash returns. The rash which appears on her forehead has blisters.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy, Deafness neurosensory
Clinical narrative: Sudden sensorineural hearing loss 3 days after 1st injection and then Bell's Palsy about 10 days later.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Audiogram, Bell's palsy, Deafness, Magnetic resonance imaging
Clinical narrative: Sudden sensorineural hearing loss 3 days after 1st injection and then Bell's Palsy about 10 days later.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Life support, Seizure, Unresponsive to stimuli
Clinical narrative: Patient was given dose #1 at a vaccine community clinic on Friday. There were no reports of him being ill. Parents were present at the time of the vaccine. He went to school on Monday and had a seizure and was transported to hospital. He was placed on life support and was unresponsive. He began improving and was taken of life support on Wednesday and was discharged after a few days.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Nodule
Clinical narrative: Caller received his first vaccine on 4/23/21.  Noted on yesterday a pea size nodule on his right collar bone which is the the arm he received his injection.  Denies pain, swelling or redness, only feels it, not able to see it.  Instructed to apply warm compresses, observe for signs of swelling or increase in size and to notify his MD if these changes occur.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Aphasia, Cerebrovascular accident
Clinical narrative: Aphasia  CVA (cerebral vascular accident)
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Full blood count normal, Metabolic function test, Nausea, Pain
Clinical narrative: Day 6 post vaccine: nausea, vomiting, diarrhea, chills, body aches, fever.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative, Vomiting
Clinical narrative: Day 6 post vaccine: nausea, vomiting, diarrhea, chills, body aches, fever.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pain, Facial pain, Magnetic resonance imaging, Trigeminal neuralgia
Clinical narrative: left facial pain, ear pain consistent with trigeminal neuralgia
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Paraesthesia, Peripheral swelling, Rash, X-ray normal
Clinical narrative: The patient is a 36 y.o. female w/ hx of migraines, renal artery stenosis s/p right renal artery stent placement, and HTN who presents to the Emergency Department with left leg swelling and rash. Patient reports that while shaving her legs this morning she noticed that there was a rash to her left lower leg anteriorly. It has persisted throughout the day, and tonight she also noticed that her LLE appeared to be more swollen than her RLE. Patient denies any pain of her LLE, but reports that she has some paresthesia in it. She denies any associated fevers, chills, SOB, or chest pain. Patient has not been diagnosed with any autoimmune disorders, and has never had a DVT. She also denies any recent long periods of immobility, recent surgeries, and any oral contraceptive use. Patient presents significantly hypertensive with SBP in the 220s, but she notes that this is in the setting that she has not taken her nightly dose of Labetalol.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hyperhidrosis, Loss of consciousness, Syncope
Clinical narrative: Syncope, Diaphorisis, Loss of concscienceness
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Balance disorder, Dizziness, Feeling hot, Headache, Syncope
Clinical narrative: Syncope, Diaphorisis, Loss of concscienceness
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaemia, Chronic obstructive pulmonary disease, Cough, Dyspnoea, SARS-CoV-2 test
Clinical narrative: R05 - Cough R06.00 - Dyspnea on exertion J44.1 - COPD exacerbation (CMS/HCC) D64.9 - Symptomatic anemia Z20.822 - Encounter for screening laboratory testing for COVID-19 virus J44.9 - COPD (chronic obstructive pulmonary disease) (CMS/HCC)
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Pallor
Clinical narrative: After she was vaccinated she said " I need to lay down "  I need water" "I get anxious " she stared look pale. she ask to let her lay down on the floor we assisted her to the floor and called rapid response. I put some alcohol  behind her ears and brought a wheel chair.  she was able to get on the chair we took  vitals @2:52 BP 113/76, P 73, O2 95 she said "This happens all the time when I get shots" . Response team arrived and saw that vitals were good and offered her to go to the ER to get checked out and she refused. I took her vitals again  @3:05 125/65, P 70, O2 97. Took her to the hallway she wait 30min and she looks  and said she was ok and insisted " this happen all the time i get a vaccine." I then  walked her to the parking lot.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster, Rash
Clinical narrative: Diagnosed with Shingles on May 4--shingles rash started April 29th.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: 18 days later my vaccine arm and area of vaccination are very sore
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Breast swelling, Chest X-ray, Chest pain, Computerised tomogram, Dyspnoea
Clinical narrative: Shortness of breath, severe headache, chest pains, swollen injection site swollen breast
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site swelling, Laboratory test
Clinical narrative: Shortness of breath, severe headache, chest pains, swollen injection site swollen breast
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Lymphadenopathy, Paraesthesia, Pyrexia
Clinical narrative: Extremely high fever 106.1 degrees the night of receiving the injection 5/1/2021. Fever controlled with Tylenol but never went below 100 degrees until day 2 (5/3/2021). On 5/3/2021 my arm, armpit, (lymph node area) started tingling. I checked the injection site and notice major swelling and patchy red areas.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Abdominal pain upper, Alanine aminotransferase increased, Aspartate aminotransferase increased, Chills
Clinical narrative: Acute headache, acute right upper quadrant and epigastric abdominal pain, Abdominal distension, nausea,  musculoskeletal pain, chills, dizziness
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Glomerular filtration rate, Headache, Liver injury, Metabolic function test
Clinical narrative: Acute headache, acute right upper quadrant and epigastric abdominal pain, Abdominal distension, nausea,  musculoskeletal pain, chills, dizziness
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal pain, Nausea, Scan with contrast abnormal
Clinical narrative: Acute headache, acute right upper quadrant and epigastric abdominal pain, Abdominal distension, nausea,  musculoskeletal pain, chills, dizziness
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: day after 1st vaccine had hives on back and hips.  they went away later that evening
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Suicidal ideation
Clinical narrative: SUICIDAL
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient came for booster shot. Received initial dose elsewhere. After administration noted, booster given too early. (only 13 days apart)
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse reaction occurred.  Pt. was 17 years if age when she inadvertently received the  Moderna vaccine 1st dose
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Parosmia, Taste disorder
Clinical narrative: Everything Tasted Or Smelled The Same and just now is things starting to taste or smell properly but only have a immediate Taste or Smell as it was when everything Tasted & Smelled the same
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Retching
Clinical narrative: Dry heaving, nausea. Stable, released from vaccination site.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Blood creatinine increased, Chronic kidney disease, Oliguria
Clinical narrative: R34 - Oliguria R79.89 - Elevated serum creatinine N17.9, N18.9 - Acute renal failure superimposed on chronic kidney disease, unspecified CKD stage, unspecified acute renal failure type (CMS/HCC)
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Breast tenderness, Lip swelling
Clinical narrative: Lip swelling - (have had dermal fillers in the past) Breast tenderness (have implants)
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: It started after 4 days with an intens pain on all my joints , in the same time that lasted a few hours and went away. After another two days all the joints on my left side of the body hurt. Then, the pain started to move around my body from joint to joint from left to right . Till today I have pain in my joints, today again for example on the left side., shoulder, elbow, knee , wrist and fingers. So, I am almost 3 weeks from the first shot and the joint pain doesn?t go away. I am very worry and I don?t know if to have to second shot .
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Multiple sclerosis, Muscular weakness
Clinical narrative: My legs are very weak.  My MS seems to have worsened significantly.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: No adverse reactions to report, just that I noticed when entering the information  that the patient had received the Moderna covid 19 vaccine on 2/14/2021 .
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Aura, Dizziness, Fatigue, Feeling abnormal, Headache
Clinical narrative: Aura/Seizure 44 hours following vaccine. Lasted 5 minutes. couldn't think clearly or remember address, workplace, etc. . A 2nd Aura/Seizure episode 72 hours following vaccine. One full week of brain fog and inability to work. Swelling in left rotator cuff area. Numb arm and pain in left hand. Unable to use left arm and hand fully from 3 days after vaccine to 7 days after vaccine. Tired, dizzy, headaches, nausea for a full week.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Impaired work ability, Mental impairment, Mobility decreased, Nausea
Clinical narrative: Aura/Seizure 44 hours following vaccine. Lasted 5 minutes. couldn't think clearly or remember address, workplace, etc. . A 2nd Aura/Seizure episode 72 hours following vaccine. One full week of brain fog and inability to work. Swelling in left rotator cuff area. Numb arm and pain in left hand. Unable to use left arm and hand fully from 3 days after vaccine to 7 days after vaccine. Tired, dizzy, headaches, nausea for a full week.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling, Seizure
Clinical narrative: Aura/Seizure 44 hours following vaccine. Lasted 5 minutes. couldn't think clearly or remember address, workplace, etc. . A 2nd Aura/Seizure episode 72 hours following vaccine. One full week of brain fog and inability to work. Swelling in left rotator cuff area. Numb arm and pain in left hand. Unable to use left arm and hand fully from 3 days after vaccine to 7 days after vaccine. Tired, dizzy, headaches, nausea for a full week.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pruritus
Clinical narrative: itching all over body, feeling itchy inside body
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Burning sensation, Cough, Eczema, Pruritus, Seasonal allergy
Clinical narrative: itching all over body, feeling itchy inside body
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral
Clinical narrative: Tingling lips 15 minutes after administration and resolving by 30 minutes
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood bilirubin decreased, Blood creatinine increased, Blood gases
Clinical narrative: 4/25 Pt presented to urgent care with complaint of HA and earache. Her pulse ox was in the 80's and she was sent to the ED for further evaluation and admission.  D/C summary from 4/26 : Patient is a 58 y.o. female patient of, DO with history of OSA cannot tolerate CPAP, depression, rheumatoid arthritis, chronic pain syndrome, obesity, diabetes type 2, CAD, hypertension, hyperlipidemia, TIA who presents with shortness of breath. Patient was placed on 4 L NC but quickly weaned off. She tested positive for covid on 4/25. She was started on dexamethasone and covid cocktail for 10 days. Her CTPA and venous duplexes were negative for blood clots. There was bronchitis on CTPA so pt was placed on albuterol, mucinex and advised to use IS. Her Cr was elevated to 1.52 and improved to 1.25 this morning. Her hydrochlorothiazide was held. Her AST was 186, ALT 245 previously normal. Her atorvastatin and metformin were held. She was tolerating po and her VS were stable so she was discharged home. She was advised to have repeat labs with her PCP in 1 week and if at that time her Cr, AST, ALT improved, then her hydrochlorothiazide, atorvastatin, metformin could be resumed at her PCP's discretion. She was at home for one day and presented to another ED with CP and SOB. Admitted 4/27-5/1 D/C Summary :Clinical Summary Patient is a 58 y.o. female with a history of positive covid test 4/25/21, CKD, CAD s/p PCI, depression OSA rheumatoid arthritis morbid obesity, HTN and DM2 who just discharged from hospital 4/26/21 after diagnosis of COVID and starting on dexamethasone. She presented to hospital 4/27/2021 with chest pain and shortness of breath. CXR negative 4/27/21, CTPA negative 4/26/21, LEVD negative 4/26/21 labs stable from last admission.    1. COVID 19 Pneumonia: Suspected re-infection. Husband reported was positive mid - January. Continued dexamethasone to complete 10 days (started 4/25/2021). Remdesivir not started with LFT elevation on admit.  2. Acute hypoxic respiratory failure: with increasing O2 requirement 4/28/2021. CXR 4/28/2021 with underaeration of lungs. ABG 4/28/2021 without hypoxemia. Likely d/t COVID, resolved 3. Chest pain: Suspect in setting of COVID infection and component of costochondritis. CTPA and LEVD negative 4/26/21. Troponins stable from last admission in setting of CKD, ekg without acute findings on admit.  4. Elevated LFT: on admit AST 186, ALT 245, total bilirubin 0.2. likely d/t COVID. Improving, AST 93, ALT 163 4/30/202.1. will need outpatient repeat in 1-2 weeks with PCP 5. CKD3: Baseline creat 1.2-1.5. Cr on admit 1.52, improved 0.99 4/30/2021. Repeat chem in 1-2 weeks  6. T2DM: Per history, on Januvia at home (held on admit). A1C 8 1/29/21. Hyperglycemia on admission, improved with SSI, discussed continuing on discharge while on steroids and following up with PCP in next week
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchitis, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Chest pain
Clinical narrative: 4/25 Pt presented to urgent care with complaint of HA and earache. Her pulse ox was in the 80's and she was sent to the ED for further evaluation and admission.  D/C summary from 4/26 : Patient is a 58 y.o. female patient of, DO with history of OSA cannot tolerate CPAP, depression, rheumatoid arthritis, chronic pain syndrome, obesity, diabetes type 2, CAD, hypertension, hyperlipidemia, TIA who presents with shortness of breath. Patient was placed on 4 L NC but quickly weaned off. She tested positive for covid on 4/25. She was started on dexamethasone and covid cocktail for 10 days. Her CTPA and venous duplexes were negative for blood clots. There was bronchitis on CTPA so pt was placed on albuterol, mucinex and advised to use IS. Her Cr was elevated to 1.52 and improved to 1.25 this morning. Her hydrochlorothiazide was held. Her AST was 186, ALT 245 previously normal. Her atorvastatin and metformin were held. She was tolerating po and her VS were stable so she was discharged home. She was advised to have repeat labs with her PCP in 1 week and if at that time her Cr, AST, ALT improved, then her hydrochlorothiazide, atorvastatin, metformin could be resumed at her PCP's discretion. She was at home for one day and presented to another ED with CP and SOB. Admitted 4/27-5/1 D/C Summary :Clinical Summary Patient is a 58 y.o. female with a history of positive covid test 4/25/21, CKD, CAD s/p PCI, depression OSA rheumatoid arthritis morbid obesity, HTN and DM2 who just discharged from hospital 4/26/21 after diagnosis of COVID and starting on dexamethasone. She presented to hospital 4/27/2021 with chest pain and shortness of breath. CXR negative 4/27/21, CTPA negative 4/26/21, LEVD negative 4/26/21 labs stable from last admission.    1. COVID 19 Pneumonia: Suspected re-infection. Husband reported was positive mid - January. Continued dexamethasone to complete 10 days (started 4/25/2021). Remdesivir not started with LFT elevation on admit.  2. Acute hypoxic respiratory failure: with increasing O2 requirement 4/28/2021. CXR 4/28/2021 with underaeration of lungs. ABG 4/28/2021 without hypoxemia. Likely d/t COVID, resolved 3. Chest pain: Suspect in setting of COVID infection and component of costochondritis. CTPA and LEVD negative 4/26/21. Troponins stable from last admission in setting of CKD, ekg without acute findings on admit.  4. Elevated LFT: on admit AST 186, ALT 245, total bilirubin 0.2. likely d/t COVID. Improving, AST 93, ALT 163 4/30/202.1. will need outpatient repeat in 1-2 weeks with PCP 5. CKD3: Baseline creat 1.2-1.5. Cr on admit 1.52, improved 0.99 4/30/2021. Repeat chem in 1-2 weeks  6. T2DM: Per history, on Januvia at home (held on admit). A1C 8 1/29/21. Hyperglycemia on admission, improved with SSI, discussed continuing on discharge while on steroids and following up with PCP in next week
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram thorax, Costochondritis, Dyspnoea, Ear pain, Headache
Clinical narrative: 4/25 Pt presented to urgent care with complaint of HA and earache. Her pulse ox was in the 80's and she was sent to the ED for further evaluation and admission.  D/C summary from 4/26 : Patient is a 58 y.o. female patient of, DO with history of OSA cannot tolerate CPAP, depression, rheumatoid arthritis, chronic pain syndrome, obesity, diabetes type 2, CAD, hypertension, hyperlipidemia, TIA who presents with shortness of breath. Patient was placed on 4 L NC but quickly weaned off. She tested positive for covid on 4/25. She was started on dexamethasone and covid cocktail for 10 days. Her CTPA and venous duplexes were negative for blood clots. There was bronchitis on CTPA so pt was placed on albuterol, mucinex and advised to use IS. Her Cr was elevated to 1.52 and improved to 1.25 this morning. Her hydrochlorothiazide was held. Her AST was 186, ALT 245 previously normal. Her atorvastatin and metformin were held. She was tolerating po and her VS were stable so she was discharged home. She was advised to have repeat labs with her PCP in 1 week and if at that time her Cr, AST, ALT improved, then her hydrochlorothiazide, atorvastatin, metformin could be resumed at her PCP's discretion. She was at home for one day and presented to another ED with CP and SOB. Admitted 4/27-5/1 D/C Summary :Clinical Summary Patient is a 58 y.o. female with a history of positive covid test 4/25/21, CKD, CAD s/p PCI, depression OSA rheumatoid arthritis morbid obesity, HTN and DM2 who just discharged from hospital 4/26/21 after diagnosis of COVID and starting on dexamethasone. She presented to hospital 4/27/2021 with chest pain and shortness of breath. CXR negative 4/27/21, CTPA negative 4/26/21, LEVD negative 4/26/21 labs stable from last admission.    1. COVID 19 Pneumonia: Suspected re-infection. Husband reported was positive mid - January. Continued dexamethasone to complete 10 days (started 4/25/2021). Remdesivir not started with LFT elevation on admit.  2. Acute hypoxic respiratory failure: with increasing O2 requirement 4/28/2021. CXR 4/28/2021 with underaeration of lungs. ABG 4/28/2021 without hypoxemia. Likely d/t COVID, resolved 3. Chest pain: Suspect in setting of COVID infection and component of costochondritis. CTPA and LEVD negative 4/26/21. Troponins stable from last admission in setting of CKD, ekg without acute findings on admit.  4. Elevated LFT: on admit AST 186, ALT 245, total bilirubin 0.2. likely d/t COVID. Improving, AST 93, ALT 163 4/30/202.1. will need outpatient repeat in 1-2 weeks with PCP 5. CKD3: Baseline creat 1.2-1.5. Cr on admit 1.52, improved 0.99 4/30/2021. Repeat chem in 1-2 weeks  6. T2DM: Per history, on Januvia at home (held on admit). A1C 8 1/29/21. Hyperglycemia on admission, improved with SSI, discussed continuing on discharge while on steroids and following up with PCP in next week
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperglycaemia, Influenza A virus test negative, Influenza B virus test, Liver function test increased, SARS-CoV-2 test positive
Clinical narrative: 4/25 Pt presented to urgent care with complaint of HA and earache. Her pulse ox was in the 80's and she was sent to the ED for further evaluation and admission.  D/C summary from 4/26 : Patient is a 58 y.o. female patient of, DO with history of OSA cannot tolerate CPAP, depression, rheumatoid arthritis, chronic pain syndrome, obesity, diabetes type 2, CAD, hypertension, hyperlipidemia, TIA who presents with shortness of breath. Patient was placed on 4 L NC but quickly weaned off. She tested positive for covid on 4/25. She was started on dexamethasone and covid cocktail for 10 days. Her CTPA and venous duplexes were negative for blood clots. There was bronchitis on CTPA so pt was placed on albuterol, mucinex and advised to use IS. Her Cr was elevated to 1.52 and improved to 1.25 this morning. Her hydrochlorothiazide was held. Her AST was 186, ALT 245 previously normal. Her atorvastatin and metformin were held. She was tolerating po and her VS were stable so she was discharged home. She was advised to have repeat labs with her PCP in 1 week and if at that time her Cr, AST, ALT improved, then her hydrochlorothiazide, atorvastatin, metformin could be resumed at her PCP's discretion. She was at home for one day and presented to another ED with CP and SOB. Admitted 4/27-5/1 D/C Summary :Clinical Summary Patient is a 58 y.o. female with a history of positive covid test 4/25/21, CKD, CAD s/p PCI, depression OSA rheumatoid arthritis morbid obesity, HTN and DM2 who just discharged from hospital 4/26/21 after diagnosis of COVID and starting on dexamethasone. She presented to hospital 4/27/2021 with chest pain and shortness of breath. CXR negative 4/27/21, CTPA negative 4/26/21, LEVD negative 4/26/21 labs stable from last admission.    1. COVID 19 Pneumonia: Suspected re-infection. Husband reported was positive mid - January. Continued dexamethasone to complete 10 days (started 4/25/2021). Remdesivir not started with LFT elevation on admit.  2. Acute hypoxic respiratory failure: with increasing O2 requirement 4/28/2021. CXR 4/28/2021 with underaeration of lungs. ABG 4/28/2021 without hypoxemia. Likely d/t COVID, resolved 3. Chest pain: Suspect in setting of COVID infection and component of costochondritis. CTPA and LEVD negative 4/26/21. Troponins stable from last admission in setting of CKD, ekg without acute findings on admit.  4. Elevated LFT: on admit AST 186, ALT 245, total bilirubin 0.2. likely d/t COVID. Improving, AST 93, ALT 163 4/30/202.1. will need outpatient repeat in 1-2 weeks with PCP 5. CKD3: Baseline creat 1.2-1.5. Cr on admit 1.52, improved 0.99 4/30/2021. Repeat chem in 1-2 weeks  6. T2DM: Per history, on Januvia at home (held on admit). A1C 8 1/29/21. Hyperglycemia on admission, improved with SSI, discussed continuing on discharge while on steroids and following up with PCP in next week
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin, Ultrasound Doppler
Clinical narrative: 4/25 Pt presented to urgent care with complaint of HA and earache. Her pulse ox was in the 80's and she was sent to the ED for further evaluation and admission.  D/C summary from 4/26 : Patient is a 58 y.o. female patient of, DO with history of OSA cannot tolerate CPAP, depression, rheumatoid arthritis, chronic pain syndrome, obesity, diabetes type 2, CAD, hypertension, hyperlipidemia, TIA who presents with shortness of breath. Patient was placed on 4 L NC but quickly weaned off. She tested positive for covid on 4/25. She was started on dexamethasone and covid cocktail for 10 days. Her CTPA and venous duplexes were negative for blood clots. There was bronchitis on CTPA so pt was placed on albuterol, mucinex and advised to use IS. Her Cr was elevated to 1.52 and improved to 1.25 this morning. Her hydrochlorothiazide was held. Her AST was 186, ALT 245 previously normal. Her atorvastatin and metformin were held. She was tolerating po and her VS were stable so she was discharged home. She was advised to have repeat labs with her PCP in 1 week and if at that time her Cr, AST, ALT improved, then her hydrochlorothiazide, atorvastatin, metformin could be resumed at her PCP's discretion. She was at home for one day and presented to another ED with CP and SOB. Admitted 4/27-5/1 D/C Summary :Clinical Summary Patient is a 58 y.o. female with a history of positive covid test 4/25/21, CKD, CAD s/p PCI, depression OSA rheumatoid arthritis morbid obesity, HTN and DM2 who just discharged from hospital 4/26/21 after diagnosis of COVID and starting on dexamethasone. She presented to hospital 4/27/2021 with chest pain and shortness of breath. CXR negative 4/27/21, CTPA negative 4/26/21, LEVD negative 4/26/21 labs stable from last admission.    1. COVID 19 Pneumonia: Suspected re-infection. Husband reported was positive mid - January. Continued dexamethasone to complete 10 days (started 4/25/2021). Remdesivir not started with LFT elevation on admit.  2. Acute hypoxic respiratory failure: with increasing O2 requirement 4/28/2021. CXR 4/28/2021 with underaeration of lungs. ABG 4/28/2021 without hypoxemia. Likely d/t COVID, resolved 3. Chest pain: Suspect in setting of COVID infection and component of costochondritis. CTPA and LEVD negative 4/26/21. Troponins stable from last admission in setting of CKD, ekg without acute findings on admit.  4. Elevated LFT: on admit AST 186, ALT 245, total bilirubin 0.2. likely d/t COVID. Improving, AST 93, ALT 163 4/30/202.1. will need outpatient repeat in 1-2 weeks with PCP 5. CKD3: Baseline creat 1.2-1.5. Cr on admit 1.52, improved 0.99 4/30/2021. Repeat chem in 1-2 weeks  6. T2DM: Per history, on Januvia at home (held on admit). A1C 8 1/29/21. Hyperglycemia on admission, improved with SSI, discussed continuing on discharge while on steroids and following up with PCP in next week
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Lymphadenopathy, Myalgia
Clinical narrative: I had chills, fatigue, headache, and bilateral calf and thigh muscle pain that started about 6 hours after the vaccination and lasted about 36-48 hours. I took Tylenol 500mg after the onset of symptoms and three times a day. The symptoms went away by mid-day on 4/13/2021. Since then, I have been experiencing bilateral calf muscle pain off and on. I also had an enlarged axillary lymph node n the left side (side of vaccination). I reported it to urgent care on 4/18/2021 and was told the muscle pain was unlikely to be a clot since it was bilateral and there was no swelling or discoloration. I was told to hydrate and follow up with my primary care provider if it continues.  The calf muscle pain has continued - almost every other day - and responds to Advil. I have an appointment to talk to an MD tomorrow (May 5th)
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: I had chills, fatigue, headache, and bilateral calf and thigh muscle pain that started about 6 hours after the vaccination and lasted about 36-48 hours. I took Tylenol 500mg after the onset of symptoms and three times a day. The symptoms went away by mid-day on 4/13/2021. Since then, I have been experiencing bilateral calf muscle pain off and on. I also had an enlarged axillary lymph node n the left side (side of vaccination). I reported it to urgent care on 4/18/2021 and was told the muscle pain was unlikely to be a clot since it was bilateral and there was no swelling or discoloration. I was told to hydrate and follow up with my primary care provider if it continues.  The calf muscle pain has continued - almost every other day - and responds to Advil. I have an appointment to talk to an MD tomorrow (May 5th)
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Gastrointestinal haemorrhage
Clinical narrative: K92.2 - Gastrointestinal hemorrhage, unspecified
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Bowel movement irregularity, Cold sweat, Dizziness, Ear pain, Fatigue
Clinical narrative: Within five minutes of receiving vaccine I broke out in a cold sweat and was dizzy. That lasted for about ten minutes. The next day I woke up to pain running from the right side of my jaw to my right ear. The injection site in my right arm was more sore than any other vaccine shot I have ever had. The glands in my neck were swollen and my right side shoulder and neck area were sore. I experienced waves of fatigue over the next four days. The pain to my ear that seemed to mimic a really bad ear infection continued for six days. I went to the minute clinic at the Pharmacy where I received the shot and was checked out. There was nothing wrong with my ear and they could not find anything wrong with me other than my glands were swollen and I had a general amount of swelling on the right side of my next going into my shoulder. While the pain in my ear has lessened some it is still there now eight days after the vaccination. I have also experienced some GI issues. I am extremely regular and do not have issue going to the bathroom. My gut was not normal and I did not have normal bowl movements for more than a week. I also have had something akin to a rash on my arms that looks like prickly heat. It seemed to me that my immune system overreacted to the vaccine. I have contended for months now that I had Covid back in March of 2020 right before the shutdown. I believe I caught it during business travel at the very beginning of March 2020. My concern is whether I should get the second Moderna shot if my immune system is already this revved up with antibodies.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Gastrointestinal disorder, Injection site pain, Injection site swelling, Lymphadenopathy, Neck pain
Clinical narrative: Within five minutes of receiving vaccine I broke out in a cold sweat and was dizzy. That lasted for about ten minutes. The next day I woke up to pain running from the right side of my jaw to my right ear. The injection site in my right arm was more sore than any other vaccine shot I have ever had. The glands in my neck were swollen and my right side shoulder and neck area were sore. I experienced waves of fatigue over the next four days. The pain to my ear that seemed to mimic a really bad ear infection continued for six days. I went to the minute clinic at the Pharmacy where I received the shot and was checked out. There was nothing wrong with my ear and they could not find anything wrong with me other than my glands were swollen and I had a general amount of swelling on the right side of my next going into my shoulder. While the pain in my ear has lessened some it is still there now eight days after the vaccination. I have also experienced some GI issues. I am extremely regular and do not have issue going to the bathroom. My gut was not normal and I did not have normal bowl movements for more than a week. I also have had something akin to a rash on my arms that looks like prickly heat. It seemed to me that my immune system overreacted to the vaccine. I have contended for months now that I had Covid back in March of 2020 right before the shutdown. I believe I caught it during business travel at the very beginning of March 2020. My concern is whether I should get the second Moderna shot if my immune system is already this revved up with antibodies.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in jaw, Rash, Swelling
Clinical narrative: Within five minutes of receiving vaccine I broke out in a cold sweat and was dizzy. That lasted for about ten minutes. The next day I woke up to pain running from the right side of my jaw to my right ear. The injection site in my right arm was more sore than any other vaccine shot I have ever had. The glands in my neck were swollen and my right side shoulder and neck area were sore. I experienced waves of fatigue over the next four days. The pain to my ear that seemed to mimic a really bad ear infection continued for six days. I went to the minute clinic at the Pharmacy where I received the shot and was checked out. There was nothing wrong with my ear and they could not find anything wrong with me other than my glands were swollen and I had a general amount of swelling on the right side of my next going into my shoulder. While the pain in my ear has lessened some it is still there now eight days after the vaccination. I have also experienced some GI issues. I am extremely regular and do not have issue going to the bathroom. My gut was not normal and I did not have normal bowl movements for more than a week. I also have had something akin to a rash on my arms that looks like prickly heat. It seemed to me that my immune system overreacted to the vaccine. I have contended for months now that I had Covid back in March of 2020 right before the shutdown. I believe I caught it during business travel at the very beginning of March 2020. My concern is whether I should get the second Moderna shot if my immune system is already this revved up with antibodies.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient said she had a history of fainting with other injections and blood draws.  She was sitting in a chair when she began to feel faint.  She asked her sister to move her to the floor to lay down.  She was out for about 3 minutes and then came to.  She sat on the floor for a minute and then transitioned to the chair.  We offered cold cloths which she refused.  She did accept an orange juice.  She was fine after waiting 15 minutes and left the store.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pyrexia
Clinical narrative: Fever; headache; fatigue.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Dizziness. Has history of dizziness, did not hydrate herself today. Given water, BP/HR improved. Stable, released from vaccination site.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Breast swelling, Computerised tomogram, Diarrhoea, Gastric dilatation
Clinical narrative: Starting 2 weeks after 2nd shot, I got diarrhea, low grade fever, distended stomach with a bulge, swollen right breast and allergies to food I never had before. So far, lobster and salmon. Lobster caused a tightening of the throat. Salmon caused tingling and swollen lips.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Scan with contrast, Throat tightness, Ultrasound scan
Clinical narrative: Starting 2 weeks after 2nd shot, I got diarrhea, low grade fever, distended stomach with a bulge, swollen right breast and allergies to food I never had before. So far, lobster and salmon. Lobster caused a tightening of the throat. Salmon caused tingling and swollen lips.