chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Asthenia, Blood folate normal, Blood thyroid stimulating hormone, COVID-19
Clinical narrative: Hospitalized 11/20/21-still currently admitted; COVID-19 positive 11/20/21; fully vaccinated  ASSESSMENT / PLAN: Patient is an 85yo male with PMH that includes dementia, HTN, HLD, hypothyroidism who is presents with weakness and was found to be COVID positive.      #COVID-19 COVID positive on 11/20/21. Received Pfizer vaccine x 2 in February. Symptoms include dyspnea on exertion, unclear date of onset. Stable on RA.  - Order CXR - Lovenox - Decadron, remdesivir not indicated, may consider if worsening respiratory status  - Consider MAB  11/22/2021 note: COVID-19 Recent increased weakness and falls most likely due to COVID-19 infection or potentially deconditioning. B12/folate WNL. TSH elevated at 9.6, T4 WNL less likely to be due to hypothyroidism. Plan -Monoclonal antibody being administered today -does not qualify for other COVID treatments as patient on room air -PT/OT ordered -Consult to care manager -PMR consult- recommend SAR or home with assistance 11/24/2021 Note: Discharge Coordination/Progress: Patient's spouse requests to take patient home today.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea exertional, Fall, Monoclonal antibody unconjugated therapy, Physical deconditioning, SARS-CoV-2 test positive
Clinical narrative: Hospitalized 11/20/21-still currently admitted; COVID-19 positive 11/20/21; fully vaccinated  ASSESSMENT / PLAN: Patient is an 85yo male with PMH that includes dementia, HTN, HLD, hypothyroidism who is presents with weakness and was found to be COVID positive.      #COVID-19 COVID positive on 11/20/21. Received Pfizer vaccine x 2 in February. Symptoms include dyspnea on exertion, unclear date of onset. Stable on RA.  - Order CXR - Lovenox - Decadron, remdesivir not indicated, may consider if worsening respiratory status  - Consider MAB  11/22/2021 note: COVID-19 Recent increased weakness and falls most likely due to COVID-19 infection or potentially deconditioning. B12/folate WNL. TSH elevated at 9.6, T4 WNL less likely to be due to hypothyroidism. Plan -Monoclonal antibody being administered today -does not qualify for other COVID treatments as patient on room air -PT/OT ordered -Consult to care manager -PMR consult- recommend SAR or home with assistance 11/24/2021 Note: Discharge Coordination/Progress: Patient's spouse requests to take patient home today.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Thyroxine normal, Vitamin B12 normal
Clinical narrative: Hospitalized 11/20/21-still currently admitted; COVID-19 positive 11/20/21; fully vaccinated  ASSESSMENT / PLAN: Patient is an 85yo male with PMH that includes dementia, HTN, HLD, hypothyroidism who is presents with weakness and was found to be COVID positive.      #COVID-19 COVID positive on 11/20/21. Received Pfizer vaccine x 2 in February. Symptoms include dyspnea on exertion, unclear date of onset. Stable on RA.  - Order CXR - Lovenox - Decadron, remdesivir not indicated, may consider if worsening respiratory status  - Consider MAB  11/22/2021 note: COVID-19 Recent increased weakness and falls most likely due to COVID-19 infection or potentially deconditioning. B12/folate WNL. TSH elevated at 9.6, T4 WNL less likely to be due to hypothyroidism. Plan -Monoclonal antibody being administered today -does not qualify for other COVID treatments as patient on room air -PT/OT ordered -Consult to care manager -PMR consult- recommend SAR or home with assistance 11/24/2021 Note: Discharge Coordination/Progress: Patient's spouse requests to take patient home today.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: patient got covid  break through after 2 vaccines
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Bursa injury, Injury, Product administration error
Clinical narrative: Pt went to doctor to discover Bursa injury due to high administration of Moderna vaccine
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Fully vaccinated EE tested positive for covid-19
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Back pain, Computerised tomogram abnormal, Congenital cystic kidney disease, Diarrhoea
Clinical narrative: A low grade fever and stomach aches - cramping and the next was diarrhea, was having back aches and saw doctor and got MRI in June2021 - diagnosed polycystic kidney disease and UTI.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging abnormal, Muscle spasms, Pyrexia, Ultrasound kidney abnormal, Urinary tract infection
Clinical narrative: A low grade fever and stomach aches - cramping and the next was diarrhea, was having back aches and saw doctor and got MRI in June2021 - diagnosed polycystic kidney disease and UTI.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Dizziness, Fatigue, Headache, Nausea
Clinical narrative: after slight headache and fatigue for the first 2 days after injection, I felt OK but the third day, early AM I had some diarrhea and dizziness with nausea and headache throughout the next 2 days and I was very tired, achy and headache returned. This was followed by 3 more days of fatigue with slight headache. This is the 7th day and I am feeling somewhat better but still tired. I hope this is the last of it.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: after slight headache and fatigue for the first 2 days after injection, I felt OK but the third day, early AM I had some diarrhea and dizziness with nausea and headache throughout the next 2 days and I was very tired, achy and headache returned. This was followed by 3 more days of fatigue with slight headache. This is the 7th day and I am feeling somewhat better but still tired. I hope this is the last of it.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: OUTSIDE OF GUIDELINESS THIRD PARTY STAFF ADMINISTERED FULL DOSE (0.5ML) OF MODERNA VACCINE INSTEAD OF BOOSTER DOSE (0.25ML)
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Nasal congestion, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Client vaccinated with Moderna vaccines approx Jan 15 and Feb 15, 2021.  Symptom started 11/23 - fever 100.1 and nasal congestion.  Reported as case of breakthrough Covid in a previously vaccinated person.  Has not received booster dose.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: given a pediatric dose and should have been given an adult dose
Age: 68.0
Sex: F
Vaccine: FLU4
Symptoms: Expired product administered
Clinical narrative: Patient was given Fluzone HD PF 2020-2021.  Expired vaccine from last influenza season.  Expired 6-30-2021
Age: 1.0
Sex: F
Vaccine: HEPA
Symptoms: Decreased appetite, Pain, Pyrexia, Seizure, Urticaria
Clinical narrative: Fever, hives all over body, pain, loss of appetite.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine vial frozen too long. Vaccine may have been compromised
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Deafness unilateral, Ear discomfort, Head discomfort, Headache, Occipital neuralgia
Clinical narrative: I had issues with both shots. First shot, I started with a general headache that eased with time, but it never went away. After the 2nd shot, I had a more localized headache (feeling like pressure) on the back side of my head (left side). In addition, I lost hearing on my right ear suddenly. It started as a feeling of being in a tunnel or underwater. I realized that I could not recognize sound coming from my right ear and I couldn't understand when people talked to me.  I had my 1st Dr's visit on Oct 9th at Health center. I had a follow up appt on Oct 18th and a referral was placed for ENT. I had my appt with on 11/23 with ENT.  In terms of the pressure headache, my Dr said it could be occipital neuralgia, although there has not been trauma to my head or neck. All these events happened after my 2nd shot. I am not sure if they are related to the COVID shots or not, but I would like to report them. I did not feel headaches until the initial headaches with the 1st shot and, after my 2nd one, the headache localized in the back on my head AND the sudden hearing loss. Again, I am not sure if they are related or a coincidence, but I think I should report them.  In terms of 'what's next', ENT suggested transtympanic steroid injections, although he thinks this will not work because it has been over 2 months since I noticed my hearing loss. Also suggested hearing aid.  For the headache, I am now applying heat, although my family doctor suggested gavapentin.  Again, I am not sure if this is due to the COVID shots or not, but I think I should report it since it happened right after my shots.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sudden hearing loss
Clinical narrative: I had issues with both shots. First shot, I started with a general headache that eased with time, but it never went away. After the 2nd shot, I had a more localized headache (feeling like pressure) on the back side of my head (left side). In addition, I lost hearing on my right ear suddenly. It started as a feeling of being in a tunnel or underwater. I realized that I could not recognize sound coming from my right ear and I couldn't understand when people talked to me.  I had my 1st Dr's visit on Oct 9th at Health center. I had a follow up appt on Oct 18th and a referral was placed for ENT. I had my appt with on 11/23 with ENT.  In terms of the pressure headache, my Dr said it could be occipital neuralgia, although there has not been trauma to my head or neck. All these events happened after my 2nd shot. I am not sure if they are related to the COVID shots or not, but I would like to report them. I did not feel headaches until the initial headaches with the 1st shot and, after my 2nd one, the headache localized in the back on my head AND the sudden hearing loss. Again, I am not sure if they are related or a coincidence, but I think I should report them.  In terms of 'what's next', ENT suggested transtympanic steroid injections, although he thinks this will not work because it has been over 2 months since I noticed my hearing loss. Also suggested hearing aid.  For the headache, I am now applying heat, although my family doctor suggested gavapentin.  Again, I am not sure if this is due to the COVID shots or not, but I think I should report it since it happened right after my shots.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Diarrhoea, Fatigue, Nausea, Vomiting
Clinical narrative: The delayed adverse events that the patient experienced are nausea, vomiting, diarrhea, weakness, and fatigue.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Patient recieved moderna . Patient accidently received  pfizer booser. Patient was informed and is it ok with it
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Asthenia, Atrial fibrillation, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Patient arrived to the ED on 11/16/2021 with evaluation of shortness of breath.  Patient states for the past 2 days he has had generalized weakness with associated CP, cough, and shortness of breath.  EMS reports patient was hypoxemic with a pulse oximetry of 80% on room air which improved to the low 90s after being placed on oxygen by non-rebreather.  Patient has a history of atrial fibrillation and EMS states patient was in AFib with RVR, rate around 120 during transport.  Patient states for the last 2 days he has had dry cough and also reports generalized anterior pressure-type pain from the chest which is worse with coughing.  Patient denies any leg pain or edema.                         ]
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Chest discomfort, Chest pain, Condition aggravated, Cough, Dyspnoea
Clinical narrative: Patient arrived to the ED on 11/16/2021 with evaluation of shortness of breath.  Patient states for the past 2 days he has had generalized weakness with associated CP, cough, and shortness of breath.  EMS reports patient was hypoxemic with a pulse oximetry of 80% on room air which improved to the low 90s after being placed on oxygen by non-rebreather.  Patient has a history of atrial fibrillation and EMS states patient was in AFib with RVR, rate around 120 during transport.  Patient states for the last 2 days he has had dry cough and also reports generalized anterior pressure-type pain from the chest which is worse with coughing.  Patient denies any leg pain or edema.                         ]
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Endotracheal intubation, Hypoxia, Intensive care, Interleukin level, Lung infiltration
Clinical narrative: Patient arrived to the ED on 11/16/2021 with evaluation of shortness of breath.  Patient states for the past 2 days he has had generalized weakness with associated CP, cough, and shortness of breath.  EMS reports patient was hypoxemic with a pulse oximetry of 80% on room air which improved to the low 90s after being placed on oxygen by non-rebreather.  Patient has a history of atrial fibrillation and EMS states patient was in AFib with RVR, rate around 120 during transport.  Patient states for the last 2 days he has had dry cough and also reports generalized anterior pressure-type pain from the chest which is worse with coughing.  Patient denies any leg pain or edema.                         ]
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient arrived to the ED on 11/16/2021 with evaluation of shortness of breath.  Patient states for the past 2 days he has had generalized weakness with associated CP, cough, and shortness of breath.  EMS reports patient was hypoxemic with a pulse oximetry of 80% on room air which improved to the low 90s after being placed on oxygen by non-rebreather.  Patient has a history of atrial fibrillation and EMS states patient was in AFib with RVR, rate around 120 during transport.  Patient states for the last 2 days he has had dry cough and also reports generalized anterior pressure-type pain from the chest which is worse with coughing.  Patient denies any leg pain or edema.                         ]
Age: 10.0
Sex: M
Vaccine: FLU4
Symptoms: Syncope
Clinical narrative: Patient sat for over 10 minutes in chair before getting up to go shop with his parents in the store. Mom came back to pharmacy saying her son had fainted.  I ran up to the aisle and the child way lying on the floor with his father. He was alert with eyes open and talking.  We called EMS and they took vitals and said everything checked out normal and thought it was a catalyst reaction. They released patient to go home with parents. They shopped in store and then left.
Age: 22.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anosmia, COVID-19, Nasal congestion, SARS-CoV-2 test positive
Clinical narrative: Client vaccinated with Pfizer vaccines for Covid in April and May 2021.  Symptoms developed 11/20 - nasal congestion, loss of smell.  Reported as a case of breakthrough Covid in a previously vaccinated person.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Hallucination, Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: THIS PATIENT WAS GIVEN 0.25ML MODERNA BOOSTER ON 11/20/2021.  ON 11/21/2021 AT ABOUT 11AM SHE EXPERIENCED SOME VISION CHANGES.  SHE WAS HAVING HALLUCINATIONS.  HER VISION WAS NOT BLURRY BUT RATHER SHE WAS SEEING THINGS THAT WERE NOT THERE.  THIS EVENT CLEARED IN SEVERAL HOURS.  ON THE EVENING OF 11/21/2021 ABOUT 7PM SHE STARTED TO EXPERIENCE SOME SWELLING UNDER THE INJECTION SITE, THE AREA BECAME RED AND HOT TO THE TOUCH.  UPON VISUAL INSPECTION, ON 11/24/2021 AT ABOUT NOON, I NOTICED THE REDNESS AND A HARDNESS TO THE SKIN.  THE AREA WAS ALSO VERY HOT TO THE TOUCH.  THE AFFECTED AREA WAS NOT AT THE INJECTION SITE BUT UNDERNEATH WHERE THE VACCINE WAS GIVEN.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: THIS PATIENT WAS GIVEN 0.25ML MODERNA BOOSTER ON 11/20/2021.  ON 11/21/2021 AT ABOUT 11AM SHE EXPERIENCED SOME VISION CHANGES.  SHE WAS HAVING HALLUCINATIONS.  HER VISION WAS NOT BLURRY BUT RATHER SHE WAS SEEING THINGS THAT WERE NOT THERE.  THIS EVENT CLEARED IN SEVERAL HOURS.  ON THE EVENING OF 11/21/2021 ABOUT 7PM SHE STARTED TO EXPERIENCE SOME SWELLING UNDER THE INJECTION SITE, THE AREA BECAME RED AND HOT TO THE TOUCH.  UPON VISUAL INSPECTION, ON 11/24/2021 AT ABOUT NOON, I NOTICED THE REDNESS AND A HARDNESS TO THE SKIN.  THE AREA WAS ALSO VERY HOT TO THE TOUCH.  THE AFFECTED AREA WAS NOT AT THE INJECTION SITE BUT UNDERNEATH WHERE THE VACCINE WAS GIVEN.
Age: 18.0
Sex: F
Vaccine: FLU4
Symptoms: Nausea, Vomiting
Clinical narrative: Patient reported feeling well after visit and left to get a water. Reports that she felt nauseous and then vomited and possibly fainted while making purchase. Patient was able to independently ambulate to seating area and then into clinic. Patient reports feeling better. Vitals were stable upon reentering clinic. BP 116/76. Patient called parent and parent transported back home.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Middle ear effusion, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test negative, Upper respiratory tract infection
Clinical narrative: About 10 days after vaccination, developed fever, sore throat, and classic URI symptoms with fluid in ears
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Aplastic anaemia, Biopsy bone marrow, Blood smear test, Full blood count
Clinical narrative: aplastic anemia
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE VIAL FROZEN TOO LONG. VACCINE MAY HAVE BEEN COMPROMISED
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient received 1-2 doses of moderna. Patient wanted moderna booster.  However, recieved pfizer by mistake..  Patient was informed and is ok with it
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Fatigue
Clinical narrative: Nurse gave patient his 3 rd dose of Pfizer. She realized after giving the dose she gave too much. She gave 0.5ml instead of 0.3ml. Patient was informed about the dosage. Also the staff called the Health Officer  about the error. Patient was upset. Dr. did call the patient to reassure. I also called the patient today to get information & see how he was doing. He stated that  he was really tired. No other issues.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lip swelling, Swollen tongue
Clinical narrative: Patient made appointment to receive the COVID moderna booster vaccination. Patient consented to vaccine and notified staff that she has had previous reactions to vaccinations, doctor recommended she still should receive this shot. Patient was informed to remain in pharmacy for 30 minutes for observation. About 10 minutes into the observation period patient disclosed to staff she was experiencing lip/tongue swelling. Pharmacy staff asked patient if she wanted benadryl but patient said she was not comfortable swallowing pills and wanted to have EMS assistance. EMS came on scene and ended up giving the patient the Benadryl tablets. The patient and EMS remained in pharmacy until patient's son was able to  get to her.
Age: 22.0
Sex: F
Vaccine: FLUN4
Symptoms: Expired product administered
Clinical narrative: Patient was given Flumist 2020-2021.  Expired vaccine from last influenza season.  Expired 12/29/2020
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chest pain, Dyspnoea, Feeling abnormal, Headache
Clinical narrative: shortness of breath, chest pain, weakness, brain fog, headache, leg swelling, pneumonia
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test normal, Peripheral swelling, Pneumonia
Clinical narrative: shortness of breath, chest pain, weakness, brain fog, headache, leg swelling, pneumonia
Age: 94.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: Client had Moderna vaccines for Covid in April and May 2021.  Tested on 11/18 because son with who she lives was positive for Covid the week before.  Client tested positive and has no symptoms.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE VIAL FROZEN TOO LONG. VACCINE MAY HAVE BEEN COMPROMISED.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Blood urine present, Computerised tomogram, Condition aggravated, Cough
Clinical narrative: Developed flu-like symptoms and asthma got worse after booster. Cough did not go away, went to doctor and prescribed prednisone and have been taking cough medicine for past three weeks. Earlier today woke up in immense pain. Diagnosed with a Kidney stone, a Left ureteral stone, and a UTI.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Nephrolithiasis, Pain, Urinary tract infection, Urine analysis abnormal
Clinical narrative: Developed flu-like symptoms and asthma got worse after booster. Cough did not go away, went to doctor and prescribed prednisone and have been taking cough medicine for past three weeks. Earlier today woke up in immense pain. Diagnosed with a Kidney stone, a Left ureteral stone, and a UTI.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count increased
Clinical narrative: Developed flu-like symptoms and asthma got worse after booster. Cough did not go away, went to doctor and prescribed prednisone and have been taking cough medicine for past three weeks. Earlier today woke up in immense pain. Diagnosed with a Kidney stone, a Left ureteral stone, and a UTI.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Breath sounds absent, Cardiac arrest, Cardioversion, Dyspnoea
Clinical narrative: Difficulty breathing starting at approximately 1254, upon EMS arrival she was unresponsive, absent pulse and absent breath sounds. Blood glucose 390. CPR initiated. initially in asystole then 1 episode of a shockable rhythm and was defibrillated at 150 joules, but then returned to asystole. Transferred to hospital. During transport received 5 rounds of epinephrine and supraglottic airway in place with ETCO2 at 25 and chest compression administered via LUCAS device. 1L of NS given during transport and sodium bicarb. Arrived at hospital unresponsive time 45-50 minutes.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pulse absent, Resuscitation, Unresponsive to stimuli
Clinical narrative: Difficulty breathing starting at approximately 1254, upon EMS arrival she was unresponsive, absent pulse and absent breath sounds. Blood glucose 390. CPR initiated. initially in asystole then 1 episode of a shockable rhythm and was defibrillated at 150 joules, but then returned to asystole. Transferred to hospital. During transport received 5 rounds of epinephrine and supraglottic airway in place with ETCO2 at 25 and chest compression administered via LUCAS device. 1L of NS given during transport and sodium bicarb. Arrived at hospital unresponsive time 45-50 minutes.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Confusional state, Disorientation, Disturbance in attention, Dysstasia
Clinical narrative: Woke up following morning after vaccine, felt very disoriented, confused, having hard time balancing and standing. Patient was unable to keep focus when looking something up on her phone and her eyes could not focus on the keyboard. Blood pressure came back 108/61. typically, this patient has high blood pressure even with medication. Felt very tired and fell back asleep for two additional hours. She woke up again trembling and freezing, but had a temperature of 102 degrees Fahrenheit. she covered herself in warm blankets, and took Tylenol. she slept again and woke up five hours later, took another Tylenol, then went to sleep again. Later that evening of the 19th, her fever broke.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling cold, Pyrexia, Tremor, Vision blurred
Clinical narrative: Woke up following morning after vaccine, felt very disoriented, confused, having hard time balancing and standing. Patient was unable to keep focus when looking something up on her phone and her eyes could not focus on the keyboard. Blood pressure came back 108/61. typically, this patient has high blood pressure even with medication. Felt very tired and fell back asleep for two additional hours. She woke up again trembling and freezing, but had a temperature of 102 degrees Fahrenheit. she covered herself in warm blankets, and took Tylenol. she slept again and woke up five hours later, took another Tylenol, then went to sleep again. Later that evening of the 19th, her fever broke.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Fatigue, Headache, Pain in extremity, Palpitations
Clinical narrative: Sore left arm, sore area under left arm, heart palpitations, light headache, fatigue that began on Friday and lasted through Sunday. Palpitations are intermittent and have improved, but are still occurring on 11/24/2021. I had no reaction to the first two Pfizer shots; not even arm tenderness. Saw doctor on 11/24/2021.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death
Clinical narrative: fully vaccinated-complications of covid-19 death
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE VIAL FROZEN TOO LONG. VACCINE MAY HAVE BEEN COMPROMISED
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: Stroke (possible transient ischemic stroke)
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Presyncope, Syncope
Clinical narrative: The patient  started to lean on his sister sitting next to him and then fainted, momentarily. His  father helped lower him to the ground. no injuries happened as a result.  He rested on a cot for approx 20 minutes, drank some juice, feeling better and leaving shortly after that.  Suspect vasovagal reaction post vaccination.  The patient  described feeling "dizzy' but doesn't remember anything after that.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: OUTSIDE OF GUIDELINESS THIRD PARTY STAFF ADMINISTERED FULL DOSE (0.5ML) OF MODERNA VACCINE INSTEAD OF BOOSTER DOSE (0.25ML)
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine vial frozen too long. Vaccine may have been compromised.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was given an expired COVID VACCINE BOOSTER. Date of expiration 10/9/21.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Influenza, Myalgia
Clinical narrative: Muscle and joint pain, headache, fatigue, feeling of coming down with the flu, no fever
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site pain
Clinical narrative: patient came to the pharmacy on 11/24/21  to report bruising and mild pain at the site of injection. The first Janssen injection was given on 11/9/21.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE VIAL FROZEN TOO LONG. VACCINE MAY HAVE BEEN COMPROMISED.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: patient had positive covid test after 2 vaccines
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, Blood creatinine normal, Blood glucose normal, C-reactive protein increased
Clinical narrative: Hospitalized 11/23/2021-still admitted currently; COVID-19 positive 11/23/2021; fully vaccinated plus booster  CHIEF COMPLAINT: COVID  ASSESSMENT / PLAN: Acute Respiratory Failure, secondary to COVID-19 o COVID-19 Infection - confirmed on 11/23/2021.  o Vaccine Status: Fully vaccinated (Pfizer).  Booster: Yes, dose on 11/17/2021 o Outpatient CXR (11/8/2021) suspicious for CAP - treated with Augmentin and Azithromycin o CTA Thorax (11/23/2021) - bilateral ground glass opacities, negative for PE o Abnormal Labs: ? Glucose - 61 § Corrected in ER ? Cr - 1.10 ? WBC - 3.94 o Plan for Admission to Blodgett ? Hold Decadron as patient is not requiring O2. Did desaturate with ambulation but otherwise normal. Start if hypoxia occurs.  ? Hold ABX, secondary to questionable Cdiff. § Procalitonin ordered  ? Not eligible for Remdesivir ? Trend CBC, CMP, D-Dimer, CRP ? Follow stool cultures ? Acapella, mucinex BID and Albuterol BID ? Encourage prone positioning, tessalon perles PRN, albuterol PRN ? Continuous O2 monitoring - not currently on O2.  ? Respiratory Isolation
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Culture stool, Dyspnoea exertional, Fibrin D dimer
Clinical narrative: Hospitalized 11/23/2021-still admitted currently; COVID-19 positive 11/23/2021; fully vaccinated plus booster  CHIEF COMPLAINT: COVID  ASSESSMENT / PLAN: Acute Respiratory Failure, secondary to COVID-19 o COVID-19 Infection - confirmed on 11/23/2021.  o Vaccine Status: Fully vaccinated (Pfizer).  Booster: Yes, dose on 11/17/2021 o Outpatient CXR (11/8/2021) suspicious for CAP - treated with Augmentin and Azithromycin o CTA Thorax (11/23/2021) - bilateral ground glass opacities, negative for PE o Abnormal Labs: ? Glucose - 61 § Corrected in ER ? Cr - 1.10 ? WBC - 3.94 o Plan for Admission to Blodgett ? Hold Decadron as patient is not requiring O2. Did desaturate with ambulation but otherwise normal. Start if hypoxia occurs.  ? Hold ABX, secondary to questionable Cdiff. § Procalitonin ordered  ? Not eligible for Remdesivir ? Trend CBC, CMP, D-Dimer, CRP ? Follow stool cultures ? Acapella, mucinex BID and Albuterol BID ? Encourage prone positioning, tessalon perles PRN, albuterol PRN ? Continuous O2 monitoring - not currently on O2.  ? Respiratory Isolation
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Full blood count, Laboratory test abnormal, Lung opacity, Metabolic function test, SARS-CoV-2 test positive
Clinical narrative: Hospitalized 11/23/2021-still admitted currently; COVID-19 positive 11/23/2021; fully vaccinated plus booster  CHIEF COMPLAINT: COVID  ASSESSMENT / PLAN: Acute Respiratory Failure, secondary to COVID-19 o COVID-19 Infection - confirmed on 11/23/2021.  o Vaccine Status: Fully vaccinated (Pfizer).  Booster: Yes, dose on 11/17/2021 o Outpatient CXR (11/8/2021) suspicious for CAP - treated with Augmentin and Azithromycin o CTA Thorax (11/23/2021) - bilateral ground glass opacities, negative for PE o Abnormal Labs: ? Glucose - 61 § Corrected in ER ? Cr - 1.10 ? WBC - 3.94 o Plan for Admission to Blodgett ? Hold Decadron as patient is not requiring O2. Did desaturate with ambulation but otherwise normal. Start if hypoxia occurs.  ? Hold ABX, secondary to questionable Cdiff. § Procalitonin ordered  ? Not eligible for Remdesivir ? Trend CBC, CMP, D-Dimer, CRP ? Follow stool cultures ? Acapella, mucinex BID and Albuterol BID ? Encourage prone positioning, tessalon perles PRN, albuterol PRN ? Continuous O2 monitoring - not currently on O2.  ? Respiratory Isolation
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: White blood cell count decreased
Clinical narrative: Hospitalized 11/23/2021-still admitted currently; COVID-19 positive 11/23/2021; fully vaccinated plus booster  CHIEF COMPLAINT: COVID  ASSESSMENT / PLAN: Acute Respiratory Failure, secondary to COVID-19 o COVID-19 Infection - confirmed on 11/23/2021.  o Vaccine Status: Fully vaccinated (Pfizer).  Booster: Yes, dose on 11/17/2021 o Outpatient CXR (11/8/2021) suspicious for CAP - treated with Augmentin and Azithromycin o CTA Thorax (11/23/2021) - bilateral ground glass opacities, negative for PE o Abnormal Labs: ? Glucose - 61 § Corrected in ER ? Cr - 1.10 ? WBC - 3.94 o Plan for Admission to Blodgett ? Hold Decadron as patient is not requiring O2. Did desaturate with ambulation but otherwise normal. Start if hypoxia occurs.  ? Hold ABX, secondary to questionable Cdiff. § Procalitonin ordered  ? Not eligible for Remdesivir ? Trend CBC, CMP, D-Dimer, CRP ? Follow stool cultures ? Acapella, mucinex BID and Albuterol BID ? Encourage prone positioning, tessalon perles PRN, albuterol PRN ? Continuous O2 monitoring - not currently on O2.  ? Respiratory Isolation
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Confusional state, Cough, Dyspnoea
Clinical narrative: 86-year-old male past medical history hypertension, high cholesterol, CLL pulmonary embolism, pleural effusion who is here for evaluation of shortness of breath the patient had this morning and altered mental state present for the last 5 days.  Patient tested positive for COVID 1 week ago he was initially started on Medrol Dosepak that was switched to dexamethasone.  Patient also took couple doses of Augmentin that was discontinued after patient received monoclonal antibody infusion on Friday.  Since Friday patient has had hard time sleeping at night time.  Patient's family states the patient appears to be more confused from time to time.  Patient lives independently and is self-sufficient.  Patient has had cough since Tuesday which has been improving.  This morning patient complained of shortness of breath the patient states currently has resolved.  Patient has been able to tolerate oral intake.  Patient has been able to ambulate without any difficulty.  Patient is on Eliquis a given pulmonary embolism 1 year ago.  Patient's family also noted increasing lower extremity edema.  Patient has been compliant with all his medications.  Patient has not required any oxygen.  Patient received full COVID vaccinations did not receive booster.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Insomnia, Mental status changes, Oedema peripheral, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: 86-year-old male past medical history hypertension, high cholesterol, CLL pulmonary embolism, pleural effusion who is here for evaluation of shortness of breath the patient had this morning and altered mental state present for the last 5 days.  Patient tested positive for COVID 1 week ago he was initially started on Medrol Dosepak that was switched to dexamethasone.  Patient also took couple doses of Augmentin that was discontinued after patient received monoclonal antibody infusion on Friday.  Since Friday patient has had hard time sleeping at night time.  Patient's family states the patient appears to be more confused from time to time.  Patient lives independently and is self-sufficient.  Patient has had cough since Tuesday which has been improving.  This morning patient complained of shortness of breath the patient states currently has resolved.  Patient has been able to tolerate oral intake.  Patient has been able to ambulate without any difficulty.  Patient is on Eliquis a given pulmonary embolism 1 year ago.  Patient's family also noted increasing lower extremity edema.  Patient has been compliant with all his medications.  Patient has not required any oxygen.  Patient received full COVID vaccinations did not receive booster.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood alkaline phosphatase increased, Blood bilirubin normal
Clinical narrative: ER note 11/21/2021:  Cough, body aches, congestion and right upper quadrant abdominal pain  -patient is found to be Covid positive.  She is febrile and tachycardic in the emergency department.  She states she has been taking Tylenol with the limited relief.  She was given ibuprofen for her fever and a small fluid bolus. EKG shows sinus tachycardia with no evidence of acute ischemic changes.  Her white blood cell count is minimally elevated at 14.2.  Hemoglobin, hematocrit and platelets are all found to be normal.  Patient is hyperglycemic at 375, however no evidence of DKA.  While her liver enzymes are minimally elevated with an alkaline phosphatase of 179, and AST of 103 and an ALT of 93 with a normal bilirubin patient does have a history of having elevated liver enzymes and had a remote cholecystectomy.  Lactic acid is elevated at 3.4.  Troponin is normal at 8.9.  Ferritin is elevated at 867.8.  Urine does not show any evidence of urinary tract infection.  Upon arrival to the emergency department her pulse ox was in the low 90s.  With ambulation it did stay above 88%.  She was resting in the room awaiting her test results when it did dip to 87%.  It then returned to the low 90s without oxygen administration.  Patient was given dexamethasone for treatment.  Bilateral patchy infiltrates are seen on the x-ray.  Patient's D-dimer is minimally elevated at 594.  Low suspicion for PE at this time.  Discussed with Dr. who is agreeable to admit the patient. At the time of this VAERS entry, the patient is still admitted to the Adult Care Unit.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Blood lactic acid, COVID-19, Chest X-ray abnormal, Cough
Clinical narrative: ER note 11/21/2021:  Cough, body aches, congestion and right upper quadrant abdominal pain  -patient is found to be Covid positive.  She is febrile and tachycardic in the emergency department.  She states she has been taking Tylenol with the limited relief.  She was given ibuprofen for her fever and a small fluid bolus. EKG shows sinus tachycardia with no evidence of acute ischemic changes.  Her white blood cell count is minimally elevated at 14.2.  Hemoglobin, hematocrit and platelets are all found to be normal.  Patient is hyperglycemic at 375, however no evidence of DKA.  While her liver enzymes are minimally elevated with an alkaline phosphatase of 179, and AST of 103 and an ALT of 93 with a normal bilirubin patient does have a history of having elevated liver enzymes and had a remote cholecystectomy.  Lactic acid is elevated at 3.4.  Troponin is normal at 8.9.  Ferritin is elevated at 867.8.  Urine does not show any evidence of urinary tract infection.  Upon arrival to the emergency department her pulse ox was in the low 90s.  With ambulation it did stay above 88%.  She was resting in the room awaiting her test results when it did dip to 87%.  It then returned to the low 90s without oxygen administration.  Patient was given dexamethasone for treatment.  Bilateral patchy infiltrates are seen on the x-ray.  Patient's D-dimer is minimally elevated at 594.  Low suspicion for PE at this time.  Discussed with Dr. who is agreeable to admit the patient. At the time of this VAERS entry, the patient is still admitted to the Adult Care Unit.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Fibrin D dimer increased, Full blood count, Haematocrit normal, Haemoglobin normal
Clinical narrative: ER note 11/21/2021:  Cough, body aches, congestion and right upper quadrant abdominal pain  -patient is found to be Covid positive.  She is febrile and tachycardic in the emergency department.  She states she has been taking Tylenol with the limited relief.  She was given ibuprofen for her fever and a small fluid bolus. EKG shows sinus tachycardia with no evidence of acute ischemic changes.  Her white blood cell count is minimally elevated at 14.2.  Hemoglobin, hematocrit and platelets are all found to be normal.  Patient is hyperglycemic at 375, however no evidence of DKA.  While her liver enzymes are minimally elevated with an alkaline phosphatase of 179, and AST of 103 and an ALT of 93 with a normal bilirubin patient does have a history of having elevated liver enzymes and had a remote cholecystectomy.  Lactic acid is elevated at 3.4.  Troponin is normal at 8.9.  Ferritin is elevated at 867.8.  Urine does not show any evidence of urinary tract infection.  Upon arrival to the emergency department her pulse ox was in the low 90s.  With ambulation it did stay above 88%.  She was resting in the room awaiting her test results when it did dip to 87%.  It then returned to the low 90s without oxygen administration.  Patient was given dexamethasone for treatment.  Bilateral patchy infiltrates are seen on the x-ray.  Patient's D-dimer is minimally elevated at 594.  Low suspicion for PE at this time.  Discussed with Dr. who is agreeable to admit the patient. At the time of this VAERS entry, the patient is still admitted to the Adult Care Unit.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Hepatic enzyme increased, Hyperglycaemia, Liver function test, Lung infiltration, Pain
Clinical narrative: ER note 11/21/2021:  Cough, body aches, congestion and right upper quadrant abdominal pain  -patient is found to be Covid positive.  She is febrile and tachycardic in the emergency department.  She states she has been taking Tylenol with the limited relief.  She was given ibuprofen for her fever and a small fluid bolus. EKG shows sinus tachycardia with no evidence of acute ischemic changes.  Her white blood cell count is minimally elevated at 14.2.  Hemoglobin, hematocrit and platelets are all found to be normal.  Patient is hyperglycemic at 375, however no evidence of DKA.  While her liver enzymes are minimally elevated with an alkaline phosphatase of 179, and AST of 103 and an ALT of 93 with a normal bilirubin patient does have a history of having elevated liver enzymes and had a remote cholecystectomy.  Lactic acid is elevated at 3.4.  Troponin is normal at 8.9.  Ferritin is elevated at 867.8.  Urine does not show any evidence of urinary tract infection.  Upon arrival to the emergency department her pulse ox was in the low 90s.  With ambulation it did stay above 88%.  She was resting in the room awaiting her test results when it did dip to 87%.  It then returned to the low 90s without oxygen administration.  Patient was given dexamethasone for treatment.  Bilateral patchy infiltrates are seen on the x-ray.  Patient's D-dimer is minimally elevated at 594.  Low suspicion for PE at this time.  Discussed with Dr. who is agreeable to admit the patient. At the time of this VAERS entry, the patient is still admitted to the Adult Care Unit.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Platelet count normal, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive, Serum ferritin increased
Clinical narrative: ER note 11/21/2021:  Cough, body aches, congestion and right upper quadrant abdominal pain  -patient is found to be Covid positive.  She is febrile and tachycardic in the emergency department.  She states she has been taking Tylenol with the limited relief.  She was given ibuprofen for her fever and a small fluid bolus. EKG shows sinus tachycardia with no evidence of acute ischemic changes.  Her white blood cell count is minimally elevated at 14.2.  Hemoglobin, hematocrit and platelets are all found to be normal.  Patient is hyperglycemic at 375, however no evidence of DKA.  While her liver enzymes are minimally elevated with an alkaline phosphatase of 179, and AST of 103 and an ALT of 93 with a normal bilirubin patient does have a history of having elevated liver enzymes and had a remote cholecystectomy.  Lactic acid is elevated at 3.4.  Troponin is normal at 8.9.  Ferritin is elevated at 867.8.  Urine does not show any evidence of urinary tract infection.  Upon arrival to the emergency department her pulse ox was in the low 90s.  With ambulation it did stay above 88%.  She was resting in the room awaiting her test results when it did dip to 87%.  It then returned to the low 90s without oxygen administration.  Patient was given dexamethasone for treatment.  Bilateral patchy infiltrates are seen on the x-ray.  Patient's D-dimer is minimally elevated at 594.  Low suspicion for PE at this time.  Discussed with Dr. who is agreeable to admit the patient. At the time of this VAERS entry, the patient is still admitted to the Adult Care Unit.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus tachycardia, Tachycardia, Troponin increased, Urine analysis normal, White blood cell count increased
Clinical narrative: ER note 11/21/2021:  Cough, body aches, congestion and right upper quadrant abdominal pain  -patient is found to be Covid positive.  She is febrile and tachycardic in the emergency department.  She states she has been taking Tylenol with the limited relief.  She was given ibuprofen for her fever and a small fluid bolus. EKG shows sinus tachycardia with no evidence of acute ischemic changes.  Her white blood cell count is minimally elevated at 14.2.  Hemoglobin, hematocrit and platelets are all found to be normal.  Patient is hyperglycemic at 375, however no evidence of DKA.  While her liver enzymes are minimally elevated with an alkaline phosphatase of 179, and AST of 103 and an ALT of 93 with a normal bilirubin patient does have a history of having elevated liver enzymes and had a remote cholecystectomy.  Lactic acid is elevated at 3.4.  Troponin is normal at 8.9.  Ferritin is elevated at 867.8.  Urine does not show any evidence of urinary tract infection.  Upon arrival to the emergency department her pulse ox was in the low 90s.  With ambulation it did stay above 88%.  She was resting in the room awaiting her test results when it did dip to 87%.  It then returned to the low 90s without oxygen administration.  Patient was given dexamethasone for treatment.  Bilateral patchy infiltrates are seen on the x-ray.  Patient's D-dimer is minimally elevated at 594.  Low suspicion for PE at this time.  Discussed with Dr. who is agreeable to admit the patient. At the time of this VAERS entry, the patient is still admitted to the Adult Care Unit.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Chest X-ray abnormal, Cough, Death, Dyspnoea
Clinical narrative: Presented to ED on 10/28/2021 with hypoxia, SOB, fever, cough, congestion. Entered Hospice on 11/3/2021 with terminal diagnosis of Covid-19 pneumonia, and passed away 11/5/2021 Previously fully vaccinated: Pfizer 1/28/2021 and 2/18/2021 Submitter does not have access to full medial record. If further information is needed, please contact the admitting hospital.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Lung infiltration, Nucleic acid test, Pyrexia, Respiratory tract congestion
Clinical narrative: Presented to ED on 10/28/2021 with hypoxia, SOB, fever, cough, congestion. Entered Hospice on 11/3/2021 with terminal diagnosis of Covid-19 pneumonia, and passed away 11/5/2021 Previously fully vaccinated: Pfizer 1/28/2021 and 2/18/2021 Submitter does not have access to full medial record. If further information is needed, please contact the admitting hospital.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Presented to ED on 10/28/2021 with hypoxia, SOB, fever, cough, congestion. Entered Hospice on 11/3/2021 with terminal diagnosis of Covid-19 pneumonia, and passed away 11/5/2021 Previously fully vaccinated: Pfizer 1/28/2021 and 2/18/2021 Submitter does not have access to full medial record. If further information is needed, please contact the admitting hospital.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Pain, Vaccine positive rechallenge
Clinical narrative: Aches, low energy, chills
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE VIAL WAS FROZEN TOO LONG. VACCINE MAY HAVE BEEN COMPROMISED
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient (Guardian) received text to come in for second dose today. appointment was initially for December 1, 2021. Patient received 2nd dose of covid vaccine 1 week too soon. The Nurse and Registration clerk both stated that the date on the card looked like it said 11/1/2021 as oppose to 11/10/2021 which is when they were actually vaccinated. Patient was informed that they would need to get another dose in 21 days to complete the series
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE VIAL WAS FROZEN TOO LONG. VACCINE MAY HAVE BEEN COMPROMISED
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular, Migraine, Premenstrual syndrome
Clinical narrative: I started getting migraines, within the first month after I got my injection. I also had PMS issues, it threw off my cycle. I was trying to manage my migraines with Tylenol and ibuprofen. I was taking the generic Excedrin 500mgs of acetaminophen, 500mgs of aspirin 130 of caffeine. I would just try to sleep it off.