chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Rash
Clinical narrative: The first night I had a severe headache, but it was gone the next day, had no symptoms until yesterday, March 18th, after waking up with a huge rash all over my upper thighs and stomach, and the next day, March 19th, it had spread to my arms, and further down my legs, and is starting to spread to my face. No rash has appeared at the injection site, which led me to believe this wasn't a result of the vaccine, but I have made any behavior or diet changes, and have no known allergies, so the only thing I could think to cause the rash was due to the vaccine. I am not saying at all that this means I regret getting the vaccine, I just thought it would be responsible of me to report these symptoms, in case others were experiencing a delayed rash and was concerned. The rash hasn't caused any distress other than existing, there's no itching or pain from it, it just keeps spreading fairly rapidly.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: He has shingles on his face on the left side of his forehead. Dermatologist gave him acyclovir. Dermatologist diagnosed him with shingles.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Headache, Hyperhidrosis, Increased bronchial secretion
Clinical narrative: Exactly 32 hours after injection, both myself and a 61 year old friend who got the vaccine with me experienced the following: vomiting, incredible amounts of mucus coming from lungs, uncontrollable diarrhea, violent sweating and chills, extreme headache, bed-ridden for two days. Both the pharmacy and the health dept. refused to record our reactions, and the health dept. hung up when we tried to report this incident. The pharmacy would not call us back.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Vomiting
Clinical narrative: Exactly 32 hours after injection, both myself and a 61 year old friend who got the vaccine with me experienced the following: vomiting, incredible amounts of mucus coming from lungs, uncontrollable diarrhea, violent sweating and chills, extreme headache, bed-ridden for two days. Both the pharmacy and the health dept. refused to record our reactions, and the health dept. hung up when we tried to report this incident. The pharmacy would not call us back.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site pain, Myalgia, Pain, Pyrexia
Clinical narrative: Fever Pain at injection site Very sore arm hurts to move my arm Chills that lasted 6 hours Muscle aches for 8 hrs
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Eyelid sensory disorder, Hypoaesthesia eye, Hypoaesthesia oral
Clinical narrative: tip and sides of tongue felt numb approximately 30 minutes after dose. left side upper and bottom lip gradually became numb as well over the course of the afternoon and evening. approx. 24 hours after dose, numbing sensation started presenting around left eye and eyelid.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Discomfort
Clinical narrative: tip and sides of tongue felt numb approximately 30 minutes after dose. left side upper and bottom lip gradually became numb as well over the course of the afternoon and evening. approx. 24 hours after dose, numbing sensation started presenting around left eye and eyelid.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Muscle spasms, Pain
Clinical narrative: Severe headache, muscle cramping, aches and general body pain.  Started 12 hours after receiving vaccine and lasted for about 36 hours.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Cough, Dyspnoea
Clinical narrative: Spasmodic coughing , difficulty breathing, high blood pressure
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Feeling hot, Syncope
Clinical narrative: VASOVAGAL SYNCOPE- PATIENT FELT FAINT, AND LIGHT HEADED BUT DID NOT PASS OUT.  PATIENT FELT WARM FOLLOWED BY A PERIOD OF COLD CHILLS.  PATIENT STATED WAS SIMILAR TO A PREVIOUS EPISODE AND IDENTIFIED A VASAVAGAL REACTION IN THE PAST.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site mass, Injection site warmth, Peripheral swelling
Clinical narrative: Knot and redness at injection site, fever in injection site  at time of injection.  Reaction went away and then same returned 8 days after injection - lasted 2 full days.  Attempted to call County Health Department to report -  only recordings and prompts - could not get a person on the phone to report the adverse reaction to.   Logged on to CDC website and followed the directions for adverse reactions - Benadryl (1 dose) and Tylenol.  To date, site is till red but no fever and not swollen as before.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Brain natriuretic peptide normal, Chest X-ray normal, Chest pain, Differential white blood cell count normal
Clinical narrative: Swelling in left arm down to hand and fingers. My hand and fingers went numb until I took Tylenol. Less than 24 hours I was in severe pain. Felt like my bones hurt. Swelling on the left side included my armpit and left side of the torso down to the waist. The pain stayed for another day. Felt like I had the flu. Swelling in the armpit and upper left torse stayed for about three weeks. Wednesday, March 17 I went to the ER for chest pains, throat tightening, pain from my shoulder to my hand on the left side.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram normal, Full blood count normal, Hypoaesthesia, Metabolic function test normal, Oedema peripheral
Clinical narrative: Swelling in left arm down to hand and fingers. My hand and fingers went numb until I took Tylenol. Less than 24 hours I was in severe pain. Felt like my bones hurt. Swelling on the left side included my armpit and left side of the torso down to the waist. The pain stayed for another day. Felt like I had the flu. Swelling in the armpit and upper left torse stayed for about three weeks. Wednesday, March 17 I went to the ER for chest pains, throat tightening, pain from my shoulder to my hand on the left side.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Pain in extremity, Peripheral swelling, SARS-CoV-2 test negative, Swelling
Clinical narrative: Swelling in left arm down to hand and fingers. My hand and fingers went numb until I took Tylenol. Less than 24 hours I was in severe pain. Felt like my bones hurt. Swelling on the left side included my armpit and left side of the torso down to the waist. The pain stayed for another day. Felt like I had the flu. Swelling in the armpit and upper left torse stayed for about three weeks. Wednesday, March 17 I went to the ER for chest pains, throat tightening, pain from my shoulder to my hand on the left side.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Throat tightness, Troponin I, Troponin I increased
Clinical narrative: Swelling in left arm down to hand and fingers. My hand and fingers went numb until I took Tylenol. Less than 24 hours I was in severe pain. Felt like my bones hurt. Swelling on the left side included my armpit and left side of the torso down to the waist. The pain stayed for another day. Felt like I had the flu. Swelling in the armpit and upper left torse stayed for about three weeks. Wednesday, March 17 I went to the ER for chest pains, throat tightening, pain from my shoulder to my hand on the left side.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Rash macular
Clinical narrative: For 3 days starting on March 11, I would get red blotches on both my arms & around my knees.  The spots itched like crazy and I found that if I took a Benadryl tablet the itching would finally stop.  But it returned several hours after taking the pill.  On the last night I went to bed with no rash or itching on my body & around 11:30 that night I woke up feeling like my whole body was one BIG itch.  Took another Benadryl and went I woke in the morning it was gone & I haven't had any more incidents of rash.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pain in extremity, Pyrexia
Clinical narrative: Sore arm, severe headache, 101.2 fever, chills, body aches i have had 3 vaccinations at a time,  all in the same arm and NEVER gotten sick at all.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebral haemorrhage, Computerised tomogram abnormal, Gastrointestinal tube insertion, Magnetic resonance imaging abnormal, Tracheostomy
Clinical narrative: Large IPH left basil ganglia
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Oedema peripheral
Clinical narrative: severely edematous and protruding veins in AC space of left arm, also marked edema and bruising to left hand, resolved the next day
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: extreme rash covering majority of arm in which shot was received
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Eye swelling, Pruritus, Swelling face, Tachycardia
Clinical narrative: Swelling in the eye on the bottom, and a little on the face, itchy, red, and is claiming to have tachycardia These symptoms are likely not due to COVID vaccine.  Check with cardiologist for tachycardia and make sure eye drops have not expired or have not been contaminated.  If symptoms worsen seek medical help.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Urticaria
Clinical narrative: ON 03/17/2021  -  FATIGUE- THAT I EXPECTED.  ON 03/18/2021  I DEVELOPED LARGE HIVE, COVERING THE FRONT OF MY THROAT & CONTINUEING UP ON MY LOWER FACE AREA & ON MY FOREHEAD.  I CONTACTED PHARMACY, THEY RECOMMENDED I TAKE BENADRYL & I USED SOME HYDROCORTISONE CREAM THAT I ALREADY HAD.  NO SWELLING OF THE TONGUE OR SHORT OF BREATH SYMPTONS.  I'M NOT WORRIED - I THINK IT'S BY BODY DOING WHAT IT SHOULD BE DOING TO FIGHT OFF COVID.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Blood pressure increased, Chills, Fatigue, Headache
Clinical narrative: Increased blood pressure and heart rate. Chills - fever- headache - body aches - sick to my stomach - tireness - swollen and red arm at injection site along with some itching. Woke up with these symptoms next day after vaccine. Blood pressure, heart rate, and other symptoms were better by day 2 but swollen arm and redness still persists. Still have a slight headache.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Injection site erythema, Injection site pruritus, Injection site swelling, Pain
Clinical narrative: Increased blood pressure and heart rate. Chills - fever- headache - body aches - sick to my stomach - tireness - swollen and red arm at injection site along with some itching. Woke up with these symptoms next day after vaccine. Blood pressure, heart rate, and other symptoms were better by day 2 but swollen arm and redness still persists. Still have a slight headache.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Increased blood pressure and heart rate. Chills - fever- headache - body aches - sick to my stomach - tireness - swollen and red arm at injection site along with some itching. Woke up with these symptoms next day after vaccine. Blood pressure, heart rate, and other symptoms were better by day 2 but swollen arm and redness still persists. Still have a slight headache.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Conjunctival haemorrhage, Inflammation, Injection site rash, Pruritus
Clinical narrative: (1) Rash appeared at injection site 8 days after vaccination. It was inflamed and mildly itchy, but not painful. (2) Subconjunctival hemorrhage appeared 9 days after vaccination (left eye).
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Tinnitus, Vertigo
Clinical narrative: Vertigo/dizziness and nausea for 1-2 days ? 3 weeks after receipt of vaccine first dose.  Tinnitus louder.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Dyspnoea, Fatigue, Myocardial infarction, Pulmonary embolism
Clinical narrative: His breathing problem worsened on 02/23/2021, short of breath and tired. He died of a pulmonary embolism and heart attack in the hospital on 3/9/21 after being there for 9 days.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Lethargy, Myalgia
Clinical narrative: Janssen COVID-19 Vaccine EAU.  Side effects in order of occurrence:  sudden onset of severe headache, chills, uncontrollable shaking, nausea, muscle aches. Following day - low grade fever, dull headache, fatigue, lethargy.  36 hours following injection feel back to normal.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Tremor
Clinical narrative: Janssen COVID-19 Vaccine EAU.  Side effects in order of occurrence:  sudden onset of severe headache, chills, uncontrollable shaking, nausea, muscle aches. Following day - low grade fever, dull headache, fatigue, lethargy.  36 hours following injection feel back to normal.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Injection site pain, Pain
Clinical narrative: Injection area became very sore, joint aches, skin aches, ran a fever, chills/shivering uncontrollably, very tired (slept the whole next day only waking to alternate Tylenol and Ibuprofen.  Now that is it a day later, no fever, no chilling, but whole body is sore, not achy like when I had the fever.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Pain of skin, Pyrexia, Somnolence
Clinical narrative: Injection area became very sore, joint aches, skin aches, ran a fever, chills/shivering uncontrollably, very tired (slept the whole next day only waking to alternate Tylenol and Ibuprofen.  Now that is it a day later, no fever, no chilling, but whole body is sore, not achy like when I had the fever.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pain
Clinical narrative: Headache, fever, chills, nausea, body aches and pains, tiredness.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative, Vaccine positive rechallenge
Clinical narrative: Headache, fever, chills, nausea, body aches and pains, tiredness.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Renal pain, Visual impairment
Clinical narrative: First night complete exhaustion chills and diarrhea for four days Impaired eyesight  Pain in the region of left kidney
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Hyperhidrosis, Pain in extremity
Clinical narrative: Light headedness, head ache, sore arm, body sweats then chills,
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Nausea, Pain, Pyrexia
Clinical narrative: 2:30 am uncontrollable shaking, chills,  lasted 3 hours.  All next day fever 102, body aches, fatigue, nausea, last 20 hours.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: 2:30 am uncontrollable shaking, chills,  lasted 3 hours.  All next day fever 102, body aches, fatigue, nausea, last 20 hours.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Rash
Clinical narrative: 3-18-21 4:01PM 'RASH TO RT ARM'. SLIGHT REDNESS TO POSTERIOR ASPECT. A/O, PINK, W/D, RESP REG WITH EASE. NO ACUTE DISTRESS. NO MOTOR OR SENSORY DEFICIT. 4:15PM WIFE TO DRIVE PT HOME. STATES HE EILL TAKE BENADRYL IF NEEDED. 3-19-21 10:40AM TC: PT STATES 'ALL GONE NOW'.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Peripheral swelling, Pyrexia
Clinical narrative: Report HA,  left arm swelling, and fever 100.8. Treatment: None. Outcome: Did not got into work, will monitor symptoms and take OTC Tylenol or Ibuprofen. Does not interfere with ADLs.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: head ache, chills, felt feverish
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Chills, Dehydration, Diarrhoea, Dizziness
Clinical narrative: Immediately after receiving 1st dose of moderna my arm began to have a burning sensation and become sore. The burning sensation expanded to my left armpit area over the next few hours and extended to left side of chest. It felt like streaks of burn extending out of armpit area.  Approximately 12hrs after receiving the shot (3am) I became extremely nauseated. I alternated between throwing up and diarrhea for the next three hours. During this time i also experienced a fever, chills, sweats, uncontrollable shaking and elevated heart rate. Today (3/19) I am dehydrated, lightheaded and dizzy. fever and chills are gone as well as nausea but heart rate is still elevated.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Hyperhidrosis, Immediate post-injection reaction, Nausea, Pain in extremity
Clinical narrative: Immediately after receiving 1st dose of moderna my arm began to have a burning sensation and become sore. The burning sensation expanded to my left armpit area over the next few hours and extended to left side of chest. It felt like streaks of burn extending out of armpit area.  Approximately 12hrs after receiving the shot (3am) I became extremely nauseated. I alternated between throwing up and diarrhea for the next three hours. During this time i also experienced a fever, chills, sweats, uncontrollable shaking and elevated heart rate. Today (3/19) I am dehydrated, lightheaded and dizzy. fever and chills are gone as well as nausea but heart rate is still elevated.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Tremor, Vomiting
Clinical narrative: Immediately after receiving 1st dose of moderna my arm began to have a burning sensation and become sore. The burning sensation expanded to my left armpit area over the next few hours and extended to left side of chest. It felt like streaks of burn extending out of armpit area.  Approximately 12hrs after receiving the shot (3am) I became extremely nauseated. I alternated between throwing up and diarrhea for the next three hours. During this time i also experienced a fever, chills, sweats, uncontrollable shaking and elevated heart rate. Today (3/19) I am dehydrated, lightheaded and dizzy. fever and chills are gone as well as nausea but heart rate is still elevated.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Injection site swelling, Rash erythematous
Clinical narrative: Red rash at injection site that showed up 8 days after receiving the first dose of the Moderna vaccine. I have taken Benadryl and noticed that the swelling subsided. Rash persists.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Mobility decreased
Clinical narrative: Patient started within 6 hours having joint pain and chills.  Chills lasted about 5 hours, but joint pain in all joints on left side of the body never left and is still present currently.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site pain, Pyrexia
Clinical narrative: Fever and Chills of 102F for approx. 36 hours.  Arm pain at injection site for approx 48 hours.  Headache for approx. 72 hours.  Fatigue for approx. 72 hours  Rest and Tylenol for treatment
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient presented for Pfizer vaccination at a mass vaccination clinic by our hospital.  Patient stated would be first Pfizer vaccine.  On 3/18/2021,  when charting the vaccination, it was discovered patient had received both doses. 1st dose on 1/18/21 and 2nd dose on 2/7/21.   Unable to contact patient to see if any adverse effects occured.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Swelling
Clinical narrative: Red swollen patch on arm that didn't appear until 9 days after the vaccine.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site discomfort, Injection site pruritus, Injection site reaction, Rash, Urticaria
Clinical narrative: Thursday 3/18: rash, large hive approx 3"x 2" and another smaller hive on upper right arm just below injections site. Site uncomfortable and itchy.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: tip of her tongue, lips, and part of cheek close to her mouth went numb; tip of her tongue, lips, and part of cheek close to her mouth went numb; tip of her tongue, lips, and part of cheek close to her mouth went numb; This is a spontaneous report from a contactable consumer or other non-health professional (patient). A 58-year-old non pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EL9262), via an unspecified route of administration on Left arm on 03Feb2021 15:59 at single dose for covid-19 immunisation administered at state facility. Medical history included Asthma (diagnosed about 5 or 6 years ago, states she has probably had it all her life) and Fibromyalgia (diagnosed about 20 years ago). Historical vaccine includes Shingrix shot on an unspecified date, she did not feel well for a day, she felt sick but then it resolved it. The patient's concomitant medications includes pregabalin (LYRICA) at 250 mg  (It is a 50mg capsule, she takes 100mg in the morning and 150mg in the evening) for Fibromyalgia; budesonide, formoterol fumarate (SYMBICORT) at 2x/day (two puffs twice a day) for Asthma and montelukast sodium (SINGULAIR) at 20 mg, 1x/day (once a day). The patient reported that she received the 1st dose of the Pfizer-BioNTech Covid-19 Vaccine. 45-60 minutes after, she felt the tip of her tongue, lips and part of her cheek become numb. She said this went away after 30 minutes. Consumer wants to know what reactions can she expect after she receives the 2nd dose, and if it would be worse than her reaction with the 1st dose. Asking if she should take Benadryl before the second dose. She is asking if she would have more of a problem. States she is an allergic person. She stayed at the facility for 30 minutes. Event occurred while she was driving, she thought if it got worse, she would go to the hospital but then it went away. The patient took covid vaccine for preventive action. The patient did not receive any treatment for the event. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The seriousness was reported as non-serious. The outcome of the events resolved.  Information on the lot/batch number has been requested.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: A week after the vaccine [ March 2, 2021] experienced itching and redness at the left upper arm ; redness disappeared after a few days however itching and tiny rashes still persist. Consulted my primary care physician a week later and prescribed ZYrtec and Sarna cream over the counter. Prior to that I already applied Hydrocortisone cream. Itching persists  so I called her again and prescribed Triamcinolone cream 0.1 % and continue takind Zyrtec this time twice a day [10 mg. each]. Itching persisits up to this point {March 19] not getting worse and my arm itches too.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Myalgia, Pain in extremity
Clinical narrative: Very sore arm, headache, muscle aches, tiredness
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Aphonia, Dry mouth, Fatigue, Headache, Limb discomfort
Clinical narrative: Fatigue, aches, nausea, cotton mouth, headache, wheezing, loosing voice, and arms and legs feel heavy.  Called doctor the next day (the 16th) for medical advise, was told to drink coffee and take tylenol due to aspirin allergy.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Wheezing
Clinical narrative: Fatigue, aches, nausea, cotton mouth, headache, wheezing, loosing voice, and arms and legs feel heavy.  Called doctor the next day (the 16th) for medical advise, was told to drink coffee and take tylenol due to aspirin allergy.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Fatigue, Nausea
Clinical narrative: Extreme weakness, nausea, fatigue, and dizziness
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: On 3/15/2021 Moderna COVID19 Vaccine Vial Lot #014M20A was punctured at 10:45A, vaccine was given at 5:05P.  Vaccine expired at 4:45P (6 hours after punctured).  Reported to VAERS Report Moderna same evening, received response from Medical Affairs 3/18/2021.Representative gave instruction that repeat dose was not needed as viability of vaccine was demonstrated 12 hours after puncture time, however as there was no preservative there was increased likelihood of infection.  Patient was informed, patient denied signs of infection.  Patient was instructed to monitor for signs of infection at vaccine site.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: 2 hours after receiving the vaccine, I broke out in hives on my buttocks and thighs. Ongoing since, when I go out in the cold weather for a walk, I've broken out in hives on my thighs, knees and ankles on a few occasions. My doctor advised me to take Benadryl and Zyrtec for 2 weeks. She also said I should not get Moderna as my 2nd vaccine, but to get J&J.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: patient is under 18
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Blood magnesium, Computerised tomogram head, Electrocardiogram, Full blood count, Metabolic function test
Clinical narrative: Approximately 10 hours after the injection (about 2 weeks prior to this ER visit) the patient started experience paresthesias of the right arm and face. Evaluation in the ER on today's date did not show objective findings of the paresthesias, nor identified cause, including evaluation for stroke.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Troponin
Clinical narrative: Approximately 10 hours after the injection (about 2 weeks prior to this ER visit) the patient started experience paresthesias of the right arm and face. Evaluation in the ER on today's date did not show objective findings of the paresthesias, nor identified cause, including evaluation for stroke.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Broke in Hives twice.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Dehydration, Glomerular filtration rate decreased, Haemoglobin decreased, Headache, Vomiting
Clinical narrative: dehydration vomiting headache resolved after 48 hours
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Dizziness, Fatigue, Headache
Clinical narrative: head ache chills fatigue loss of appetite pain at location of injection gradually t spread to overall pain dizzy symptoms are resolving still noticing dizziness by day 2
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain
Clinical narrative: head ache chills fatigue loss of appetite pain at location of injection gradually t spread to overall pain dizzy symptoms are resolving still noticing dizziness by day 2
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Palpitations
Clinical narrative: Pt. states that she received the 1st pfizer covid vaccine to left arm at 0930 on 3/19/21. Pt. states that she started to have heart palpitations around 15 minutes after receiving the covid vaccine. Patient noticed arm redness to bilateral arms. Pt. states that heart palpitations have resolved. Pt. denies shortness of breath, denies chest pain, denies difficulty breathing.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Pneumonia, Rales, SARS-CoV-2 test negative
Clinical narrative: Had my first Moderna vaccine on 3/3/2021 and have been diagnosed  with pneumonia in left lung on 3/15/2021. Visited my surgeon who follows up with me every 6 months. She listened to my lungs and said she heard crackles in my left lung. Sent me for a chest x-ray immediately after visit on 3/15/2021.  I am having no symptoms such as coughing, fever, etc.  I?m concerned this could be a side effect of the vaccine. Was also tested for Covid on 3/17/2021. Test result was NEGATIVE.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Chills, Fatigue, Headache, Hypoaesthesia
Clinical narrative: * Immediate headache; ache radiated from left side of forehead down to left side of gums. Left arm tingled and semi-numb. Base Dr. took BP immediately and was elevated; however, not alarming. * Fever (100.5-101.7 monitored myself ), chills, extreme exhaustion, severe headache, skin (all over) extremely sensitive, all symptoms for the next 3 days. * Today, Fri 19 Mar, feeling about 95% back to normal
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Pyrexia, Sensitive skin
Clinical narrative: * Immediate headache; ache radiated from left side of forehead down to left side of gums. Left arm tingled and semi-numb. Base Dr. took BP immediately and was elevated; however, not alarming. * Fever (100.5-101.7 monitored myself ), chills, extreme exhaustion, severe headache, skin (all over) extremely sensitive, all symptoms for the next 3 days. * Today, Fri 19 Mar, feeling about 95% back to normal
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Fever Extreme fatigue  Body aches Headaches
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient felt dizziness and giddiness. Onsite EMS was called vitals BP 90/50  100%O2 HR 65. Patient treated, released against medical advise.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Nausea, Pyrexia
Clinical narrative: Initial headache and nausea and headache, slight fever. Felt generally lousy. Over weekend and continuing the  headache has gotten worse and my fever has spiked to over 102.5
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, SARS-CoV-2 test positive
Clinical narrative: Employee received COVID vaccine on 12/21/20-Pfizer/Lot#EJ1685 then received 2nd dose on 1/12/21 Pfizer/Lot#EJ13302.  Employee had an asymptomatic  screening test on 3/17/21 which was positive.  Employee had traveled on 2/25/21 and returned home on 3/1/21. Her husband developed symptoms on 3/12/21 and tested positive for COVID.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 24 hours after second shot had fever of 100.8 and chills.  I would consider mild symptoms which lasted about 6 hours.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Feeling abnormal, Headache, Pain, Pyrexia
Clinical narrative: Chills, fever 101.6, aches, fog, headache
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Feeling cold, Headache, Malaise
Clinical narrative: Patient woke at about 2 am this morning (Mar 19, 2021) with severe chills, fever over 101, feeling extremely cold, joint aches, and had a severe headache.  It is about 9 am now and he feels a little better after two aspirin but is still feeling pretty sick.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Patient woke at about 2 am this morning (Mar 19, 2021) with severe chills, fever over 101, feeling extremely cold, joint aches, and had a severe headache.  It is about 9 am now and he feels a little better after two aspirin but is still feeling pretty sick.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: A few days after the shot, the injection site became very red, itchy, warm, and swollen. It has lasted 4 days now and is starting to get better.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Fatigue, Headache, Hyperhidrosis, Influenza like illness
Clinical narrative: Had COVID in mid-January 2021 Day 3: chills / upper back pain along spine Day 4: am - chills tapered off, significant less upper back pain along spine   Day 0:  March 10, Wednesday Took  Daily Meds and Vit D in am / Copaxone & Clindamycin Phosphate Gel in PM 11am: Donated whole blood at a Church   Day 1:  March 11, Thursday Took  Daily Meds in am / Applied THC/CBD cream to both legs, Clindamycin Phosphate Gel to face in PM  1pm: Received first dose of Moderna Church Medications: took 500mg of Tylenol and 400mg of Ibuprofen after shot  PM: Sore arm, swelling and redness 9pm took 500mg of Tylenol and 400mg of Ibuprofen  Day 2:  March 12, Friday   AM  Medications:  Daily Meds, applied Arnica homeopathic Roll-on to arm, took 400mmg ibuprofen Symptom: sore arm, swelling and redness, slight headache, upper back pain (stinging) along both sides of spine  PM  Medications: Copaxone & Clindamycin Phosphate Gel; applied Arnica homeopathic Roll-on to arm; applied  THC/CBD cream to legs Symptoms: Same symptoms as AM but also had ?the chills? (flu ? like) (no fever)   Day 3:  March 13 ? Saturday  AM Medications:  Took  Daily Meds , 400 mg Ibuprofen Symptoms: Same symptoms as Friday PM with additional ?jabbing? sensations in my joints as if someone was sticking needles in them (this also happened when I had Covid). Hand and leg cramping.  PM Medications: Copaxone & Clindamycin Phosphate Gel  and Zaleplon 5mg in PM; applied Arnica homeopathic Roll-on to arm, applied  THC/CBD cream to legs Symptoms: Chills worsened by late afternoon. I was awaken at about 11pm by violent and uncontrollable shaking ( not minor shivering like with the flu - thought I was having a seizure) and sweating profusely. This lasted about 40 minutes.  I was ?shaking /convulsing? to the point that I couldn?t even call for help. I was finally able to grab my phone and call my partner who was downstairs watching television. She tried to help me change out of my wet clothes, but I was unable to stop shaking. She covered me with blankets and held me down. After another 20-30 minutes the shaking subsided and I was able to change my clothes. A shorter episode occurred about 4 hours later (lasting about 20 minutes)  Day 4:  March 14 ?Sunday   AM Medications: Took  Daily Meds  Symptoms: Chills, fatigue, upper back pain (stinging) along both sides of spine  PM Medications: THC/CBD cream to legs Symptoms: Chills, upper back pain (stinging) along both sides of spine   Day 5: March 15 ? Monday Back to ?my normal?
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Pain in extremity, Swelling, Tremor
Clinical narrative: Had COVID in mid-January 2021 Day 3: chills / upper back pain along spine Day 4: am - chills tapered off, significant less upper back pain along spine   Day 0:  March 10, Wednesday Took  Daily Meds and Vit D in am / Copaxone & Clindamycin Phosphate Gel in PM 11am: Donated whole blood at a Church   Day 1:  March 11, Thursday Took  Daily Meds in am / Applied THC/CBD cream to both legs, Clindamycin Phosphate Gel to face in PM  1pm: Received first dose of Moderna Church Medications: took 500mg of Tylenol and 400mg of Ibuprofen after shot  PM: Sore arm, swelling and redness 9pm took 500mg of Tylenol and 400mg of Ibuprofen  Day 2:  March 12, Friday   AM  Medications:  Daily Meds, applied Arnica homeopathic Roll-on to arm, took 400mmg ibuprofen Symptom: sore arm, swelling and redness, slight headache, upper back pain (stinging) along both sides of spine  PM  Medications: Copaxone & Clindamycin Phosphate Gel; applied Arnica homeopathic Roll-on to arm; applied  THC/CBD cream to legs Symptoms: Same symptoms as AM but also had ?the chills? (flu ? like) (no fever)   Day 3:  March 13 ? Saturday  AM Medications:  Took  Daily Meds , 400 mg Ibuprofen Symptoms: Same symptoms as Friday PM with additional ?jabbing? sensations in my joints as if someone was sticking needles in them (this also happened when I had Covid). Hand and leg cramping.  PM Medications: Copaxone & Clindamycin Phosphate Gel  and Zaleplon 5mg in PM; applied Arnica homeopathic Roll-on to arm, applied  THC/CBD cream to legs Symptoms: Chills worsened by late afternoon. I was awaken at about 11pm by violent and uncontrollable shaking ( not minor shivering like with the flu - thought I was having a seizure) and sweating profusely. This lasted about 40 minutes.  I was ?shaking /convulsing? to the point that I couldn?t even call for help. I was finally able to grab my phone and call my partner who was downstairs watching television. She tried to help me change out of my wet clothes, but I was unable to stop shaking. She covered me with blankets and held me down. After another 20-30 minutes the shaking subsided and I was able to change my clothes. A shorter episode occurred about 4 hours later (lasting about 20 minutes)  Day 4:  March 14 ?Sunday   AM Medications: Took  Daily Meds  Symptoms: Chills, fatigue, upper back pain (stinging) along both sides of spine  PM Medications: THC/CBD cream to legs Symptoms: Chills, upper back pain (stinging) along both sides of spine   Day 5: March 15 ? Monday Back to ?my normal?
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Nausea, SARS-CoV-2 test negative
Clinical narrative: I have developed a metallic/salty taste in my mouth effecting  the taste pf food and causing nausea at times.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased, Myalgia
Clinical narrative: Sore right shoulder muscles, bicep and tricep limiting movement for 36 hours.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Red welts that are very itchy
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphemia, Malaise, Monoplegia, Staring
Clinical narrative: Patient was waiting after vaccination in a car with another family member, The family member alerted staff that patient did not feel well. Nurse immediately assessed the patient and found the following signs of adverse event: garbled stuttered speech, right arm limp, staring in one direction. Nurse alerted another staff member to call 911. Second nurse arrived to car with Epi Pen and administered the Epi Pen. Immediately, the patient's symptoms resolved and she said that she felt better. Patient was transported via EMS to hospital as a precaution. At the time the patient left the vaccination facility, she no longer had any symptoms.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Dizziness, Fatigue, Feeling abnormal, Headache
Clinical narrative: Received the vaccine, and at 3:00 to 4:00 her left arm felt like it was in a vice, being squeezed tighter and tighter, and could not lift or move her arm.  Took Tylenol which did not improve any symptoms.  Got headache and had that with the arm in the pain all night long.  Woke up totally drenched by sweating, and went to the bathroom and felt dizzy yelled for her husband and passed out, and her husband caught her while passing out and woke up on the floor.  On the Thursday she was in her recliner the entire day, had nausea, fever, chills, headache, continued with the pain of the arm in a vice, which lasted all day long.  Her husband forced crackers and water down her as she had no appetite either for 3 days.   She felt so fatigued and her head was not clear.  She slowly gradually improved, and yesterday 3/18/21 she feels her head fogginess has improved, and her arm is gone as she has been exercising with a band.  It is a little sore but otherwise fine.  The excruciating pain lasted for 2 full days.   She put some Lidocaine and it possibly helped.  She called her doctor and they told her to exercise the arm, and to take more Tylenol, which she had tried which did not improve anything.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Limb discomfort, Loss of consciousness, Nausea, Pain
Clinical narrative: Received the vaccine, and at 3:00 to 4:00 her left arm felt like it was in a vice, being squeezed tighter and tighter, and could not lift or move her arm.  Took Tylenol which did not improve any symptoms.  Got headache and had that with the arm in the pain all night long.  Woke up totally drenched by sweating, and went to the bathroom and felt dizzy yelled for her husband and passed out, and her husband caught her while passing out and woke up on the floor.  On the Thursday she was in her recliner the entire day, had nausea, fever, chills, headache, continued with the pain of the arm in a vice, which lasted all day long.  Her husband forced crackers and water down her as she had no appetite either for 3 days.   She felt so fatigued and her head was not clear.  She slowly gradually improved, and yesterday 3/18/21 she feels her head fogginess has improved, and her arm is gone as she has been exercising with a band.  It is a little sore but otherwise fine.  The excruciating pain lasted for 2 full days.   She put some Lidocaine and it possibly helped.  She called her doctor and they told her to exercise the arm, and to take more Tylenol, which she had tried which did not improve anything.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Received the vaccine, and at 3:00 to 4:00 her left arm felt like it was in a vice, being squeezed tighter and tighter, and could not lift or move her arm.  Took Tylenol which did not improve any symptoms.  Got headache and had that with the arm in the pain all night long.  Woke up totally drenched by sweating, and went to the bathroom and felt dizzy yelled for her husband and passed out, and her husband caught her while passing out and woke up on the floor.  On the Thursday she was in her recliner the entire day, had nausea, fever, chills, headache, continued with the pain of the arm in a vice, which lasted all day long.  Her husband forced crackers and water down her as she had no appetite either for 3 days.   She felt so fatigued and her head was not clear.  She slowly gradually improved, and yesterday 3/18/21 she feels her head fogginess has improved, and her arm is gone as she has been exercising with a band.  It is a little sore but otherwise fine.  The excruciating pain lasted for 2 full days.   She put some Lidocaine and it possibly helped.  She called her doctor and they told her to exercise the arm, and to take more Tylenol, which she had tried which did not improve anything.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Itchy arm and small rash.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Muscle spasms, Nausea, Seizure
Clinical narrative: Chills, Leg cramps, Fever 104.1, Nausea, Convulsion
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Influenza like illness, Pain, Pyrexia
Clinical narrative: fever; body aches; headache; flu-like symptoms; This is a spontaneous report from a non-contactable consumer. A 27-year-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration on 27Jan2021 (Batch/Lot number was not reported) as SINGLE DOSE, COVID-19 immunization. Medical history included unknown from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. On 28Jan2021, by midnight, patient experienced fever of 101, body aches, headache - flu-like symptoms; lasted +/- 24 hours. Felt well enough on 29Jan2021 to go back to work. The outcome of events was recovered.  Patient did not received treatment due to events.  Information on the lot/ batch number has been requested.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Electrocardiogram normal, Pain in extremity, Red blood cell sedimentation rate increased
Clinical narrative: Pain in left arm started on 3/12/2021. Went to Dr.  on 03/15/2021. He did bloodwork, EKG, and chest x-ray. Started taking Gabapentin and Presnisone 6 day pack. Bloodwork showed a SED rate of 30. 3/17/2021 went to see Dr for heart. He did EKG and ruled out paricardicus. 3/18/2021 went to see Dr . He did shoulder x-ray and needed to see neurologist
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: X-ray limb
Clinical narrative: Pain in left arm started on 3/12/2021. Went to Dr.  on 03/15/2021. He did bloodwork, EKG, and chest x-ray. Started taking Gabapentin and Presnisone 6 day pack. Bloodwork showed a SED rate of 30. 3/17/2021 went to see Dr for heart. He did EKG and ruled out paricardicus. 3/18/2021 went to see Dr . He did shoulder x-ray and needed to see neurologist
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Gave Moderna vaccine to 17 year old
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Pain, Pyrexia
Clinical narrative: Migraine, low grade fever and body aches
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood pressure increased, Erythema, Hot flush, Hyperhidrosis
Clinical narrative: Swelling of right hand including sore joints in wrist and fingers.  This resolved by 3/1/2021.  Hot flashes including drenching sweat , red neck and face and raised blood pressure.  This occurred randomly.  It was an almost daily event until 3/5/2021.  This then reduced to 1 event every 2-3 days until the present.  Last occurred on 3/18/2021.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: Swelling of right hand including sore joints in wrist and fingers.  This resolved by 3/1/2021.  Hot flashes including drenching sweat , red neck and face and raised blood pressure.  This occurred randomly.  It was an almost daily event until 3/5/2021.  This then reduced to 1 event every 2-3 days until the present.  Last occurred on 3/18/2021.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Thirst
Clinical narrative: Chills, headaches, body aches, thirst
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Headache, Injection site bruising, Injection site discolouration, Injection site erythema
Clinical narrative: One day after injection a red rash developed just below the injection site and spread down to my elbow.  The itching, burning, and aching associated with this rash interfered with my sleeping for two nights.  The injection site itself turned black.  Both of these problems began to clear up after 4 days.  The rash is faint pink now, and the injection site bruise is now yellow in color. The only other symptom I had was a severe headache for 2 days which was resistent to Tylenol.  The headache has cleared up.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Rash pruritic, Sleep disorder
Clinical narrative: One day after injection a red rash developed just below the injection site and spread down to my elbow.  The itching, burning, and aching associated with this rash interfered with my sleeping for two nights.  The injection site itself turned black.  Both of these problems began to clear up after 4 days.  The rash is faint pink now, and the injection site bruise is now yellow in color. The only other symptom I had was a severe headache for 2 days which was resistent to Tylenol.  The headache has cleared up.
Age: 35.0
Sex: U
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Malaise, Nausea
Clinical narrative: Pt stated he felt like passing out, not feeling well. EMS assessed pt, diaphoretic, nausea, lightheaded. BP 130/74; P 61; Oxygen 97%; EKG NSR.  Pt managed by EMS, Dr Present. On stretcher and observed for 20 minutes. Symptoms resolved. Pt refused transport to ER
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Gait disturbance, Lethargy, Pyrexia
Clinical narrative: Fever chills lethargic unable to use legs loss of appetite
Age: 76.0
Sex: M
Vaccine: UNK
Symptoms: Tinnitus
Clinical narrative: Tinnitus High pitched constant. Onset 3 day post 2nd vaccination. Do not know if vaccine related or simply a coincidence.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Body temperature increased, Chills, No reaction on previous exposure to drug, Pain
Clinical narrative: Mild aches and chills.  Temp 100.4 for part of the day.  Symptoms started about 7AM and chills and aches were over by 4-5 PM.  Temp was 99:4 at bedtime and normal this morning and feel fine today.   Only reactive symptoms after 2nd vaccine.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood glucose increased, Capillary nail refill test abnormal, Hyperglycaemia, Hypertension
Clinical narrative: Pt started having new onset of left hand swelling of medial pal, and forearm. PT also had weakness, tremors and high blood pressure (159/98). Pt blood sugar was in the 330s; decrease cap refill. Pt states she did not ear or drink much this morning. EMS assist was called. Pt was transferred to Emergency Room
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Tremor
Clinical narrative: Pt started having new onset of left hand swelling of medial pal, and forearm. PT also had weakness, tremors and high blood pressure (159/98). Pt blood sugar was in the 330s; decrease cap refill. Pt states she did not ear or drink much this morning. EMS assist was called. Pt was transferred to Emergency Room