chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: acute anaphylactic shock; A.fib; blurry vision; swollen lips; Numbing sensation in her hands and lips; tingling sensation in her hands and lips; This spontaneous case was reported by a consumer and describes the occurrence of ANAPHYLACTIC SHOCK (acute anaphylactic shock) and ATRIAL FIBRILLATION (A.fib) in a 53-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 048B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.    On 11-May-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 11-May-2021, the patient experienced ANAPHYLACTIC SHOCK (acute anaphylactic shock) (seriousness criterion medically significant), ATRIAL FIBRILLATION (A.fib) (seriousness criterion medically significant), VISION BLURRED (blurry vision), LIP SWELLING (swollen lips), HYPOAESTHESIA (Numbing sensation in her hands and lips) and PARAESTHESIA (tingling sensation in her hands and lips). At the time of the report, ANAPHYLACTIC SHOCK (acute anaphylactic shock), ATRIAL FIBRILLATION (A.fib), VISION BLURRED (blurry vision), LIP SWELLING (swollen lips), HYPOAESTHESIA (Numbing sensation in her hands and lips) and PARAESTHESIA (tingling sensation in her hands and lips) outcome was unknown.        mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was withdrawn on an unknown date.       Treatment for the events included diphenhydramine, metoclopramide, ketorolac, prochlorperazine and prednisone. The patient was advised not to receive the second dose of vaccine by her healthcare provider.  Company Comment: Based on the current available information and temporal association between the use of the product and the start date of these events, a causal relationship cannot be excluded.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of these events, a causal relationship cannot be excluded.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mobility decreased, Muscular weakness, Pain in extremity
Clinical narrative: L arm sore x 3 days p  #  1  injection L arm still painful after  14 days    w/in 1 day  L arm weak, throbbing    unuseful.   About 4-10 days    after injection L arm unstable due to pain + profound weakness, Pain radiated to L shoulder and L neck trapezius + c spine. no relief  ibuprofen, acetaminophen  naproxen ( not taken until 7 days later did not want to blunt immune response).   after 14 days L neck no longer painful, L arm pain improving. 2/26/21 - improving 1/19 - #1 1/20 - 1/23 sore arm 2/11   L arm weak, painful worsening       daily max almost not usable 2/26 beginning to feel less pain + weakness - improving
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Ear discomfort, Ear pain, Hypoaesthesia, Magnetic resonance imaging head
Clinical narrative: Right EAR PAIN, NUMBNESS,TINGLING,BURNING  TO HEAD, EAR , CHEEK, TOUNGE,(RIGHT SIDE)  LIPS
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Oral discomfort, Paraesthesia, Skin burning sensation, Tongue discomfort
Clinical narrative: Right EAR PAIN, NUMBNESS,TINGLING,BURNING  TO HEAD, EAR , CHEEK, TOUNGE,(RIGHT SIDE)  LIPS
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: No adverse event
Clinical narrative: VIS WAS GIVEN TO MOM. VERIFIED BY ANOTHER PERSON. NO REACTION
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Drug hypersensitivity
Clinical narrative: shot-1/25/21     Reaction  started 2/3/21 Headache, arm swelling , rash spred From Shoulder  to elbow.  Soreness in chest + arm. as of 2/10/21 arm still red and not feeling good.  Tired all the time hard to  breath when in a hurry
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Cough, Drainage, Head discomfort
Clinical narrative: Coordination Progress Note RN (Registered Nurse)    COVID 19 Initial Patient Assessment   Ordering Prescriber has completed required FDA EUA elements.    COVID-19 Positive Result Date (and on chart/file): 05/05/2021   Start of Symptoms Date: 05/03/2021  Meets Criteria:   ANY AGE: ? Body mass index (BMI) ?35 ? Chronic kidney disease ? Diabetes ? Immunosuppressive disease AGE SPECIFIC: ? ? 65 years of age       ? ?55 years of age AND had Cardiovascular Disease OR Hypertension OR COPD/other chronic respiratory disease   Reviewed present symptoms with patient. Congestion in head and chest, drainage, body aches, cough   Purpose of Infusion Assessment: Can you tell me why you are receiving this infusion? Reviewed by Physician   1. Date/Time of Infusion:  5/10/2021   . Location of Infusion:      A city: Come to address  and while in your car, contact the Center to register over the phone from your vehicle.  Once you are registered, you will be directed to the entrance and a nurse will be down to meet and assist you to the suite and infusion room   ead congestion, Sinus congestion, sore throat, Mild Cough
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, SARS-CoV-2 test positive
Clinical narrative: Coordination Progress Note RN (Registered Nurse)    COVID 19 Initial Patient Assessment   Ordering Prescriber has completed required FDA EUA elements.    COVID-19 Positive Result Date (and on chart/file): 05/05/2021   Start of Symptoms Date: 05/03/2021  Meets Criteria:   ANY AGE: ? Body mass index (BMI) ?35 ? Chronic kidney disease ? Diabetes ? Immunosuppressive disease AGE SPECIFIC: ? ? 65 years of age       ? ?55 years of age AND had Cardiovascular Disease OR Hypertension OR COPD/other chronic respiratory disease   Reviewed present symptoms with patient. Congestion in head and chest, drainage, body aches, cough   Purpose of Infusion Assessment: Can you tell me why you are receiving this infusion? Reviewed by Physician   1. Date/Time of Infusion:  5/10/2021   . Location of Infusion:      A city: Come to address  and while in your car, contact the Center to register over the phone from your vehicle.  Once you are registered, you will be directed to the entrance and a nurse will be down to meet and assist you to the suite and infusion room   ead congestion, Sinus congestion, sore throat, Mild Cough
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea
Clinical narrative: Pt arrived to observation complaining of "a little short of breath" and "a little dizzy". VS within normal limits. EMS contacted and pt. cleared by EMS.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pain
Clinical narrative: Suffered from chills,nausea,fatigue,fever,headache,body ache.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Suffered from chills,nausea,fatigue,fever,headache,body ache.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Unknown adverse reaction.  This event is being reported because a patient neglected to inform us that he had already received a first dose of the Pfizer vaccine and was given what we thought was a first dose of the Moderna vaccine.  No complaints of any adverse reaction from the patient.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling drunk
Clinical narrative: PT FELT LIGHT- HEADED AND "DRUNK" ABOUT 30 MINUTES FOLLOWING VACCINE
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis, Condition aggravated, Dyspnoea, Fatigue, Menstrual disorder
Clinical narrative: I am on the IUD and haven?t had a period in almost a year. After getting the shot I?ve had 3 separate instances of heavy spotting that lasted 2-3 days over the past month.  In addition, the shot seemed to affect my arthritis. The next day I woke up and pretty bad inflammation in almost every joint for almost a week. I?ve been recovering from long-covid since last December and had mostly recovered at time of 1st shot. I noticed since then a re-emergence of the fatigue and breathing issues. The re-emergence was not horrible or life threatening but very noticeable. I had a follow-up breathing test yesterday (05/20/2021) and there was a decline from the previous breathing test taken in March.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Nausea, Pyrexia, Vomiting
Clinical narrative: Fever, chills, weakness, nausea and vomiting.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Pt. c/o feeling light-headed while underobservation approx. 5 minutes after receiving vaccine.  Pt. notes she did not eat breakfast.  Pt given H2O2 + fig energy bars and started feeling better.  VS:  BP140/66, 98%-76  repeat BP124/64, 98%, 77.  Pt noted she started feeling better and she denies lightheadedness, pt states she is ok to drive.  Pt offered note to stay home from work, and she declined.  Pt. left approx. 12:05pm.  Pt advised to call 911 if she notes shortness of breath, swollen throat, swollen eyes, swollen tongue.  Rest & tylenol prn
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: Patient became dizzy and nauseated post vaccination, recovered and released
Age: 52.0
Sex: F
Vaccine: UNK
Symptoms: Splenic infarction, Subcapsular splenic haematoma
Clinical narrative: None stated.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Arteriogram coronary normal, Cardiac failure, Cardiac imaging procedure abnormal, Echocardiogram abnormal, Ejection fraction decreased
Clinical narrative: Patient developed myocarditis resulting in hospitalization at medical center.  He was treated with medications for heart failure, symptoms resolved and he was discharged home with follow up in heart failure clinic.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Magnetic resonance imaging heart, Myocarditis, N-terminal prohormone brain natriuretic peptide increased, Troponin increased, Wall motion score index abnormal
Clinical narrative: Patient developed myocarditis resulting in hospitalization at medical center.  He was treated with medications for heart failure, symptoms resolved and he was discharged home with follow up in heart failure clinic.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Akinesia, Angiocardiogram, Chest discomfort, Chest pain, Echocardiogram abnormal
Clinical narrative: Patient developed myocarditis resulting in hospitalization at medical center.  He was treated with medications for heart failure, symptoms resolved and he was discharged home with follow up in heart failure clinic.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Ejection fraction decreased, Electrocardiogram ST segment abnormal, Electrocardiogram abnormal, Fatigue, Gingival erythema
Clinical narrative: Patient developed myocarditis resulting in hospitalization at medical center.  He was treated with medications for heart failure, symptoms resolved and he was discharged home with follow up in heart failure clinic.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Heart rate increased, Magnetic resonance imaging heart, Myocarditis, Troponin increased, Ventricular hypokinesia
Clinical narrative: Patient developed myocarditis resulting in hospitalization at medical center.  He was treated with medications for heart failure, symptoms resolved and he was discharged home with follow up in heart failure clinic.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Arteriogram coronary normal, Brain natriuretic peptide increased, Cardiac imaging procedure abnormal, Chest X-ray normal, Chest pain
Clinical narrative: Patient developed myocarditis resulting in hospitalization at medical center.  He was treated with medications for heart failure, symptoms resolved and he was discharged home with follow up in heart failure clinic.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Dyspnoea, Echocardiogram abnormal, Magnetic resonance imaging head abnormal, Magnetic resonance imaging heart, Malaise
Clinical narrative: Patient developed myocarditis resulting in hospitalization at medical center.  He was treated with medications for heart failure, symptoms resolved and he was discharged home with follow up in heart failure clinic.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Myocarditis, Troponin increased, Ventricular hypokinesia
Clinical narrative: Patient developed myocarditis resulting in hospitalization at medical center.  He was treated with medications for heart failure, symptoms resolved and he was discharged home with follow up in heart failure clinic.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Arteriogram coronary normal, Cardiac failure, Cardiac imaging procedure abnormal, Echocardiogram abnormal, Ejection fraction decreased
Clinical narrative: MYOCARDITIS: Patient developed chest pain and shortness of breath. He was seen by me in the emergency department on 5/16/21 and was found to have an elevated troponin.  He was admitted to the hospital and underwent a coronary angiogram which was normal. He has evidence of some global hypokinesis on his echocardiogram and eventually had a cardiac MRI which confirmed that he has myocarditis.  He became ill the day after his 2nd Moderna shot and then more ill the next few days and I saw him on Day #3 after his 2nd shot.  He is otherwise healthy. He was hospitalized for two days. He was discharged on Losartan and Metoprolol and was not on any medications prior to his presentation.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Magnetic resonance imaging heart, Myocarditis, N-terminal prohormone brain natriuretic peptide increased, Troponin increased, Wall motion score index abnormal
Clinical narrative: MYOCARDITIS: Patient developed chest pain and shortness of breath. He was seen by me in the emergency department on 5/16/21 and was found to have an elevated troponin.  He was admitted to the hospital and underwent a coronary angiogram which was normal. He has evidence of some global hypokinesis on his echocardiogram and eventually had a cardiac MRI which confirmed that he has myocarditis.  He became ill the day after his 2nd Moderna shot and then more ill the next few days and I saw him on Day #3 after his 2nd shot.  He is otherwise healthy. He was hospitalized for two days. He was discharged on Losartan and Metoprolol and was not on any medications prior to his presentation.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Akinesia, Angiocardiogram, Chest discomfort, Chest pain, Echocardiogram abnormal
Clinical narrative: MYOCARDITIS: Patient developed chest pain and shortness of breath. He was seen by me in the emergency department on 5/16/21 and was found to have an elevated troponin.  He was admitted to the hospital and underwent a coronary angiogram which was normal. He has evidence of some global hypokinesis on his echocardiogram and eventually had a cardiac MRI which confirmed that he has myocarditis.  He became ill the day after his 2nd Moderna shot and then more ill the next few days and I saw him on Day #3 after his 2nd shot.  He is otherwise healthy. He was hospitalized for two days. He was discharged on Losartan and Metoprolol and was not on any medications prior to his presentation.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Ejection fraction decreased, Electrocardiogram ST segment abnormal, Electrocardiogram abnormal, Fatigue, Gingival erythema
Clinical narrative: MYOCARDITIS: Patient developed chest pain and shortness of breath. He was seen by me in the emergency department on 5/16/21 and was found to have an elevated troponin.  He was admitted to the hospital and underwent a coronary angiogram which was normal. He has evidence of some global hypokinesis on his echocardiogram and eventually had a cardiac MRI which confirmed that he has myocarditis.  He became ill the day after his 2nd Moderna shot and then more ill the next few days and I saw him on Day #3 after his 2nd shot.  He is otherwise healthy. He was hospitalized for two days. He was discharged on Losartan and Metoprolol and was not on any medications prior to his presentation.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Heart rate increased, Magnetic resonance imaging heart, Myocarditis, Troponin increased, Ventricular hypokinesia
Clinical narrative: MYOCARDITIS: Patient developed chest pain and shortness of breath. He was seen by me in the emergency department on 5/16/21 and was found to have an elevated troponin.  He was admitted to the hospital and underwent a coronary angiogram which was normal. He has evidence of some global hypokinesis on his echocardiogram and eventually had a cardiac MRI which confirmed that he has myocarditis.  He became ill the day after his 2nd Moderna shot and then more ill the next few days and I saw him on Day #3 after his 2nd shot.  He is otherwise healthy. He was hospitalized for two days. He was discharged on Losartan and Metoprolol and was not on any medications prior to his presentation.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Arteriogram coronary normal, Brain natriuretic peptide increased, Cardiac imaging procedure abnormal, Chest X-ray normal, Chest pain
Clinical narrative: MYOCARDITIS: Patient developed chest pain and shortness of breath. He was seen by me in the emergency department on 5/16/21 and was found to have an elevated troponin.  He was admitted to the hospital and underwent a coronary angiogram which was normal. He has evidence of some global hypokinesis on his echocardiogram and eventually had a cardiac MRI which confirmed that he has myocarditis.  He became ill the day after his 2nd Moderna shot and then more ill the next few days and I saw him on Day #3 after his 2nd shot.  He is otherwise healthy. He was hospitalized for two days. He was discharged on Losartan and Metoprolol and was not on any medications prior to his presentation.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Dyspnoea, Echocardiogram abnormal, Magnetic resonance imaging head abnormal, Magnetic resonance imaging heart, Malaise
Clinical narrative: MYOCARDITIS: Patient developed chest pain and shortness of breath. He was seen by me in the emergency department on 5/16/21 and was found to have an elevated troponin.  He was admitted to the hospital and underwent a coronary angiogram which was normal. He has evidence of some global hypokinesis on his echocardiogram and eventually had a cardiac MRI which confirmed that he has myocarditis.  He became ill the day after his 2nd Moderna shot and then more ill the next few days and I saw him on Day #3 after his 2nd shot.  He is otherwise healthy. He was hospitalized for two days. He was discharged on Losartan and Metoprolol and was not on any medications prior to his presentation.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Myocarditis, Troponin increased, Ventricular hypokinesia
Clinical narrative: MYOCARDITIS: Patient developed chest pain and shortness of breath. He was seen by me in the emergency department on 5/16/21 and was found to have an elevated troponin.  He was admitted to the hospital and underwent a coronary angiogram which was normal. He has evidence of some global hypokinesis on his echocardiogram and eventually had a cardiac MRI which confirmed that he has myocarditis.  He became ill the day after his 2nd Moderna shot and then more ill the next few days and I saw him on Day #3 after his 2nd shot.  He is otherwise healthy. He was hospitalized for two days. He was discharged on Losartan and Metoprolol and was not on any medications prior to his presentation.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Nausea, Pain, Vomiting
Clinical narrative: Extreme chills, Nausea, Frequent Vomiting, Fatigue, Aches
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: 12 hours after shot: Fever, chills, headache
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort
Clinical narrative: pt reported intermittent chest tightness, denies sob, dispnea acheness or swelling at injection site pt staes sh has allergies to sulfa, asprin and qunololos. vital signs 94% on RA, HR 76 pbm pt staed she did not have anything to eat thi morning pt encourage to stay hydrated and encourgae to eat before comming for the second dose after a few min pt felt better
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Two weeks after first dose ringing in left ear began, then 2 weeks after that my right ear started crackling then ear ringing started in it as well. Consulted ENT on April 7, diagnosed tinnitus, ears were clear and said to try Flonase and Allegra.  Neither helped. Ringing in both ears has been 24/7.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Facial pain, Headache, Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: -Face tingly and/or numb starting with lips before spreading to entire face about 40 minutes after injection. Felt like face was going in and out of conscienceness entire time. Sometimes felt like the sensation when a scab on a scrape is healing and the new skin is forming under the scab. Based on internet research with others having this rare side effect wanted to note that there was no swelling or change in heart rate (also I have not had any cosmetic surgery). But most reactions tended to be after the second dose and not the first as in my case. This mainly lasted about 48 hours at a pain level of medium with occasional minor occurrences after that. -Left bicep soreness (entire bicep not localized to injection). Pain intensified when touched or arm lifted above head. Pain level medium but consistent. Started about 16 hours after injection and last about 60 hours. - Overall body soreness. Felt like being hit by a freight train. Pain level fairly high starting about 18 hours after injection and lasting about 24 hours gradually decreasing in pain level over duration of that period. - About 40 hours after injection, face felt like it was hit by a frying pan, most pain localized to where nose meets face (not tip of nose) and radiated out from the bones around the nose to the rest of the face. These symptoms were high pain level for 36 hours and probably a low pain level about 24 hours after that. - About 70 hours after injection, dizziness and headache lasting for about 8 hours. Medium pain level. - Almost all high and medium level side effects are finally gone after 4 days although still minor face pain and left arm bicep pain exist.  (Sorry I didn't know I could report side effects so have been trying to keep track on paper as best as I could this week).
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site movement impairment, Injection site pain, Pain, Paraesthesia
Clinical narrative: -Face tingly and/or numb starting with lips before spreading to entire face about 40 minutes after injection. Felt like face was going in and out of conscienceness entire time. Sometimes felt like the sensation when a scab on a scrape is healing and the new skin is forming under the scab. Based on internet research with others having this rare side effect wanted to note that there was no swelling or change in heart rate (also I have not had any cosmetic surgery). But most reactions tended to be after the second dose and not the first as in my case. This mainly lasted about 48 hours at a pain level of medium with occasional minor occurrences after that. -Left bicep soreness (entire bicep not localized to injection). Pain intensified when touched or arm lifted above head. Pain level medium but consistent. Started about 16 hours after injection and last about 60 hours. - Overall body soreness. Felt like being hit by a freight train. Pain level fairly high starting about 18 hours after injection and lasting about 24 hours gradually decreasing in pain level over duration of that period. - About 40 hours after injection, face felt like it was hit by a frying pan, most pain localized to where nose meets face (not tip of nose) and radiated out from the bones around the nose to the rest of the face. These symptoms were high pain level for 36 hours and probably a low pain level about 24 hours after that. - About 70 hours after injection, dizziness and headache lasting for about 8 hours. Medium pain level. - Almost all high and medium level side effects are finally gone after 4 days although still minor face pain and left arm bicep pain exist.  (Sorry I didn't know I could report side effects so have been trying to keep track on paper as best as I could this week).
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Eye irritation, Facial paralysis, Headache, Hypoaesthesia oral
Clinical narrative: After 8 days I started feeling a headache I took ibuprofen then I felt numbness of my mouth and my right eye would not fully close only half way, my mouth started drooping sideways when I ate and swallowed food, my throat felt strange the liquid like water would come out a little. My eyes burned, predominately my right eye.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Lagophthalmos, Oropharyngeal discomfort
Clinical narrative: After 8 days I started feeling a headache I took ibuprofen then I felt numbness of my mouth and my right eye would not fully close only half way, my mouth started drooping sideways when I ate and swallowed food, my throat felt strange the liquid like water would come out a little. My eyes burned, predominately my right eye.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea, Pain, Pyrexia
Clinical narrative: When I got home after getting the vaccine, I was tired. When I woke up the next day, I was achy. I had a fever that kept getting higher and higher. I was nauseous and had a headache. I was advised by the nurse to take Tylenol and to rest.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Chills, Pyrexia, Troponin increased
Clinical narrative: fever and chills followed by chest pain - elevated troponins
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Pain in extremity, Peripheral swelling, Walking aid user
Clinical narrative: Client reports that 2 days after the vaccination she woke up with bilateral swollen lower extremities. She states they hurt and the discomfort has progressed to where she needs to use a cane to walk with
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Following night after shot a rash started on upper right shoulder going down to middle of back; also on upper left hip and midway down left leg. Itching stopped 5/17/21, but rash is still visible. Did not see a doctor.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperventilation
Clinical narrative: Patient began hyperventilating after receiving vaccine. Observed by provider on site. No intervention required. Parent stated that this has happened previously with other vaccines.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Exposure during pregnancy, Hypotension, Vomiting
Clinical narrative: I was 17 weeks pregnant at the time of my second dose. I woke up around 5am the morning after my vaccine with vomiting and weakness (low blood pressure). I could not keep down water and continued to vomit for a few hours. I called my OBGYN and she said to go get an IV done at urgent care to rehydrate. I probably would not have done this if it weren?t for being pregnant. I got the IV around 11am and then felt fine that evening (8pm onwards). I did not have any other adverse events after that.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy, Ear pain
Clinical narrative: Patient stated that had earache Monday - Thursday after vaccine on Saturday. On Friday, woke up and right side of face frozen. Patient diagnosed it as Bells Palsy.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy, Ear pain, Headache
Clinical narrative: Patient stated that had earache Monday - Thursday after vaccine on Saturday. On Friday, woke up and right side of face frozen. Patient diagnosed it as Bells Palsy.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Chest pain, Dyspnoea, Fatigue
Clinical narrative: Having long covid since May 2020, my lingering symptoms have been fatigue, shortness of breath, chest pain, loss of taste. All were subsiding and have come back since the first injection and have not abated for 2 weeks. Fatigue is particularly intense in the morning, loss of taste is now constant.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Vision blurred
Clinical narrative: PT REPORTED FEELING ANXIUS AND DIZZY, ALSO REPORTS BLURRY VISOIN PT REPORTS FEELING BETTER AFTER ABOUT 5 MIN, HR 80, 96% O2, PT REPORTS SMILAR REACTION TO PREVIOUS VACCIN DID NOT TASKE ANY MEDICATION TODAY PT WAS ENCOURAGE TO LIE FLAT AND TO HYDRATE PT LEFT SITE WITH PARENT AFTER 15 MIN WAS RESOLVED SYMPTOMS
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dysphagia, Dyspnoea, Face oedema, Lip oedema
Clinical narrative: 2/20/2021- Non pruritic rash to trunk, arms, chest, hands and thighs. (Unilateral)  Went to Emergency Dept and was treated with Benadryl, Solumedrol and Pepcid.  3/4/2021- Started on Prednisone 3/5/2021- Shortness of breath, stridor, edema to lips and periorbital. Treated in the ED with Benadryl, Solumedrol and Pepcid.  5/1/2021- Presented to the ED with cough, facial edema and shortness of breath. Treated with Benadryl, Solumedrol and Pepcid.  5/7/2021- Allergist increased Citirizine dosage to 40mg and started Pepcid daily as maintenance dosing. 5/18/2021- Presented to ED with dysphagia, shortness of breath and facial edema. Treated with Epinephrine, Benadryl, solumedrol and Pepcid. 5/20/2021- Presented to ED with facial/periorbital edema. Treated with solumedrol, pepcid and benadryl.  5/21/2021- Allergist prescribed Singulair (is working on insurance clearance for Xolair also)
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Periorbital oedema, Rash, Stridor
Clinical narrative: 2/20/2021- Non pruritic rash to trunk, arms, chest, hands and thighs. (Unilateral)  Went to Emergency Dept and was treated with Benadryl, Solumedrol and Pepcid.  3/4/2021- Started on Prednisone 3/5/2021- Shortness of breath, stridor, edema to lips and periorbital. Treated in the ED with Benadryl, Solumedrol and Pepcid.  5/1/2021- Presented to the ED with cough, facial edema and shortness of breath. Treated with Benadryl, Solumedrol and Pepcid.  5/7/2021- Allergist increased Citirizine dosage to 40mg and started Pepcid daily as maintenance dosing. 5/18/2021- Presented to ED with dysphagia, shortness of breath and facial edema. Treated with Epinephrine, Benadryl, solumedrol and Pepcid. 5/20/2021- Presented to ED with facial/periorbital edema. Treated with solumedrol, pepcid and benadryl.  5/21/2021- Allergist prescribed Singulair (is working on insurance clearance for Xolair also)
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Dyspnoea, Fatigue, Headache
Clinical narrative: Pt began to experience an allergic reaction ~30min post vaccination.  Pt devoloped dyspnea w/ itching.  Pt later felt ill w/ dizziness, chill and itchiness.  In several telephone visits on 5/18 and 5/19, staff recommended that the patient go to the ER for evaluation.  Pt declined.  On 5/19, the patient agreed to a telephone visit with a provider where the patient complained of chills, headaches with nausea with fatigue and body aches after covid 19 vaccine, also with itching occasionally.  Provider reiterated that the patient can go to the ER if symptoms do not improve.  On 5/20, pt indicates improvement though she still feels ill.  Of note, pt has previous known allergies to aspirin, eggs, and shellfish (all hives).
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Malaise, Nausea, Pain, Pruritus
Clinical narrative: Pt began to experience an allergic reaction ~30min post vaccination.  Pt devoloped dyspnea w/ itching.  Pt later felt ill w/ dizziness, chill and itchiness.  In several telephone visits on 5/18 and 5/19, staff recommended that the patient go to the ER for evaluation.  Pt declined.  On 5/19, the patient agreed to a telephone visit with a provider where the patient complained of chills, headaches with nausea with fatigue and body aches after covid 19 vaccine, also with itching occasionally.  Provider reiterated that the patient can go to the ER if symptoms do not improve.  On 5/20, pt indicates improvement though she still feels ill.  Of note, pt has previous known allergies to aspirin, eggs, and shellfish (all hives).
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Amylase increased, Dyspnoea, Lipase increased, Pancreatitis
Clinical narrative: Patient had respiratory difficulty, Pancreatitis
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: After administration of vaccine, patient fainted and was out for 30-45 seconds.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain
Clinical narrative: Body aches, fatigue, headaches
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Breast swelling, Chest pain, Costochondritis
Clinical narrative: Severe chest pain. Swollen breast on opposite side of vaccine injection. Urgent care diagnosed with Costochondritis. Severe breast swelling still needs to be diagnosed.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Immediate post-injection reaction
Clinical narrative: Pt describes feeling dizzy/lightheaded immediately after receiving vaccine. Upon arrival is A&0 x4 with no signs of distress. . Pt was Released At 1525 To Self. Ambulate Was Offered but refused, Pt Was escorted to exit by Staff. VS Are As Follows. 1517: BP 125/81, HR 87, RR 12, O2 Sat 97% on RA 1524: BP 123/82, HR 88, RR 12, O2 Sat 97% on RA
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Loss of consciousness
Clinical narrative: Pt reports on 5/21/21 (today's visit) while at appointment for 2nd Moderna vaccine...  That after 1st Moderna on 4/21/21 around 3hrs after injection she began feeling "off and not myself so I went to lay down" then she had an episode of LOC from a laying position on her bed for an estimate of 5 hrs at home with her children present. She reports that her family thought she was asleep. She woke up after the incident feeling very fatigued. Pt reports not having called her primary care provider, 911 or having went to the ER as instructed should an event like this occur. Reports not having done so because while drowsy and fatigued, she did not have any difficulty breathing or chest pain and began feeling better thereafter with no other symptoms.
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: Crying, Pyrexia, Rash
Clinical narrative: Rash and fever inconsolable crying
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Asthenia, Dizziness, Fatigue, Headache
Clinical narrative: Vaccine given approximately 4pm, Friday April 30th.  Insomnia (cannot sleep at all during the night). Approximately 5am, begin to feel aches and malaise.  Approximately 6am, aware of faster heartbeat and anxiety. Begin to feel dizzy and sit up in bed. Nausea begins. 6:10am vomit. Feel better after vomiting though achey, weak, shakey. Further dizzy spells throughout the next 6-8 hours, every time I get out of bed, but no further vomiting. At 10:55am, blood pressure is 86/58 with pulse at 94.  Headache throughout the day.  Abnormal fatigue lasts approximately 72 hours. Left arm is, of course, very sore at site of injection for approximately 36 hours.  Treatment: rest and hydration (Gatorade & water). Ice at injection site for sore arm.  Outcome: full recovery within 72 hours.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Injection site pain, Insomnia, Malaise, Pain
Clinical narrative: Vaccine given approximately 4pm, Friday April 30th.  Insomnia (cannot sleep at all during the night). Approximately 5am, begin to feel aches and malaise.  Approximately 6am, aware of faster heartbeat and anxiety. Begin to feel dizzy and sit up in bed. Nausea begins. 6:10am vomit. Feel better after vomiting though achey, weak, shakey. Further dizzy spells throughout the next 6-8 hours, every time I get out of bed, but no further vomiting. At 10:55am, blood pressure is 86/58 with pulse at 94.  Headache throughout the day.  Abnormal fatigue lasts approximately 72 hours. Left arm is, of course, very sore at site of injection for approximately 36 hours.  Treatment: rest and hydration (Gatorade & water). Ice at injection site for sore arm.  Outcome: full recovery within 72 hours.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor, Vomiting
Clinical narrative: Vaccine given approximately 4pm, Friday April 30th.  Insomnia (cannot sleep at all during the night). Approximately 5am, begin to feel aches and malaise.  Approximately 6am, aware of faster heartbeat and anxiety. Begin to feel dizzy and sit up in bed. Nausea begins. 6:10am vomit. Feel better after vomiting though achey, weak, shakey. Further dizzy spells throughout the next 6-8 hours, every time I get out of bed, but no further vomiting. At 10:55am, blood pressure is 86/58 with pulse at 94.  Headache throughout the day.  Abnormal fatigue lasts approximately 72 hours. Left arm is, of course, very sore at site of injection for approximately 36 hours.  Treatment: rest and hydration (Gatorade & water). Ice at injection site for sore arm.  Outcome: full recovery within 72 hours.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Lip swelling, Paraesthesia oral, Pruritus, Swelling face
Clinical narrative: within approximately 5-10 minutes from receiving the injection I experienced severe itching all over and redness.  As time progressed I further experienced swelling and tingling in my face and lips.   The doctor's office provided an initial dose of Benadryl before allowing me to leave the facility.  I then took additional Benadryl to further relieve symptoms.  All symptoms had resolved within 2 1/2 hours.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: There is suspicion that Pfizer-Biontech Vaccine was diluted with less than 1.8mL of Normal Saline and therefore the doses were more concentrated than 30mcg.
Age: 79.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Chills, Nausea, Pyrexia
Clinical narrative: Nashua , Chills ,  Fever
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Immediate post-injection reaction, Loss of consciousness, Nausea, Pallor
Clinical narrative: Immediately pale and lightheaded after injection, passed out in chair, lowered to floor, woke up feeling nausea, moved ia stretcher. Vitvals obtained and monitored. Per on site physician - severe vasovagal reaction - resolved. pt released at 3:32 with husband. Vitals as follows: LYING 3:05 - HR 98, Resp 14, BP 127/86, Sp02 100 LYING 3:15 - HR 89, Resp 12, BP 127/86, Sp02 100 SITTING 3:27 - HR 75, Resp 12, 122/85, Sp02 100
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Presyncope
Clinical narrative: Immediately pale and lightheaded after injection, passed out in chair, lowered to floor, woke up feeling nausea, moved ia stretcher. Vitvals obtained and monitored. Per on site physician - severe vasovagal reaction - resolved. pt released at 3:32 with husband. Vitals as follows: LYING 3:05 - HR 98, Resp 14, BP 127/86, Sp02 100 LYING 3:15 - HR 89, Resp 12, BP 127/86, Sp02 100 SITTING 3:27 - HR 75, Resp 12, 122/85, Sp02 100
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Axillary pain, Burning sensation, Deafness, Dizziness
Clinical narrative: headache with visual sensitivity, headache, hard to hear for a second, speech was impaired for a second, difficult to find words for a second, felts as if she had a fever and kept coming in flashes, pain went down leg, but then quickly went away, index knuckle on left hand felt burning, but went away,2nd day- tiredness, hot flashes, thirsty, 3rd day sleep disturbances, night sweats on each day since vaccine, throat dry on second day, 3rd day throaty dry, lymph nodes swelling, tired, this morning pain in right axillary area, neck still sore, dizziness this afternoon, abdominal upset this morning, hot flashes today
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dry throat, Fatigue, Headache, Hot flush, Lymphadenopathy
Clinical narrative: headache with visual sensitivity, headache, hard to hear for a second, speech was impaired for a second, difficult to find words for a second, felts as if she had a fever and kept coming in flashes, pain went down leg, but then quickly went away, index knuckle on left hand felt burning, but went away,2nd day- tiredness, hot flashes, thirsty, 3rd day sleep disturbances, night sweats on each day since vaccine, throat dry on second day, 3rd day throaty dry, lymph nodes swelling, tired, this morning pain in right axillary area, neck still sore, dizziness this afternoon, abdominal upset this morning, hot flashes today
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Night sweats, Pain in extremity, Pyrexia, Sleep disorder
Clinical narrative: headache with visual sensitivity, headache, hard to hear for a second, speech was impaired for a second, difficult to find words for a second, felts as if she had a fever and kept coming in flashes, pain went down leg, but then quickly went away, index knuckle on left hand felt burning, but went away,2nd day- tiredness, hot flashes, thirsty, 3rd day sleep disturbances, night sweats on each day since vaccine, throat dry on second day, 3rd day throaty dry, lymph nodes swelling, tired, this morning pain in right axillary area, neck still sore, dizziness this afternoon, abdominal upset this morning, hot flashes today
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Speech disorder, Thirst, Visual impairment
Clinical narrative: headache with visual sensitivity, headache, hard to hear for a second, speech was impaired for a second, difficult to find words for a second, felts as if she had a fever and kept coming in flashes, pain went down leg, but then quickly went away, index knuckle on left hand felt burning, but went away,2nd day- tiredness, hot flashes, thirsty, 3rd day sleep disturbances, night sweats on each day since vaccine, throat dry on second day, 3rd day throaty dry, lymph nodes swelling, tired, this morning pain in right axillary area, neck still sore, dizziness this afternoon, abdominal upset this morning, hot flashes today
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Intermenstrual bleeding, Menstruation irregular
Clinical narrative: Moderna COVID?19 Vaccine EUA Irregular menstrual bleeding.  period-like bleeding only two weeks after last menstruation.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Migraine
Clinical narrative: PT REPORTED MIGRANE LIKE HEADACHE WITH OUT AURA SHE ALSO REPORTED SOME DIZZINESS WE ADVISED HER TO LIE DSWN AND TO HYDRATE COLD PACK WAS PROVIDED, PT REPRTED THAT SHE WILL TAKE TYLON AFTER LEAVING OBSERVATION, SHE WAS IN OBSERVATION FOR APPROX 30 MIN
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: There is suspicion that Pfizer-Biontech Vaccine was diluted with less than 1.8mL of Normal Saline and therefore the doses were more concentrated than 30mcg.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Cough
Clinical narrative: PT STATED THAT A COUPLE OF DAYS  AFTER THE FIRST VACCINE THAT SHE STARTED TO HAVE A LOW GRADE DRY COUGH AND THAT WOULD NOT GO AWAY.  SHE STILL IS EXPERIENCING COUGH.  SHE  THAT SHE FEELS COMPLETELY FINE OTHERWISE WITH NO ISSUES. SHE STATED NEVER HAVING IT BEFORE AND THAT IT STARTED AFTER VACCINE.  SHE STATED THAT SHE WENT TO AN INSTACARE THAT THOUGHT IS WAS PROBABLY ALLERGIES BUT WANTED TO LET US KNOW
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Bone pain, Chills, Decreased appetite, Differential white blood cell count
Clinical narrative: Day of vaccine felt fine - the next morning - early in AM developed splitting headache (similar to when had wisdom teeth removed) entire body hurt - felt extremely weak - felt paralyzed - difficult to move arms up and down  - difficult to get out of bed - fever 102 or greater - took two regular advil 200mg - remained sick like this for three full days - chills - lack of appetite - did drink room temperature water - consumed crackers and broth - felt like had bone pain - severe body aches - headache was severe -  prescribed flexeril and meloxicam by PCP
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Headache, Mobility decreased, Pain, Pyrexia
Clinical narrative: Day of vaccine felt fine - the next morning - early in AM developed splitting headache (similar to when had wisdom teeth removed) entire body hurt - felt extremely weak - felt paralyzed - difficult to move arms up and down  - difficult to get out of bed - fever 102 or greater - took two regular advil 200mg - remained sick like this for three full days - chills - lack of appetite - did drink room temperature water - consumed crackers and broth - felt like had bone pain - severe body aches - headache was severe -  prescribed flexeril and meloxicam by PCP
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate
Clinical narrative: Day of vaccine felt fine - the next morning - early in AM developed splitting headache (similar to when had wisdom teeth removed) entire body hurt - felt extremely weak - felt paralyzed - difficult to move arms up and down  - difficult to get out of bed - fever 102 or greater - took two regular advil 200mg - remained sick like this for three full days - chills - lack of appetite - did drink room temperature water - consumed crackers and broth - felt like had bone pain - severe body aches - headache was severe -  prescribed flexeril and meloxicam by PCP
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse event. Patient underage.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Paraesthesia oral
Clinical narrative: Patient c/o tongue feeling numb and tingling after vaccination. No throat constriction or shortness of breath. Speech clear, no difficulty swallowing. Denied rash or itching. Given Fexofenidine 60 mg by mouth. Advised to go to ER for evaluation but patient refused. Vital Signs stable . O2 sat 98% and 99 %.Patient had vaccination at 2:37 pm. Reaction was reported at 2:55 pm.Patient left clinic at 3:28 pm
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Flushing, Nausea, Rash, Throat tightness
Clinical narrative: Patient received 2nd Moderna vaccine at 13:00, in the next 15min developed full body rash with flushed feeling, shortness of breath with sensation of throat closing, and nausea. Pt was given epi, benadryl and solumedrol by EMS at 13:30 and symptoms resolved.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Interchange of vaccine products
Clinical narrative: I asked the patient if he had had any vaccines in the last 2 weeks, he answered, "no." I went to input his information in to MIIX and he had gotten pfizer on 04/01/2021 at a different location.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: There is suspicion that Pfizer-Biontech Vaccine was diluted with less than 1.8mL of Normal Saline and therefore the doses were more concentrated than 30mcg.
Age: 21.0
Sex: U
Vaccine: COVID19
Symptoms: Dysgeusia, Paraesthesia oral
Clinical narrative: Metalic taste in mouth immediately following vaccine administration . Patient reports tingling around the mouth . No facial paralysis or gross motor defects . Patient without cardiopulmonary symptoms . Patient advised regarding COVID testing . ER precautions.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Acute kidney injury, Asthenia, Chronic kidney disease, Condition aggravated
Clinical narrative: On 4/21 patient was seen at urgent care with symptoms for several days: history of fever up to 101, abdominal pain, nausea, vomiting, diarrhea and body aches, 1 week post 2nd dose of vaccine. Patient admitted to ED on 4/30 with high fever up to 104, generalized body aches and a lack of energy.  Patient was diagnosed with AKI on CKD, secondary to sepsis and polycystic kidney disease, patient was given fluids and ceftriaxone.  discharged 5/3
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Congenital cystic kidney disease, Diarrhoea, Nausea, Pain, Pyrexia
Clinical narrative: On 4/21 patient was seen at urgent care with symptoms for several days: history of fever up to 101, abdominal pain, nausea, vomiting, diarrhea and body aches, 1 week post 2nd dose of vaccine. Patient admitted to ED on 4/30 with high fever up to 104, generalized body aches and a lack of energy.  Patient was diagnosed with AKI on CKD, secondary to sepsis and polycystic kidney disease, patient was given fluids and ceftriaxone.  discharged 5/3