chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Pallor, Presyncope
Clinical narrative: Stated they felt oncoming vasovagal response, patient was diaphoretic and pallor. Patient instructed to lie down  , vital signs taken. After approximately 15 minutes of laying down vitals improved, color returned, and patient felt better.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: Passed out
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Rash pruritic
Clinical narrative: Initial reaction was a bruise. Seven days after first vaccine, an itchy rash of 2" x 2.5" occurred. Monitoring it to see if it worsens.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Immediate post-injection reaction, Loss of consciousness
Clinical narrative: The patient received her COVID-vaccine and then told the immunizer she felt dizzy seconds afterward. She passed out for a few minutes and we were unable to wake her. We called 911 and she came back to consciousness after what felt to be several minutes.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Deafness, Dizziness, Vertigo
Clinical narrative: Patient with bilateral Meniere's disease noted significant hearing fluctuation AU, dizziness and vertigo after first dose of vaccine which resolved spontaneously. No symptoms after second dose.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Dermatitis bullous, Night sweats, Rash pruritic
Clinical narrative: severe night sweats combined with small hive like rash on chest. rash site was itchy. sweating severe enough to soak through  head hair and sheets.  no fever detected when temperature  was taken at 6;30 am.   No other symptom noted.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypersomnia, Nausea
Clinical narrative: Woke up at 3am on  second morning after vaccine with extreme dizziness and nausea. Continued to have dizziness, nausea, and dry heaves until following day. Could do nothing but sleep. Lightheadedness continued through the next day after that but nausea passed.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test, Angina pectoris, Chest discomfort, Dysphagia, Dysphonia
Clinical narrative: 5 min after dose my heart was racing and it hurt/ felt tight .  10-20 minutes after dose my tongue was tingling /burning feeling also felt swollen. My throat felt tight and it was difficult to swallow.  But I could breath okay.  I stayed at the location for approximately 45 min -1hr for monitoring. After leaving I had a couple episodes where my chest got tight and I couldn?t catch my breath but after 4 hrs it cleared up.  My throat hurt for 3-5 days afterward and I had a hoarse voice. My tongue still hurts, it felt tingly and burnt  shortly after 1st dose and turned paper white for 2-1/2 weeks, now  (3wks after the dose) it feels like someone ran a razor blade over it and is turning back to its normal pink color.  It is starting to feel a little better.  Last week (2 weeks after dose #1)  I reacted to wall paint, my hands broke out in hives and got itchy, which I?ve never reacted to in the past. They cleared up after washing them and waiting 2-3 hrs.  I also have a slight reaction to pasta sauce now, my lips get slightly puffy and hurt while eating it.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Glossodynia, Oropharyngeal pain, Palpitations, Paraesthesia oral
Clinical narrative: 5 min after dose my heart was racing and it hurt/ felt tight .  10-20 minutes after dose my tongue was tingling /burning feeling also felt swollen. My throat felt tight and it was difficult to swallow.  But I could breath okay.  I stayed at the location for approximately 45 min -1hr for monitoring. After leaving I had a couple episodes where my chest got tight and I couldn?t catch my breath but after 4 hrs it cleared up.  My throat hurt for 3-5 days afterward and I had a hoarse voice. My tongue still hurts, it felt tingly and burnt  shortly after 1st dose and turned paper white for 2-1/2 weeks, now  (3wks after the dose) it feels like someone ran a razor blade over it and is turning back to its normal pink color.  It is starting to feel a little better.  Last week (2 weeks after dose #1)  I reacted to wall paint, my hands broke out in hives and got itchy, which I?ve never reacted to in the past. They cleared up after washing them and waiting 2-3 hrs.  I also have a slight reaction to pasta sauce now, my lips get slightly puffy and hurt while eating it.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Throat tightness, Tongue discolouration, Urticaria
Clinical narrative: 5 min after dose my heart was racing and it hurt/ felt tight .  10-20 minutes after dose my tongue was tingling /burning feeling also felt swollen. My throat felt tight and it was difficult to swallow.  But I could breath okay.  I stayed at the location for approximately 45 min -1hr for monitoring. After leaving I had a couple episodes where my chest got tight and I couldn?t catch my breath but after 4 hrs it cleared up.  My throat hurt for 3-5 days afterward and I had a hoarse voice. My tongue still hurts, it felt tingly and burnt  shortly after 1st dose and turned paper white for 2-1/2 weeks, now  (3wks after the dose) it feels like someone ran a razor blade over it and is turning back to its normal pink color.  It is starting to feel a little better.  Last week (2 weeks after dose #1)  I reacted to wall paint, my hands broke out in hives and got itchy, which I?ve never reacted to in the past. They cleared up after washing them and waiting 2-3 hrs.  I also have a slight reaction to pasta sauce now, my lips get slightly puffy and hurt while eating it.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Hyperhidrosis, Immediate post-injection reaction
Clinical narrative: immediately started to perspire after the shot. then had behavioral change. usually well behaved at baseline on his medications, but he started acting strangely and even tried to strangle his mother. she notes that his eyes were angry and looked like he wanted to kill her.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness bilateral, Tinnitus
Clinical narrative: Patient with no prior otologic history notes onset of bilateral hearing loss ~ 10 days after first dose of vaccine. She notes associated non-pulsatile tinnitus and aural fullness AU. Currently treated with oral steroids
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Rash papular
Clinical narrative: Large, red hard itchy swollen spot at injection site. Small raised bumps: appeared on 8th day late afternoon was very itchy. Put antibiotic cream on it was all I had cream had painkilling agent that seemed to lessen itching. Did not go to doctor
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal distension, Discomfort, Dizziness
Clinical narrative: Pressure, bloating, dizziness
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient received 1 dose covid-19 vaccine 03-02-21;  and signed up for clinic for the second dose and was given different manufacturer vaccine as the second dose. had the pt sit in pharmacy for more than 45 minutes pt did not experience any effects
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site swelling, Pruritus, Swelling
Clinical narrative: Redness, swelling, itching, pain , bump all at injection site
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Flushing, Pruritus, Rash
Clinical narrative: C/O generalized itching in her upper arms No SOB/no difficulty breathing Alert, conversive; skin - warm & dry; lungs.clear BP 140/90  P 69-71 regular  O2 Sat 99% 30 minutes in observation - no urticaria, alert, no other concerns; Release p 30 minutes
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pruritus
Clinical narrative: C/O generalized itching in her upper arms No SOB/no difficulty breathing Alert, conversive; skin - warm & dry; lungs.clear BP 140/90  P 69-71 regular  O2 Sat 99% 30 minutes in observation - no urticaria, alert, no other concerns; Release p 30 minutes
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Angioedema, Condition aggravated, Dyskinesia, Erythema, Headache
Clinical narrative: facial swelling, itching, redness right forarm, tingling of lips and face; tongue swelling Narrative:  This is a 54-year-old female with history of significant for sleep apnea, chronic obstructive lung disease, fibromyalgia, and previous allergies to 3 medications, milk and shellfish. The patient received her first dose of Moderna Covid-19 vaccine on 2/26/21. The patient apparently reported itching within 10 minutes and within 20 minutes she developed mild lips and tongue swelling. No breathing difficulty noted. The patient reported taking Benadryl liquid with relief of her symptoms. No Epi Pen was administered. On 3/3/21, the patient was seen by the Immunologist for evaluation as the patient requested to receive her second dose despite potential risk for another allergic reaction. The immunologist recommended to patient's primary care provider to premedicate the patient 1 hour prior to 2nd dose of Moderna with specific instructions for the vaccine to be administered at the Emergency Department. Another option was for the patient not to get the second dose of Moderna and wait for a different vaccine. The patient informed her primary care provider that she wants the 2nd dose administered. On 3/26/21, the patient premedicated herself as instructed from home with fexofenadine 180mg, diphenhydramine 50mg, famotidine 40mg, and prednisone 20mg prior to her 2nd dose of the vaccine. Patient received her second dose of Moderna Covid-19 vaccine around 3:09 pm at the Emergency Department (ED) area. After 15 minutes, the patient had facial swelling and was immediately given Epi Pen in left thigh. Patient was checked in to the ED. Thirty minutes later, the patient experienced itching and redness in her right forearm, headaches, tingling of her lips and face, then found her tongue swelling with difficulty opening her mouth. The patient received her 2nd dose of the Epi Pen in addition to diphenhydramine IV and IV methylprednisolone (steroid). She was later transferred to MICU for further monitoring due to potential airway compromise. The patient was admitted to MICU on 3/26/21. Covid-19 negative. She was transferred to acute care ward on 3/27/21 for additional monitoring of her angioedema. As of 3/29/21, the patient is in a stable condition. Per hospitalist, patient's facial swelling has gradually improved and remains on iv steroid treatment. If the patient is able to tolerate oral steroid and her symptoms continues to improve, the patient will be discharged if patient remains stable.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Intensive care, Paraesthesia, Paraesthesia oral, Pruritus, SARS-CoV-2 test negative
Clinical narrative: facial swelling, itching, redness right forarm, tingling of lips and face; tongue swelling Narrative:  This is a 54-year-old female with history of significant for sleep apnea, chronic obstructive lung disease, fibromyalgia, and previous allergies to 3 medications, milk and shellfish. The patient received her first dose of Moderna Covid-19 vaccine on 2/26/21. The patient apparently reported itching within 10 minutes and within 20 minutes she developed mild lips and tongue swelling. No breathing difficulty noted. The patient reported taking Benadryl liquid with relief of her symptoms. No Epi Pen was administered. On 3/3/21, the patient was seen by the Immunologist for evaluation as the patient requested to receive her second dose despite potential risk for another allergic reaction. The immunologist recommended to patient's primary care provider to premedicate the patient 1 hour prior to 2nd dose of Moderna with specific instructions for the vaccine to be administered at the Emergency Department. Another option was for the patient not to get the second dose of Moderna and wait for a different vaccine. The patient informed her primary care provider that she wants the 2nd dose administered. On 3/26/21, the patient premedicated herself as instructed from home with fexofenadine 180mg, diphenhydramine 50mg, famotidine 40mg, and prednisone 20mg prior to her 2nd dose of the vaccine. Patient received her second dose of Moderna Covid-19 vaccine around 3:09 pm at the Emergency Department (ED) area. After 15 minutes, the patient had facial swelling and was immediately given Epi Pen in left thigh. Patient was checked in to the ED. Thirty minutes later, the patient experienced itching and redness in her right forearm, headaches, tingling of her lips and face, then found her tongue swelling with difficulty opening her mouth. The patient received her 2nd dose of the Epi Pen in addition to diphenhydramine IV and IV methylprednisolone (steroid). She was later transferred to MICU for further monitoring due to potential airway compromise. The patient was admitted to MICU on 3/26/21. Covid-19 negative. She was transferred to acute care ward on 3/27/21 for additional monitoring of her angioedema. As of 3/29/21, the patient is in a stable condition. Per hospitalist, patient's facial swelling has gradually improved and remains on iv steroid treatment. If the patient is able to tolerate oral steroid and her symptoms continues to improve, the patient will be discharged if patient remains stable.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face, Swollen tongue
Clinical narrative: facial swelling, itching, redness right forarm, tingling of lips and face; tongue swelling Narrative:  This is a 54-year-old female with history of significant for sleep apnea, chronic obstructive lung disease, fibromyalgia, and previous allergies to 3 medications, milk and shellfish. The patient received her first dose of Moderna Covid-19 vaccine on 2/26/21. The patient apparently reported itching within 10 minutes and within 20 minutes she developed mild lips and tongue swelling. No breathing difficulty noted. The patient reported taking Benadryl liquid with relief of her symptoms. No Epi Pen was administered. On 3/3/21, the patient was seen by the Immunologist for evaluation as the patient requested to receive her second dose despite potential risk for another allergic reaction. The immunologist recommended to patient's primary care provider to premedicate the patient 1 hour prior to 2nd dose of Moderna with specific instructions for the vaccine to be administered at the Emergency Department. Another option was for the patient not to get the second dose of Moderna and wait for a different vaccine. The patient informed her primary care provider that she wants the 2nd dose administered. On 3/26/21, the patient premedicated herself as instructed from home with fexofenadine 180mg, diphenhydramine 50mg, famotidine 40mg, and prednisone 20mg prior to her 2nd dose of the vaccine. Patient received her second dose of Moderna Covid-19 vaccine around 3:09 pm at the Emergency Department (ED) area. After 15 minutes, the patient had facial swelling and was immediately given Epi Pen in left thigh. Patient was checked in to the ED. Thirty minutes later, the patient experienced itching and redness in her right forearm, headaches, tingling of her lips and face, then found her tongue swelling with difficulty opening her mouth. The patient received her 2nd dose of the Epi Pen in addition to diphenhydramine IV and IV methylprednisolone (steroid). She was later transferred to MICU for further monitoring due to potential airway compromise. The patient was admitted to MICU on 3/26/21. Covid-19 negative. She was transferred to acute care ward on 3/27/21 for additional monitoring of her angioedema. As of 3/29/21, the patient is in a stable condition. Per hospitalist, patient's facial swelling has gradually improved and remains on iv steroid treatment. If the patient is able to tolerate oral steroid and her symptoms continues to improve, the patient will be discharged if patient remains stable.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Disorientation, Injection site pain, Injection site swelling, Pyrexia, Syncope
Clinical narrative: Disorentation Narrative: Patient was taken to ED by 911 services, called to residence by his son. Patient was hospitalized for syncope, disorientation, fever and pain/swelling and the injection site
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Chills, Fibrin D dimer, Full blood count, Metabolic function test
Clinical narrative: Had covid vaccine in morning. Developed fever up to 103, shaking chills, decreased sats (80%) later in the afternoon. Admitted for observation
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Urine analysis
Clinical narrative: Had covid vaccine in morning. Developed fever up to 103, shaking chills, decreased sats (80%) later in the afternoon. Admitted for observation
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Swelling Redness pain
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hypoaesthesia, Paraesthesia, Peripheral swelling
Clinical narrative: numbness, tingling, Swelling Left arm shortness of breath
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Fall, Seizure, Seizure like phenomena
Clinical narrative: Patient received vaccine, returned to playing cards, attempted to ambulate 10-15minutes later and fell to floor with seizure like contracting activity. duration of event 5-10 minutes. Medical attention received patient sent to hospital. Patient returned same day.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Fatigue, Feeling hot, Muscle spasms, Peripheral swelling
Clinical narrative: Within two hours the arm became itchy, swollen and red hot. It continued to get worse over three days. In additional I had exhaustion. The symptoms continued for the next four days and began to subside on the sixth day. At this writing I am at the seventh day and till have residual symptoms which are gradually diminishing.  The degree of itchiness could be described as like bad shingles. The degree of redness could be described as a bad sunburn. The degree of swelling was like a hard muscle cramp in my deltoid, triceps, and biceps widespread across most of the upper arm and shoulder.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Within two hours the arm became itchy, swollen and red hot. It continued to get worse over three days. In additional I had exhaustion. The symptoms continued for the next four days and began to subside on the sixth day. At this writing I am at the seventh day and till have residual symptoms which are gradually diminishing.  The degree of itchiness could be described as like bad shingles. The degree of redness could be described as a bad sunburn. The degree of swelling was like a hard muscle cramp in my deltoid, triceps, and biceps widespread across most of the upper arm and shoulder.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Diarrhoea, Dizziness, Electrocardiogram, Full blood count
Clinical narrative: vomiting,diarrhea , headache , body ache , dizzyness , incoherent, passing out for hours at a  time , weakness
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Incoherent, Lipase, Loss of consciousness, Metabolic function test
Clinical narrative: vomiting,diarrhea , headache , body ache , dizzyness , incoherent, passing out for hours at a  time , weakness
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Vomiting
Clinical narrative: vomiting,diarrhea , headache , body ache , dizzyness , incoherent, passing out for hours at a  time , weakness
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: .
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Inadvertent higher than recommended dose.  1.0ml vs 0.5ml
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Inadvertent higher then recommended dose 1.0 vs 0.5ml IM
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Inadvestent higher than  recommended dose administered
Age: 48.0
Sex: U
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Inadvertent  higher  than recommended dose given 1.0 ml VS 0.5 ml IM
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Inadvertent administration of higher  then recommended dose 1.0 vs 0.5 ml Im
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Neuralgic amyotrophy, Pain in extremity, Peripheral swelling, Skin burning sensation
Clinical narrative: Brachial plexitis in LUE pain / burning redness swelling radiating to post Arm
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Palpitations, Paraesthesia
Clinical narrative: Heart Palpitations tingly + numb fingers - lasted about 15 min. Rescue came + took her vital signs. She refused to go with them. She left pharmacy feeling Better.
Age: 55.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: I came into work on 11/30/2020 and had a message to call patient. I called her when time permitted about 4pm. She reported to me that she started having a great deal of pain in her arm and shoulder within a few days of getting her flu shot. Now after 6 weeks it is getting worse instead of better. She explained that she had looked on-line and a flu shot given in the wrong way can cause this problem. she also told me she remembered me standing to giver her shot. I told her that i have been in the habit of kneeling to give vaccines in order to be careful not to give it in the wrong place. then she said oh maybe you were kneeling. I explained while that is true that a flu shout could result in
Sex: U
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: 1st 30 sec. 2nd 10 sec.  Pt. was sitting in 15 min wait area when he had 2 seizures witnessed by EMS personel. Care was immidiatly given and he was transported to ER No hx of epilepsy declared on pre screening form
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Cellulitis, Erythema, Pruritus, Skin warm
Clinical narrative: On 03/18/2021 began to itchy and pink Left upper arm. on 03/19/2021 became itchier and pinker and slightly warm to touch. Visit to urgent care. Diagnosis Cellulitis. put on Elcon cream and oral Keflex. On 03/20/2021 got worse. On 03/21/2021 left arm redder and extended one to two inches above shoulder and one to two inches below elbow. Involved are now clearly elevated from normal skin. About 2 inches above left elbow it was now close to encircling arm for about 3 inch length. on 03/22/2021 no change. Started with slight daily improvement on 03/23/2021, until resolved on approx. 03/28/2021.
Age: 84.0
Sex: F
Vaccine: UNK
Symptoms: Dizziness, Dysphagia
Clinical narrative: Difference in swallowing and lightheaded
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: The Immunizing Tech ask me to look at patient's arm after giving an injection. I took a look it was swelling at the injection site. I monitored for about 10mins to see if swellingwould go down & it wasn't, then I administered 1 tab Benadry Spoke with customer on 3/30/31 swelling mostly gone down she just had soreness at the site
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose increased, Dizziness, Dyspnoea, Eye movement disorder, Flushing
Clinical narrative: Feeling faint, labor breathing, report of eyes rolling back, syncopal epidsode (a few seconds), flushed, "blacked-out a few seconds"!  BP-140/86-84-22 Sat 99% O2 at 2L
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Syncope
Clinical narrative: Feeling faint, labor breathing, report of eyes rolling back, syncopal epidsode (a few seconds), flushed, "blacked-out a few seconds"!  BP-140/86-84-22 Sat 99% O2 at 2L
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: numb arm/hands for 20 mins
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Blepharospasm, Dyskinesia, Facial paralysis, Hypoaesthesia
Clinical narrative: eye twitch, facial numbness. Left eyebrow  lower than right, unable to move. unable to smile. DX w/ Bells Palsy. Treated w/prednisone + valtrex
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Movement disorder
Clinical narrative: eye twitch, facial numbness. Left eyebrow  lower than right, unable to move. unable to smile. DX w/ Bells Palsy. Treated w/prednisone + valtrex
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Hand dermatitis, Hypoaesthesia, Immediate post-injection reaction, Injection site hypoaesthesia
Clinical narrative: Pt developed numbness in left arm (site of vaccine) almost immediately. The burning sensation in both hands with ezcema like rash the next day lasting less than 48 hours. Then numbness (pins and needles sensation) left side of face left arm and left leg that is intermittent
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Pt developed numbness in left arm (site of vaccine) almost immediately. The burning sensation in both hands with ezcema like rash the next day lasting less than 48 hours. Then numbness (pins and needles sensation) left side of face left arm and left leg that is intermittent
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Blood test, Computerised tomogram, Dyskinesia, Ear pain
Clinical narrative: Headache within 5 mins pain in L ear. On day 3 that radiated around head. Day 4 no control of movement of eyes L stuck open. Jerking on R side of body shaky hand R. Day 5 went to walk in Bell's Palsy DX. Droopy face pain in jaw L
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Eye movement disorder, Facial pain, Facial paralysis, Headache, Pain
Clinical narrative: Headache within 5 mins pain in L ear. On day 3 that radiated around head. Day 4 no control of movement of eyes L stuck open. Jerking on R side of body shaky hand R. Day 5 went to walk in Bell's Palsy DX. Droopy face pain in jaw L
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in jaw, Tremor
Clinical narrative: Headache within 5 mins pain in L ear. On day 3 that radiated around head. Day 4 no control of movement of eyes L stuck open. Jerking on R side of body shaky hand R. Day 5 went to walk in Bell's Palsy DX. Droopy face pain in jaw L
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Pruritus
Clinical narrative: Patient received her Moderna Covid Vaccination at 09:55am in her left deltoid. At 10:07 am, Patient complained of itching at injection site. Approximately two minutes later, Patient complained of itching on right arm, neck and across back. Dr was consulted. Patient was given 25mg diphenhydramine at 10:23am. Patient was given a second diphenhydramine 25mg at 1030am. Patient was discharged 10:38 am. Patient's husband will drive home. At time of discharge, itching has decreased. No throat swelling or redness. No hives.  I have left a voicemail for patient at 2:12pm.At the time of this report, I have not heard back from patient.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Blood test, Mobility decreased, Musculoskeletal pain, Musculoskeletal stiffness
Clinical narrative: First shot January 20, 2021. Soon after pain in right shoulder and hop and then right shoulder hand and  wrist. Second Shot February 15, 2021. Soon after pain increased now also to neck buttocks thights.  Excrutialing pain in all joint. Went on Predsisone. Up to 30 mg and Tramadal for pain no help as of  March 25, 2021 March 28 - Woke up stiffer today (PL  7-8). Very rainy day. 20mg. pred 50 mg tram.  Glucose 106. 5mg pred 6PM. Pain lessened as day progressed PL  3-4.  March 29  Still stiff. PL 3-4 easier movement.20 mg pred 50 mg tram Glucose 95.  ADDITIONAL PAIN INFORMATION:  To help relieve pain, I walk inside my home several times a day. The pain reduces  temporarily. Use moist heat on affected areas, which also results in temporary relief.  Woke every morning extremely stiff, in severe pain and unable to accomplish simple  tasks like removing the blanket from my body in order to get out of my bed. It was  several hours before the stiffness lessened.  Sometimes, I feel slight pain in my elbows and knees. Not as extreme as in the other  parts of my body.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Neck pain, Pain in extremity
Clinical narrative: First shot January 20, 2021. Soon after pain in right shoulder and hop and then right shoulder hand and  wrist. Second Shot February 15, 2021. Soon after pain increased now also to neck buttocks thights.  Excrutialing pain in all joint. Went on Predsisone. Up to 30 mg and Tramadal for pain no help as of  March 25, 2021 March 28 - Woke up stiffer today (PL  7-8). Very rainy day. 20mg. pred 50 mg tram.  Glucose 106. 5mg pred 6PM. Pain lessened as day progressed PL  3-4.  March 29  Still stiff. PL 3-4 easier movement.20 mg pred 50 mg tram Glucose 95.  ADDITIONAL PAIN INFORMATION:  To help relieve pain, I walk inside my home several times a day. The pain reduces  temporarily. Use moist heat on affected areas, which also results in temporary relief.  Woke every morning extremely stiff, in severe pain and unable to accomplish simple  tasks like removing the blanket from my body in order to get out of my bed. It was  several hours before the stiffness lessened.  Sometimes, I feel slight pain in my elbows and knees. Not as extreme as in the other  parts of my body.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain
Clinical narrative: Sore throat and fever started 3/27/21 at 6pm and have lasted 3 days at this point. Patient thinks it is recurrent tonsillitis though.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Biopsy skin abnormal, Gram stain negative, Hypersensitivity, Inflammation, Lymphadenopathy
Clinical narrative: lymphadenopathy erythematous nodular eruption of bilateral thighs to be treated with clobetasol 0.05% ointment BID for 2-3 weeks.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nodule
Clinical narrative: lymphadenopathy erythematous nodular eruption of bilateral thighs to be treated with clobetasol 0.05% ointment BID for 2-3 weeks.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, SARS-CoV-2 test negative, Swelling, Tremor
Clinical narrative: 36 hrs. after injection woke up in night with radiating headache in back of head between my ears. <3 min later, felt a fast swelling in my chest like a balloon and started convulsively shaking took tempature-97.8. Took 2 tylenol and prayed. Called nursline the next day.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma
Clinical narrative: PATIENT AWOKE HAVING ASTHMA ATTACK. USED ALBUTEROL INHALER AND WITHIN 1 HOUR SYMPTOMS HAD CEASED.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Facial paresis, Paraesthesia
Clinical narrative: Tingling down the side of her face Weakness
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Hot flush, Myalgia, Nausea, Sedation, Vomiting
Clinical narrative: Sedation, Myalgia, NauseaVomiting, HOT FLASHES Narrative: VACCINE WAS NOT GIVEN AT FACILITY
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Vomiting
Clinical narrative: Myalgia & Nausea Vomiting  Narrative:
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Sedation, Vomiting
Clinical narrative: Sedation & NauseaVomiting Narrative:
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Erythema multiforme, Headache, Myalgia
Clinical narrative: Headache, Sedation, Myalgia, ErythemaMultiform,Diarrhea,  CHILLS AND PAIN Narrative:
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Headache, Sedation, Myalgia, ErythemaMultiform,Diarrhea,  CHILLS AND PAIN Narrative:
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: NO INFO Narrative:
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Myalgia, Pain in extremity, Pyrexia
Clinical narrative: Myalgia, Arthralgia, sore arm, chills, low grade fever Narrative:  Other Relevant History:
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Injection site pain, Myalgia
Clinical narrative: Myalgia, Fever, Diarrhea & NauseaVomiting Narrative: DOSE 2-DAY 1 PAIN AT INJ SITE; DAY 1-2-CHILLS FEVER MYALGIA NAUSEA DIARRHEA FATIGUE
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Vomiting
Clinical narrative: Myalgia, Fever, Diarrhea & NauseaVomiting Narrative: DOSE 2-DAY 1 PAIN AT INJ SITE; DAY 1-2-CHILLS FEVER MYALGIA NAUSEA DIARRHEA FATIGUE
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Injection site swelling
Clinical narrative: Rash 3IN X 3IN SWOLLEN AREA AT INJECTION SITE Narrative:
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Diarrhoea, Headache, Myalgia
Clinical narrative: Headache, Myalgia, Arthralgia & Diarrhea Narrative:  Other Relevant History:
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Inflammation, Lymphadenopathy, Myalgia, Nausea
Clinical narrative: Headache, Myalgia, Fever, NauseaVomiting, post-injection inflammation, lymphadenopathy Narrative:
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Headache, Myalgia, Fever, NauseaVomiting, post-injection inflammation, lymphadenopathy Narrative:
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Ear pain, Fatigue, Feeling of body temperature change
Clinical narrative: Fever earaches, fatigue Narrative: Per nursing report: "c/o took Moderna vaccine on Thursday March 25th,2021. C/o started having temp-101.8, chills, hot and cold through Saturday [3/27]. C/o bilateral ear aching also. States also still feels week today."
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever earaches, fatigue Narrative: Per nursing report: "c/o took Moderna vaccine on Thursday March 25th,2021. C/o started having temp-101.8, chills, hot and cold through Saturday [3/27]. C/o bilateral ear aching also. States also still feels week today."
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia, Sedation
Clinical narrative: Headache, Sedation & Myalgia Narrative:
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Myalgia, Pain in extremity
Clinical narrative: Headache, Myalgia, headache, fatigue, arm soreness Narrative:
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Diarrhoea, Dizziness
Clinical narrative: Dizziness, Headache, Myalgia, Arthralgia, Fever, Diarrhea, NauseaVomiting, Tachycardia, , chills, fatigue, weakness Narrative:
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Myalgia, Nausea, Pyrexia
Clinical narrative: Dizziness, Headache, Myalgia, Arthralgia, Fever, Diarrhea, NauseaVomiting, Tachycardia, , chills, fatigue, weakness Narrative:
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Vomiting
Clinical narrative: Dizziness, Headache, Myalgia, Arthralgia, Fever, Diarrhea, NauseaVomiting, Tachycardia, , chills, fatigue, weakness Narrative:
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia, Nausea, Vomiting
Clinical narrative: Headache, Myalgia, NauseaVomiting, Chills Narrative:  Other Relevant History:
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia, Pyrexia
Clinical narrative: Headache, Myalgia, Fever, CHILLS Narrative:
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Injection site pain, Malaise, Myalgia, Pyrexia
Clinical narrative: INJECTION SITE PAIN, FEVER, MYALGIA, MALAISE Narrative: MISSED ONE DAY OF WORK 1/27/21 BUT RETURNED TO WORK 1/28/21- "FEELING FINE" EXCEPT ARM STILL SORE
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Myalgia
Clinical narrative: CHILLS, MYALGIA, ARTHRALGIA Narrative:
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea
Clinical narrative: Diarrhea Narrative:
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Diarrhoea, Headache, Injection site pain
Clinical narrative: Headache, Myalgia, Arthralgia, Fever, Diarrhea, fever, headache, weakness, muscle aches, diarrhea, site soreness, right arm tingling and entire arm sore Narrative: OTC Tylenol and Ibuprofen
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain in extremity, Paraesthesia, Pyrexia
Clinical narrative: Headache, Myalgia, Arthralgia, Fever, Diarrhea, fever, headache, weakness, muscle aches, diarrhea, site soreness, right arm tingling and entire arm sore Narrative: OTC Tylenol and Ibuprofen
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia, Pain
Clinical narrative: Headache, Sedation, Myalgia, CHILLS AND PAIN Narrative:
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia
Clinical narrative: FEVER, MYALGIA Narrative: SYMPTOMS LASTE 1 DAY
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Headache, Impaired work ability, Myalgia, Pyrexia
Clinical narrative: Headache, Myalgia & Fever Narrative: 3/26 #1 dose covid vaccine, had covid infection 8/25/2021. On 3/27/21 developed T 104 and persist today 3/29 to 100, stayed home from work today. Recommend to hydrate, take ibuprofen otc use as directed. Will retest for covid rapidly and continue to monitor
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia, Nausea, Pain
Clinical narrative: Headache, Sedation, Myalgia, NauseaVomiting, CHILLS AND PAIN Narrative:  Other Relevant History:
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Headache, Sedation, Myalgia, NauseaVomiting, CHILLS AND PAIN Narrative:  Other Relevant History:
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site pain, Myalgia, Pyrexia
Clinical narrative: Myalgia, Fever, CHILS AND INJ SITE PAIN Narrative:  Other Relevant History:
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine increased, Blood urea increased, Dysphagia, Headache, Hypertension
Clinical narrative: Headache, Myalgia, HYPERtension, Elevated BunSCr, Emp is being worked up by provider due to tremors, states she also had three hours of hypertension an flu like symptoms after ist vaccine.  Narrative:  Emp went to her PCP approximately four days after vaccine due to difficulty swallowing. Was worked up by GI and saw an ENT. States it was an issue with her esophagus, not swelling and she needed an EGD to further diagnose. Emp states she lost 20 lbs and a few weeks ago went to the ED because of this. States she had changes in her kidney function labwork. Emp complains of continued pain in left arm, causing her to not be able to sleep. Emp will continue to follow up PCP for issues she is having.  Other Relevant History:
Sex: M
Vaccine: COVID19
Symptoms: Influenza like illness, Myalgia, Oesophageal disorder, Pain in extremity, Renal function test abnormal
Clinical narrative: Headache, Myalgia, HYPERtension, Elevated BunSCr, Emp is being worked up by provider due to tremors, states she also had three hours of hypertension an flu like symptoms after ist vaccine.  Narrative:  Emp went to her PCP approximately four days after vaccine due to difficulty swallowing. Was worked up by GI and saw an ENT. States it was an issue with her esophagus, not swelling and she needed an EGD to further diagnose. Emp states she lost 20 lbs and a few weeks ago went to the ED because of this. States she had changes in her kidney function labwork. Emp complains of continued pain in left arm, causing her to not be able to sleep. Emp will continue to follow up PCP for issues she is having.  Other Relevant History:
Sex: M
Vaccine: COVID19
Symptoms: Sleep disorder, Tremor, Weight decreased
Clinical narrative: Headache, Myalgia, HYPERtension, Elevated BunSCr, Emp is being worked up by provider due to tremors, states she also had three hours of hypertension an flu like symptoms after ist vaccine.  Narrative:  Emp went to her PCP approximately four days after vaccine due to difficulty swallowing. Was worked up by GI and saw an ENT. States it was an issue with her esophagus, not swelling and she needed an EGD to further diagnose. Emp states she lost 20 lbs and a few weeks ago went to the ED because of this. States she had changes in her kidney function labwork. Emp complains of continued pain in left arm, causing her to not be able to sleep. Emp will continue to follow up PCP for issues she is having.  Other Relevant History:
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Impaired work ability, Myalgia, Pyrexia
Clinical narrative: Headache, Myalgia, Fever, Myalgia,HA,fever,and fatigue Narrative:  Myalgia, HA, fever, and fatigue the day after the 2nd Pfizer COVID vaccination that lasted 2 days causing him to miss work.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue
Clinical narrative: FATIGUE Narrative:
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Headache, Impaired work ability, Myalgia, Nausea
Clinical narrative: NAUSEA, MYALGIA, HEADACHE, CLAMMY/COLD Narrative: DESCRIBED HEADACHE AS "HORRIBLE" MISSED WORK 1/26/21-1/27/21
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: DAY 2 Narrative:
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Myalgia, Nausea
Clinical narrative: Narrative:  He reports experiencing nausea and mild myalgia/headache s/p the first vaccination, which started around 4-6 hours after vaccination and resolved by the next day. Myalgia/HA were a/w OTC acetaminophen. He denied other common adverse effects including vomiting and abdominal cramping and did not try or apply other therapies.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot
Clinical narrative: FEELING WARM Narrative:
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Pain
Clinical narrative: Day 2 - Day 3 =Body aches and joint aches Narrative:
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Sore arm, it resolved by itself Narrative:
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Exposure to SARS-CoV-2, Feeling cold, SARS-CoV-2 test positive
Clinical narrative: cold chills Narrative: Patient states he received his second Moderna vaccine on 3/6/21. He and his wife visiting their son's family on 3/15 and 3/16. Patient developed cold chills on 3/21/21 for 2 days but has no symptoms today. His son tested positive for COVID-19 yesterday. Patient COVID screening is positive due to exposure. He denies symptoms. Patient would like a call back from his clinic to let him know "do I need to be tested for COVID?" RN provided education to Patient as he wanted to know if he was fully vaccinated. Per CDC, RN advised him that "it takes time for your body to build protection after any vaccination. People are considered fully vaccinated two weeks after their second shot of the Pfizer-BioNtech or Modena COVID-19 vaccine. You should keep using all the tools available to protect yourself and others until you are fully vaccinated." He verbalizes understanding stating his wife has not received her second vaccine.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Fatigue, Pain, Paranasal sinus hypersecretion
Clinical narrative: fatigue, weakness Narrative: Patient contacted telephone triage nurse today requesting to speak with PCP clinic-states she received her first moderna covid vaccine 6 days ago, developed fever (highest 100.6), body aches, joint pains, fatigue, weakness, "just tired out, feels like I have the flu." + Sinus pain, clear drainage. Patient states she has not been out of bed for 7 days.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Sinus pain
Clinical narrative: fatigue, weakness Narrative: Patient contacted telephone triage nurse today requesting to speak with PCP clinic-states she received her first moderna covid vaccine 6 days ago, developed fever (highest 100.6), body aches, joint pains, fatigue, weakness, "just tired out, feels like I have the flu." + Sinus pain, clear drainage. Patient states she has not been out of bed for 7 days.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Dysgeusia, Flushing
Clinical narrative: flushing and different taste in mouth Narrative: Patient presented for 1st covid vaccine today. Ten minutes after vaccine patient felt flushed and reported a funny tast in his mouth. He denied any other neurological, respiratory or cardiac symptoms. He was kept for 40 minutes of monitoring. His symptoms improved and he was discharged in very good condition. His BP was 139/90 heart rate 75 and pulse ox 97%. He was encouraged to seek emergency tx if symptoms change with verbal understanding. Please follow up with patient. Patient returned call. Improved since COVID vaccine. No urgent medical attention needed from vaccination. Encouraged patient to share side effects experienced at next vaccine appt as covid clinic may request staying 30mins after injection. patient agreeable.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Injection site erythema, Injection site pain, Injection site swelling, Muscle spasms
Clinical narrative: L arm inj site pain and redness with bump, also developed redness and cramping of L and R toes #4and 5, lasted 3 days. Narrative:
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose decreased
Clinical narrative: Narrative: Patient reported no change to diet, exercise or medication prior and after receiving the vaccination. Patient reported no change to activities of daily living. Patient only reported a influx and reduction of blood sugar level throughout today, 03/29/31.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Bundle branch block right, Chemotherapy, Chest pain, Death, Electrocardiogram abnormal
Clinical narrative: none reported Narrative:  An 83yo male with history of Parkinson's Disease, Anemia, Prostate cancer, History of Malignant Melanoma and Neoplasm of Intraabdominal Lymph node, who is on full care by Hospice. Received Covid- 19 vaccine on February 2, 2021 at 13:00 and Nurse's documentation stated it was administered without any complications per policy and Protocol Oncology documentation of February 2, and 3, 2021 indicated he had stage IV Metastatic Melanoma and Prostate Cancer with poor prognosis. He received chemotherapy on February 3, 2021 and left the clinic in stable condition accompanied by his wife. On February 5, 2021 patient called regarding concerns of father's condition with increased urination and pain. The patient also expressed experiencing increased bowel movement which was discussed with his Palliative care provider. Patient called back on February 8, 2021 with concerns of Chest pain and musculoskeletal pain and presented to the ED on February 9, 2021 with complains of Chest pain. In the ER Post EKG of known RBB and negative troponin, CBC/CMP at prior baseline without gross abnormality, -ve Covid, -ve PE and known RT Pleural Effusion and having well controlled pain, he was discharged home with daughter with continued Oncology, palliative and PCP follow up. Documentation has it that his case was discussed with Oncology and Palliative care The patient passed away on February 11, 2021
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Frequent bowel movements, Full blood count normal, Metabolic function test normal, Musculoskeletal pain, Pain
Clinical narrative: none reported Narrative:  An 83yo male with history of Parkinson's Disease, Anemia, Prostate cancer, History of Malignant Melanoma and Neoplasm of Intraabdominal Lymph node, who is on full care by Hospice. Received Covid- 19 vaccine on February 2, 2021 at 13:00 and Nurse's documentation stated it was administered without any complications per policy and Protocol Oncology documentation of February 2, and 3, 2021 indicated he had stage IV Metastatic Melanoma and Prostate Cancer with poor prognosis. He received chemotherapy on February 3, 2021 and left the clinic in stable condition accompanied by his wife. On February 5, 2021 patient called regarding concerns of father's condition with increased urination and pain. The patient also expressed experiencing increased bowel movement which was discussed with his Palliative care provider. Patient called back on February 8, 2021 with concerns of Chest pain and musculoskeletal pain and presented to the ED on February 9, 2021 with complains of Chest pain. In the ER Post EKG of known RBB and negative troponin, CBC/CMP at prior baseline without gross abnormality, -ve Covid, -ve PE and known RT Pleural Effusion and having well controlled pain, he was discharged home with daughter with continued Oncology, palliative and PCP follow up. Documentation has it that his case was discussed with Oncology and Palliative care The patient passed away on February 11, 2021