chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: About 24 hours after the vaccination was given I felt a terrible pain in my left arm at the site of the shot.  When I looked at the site it was red, hot and swollen.  I then became very cold (chills) and went to lay down.  I had the chills for several hours.  I then began sweating previously.  At this time my husband took my temperature it was 100.8.  My chest felt tight, my body ached.  My fever lasted for several hours. Through out the whole time I was very nauseous and I had a terrible headache.  By the next morning my fever had broke but I was weak and tired.  My body still ached and I still had a headache which last several more hours.  This is how I felt when I had Covid.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Nausea, Pain
Clinical narrative: About 24 hours after the vaccination was given I felt a terrible pain in my left arm at the site of the shot.  When I looked at the site it was red, hot and swollen.  I then became very cold (chills) and went to lay down.  I had the chills for several hours.  I then began sweating previously.  At this time my husband took my temperature it was 100.8.  My chest felt tight, my body ached.  My fever lasted for several hours. Through out the whole time I was very nauseous and I had a terrible headache.  By the next morning my fever had broke but I was weak and tired.  My body still ached and I still had a headache which last several more hours.  This is how I felt when I had Covid.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash macular, Rash pruritic
Clinical narrative: rash on shoulders and back, very itchy very red blotchy
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Blood thyroid stimulating hormone, Cardiac monitoring, Electrocardiogram, Full blood count
Clinical narrative: HYPERTENSIVE URGENCY, BLOOD PRESSURE UP TO 200/110 RANGE AT TIMES, WITH SINUS TACHYCARDIA UP TO RATES OF 130 BY PATIENT REPORT
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Hypertensive urgency, Metabolic function test, Sinus tachycardia
Clinical narrative: HYPERTENSIVE URGENCY, BLOOD PRESSURE UP TO 200/110 RANGE AT TIMES, WITH SINUS TACHYCARDIA UP TO RATES OF 130 BY PATIENT REPORT
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Headache, Hyperventilation, Nausea, Palpitations
Clinical narrative: ED notes as follows:  31 y.o. female who arrived to the emergency department for Vaccine reaction.  The patient presented to the ED after getting her second COVID vaccination.  She reports feeling confused, nauseous, and having a racing heart.  She has never had a reaction like this before.  She reports having a tickling sensation in the back of her throat and both hands feel like they are tingling.  The patient denies any other known allergies.  The patient has a past medical history of anxiety, depression, PTSD, prior conversion disorder.  Patient denies any shortness of breath or chest pain but does report a headache. The patient denies any drug use, alcohol use, tobacco use.   Patient has no other complaints at this time.  The patient was given Benadryl, Epi, solumedrol, for anaphylactic-like presentation.  Patient also began on fluids and Zofran for possible vaccine reaction.  Patient symptoms began to improve over the course few hours.  At the 3-1/2-hour mark after initial arrival to emergency department the patient began to have similar symptoms to her initial presentation with tachycardia, dry heaving, and finger tingling.  The patient was also hyperventilating.  The patient was given 1 mg Ativan which relieved her tachycardia had resolved her hyperventilation signifying possible anxiety component to symptoms.  Patient was allowed to relax for 20 to 30 minutes at which time she was comfortable and felt like she was okay to discharge home.  Patient was instructed to follow-up with her primary care doctor that she could next week.  Patient was informed to return to emergency department if new symptoms arise or current symptoms worsen.   Dispo: Discharge home with PCP follow up on Monday  Initial Vital Signs [01/22/21 1424] Blood Pressure 161/99 Heart Rate 112 Respiratory Rate 24 Temp 36.4 °C (97.6 °F) Temp src Oral SpO2 99 %
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Retching, Tachycardia, Throat irritation, Vaccination complication
Clinical narrative: ED notes as follows:  31 y.o. female who arrived to the emergency department for Vaccine reaction.  The patient presented to the ED after getting her second COVID vaccination.  She reports feeling confused, nauseous, and having a racing heart.  She has never had a reaction like this before.  She reports having a tickling sensation in the back of her throat and both hands feel like they are tingling.  The patient denies any other known allergies.  The patient has a past medical history of anxiety, depression, PTSD, prior conversion disorder.  Patient denies any shortness of breath or chest pain but does report a headache. The patient denies any drug use, alcohol use, tobacco use.   Patient has no other complaints at this time.  The patient was given Benadryl, Epi, solumedrol, for anaphylactic-like presentation.  Patient also began on fluids and Zofran for possible vaccine reaction.  Patient symptoms began to improve over the course few hours.  At the 3-1/2-hour mark after initial arrival to emergency department the patient began to have similar symptoms to her initial presentation with tachycardia, dry heaving, and finger tingling.  The patient was also hyperventilating.  The patient was given 1 mg Ativan which relieved her tachycardia had resolved her hyperventilation signifying possible anxiety component to symptoms.  Patient was allowed to relax for 20 to 30 minutes at which time she was comfortable and felt like she was okay to discharge home.  Patient was instructed to follow-up with her primary care doctor that she could next week.  Patient was informed to return to emergency department if new symptoms arise or current symptoms worsen.   Dispo: Discharge home with PCP follow up on Monday  Initial Vital Signs [01/22/21 1424] Blood Pressure 161/99 Heart Rate 112 Respiratory Rate 24 Temp 36.4 °C (97.6 °F) Temp src Oral SpO2 99 %
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pyrexia
Clinical narrative: Report  chills and fever of 101.8 7:30 pm that evening. Treatment: Advil, Outcome: complete resolution of symptoms the next morning.  Did not interfere with ADLs.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, General physical health deterioration, SARS-CoV-2 test positive
Clinical narrative: Patient sent to hospital 1/2 and 1/5.  Returned both times to nursing home covid unit without a hospital admission.  Resident had been diagnosed with COVID later in the day on 12/30, when routine testing PCR results returned to facility, after resident had already had her first covid vaccination on 12/30/20 in the morning.  Resident continued decline, was again sent to hospital on 1/24/21, and expired in hospital 1/25/21.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: Patient was diagnosed with Bell's Palsy
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Died  about 24 hours later
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness
Clinical narrative: Lightheaded, weakness
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Body temperature increased, Chills, Diarrhoea, Fatigue
Clinical narrative: Day 2 - Sore arm, fatigue Day 6 - fatigue Day 7 - extreme fatigue Day 8 - 100.2 temp, aches, chills, stomach ache, mild diarrhea Day 9 - fatigue, mild diarrhea, but no temp, aches, or chills
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: Day 2 - Sore arm, fatigue Day 6 - fatigue Day 7 - extreme fatigue Day 8 - 100.2 temp, aches, chills, stomach ache, mild diarrhea Day 9 - fatigue, mild diarrhea, but no temp, aches, or chills
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: mother had rash on back left side, shoulder blade to rib cage
Age: 27.0
Sex: U
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: mild pruritis to face and chest. No rash
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Assisted reproductive technology, Computerised tomogram abdomen abnormal, Computerised tomogram pelvis abnormal, Dyspnoea
Clinical narrative: Began medication (follitropin 200 units) for assisted reproductive technology on evening of 01/02/21. Added ganirelix injections on 01/06/21. Trigger injection with leuprolide administered at 20:00 on 01/11/21. Immediately prior to oocyte retrieval on 01/13/21, given 1L IVF and ampicillin (dose unknown) at approx. 07:30am. Retrieval at 08:00am was uneventful, but notable for 17 oocytes retrieved and only 10 were mature. Post-procedure vitals were WNL. Discharged home from facility (Family Health Center) at approx. 09:30am. At approx. 12:00pm, noted increasing abdominal girth. At approx. 14:00, noted mild shortness of breath. Abdominal distention and shortness of breath continued to worsen. Unable to recline even moderately due to difficulty breathing.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Haematocrit decreased, Haemoperitoneum, Hypotension, Infusion site extravasation, Oocyte harvest
Clinical narrative: Began medication (follitropin 200 units) for assisted reproductive technology on evening of 01/02/21. Added ganirelix injections on 01/06/21. Trigger injection with leuprolide administered at 20:00 on 01/11/21. Immediately prior to oocyte retrieval on 01/13/21, given 1L IVF and ampicillin (dose unknown) at approx. 07:30am. Retrieval at 08:00am was uneventful, but notable for 17 oocytes retrieved and only 10 were mature. Post-procedure vitals were WNL. Discharged home from facility (Family Health Center) at approx. 09:30am. At approx. 12:00pm, noted increasing abdominal girth. At approx. 14:00, noted mild shortness of breath. Abdominal distention and shortness of breath continued to worsen. Unable to recline even moderately due to difficulty breathing.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Packed red blood cell transfusion, Pelvic haematoma, Pelvic haemorrhage, Scan with contrast abnormal, Therapeutic embolisation
Clinical narrative: Began medication (follitropin 200 units) for assisted reproductive technology on evening of 01/02/21. Added ganirelix injections on 01/06/21. Trigger injection with leuprolide administered at 20:00 on 01/11/21. Immediately prior to oocyte retrieval on 01/13/21, given 1L IVF and ampicillin (dose unknown) at approx. 07:30am. Retrieval at 08:00am was uneventful, but notable for 17 oocytes retrieved and only 10 were mature. Post-procedure vitals were WNL. Discharged home from facility (Family Health Center) at approx. 09:30am. At approx. 12:00pm, noted increasing abdominal girth. At approx. 14:00, noted mild shortness of breath. Abdominal distention and shortness of breath continued to worsen. Unable to recline even moderately due to difficulty breathing.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Waist circumference increased
Clinical narrative: Began medication (follitropin 200 units) for assisted reproductive technology on evening of 01/02/21. Added ganirelix injections on 01/06/21. Trigger injection with leuprolide administered at 20:00 on 01/11/21. Immediately prior to oocyte retrieval on 01/13/21, given 1L IVF and ampicillin (dose unknown) at approx. 07:30am. Retrieval at 08:00am was uneventful, but notable for 17 oocytes retrieved and only 10 were mature. Post-procedure vitals were WNL. Discharged home from facility (Family Health Center) at approx. 09:30am. At approx. 12:00pm, noted increasing abdominal girth. At approx. 14:00, noted mild shortness of breath. Abdominal distention and shortness of breath continued to worsen. Unable to recline even moderately due to difficulty breathing.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Myalgia, Pyrexia
Clinical narrative: Fever, 39, rigors, myalgias 24 hours,  fatigue 48 hrs
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Nausea, Pain
Clinical narrative: Sore arm , chills, body aches, nausea, diarrhea, fatigue. 72 hours
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Sore arm , chills, body aches, nausea, diarrhea, fatigue. 72 hours
Age: 57.0
Sex: M
Vaccine: UNK
Symptoms: Cytokine test, Full blood count, Metabolic function test, Somnolence, Total complement activity test
Clinical narrative: vomiting x 3, sleeoy
Age: 57.0
Sex: M
Vaccine: UNK
Symptoms: Tryptase, Vomiting
Clinical narrative: vomiting x 3, sleeoy
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea
Clinical narrative: Headache and nausea 20 minutes after vaccine given - baseline history of nausea. Resolved after lying supine and a glass of water.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Dyspnoea, Facial paresis, Muscular weakness, Speech disorder
Clinical narrative: covid vaccine 1/21, 24hrs latere developed tach, dysphagia , difficulty swallowing, difficulty speaking, weakness left side of face and progressive weakness LUE. and SOB
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: covid vaccine 1/21, 24hrs latere developed tach, dysphagia , difficulty swallowing, difficulty speaking, weakness left side of face and progressive weakness LUE. and SOB
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Myalgia
Clinical narrative: Extreme fatigue, muscle/ joint pain. Unable to get out of bed for most of the day. I am still fatigued, it feels like having COVID again.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fall
Clinical narrative: 3 days after getting first Moderna vaccine, he experienced dizziness and falling. He fell at least 3 or 4 times and is now using a walker to prevent falls. He had not used a walker before. He had not seen his doctor,but was encouraged to make an appointment to see if he has fluid in his ears, etc. He reports no nausea or broken bones. I will foolw-up with him at the end of this week to check progress. He states some improvement.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, Diarrhoea, Dysphagia, Fatigue
Clinical narrative: Headache, diarrhea, fatigue, Pounding Heart, Muscle/joint pains, stomach cramps, sore/swollen throat, difficulty swallowing, trouble staying awake, gassy
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Flatulence, Headache, Influenza virus test negative, Myalgia, Oropharyngeal pain
Clinical narrative: Headache, diarrhea, fatigue, Pounding Heart, Muscle/joint pains, stomach cramps, sore/swollen throat, difficulty swallowing, trouble staying awake, gassy
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Palpitations, Pharyngeal swelling, SARS-CoV-2 test negative, Somnolence
Clinical narrative: Headache, diarrhea, fatigue, Pounding Heart, Muscle/joint pains, stomach cramps, sore/swollen throat, difficulty swallowing, trouble staying awake, gassy
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Injection site swelling, Rash erythematous
Clinical narrative: Red rash, bumpy area to site. approximately 10 days later.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Sore arm first two days. No reactions next 5 days. Red rash at injection site 7 days later beginning in the middle of the night . 4x4 red swollen itchy area next two days. Delayed reaction cleared by 1/25.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis, Staphylococcal infection, Ultrasound scan
Clinical narrative: Cellulitus that blew up with what they called a secondary staph infection.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Paraesthesia oral, Pharyngeal swelling
Clinical narrative: Tingling around the mouth, throat swelling, and bronchospastic cough
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Headache, Nausea
Clinical narrative: Moderna COVID-19 Vaccine EUA  -  3 Days post administration developed severe headache/ nausea - lasted 7 days , then onset of extreme fatigue and shortness of breathe lasted 7 days.   15 days post administration symptoms subsided
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient (doctor) came into healthcare facility room and stated he did not have his card and still wanted his second dose. Dose was given by RN on 1/21/21 before double checking the record of when patient's first dose was. His first dose was on 1/5/21, sixteen days prior. No treatment was given. Normal side effects were described by patient after returning to work the following Monday after the vaccination.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Night sweats, Pain
Clinical narrative: Chills, body aches, fatigue, night sweats
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Eye pain, Fatigue, Headache, Myalgia
Clinical narrative: Woke up 7am Sat 1/23/21 with muscle aches, headache, pain behind my eyes, fatigue, nausea and chest pain. Drank 1 liter of water and took 600mg of Advil. symptoms resolved at 8am until around 12pm. At 12pm symptoms returned and I took another 600mg of Advil. Symptoms did not resolve until around 2pm. At 3pm, symptoms had returned.  I took another 600mg of Advil around 5pm.  Symptoms did not resolve until around 7pm.  I went to sleep at 8pm
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Woke up 7am Sat 1/23/21 with muscle aches, headache, pain behind my eyes, fatigue, nausea and chest pain. Drank 1 liter of water and took 600mg of Advil. symptoms resolved at 8am until around 12pm. At 12pm symptoms returned and I took another 600mg of Advil. Symptoms did not resolve until around 2pm. At 3pm, symptoms had returned.  I took another 600mg of Advil around 5pm.  Symptoms did not resolve until around 7pm.  I went to sleep at 8pm
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Erythema, Feeling hot, Flushing
Clinical narrative: Pt called for assistance, stated feeling warm and felt faint. Pt asked for water. Face flushed, neck and upper chest slight redness. slef ambulated to medical tent. Pt was d/c by physician after feeling better
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Immediate post-injection reaction, Pain
Clinical narrative: pain in left arm right away: 6:20 pm  1/21 starting tylenol next day 1/22 start with fever, achy, headache,fatigue, fever, lightheaded all day and night.. my arm was still sore. ...through the day 99.7 about 9pm 1/22 fever was 102.7 starting ibuprofen fatigue, fever, achy,  headache, light headed. 1/23 fever 99.6  took tylenol  symptoms same as above.  1/24 no fever, just achy, fatigue and headache.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: pain in left arm right away: 6:20 pm  1/21 starting tylenol next day 1/22 start with fever, achy, headache,fatigue, fever, lightheaded all day and night.. my arm was still sore. ...through the day 99.7 about 9pm 1/22 fever was 102.7 starting ibuprofen fatigue, fever, achy,  headache, light headed. 1/23 fever 99.6  took tylenol  symptoms same as above.  1/24 no fever, just achy, fatigue and headache.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site rash, Myalgia
Clinical narrative: Sunday evening, January 24, 2021 ? I noticed I had a red rash/patch (that is warm to the touch) about 2  inches under my vaccine injection site.  It is roughly 2? in diameter, however it is not a perfect circle.   I may have had it all weekend, but I did not notice it until Sunday evening.   Additionally, my  arm/muscle became very sore the evening of the vaccine, but I knew that was a common side effect.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Lymphadenopathy
Clinical narrative: CHILLS, TEMP 99.6, SWOLLEN, TENDER LYMPH NODES UNDER ARM OF INJECTION SITE, NOT FEELING WELL ALL OVER; HIGHEST TEMP = 101.3
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Body temperature increased, Burning sensation, Dizziness, Feeling abnormal
Clinical narrative: The shot didn't hurt. I sat for about 25 minutes, but when I got up and walking I started feeling a lot of pain.  I didn't say anything I just kept on going to see if it went away. I went home and was in a lot of pain while driving. I went home took my medication and went to sleep. Woke up in the morning and pain went away, the medication worked. I went to my Dr., went I left I started feeling nausea, dizzy and weak. I went to my sister's house and was in pain and laid down. I was cold and freezing and felt like I have Covid. I asked my sister to get me a trash bag a nd wash the blankets because I thought I had Coivd. I drove home and called my boss and told him I can't walk, I feel so bad, sweating and I was burning up, cold and hot.  I cant move I cant move. I stayed in my car until I can move. I made it inside my house and laid there and was burning up, cold hot, in pain, dizzy, everything was going on. I felt like a Mac truck hit me hard, like when I had Covid. I took Medicine and went to sleep. I woke up the next morning (Saturday) and my temp. was 101-102, I stayed in bed and later in the evening went away like it never happened. The same thing happened when I had the Covid.  I had Covid July 31, 2020 and lasted for 5 weeks.  It felt like the worst days like when I had Covid, I was going to call out to my job but it went away and I went to work.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Gait inability, Hyperhidrosis, Mobility decreased, Nausea
Clinical narrative: The shot didn't hurt. I sat for about 25 minutes, but when I got up and walking I started feeling a lot of pain.  I didn't say anything I just kept on going to see if it went away. I went home and was in a lot of pain while driving. I went home took my medication and went to sleep. Woke up in the morning and pain went away, the medication worked. I went to my Dr., went I left I started feeling nausea, dizzy and weak. I went to my sister's house and was in pain and laid down. I was cold and freezing and felt like I have Covid. I asked my sister to get me a trash bag a nd wash the blankets because I thought I had Coivd. I drove home and called my boss and told him I can't walk, I feel so bad, sweating and I was burning up, cold and hot.  I cant move I cant move. I stayed in my car until I can move. I made it inside my house and laid there and was burning up, cold hot, in pain, dizzy, everything was going on. I felt like a Mac truck hit me hard, like when I had Covid. I took Medicine and went to sleep. I woke up the next morning (Saturday) and my temp. was 101-102, I stayed in bed and later in the evening went away like it never happened. The same thing happened when I had the Covid.  I had Covid July 31, 2020 and lasted for 5 weeks.  It felt like the worst days like when I had Covid, I was going to call out to my job but it went away and I went to work.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: The shot didn't hurt. I sat for about 25 minutes, but when I got up and walking I started feeling a lot of pain.  I didn't say anything I just kept on going to see if it went away. I went home and was in a lot of pain while driving. I went home took my medication and went to sleep. Woke up in the morning and pain went away, the medication worked. I went to my Dr., went I left I started feeling nausea, dizzy and weak. I went to my sister's house and was in pain and laid down. I was cold and freezing and felt like I have Covid. I asked my sister to get me a trash bag a nd wash the blankets because I thought I had Coivd. I drove home and called my boss and told him I can't walk, I feel so bad, sweating and I was burning up, cold and hot.  I cant move I cant move. I stayed in my car until I can move. I made it inside my house and laid there and was burning up, cold hot, in pain, dizzy, everything was going on. I felt like a Mac truck hit me hard, like when I had Covid. I took Medicine and went to sleep. I woke up the next morning (Saturday) and my temp. was 101-102, I stayed in bed and later in the evening went away like it never happened. The same thing happened when I had the Covid.  I had Covid July 31, 2020 and lasted for 5 weeks.  It felt like the worst days like when I had Covid, I was going to call out to my job but it went away and I went to work.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Dysarthria, Muscular weakness, Presyncope
Clinical narrative: Lower extremity weakness, dysarthria, presyncope
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Lymphadenopathy, Pain in extremity
Clinical narrative: Initially was just arm soreness and then 3 days later I woke up and noticed swollen glands on my collarbone and on my neck and on the side of my neck on the left side, they were tender and mobile. They got considerably smaller in a week but it took about a 2 weeks and one of them went away I still feel the others. Consulted with PCP who ordered labs. All normal results.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: Dizzy and nausea
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Dizziness, Presyncope
Clinical narrative: Pfizer-BioNTech COVID- 19 Vaccine EUA:Patient with significant PMHx of alcoholism, AFIB, CHF, COPD, DM, GERD, MI, HTN, pacemaker placement stroke, and hyperlipidemia who presents to the ED with CC of dizziness. Pt states that two days prior he slipped and fell and hit his head, and was unable to ambulate after the fall.  Pt denies any LOC, but states he is currently on Xarelto.  Pt currently c/o back pain. Pt went for his first COVID-19 immunization 1/22/2021 when he became suddenly dizzy. Patient denies chest pain, shortness of breath, nausea, vomiting, diarrhea, abdominal pain, fever, chills, or any other acute complaints. Progress Note: "Dizziness, near-syncope: Onset following injection of COVID-19 vaccination.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: She is having intense nausea and vomiting. She went to the emergency room today.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Body temperature, Headache, Memory impairment, Pyrexia
Clinical narrative: She is having intense nausea and vomiting. She went to the emergency room today.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaccination site erythema, Vaccination site warmth, Vomiting
Clinical narrative: She is having intense nausea and vomiting. She went to the emergency room today.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Anaphylactic reaction, Dizziness, Dyspnoea, Hypoaesthesia
Clinical narrative: Pfizer-BioNTech COVID- 19 Vaccine EUA EMS states "Pt received 1st covid vaccine dose at the clinic. Had an anaphylactic reaction, SOB, throat swelled, abdominal cramps. Received epi injection and 25mg benadryl. BP 150/70. Was tachycardic but HR currently in the 90's." Patient reports similar reaction when she received an allergy shot. ED Physician Note: "She was given her injection and then within about 2 minutes felt palpitations, lightheadedness, whole body numbness, an odd tongue sensation, and stomach cramping. She was given epinephrine and benadryl" Patient was discharged from ED same day with resolution of symptoms.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Pharyngeal swelling, Tachycardia, Tongue discomfort
Clinical narrative: Pfizer-BioNTech COVID- 19 Vaccine EUA EMS states "Pt received 1st covid vaccine dose at the clinic. Had an anaphylactic reaction, SOB, throat swelled, abdominal cramps. Received epi injection and 25mg benadryl. BP 150/70. Was tachycardic but HR currently in the 90's." Patient reports similar reaction when she received an allergy shot. ED Physician Note: "She was given her injection and then within about 2 minutes felt palpitations, lightheadedness, whole body numbness, an odd tongue sensation, and stomach cramping. She was given epinephrine and benadryl" Patient was discharged from ED same day with resolution of symptoms.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: No initial reaction. After about 10 days, injection site turned red, with slight swelling. Over the next few days, the area expanded. after four days, the area is about the size of my hand, and feels warm to the touch. There is no pain, nor itching. Thee are no other symptoms - fever, etc. Patient has not contact the clinic where the vaccine was administered, or his physician.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Hypertension, Lip swelling, Swollen tongue
Clinical narrative: Patient complained of lips and throat swelling, she also started coughing (dry cough), blood pressure high at 189/112. She was given 100mg of Benadryl and an Epi Pen was used. She recovered well with reactions subsiding and blood pressure down to 159/96.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood pressure increased, Lip swelling, Pharyngeal swelling
Clinical narrative: Patient complained of lips and throat swelling, she also started coughing (dry cough), blood pressure high at 189/112. She was given 100mg of Benadryl and an Epi Pen was used. She recovered well with reactions subsiding and blood pressure down to 159/96.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site discomfort, Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Delayed reaction. Circular mark at the site of the shot (hadn't shown up till now). Arm red, hot, swollen, itchy, uncomfortable.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Urticaria
Clinical narrative: Swelling at injection site with redness. Welt with fluid/heat still present 72 hours post injection. the swelling is getting better slowly.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: Rash at injection site on 11 day after vaccine
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Wrong product administered
Clinical narrative: Pfizer-BioNTech COVID- 19 Vaccine EUA Moderna COVID- 19 Vaccine EUA  Patient received COVID-19 Vaccine dose #1 as Moderna on December 30, 2020 and dose #2 as Pfizer on January 23, 2021.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Medication error
Clinical narrative: Medication error; second dose given too soon.  Patient failed to disclose that he had received the first dose of Moderna COVID vaccine on 1/3/21.  Marked no on the screening tool and answered no to verbal questioning about previous COVID vaccinations.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Nausea, Neck pain
Clinical narrative: At 6:00 AM, suddenly had severe pain in left side of neck, headache, extreme vertigo, chills and nausea.  Multiple sessions of vomiting.  Saw rings of colored lights and squigly lines. Took Tylenol and Benadryl per PCP by phone.  Dizziness and chills went away in about 12 hours.  Still saw squigly lines at night.  Much better the next day but queasy for another 24 hours.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Photopsia, Vertigo, Vitreous floaters, Vomiting
Clinical narrative: At 6:00 AM, suddenly had severe pain in left side of neck, headache, extreme vertigo, chills and nausea.  Multiple sessions of vomiting.  Saw rings of colored lights and squigly lines. Took Tylenol and Benadryl per PCP by phone.  Dizziness and chills went away in about 12 hours.  Still saw squigly lines at night.  Much better the next day but queasy for another 24 hours.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Headache, Heart rate increased, Injection site erythema
Clinical narrative: Fever of 100.8-101.4 despite tylenol and motrin x 24 hrs, low grade temp 99-100.6 until 50 hrs post vaccine (also with tylenol and motrin), severe body aches and skin sensitivity, pounding persistent headache, racing heart. Localized redness and itchy rash with mild swelling around vaccination site. Continue with skin sensitivity, fogginess, fatigue, and intermittent mild HA at day 5 post vaccine.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash, Injection site swelling, Pain, Pyrexia
Clinical narrative: Fever of 100.8-101.4 despite tylenol and motrin x 24 hrs, low grade temp 99-100.6 until 50 hrs post vaccine (also with tylenol and motrin), severe body aches and skin sensitivity, pounding persistent headache, racing heart. Localized redness and itchy rash with mild swelling around vaccination site. Continue with skin sensitivity, fogginess, fatigue, and intermittent mild HA at day 5 post vaccine.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Sensitive skin
Clinical narrative: Fever of 100.8-101.4 despite tylenol and motrin x 24 hrs, low grade temp 99-100.6 until 50 hrs post vaccine (also with tylenol and motrin), severe body aches and skin sensitivity, pounding persistent headache, racing heart. Localized redness and itchy rash with mild swelling around vaccination site. Continue with skin sensitivity, fogginess, fatigue, and intermittent mild HA at day 5 post vaccine.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Rash, Rash pruritic
Clinical narrative: 15 weeks pregnant female with localized rash on left lower back. Itchy, occasionally painful
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Pfizer-BioNTech COVID- 19 Vaccine EUA Patient recived dose #1 on January 16, 2021 and dose #2 on January 23, 2021 (7 days apart).
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Facial paralysis, Facial paresis
Clinical narrative: Right sided facial weakness paralysis. Headache radiating from right base of skull to right ear to top of head.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Facial paralysis, Headache, Hemiplegia, Migraine, Pain
Clinical narrative: Right sided facial weakness paralysis. Headache radiating from right base of skull to right ear to top of head.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Syringe issue, Underdose
Clinical narrative: **No Adverse Effect Reported** We called Moderna and they said that the dose should not be repeated.  Problem- Part of the medication spilled out during administration
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Flushing, Headache, Pyrexia
Clinical narrative: The night after the vaccination had flushing during sensation on skin chills headache and a fever of 99-101 for two days and felt tired. Theses symptoms were very similar to what I initially felt when I had COVID in April of 2020. I tested negative for COVID by PCR.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: The night after the vaccination had flushing during sensation on skin chills headache and a fever of 99-101 for two days and felt tired. Theses symptoms were very similar to what I initially felt when I had COVID in April of 2020. I tested negative for COVID by PCR.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: sore shoulder for a few hours
Age: 38.0
Sex: F
Vaccine: UNK
Symptoms: Axillary pain, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: First couple of days, the  injection site was sore (which is a "normal reaction").  By day 3, injection site became itchy, warm, red, and swollen.  I also had pressured pain in the armpit.  I contacted my primary care physician whom has placed me on antibiotics; Sulfamethoxazol and Caphalexin
Age: 38.0
Sex: F
Vaccine: UNK
Symptoms: Injection site warmth
Clinical narrative: First couple of days, the  injection site was sore (which is a "normal reaction").  By day 3, injection site became itchy, warm, red, and swollen.  I also had pressured pain in the armpit.  I contacted my primary care physician whom has placed me on antibiotics; Sulfamethoxazol and Caphalexin
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Pain
Clinical narrative: Body aches and fatigue about 20 hours post injection. Symptoms resolved themselves within 24 hours.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Feeling of warm wave, then very shaky.  EMT?s reported BP 190 and heart rate 156.  By evening the site was very painful with a swollen red welt. Redness has lasted over a week. Pain gone after 6 days. Stared itching 2 days after injection.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Nervousness, Urticaria
Clinical narrative: Feeling of warm wave, then very shaky.  EMT?s reported BP 190 and heart rate 156.  By evening the site was very painful with a swollen red welt. Redness has lasted over a week. Pain gone after 6 days. Stared itching 2 days after injection.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Fatigue, Malaise, Supraventricular tachycardia
Clinical narrative: She was admitted to the hospital on 1/24/21 with acute symptoms of fatigue, malaise and some increased confusion.  Patient also developed a junctional heart rhythm on night of admission.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Starting the 9th day (well, noticed on the 9th day), rash began to form on the underside/palm of right hand in small red dots. Next day to today (3 days), small red dots have grown on right hand and more small dots have developed on underside of left hand, right elbow, left elbow, and bottom of left foot.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: Patient reported a rash at the site of injection, the rash started 2 days after moderna covid vaccine. Rash was pink, itchy, raised, and the size of a half dollar. Patient did not take anything to treat symptoms.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Nodule, Pain
Clinical narrative: Extreme fatigue, all over joint pain, severe headache and fever to 101.6 F starting a day after vaccination . The next morning, still achy and fatigued but temp normal.  Fatigue and headache lasted 3-4 days. sore arm with lump for a week.  After the first dose, which was done on  12/20/2020, I had achiness the next day and mild headache but no fever as far as I know.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Extreme fatigue, all over joint pain, severe headache and fever to 101.6 F starting a day after vaccination . The next morning, still achy and fatigued but temp normal.  Fatigue and headache lasted 3-4 days. sore arm with lump for a week.  After the first dose, which was done on  12/20/2020, I had achiness the next day and mild headache but no fever as far as I know.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Decreased appetite, Headache, Pyrexia
Clinical narrative: APPROX. 24 HOURS AFTER VACCINATION PATIENT HAD A MASSIVE HEADACHE; FACE FELT LIKE IT WAS ON FIRE; NO APPETITE; FEVER 100.1; HR AS HIGH AS 120
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain
Clinical narrative: Body Aches, Fatigue, Headache symptoms lasted approximately 48 hours within  24 hours of receiving 2nd vaccine
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis, Erythema, Pain in extremity, Peripheral swelling, Pruritus
Clinical narrative: Arm was sore, hot, red, swollen 12 hours after vaccination.. Redness resolved after 3 days. On 7th day, arm started to itch badly. Then arm became very red, swollen, hot. Arm swelling and redness continued to grow. After 2 more days, redness was 3" in diameter. Saw doctor, who diagnosed as cellulitis. Started me on Keflex 500 mg 4 x day and Benedryl. After 1 more day, redness was 4" in diameter, hot, swollen. Saw doctor again after 4 days (11 days since vaccination) and redness starting to dissipate. Doctor not sure if allergic reaction to vaccine or bacterial infection due to puncture wound from injection. After 14 days from vaccination, redness is almost gone.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Skin swelling, Skin warm
Clinical narrative: Arm was sore, hot, red, swollen 12 hours after vaccination.. Redness resolved after 3 days. On 7th day, arm started to itch badly. Then arm became very red, swollen, hot. Arm swelling and redness continued to grow. After 2 more days, redness was 3" in diameter. Saw doctor, who diagnosed as cellulitis. Started me on Keflex 500 mg 4 x day and Benedryl. After 1 more day, redness was 4" in diameter, hot, swollen. Saw doctor again after 4 days (11 days since vaccination) and redness starting to dissipate. Doctor not sure if allergic reaction to vaccine or bacterial infection due to puncture wound from injection. After 14 days from vaccination, redness is almost gone.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Autoimmune disorder, Condition aggravated, Fatigue, Joint swelling
Clinical narrative: My autoimmune disorder went into overdrive and stayed there. I had joint pain and swelling, severe neuropathy, muscle pain, extreme fatigue and nausea that seems to never end. I still feel nauseated three hours after eating.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Neuropathy peripheral
Clinical narrative: My autoimmune disorder went into overdrive and stayed there. I had joint pain and swelling, severe neuropathy, muscle pain, extreme fatigue and nausea that seems to never end. I still feel nauseated three hours after eating.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Facial paralysis
Clinical narrative: Patient is 49 yo F presenting with right sided facial nerve paralysis (right eye and eyelid drooping, etc.) consistent with Bell's Palsy.  She does have a history of Bell's Palsy in the past (with Botox injections for Migraine HA). Symptoms started 1 day after vaccination (22 JAN 21) and are still present today (4 days post-vaccination). Symptoms are improving and patient will be following up in 1-2 weeks.  No treatment indicated.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Tachycardia
Clinical narrative: Patient received the Pfizer-BioNtech Covid-19 vaccine EUA on 1/25/21 at 2:10 pm. Approximately 30 minutes following the vaccine , the patient began to experience tachycardia. Patient's vitals assessed. At 2:40 pm, B/P 130/80, HR 124, O2 % 99 at room air. Patient seemed to be anxious during this time. Patient provided a bottle of water and remained seated for 10 minutes. Vitals re-checked at 2:50 pm, B/P 130/86, HR 116, O2 % 99 room air. Vitals re-checked at 3:05 pm, B/P 112/80, HR 112, O2 % 98 at room air. Patient stated that she is currently on cardiac medication and has an appointment with her cardiologist on wednesday. Patient stated that she was feeling fine and wanted to leave.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Disturbance in attention, Dizziness, Feeling abnormal, Hyperacusis, Migraine
Clinical narrative: Severe pain with Migraine, dizziness, nausea, lights too bright, noise too loud, it even messes with my eyes, making them blurry.  I tried taking an Amovig shot on 1/21/21, it did not work.  I tried taking motrin, tylenol, and etc... nothing is working... The pain is horrible. I'm having problems concentrating.  This has been 5 days and is still extremely painful... the doctors will not do anything more about it.  I called Moderna and they could suggest nothing either.  I don't know how long this will last, but I'm miserable!
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Photophobia, Vision blurred
Clinical narrative: Severe pain with Migraine, dizziness, nausea, lights too bright, noise too loud, it even messes with my eyes, making them blurry.  I tried taking an Amovig shot on 1/21/21, it did not work.  I tried taking motrin, tylenol, and etc... nothing is working... The pain is horrible. I'm having problems concentrating.  This has been 5 days and is still extremely painful... the doctors will not do anything more about it.  I called Moderna and they could suggest nothing either.  I don't know how long this will last, but I'm miserable!
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Throat irritation
Clinical narrative: Patient had tingling in the mouth and a scratchy feeling in her throat.   Evaluated by EMS.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Myalgia
Clinical narrative: On the day of the vaccine I had chills, very prominent chills and they lasted for about 24 hours. I self medicated with Tylenol and Ibuprofen at home. Had some muscle aches as well.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Pt was vaccinated to the right deltoid with the Pfizer vaccine at 1150.  At approx. 1208 she began feeling a little dizzy. She had no other complaints. No SOB, No rash, No nausea, No blurred or double vision. Her skins were warm and dry with good color.  She has no medical hx. No medications. She is allergic to Iodine.  Her initial vitals at 1211 were 132/84, 77 and 99%. At 1218 they were 140/88, 76, 99%. She drank some water and started feeling a bit better.  She only drank a cup of coffee with a muffin this morning. At 1228 her BP was 134/82, 74, and 99%.  She drank more water and said she felt even better.  She refused 911 to be called for any further evaluation.  She was advised to call 911 if any further symptoms developed after leaving the facility.  Her husband was driving her home and she was advised to eat lunch.  She signed our paperwork after being advised of the situation and what had been documented.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Paraesthesia oral
Clinical narrative: Complained of mild tingling in tongue, hands and chest 20 minutes  following administration
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Chest discomfort, Electrocardiogram, Headache
Clinical narrative: At 1132, Pfizer was administered. RRT called at 1138 in the post-vaccine Recovery area for a 66 y/o female that complains of upper chest tightness and temporal tightness, pain 3/10, non-radiating. 4 RNs responded to the scene. Head-to-toe assessment completed. She reports allergies to sulfa. She took multiple morning medications today, all regularly taken. Hx of stents, HTN, HLD, DM, WPW, irregular HR. Initial vitals: HR: 125, BP: 126/80, RR: 19, O2 98% on RA. Denies nausea and SOB. At 1148, she reported that her pain was subsiding. Given medical hx, RRT activated 911 response, called by Site Manager. At this point, client calm, AA0x4, skin WNL, resp WNL. 1201 EMS arrived and report was given to them. Client taken into ambulance for EKG. ALS response provided. Nitro and ASA given. EKG revealed A-fib, HR 120, O2 96%. Client to be taken to Hospital via ambulance, truck number 490. EMS assumed care at 1214. Husband that was with client was told of plan.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Body temperature increased, Chills, Fatigue, Headache
Clinical narrative: Immediately after the vaccine was administered I experienced the usual side effects of mild headache, fatigue and localized redness and swelling  Around 11pm the night the vaccine was administered I developed a migraine that resulted in blurred vision. and when I checked my temperature it was approximately 104.9 degrees Fahrenheit.By the next morning, approximately 7am, I was weak to the point I could not get out of bed myself, I was nauseous that resulted in a single Emesis episode approximately 8am, I had mild swelling of my face since 7am, between 7:30am and 12pm, I had multiple times where I would temporarily lose my vision. Throughout 1/25 I continued to have a fever ranging from 102 degrees Fahrenheit to 103 degrees Fahrenheit. At approximately 8am and 1pm I took two acetaminophen pills each time which alleviated the migraine and to an extent helped with the visual deficit episodes. Throughout 1/24 and 1/25 I suffered with extreme chills resulting in shivering that lasted for several minutes despite a room temperature of approximately 90 degrees Fahrenheit and covered in two blankets. PCP was consulted via telephone and she advised to go to the hospital via EMS given the high grade fever, abnormal vitals and severity of symptoms