chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Blood sodium normal, Brain oedema, Chest X-ray abnormal, Computerised tomogram head abnormal, Diarrhoea
Clinical narrative: 4 episodes of nausea/vomiting/diarrhea, then found by spouse with altered mental status and nonresponsive/snoring. Taken to Emergency department for stroke evaluation. Ruled out for stroke, intubated for airway protection and cerebral edema with meningeal enhancement observed on CTA. Admitted to ICU.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Endotracheal intubation, Intensive care, Legionella test, Mental status changes, Nausea
Clinical narrative: 4 episodes of nausea/vomiting/diarrhea, then found by spouse with altered mental status and nonresponsive/snoring. Taken to Emergency department for stroke evaluation. Ruled out for stroke, intubated for airway protection and cerebral edema with meningeal enhancement observed on CTA. Admitted to ICU.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: PCO2 increased, Perfusion brain scan normal, Platelet count normal, Snoring, Toxicologic test normal
Clinical narrative: 4 episodes of nausea/vomiting/diarrhea, then found by spouse with altered mental status and nonresponsive/snoring. Taken to Emergency department for stroke evaluation. Ruled out for stroke, intubated for airway protection and cerebral edema with meningeal enhancement observed on CTA. Admitted to ICU.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli, Vomiting, White blood cell count increased
Clinical narrative: 4 episodes of nausea/vomiting/diarrhea, then found by spouse with altered mental status and nonresponsive/snoring. Taken to Emergency department for stroke evaluation. Ruled out for stroke, intubated for airway protection and cerebral edema with meningeal enhancement observed on CTA. Admitted to ICU.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash macular, Rash pruritic, Skin warm
Clinical narrative: Patient had Pfizer COVID vaccine # 2 on 7 April, 2021.  Starting on 16 April - she developed a rash to each upper arm.  Rash was red, very itchy, and painful.  Worst symptoms were on 17 April.  Cortisone -10 cream did not make an improvement.    Exam with macular rash to each upper arm with mild warmth, redness. and tenderness (that is not cellulitis.)  Rash is consistent with "Covid Arms" delayed vaccine response.  Patient seen in Dr's office (my clinic) on 19 April.2021.  I prescribed atarax and triamcinolone cream for symptom relief.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Tenderness
Clinical narrative: Patient had Pfizer COVID vaccine # 2 on 7 April, 2021.  Starting on 16 April - she developed a rash to each upper arm.  Rash was red, very itchy, and painful.  Worst symptoms were on 17 April.  Cortisone -10 cream did not make an improvement.    Exam with macular rash to each upper arm with mild warmth, redness. and tenderness (that is not cellulitis.)  Rash is consistent with "Covid Arms" delayed vaccine response.  Patient seen in Dr's office (my clinic) on 19 April.2021.  I prescribed atarax and triamcinolone cream for symptom relief.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Discomfort, Injection site pain, Muscle spasms, Pain
Clinical narrative: Pain at injection sight (upper arm) has spread from up and down the left side of my body.  My left hand is cramping, and gripping anything is painful.  My left shoulder and neck are cramping (up to my ear) and raising my arm is painful.  Even my left knee is bothering me.  The amount of discomfort is surprising.  I had none of these symptoms prior to the injection.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Extrasystoles, Ventricular tachycardia
Clinical narrative: Patient has history of period v tach. 9:26 Vtach. 0xygen 99%, heart skipping, bp 140/90 (normal range (110/70) Some dizziness 9:35 BP 140/86 9:46 BP 130/96 P-100 with bcc skipped beat 9:55 Patient feels okay and dizziness has resolved.  Cleared by Dr.  Feels well enough to go home. Husband is paramedic so he will take her to the station for a cardio strip and she will go to ER if she feels unwell.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Deep vein thrombosis, Pain in extremity, Peripheral swelling, Thrombophlebitis
Clinical narrative: DVT leg leg: leg pain started around 3/24, then he developed swelling on 4/2 and a DVT was diagnosed on 4/3. He had been on Xarelto 10 mg daily for history of recurrent DVT (had never had one while on anticoagulation) at the time this was diagnosed.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound Doppler abnormal
Clinical narrative: DVT leg leg: leg pain started around 3/24, then he developed swelling on 4/2 and a DVT was diagnosed on 4/3. He had been on Xarelto 10 mg daily for history of recurrent DVT (had never had one while on anticoagulation) at the time this was diagnosed.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cold sweat, Fatigue, Hyperhidrosis, Muscle twitching
Clinical narrative: Initially after second vaccination had fever, chills and fatigue....sweating and waking up in cold sweats(03/03/21-03/04/2021),  a week later noticed muscle twitches in body hands neck and arms,  it has continued.  mid march woke up in cold sweat, no fever  April 16 woke up in cold sweat...no fever muscle twitches continue
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Initially after second vaccination had fever, chills and fatigue....sweating and waking up in cold sweats(03/03/21-03/04/2021),  a week later noticed muscle twitches in body hands neck and arms,  it has continued.  mid march woke up in cold sweat, no fever  April 16 woke up in cold sweat...no fever muscle twitches continue
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time, Activated partial thromboplastin time prolonged, Atrial fibrillation, Blood creatinine, Blood potassium
Clinical narrative: HPI: Chief Complaint: L sided weakness  HPI: 75M with HTN, mild cognitive impairment who presented with L sided weakness and neglect. I spoke with wife who stated she was with the patient today, he worked outside shoveling and snow blowing with the winter storm. She saw him minutes before 4pm (she estimated 3:58p) and he was his normal self, then she walked to another room, called out to him, he didn't respond, so she ran back to where he was and saw him slumped over and weak on the L, she immediately called 911. She has record on her phone of calling a family member (daughter?) about this at 4:01, right after she had called 911, so LKN consider just before 4pm.  Patient states he takes only medications for hypertension at home. Denies being on any blood thinners and no record of blood thinners in his chart. Denies recent surgeries, denies history of ICH, denies bleeding issues in the past, denies ever having had a prior stroke.  BG 122 on arrival. BP initially 121/84 then increased requiring some labetalol.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Blood sodium, Blood urea, Brain natriuretic peptide, Cerebral artery occlusion
Clinical narrative: HPI: Chief Complaint: L sided weakness  HPI: 75M with HTN, mild cognitive impairment who presented with L sided weakness and neglect. I spoke with wife who stated she was with the patient today, he worked outside shoveling and snow blowing with the winter storm. She saw him minutes before 4pm (she estimated 3:58p) and he was his normal self, then she walked to another room, called out to him, he didn't respond, so she ran back to where he was and saw him slumped over and weak on the L, she immediately called 911. She has record on her phone of calling a family member (daughter?) about this at 4:01, right after she had called 911, so LKN consider just before 4pm.  Patient states he takes only medications for hypertension at home. Denies being on any blood thinners and no record of blood thinners in his chart. Denies recent surgeries, denies history of ICH, denies bleeding issues in the past, denies ever having had a prior stroke.  BG 122 on arrival. BP initially 121/84 then increased requiring some labetalol.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Computerised tomogram head abnormal, Full blood count, Glycosylated haemoglobin, Haematocrit normal
Clinical narrative: HPI: Chief Complaint: L sided weakness  HPI: 75M with HTN, mild cognitive impairment who presented with L sided weakness and neglect. I spoke with wife who stated she was with the patient today, he worked outside shoveling and snow blowing with the winter storm. She saw him minutes before 4pm (she estimated 3:58p) and he was his normal self, then she walked to another room, called out to him, he didn't respond, so she ran back to where he was and saw him slumped over and weak on the L, she immediately called 911. She has record on her phone of calling a family member (daughter?) about this at 4:01, right after she had called 911, so LKN consider just before 4pm.  Patient states he takes only medications for hypertension at home. Denies being on any blood thinners and no record of blood thinners in his chart. Denies recent surgeries, denies history of ICH, denies bleeding issues in the past, denies ever having had a prior stroke.  BG 122 on arrival. BP initially 121/84 then increased requiring some labetalol.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoglobin normal, Hemiparesis, Ischaemic stroke, Laboratory test, Lipids
Clinical narrative: HPI: Chief Complaint: L sided weakness  HPI: 75M with HTN, mild cognitive impairment who presented with L sided weakness and neglect. I spoke with wife who stated she was with the patient today, he worked outside shoveling and snow blowing with the winter storm. She saw him minutes before 4pm (she estimated 3:58p) and he was his normal self, then she walked to another room, called out to him, he didn't respond, so she ran back to where he was and saw him slumped over and weak on the L, she immediately called 911. She has record on her phone of calling a family member (daughter?) about this at 4:01, right after she had called 911, so LKN consider just before 4pm.  Patient states he takes only medications for hypertension at home. Denies being on any blood thinners and no record of blood thinners in his chart. Denies recent surgeries, denies history of ICH, denies bleeding issues in the past, denies ever having had a prior stroke.  BG 122 on arrival. BP initially 121/84 then increased requiring some labetalol.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Neurologic neglect syndrome, Perfusion brain scan abnormal, Platelet count decreased, Posture abnormal, Prothrombin time prolonged
Clinical narrative: HPI: Chief Complaint: L sided weakness  HPI: 75M with HTN, mild cognitive impairment who presented with L sided weakness and neglect. I spoke with wife who stated she was with the patient today, he worked outside shoveling and snow blowing with the winter storm. She saw him minutes before 4pm (she estimated 3:58p) and he was his normal self, then she walked to another room, called out to him, he didn't respond, so she ran back to where he was and saw him slumped over and weak on the L, she immediately called 911. She has record on her phone of calling a family member (daughter?) about this at 4:01, right after she had called 911, so LKN consider just before 4pm.  Patient states he takes only medications for hypertension at home. Denies being on any blood thinners and no record of blood thinners in his chart. Denies recent surgeries, denies history of ICH, denies bleeding issues in the past, denies ever having had a prior stroke.  BG 122 on arrival. BP initially 121/84 then increased requiring some labetalol.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate, Treponema test, Unresponsive to stimuli, White blood cell count normal, White matter lesion
Clinical narrative: HPI: Chief Complaint: L sided weakness  HPI: 75M with HTN, mild cognitive impairment who presented with L sided weakness and neglect. I spoke with wife who stated she was with the patient today, he worked outside shoveling and snow blowing with the winter storm. She saw him minutes before 4pm (she estimated 3:58p) and he was his normal self, then she walked to another room, called out to him, he didn't respond, so she ran back to where he was and saw him slumped over and weak on the L, she immediately called 911. She has record on her phone of calling a family member (daughter?) about this at 4:01, right after she had called 911, so LKN consider just before 4pm.  Patient states he takes only medications for hypertension at home. Denies being on any blood thinners and no record of blood thinners in his chart. Denies recent surgeries, denies history of ICH, denies bleeding issues in the past, denies ever having had a prior stroke.  BG 122 on arrival. BP initially 121/84 then increased requiring some labetalol.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Feeling abnormal, Headache, Nausea, Pain in extremity
Clinical narrative: After the first shot, headache started the next morning and has not stopped, it gets worse with exercise, or work, goes up and down in intensity depending on what I am doing. After the second shot, the headache got worse. It pushed my borderline high blood pressure from 135/80 to 158/80 and now I am on blood pressure meds to bring it down. Ibuprofen 800 does nothing to the headache, it's just always there. It's over 2 months now, and I can't get rid of this headache.   Fingers and Toes also "ache", like a bone ache, weird feeling I have never had before, that also started the day after the first dose. I also got the fever, nausea, but those went away after 72 hrs. The headache and the finger/toe bone ache have not.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vaccine positive rechallenge
Clinical narrative: After the first shot, headache started the next morning and has not stopped, it gets worse with exercise, or work, goes up and down in intensity depending on what I am doing. After the second shot, the headache got worse. It pushed my borderline high blood pressure from 135/80 to 158/80 and now I am on blood pressure meds to bring it down. Ibuprofen 800 does nothing to the headache, it's just always there. It's over 2 months now, and I can't get rid of this headache.   Fingers and Toes also "ache", like a bone ache, weird feeling I have never had before, that also started the day after the first dose. I also got the fever, nausea, but those went away after 72 hrs. The headache and the finger/toe bone ache have not.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Product administered to patient of inappropriate age
Clinical narrative: Just sore arm. Patient was underage for the vaccine.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Skin discolouration, Syncope
Clinical narrative: 1328 - Father stated daughter didn't feel well - walked to stretcher and fainted.  1330  - Patient awake, VS taken, on stretcher, color improved, talking. BP = 98/53, HR = 74, RR = 22, O2 Sat = 100% 1335 - Patient sitting up. 1340 - Patient talking, drinking soda. BP = 117/76, HR = 80, RR = 22, O2 Sat = 100% 1350 - Patient's color pink, in no apparent distress. BP = 129/71, Hr = 83, RR = 16, O2 Sat = 98% 1351 - Patient ambulated out of clinic with father.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: In conjunction with temporary VAERs # 414873 submitted on 7Apr21. My fever lasted nine days and required a trip to the ER.   Was 104.3 on 9Apr21 and was 102.9 14Apr21. My normal temperature is 97.4.  Took mostly Acetaminophen and some Ibuprofen.   Was well hydrated.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Feeling abnormal, Immediate post-injection reaction, Nausea, Retching, Tremor
Clinical narrative: Immediately after injection i became nauseous followed by dry heaving, head fog, and aggressive corse tremors
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Feeling abnormal, Nausea, Retching, Tremor
Clinical narrative: Immediately after injection i became nauseous followed by dry heaving, head fog, and aggressive corse tremors
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Pallor
Clinical narrative: Around 5 min after injection patient became very pale, sweaty, and dizzy. She was given water and laid flat on the ground which seemed to help. Patient was accompanied by mom, dad, and brother. These symptoms seemed to last 10-15min and then she completely recovered.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache
Clinical narrative: Patient felt dizzy and had a headache after vaccination
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Lip swelling
Clinical narrative: With in 5 mins. of taking pm meds(10pm) ...the top of my tongue went numb and then I started feeling my lips swell   It lasted for about 3 hours but didn't get any worse so didn't call doctor or go to hospital.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Lethargy, Myalgia
Clinical narrative: on 2/11/2021 I experienced  general lethargy and muscle aches.  On 2/13/2021 in late morning, I suffered shortness of breath, with increased intensity  and had to enter the ER.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Headache, Pyrexia, Rash
Clinical narrative: RASH, SEVERE HEADACHES, EXCESSIVE BRUISING, FEVER-FROM TIME SHE RECEIVED VACCINE UNTIL PRESENT
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Computerised tomogram thorax abnormal, Dyspnoea, Fibrin D dimer, Full blood count, International normalised ratio
Clinical narrative: 4/16/21 short of breath while gardening. Came to ER, diagnosed with Bilateral Pulmonary Emboli
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Prothrombin time, Pulmonary embolism
Clinical narrative: 4/16/21 short of breath while gardening. Came to ER, diagnosed with Bilateral Pulmonary Emboli
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Computerised tomogram thorax abnormal, Dyspnoea, Fibrin D dimer, Pulmonary embolism
Clinical narrative: 4/16/21 short of breath while gardening. Came to ER, diagnosed with Bilateral Pulmonary Emboli
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest pain, Dyspnoea, Pulmonary embolism
Clinical narrative: 4/16/21 short of breath while gardening. Came to ER, diagnosed with Bilateral Pulmonary Emboli
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Computerised tomogram thorax abnormal, Dyspnoea, Fibrin D dimer, Full blood count, International normalised ratio
Clinical narrative: Short of breath on 4/16/21. Came to ER where she was diagnosed and admitted with bilateral pulmonary emboli
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Prothrombin time, Pulmonary embolism
Clinical narrative: Short of breath on 4/16/21. Came to ER where she was diagnosed and admitted with bilateral pulmonary emboli
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Computerised tomogram thorax abnormal, Dyspnoea, Fibrin D dimer, Pulmonary embolism
Clinical narrative: Short of breath on 4/16/21. Came to ER where she was diagnosed and admitted with bilateral pulmonary emboli
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest pain, Dyspnoea, Pulmonary embolism
Clinical narrative: Short of breath on 4/16/21. Came to ER where she was diagnosed and admitted with bilateral pulmonary emboli
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Computerised tomogram thorax abnormal, Dyspnoea, Fibrin D dimer, Full blood count, International normalised ratio
Clinical narrative: Patient stated to hospital staff that she had shortness of breath starting 4/16/21 and chest pain while working in her garden moving bags of mulch on 4/18. Patient was diagnosed with bilateral pulmonary embolism
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Prothrombin time, Pulmonary embolism
Clinical narrative: Patient stated to hospital staff that she had shortness of breath starting 4/16/21 and chest pain while working in her garden moving bags of mulch on 4/18. Patient was diagnosed with bilateral pulmonary embolism
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Computerised tomogram thorax abnormal, Dyspnoea, Fibrin D dimer, Pulmonary embolism
Clinical narrative: Patient stated to hospital staff that she had shortness of breath starting 4/16/21 and chest pain while working in her garden moving bags of mulch on 4/18. Patient was diagnosed with bilateral pulmonary embolism
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest pain, Dyspnoea, Pulmonary embolism
Clinical narrative: Patient stated to hospital staff that she had shortness of breath starting 4/16/21 and chest pain while working in her garden moving bags of mulch on 4/18. Patient was diagnosed with bilateral pulmonary embolism
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Pharyngeal swelling, Swollen tongue
Clinical narrative: TONGUE AND THROAT SWELLING AND TINGLING OF THE TONGUE
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Urticaria
Clinical narrative: Received 2nd vaccine on 4/16/21 & developed hives all over with a burning feeling on 4/17/21. Went to ER and received IV Benadryl and Solumedrol. Sent home on oral prednisone. Feels much better today 4/19/21
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Movement disorder, Pain
Clinical narrative: Next day pain to right tempel.  3 short violent stabs of pain.  Couldnt move, scared I  get to the phone to call for help.  Then it was gone.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiovascular function test, Chest discomfort, Dizziness, Dyspnoea, Hypoaesthesia
Clinical narrative: Numbness in hands and legs, chest tightness, dizziness, difficulty breathing (very mild)
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test
Clinical narrative: Numbness in hands and legs, chest tightness, dizziness, difficulty breathing (very mild)
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse drug reaction, Chills, Contusion, Drug hypersensitivity, Fatigue
Clinical narrative: after the first shot I had some severe headache, muscle ache, fatigue, injection site pain, sleepy, and a little chills for a couple of days. But at the time of taking second shot the injection was very painful, after the second shot I had very bad headache, chills, real drowsy, muscle ache, fatigue, sleepy feeling, vomiting feeling for 3 days and also after about 20 hours of injection, on my right leg startedto have rashand itching . Itried to drink a lot of water, but evvery day it got worse and worse and after 6 days my whole right leg and part of my left leg was badly andseverwlt swelled up and my leg was filled up with my body fluid  and was veryyy blacked and violet, and was itching crazily. I was rushed to the ER and received the treatment and it was recognized as the adverse and severe reaction and allergy to the stupid PFIZER COVID-19 VACCINE.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Myalgia, Peripheral swelling, Rash pruritic
Clinical narrative: after the first shot I had some severe headache, muscle ache, fatigue, injection site pain, sleepy, and a little chills for a couple of days. But at the time of taking second shot the injection was very painful, after the second shot I had very bad headache, chills, real drowsy, muscle ache, fatigue, sleepy feeling, vomiting feeling for 3 days and also after about 20 hours of injection, on my right leg startedto have rashand itching . Itried to drink a lot of water, but evvery day it got worse and worse and after 6 days my whole right leg and part of my left leg was badly andseverwlt swelled up and my leg was filled up with my body fluid  and was veryyy blacked and violet, and was itching crazily. I was rushed to the ER and received the treatment and it was recognized as the adverse and severe reaction and allergy to the stupid PFIZER COVID-19 VACCINE.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Somnolence, Vomiting
Clinical narrative: after the first shot I had some severe headache, muscle ache, fatigue, injection site pain, sleepy, and a little chills for a couple of days. But at the time of taking second shot the injection was very painful, after the second shot I had very bad headache, chills, real drowsy, muscle ache, fatigue, sleepy feeling, vomiting feeling for 3 days and also after about 20 hours of injection, on my right leg startedto have rashand itching . Itried to drink a lot of water, but evvery day it got worse and worse and after 6 days my whole right leg and part of my left leg was badly andseverwlt swelled up and my leg was filled up with my body fluid  and was veryyy blacked and violet, and was itching crazily. I was rushed to the ER and received the treatment and it was recognized as the adverse and severe reaction and allergy to the stupid PFIZER COVID-19 VACCINE.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Eye swelling, Fatigue, Herpes zoster, Pyrexia, Rash
Clinical narrative: FEVER RASH  SHINGLES ON RIGHT BACK, HIP AND GROIN AREA FATIGUE SWOLLEN EYES
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram head, Hypertension, Tunnel vision
Clinical narrative: Sudden tunnel vision, high blood pressure, lasting for five hours.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Cardiac disorder, Chest pain, Diarrhoea, Lung disorder
Clinical narrative: Fever and diarrhea following a couple days after the  vaccine Being administered. The day prior to hospital emergency  admission  uncontrollable throwing up extreme side/Stomach/chest pain. Was taken by ambulance to emergency.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Multiple organ dysfunction syndrome, Pain, Pyrexia, Renal failure, Vomiting
Clinical narrative: Fever and diarrhea following a couple days after the  vaccine Being administered. The day prior to hospital emergency  admission  uncontrollable throwing up extreme side/Stomach/chest pain. Was taken by ambulance to emergency.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Nausea, Pain, Pyrexia, Vomiting
Clinical narrative: 105 degree fever the next day chills body aches fever low grade fever nausea (including vomiting)
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Pain in extremity, Ultrasound abdomen, X-ray
Clinical narrative: Both of my feet started to really hurt, my right lower abs started to hurt.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Impaired quality of life, Neuropathy peripheral, Pain assessment, Thinking abnormal
Clinical narrative: Both of my feet started to really hurt, my right lower abs started to hurt.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain
Clinical narrative: pain left side in back
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient was given second dose of Pfizer. First dose was Moderna. Patient reported no adverse effect. None was noted by staff. Lead nurse was notified . She was taken to the observation room and  cleared by onsite doctor after no adverse report was reported and noted.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Nervousness
Clinical narrative: Reported raid heartrate 5 minutes after vaccine. Heartrate 132-144 on initial assessment, BP 128/78, RR18, o2 sat 99 on RA. Had patient lie down and heartrate decreased every 5 inutes- 99/84/88/75. BP stable 120's/80's. No signs of anaphylaxis. No CP or SOB. Reports some nervousness with injections and vaccine.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pain
Clinical narrative: Woke up at 2am (Sunday) after getting the shot at 0837am Saturday with severe chills and body aches.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site swelling, Nausea
Clinical narrative: swelling at site, headache, fatigue, body ache, chills, nausea
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: swelling at site, headache, fatigue, body ache, chills, nausea
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Skin warm
Clinical narrative: In the area of the 2nd, injection, a wide irregular red rash that is hot to the touch.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient was vaccinated with Pfizer #1 on 3/22/2021 per his vaccine card. The computer record showed he received Moderna that day, so he was moved into the Moderna vaccine lane. He received a second dose of Moderna 4/19/2021.  When the scribe applied the sticker to the vaccine card, it showed that the actual dose was Pfizer. Troubleshooting: This was missed in screening two times; the scribe and vaccinator did not ask birth date and did not ask to see the vaccine card prior to injection., and the site is doing two different vaccines today. MD counseled the patient.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: The morning following vaccination, I noticed intense ringing in the ears.  Since then, the ringing has been persistent and constant. The sound changes from that of secadas to a high-pitched ringing
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Sensation of foreign body, Vital signs measurement
Clinical narrative: Pt received Moderna Vaccine at 0915. Pt complaint of "feeling like there is a lump in my throat" at 0930. VSS and taken at 0931 (BP 125/59 sitting RA, 97% RA, 72HR, 19RR AA O x 4). Examined airway and airway appeared to be intact. No difficulty in breathing. Pt speaking in complete and clear sentences. Pt drinking water and able to maintain secretions. Pt in NAD. States he is ready to go and did not want to stay full 30 minutes for observation even though he was advised to. At 0940 - pt states he "feels fine" and left in private vehicle at that time. No further treatment was needed or requested. Pt ambulatory out of vaccination area with even and steady gait, no assistance needed.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: COVID arm, rash, redness, itching 8-10 days post vaccine.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort
Clinical narrative: Client reports chest tightness after receiving the vaccine.  Fire Rescue assessed client.  Vitals wnl.  Per Fire Rescue, no further evaluation needed.  Client releases at 10:10am.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Pain
Clinical narrative: Got the shot on a Saturday, a little sore and dizzy on Sunday, improving Monday and Tuesday, woke up Wednesday totally dizzy.  It has improved, but that was over 12 days ago now and it's still happening. It's gotten progressively better since that initial Wednesday but with increased activity I cleaned the house, vacuumed, etc. yesterday and it made it very bad again. Today, it's very mild. But I'm scheduled for my 2nd shot Thursday.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Chronic obstructive pulmonary disease, SARS-CoV-2 test positive
Clinical narrative: Patient admitted for acute hypoxic respiratory failure, COPD exacerbation , subsequently found COVID1-9 positive.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Diarrhoea, Fatigue, Myalgia, Nausea
Clinical narrative: 6 days of fever, diarrhea ,nausea, fatigue, and muscle soreness. Then a skin rash developed and has not gone away. I saw my GP and was given a topical ointment that has done .nothing. 4/1/21 Triamcinolon 0.1 CRE 3x per day
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash
Clinical narrative: 6 days of fever, diarrhea ,nausea, fatigue, and muscle soreness. Then a skin rash developed and has not gone away. I saw my GP and was given a topical ointment that has done .nothing. 4/1/21 Triamcinolon 0.1 CRE 3x per day
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal swelling
Clinical narrative: Client began to complain of feeling like her throat was swelling and opening. 50mg of Benadryl given. 4 min later client stated they were feeling better. Client's vitals remained stable. Released to personal car at 3:15pm
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal dreams, Arthritis, Chills, Dizziness, Dyspnoea
Clinical narrative: Started with sore arm where I could not raise it. (12pm) Headache, fever, chills (2pm) Light headed, fatigued, swollen joints in fingers (I have arthritis), could make a fist (6pm) called off from work at 8pm Had very vivid weird dreams, breathing somewhat labored, woke up every hour. I took Excedrine Severe Headache every 4 to 6 hours, drank lots of fluids Woke up in a pool of sweat, showered, changed went back to bed. Friday same thing, I pretty much stayed in bed all day. I did not start to feel better until late Saturday afternoon around 2pm and then I developed a rash on my left inside of arm and left side of my waist. It is very itchy and I have been putting hydrocortisone on as needed. I still have the rash, and feel pretty good. Will be contacting my Drs. office today.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Hyperhidrosis, Mobility decreased, Pain in extremity
Clinical narrative: Started with sore arm where I could not raise it. (12pm) Headache, fever, chills (2pm) Light headed, fatigued, swollen joints in fingers (I have arthritis), could make a fist (6pm) called off from work at 8pm Had very vivid weird dreams, breathing somewhat labored, woke up every hour. I took Excedrine Severe Headache every 4 to 6 hours, drank lots of fluids Woke up in a pool of sweat, showered, changed went back to bed. Friday same thing, I pretty much stayed in bed all day. I did not start to feel better until late Saturday afternoon around 2pm and then I developed a rash on my left inside of arm and left side of my waist. It is very itchy and I have been putting hydrocortisone on as needed. I still have the rash, and feel pretty good. Will be contacting my Drs. office today.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash pruritic
Clinical narrative: Started with sore arm where I could not raise it. (12pm) Headache, fever, chills (2pm) Light headed, fatigued, swollen joints in fingers (I have arthritis), could make a fist (6pm) called off from work at 8pm Had very vivid weird dreams, breathing somewhat labored, woke up every hour. I took Excedrine Severe Headache every 4 to 6 hours, drank lots of fluids Woke up in a pool of sweat, showered, changed went back to bed. Friday same thing, I pretty much stayed in bed all day. I did not start to feel better until late Saturday afternoon around 2pm and then I developed a rash on my left inside of arm and left side of my waist. It is very itchy and I have been putting hydrocortisone on as needed. I still have the rash, and feel pretty good. Will be contacting my Drs. office today.
Age: 52.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Contusion, Lymphadenopathy
Clinical narrative: 1)   Lymph node swelling under my left arm.  Discontinued using deodorant, swelling diminished after approx 3 days.   2)   on 4/12  I had a nose bleed ...  I don't recall ever having had one before. Some bruising has apeared on my right shin, and I don't recall hitting my shin.  After noticing it Sunday 4/18, a second large bruise appeared Monday 4/19.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dry mouth, Pruritus, Throat irritation
Clinical narrative: 1030 - Patient complained of itchiness, dry mouth, throat itching. Given water and Benadryl 25mg PO.  Patient reports having multiple allergies with similar reactions.  Patient lying down. BP = 145/87, HR = 79, RR = 18, O2 Sat = 100% 1039 - Patient reports increasing itchiness. BP = 134/66, HR = 71, O2 Sat = 100% 1045 - Patient reports feeling the same. 1057 - Patient talking, reports feeling the same. BP = 130/75, HR = 80, RR = 18, O2 Sat = 100%   Benadryl 25mg PO given. 1108 - Patient reports symptoms improving. 1119 - Symptoms resolved - patient reports no dizziness/sleepiness. BP = 122/80, HR = 74, RR = 17, O2 Sat = 100% 1121 - Patient ambulated with nurse out to reception to check out.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chills, Erythema, Headache, Nausea
Clinical narrative: Patient presented at Urgent Care on 4/18 at approximately 1:15 pm.  Reports left arm pain, headache, chest pressure, chills, nausea, vomit 3x since Covid vaccine on 4/16. Reports feet turned red and swelled on Friday night, hands mildly swollen. Reports headache as 10/10.  Patient received a Torodol injection (60 mg); Promethazine injection (50 mg).  Performed Veritor Antigen Covid-19 Test - Negative. Prescribed Mobic 7.5 mg (1 PO BID) (qty 14); Prescribed Promethazine  25 mg (1 PO QID PRN) (qty 14).
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling, SARS-CoV-2 test, Vomiting
Clinical narrative: Patient presented at Urgent Care on 4/18 at approximately 1:15 pm.  Reports left arm pain, headache, chest pressure, chills, nausea, vomit 3x since Covid vaccine on 4/16. Reports feet turned red and swelled on Friday night, hands mildly swollen. Reports headache as 10/10.  Patient received a Torodol injection (60 mg); Promethazine injection (50 mg).  Performed Veritor Antigen Covid-19 Test - Negative. Prescribed Mobic 7.5 mg (1 PO BID) (qty 14); Prescribed Promethazine  25 mg (1 PO QID PRN) (qty 14).
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Asthenia, Chest discomfort, Dizziness, Full blood count normal
Clinical narrative: Noted Reaction Type Reactions Pfizer Covid-19 Vaccine [covid-19 Vacc,mrna(pfizer)(pf)] Allergy/hypersensitivity   Heart racing, couldn't talk, felt need to pass out, felt weak, and not able to talk because tongue felt heavier  As of 04/16/2021 still complaining of Now having palpitations, feeling weak--- this happened again on the following Sunday, again for few minutes Has chest uncomfortable but no chest pain Felt like her speech was slower
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Mean cell haemoglobin normal, Metabolic function test normal, Palpitations, Red blood cell count normal
Clinical narrative: Noted Reaction Type Reactions Pfizer Covid-19 Vaccine [covid-19 Vacc,mrna(pfizer)(pf)] Allergy/hypersensitivity   Heart racing, couldn't talk, felt need to pass out, felt weak, and not able to talk because tongue felt heavier  As of 04/16/2021 still complaining of Now having palpitations, feeling weak--- this happened again on the following Sunday, again for few minutes Has chest uncomfortable but no chest pain Felt like her speech was slower
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Slow speech, Tongue disorder
Clinical narrative: Noted Reaction Type Reactions Pfizer Covid-19 Vaccine [covid-19 Vacc,mrna(pfizer)(pf)] Allergy/hypersensitivity   Heart racing, couldn't talk, felt need to pass out, felt weak, and not able to talk because tongue felt heavier  As of 04/16/2021 still complaining of Now having palpitations, feeling weak--- this happened again on the following Sunday, again for few minutes Has chest uncomfortable but no chest pain Felt like her speech was slower
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Diarrhoea, Headache, Influenza like illness
Clinical narrative: Herpes-type cold sores around mouth and anus and ulcer on tip of tongue.  Along with flu-like symptoms including fever, muscle aches, chills, headache, stomach pain, diarrhea, nausea
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Oral herpes, Pyrexia, Tongue ulceration
Clinical narrative: Herpes-type cold sores around mouth and anus and ulcer on tip of tongue.  Along with flu-like symptoms including fever, muscle aches, chills, headache, stomach pain, diarrhea, nausea
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: tested positive after completing covid vaccine series
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Dizziness, Magnetic resonance imaging, Muscle spasms, Paraesthesia
Clinical narrative: Started getting tingling in right thigh followed by tingling in left lower leg & left foot. Severe muscle cramps in left calf. Intermittent tingling in both upper arms. This was followed by blurry vision in the left eye & intermittent dizziness.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vision blurred
Clinical narrative: Started getting tingling in right thigh followed by tingling in left lower leg & left foot. Severe muscle cramps in left calf. Intermittent tingling in both upper arms. This was followed by blurry vision in the left eye & intermittent dizziness.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chills, Ear pain, Headache, Hyperhidrosis
Clinical narrative: Fever of 101, extreme chills, sweating, sore throat, sore ears, headache, body aches, minor stomach upset.   Symptoms started approx. 28 hours after injection and lasted about 15 hours.  Rapid onset and stopped all at once.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: Fever of 101, extreme chills, sweating, sore throat, sore ears, headache, body aches, minor stomach upset.   Symptoms started approx. 28 hours after injection and lasted about 15 hours.  Rapid onset and stopped all at once.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: Rash on arms. Itchiness, redness. Constant for multiple weeks.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Nausea, Vomiting
Clinical narrative: Nausea day of injection. Vomiting began about 23 hours after  injection and continued all day for  10 hours. Next day felt exhausted. Then felt fine.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion
Clinical narrative: Large bruise on left thigh 1 week after the Janssen Vaccine. Pt did not experience any other symptoms Denies SOB, Headache or ABD pain. No swelling or leg edema noted as well.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test, SARS-CoV-2 test negative
Clinical narrative: Body Aches, onset: 4/17/2021  Body Aches, continues 4/18/2021 Fever Onset: 4/18/2021 Fever (back to normal) 4/19/2021
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Feeling jittery, Sensation of foreign body, Throat irritation
Clinical narrative: Tickle in throat and sensation of lump, anxious and jittery. Observation with vital signs monitoring for 45 mins on a gurney and provided water which was tolerated well. Discharged home after full assessment and reassessment by RN.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Headache, Lymph node pain, Nausea, Pain
Clinical narrative: Moderna - 1st Shot - 02-20-21- left arm - lymph nodes sore, developed Covid arm on 03-28-21  Moderna - 2nd shot - 03-21-21- right arm, got side effects for 2 days, fever, aches, headache, nausea.  I am writing as my right arm(2nd shot) is still sore and the lymph nodes on both sides next to my arm pits are very sore. Not sure if this will go away and if I should do anything about it?   Also reporting that my daughter-in-law developed pleurisy a week after receiving the J&J shot as diagnosed in the ER. Sounds related to me.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Moderna - 1st Shot - 02-20-21- left arm - lymph nodes sore, developed Covid arm on 03-28-21  Moderna - 2nd shot - 03-21-21- right arm, got side effects for 2 days, fever, aches, headache, nausea.  I am writing as my right arm(2nd shot) is still sore and the lymph nodes on both sides next to my arm pits are very sore. Not sure if this will go away and if I should do anything about it?   Also reporting that my daughter-in-law developed pleurisy a week after receiving the J&J shot as diagnosed in the ER. Sounds related to me.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness, Deafness, Loss of consciousness, Syncope
Clinical narrative: Approximately five minutes after receiving the vaccine, the patient began to lose consciousness (fainted) while sitting upright in a chair. The patient lost vision, then hearing, then eventually laid down on the floor until she regained consciousness.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Paraesthesia
Clinical narrative: lightheadedness, nausea, dizzy,  left arm tingling
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Nausea, Pain
Clinical narrative: Started 30 minutes after shot Lightheaded  Rash\hives Heart racing  Nausea and vomiting  Aches and pains Fever and chills thru the night  Extremely tired   Took Benadryl, Tylenol, pushed fluids and rested  Still tired with some nausea
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Pyrexia, Urticaria, Vomiting
Clinical narrative: Started 30 minutes after shot Lightheaded  Rash\hives Heart racing  Nausea and vomiting  Aches and pains Fever and chills thru the night  Extremely tired   Took Benadryl, Tylenol, pushed fluids and rested  Still tired with some nausea
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Audiogram normal, Computerised tomogram normal, Deafness, Dizziness, Dysstasia
Clinical narrative: - Sudden loss of hearing in left ear on April 10 (5 days after second COVID shot) upon waking up in the morning around 8:00 am.   - Loss of hearing was becoming more pronounced, so I went to the doctor for an exam on 4/14.  Dr. could not determine cause of hearing loss.   Scheduled an audiology exam and appointment with ENT for 4/15.  Doctor prescribed oral steriods to try and save hearing.   While I was at the pharmacy waiting for my Rx, I suddenly developed vertigo around 5:30 pm, which resulted in being sent to the ER.  I could not stand, felt faint, and was vomiting excessively.   - At the ER, was given lots of anti-nausea medication.  Eventually, the tests determined that there was nothing obviously wrong in my brain (aneurysm, stroke, tumor, etc.), and the medication stopped the vomiting such that I was able to be discharged around midnight.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging normal, Vertigo, Vomiting
Clinical narrative: - Sudden loss of hearing in left ear on April 10 (5 days after second COVID shot) upon waking up in the morning around 8:00 am.   - Loss of hearing was becoming more pronounced, so I went to the doctor for an exam on 4/14.  Dr. could not determine cause of hearing loss.   Scheduled an audiology exam and appointment with ENT for 4/15.  Doctor prescribed oral steriods to try and save hearing.   While I was at the pharmacy waiting for my Rx, I suddenly developed vertigo around 5:30 pm, which resulted in being sent to the ER.  I could not stand, felt faint, and was vomiting excessively.   - At the ER, was given lots of anti-nausea medication.  Eventually, the tests determined that there was nothing obviously wrong in my brain (aneurysm, stroke, tumor, etc.), and the medication stopped the vomiting such that I was able to be discharged around midnight.
Age: 19.0
Sex: F
Vaccine: HPV9
Symptoms: Hemiparesis, Hypoaesthesia, Nausea, Palpitations
Clinical narrative: Patient called around 1130am to report that she was experiencing nausea, left sided weakness/numbness and racing heart. Advised patient to seek ER treatment.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Albumin globulin ratio normal, Aspartate aminotransferase normal, Basophil count decreased, Blood albumin normal
Clinical narrative: 4/17/21 ER HPI: 56 y.o. male who presents with asymptomatic tachycardia.  The patient purchased a home blood pressure monitoring device approximately 2 weeks ago and at that time he noted that the machine recorded his pulse at 150-160 beats per minute.  The patient has repeatedly taking his blood pressure at home with this device and every time and has recorded his pulse in the same range.  He denies fevers chills chest pain palpitations syncope  lightheadedness peripheral edema or dyspnea.  He presents today for evaluation of this as the machine again indicated that his pulse was 100 50-160 beats per minute