chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperkalaemia, International normalised ratio increased, Lacunar infarction, Leukopenia, Low density lipoprotein normal
Clinical narrative: Patient is a 65 y.o. male with a history of permanent A-fib, on warfarin, COPD, history of prior strokes without deficits who presented to RMH 9/16/2023 with left-sided weakness. Found to be COVID positive.   1. Suspected CVA: Concerning for TIA/stroke.  Symptoms for 3+ days.  CT head 9/16/23  nonacute. Unable to obatin MRI due to pacemaker. Repeat CT nonacute. LDL 32, A1c 5.9 on admission labs.  Continued warfarin, aspirin.  Pharmacy dosed warfarin. Daily.  Switched to Lipitor. Neurology followed. 2. COVID-19 infection:  Presented with cough, loss of taste/smell.  X-ray 9/16/2023 without focal infiltrates. Symptomatic for 5 days before testing l.   Does not meet criteria for treatment at this time except for  steroid for mild hypoxia.  Continued on dexamethasone 6 mg daily as off oxygen so discontinued at discharge..  Supportive treatment. 3. Acute hypoxic respiratory failure: Patient is on 2 L oxygen at home on as-needed basis.  Here patient is on 2 L oxygen 24/7.  Started on dexamethasone for hypoxia secondary to COVID.  No need for other therapy  as patient is symptomatic for more than 6- 7 days before getting tested. Weaned off oxygen at discharge. 4. Hyperkalemia :potassium 5.3 on 9/23.  S/p  hyperkalemic cocktail.  Will monitor potassium,   Continued to hold lisinopril.  Potassium 5.1 on 9/2423.  Stable at dc. 5. Metabolic alkalosis: Bicarb 38, likely in setting of Lasix. Held  Lasix on 9/24.  Trended down. stable. 6. Leukopenia, thrombocytopenia: WBC 1.32 and platelets 81 on 9/20.  Hematology followed.  Likely secondary to COVID-19.  WBC and platelets trended up with WBC 9.32 with platelet 202 on 9/24. Resolved. 7.  CAD: s/p RCA stent in 2004 and RCA / OM stents placed in 2013. Follows with cardiology. Echo 7/11/23 EF 55-60%.  proBNP 1539. Troponin negative x2. Continue aspirin/statin, Lasix, lisinopril, 8. Permanent  A-fib: History of ablation, pacemaker in place.  History of mitral valve repair.  Echo 7/11/2023 with moderate mitral stenosis.  Continued home dose  warfarin, Continued metoprolol.  INR goal 2-3.  9. H/O mitral valvuloplasty: at the age of 9 due to rheumatic fever.  10. History of prior strokes: CT head with small chronic lacunar infarcts in left frontal lobe.  As above. 11. COPD: On room air.  Continue home inhalers 12. Hypertension: Controlled on admit.  Continued home meds. 13. tobacco abuse: Recommend cessation.   14. Chronic pain: data reviewed.  Home meds continued,Lyrica and Percocet. 15. Code status: DNR CCA
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic alkalosis, Mitral valve stenosis, Neurological symptom, Platelet count decreased, Prohormone brain natriuretic peptide increased
Clinical narrative: Patient is a 65 y.o. male with a history of permanent A-fib, on warfarin, COPD, history of prior strokes without deficits who presented to RMH 9/16/2023 with left-sided weakness. Found to be COVID positive.   1. Suspected CVA: Concerning for TIA/stroke.  Symptoms for 3+ days.  CT head 9/16/23  nonacute. Unable to obatin MRI due to pacemaker. Repeat CT nonacute. LDL 32, A1c 5.9 on admission labs.  Continued warfarin, aspirin.  Pharmacy dosed warfarin. Daily.  Switched to Lipitor. Neurology followed. 2. COVID-19 infection:  Presented with cough, loss of taste/smell.  X-ray 9/16/2023 without focal infiltrates. Symptomatic for 5 days before testing l.   Does not meet criteria for treatment at this time except for  steroid for mild hypoxia.  Continued on dexamethasone 6 mg daily as off oxygen so discontinued at discharge..  Supportive treatment. 3. Acute hypoxic respiratory failure: Patient is on 2 L oxygen at home on as-needed basis.  Here patient is on 2 L oxygen 24/7.  Started on dexamethasone for hypoxia secondary to COVID.  No need for other therapy  as patient is symptomatic for more than 6- 7 days before getting tested. Weaned off oxygen at discharge. 4. Hyperkalemia :potassium 5.3 on 9/23.  S/p  hyperkalemic cocktail.  Will monitor potassium,   Continued to hold lisinopril.  Potassium 5.1 on 9/2423.  Stable at dc. 5. Metabolic alkalosis: Bicarb 38, likely in setting of Lasix. Held  Lasix on 9/24.  Trended down. stable. 6. Leukopenia, thrombocytopenia: WBC 1.32 and platelets 81 on 9/20.  Hematology followed.  Likely secondary to COVID-19.  WBC and platelets trended up with WBC 9.32 with platelet 202 on 9/24. Resolved. 7.  CAD: s/p RCA stent in 2004 and RCA / OM stents placed in 2013. Follows with cardiology. Echo 7/11/23 EF 55-60%.  proBNP 1539. Troponin negative x2. Continue aspirin/statin, Lasix, lisinopril, 8. Permanent  A-fib: History of ablation, pacemaker in place.  History of mitral valve repair.  Echo 7/11/2023 with moderate mitral stenosis.  Continued home dose  warfarin, Continued metoprolol.  INR goal 2-3.  9. H/O mitral valvuloplasty: at the age of 9 due to rheumatic fever.  10. History of prior strokes: CT head with small chronic lacunar infarcts in left frontal lobe.  As above. 11. COPD: On room air.  Continue home inhalers 12. Hypertension: Controlled on admit.  Continued home meds. 13. tobacco abuse: Recommend cessation.   14. Chronic pain: data reviewed.  Home meds continued,Lyrica and Percocet. 15. Code status: DNR CCA
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Thrombocytopenia, Troponin normal, White blood cell count decreased
Clinical narrative: Patient is a 65 y.o. male with a history of permanent A-fib, on warfarin, COPD, history of prior strokes without deficits who presented to RMH 9/16/2023 with left-sided weakness. Found to be COVID positive.   1. Suspected CVA: Concerning for TIA/stroke.  Symptoms for 3+ days.  CT head 9/16/23  nonacute. Unable to obatin MRI due to pacemaker. Repeat CT nonacute. LDL 32, A1c 5.9 on admission labs.  Continued warfarin, aspirin.  Pharmacy dosed warfarin. Daily.  Switched to Lipitor. Neurology followed. 2. COVID-19 infection:  Presented with cough, loss of taste/smell.  X-ray 9/16/2023 without focal infiltrates. Symptomatic for 5 days before testing l.   Does not meet criteria for treatment at this time except for  steroid for mild hypoxia.  Continued on dexamethasone 6 mg daily as off oxygen so discontinued at discharge..  Supportive treatment. 3. Acute hypoxic respiratory failure: Patient is on 2 L oxygen at home on as-needed basis.  Here patient is on 2 L oxygen 24/7.  Started on dexamethasone for hypoxia secondary to COVID.  No need for other therapy  as patient is symptomatic for more than 6- 7 days before getting tested. Weaned off oxygen at discharge. 4. Hyperkalemia :potassium 5.3 on 9/23.  S/p  hyperkalemic cocktail.  Will monitor potassium,   Continued to hold lisinopril.  Potassium 5.1 on 9/2423.  Stable at dc. 5. Metabolic alkalosis: Bicarb 38, likely in setting of Lasix. Held  Lasix on 9/24.  Trended down. stable. 6. Leukopenia, thrombocytopenia: WBC 1.32 and platelets 81 on 9/20.  Hematology followed.  Likely secondary to COVID-19.  WBC and platelets trended up with WBC 9.32 with platelet 202 on 9/24. Resolved. 7.  CAD: s/p RCA stent in 2004 and RCA / OM stents placed in 2013. Follows with cardiology. Echo 7/11/23 EF 55-60%.  proBNP 1539. Troponin negative x2. Continue aspirin/statin, Lasix, lisinopril, 8. Permanent  A-fib: History of ablation, pacemaker in place.  History of mitral valve repair.  Echo 7/11/2023 with moderate mitral stenosis.  Continued home dose  warfarin, Continued metoprolol.  INR goal 2-3.  9. H/O mitral valvuloplasty: at the age of 9 due to rheumatic fever.  10. History of prior strokes: CT head with small chronic lacunar infarcts in left frontal lobe.  As above. 11. COPD: On room air.  Continue home inhalers 12. Hypertension: Controlled on admit.  Continued home meds. 13. tobacco abuse: Recommend cessation.   14. Chronic pain: data reviewed.  Home meds continued,Lyrica and Percocet. 15. Code status: DNR CCA
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS  STORED IN AN UNAPPROVED STORAGE UNIT
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS  STORED IN AN UNAPPROVED STORAGE UNIT
Age: 64.0
Sex: F
Vaccine: RSV
Symptoms: Erythema, Feeling hot, Nodule, Pain, Pruritus
Clinical narrative: Pain, Redness, Itching Heat, Red area 4"by5" Knot in arm
Age: 26.0
Sex: F
Vaccine: HPV9
Symptoms: Arthralgia
Clinical narrative: Patient was vaccinated on 9/27/23 in left deltoid.  Patient was seen in doctor's office 10/17/23 for painful left shoulder.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardiac monitoring, Chest X-ray, Dyspnoea, Echocardiogram
Clinical narrative: SOB, Admitted to hospital, new onset Afib, Possible PNA
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Myocardial necrosis marker
Clinical narrative: SOB, Admitted to hospital, new onset Afib, Possible PNA
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS  STORED IN AN UNAPPROVED STORAGE UNIT
Age: 56.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event
Clinical narrative: No adverse events known.
Age: 39.0
Sex: F
Vaccine: FLU4
Symptoms: Nausea, Pruritus, Rash, Throat irritation, Urticaria
Clinical narrative: Itchy throat, itching from head to toe, whelps, rash, nausea
Age: 84.0
Sex: M
Vaccine: COVID19-2
Symptoms: Asthenia, Body temperature increased, Gait disturbance, Listless, Palpitations
Clinical narrative: verbatim: "On Friday, October 13, 2023, at 11 AM I received my covid booster shot. I received spikevax by moderna and that was shot #5 for me over the years and I never had any reaction in the past and the rest of Friday was fine up until around 9 PM. I started to get cold feet and hands and the chills, I could also feel my heart racing. I went to get the thermometer and placed it near my chair and took my BP 168/69 and a HR 98. For me these numbers are exceptionally high so I proceeded to take a 5 mg amlodipine. At this point I had a hard time walking to the medicine cabinet, having to hold onto chairs and tablets to be able to stand. As I got back to my chair I needed my wife to put the thermometer in my mouth as my hands were shaking beyond my control and I had a temperature of 101. Staying relaxed in my chair my BP and HR started to decrease within a half hour and the shaking subsided. I had a fairly decent night but on I Saturday I felt weak and listless all day but my BP and HR and temperature were OK. On Sunday I feld about 70% better."
Age: 84.0
Sex: M
Vaccine: COVID19-2
Symptoms: Peripheral coldness, Tremor
Clinical narrative: verbatim: "On Friday, October 13, 2023, at 11 AM I received my covid booster shot. I received spikevax by moderna and that was shot #5 for me over the years and I never had any reaction in the past and the rest of Friday was fine up until around 9 PM. I started to get cold feet and hands and the chills, I could also feel my heart racing. I went to get the thermometer and placed it near my chair and took my BP 168/69 and a HR 98. For me these numbers are exceptionally high so I proceeded to take a 5 mg amlodipine. At this point I had a hard time walking to the medicine cabinet, having to hold onto chairs and tablets to be able to stand. As I got back to my chair I needed my wife to put the thermometer in my mouth as my hands were shaking beyond my control and I had a temperature of 101. Staying relaxed in my chair my BP and HR started to decrease within a half hour and the shaking subsided. I had a fairly decent night but on I Saturday I felt weak and listless all day but my BP and HR and temperature were OK. On Sunday I feld about 70% better."
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, Colon cancer, Infection, Laboratory test abnormal
Clinical narrative: Have covid infection 6/2022. Shortly after severe abdominal pain,  then infection then worked up and diagnosed with mets to liver colon cancer
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Metastases to liver
Clinical narrative: Have covid infection 6/2022. Shortly after severe abdominal pain,  then infection then worked up and diagnosed with mets to liver colon cancer
Age: 59.0
Sex: F
Vaccine: FLUR4
Symptoms: Erythema, Pain, Pruritus
Clinical narrative: extreme soreness and redness. Very itchy
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS  STORED IN AN UNAPPROVED STORAGE UNIT
Age: 77.0
Sex: F
Vaccine: FLUA4
Symptoms: Syncope
Clinical narrative: Customer became faint after receiving her shot.  EMT's were called and an Epipen .3mg dose was administered.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS  STORED IN AN UNAPPROVED STORAGE UNIT
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS  STORED IN AN UNAPPROVED STORAGE UNIT
Age: 42.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site pain
Clinical narrative: Extremely sore arm at injection site, potentially do to location of vaccine given. Patient has slowly improved.
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Burning sensation, Hypoaesthesia, Neuropathy peripheral
Clinical narrative: neuropathy  prickle, burning, numbing sensations located throughout the body with intense feeling on left leg and foot
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS  STORED IN AN UNAPPROVED STORAGE UNIT
Age: 15.0
Sex: F
Vaccine: MNQ
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Medical assistant gave menquadfi 1 day early from scheduled dose needed. vaccine OK to give up to 4 days early from 16th birthday but patient was 5 days away from 16th birthday instead. contacted local health department for guidance and they said dose was invalid and needed to be repeated. mom declined need for repeat at this time but will consider in future if needed for college. no symptoms or adverse reactions occured.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS  STORED IN AN UNAPPROVED STORAGE UNIT
Age: 1.25
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient came in to see employee for a WV on 10/17/23 at 8:30am. After I put in the vitals(HC,Length,Lbs) nurse came in for the appointment. He spent the normal time with the PT and mom, and came out to tell me what shots she would need. I drew up all the shots he put in, including the new Covid for 6 months to 4 yr. ??????Contents of Pfizer Covid vaccines 6 months/ 4-year, yellow cap drawn into syringe. Administered to patient in right deltoid. Shortly after administration, realized that the vial is a 3-dose vial, to be reconstituted with saline. I informed my manager and the provider.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS  STORED IN AN UNAPPROVED STORAGE UNIT
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS  STORED IN AN UNAPPROVED STORAGE UNIT
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS  STORED IN AN UNAPPROVED STORAGE UNIT
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS  STORED IN AN UNAPPROVED STORAGE UNIT
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Patient reports excruciating pain during the vaccine, as well as pain since the vaccine was administered. She reports 'golf-ball' sized swelling in her left deltoid.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS  STORED IN AN UNAPPROVED STORAGE UNIT
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Device connection issue, Device leakage, Underdose
Clinical narrative: needle was not totally connected to syringe.  upon administering, vaccine leaked out onto patient's arm. incomplete dose administered. Sanofi contacted and advised to offer patient another dose. patient contacted on 10/17/2023 at 11:55 and was offered another dose of vaccine. patient agreed to come to health department and received full dose at approximately 1:15pm on 10/17/2023
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation error
Clinical narrative: Staff member gave pt 0.3mL of undiluted covid vaccine. Should have been diluted with 1.1mL of 0.9% sodium chloride (multi dose vial with 3 doses).
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Heart rate increased, Hypertension
Clinical narrative: Approximately 7 hours after the vaccine, the patient states that her blood pressure and pulse were higher than normal. BP 150/97 and pulse 100 for a couple hours. She eventually felt better and did not seek medical attention.
Age: 11.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Pt received vaccine for 12+ age, lot number did not match. Pt had no reactions. Checked with CDC website rec's, pt to not receive additional dose. Mother of child updated. No adverse reaction noted.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Chills, Headache, Laboratory test, Pain
Clinical narrative: Noticed a low grade fever the morning after. Never went above 100.4. Had headache chills and strong body aches. After 30+ hours those symptoms subsided on that Wednesday. The next morning I noticed itching with a few bumps on right arm.. by the end of the day I had erupted in hundreds of itchy very red bumps all over body. Most on stomach and legs with some on arms and a fe on back. Was intense itching and burning for hours. I couldn?t wear clothes. It eased some but the bumps never went away. Friday afternoon another flare of intense itching and burning for a couple hours. Again could not wear clothes. It?s now been 6 days and no resolution of rash. It does not look at all like hives. I can not get in to see my family doctor or dermatologist any time soon. I went to the emergency room on 10/16 and they wouldn?t test it. I was able to get them to run a shingles blood test even though the er nurse practitioner and I do not believe it?s that. So far no help from any doctor after me telling them it could possibly be a reaction from vaccine.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Pyrexia, Rash, Rash erythematous, Rash pruritic
Clinical narrative: Noticed a low grade fever the morning after. Never went above 100.4. Had headache chills and strong body aches. After 30+ hours those symptoms subsided on that Wednesday. The next morning I noticed itching with a few bumps on right arm.. by the end of the day I had erupted in hundreds of itchy very red bumps all over body. Most on stomach and legs with some on arms and a fe on back. Was intense itching and burning for hours. I couldn?t wear clothes. It eased some but the bumps never went away. Friday afternoon another flare of intense itching and burning for a couple hours. Again could not wear clothes. It?s now been 6 days and no resolution of rash. It does not look at all like hives. I can not get in to see my family doctor or dermatologist any time soon. I went to the emergency room on 10/16 and they wouldn?t test it. I was able to get them to run a shingles blood test even though the er nurse practitioner and I do not believe it?s that. So far no help from any doctor after me telling them it could possibly be a reaction from vaccine.
Age: 1.17
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Product administered to patient of inappropriate age, Wrong patient received product, Wrong product administered
Clinical narrative: The patient was in the office with his 4 year old sister who was also receiving vaccines.  The 14 month patient was administered his sisters 4 year old Quadracel instead of the Hep A vaccine that was planned.  This resulted in the 14 month old patient receiving a higher dose of DTAP and IPV which is recommended for 4 years and above.
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Diarrhoea, Laryngitis, Myalgia
Clinical narrative: Diarrhea, muscle aches, laryngitis
Age: 46.0
Sex: F
Vaccine: COVID19, PPV
Symptoms: Erythema, Feeling hot, Tenderness
Clinical narrative: Redness, tenderness, warmth
Age: 51.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Hypoaesthesia, Injection site hypoaesthesia, Injection site paraesthesia, Injection site reaction, Musculoskeletal stiffness
Clinical narrative: Stiffness, numbness, tingling sensation throughout entire left arm from injection site (upper arm) to hand.
Age: 51.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Paraesthesia
Clinical narrative: Stiffness, numbness, tingling sensation throughout entire left arm from injection site (upper arm) to hand.
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Full multi-dose (3 dose) vial of 6mo -4 year vaccine given undiluted to patient during vaccine administration
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation error
Clinical narrative: Full multi-dose (3 dose) vial of 6mo -4 year vaccine given undiluted to patient during vaccine administration
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site induration, Injection site nodule, Injection site pain, Injection site swelling
Clinical narrative: She got her vaccine around 1:00 on Sunday, 10/15/23.  Just underneath where the injection went in she has a collection of 4-5 knots that are sore to the touch.  She applied some heat to it this morning to help relieve some of the symptoms, which has helped.  She took 1 Tylenol 500  mg on Sunday, and she took one yesterday before she went to work.  She noticed this after work last night when she got home from work, she works the 2nd shift.  She is aware of swelling, and got the 1st shingle shot on 8/15/23 and had no reaction like this one.  It is real hard and reminds her of a lump that she had on her breast in the past.  She has had breast cancer and caught that in time on her left breast and had a lumpectomy.  It d She did have chemo and radiation on that in 2015.  She has not called her doctor yet about the lump, and plans to call him in a few minutes.  She got the flu shot and the pneumonia shot in the last couple of months and had no reactions to any of those vaccines.  She got a little sick with the flu shot for 2-3 days.
Age: 5.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site mass, Injection site pruritus, Injection site swelling
Clinical narrative: October 13th patient received her flu shot. Over the following 4 days it has appeared red and swollen and has had bumps on the site. The raised bumps have gone away but there is still a 6-in circle of redness swelling and itching around the injection site. Was given diphenhydramine on 10/16/2023 and 10/17/2023 for itch and pain relief.
Age: 46.0
Sex: M
Vaccine: RAB
Symptoms: Dysgeusia, Headache, Pain, Pyrexia, Skin warm
Clinical narrative: DONOR HAD FEVER FOR 2 DAYS WITH BODY ACHES. CONTINUES TO HAVE HEADACHE, BITTER TASTE IN MOUTH, BODY STILL FEELS A LITTLE WARM. DONOR HAS BEEN TAKING OTC ASPRIN, DAY AND NIGHT, COUGH DROPS .
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site abscess, Myalgia
Clinical narrative: Significant muscle pain at injection site.
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Crying, Hypotonia, Respiratory arrest
Clinical narrative: Given  DTaP first. Cried. Hib given. Cried and stopped breathing.  No color change.  Went limp for about a minute. Recovered after he he was stimuated. Cried again.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Computerised tomogram, Contusion, Facial paralysis, Hypertension, Hypoaesthesia
Clinical narrative: Very high blood pressure,sagging of left eye and mouth.  Facial bruising and vision problems with facial numbness.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Magnetic resonance imaging, Scan with contrast, Visual impairment
Clinical narrative: Very high blood pressure,sagging of left eye and mouth.  Facial bruising and vision problems with facial numbness.
Age: 66.0
Sex: F
Vaccine: PNC20
Symptoms: Asthenia, Blood test normal, Cardiac stress test, Cough, Electrocardiogram normal
Clinical narrative: She got her vaccine, had a sore arm and then feeling weak.  A week later on 7/28/2023 she got real weak, fast heart beat and nausea.  She went to the UC on 7/31/23 and he said that if her heart rate went over 100.  On Wednesday it was over 135 on 8/2/23 did an EKG and did not find anything, and told her to see her PCP.  On 8/7/23 she saw Dr and he wanted her to see a cardiologist.  On 8/15/23 she saw the cardiologist and so he wanted to do an echocardiogram and had that on 8/16/23 and a stress test.  On 8/18/23 he wanted to do blood work for blood clots.  Then he called hre to let her know that all the tests were OK, there was no problem with her heart.  She was still having a fast heart rate and he wanted her do to a monitor for she thinks about 3 days.  Then she saw the cardiologist on 9/14/23, and sometime in September and told her that the tests were OK.  On 10/2/23 she saw Dr as she was having a cough, and he put her on antibiotics for 5 days, and that got rid of the cough that she had for a couple of weeks.  Last week the nurse called and wanted her to take Metoprolol 25 mg, and cut them in half and take them 2 times a day.  She did not start that as she had her RSV vaccine yesterday and she wanted to know that she was OK when she started taking that medication.  She does have the fast heart when she's up and moving around and doing things.  When she's still and in bed her heart rate is ok.  It is not as high as it was when this started, and it used to be high when she was just walking from her chair in the living room and to her bedroom.  It is still high and she is going to stay with her sister as she lives alone to see how this medicine affects her.  She is going to go to her house tonight.  On 9/14/23 she had the flu shot.  On 10/9/23 she had the COVID vaccination, and then yesterday she had the RSV vaccination.  With the Prevnar vaccine she has never been so weak in her life and the high heart rate.
Age: 66.0
Sex: F
Vaccine: PNC20
Symptoms: Heart rate increased, Nausea, Pain in extremity
Clinical narrative: She got her vaccine, had a sore arm and then feeling weak.  A week later on 7/28/2023 she got real weak, fast heart beat and nausea.  She went to the UC on 7/31/23 and he said that if her heart rate went over 100.  On Wednesday it was over 135 on 8/2/23 did an EKG and did not find anything, and told her to see her PCP.  On 8/7/23 she saw Dr and he wanted her to see a cardiologist.  On 8/15/23 she saw the cardiologist and so he wanted to do an echocardiogram and had that on 8/16/23 and a stress test.  On 8/18/23 he wanted to do blood work for blood clots.  Then he called hre to let her know that all the tests were OK, there was no problem with her heart.  She was still having a fast heart rate and he wanted her do to a monitor for she thinks about 3 days.  Then she saw the cardiologist on 9/14/23, and sometime in September and told her that the tests were OK.  On 10/2/23 she saw Dr as she was having a cough, and he put her on antibiotics for 5 days, and that got rid of the cough that she had for a couple of weeks.  Last week the nurse called and wanted her to take Metoprolol 25 mg, and cut them in half and take them 2 times a day.  She did not start that as she had her RSV vaccine yesterday and she wanted to know that she was OK when she started taking that medication.  She does have the fast heart when she's up and moving around and doing things.  When she's still and in bed her heart rate is ok.  It is not as high as it was when this started, and it used to be high when she was just walking from her chair in the living room and to her bedroom.  It is still high and she is going to stay with her sister as she lives alone to see how this medicine affects her.  She is going to go to her house tonight.  On 9/14/23 she had the flu shot.  On 10/9/23 she had the COVID vaccination, and then yesterday she had the RSV vaccination.  With the Prevnar vaccine she has never been so weak in her life and the high heart rate.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Gait disturbance, Mobility decreased, Vertigo, Vestibular neuronitis
Clinical narrative: Patient got vaccine on October, 6th. He started feeling dizzy on October 9th, then on 11th and 12th felt so dizzy he was bedridden and had to have spouse support him to walk to the bathroom. He describes it as vertigo, but had no vomiting. He self-diagnosed it as vestibular neuritis, but did not see a physician. On the 13th he  started to feel like he could stand up and move around the house again more on his own. He resumed driving on the 14th . He felt symptoms were resolved by the 15th.
Age: 62.0
Sex: F
Vaccine: FLUC4, PNC20, RSV
Symptoms: Erythema, Peripheral swelling, Pruritus
Clinical narrative: Patient woke up morning of 10/17 and noticed her left arm was red, swelling and a little itchy. She stated she doesn't know when it started but 10/17 was when she noticed it.
Age: 71.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Asthenia, Chills, Headache, Nausea, Pain
Clinical narrative: Severe chills for 4 hours 4 hours after vaccination. Vomiting 5 hours after vaccination. Body aches. Headaches.nausea. Fever for 8 hours.weakness. Frequent urination. Every two hours
Age: 71.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Pollakiuria, Pyrexia, Vomiting
Clinical narrative: Severe chills for 4 hours 4 hours after vaccination. Vomiting 5 hours after vaccination. Body aches. Headaches.nausea. Fever for 8 hours.weakness. Frequent urination. Every two hours
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Head discomfort, Headache, Tension headache, Visual field defect
Clinical narrative: After 2023-24 Moderna spikevax 12+ booster. Unclear whether related or not, but my migraines are quite rare. 1.5 days after the booster, I had a blindspot form in center of vision at 7:45pm - gradually expanding in a jagged circle outward, lasting 1 hour.  Slight tightness mild pain pressure on sides of head as this went on.  The timing strikes me as at least suspicious. I informed a neurologist who agreed that it can trigger migraine, but also not necessarily.
Age: 70.0
Sex: F
Vaccine: RSV
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Nurse contractor accidently administered 2 dose of RSV Abrysvo to patient. No immediate reaction occurred, made patient aware to watch out for fever/flu like symptoms or to report any major reaction.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dizziness, Headache
Clinical narrative: Headache, dizziness, and diarrhea.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dry mouth, Nausea
Clinical narrative: Patient had dry mouth, dizziness, lightheadedness, and nausea. Patient took 2 capsules of 25mg diphenhydramine.
Age: 75.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Peripheral swelling
Clinical narrative: Patient reported fingers started to swell about 5- 10 minutes after receiving vaccine
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash pruritic, Swelling
Clinical narrative: RED, SWOLLEN ITCHY RASH NOT PAINFUL
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Headache, Hyperhidrosis, Muscle spasms, Nausea
Clinical narrative: Sweating (patient did not take her temperature), headache, body aches, leg cramps, nausea, weakness
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Sweating (patient did not take her temperature), headache, body aches, leg cramps, nausea, weakness
Age: 82.0
Sex: M
Vaccine: RSV
Symptoms: Injection site rash, Pain in extremity, Rash
Clinical narrative: localized rash at injection site and arm soreness
Age: 16.0
Sex: F
Vaccine: HPV9, MNQ
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Pt was ordered to receive HPV and Men B. Pt was given HPV and Menquadfi. Pt did not experience any adverse reaction or have any symptoms of a reaction
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: LEFT ARM WITH SWELLING SIZE OF BASEBALL AND PAINFUL AFTER VACCINE
Age: 0.67
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: The patient received a 3rd dose of flu and was not due for an additonal dose of flu until next years flu season. One 09/07/2023 Second 10/09/2023 Third 10/13/2023
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Fall, Headache, Nausea, Retching
Clinical narrative: After the vaccine didn?t feel good with headache for a few hours and that went away. When I work up morning of the 17th I went into the bathroom feeling fine. Suddenly started violently wretching and hurried to the sink. Fell not sure if I fainted or just fell. Violent wretching continued for a couple with no emesis. Then it quit and never returned. Slightly queasy for a couple hours and the fine. No serious injuries but hit my face on the counter with significant bruising
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: After the vaccine didn?t feel good with headache for a few hours and that went away. When I work up morning of the 17th I went into the bathroom feeling fine. Suddenly started violently wretching and hurried to the sink. Fell not sure if I fainted or just fell. Violent wretching continued for a couple with no emesis. Then it quit and never returned. Slightly queasy for a couple hours and the fine. No serious injuries but hit my face on the counter with significant bruising
Age: 71.0
Sex: M
Vaccine: FLU4, RSV
Symptoms: Atrial fibrillation, Condition aggravated, Feeling abnormal
Clinical narrative: I haven't had an afib episode since the one Nov. 18  which I think most believe was from my 11/2/22  bypass operation.  I received the rvs and flu vaccines 10/11.  Going to bed I felt just wiped out and slept immediately.  My tracker watch recorded 5 afib episodes between 12:30 and 3:00 with the bpm ranging from 43 - 179.  I was unaware of any change.  I woke without any concerns or the feeling of being wiped out like when I went to bed.  I've been active and fine since and have no concerns or reoccurrence of afib.  The only thing different that I can suggest is the vaccines or combination.  Previously I have never had problems with any vaccines.   (I received the vaccines at Pharmacy.  The clinic listed is my care provider.)
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Wrong product administered
Clinical narrative: Patient requested newest Pfizer vaccine, received Novavax. Well tolerated, onlyreports headache
Age: 93.0
Sex: M
Vaccine: FLU4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: THIS WAS A DUPLICATION FOR THE PATIENT AS THEY RECEIVED THE SAME VACCINE ON 9/14/23 AT THIS SAME FACILITY. PT EXPERIENCED NO NONE SIDE EFFECTS BUT STILL REPORT SINCE MULTIPLE SAME VACCINES GIVE
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bipolar disorder, Condition aggravated
Clinical narrative: Significant and extensive worsening of Bipolar disorder.
Age: 73.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Arthralgia, Confusional state, Cough, Dysphonia, Gait disturbance
Clinical narrative: I thought I was having a stroke. My head felt very heavy. I had a staggering gait. I had a high fever that felt like it was cooking my brain. It was progressing and I got weak in my ankles and my knees. I went to sleep and woke up confused. I had joint pain, and a horrible lingering headache. I had a coated tongue. still have headaches and my voice is hoarse and I have a cough.
Age: 73.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Head discomfort, Headache, Muscular weakness, Pyrexia
Clinical narrative: I thought I was having a stroke. My head felt very heavy. I had a staggering gait. I had a high fever that felt like it was cooking my brain. It was progressing and I got weak in my ankles and my knees. I went to sleep and woke up confused. I had joint pain, and a horrible lingering headache. I had a coated tongue. still have headaches and my voice is hoarse and I have a cough.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: Patient received both flu and COVID vaccines and following administration of COVID vaccination she passed out.
Age: 43.0
Sex: F
Vaccine: UNK
Symptoms: Arthralgia, Brain fog, Fatigue, Headache, Oropharyngeal pain
Clinical narrative: I received the vaccine on Wednesday. On Friday I was tired but by Friday afternoon I had a fever, was congested, sneezing, exhausted and had a headache. These symptoms worsened through Saturday and Sunday and I also had a sore throat, joint pain and stayed in bed on Saturday and Sunday. Monday I still had a fever, congestion, sneezing and fatigue. Tuesday I am still fatigued, have congestion and brain fog.
Age: 43.0
Sex: F
Vaccine: UNK
Symptoms: Pyrexia, Respiratory tract congestion, Sneezing
Clinical narrative: I received the vaccine on Wednesday. On Friday I was tired but by Friday afternoon I had a fever, was congested, sneezing, exhausted and had a headache. These symptoms worsened through Saturday and Sunday and I also had a sore throat, joint pain and stayed in bed on Saturday and Sunday. Monday I still had a fever, congestion, sneezing and fatigue. Tuesday I am still fatigued, have congestion and brain fog.
Age: 77.0
Sex: M
Vaccine: FLUA4
Symptoms: Vision blurred
Clinical narrative: blurry vision lt eye
Age: 75.0
Sex: M
Vaccine: RSV
Symptoms: Acute kidney injury, Anaemia, Blood creatinine normal, Blood culture negative, Blood sodium decreased
Clinical narrative: The patient is currently comatose admitted into the ICU at Hospital.  He received the RSV vaccine being in a normal state of health at his local pharmacy October 8, 2023.  He came to the office for routine labs on October 9, 2023 and at that time labs were within acceptable limits aside from a minimal lymphopenia.  He coursed with fatigue, shortness of breath and confusion and was hospitalized with a sodium of 121, fluctuating levels of consciousness that progressed over the past week to an obtunded state.  He is currently admitted at the ICU of Hospital.  Blood cultures have been within normal limits.  He has had a chest CT to screen for pulmonary embolism that has been unremarkable.  He has also had a CT scan of the abdomen and pelvis which has been unremarkable.  His labs have coursed with improvement of the sodium by administration of hypertonic saline solution.  His hemogram has coarse with leukopenia, anemia and thrombocytopenia and his platelets are currently 25,000.  His baseline is a normal white blood cell count, normal hemoglobin and normal platelets.  Pulse therapy with 1000 mg of steroid IV once daily has been performed for the past 3 days and the patient is now coursing with rhabdomyolysis and acute renal failure.  The plan is to intubate him later today.  MRI of the brain with and without contrast has shown no significant abnormality.  Lumbar puncture has not been performed because of the patient's low platelets.
Age: 75.0
Sex: M
Vaccine: RSV
Symptoms: Coma, Computerised tomogram abdomen normal, Computerised tomogram thorax normal, Confusional state, Consciousness fluctuating
Clinical narrative: The patient is currently comatose admitted into the ICU at Hospital.  He received the RSV vaccine being in a normal state of health at his local pharmacy October 8, 2023.  He came to the office for routine labs on October 9, 2023 and at that time labs were within acceptable limits aside from a minimal lymphopenia.  He coursed with fatigue, shortness of breath and confusion and was hospitalized with a sodium of 121, fluctuating levels of consciousness that progressed over the past week to an obtunded state.  He is currently admitted at the ICU of Hospital.  Blood cultures have been within normal limits.  He has had a chest CT to screen for pulmonary embolism that has been unremarkable.  He has also had a CT scan of the abdomen and pelvis which has been unremarkable.  His labs have coursed with improvement of the sodium by administration of hypertonic saline solution.  His hemogram has coarse with leukopenia, anemia and thrombocytopenia and his platelets are currently 25,000.  His baseline is a normal white blood cell count, normal hemoglobin and normal platelets.  Pulse therapy with 1000 mg of steroid IV once daily has been performed for the past 3 days and the patient is now coursing with rhabdomyolysis and acute renal failure.  The plan is to intubate him later today.  MRI of the brain with and without contrast has shown no significant abnormality.  Lumbar puncture has not been performed because of the patient's low platelets.
Age: 75.0
Sex: M
Vaccine: RSV
Symptoms: Depressed level of consciousness, Dyspnoea, Fatigue, Full blood count, Haemoglobin normal
Clinical narrative: The patient is currently comatose admitted into the ICU at Hospital.  He received the RSV vaccine being in a normal state of health at his local pharmacy October 8, 2023.  He came to the office for routine labs on October 9, 2023 and at that time labs were within acceptable limits aside from a minimal lymphopenia.  He coursed with fatigue, shortness of breath and confusion and was hospitalized with a sodium of 121, fluctuating levels of consciousness that progressed over the past week to an obtunded state.  He is currently admitted at the ICU of Hospital.  Blood cultures have been within normal limits.  He has had a chest CT to screen for pulmonary embolism that has been unremarkable.  He has also had a CT scan of the abdomen and pelvis which has been unremarkable.  His labs have coursed with improvement of the sodium by administration of hypertonic saline solution.  His hemogram has coarse with leukopenia, anemia and thrombocytopenia and his platelets are currently 25,000.  His baseline is a normal white blood cell count, normal hemoglobin and normal platelets.  Pulse therapy with 1000 mg of steroid IV once daily has been performed for the past 3 days and the patient is now coursing with rhabdomyolysis and acute renal failure.  The plan is to intubate him later today.  MRI of the brain with and without contrast has shown no significant abnormality.  Lumbar puncture has not been performed because of the patient's low platelets.
Age: 75.0
Sex: M
Vaccine: RSV
Symptoms: Intensive care, Lymphopenia, Magnetic resonance imaging head normal, Platelet count decreased, Rhabdomyolysis
Clinical narrative: The patient is currently comatose admitted into the ICU at Hospital.  He received the RSV vaccine being in a normal state of health at his local pharmacy October 8, 2023.  He came to the office for routine labs on October 9, 2023 and at that time labs were within acceptable limits aside from a minimal lymphopenia.  He coursed with fatigue, shortness of breath and confusion and was hospitalized with a sodium of 121, fluctuating levels of consciousness that progressed over the past week to an obtunded state.  He is currently admitted at the ICU of Hospital.  Blood cultures have been within normal limits.  He has had a chest CT to screen for pulmonary embolism that has been unremarkable.  He has also had a CT scan of the abdomen and pelvis which has been unremarkable.  His labs have coursed with improvement of the sodium by administration of hypertonic saline solution.  His hemogram has coarse with leukopenia, anemia and thrombocytopenia and his platelets are currently 25,000.  His baseline is a normal white blood cell count, normal hemoglobin and normal platelets.  Pulse therapy with 1000 mg of steroid IV once daily has been performed for the past 3 days and the patient is now coursing with rhabdomyolysis and acute renal failure.  The plan is to intubate him later today.  MRI of the brain with and without contrast has shown no significant abnormality.  Lumbar puncture has not been performed because of the patient's low platelets.
Age: 75.0
Sex: M
Vaccine: RSV
Symptoms: Scan with contrast normal, Thrombocytopenia, White blood cell count normal
Clinical narrative: The patient is currently comatose admitted into the ICU at Hospital.  He received the RSV vaccine being in a normal state of health at his local pharmacy October 8, 2023.  He came to the office for routine labs on October 9, 2023 and at that time labs were within acceptable limits aside from a minimal lymphopenia.  He coursed with fatigue, shortness of breath and confusion and was hospitalized with a sodium of 121, fluctuating levels of consciousness that progressed over the past week to an obtunded state.  He is currently admitted at the ICU of Hospital.  Blood cultures have been within normal limits.  He has had a chest CT to screen for pulmonary embolism that has been unremarkable.  He has also had a CT scan of the abdomen and pelvis which has been unremarkable.  His labs have coursed with improvement of the sodium by administration of hypertonic saline solution.  His hemogram has coarse with leukopenia, anemia and thrombocytopenia and his platelets are currently 25,000.  His baseline is a normal white blood cell count, normal hemoglobin and normal platelets.  Pulse therapy with 1000 mg of steroid IV once daily has been performed for the past 3 days and the patient is now coursing with rhabdomyolysis and acute renal failure.  The plan is to intubate him later today.  MRI of the brain with and without contrast has shown no significant abnormality.  Lumbar puncture has not been performed because of the patient's low platelets.
Age: 53.0
Sex: F
Vaccine: PNC20
Symptoms: Erythema, Immediate post-injection reaction, Local reaction, Oedema, Pruritus
Clinical narrative: Immediate local skin reaction -erythema. No anaphylaxis. She had subjective fevers, burning, itching of L arm. Some edema.
Age: 53.0
Sex: F
Vaccine: PNC20
Symptoms: Pyrexia, Skin reaction
Clinical narrative: Immediate local skin reaction -erythema. No anaphylaxis. She had subjective fevers, burning, itching of L arm. Some edema.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head, Tinnitus
Clinical narrative: Left ear tinnitus
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Injection site erythema, Injection site pain
Clinical narrative: Red, Itchy, Sore arm at  vaccine site  Headache Fever Chills Nausea Joint pain
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Nausea, Pyrexia
Clinical narrative: Red, Itchy, Sore arm at  vaccine site  Headache Fever Chills Nausea Joint pain
Age: 14.0
Sex: M
Vaccine: HPV9
Symptoms: Dizziness, Gait disturbance, Hyperhidrosis, Hypotension, Presyncope
Clinical narrative: Dizzy/lightheaded, unstable gait, blurred vision, diaphoresis, and presyncope. Subsequent hypotension.
Age: 14.0
Sex: M
Vaccine: HPV9
Symptoms: Vision blurred
Clinical narrative: Dizzy/lightheaded, unstable gait, blurred vision, diaphoresis, and presyncope. Subsequent hypotension.
Age: 79.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Erythema, Pruritus
Clinical narrative: Patient described noticing redness that went from shoulder to elbow on 10/15/23. On 10/17/23 the patient noticed that the arm was becoming itchy. Pt was instructed take Benadryl and call their PCP for guidance.
Age: 21.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Injection site pruritus, Injection site warmth
Clinical narrative: Patient reported the injection site feeling warm and itchy and dizziness after her flu shot. There was no redness or rash visible at the injection site. BP was taken and it was normal. We did have the patient lie down and she was given 10ml of diphenhydramine liquid 25mg/ml.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS  STORED IN AN UNAPPROVED STORAGE UNIT
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Extra dose administered
Clinical narrative: Patient received 2 dose series in 2020. Patient came in for a flu shot. Patient was accidentally administered a Shingrix shot. This is the 3rd Shingrix patient has received and was unnecessary.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Immunisation reaction
Clinical narrative: Patient woke up morning after getting vaccine feeling short of breath and tightness of chest, she went to primary care and they referred her to er. They wanted to give her steroids but she refused stating she had atrial fibrilation and they didn't agree with her. She used albuterol inhaler and asmanex and she got better. Her primary care provider told her later that he thought it was a reaction to the vaccine