chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspepsia, Dyspnoea
Clinical narrative: Mild shortness of breath, heartburn
Age: 84.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain
Clinical narrative: Patient reports having arm soreness at injection site which has lasted over a month after vaccination. Patient states she is able to raise her arms over her head and the soreness/pain has improved, but still lingers. The pain has not worsened over time, but has improved over time.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash macular, Rash papular
Clinical narrative: Small raised bumps on bilateral posterior hands. Roughly 1/8 cm width and 1/8 cm high.  Dispersed evenly in random patches. Not red. Flesh-toned color.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash, Rash papular
Clinical narrative: Small raised bumps on bilateral posterior hands. Roughly 1/8 cm width and 1/8 cm high.  Dispersed evenly in random patches. Not red. Flesh-toned color.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Chills, Fatigue, Headache, Injection site pain
Clinical narrative: Pain at injection site within minutes.  A few hours later - most of arm started to ache, headache, tired, muscle pain.  Occurred at night-  shivering, intestinal discomfort  and minor nausea and fever of 100.8.  After 24 hours temperature normal but still have arm pain, headache, tired and some muscle pain.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia, Nausea, Pyrexia
Clinical narrative: Pain at injection site within minutes.  A few hours later - most of arm started to ache, headache, tired, muscle pain.  Occurred at night-  shivering, intestinal discomfort  and minor nausea and fever of 100.8.  After 24 hours temperature normal but still have arm pain, headache, tired and some muscle pain.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Headache
Clinical narrative: Patient received the covid  vaccine on Sunday12/2020. He found out that his roommate tested positive for covid on 12/20/2020 when he got home. He started to have dry cough on 12/20 evening.  Had HAs but resolved 12/22. Still coughing. No fever/chills/bodyaches.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Injection site pain, Myalgia
Clinical narrative: Headache, muscle aches, joint aches, photophobia, pain at site (arm pain), and fatigue
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Photophobia
Clinical narrative: Headache, muscle aches, joint aches, photophobia, pain at site (arm pain), and fatigue
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Throat irritation
Clinical narrative: Scratchy, irritated throat with metallic taste in mouth.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site swelling, Lymphadenopathy
Clinical narrative: I have a swollen lymph node in arm pit,  and elbow and injection site is swollen and hard.  -
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Diarrhoea, Rectal haemorrhage
Clinical narrative: Severe abdominal cramping, diarrhea, rectal bleeding. Went to ED.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Histamine level increased, Myalgia, Paraesthesia
Clinical narrative: After I got the shot I could feel it going into my system (histamine).  I had myalgia on my right shoulder and up into my neck, those I felt first.  I felt like a histamine release. It is like I felt a drug being released in my body, a strange feel. Made me feel woozy. Not a major reaction, no airway constrictions, just felt uneasy. As I was walking to my vehicle to leave the hospital my arms started feeling tingly so I decided to walk to the ER and get checked. Vitals were taken and a shot of Benadryl - 50mg, sat around until it kicked in about 30/40 min and it made the symptoms subside. Next morning I felt fine , arm was sore from the injection but that was all.
Age: 25.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue
Clinical narrative: Patient states that he went home was slightly fatigued. By 4am patient woke up and was severly fatigued. Patient states this moring it was difficult to wake up because how fatigued he was.
Age: 25.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Mobility decreased
Clinical narrative: Patient states that he went home was slightly fatigued. By 4am patient woke up and was severly fatigued. Patient states this moring it was difficult to wake up because how fatigued he was.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain
Clinical narrative: body aches, headache starting 24h after injection; lasting ~12 hours
Age: 58.0
Sex: F
Vaccine: UNK
Symptoms: Rash
Clinical narrative: Lower back rash
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Myalgia, Pain
Clinical narrative: Injection site pain, muscle aches , Headache , body ache ,  Muscle ached lasted through the rest of the week
Age: 20.0
Sex: F
Vaccine: UNK
Symptoms: Shoulder injury related to vaccine administration
Clinical narrative: shoulder injury related to vaccine administration
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dysphonia
Clinical narrative: Chills at 5-10 min after vaccination,  with  voice change and SOB 15-20 min after vaccination concerning for anaphylaxis. Epi given im x1. given immediately at voice change and immediately taken to ED.and currently receiving care
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram, Flushing, Palpitations
Clinical narrative: Patient reports 5 minutes after getting covid vaccine she became flushed, heart was pounding and felt dizzy. Patient denies hx of allergic reactions.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Taste disorder
Clinical narrative: For first 5 minutes after injection i had taste in mouth of iodine and warm feeling in my chest - it felt almost like ct contrast does - went away after 5 minutes - felt fine after that - nurse wanted me to report side effect just in case
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Hypotension, Syncope
Clinical narrative: Hypotension and syncope without tachycardia, 15 minutes after injection. Patient was repositioned supine, which caused her to regain consciousness.  Give 1 liter NS over 2 hours and discharged in good condition.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Pain, Tachycardia
Clinical narrative: From the patient (a employee) "So, I think I am having a reaction to the vaccine.  I did call my PCP to check in and they also said to notify you.  I felt fine until last night about 8 PM.  Then I got body aches, headache, nausea, tachycardia, no fever.  During the night I had to use my nebulizer 3 times to keep sat > 86.    As I did some research through the night, some Covid patients were found to have positive Epstein Barr.  That is what I had in September (EBV) that put me down for 3 months.  So I am wondering if it caused a relapse of that.  Hope not.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Dysgeusia, Feeling abnormal, Hot flush
Clinical narrative: Received COVID-19 vaccine on 12/18/2020 around 1225pm, ten minutes later while being monitored I started to feel hot flash, got dizzy like about to pass out, I asked to let me lay down, I felt the medication bitter taste in the back of my throat, I was clammy pale, I lay on a stretcher and put my feet up elevated, rapid response was called and BP was checked and Spo2, my hands were getting cold and tingling I was talking to RN, another RN, after laying down for ten minutes I sit up I was getting my BP back to normal, I sat down in the chair again for another 10 minutes, I was offered to go to the ER but I decline, I said I was getting better, after 15 minutes I left monitored by my supervisor I felt the medication in my stomach, after the tingling my fingers were numbed for the next days until present.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Pallor, Paraesthesia, Peripheral coldness
Clinical narrative: Received COVID-19 vaccine on 12/18/2020 around 1225pm, ten minutes later while being monitored I started to feel hot flash, got dizzy like about to pass out, I asked to let me lay down, I felt the medication bitter taste in the back of my throat, I was clammy pale, I lay on a stretcher and put my feet up elevated, rapid response was called and BP was checked and Spo2, my hands were getting cold and tingling I was talking to RN, another RN, after laying down for ten minutes I sit up I was getting my BP back to normal, I sat down in the chair again for another 10 minutes, I was offered to go to the ER but I decline, I said I was getting better, after 15 minutes I left monitored by my supervisor I felt the medication in my stomach, after the tingling my fingers were numbed for the next days until present.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: Following morning after getting vaccine woke up with chills headache and a fever of 100.8. I spoke with my PCP and she advised that I take some ibuprofen.
Age: 11.0
Sex: M
Vaccine: FLU4, HPV9, MNQ, TDAP
Symptoms: Peripheral swelling, Rash, Skin warm, Urticaria
Clinical narrative: Left thigh swollen with "hive-like" rash that extended from knee cap to boxer brief line and around almost to back of leg, leg warm to touch.  Patient stated he felt like his leg "was on fire."
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Blood pressure increased, Heart rate increased, Rash
Clinical narrative: Increased heart rate and blood pressure. Rash on anterior right side of neck. She laid down and was given water. Blood pressure and heart rate monitored. She was also reassured by friends that she was okay. The patient said she was anxious and that's why she had a reaction.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Feeling hot, Flushing, Throat tightness
Clinical narrative: Throat and chest tightening, as was all warm and flushed feeling in throat and chest
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Ear discomfort, Ear pain, Influenza virus test negative, Middle ear effusion
Clinical narrative: 12/21: woke up with full body aches, pressure in ears bilaterally. Took 200mg motrin, body aches resolved by early evening.  12/22: Right tonsil inflamed/irritated, painful to swallow. Ear pain bilaterally. Went to clinic, temp 99.1, some fluid in ears; strep and influenza tests came back negative. Given zyrtec, flonase, and tylenol for symptom management and advised to get a covid test when possible.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Odynophagia, Pain, Streptococcus test negative, Tonsillar inflammation
Clinical narrative: 12/21: woke up with full body aches, pressure in ears bilaterally. Took 200mg motrin, body aches resolved by early evening.  12/22: Right tonsil inflamed/irritated, painful to swallow. Ear pain bilaterally. Went to clinic, temp 99.1, some fluid in ears; strep and influenza tests came back negative. Given zyrtec, flonase, and tylenol for symptom management and advised to get a covid test when possible.
Age: 27.0
Sex: M
Vaccine: MMR
Symptoms: Contusion, Tenderness
Clinical narrative: Pt presented to the clinic on Friday the 18th to inform us that he got his 2nd MMR overseas while at a deployed location and had an abnormal tender bruise that spread to the inside of his left arm. The bruise was about the size of a hand on the triceps of his left arm and a little bit has spread to the inside of his arm. Pt stated it was sore and tender but doesn't hurt and denies any other symptoms. Pt was called 22 Dec 2020 to follow up and pt stated the bruise is taking it's course but is decreasing in size.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Diarrhoea, Pain in extremity
Clinical narrative: Arm Soreness Started diarrhea on the 19 of Dec, went away on the 20th. Woke up on the 22nd around 1am with really bad abdominal pain and diarrhea.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Feeling abnormal, Malaise, Vision blurred
Clinical narrative: 1324- Patient received vaccine dose and moved to the post-vaccine monitoring area. Approximately 1326 felt unwell, told the RN monitoring that he would like to get a drink.  She walked to the water fountain with Pt. 1330 he felt light headed and dizzy, he was assisted to the floor and elevated his feet. 1335 was able to stand and sit in wheelchair and taken to the emergency room. During transport to emergency room stated he did not feel well, he felt "funny", cold sweats, dizzy, blurry vision. Patient never lost consciousness or became unresponsive. Care transitioned to Emergency Room staff.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Hypoaesthesia oral, Pharyngeal hypoaesthesia
Clinical narrative: Metallic taste in mouth. Progressed to numbness of throat and tongue. No swelling. No rash. No shortness of breath. Remained alert and oriented and speaking full sentences throughout. Benadryl 25mg PO. EMS in to assess. 186/98, HR 94, SpO2 100% Remained onsite for extra 30 minutes. Patient refused transport to BMC for monitoring. Patient refused to be driven home. Throat/tongue numbness improved. BP before leaving 156/90, HR 82, SpO2 99%. Patient stated when she received Flu shot in early October this year, 2020, she had scratchy throat which resolved independently.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Hypoaesthesia, Immediate post-injection reaction, Paraesthesia
Clinical narrative: Pt states that she received her vaccination at 10:00am and felt chest tightness immediately.  This resolved within minutes and pt left testing site.  Pt states that around 11:00am she felt numbness and tingling in her bilateral forearms and fingers.  By 11:45 when we spoke, the numbness and tingling had improved but was still present.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Diarrhoea, Headache, Joint stiffness, Pain
Clinical narrative: I had  joint stiffness, my body ache, abdominal pain, diarrhea and headache.
Age: 1.08
Sex: M
Vaccine: HEPA, HIBV, MMRV, PNC13
Symptoms: Pyrexia, Rash
Clinical narrative: Patient received vaccine on 12/10/2020 and started having a fever for 3 days. Fever resolved, then started again accompanied by a rash. Rash started on leg and is now all over the body and face.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dry mouth, Flushing, Hypertension, Tachycardia
Clinical narrative: 14 minutes Hypertension 200/120 Tachycardia 140 Facial and chest flushing Extreme dry mouth, chills
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Feeling hot, Flushing, Peripheral coldness, Pruritus
Clinical narrative: Patient is describing feeling as if he took Niacin, he is flushed, red in the face but cool to the touch and itchy skin
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Rash
Clinical narrative: rash and dizziness
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Ear discomfort, Ear pain, Feeling abnormal
Clinical narrative: Within 15 min. of vaccine,I had some brief mild shortness of breath,a stab of pain in the center of my left chest,I felt strange, had 3 stabs of pain in my right ear and 3 pressure type pains in my left ear.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache, Injection site pain, Malaise, Nausea, Pain
Clinical narrative: HEADACHE, NAUSEA, BODY ACHES, INJECTION SITE PAIN, MALAISE
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal discomfort, Headache, Injection site pain, Malaise, Pain
Clinical narrative: HEADACHE, NAUSEA, BODY ACHES, INJECTION SITE PAIN, MALAISE
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache, Injection site pain, Malaise, Nausea, Pain
Clinical narrative: HEADACHE, UPSET STOMACH, INJECTION SITE PAIN, GENERAL BODY ACHES, MALAISE
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal discomfort, Headache, Injection site pain, Malaise, Pain
Clinical narrative: HEADACHE, UPSET STOMACH, INJECTION SITE PAIN, GENERAL BODY ACHES, MALAISE
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cough, Headache, Pain
Clinical narrative: Chills, body aches, mild cough, headache
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Hypertension
Clinical narrative: Approximately 10 minutes after receiving the vaccination the patient began complaining of dizziness and "not feeling right".  Vital signs indicated the patient to be hypertensive, vital signs otherwise within normal limits.  Patient denies rash, itching, shortness of breath, chest.  Patient transported to the ER for evaluation within 15 minutes.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Swelling face
Clinical narrative: Swelling and numbness of right side of the face.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Flushing, Palpitations
Clinical narrative: Patient was done receiving vaccine at 0921, approximately 5-10 minutes later reported feeling flush, metallic taste in mouth (first symptom), heart racing. VS taken: 152/93, HR 120. Pt seated, calm, given water to drink, speaking full sentences, NAD and no difficulty breathing or swallowing. At 0948 VS: 132/91, HR 96, SpO2 98% room air. At 0955, patient continued to feel waves of heart racing, HR on monitor 90-108, SpO2 98%. At 1002, notified ED charge nurse that patient will be escorted for further monitoring, work up if necessary. Still no respiratory or swallowing symptoms. At 1002, patient escorted to ED by RN, ambulated without difficulty. Upon ED arrival, patient reported feeling "fine" without symptoms.
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Fatigue, Headache, Pain in extremity
Clinical narrative: Started having shortness of breath a couple hours after vaccine, then some fatigue and headache. Woke up next morning with sore arm, worsening headache and fatigue. Those side effects dissipated as the day went on, next day arm still a little sore, but by afternoon, felt back to normal.
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Injection site pain, Pain
Clinical narrative: Started having shortness of breath a couple hours after vaccine, then some fatigue and headache. Woke up next morning with sore arm, worsening headache and fatigue. Those side effects dissipated as the day went on, next day arm still a little sore, but by afternoon, felt back to normal.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Moderate pain and mild swelling at injection site occurring about 16 hours after injection. Swelling and pain resolved within 2 days after onset.   No other adverse events or side effects to report to Pfizer COVID-19 vaccine. No flu like symptoms, no fatigue, no fever, no chills, no headache.
Age: 25.0
Sex: F
Vaccine: FLU4
Symptoms: Pain
Clinical narrative: Patient reacted with body aches.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Headache, Myalgia, Pyrexia
Clinical narrative: Headache , Fever , Diarrhea , Muscle Aches .
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Pain, SARS-CoV-2 test positive
Clinical narrative: 12/18/2020 in PM dry cough, body aches.  Symptoms resolved on 12/19/2020
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose, Dizziness, Electrocardiogram, Flushing, Presyncope
Clinical narrative: Dizziness, Flushed, Light headed, Near Syncopal Episode.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Headache, Hypertension, Paraesthesia oral
Clinical narrative: It started with a tingling in my tongue, my BP went super high and my face was all red and a headache afterwards. My BP went down about 25 min later. I was just monitored at the vaccination site, did not go to the ER.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Low grade fever 100.6, took Tylenol, fever decreased 99.3, took 2 more Tylenol at 3am 12/22/2020 and hasn?t had a fever since, was tested for Covid in the past with negative results, has not been around anyone with Covid that she is aware of, she has not traveled, however her son has traveled home from college but tested for Covid twice with negative results. Patient states that she is not experiencing any other symptoms.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Diarrhoea, Malaise, Oedema peripheral, Pyrexia
Clinical narrative: 12/19 - hour after the vaccine had diarrhea that lasted until about 11pm that night  12/20- 2pm started to have general malice. Took a nap and woke up at 6:10 pm with a fever of 99.5 orally.  12/21- Woke up to R armpit pain. Upon examination, R armpit was visibly swollen compared to left. No redness, tenderness, pain at the injection site. Could not feel swollen lymph nodes. Fever gone in AM.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: Approximately , 11am started getting chills all over, temperature 101.6 around 1pm with headache. I would take Motrin/ Tylenol when I felt my fever go up . The fever, headache and chills lasted Friday ,Sat , Sunday. On 12/21/20 had no more fever, no headache or chills. I have a great appetite, have no other symptoms.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Body temperature increased, Chills, Headache, Nausea
Clinical narrative: Woke up with elevated temperature of 102.0, Chills, elevated glucose level of 499, body aches, headache, Nausea
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Woke up with elevated temperature of 102.0, Chills, elevated glucose level of 499, body aches, headache, Nausea
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Somnolence, Throat tightness
Clinical narrative: During 15 min observation, employee reported tingling in her lips. She is allergic to grass and has experienced this feeling when she is having an allergic reaction. Employee taken to gurny, VS taken. No hives noted. Reported her throat feels a little tight. 50 mg of Benadryl given. See attachment for VS record. 1:1 observation by RN. No further s/s. Employee states points to her flowers and says it could be the flowers my mom sent me for vaccination day. Monitored employee until 1950 when she was taken home by a co-worker. Employee states she has improved s/s and is now just drowsy. Informed to discuss reaction with PCP and/or EH. Instructed to call EMS or go to ED if symptoms come back.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Headache, Pain, Pyrexia, Tremor
Clinical narrative: pt stated that she had body aches, upset stomach, uncontrollable shaking, fever, headache
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect route of product administration, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Injection was given low on upper arm, below deltoid. Became red, swollen, and painful in 12 hours, worsening over  3 days, resolved in 5 days.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Hypoaesthesia, Skin laceration, Syncope, Wound closure
Clinical narrative: I received the Covid 19 vaccination at 3:00 pm on 12/18 no trouble went home. Upon going to sleep the left arm was numb thought and got up to use the bathroom had diarrhea. While in the restroom hit face had a Syncope episode regain  conscience went to ER had 4 stitches in chin. Since 12/20 felt fine and was able to return to work.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Face injury, Fall, Suture insertion, Syncope
Clinical narrative: I received the Covid 19 vaccination at 3:00 pm on 12/18 no trouble went home. Upon going to sleep the left arm was numb thought and got up to use the bathroom had diarrhea. While in the restroom hit face had a Syncope episode regain  conscience went to ER had 4 stitches in chin. Since 12/20 felt fine and was able to return to work.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dizziness, Headache, Pain in extremity, Vertigo
Clinical narrative: 12/17/20 Received Pfizer COVID vaccine 12/18/20 Sore arm, no other side effects 12/20 Headaches refractory to ibuprofen, and vertigo 12/21 Worsening HA and vertigo 12/22 Feels lightheaded.  She has multiple sclerosis and has had vertigo as a part of her MS in the past. HA onset was about 72h after COVID vaccine. Currently been having HA, vertigo for about 2 days, seems to have peaked.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Immediate post-injection reaction, Injection site erythema, Injection site mass, Throat irritation
Clinical narrative: Hard lump and redness at injection site on right deltoid almost immediately after injection. Patient describes a "fireball" in her throat. Denies swelling. No difficulty swallowing, maintaining airway independently. Headache.  In E.D., patient received NS 1000 ml at 2000 ml/hr at 19:34, Diphenhydramine 25 mg IV x1 at 19:36, Methylprednisolone 125 mg IV at 19:38, Ketorolac 30 mg IV at 19:41, Famotidine 20 mg IV at 19:42.  Forty minutes post injection, all symptoms gone. Discharged from E.D. at 20:52 with prescription for prednisone 50 mg po daily x4 days, diphenhydramine 25 mg po q6h prn, and famotidine 20 mg po nightly prn.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dry throat, Nausea
Clinical narrative: Progress Notes PA-C (Physician Assistant) ? ? General Surgery/Trauma Cosign Needed Expand All Collapse All      COVID VACCINE CLINIC  12/22/2020    Patient:                                                                                                         DOB:    Date:  12/22/2020                                                                                         MRN:  5380787     Subjective Patient is a 23 y.o. male who was seen at COVID Vaccine Clinic today for his first dose of the COVID 19 vaccination.    He denied any history of previous adverse reactions to vaccines.  He does report recent hx of GI symptoms that he is currently being worked up for.  He reports onset of similar sx around time of vaccine injection.   He was given the Pfizer vaccination in the deltoid muscle.   During his 15 minute waiting period after the injection, the patient began to experience dizziness, throat dryness, and nausea.  He denied rash, hives, difficulty breathing, difficulty swallowing, throat tightness, hoarseness, stridor, itching, facial swelling, lip swelling and tongue swelling.   This provider was notified of patient reaction and he was then assessed in the emergency bay area.   Monitored patient for severe reaction symptoms, including rapid progression of symptoms, respiratory distress with stridor, vomiting, abdominal pain and hypotension.       Review of Systems Otherwise negative, except for above    Objective    Vitals Vitals:   12/22/20 1131 BP: 118/66 Pulse: 88 SpO2: 96%       Physical Exam Constitutional:      Appearance: Normal appearance.  HENT:     Head: Normocephalic.     Nose: Nose normal.     Mouth/Throat:     Mouth: Mucous membranes are moist.     Pharynx: Oropharynx is clear.  Neck:     Musculoskeletal: Normal range of motion and neck supple.  Cardiovascular:     Rate and Rhythm: Normal rate and regular rhythm.     Pulses: Normal pulses.     Heart sounds: Normal heart sounds.  Pulmonary:     Effort: Pulmonary effort is normal.     Breath sounds: Normal breath sounds.  Abdominal:     General: Abdomen is flat.     Palpations: Abdomen is soft.  Neurological:     Mental Status: He is alert.        Assessment/Plan    Treatment included no therapy. Follow up response to treatment:no side effects. Patient discharge:  Stable to go home and follow up with PCP.   Patient was monitored in the emergency bay without worsening or evolving sx.  Orthostatic vitals signs were negative for hypotension or tachycardia.  He was able to ambulate well without assistance and reported improvement of sx prior to discharge.  Signs and symptoms of systemic hypersensitivity were reviewed and discussed with instructions to call 911 or report to the ED if SOB, throat/lip/tongue swelling, chest tightness, n/v, abdominal pain, or pruritic rash develop.     PA-C Electronically Signed 12/22/2020 12:08 PM
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Migraine, Nausea, Pain
Clinical narrative: Nausea  Diarrhea, chills, intense migraine, body aches.    No Rx
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Base excess decreased, Blood pH increased, Blood potassium normal, Chest X-ray normal
Clinical narrative: 45 minutes after vaccination felt faint, palpitations, nausea and tremor in hands followed by syncope, after awoke had ongoing muscle spasm/tremor in legs.  Taken to ED and labs, IVF, CXR. Observed x 90 minutes and discharged- returned to work as scrub tech in OR. Left early, no further issues that day.  Next am on arising had <30 seconds of postural imbalance which resolved spontaneously and no other symptoms since.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Full blood count normal, Iodine uptake normal, Muscle spasms, Nausea
Clinical narrative: 45 minutes after vaccination felt faint, palpitations, nausea and tremor in hands followed by syncope, after awoke had ongoing muscle spasm/tremor in legs.  Taken to ED and labs, IVF, CXR. Observed x 90 minutes and discharged- returned to work as scrub tech in OR. Left early, no further issues that day.  Next am on arising had <30 seconds of postural imbalance which resolved spontaneously and no other symptoms since.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, PCO2 decreased, PO2 decreased, Palpitations, Syncope
Clinical narrative: 45 minutes after vaccination felt faint, palpitations, nausea and tremor in hands followed by syncope, after awoke had ongoing muscle spasm/tremor in legs.  Taken to ED and labs, IVF, CXR. Observed x 90 minutes and discharged- returned to work as scrub tech in OR. Left early, no further issues that day.  Next am on arising had <30 seconds of postural imbalance which resolved spontaneously and no other symptoms since.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor, White blood cell count decreased
Clinical narrative: 45 minutes after vaccination felt faint, palpitations, nausea and tremor in hands followed by syncope, after awoke had ongoing muscle spasm/tremor in legs.  Taken to ED and labs, IVF, CXR. Observed x 90 minutes and discharged- returned to work as scrub tech in OR. Left early, no further issues that day.  Next am on arising had <30 seconds of postural imbalance which resolved spontaneously and no other symptoms since.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema
Clinical narrative: COMPLAINT OF REDNESS TO FACE
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dry mouth, Dysgeusia, Heart rate increased
Clinical narrative: Dry mouth, lightheaded, dizziness, increased Hear Rate (89), normally in the 50s.  Initial symptoms resolved within 90 minutes.  Increased heart rate lasted longer than other symptoms.  Reports additional metallic taste in mouth the following day.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: About 3 hours after vaccination, she began having hives and itching all over body.  No difficulty breathinc etc.  She went to ER that noted reaction to vaccine.  She was Administered  Benadryl 50mg PO X1 and Prednisone 60mg .  She also received one dose of Pepcid 20mg PO.   No signs of distress noted in ER.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Vomiting
Clinical narrative: Employee received vaccine and had no signs of adverse reaction after vaccination. Employee went to eat something and fainted. Shortly after employee had an emesis as well. Felt fine afterward and vitals were within normal limits.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Ear pruritus, Pruritus, Rash, Swelling, Swelling face
Clinical narrative: bilateral rash/itching on ear lobes, rash/itching/swelling suborbital region, diffuse rash on forehead. bump on right side cervical region.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Cough, Headache, Muscle tightness, Nausea
Clinical narrative: Nausea, deep harsh dry cough, HA, burning and tightness across shoulder blades. Arm very sore the next morning
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Nausea, deep harsh dry cough, HA, burning and tightness across shoulder blades. Arm very sore the next morning
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Localized erythema and swelling at vaccination site on the left arm.  Normal motor function and no sensory deficit. Lymph glands not enlarged.
Age: 0.75
Sex: M
Vaccine: DTAPIPV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was administered DTap/IPV at age 9 months. Per the CDC guidelines, DTap/IPV should not be administered under the age of 4 due to high risk complications. It was discussed with the provider and staff that the patient should have been administered a DTap/IPV/Hib (Pentacel), or a seperate DTap and IPV. Provider and Nurse educated with CDC VIS.  Provider is to call patient's family and notify them of mistake.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Dizziness, Pain, Presyncope
Clinical narrative: Woke up at 12:30 am with severe body aches/feeling light-headed, had near-syncopal episode with large amount vomiting and diarrhea. Also had chills, unsure if febrile. Symptoms lasted for about 1 hour. Felt better the next morning but still with body aches
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Woke up at 12:30 am with severe body aches/feeling light-headed, had near-syncopal episode with large amount vomiting and diarrhea. Also had chills, unsure if febrile. Symptoms lasted for about 1 hour. Felt better the next morning but still with body aches
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Hot flush, Hypoaesthesia, Paraesthesia
Clinical narrative: Diarrhea, hot flashes, chills all over body and in isolated areas, numbness/tingling in face/cheeks towards ears and neck.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure measurement, Chest discomfort, Electrocardiogram normal, Flushing, Palpitations
Clinical narrative: Gave me shot did not feel anything. Probably 2-3 minutes later, it started to feel  flush and chest tightening, and heart started racing. I did sit down, because they were monitoring us. Had my Apple watch on and heart was going up and down. They kept me monitored for about 30-45 minutes before I was hooked up to BP pressure machine. First reading was 180/110. At that point, they asked if I wanted to go to ER. I went to ER and they did an EKG which was normal. Heart rate came down with Benadryl. I was still feeling little tight in chest. Blood pressure 167/97 upon discharge. Sent home instructed to take Benadryl. At home was relaxing, few hours later, heart rated spiked again and stayed for 15-20 minutes. Took Benadryl and heart rate came down. Did not take BP at home. Next day one other time where heart rate spiked again.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Headache, Nausea, Pyrexia
Clinical narrative: On 12-16-20 received the vaccine. On 12/17/2020 develop Headache, Nausea, vomiting, diarrhea, chills and fever. After taking some Zofran employee improved on 12/18/2020. Symptoms have resolved.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: On 12-16-20 received the vaccine. On 12/17/2020 develop Headache, Nausea, vomiting, diarrhea, chills and fever. After taking some Zofran employee improved on 12/18/2020. Symptoms have resolved.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia
Clinical narrative: Severe muscle aches.  Using local treatment to injection site and anti-inflammatories.
Age: 0.92
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Sitting post vaccine, started to feel light headed. EE was given an ice pack, had sit down in floor. Prolonged monitoring, no additional side effect. EE returned to work.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Patient had onset of a rash not abated with oral Benadryl.  Sent to ED after 30 minutes of observation.   In ED received IV Benadryl and symptoms resolved after appx 2 hours.(urticarial rash) resolved.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Insomnia, Migraine, Nausea, Pain in extremity
Clinical narrative: Very sore arm day of shot (took Advil, which helped), migraine at night, mild nausea, sleeplessness, migraine next morning, some nausea very tired next day; sluggish feeling
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Sluggishness
Clinical narrative: Very sore arm day of shot (took Advil, which helped), migraine at night, mild nausea, sleeplessness, migraine next morning, some nausea very tired next day; sluggish feeling
Age: 41.0
Sex: F
Vaccine: UNK
Symptoms: Headache, Myalgia, Pyrexia
Clinical narrative: Headache, muscle Aches, fever (100.6 F)
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Myalgia
Clinical narrative: Pfizer-BioNTech COVID -19 Vaccine EAU increase muscle and joint ache.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Nausea, Pallor
Clinical narrative: Patient was pale and nauseous with abdomen pain. patient stated this may have been from her mensural but cycle. Patient put to lye down and left with her guardian to go home and seek medical attention.
Age: 45.0
Sex: F
Vaccine: HEP
Symptoms: Abdominal pain, Chills, Dizziness, Dysphonia, Headache
Clinical narrative: Patient reported having a fever of 101.7 degrees with chills, abdominal cramps, pruritus (itching), vomiting, blurred vision, dizziness, laryngitis/hoarseness of voice, and headache. She described being awake intermittently throughout the night with these symptoms which continued into the next morning. She was seen at urgent care facility late that afternoon (on 11/12/20) for these symptoms and also to be tested for COVID-19 because of her fever. Rapid COVID antigen test was negative. Her fever resolved earlier that day & temperature measured 97.5 at Urgent Care. She reports Urgent Care told her to take Benedryl, which she did that evening upon reaching home. She reports feeling better a few hours after one dose of Benedryl. The following morning, 11/13/20, she reports feeling completely better with complete resolution of symptoms.
Age: 45.0
Sex: F
Vaccine: HEP
Symptoms: Laryngitis, Pruritus, Pyrexia, SARS-CoV-2 test negative, Sleep disorder
Clinical narrative: Patient reported having a fever of 101.7 degrees with chills, abdominal cramps, pruritus (itching), vomiting, blurred vision, dizziness, laryngitis/hoarseness of voice, and headache. She described being awake intermittently throughout the night with these symptoms which continued into the next morning. She was seen at urgent care facility late that afternoon (on 11/12/20) for these symptoms and also to be tested for COVID-19 because of her fever. Rapid COVID antigen test was negative. Her fever resolved earlier that day & temperature measured 97.5 at Urgent Care. She reports Urgent Care told her to take Benedryl, which she did that evening upon reaching home. She reports feeling better a few hours after one dose of Benedryl. The following morning, 11/13/20, she reports feeling completely better with complete resolution of symptoms.
Age: 45.0
Sex: F
Vaccine: HEP
Symptoms: Vision blurred, Vomiting
Clinical narrative: Patient reported having a fever of 101.7 degrees with chills, abdominal cramps, pruritus (itching), vomiting, blurred vision, dizziness, laryngitis/hoarseness of voice, and headache. She described being awake intermittently throughout the night with these symptoms which continued into the next morning. She was seen at urgent care facility late that afternoon (on 11/12/20) for these symptoms and also to be tested for COVID-19 because of her fever. Rapid COVID antigen test was negative. Her fever resolved earlier that day & temperature measured 97.5 at Urgent Care. She reports Urgent Care told her to take Benedryl, which she did that evening upon reaching home. She reports feeling better a few hours after one dose of Benedryl. The following morning, 11/13/20, she reports feeling completely better with complete resolution of symptoms.
Age: 74.0
Sex: M
Vaccine: FLU4
Symptoms: Immunisation, No adverse event, Wrong product administered
Clinical narrative: This patient received last year's (2019-20) influenza Vaccine on 9/26/20 due to oversight in the supply management process. The patient was notified and had not experienced any adverse effects from that vaccine. The patient did return to the office and received the appropriate Fluad Quadrivalent (2020-21) Influenza Vaccine.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Flushing, Nausea, Palpitations
Clinical narrative: Shortness of breath, heavy chest, heart racing, flushed, nausea
Age: 62.0
Sex: F
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: EJ1685
Age: 60.0
Sex: F
Vaccine: FLUR4
Symptoms: Abdominal discomfort, Arthralgia, Asthenia, Body temperature increased, Gait inability
Clinical narrative: Friday afternoon joints were severely hurting and couldn't sleep that night due to joint and arm pain. Saturday morning  temperature of 99.9, no energy, upset stomach, and could hardly walk. Sunday morning temperature was normal and joints were back to normal aches and upset stomach was gone. Arm that injection was in still hurts bad and feels weak.
Age: 60.0
Sex: F
Vaccine: FLUR4
Symptoms: Insomnia, Muscular weakness, Pain, Pain in extremity
Clinical narrative: Friday afternoon joints were severely hurting and couldn't sleep that night due to joint and arm pain. Saturday morning  temperature of 99.9, no energy, upset stomach, and could hardly walk. Sunday morning temperature was normal and joints were back to normal aches and upset stomach was gone. Arm that injection was in still hurts bad and feels weak.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Burning sensation, Chills, Pyrexia, Rash
Clinical narrative: Fever, chills, burning rash on neck and behind ears.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Malaise, Pallor, Palpitations
Clinical narrative: At the 10 minute mark patient reported not feeling well. She was noted to be pale. Then she reported having slight breathing problems along with her heart racing. Call for ER staff to report to vaccinating area. Patient's breathing concern resolved on its own by the time ER response team arrived within 2 minutes. Patient slowly gained her color back. Heart palpitations lessening but still reported by patient. Blood pressure / O2 Saturations / Respiratory rate monitored. No oxygen or treatment required at this time. Patient taken upstairs to be monitored by ER staff.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Headache, Malaise, Pain
Clinical narrative: General malaise; body aches; chills; severe headache; low grade temperature (100.0F).
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperaesthesia
Clinical narrative: Dizziness for 48+ hours.  Feeling of hypersensitive skin to touch
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site hypoaesthesia, Injection site paraesthesia
Clinical narrative: Tingling and numbing on the L arm where injected.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Acute generalised exanthematous pustulosis, Rash erythematous, Rash morbilliform, Rash pruritic, Rash pustular
Clinical narrative: I developed a morbilliform, pustular rash 48 hours after the first injection of the Pfizer COVID-19 vaccine.  The rash consists of pustules on an erythematous base on the ventral surface of both arms.  It is mildly pruritic.  It is not painful.  I have no other associated symptoms and feel otherwise fine. I took ibuprofen 600 mg 24 hours ago.  I have never had a vaccine reaction before.   A dermatologist has seen pictures of the rash and thinks it is likely acute generalized Exanthemata's Pustulosis. Employee health has been notified.
Age: 68.0
Sex: F
Vaccine: FLU4
Symptoms: Immunisation, No adverse event, Wrong product administered
Clinical narrative: This patient received last year's (2019-20) influenza Vaccine on 9/26/20 due to oversight in the supply management process. The patient was notified and had not experienced any adverse effects from that vaccine. The patient did return to the office and received the appropriate Fluad Quadrivalent (2020-21) Influenza Vaccine.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Pruritus, Rash
Clinical narrative: Heart racing , 15 minutes after vaccine was administered, lasting for about 10-15 min. Itching  and rash  on  chest and upper back about an hour after vaccination.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Injection site coldness, Injection site hypoaesthesia, Peripheral coldness
Clinical narrative: About 5 minutes after receiving vaccination patient noticed her left arm  was very cold and then it went numb from the base of her left ear to her hand.  Tested strength in both hands and it was equal.  After 20 minutes the patient stated that the numbness was going away but the coldness was still present in the left arm.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Injection site pain, Pain
Clinical narrative: mild arm tenderness at injection site, upon waking at 10-11AM the next morning I experienced body aches, chills, and intermittent dizziness.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Flushing, Vomiting
Clinical narrative: 5mins after vaccine, pt c/o flushing, dizziness and fatigue. Pt monitored for 45mins. No treatment given. Flushing and dizziness resolved. Pt still fatigued. Pt vommitted four times within an hour after leaving vaccine clinic. Pt unable to work the day of vaccination.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Headache
Clinical narrative: Progress Notes; Nurse Practitioner Cosign Needed Expand All Collapse All    COVID VACCINE CLINIC 12/22/2020                                                                  Date:  12/22/2020                                                                                            Subjective Patient is a 60 y.o. female who was seen at COVID Vaccine Clinic today for her first dose of the COVID 19 vaccination.    She denied any history of previous adverse reactions to vaccines.   She was given the Pfizer vaccination in the left deltoid muscle.   During her 15 minute waiting period after the injection, the patient began to experience Headache over the front of the head.  She denied rash, hives, welts, difficulty breathing, difficulty swallowing, wheezing, throat tightness, hoarseness, stridor, itching, lightheadedness, dizziness, facial swelling, lip swelling and tongue swelling.   This provider was notified of patient reaction and she was then assessed in the emergency bay area.   Monitored patient for severe reaction symptoms, including respiratory distress with stridor, wheezing, dyspnea, increased work of breathing, persistent cough and cyanosis.   Finger stick BS 101 12:15 pm granola bar and water given   Review of Systems  Neurological: Positive for headaches.  All other systems reviewed and are negative.        Objective    Vitals Vitals:   12/22/20 1203 12/22/20 1226 BP: (!) 158/81 (!) 153/75 BP Location: Left arm Left arm Patient Position: Sitting Sitting Pulse: 76 72 SpO2: 98% 98%       Physical Exam Vitals signs and nursing note reviewed.  HENT:     Head: Normocephalic.     Nose: Nose normal.     Mouth/Throat:     Mouth: Mucous membranes are moist.  Eyes:     Pupils: Pupils are equal, round, and reactive to light.  Neck:     Musculoskeletal: Normal range of motion.  Cardiovascular:     Rate and Rhythm: Normal rate and regular rhythm.  Pulmonary:     Effort: Pulmonary effort is normal.     Breath sounds: Normal breath sounds.  Musculoskeletal: Normal range of motion.  Skin:    General: Skin is warm.     Capillary Refill: Capillary refill takes less than 2 seconds.  Neurological:     General: No focal deficit present.     Mental Status: She is alert and oriented to person, place, and time.  Psychiatric:        Mood and Affect: Mood normal.        Behavior: Behavior normal.         Assessment/Plan  Treatment included: no therapy. Follow up response to treatment: no side effects. Patient discharge: Stable to go home and follow up with PCP.   Pt reports headache went away after she ate.  No new symptoms manifested.  Pt released at 12:30 pm       Electronically Signed 12/22/2020 12:29 PM
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased
Clinical narrative: Temp 100.8 next day, took Motrin and all issues resolved Outcome: Resolved and fine