chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Platelet count, Platelet count decreased
Clinical narrative: 4/1/2021 routine lab work done for follow up Dr. visit, 4/2/2021 Dr.office called stated platelet count is 14,000 go to ER. Patient was admitted to the hospital and as of this entry still a pt. because the Drs can not get his platelet count up or to stay up ( range has been from  approx. 7,000 to 30,000) Patient is in declining health.  As I understand it labs from Jan /2021 the platelets were 77,000. He has been treated with IVIG, prednisone, NPlate, platelet infusions-please contact Drs. and the hospital  Patient displayed NO outward bleeding of any kind. He had only1 small bruise about the size of a dime on the base/web of his left index finger
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: throat tightness
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Paraesthesia
Clinical narrative: body pain and tingling sensation
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swollen knot in left armpit
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient presented to ED and was subsequently hospitalized within 6 weeks of receiving COVID vaccination.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Candida infection, Ear pain, Glossodynia, Middle ear effusion
Clinical narrative: Within 24 hours of 2nd dose I experienced tongue swelling and sores on my tongue.  Out of concern, I went for a covid test on 4/16. Results came back negative on sunday AM on 4/18. My tongue had gotten worse, and I was also now experiencing sinus pressure and ear pain. I went to the pharmacy minit clinic. They diagnosed the tongue pain and sores as thrush, and saw ear fluid. They felt there could be an infection going on. Nystatin oral suspension and Amoxicillin-Clav 875-125 were prescribed. About an hour after coming home, I started experiencing symptom  of Bells Palsy which progressed to fully affecting my right side of my face.  I saw my PCP on 4/19 and he confirmed Bells Palsy. Added Prednison 20MG and a Famciclovir 500MG, and order a blood test
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Paranasal sinus discomfort, SARS-CoV-2 test negative, Swollen tongue, Tongue ulceration
Clinical narrative: Within 24 hours of 2nd dose I experienced tongue swelling and sores on my tongue.  Out of concern, I went for a covid test on 4/16. Results came back negative on sunday AM on 4/18. My tongue had gotten worse, and I was also now experiencing sinus pressure and ear pain. I went to the pharmacy minit clinic. They diagnosed the tongue pain and sores as thrush, and saw ear fluid. They felt there could be an infection going on. Nystatin oral suspension and Amoxicillin-Clav 875-125 were prescribed. About an hour after coming home, I started experiencing symptom  of Bells Palsy which progressed to fully affecting my right side of my face.  I saw my PCP on 4/19 and he confirmed Bells Palsy. Added Prednison 20MG and a Famciclovir 500MG, and order a blood test
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Myalgia, Neck pain
Clinical narrative: Pt C/O feeling dizzy,  light headed, and muscle pain in the neck. Tingling in the fingertips ( not new, this is ongoing). Pt placed in trendelenburg on stretcher. Vital signs x3., Pt also given juice and crackers. Pt stated didnt eat or drink in a few hours.  Dr.  spoke with pt's mother of symptoms and she was able to retrieve pt from site to home for pt's safety. Dr. informed pt to inform family dr. of incident and to schedule a follow up. Also informed pt if symptoms get worse to go to the nearest ER. VS: 1342 HR 78, Resp 20, BP 136/77, O2 sats 98%, / 1352 HR 79, Resp 20, BP 138/86 O2 sats 99%/ 1406 HR 75, Resp 20, BP 120/78, O2 sats 98%
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Chest discomfort
Clinical narrative: Pt had no issues the first Pfizer dose, but after this dose, she started experiencing her typical anxiety symptoms. EMS was called 182/101 84 18 97%.  Pt c/o chest pressure 6/10, but she been having this discomfort for month, had an echo and saw a cardiologist 6 months ago.  BP remained, pt waited almost an hour total until she felt comfortable enough to drive 40 min home
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Throat irritation, Throat tightness
Clinical narrative: Patient experienced a  slight tightness in her throat, explained as a slight difficulty in swallowing, similar to a sore throat during a cold.  She didn't present any other symptoms, and stayed a total of 45 minutes from time of injection as a precautionary measure.  We gave her some oral diphenhydramine to help with the itching/scratchy throat.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pyrexia
Clinical narrative: About 6:00 PM, I started to get chill.   About 10:00 PM, I had a fever, which went up to 102, until the next day.  I also had a real bad headache  and nausea.  During the next day  I was tire and slept thru the day.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Blood follicle stimulating hormone increased, Heavy menstrual bleeding, Menstruation delayed
Clinical narrative: Heavy period following the first dose, and missed period with high fsh jumping from 7 to 30 after second dose!!!! Other women are reporting the same effects.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal dreams, Dizziness, Injection site pruritus, Pain in extremity, Rash erythematous
Clinical narrative: On the day of the vaccine, I had dizziness, weird dreams and sore arm. Seven days later I began with itchiness at the vaccination site and it became a round red rash with increased itchiness for 2-3 more days.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site reaction, Skin warm
Clinical narrative: Patch of red skin on left arm slight lower than injection site, warm to the touch but not itchy or painful.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Dyskinesia, Eye irritation, Facial paralysis, Sensory loss, Vision blurred
Clinical narrative: right eye started burning on 03/20/2021, a few hours later I noticed my mouth was affected and couldnt spit toothpaste, within 48 hours everything on the right side of my face was paralyzed; blurred vision, couldnt smile, chew or blind, no sensation
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Herpes zoster, Pain, Rash
Clinical narrative: Four days after second dose I started do you have a shooting pain in the back of my neck and head. Four days after the consistent pain started I developed a rash on my neck and was diagnosed with shingles. The rash spread on the left side of my body following the dermatome line up to my scalp.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Facial pain, Headache
Clinical narrative: Extremely terrible head pain and face pain. Like an intense ice cream headache that lasted for nearly 4 hrs and continued to come back later in the night in different strengths. I?ve been through a lot of physical pain in my life- this is the second worst pain I ever remember feeling. It was unbelievably intense and way beyond any migraine I?ve ever had. I thought that I was having a stroke or an aneurism it was unlike anything I?ve ever felt before. Afraid to get my second dose!
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urine present
Clinical narrative: Blood in urine.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Alopecia
Clinical narrative: pt says a couple of weeks after taking the vax he has a significant amount of hair loss.  he said he would be covered with his hair.  he finds the hair in his  hairbrush.  he asked his PCP and Oncologist about this since he thought steroids could be the cause of this but he was told no.  Pt says he thinks this is because of the vax.  He thinks it is getting better now since he no longer is getting the big clumps of hair coming out.  Pt got his second dose on 2/25/2021 in the left arm.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fasting, Nausea
Clinical narrative: 1135am Nausea, dizzy, light headed, patients legs were elevated, ice pack given, water given, patient was fasting, father went and got patient food. 1205pm BP 115/74, pulse 72.  Patient eating, reports no nausea, dizziness, or lightheaded. 1215pm patient walked out with nurse practitioner. Patient verbalized understanding to call PCP and continue to eat and drink today
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature decreased, Burning sensation, Dizziness, Fatigue, Feeling cold
Clinical narrative: Dizziness/ lightheaded within minutes of vaccine followed by uncontrollable shaking for 2-3 hours Approximately 14 hours after I woke up uncontrollably shaking for an hour with low temp 96.3, and low BP 86/55 and headache and nausea. For the continual week following, I have experience elevated POTS symptoms along with new symptoms which include tingling and cold burning sensation in forearms and hands and legs and feet along with aching pains. I?ve been experiencing muscle spasms and cramping in the hand of the arm my vaccine was administered, and having a hard time gripping with this hand. And overall fatigue has been continual.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Grip strength decreased, Headache, Hypotension, Muscle spasms, Nausea
Clinical narrative: Dizziness/ lightheaded within minutes of vaccine followed by uncontrollable shaking for 2-3 hours Approximately 14 hours after I woke up uncontrollably shaking for an hour with low temp 96.3, and low BP 86/55 and headache and nausea. For the continual week following, I have experience elevated POTS symptoms along with new symptoms which include tingling and cold burning sensation in forearms and hands and legs and feet along with aching pains. I?ve been experiencing muscle spasms and cramping in the hand of the arm my vaccine was administered, and having a hard time gripping with this hand. And overall fatigue has been continual.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Paraesthesia, Postural orthostatic tachycardia syndrome, Tremor
Clinical narrative: Dizziness/ lightheaded within minutes of vaccine followed by uncontrollable shaking for 2-3 hours Approximately 14 hours after I woke up uncontrollably shaking for an hour with low temp 96.3, and low BP 86/55 and headache and nausea. For the continual week following, I have experience elevated POTS symptoms along with new symptoms which include tingling and cold burning sensation in forearms and hands and legs and feet along with aching pains. I?ve been experiencing muscle spasms and cramping in the hand of the arm my vaccine was administered, and having a hard time gripping with this hand. And overall fatigue has been continual.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Fatigue, Headache, Nasal congestion, Oropharyngeal pain
Clinical narrative: Symptom onset: 4/18 Symptoms include: body aches, cough, fatigue, headache, nasal congestion and sore throat Social: husband also tested positive today.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, SARS-CoV-2 test positive
Clinical narrative: Symptom onset: 4/18 Symptoms include: body aches, cough, fatigue, headache, nasal congestion and sore throat Social: husband also tested positive today.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Moderna COVID_19 Vaccine
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Bone pain
Clinical narrative: Sore collar bone on the same side as the injection
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient presented to ED and was subsequently hospitalized within 6 weeks of COVID vaccination.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Cholelithiasis, Cold sweat, Dizziness, Dysstasia
Clinical narrative: cold sweats fever fatigue nausea, vomitting, redness of skin, body aches, headaches, gall stones and fatty liver disease, all started happening within a couple of hours of getting the shot, symptoms lasted over a week. I went to the ER I couldn't stand up I was about to pass out.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Fatigue, Headache, Hepatic steatosis, Nausea
Clinical narrative: cold sweats fever fatigue nausea, vomitting, redness of skin, body aches, headaches, gall stones and fatty liver disease, all started happening within a couple of hours of getting the shot, symptoms lasted over a week. I went to the ER I couldn't stand up I was about to pass out.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Ultrasound scan, Urine analysis, Vomiting
Clinical narrative: cold sweats fever fatigue nausea, vomitting, redness of skin, body aches, headaches, gall stones and fatty liver disease, all started happening within a couple of hours of getting the shot, symptoms lasted over a week. I went to the ER I couldn't stand up I was about to pass out.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Ear discomfort, Electrocardiogram normal, Jaw disorder
Clinical narrative: Symptoms - tickle in throat, pressure in ears and jaw, difficulty breathing, heavy chest Treatment - used own epi pen in right thigh
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal discomfort
Clinical narrative: Symptoms - tickle in throat, pressure in ears and jaw, difficulty breathing, heavy chest Treatment - used own epi pen in right thigh
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling cold, Palpitations, Thirst, Tremor
Clinical narrative: Shot at 12:20. 5-10 minutes later, pt reported feeling very dizzy even while seated. I had the pt sit back down to see if the dizziness improved. She also said her heat was beating fast. She was thirsty and was given water. BP and HR were 172/117 and 94. She eventually began to shake a little and said she was cold. I had her lie down and put her feet on a chair to try to help with her dizziness but even then she said her symptoms weren't improving. I asked if pt would like me to call 911 and she agreed. They arrived and asked if she wanted to go the hospital and she agreed and left around 1:05. I administered no medication.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Electrocardiogram normal, Full blood count normal, Headache, Myalgia
Clinical narrative: nausea, fever, myalgias, headache, syncope.  Patient is treated with normal saline fluids.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Syncope, Urine abnormality, Urine analysis
Clinical narrative: nausea, fever, myalgias, headache, syncope.  Patient is treated with normal saline fluids.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Urine leukocyte esterase
Clinical narrative: nausea, fever, myalgias, headache, syncope.  Patient is treated with normal saline fluids.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Rash, Throat irritation
Clinical narrative: After first injection of Pfizer rash to one arm.   Patient decided to have second vaccine and rash and throat itchiness, Complains of difficulty breathing
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Migraine, Nausea, Pain in extremity
Clinical narrative: Patient reported that a little over 1 week after the vaccine, she had a horrible migraine over the weekend and experienced nausea. She also was very fatigued. The patient had no side effects aside from sore arm during the first week after vaccination.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Ringing ears, splitting headache, fever, dizzy, body aches, extreme fatigue.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Ringing ears, splitting headache, fever, dizzy, body aches, extreme fatigue.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Cervical radiculopathy, Pain in extremity, Sleep disorder
Clinical narrative: "CHIEF COMPLAINT:arm and hand pain      HISTORY OF PRESENT ILLNESS:  had hand and shoulder and arm pain after 1st CVOI vaccine and went away. sx  mild.  but after 2nd dose significnat disomcomfrt.  sometimes wakes him h up at  night all joits flared up after vaccine but really noticable and continues since  then ASSESSMENT AND PLAN:  1) cervical radiculoapthy-- likely c-spine djd exacerbatied by COVID-19  vaccination.  Recommend x-rays and PT.  Canconsider gabapentin if sx worsen in  future.   2) Bilateral hand pain in multiple joints- likely OA of hands aggravated by  COVID-19 vaccine-- contiune prn iburpofen by outsdie PCP.  d/c diclofenac gel.  pt educate on the risks of concurrent use of both"
Age: 19.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient recieved Dose #1 Pfizer from hospital.  Patient then scheduled for our clinic and received MODERNA vaccine for DOSE #2.  No adverse reaction to the 2nd dose vaccine at time of administration.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient experienced dizziness post vaccination, recovered and released
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash comes and goes but is persistent. Rash started on arms moved to torso and then to thighs.  Looks somewhat like German measles rash but not very red.  I took Benadryl 25mg by mouth each night for several nights when it first started.  Seemed to subside then started up again and spread.  Started taking Benadryl again.  For the most part the rash has not been itchy.  See my primary care doctor in the morning before my second shot.  I did email information to my doctor along with pictures of the rash.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Herpes zoster, Pruritus
Clinical narrative: I has my first Pfizer Covid 19 vaccine on March 21, 2021 at 1:45pm. I started having itching that turned into blisters on April 6, 2021 and was seen at my primary care on April 12, 2021 and diagnosed with Shingles. I was prescribed Valacyclovir 1Gram Tab , one tab every 8 hrs for 7 days also topically treated with Calamine lotion.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Given Pfizer first dose and Moderna 2nd dose. No signs or symptoms or treatment required
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: I developed tinnitus overnight after receiving the vaccine.  I continue to have it after one week and think it may be getting worse.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Migraine
Clinical narrative: SEVERE MIGRAINE FOR 2 WEEKS WAS GIVEN TORADOL AND PROMETHAZINE
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fibrin D dimer normal, Headache, Laboratory test normal, Liver function test normal, Swelling face
Clinical narrative: SEVERE MIGRAINE FOR 2 WEEKS WAS GIVEN TORADOL AND PROMETHAZINE
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tension headache, Urine analysis
Clinical narrative: SEVERE MIGRAINE FOR 2 WEEKS WAS GIVEN TORADOL AND PROMETHAZINE
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Blood pressure increased, Chest discomfort, Chills, Disorientation
Clinical narrative: A few hours after: mild stomach cramps Next day: more mild stomach cramps off and on Third day: woke up with severe 10/10, stabbing on and off pain all day, felt lower back numbness. Fourth day:  stomach felt on fire, numbness tingling throughout body, disoriented exited off wrong exit to work,  Felt constricted blood flow to chest, couldn?t breath for 20-30 seconds off and on for a min or two, had a panick attack as a result, called ambulance, full body shaking /chills. Fifth day: severe 10/10 headaches.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspepsia, Dyspnoea, Headache, Heart rate increased, Hypoaesthesia
Clinical narrative: A few hours after: mild stomach cramps Next day: more mild stomach cramps off and on Third day: woke up with severe 10/10, stabbing on and off pain all day, felt lower back numbness. Fourth day:  stomach felt on fire, numbness tingling throughout body, disoriented exited off wrong exit to work,  Felt constricted blood flow to chest, couldn?t breath for 20-30 seconds off and on for a min or two, had a panick attack as a result, called ambulance, full body shaking /chills. Fifth day: severe 10/10 headaches.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Panic attack, Paraesthesia, Tremor
Clinical narrative: A few hours after: mild stomach cramps Next day: more mild stomach cramps off and on Third day: woke up with severe 10/10, stabbing on and off pain all day, felt lower back numbness. Fourth day:  stomach felt on fire, numbness tingling throughout body, disoriented exited off wrong exit to work,  Felt constricted blood flow to chest, couldn?t breath for 20-30 seconds off and on for a min or two, had a panick attack as a result, called ambulance, full body shaking /chills. Fifth day: severe 10/10 headaches.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Herpes zoster
Clinical narrative: Red bumps which are painful and inflamed. My doctor says it is shingles and has immediately put me on antiviral medication.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Found dead at home 10 days post vaccine administration. Unclear correlation.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Amnesia, Cold sweat, Fall, Hyperhidrosis, Pallor
Clinical narrative: Pt fainted, fell off his chair onto the floor where he was convulsing. He then regained consciousness shortly after. Sweaty, clammy, pale, did not remember what happened. Asked "what happened?". 911 was called, the paramedics came. Took vitals. They administered IV fluids and wheeled him out on a gurney in a neck brace.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Seizure, Syncope
Clinical narrative: Pt fainted, fell off his chair onto the floor where he was convulsing. He then regained consciousness shortly after. Sweaty, clammy, pale, did not remember what happened. Asked "what happened?". 911 was called, the paramedics came. Took vitals. They administered IV fluids and wheeled him out on a gurney in a neck brace.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Rash
Clinical narrative: Patient developed a rash and racing heart after receiving COVID vaccination.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pyrexia
Clinical narrative: Fever of 100.1° at peak Extreme fatigue for 36 hours Severe headache unresponsive to Tylenol
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood pressure increased, Chills, Dizziness, Fatigue
Clinical narrative: Dizziness, blurred vision, fatigue, headaches, chills, low grade fever, muscle pain, joint pain, high blood pressure, and swelling of the throat.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Myalgia, Oedema peripheral, Pharyngeal swelling, Pyrexia
Clinical narrative: Dizziness, blurred vision, fatigue, headaches, chills, low grade fever, muscle pain, joint pain, high blood pressure, and swelling of the throat.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: Dizziness, blurred vision, fatigue, headaches, chills, low grade fever, muscle pain, joint pain, high blood pressure, and swelling of the throat.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Pt received his 2nd covid vaccine on day 20 instead of 28. He did this knowingly and did not tell the immunizing pharmacist until afterwards.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: vomiting
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle spasms, Pain in extremity, Paraesthesia
Clinical narrative: Within 10 min, started getting tingling and pain in legs. Seemed to start at the level below his previous spinal cord injury. The pain and muscle spasms seem to be worse the next day. Is already on gabapentin and baclofen for his chronic symptoms but those didn't help this new pain at all. No anaphylactic symptoms
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus, Injection site rash
Clinical narrative: Rash at injection, approx 2", very red, slightly tender and itchy, firm and slightly raised.  Slight improvement today, day 3.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling
Clinical narrative: Rash at injection, approx 2", very red, slightly tender and itchy, firm and slightly raised.  Slight improvement today, day 3.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Fatigue, Headache, Influenza like illness
Clinical narrative: The Jannsen COVID vaccine shot was administered at 5pm on 4/9/21. No immediate symptoms occurred. At 2:30 am on 4/10, the patient awoke with malaise. This quickly progressed to chills and flu-like symptoms. Sleep was difficult for the rest of the night and slowly transgressed into a severe headache and fatigue. Surface forehead temperature was taking in the morning on 4/10/21 and registered 100 F. The patient took an ibuprofen and felt normal by mid afternoon on 4/10. No further effects have presented as of 4/21/21
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Sleep disorder
Clinical narrative: The Jannsen COVID vaccine shot was administered at 5pm on 4/9/21. No immediate symptoms occurred. At 2:30 am on 4/10, the patient awoke with malaise. This quickly progressed to chills and flu-like symptoms. Sleep was difficult for the rest of the night and slowly transgressed into a severe headache and fatigue. Surface forehead temperature was taking in the morning on 4/10/21 and registered 100 F. The patient took an ibuprofen and felt normal by mid afternoon on 4/10. No further effects have presented as of 4/21/21
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Pruritus
Clinical narrative: My legs and body felt a burning and itching sensation took one Benadryl tablet felt a little better but Still not normal
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Induration, Odynophagia, Swelling face
Clinical narrative: Swelling below jaw beginning 30 minutes after vaccine, persisting 24 hours after. Firm and painful when swallowing
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fear-related avoidance of activities, Hyperhidrosis, Limb discomfort, Stress
Clinical narrative: I started experiencing dizziness and vertigo while driving around noon on Friday, April 16, 2021, to the point my hands were sweating and my feet felt pin pricks (akin to a flight/fight fear response, probably because I was so stressed trying to drive with the symptoms).  The symptoms subsided but returned in fuller force Wednesday, April 21, 2021, at 11am in the morning.  I am fearful now to drive which is a problem because my husband works out of state, my daughters are in college, I have to work and care for my 10 year old son.  Since the latest occurrence was just today, I have not seen a healthcare provider yet.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: I started experiencing dizziness and vertigo while driving around noon on Friday, April 16, 2021, to the point my hands were sweating and my feet felt pin pricks (akin to a flight/fight fear response, probably because I was so stressed trying to drive with the symptoms).  The symptoms subsided but returned in fuller force Wednesday, April 21, 2021, at 11am in the morning.  I am fearful now to drive which is a problem because my husband works out of state, my daughters are in college, I have to work and care for my 10 year old son.  Since the latest occurrence was just today, I have not seen a healthcare provider yet.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood glucose increased, Chills, Pain, Pyrexia
Clinical narrative: Pt states she had fever, chills, aches and elevated blood sugar.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Inappropriate schedule of product administration, Nausea, Neuralgia
Clinical narrative: After 2nd shot in series had chills, headache and body aches as expected.  About 2 days later stiffness and burning pain in neck and shoulders started along with nausea that came and went for a couple of days.  Was exacerbated by exercise. It is now 3 weeks later and the pain is everyday and does not go away. It is really a debilitating type of nerve pain.  NSAIDs help a little, but only dull it.  After the first shot, I had this same pain occur for only a day and a half and then it disappeared.  It did return for another day about 2.5 weeks after first dose, but was gone by the date that I received the 2nd dose.  It feels as though this will never go away.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: After 2nd shot in series had chills, headache and body aches as expected.  About 2 days later stiffness and burning pain in neck and shoulders started along with nausea that came and went for a couple of days.  Was exacerbated by exercise. It is now 3 weeks later and the pain is everyday and does not go away. It is really a debilitating type of nerve pain.  NSAIDs help a little, but only dull it.  After the first shot, I had this same pain occur for only a day and a half and then it disappeared.  It did return for another day about 2.5 weeks after first dose, but was gone by the date that I received the 2nd dose.  It feels as though this will never go away.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood potassium increased, Bradycardia, Cardiac arrest, Coma scale abnormal, Death
Clinical narrative: Received 2nd COVID vaccine on 4/19/21.  Apparently hadn't been feeling well since.  Presented to the ED on 4/21/21 with hypotension, bradycardia, hypoxia and a GCS of 3.   Does have a history of ESRD on HD, but no missed dialysis sessions. Found to have a potassium of 8.7.  There was concern for pulmonary embolism but was not hemodynamically stable enough to undergo imaging.   Went into PEA arrest x 3 in the ED and ultimately died.  Of note, patient did have a recent ankle fracture recently and apparently has been non-ambulatory for at least the past few days.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Haemodynamic instability, Hypotension, Hypoxia, Malaise, Pulseless electrical activity
Clinical narrative: Received 2nd COVID vaccine on 4/19/21.  Apparently hadn't been feeling well since.  Presented to the ED on 4/21/21 with hypotension, bradycardia, hypoxia and a GCS of 3.   Does have a history of ESRD on HD, but no missed dialysis sessions. Found to have a potassium of 8.7.  There was concern for pulmonary embolism but was not hemodynamically stable enough to undergo imaging.   Went into PEA arrest x 3 in the ED and ultimately died.  Of note, patient did have a recent ankle fracture recently and apparently has been non-ambulatory for at least the past few days.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death, Depressed level of consciousness, Fatigue, Unresponsive to stimuli
Clinical narrative: Received 2nd COVID vaccine on 4/19/21.  Apparently hadn't been feeling well since.  Presented to the ED on 4/21/21 with hypotension, bradycardia, hypoxia and a GCS of 3.   Does have a history of ESRD on HD, but no missed dialysis sessions. Found to have a potassium of 8.7.  There was concern for pulmonary embolism but was not hemodynamically stable enough to undergo imaging.   Went into PEA arrest x 3 in the ED and ultimately died.  Of note, patient did have a recent ankle fracture recently and apparently has been non-ambulatory for at least the past few days.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Influenza virus test, Oropharyngeal pain, Pain in extremity, Streptococcus test
Clinical narrative: SORE ARM IN THE LEFT, SORE THROAT, FATIGUE
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Seizure, Syncope, Tremor, Unresponsive to stimuli
Clinical narrative: While monitoring post-vaccination a woman yelled from her car window that ?he? fainted. Upon arrival, it was noted that a young man in the passenger seat was slumped with his head on his chest and unresponsive. It was witnessed that the passenger stiffened and started shaking as if he was having a seizure. The nurse was called. It was noted that the shaking lasted just a few seconds and he then relaxed and opened his eyes. Once the RN, received call that there was a person having a seizure, 3  nurses went to the scene.  Once RN arrived at the car the patient was awake and alert. The patient was assessed, and he was able to answer questions. History of the patient from the mother revealed that he has responded to other vaccines in the past by having a vagal response. RN noted that there were no signs of patient being postictal. Patient was alert, oriented and stated that he was feeling better. EMS arrived and assessed patient and noted that he was in no distress. Patient denied transport to ED. RN educated patient on importance of reporting this to nurse prior to next vaccination.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death, Malaise, Pyrexia
Clinical narrative: The decedent suffered fever and malaise after the second dose on 04/13/2021.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Agitation, Blood test normal, Chest X-ray normal, Diarrhoea
Clinical narrative: Vaccine administered 3/30/21. On 4/1/21, rash developed on buttocks right of tailbone. Feelings of fatigue, generally unwell. Originally misdiagnosed as HSV-2 outbreak on 4/3/21. Prescribed Acyclovir. Neurological issues including numbness and tingling in legs, buttocks, and arms/hands, as well as continued fatigue/feeling unwell. On 4/12/21 discontinued acyclovir, and on 4/13/21 developed diarrhea, insomnia, agitation, stomach cramping, and tremors/shaking in legs, back, and shoulders. Visit to emergency room on 4/16/21 for diarrhea and shaking. Administered 1 L fluids; various test performed including chest XRay, EKG, and blood labs. All looked normal.  On 4/16/21 follow up visit with Primary Care Provider diagnosed with shingles. Restarted acyclovir on 4/14/21 and instructed to continue by PCP. As of 4/21/21 symptoms have improved on acyclovir, but not resolved. Continued tingling in backs of legs. Fatigue and feeling unwell continues.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Fatigue, Herpes zoster, Hypoaesthesia, Insomnia
Clinical narrative: Vaccine administered 3/30/21. On 4/1/21, rash developed on buttocks right of tailbone. Feelings of fatigue, generally unwell. Originally misdiagnosed as HSV-2 outbreak on 4/3/21. Prescribed Acyclovir. Neurological issues including numbness and tingling in legs, buttocks, and arms/hands, as well as continued fatigue/feeling unwell. On 4/12/21 discontinued acyclovir, and on 4/13/21 developed diarrhea, insomnia, agitation, stomach cramping, and tremors/shaking in legs, back, and shoulders. Visit to emergency room on 4/16/21 for diarrhea and shaking. Administered 1 L fluids; various test performed including chest XRay, EKG, and blood labs. All looked normal.  On 4/16/21 follow up visit with Primary Care Provider diagnosed with shingles. Restarted acyclovir on 4/14/21 and instructed to continue by PCP. As of 4/21/21 symptoms have improved on acyclovir, but not resolved. Continued tingling in backs of legs. Fatigue and feeling unwell continues.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Paraesthesia, Rash, Tremor
Clinical narrative: Vaccine administered 3/30/21. On 4/1/21, rash developed on buttocks right of tailbone. Feelings of fatigue, generally unwell. Originally misdiagnosed as HSV-2 outbreak on 4/3/21. Prescribed Acyclovir. Neurological issues including numbness and tingling in legs, buttocks, and arms/hands, as well as continued fatigue/feeling unwell. On 4/12/21 discontinued acyclovir, and on 4/13/21 developed diarrhea, insomnia, agitation, stomach cramping, and tremors/shaking in legs, back, and shoulders. Visit to emergency room on 4/16/21 for diarrhea and shaking. Administered 1 L fluids; various test performed including chest XRay, EKG, and blood labs. All looked normal.  On 4/16/21 follow up visit with Primary Care Provider diagnosed with shingles. Restarted acyclovir on 4/14/21 and instructed to continue by PCP. As of 4/21/21 symptoms have improved on acyclovir, but not resolved. Continued tingling in backs of legs. Fatigue and feeling unwell continues.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Myalgia
Clinical narrative: Tiredness, headache, muscle pain and chills.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Fall, Vomiting
Clinical narrative: Developed vomiting 04/20/21 in the evening.  This a.m.  04/21/21 he was experiencing weakness and vomiting.  He  fell while in the bathroom, and states it was because he wad so weak.  He seems to be doing better now, but due to the weakness writer opted to report to VAERS.  He refused medical treatment.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient presented to mass vaccine event using Moderna and indicated that this was his first dose and that he had not received prior dose of Moderna, Pfizer, or J&J. He answered  two screening questionnaires indicating he had not been vaccinated previously, and confirmed at the time of vaccination that he had not been vaccinated previously.  He was administered Moderna today as a first dose.  Then, when his info was being entered into the Database, it was noted that in his account he had a dose of Pfizer COVID-19 vaccine administered on 2/5/21 by another organization at another site.  He was contacted and admitted that he had received Pfizer on 2/5/21 but he missed his second dose 21 days later so decided "to just start over with Moderna today."  He was instructed that per CDC guidance, this Moderna dose will be considered his second dose of the series, and he is now considered fully vaccinated and does not need another Moderna dose 28 days after today.  He expressed understanding and agreement with this plan.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Palpitations, Rash, Rash macular
Clinical narrative: Rash, blotchy skin.  Appeared first on legs, extended to neck, chest area.  Rapid heart beat started 4/20/2021, headaches
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Confusional state, Fatigue, Influenza like illness, Lethargy
Clinical narrative: Enlargement of left lymph node at side of breast. Nausea, fatigue, lethargy and confusion as well as abdominal pain on right side of body.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Nausea
Clinical narrative: Enlargement of left lymph node at side of breast. Nausea, fatigue, lethargy and confusion as well as abdominal pain on right side of body.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Severe itching all over skin except feet, genitals, and face.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Dizziness and lightheartedness that was not treated with medications. 20 min later patient reported mild dizziness. Patient drank 2 bottles of water.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Nervousness
Clinical narrative: Patient experienced shaky symptoms post vaccination, transported to hospital via ambulance
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Headache, Heavy menstrual bleeding, Hormone level abnormal, Muscle spasms
Clinical narrative: I have had my period 3 times in 2 weeks  and extremely heavy. Really bad cramps and hormone swings. I have broken out all over my face due to the hormone changes. This is something that never happens. I did have a headache and extreme fatigue as well, but the intense hormones and constant heavy bleeding are the worst.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Polymenorrhoea
Clinical narrative: I have had my period 3 times in 2 weeks  and extremely heavy. Really bad cramps and hormone swings. I have broken out all over my face due to the hormone changes. This is something that never happens. I did have a headache and extreme fatigue as well, but the intense hormones and constant heavy bleeding are the worst.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient presented to the ED on 2/2 and 3/20, and presented to ED and subsequently admitted on 3/22.
Sex: U
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Lymph node pain
Clinical narrative: severe joint pain and burning, fatigue, muscle pain for 12 hours; lymph node tenderness in neck and left underarm for 2 days
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: ADAMTS13 activity assay, Anti-platelet antibody positive, Blood fibrinogen decreased, Chills, Complement factor C4
Clinical narrative: On  4/7/21 patient was unable to go to work due to fatigue.  She was sent home from a free-standing ER who reported she most likely had a viral illness.  She passed out getting into the bathtub and presented to Hospital.  At this hospital her chief complaints were excessive fatigue, myalgia, fever, chills.  She was diagnosed with TTP with portal venous thrombosis.  She was refractory to high dose steroids, plasmapheresis, and rituximab x2.  She is now set to begin treatment with caplacizumab and is currently on day 12 of hospitalization.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Haemoglobin decreased, Impaired work ability, Loss of consciousness, Myalgia
Clinical narrative: On  4/7/21 patient was unable to go to work due to fatigue.  She was sent home from a free-standing ER who reported she most likely had a viral illness.  She passed out getting into the bathtub and presented to Hospital.  At this hospital her chief complaints were excessive fatigue, myalgia, fever, chills.  She was diagnosed with TTP with portal venous thrombosis.  She was refractory to high dose steroids, plasmapheresis, and rituximab x2.  She is now set to begin treatment with caplacizumab and is currently on day 12 of hospitalization.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Platelet count decreased, Portal vein thrombosis, Pyrexia, Thrombotic thrombocytopenic purpura, Viral infection
Clinical narrative: On  4/7/21 patient was unable to go to work due to fatigue.  She was sent home from a free-standing ER who reported she most likely had a viral illness.  She passed out getting into the bathtub and presented to Hospital.  At this hospital her chief complaints were excessive fatigue, myalgia, fever, chills.  She was diagnosed with TTP with portal venous thrombosis.  She was refractory to high dose steroids, plasmapheresis, and rituximab x2.  She is now set to begin treatment with caplacizumab and is currently on day 12 of hospitalization.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram thorax, Deep vein thrombosis, Dyspnoea, Fibrin D dimer increased, Hypoxia
Clinical narrative: SOB started on 4/7 or so, seen in ER 4/9, d dimer elevated, no PE seen on CT chest; persistent hypoxia/SOB over next week; DVT/PE  noted on 4/20 after repeat imaging (LE US and chest CT)
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary embolism, Ultrasound Doppler
Clinical narrative: SOB started on 4/7 or so, seen in ER 4/9, d dimer elevated, no PE seen on CT chest; persistent hypoxia/SOB over next week; DVT/PE  noted on 4/20 after repeat imaging (LE US and chest CT)
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Infection parasitic, Pain in extremity
Clinical narrative: Three hours after shot I had intense knee pain, hip pain, back pain and my 2 index fingers ached.  I have a rod from scoliosis surgery and it felt like the tip of the rod was coming out of my back.  By next morning I was starting to feel better.  I also, developed a parasitic infection that needed to be treated.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Skin rashes throughout the body mainly on the right arm. The rashes look like measles. Rashes appear on both arms, torso, neck, face, ears, legs
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: severe tinnitus,  happened a few days after the second shot. had mild tinnitus previous to shots.  Much worse than ever before. No other factors  I know of. My stress level overall is low.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Lethargy, Lymphadenopathy, Myalgia
Clinical narrative: Muscle soreness accompanied by dull headache, swollen lymph node in left armpit, fever of 101.2  and chills for 2 days and lethargy.  I took 2 Tylenol every 6 hrs for 2 days to keep fever down.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Muscle soreness accompanied by dull headache, swollen lymph node in left armpit, fever of 101.2  and chills for 2 days and lethargy.  I took 2 Tylenol every 6 hrs for 2 days to keep fever down.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Reports tinnitus, significantly worsened since 2nd vaccination
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Pallor, Photopsia, Presyncope, Syncope
Clinical narrative: patient saw black stars in his eyes and fainted. Fainted for about 5 seconds and came back very pale white. Has history of vasovagal reactions post injections. After laying down on flat surface for about 20 minutes with water and chocolate bar he started feeling better and his face got more color.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Dizziness, Fall, Feeling abnormal, Head injury
Clinical narrative: Night of vaccine, patient experienced weekness, dizziness, nausea/vomiting, felt "odd". prolonged symptoms, tinnitis, continues to get dizzy and fall. One fall resulted in hitting head leading to ER visit. continued vertigo to this day, new onset of headaches. has reported this to pcp.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Nausea, Tinnitus, Vertigo, Vomiting
Clinical narrative: Night of vaccine, patient experienced weekness, dizziness, nausea/vomiting, felt "odd". prolonged symptoms, tinnitis, continues to get dizzy and fall. One fall resulted in hitting head leading to ER visit. continued vertigo to this day, new onset of headaches. has reported this to pcp.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Disorientation, Dizziness, Eye pain, Feeling abnormal, Headache
Clinical narrative: Adverse unexpected extreme dizziness, disorientation, headache and behind "eye" aches (most prominent on left side), along with mild fever of 100.4 degrees on day 6 after vaccine (prior to day 6 the dizziness and disorientation was mild).  Symptoms got increasingly worse and peaked around day 6 and 7 after vaccine.  Sporadic bouts of "dizziness" or "glitching and buzzy" feeling in head continue, but are not constant as they were in the 2-10 days following the vaccine.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Adverse unexpected extreme dizziness, disorientation, headache and behind "eye" aches (most prominent on left side), along with mild fever of 100.4 degrees on day 6 after vaccine (prior to day 6 the dizziness and disorientation was mild).  Symptoms got increasingly worse and peaked around day 6 and 7 after vaccine.  Sporadic bouts of "dizziness" or "glitching and buzzy" feeling in head continue, but are not constant as they were in the 2-10 days following the vaccine.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient presented to ED and was subsequently hospitalized within 6 weeks of receiving COVID vaccination. ED to hospital admission occurred on 3/27/21, and patient also presented to ED on 3/31/21.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Possible vasovagal response post vaccine.  Client states he has had similar episodes following injections in the past.  Transferred to ED for evaluation and discharged to home
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Rash papular, Rash pruritic, Skin warm
Clinical narrative: Circular rash, hot and raised and mildly itchy, one week after injextion
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Lip swelling
Clinical narrative: Patient said he was light headed and dizzy. No signs of respiratory distress, but he said his lips were puffy. An epi-pen was given and the paramedics were called. The patient's wife met him and agreed to take him to the emergency room