chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Fall, Immediate post-injection reaction, Mydriasis
Clinical narrative: Patient is a 62-year-old, female. Alert, oriented X3, clear speech, able to answer to the questions before being vaccinated. At 3:34 pm, the patient received her first dose of Pfizer, (lot number EW0150, expires on 07/2021) on left deltoid, given by RN. The patient was able to give her verbal consent to receiving the Pfizer vaccine. RN, reports patient sounded "normal" and was responsive to all pre-vaccination questions. Patient reported mild anxiety to RN, immediately after being vaccinated. RN, followed the patient to the EMT observation area and assisted the patient to a zero-gravity chair. At 3:41 pm, while waiting in observation area, patient reported feeling "anxious" and "faint". EMT (Name), EMT (Name), EMT (Name) and RN, responded. At 3:41 pm, the patient became unresponsive to verbal stimulation. Her pupils were fixed and dilated. During this time, EMT took the patients vitals and found her BP to be 132/98 and HR 73 BPM. At 3:41 pm, RN called 9-1-1. The patient continued to be unresponsive for an additional 5 minutes with normal respirations of 17 per minute. At 3:45 pm, the patient jumped up out of the anti-gravity chair, screamed and proceeded to run down the hallway toward the patient restrooms. EMT followed the patient down the hall and RN followed. The patient collapsed to the floor and started to scream and convulse. While on the ground, EMT took the patient's blood pressure which was found to be 209/162 with a HR of 101 BPM. The patient was assisted to her feet by EMT (Name) and EMT (Name) and assisted her back to the anti-gravity chair at 3:47 pm. FD arrived on site at 3:48 pm and took over monitoring the patient's vital signs. The patient was A&Ox1 to self at 3:48 pm. She was unable to follow direction. Medical response assisted the patient to a stretcher chair with her arms and legs strapped to the chair. She left with EMS at 4:02 pm.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pupil fixed, Screaming, Seizure, Unresponsive to stimuli
Clinical narrative: Patient is a 62-year-old, female. Alert, oriented X3, clear speech, able to answer to the questions before being vaccinated. At 3:34 pm, the patient received her first dose of Pfizer, (lot number EW0150, expires on 07/2021) on left deltoid, given by RN. The patient was able to give her verbal consent to receiving the Pfizer vaccine. RN, reports patient sounded "normal" and was responsive to all pre-vaccination questions. Patient reported mild anxiety to RN, immediately after being vaccinated. RN, followed the patient to the EMT observation area and assisted the patient to a zero-gravity chair. At 3:41 pm, while waiting in observation area, patient reported feeling "anxious" and "faint". EMT (Name), EMT (Name), EMT (Name) and RN, responded. At 3:41 pm, the patient became unresponsive to verbal stimulation. Her pupils were fixed and dilated. During this time, EMT took the patients vitals and found her BP to be 132/98 and HR 73 BPM. At 3:41 pm, RN called 9-1-1. The patient continued to be unresponsive for an additional 5 minutes with normal respirations of 17 per minute. At 3:45 pm, the patient jumped up out of the anti-gravity chair, screamed and proceeded to run down the hallway toward the patient restrooms. EMT followed the patient down the hall and RN followed. The patient collapsed to the floor and started to scream and convulse. While on the ground, EMT took the patient's blood pressure which was found to be 209/162 with a HR of 101 BPM. The patient was assisted to her feet by EMT (Name) and EMT (Name) and assisted her back to the anti-gravity chair at 3:47 pm. FD arrived on site at 3:48 pm and took over monitoring the patient's vital signs. The patient was A&Ox1 to self at 3:48 pm. She was unable to follow direction. Medical response assisted the patient to a stretcher chair with her arms and legs strapped to the chair. She left with EMS at 4:02 pm.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling hot, Vomiting
Clinical narrative: At 1412, RRT was activated for a 46 y/o M with c/o feeling warm. 5 minutes after this complaint, he threw up about 100 cc of yellowish emesis. Client stated he felt better after vomiting. Vaccinated at 1350 on the L arm. Vitals: BP ? 118/72, 0/0 pain. Head-to-toe assessment completed. No PMH, NKA, and did not take any medications today. During monitoring period, client?s condition improved. At the end of observation period, client was in stable condition and did not feel warm anymore. Client left vaccination clinic at 1432 ambulatory, in stable condition, accompanied by his family (Wife and daughter).
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Syncope (Vasovagal Response)
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Dizziness, Feeling abnormal, Headache, Insomnia
Clinical narrative: Extremely lightheaded and dizzy Body aches Lower back ache Trouble sleeping Headache Foggy head
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Extremely lightheaded and dizzy Body aches Lower back ache Trouble sleeping Headache Foggy head
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Head discomfort, Headache, Heart rate increased
Clinical narrative: Patient reported to be dizzy and get a headache within minutes of vaccination.  She said her head hurt and felt pressure around her head. Patient become shaky, nauseous, and lightheaded. We gave patient some water and she seemed very dehydrated. She drank about 4-5 cups of water over the course of 45 minutes. Blood Pressure checked at 2:25pm was 173/88 mmHg with Heart Rate of 68bpm.  Patient given Benadryl 50mg at 2:30pm to help with dizziness and nausea. Temperature checked at 2:33pm was 97.2 F.  We kept patient seated and monitored symptoms for another 15 minutes when she started to feel better and did not need any extra treatment.  Left pharmacy at about 3:00pm feeling better and recommended to seek treatment if symptoms come back or worsen.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Nervousness, Vital signs measurement
Clinical narrative: Patient reported to be dizzy and get a headache within minutes of vaccination.  She said her head hurt and felt pressure around her head. Patient become shaky, nauseous, and lightheaded. We gave patient some water and she seemed very dehydrated. She drank about 4-5 cups of water over the course of 45 minutes. Blood Pressure checked at 2:25pm was 173/88 mmHg with Heart Rate of 68bpm.  Patient given Benadryl 50mg at 2:30pm to help with dizziness and nausea. Temperature checked at 2:33pm was 97.2 F.  We kept patient seated and monitored symptoms for another 15 minutes when she started to feel better and did not need any extra treatment.  Left pharmacy at about 3:00pm feeling better and recommended to seek treatment if symptoms come back or worsen.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain, Pyrexia
Clinical narrative: Chills from 10:30am-1pm, 4/8/21.  Low grade fever, body aches & tiredness 8pm 4/8/21  - 5pm 4/9/21.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Arthralgia, Body temperature increased, Diarrhoea, Flatulence
Clinical narrative: Headache, 100 degree temp, aches, joint pain that includes neck, shoulders, knees, ankles and fingers. Cramps in legs. Skin sore to touch almost felt like sunburn. Gastrointestinal discomfort that included loose stools and gas. Frequent urination possibly due to water intake, but was unusual. Fever lasted about 24 hours. All symptoms starting to subside around the 24 hour mark.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Muscle spasms, Pain, Pain of skin, Pollakiuria
Clinical narrative: Headache, 100 degree temp, aches, joint pain that includes neck, shoulders, knees, ankles and fingers. Cramps in legs. Skin sore to touch almost felt like sunburn. Gastrointestinal discomfort that included loose stools and gas. Frequent urination possibly due to water intake, but was unusual. Fever lasted about 24 hours. All symptoms starting to subside around the 24 hour mark.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Peripheral swelling, Respiratory arrest, Seizure
Clinical narrative: After the vaccination, her arm started to swell up about 1 cm immediately. Benadryl was offered but the patient refused. After a couple minutes, the patient was lightheaded and dizzy. After two minutes the patient became unconscious, was not breathing, and was turning purple/blue. She then began having a seizure and was placed on to the ground. One dose of EpiPen was given to her and she regained consciousness.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Hyperhidrosis
Clinical narrative: Felt tired, put down head, next I remember waking up in chair and feeling things were not right, took deep breath and got up and told pharmacist and sat right back down, felt light headed, started sweating a lot. drenched clothes in sweat, Had water sat for 30 minutes got better enough to go home. Asked store to not call 911,
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Lightheaded only. iced neck and elevated legs.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia
Clinical narrative: Loss of smell and taste - did not lose when I initially had covid.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient is 16 years old and received Moderna. Mother signed patient up in VRAS system for Covid 19 vaccine. Doctor called mother today 04/09/2021 to inform her who is not concerned and just wants to arrange patients 2nd dose.
Sex: F
Vaccine: COVID19
Symptoms: Angioedema
Clinical narrative: Angioedema of upper and lower lips
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Individual received initial dose of Moderna on 3/24/21 and a second dose of Moderna on 4/9/21. Patient was informed. No immediate adverse events.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Red, itchy, swollen at injection site
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient was diagnosed with covid-19 on 3/29/21.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: Pt c/o dizziness and nausea. Vitals 170/80 BP, HR 129. Given OJ and water. Observed for 30 minutes. Symptoms greatly improved. Last set of vitals 160/84, HR 99. Left with husband.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Tinnitus
Clinical narrative: Tinnitus in both ears became severe after vaccination and after taking seven doses of Azelastine HCL and Fluticasone; also headaches around sinuses
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Neck pain, Pain in extremity, Peripheral swelling
Clinical narrative: 7 hrs after injection, right Arm with injection swelled up from elbow to shoulder, and moderate pain in arm and neck muscle aches. 24 hrs after injection, swelling also occurred in opposite (left) arm, but subsided in injection (right) arm.  After 48 hrs of vaccination, swelling is almost gone, but still mild aches in neck and left arm.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Injection site pain, Nausea, Paraesthesia
Clinical narrative: Nausea Dizziness, pain at injection site. Arm tingling
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphonia, Lip swelling, Pruritus
Clinical narrative: sudden onset intense itching, lips swelling, hoarseness
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Syncope
Clinical narrative: PATIENT FELT LIGHTHEADED AND REALLY HOT.  SHE FAINTED WITHIN ONE MINUTE OF INFORMING ME.  HER HUSBAND HELPED ME MOVE HER FROM THE CHAIR TO THE FLOOR.  WE CALLED 911 BUT LATER CANCELLED SINCE SHE REGAINED CONSCIOUSNESS IMMEDIATELY.  WE PLACED COLD COMPRESS ON HER FOREHEAD AND BACK OF NECK.  CHECKED HER BLOOD PRESSURE AND IT WAS A LITTLE LOW SO I HAD HER SIT AT THE PHARMACY TO OBSERVE HER A LITTLE LONGER.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose decreased, Dyspnoea, Feeling cold, Tremor
Clinical narrative: patient felt chilled through out body immediately after receiving vaccine with full body shaking showed signs of low blood sugar but said he did eat lunch he was unsure of what medications or insulins doses that he had taken today. gave sugar and water and no improvement  symptoms progressed oover 10 minutes patient developed ragged breathing 911 was called and epi pen administered.  was taken to hospital by ems.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hyperhidrosis, Nausea, Pallor, Syncope
Clinical narrative: PATIENT FAINTED AT APPROXIMATELY 3:25 PM. ASKED PATEINT HIS NAME, DATE OF BIRTH, AND IF HE IS FEELING WELL? PATIENT STATES HE FEELS MUCH BETTER AND STAES HE WOULD LIKE TO SIT FOR 30 MINUTES. PATIENT WAS OFFERED TO CALL THE AMBULANCE HE DENIED. AT 3:45 PM PATIENT STARTED FEELING NAUSEOUS AND TURNED PALE WITH SWEAT, EMERGENCY SERVICES WAS CALLED  EMERGENCY SERVICES CAME IN 5 MINUTES - PATIENT WAS CHECKED AND REMAINED AT PHARMACY. PT'S SISTER PICKED HIM UP AT 5PM, PATIENT WAS FULLY ALERT AND ORIENTED TO TIME AND PERSON.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood pressure increased, Dizziness, Fatigue, Flushing, Loss of consciousness
Clinical narrative: PATIENT FAINTED AT APPROXIMATELY 3:25 PM. ASKED PATEINT HIS NAME, DATE OF BIRTH, AND IF HE IS FEELING WELL? PATIENT STATES HE FEELS MUCH BETTER AND STAES HE WOULD LIKE TO SIT FOR 30 MINUTES. PATIENT WAS OFFERED TO CALL THE AMBULANCE HE DENIED. AT 3:45 PM PATIENT STARTED FEELING NAUSEOUS AND TURNED PALE WITH SWEAT, EMERGENCY SERVICES WAS CALLED  EMERGENCY SERVICES CAME IN 5 MINUTES - PATIENT WAS CHECKED AND REMAINED AT PHARMACY. PT'S SISTER PICKED HIM UP AT 5PM, PATIENT WAS FULLY ALERT AND ORIENTED TO TIME AND PERSON.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Nausea
Clinical narrative: PATIENT FAINTED AT APPROXIMATELY 3:25 PM. ASKED PATEINT HIS NAME, DATE OF BIRTH, AND IF HE IS FEELING WELL? PATIENT STATES HE FEELS MUCH BETTER AND STAES HE WOULD LIKE TO SIT FOR 30 MINUTES. PATIENT WAS OFFERED TO CALL THE AMBULANCE HE DENIED. AT 3:45 PM PATIENT STARTED FEELING NAUSEOUS AND TURNED PALE WITH SWEAT, EMERGENCY SERVICES WAS CALLED  EMERGENCY SERVICES CAME IN 5 MINUTES - PATIENT WAS CHECKED AND REMAINED AT PHARMACY. PT'S SISTER PICKED HIM UP AT 5PM, PATIENT WAS FULLY ALERT AND ORIENTED TO TIME AND PERSON.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Hyperhidrosis, Pallor, Syncope
Clinical narrative: Pt fainted 10 min after receiving vaccine.He was talking to his friend who brought him in to the clinic when event happened.Pt fell from the chair, did not remember  what happened.Initial BP is elevated,HR elevated,pt was pale and clammy and diaphoretic,O2 100%.Pt monitored for 30 min BP and HR stabilized. Pt was comfortable going home.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Pain in extremity
Clinical narrative: Arm still hurts, can?t get a full breath in, somewhat coughing
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood pressure decreased, Chills, Fine motor skill dysfunction, Headache
Clinical narrative: Minutes after receiving the injection (4pm) my blood pressure dropped and I lost consciousness. I recovered well enough to drive home within 15 minutes afterwards. That night (10pm) I began shivering, which escalated to periods of convulsions, to which a mouth guard was needed to prevent chipping teeth and/or biting my tongue. There was no fever present, and to subside the uncontrollable shivering I sat in a very hot shower until motor functions gradually returned. Periods of headaches, joint pains and sweating ensued for the remainder of the night. There were no other symptoms in the following days.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Loss of consciousness, Seizure
Clinical narrative: Minutes after receiving the injection (4pm) my blood pressure dropped and I lost consciousness. I recovered well enough to drive home within 15 minutes afterwards. That night (10pm) I began shivering, which escalated to periods of convulsions, to which a mouth guard was needed to prevent chipping teeth and/or biting my tongue. There was no fever present, and to subside the uncontrollable shivering I sat in a very hot shower until motor functions gradually returned. Periods of headaches, joint pains and sweating ensued for the remainder of the night. There were no other symptoms in the following days.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Chest X-ray normal, Dizziness, Electrocardiogram normal, Heart rate increased
Clinical narrative: Increased heart rate at 11:40, dizziness & tingling feeling from 12pm - 2pm. Went to urgent care at 230, BP was 160/100 and heart rate was 140
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Urine analysis normal
Clinical narrative: Increased heart rate at 11:40, dizziness & tingling feeling from 12pm - 2pm. Went to urgent care at 230, BP was 160/100 and heart rate was 140
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: Headache, mild fever, body aches
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot
Clinical narrative: Patient complained of feeling hot on the side of the injection. No other symptom was reported. Monitored.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Pt received wrong manufacturer for second dose. Vaccinator was educated and had remedial training.    Who:  What: Received wrong manufactured dose for second Covid-19 Dose (was suppose to receive Moderna, but instead received Pfixzer) Where: State  vaccine site When: 1300 on 9 April 2021 Why: Mistake by vaccinator
Age: 24.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Fatigue, Headache, Pain in extremity, Pyrexia
Clinical narrative: Chills, fever of 99.5, headache, sore arm, fatigue
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: 11:15am patient is a 25 year old female who has completed a 15-minute observation period with the following signs and symptoms of an adverse reaction: other - diffused pruritis . Pfizer-BioNTech COVID-19 vaccine # 1 in series administered.  Patient states 15 minutes after she received the vaccine, she started feeling itchy on her right arm where the vaccine was given. Then itchiness has gradually moved to her left arm and now her face. Concerned that she has facial itching as this is new to her.  She reports no difficulty breathing, shortness of breath, chest pain, dizziness, headache. States she does have a hx of mild seafood allergy, has never needed to use an epi pen.   BP 114/76  | Pulse 97  | Resp 16  | SpO2 96%   General:  alert, well appearing, no acute distress Eyes:  no erythema or discharge  Mouth/Throat:  no erythema or lesions, no signs of angioedema Neck:  supple, no significant adenopathy Lungs:  clear to auscultation, no wheezes  CV:  normal, regular rate and rhythm, regular rhythm, no murmur Skin:  no hives, + generalized  Eczematous patches throughout both arms   11:45am  Spoke with MD from Urgent Care - agree to monitor for 30-45 minutes with administering benadryl po. If Patient symptoms worsen, will transfer to EMERGENCY DEPARTMENT for observation.   Action(s) taken: Another drug administered - Benardryl 50 mg Allergy to COVID-19 vaccine documented in Allergies activity: No, Referred to Advice MD Allergy   12:25 PM Patient states pruritis  has improved and ready to go home. Patient is alert , awake and oriented. She is no distress, no angioedema, no visible rash or hives.  Vitals within normal limits.  I discussed the  possible sedative effects of benadryl- states she is not drowsy and able to drive herself home. EMERGENCY DEPARTMENT precautions discussed- if symptoms worsen, call 911 or EMERGENCY DEPARTMENT.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone, Dysphagia, Goitre, Pharyngeal swelling, Streptococcus test negative
Clinical narrative: Swelling in throat, swelling of thyroid, start with tightness in throat on day1, Day 4 swelling increase difficulty swallowing and swelling of thyroid, Day 5 ER visit- swelling throat, swollen thyroid.  Given steroid shot, pepcid and benadryl. Swelling decreased a little. Continue medications for 10 days.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: Swelling in throat, swelling of thyroid, start with tightness in throat on day1, Day 4 swelling increase difficulty swallowing and swelling of thyroid, Day 5 ER visit- swelling throat, swollen thyroid.  Given steroid shot, pepcid and benadryl. Swelling decreased a little. Continue medications for 10 days.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Syncope, Urinary incontinence
Clinical narrative: Fainted, peed myself, was brought to ER by ambulance
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Disorientation, Dizziness, Exposure during pregnancy, Loss of consciousness, Syncope
Clinical narrative: Fainted, peed myself, was brought to ER by ambulance
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Decreased appetite, Diarrhoea, Dizziness, Fatigue
Clinical narrative: Extreme headache for 2 days. Worse than any migraine I?ve ever had. Severe pain in neck, shoulders and spine. My heart heart. Extreme nausea, vomiting and diarrhea. Extreme fatigue. Couldn?t move or eat for 2 days. Didn?t think I was going to recover.  3rd day feeling light headed and tired but feeling better.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Movement disorder, Nausea, Neck pain, Spinal pain
Clinical narrative: Extreme headache for 2 days. Worse than any migraine I?ve ever had. Severe pain in neck, shoulders and spine. My heart heart. Extreme nausea, vomiting and diarrhea. Extreme fatigue. Couldn?t move or eat for 2 days. Didn?t think I was going to recover.  3rd day feeling light headed and tired but feeling better.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Extreme headache for 2 days. Worse than any migraine I?ve ever had. Severe pain in neck, shoulders and spine. My heart heart. Extreme nausea, vomiting and diarrhea. Extreme fatigue. Couldn?t move or eat for 2 days. Didn?t think I was going to recover.  3rd day feeling light headed and tired but feeling better.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Feeling abnormal, Injection site mass, Muscular weakness, Pain
Clinical narrative: From 05:30 to evening I was fine, then I noticed I was feeling a little funny. I felt achy and my left arm got a little sore. I think I had a temperature. Next day, I couldn't sleep on my arm and couldn't move my arm. It was red and swollen and had a knot on it. It was a very tender to touch. It had a golf ball size knot on it. I became feverish, developed a cough and had body aches. By Monday, my husband and my daughter picked up the symptoms  - except the swollen - that I had and we all went to the clinic and we were all testing  positive for COVID. The next two days, my second daughter came down with it. My arm was still sore during those 5 days. They gave me prescriptions for VIT C - 500 mg - twice  a day; and elderberry prescription and diabetic Robutussin; Zinc - 100mg Baby aspirin - 81 mg and Tylenol as needed. They seemed to help with the symptoms.  I had the cough up until about three weeks ago - I started taking elderberry cough medicine and that's clearing up - it comes and goes but it's much better.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling, Pyrexia, SARS-CoV-2 test positive, Sleep disorder
Clinical narrative: From 05:30 to evening I was fine, then I noticed I was feeling a little funny. I felt achy and my left arm got a little sore. I think I had a temperature. Next day, I couldn't sleep on my arm and couldn't move my arm. It was red and swollen and had a knot on it. It was a very tender to touch. It had a golf ball size knot on it. I became feverish, developed a cough and had body aches. By Monday, my husband and my daughter picked up the symptoms  - except the swollen - that I had and we all went to the clinic and we were all testing  positive for COVID. The next two days, my second daughter came down with it. My arm was still sore during those 5 days. They gave me prescriptions for VIT C - 500 mg - twice  a day; and elderberry prescription and diabetic Robutussin; Zinc - 100mg Baby aspirin - 81 mg and Tylenol as needed. They seemed to help with the symptoms.  I had the cough up until about three weeks ago - I started taking elderberry cough medicine and that's clearing up - it comes and goes but it's much better.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Tenderness
Clinical narrative: From 05:30 to evening I was fine, then I noticed I was feeling a little funny. I felt achy and my left arm got a little sore. I think I had a temperature. Next day, I couldn't sleep on my arm and couldn't move my arm. It was red and swollen and had a knot on it. It was a very tender to touch. It had a golf ball size knot on it. I became feverish, developed a cough and had body aches. By Monday, my husband and my daughter picked up the symptoms  - except the swollen - that I had and we all went to the clinic and we were all testing  positive for COVID. The next two days, my second daughter came down with it. My arm was still sore during those 5 days. They gave me prescriptions for VIT C - 500 mg - twice  a day; and elderberry prescription and diabetic Robutussin; Zinc - 100mg Baby aspirin - 81 mg and Tylenol as needed. They seemed to help with the symptoms.  I had the cough up until about three weeks ago - I started taking elderberry cough medicine and that's clearing up - it comes and goes but it's much better.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Headache, Injection site induration, Injection site reaction, Nausea
Clinical narrative: On Monday, 3/29/2021, approximately 45 minutes after receiving the vaccine, I was feeling quite nauseous.  That lasted about 12 hours.  My arm started to become a little achy in the evening.   On Monday, 3/29/2021, approximately 6 hours after receiving the vaccine, my left arm at site of vaccine, started to swell, get hard and hot.  This lasted until the evening of Wednesday, March 31, 2021.  My arm was also very sore on the next two days after receiving the vaccine.   CONTINUED:  On Monday, 4/5/2021, upon waking up at 7:00 a.m., I experienced a massive headache on my forehead, along with heat, hardness and red splotchiness about 3 inches                         below the injection site.  It was very uncomfortable, but I did not take any pain medicine.    On Friday, April 9, 2021 the heat, hardness and swelling about 3 inches below the injection site continued.  However, the red splotchiness had now become a red band                       across my upper arm and is still continuing to current time (5:15 p.m.).
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash macular, Vaccination site pain, Vaccination site swelling, Vaccination site warmth
Clinical narrative: On Monday, 3/29/2021, approximately 45 minutes after receiving the vaccine, I was feeling quite nauseous.  That lasted about 12 hours.  My arm started to become a little achy in the evening.   On Monday, 3/29/2021, approximately 6 hours after receiving the vaccine, my left arm at site of vaccine, started to swell, get hard and hot.  This lasted until the evening of Wednesday, March 31, 2021.  My arm was also very sore on the next two days after receiving the vaccine.   CONTINUED:  On Monday, 4/5/2021, upon waking up at 7:00 a.m., I experienced a massive headache on my forehead, along with heat, hardness and red splotchiness about 3 inches                         below the injection site.  It was very uncomfortable, but I did not take any pain medicine.    On Friday, April 9, 2021 the heat, hardness and swelling about 3 inches below the injection site continued.  However, the red splotchiness had now become a red band                       across my upper arm and is still continuing to current time (5:15 p.m.).
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Loss of consciousness, Pharyngeal erythema, Pharyngeal swelling, Swelling face
Clinical narrative: Took Benadryl before getting the shot at 2:30pm Allergic reaction resulting in facial and throat swelling, red welts at the back of the throat, wheezing, going unconscious and shaking all within 2 hours of receiving the vaccine  Took second Benadryl to try and calm down the reaction (no effect) Epipen was given at the advice of my physician at 6:30pm Was directed to the ER Given medication in the ER Released after 4 hours
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor, Urticaria, Wheezing
Clinical narrative: Took Benadryl before getting the shot at 2:30pm Allergic reaction resulting in facial and throat swelling, red welts at the back of the throat, wheezing, going unconscious and shaking all within 2 hours of receiving the vaccine  Took second Benadryl to try and calm down the reaction (no effect) Epipen was given at the advice of my physician at 6:30pm Was directed to the ER Given medication in the ER Released after 4 hours
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot
Clinical narrative: Patient reported feeling dizzy, lightheaded, and feeling warm sensation Patient seen by medical team and vitals were stable Patient stated symptoms improved with water Patient refused medical transport and signed ama form and driven home by parent
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Heart rate increased
Clinical narrative: Patient reports he "felt different in head" and heart rate felt fast.  Reports he has been nervous to get shot.  Arrived to med obs#2 at 17:40.  Vitals at 17:41, HR 93, resp 16, BP 136/88, SaO2 95%.  Patient did not want snack or drink.  At 17:43 patient reports feeling better and heart rate does not feel as fast.  Heart rate at this time wants 85 on monitor.  Vitals at 17:o50, HR 87, resp 16, BP 130/85, SaO2 93%.  Patient's vitals at 17: 59, HR 89, resp 16, BP 127/83, SaO2 95%.  Patient left at 17:59.  He left with his mother who drove him here.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Hyperhidrosis, Loss of consciousness
Clinical narrative: Customer had dizziness, hot, sweaty, nervous, pass out, call 911 EMT took him to the hospital all his vital signs are fine, he called to let us know that he is at home and is feeling well.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Incorrect dose administered
Clinical narrative: Patient inadvertently received a 1.0 mL dose instead of the prescribed 0.5 mL dose. Patient was originally cleared to leave the office after having no symptoms or complaints for 15 minutes following inject. Once dose error was caught, patient was contacted by clinic physician. Patient notified of error, possible side effects reviewed and advised to go to ER if symptoms develop. Patient had no current symptoms or complaints at that time. Staff followed up with patient several times over the course of the next 24 hours. Was unable to reach patients until 04/09/21 approx. 1030 am.  Patient doing OK, tired, but no other symptoms or complaints.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient inadvertently received a 1.0 mL dose instead of the prescribed 0.5 mL dose. Patient was originally cleared to leave the office after having no symptoms or complaints for 15 minutes following inject. Once dose error was caught, patient was contacted by clinic physician. Patient notified of error, possible side effects reviewed and advised to go to ER if symptoms develop. Patient had no current symptoms or complaints at that time. Staff followed up with patient several times over the course of the next 24 hours. Was unable to reach patients until 04/09/21 approx. 1030 am.  Patient doing OK, tired, but no other symptoms or complaints.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Myalgia
Clinical narrative: Pain in arm at injection site x 2 days Fatigue on day 2 Headache on day 2 Fever of 100 on day 2 Muscle soreness on day 2
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: No adverse reaction. Patient received small increase of the recommended dosage.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Back pain, Burning sensation, Hypoaesthesia, Musculoskeletal stiffness, Pain
Clinical narrative: Developed strong / severe paresthesias - A feeling of tingling / numbess / burning or 'electricity' over whole body, sometimes mild, sometimes more severe, migrating from arms / hands to legs/feet - at night waking up with both arms numb and the numbness feeling extending into chest. Sometimes accompanied by brief, stabbing pains.  Was most severe during the first 3 or so days, then seems to be slowly decreasing but gets worse at night. Has not completely resolved after 7 days. Also developed muscle stiffness / lower back pain around day 4 or so.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia
Clinical narrative: Developed strong / severe paresthesias - A feeling of tingling / numbess / burning or 'electricity' over whole body, sometimes mild, sometimes more severe, migrating from arms / hands to legs/feet - at night waking up with both arms numb and the numbness feeling extending into chest. Sometimes accompanied by brief, stabbing pains.  Was most severe during the first 3 or so days, then seems to be slowly decreasing but gets worse at night. Has not completely resolved after 7 days. Also developed muscle stiffness / lower back pain around day 4 or so.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Burning sensation, Hypoaesthesia, Muscle spasms, Myalgia, Paraesthesia
Clinical narrative: Developed strong / severe paresthesias - A feeling of tingling / numbess / burning or 'electricity' over whole body, sometimes mild, sometimes more severe, migrating from arms / hands to legs/feet - at night waking up with both arms numb and the numbness feeling extending into chest. Sometimes accompanied by brief, stabbing pains.  Was most severe during the first 3 or so days, then seems to be slowly decreasing but gets worse at night. Has not completely resolved after 7 days. Also developed muscle stiffness / lower back pain around day 4 or so.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure decreased, Dizziness, Nausea, Pallor, Vision blurred
Clinical narrative: 10:30 am - Writer/Nurse responding to code blue in Front room. Crash Cart brought to location. Provider, MA, and Vaccine nurse present on seen. Pt sitting on chair verbally reporting all needs. Visible signs of pallor to face, lips and hands. Initial VS obtained by MA with Vitals Machine. Pt reports having Hx of feeling light-headed, blurry vision, and nauseous after getting injections or blood draws. VS: BP- 57/27, P ? 30, RR ? 18, SpO2- 99% @ RA, T ? 96.8 otic temp Administer O2 2 L/m via NC per Provider verbal order EMS called per Provider order BS obtain by MA per Provider verbal order, 100 mg/dl 10:40 am ? Vaccination nurse manual BP ? 82/60.  VS: P- 51, RR ? 16, SpO2 ? 99% @ 2 L/m via NC No visible signs of pallor to Pt?s face, lips, and hands. Pt communicating all needs, no s/s or c/o physical distress. Pt reports feeling better, no c/o blurry vision or light-headedness. Vaccination nurse reports Pt denied any issues with vaccination when initially asked. Pt agrees with vaccination nurse in failure to report history when asked by Vaccination nurse. Pt states she will remember to report Hx next time she is asked.  10:45 am EMS arrived on seen, report given by Vaccination nurse, Eval/assessment concluding with EMS Writer/nurse return to Nurse station, crash cart returned to station
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Vital signs measurement
Clinical narrative: 10:30 am - Writer/Nurse responding to code blue in Front room. Crash Cart brought to location. Provider, MA, and Vaccine nurse present on seen. Pt sitting on chair verbally reporting all needs. Visible signs of pallor to face, lips and hands. Initial VS obtained by MA with Vitals Machine. Pt reports having Hx of feeling light-headed, blurry vision, and nauseous after getting injections or blood draws. VS: BP- 57/27, P ? 30, RR ? 18, SpO2- 99% @ RA, T ? 96.8 otic temp Administer O2 2 L/m via NC per Provider verbal order EMS called per Provider order BS obtain by MA per Provider verbal order, 100 mg/dl 10:40 am ? Vaccination nurse manual BP ? 82/60.  VS: P- 51, RR ? 16, SpO2 ? 99% @ 2 L/m via NC No visible signs of pallor to Pt?s face, lips, and hands. Pt communicating all needs, no s/s or c/o physical distress. Pt reports feeling better, no c/o blurry vision or light-headedness. Vaccination nurse reports Pt denied any issues with vaccination when initially asked. Pt agrees with vaccination nurse in failure to report history when asked by Vaccination nurse. Pt states she will remember to report Hx next time she is asked.  10:45 am EMS arrived on seen, report given by Vaccination nurse, Eval/assessment concluding with EMS Writer/nurse return to Nurse station, crash cart returned to station
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Hypokinesia, Injection site pain, Injection site swelling, Pain in extremity
Clinical narrative: After receiving the vaccine the injection site was sore and continued to worsen.  It started to swell up and became very painful.  Within a few hours I was limited in movement of that arm.  By the following morning it was large, very painful and I was unable to move my arm.   This continued for the next 4-5 days. The last 2 days I was placing a heating pad on the arm.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Palpitations, Sensation of foreign body
Clinical narrative: dizzy, flushed, lump in throat, heart racing. Evaluated by EMS-Cleared
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Myalgia, Pain
Clinical narrative: Ongoing muscle aches, joint pain, zinging pains throughout body
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Pt felt dizzy after vaccine. Vitals were 130/78, HR 95, spO2 97%. Pt felt better, nurse walked patient to vehicle where spouse would drive them home.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: none
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Oligomenorrhoea
Clinical narrative: Prolonged menstrual cycle (2 weeks) x 2 cycle
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Chest pain, Feeling hot, Headache, Pain in extremity
Clinical narrative: C/o sharp pain in left side of head that migrated down her arm & across her chest. She was shaking all over & felt "warm all of a sudden" she was Extremely anxious. Code Green called when H2O & trying to calm her down didn't work. paramedics arrived to assess.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Heart rate increased, Nausea, Palpitations
Clinical narrative: Pt is here today for COVID-19 immunization per federal guidelines/written order. See immunization activity for details. Pt was observed post-immunization for a minimum of 15 minutes with evidence of dizziness and nausea, heart palpitations.  Anaphylaxis Management Standing Order protocol initiated.  Physician/APP notified of patient condition.   Additional orders received: none per Dr.  COVID-19 (MRNA) VACCINE Allergen added to patient's Allergies. VAERS reporting completed as appropriate.     1640:  At end of 15 minute observation, patient complained of sudden onset dizziness, flushing, palpitations and nausea.  Immediately brought to exam room and patient began to dry heave (no actual emesis).  Cool cloth applied to neck.   VITALS:  BP 153/81, Pulse "166" via dynamap, but manual recheck was 84.  Patient stated symptoms starting to resolve.   1645:  Dr. came up from office to evaluate patient.  Manual pulse check 80.  No shortness of breath or throat tightening.  No chest tightness, no rash, no itching.  Patient states symptoms much improved.  Per Dr. , no additional orders, but observe for 30 additional minutes.   1655:  VITALS:  BP 161/77, Pulse 67 via dynamap.  Patient states she feels much better.  Discussed precautions prior to next vaccine (eating and drinking) and consideration of taking oral Benadryl prior to next vaccine (using caution if driving).  Also advised she can take a dose of oral Benadryl this evening (has history of bee sting allergy and carries Epi Pens).  Verbalized understanding.  Patient going home from clinic and accompanied by mom.     1705:  Patient states she feels "100% better," and would like to leave.  Has been 25 minutes since reaction started.  Patient discharged ambulatory.  VAERS submitted.   COVID-19 post-vaccination Patient Instructions added to After Visit Summary for patient to review in her MyChart account.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Retching
Clinical narrative: Pt is here today for COVID-19 immunization per federal guidelines/written order. See immunization activity for details. Pt was observed post-immunization for a minimum of 15 minutes with evidence of dizziness and nausea, heart palpitations.  Anaphylaxis Management Standing Order protocol initiated.  Physician/APP notified of patient condition.   Additional orders received: none per Dr.  COVID-19 (MRNA) VACCINE Allergen added to patient's Allergies. VAERS reporting completed as appropriate.     1640:  At end of 15 minute observation, patient complained of sudden onset dizziness, flushing, palpitations and nausea.  Immediately brought to exam room and patient began to dry heave (no actual emesis).  Cool cloth applied to neck.   VITALS:  BP 153/81, Pulse "166" via dynamap, but manual recheck was 84.  Patient stated symptoms starting to resolve.   1645:  Dr. came up from office to evaluate patient.  Manual pulse check 80.  No shortness of breath or throat tightening.  No chest tightness, no rash, no itching.  Patient states symptoms much improved.  Per Dr. , no additional orders, but observe for 30 additional minutes.   1655:  VITALS:  BP 161/77, Pulse 67 via dynamap.  Patient states she feels much better.  Discussed precautions prior to next vaccine (eating and drinking) and consideration of taking oral Benadryl prior to next vaccine (using caution if driving).  Also advised she can take a dose of oral Benadryl this evening (has history of bee sting allergy and carries Epi Pens).  Verbalized understanding.  Patient going home from clinic and accompanied by mom.     1705:  Patient states she feels "100% better," and would like to leave.  Has been 25 minutes since reaction started.  Patient discharged ambulatory.  VAERS submitted.   COVID-19 post-vaccination Patient Instructions added to After Visit Summary for patient to review in her MyChart account.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Loss of consciousness
Clinical narrative: PATIENT WAS SEATED AND GIVEN VACCINE AND PASSED OUT IMMEDIATELY.  PATIENT REGAINED CONSCIOUSNESS A FEW MOMENTS LATER.   PATIENT WAS MOVED TO THE FLOOR IN SUPINE POSITION WITH LEGS ELEVATED.  PATIENT STAYED CONCIOUS AND RECOVERED IN 20-25 MINUTES.   BLOOD PRESSURE WAS 122/78, PATIENT REMAINED AWAKE AND ALERT.  PATIENT LEFT STORE UNDER HIS OWN POWER WITH HIS SPOUSE.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature increased, Decreased appetite, Diarrhoea, Disorganised speech
Clinical narrative: I began feeling a migraine at 3pm. I took a nap and woke up at 6pm feeling extremely ill. My temperature was 101.5F and my entire body was in pain. I took two Tylenol as suggested. Over the course of the entire evening, I was vomiting profusely; I vomited approximately 10 times. By around 10pm my extremities became numb and I could not walk without assistance. I could not think or speak straight. I nearly fainted every time I tried to sit up. I tried to take ondansetron for vomiting but proceeded to vomit the medication as well. I wanted to go in to the ER because I felt like I was dying, but I do not feel financially comfortable doing so. All symptoms remained consistent until about 3am when I was able to sleep until 7am. I woke up with several bouts of diarrhea, intense nausea, and head to toe muscle and joint pains, as well as numbness and tingling in my arms and legs still. It is now 5pm the next day and I still can't eat or stand for too long without feeling faint. I still have diarrhea and strong migraine.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Gait inability, Hypoaesthesia, Malaise, Migraine, Myalgia
Clinical narrative: I began feeling a migraine at 3pm. I took a nap and woke up at 6pm feeling extremely ill. My temperature was 101.5F and my entire body was in pain. I took two Tylenol as suggested. Over the course of the entire evening, I was vomiting profusely; I vomited approximately 10 times. By around 10pm my extremities became numb and I could not walk without assistance. I could not think or speak straight. I nearly fainted every time I tried to sit up. I tried to take ondansetron for vomiting but proceeded to vomit the medication as well. I wanted to go in to the ER because I felt like I was dying, but I do not feel financially comfortable doing so. All symptoms remained consistent until about 3am when I was able to sleep until 7am. I woke up with several bouts of diarrhea, intense nausea, and head to toe muscle and joint pains, as well as numbness and tingling in my arms and legs still. It is now 5pm the next day and I still can't eat or stand for too long without feeling faint. I still have diarrhea and strong migraine.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Paraesthesia, Presyncope, Sleep disorder
Clinical narrative: I began feeling a migraine at 3pm. I took a nap and woke up at 6pm feeling extremely ill. My temperature was 101.5F and my entire body was in pain. I took two Tylenol as suggested. Over the course of the entire evening, I was vomiting profusely; I vomited approximately 10 times. By around 10pm my extremities became numb and I could not walk without assistance. I could not think or speak straight. I nearly fainted every time I tried to sit up. I tried to take ondansetron for vomiting but proceeded to vomit the medication as well. I wanted to go in to the ER because I felt like I was dying, but I do not feel financially comfortable doing so. All symptoms remained consistent until about 3am when I was able to sleep until 7am. I woke up with several bouts of diarrhea, intense nausea, and head to toe muscle and joint pains, as well as numbness and tingling in my arms and legs still. It is now 5pm the next day and I still can't eat or stand for too long without feeling faint. I still have diarrhea and strong migraine.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Thinking abnormal, Vomiting
Clinical narrative: I began feeling a migraine at 3pm. I took a nap and woke up at 6pm feeling extremely ill. My temperature was 101.5F and my entire body was in pain. I took two Tylenol as suggested. Over the course of the entire evening, I was vomiting profusely; I vomited approximately 10 times. By around 10pm my extremities became numb and I could not walk without assistance. I could not think or speak straight. I nearly fainted every time I tried to sit up. I tried to take ondansetron for vomiting but proceeded to vomit the medication as well. I wanted to go in to the ER because I felt like I was dying, but I do not feel financially comfortable doing so. All symptoms remained consistent until about 3am when I was able to sleep until 7am. I woke up with several bouts of diarrhea, intense nausea, and head to toe muscle and joint pains, as well as numbness and tingling in my arms and legs still. It is now 5pm the next day and I still can't eat or stand for too long without feeling faint. I still have diarrhea and strong migraine.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Lip swelling, Muscular weakness, Musculoskeletal chest pain, Pain in extremity
Clinical narrative: WHILE PATIENT WAS WAITING 15 MINUTES, HE STARTED LOSING FEELING IN HIS ARMS AND LEGS, NEXT HE LOST ALL STRENGTH IN ALL EXTREMITIES, STATED PAIN IN ARM AND SIDE OF RIB CAGE, STARTED LOSING VISION TO TUNNEL VISION AND BLURINESS. LIPS APPEARED SWELLING. WRITER CALLED 911 AND GAVE PATIENT EPI SHOT. EMT TOOK TO HOSPITAL