chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: U
Vaccine: COVID19
Symptoms: Cough, Head discomfort, Hypersomnia, Pain, Palpitations
Clinical narrative: HEAD FELT HEAVY; BODY ACHE; COUGHING; HEART RACED; SLEPT MOST OF THE TIME; FEVER; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 26-APR-2021 for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case requested for this case. No concomitant medications were reported. On APR-2021, the subject experienced head felt heavy. On APR-2021, the subject experienced body ache. On APR-2021, the subject experienced coughing. On APR-2021, the subject experienced heart raced. On APR-2021, the subject experienced slept most of the time. On APR-2021, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from head felt heavy, body ache, coughing, heart raced, slept most of the time, and fever on APR-2021. This report was non-serious.
Sex: U
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: HEAD FELT HEAVY; BODY ACHE; COUGHING; HEART RACED; SLEPT MOST OF THE TIME; FEVER; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 26-APR-2021 for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case requested for this case. No concomitant medications were reported. On APR-2021, the subject experienced head felt heavy. On APR-2021, the subject experienced body ache. On APR-2021, the subject experienced coughing. On APR-2021, the subject experienced heart raced. On APR-2021, the subject experienced slept most of the time. On APR-2021, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from head felt heavy, body ache, coughing, heart raced, slept most of the time, and fever on APR-2021. This report was non-serious.
Sex: F
Vaccine: COVID19
Symptoms: Somnolence
Clinical narrative: SLEEPYHEAD FOR 3 DAYS; This spontaneous report received from a patient via a company representative concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: UNKNOWN) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported. As per procedure no follow-up will be requested for this case. No concomitant medications were reported.  On an unspecified date, the subject experienced sleepyhead for 3 days. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from sleepyhead for 3 days. This report was non-serious.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site pain
Clinical narrative: BRUISE AT THE INJECTION SITE; SORE AT THE INJECTION SITE WHEN PUSHED; This spontaneous report received from a patient concerned a 40 year old male. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: UNKNOWN expiry: UNKNOWN) dose was not reported, administered on 29-MAR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported.  On 26-APR-2021, the subject experienced bruise at the injection site. On 26-APR-2021, the subject experienced sore when pushed. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from bruise at the injection site, and sore when pushed. This report was non-serious.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature, Chills, Dyspnoea, Electrocardiogram, Fatigue
Clinical narrative: body wide tingling; both hands became clenched and paralyzed; tachycardic; hurting pretty badly/shooting pain down both legs; not feeling so good; shortness of breath; Arm soreness; severe chills; extreme muscle pain; body wide muscle aches; intense headache; been in bed all day; fever of 102; This spontaneous case was reported by an other health care professional (subsequently medically confirmed) and describes the occurrence of PARALYSIS (both hands became clenched and paralyzed) in a 35-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 031B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.    On 06-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 06-Apr-2021, the patient experienced MALAISE (not feeling so good), PAIN (hurting pretty badly/shooting pain down both legs), DYSPNOEA (shortness of breath), PAIN IN EXTREMITY (Arm soreness), CHILLS (severe chills), MYALGIA (extreme muscle pain; body wide muscle aches), HEADACHE (intense headache), FATIGUE (been in bed all day) and PYREXIA (fever of 102). On 07-Apr-2021, the patient experienced PARALYSIS (both hands became clenched and paralyzed) (seriousness criterion medically significant), TACHYCARDIA (tachycardic) and PARAESTHESIA (body wide tingling). At the time of the report, PARALYSIS (both hands became clenched and paralyzed), MALAISE (not feeling so good), TACHYCARDIA (tachycardic), PAIN (hurting pretty badly/shooting pain down both legs), PARAESTHESIA (body wide tingling), DYSPNOEA (shortness of breath), PAIN IN EXTREMITY (Arm soreness), CHILLS (severe chills), MYALGIA (extreme muscle pain; body wide muscle aches), HEADACHE (intense headache), FATIGUE (been in bed all day) and PYREXIA (fever of 102) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 06-Apr-2021, Body temperature: 102 f High. On 07-Apr-2021, Electrocardiogram: 108 diffuse NS ST/T abnormal.     The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.   For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   The reporter states that the patient was en route to the hospital because both hands became clenched and paralyzed during her ER visit. No treatments were mentioned by the reporter. No concomitant medications were reported.   Most recent FOLLOW-UP information incorporated above includes: On 24-Apr-2021: Significant follow up- new events  added; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Malaise, Myalgia, Pain, Pain in extremity
Clinical narrative: body wide tingling; both hands became clenched and paralyzed; tachycardic; hurting pretty badly/shooting pain down both legs; not feeling so good; shortness of breath; Arm soreness; severe chills; extreme muscle pain; body wide muscle aches; intense headache; been in bed all day; fever of 102; This spontaneous case was reported by an other health care professional (subsequently medically confirmed) and describes the occurrence of PARALYSIS (both hands became clenched and paralyzed) in a 35-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 031B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.    On 06-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 06-Apr-2021, the patient experienced MALAISE (not feeling so good), PAIN (hurting pretty badly/shooting pain down both legs), DYSPNOEA (shortness of breath), PAIN IN EXTREMITY (Arm soreness), CHILLS (severe chills), MYALGIA (extreme muscle pain; body wide muscle aches), HEADACHE (intense headache), FATIGUE (been in bed all day) and PYREXIA (fever of 102). On 07-Apr-2021, the patient experienced PARALYSIS (both hands became clenched and paralyzed) (seriousness criterion medically significant), TACHYCARDIA (tachycardic) and PARAESTHESIA (body wide tingling). At the time of the report, PARALYSIS (both hands became clenched and paralyzed), MALAISE (not feeling so good), TACHYCARDIA (tachycardic), PAIN (hurting pretty badly/shooting pain down both legs), PARAESTHESIA (body wide tingling), DYSPNOEA (shortness of breath), PAIN IN EXTREMITY (Arm soreness), CHILLS (severe chills), MYALGIA (extreme muscle pain; body wide muscle aches), HEADACHE (intense headache), FATIGUE (been in bed all day) and PYREXIA (fever of 102) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 06-Apr-2021, Body temperature: 102 f High. On 07-Apr-2021, Electrocardiogram: 108 diffuse NS ST/T abnormal.     The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.   For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   The reporter states that the patient was en route to the hospital because both hands became clenched and paralyzed during her ER visit. No treatments were mentioned by the reporter. No concomitant medications were reported.   Most recent FOLLOW-UP information incorporated above includes: On 24-Apr-2021: Significant follow up- new events  added; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Paralysis, Pyrexia, Tachycardia
Clinical narrative: body wide tingling; both hands became clenched and paralyzed; tachycardic; hurting pretty badly/shooting pain down both legs; not feeling so good; shortness of breath; Arm soreness; severe chills; extreme muscle pain; body wide muscle aches; intense headache; been in bed all day; fever of 102; This spontaneous case was reported by an other health care professional (subsequently medically confirmed) and describes the occurrence of PARALYSIS (both hands became clenched and paralyzed) in a 35-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 031B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.    On 06-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 06-Apr-2021, the patient experienced MALAISE (not feeling so good), PAIN (hurting pretty badly/shooting pain down both legs), DYSPNOEA (shortness of breath), PAIN IN EXTREMITY (Arm soreness), CHILLS (severe chills), MYALGIA (extreme muscle pain; body wide muscle aches), HEADACHE (intense headache), FATIGUE (been in bed all day) and PYREXIA (fever of 102). On 07-Apr-2021, the patient experienced PARALYSIS (both hands became clenched and paralyzed) (seriousness criterion medically significant), TACHYCARDIA (tachycardic) and PARAESTHESIA (body wide tingling). At the time of the report, PARALYSIS (both hands became clenched and paralyzed), MALAISE (not feeling so good), TACHYCARDIA (tachycardic), PAIN (hurting pretty badly/shooting pain down both legs), PARAESTHESIA (body wide tingling), DYSPNOEA (shortness of breath), PAIN IN EXTREMITY (Arm soreness), CHILLS (severe chills), MYALGIA (extreme muscle pain; body wide muscle aches), HEADACHE (intense headache), FATIGUE (been in bed all day) and PYREXIA (fever of 102) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 06-Apr-2021, Body temperature: 102 f High. On 07-Apr-2021, Electrocardiogram: 108 diffuse NS ST/T abnormal.     The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.   For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   The reporter states that the patient was en route to the hospital because both hands became clenched and paralyzed during her ER visit. No treatments were mentioned by the reporter. No concomitant medications were reported.   Most recent FOLLOW-UP information incorporated above includes: On 24-Apr-2021: Significant follow up- new events  added; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dysgeusia, Feeling cold, Headache
Clinical narrative: throwing up; weak, cannot stand on his own; sour/foul taste in mouth; feeling frozen; nauseated; chills; Leg muscles are sore; headache; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of VOMITING (throwing up) and ASTHENIA (weak, cannot stand on his own) in a 64-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 042A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concomitant products included SALBUTAMOL SULFATE (VENTOLIN ACCUHALER) and METOPROLOL for an unknown indication.    On 13-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced VOMITING (throwing up) (seriousness criterion hospitalization), ASTHENIA (weak, cannot stand on his own) (seriousness criterion hospitalization), DYSGEUSIA (sour/foul taste in mouth), FEELING COLD (feeling frozen), NAUSEA (nauseated), CHILLS (chills), MYALGIA (Leg muscles are sore) and HEADACHE (headache). The patient was hospitalized on 21-Apr-2021 due to ASTHENIA and VOMITING. At the time of the report, VOMITING (throwing up), ASTHENIA (weak, cannot stand on his own), DYSGEUSIA (sour/foul taste in mouth), FEELING COLD (feeling frozen), NAUSEA (nauseated), CHILLS (chills), MYALGIA (Leg muscles are sore) and HEADACHE (headache) had not resolved.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.       Patient reports that he "has been given medications in the hospital to treat the symptoms he has been feeling though still feels the same way. He also said hat the hospital is giving him up to be transferred to a Nursing Home today."
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Vomiting
Clinical narrative: throwing up; weak, cannot stand on his own; sour/foul taste in mouth; feeling frozen; nauseated; chills; Leg muscles are sore; headache; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of VOMITING (throwing up) and ASTHENIA (weak, cannot stand on his own) in a 64-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 042A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concomitant products included SALBUTAMOL SULFATE (VENTOLIN ACCUHALER) and METOPROLOL for an unknown indication.    On 13-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced VOMITING (throwing up) (seriousness criterion hospitalization), ASTHENIA (weak, cannot stand on his own) (seriousness criterion hospitalization), DYSGEUSIA (sour/foul taste in mouth), FEELING COLD (feeling frozen), NAUSEA (nauseated), CHILLS (chills), MYALGIA (Leg muscles are sore) and HEADACHE (headache). The patient was hospitalized on 21-Apr-2021 due to ASTHENIA and VOMITING. At the time of the report, VOMITING (throwing up), ASTHENIA (weak, cannot stand on his own), DYSGEUSIA (sour/foul taste in mouth), FEELING COLD (feeling frozen), NAUSEA (nauseated), CHILLS (chills), MYALGIA (Leg muscles are sore) and HEADACHE (headache) had not resolved.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.       Patient reports that he "has been given medications in the hospital to treat the symptoms he has been feeling though still feels the same way. He also said hat the hospital is giving him up to be transferred to a Nursing Home today."
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: had a stroke on 04Feb2021 that resulted in her left side being paralyzed; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of CEREBROVASCULAR ACCIDENT (had a stroke on 04Feb2021 that resulted in her left side being paralyzed) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination.     The patient's past medical history included Clot blood and Stroke in 2017.    On 14-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 04-Feb-2021, the patient experienced CEREBROVASCULAR ACCIDENT (had a stroke on 04Feb2021 that resulted in her left side being paralyzed) (seriousness criteria hospitalization and medically significant). At the time of the report, CEREBROVASCULAR ACCIDENT (had a stroke on 04Feb2021 that resulted in her left side being paralyzed) outcome was unknown.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.       Concomitant medications and treatment information were not reported.   Reporter did not allow further contact
Sex: F
Vaccine: FLU3
Symptoms: Hypersensitivity
Clinical narrative: she was allergic to in the vaccine; Initial information received on 22-Apr-2021 regarding an unsolicited valid serious case received from a consumer/non-health care professional.  This case involves a female patient of unknown age who was allergic to in the vaccine (hypersensitivity), while she received INFLUENZA QUADRIVAL A-B MULTIDOSE VACCINE PRESERVED [FLUZONE].  Medical history, past medical treatment(s), vaccination(s) and family history were not provided.  Concomitant vaccination was not reported.  On an unknown date, the patient received a dose of suspect INFLUENZA QUADRIVAL A-B MULTIDOSE VACCINE PRESERVED, suspension for injection (lot number: unknown and expiration date: unknown) via unknown route in unknown administration site for prophylactic vaccination.  On an unknown date the patient developed a she was allergic to in the vaccine (hypersensitivity), (unknown latency) following the administration of INFLUENZA QUADRIVAL A-B MULTIDOSE VACCINE PRESERVED. The patient was hospitalized for this event (seriousness).  No laboratory data was provided.   It was not reported if the patient received a corrective treatment.  At the time of report, the outcome of event was unknown.  There will be no information available regarding batch number in this case.; Sender's Comments: This case concerns a female patient who presented with allergic reaction after vaccination with FLUZONE. The time to onset is unknown. There is, however, no information regarding patient's condition at time of vaccination, history and lab tests do not rule out alternate etiologies. Based upon the reported information, the role of the suspect vaccine cannot be assessed.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Pharyngeal swelling
Clinical narrative: Trouble Swallowing - throat swelling
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: Roughly one week after injection I had a large red itchy rash appear on my arm that lasted a couple of days.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Red blood cell abnormality
Clinical narrative: Smart red rash around injection site that went away within a couple days
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Alanine aminotransferase normal, Aspartate aminotransferase normal, Asthenia, Blood alkaline phosphatase normal
Clinical narrative: ? Weakness - Generalized ? Dry Mouth Patient is an 62 y.o. female  who presented to the ED for evaluation of 1 week history of progressively worsening shortness of breath generalized ,weakness, fatigue, dry cough , chills,and vomiting associated with abdominal pain, and she was found to have COVID-19 viral pneumonia in the ED.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Blood bilirubin normal, Blood calcium normal, Blood chloride decreased, Blood creatinine normal, Blood potassium decreased
Clinical narrative: ? Weakness - Generalized ? Dry Mouth Patient is an 62 y.o. female  who presented to the ED for evaluation of 1 week history of progressively worsening shortness of breath generalized ,weakness, fatigue, dry cough , chills,and vomiting associated with abdominal pain, and she was found to have COVID-19 viral pneumonia in the ED.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Blood sodium decreased, Blood urea normal, COVID-19, Carbon dioxide decreased, Chills
Clinical narrative: ? Weakness - Generalized ? Dry Mouth Patient is an 62 y.o. female  who presented to the ED for evaluation of 1 week history of progressively worsening shortness of breath generalized ,weakness, fatigue, dry cough , chills,and vomiting associated with abdominal pain, and she was found to have COVID-19 viral pneumonia in the ED.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Cough, Dry mouth, Dyspnoea, Eosinophil count decreased
Clinical narrative: ? Weakness - Generalized ? Dry Mouth Patient is an 62 y.o. female  who presented to the ED for evaluation of 1 week history of progressively worsening shortness of breath generalized ,weakness, fatigue, dry cough , chills,and vomiting associated with abdominal pain, and she was found to have COVID-19 viral pneumonia in the ED.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Haematocrit normal, Haemoglobin normal, International normalised ratio normal, Lymphocyte percentage decreased
Clinical narrative: ? Weakness - Generalized ? Dry Mouth Patient is an 62 y.o. female  who presented to the ED for evaluation of 1 week history of progressively worsening shortness of breath generalized ,weakness, fatigue, dry cough , chills,and vomiting associated with abdominal pain, and she was found to have COVID-19 viral pneumonia in the ED.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Monocyte percentage increased, Neutrophil count increased, Platelet count normal, Pneumonia viral, Protein total normal
Clinical narrative: ? Weakness - Generalized ? Dry Mouth Patient is an 62 y.o. female  who presented to the ED for evaluation of 1 week history of progressively worsening shortness of breath generalized ,weakness, fatigue, dry cough , chills,and vomiting associated with abdominal pain, and she was found to have COVID-19 viral pneumonia in the ED.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting, White blood cell count normal
Clinical narrative: ? Weakness - Generalized ? Dry Mouth Patient is an 62 y.o. female  who presented to the ED for evaluation of 1 week history of progressively worsening shortness of breath generalized ,weakness, fatigue, dry cough , chills,and vomiting associated with abdominal pain, and she was found to have COVID-19 viral pneumonia in the ED.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Feeling abnormal
Clinical narrative: Severity of tinnitus increased from 1 to 5 on scale of 1-10 accompanied by "brain fog". Brain fog dissipated over next 48 hours, tinnitus has remained at 5.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Discomfort, Fatigue, Feeling abnormal
Clinical narrative: 9pm 4/30 fatigue and aches set in. Mild symptoms.  Took a sleep aid and ibuprofen for bed. Fell asleep shortly after 10pm.   1am woke with intense chills, body aches and fever of 100.6.  Added heating pad, took Tylenol, added blankets and clothes but couldn?t get warm. Was so uncomfortable from the body aches I tossed and turned. I was extremely fatigued and weak.  Was still awake with extreme aches and chills at 4am, so I took a bath from 4-5am to warm up.  Symptoms persisted post-bath, but dozed off at 5:30am from exhaustion. Fever of 100.6 remained.  Rose at 8am feeling exhausted, heavy, brain fog, weak, chilled and body aches. Pins and needles over body from 1-9am.  Took 3 ibuprofen (600mg) and went back to bed. Fever reduced to 99, which was enough to break the chills/aches and allow rest. Slept until 10:30.  Chills and aches gone, but extreme fatigue and brain fog continued through day. Too weak to tend to kids, read books, or stand.  Appetite was fine. At dinner and snacks. Drank fluids and rotated ibuprofen and Tylenol as long as symptoms persisted.  Evening of 5/1 headache set in. Mostly dull ache.  Took OTC and went to bed.  Slept through the night, waking at 8am 5/2 with a smashing headache. It felt like someone hit me over the head with a bag of bricks, then put my head in a vice.  Drank water and took ibuprofen (400mg).  Still felt weak, but better.  As the day went on, symptoms improved and headache reduced. Went away completely in afternoon and back at bedtime.   Longest lasting symptoms of anyone I know. No health risks or complications. Generally healthy.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Loss of personal independence in daily activities, Pain, Paraesthesia, Pyrexia
Clinical narrative: 9pm 4/30 fatigue and aches set in. Mild symptoms.  Took a sleep aid and ibuprofen for bed. Fell asleep shortly after 10pm.   1am woke with intense chills, body aches and fever of 100.6.  Added heating pad, took Tylenol, added blankets and clothes but couldn?t get warm. Was so uncomfortable from the body aches I tossed and turned. I was extremely fatigued and weak.  Was still awake with extreme aches and chills at 4am, so I took a bath from 4-5am to warm up.  Symptoms persisted post-bath, but dozed off at 5:30am from exhaustion. Fever of 100.6 remained.  Rose at 8am feeling exhausted, heavy, brain fog, weak, chilled and body aches. Pins and needles over body from 1-9am.  Took 3 ibuprofen (600mg) and went back to bed. Fever reduced to 99, which was enough to break the chills/aches and allow rest. Slept until 10:30.  Chills and aches gone, but extreme fatigue and brain fog continued through day. Too weak to tend to kids, read books, or stand.  Appetite was fine. At dinner and snacks. Drank fluids and rotated ibuprofen and Tylenol as long as symptoms persisted.  Evening of 5/1 headache set in. Mostly dull ache.  Took OTC and went to bed.  Slept through the night, waking at 8am 5/2 with a smashing headache. It felt like someone hit me over the head with a bag of bricks, then put my head in a vice.  Drank water and took ibuprofen (400mg).  Still felt weak, but better.  As the day went on, symptoms improved and headache reduced. Went away completely in afternoon and back at bedtime.   Longest lasting symptoms of anyone I know. No health risks or complications. Generally healthy.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: 9pm 4/30 fatigue and aches set in. Mild symptoms.  Took a sleep aid and ibuprofen for bed. Fell asleep shortly after 10pm.   1am woke with intense chills, body aches and fever of 100.6.  Added heating pad, took Tylenol, added blankets and clothes but couldn?t get warm. Was so uncomfortable from the body aches I tossed and turned. I was extremely fatigued and weak.  Was still awake with extreme aches and chills at 4am, so I took a bath from 4-5am to warm up.  Symptoms persisted post-bath, but dozed off at 5:30am from exhaustion. Fever of 100.6 remained.  Rose at 8am feeling exhausted, heavy, brain fog, weak, chilled and body aches. Pins and needles over body from 1-9am.  Took 3 ibuprofen (600mg) and went back to bed. Fever reduced to 99, which was enough to break the chills/aches and allow rest. Slept until 10:30.  Chills and aches gone, but extreme fatigue and brain fog continued through day. Too weak to tend to kids, read books, or stand.  Appetite was fine. At dinner and snacks. Drank fluids and rotated ibuprofen and Tylenol as long as symptoms persisted.  Evening of 5/1 headache set in. Mostly dull ache.  Took OTC and went to bed.  Slept through the night, waking at 8am 5/2 with a smashing headache. It felt like someone hit me over the head with a bag of bricks, then put my head in a vice.  Drank water and took ibuprofen (400mg).  Still felt weak, but better.  As the day went on, symptoms improved and headache reduced. Went away completely in afternoon and back at bedtime.   Longest lasting symptoms of anyone I know. No health risks or complications. Generally healthy.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Musculoskeletal stiffness, Pyrexia
Clinical narrative: Fever 103.2 degree,  headache,  stiff neck.  Started 10 pm  04/28/2021. Temp reduced to 101.8 degree with Tylenol 500mg. Dose repeated every 4hrs (4 doses total).  ALL symptoms resolved  by 2 pm  04/29/2021.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Covid arm?redness, swelling, hot, firm to the touch, from injection site to elbow
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Diarrhoea, Dyspnoea, Pain, SARS-CoV-2 test
Clinical narrative: cold-like symptoms, generalized body aches, diarrhea, nonproductive cough and some shortness of breath
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: cold-like symptoms, generalized body aches, diarrhea, nonproductive cough and some shortness of breath
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Lymph node pain, Lymphadenopathy
Clinical narrative: Sore arm for two days after first dose.  Swollen and sore lymph nodes in left armpit seven days after first dose.  Itchy, red rash at injection site seven days after first dose.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Sore arm for two days after first dose.  Swollen and sore lymph nodes in left armpit seven days after first dose.  Itchy, red rash at injection site seven days after first dose.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Swollen lymph nodes in injection site arm - both armpit and neck. Hard swollen skin at injection site. Red, bullseye around injection site. Fever and general tiredness. Arm soreness.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pain in extremity
Clinical narrative: Swollen lymph nodes in injection site arm - both armpit and neck. Hard swollen skin at injection site. Red, bullseye around injection site. Fever and general tiredness. Arm soreness.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Menstruation irregular, Pain in extremity, Pyrexia
Clinical narrative: sévère menstruel cramps and period came on 7 days early stayed on 7 days and VERY HEAVY. Leg pain started 2 days after shot in both legs from hips to calves, low fever
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal dreams, Diarrhoea, Feeling hot, Flushing, Headache
Clinical narrative: I developed a very bad headache that got worse and worse through the day. Early that night, around 8:30pm, I decided to go to bed to try and sleep off the headache. 2 hours later I woke up after having very intense distorted dreams and began throwing up, had diarrhea, and shaking very bad. I felt flushed and very hot but did not have a fever. This went on for a couple hours.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor, Vomiting
Clinical narrative: I developed a very bad headache that got worse and worse through the day. Early that night, around 8:30pm, I decided to go to bed to try and sleep off the headache. 2 hours later I woke up after having very intense distorted dreams and began throwing up, had diarrhea, and shaking very bad. I felt flushed and very hot but did not have a fever. This went on for a couple hours.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Migraine, Myalgia, Pyrexia
Clinical narrative: Migrane, fever, muscle pain, lasting more than 48 hours in varying degree.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild
Age: 58.0
Sex: M
Vaccine: FLUR4
Symptoms: Mobility decreased, Pain
Clinical narrative: Within two hours I could not move arms from sides more than two inches from body. Extreme pain. Also rec?d pnuemovax in right front shoulder and in left front shoulder shingrix
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose abnormal, Chills, Injection site swelling, Nausea, Pain
Clinical narrative: Site: Swelling at Injection Site-Mild, Systemic: Body Aches Generalized-Mild, Systemic: Chills-Mild, Systemic: Fever-Mild, Systemic: high blood sugar reported-Mild, Systemic: Nausea-Mild, Systemic: Vomiting-Mild, Additional Details: instructed to stay hydrated and constantly check BG and to visit the urgent care if feel worse. Reported AE started 2 days after the night of the shot. Also told us that usually after each vaccination her blood pressure shoots up
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Site: Swelling at Injection Site-Mild, Systemic: Body Aches Generalized-Mild, Systemic: Chills-Mild, Systemic: Fever-Mild, Systemic: high blood sugar reported-Mild, Systemic: Nausea-Mild, Systemic: Vomiting-Mild, Additional Details: instructed to stay hydrated and constantly check BG and to visit the urgent care if feel worse. Reported AE started 2 days after the night of the shot. Also told us that usually after each vaccination her blood pressure shoots up
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Blood sodium decreased, Dehydration, Electrocardiogram, Exposure during pregnancy, Full blood count normal
Clinical narrative: 21 weeks pregnant, due September 8, 2020. Started vomiting at 4am on 5/2/2020. Vomited about once an hour until 4pm 5/2/2020. Heart rate started racing and felt very dehydrated so went to the ER. Got IV fluids and an EKG. Nausea remained that evening but began to ease on 5/3/2020.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Lymphocyte count decreased, Mean cell haemoglobin concentration increased, Mean platelet volume decreased, Metabolic function test
Clinical narrative: 21 weeks pregnant, due September 8, 2020. Started vomiting at 4am on 5/2/2020. Vomited about once an hour until 4pm 5/2/2020. Heart rate started racing and felt very dehydrated so went to the ER. Got IV fluids and an EKG. Nausea remained that evening but began to ease on 5/3/2020.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Neutrophil count increased, Vomiting
Clinical narrative: 21 weeks pregnant, due September 8, 2020. Started vomiting at 4am on 5/2/2020. Vomited about once an hour until 4pm 5/2/2020. Heart rate started racing and felt very dehydrated so went to the ER. Got IV fluids and an EKG. Nausea remained that evening but began to ease on 5/3/2020.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site pain, Migraine, Myalgia
Clinical narrative: Fever for at least 18 hours most of which was a temperature of 101-102.3. Chills and muscle aches. Headache that led to nausea. Sinus pressure/ocular migraine. Soreness at injection site.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Paranasal sinus discomfort, Pyrexia
Clinical narrative: Fever for at least 18 hours most of which was a temperature of 101-102.3. Chills and muscle aches. Headache that led to nausea. Sinus pressure/ocular migraine. Soreness at injection site.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Blister
Clinical narrative: Systemic: cluster of blisters-Mild
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Pain
Clinical narrative: Fever of over 100 Severe body aches
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Medium, Additional Details: ems was called but patient refused
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Toothache, X-ray dental normal
Clinical narrative: Two most recent crowns (One crown was about a year ago, the other was 5 months ago.) on two teeth on left side became very painful. Very similar to the same pain I experienced right after the crown was applied, with the exception that the pain would come and go. I would have no pain at all, then 5 minutes later the pain would increase to about a level 5. After about a half hour to an hour, the pain would subside.  This would repeat many times a day.   One week from the shot, I visited my dentist, but they didn't find any problems with the crowns. They gave me Amoxicillin thinking it may be an infection. I don't think it was because it was both of the teeth, one on top, one on the bottom at the exact same time. In the course of the next week the pain gradually subsided. Today it is almost completely gone and only on the most recent crown.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Flushing, Hyperhidrosis, Nausea
Clinical narrative: Systemic: Dizziness / Lightheadedness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Medium, Additional Details: 5 min after vaccine felt hot, sweating, nausea---stated he had this reaction to flu shots in past so typically has not gotten flu shots recently--had him sit w/ head down-gave cold bottle of water he finished-took bp 123/56--put fan on him for cooling---continued to improve every 5 min-after 30 min stated he felt fine & was able to walk out of store
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Flushing, Hyperhidrosis, Seizure
Clinical narrative: Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Mild, Systemic: Seizure-Medium, Systemic: Vomiting-Mild
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Vomiting
Clinical narrative: Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Mild, Systemic: Seizure-Medium, Systemic: Vomiting-Mild
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea
Clinical narrative: Increased menstrual cramping - went from barely any to fairly severe after first injection and has continued after second injection. Still experiencing cramping today while on period.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Oral herpes
Clinical narrative: Cold sore developing on bottom lip
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Eye swelling, Mouth swelling, Swelling face, Swollen tongue
Clinical narrative: Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstruation irregular
Clinical narrative: Period began early (four days) and much heavier than usual.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure measurement, Dizziness, Heart rate, Oxygen saturation, Respiratory rate
Clinical narrative: Pt reported slight feeling of lightheadedness 15 min after injection given. Pt denies dizziness.  Orange Juice given. Symptoms resolved after finishing juice. Vital signs stable. Pt felt well and was  d/c home from vaccine clinic in stable condition.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Vital signs measurement
Clinical narrative: Pt reported slight feeling of lightheadedness 15 min after injection given. Pt denies dizziness.  Orange Juice given. Symptoms resolved after finishing juice. Vital signs stable. Pt felt well and was  d/c home from vaccine clinic in stable condition.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain, Mobility decreased
Clinical narrative: Site: Pain at Injection Site-Medium, Additional Details: patient believes it may have been injected too high on first dose. His shoulder still hurts when he raises his arm. He will monitor and get checked by md if needed and notify the pharmacy.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypersensitivity, Injection site bruising, Injection site erythema, Injection site pain
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash Generalized-Severe, Systemic: Headache-Medium, Additional Details: Patient presented to the pharmacy one day after the second COVID dose was administered. Patient tolerated the first dose with no issues. Patient had a large rash and blistering at the injection site. We adminstered 50mg of benedryl and instructed the patient to follow up with urgent care.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site vesicles, Rash
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash Generalized-Severe, Systemic: Headache-Medium, Additional Details: Patient presented to the pharmacy one day after the second COVID dose was administered. Patient tolerated the first dose with no issues. Patient had a large rash and blistering at the injection site. We adminstered 50mg of benedryl and instructed the patient to follow up with urgent care.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Erythema, Fatigue, Nausea, Pyrexia
Clinical narrative: Received second shot on Thursday (4-29-21) Woke up with symptoms on Friday(4-30-21). Left arm redness and tenderness that's spreading down my arm.  It's hot to touch.  Fatigue Chills  Fever Nausea.  Has not gotten better (5-3-21)
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm, Tenderness
Clinical narrative: Received second shot on Thursday (4-29-21) Woke up with symptoms on Friday(4-30-21). Left arm redness and tenderness that's spreading down my arm.  It's hot to touch.  Fatigue Chills  Fever Nausea.  Has not gotten better (5-3-21)
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac disorder, Chills, Dyspnoea, Fatigue, Hypersensitivity
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Body Aches Generalized-Mild, Systemic: Cardiac Disorder (diagnosed by MD)-Mild, Systemic: Chills-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fever-Mild, Systemic: Nausea-Mild, Systemic: Tachycardia-Mild
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Lethargy, Nausea, Pain, Pyrexia
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Body Aches Generalized-Mild, Systemic: Cardiac Disorder (diagnosed by MD)-Mild, Systemic: Chills-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fever-Mild, Systemic: Nausea-Mild, Systemic: Tachycardia-Mild
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Body Aches Generalized-Mild, Systemic: Cardiac Disorder (diagnosed by MD)-Mild, Systemic: Chills-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fever-Mild, Systemic: Nausea-Mild, Systemic: Tachycardia-Mild
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Death, Decreased appetite, Dyspnoea, Hiccups
Clinical narrative: Weakness loss of appetite 1wk after  trouble breathing body  hicups  heart attack death (almost 2 wks after)
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Myocardial infarction
Clinical narrative: Weakness loss of appetite 1wk after  trouble breathing body  hicups  heart attack death (almost 2 wks after)
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Left ear ringing, started 29 hours after injection. Ongoing.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Skin abrasion, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Severe, Additional Details: Patient fainted 5 min post-vaccination while sitting on chair in observation area,fell forward & hit floor, skinning his nose. PhD immediately attended & rolled patient into recovery position as he awoke CphT left scene to call 911. Pharmacists, stayed w/ patient until EMS arrived (5 minutes) & transported to local hospital for evaluation
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Muscle twitching
Clinical narrative: Severe eye twitch after first dose and left hand numbness after second dose.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dry mouth, Nausea, Paraesthesia
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Systemic: Nausea-Mild, Additional Details: PATIENT reports feeling dizzy right after vaccination and felt pen and needles from shoulder to finger and groin to ankel. Felt a little nausea but felt better soon. He experienced a little dry mouth and was given Gatorade and asked to stay longer. Before leaving he said he felt fine
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Headache, Hyperhidrosis, Injection site pain
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: Tingling at site of injection. Patient was seated after receiving the vaccine and suddenly collasped. Patient maintained consciousness throughout the episode and her symptoms have improved.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Syncope
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: Tingling at site of injection. Patient was seated after receiving the vaccine and suddenly collasped. Patient maintained consciousness throughout the episode and her symptoms have improved.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypertension, Malaise, Palpitations, Tachycardia
Clinical narrative: Systemic: Hypertension-Severe, Systemic: Tachycardia-Severe, Additional Details: Patient has history of PAT (tachycardia) and heart palpitations and is history of Verapamil per patient. He was not feeling well after the shot and we observed him and had the minute clinic nurses come to take his blood pressure and heart rate. He was feeling heart palpitations after the shot. After the nurse took the blood pressure he felt better and his palpitations slowed down so we had him sit again. He had palpitations again nurse call 911 paramedics took pt to hospital
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Blood pressure increased, Blood test normal, Discomfort, Electrocardiogram normal
Clinical narrative: Systemic: Hypertension-Severe, Systemic: Tachycardia-Severe, Additional Details: Patient has history of PAT (tachycardia) and heart palpitations and is history of Verapamil per patient. He was not feeling well after the shot and we observed him and had the minute clinic nurses come to take his blood pressure and heart rate. He was feeling heart palpitations after the shot. After the nurse took the blood pressure he felt better and his palpitations slowed down so we had him sit again. He had palpitations again nurse call 911 paramedics took pt to hospital