chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Herpes zoster, Pain
Clinical narrative: On 4/15/2021 I saw on my leg blisters, went to my local urgent care and was diagnosed with Shingles at the age of 43 and 2 weeks to the date after my 2nd dose of Pfizer Covid 19.  I was put on a anti viral famiciclovir and antibiotic doxycycline, as well as tramadol for pain.  Over the past week since my diagnosis, the lesions are large and in a straight line down my leg and then turn to the right.  I have a patch that covers a varicous vein that looks like it might be infected.  I am on a immuno suppressant medication for my Multiple Sclerosis.  I am still being treated and recovering from shingles to this date.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Hyperhidrosis, Loss of consciousness, Pallor
Clinical narrative: Client was leaving the parking lot post vaccination waiting period when he felt lightheaded. Wife indicates that client passed out twice in the car. Client reports feeling dizzy and hot and he looks pale and sweaty. His BP is 60/40. Client does not have any other medical history and is not taking any medications currently. He is allergic to sulfa. EMS on site evaluated client and was determined that 911 needed to be called. EMS responded and client was transported to the hospital.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Feeling abnormal, Head injury, Loss of consciousness, Seizure
Clinical narrative: Systemic: Seizure-Severe, Additional Details: Pt with history of seizure passed out while sitting down hit head then started seizing.  Pt was placed on side till seizing stopped and until ambulance got to store.  Pt was dazed and out of it while ambulance took him away.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Computerised tomogram abdomen normal, Computerised tomogram head normal, Erythema, Fibrin D dimer increased
Clinical narrative: Covid-19 vaccine JJ: 32 y.o. male w/ no PMH presenting 2 weeks after receiving his Johnson & Johnson COVID vaccine after having severe L calf pain found to have thrombocytopenia.    From H&P on 4/21, Patient reports that he had both fevers and aches after his vaccine (4/8/2021). Several days later developed low back pain radiating into his left leg which he initially attributed to sciatica. However, several days later, he went for a 6 mile hike, and felt that his left leg was hurting more. He went to PCP, where he received a blood test and was found to have a platelet count in the low 60s. This was initially thought to be a lab error, but he noticed that his left leg was swollen, somewhat red, and appeared that his blood vessels were swollen. This swelling resolves when he is lying down, and is worsened when he is standing. He received an US to r/o DVT, which was negative. However, after his repeat platelet count demonstrated thrombocytopenia, he was sent to the ED. He denies any recent leg trauma, though he has broken his leg before nearly 15 years ago.  He denies weakness or issues going to the bathroom. Denies chest pain or shortness of breath. Denies chills, fevers, but did wake up last 2 nights drenched in sweat. He also reports a petechial rash on his legs.   As of 4/22, medical team suspects Vaccine-induced thrombocytopenic purpura (VITT). VITT requires 1) thrombocytopenia, 2) documented clot, 3) positive PF4 Ab, and 4) recent AstraZeneca or J&J vaccine. He meets criteria 1, 3, and 4. He has clinical signs of DVT but does not have a documented clot. Patient has L calf tenderness and prominent pooling of blood and vein engorgement of the L leg when he stands up. Possible that he had a DVT or multiple that cleared and now he has post-thrombotic syndrome. This is consistent with the pooling of blood with gravity and relief of symptoms with elevation. As he has had 2 negative US for DVT, unlikely that he has an unresolved DVT. abdominal and head CT are neg for thrombosis.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Heparin-induced thrombocytopenia test positive, Hyperhidrosis, Immunoglobulin therapy, Night sweats
Clinical narrative: Covid-19 vaccine JJ: 32 y.o. male w/ no PMH presenting 2 weeks after receiving his Johnson & Johnson COVID vaccine after having severe L calf pain found to have thrombocytopenia.    From H&P on 4/21, Patient reports that he had both fevers and aches after his vaccine (4/8/2021). Several days later developed low back pain radiating into his left leg which he initially attributed to sciatica. However, several days later, he went for a 6 mile hike, and felt that his left leg was hurting more. He went to PCP, where he received a blood test and was found to have a platelet count in the low 60s. This was initially thought to be a lab error, but he noticed that his left leg was swollen, somewhat red, and appeared that his blood vessels were swollen. This swelling resolves when he is lying down, and is worsened when he is standing. He received an US to r/o DVT, which was negative. However, after his repeat platelet count demonstrated thrombocytopenia, he was sent to the ED. He denies any recent leg trauma, though he has broken his leg before nearly 15 years ago.  He denies weakness or issues going to the bathroom. Denies chest pain or shortness of breath. Denies chills, fevers, but did wake up last 2 nights drenched in sweat. He also reports a petechial rash on his legs.   As of 4/22, medical team suspects Vaccine-induced thrombocytopenic purpura (VITT). VITT requires 1) thrombocytopenia, 2) documented clot, 3) positive PF4 Ab, and 4) recent AstraZeneca or J&J vaccine. He meets criteria 1, 3, and 4. He has clinical signs of DVT but does not have a documented clot. Patient has L calf tenderness and prominent pooling of blood and vein engorgement of the L leg when he stands up. Possible that he had a DVT or multiple that cleared and now he has post-thrombotic syndrome. This is consistent with the pooling of blood with gravity and relief of symptoms with elevation. As he has had 2 negative US for DVT, unlikely that he has an unresolved DVT. abdominal and head CT are neg for thrombosis.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Peripheral swelling, Petechiae, Platelet count decreased
Clinical narrative: Covid-19 vaccine JJ: 32 y.o. male w/ no PMH presenting 2 weeks after receiving his Johnson & Johnson COVID vaccine after having severe L calf pain found to have thrombocytopenia.    From H&P on 4/21, Patient reports that he had both fevers and aches after his vaccine (4/8/2021). Several days later developed low back pain radiating into his left leg which he initially attributed to sciatica. However, several days later, he went for a 6 mile hike, and felt that his left leg was hurting more. He went to PCP, where he received a blood test and was found to have a platelet count in the low 60s. This was initially thought to be a lab error, but he noticed that his left leg was swollen, somewhat red, and appeared that his blood vessels were swollen. This swelling resolves when he is lying down, and is worsened when he is standing. He received an US to r/o DVT, which was negative. However, after his repeat platelet count demonstrated thrombocytopenia, he was sent to the ED. He denies any recent leg trauma, though he has broken his leg before nearly 15 years ago.  He denies weakness or issues going to the bathroom. Denies chest pain or shortness of breath. Denies chills, fevers, but did wake up last 2 nights drenched in sweat. He also reports a petechial rash on his legs.   As of 4/22, medical team suspects Vaccine-induced thrombocytopenic purpura (VITT). VITT requires 1) thrombocytopenia, 2) documented clot, 3) positive PF4 Ab, and 4) recent AstraZeneca or J&J vaccine. He meets criteria 1, 3, and 4. He has clinical signs of DVT but does not have a documented clot. Patient has L calf tenderness and prominent pooling of blood and vein engorgement of the L leg when he stands up. Possible that he had a DVT or multiple that cleared and now he has post-thrombotic syndrome. This is consistent with the pooling of blood with gravity and relief of symptoms with elevation. As he has had 2 negative US for DVT, unlikely that he has an unresolved DVT. abdominal and head CT are neg for thrombosis.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Post thrombotic syndrome, Pyrexia, Sciatica, Tenderness, Thrombocytopenia
Clinical narrative: Covid-19 vaccine JJ: 32 y.o. male w/ no PMH presenting 2 weeks after receiving his Johnson & Johnson COVID vaccine after having severe L calf pain found to have thrombocytopenia.    From H&P on 4/21, Patient reports that he had both fevers and aches after his vaccine (4/8/2021). Several days later developed low back pain radiating into his left leg which he initially attributed to sciatica. However, several days later, he went for a 6 mile hike, and felt that his left leg was hurting more. He went to PCP, where he received a blood test and was found to have a platelet count in the low 60s. This was initially thought to be a lab error, but he noticed that his left leg was swollen, somewhat red, and appeared that his blood vessels were swollen. This swelling resolves when he is lying down, and is worsened when he is standing. He received an US to r/o DVT, which was negative. However, after his repeat platelet count demonstrated thrombocytopenia, he was sent to the ED. He denies any recent leg trauma, though he has broken his leg before nearly 15 years ago.  He denies weakness or issues going to the bathroom. Denies chest pain or shortness of breath. Denies chills, fevers, but did wake up last 2 nights drenched in sweat. He also reports a petechial rash on his legs.   As of 4/22, medical team suspects Vaccine-induced thrombocytopenic purpura (VITT). VITT requires 1) thrombocytopenia, 2) documented clot, 3) positive PF4 Ab, and 4) recent AstraZeneca or J&J vaccine. He meets criteria 1, 3, and 4. He has clinical signs of DVT but does not have a documented clot. Patient has L calf tenderness and prominent pooling of blood and vein engorgement of the L leg when he stands up. Possible that he had a DVT or multiple that cleared and now he has post-thrombotic syndrome. This is consistent with the pooling of blood with gravity and relief of symptoms with elevation. As he has had 2 negative US for DVT, unlikely that he has an unresolved DVT. abdominal and head CT are neg for thrombosis.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Thrombocytopenic purpura, Ultrasound scan normal
Clinical narrative: Covid-19 vaccine JJ: 32 y.o. male w/ no PMH presenting 2 weeks after receiving his Johnson & Johnson COVID vaccine after having severe L calf pain found to have thrombocytopenia.    From H&P on 4/21, Patient reports that he had both fevers and aches after his vaccine (4/8/2021). Several days later developed low back pain radiating into his left leg which he initially attributed to sciatica. However, several days later, he went for a 6 mile hike, and felt that his left leg was hurting more. He went to PCP, where he received a blood test and was found to have a platelet count in the low 60s. This was initially thought to be a lab error, but he noticed that his left leg was swollen, somewhat red, and appeared that his blood vessels were swollen. This swelling resolves when he is lying down, and is worsened when he is standing. He received an US to r/o DVT, which was negative. However, after his repeat platelet count demonstrated thrombocytopenia, he was sent to the ED. He denies any recent leg trauma, though he has broken his leg before nearly 15 years ago.  He denies weakness or issues going to the bathroom. Denies chest pain or shortness of breath. Denies chills, fevers, but did wake up last 2 nights drenched in sweat. He also reports a petechial rash on his legs.   As of 4/22, medical team suspects Vaccine-induced thrombocytopenic purpura (VITT). VITT requires 1) thrombocytopenia, 2) documented clot, 3) positive PF4 Ab, and 4) recent AstraZeneca or J&J vaccine. He meets criteria 1, 3, and 4. He has clinical signs of DVT but does not have a documented clot. Patient has L calf tenderness and prominent pooling of blood and vein engorgement of the L leg when he stands up. Possible that he had a DVT or multiple that cleared and now he has post-thrombotic syndrome. This is consistent with the pooling of blood with gravity and relief of symptoms with elevation. As he has had 2 negative US for DVT, unlikely that he has an unresolved DVT. abdominal and head CT are neg for thrombosis.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Malaise, Pyrexia, Retching
Clinical narrative: Chills, fever, coughing, throwing up, dry heaving, very sick. Lasted 3 weeks
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Chills, fever, coughing, throwing up, dry heaving, very sick. Lasted 3 weeks
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Peripheral coldness, Vomiting
Clinical narrative: Nausea, cold hands, vomited x 2. BPs 90/70 (pulse 68), 106/66 (pulse 92).
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Epistaxis, Eye injury, Face injury, Facial bones fracture
Clinical narrative: RN witnessed Patient syncope - fell face down out of chair, landed on forehead/nose area, very brief tonic/clonic activity. Bloody nose, bleeding from cut on bridge of nose, abrasion above R eyebrow. Swelling on bridge of nose, appears that it may be broken. Patient conscious soon after syncopal episode and able to speak to RN and Medic. Patient notes history of syncopal episodes related to needles. Volunteer Medic applies pressure to cut and nose to stop bleeding. EMS called due to concern of patient hitting head during fall, possible broken nose. Patient hypotensive (90s/60s), blood sugar 76 - pt stated only black coffee to eat/drink today, slow to recover, dizzy, unable to sit up. EMS transferred to ED for assessment at ~1000.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Syncope
Clinical narrative: RN witnessed Patient syncope - fell face down out of chair, landed on forehead/nose area, very brief tonic/clonic activity. Bloody nose, bleeding from cut on bridge of nose, abrasion above R eyebrow. Swelling on bridge of nose, appears that it may be broken. Patient conscious soon after syncopal episode and able to speak to RN and Medic. Patient notes history of syncopal episodes related to needles. Volunteer Medic applies pressure to cut and nose to stop bleeding. EMS called due to concern of patient hitting head during fall, possible broken nose. Patient hypotensive (90s/60s), blood sugar 76 - pt stated only black coffee to eat/drink today, slow to recover, dizzy, unable to sit up. EMS transferred to ED for assessment at ~1000.
Sex: U
Vaccine: COVID19
Symptoms: Hyperhidrosis, Loss of consciousness, Pallor, Vomiting
Clinical narrative: Patient got pale, diaphoretic and pasted out for approx. 15 sec., after 5 min after getting the injection. Patient aroused.  She reports that she had not eaten anything today.  Given graham crackers and water for oral intake.  Shortly after eating the crackers and drinking the water, patient vomited.  She reports that she felt better after the emesis.  Patient able left per ambulatory status, after 30 min of monitoring patient.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Headache, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Received Pfizer vaccines on 1/6/21 and 1/27/21. Tested positive for COVID by PCR on 3/25/21. Symptoms of H/A, rhinorrhea/congestion beginning 3/23/21.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Muscular weakness, Pain in extremity, Shoulder injury related to vaccine administration
Clinical narrative: SIRVA. Patient developed severe left shoulder/arm pain and weakness 48 hours after receiving Pfizer vaccine.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient had ED visit / hospitalization within 6 weeks of receiving COVID vaccine
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Injection site pain, Pain
Clinical narrative: Site: Pain at Injection Site-Medium, Systemic: Joint Pain-Mild, Additional Details: Sore arm and radiating pain that extends down the arm from where the shot was administered, and extends to the shoulder blade in the patient's back.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Dyspnoea, Hypoaesthesia
Clinical narrative: 13:10 After 2nd covid vaccine, pt reported feeling "very dizzy and weak" and that her legs from thighs to calves felt numb bilaterally. Reported SOB intermittently. Lungs clear to auscultation. VSS BP 140/72, HR 116, R 20, O2 sat. 76-87%.  13:20 25 mg IM benadryl to right deltoid. Pulse ox replaced to r. finger = 90-94%. This RN consulted with RN director of vaccine clinic, RN who recommends pt follow up at urgent care. 13:40: Pulse ox continues 90-94%. Pt reports legs continue to feel numb. Pt advised to f/u at urgent care. Pt agrees with plan and will be driven there by her sister. 1344: Urgent care called and notified of pt imminent arrival and report given to RN. Care relinquished.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Headache, Pyrexia
Clinical narrative: Fever. Low back pain. Headaches.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: Lightheaded. Nausea Seen by on site EMT BP=116/57 P= 50 02=100
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Ultrasound Doppler
Clinical narrative: DVT within 24 hours of vaccine
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cough, Dyspnoea, Fatigue
Clinical narrative: fever, fatigue, difficulty breathing, cough, nausea,
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, SARS-CoV-2 test positive, X-ray
Clinical narrative: fever, fatigue, difficulty breathing, cough, nausea,
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Axillary mass, Chills, Fatigue, Mobility decreased, Pain
Clinical narrative: Patient had extreme pain, fatigue, chills, fever. Patient developed lump in arm pit, approx 1 cm that is still there currently. Patient could not get out of bed for over 24hrs post 2nd dose. Reporting kidney pain and full body pain.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Renal pain
Clinical narrative: Patient had extreme pain, fatigue, chills, fever. Patient developed lump in arm pit, approx 1 cm that is still there currently. Patient could not get out of bed for over 24hrs post 2nd dose. Reporting kidney pain and full body pain.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Body temperature increased, Fatigue, Headache, Injection site pain
Clinical narrative: Tired the same evening, went to bed early. Next morning woke up tired but motivated taking shower and getting ready to work but by 8am was noticing decreased energy and buttocks and backs of legs aching in addition to sore vaccination site. It quickly proceeded to get worse with severe headache, neck pain, arms and legs aching. Throughout the day temperature went up and down and varied from 96 to 102. The highest temperature was the day after vaccination around 6pm about 24-27 hours after. Two days after in the morning, still fatigued and temperature at 97-100 .
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal pain, Neck pain, Pain in extremity
Clinical narrative: Tired the same evening, went to bed early. Next morning woke up tired but motivated taking shower and getting ready to work but by 8am was noticing decreased energy and buttocks and backs of legs aching in addition to sore vaccination site. It quickly proceeded to get worse with severe headache, neck pain, arms and legs aching. Throughout the day temperature went up and down and varied from 96 to 102. The highest temperature was the day after vaccination around 6pm about 24-27 hours after. Two days after in the morning, still fatigued and temperature at 97-100 .
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dizziness, Fatigue, Head discomfort
Clinical narrative: April 22, I started out the day with fatigue I noticed around 9am (the day after my 2nd shot). That quickly progressed into chills. Then throughout the day progressed into constant extreme chills,  body aches, swimmy head, dizziness, extreme weakness, headache and fever (100 degrees). Slight nausea toward the evening. I didn't take any medication for the symptoms. Went to sleep around 8:30pm and woke up around 7am April 23) feeling much better. Still slightly weak and tired but no other symptoms.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Pain, Pyrexia
Clinical narrative: April 22, I started out the day with fatigue I noticed around 9am (the day after my 2nd shot). That quickly progressed into chills. Then throughout the day progressed into constant extreme chills,  body aches, swimmy head, dizziness, extreme weakness, headache and fever (100 degrees). Slight nausea toward the evening. I didn't take any medication for the symptoms. Went to sleep around 8:30pm and woke up around 7am April 23) feeling much better. Still slightly weak and tired but no other symptoms.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Nausea, Pyrexia
Clinical narrative: Fever, nausea, and fatigue
Age: 24.0
Sex: F
Vaccine: UNK
Symptoms: Deep vein thrombosis, Ultrasound abdomen
Clinical narrative: left femoral DVT
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Freezing phenomenon, Pain, Pyrexia, Tremor
Clinical narrative: Received the shot just before 11am. 14 hours later, at 1am, I woke up with horrific projectile vomiting, the kind that splashes back out of the toilet onto myself and the bathroom. This lasted for approximately 4 hours all while shivering/shaking/freezing and had a fever. I would throw up, shiver for about 10 minutes and then do it all over again non-stop for 4 hours. Finally fell asleep and woke up with a fever over 101 that lasted all day with body aches.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting projectile
Clinical narrative: Received the shot just before 11am. 14 hours later, at 1am, I woke up with horrific projectile vomiting, the kind that splashes back out of the toilet onto myself and the bathroom. This lasted for approximately 4 hours all while shivering/shaking/freezing and had a fever. I would throw up, shiver for about 10 minutes and then do it all over again non-stop for 4 hours. Finally fell asleep and woke up with a fever over 101 that lasted all day with body aches.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Confusional state, Dizziness, Fatigue, Flushing
Clinical narrative: Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Weakness-Medium, Additional Details: FOLLOWED UP WITH PATIENT 12 HOURS POST EVENT- REPORTS FEELING NORMAL,WITHOUT ANY/NEW SYMPTOMS
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Lethargy, Syncope
Clinical narrative: Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Weakness-Medium, Additional Details: FOLLOWED UP WITH PATIENT 12 HOURS POST EVENT- REPORTS FEELING NORMAL,WITHOUT ANY/NEW SYMPTOMS
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Flatulence, Headache, Injection site pain
Clinical narrative: -Chills, fever, sore arm at injection site for 36 hours following shot. -Diarrhea 1 time a day on days 3-4 after eating full meal. Continued lower gas pains in lower abdomen.   -Headache starting at back of neck on night day 5. Continued on day 6. Tylenol helped relieve headache and neck ache.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: -Chills, fever, sore arm at injection site for 36 hours following shot. -Diarrhea 1 time a day on days 3-4 after eating full meal. Continued lower gas pains in lower abdomen.   -Headache starting at back of neck on night day 5. Continued on day 6. Tylenol helped relieve headache and neck ache.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Headache, Hypoaesthesia, Palpitations
Clinical narrative: Constant headache, palpitations and numbness in left arm, constant confusion.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Incorrect product formulation administered
Clinical narrative: Patient was administered the incorrect dosage of Pfizer (0.1).  Vaccinator notified the site leader in regards to the above.  Site contacted patient and advised patient to return facility to receive the remaining dosage of 0.2.  0.2 was administered and patient was fully vaccinated with he correct dosage of 0.3
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient had ED visit / hospitalization within 6 weeks of receiving COVID vaccine
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Atrioventricular block complete, Bundle branch block right, Cardiac pacemaker insertion
Clinical narrative: Patient had ED visit / hospitalization within 6 weeks of receiving COVID vaccine
Age: 30.0
Sex: F
Vaccine: VARCEL
Symptoms: Headache, Rash, Rash maculo-papular, Skin lesion, Varicella virus test positive
Clinical narrative: Employee developed headache on 4/16 and several maculopapular bumps on head and left hip that day.  Over the next everal days additional bumps developed over her entire body.  A mix of maculo-papular and small vesicular lesions.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Injection site hypoaesthesia
Clinical narrative: Patient received dose 1 of the COVID vaccine (lot EW0150, exp 7/2021) at 1637. At 1650, patient was sitting in the observation area when she told PHN that she was experiencing left arm numbness at the injection site. Vital signs: blood pressure 128/90, respirations 18, O2 99%, pulse 83. Allergy to sulfas. Patient denied medical conditions. Medications: multivitamin, iron, vitamin B12. At 1655, patient noted the numbness in her left knee additionally. At 1704, PHN offered Benadryl but patient declined. Vital signs: blood pressure 130/92, O2 98%, respirations 18, pule 73. PHN encouraged patient to follow up with her provider and when to call 911. At 1710, patient reported she wanted to go. Patient left walking with steady gait at 1711.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Eye swelling, Mouth swelling, Pruritus, Rash
Clinical narrative: Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Swelling face, Swollen tongue
Clinical narrative: Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Malaise, Myalgia, Pyrexia
Clinical narrative: Patient been feeling ver sick, with high ever, muscle ache and abdominal pain lasting over a week after the administration
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Trismus
Clinical narrative: Lock-jaw, Unable to open mouth even slightly
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis
Clinical narrative: Sweating, dizzy, history of vasovagal reaction. Vitals wnl, given water.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Flushing, Hypoaesthesia, Immediate post-injection reaction, Limb discomfort
Clinical narrative: HPI: Patient is a * year old * who presents following administration of the first dose of Pfizer COVID19 vaccine in the left deltoid.  She states that immediately following vaccination, she felt a rushing feeling in the left side of her face, particularly the left ear, and left arm.  She further describes constant warmth, numbness and tingling in the left ear.  She denies muscle weakness, headache, changes in vision, and loss of consciousness.  She states she has never experienced these symptoms following a vaccination.  She also states she has not eaten this morning, but has drank water.  She affirms a history of childhood allergic reaction to sulfa drugs, however, she does not recall what the reaction was.  She denies a past medical history.  She denies taking medications on a regular basis.  She denies chest pain, difficulty breathing, difficulty swallowing, other skin changes/urticaria, swelling of the face/lips/tongue/throat, skin rash/itching, cramping abdominal pain, nausea, and vomiting.     Exam: GEN: Alert and oriented x 4, NAD HEAD: NCAT EYES: PERRL, EOMI ENT: Ears normal, Nose normal, OP normal, no evidence of angioedema NECK: Supple, without LAD.  CV: RRR, no m/r/g PULM: Clear to auscultation bilaterally, no accessory muscle use ABD: Soft, no tenderness. SKIN: Erythema and warmth of the left pinnae.  No rashes, skin warm and dry.  No erythema or edema of the injection site. MSK: FROM, MS 5/5 NEURO: Alert and oriented x 4, CN 2-12 grossly intact, no ataxia, gait steady   Clinical Impression/Field Tx: Flushing of the left ear following vaccine administration.  Patient otherwise not displaying signs or symptoms of anaphylaxis.  Thorough neuro exam performed and was within normal limits.  Patient demonstrated the ability to adequately control the airway and secretions.  Vital signs stable.  Patient felt as if the sensations were decreasing by the end of the evaluation and felt comfortable driving home.   Instructed patient to consult their PCP regarding the post-vaccination reaction.  Patient instructed to go to emergency department should they develop chest pain, difficulty breathing, difficulty swallowing,  muscle weakness, vision changes, adverse skin changes, swelling of the face/lips/mouth/tongue/throat, or cramping abdominal pain with nausea/vomiting.   Medications administered: None   Disposition:  Home
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: HPI: Patient is a * year old * who presents following administration of the first dose of Pfizer COVID19 vaccine in the left deltoid.  She states that immediately following vaccination, she felt a rushing feeling in the left side of her face, particularly the left ear, and left arm.  She further describes constant warmth, numbness and tingling in the left ear.  She denies muscle weakness, headache, changes in vision, and loss of consciousness.  She states she has never experienced these symptoms following a vaccination.  She also states she has not eaten this morning, but has drank water.  She affirms a history of childhood allergic reaction to sulfa drugs, however, she does not recall what the reaction was.  She denies a past medical history.  She denies taking medications on a regular basis.  She denies chest pain, difficulty breathing, difficulty swallowing, other skin changes/urticaria, swelling of the face/lips/tongue/throat, skin rash/itching, cramping abdominal pain, nausea, and vomiting.     Exam: GEN: Alert and oriented x 4, NAD HEAD: NCAT EYES: PERRL, EOMI ENT: Ears normal, Nose normal, OP normal, no evidence of angioedema NECK: Supple, without LAD.  CV: RRR, no m/r/g PULM: Clear to auscultation bilaterally, no accessory muscle use ABD: Soft, no tenderness. SKIN: Erythema and warmth of the left pinnae.  No rashes, skin warm and dry.  No erythema or edema of the injection site. MSK: FROM, MS 5/5 NEURO: Alert and oriented x 4, CN 2-12 grossly intact, no ataxia, gait steady   Clinical Impression/Field Tx: Flushing of the left ear following vaccine administration.  Patient otherwise not displaying signs or symptoms of anaphylaxis.  Thorough neuro exam performed and was within normal limits.  Patient demonstrated the ability to adequately control the airway and secretions.  Vital signs stable.  Patient felt as if the sensations were decreasing by the end of the evaluation and felt comfortable driving home.   Instructed patient to consult their PCP regarding the post-vaccination reaction.  Patient instructed to go to emergency department should they develop chest pain, difficulty breathing, difficulty swallowing,  muscle weakness, vision changes, adverse skin changes, swelling of the face/lips/mouth/tongue/throat, or cramping abdominal pain with nausea/vomiting.   Medications administered: None   Disposition:  Home
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: my right thumb and index finger from the point where i bend it to the top of the thumb and index finger it is completely numb like its dead since three weeks after having vaccine.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site pruritus, Injection site swelling
Clinical narrative: Red swelling itchy  hard lump around injection site  Lasted 4 days. Accompanied by lymph node swelling a few days prior and during  Went away on its own after 4 days
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Red swelling itchy  hard lump around injection site  Lasted 4 days. Accompanied by lymph node swelling a few days prior and during  Went away on its own after 4 days
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient became light-headed and dizzy after admin of the shot, during the 15min monitoring period.  No meds admin'd to treat the reaction at this clinic.  Pt brought to emergency department
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Vaccine positive rechallenge
Clinical narrative: WITH HER 1ST VACCINE SHE SAID HER LYMPH NODES WERE SWOLLEN. TODAY SHE SAID SHE WAS HAVING AN ALLERGIC REACTION AND ON SITE EMS RESPONDED. VITALS BELOW. NO SIGNS OF ALLERGIC REACTION, BUT HER LYMPH NODES WERE SWOLLEN. DIPHENHYDRAMINE WAS GIVEN TO BE ON THE SAFE SIDE. SHE WAS RELEASED TO HOME.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Erythema
Clinical narrative: Patient received 2nd dose of Pfizer COVID-19 vaccine on 4/1/2021. Vaccine given 0848. Patient complianed of red arm and chest tightness. She was evaluated and given Pepcid 20 mg x1 and Benadryl 25 mg po x1. She was observed for 30 min.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Received Pfizer vaccines on 2/5/21 and 2/26/21. Tested Positive for COVID 19 by PCR on 4/19/21. Patient asymptomatic for COVID.  Previously positive for COVID in 7/2020 and 11/2020. Immunocompromised d/t transplant status, on prednisone, Sirolimus, Cellcept.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Vertigo
Clinical narrative: On 4/21/2021 I experienced dizziness and nausea upon rising from bed, and later rising from toilet, and picking up something off floor. It felt like the whole room was swirling about me. I spent the day resting but found laying down brought on the symptoms. On 4/22 and 4/23 I have tried to rise slower and continue to experience nausea, dizziness, vertigo and have had the symptoms while laying in bed unmoving as well as when arising from bed. I am fearful of walking unsteadily and have used my cane [for my arthritis which doesn't require it now]- for safety sake.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Pharyngeal swelling
Clinical narrative: Symptoms including time of vaccination and onset time of symptoms:  18 y/o male with hx of previous allergic reactions c/o mild SOB, "throat swelling" sensation 30 mins post first dose of Pfizer @ 11:23am, time of vaccine 10:53am. Pt speaking in full sentences, no acute distress/stridor/wheezing/lip swelling/rash on exam. Lungs CTAB. Pt immediately given 50mg Benadryl IM @ 11:23am Benadryl. Pt immediately reported improvement of symptoms, states SOB resolved and 60% improvement of throat swelling sensation @ 11:27am. Pt monitored an additional 30 mins and upon discharge pt reports COMPLETE resolvement of symptoms@ 11:53am. Pt instructed to call UBER/LYFT/friend for transport and to not operate vehicle for Benadryl can make him drowsy.Upon dc pt in NAD, lungs CTAB. No stridor/wheezing on exam.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test abnormal, Chills, Computerised tomogram, Fatigue, Lymphadenopathy
Clinical narrative: SEVERE CHILLS. NAUSEA AND FATIGUE LASTING TWO WEEKS.  BLOOD TEST ADVISED BY PHYSICIAN SHOWED ABNORMAL WHITE BLOOD COUNT.   BLOOD TEST TAKEN IN MARCH 2021.  PREVIOUS BLOOD TEST TAKEN 12/2020 WAS NORMAL.  SEBACEOUS CYST ON BACK PRIOR TO SECOND VACCINE DISAPPEARED.  CT SCAN TAKEN IN APRIL 2021 SHOWED ENLARGED LYMPH NODES.  SCAN ADVISED BY PHYSICIAN BECAUSE OF ELEVATED WHITE BLOOD COUNT.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, White blood cell count increased
Clinical narrative: SEVERE CHILLS. NAUSEA AND FATIGUE LASTING TWO WEEKS.  BLOOD TEST ADVISED BY PHYSICIAN SHOWED ABNORMAL WHITE BLOOD COUNT.   BLOOD TEST TAKEN IN MARCH 2021.  PREVIOUS BLOOD TEST TAKEN 12/2020 WAS NORMAL.  SEBACEOUS CYST ON BACK PRIOR TO SECOND VACCINE DISAPPEARED.  CT SCAN TAKEN IN APRIL 2021 SHOWED ENLARGED LYMPH NODES.  SCAN ADVISED BY PHYSICIAN BECAUSE OF ELEVATED WHITE BLOOD COUNT.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Ringing in ears,. 6 weeks after J& J dose. Still ringing I will be going to a specialist . Course of ring in ears 2 weeks doesn?t go away . Tinnitus . I had Johnson  and Johnson didn?t see it above to check manufacturer
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: On 4/21/21  client received 2nd dose of Moderna, the vaccine was given one day before the minimal interval of 24days.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Antinuclear antibody, Arthralgia, Arthropathy, Blood creatine phosphokinase normal, C-reactive protein normal
Clinical narrative: Feverish and sore arm at administration site 4/7-4/9/2021. Completely resolved.  On 4/11/21 noted aching in knees, which progressed over the next ten days to  visibly swollen elbows/knees with marked limitations in activities of daily living due to pain and stiffness in knees and elbows. On exam 4/20/21 by me she had synovitis both knees and elbows - swollen, tender joints, loss of joint space.  She was put on a tapering dose of prednisone, and on 4/23/21 reports pain down to level 3 from level 8.  Serum-sickness type response.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Full blood count normal, Injection site pain, Joint stiffness, Joint swelling, Loss of personal independence in daily activities
Clinical narrative: Feverish and sore arm at administration site 4/7-4/9/2021. Completely resolved.  On 4/11/21 noted aching in knees, which progressed over the next ten days to  visibly swollen elbows/knees with marked limitations in activities of daily living due to pain and stiffness in knees and elbows. On exam 4/20/21 by me she had synovitis both knees and elbows - swollen, tender joints, loss of joint space.  She was put on a tapering dose of prednisone, and on 4/23/21 reports pain down to level 3 from level 8.  Serum-sickness type response.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Metabolic function test, Musculoskeletal stiffness, Pyrexia, Red blood cell sedimentation rate normal, Rheumatoid factor negative
Clinical narrative: Feverish and sore arm at administration site 4/7-4/9/2021. Completely resolved.  On 4/11/21 noted aching in knees, which progressed over the next ten days to  visibly swollen elbows/knees with marked limitations in activities of daily living due to pain and stiffness in knees and elbows. On exam 4/20/21 by me she had synovitis both knees and elbows - swollen, tender joints, loss of joint space.  She was put on a tapering dose of prednisone, and on 4/23/21 reports pain down to level 3 from level 8.  Serum-sickness type response.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Synovitis, Urine analysis normal
Clinical narrative: Feverish and sore arm at administration site 4/7-4/9/2021. Completely resolved.  On 4/11/21 noted aching in knees, which progressed over the next ten days to  visibly swollen elbows/knees with marked limitations in activities of daily living due to pain and stiffness in knees and elbows. On exam 4/20/21 by me she had synovitis both knees and elbows - swollen, tender joints, loss of joint space.  She was put on a tapering dose of prednisone, and on 4/23/21 reports pain down to level 3 from level 8.  Serum-sickness type response.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Arthritis, Discomfort, Joint effusion, Joint swelling
Clinical narrative: Feverish and sore arm at administration site 4/7-4/9/2021. Completely resolved.  On 4/11/21 noted aching in knees, which progressed over the next ten days to  visibly swollen elbows/knees with marked limitations in activities of daily living due to pain and stiffness in knees and elbows. On exam 4/20/21 by me she had synovitis both knees and elbows - swollen, tender joints, loss of joint space.  She was put on a tapering dose of prednisone, and on 4/23/21 reports pain down to level 3 from level 8.  Serum-sickness type response.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Vaccination site mass, Vaccination site pain
Clinical narrative: Feverish and sore arm at administration site 4/7-4/9/2021. Completely resolved.  On 4/11/21 noted aching in knees, which progressed over the next ten days to  visibly swollen elbows/knees with marked limitations in activities of daily living due to pain and stiffness in knees and elbows. On exam 4/20/21 by me she had synovitis both knees and elbows - swollen, tender joints, loss of joint space.  She was put on a tapering dose of prednisone, and on 4/23/21 reports pain down to level 3 from level 8.  Serum-sickness type response.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Post vaccine pt felt light headed and was scared to stand up. Pt was transferred via wheelchair to med obs . pt was transferred to the stretcher  Per patient she experiences fainting episodes with hormonal changes  monthly. Pt was given water and apple juice.  Pt was released at 1100. Vitals as followed  1037 BP 177/94 HR 77 RR 20 SPO2 97 1040 BP 173/93 HR 74 RR 20 SPO2 98 1049 BP 167/99 HR 74 RR 18 SPO2 98 1059 BP 172/87 HR 74 RR18 SPO2 98
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema
Clinical narrative: Onset of erythema 8 days after dose, afebrile, c/w COVID arm.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Mobility decreased, Muscular weakness
Clinical narrative: Patient reported on 1/19/21:  I received the second dose of the Phizer Covid vaccine on 1/11/2021 in my left arm. Immediately after the injection my arm felt weak to the point I was unable to lift it for 2 days. Currently I can move my arm but it continues to feel weak.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer normal, Laboratory test, Pain in extremity
Clinical narrative: I had very severe pain in both legs. This lasted for a few days before I ended up in the emergency room. They only drew labs and determined I did not have a blood clot. I'm taking ibuprofen and a baby aspirin but I do still have pain in both of my legs.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient had hospitalization within 6 weeks of receiving COVID vaccine
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Nausea
Clinical narrative: Chills, weakness, nausea
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Skin warm
Clinical narrative: Arm was sore the immediate 2 days following vaccination and then again 8 days after vaccination, arm was sore, hot and warm to the touch for 2 days.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Anaphylaxis prophylaxis, Dyspnoea, Fluid replacement, Hypoaesthesia oral
Clinical narrative: Participant had mild systems after her first dose, mild generalize pain. About 5 min after her second dose, developed generalize rash, numbness of tongue, audible wheezing and stated was getting difficult to breath. Administered 0.3 mg of epi in opposite deltoid. Responded well to epi, improved respiratory status.  BP taken after epi administration was 215/140 and came back quickly to normal limits for her. EMT came started an IV and administered Benadryl. Taken to hospital. O2 sats were < 80 but came up quickly in the ER. In the ER received Solumedrol, another dose of Benadryl and Pepcid. She was released about 2 hours after arrival. She has called her provider to report the incident and waiting for a call back. Is also going to see an alergist.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Oxygen saturation, Rash, Wheezing
Clinical narrative: Participant had mild systems after her first dose, mild generalize pain. About 5 min after her second dose, developed generalize rash, numbness of tongue, audible wheezing and stated was getting difficult to breath. Administered 0.3 mg of epi in opposite deltoid. Responded well to epi, improved respiratory status.  BP taken after epi administration was 215/140 and came back quickly to normal limits for her. EMT came started an IV and administered Benadryl. Taken to hospital. O2 sats were < 80 but came up quickly in the ER. In the ER received Solumedrol, another dose of Benadryl and Pepcid. She was released about 2 hours after arrival. She has called her provider to report the incident and waiting for a call back. Is also going to see an alergist.
Age: 56.0
Sex: F
Vaccine: UNK
Symptoms: Injection site haematoma, Injection site nodule, Injection site pain, Injection site swelling
Clinical narrative: THE INJECTION SITE ARM WAS TENDER FOR 11 DAYS ,  ON THE 12TH DAY, THE SITE SWELLED  TOT HE SIZE OF A HALF DOLLAR. I WENT TO MY PRIMARY CARE AND HE SAID THAT IS WAS A HEMOTOMA AT THE INJECTION SITE I  WAS TOLD TO TAKE BABY ASPRIN TO HELP DISSOLVE IT. I AM ON DAY 27 AND THERE IS STILL A MSALL KNOT AT THE INJECTION SITE.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular, Oligomenorrhoea
Clinical narrative: Notable changes in menstration. Period started 2 days after vaccination ( 10 days early ) and has continued until current date.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Received Moderna COVID vaccines on 2/3/21 and 3/12/21. Tested positive for COVID-19 by PCR on 4/19/21. Patient is asymptomatic, was tested due to upcoming appointments at our facility.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Tingling in left arm 1 minute after vaccination. Vitals wnl.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: PATIENT WOKE UP WITH HIVES THE MORNING AFTER VACCINATION. THEY STARTED ON THE SHOT ARM AND SPREAD FROM THERE. PATIENT REACHED OUT TO MD AND IS TAKING ZYRTEC.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Hyperhidrosis, Nausea
Clinical narrative: Post vaccine patient became dizzy, sweaty, anxious and experienced nausea . Pt. was given water in vaccination area.  Patient had eaten approx. 1 hour prior to vaccination. Pt. transferred to med obs. via w/c.  After lying down for several minutes pt. felt better.  Husband arrived to area and pt. felt less anxious.  Pt. released at 1352 with husband. Vital signs- 1315 LYING BP 155/80 HR77 RR24 SpO2 97% 1322 LYING BP 154/85 HR77 RR20 SpO2 97% 1331 LYING BP 154/85 HR75 RR20 SpO2 96% 1335 SITTING BP 157/93 HR78 RR20 SpO2 95% 1345 SITTING BP 148/98 HR79 RR20 SpO2 96% 1350 STANDING BP 144/90 HR 83 RR20 SpO2 97%