chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Redness and heat surrounding injection site
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea
Clinical narrative: Client c/o of SOB 15 min after vaccine was given, EMS was called 10 min later, EMS instructed to use epi pen. Epi was given per EMS.  Client felt better.  EMS transported client to medical facility.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Throat tightness
Clinical narrative: Client c/o of SOB 15 min after vaccine was given, EMS was called 10 min later, EMS instructed to use epi pen. Epi was given per EMS.  Client felt better.  EMS transported client to medical facility.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Muscular weakness, Paraesthesia
Clinical narrative: Within 3 minutes of receiving vaccine, associate became flushed, tachycardic, tingling to chest and abdomen, and weakness of legs.  She was observed for 35 minutes by Drs. during this time period.  Symptoms resolved in entirety during this time.  Associate was later contacted by Dr. via phone follow-up 1 hour after leaving vaccine clinic and associate reports symptoms continue to be resolved and did not reoccur.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Redness, swelling,itching, pain at injection site? about 2 inches in diameter
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dry throat, Nasopharyngitis
Clinical narrative: 4:15 pm- 10 minutes after injection pt reports feeling dizzy, cold, and throat dryness.  Pt denies short of breath, chest pain or swallowing difficulties. 4:20 pm Pt evaluated by EMS. BP 140/108, P 95, O2 sat 100% 4:25 pm BP 142/99, P 94, O2 sat 100 %. pt reports feeling better and declined transport to ED
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache
Clinical narrative: Extreme headache, very painful joints
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Erythema, Flushing, Paraesthesia, Paraesthesia oral
Clinical narrative: Pt. started feeling tingling in lips and facial flushing within 2 minutes after administration. Dr. in clinic for pt. assessment. Pt. uneasy/anxious with increased facial flushing to face and some mild swelling to lips. Pt. with tingling sensation to right side of body. Benadryl 100mg IM administered immediatly per Dr.'s order. Epi-Pen also available if needed. Pt. with improved redness to face and lips after administration.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Headache, Pyrexia
Clinical narrative: Fever, joint pain, back pain, headache Took 800 mg of ibuprofen twice with some symptom relief
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pruritus
Clinical narrative: Low grade generalized itching without rash beginning approximately 5 hours after injection; injection site soreness within an hour of injection
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Dyspnoea, Erythema, Pruritus, Rash macular
Clinical narrative: Entered post-monitoring area at 1750, notified RN of prior itching and hives post first dose COVID-19 vaccination. Reported that she had taken Benadryl 50mg PO after first vaccination. Pt reported today 1/7/20, she took medication prior to COVID-19 vaccination: Pepcid 40mg PO at 1626. Benadryl 25mg PO at 1626.  1810: pt c/o scalp itching, visible redness to itchy area on scalp. BP 158/84 (101), HR 82, regular rhythm, SpO2 97%, RR 18, Temp=97.5F  1812: 25mg Diphenhydramine HCL oral solution given PO for itching to scalp.  1818: BP 159/93 (108), HR 78, regular rhythm, SpO2 98%, RR 17, Temp =98 F  1822: Splotchy redness noted to pt's L lower arm, no itching. Redness noted to L upper chest with pt c/o itching to L upper chest area, R neck, nose and R toes itching. Pt denies difficulty breathing, swallowing. SpO2=98%  1830: BP 172/84 (105), HR 82, regular rhythm, SpO2 100%, RR 16, Temp=97.5 F Pt denies any new areas of itching, scalp, R toes, R neck and R chest area still itchy. No c/o difficulty swallowing or breathing. No throat clearing.  1837: pt notes improvement in scalp and nose itching. Redness to L arm and chest improved.  1845: BP 165/80 (102), HR 85, regular rhythm, RR 16, SpO2=99%, Temp =98.2 F Pt c/o itching again to R side of scalp with redness noted to scalp.  1850: 25mg Diphenhydramine HCL oral solution given PO for itching and redness to scalp.  1900: BP 153/87 (104), HR 85, regular rhythm, RR 12, SpO2=98%, Temp=97.6 F Pt reports mild scalp itching with some improvement since second dose of diphenhydramine. No other itching or redness noted.  1915: BP 171/86 (107), HR=80, regular rhythm, RR 12, SpO2=99%, Temp=97.4 F pt reports mild itching to L scalp and L chest, no significant redness noted.  1930: Pt denies worsening symptoms, no additional itching or redness. Gave pt discharge instructions to not exceed 100mg of Diphenhydramine in a 4 hour period. Recorded times and amounts of diphenhydramine given during post vaccine monitoring period. Pt denies feeling drowsy and is comfortable driving home. Directed patient to call emergency services from home with any worsening of rash or trouble breathing, feeling faint, or any other concerning symptoms. Pt's husband will be at home with pt, aware of additional monitoring needed post vaccine.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Entered post-monitoring area at 1750, notified RN of prior itching and hives post first dose COVID-19 vaccination. Reported that she had taken Benadryl 50mg PO after first vaccination. Pt reported today 1/7/20, she took medication prior to COVID-19 vaccination: Pepcid 40mg PO at 1626. Benadryl 25mg PO at 1626.  1810: pt c/o scalp itching, visible redness to itchy area on scalp. BP 158/84 (101), HR 82, regular rhythm, SpO2 97%, RR 18, Temp=97.5F  1812: 25mg Diphenhydramine HCL oral solution given PO for itching to scalp.  1818: BP 159/93 (108), HR 78, regular rhythm, SpO2 98%, RR 17, Temp =98 F  1822: Splotchy redness noted to pt's L lower arm, no itching. Redness noted to L upper chest with pt c/o itching to L upper chest area, R neck, nose and R toes itching. Pt denies difficulty breathing, swallowing. SpO2=98%  1830: BP 172/84 (105), HR 82, regular rhythm, SpO2 100%, RR 16, Temp=97.5 F Pt denies any new areas of itching, scalp, R toes, R neck and R chest area still itchy. No c/o difficulty swallowing or breathing. No throat clearing.  1837: pt notes improvement in scalp and nose itching. Redness to L arm and chest improved.  1845: BP 165/80 (102), HR 85, regular rhythm, RR 16, SpO2=99%, Temp =98.2 F Pt c/o itching again to R side of scalp with redness noted to scalp.  1850: 25mg Diphenhydramine HCL oral solution given PO for itching and redness to scalp.  1900: BP 153/87 (104), HR 85, regular rhythm, RR 12, SpO2=98%, Temp=97.6 F Pt reports mild scalp itching with some improvement since second dose of diphenhydramine. No other itching or redness noted.  1915: BP 171/86 (107), HR=80, regular rhythm, RR 12, SpO2=99%, Temp=97.4 F pt reports mild itching to L scalp and L chest, no significant redness noted.  1930: Pt denies worsening symptoms, no additional itching or redness. Gave pt discharge instructions to not exceed 100mg of Diphenhydramine in a 4 hour period. Recorded times and amounts of diphenhydramine given during post vaccine monitoring period. Pt denies feeling drowsy and is comfortable driving home. Directed patient to call emergency services from home with any worsening of rash or trouble breathing, feeling faint, or any other concerning symptoms. Pt's husband will be at home with pt, aware of additional monitoring needed post vaccine.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Lymphadenopathy, Nausea, Pain
Clinical narrative: Fever to 101.4, rigors/ chills. Nausea and vomiting. Swollen axillary lymph nodes, body aches and headache.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Fever to 101.4, rigors/ chills. Nausea and vomiting. Swollen axillary lymph nodes, body aches and headache.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Injection site haemorrhage, Pain in extremity, Peripheral swelling, Throat irritation
Clinical narrative: Instant bleeding at site, with arm swelling and pain--held firm pressure; followed by scratchy throat requiring 50 mg benadryl.  Monitored x 30 minutes. Benadryl helped with scratchy throat, but arm was still very painful and swollen.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Sore arm at injection site
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Injection site inflammation, Injection site pain, Injection site swelling
Clinical narrative: 3 days  of extreme pain and swelling and inflammation at injection area as well as headache, nausea and dizziness.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: 3 days  of extreme pain and swelling and inflammation at injection area as well as headache, nausea and dizziness.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Rash, Sensation of foreign body, Throat tightness
Clinical narrative: 2:45 pm - 10 minutes after receiving vaccine pt reports throat tightness and sensation of lump in throat,  and rash to face and chest  2:50 Pm pt evaluated by EMS  and transported to Hospital pt reports is 10 weeks pregnant
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Feeling hot, Pain, Pyrexia, Swelling
Clinical narrative: Redness, pain swelling at the area for 2-3 days, then almost completely went away. Day 7, redness, swelling, hot area developed with off and on again low grade fever. Area spread downwards for 2 days, then stopped spreading, swelling gone, redness faded somewhat but red area is still present and low grade fever still off and on.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: Had minimal pain at injection site on night of vaccine 12/30/20 and the next day 12/31/20 with no redness or swelling at the site. On 1/1/21 the pain had gone and still had no redness or swelling at the site. Then on 1/7/21 around 1400 I noticed it was itching at the injection site and there was a 1cm area of redness and induration. By 2100 on 1/7/21 the redness and induration had grown to 5-6cm and area was warm. On 1/8/21 by 1500 the redness and induration had grown to 8cm and redness starting to go down the arm. At 1900 the area is still about 8cm and now left axillary lymphadenopathy has developed. I am a NP and am watching it, I will seek treatment tomorrow if no improvement or if it worsens.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Had minimal pain at injection site on night of vaccine 12/30/20 and the next day 12/31/20 with no redness or swelling at the site. On 1/1/21 the pain had gone and still had no redness or swelling at the site. Then on 1/7/21 around 1400 I noticed it was itching at the injection site and there was a 1cm area of redness and induration. By 2100 on 1/7/21 the redness and induration had grown to 5-6cm and area was warm. On 1/8/21 by 1500 the redness and induration had grown to 8cm and redness starting to go down the arm. At 1900 the area is still about 8cm and now left axillary lymphadenopathy has developed. I am a NP and am watching it, I will seek treatment tomorrow if no improvement or if it worsens.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling cold, Injection site pain, Migraine
Clinical narrative: Nausea.  Vomiting.  Migraine.  Hot, but had constant cold chills Body aches, head to toe.  Extremely tired.  Super sore on injection site and about 4 inches surrounding.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Vomiting
Clinical narrative: Nausea.  Vomiting.  Migraine.  Hot, but had constant cold chills Body aches, head to toe.  Extremely tired.  Super sore on injection site and about 4 inches surrounding.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: headache
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site paraesthesia, Injection site pruritus, Injection site warmth
Clinical narrative: Moderna COVID-19  Vaccine  My injection  site started to get red, fevered to the touch, hard and itch and tingle. 7 days after my 1st dose of the vaccine (01/07/2021 . The red site is about the size of a ?playing card.?  I have felt fine other than the place on my arm, NO trouble breathing, no rapid heart rate, no rash.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Hypoaesthesia
Clinical narrative: Dizzy, lightheaded, left arm numb. O2 saturation 98%. HR 68 and strong. No SOB. Color pink. BP WNL. Laying down, drinking juice. After lying flat and drinking juice pt. began to feel better. Symptoms resolved and felt ok to leave. Encouraged to go to ED if symptoms worsen.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Hypoaesthesia, Skin discolouration
Clinical narrative: Dizzy, lightheaded, left arm numb. O2 saturation 98%. HR 68 and strong. No SOB. Color pink. BP WNL. Laying down, drinking juice. After lying flat and drinking juice pt. began to feel better. Symptoms resolved and felt ok to leave. Encouraged to go to ED if symptoms worsen.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature increased, Dizziness, Injection site pain, Myalgia
Clinical narrative: Approximately 18 hrs after vaccination, pt woke up with injection site soreness, Tmax 104, dizziness, myalgias, athralgias.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Immediate post-injection reaction
Clinical narrative: Immediately after receiving vaccine patient reports numbness at the right arm, just below the elbow.  Patient cleared by EMS, patient Patient advised to call 911 or go to the nearest emergency room for any additional issues as needed.  Also advised to sign up for v-safe.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site irritation
Clinical narrative: Large spot of irritated skin at injection site that has grown over a period of 5 days; took Benadryl capsules by mouth and applied Benadryl ointment, cold compress to the site
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: Blurry vision, hard time focusing, "even with my glasses."
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis, Differential white blood cell count normal, Full blood count normal, Skin reaction
Clinical narrative: cellulitis / skin reaction developing 4 days later Started cefadroxil for cellulitis and resolved completely after 2 days. Back to normal
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Right arm swelling, redness onset 9days after vaccine
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Back pain, Body temperature increased, Diarrhoea, Fatigue
Clinical narrative: Large, swollen, indurated, erythematous wheel noticed at 7AM on 1/7/2021 Temperature was 99.9 at 11:07AM, 100.4 at 12:38PM, 101.6 at 2:08 PM, 102.3 at 5:30pm on 1/7/2021 During the day, significant muscular pain in the low back and throughout Took Tylenol for first time at 5:45pm with resolution of the fever causing significant sweating.  Abdominal discomfort beginning 1/7/2021 with loose stool 1/8/2021 Fatigue all day 1/7/2020
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Induration, Myalgia, Rash erythematous, Swelling
Clinical narrative: Large, swollen, indurated, erythematous wheel noticed at 7AM on 1/7/2021 Temperature was 99.9 at 11:07AM, 100.4 at 12:38PM, 101.6 at 2:08 PM, 102.3 at 5:30pm on 1/7/2021 During the day, significant muscular pain in the low back and throughout Took Tylenol for first time at 5:45pm with resolution of the fever causing significant sweating.  Abdominal discomfort beginning 1/7/2021 with loose stool 1/8/2021 Fatigue all day 1/7/2020
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Large, swollen, indurated, erythematous wheel noticed at 7AM on 1/7/2021 Temperature was 99.9 at 11:07AM, 100.4 at 12:38PM, 101.6 at 2:08 PM, 102.3 at 5:30pm on 1/7/2021 During the day, significant muscular pain in the low back and throughout Took Tylenol for first time at 5:45pm with resolution of the fever causing significant sweating.  Abdominal discomfort beginning 1/7/2021 with loose stool 1/8/2021 Fatigue all day 1/7/2020
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Flatulence, Headache, Injection site pain, Nausea
Clinical narrative: Day of injection - sore injection site Day 1 post injection - headache, nausea Day 2 post injection - nausea  Day 3 post injection -  increasing nausea, gas Day 4 post injection -  Loose stool x 7, gas, nausea
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness
Clinical narrative: Patient complained of being dizzy and having anxiety after immunization. Patient cleared by EMS. Patient advised to call 911 or go to the nearest emergency room for any additional issues as needed. Also advised to sign up for v-safe.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspepsia, Gastrooesophageal reflux disease
Clinical narrative: Severe heartburn with gastric reflux. MD notified antacid prescribed. Pt. provided 15ml of ALOH/MGOH/SIMETHICONE 400/400/40MG/10ML. No SOB or chest pain noted. Heartburn pain decreased from 5/10 to 1/10 15minutes after medication administration.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Limb discomfort, Muscle tightness, Musculoskeletal stiffness, Pain
Clinical narrative: L shoulder tightness and throbbing, light headedness, tightness in hand / jaw / shoulder
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Fatigue, Injection site pain, Pain
Clinical narrative: 1) 100.4F body temperature. Body aches and fatigue. Lasted ~12 hours.  2) Injection site soreness. Lasted ~12 hours.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chills, Fatigue, Headache, Pain
Clinical narrative: Fever 102.5 x 24 hours at this time. Chills, body aches, headache and fatigue. Some chest discomfort
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever 102.5 x 24 hours at this time. Chills, body aches, headache and fatigue. Some chest discomfort
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Chest pain, Condition aggravated, Erythema, Injection site swelling
Clinical narrative: Pt received 1st dose of Moderna COVID-19 vaccine on 01/04/2021 in L deltoid. Came back to clinic at 0800 on 01/06/2021 c/o excruciating pain in entire L arm radiating to neck, chest, and around his upper and lower back. States it started the evening of 01/04/2021 and progressively has gotten worse. States it woke him up at 0130 on 01/06/2021 and that he hadn't been able to get back to sleep because of the pain. Rated pain 9.5/10. No redness or s/s of infection at injection site. Some swelling present at the site. L forearm and hand were slightly erythematous, and he was unable to move arm or fingers much. RN had to assist with putting his jacket back on. States has tried ice packs, tylenol, ibuprofen, tramadol, gabapentin, and oxycodone with no relief. BP 143/93, P 77, RR 22, O2 sat 96%. Advised to call PCP and either wait until urgent care in town opens at 1100, or if he can safely drive to another city, go to urgent care there because they open at 0800. Advised if unable to drive to other city and can't wait until 1100, to go to the ER.   On 01/07/2021, called pt in the evening to follow up. Pt stated he did go to the ER in town right after coming to the clinic, where they performed an ultrasound of his arm to check for retained fluid, but his results were normal. Pt states ER advised him to try hot packs on his arm and to return if he still found no relief. Pt states the hot packs did help some, but was still experiencing pain 6/10, but that the intensity of it had worn off a little and that it was becoming more manageable
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Neck pain, Pain, Pain in extremity, Sleep disorder
Clinical narrative: Pt received 1st dose of Moderna COVID-19 vaccine on 01/04/2021 in L deltoid. Came back to clinic at 0800 on 01/06/2021 c/o excruciating pain in entire L arm radiating to neck, chest, and around his upper and lower back. States it started the evening of 01/04/2021 and progressively has gotten worse. States it woke him up at 0130 on 01/06/2021 and that he hadn't been able to get back to sleep because of the pain. Rated pain 9.5/10. No redness or s/s of infection at injection site. Some swelling present at the site. L forearm and hand were slightly erythematous, and he was unable to move arm or fingers much. RN had to assist with putting his jacket back on. States has tried ice packs, tylenol, ibuprofen, tramadol, gabapentin, and oxycodone with no relief. BP 143/93, P 77, RR 22, O2 sat 96%. Advised to call PCP and either wait until urgent care in town opens at 1100, or if he can safely drive to another city, go to urgent care there because they open at 0800. Advised if unable to drive to other city and can't wait until 1100, to go to the ER.   On 01/07/2021, called pt in the evening to follow up. Pt stated he did go to the ER in town right after coming to the clinic, where they performed an ultrasound of his arm to check for retained fluid, but his results were normal. Pt states ER advised him to try hot packs on his arm and to return if he still found no relief. Pt states the hot packs did help some, but was still experiencing pain 6/10, but that the intensity of it had worn off a little and that it was becoming more manageable
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound joint
Clinical narrative: Pt received 1st dose of Moderna COVID-19 vaccine on 01/04/2021 in L deltoid. Came back to clinic at 0800 on 01/06/2021 c/o excruciating pain in entire L arm radiating to neck, chest, and around his upper and lower back. States it started the evening of 01/04/2021 and progressively has gotten worse. States it woke him up at 0130 on 01/06/2021 and that he hadn't been able to get back to sleep because of the pain. Rated pain 9.5/10. No redness or s/s of infection at injection site. Some swelling present at the site. L forearm and hand were slightly erythematous, and he was unable to move arm or fingers much. RN had to assist with putting his jacket back on. States has tried ice packs, tylenol, ibuprofen, tramadol, gabapentin, and oxycodone with no relief. BP 143/93, P 77, RR 22, O2 sat 96%. Advised to call PCP and either wait until urgent care in town opens at 1100, or if he can safely drive to another city, go to urgent care there because they open at 0800. Advised if unable to drive to other city and can't wait until 1100, to go to the ER.   On 01/07/2021, called pt in the evening to follow up. Pt stated he did go to the ER in town right after coming to the clinic, where they performed an ultrasound of his arm to check for retained fluid, but his results were normal. Pt states ER advised him to try hot packs on his arm and to return if he still found no relief. Pt states the hot packs did help some, but was still experiencing pain 6/10, but that the intensity of it had worn off a little and that it was becoming more manageable
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure abnormal, Chest X-ray normal, Computerised tomogram thorax, Dry mouth, Dyspnoea
Clinical narrative: I woke up at approximately 4:00 am with an extremely dry mouth. I went into the bathroom and took a drink of water. I returned to bed. I noticed that my breathing was becoming more rapid. I had trouble catching my breath. I sat up on the side of the bed. My heart was pounding and quick. My breathing was difficult. I woke up my wife. After about 5 minutes my symptoms improved. She took my pulse which was now at 62ppm.  I laid back down in a reclined position. My symptoms of difficulty breathing and elevated heart rate quickly returned. My pulse was now up to 98 ppm.  I sat up again. My symptoms gradually improved. Being unsure of what was going on my wife called 911.  The ambulance arrived in about 8 minutes.  I was about 60% better. Vitals were improving other than my blood pressure which was 180/100 Being unsure of what was happening, I was transported to Hospital.   I  had a chest x-ray, a chest CT scan with contrast to rule out a blood clot, blood work including tests to rule out MI x2. All test were negative.  By about 6:30 am I was feeling at least 80% better. My breathing I felt had returned to normal. My pulse was down into the 50"s which is my normal range.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Laboratory test normal, Palpitations, Respiratory rate increased, Scan with contrast normal
Clinical narrative: I woke up at approximately 4:00 am with an extremely dry mouth. I went into the bathroom and took a drink of water. I returned to bed. I noticed that my breathing was becoming more rapid. I had trouble catching my breath. I sat up on the side of the bed. My heart was pounding and quick. My breathing was difficult. I woke up my wife. After about 5 minutes my symptoms improved. She took my pulse which was now at 62ppm.  I laid back down in a reclined position. My symptoms of difficulty breathing and elevated heart rate quickly returned. My pulse was now up to 98 ppm.  I sat up again. My symptoms gradually improved. Being unsure of what was going on my wife called 911.  The ambulance arrived in about 8 minutes.  I was about 60% better. Vitals were improving other than my blood pressure which was 180/100 Being unsure of what was happening, I was transported to Hospital.   I  had a chest x-ray, a chest CT scan with contrast to rule out a blood clot, blood work including tests to rule out MI x2. All test were negative.  By about 6:30 am I was feeling at least 80% better. My breathing I felt had returned to normal. My pulse was down into the 50"s which is my normal range.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: Onset of dizziness within moments of receiving the vaccine which has persisted for hours and has not let up  but is mostly mild. Mild nausea at the moment.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Feeling cold, Swelling
Clinical narrative: Increase in blood pressure, feeling of "ice sensation down vaccination arm  (Left), was ok during the 15 minute observation period then returned and requested EpiPen, felt swelling may be starting, 1 Epi pen administered and 911 called, EMS took patient to local hospital for additional observation and treatment if needed.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: Fever, aches and arm pain. Did seem to resolve with Tylenol
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia, Nausea, Pain, Raynaud's phenomenon
Clinical narrative: Raynauds developed in third digit of the right hand. Tip was completely numb and white. Resolved after 20 minutes in hot water. No history of raynauds. Also headache and nausea and body aches.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Skin discolouration
Clinical narrative: Raynauds developed in third digit of the right hand. Tip was completely numb and white. Resolved after 20 minutes in hot water. No history of raynauds. Also headache and nausea and body aches.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose decreased, Blood glucose increased, Blood pressure increased, Dyspnoea, Erythema
Clinical narrative: 11:40AM PATIENT STARTED FEELING RED/ITCHY/WARM 11:45AM 50MG DIPHENHYDRAMINE ORAL GIVEN  11:58AM BLOOD SUGAR 123. PULSE 72. PATIENT DRANK COCA COLA  12:21PM BREATHING HEAVY, THROAT FEELING OKAY/NOT SWOLLEN 12:30PM WOBBLY LEGS 1:20PM PATIENT CALLED PCP, SUGGESTED PATIENT GO TO ER DUE TO BLOOD SUGAR DOWN TO 55 WHILE EATING SANDWHICH AND AFTER HAVING SODA. 2:10PM PATIENT FEELING BETTER, BP DOWN, OK TO WALK 3:30PM WENT TO ER, 5PM DISCHARGED ON PREDNISONE FOR REACTION
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Pruritus, Skin warm
Clinical narrative: 11:40AM PATIENT STARTED FEELING RED/ITCHY/WARM 11:45AM 50MG DIPHENHYDRAMINE ORAL GIVEN  11:58AM BLOOD SUGAR 123. PULSE 72. PATIENT DRANK COCA COLA  12:21PM BREATHING HEAVY, THROAT FEELING OKAY/NOT SWOLLEN 12:30PM WOBBLY LEGS 1:20PM PATIENT CALLED PCP, SUGGESTED PATIENT GO TO ER DUE TO BLOOD SUGAR DOWN TO 55 WHILE EATING SANDWHICH AND AFTER HAVING SODA. 2:10PM PATIENT FEELING BETTER, BP DOWN, OK TO WALK 3:30PM WENT TO ER, 5PM DISCHARGED ON PREDNISONE FOR REACTION
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Headache, Injection site pain, Injection site swelling, Pain
Clinical narrative: Severe headache intractable to NSAIDs and acetaminophen. Pain and swelling at injection site. Body aches and temp to 101.1
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Rash, Rash erythematous, Rash pruritic
Clinical narrative: Swollen, red rash on both legs that is itchy. Started a few hours after the vaccine and continued to get worse and more swollen.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Myalgia, Pyrexia
Clinical narrative: Fever, chills, muscle and joint pain
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: On Wednesday January 6th, I started to have itching, swelling, and redness at the injection site. The injection site continued to swell and was warm/hard to the touch, with mild pain. I took Benadryl that night (Jan 6th). On the morning of January 7th, the swelling had gone down but redness and warmth at injection site was still present. I took Benadryl that night (Jan 7th) as well. Today, January 8th, the redness and warmth is still present.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth
Clinical narrative: On Wednesday January 6th, I started to have itching, swelling, and redness at the injection site. The injection site continued to swell and was warm/hard to the touch, with mild pain. I took Benadryl that night (Jan 6th). On the morning of January 7th, the swelling had gone down but redness and warmth at injection site was still present. I took Benadryl that night (Jan 7th) as well. Today, January 8th, the redness and warmth is still present.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Back pain, Cough, Fatigue, Headache
Clinical narrative: Excruciating pain in left hip, lower back, and middle of back for the past two weeks. Coughing, tiredness, and headaches for the past two weeks.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Excruciating pain in left hip, lower back, and middle of back for the past two weeks. Coughing, tiredness, and headaches for the past two weeks.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Dizziness postural, Dyspnoea, Malaise, Palpitations
Clinical narrative: Excruciating pain in left hip, lower back, and middle of back for the past two weeks. Coughing, tiredness, and headaches for the past two weeks.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Swollen tongue
Clinical narrative: Excruciating pain in left hip, lower back, and middle of back for the past two weeks. Coughing, tiredness, and headaches for the past two weeks.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Fatigue, Physical examination, Respiratory tract irritation, Rhinorrhoea
Clinical narrative: first day of vaccine, developed a runny nose (Wednesday, Jan 6) second day, felt fatigued third day, felt lungs were burning and chest heaviness, tachycardia ~ 90's (today) went to an urgent care at work place tonight, lungs clear
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: first day of vaccine, developed a runny nose (Wednesday, Jan 6) second day, felt fatigued third day, felt lungs were burning and chest heaviness, tachycardia ~ 90's (today) went to an urgent care at work place tonight, lungs clear
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Hypoaesthesia, Rash, Rash macular
Clinical narrative: Mid back pain, Right hip numbness, macular rash on administered arm
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Hypoaesthesia, Injection site erythema, Injection site hypoaesthesia, Injection site paraesthesia
Clinical narrative: patient reported left arm numbness and tingling, from site of injection left deltoid down arm lateral to 3rd, 4th, and 5th fingers.  also reported palpitations.  onset shortly after vaccine given.    mild paresthesia in left forearm noted.  no other neurologic abnl.  also with erythema and warmth surrounding injection site approx. 4-5 cms.  no rashes noted.  hypertensive to 160/100 and tachycardic to 120 (sinus tach, intermittently, sometimes with heart rate 100 at rest without anyone in the room.)
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Laboratory test normal, Palpitations, Paraesthesia, Sinus tachycardia
Clinical narrative: patient reported left arm numbness and tingling, from site of injection left deltoid down arm lateral to 3rd, 4th, and 5th fingers.  also reported palpitations.  onset shortly after vaccine given.    mild paresthesia in left forearm noted.  no other neurologic abnl.  also with erythema and warmth surrounding injection site approx. 4-5 cms.  no rashes noted.  hypertensive to 160/100 and tachycardic to 120 (sinus tach, intermittently, sometimes with heart rate 100 at rest without anyone in the room.)
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: patient reported left arm numbness and tingling, from site of injection left deltoid down arm lateral to 3rd, 4th, and 5th fingers.  also reported palpitations.  onset shortly after vaccine given.    mild paresthesia in left forearm noted.  no other neurologic abnl.  also with erythema and warmth surrounding injection site approx. 4-5 cms.  no rashes noted.  hypertensive to 160/100 and tachycardic to 120 (sinus tach, intermittently, sometimes with heart rate 100 at rest without anyone in the room.)
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Body temperature increased, Headache, Nausea
Clinical narrative: Headache within 45 min of injection. Nausea and Headache after 24 hours. Currently almost 36 hours later I am still nauseous. I took Zofran. And extra strength tylenol. My blood sugars are running a little high despite insulin pump and frequent monitoring. No ketones. Temp is 100.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Musculoskeletal stiffness, Pyrexia
Clinical narrative: Fever 100.7, severe joint pain, chills, headache, stiffness
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Rash, Rash papular
Clinical narrative: Extremely itchy all over. Redness on neck, chest, arms and trunk. Raised red areas over same
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: itchy throat, HR 108, BP 161/107 > 149/87
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness
Clinical narrative: Patient reported having light headedness and then developed chest heaviness. 911 was activated to respond to the facility.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Hyperhidrosis, Injection site induration, Injection site pain, Night sweats
Clinical narrative: Pt developed firm,  tender, indurated area at injection site 2cm after initial soreness wore off about 2-3 days ago.  Also having some night sweats and mild sweating during the day.  Temp of 99.3.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Pt developed firm,  tender, indurated area at injection site 2cm after initial soreness wore off about 2-3 days ago.  Also having some night sweats and mild sweating during the day.  Temp of 99.3.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Cognitive disorder, Decreased appetite, Fatigue, Injection site pain, Memory impairment
Clinical narrative: Severe musculoskeletal pain, severe fatigue, poor memory, poor cognitive function, weight loss, loss of appetite, injection site pain
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Musculoskeletal pain, Weight decreased
Clinical narrative: Severe musculoskeletal pain, severe fatigue, poor memory, poor cognitive function, weight loss, loss of appetite, injection site pain
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Dyspnoea, Electrocardiogram, Laboratory test, Nasal congestion
Clinical narrative: Facial swelling, shortness of breath, nasal stuffiness, tachycardia >150, IV solumedrol, Benadryl and Pepcid  Relief in symptoms upon discharge at 2330
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face, Tachycardia
Clinical narrative: Facial swelling, shortness of breath, nasal stuffiness, tachycardia >150, IV solumedrol, Benadryl and Pepcid  Relief in symptoms upon discharge at 2330
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Areflexia, Guillain-Barre syndrome, Laboratory test, Magnetic resonance imaging, Sensory loss
Clinical narrative: Patient presented to the emergency department with sensory loss and loss of reflexes, evaluated by neurology and diagnosed with Guillain- Barre Syndrome thought to be secondary to the Pfizer Covid Vaccine
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Areflexia, Balance disorder, CSF culture negative, CSF glucose normal, CSF protein increased
Clinical narrative: Patient presented to the emergency department with sensory loss and loss of reflexes, evaluated by neurology and diagnosed with Guillain- Barre Syndrome thought to be secondary to the Pfizer Covid Vaccine
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: CSF white blood cell count, Diarrhoea, Electrocardiogram normal, Full blood count normal, Guillain-Barre syndrome
Clinical narrative: Patient presented to the emergency department with sensory loss and loss of reflexes, evaluated by neurology and diagnosed with Guillain- Barre Syndrome thought to be secondary to the Pfizer Covid Vaccine
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Hypoaesthesia, Immunoglobulin therapy, Magnetic resonance imaging brain normal, Metabolic function test normal, Muscular weakness
Clinical narrative: Patient presented to the emergency department with sensory loss and loss of reflexes, evaluated by neurology and diagnosed with Guillain- Barre Syndrome thought to be secondary to the Pfizer Covid Vaccine
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Paraesthesia, Sensory loss, Vital capacity decreased
Clinical narrative: Patient presented to the emergency department with sensory loss and loss of reflexes, evaluated by neurology and diagnosed with Guillain- Barre Syndrome thought to be secondary to the Pfizer Covid Vaccine
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Areflexia, Balance disorder, CSF glucose normal, CSF protein increased, CSF white blood cell count negative
Clinical narrative: Patient presented to the emergency department with sensory loss and loss of reflexes, evaluated by neurology and diagnosed with Guillain- Barre Syndrome thought to be secondary to the Pfizer Covid Vaccine
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Diarrhoea, Dyskinesia, Glycosylated haemoglobin normal, Guillain-Barre syndrome, Hypertension
Clinical narrative: Patient presented to the emergency department with sensory loss and loss of reflexes, evaluated by neurology and diagnosed with Guillain- Barre Syndrome thought to be secondary to the Pfizer Covid Vaccine
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Hypoaesthesia, Immunoglobulin therapy, Magnetic resonance imaging spinal normal, Muscular weakness, Neuralgia
Clinical narrative: Patient presented to the emergency department with sensory loss and loss of reflexes, evaluated by neurology and diagnosed with Guillain- Barre Syndrome thought to be secondary to the Pfizer Covid Vaccine
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Neurological examination abnormal, Pain in extremity, Paraesthesia, Peripheral sensory neuropathy, Scan with contrast normal
Clinical narrative: Patient presented to the emergency department with sensory loss and loss of reflexes, evaluated by neurology and diagnosed with Guillain- Barre Syndrome thought to be secondary to the Pfizer Covid Vaccine
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Sensory loss, Sleep disorder, Tachycardia, Vitamin B12 increased
Clinical narrative: Patient presented to the emergency department with sensory loss and loss of reflexes, evaluated by neurology and diagnosed with Guillain- Barre Syndrome thought to be secondary to the Pfizer Covid Vaccine
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Guillain-Barre syndrome, Paraesthesia, SARS-CoV-2 test negative
Clinical narrative: Patient presented to the emergency department with sensory loss and loss of reflexes, evaluated by neurology and diagnosed with Guillain- Barre Syndrome thought to be secondary to the Pfizer Covid Vaccine
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Feeling hot, Induration, Pain in extremity
Clinical narrative: 7cm diameter area of redness and induration. Mild local soreness and warmth.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia, Lip swelling, Malaise, Nausea
Clinical narrative: 10:23pm felt a slight headache and nausea.  Left work at 10:43pm since didn't feel good.  While on road, my tongue started to tingle and then my lips started to tingle and both sides of face felt numb. This started around 10:50pm?  Went to bed and woke up Sat with same tongue, lip tingleling and face numbness.  Lips felt very swollen. Felt that way throughout the weekend.  On Monday, went back to work place injection area and requested someone talk to me.  Nurse practioner came out and spoke to me, asked about balance of facial features, no problem breathing or swallowing and gave me 25mg benadryl to take 3 times a day.  Did nothing but make me sleepy.  She calls me Tue am and told me to make an appt with PCP.  Made phone appt  for Wed.  Dr calls me Wed am and gives me presciption for 60mg Prednisone to take for a week (at this time symptoms are the same).  the first 3 days taking Prednisone the intensity of tingleling seems to lessen day by day.  But on 4th day, the symptoms stopped lessening.  Finished the meds anyway. Last 3 days, i've also had that mild headache back in addition to the numbness from face traveling up to my ears. Past few days the tingling in tongue isn't confined to just the edges of the tongue.  It started with the first 1/4 of whole  tongue and is today tingleling in the front half of whole tongue.  One good thing so far is the past few days, my lips feel way less swollen and tingleling is lessening. So, riding this out, hoping it will  end sometime this year.  Will not be getting the second shot.  Just so you know.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Somnolence
Clinical narrative: 10:23pm felt a slight headache and nausea.  Left work at 10:43pm since didn't feel good.  While on road, my tongue started to tingle and then my lips started to tingle and both sides of face felt numb. This started around 10:50pm?  Went to bed and woke up Sat with same tongue, lip tingleling and face numbness.  Lips felt very swollen. Felt that way throughout the weekend.  On Monday, went back to work place injection area and requested someone talk to me.  Nurse practioner came out and spoke to me, asked about balance of facial features, no problem breathing or swallowing and gave me 25mg benadryl to take 3 times a day.  Did nothing but make me sleepy.  She calls me Tue am and told me to make an appt with PCP.  Made phone appt  for Wed.  Dr calls me Wed am and gives me presciption for 60mg Prednisone to take for a week (at this time symptoms are the same).  the first 3 days taking Prednisone the intensity of tingleling seems to lessen day by day.  But on 4th day, the symptoms stopped lessening.  Finished the meds anyway. Last 3 days, i've also had that mild headache back in addition to the numbness from face traveling up to my ears. Past few days the tingling in tongue isn't confined to just the edges of the tongue.  It started with the first 1/4 of whole  tongue and is today tingleling in the front half of whole tongue.  One good thing so far is the past few days, my lips feel way less swollen and tingleling is lessening. So, riding this out, hoping it will  end sometime this year.  Will not be getting the second shot.  Just so you know.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Paraesthesia oral
Clinical narrative: At 1545 patient c/o tingling lips.  At 1600 patient c/o trouble swallowing and Epi 0.3mg administered at 1605 in R thigh.  At 1613 patient reported trouble swallowing wasn't improving, 25mg po Benadryl given without difficulty and 911 called.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: I woke up at 2am with a fever of 102.3, body aches, chills and headache. The fever lasted for 24 hours and the headache lasted 48 hours.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Discomfort, Disorientation, Dizziness, Urticaria
Clinical narrative: After receiving the injection, patient become disoriented. After waiting in the parking lot for 15 minutes, patient developed a few hives, was dizzy, chest was tight, and patient had overall discomfort. Patient went back into the facility and reported to staff and was given Benadryl, which slowly started to help. Patient eventually was able to leave, but symptoms, although got better with the benadryl, was uncomfortable for a while, and chest was tight, with dizziness. Hives went away after ingesting medication.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chills, Pyrexia
Clinical narrative: fever, chills, bad stomach slow fever which increased
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral
Clinical narrative: Tingling lips for short duration, resolved without aid. No desire to be evaluated.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Hypoaesthesia, Pain in extremity
Clinical narrative: Really painful dead-arm, body got chills then switched to getting hot after a few hours, fatigue.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: Tachycardic, HR to 108, BP 152/72, improved over 5 minutes sitting
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Feeling abnormal
Clinical narrative: Patient reported dizziness after injection. Given gatorade and pretzel. Still reporting head fogginess and dizziness with clammy hands. 12:33 pm head fogginess was better, no further clamminess in hands. Stood up and reporting feeling better. Increased observation time to 30 minutes. At 45 minutes patient feeling better. Care provided by RN on staff .
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Chest pain, Dyspnoea, Headache
Clinical narrative: Difficulty breathing; chest pain, headache. vital signs at 1148: BP 188/97; pulse 107. Vital signs at 1153: BP 162/99, pulse 99; respiration 22; Blood glucose at 98 milligrams per deciliter.   At 1144 patient give Epinephrine  using epi-pen. At 1145 patient on oxygen at 2L/minute.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Disturbance in attention, Dizziness, Feeling abnormal, Injected limb mobility decreased, Injection site pain
Clinical narrative: Onset approximately 45 minutes to an hour after receiving, I began to feel very "swimmy" in my head,  like I  had consumed lot of alcohol in a short time. I felt a lot of pressure behind my nose, but not a stuffy nose. The woozy feeling also brought on some nausea. I felt like I couldn't focus, like I was in a daze or fog. This lasted throughout the following day. Left arm at sight of injection was sore starting 2 hours after shot, couldn't raise left arm x2 days. Still sore but manageable. I took a zofran for the nausea.