chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Vomiting (once at 1 am) Shaking and chills from 1 am until next day ( over 24 hours) Fatigue Joint pain Arm pain
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Hypotension
Clinical narrative: Dizziness and weakness, low blood pressure. Just a lot of rest has helped. As the day goes on feel much better.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of proprioception, Muscle spasms
Clinical narrative: Continuous muscle spasms in lower extremities, loss of proprioception. These have continued for 90 days without easing up.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Cough, Headache, Neck pain, Pain
Clinical narrative: Started to feel a little different in the first 8 hours.  Then the next 10 hours I got a headache in the front of my head & the back of my neck.  Chest pain when I had to cough.  My whole body ached & slept for the next 12-16 hours.  I started to feel better after 48 hours from the shot.      All I did was drink plenty of water & eat bananas & apples & blueberries, just like I did when I had Covid-19 back in first week of November 2020.      The only difference between the shot & having Covid-19 is I slept for almost 96 hours with Covid-19.
Age: 1.25
Sex: F
Vaccine: DTAPIPVHIB, HEPA, MMR, VARCEL
Symptoms: Fatigue, Generalised tonic-clonic seizure, Pyrexia
Clinical narrative: Pentacel was 4th dose of DTaP and IPV and the  3rd dose of Hib. Previous doses had been through Pediarix and the Merck Hib. On the night of 3/25, she had felt warm and fatigued. Around midnight she was sleeping on her father's chest when she began to have a single generalized, tonic-clonic seizure of unknown duration. The family called EMS and she was taken to the ED, where she had a 102.9 fever. She was given ibuprofen, which helped her feel better. Physical exam was normal with no focal findings and they were discharged to follow-up with a PCP. No lab tests were done in the ED.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Headache, Influenza, Pain, Pain in extremity
Clinical narrative: for one day only felt like had the Flu: body aches, low-energy, head ache and left arm sore. By morning of 29th felt better
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Large (3.5" x 3.5") itchy red patch at injection site.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Error: Wrong Dose of Vaccine - Too High
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose decreased, Condition aggravated, Generalised tonic-clonic seizure
Clinical narrative: 48 hours after the vaccine, patient had a drop in glucose down to 40 which triggered grand mal seizure. Admitted to the hospital for 2 days, thought it was possibly due to UTI, however because of how soon it was to the vaccine I wanted to report it just in case it were linked.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Intermenstrual bleeding, Muscle spasms, Oral contraception
Clinical narrative: Off-cycle menstrual bleeding. Initially as spotting (3/26 overnight) and then increased to heavy flow, complete with mild  to moderate cramping (still ongoing on 3/29). Started on day 7 of new cycle after having just completed prior cycle, while taking oral contraceptives.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling, Pruritus
Clinical narrative: L arm swelling, redness, itch 6 days after injection
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: An adult patients mother came in to ask about the patient getting the second dose of covid vaccine 9 days apart.  Patient has no signs or symptoms of getting 2 doses 9 days apart.  The mother was asking if the patient needed a third dose since she already got 2 doses.  I informed her no.  No other problems or side effects were noted.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pyrexia
Clinical narrative: FEVER AND HEADACHE
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Back pain, Neck pain, Pain in extremity, Paraesthesia, X-ray
Clinical narrative: LEFT ARM.NECK PAIN,BACK PAIN TINGLING
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dyspnoea, Hypersensitivity, Lip swelling, Nausea
Clinical narrative: 43 year old female with a past medical history significant for asthma, anxiety, DM, migraines, thyroid papillary carcinoma who is presenting to the ED with an allergic reaction. She received her COVID vaccination at 1700. At approximately 1715 she felt a lump in her throat. Shortly after she felt as if her tongue/lips were tingling/becoming swollen and then she developed nausea. No rash or abdominal pain. No dyspnea or chest pain. All symptoms are consistent with prior episodes of anaphylaxis. She has had anaphylaxis to vaccinations in the past but was advised by her allergist to get the COVID vaccine today.  On arrival patient is quite anxious. Vital signs are stable. Her tongue is enlarged/mildly edematous, additionally appreciated mild lip/perioral swelling. There is no stridor or wheezing, no evidence of respiratory distress. Given examination findings, symptom description, findings concerning for anaphylaxis. As such, epinephrine promptly administered as well as solumedrol, famotidine, and benadryl. Shortly after the epinephrine she endorsed improvement in her swelling, though during benadryl administration she endorsed a sudden onset of subjective throat swelling/felt as if she could not breathe. Patient was reassessed, no change in initial examination findings, within a few minutes she felt her symptoms improve without intervention.A short while later she again felt as if her throat swelling was worsening, as such epinephrine dose re administered.  Following a 2.5 hour period of observation she endorsed continued improvement in her allergic symptoms, requested discharge home though continued observation offered. A course of prednisone prescribed, patient already with epi pen.  Patient discharged home.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Sensation of foreign body, Swollen tongue
Clinical narrative: 43 year old female with a past medical history significant for asthma, anxiety, DM, migraines, thyroid papillary carcinoma who is presenting to the ED with an allergic reaction. She received her COVID vaccination at 1700. At approximately 1715 she felt a lump in her throat. Shortly after she felt as if her tongue/lips were tingling/becoming swollen and then she developed nausea. No rash or abdominal pain. No dyspnea or chest pain. All symptoms are consistent with prior episodes of anaphylaxis. She has had anaphylaxis to vaccinations in the past but was advised by her allergist to get the COVID vaccine today.  On arrival patient is quite anxious. Vital signs are stable. Her tongue is enlarged/mildly edematous, additionally appreciated mild lip/perioral swelling. There is no stridor or wheezing, no evidence of respiratory distress. Given examination findings, symptom description, findings concerning for anaphylaxis. As such, epinephrine promptly administered as well as solumedrol, famotidine, and benadryl. Shortly after the epinephrine she endorsed improvement in her swelling, though during benadryl administration she endorsed a sudden onset of subjective throat swelling/felt as if she could not breathe. Patient was reassessed, no change in initial examination findings, within a few minutes she felt her symptoms improve without intervention.A short while later she again felt as if her throat swelling was worsening, as such epinephrine dose re administered.  Following a 2.5 hour period of observation she endorsed continued improvement in her allergic symptoms, requested discharge home though continued observation offered. A course of prednisone prescribed, patient already with epi pen.  Patient discharged home.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Constipation, Injection site bruising, Myalgia, Pain
Clinical narrative: Mild fever 8 hours, Chills for 2 hours, Right arm pain/soreness and muscle pain/body ache for 48 hours, Constipation and Small bruise at injection site for 4 days.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Mild fever 8 hours, Chills for 2 hours, Right arm pain/soreness and muscle pain/body ache for 48 hours, Constipation and Small bruise at injection site for 4 days.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Neck pain
Clinical narrative: Woke the day following the first vaccination with neck locked in place and intense pain and stiffness in neck and upper shoulders lasted about 30 hours total before I had some relief to be able to move my head freely.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Computerised tomogram, Headache, Hypoaesthesia
Clinical narrative: 3 days after dose 3/23, felt pain in back of head behind right ear. 3/25, felt right side of face slightly numb. 3/27, visited ER , CT Scan taken. Diagnosed with Bell's Palsy.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Already did this on survey - too sick to type any more
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue
Clinical narrative: Extremely tired the day after I had my shot.  I slept all day the next day and that night.  I woke up feeling fine the day after.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13
Symptoms: Discomfort, Injection site nodule, Injection site swelling, Skin tightness, X-ray normal
Clinical narrative: Roughly 24 hours after administration of vaccines, infant developed significant swelling of lower right extremity with tightness of skin where PREVNAR and HIB vaccines were given. Swelling extends from just above knee to hip (not just located at administration sites), with some nodularity noted at administration sites. Infant with some discomfort, easily treated by tylenol. No signs of cellulitis or infection at the site.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Face injury, Full blood count, Loss of consciousness, Metabolic function test
Clinical narrative: Patient received the 1st dose of Moderna and was observed for 15 minutes after the injection. Patient was released and states on their way home they do not know what happened but the woke up and had hit a tree. The airbags did deploy, patient had a gash around 2 inches on the right eyebrow, vital signs were blood pressure of 79/49, oxygen of 99%, and a heart rate of 49. Patient was promptly evaluated by a physician and determined to be more appropriate for the ER, patient was escorted via wheelchair to the emergency room accompanied by a nurse and the physician whom then gave report to the on call physician at Hospital.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Error: Wrong Dose of Vaccine - Too High.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Erythema, Headache
Clinical narrative: redness to arm, chills, headache for  two days
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis, Dyspnoea, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness at injection site.  Swollen and hot.  Redness spread down and underneath the right arm.  Had rash and hives on body, mostly on the face.  Shortness of breath.  Doctor said I got Cellulitus.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Redness at injection site.  Swollen and hot.  Redness spread down and underneath the right arm.  Had rash and hives on body, mostly on the face.  Shortness of breath.  Doctor said I got Cellulitus.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: "COVID" arm- induration, redness, pain, and heat at injection site
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache
Clinical narrative: Severe dizziness and headaches. March 13-29+
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Condition aggravated, Fatigue, Feeling abnormal, Headache
Clinical narrative: Got the vaccine, no problems with the arm, then about 3 hours later after had something to eat, and had a headache and took a nap.  She woke up and sneezed and her nose then started running and wouldn't stop.  She just felt that she was in lala land, fatigued, chills, scared her.  This continued for about 5 days.  She took some Benadryl, and also took some arthritis Tylenol.  Her feet are bothering her badly where they weren't that bad before, feel like sponges.  She has not notified her doctor.  Feels like it attacked her neuropathy.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Neuropathy peripheral, Rhinorrhoea, Sneezing
Clinical narrative: Got the vaccine, no problems with the arm, then about 3 hours later after had something to eat, and had a headache and took a nap.  She woke up and sneezed and her nose then started running and wouldn't stop.  She just felt that she was in lala land, fatigued, chills, scared her.  This continued for about 5 days.  She took some Benadryl, and also took some arthritis Tylenol.  Her feet are bothering her badly where they weren't that bad before, feel like sponges.  She has not notified her doctor.  Feels like it attacked her neuropathy.
Age: 17.0
Sex: M
Vaccine: HPV9, IPV, MNQ, TDAP
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient has had 1 dose previously for MMR and varicella.  Patient was given Proquad as a second dose instead of separating.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site bruising, Pain
Clinical narrative: Bruising at injection site, body aches
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Dyspepsia, Fatigue, Feeling abnormal, Feeling hot
Clinical narrative: Adverse systemic events for the duration of March 17-March 27: Swollen lymph glands (mild) Fatigue (severe) Brain "fog" (severe)  Sensation of overheating / burning  Fever (few mild elevations) Loss of Appetite /Indigestion (resolving as of March 26)
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pyrexia
Clinical narrative: Adverse systemic events for the duration of March 17-March 27: Swollen lymph glands (mild) Fatigue (severe) Brain "fog" (severe)  Sensation of overheating / burning  Fever (few mild elevations) Loss of Appetite /Indigestion (resolving as of March 26)
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was only 17 when receiving the vaccine, states he should have been 18 - incorrect administration
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine Vaccine recipient was a minor (15 years old and 8 months) at the time of vaccination with 1st dose. Care clinic notified by the department of health.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Error: Wrong Dose of Vaccine - Too High
Age: 34.0
Sex: M
Vaccine: UNK
Symptoms: Electric shock sensation, Paraesthesia oral
Clinical narrative: Tip of tongue tingling sensation, like a 9v battery
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Essential tremor, Fatigue, Photopsia, Sensory disturbance
Clinical narrative: Wild dream which caused me to awaken.  Wild brain activity with images, lights and sounds flashing for approximately 15 minutes, felt like my brain was trembling.  Subsided but left me exhausted for 24 hours following.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Electroencephalogram, Seizure
Clinical narrative: About 10-12 hours after receiving the vaccine, patient had a significant increase in seizures - had seizure clusters (never had them previously). Patient had to be admitted to the hospital. Received rescue anti-seizure medication en-route via EMS, then additional Levetiracetam Bolus after arriving to the ER and subsequently additional dose of IV lacosamide following admission. seizures returned to baseline frequency about 3 days later.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Aphonia, Asthma, Diarrhoea, Dizziness
Clinical narrative: After 2 hours sore throat. After 4 hours extreme fatigue, dizziness, asthma flare up.  Walking and talking became a challenge. After 8 hours body aches, very painful at vaccine site and difficult to move arm. Dizziness, extreme fatigue, asthma flare ups continued for at least 3 days.  About 24 hours later fever of 100 for 3 days. After 24 hours diahrea and strange stomach ache that lasted at least 3 weeks.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Gait disturbance, Injected limb mobility decreased, Injection site pain, Oropharyngeal pain
Clinical narrative: After 2 hours sore throat. After 4 hours extreme fatigue, dizziness, asthma flare up.  Walking and talking became a challenge. After 8 hours body aches, very painful at vaccine site and difficult to move arm. Dizziness, extreme fatigue, asthma flare ups continued for at least 3 days.  About 24 hours later fever of 100 for 3 days. After 24 hours diahrea and strange stomach ache that lasted at least 3 weeks.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: After 2 hours sore throat. After 4 hours extreme fatigue, dizziness, asthma flare up.  Walking and talking became a challenge. After 8 hours body aches, very painful at vaccine site and difficult to move arm. Dizziness, extreme fatigue, asthma flare ups continued for at least 3 days.  About 24 hours later fever of 100 for 3 days. After 24 hours diahrea and strange stomach ache that lasted at least 3 weeks.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: tremendous arm pain for 2 days that began approx 3 hours after injection.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Gait disturbance, Joint stiffness, Myalgia
Clinical narrative: Initially, inability to move/bend knee joints in both legs greatly hindered ability to walk. Muscle pain throughout back of legs from hamstrings down through calves. Stretching did not alleviate condition. After three days, condition in left leg lessened but remains in right leg to a lesser degree. It is now approximately 2 weeks after the second vaccination and still have stiffness and pain in right knee.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody negative, Blood culture negative, Blood pressure normal, Cryoglobulins absent, Exfoliative rash
Clinical narrative: 2/2/2021 red scaly skin rash dorsum right hand.  Next day pinpoint hemorrhagic 2-4 mm sized lesions on palmar surface of fingertips and sides of fingers, 21 in all. Diagnosed as clots by cardiologist and dermatologist on 2/25.Gradual resolution and healing by 3/14/2021.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer, Full blood count normal, Rash erythematous, Red blood cell sedimentation rate normal, Rheumatoid factor negative
Clinical narrative: 2/2/2021 red scaly skin rash dorsum right hand.  Next day pinpoint hemorrhagic 2-4 mm sized lesions on palmar surface of fingertips and sides of fingers, 21 in all. Diagnosed as clots by cardiologist and dermatologist on 2/25.Gradual resolution and healing by 3/14/2021.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Skin lesion, Thrombosis, Ultrasound scan normal
Clinical narrative: 2/2/2021 red scaly skin rash dorsum right hand.  Next day pinpoint hemorrhagic 2-4 mm sized lesions on palmar surface of fingertips and sides of fingers, 21 in all. Diagnosed as clots by cardiologist and dermatologist on 2/25.Gradual resolution and healing by 3/14/2021.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Error: Wrong Dose of Vaccine - Too High
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Injection site swelling, Lymphadenopathy
Clinical narrative: Rash and swelling at injection site greater than 1 week after the first shot. Swollen lymph node under left arm.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Fatigue, Myalgia, Nausea
Clinical narrative: 103.0 temperature x 12 hours, chills, fatigue, muscle aches, chest pain, nausea, vomiting, arm tenderness at vaccination site
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site pain, Vomiting
Clinical narrative: 103.0 temperature x 12 hours, chills, fatigue, muscle aches, chest pain, nausea, vomiting, arm tenderness at vaccination site
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: patient received 2nd dose of Moderna on 3/13/2021; reported by Police Department as having passed away on 3/14/2021.  No other details available.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Pain, Pain in extremity, SARS-CoV-2 test negative
Clinical narrative: patient received 2nd dose of Moderna on 3/13/2021; reported by Police Department as having passed away on 3/14/2021.  No other details available.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Pain, Pain in extremity, Pyrexia
Clinical narrative: I have had a high fever, my left arm has been extremely sore and painful to move and my hand was numb for 38 hours.  My body was hurting so badly for the first 48 hours that the pressure of my clothes was unbearable.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Aching/sensitivity started in afternoon 2wk after vaccine.  Fever started a few hours later, 100.58 around 10:30pm. Back to 99 by morning, normal by 1:40pm next day with some lingering aches until evening.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Paraesthesia, Pruritus, Swelling
Clinical narrative: Redness and swelling for the 3 days after vaccination, which then resolved. On the 8th day after vaccination, she developed redness, itch and tingling over the proximal right upper arm. Resolving with time, but still present 2 weeks after the vaccination (one week after reaction started).
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Patient isolation, SARS-CoV-2 test positive, Self-medication
Clinical narrative: Positive COVID-19 test result, Isolation, self medicated
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Migraine, Pain
Clinical narrative: Chills, fatigue, and body aches one day after shot lasting 15 hours. Migraine headache starting 48 hours after shot lasting 5 days.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Syringe issue
Clinical narrative: As I was administering the vaccine, the needle unscrewed from the syringe, resulting in about half the dose squirting on the floor.  The patient had only received about 0.25 mL of the dose. I consulted with Dr. and she advised that I give the patient another 0.25 mL dose to make up for it. Patient tolerated both injections well
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site reaction, Injection site swelling, Injection site warmth, Rash erythematous
Clinical narrative: Pain and swelling at injection site. Red circular "rash" that is warm to the touch at injection site. Began 8 days after 1st dose. Continues on day 9.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea
Clinical narrative: NAUSEA AND SEVER HEADACHE
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Dry eye, Facial paralysis, Hypoaesthesia, Ocular hyperaemia
Clinical narrative: LEFT EYE DRY AND RED ON MARCH 19TH; FACE SWOLLEN, NUMB AND DROOPY THE 20TH. PATIENT FOLLOWED UP WITH PROVIDER A WAS DIAGNOSED WITH BELLS PALSY
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: LEFT EYE DRY AND RED ON MARCH 19TH; FACE SWOLLEN, NUMB AND DROOPY THE 20TH. PATIENT FOLLOWED UP WITH PROVIDER A WAS DIAGNOSED WITH BELLS PALSY
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy liver abnormal, Cholestasis, Drug-induced liver injury, Dyspnoea, Jaundice
Clinical narrative: Cholestasis and Pneumonitis. Improved over 2 months after course of steroids. Noted to be jaundiced about 7 days after vaccine.  Liver biopsy  demonstrated likely drug injury superimposed on steatohepatitis. Then had worsening dyspnea requiring admission on 2/21/21 for 2 days.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonitis, Steatohepatitis
Clinical narrative: Cholestasis and Pneumonitis. Improved over 2 months after course of steroids. Noted to be jaundiced about 7 days after vaccine.  Liver biopsy  demonstrated likely drug injury superimposed on steatohepatitis. Then had worsening dyspnea requiring admission on 2/21/21 for 2 days.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Dyspepsia, Fatigue, Vertigo
Clinical narrative: Extreme dizziness for over two weeks with debilitating dizziness and fatigue. Also nausea and digestive issues.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Influenza like illness, Myalgia
Clinical narrative: Muscle pain, flu like symptoms, loss of taste and smell, weakness, sweating, shaking
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Diarrhoea, Erythema, Laboratory test, Mental status changes
Clinical narrative: Right arm red, swollen, warm, nausea, vomiting, diarrhea, elevated temperature, altered mental status.  Sent to ER.  Had elevated cardiac enzymes.  Admitted to hospital and treated for sepsis and altered mental status.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Myocardial necrosis marker increased, Nausea, Peripheral swelling, Sepsis, Skin warm
Clinical narrative: Right arm red, swollen, warm, nausea, vomiting, diarrhea, elevated temperature, altered mental status.  Sent to ER.  Had elevated cardiac enzymes.  Admitted to hospital and treated for sepsis and altered mental status.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Right arm red, swollen, warm, nausea, vomiting, diarrhea, elevated temperature, altered mental status.  Sent to ER.  Had elevated cardiac enzymes.  Admitted to hospital and treated for sepsis and altered mental status.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: No reaction on previous exposure to drug, Tinnitus
Clinical narrative: 2nd vac on 3/27/21.  On 3/29/21 called  Vacination site to report having tinnitus occuring approximately 24 hours after rec 2 dose vacination. No hx of tinnitus, no immediate reaction reported day of vac. No complaints from 1st dose 3 weeks prior. Pt reported symptoms have diminished but not completely gone. Advised to call primary if symptoms worsen. Provided reassurance.  No other complaints. Advised about V-Safe site.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain, Skin warm, Swelling
Clinical narrative: Redness, swelling, hot to touch, and sore.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dysgeusia, Nausea, Pyrexia
Clinical narrative: 9:00 pm - severe chills, nausea, joint pain (every joint), fever 102 and a chemical taste in back of throat.  Felt as if I had been poisoned. By 12:00 noon following day all symptom were gone.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Second dose given was Pfizer, her first was Moderna.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Rash erythematous, Rash pruritic
Clinical narrative: a red, itchy, oval rash at the injection site that began on Friday and continued spreading on arm until it reached about 4x5 inches. The rash is currently less red as though it is starting to fade.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Dizziness, Headache, Pain
Clinical narrative: Headache., Chills, Body aches & pain, dizziness, backache,.  All symptoms gone in 24 hours.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Gait inability, Injection site pain, Rash
Clinical narrative: 10 hours after injection #2, I couldn?t speak or walk. That lasted about 12 hours. It?s happened to me when I get a cold or illness, but never from an injection. About a day after that, I developed a full body rash which lasted about a week. No reaction at all except a sore arm to injection #1 which was given in the left arm.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Error: Wrong Dose of Vaccine - Too High
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Paraesthesia, Presyncope
Clinical narrative: Progress Notes  (Physician Assistant) Family Medicine Cosigned by: MD at 3/23/2021  1:26 PM Expand AllCollapse All    COVID VACCINE CLINIC 3/22/2021  Date:  3/22/2021                                                                                           MRN:     Subjective Patient a 35 y.o. female who was seen at COVID Vaccine Clinic today for her first  dose of the COVID 19 vaccination.    She was given the Pfizer vaccination in the right deltoid muscle.   During her 15 minute waiting period after the injection, the patient began to feel very warm and her arms were tingling. She felt she was going to passout and laid on the floor in the observation area. She was wheel chaired to observation bay. Patient has a history of vasovagal response when getting vaccines or donating blood in the past.  She denied rash, hives, difficulty breathing, difficulty swallowing and facial swelling.   This provider was notified of patient reaction and she was then assessed in the emergency bay area.   Monitored patient for severe reaction symptoms, including but not limited to hypotension, rapid progression of symptoms, respiratory distress and skin changes.   ALLERGY REVIEW OF SYSTEMS:  Patient complains of dizziness   Patient denies chills, fever, facial swelling, cough, chest tightness, shortness of breath, wheezing and headaches    +diaphoretic and pale:     Previous Reactions: History of vagal response with prior vaccines and donating blood.    Objective    Vitals Vitals:   03/22/21 1434 BP: 113/81 Pulse: 82 SpO2: 99%      Physical Exam Constitutional:      Appearance: Normal appearance.  HENT:     Head: Normocephalic and atraumatic.     Comments: diaphoreic    Mouth/Throat:     Mouth: Mucous membranes are moist.     Pharynx: Oropharynx is clear. No posterior oropharyngeal erythema.     Comments: No swelling or lips or tongue.  Cardiovascular:     Rate and Rhythm: Normal rate and regular rhythm.  Pulmonary:     Effort: Pulmonary effort is normal. No respiratory distress.     Breath sounds: Normal breath sounds. No wheezing or rales.  Skin:    General: Skin is warm and dry.     Capillary Refill: Capillary refill takes less than 2 seconds.  Neurological:     General: No focal deficit present.     Mental Status: She is alert and oriented to person, place, and time.        Assessment/Plan  Treatment included: water Follow up response to treatment: good. Patient stated she felt normal prior to discharge. She was escorted out of the facility and denied any symptoms with ambulation. Discussed having her lay down in the observation bay while receiving her second vaccine.  Patient discharge: Stable to go home and follow up with PCP.  Differential Diagnosis: Vaccine-Related Anxiety (include misc mental health) and Systemic reaction (hypoglycemia, hypotension, generalized rash)     PA-C Electronically Signed 3/22/2021 2:54 PM       2 of 2
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine Swollen lymph nodes (lymphadenopathy) left/right armpit. Left predominantly.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Dyspnoea
Clinical narrative: 5 minutes after getting shot, started to feel same effects of Tree nut allergy anaphylaxis. Did not need an EpiPen, but still had trouble breathing for the day.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Vertigo
Clinical narrative: increased tinnitus and vertigo that occurred a week after first vaccine.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Apathy, Asthenia, COVID-19, Decreased appetite, Fatigue
Clinical narrative: The day after the vaccination I listless and had no appetite. I was very worn out. I felt like that for three days. Everything smelled bad and I didn't feel like eating anything. My sense of taste was still present. No energy or motivation for two weeks. I tested negative for both Influenza A and B and Covid-19 test was positive. I have gotten the second dose of the vaccine and I was very tired but only for 24 hours. I got the injection in the right arm.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza A virus test negative, Influenza B virus test, Listless, Parosmia, SARS-CoV-2 test positive
Clinical narrative: The day after the vaccination I listless and had no appetite. I was very worn out. I felt like that for three days. Everything smelled bad and I didn't feel like eating anything. My sense of taste was still present. No energy or motivation for two weeks. I tested negative for both Influenza A and B and Covid-19 test was positive. I have gotten the second dose of the vaccine and I was very tired but only for 24 hours. I got the injection in the right arm.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site reaction, Rash erythematous, Rash papular
Clinical narrative: Moderna Covid-19 Vaccine EUA, first shot. Multiple raised red rash spots on the injected arm. Looks similar to chicken pox, surrounded by angry red circles.
Age: 62.0
Sex: F
Vaccine: UNK
Symptoms: Dizziness postural, Sleep disorder
Clinical narrative: Extreme dizziness when bending  head or laying down, turning over. OK to walk but trouble with excercise and sleep.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Diarrhoea
Clinical narrative: Diarrhea, sharp abdominal pains low center area, becoming yellow in color
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Blood test, Cognitive disorder, Computerised tomogram, Dizziness
Clinical narrative: SLURRED SPEECH DIZZINESS DRY MOUTH  LOSS OF TASTE LEG PAIM AMD NUMBNESS LOSS OF COGNITION FEAR OF NOT GETTING BETTER
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dry mouth, Dysarthria, Fear, Hypoaesthesia, Magnetic resonance imaging
Clinical narrative: SLURRED SPEECH DIZZINESS DRY MOUTH  LOSS OF TASTE LEG PAIM AMD NUMBNESS LOSS OF COGNITION FEAR OF NOT GETTING BETTER
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, X-ray
Clinical narrative: SLURRED SPEECH DIZZINESS DRY MOUTH  LOSS OF TASTE LEG PAIM AMD NUMBNESS LOSS OF COGNITION FEAR OF NOT GETTING BETTER
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Pyrexia
Clinical narrative: Day after receiving my second vaccine, I had a high fever and chills.  On the second day the fever was lower, around 100 -101 F, but the fever persisted for 7-8 days at 99-100 F.  No other significant symptoms other than those associated with the fever, low energy, etc.  Other than reduced activity and acetaminophen, I rec'd no other treatment.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Error: Wrong Dose of Vaccine - Too High
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Vaccine given to patient under 18 years of age
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Electrocardiogram, Malaise, Pyrexia, Seizure
Clinical narrative: I felt crummy all day. I had a fever of 101.7 Stayed in bed all day. I wound up having a seizure, and going to the emergency room at the hospital. I had EKG, blood work done and fluid.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Migraine, Urticaria
Clinical narrative: Next morning felt super weak, had some spots on left arm break out in hives, and head a major migraine most of the day
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Error: Wrong Dose of Vaccine - Too High
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest discomfort, Dizziness, Dyspnoea, Fatigue
Clinical narrative: Very tired and weak slept for 2 days the third day flu symptoms 4 th day tried to go to work had hard time catching my breath dizziness while at work went to lab at work were my blood pressure was taken the first one was 138/98 the nurse was called told her my symptoms they took my blood pressure again about 5 min apart it was higher148/98 at this time I was feeling pressure in my chest and dizziness I was sent home once I was home I slept again for another 24 hours
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Influenza
Clinical narrative: Very tired and weak slept for 2 days the third day flu symptoms 4 th day tried to go to work had hard time catching my breath dizziness while at work went to lab at work were my blood pressure was taken the first one was 138/98 the nurse was called told her my symptoms they took my blood pressure again about 5 min apart it was higher148/98 at this time I was feeling pressure in my chest and dizziness I was sent home once I was home I slept again for another 24 hours
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Feeling abnormal
Clinical narrative: Signed    Pt here for her initial Covid 19 vaccine.  Denies Hx of allergies to any component of the Covid 19 vaccine, severe allergies to any vaccine or injectable or any Hx of severe allergic reaction to anything.  Covid 19 vaccine given to left deltoid site. Pt tolerated well, but immediately after receiving the vaccine reported feeling dizziness.  Pt was escorted to the sitting area, and reported feeling chest pain to left upper chest area. BP at 149/85, pulse rate at 62.  No shortness of breath or facial swelling present.  Due to reports of chest pain, dizziness and "feeling funny" pt was taken immediately to the ER per wheelchair.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Skin warm
Clinical narrative: Eight days after receiving the first COVID shot, my arm became itchy, hot to the touch, and quite red.  That day the red area was only about the size of a quarter.  However, the following day, the red area was larger-- probably about 3-4 inches in diameter.  The symptoms lasted about 4 or 5 days and finally went away. I did not have a fever.  I did not self treat in any way and did not feel it was necessary to see my family doctor.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Feeling abnormal, Pain, Pyrexia
Clinical narrative: Since A week or so after second shot I have been fatigue, feverish, brain fog, cough, achy   Have been to doctors on antibiotics   Still not feeling up to par
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Lethargy, Pain, Pain in extremity
Clinical narrative: Soreness in L arm started within two hours. At 6 hours post vaccination, lethargy began. That night, I slept about 12 hours, something I only do when I'm sick. That whole day I had full body aches, was extremely tired, and may have had a low-grade fever in the evening (I do not have a thermometer to verify).
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Error: Wrong Dose of Vaccine - Too High
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: vertigo, onset at 14 days after first vaccine. has not gone away yet. tried home epley maneuver, but did not resolve issues
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Erythema, Flushing, Head discomfort, Rash macular
Clinical narrative: Skin flushed red on hands and arms, blotchy red spots on same.dizzy, felt like had a vise around head. Started sneezing and increased congestion. Within 15minutes of shot.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Sneezing
Clinical narrative: Skin flushed red on hands and arms, blotchy red spots on same.dizzy, felt like had a vise around head. Started sneezing and increased congestion. Within 15minutes of shot.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization within 6 weeks after receiving vaccine
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Blood culture negative, Blood lactic acid, Chest X-ray normal, Chills, Leukocytosis
Clinical narrative: Pt developed high fever and rigors 45 minutes after receiving 1st dose of Pfizer COVID vaccine. Presented to ED where he was found to have fever to 101.3, tachycardia, tachypnea, leukocytosis to 25, and lactate 6, meeting SIRS criteria. Pt was admitted and started on Zosyn, but infectious w/u completely unremarkable (neg BCx, unremarkable CXR, normal UA, normal abdominal imaging, no elevated LFTs given h/o cholangitis). He was observed for 24h off of Zosyn and did not develop any further hemodynamic instability or recurrent fevers and rigors. His WBC improved daily 25 -- > 11.5 -- > 7.1 and lactate cleared on night of admission with fluid resuscitation.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Liver function test normal, Magnetic resonance imaging abdominal normal, Pyrexia, Systemic inflammatory response syndrome, Tachycardia
Clinical narrative: Pt developed high fever and rigors 45 minutes after receiving 1st dose of Pfizer COVID vaccine. Presented to ED where he was found to have fever to 101.3, tachycardia, tachypnea, leukocytosis to 25, and lactate 6, meeting SIRS criteria. Pt was admitted and started on Zosyn, but infectious w/u completely unremarkable (neg BCx, unremarkable CXR, normal UA, normal abdominal imaging, no elevated LFTs given h/o cholangitis). He was observed for 24h off of Zosyn and did not develop any further hemodynamic instability or recurrent fevers and rigors. His WBC improved daily 25 -- > 11.5 -- > 7.1 and lactate cleared on night of admission with fluid resuscitation.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Tachypnoea, Urine analysis normal, White blood cell count increased
Clinical narrative: Pt developed high fever and rigors 45 minutes after receiving 1st dose of Pfizer COVID vaccine. Presented to ED where he was found to have fever to 101.3, tachycardia, tachypnea, leukocytosis to 25, and lactate 6, meeting SIRS criteria. Pt was admitted and started on Zosyn, but infectious w/u completely unremarkable (neg BCx, unremarkable CXR, normal UA, normal abdominal imaging, no elevated LFTs given h/o cholangitis). He was observed for 24h off of Zosyn and did not develop any further hemodynamic instability or recurrent fevers and rigors. His WBC improved daily 25 -- > 11.5 -- > 7.1 and lactate cleared on night of admission with fluid resuscitation.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Induration, Injection site reaction, Rash erythematous, Rash papular, Skin warm
Clinical narrative: Noticed a raised red rash, oval in shape, about 2.5" diameter, around the site where my vaccine was injected 9 days ago. Rash area feels hot and firm, but not itchy or painful. I don't believe I need any treatment, as it is not bothersome.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Oral pruritus, Pruritus
Clinical narrative: 5- 10 minutes after vaccine, patient reported an itchy arm. 20 min after vaccine, patient reported slight itching in the mouth. Patient was seen by provider who recommended patient to wait 30 min and to receive 25 mg of Benadryl.  At time of departure- no more itching in mouth- no redness or swelling at injection site.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Exposure during pregnancy, Headache, Malaise, Nausea
Clinical narrative: 18 weeks pregnant. Due august 27th. Symptoms are slight headache, chills, mild nausea and just an overall not feeling good after first dose.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient is under the required age for Moderna vaccine. Patient is 17 years old. He doesn't turn 18 until 11/2021
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinitus in right ear. No other symptoms
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Breast swelling, Breast tenderness, Pain in extremity
Clinical narrative: Breast tenderness - left side; and swollen. Underneath the breast it got hard and tender; flesh was really sore. My arm hurt but the concern was my breast. He told me to tell me to monitor the reaction and I think I took ibuprofen. It was about a week into it, it went away.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Lip swelling
Clinical narrative: Patient experienced immediate lip swelling after receiving first vaccine dose. Patient was given Benadryl 25 mg, oral, and observed for one hour after receiving COVID vaccine.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: In March 29 at approximately 10:05am a patient was at my station prepared to get Covid -19 vaccine. After asking pt the appropriate questions prior to getting vaccine I wiped the pt arm with alcohol pad  and injected the needle in patient left deltoid muscle. When I injected the ?vaccine? I felt no pressure from the injection as I would have any other vaccine I had given in the past. I instantly pulled the needle  out and pulled back the plunger I observed no residue in the barrel from the vaccine. I then used the other syringe that was at my station that did have the appropriate dose of vaccine and injected the patient. I  did indeed feel the pressure that I was familiar with when giving the pt the vaccine. I am very confident that the syringe did not have any vaccine in it. I instantly went to my team lead and reported the incident.   was made aware of the situation after the 2nd injection was given to the patient and did observe the syringe and it appeared to be dry. Pre-drawer consulted and reported did not pull air into the  syringe. Son was concerned that the needle was dirty, assured son/patient that the needle was not dirty. Patient remained in observation for 30 minutes w/no adverse reaction before leaving with  her son. pulled from the vaccination line by SNAP lead.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site erythema, Malaise, Nausea
Clinical narrative: Received vaccine on 3/25/21.  By 12 noon of the following day  (3/26/21), arm was swelling, hot to touch and red at and around the injection site.  By 1600 on 3/26/21, patient had begun to feel ill  (fatigue, headache, nausea).  By 3/27/21, the headache and the nausea had resolved but the arm was still red, hot and swollen. The whole upper arm was red.  by 3/29/21, redness is decreasing, swelling is decreasing but has not completely resolved.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Skin warm
Clinical narrative: Received vaccine on 3/25/21.  By 12 noon of the following day  (3/26/21), arm was swelling, hot to touch and red at and around the injection site.  By 1600 on 3/26/21, patient had begun to feel ill  (fatigue, headache, nausea).  By 3/27/21, the headache and the nausea had resolved but the arm was still red, hot and swollen. The whole upper arm was red.  by 3/29/21, redness is decreasing, swelling is decreasing but has not completely resolved.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: half of face and upper body feels numb
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Gave when person was 17 yrs 11 months.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Hyporesponsive to stimuli, Loss of consciousness, Pallor
Clinical narrative: At 12:20 patient began to feel dizzy and began closing her eyes. She stated that everything went black around that time. She was minimally following commands, but unable to do so reliably. She became diaphoretic and pale, and her pulse was thready and difficult to palpate. Her vitals were taken. Her heart rate was 35 and O2 saturation was 96% (both of these were taken by pulse ox). Her blood pressure was 110/86 taken manually.  For about 5 mins, she was having a very difficult time keeping her eyes open, and the EMS was called. After several more minutes, she began feeling much better, color increased, HR increased, and Level of consciousness increased as well. The paramedics evaluated her and suggested she be further evaluated at the hospital but the patient refused. The nursing staff and EMS agreed that it was most likely a vasovagal/syncopal event.