chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 71.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Hypoaesthesia, Muscular weakness, Peripheral swelling
Clinical narrative: Numbness in hands and feet Swelling in legs & feet Weakness in hands & feet requiring strong mental concentration to make them work I communicated via message with my doctor, as I was on vacation Spent 2 weeks like that, then slow improving .. feet swelling remained for over a month
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site pain, Nausea, Pain
Clinical narrative: Fever, chills, headache, body aches, nausea, and pain at injection site ( started at 8 pm lasted until 10 am)
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever, chills, headache, body aches, nausea, and pain at injection site ( started at 8 pm lasted until 10 am)
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Diarrhoea
Clinical narrative: Extreme stomach cramps, diarrhea multiple times a day for 6 days so far.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Breast pain, Dyspnoea, Injection site swelling, Injection site warmth, Lymph node pain
Clinical narrative: Heat and swelling at injection site 12 hours post vaccine continuing until at least 23 hours post vaccine when reported   Pain and weakness in right hand 13 hours post vaccine continuing until at least 23 hours post vaccine when reported    Heart racing and trouble breathing 16 hours post vaccine intermittent symptoms coming and going continuing until at least 23 hours post vaccine when reported   Nausea 17 hours post vaccine intermittent symptoms coming and going continuing until at least 23 hours post vaccine when reported   Swollen and painful lymph node in right armpit 21  hours post vaccine continuing until at least 23 hours post vaccine when reported   Pain in right breast 21  hours post vaccine continuing until at least 23 hours post vaccine when reported
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Muscular weakness, Pain in extremity, Palpitations
Clinical narrative: Heat and swelling at injection site 12 hours post vaccine continuing until at least 23 hours post vaccine when reported   Pain and weakness in right hand 13 hours post vaccine continuing until at least 23 hours post vaccine when reported    Heart racing and trouble breathing 16 hours post vaccine intermittent symptoms coming and going continuing until at least 23 hours post vaccine when reported   Nausea 17 hours post vaccine intermittent symptoms coming and going continuing until at least 23 hours post vaccine when reported   Swollen and painful lymph node in right armpit 21  hours post vaccine continuing until at least 23 hours post vaccine when reported   Pain in right breast 21  hours post vaccine continuing until at least 23 hours post vaccine when reported
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Doctor administered vaccine to a patient that didn't meet age requirement. Pt under the age of 18 years old. Pt has reported no adverse reactions. Doctor spoke with patients mother as well and she has reported no adverse side effects.
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Patient hospitalized with pneumonia.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Angiogram, Computerised tomogram head normal, Echocardiogram normal, Electroencephalogram normal
Clinical narrative: Felt out of sorts. Repeatedly asked ?what happened ?? Taken by ambulance to hospital shortly after 1pm. Memory returned about 4:30 pm while finishing CTA. All cognitive testing normal after 4:30pm
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Magnetic resonance imaging head normal, Transient global amnesia
Clinical narrative: Felt out of sorts. Repeatedly asked ?what happened ?? Taken by ambulance to hospital shortly after 1pm. Memory returned about 4:30 pm while finishing CTA. All cognitive testing normal after 4:30pm
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Computerised tomogram, Joint swelling, Magnetic resonance imaging, Mobility decreased
Clinical narrative: 1ST EVENT SWELLING AND EXCRUIATING PAIN IN ALL JOINTS (EXCEPT SHOULDER JOINTS) COULD NOT MOVE FEET HOSPITALIZED IN HOSPITAL 6/13/2021 - 6/18/2021  2ND EVENT SWELLING AND MOST EXCRUIATING PAIN IN HIP JOINTS  COULD NOT MOVE FEET HOSPITALIZED IN HOSPITAL 7/16/2021 - 7/18/2021
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound scan
Clinical narrative: 1ST EVENT SWELLING AND EXCRUIATING PAIN IN ALL JOINTS (EXCEPT SHOULDER JOINTS) COULD NOT MOVE FEET HOSPITALIZED IN HOSPITAL 6/13/2021 - 6/18/2021  2ND EVENT SWELLING AND MOST EXCRUIATING PAIN IN HIP JOINTS  COULD NOT MOVE FEET HOSPITALIZED IN HOSPITAL 7/16/2021 - 7/18/2021
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient fully vaccinated with Pfizer Covid-19 vaccine, seen in clinic and test results show positive for Covid on 7-21-2021
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID (+)
Age: 8.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Product administered to patient of inappropriate age, Vaccination error
Clinical narrative: On 6/8/21  the 8 year old client presented for catch up vaccination. After reviewing the clients record, it was determined by this nurse that the client had missed his 5th dose of DTaP and his 4th dose of IPV, also his second dose of both MMR and Varicella. This nurse inadvertently administered the Kinrix vaccine to the 8 year old child and Kinrix is only licensed for use in children ages 4 to 6 years old.  Due to the clients age, the child should have received 2 separate injections of Tdap and IPV. This error was caught by billing on 7/8/2021. The clients mother was notified of the vaccine error on 07/19/2021 , an incident report was completed and now  this nurse is submitting a VAERS form for  vaccine error.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Blood test normal, Pregnancy test negative
Clinical narrative: Bells Palsy
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Decreased appetite, Disorientation, Feeling abnormal, Head discomfort
Clinical narrative: Felt disoriented 2.5 hrs after shot.  3 hours after shot felt complete body numbness.  Could not feel hard pinches, slaps, etc.  Felt completely drugged and unable to feel my body.  Pressure in my head.  Felt blood pumping in my head.  Lasted about 48 hrs.  Still do not have full feeling in my skin at three weeks later timeframe.   Other symptoms more common were - pain at injection site, hard to lift arm because of pain night of 7/2.  4-5 days of nausea and loss of appetite.  Sporadic joint pain in areas never had any joint paint before.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Injection site pain, Nausea, Pain, Sensation of blood flow
Clinical narrative: Felt disoriented 2.5 hrs after shot.  3 hours after shot felt complete body numbness.  Could not feel hard pinches, slaps, etc.  Felt completely drugged and unable to feel my body.  Pressure in my head.  Felt blood pumping in my head.  Lasted about 48 hrs.  Still do not have full feeling in my skin at three weeks later timeframe.   Other symptoms more common were - pain at injection site, hard to lift arm because of pain night of 7/2.  4-5 days of nausea and loss of appetite.  Sporadic joint pain in areas never had any joint paint before.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaemia, Blood test, Dizziness, Fatigue
Clinical narrative: Dizziness, light headed, fatigue
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Dyspnoea, Fatigue, Hypoaesthesia, Myalgia
Clinical narrative: After the first dose heart palpitations  worsened, muscle pain, fatigue, chest pain (sharp pains), shortness of breath, pain and numbness  in legs.
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Palpitations
Clinical narrative: After the first dose heart palpitations  worsened, muscle pain, fatigue, chest pain (sharp pains), shortness of breath, pain and numbness  in legs.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Patient given vaccination at the age of 12 instead of 18. Patient had no adverse reactions. Family was notified of results.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site warmth
Clinical narrative: Time- 8 days after injection Symptoms- paint and heat at injection site
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Feeling cold, Headache, Myalgia
Clinical narrative: I was freezing with chills but had a fever. Muscle aches and a bad headache. It happened all night until about 4am. I only felt those side effects through the night.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Eczema, Rash erythematous
Clinical narrative: I have never had eczema before.  I started to get an eczema type rash on my inner elbows, back of the neck, and behind the ears. A teledoc dermatologist prescribed a topical cream that seemed to clear it up, however, it came back. I have it on all of my whole neck, lowers legs, arms, belly, upper thighs, and inside my ears. I also have little red dots on much of my body.  I have no idea if this is related to the Covid Vaccine.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive for covid-19
Sex: U
Vaccine: COVID19, COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Staff went to World Refugee Day to perform COVID19 vaccinations. All 3 vaccines were made available to clients due to boost and prime doses needed.  Baskets for each vaccination were label and color coded. Staff ensured the syringes used for each vaccination were different. Upon returning from the event, the vaccinations were entered into a Mass Event in KYIR. Based on the amount given of each, doses wasted, and amount of vaccine taken to the event, the numbers did not match. Upon assessment into the discrepancy, a few situations were determined to be possible: 1) Two patients may have received J&J that were suppose to get Moderna or Pfizer. 2) Nurses miscounted the amount of doses wasted. 3) Nurses miscounted how many doses were obtained from the vials. Due to the small possibility of two patients receiving the wrong vaccination, this nurse notified the Regional Vaccine Coordinator. The Vaccine Coordinator consulted with the state. The state then spoke with the CDC regarding the possibility and they determined the following actions were necessary: 1) Complete VAERS report. 2) Notify all patients who received the Moderna & Pfizer vaccine regarding the possibility of having received the J&J vaccination. 3) Go ahead and administer the required boost doses on time. 3) Provide J&J Fact Sheet to each recipient of Moderna & Pfizer. Staff completing all of the above steps. An interpreter was used to relay the education and the Fact Sheet was given in the appropriate language. No adverse events have been reported by the recipients. Process changes have been implemented within the clinic. One nurse will be assigned to each vaccine when multiple types are offered. Vaccines will be labeled. Will have patients form lines for each vaccine requested. Nurses will remember the 5 rights to safe medication administration.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Angiocardiogram, Cardiac failure, Dyspnoea, Echocardiogram abnormal, Ejection fraction decreased
Clinical narrative: Last injection 1/10/2021 began with SOB in Feb, visited Cardiologist on 3/1/2021 - EKG changes 3/24/2021  Echo cardiogram with decreased EF 4/15/2021 CTA, cardiac, with decreased EF started heart failure Rx beginning of April (coreg & entresto)  4/27/2021 - Consult with cardiologist,  6/4/2021 - MRI @   coming up, June 29th, f/u echo with MD appt,
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal
Clinical narrative: Last injection 1/10/2021 began with SOB in Feb, visited Cardiologist on 3/1/2021 - EKG changes 3/24/2021  Echo cardiogram with decreased EF 4/15/2021 CTA, cardiac, with decreased EF started heart failure Rx beginning of April (coreg & entresto)  4/27/2021 - Consult with cardiologist,  6/4/2021 - MRI @   coming up, June 29th, f/u echo with MD appt,
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Cough, Feeling cold, Lacrimation increased
Clinical narrative: The night of the vaccine I felt like I was coming down with a cold, had chills, felt cold and my body temperature was 100.4.  A week later I still have adverse symptoms such as laryngitis, sore throat, runny nose, watery eyes and cough.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Laryngitis, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea
Clinical narrative: The night of the vaccine I felt like I was coming down with a cold, had chills, felt cold and my body temperature was 100.4.  A week later I still have adverse symptoms such as laryngitis, sore throat, runny nose, watery eyes and cough.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Gait disturbance, Mobility decreased, Myalgia
Clinical narrative: On May 13th participant went to the hospital because her muscles from the hip down was hurting extremely. Participant stated she could barely move, the next day it felt even worse than the day before. Body was in pain for days could barely walk. Went to medical center and they diagnosed her with polymyalgia rheumatica (PMR). They put her on steroid everyday until she got better.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Polymyalgia rheumatica
Clinical narrative: On May 13th participant went to the hospital because her muscles from the hip down was hurting extremely. Participant stated she could barely move, the next day it felt even worse than the day before. Body was in pain for days could barely walk. Went to medical center and they diagnosed her with polymyalgia rheumatica (PMR). They put her on steroid everyday until she got better.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive for covid-19
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Hypersensitivity, Injection site erythema, Injection site swelling, Pain in extremity
Clinical narrative: The arm swollen and redness went from my injection site to past my elbow and around to the back. I contacted my Dr about 5-7 days after it began, it was so long ago how am I supposed to remember the dates. The Dr gave me a 7 day supply of Cortisone. After that it began to go down, although I did have pain in the arm and around the arm as well, which was constant and is still there for that matter actually. The Dr just said it was an allergic reaction to the shot.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: The arm swollen and redness went from my injection site to past my elbow and around to the back. I contacted my Dr about 5-7 days after it began, it was so long ago how am I supposed to remember the dates. The Dr gave me a 7 day supply of Cortisone. After that it began to go down, although I did have pain in the arm and around the arm as well, which was constant and is still there for that matter actually. The Dr just said it was an allergic reaction to the shot.
Age: 20.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Infection
Clinical narrative: The depo and covid shot counter reacted and I was in and out of hospitals and doctors offices and I was Admitted into hospital for three days from a infection from two shots
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Vaccination site pain
Clinical narrative: HEADACHE STARTED DAY AFTER VACCINATION (20JULY2021) , CONTINUED UP UNTIL TODAY (23JULY2021) NAUSEA 2 DAYS AFTER VACCINATION PAIN IN MUSCLE OF THE ARM OF SITE DAY OF  AND DAY AFTER VACCINE. ICE APPLIED TO SITE, INDUCED MOTION, IBUPROFEN FOR HEADACHE AND ARM PAIN
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Injection site swelling, Pain in extremity
Clinical narrative: Well my upper right arm swelled up about twice as big as it did with the first shot. It lasted well about a week or so, but I also went to the Dr immediately this time. The Dr prescribed Cortisone. I still have pain in the arm but it is bearable.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm, Swelling face, Urticaria, Wheezing
Clinical narrative: 1. Hives 2. Facial swelling  3. Wheezing  4. Legs warm to the touch All occurring approximately 2 hours post injection and are still present 23 hours later.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Mammogram, Nausea, Ultrasound scan, Vomiting
Clinical narrative: The main symptoms was nausea and vomiting. I also exp swollen lymph node (left arm). I had a Xray for the swelling will have a repeat in 3 months to see if the lymph node has went down in size.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: The main symptoms was nausea and vomiting. I also exp swollen lymph node (left arm). I had a Xray for the swelling will have a repeat in 3 months to see if the lymph node has went down in size.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Death
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Nausea, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: Pt presented to the ED on 07/19/21 with complaints of nausea, vomiting, sore throat, and generalized weakness. Pt was found to be COVID positive that same day. Pt has been fully vaccinated.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: Pt presented to the ED on 07/19/21 with complaints of nausea, vomiting, sore throat, and generalized weakness. Pt was found to be COVID positive that same day. Pt has been fully vaccinated.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Manipulation, Tinnitus
Clinical narrative: Tinnitus in both ears. no polarity , no relief, constant ringing in ears. First emerged ~1week after 2nd dose. Persists until today
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Loss of personal independence in daily activities, Nausea
Clinical narrative: Continued and persisent nausea and abdominal/stomach pain.  Sometimes interfering with daily activities.  -No pregnancies in this time period and no history of IBS or related illnesses, etc.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Depressed mood, Influenza like illness, Lethargy, Nausea, Pain
Clinical narrative: Flu-like symptoms that persisted more than two weeks. Body aches. Nausea. Lethargy. Sadness. Hopelessness.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count normal, Red blood cell count normal, SARS-CoV-2 test negative
Clinical narrative: Flu-like symptoms that persisted more than two weeks. Body aches. Nausea. Lethargy. Sadness. Hopelessness.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: This dose was the patient's third dose.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Polymenorrhoea, Smear cervix, Ultrasound pelvis
Clinical narrative: I started having my period for every day for 1 month. It is very heavy and it does not stop.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Polymenorrhoea
Clinical narrative: Period cycle became extremely heavy after receiving vaccination. Ever since the vaccine I have been having my cycle for 2 full weeks at a time. There is about a week break of no bleeding and then another 2 week cycle.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Dose of .5 given of pfizer vaccine instead of .3
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Osteoarthritis, Pain in extremity
Clinical narrative: Pt. states that after receiving the 2nd dose of Phizer 03/21/2021, started experiencing symptoms 04/12/2021 of arthritis in heels with severe pain.
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Immunoglobulin therapy
Clinical narrative: Numbness is both legs from the knees down. Feels like legs are asleep.  Had IV/IG drip given 06/24/2021. No improvement to date
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Poor quality product administered, Product storage error
Clinical narrative: Vaccine given on 7/6/2021 which was day 35 in refrigeration . Vaccine was moved from freezer on June 1 2021 and was labeled in refrigerator as hitting the beyond use date on July 1. This was an oversight on monitoring. Pfizer was notified and patient notified  and counseled on next steps. No adverse events reported by patients prior to or after notification .
Age: 12.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood alkaline phosphatase increased, Blood creatine phosphokinase decreased, C-reactive protein normal, Differential white blood cell count, Erythema
Clinical narrative: Had routine reaction immediately post vaccine (pain, redness, nausea, muscle aches, fever, etc) that recovered. Then, on 7/12/21, she started to experience pain, redness, and some swelling again but this time there was some pain on the right side as well. Pain originating from deltoid and radiating through arms and shoulders. On 7/16/21 the pain was worsening and she was no longer able to perform daily activities as well as would cry if her arms were even slightly touched. she was referred to the Urgent Care who did testing for illness and muscle conditions which came back normal. She was screaming through trying to get bloodwork due to the pain which is atypical for her and they sent us to the ER for pain with unknown origin. ER physician said all neurological processes were normal and was concerned for Complex Regional Pain Syndrome so he wanted an urgent follow-up with Primary Care. on 7/19/21 Primary Care suggested delayed response to the vaccine and referred her to Neurology. On 7/22/21 Neurology decided it was a delayed immune response to the Covid vaccine and prescribed Prednisone to start today 7/23/21.
Age: 12.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Full blood count normal, Immediate post-injection reaction, Loss of personal independence in daily activities, Metabolic function test, Myalgia
Clinical narrative: Had routine reaction immediately post vaccine (pain, redness, nausea, muscle aches, fever, etc) that recovered. Then, on 7/12/21, she started to experience pain, redness, and some swelling again but this time there was some pain on the right side as well. Pain originating from deltoid and radiating through arms and shoulders. On 7/16/21 the pain was worsening and she was no longer able to perform daily activities as well as would cry if her arms were even slightly touched. she was referred to the Urgent Care who did testing for illness and muscle conditions which came back normal. She was screaming through trying to get bloodwork due to the pain which is atypical for her and they sent us to the ER for pain with unknown origin. ER physician said all neurological processes were normal and was concerned for Complex Regional Pain Syndrome so he wanted an urgent follow-up with Primary Care. on 7/19/21 Primary Care suggested delayed response to the vaccine and referred her to Neurology. On 7/22/21 Neurology decided it was a delayed immune response to the Covid vaccine and prescribed Prednisone to start today 7/23/21.
Age: 12.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Pain, Pain in extremity, Pyrexia, Urine analysis
Clinical narrative: Had routine reaction immediately post vaccine (pain, redness, nausea, muscle aches, fever, etc) that recovered. Then, on 7/12/21, she started to experience pain, redness, and some swelling again but this time there was some pain on the right side as well. Pain originating from deltoid and radiating through arms and shoulders. On 7/16/21 the pain was worsening and she was no longer able to perform daily activities as well as would cry if her arms were even slightly touched. she was referred to the Urgent Care who did testing for illness and muscle conditions which came back normal. She was screaming through trying to get bloodwork due to the pain which is atypical for her and they sent us to the ER for pain with unknown origin. ER physician said all neurological processes were normal and was concerned for Complex Regional Pain Syndrome so he wanted an urgent follow-up with Primary Care. on 7/19/21 Primary Care suggested delayed response to the vaccine and referred her to Neurology. On 7/22/21 Neurology decided it was a delayed immune response to the Covid vaccine and prescribed Prednisone to start today 7/23/21.
Age: 12.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccination failure
Clinical narrative: Had routine reaction immediately post vaccine (pain, redness, nausea, muscle aches, fever, etc) that recovered. Then, on 7/12/21, she started to experience pain, redness, and some swelling again but this time there was some pain on the right side as well. Pain originating from deltoid and radiating through arms and shoulders. On 7/16/21 the pain was worsening and she was no longer able to perform daily activities as well as would cry if her arms were even slightly touched. she was referred to the Urgent Care who did testing for illness and muscle conditions which came back normal. She was screaming through trying to get bloodwork due to the pain which is atypical for her and they sent us to the ER for pain with unknown origin. ER physician said all neurological processes were normal and was concerned for Complex Regional Pain Syndrome so he wanted an urgent follow-up with Primary Care. on 7/19/21 Primary Care suggested delayed response to the vaccine and referred her to Neurology. On 7/22/21 Neurology decided it was a delayed immune response to the Covid vaccine and prescribed Prednisone to start today 7/23/21.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dysuria
Clinical narrative: I received my first COVID 19 Pfizer Vaccine on 7/22/21. I woke up at 5am on 7/23/21 having pain with urination.  I?ve had a UTI before (approximately 2-3 years ago) and recognized the symptoms. I bought cranberry juice, Azo, and cranberry extract capsules. I am currently treating it at home but will visit a doctor if symptoms don?t clear up in a day or two.
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive for covid-19
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 2nd dose administered on day 16.  Came in with children who were getting first doses.  It was not realized her second dose was too soon until after vaccine was administered.  Will review records more thoroughly.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: .5 of pfizer vaccine given instead of .3
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, COVID-19, Chest discomfort, Cough, Diarrhoea
Clinical narrative: This is a 72y.o. female with past medical history of hypertension, high cholesterol, depression who presents with a chief complaint of worsening shortness of breath since yesterday morning and back pain below the shoulder blades since a large coughing spell last night. Patient presented to urgent care on Monday 7/19/21 and was diagnosed with COVID-19. Patient had just returned from visiting her sister who had a cough. She suspects her as a positive sick contact. Patient is vaccinated against Covid 19. She received both doses of the Pfizer vaccine in March. Patient has been taking 2 tabs Tylenol with little relief of her back pain. She describes the pain as solid in constant pain, similar to pleurisy. Patient admits rhinorrhea, sore throat, headache, chest heaviness, lightheadedness, nausea, cough, diarrhea that has been improving the past couple days. Patient denies any tobacco history denies any other recreational drugs.     In the ED, Vitals on arrival of temperature 97.8°F, 143/77 BP, 92 heart rate, 20 respiration rate, and 99% on room air Labs remarkable for hemoglobin 11.1 on CBC,  BMP falsely low levels on admission, redrawn and K and Ca WNL. Chest x-ray pending Patient received 1 L NS, albuterol neb, Duoneb, toradol, KCl.  ADMITTED TO Hospital currently still inpatient
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Full blood count abnormal, Haemoglobin decreased, Headache
Clinical narrative: This is a 72y.o. female with past medical history of hypertension, high cholesterol, depression who presents with a chief complaint of worsening shortness of breath since yesterday morning and back pain below the shoulder blades since a large coughing spell last night. Patient presented to urgent care on Monday 7/19/21 and was diagnosed with COVID-19. Patient had just returned from visiting her sister who had a cough. She suspects her as a positive sick contact. Patient is vaccinated against Covid 19. She received both doses of the Pfizer vaccine in March. Patient has been taking 2 tabs Tylenol with little relief of her back pain. She describes the pain as solid in constant pain, similar to pleurisy. Patient admits rhinorrhea, sore throat, headache, chest heaviness, lightheadedness, nausea, cough, diarrhea that has been improving the past couple days. Patient denies any tobacco history denies any other recreational drugs.     In the ED, Vitals on arrival of temperature 97.8°F, 143/77 BP, 92 heart rate, 20 respiration rate, and 99% on room air Labs remarkable for hemoglobin 11.1 on CBC,  BMP falsely low levels on admission, redrawn and K and Ca WNL. Chest x-ray pending Patient received 1 L NS, albuterol neb, Duoneb, toradol, KCl.  ADMITTED TO Hospital currently still inpatient
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Nausea, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: This is a 72y.o. female with past medical history of hypertension, high cholesterol, depression who presents with a chief complaint of worsening shortness of breath since yesterday morning and back pain below the shoulder blades since a large coughing spell last night. Patient presented to urgent care on Monday 7/19/21 and was diagnosed with COVID-19. Patient had just returned from visiting her sister who had a cough. She suspects her as a positive sick contact. Patient is vaccinated against Covid 19. She received both doses of the Pfizer vaccine in March. Patient has been taking 2 tabs Tylenol with little relief of her back pain. She describes the pain as solid in constant pain, similar to pleurisy. Patient admits rhinorrhea, sore throat, headache, chest heaviness, lightheadedness, nausea, cough, diarrhea that has been improving the past couple days. Patient denies any tobacco history denies any other recreational drugs.     In the ED, Vitals on arrival of temperature 97.8°F, 143/77 BP, 92 heart rate, 20 respiration rate, and 99% on room air Labs remarkable for hemoglobin 11.1 on CBC,  BMP falsely low levels on admission, redrawn and K and Ca WNL. Chest x-ray pending Patient received 1 L NS, albuterol neb, Duoneb, toradol, KCl.  ADMITTED TO Hospital currently still inpatient
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Dizziness, Nausea
Clinical narrative: patient became light headed and nauseous shortly after administration.  Her respiration was free and normal but was given a dose of oral benadryl at fathers request. She was also given water and was back to normal with in 10 mins.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Mobility decreased, Pain, Pruritus, Pyrexia
Clinical narrative: Started itching, but the itching could have been due to something else. Got bad chills, high fever. Took tylonol. Fever went down. Still has fever. Took tylonol again this morning. Has aches and pain. Hard to get around.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Laboratory test normal, Pallor, Syncope
Clinical narrative: On the day after vaccination, patient was pale, dizzy, tired, and fainted. Mother called and went to ED. Vitals and tests were normal and she was discharged home. Patient is feeling better, but remains tired.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient received .5 of pfizer vaccine instead of .3
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiomyopathy, Catheterisation cardiac abnormal, Chest X-ray, Cough, Dyspnoea
Clinical narrative: I started feeling bad about mid May, May 15 2021. I was feeling very out of sorts. I had started coughing, some of the coughing was to the point where I could not breath. I went to the DR and they put me on antibiotics. May 18th 2021, that was when I went to the DR. Then on June 1st 2021 I went to the DR as well and I think that is when they put me on Z-Pack. I continued to cough and get very exhausted regardless of the medication. Then July comes along - through the rest of June I could not even walk without getting winded and panting for my own breath. So then on July 6th 2021 I just couldn't go anymore and decided to go to the ER, at the Hospital and I was admitted. They did tests and I was in the hospital until July 8th 2021. My heart is apparently not pumping as it is supposed to. I thought maybe I had bronchitis because of the coughing but apparently not. The DRs say I have Cardiomyopathy, never having heart problems before I was really taken aback by this news. I was sent home with a life vest for my heart now that is scary too. The DRs tell me I am not allowed to do much of anything, basically sit around. I see an electrophysiologist and I see a heart DR. I saw my PCD on the 19th of July 2021 as well. I will see the electrophysiologist on August 10th 2021 as well. Oh I was also put on four new medications: Entresto 2x daily, Carvedilol 2x daily, Atorvastatin 1x daily, Spironolactone 1x daily. I was also taken off of Vyvanse and now I just kind of play the waiting game.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Ejection fraction decreased, Electrocardiogram abnormal, Fatigue, Feeling abnormal
Clinical narrative: I started feeling bad about mid May, May 15 2021. I was feeling very out of sorts. I had started coughing, some of the coughing was to the point where I could not breath. I went to the DR and they put me on antibiotics. May 18th 2021, that was when I went to the DR. Then on June 1st 2021 I went to the DR as well and I think that is when they put me on Z-Pack. I continued to cough and get very exhausted regardless of the medication. Then July comes along - through the rest of June I could not even walk without getting winded and panting for my own breath. So then on July 6th 2021 I just couldn't go anymore and decided to go to the ER, at the Hospital and I was admitted. They did tests and I was in the hospital until July 8th 2021. My heart is apparently not pumping as it is supposed to. I thought maybe I had bronchitis because of the coughing but apparently not. The DRs say I have Cardiomyopathy, never having heart problems before I was really taken aback by this news. I was sent home with a life vest for my heart now that is scary too. The DRs tell me I am not allowed to do much of anything, basically sit around. I see an electrophysiologist and I see a heart DR. I saw my PCD on the 19th of July 2021 as well. I will see the electrophysiologist on August 10th 2021 as well. Oh I was also put on four new medications: Entresto 2x daily, Carvedilol 2x daily, Atorvastatin 1x daily, Spironolactone 1x daily. I was also taken off of Vyvanse and now I just kind of play the waiting game.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Swelling face, Urticaria
Clinical narrative: Pt developed full body hives, with face swelling and nasal congestion.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, Cough, Fatigue, Headache
Clinical narrative: COUGH,RUNNY NOSE,LOSS OF TASTE AND SMELL,SORE THROAT,MUSCLE ACHES,FEVER,HEADACHE,FATIGUE
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Myalgia, Oropharyngeal pain, Pyrexia, Rhinorrhoea
Clinical narrative: COUGH,RUNNY NOSE,LOSS OF TASTE AND SMELL,SORE THROAT,MUSCLE ACHES,FEVER,HEADACHE,FATIGUE
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Fatigue, Hyperhidrosis, Hypoglycaemia
Clinical narrative: Hypoglycemia, fatigue, cough, diaphoresis, fever.  >14 days post COVID vaccination series
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Hypoglycemia, fatigue, cough, diaphoresis, fever.  >14 days post COVID vaccination series
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness
Clinical narrative: After the vaccine I experienced muscle stiffness. And has gotten more severe over time.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure congestive, Chronic obstructive pulmonary disease, Chronic respiratory failure, Dyspnoea, Left ventricular failure
Clinical narrative: Presented to ED with history of chronic respiratory failure with COPD and CHF- presented with shortness of breath, he was found to have no rhonchi or wheezing but he was found to have pulmonary edema from left ventricular heart failure. Patient admitted. He was diuresing watching his kidney function and urine output, his oxygen requirement has come to his baseline-that is treated per minute. He has no chest pain or shortness of breath, no reason to suspect PE. Troponin negative. Patient stable for discharge.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Polyuria, Pulmonary oedema, Troponin normal
Clinical narrative: Presented to ED with history of chronic respiratory failure with COPD and CHF- presented with shortness of breath, he was found to have no rhonchi or wheezing but he was found to have pulmonary edema from left ventricular heart failure. Patient admitted. He was diuresing watching his kidney function and urine output, his oxygen requirement has come to his baseline-that is treated per minute. He has no chest pain or shortness of breath, no reason to suspect PE. Troponin negative. Patient stable for discharge.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal swelling
Clinical narrative: Throat swelling
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site discolouration, Injection site erythema, Injection site pain, Injection site reaction, Injection site swelling
Clinical narrative: Localized reaction to deltoid: discoloration/redness around injection site with swelling. Skin feels taut/tight and patient has tenderness to touch.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Skin reaction, Skin tightness
Clinical narrative: Localized reaction to deltoid: discoloration/redness around injection site with swelling. Skin feels taut/tight and patient has tenderness to touch.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Computerised tomogram head normal, Dyspnoea, Fatigue, Headache
Clinical narrative: Since receiving vaccine, patient states she has had nausea, fatigue, malaise and some shortness of breath.  She also states that she has had a headache that is atypical for her.  Patient is treated with diphenhydramine, ketorolac and metoclopramide with improvement.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Nausea
Clinical narrative: Since receiving vaccine, patient states she has had nausea, fatigue, malaise and some shortness of breath.  She also states that she has had a headache that is atypical for her.  Patient is treated with diphenhydramine, ketorolac and metoclopramide with improvement.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, COVID-19, Infection, Mental status changes, Nausea
Clinical narrative: 82 y/o female, PMHx of CA, DM, HTN, hyperlipidemia, IBS, osteoporosis, RLS, seizure disorder, bladder prolapse, and diverticulitis admitted for altered mental status, elevated blood pressure, nausea and shaking, on 6/22/21. Pt tested positive for Covid, but did not exhibit symptoms except may fever. Pt has chronic ulcers on bilateral toe with purulent drainage, undergoing wound care. Toe ulcers found to be source of infection. Was put on clindamycin, Flagyl, and vancomycin (but developed allergic reaction to vancomycin). Pt was discharged to home on 6/23/21.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Skin ulcer, Tremor, Wound drainage
Clinical narrative: 82 y/o female, PMHx of CA, DM, HTN, hyperlipidemia, IBS, osteoporosis, RLS, seizure disorder, bladder prolapse, and diverticulitis admitted for altered mental status, elevated blood pressure, nausea and shaking, on 6/22/21. Pt tested positive for Covid, but did not exhibit symptoms except may fever. Pt has chronic ulcers on bilateral toe with purulent drainage, undergoing wound care. Toe ulcers found to be source of infection. Was put on clindamycin, Flagyl, and vancomycin (but developed allergic reaction to vancomycin). Pt was discharged to home on 6/23/21.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebral infarction, Confusional state, Diffusion-weighted brain MRI abnormal
Clinical narrative: 76 y/o male, PMHx of GERD, Hyperlipidemia, Coronary heart disease, CKD, Barrett's esophagus, abdominal aortic aneurysm without rupture, PVD, DM, admitted for confusion on 2/13/21. MRI indicates tiny focus of diffusion restriction within the right occipital lobe suggestive of acute infarction. Pt does not have acute Covid 19 infection. Pt discharged home on 2/16/21.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Received Pfizer vaccines on 1/7/21, 1/28/21 Tested positive for COVID-19 by PCR on 7/22/21.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Exposure to SARS-CoV-2
Clinical narrative: Received Pfizer vaccines on 1/7/21, 1/28/21 Tested positive for COVID-19 by PCR on 7/22/21.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Dehydration, Diarrhoea, Metabolic acidosis
Clinical narrative: 89 y/o male, PMHx of hypothyroidism, HTN, dementia, admitted for weakness and 3 days of diarrhea on 1/28/21. Pt tested positive for Covid on 1/27/21 but was not found to be hypoxic. Pt was found to be clinically dry on exam, metabolic acidosis. Received fluids throughout evening. Symptoms resolved. Pt was discharged on 1/30/21.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 89 y/o male, PMHx of hypothyroidism, HTN, dementia, admitted for weakness and 3 days of diarrhea on 1/28/21. Pt tested positive for Covid on 1/27/21 but was not found to be hypoxic. Pt was found to be clinically dry on exam, metabolic acidosis. Received fluids throughout evening. Symptoms resolved. Pt was discharged on 1/30/21.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Dyspnoea, Hypoxia, Oxygen saturation decreased
Clinical narrative: 83 y/o female, PMHx of Afib, HTN, DM, colon CA, presenting with worsening SOB and weakness related to Covid19 infection. Pt was diagnosed with Covid on 1/22/21 and managed symptoms at home. Was sent to ER by home health due to low O2 sat without oxygen. Hypoxic at 86% on admission. Pt treated with supportive measures. Pt was discharged to skilled nursing facility on 2/1/21.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Atelectasis, COVID-19, Cardiomegaly, Chest X-ray abnormal, Dyspnoea
Clinical narrative: 91 y/o male, BMI 38, PMHx CHF, dementia, HTN, and paroxysmal Afib, admitted for acute onset altered mental status, SOB, Covid19, and pulmonary edema on 4/12/21. No reports of fever but tested positive for Covid19. Chest x-ray presents cardiomegaly with bibasilar opacities suggesting atelectasis and/or pneumonia. Covid treated with supportive care. Discharged home with hospice on 4/14/21.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Lung opacity, Mental status changes, Pneumonia, Pulmonary oedema, SARS-CoV-2 test positive
Clinical narrative: 91 y/o male, BMI 38, PMHx CHF, dementia, HTN, and paroxysmal Afib, admitted for acute onset altered mental status, SOB, Covid19, and pulmonary edema on 4/12/21. No reports of fever but tested positive for Covid19. Chest x-ray presents cardiomegaly with bibasilar opacities suggesting atelectasis and/or pneumonia. Covid treated with supportive care. Discharged home with hospice on 4/14/21.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Leukocytosis
Clinical narrative: 74 y/o male, BMI 34, PMHx of CHF, CKD, DM, hyperlipidemia, HTN, Cdiff, and MRSA, admitted for leukocytosis on 4/1/21. Pt received 1 dose of 2 g IV Rocephin, then ID recommended holding further abx. Pt placed on PO vanco for Cdiff. Pt discharged on 4/4/21.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Condition aggravated
Clinical narrative: I was fine for about 2 months then I noticed I had no taste while I was eating. It?s still this way as of today. Loss of taste.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Headache, Nausea, Pain
Clinical narrative: symptoms began day after receiving Janssen CIVOD-19 vaccination. Symptoms include nausea, headache, body aches, light chest pain, chills. Taking Tylenol for relief of symptoms. Was seen at military sickcall for check up on 23 July 2021 at approximately 1100.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder, Musculoskeletal stiffness, Neck pain
Clinical narrative: About 30 hours after receiving the 2nd does of the Pfizer vaccine (6pm, June 24), my daughter started experiencing severe neck pain concentrated around the base of her head and eventually extending down her neck and shoulders. Her neck was very stiff and she had a constant severe ache. We treated it with moist heat (wet hot towels) and when that failed to work, gave her Advil even though we usually avoid it given her single kidney. The Advil provided temporary relief. The pain subsided on its own after about 3 days. My daughter also got her period off cycle two days after receiving the second Pfizer dose (June 25.) She is on a BCP for acne and was taking the active pills at that time so did not expect her period. It lasted nearly 2 1/2 weeks even though she was on the active BCPs the entire time. The flow was never as heavy as a typical period but it was more than spotting.
Age: 58.0
Sex: M
Vaccine: VARZOS
Symptoms: Blister, Herpes zoster, Pain of skin
Clinical narrative: Shingles. Skin pain in right leg, hip, back then blisters on right thigh. Pain started several days after vax, blisters appeared approximately 10 days after vax.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: The patient received the COVID-19 Moderna second dose on 7/22/21 around 1:55 pm.  This was at 23 days instead of 28 days between doses.  The patient appeared to be fine and did not report any adverse events.  This mistake was discovered after the patient had left the store approximately 2 hours later.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient outside of recommended age group of 12 and up.  Patient is 11 years old. No adverse reaction to vaccine seen during 15 minute wait after vaccine.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Bed rest, Haemorrhage in pregnancy, Human chorionic gonadotropin, Maternal exposure during pregnancy
Clinical narrative: I was vaccinated for my 2nd dose of Moderna Vaccine on 5/4/21. We have been trying to get pregnant for months and I found out on 5/14/21 that I was pregnant. Confirmed with a hcg blood test at the urgent care on 5/15/21. Monday 5/17/21 at around noon, I just started spotting and went to MD right away. He ordered bedrest for the whole week but my bleeding didnt stopped and led to miscarriage.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis, Vaginal haemorrhage
Clinical narrative: I was vaccinated for my 2nd dose of Moderna Vaccine on 5/4/21. We have been trying to get pregnant for months and I found out on 5/14/21 that I was pregnant. Confirmed with a hcg blood test at the urgent care on 5/15/21. Monday 5/17/21 at around noon, I just started spotting and went to MD right away. He ordered bedrest for the whole week but my bleeding didnt stopped and led to miscarriage.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Vomiting
Clinical narrative: Patient fainted shortly after administration while still seated in vaccination chair. Immunizing technician and mother supported patient while I administered an ammonia inhalant to which patient immediately responded. The patient vomited once and began to improve. She was given water, OJ and one glucose tablet to support her recovery. She remained in the vaccination booth the entire time and was completely recovered in 10 mins.