chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose decreased, Blood pressure increased, Dizziness, Flushing, Swelling face
Clinical narrative: Patient experienced some facial swelling while in the observation area. Patient didn't realize there was any swelling until he looked in the mirror. He also reported feeling a little flushed and light headed. No diaphoresis noted.  EMS called to assist, asked him allergic to anything, he said no known allergies but suffers a lot from seasonal allergies.  I offered, and he took one 25 mg PO Benadryl with water @ 11:32 a.m.  EMS took @ 11:33 BP: 160/110, HR 70, R 16, Pulse Ox 97% he said this BP was high for him. Second reading @ 11:44 BP 144/104, HR 62, R 16 Pulse Ox 97% Third reading @ 11:48 BP 130/88, HR 64 R 16 Pulse Ox 97%, vitals back to more normal for him.  Glucose 77 @ 11:42. We kept him for 30 minutes post vaccination, and he was said he was feeling fine, no additional symptoms, swelling above eyebrows decreased and no more flushing symptoms.  EMS offered to take him to the hospital, he refused said he was a physician and was feeling better after given the Benadryl.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Heart rate increased, Hypertension, Hypoaesthesia
Clinical narrative: Within 5 minutes of receiving the COVID vaccine, patient experienced face numbness, flushing  of face, lightheadedness, nausea, elevated heart rate, elevated blood pressure. Patient had premedicated with 25mg benadryl 25 minutes prior to receiving the vaccine due to having had previous adverse reactions to vaccinations.  At 1010, 15 minutes after receiving the COVID vaccine, patient was given Benadryl 25mg PO. She was then evaluated and monitored by her primary care physician.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Within 5 minutes of receiving the COVID vaccine, patient experienced face numbness, flushing  of face, lightheadedness, nausea, elevated heart rate, elevated blood pressure. Patient had premedicated with 25mg benadryl 25 minutes prior to receiving the vaccine due to having had previous adverse reactions to vaccinations.  At 1010, 15 minutes after receiving the COVID vaccine, patient was given Benadryl 25mg PO. She was then evaluated and monitored by her primary care physician.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Injection site discomfort
Clinical narrative: Shot at 8:24, at 1700 left arm , injection site pain 6/10.  20:33 sharp joint pain to right knee and left great toe.  Then over the next  30 minutes start to have chills, no fever and  joint pain 9/10 to bilateral knees, hips, shoulders, elbows, wrists.  22:00 extreme fatigue as well.  Slight HA 3/10. had difficulty falling asleep but once I did, was able to sleep thru the night.  This morning Joint pain 5/10, fatigue 6/10 and HA 1/10.  No chills or fever. injection site discomfort 2/10
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Insomnia, Pain in extremity
Clinical narrative: Shot at 8:24, at 1700 left arm , injection site pain 6/10.  20:33 sharp joint pain to right knee and left great toe.  Then over the next  30 minutes start to have chills, no fever and  joint pain 9/10 to bilateral knees, hips, shoulders, elbows, wrists.  22:00 extreme fatigue as well.  Slight HA 3/10. had difficulty falling asleep but once I did, was able to sleep thru the night.  This morning Joint pain 5/10, fatigue 6/10 and HA 1/10.  No chills or fever. injection site discomfort 2/10
Age: 20.0
Sex: F
Vaccine: TDAP
Symptoms: Periorbital oedema, Pruritus
Clinical narrative: Periorbital edema and itching started at 7:00 AM the following day (about 20 hours after immunization) improved with Benadryl
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dizziness, Dyspnoea, Feeling abnormal, Flushing, Pyrexia
Clinical narrative: 28 year old female complained of feeling flushed and ?foggy? at 2:06 pm. Patient was placed on stretcher in the Fowler?s position. Vital signs taken: BP 141/91, HR 71, RR 16, 02 99% on room air. PERRL. Lung sounds clear, CV- regular rate and rhythm. Was directed by MD to give patient Diphenhydramine 50 mg IM. Medication was given in the left deltoid at 2:11 am. Patient tolerated well. VS re-checked at 2:13 pm- BP 134/92, HR 72, RR 16, 02 98%. Patient stated she was feeling drowsy and dizzy after diphenhydramine injection. Patient requested water and was given water at 2:15 pm. She then complained of feeling feverish. Temperature 99.4. VS re-checked at 2:16 pm BP 134/73, HR 72, RR 16, 02 98%. Patient  continued to be monitored with improvement in her symptoms, vital signs as follows:   VS at 2:22 pm BP 133/91, HR 72, RR 16, 02 98% VS at 2:28 pm BP 129/96, HR 72, RR 16, 02 98% At 2:34 pm patient stated that she was having some difficulty taking deep breaths. Stated she was not short of breath. Denied chest pain. MD was called over to assess patient as well. MD evaluated patient and patient?s symptoms improved. Was instructed to continue to monitor patient.  VS at 2:35 pm BP 129/96, HR 73, RR 16, 02 98% VS at 2:58 pm BP 124/90, HR 70, RR 16, 02 98% At 3:04 patient stating she was feeling better, but was drowsy from the Benadryl.  VS at 3:05 pm  BP 117/80, HR 69, RR 16, 02 98% 3:10 pm Dr examined patient with ok to leave for home. Patient agreeable with plan. Educated on red flag s/sx and when to call 911. Instructed patient that provider will call her tomorrow for follow-up. Patient left clinic in stable condition with boyfriend driving her home.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Somnolence
Clinical narrative: 28 year old female complained of feeling flushed and ?foggy? at 2:06 pm. Patient was placed on stretcher in the Fowler?s position. Vital signs taken: BP 141/91, HR 71, RR 16, 02 99% on room air. PERRL. Lung sounds clear, CV- regular rate and rhythm. Was directed by MD to give patient Diphenhydramine 50 mg IM. Medication was given in the left deltoid at 2:11 am. Patient tolerated well. VS re-checked at 2:13 pm- BP 134/92, HR 72, RR 16, 02 98%. Patient stated she was feeling drowsy and dizzy after diphenhydramine injection. Patient requested water and was given water at 2:15 pm. She then complained of feeling feverish. Temperature 99.4. VS re-checked at 2:16 pm BP 134/73, HR 72, RR 16, 02 98%. Patient  continued to be monitored with improvement in her symptoms, vital signs as follows:   VS at 2:22 pm BP 133/91, HR 72, RR 16, 02 98% VS at 2:28 pm BP 129/96, HR 72, RR 16, 02 98% At 2:34 pm patient stated that she was having some difficulty taking deep breaths. Stated she was not short of breath. Denied chest pain. MD was called over to assess patient as well. MD evaluated patient and patient?s symptoms improved. Was instructed to continue to monitor patient.  VS at 2:35 pm BP 129/96, HR 73, RR 16, 02 98% VS at 2:58 pm BP 124/90, HR 70, RR 16, 02 98% At 3:04 patient stating she was feeling better, but was drowsy from the Benadryl.  VS at 3:05 pm  BP 117/80, HR 69, RR 16, 02 98% 3:10 pm Dr examined patient with ok to leave for home. Patient agreeable with plan. Educated on red flag s/sx and when to call 911. Instructed patient that provider will call her tomorrow for follow-up. Patient left clinic in stable condition with boyfriend driving her home.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Alanine aminotransferase normal, Albumin globulin ratio normal, Aspartate aminotransferase normal, Basophil count normal, Blood albumin normal
Clinical narrative: 28 year old female complained of feeling flushed and ?foggy? at 2:06 pm. Patient was placed on stretcher in the Fowler?s position. Vital signs taken: BP 141/91, HR 71, RR 16, 02 99% on room air. PERRL. Lung sounds clear, CV- regular rate and rhythm. Was directed by MD to give patient Diphenhydramine 50 mg IM. Medication was given in the left deltoid at 2:11 am. Patient tolerated well. VS re-checked at 2:13 pm- BP 134/92, HR 72, RR 16, 02 98%. Patient stated she was feeling drowsy and dizzy after diphenhydramine injection. Patient requested water and was given water at 2:15 pm. She then complained of feeling feverish. Temperature 99.4. VS re-checked at 2:16 pm BP 134/73, HR 72, RR 16, 02 98%. Patient  continued to be monitored with improvement in her symptoms, vital signs as follows:   VS at 2:22 pm BP 133/91, HR 72, RR 16, 02 98% VS at 2:28 pm BP 129/96, HR 72, RR 16, 02 98% At 2:34 pm patient stated that she was having some difficulty taking deep breaths. Stated she was not short of breath. Denied chest pain. MD was called over to assess patient as well. MD evaluated patient and patient?s symptoms improved. Was instructed to continue to monitor patient.  VS at 2:35 pm BP 129/96, HR 73, RR 16, 02 98% VS at 2:58 pm BP 124/90, HR 70, RR 16, 02 98% At 3:04 patient stating she was feeling better, but was drowsy from the Benadryl.  VS at 3:05 pm  BP 117/80, HR 69, RR 16, 02 98% 3:10 pm Dr examined patient with ok to leave for home. Patient agreeable with plan. Educated on red flag s/sx and when to call 911. Instructed patient that provider will call her tomorrow for follow-up. Patient left clinic in stable condition with boyfriend driving her home.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium normal, Blood chloride normal, Blood creatinine normal
Clinical narrative: 28 year old female complained of feeling flushed and ?foggy? at 2:06 pm. Patient was placed on stretcher in the Fowler?s position. Vital signs taken: BP 141/91, HR 71, RR 16, 02 99% on room air. PERRL. Lung sounds clear, CV- regular rate and rhythm. Was directed by MD to give patient Diphenhydramine 50 mg IM. Medication was given in the left deltoid at 2:11 am. Patient tolerated well. VS re-checked at 2:13 pm- BP 134/92, HR 72, RR 16, 02 98%. Patient stated she was feeling drowsy and dizzy after diphenhydramine injection. Patient requested water and was given water at 2:15 pm. She then complained of feeling feverish. Temperature 99.4. VS re-checked at 2:16 pm BP 134/73, HR 72, RR 16, 02 98%. Patient  continued to be monitored with improvement in her symptoms, vital signs as follows:   VS at 2:22 pm BP 133/91, HR 72, RR 16, 02 98% VS at 2:28 pm BP 129/96, HR 72, RR 16, 02 98% At 2:34 pm patient stated that she was having some difficulty taking deep breaths. Stated she was not short of breath. Denied chest pain. MD was called over to assess patient as well. MD evaluated patient and patient?s symptoms improved. Was instructed to continue to monitor patient.  VS at 2:35 pm BP 129/96, HR 73, RR 16, 02 98% VS at 2:58 pm BP 124/90, HR 70, RR 16, 02 98% At 3:04 patient stating she was feeling better, but was drowsy from the Benadryl.  VS at 3:05 pm  BP 117/80, HR 69, RR 16, 02 98% 3:10 pm Dr examined patient with ok to leave for home. Patient agreeable with plan. Educated on red flag s/sx and when to call 911. Instructed patient that provider will call her tomorrow for follow-up. Patient left clinic in stable condition with boyfriend driving her home.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood glucose normal, Blood potassium normal, Blood sodium normal, Blood urea nitrogen/creatinine ratio, Blood urea normal
Clinical narrative: 28 year old female complained of feeling flushed and ?foggy? at 2:06 pm. Patient was placed on stretcher in the Fowler?s position. Vital signs taken: BP 141/91, HR 71, RR 16, 02 99% on room air. PERRL. Lung sounds clear, CV- regular rate and rhythm. Was directed by MD to give patient Diphenhydramine 50 mg IM. Medication was given in the left deltoid at 2:11 am. Patient tolerated well. VS re-checked at 2:13 pm- BP 134/92, HR 72, RR 16, 02 98%. Patient stated she was feeling drowsy and dizzy after diphenhydramine injection. Patient requested water and was given water at 2:15 pm. She then complained of feeling feverish. Temperature 99.4. VS re-checked at 2:16 pm BP 134/73, HR 72, RR 16, 02 98%. Patient  continued to be monitored with improvement in her symptoms, vital signs as follows:   VS at 2:22 pm BP 133/91, HR 72, RR 16, 02 98% VS at 2:28 pm BP 129/96, HR 72, RR 16, 02 98% At 2:34 pm patient stated that she was having some difficulty taking deep breaths. Stated she was not short of breath. Denied chest pain. MD was called over to assess patient as well. MD evaluated patient and patient?s symptoms improved. Was instructed to continue to monitor patient.  VS at 2:35 pm BP 129/96, HR 73, RR 16, 02 98% VS at 2:58 pm BP 124/90, HR 70, RR 16, 02 98% At 3:04 patient stating she was feeling better, but was drowsy from the Benadryl.  VS at 3:05 pm  BP 117/80, HR 69, RR 16, 02 98% 3:10 pm Dr examined patient with ok to leave for home. Patient agreeable with plan. Educated on red flag s/sx and when to call 911. Instructed patient that provider will call her tomorrow for follow-up. Patient left clinic in stable condition with boyfriend driving her home.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Carbon dioxide normal, Electrocardiogram normal, Eosinophil count normal, Feeling abnormal, Flushing
Clinical narrative: 28 year old female complained of feeling flushed and ?foggy? at 2:06 pm. Patient was placed on stretcher in the Fowler?s position. Vital signs taken: BP 141/91, HR 71, RR 16, 02 99% on room air. PERRL. Lung sounds clear, CV- regular rate and rhythm. Was directed by MD to give patient Diphenhydramine 50 mg IM. Medication was given in the left deltoid at 2:11 am. Patient tolerated well. VS re-checked at 2:13 pm- BP 134/92, HR 72, RR 16, 02 98%. Patient stated she was feeling drowsy and dizzy after diphenhydramine injection. Patient requested water and was given water at 2:15 pm. She then complained of feeling feverish. Temperature 99.4. VS re-checked at 2:16 pm BP 134/73, HR 72, RR 16, 02 98%. Patient  continued to be monitored with improvement in her symptoms, vital signs as follows:   VS at 2:22 pm BP 133/91, HR 72, RR 16, 02 98% VS at 2:28 pm BP 129/96, HR 72, RR 16, 02 98% At 2:34 pm patient stated that she was having some difficulty taking deep breaths. Stated she was not short of breath. Denied chest pain. MD was called over to assess patient as well. MD evaluated patient and patient?s symptoms improved. Was instructed to continue to monitor patient.  VS at 2:35 pm BP 129/96, HR 73, RR 16, 02 98% VS at 2:58 pm BP 124/90, HR 70, RR 16, 02 98% At 3:04 patient stating she was feeling better, but was drowsy from the Benadryl.  VS at 3:05 pm  BP 117/80, HR 69, RR 16, 02 98% 3:10 pm Dr examined patient with ok to leave for home. Patient agreeable with plan. Educated on red flag s/sx and when to call 911. Instructed patient that provider will call her tomorrow for follow-up. Patient left clinic in stable condition with boyfriend driving her home.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Glomerular filtration rate normal, Haematocrit normal, Haemoglobin normal, Immunoglobulins normal, Influenza like illness
Clinical narrative: 28 year old female complained of feeling flushed and ?foggy? at 2:06 pm. Patient was placed on stretcher in the Fowler?s position. Vital signs taken: BP 141/91, HR 71, RR 16, 02 99% on room air. PERRL. Lung sounds clear, CV- regular rate and rhythm. Was directed by MD to give patient Diphenhydramine 50 mg IM. Medication was given in the left deltoid at 2:11 am. Patient tolerated well. VS re-checked at 2:13 pm- BP 134/92, HR 72, RR 16, 02 98%. Patient stated she was feeling drowsy and dizzy after diphenhydramine injection. Patient requested water and was given water at 2:15 pm. She then complained of feeling feverish. Temperature 99.4. VS re-checked at 2:16 pm BP 134/73, HR 72, RR 16, 02 98%. Patient  continued to be monitored with improvement in her symptoms, vital signs as follows:   VS at 2:22 pm BP 133/91, HR 72, RR 16, 02 98% VS at 2:28 pm BP 129/96, HR 72, RR 16, 02 98% At 2:34 pm patient stated that she was having some difficulty taking deep breaths. Stated she was not short of breath. Denied chest pain. MD was called over to assess patient as well. MD evaluated patient and patient?s symptoms improved. Was instructed to continue to monitor patient.  VS at 2:35 pm BP 129/96, HR 73, RR 16, 02 98% VS at 2:58 pm BP 124/90, HR 70, RR 16, 02 98% At 3:04 patient stating she was feeling better, but was drowsy from the Benadryl.  VS at 3:05 pm  BP 117/80, HR 69, RR 16, 02 98% 3:10 pm Dr examined patient with ok to leave for home. Patient agreeable with plan. Educated on red flag s/sx and when to call 911. Instructed patient that provider will call her tomorrow for follow-up. Patient left clinic in stable condition with boyfriend driving her home.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Lymphocyte count normal, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal, Mean platelet volume normal
Clinical narrative: 28 year old female complained of feeling flushed and ?foggy? at 2:06 pm. Patient was placed on stretcher in the Fowler?s position. Vital signs taken: BP 141/91, HR 71, RR 16, 02 99% on room air. PERRL. Lung sounds clear, CV- regular rate and rhythm. Was directed by MD to give patient Diphenhydramine 50 mg IM. Medication was given in the left deltoid at 2:11 am. Patient tolerated well. VS re-checked at 2:13 pm- BP 134/92, HR 72, RR 16, 02 98%. Patient stated she was feeling drowsy and dizzy after diphenhydramine injection. Patient requested water and was given water at 2:15 pm. She then complained of feeling feverish. Temperature 99.4. VS re-checked at 2:16 pm BP 134/73, HR 72, RR 16, 02 98%. Patient  continued to be monitored with improvement in her symptoms, vital signs as follows:   VS at 2:22 pm BP 133/91, HR 72, RR 16, 02 98% VS at 2:28 pm BP 129/96, HR 72, RR 16, 02 98% At 2:34 pm patient stated that she was having some difficulty taking deep breaths. Stated she was not short of breath. Denied chest pain. MD was called over to assess patient as well. MD evaluated patient and patient?s symptoms improved. Was instructed to continue to monitor patient.  VS at 2:35 pm BP 129/96, HR 73, RR 16, 02 98% VS at 2:58 pm BP 124/90, HR 70, RR 16, 02 98% At 3:04 patient stating she was feeling better, but was drowsy from the Benadryl.  VS at 3:05 pm  BP 117/80, HR 69, RR 16, 02 98% 3:10 pm Dr examined patient with ok to leave for home. Patient agreeable with plan. Educated on red flag s/sx and when to call 911. Instructed patient that provider will call her tomorrow for follow-up. Patient left clinic in stable condition with boyfriend driving her home.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Metabolic function test, Monocyte count normal, Neutrophil count normal, Neutrophil function test abnormal, Platelet count normal
Clinical narrative: 28 year old female complained of feeling flushed and ?foggy? at 2:06 pm. Patient was placed on stretcher in the Fowler?s position. Vital signs taken: BP 141/91, HR 71, RR 16, 02 99% on room air. PERRL. Lung sounds clear, CV- regular rate and rhythm. Was directed by MD to give patient Diphenhydramine 50 mg IM. Medication was given in the left deltoid at 2:11 am. Patient tolerated well. VS re-checked at 2:13 pm- BP 134/92, HR 72, RR 16, 02 98%. Patient stated she was feeling drowsy and dizzy after diphenhydramine injection. Patient requested water and was given water at 2:15 pm. She then complained of feeling feverish. Temperature 99.4. VS re-checked at 2:16 pm BP 134/73, HR 72, RR 16, 02 98%. Patient  continued to be monitored with improvement in her symptoms, vital signs as follows:   VS at 2:22 pm BP 133/91, HR 72, RR 16, 02 98% VS at 2:28 pm BP 129/96, HR 72, RR 16, 02 98% At 2:34 pm patient stated that she was having some difficulty taking deep breaths. Stated she was not short of breath. Denied chest pain. MD was called over to assess patient as well. MD evaluated patient and patient?s symptoms improved. Was instructed to continue to monitor patient.  VS at 2:35 pm BP 129/96, HR 73, RR 16, 02 98% VS at 2:58 pm BP 124/90, HR 70, RR 16, 02 98% At 3:04 patient stating she was feeling better, but was drowsy from the Benadryl.  VS at 3:05 pm  BP 117/80, HR 69, RR 16, 02 98% 3:10 pm Dr examined patient with ok to leave for home. Patient agreeable with plan. Educated on red flag s/sx and when to call 911. Instructed patient that provider will call her tomorrow for follow-up. Patient left clinic in stable condition with boyfriend driving her home.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Protein total normal, Pyrexia, Red blood cell count normal, Red cell distribution width normal, White blood cell count normal
Clinical narrative: 28 year old female complained of feeling flushed and ?foggy? at 2:06 pm. Patient was placed on stretcher in the Fowler?s position. Vital signs taken: BP 141/91, HR 71, RR 16, 02 99% on room air. PERRL. Lung sounds clear, CV- regular rate and rhythm. Was directed by MD to give patient Diphenhydramine 50 mg IM. Medication was given in the left deltoid at 2:11 am. Patient tolerated well. VS re-checked at 2:13 pm- BP 134/92, HR 72, RR 16, 02 98%. Patient stated she was feeling drowsy and dizzy after diphenhydramine injection. Patient requested water and was given water at 2:15 pm. She then complained of feeling feverish. Temperature 99.4. VS re-checked at 2:16 pm BP 134/73, HR 72, RR 16, 02 98%. Patient  continued to be monitored with improvement in her symptoms, vital signs as follows:   VS at 2:22 pm BP 133/91, HR 72, RR 16, 02 98% VS at 2:28 pm BP 129/96, HR 72, RR 16, 02 98% At 2:34 pm patient stated that she was having some difficulty taking deep breaths. Stated she was not short of breath. Denied chest pain. MD was called over to assess patient as well. MD evaluated patient and patient?s symptoms improved. Was instructed to continue to monitor patient.  VS at 2:35 pm BP 129/96, HR 73, RR 16, 02 98% VS at 2:58 pm BP 124/90, HR 70, RR 16, 02 98% At 3:04 patient stating she was feeling better, but was drowsy from the Benadryl.  VS at 3:05 pm  BP 117/80, HR 69, RR 16, 02 98% 3:10 pm Dr examined patient with ok to leave for home. Patient agreeable with plan. Educated on red flag s/sx and when to call 911. Instructed patient that provider will call her tomorrow for follow-up. Patient left clinic in stable condition with boyfriend driving her home.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood test, Chills, Dyspnoea, Electrocardiogram, Fatigue
Clinical narrative: 28 year old female complained of feeling flushed and ?foggy? at 2:06 pm. Patient was placed on stretcher in the Fowler?s position. Vital signs taken: BP 141/91, HR 71, RR 16, 02 99% on room air. PERRL. Lung sounds clear, CV- regular rate and rhythm. Was directed by MD to give patient Diphenhydramine 50 mg IM. Medication was given in the left deltoid at 2:11 am. Patient tolerated well. VS re-checked at 2:13 pm- BP 134/92, HR 72, RR 16, 02 98%. Patient stated she was feeling drowsy and dizzy after diphenhydramine injection. Patient requested water and was given water at 2:15 pm. She then complained of feeling feverish. Temperature 99.4. VS re-checked at 2:16 pm BP 134/73, HR 72, RR 16, 02 98%. Patient  continued to be monitored with improvement in her symptoms, vital signs as follows:   VS at 2:22 pm BP 133/91, HR 72, RR 16, 02 98% VS at 2:28 pm BP 129/96, HR 72, RR 16, 02 98% At 2:34 pm patient stated that she was having some difficulty taking deep breaths. Stated she was not short of breath. Denied chest pain. MD was called over to assess patient as well. MD evaluated patient and patient?s symptoms improved. Was instructed to continue to monitor patient.  VS at 2:35 pm BP 129/96, HR 73, RR 16, 02 98% VS at 2:58 pm BP 124/90, HR 70, RR 16, 02 98% At 3:04 patient stating she was feeling better, but was drowsy from the Benadryl.  VS at 3:05 pm  BP 117/80, HR 69, RR 16, 02 98% 3:10 pm Dr examined patient with ok to leave for home. Patient agreeable with plan. Educated on red flag s/sx and when to call 911. Instructed patient that provider will call her tomorrow for follow-up. Patient left clinic in stable condition with boyfriend driving her home.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Feeling hot, Headache, Influenza like illness
Clinical narrative: 28 year old female complained of feeling flushed and ?foggy? at 2:06 pm. Patient was placed on stretcher in the Fowler?s position. Vital signs taken: BP 141/91, HR 71, RR 16, 02 99% on room air. PERRL. Lung sounds clear, CV- regular rate and rhythm. Was directed by MD to give patient Diphenhydramine 50 mg IM. Medication was given in the left deltoid at 2:11 am. Patient tolerated well. VS re-checked at 2:13 pm- BP 134/92, HR 72, RR 16, 02 98%. Patient stated she was feeling drowsy and dizzy after diphenhydramine injection. Patient requested water and was given water at 2:15 pm. She then complained of feeling feverish. Temperature 99.4. VS re-checked at 2:16 pm BP 134/73, HR 72, RR 16, 02 98%. Patient  continued to be monitored with improvement in her symptoms, vital signs as follows:   VS at 2:22 pm BP 133/91, HR 72, RR 16, 02 98% VS at 2:28 pm BP 129/96, HR 72, RR 16, 02 98% At 2:34 pm patient stated that she was having some difficulty taking deep breaths. Stated she was not short of breath. Denied chest pain. MD was called over to assess patient as well. MD evaluated patient and patient?s symptoms improved. Was instructed to continue to monitor patient.  VS at 2:35 pm BP 129/96, HR 73, RR 16, 02 98% VS at 2:58 pm BP 124/90, HR 70, RR 16, 02 98% At 3:04 patient stating she was feeling better, but was drowsy from the Benadryl.  VS at 3:05 pm  BP 117/80, HR 69, RR 16, 02 98% 3:10 pm Dr examined patient with ok to leave for home. Patient agreeable with plan. Educated on red flag s/sx and when to call 911. Instructed patient that provider will call her tomorrow for follow-up. Patient left clinic in stable condition with boyfriend driving her home.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dizziness, Dyspnoea, Feeling abnormal, Flushing, Pyrexia
Clinical narrative: 28 year old female returned to observation clinic at 11:18 am stated that she was feeling flushed again. She stated symptoms are similar to her symptoms she had yesterday. States symptoms started 5 minutes after returning to work and donning her PPE. States she had the COVID-19 vaccine at 9 am on 12/27/20.  She states she feels like she has ?flu-like symptoms?. Patient was placed in wheelchair. Vital signs taken: BP 118/80, HR 108, RR 22, 02 98% on room air. PERRL. Lung sounds clear, CV- regular rate and rhythm.  Patient was wheeled to the audiology room to be monitored with provider and MA. VS re-checked at 11:28 BP 121/88, HR 88, RR 18, 02 98%.  Patient began to complain of feeling feverish and ?foggy?. VS at 11:35pm was 127/91, HR 97, RR 20, 02 97%. Patient was given Diphenhydramine 50 mg IM. Medication was given in the left deltoid at 11:36 am. Patient tolerated well. VS re-checked at 11:38 pm- BP 118/82, HR 104, RR 22, 02 98%.  At 11:40 lung sounds clear, HR regular. VS re-check at 11:48 BP 132/65, HR 71, RR 16, 02 99%. Patient stated she was feeling better.. Consulted with Dr. who also evaluated patient. Ordered CBC and CMP. VS at 11:53 BP 122/90, HR 82, RR 18, 02 99%. At 11:58 lab tech came and drew CBC and CMP. Patient tolerated well. VS re-checked at 12:15 pm BP 109/75, HR 91, RR 20, 02 99%. Dr. ordered EKG at 12:22 pm. EKG NSR. Labs resulted and were unremarkable. Patient stated she was feeling much better. Was assisted to the bathroom at 12:28 pm. VS re-checked at 12:32 pm BP 108/74, HR 86, RR 20, 02 99%. Dr. reviewed EKG and labs and orders to release back home. Patient agreeable with plan. Educated on red flag s/sx and when to call 911 Patient left clinic in stable condition with co-worker driving her home.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Somnolence
Clinical narrative: 28 year old female returned to observation clinic at 11:18 am stated that she was feeling flushed again. She stated symptoms are similar to her symptoms she had yesterday. States symptoms started 5 minutes after returning to work and donning her PPE. States she had the COVID-19 vaccine at 9 am on 12/27/20.  She states she feels like she has ?flu-like symptoms?. Patient was placed in wheelchair. Vital signs taken: BP 118/80, HR 108, RR 22, 02 98% on room air. PERRL. Lung sounds clear, CV- regular rate and rhythm.  Patient was wheeled to the audiology room to be monitored with provider and MA. VS re-checked at 11:28 BP 121/88, HR 88, RR 18, 02 98%.  Patient began to complain of feeling feverish and ?foggy?. VS at 11:35pm was 127/91, HR 97, RR 20, 02 97%. Patient was given Diphenhydramine 50 mg IM. Medication was given in the left deltoid at 11:36 am. Patient tolerated well. VS re-checked at 11:38 pm- BP 118/82, HR 104, RR 22, 02 98%.  At 11:40 lung sounds clear, HR regular. VS re-check at 11:48 BP 132/65, HR 71, RR 16, 02 99%. Patient stated she was feeling better.. Consulted with Dr. who also evaluated patient. Ordered CBC and CMP. VS at 11:53 BP 122/90, HR 82, RR 18, 02 99%. At 11:58 lab tech came and drew CBC and CMP. Patient tolerated well. VS re-checked at 12:15 pm BP 109/75, HR 91, RR 20, 02 99%. Dr. ordered EKG at 12:22 pm. EKG NSR. Labs resulted and were unremarkable. Patient stated she was feeling much better. Was assisted to the bathroom at 12:28 pm. VS re-checked at 12:32 pm BP 108/74, HR 86, RR 20, 02 99%. Dr. reviewed EKG and labs and orders to release back home. Patient agreeable with plan. Educated on red flag s/sx and when to call 911 Patient left clinic in stable condition with co-worker driving her home.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Alanine aminotransferase normal, Albumin globulin ratio normal, Aspartate aminotransferase normal, Basophil count normal, Blood albumin normal
Clinical narrative: 28 year old female returned to observation clinic at 11:18 am stated that she was feeling flushed again. She stated symptoms are similar to her symptoms she had yesterday. States symptoms started 5 minutes after returning to work and donning her PPE. States she had the COVID-19 vaccine at 9 am on 12/27/20.  She states she feels like she has ?flu-like symptoms?. Patient was placed in wheelchair. Vital signs taken: BP 118/80, HR 108, RR 22, 02 98% on room air. PERRL. Lung sounds clear, CV- regular rate and rhythm.  Patient was wheeled to the audiology room to be monitored with provider and MA. VS re-checked at 11:28 BP 121/88, HR 88, RR 18, 02 98%.  Patient began to complain of feeling feverish and ?foggy?. VS at 11:35pm was 127/91, HR 97, RR 20, 02 97%. Patient was given Diphenhydramine 50 mg IM. Medication was given in the left deltoid at 11:36 am. Patient tolerated well. VS re-checked at 11:38 pm- BP 118/82, HR 104, RR 22, 02 98%.  At 11:40 lung sounds clear, HR regular. VS re-check at 11:48 BP 132/65, HR 71, RR 16, 02 99%. Patient stated she was feeling better.. Consulted with Dr. who also evaluated patient. Ordered CBC and CMP. VS at 11:53 BP 122/90, HR 82, RR 18, 02 99%. At 11:58 lab tech came and drew CBC and CMP. Patient tolerated well. VS re-checked at 12:15 pm BP 109/75, HR 91, RR 20, 02 99%. Dr. ordered EKG at 12:22 pm. EKG NSR. Labs resulted and were unremarkable. Patient stated she was feeling much better. Was assisted to the bathroom at 12:28 pm. VS re-checked at 12:32 pm BP 108/74, HR 86, RR 20, 02 99%. Dr. reviewed EKG and labs and orders to release back home. Patient agreeable with plan. Educated on red flag s/sx and when to call 911 Patient left clinic in stable condition with co-worker driving her home.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium normal, Blood chloride normal, Blood creatinine normal
Clinical narrative: 28 year old female returned to observation clinic at 11:18 am stated that she was feeling flushed again. She stated symptoms are similar to her symptoms she had yesterday. States symptoms started 5 minutes after returning to work and donning her PPE. States she had the COVID-19 vaccine at 9 am on 12/27/20.  She states she feels like she has ?flu-like symptoms?. Patient was placed in wheelchair. Vital signs taken: BP 118/80, HR 108, RR 22, 02 98% on room air. PERRL. Lung sounds clear, CV- regular rate and rhythm.  Patient was wheeled to the audiology room to be monitored with provider and MA. VS re-checked at 11:28 BP 121/88, HR 88, RR 18, 02 98%.  Patient began to complain of feeling feverish and ?foggy?. VS at 11:35pm was 127/91, HR 97, RR 20, 02 97%. Patient was given Diphenhydramine 50 mg IM. Medication was given in the left deltoid at 11:36 am. Patient tolerated well. VS re-checked at 11:38 pm- BP 118/82, HR 104, RR 22, 02 98%.  At 11:40 lung sounds clear, HR regular. VS re-check at 11:48 BP 132/65, HR 71, RR 16, 02 99%. Patient stated she was feeling better.. Consulted with Dr. who also evaluated patient. Ordered CBC and CMP. VS at 11:53 BP 122/90, HR 82, RR 18, 02 99%. At 11:58 lab tech came and drew CBC and CMP. Patient tolerated well. VS re-checked at 12:15 pm BP 109/75, HR 91, RR 20, 02 99%. Dr. ordered EKG at 12:22 pm. EKG NSR. Labs resulted and were unremarkable. Patient stated she was feeling much better. Was assisted to the bathroom at 12:28 pm. VS re-checked at 12:32 pm BP 108/74, HR 86, RR 20, 02 99%. Dr. reviewed EKG and labs and orders to release back home. Patient agreeable with plan. Educated on red flag s/sx and when to call 911 Patient left clinic in stable condition with co-worker driving her home.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood glucose normal, Blood potassium normal, Blood sodium normal, Blood urea nitrogen/creatinine ratio, Blood urea normal
Clinical narrative: 28 year old female returned to observation clinic at 11:18 am stated that she was feeling flushed again. She stated symptoms are similar to her symptoms she had yesterday. States symptoms started 5 minutes after returning to work and donning her PPE. States she had the COVID-19 vaccine at 9 am on 12/27/20.  She states she feels like she has ?flu-like symptoms?. Patient was placed in wheelchair. Vital signs taken: BP 118/80, HR 108, RR 22, 02 98% on room air. PERRL. Lung sounds clear, CV- regular rate and rhythm.  Patient was wheeled to the audiology room to be monitored with provider and MA. VS re-checked at 11:28 BP 121/88, HR 88, RR 18, 02 98%.  Patient began to complain of feeling feverish and ?foggy?. VS at 11:35pm was 127/91, HR 97, RR 20, 02 97%. Patient was given Diphenhydramine 50 mg IM. Medication was given in the left deltoid at 11:36 am. Patient tolerated well. VS re-checked at 11:38 pm- BP 118/82, HR 104, RR 22, 02 98%.  At 11:40 lung sounds clear, HR regular. VS re-check at 11:48 BP 132/65, HR 71, RR 16, 02 99%. Patient stated she was feeling better.. Consulted with Dr. who also evaluated patient. Ordered CBC and CMP. VS at 11:53 BP 122/90, HR 82, RR 18, 02 99%. At 11:58 lab tech came and drew CBC and CMP. Patient tolerated well. VS re-checked at 12:15 pm BP 109/75, HR 91, RR 20, 02 99%. Dr. ordered EKG at 12:22 pm. EKG NSR. Labs resulted and were unremarkable. Patient stated she was feeling much better. Was assisted to the bathroom at 12:28 pm. VS re-checked at 12:32 pm BP 108/74, HR 86, RR 20, 02 99%. Dr. reviewed EKG and labs and orders to release back home. Patient agreeable with plan. Educated on red flag s/sx and when to call 911 Patient left clinic in stable condition with co-worker driving her home.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Carbon dioxide normal, Electrocardiogram normal, Eosinophil count normal, Feeling abnormal, Flushing
Clinical narrative: 28 year old female returned to observation clinic at 11:18 am stated that she was feeling flushed again. She stated symptoms are similar to her symptoms she had yesterday. States symptoms started 5 minutes after returning to work and donning her PPE. States she had the COVID-19 vaccine at 9 am on 12/27/20.  She states she feels like she has ?flu-like symptoms?. Patient was placed in wheelchair. Vital signs taken: BP 118/80, HR 108, RR 22, 02 98% on room air. PERRL. Lung sounds clear, CV- regular rate and rhythm.  Patient was wheeled to the audiology room to be monitored with provider and MA. VS re-checked at 11:28 BP 121/88, HR 88, RR 18, 02 98%.  Patient began to complain of feeling feverish and ?foggy?. VS at 11:35pm was 127/91, HR 97, RR 20, 02 97%. Patient was given Diphenhydramine 50 mg IM. Medication was given in the left deltoid at 11:36 am. Patient tolerated well. VS re-checked at 11:38 pm- BP 118/82, HR 104, RR 22, 02 98%.  At 11:40 lung sounds clear, HR regular. VS re-check at 11:48 BP 132/65, HR 71, RR 16, 02 99%. Patient stated she was feeling better.. Consulted with Dr. who also evaluated patient. Ordered CBC and CMP. VS at 11:53 BP 122/90, HR 82, RR 18, 02 99%. At 11:58 lab tech came and drew CBC and CMP. Patient tolerated well. VS re-checked at 12:15 pm BP 109/75, HR 91, RR 20, 02 99%. Dr. ordered EKG at 12:22 pm. EKG NSR. Labs resulted and were unremarkable. Patient stated she was feeling much better. Was assisted to the bathroom at 12:28 pm. VS re-checked at 12:32 pm BP 108/74, HR 86, RR 20, 02 99%. Dr. reviewed EKG and labs and orders to release back home. Patient agreeable with plan. Educated on red flag s/sx and when to call 911 Patient left clinic in stable condition with co-worker driving her home.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Glomerular filtration rate normal, Haematocrit normal, Haemoglobin normal, Immunoglobulins normal, Influenza like illness
Clinical narrative: 28 year old female returned to observation clinic at 11:18 am stated that she was feeling flushed again. She stated symptoms are similar to her symptoms she had yesterday. States symptoms started 5 minutes after returning to work and donning her PPE. States she had the COVID-19 vaccine at 9 am on 12/27/20.  She states she feels like she has ?flu-like symptoms?. Patient was placed in wheelchair. Vital signs taken: BP 118/80, HR 108, RR 22, 02 98% on room air. PERRL. Lung sounds clear, CV- regular rate and rhythm.  Patient was wheeled to the audiology room to be monitored with provider and MA. VS re-checked at 11:28 BP 121/88, HR 88, RR 18, 02 98%.  Patient began to complain of feeling feverish and ?foggy?. VS at 11:35pm was 127/91, HR 97, RR 20, 02 97%. Patient was given Diphenhydramine 50 mg IM. Medication was given in the left deltoid at 11:36 am. Patient tolerated well. VS re-checked at 11:38 pm- BP 118/82, HR 104, RR 22, 02 98%.  At 11:40 lung sounds clear, HR regular. VS re-check at 11:48 BP 132/65, HR 71, RR 16, 02 99%. Patient stated she was feeling better.. Consulted with Dr. who also evaluated patient. Ordered CBC and CMP. VS at 11:53 BP 122/90, HR 82, RR 18, 02 99%. At 11:58 lab tech came and drew CBC and CMP. Patient tolerated well. VS re-checked at 12:15 pm BP 109/75, HR 91, RR 20, 02 99%. Dr. ordered EKG at 12:22 pm. EKG NSR. Labs resulted and were unremarkable. Patient stated she was feeling much better. Was assisted to the bathroom at 12:28 pm. VS re-checked at 12:32 pm BP 108/74, HR 86, RR 20, 02 99%. Dr. reviewed EKG and labs and orders to release back home. Patient agreeable with plan. Educated on red flag s/sx and when to call 911 Patient left clinic in stable condition with co-worker driving her home.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Lymphocyte count normal, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal, Mean platelet volume normal
Clinical narrative: 28 year old female returned to observation clinic at 11:18 am stated that she was feeling flushed again. She stated symptoms are similar to her symptoms she had yesterday. States symptoms started 5 minutes after returning to work and donning her PPE. States she had the COVID-19 vaccine at 9 am on 12/27/20.  She states she feels like she has ?flu-like symptoms?. Patient was placed in wheelchair. Vital signs taken: BP 118/80, HR 108, RR 22, 02 98% on room air. PERRL. Lung sounds clear, CV- regular rate and rhythm.  Patient was wheeled to the audiology room to be monitored with provider and MA. VS re-checked at 11:28 BP 121/88, HR 88, RR 18, 02 98%.  Patient began to complain of feeling feverish and ?foggy?. VS at 11:35pm was 127/91, HR 97, RR 20, 02 97%. Patient was given Diphenhydramine 50 mg IM. Medication was given in the left deltoid at 11:36 am. Patient tolerated well. VS re-checked at 11:38 pm- BP 118/82, HR 104, RR 22, 02 98%.  At 11:40 lung sounds clear, HR regular. VS re-check at 11:48 BP 132/65, HR 71, RR 16, 02 99%. Patient stated she was feeling better.. Consulted with Dr. who also evaluated patient. Ordered CBC and CMP. VS at 11:53 BP 122/90, HR 82, RR 18, 02 99%. At 11:58 lab tech came and drew CBC and CMP. Patient tolerated well. VS re-checked at 12:15 pm BP 109/75, HR 91, RR 20, 02 99%. Dr. ordered EKG at 12:22 pm. EKG NSR. Labs resulted and were unremarkable. Patient stated she was feeling much better. Was assisted to the bathroom at 12:28 pm. VS re-checked at 12:32 pm BP 108/74, HR 86, RR 20, 02 99%. Dr. reviewed EKG and labs and orders to release back home. Patient agreeable with plan. Educated on red flag s/sx and when to call 911 Patient left clinic in stable condition with co-worker driving her home.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Metabolic function test, Monocyte count normal, Neutrophil count normal, Neutrophil function test abnormal, Platelet count normal
Clinical narrative: 28 year old female returned to observation clinic at 11:18 am stated that she was feeling flushed again. She stated symptoms are similar to her symptoms she had yesterday. States symptoms started 5 minutes after returning to work and donning her PPE. States she had the COVID-19 vaccine at 9 am on 12/27/20.  She states she feels like she has ?flu-like symptoms?. Patient was placed in wheelchair. Vital signs taken: BP 118/80, HR 108, RR 22, 02 98% on room air. PERRL. Lung sounds clear, CV- regular rate and rhythm.  Patient was wheeled to the audiology room to be monitored with provider and MA. VS re-checked at 11:28 BP 121/88, HR 88, RR 18, 02 98%.  Patient began to complain of feeling feverish and ?foggy?. VS at 11:35pm was 127/91, HR 97, RR 20, 02 97%. Patient was given Diphenhydramine 50 mg IM. Medication was given in the left deltoid at 11:36 am. Patient tolerated well. VS re-checked at 11:38 pm- BP 118/82, HR 104, RR 22, 02 98%.  At 11:40 lung sounds clear, HR regular. VS re-check at 11:48 BP 132/65, HR 71, RR 16, 02 99%. Patient stated she was feeling better.. Consulted with Dr. who also evaluated patient. Ordered CBC and CMP. VS at 11:53 BP 122/90, HR 82, RR 18, 02 99%. At 11:58 lab tech came and drew CBC and CMP. Patient tolerated well. VS re-checked at 12:15 pm BP 109/75, HR 91, RR 20, 02 99%. Dr. ordered EKG at 12:22 pm. EKG NSR. Labs resulted and were unremarkable. Patient stated she was feeling much better. Was assisted to the bathroom at 12:28 pm. VS re-checked at 12:32 pm BP 108/74, HR 86, RR 20, 02 99%. Dr. reviewed EKG and labs and orders to release back home. Patient agreeable with plan. Educated on red flag s/sx and when to call 911 Patient left clinic in stable condition with co-worker driving her home.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Protein total normal, Pyrexia, Red blood cell count normal, Red cell distribution width normal, White blood cell count normal
Clinical narrative: 28 year old female returned to observation clinic at 11:18 am stated that she was feeling flushed again. She stated symptoms are similar to her symptoms she had yesterday. States symptoms started 5 minutes after returning to work and donning her PPE. States she had the COVID-19 vaccine at 9 am on 12/27/20.  She states she feels like she has ?flu-like symptoms?. Patient was placed in wheelchair. Vital signs taken: BP 118/80, HR 108, RR 22, 02 98% on room air. PERRL. Lung sounds clear, CV- regular rate and rhythm.  Patient was wheeled to the audiology room to be monitored with provider and MA. VS re-checked at 11:28 BP 121/88, HR 88, RR 18, 02 98%.  Patient began to complain of feeling feverish and ?foggy?. VS at 11:35pm was 127/91, HR 97, RR 20, 02 97%. Patient was given Diphenhydramine 50 mg IM. Medication was given in the left deltoid at 11:36 am. Patient tolerated well. VS re-checked at 11:38 pm- BP 118/82, HR 104, RR 22, 02 98%.  At 11:40 lung sounds clear, HR regular. VS re-check at 11:48 BP 132/65, HR 71, RR 16, 02 99%. Patient stated she was feeling better.. Consulted with Dr. who also evaluated patient. Ordered CBC and CMP. VS at 11:53 BP 122/90, HR 82, RR 18, 02 99%. At 11:58 lab tech came and drew CBC and CMP. Patient tolerated well. VS re-checked at 12:15 pm BP 109/75, HR 91, RR 20, 02 99%. Dr. ordered EKG at 12:22 pm. EKG NSR. Labs resulted and were unremarkable. Patient stated she was feeling much better. Was assisted to the bathroom at 12:28 pm. VS re-checked at 12:32 pm BP 108/74, HR 86, RR 20, 02 99%. Dr. reviewed EKG and labs and orders to release back home. Patient agreeable with plan. Educated on red flag s/sx and when to call 911 Patient left clinic in stable condition with co-worker driving her home.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood test, Chills, Dyspnoea, Electrocardiogram, Fatigue
Clinical narrative: 28 year old female returned to observation clinic at 11:18 am stated that she was feeling flushed again. She stated symptoms are similar to her symptoms she had yesterday. States symptoms started 5 minutes after returning to work and donning her PPE. States she had the COVID-19 vaccine at 9 am on 12/27/20.  She states she feels like she has ?flu-like symptoms?. Patient was placed in wheelchair. Vital signs taken: BP 118/80, HR 108, RR 22, 02 98% on room air. PERRL. Lung sounds clear, CV- regular rate and rhythm.  Patient was wheeled to the audiology room to be monitored with provider and MA. VS re-checked at 11:28 BP 121/88, HR 88, RR 18, 02 98%.  Patient began to complain of feeling feverish and ?foggy?. VS at 11:35pm was 127/91, HR 97, RR 20, 02 97%. Patient was given Diphenhydramine 50 mg IM. Medication was given in the left deltoid at 11:36 am. Patient tolerated well. VS re-checked at 11:38 pm- BP 118/82, HR 104, RR 22, 02 98%.  At 11:40 lung sounds clear, HR regular. VS re-check at 11:48 BP 132/65, HR 71, RR 16, 02 99%. Patient stated she was feeling better.. Consulted with Dr. who also evaluated patient. Ordered CBC and CMP. VS at 11:53 BP 122/90, HR 82, RR 18, 02 99%. At 11:58 lab tech came and drew CBC and CMP. Patient tolerated well. VS re-checked at 12:15 pm BP 109/75, HR 91, RR 20, 02 99%. Dr. ordered EKG at 12:22 pm. EKG NSR. Labs resulted and were unremarkable. Patient stated she was feeling much better. Was assisted to the bathroom at 12:28 pm. VS re-checked at 12:32 pm BP 108/74, HR 86, RR 20, 02 99%. Dr. reviewed EKG and labs and orders to release back home. Patient agreeable with plan. Educated on red flag s/sx and when to call 911 Patient left clinic in stable condition with co-worker driving her home.