chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Patient appeared alert, oriented and completed everyday normal activates 3 days after receiving vaccine on a Wednesday afternoon, Jan 27th 2021 at 4:00 p.m. . Went to bed as usual on Sunday night Jan 31st 2021 at 9:30 p.m., husband found patient on couch sitting upright, unresponsive at 4:00 a.m. Patient's daughter came over to the house approx. 8 minutes later. Preformed CPR for 3-5 minutes, pt had a pulse. The ambulance was called prior to daughter arriving at the house. Ambulance arrived at 4:40 a.m. took pt to Hospital by 5:00a.m.  Pt declared "brain dead"
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dizziness postural, Fatigue
Clinical narrative: I got up and was light headed and dizzy the day after. I went to the Urgent Care and they said they couldn't find anything wrong, and gave me medication to help with the dizziness. Dizziness lasted one day and just some fatigue.
Age: 74.0
Sex: U
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Injection site erythema, Injection site pruritus, Pain in extremity
Clinical narrative: Chills/fever for two days, tired, diarrhea and sore arm, injection site redness and itchy
Age: 74.0
Sex: U
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Chills/fever for two days, tired, diarrhea and sore arm, injection site redness and itchy
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site pain, Vaccine positive rechallenge
Clinical narrative: Headache, chills, fatigue, soreness around injection site.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Blood gases, Chest X-ray, Chest pain, Dry mouth, Full blood count
Clinical narrative: DRY MOUTH, HEADACHE, PAIN AREA OF THE RIBS THAT OPPRESSES, PAIN AND BURNING IN CHEST. ELEVATED PULSE, HEADACHE, MUSCLE AND EXTREMITIES PAIN. "CURRENT IN THE CHEST". NORFLEX 60 MG IM X1 WAS ADMINISTERED. BENADRYL 25MG PO X1
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Heart rate increased, Metabolic function test, Musculoskeletal chest pain, Myalgia
Clinical narrative: DRY MOUTH, HEADACHE, PAIN AREA OF THE RIBS THAT OPPRESSES, PAIN AND BURNING IN CHEST. ELEVATED PULSE, HEADACHE, MUSCLE AND EXTREMITIES PAIN. "CURRENT IN THE CHEST". NORFLEX 60 MG IM X1 WAS ADMINISTERED. BENADRYL 25MG PO X1
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Urine analysis
Clinical narrative: DRY MOUTH, HEADACHE, PAIN AREA OF THE RIBS THAT OPPRESSES, PAIN AND BURNING IN CHEST. ELEVATED PULSE, HEADACHE, MUSCLE AND EXTREMITIES PAIN. "CURRENT IN THE CHEST". NORFLEX 60 MG IM X1 WAS ADMINISTERED. BENADRYL 25MG PO X1
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, COVID-19, Headache, Myalgia
Clinical narrative: After my first vaccine I developed headaches, back pain, muscle pain and joint pain. I also got tested for Covid-19.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test
Clinical narrative: After my first vaccine I developed headaches, back pain, muscle pain and joint pain. I also got tested for Covid-19.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Syringe issue
Clinical narrative: Vaccine was being administered to patient.  Needle was inserted into deltoid muscle. When vaccine was being injected, un unknown large amount of the vaccine spilled out onto patient from where the needle and syringe attached.  It is unknown how much vaccine, if any, was administered to patient.  Upon discussion with the medical team at the clinic, it was determined to administer a full dose of the vaccine.  Another dose of the same vaccine, same lot number, was administered to the patient in the right arm. Patient was observed for 15 minutes. No adverse reactions.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient arrived at facility for dose No. 2 of Moderna.  Patient is 17 years old and therefore unable to receive vaccination.  Vaccine not given today.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Lethargy, Pain, Pyrexia
Clinical narrative: Symptoms began with lethargy the night of the 10th followed by body aches, chills and a fever as well as diarrhea by noon on the 11th. Came home early and am resting now.
Age: 77.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Injection site rash, Injection site warmth, Pain in extremity, Pyrexia
Clinical narrative: Patient stated she received the second COVID Moderna vaccine on 3/9/21, at Stadium ( she thinks) She stated after the first one she just had a sore arm, however this time she had a fever for a day, sore arm, and chills this AM. She stated under the vaccination site there is a red spot about the size of a half dollar, that is warm to the touch. She denies any other side effects.   Lot number not available at time of this documentation. ????
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Pt was vaccinated with Moderna when they should have received Pfizer. Vaccinator reports he chose the wrong syringe. Patient counseled and corrective action taken.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Nausea, Nervousness, Pallor
Clinical narrative: After getting vaccinated and escorted to waiting area patient fainted out of chair and hit head on floor.  She was briefly unconscious and pale for a few minutes after coming back to consciousness.  She remained on the floor feeling dizzy, shaky, and nauseous until she was taken to the hospital by paramedics.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: After getting vaccinated and escorted to waiting area patient fainted out of chair and hit head on floor.  She was briefly unconscious and pale for a few minutes after coming back to consciousness.  She remained on the floor feeling dizzy, shaky, and nauseous until she was taken to the hospital by paramedics.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Deafness, Eyelid function disorder, Headache, Hypoaesthesia
Clinical narrative: No adverse reaction or allergic reaction in the 30 minutes following the vaccination. Also none in the 36 hours following the vaccination. Roughly 48 hours later, sensitivity to light and difficulty blinking one eye appeared along with severe headache.  In the 24 hours following symptoms' first appearance, the entire left side of the face became numb and tingly with difficulty chewing, blinking, making any faces or smiling. Sound perceived from the left ear also changed.   Subsequently diagnosed with Bell's Palsy on 03/10/2021.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Mastication disorder, Paraesthesia, Photophobia
Clinical narrative: No adverse reaction or allergic reaction in the 30 minutes following the vaccination. Also none in the 36 hours following the vaccination. Roughly 48 hours later, sensitivity to light and difficulty blinking one eye appeared along with severe headache.  In the 24 hours following symptoms' first appearance, the entire left side of the face became numb and tingly with difficulty chewing, blinking, making any faces or smiling. Sound perceived from the left ear also changed.   Subsequently diagnosed with Bell's Palsy on 03/10/2021.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Very large and very painful swelling of the lymph nodes in the armpit of the arm that received the vaccine.
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Nausea
Clinical narrative: Auditorium COVID Vaccine Clinic  Upon staff member receiving vaccination, collapsed after getting up from chair. Rapid Response were called. Staff member was positioned supine with legs elevated. Blood pressure 147/88 HR 92.Po2 at 100% on room air. Complained of feeling faint and dizzy. Assessed by Rapid Response RM and MD. Escorted via cart to mid hallway for further evaluation. Patient symptoms continued to be concerning, transported to ED with MD escort.   Staff member was evaluated in ED.  fluids given, Zofran for nausea and Benadryl.  CTOH was completed and resulted as no abnormalities.  Staff member was discharged to home in stable condition.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Pt was vaccinated with Moderna when they should have received Pfizer. Vaccinator reports he chose the wrong syringe. Patient counseled and corrective action taken.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Glossodynia, Lip pain
Clinical narrative: Tongue is very sore  Inside of lower lip was sore
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Hypotension, Sluggishness
Clinical narrative: PT DISCOVERED WITH HEAD DOWN. PT C/O OF DIZZINESS, SWEATING, AND FEELING SLUGISH.  PT DENIES ANY PREVIOUS ADVERSE REACTIONS TO VACCINES. DENIED  CHEST PAIN OR PRESSURE.  PT WAS DISCOVERED TO BE HYPOTENSIVE. VS @ 15:24 PM BP 65/40 HR 68 SpO2 91% PT DID NOT APPEAR IN ACCUTE DISTRESS AFTER ONSET OF INITIAL SYMPTOMS. HE WAS INSTRUCTED TO  BRING HIS KNEES  UP TOWARDS HIS CHEST AND GIVEN GATORADE TO INCREASE HIS BP. AFTER 15-18 MIN PT SYMPTOMS RECOVERED AND BP RETURNED TO NORMAL. PT WAS STABLE TO LEAVE THE OBSERVATION SITE WITH WIFE. PT INFORMED TO F/U WITH PCP. BP 124/80 HR 88 SpO2 96%
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Pallor
Clinical narrative: Shortly after receiving the Janssen vaccine, Patient began feeling  "a rush going down her body, dizziness, and felt the medicine in her arm." She became pale and diaphoretic. She rested 30 minutes, attempted to stand to transfer to a wheelchair, felt dizzy again. She laid down again for approximately 10 minutes and slowly sat up and stated she was "feeling better. Patient's father picked her up and drove her home.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Erythema, Immediate post-injection reaction, Mass, Pain
Clinical narrative: At time of injection, severe burning, bruising, and then a very large swelling/lump, redness/rash, and pain.  At three days post vaccine now and redness/rash almost gone, swelling some diminished but still very present, pain some diminished but still present, and bruising still present.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Swelling, Thermal burn
Clinical narrative: At time of injection, severe burning, bruising, and then a very large swelling/lump, redness/rash, and pain.  At three days post vaccine now and redness/rash almost gone, swelling some diminished but still very present, pain some diminished but still present, and bruising still present.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Neck pain
Clinical narrative: Severe back of neck pain and head locked up (couldn't move it up/down/right or left without more extreme pain). This started a few hours after the shot on Sunday a.m. and lasted in great pain till Wed evening.  Today, Thursday, I can move my head/neck almost back to normal with out too much pain, but not completely gone yet. I took Acetaminophen and Ibuprofen for pain, which only took a bit of the edge off, but never took it away.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: Pt's daughter called around 4:30pm on 3/11/21 (day 2 post vaccination on 3/9/21) reporting that pt woke up feeling nauseous all day & vomited profusely at 4:00pm. Advised to stay hydrated and take nausea medication patient had at home & to call back with any changes. If not improved in 6-12 hours, advised to call physician for evaluation.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphonia, Injection site erythema, Injection site rash, Injection site warmth, Lip pruritus
Clinical narrative: Rash, redness and heat around the injection site 10 minutes after vaccine administered.  5 minutes later  redness and rash started near hairline on forehead and near ears.  Upper lip itchy.  25mg Benadryl given PO, 15 minutes after beginning of reaction.  1hour later another 25mg of Benadryl given when rash persisted and started having a raspy voice.  2 1/2 hrs later the rash was subsiding and hoarsness went away.  Pt. realeased.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash, redness and heat around the injection site 10 minutes after vaccine administered.  5 minutes later  redness and rash started near hairline on forehead and near ears.  Upper lip itchy.  25mg Benadryl given PO, 15 minutes after beginning of reaction.  1hour later another 25mg of Benadryl given when rash persisted and started having a raspy voice.  2 1/2 hrs later the rash was subsiding and hoarsness went away.  Pt. realeased.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dysgeusia, Dysphagia, Fatigue, Nasal congestion
Clinical narrative: I was monitored the recommended 15 minutes and was fine. I went to the car, was being driven home, and about 20 minutes after the vaccination I developed an odd sweet/metallic taste in my mouth, followed by increased saliva, some difficulty swallowing, nasal congestion, and some chest discomfort. They symptoms were already getting a little better by the time we got home (about 30 minutes after the shot), but I took a Benadryl and the symptoms resolved within 2 hours. After that I just had the expected arm pain and fatigue until the next morning. Since then I have been fine.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Salivary hypersecretion
Clinical narrative: I was monitored the recommended 15 minutes and was fine. I went to the car, was being driven home, and about 20 minutes after the vaccination I developed an odd sweet/metallic taste in my mouth, followed by increased saliva, some difficulty swallowing, nasal congestion, and some chest discomfort. They symptoms were already getting a little better by the time we got home (about 30 minutes after the shot), but I took a Benadryl and the symptoms resolved within 2 hours. After that I just had the expected arm pain and fatigue until the next morning. Since then I have been fine.
Age: 53.0
Sex: U
Vaccine: COVID19
Symptoms: Paraesthesia, Throat irritation
Clinical narrative: "Patient received second Pfizer dose of covid19 vaccination in right arm, lot EL1283 at approximately 1140.  Remained in auditorium for 15 minutes.  As patient was walking back to work location stated she had bilateral tingling in arms. Patient returned to Vaccine Clinic and made contact with writer. Patient escorted to alcove for additional monitoring.  Upon further investigation patient stated she experienced itching in throat that was self limiting in initial 15 minutes.   VS 1200 L arm BP 167/92, HR 90, SpO2 97% 1202 Patient states improvement in bilateral arm tingling. 1205 L arm BP 139/90, HR 96, SpO2 98% 1207 Patient states complete resolution of bilateral arm tingling. 1210 L arm BP 144/91, HR 96, 99% SpO2 1215 ambulated with patient.  No return of symptoms. Patient returned to work.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Malaise, Pain in extremity
Clinical narrative: I had a severe headache, sore arm, fatigue and overall malaise for two days.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chills, Diarrhoea, Fatigue, Influenza like illness
Clinical narrative: After my second dose, I experienced diarrhea, stomach upset and fatigue. I also experieced fever, chills and body aches, had flu like symptoms. I also had some swelling at the injection site and a right sore arm.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Pain, Pain in extremity, Pyrexia
Clinical narrative: After my second dose, I experienced diarrhea, stomach upset and fatigue. I also experieced fever, chills and body aches, had flu like symptoms. I also had some swelling at the injection site and a right sore arm.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Palpitations, Throat tightness
Clinical narrative: . 24 hours after the Covid  Vaccine. first dose  given on 3/2/21. Pt Reports." I was driving and  had to pull over experienced. SOB and suddenly my heart felt like it  was jumping out of my chest" Clarified. rapid HR."Lasted about 25  minutes. with tightness of my throat'.  I did not go to the doctor at  the time.becuase it was such a short time and went away. " I have had  no problems since".
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Palpitations
Clinical narrative: Racing heart rate 30-45 minutes after injection. Also mild facial numbness on upper neck and jawline to ears. No difficult breathing at any point. Called 911 and pulled over. Evaluated by Fire/EMS and found no evidence of severe anaphylaxis. All vitals (except elevated heart rate) were normal.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site urticaria, Injection site warmth
Clinical narrative: Day 8 injection site began hot to touch with uticaria, day 14 redness no swelling and was 10 x 5 cm and took oral Benadryl and topical and resolved 3 days later
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swollen supra clavicle node
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient is a 87 y.o. female who received the Pfizer-BioNtech Covid-19 Vaccine, mRNA, BNT162b2 (PF) 30 mcg/0.3 mL IM Susp, Lot EN6208 on 3/11/2021. The patient experienced the following reaction(s) during the immediate of observation: 1:50pm: Patient c/o dizziness during observation period. Reports PMH of CHF, HTN, CKD, arthritis, glaucoma, and defibrillator. Patient unable to provide home medication list. Patient has allergy to penicillins. Patient was treated/managed as follows:  1:55pm: VS BP 110/64, HR 75, RR 18, O2 sat 97% on room air. Patient reports "feeling better." 2:05pm: VS BP 122/60, HR 75, RR 18, O2 sat 96% on room air. 2:10pm: Patient wheelchaired to chair by son and RN. Patient given educational material regarding vaccine and advised to continue to self-monitor per the CDC guidance.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Headache, Injection site pain, Nausea
Clinical narrative: Severe headache, arm soreness at injection site, vomiting in first 24 hours, nausea, fever up to 102 but consistently at 100 for approximately 48 hours, weakness and fatigue. Headache lasted to third day but less severe.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Severe headache, arm soreness at injection site, vomiting in first 24 hours, nausea, fever up to 102 but consistently at 100 for approximately 48 hours, weakness and fatigue. Headache lasted to third day but less severe.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient stated that she felt dizzy and feeling faint after getting first Covid vaccine. Patient was taken back to recovery cot to lie down via wheelchair. She laid on the cot with an ice pack on the back of her neck for 35 minutes then stated that she felt much better. Patient slowly sat up, waited five minutes then stood and walked out to her car without incident.
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Back pain, Insomnia, Mobility decreased, Muscle spasms, Myalgia
Clinical narrative: I experience muscle pain in my upper back muscles, both sides.  When I moved my head, I felp sharp stabbing pains which made me shout. I could not sleep much on March 8 evening. The pain persisted all day Tuesday March 9, 2021.  I called my ortho doctor and made a morning appointment for March 10, 2021 at 8:15am. I did not sleep much on evening of March 9. On Wednesday March 10 I went to the doctor. On this morning, the upper back muscles were OK, and the pain and spasms wer now in the neck. I could hardly move my head up or down and left and right. Dr. perscribed Methylprednazolone (4mg, 6-5-4-3-2-1 doses) and cyclobenzaprine 5mg (3x daily).  after 1 day and 1 dose, I feel I can movemy head a little farther without the stabbing pain.
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Neck pain, Pain
Clinical narrative: I experience muscle pain in my upper back muscles, both sides.  When I moved my head, I felp sharp stabbing pains which made me shout. I could not sleep much on March 8 evening. The pain persisted all day Tuesday March 9, 2021.  I called my ortho doctor and made a morning appointment for March 10, 2021 at 8:15am. I did not sleep much on evening of March 9. On Wednesday March 10 I went to the doctor. On this morning, the upper back muscles were OK, and the pain and spasms wer now in the neck. I could hardly move my head up or down and left and right. Dr. perscribed Methylprednazolone (4mg, 6-5-4-3-2-1 doses) and cyclobenzaprine 5mg (3x daily).  after 1 day and 1 dose, I feel I can movemy head a little farther without the stabbing pain.
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: "staff member experienced hives and rash over 50% of body 30 hours post second dose of covid vaccine   Sought medical treatment and was prescribed dose of steroids.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest discomfort, Cough, Dizziness, Dry throat, Dysphagia
Clinical narrative: The patient received 2nd dose of Pfizer Covid vaccine in left upper arm at 1230 today. While she was sitting in the waiting area for monitoring, she soon developed a sore/dry throat, difficulty breathing, and felt "strange". She also felt itchy, but had no local injection site reaction, rash, or hives. The first dose of epinephrine administered at 1251; patient developed a dry cough, anterior throat pain with difficulty swallowing, HA, dizziness, and chest heaviness. A second dose of epinephrine was given at 1301. EMS administered 25 mg of IV benadryl, and she started to have relief of her symptoms. She denies any nausea, vomiting, or palpitations. The patient states her throat still feels sore and itchy, but there is no obvious swelling at this time. She was monitored in the Emergency Department and discharged home.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea, Feeling abnormal, Headache, Oropharyngeal pain, Pruritus
Clinical narrative: The patient received 2nd dose of Pfizer Covid vaccine in left upper arm at 1230 today. While she was sitting in the waiting area for monitoring, she soon developed a sore/dry throat, difficulty breathing, and felt "strange". She also felt itchy, but had no local injection site reaction, rash, or hives. The first dose of epinephrine administered at 1251; patient developed a dry cough, anterior throat pain with difficulty swallowing, HA, dizziness, and chest heaviness. A second dose of epinephrine was given at 1301. EMS administered 25 mg of IV benadryl, and she started to have relief of her symptoms. She denies any nausea, vomiting, or palpitations. The patient states her throat still feels sore and itchy, but there is no obvious swelling at this time. She was monitored in the Emergency Department and discharged home.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Throat irritation
Clinical narrative: The patient received 2nd dose of Pfizer Covid vaccine in left upper arm at 1230 today. While she was sitting in the waiting area for monitoring, she soon developed a sore/dry throat, difficulty breathing, and felt "strange". She also felt itchy, but had no local injection site reaction, rash, or hives. The first dose of epinephrine administered at 1251; patient developed a dry cough, anterior throat pain with difficulty swallowing, HA, dizziness, and chest heaviness. A second dose of epinephrine was given at 1301. EMS administered 25 mg of IV benadryl, and she started to have relief of her symptoms. She denies any nausea, vomiting, or palpitations. The patient states her throat still feels sore and itchy, but there is no obvious swelling at this time. She was monitored in the Emergency Department and discharged home.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea, Throat tightness
Clinical narrative: The patient received 2nd dose of Pfizer Covid vaccine in left upper arm at 1230 today. While she was sitting in the waiting area for monitoring, she soon developed a sore/dry throat, difficulty breathing, and felt "strange". She also felt itchy, but had no local injection site reaction, rash, or hives. The first dose of epinephrine administered at 1251; patient developed a dry cough, anterior throat pain with difficulty swallowing, HA, dizziness, and chest heaviness. A second dose of epinephrine was given at 1301. EMS administered 25 mg of IV benadryl, and she started to have relief of her symptoms. She denies any nausea, vomiting, or palpitations. The patient states her throat still feels sore and itchy, but there is no obvious swelling at this time. She was monitored in the Emergency Department and discharged home.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cough, Dizziness, Dysphagia, Dyspnoea, Exposure during pregnancy
Clinical narrative: The patient received 2nd dose of Pfizer Covid vaccine in left upper arm at 1230 today. While she was sitting in the waiting area for monitoring, she soon developed a sore/dry throat, difficulty breathing, and felt "strange". She also felt itchy, but had no local injection site reaction, rash, or hives. The first dose of epinephrine administered at 1251; patient developed a dry cough, anterior throat pain with difficulty swallowing, HA, dizziness, and chest heaviness. A second dose of epinephrine was given at 1301. EMS administered 25 mg of IV benadryl, and she started to have relief of her symptoms. She denies any nausea, vomiting, or palpitations. The patient states her throat still feels sore and itchy, but there is no obvious swelling at this time. She was monitored in the Emergency Department and discharged home.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pruritus
Clinical narrative: The patient received 2nd dose of Pfizer Covid vaccine in left upper arm at 1230 today. While she was sitting in the waiting area for monitoring, she soon developed a sore/dry throat, difficulty breathing, and felt "strange". She also felt itchy, but had no local injection site reaction, rash, or hives. The first dose of epinephrine administered at 1251; patient developed a dry cough, anterior throat pain with difficulty swallowing, HA, dizziness, and chest heaviness. A second dose of epinephrine was given at 1301. EMS administered 25 mg of IV benadryl, and she started to have relief of her symptoms. She denies any nausea, vomiting, or palpitations. The patient states her throat still feels sore and itchy, but there is no obvious swelling at this time. She was monitored in the Emergency Department and discharged home.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Pyrexia, Tremor
Clinical narrative: Fever, chills, shaking, headache 5 days severe
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Condition aggravated
Clinical narrative: Right sided bell's palsy history of left sided bell's palsy Went to the ER Treated with prednisone taper and acyclovir followed up with PCP who increased antiviral to valacyclovir at more therapeutic dose Has not improved yet after 1 week
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Lymphadenopathy, Swelling
Clinical narrative: Inflammation of nodes, bump on the left axilla with pain.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: Woke up next day with extreme pain in arm unable to lift it.  ROM returned about 2 weeks later.  received medical attention and physical therapy.  Provider recommended to receive 2nd dose.  Provider was unable to diagnosis it to be allergic reaction or nerve damage.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Joint range of motion decreased, Mobility decreased, Pain in extremity
Clinical narrative: Woke up next day with extreme pain in arm unable to lift it.  ROM returned about 2 weeks later.  received medical attention and physical therapy.  Provider recommended to receive 2nd dose.  Provider was unable to diagnosis it to be allergic reaction or nerve damage.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Flushing, Syncope
Clinical narrative: Syncope, flushing, chest pain, pressure - taken to the ED
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Dizziness, Electrocardiogram normal, Heart rate increased, Syncope
Clinical narrative: Fainted two times, fast heart rate, dizzy, light headed  Sought treatment from doctor.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash, Lip swelling, Swelling face, Urticaria
Clinical narrative: Patient experienced a small rash and itching around site of vaccine on left arm on 2/27/21. Then at 2:30 am on 3/2/21 patient woke up to significant facial and lip swelling and hives. NO shortness of breath or difficulty breathing.  AN outside provider started patient on Benadryl and prednisone.  Symptoms resolved over the following 3 days.  Patietn had never experiences allergic reactions in the past or lip/facial swelling.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Decreased appetite, Diarrhoea, Insomnia, Pyrexia
Clinical narrative: Within 2 hours of 2nd shot Ibegan to feel weak and began vomiting around 6pm.  Also having diarrhea in ileostomy bag.  I did not sleep Monday 3-8 night.   Vomiting .stopped the next day.  Little appetite.   Temp 3/11 was 99.3   slightly high.   No adverse event after first dose 2/15/21.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Within 2 hours of 2nd shot Ibegan to feel weak and began vomiting around 6pm.  Also having diarrhea in ileostomy bag.  I did not sleep Monday 3-8 night.   Vomiting .stopped the next day.  Little appetite.   Temp 3/11 was 99.3   slightly high.   No adverse event after first dose 2/15/21.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chills, Fatigue, Headache, Pyrexia
Clinical narrative: Exhaustion, headache, chills, fever, unsettled stomach lasted 1 & 1/2 days
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Feeling jittery, Flushing, Immediate post-injection reaction, Nausea
Clinical narrative: Patient received first dose of Pfizer vaccine almost immediately Patient felt flush, anxiety, jittery, nausea.  Patie moved to alcove for additional monitoring. VS  1026 HR 78, BP, 145, 99% 1035 HR 72, 150/97 1046 HR 72 150/89 1056 HR 62, 146/88 1106 HR 60, 143/102 Patient manager notified that patient would be transported to ED as symptoms did not resolve and would be going home. Returned to unit.  Patient accompanied to ED for additional treatment /monitoring."
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient received Pfizer vaccine on 1/5/21 and 2/5/21. Got tested for contact with COVID positive patient and had COVID positive test herself on 2/25/21, more than 2 weeks post 2nd dose of vaccine. As of 2/27/21 patient had no symptoms of any kind
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Disturbance in attention, Dizziness, Hyperhidrosis, Paraesthesia, Strabismus
Clinical narrative: PT DISCOVERED  INATTENTIVE AN  SQUINTING HIS EYES. ONCE ALERT, PT C/O OF LIGHT HEADEDNESS, SWEATING, BLURRED VISION, PARESTHESIAS IN BOTH ARMS AND LEGS.  VS @ 3:08 BP 78/62 HR 86 REPEAT VS @ 3:20 PT GIVEN GATORADE FOR REHYDRATION AND INSTRUCTED TO BREATH SLOW LY AND DEEPLY. AFTER 10 MINUTES, PT SYMPTOMS STARTED TO RESOLVE. SYMPTOMS COMPLETELY RESOLVED WITH TIME. PT BECAME STABLE TO LEAVE OBSERVATION SITE. INSTRUCTED TO F/U WITH PCP.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: PT DISCOVERED  INATTENTIVE AN  SQUINTING HIS EYES. ONCE ALERT, PT C/O OF LIGHT HEADEDNESS, SWEATING, BLURRED VISION, PARESTHESIAS IN BOTH ARMS AND LEGS.  VS @ 3:08 BP 78/62 HR 86 REPEAT VS @ 3:20 PT GIVEN GATORADE FOR REHYDRATION AND INSTRUCTED TO BREATH SLOW LY AND DEEPLY. AFTER 10 MINUTES, PT SYMPTOMS STARTED TO RESOLVE. SYMPTOMS COMPLETELY RESOLVED WITH TIME. PT BECAME STABLE TO LEAVE OBSERVATION SITE. INSTRUCTED TO F/U WITH PCP.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Chills
Clinical narrative: Chills, I took 2 extra strength Tylenol and chills started back within 6 hours.  Lasted a day and a half.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Malaise
Clinical narrative: Head ache generalized in temples, 8/10 pain. General malaise throughout the day. Pt given Toradol and SIQ 1 day.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Palpitations
Clinical narrative: Patient was waiting for appoximately 15 minutes past the Moderna COVID-19 vaccine (approx 1715), she indicated she was feeling her heart racing and was not feeling so well
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: We had set up appointments for Pfizer vaccines and were doing them throughout one day. The patient came in answered affirmatively when asked if he had an appointment for a covid vaccine. Pt was set at a table to fill out form and said he was coming in for his second shot. We asked for his vaccine record card but he said he didn't have it. The vaccinator went ahead and gave him a shot. While he was waiting the 15 minutes he found his record card and it stated his first dose had been a Moderna.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Pain, Pyrexia
Clinical narrative: Fever (101f), chills, extreme headache, body aches, joint pain
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Moderna COVID-19  Vaccine EUA soreness at injection site lasted for 2 days after injection no treatment
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Myalgia, Pyrexia
Clinical narrative: Muscle aches, low grade fever, fatigue lasted about 12 hours.  Slept well overnight and woke up feeling fine and no symptoms since then.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Eye pruritus, Flushing, Pruritus
Clinical narrative: Vaccine given at 10:00 AM, patient requested assistance at 10:20AM. Stated that 10 minutes after vaccine her eyes began to itch and then at 10:20AM she felt flushed and her neck started itching. PC to regional medical director, 0.5ml of Epinephrine 1mg/ml administered to left thigh at 10:25AM. EMS called, patient declined transport. Patient waited and additional 30 minutes for monitoring. At 11:00 patient remained stable and stated she felt fine.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Flushing, Pruritus, Rash macular, Skin tightness, Skin warm
Clinical narrative: Vaccine given at 10:00 AM, patient requested assistance at 10:20AM. Stated that 10 minutes after vaccine her eyes began to itch and then at 10:20AM she felt flushed and her neck started itching. PC to regional medical director, 0.5ml of Epinephrine 1mg/ml administered to left thigh at 10:25AM. EMS called, patient declined transport. Patient waited and additional 30 minutes for monitoring. At 11:00 patient remained stable and stated she felt fine.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Electric shock sensation, Fatigue, Feeling cold
Clinical narrative: 3/11/21, 5:00 pm started to feel very cold, fingers started to feel numb, by 6:00 pm had severe chills and shivering, fingers were white and fingernails were blue. I became extremely dizzy, so much so that just moving my head or moving from under my blankets or even talking would create a sensation like zaps or electrical jolts inside my head. By this time, I had about four thick blankets on me. This calmed the chills. If I moved even just my hand outside of the blankets, I would immediately start shivering again. I felt my worst at about 9:00 pm. Slowly got better. Drank a lot of water. Dizziness and chills subsided by about 12 midnight and left me with a headache. Tylenol helped reduce that. Slept the rest of the night. Today from about 9:00 am until currently 5:40 pm, I have had slight muscle aches, fatigue, slept on and off all day. Still a bit dizzy but not too bad.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia, Myalgia, Nail discolouration
Clinical narrative: 3/11/21, 5:00 pm started to feel very cold, fingers started to feel numb, by 6:00 pm had severe chills and shivering, fingers were white and fingernails were blue. I became extremely dizzy, so much so that just moving my head or moving from under my blankets or even talking would create a sensation like zaps or electrical jolts inside my head. By this time, I had about four thick blankets on me. This calmed the chills. If I moved even just my hand outside of the blankets, I would immediately start shivering again. I felt my worst at about 9:00 pm. Slowly got better. Drank a lot of water. Dizziness and chills subsided by about 12 midnight and left me with a headache. Tylenol helped reduce that. Slept the rest of the night. Today from about 9:00 am until currently 5:40 pm, I have had slight muscle aches, fatigue, slept on and off all day. Still a bit dizzy but not too bad.
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: "Staff member presented to clinic to inform of probable reaction to COVID-19 Vaccine.  Has generalizes red, raised, itchy rash to her body...nurse observed rash area to exposed skin areas of neck and arms.  Denies any SOB/dyspnea/throat or tongue swelling. States rash has been present for about 5 days. States has history of delayed rash response to various meds and vaccines where she needs to take Benadryl and sometimes steroids. Has been completed CDC daily questionnaire since about day 4 post vaccination."
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Eye pruritus, Fatigue, Flushing
Clinical narrative: Janssen COVID-19 Vaccine EUA The morning after the vaccine was administered, I awoke with a scratchy throat,  itchy eyes and feeling very tired.   Throughout the morning,  the fatigue increased and I felt flushed in my face, but chilled in my arms and body.  I went home at noon and  found I had developed a fever of 100.9, which eventually increased to 101.3 later that afternoon.  I felt joint pain and general malaise.   Two days after the vaccine, the fever had broken and the joint pain was better. I still have fatigue, but it is improving throughout the day.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Pyrexia, Throat irritation
Clinical narrative: Janssen COVID-19 Vaccine EUA The morning after the vaccine was administered, I awoke with a scratchy throat,  itchy eyes and feeling very tired.   Throughout the morning,  the fatigue increased and I felt flushed in my face, but chilled in my arms and body.  I went home at noon and  found I had developed a fever of 100.9, which eventually increased to 101.3 later that afternoon.  I felt joint pain and general malaise.   Two days after the vaccine, the fever had broken and the joint pain was better. I still have fatigue, but it is improving throughout the day.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Fatigue, Lethargy
Clinical narrative: Confusion, lethargy, extreme fatigue
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Severe headache persisting after 48 hours.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypoacusis, Loss of consciousness, Nausea, Syncope
Clinical narrative: Patient was found unconscious laying back in her chair shortly after receiving her Covid-19 vaccine.   Patient was awoken with a light shake on the shoulder, but not to noise.  The patient stated they had difficulty hearing, along with nausea and light headedness.  The patient denied any other symptoms, including difficulty breathing, abdominal pain, and body soreness.  Nothing was administered on the pharmacy's end.  The paramedics arrived shortly after and took the patient as she was going in and out of consciousness.  Patient was contacted after the incident, in which she said that she was told she had vasovagal syncope.  The patient is fine now.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Myalgia, Nausea, Pyrexia, Vomiting
Clinical narrative: Severe vomiting, nausea, muscle pain, low-grade fever, chills.
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Fall, Fatigue, Laboratory test, Rib fracture
Clinical narrative: Patient became excessively weak and fatigued. "Was like a rag doll" and fell. Broke 2 ribs.
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: Patient became excessively weak and fatigued. "Was like a rag doll" and fell. Broke 2 ribs.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: "Staff member reported after having her first dose felt lightheaded. Vaccinator called for help. Staff member laid on the floor. Elevated legs. Was AO x3. Slowly sat staff member up and then stool. Staff member report ""feeling fine"". Transfer staff member to a cart to monitor.   Vitals signs   1745 BP 109/71 HR 64 Ox 99 1750 BP 100/60 HR 87 Ox 99 1755 BP 109/70 HR 66 Ox 100  Patient reported feeling better. Waited for about 30 min.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Paraesthesia, Pruritus, Urticaria, Vaccination complication
Clinical narrative: Welt on right arm appeared the morning after I received the shot. About 2 inches in diameter (circular). It is a raised welt and is slightly itchy. Pain in about 4 on a 1-10 scale. Feels mostly like a bruise is being pushed on. I do have very sensitive skin so it is probably a slight allergic reaction. The doctor did an awesome job with the shot (10/10 hope she does it again). I feel great other than my arm being a little sore. No fever, headaches, etc. My arm has get slightly tingly today but nothing concerning. Definitely not a bad enough reaction to deter from getting the 2nd dose! :D
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Hot flush, Skin warm
Clinical narrative: C/o "Hot flashes" "warm all over neck and chin" denies breathing difficulties, no acute distress.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pain, Rash, Rash erythematous, Rash pruritic
Clinical narrative: Rash on the chest, neck and upper back. Rash turned bright red, then after steroids, lessened but stayed in ?splotches?. Rash was itchy at times. Felt body aches and slight chills (temperature always below 98.6 though).   Began 50mg oral prednisone on 3/6. On 3/7, rash worsened and an urgent care facility gave me a 10mg shot of dexamethesone which helped immediately.   Dermatologist recommended antihistamine course beginning 3/9.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Rash on the chest, neck and upper back. Rash turned bright red, then after steroids, lessened but stayed in ?splotches?. Rash was itchy at times. Felt body aches and slight chills (temperature always below 98.6 though).   Began 50mg oral prednisone on 3/6. On 3/7, rash worsened and an urgent care facility gave me a 10mg shot of dexamethesone which helped immediately.   Dermatologist recommended antihistamine course beginning 3/9.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache
Clinical narrative: FOR 24 HOURS POST INJECTION, HAD VIOLENT CHILLS AND SEVERE HEADACHE
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nasopharyngitis, Pain, Pyrexia
Clinical narrative: I woke up very cold, shivering, body aches, headache, chills/fever;
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bundle branch block, Chest X-ray normal, Computerised tomogram thorax abnormal, Dyspnoea, Echocardiogram
Clinical narrative: I was swimming in a lake when suddenly I couldn't breath and my heart started pounding. I was gasping for air.  My pulse went from a normal working out pulse to above 145 bps. It did not come down when floating on my back or resting when I eventually got back into shore. Then when I got home I had to climb stairs and I lost my breath again.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram abnormal, Heart rate increased, Magnetic resonance imaging heart, Palpitations, Pulmonary embolism
Clinical narrative: I was swimming in a lake when suddenly I couldn't breath and my heart started pounding. I was gasping for air.  My pulse went from a normal working out pulse to above 145 bps. It did not come down when floating on my back or resting when I eventually got back into shore. Then when I got home I had to climb stairs and I lost my breath again.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Scan with contrast
Clinical narrative: I was swimming in a lake when suddenly I couldn't breath and my heart started pounding. I was gasping for air.  My pulse went from a normal working out pulse to above 145 bps. It did not come down when floating on my back or resting when I eventually got back into shore. Then when I got home I had to climb stairs and I lost my breath again.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Chest discomfort, Cyanosis, Dyskinesia, Hyperhidrosis
Clinical narrative: Summary: Syncopal espisodes x 2   16 yo patient received his Covid-19 vaccine and as he was going to sit down in observation, he leaned on his mom and passed out. His mother gently lowered him to the ground (@ 1804). Patient's mother stated he just passed out and that this was his first injection ever in his life. Patient was immediately assessed by multiple nurses. Patient did not fall or hit his head or injure any part of his body. Patient took less than 60 seconds to respond to verbal commands and comprehend what had happened. Patient's legs were immediately raised and vital signs were obtained. He was diaphoretic and pale but both were dissapating.  Patient denied difficulty breathing, pain, discomfort. Patient was moved to a reclined chair. Patient and family at side (mother and father) agreed to be monitored. At 1828, Patient complained of feeling "a star" on the left side of his chest. Patient was unable to describe this further. I asked if he was feeling anxious and he said yes. I instructed patient to take several deep breaths in through his nose and out through his mouth. After doing this 3 times, patient stated he did not feel anything funny in his chest anymore. At 1835, while still seated in a reclined chair, patient passed out again. He was pale and diaphoretic. A few team members saw him jerk/twitch and it was questionable if he was having a seizure. The jerking did not last but a few seconds. 911 was called @ 1826. Patient was transferred to a wheelchair and put in the ambulance @ 1841. Vitals were obtained throughout and charted. Pulse ox saturation levels were not below 96%. Immediately after the patient passed out the second time, his pulse was measured at 38 bpm and his lips displayed slight cyanosis. His pulse quickly rose to 52 bpm, within less than 10 seconds. One minute later his pulse was up to 68 bpm.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Muscle twitching, Pallor, Syncope
Clinical narrative: Summary: Syncopal espisodes x 2   16 yo patient received his Covid-19 vaccine and as he was going to sit down in observation, he leaned on his mom and passed out. His mother gently lowered him to the ground (@ 1804). Patient's mother stated he just passed out and that this was his first injection ever in his life. Patient was immediately assessed by multiple nurses. Patient did not fall or hit his head or injure any part of his body. Patient took less than 60 seconds to respond to verbal commands and comprehend what had happened. Patient's legs were immediately raised and vital signs were obtained. He was diaphoretic and pale but both were dissapating.  Patient denied difficulty breathing, pain, discomfort. Patient was moved to a reclined chair. Patient and family at side (mother and father) agreed to be monitored. At 1828, Patient complained of feeling "a star" on the left side of his chest. Patient was unable to describe this further. I asked if he was feeling anxious and he said yes. I instructed patient to take several deep breaths in through his nose and out through his mouth. After doing this 3 times, patient stated he did not feel anything funny in his chest anymore. At 1835, while still seated in a reclined chair, patient passed out again. He was pale and diaphoretic. A few team members saw him jerk/twitch and it was questionable if he was having a seizure. The jerking did not last but a few seconds. 911 was called @ 1826. Patient was transferred to a wheelchair and put in the ambulance @ 1841. Vitals were obtained throughout and charted. Pulse ox saturation levels were not below 96%. Immediately after the patient passed out the second time, his pulse was measured at 38 bpm and his lips displayed slight cyanosis. His pulse quickly rose to 52 bpm, within less than 10 seconds. One minute later his pulse was up to 68 bpm.