chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Joint range of motion decreased, Pain, Product administered at inappropriate site
Clinical narrative: Administration Error.  Nursing giving injection inserted need too high on my arm, just below my acromnion process. No immediate symptoms. Night of injection began to experience decreased range of motion and difficulty lifting arm and pain with movement of arm.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia, Nausea, Oropharyngeal pain, Pyrexia
Clinical narrative: Fever, sore throat, HA, myalgias, congestions, N/V. Went to Urgent Care, treated for viral pharyngitis, sore throat. Negative Covid swab.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test negative, Viral pharyngitis, Vomiting
Clinical narrative: Fever, sore throat, HA, myalgias, congestions, N/V. Went to Urgent Care, treated for viral pharyngitis, sore throat. Negative Covid swab.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Feeling abnormal, Headache, Myalgia
Clinical narrative: Fatigue starting 12 hours after receiving vaccine. 24 hours after vaccine experienced mental fog, joint pain, muscle pain, headache and nausea.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Fatigue starting 12 hours after receiving vaccine. 24 hours after vaccine experienced mental fog, joint pain, muscle pain, headache and nausea.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Enlarged uvula, Oral discomfort
Clinical narrative: Patient being monitored after vaccine developed swollen uvula and heavy lip 20 minutes after administration. Patient given benadryl with relief and evaluated by nurse practioner.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: COVID infection
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Headache, Heart rate increased, Pain in extremity, Paraesthesia
Clinical narrative: Five min after shot. Tingling in whole arm - mostly above the elbow (left arm). Felt palpitations; heart was racing. Felt warm - no sweating but getting hot. At the site - the nurse called the EMT's - they Gave me 50 mg of benydryl syrup - in 20 min. checked heartrate  first in 90's and then they rechecked and it was in 80's. Blood Pressure - 130/90. Half an hour later I was home - bad headache of two days. Left arm was very sore for those two days, not swollen, though. By third day those resolved.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Decreased appetite, Dysgeusia, Fatigue, Nausea
Clinical narrative: Intense metal taste in mouth affecting sense of taste and resulting in loss of appetite.  Mild nausea.  Fatigue.  As of 1/12 sore/burning sensation in back of mouth/throat.  Note sense of smell not affected.  No treatment sought.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Oral pain, Oropharyngeal pain, Taste disorder
Clinical narrative: Intense metal taste in mouth affecting sense of taste and resulting in loss of appetite.  Mild nausea.  Fatigue.  As of 1/12 sore/burning sensation in back of mouth/throat.  Note sense of smell not affected.  No treatment sought.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Malaise, Throat tightness
Clinical narrative: Patient developed throat tightening.  Lightheaded, not feeling well.  Administered diphenhydramine 50 mg po once.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Dizziness, Headache, Neck pain, Pain
Clinical narrative: Body aches, HA, dizzy, back/neck/ aches
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site rash, Injection site swelling
Clinical narrative: Redness, swelling, and rash starting at injection site and travelling down arm approximately 4 inches.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Headache, Nausea, Pyrexia
Clinical narrative: Fever, headache, nausea and mild cough
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site nodule, Respiratory tract congestion
Clinical narrative: egg size knot at injection site; fatigue and congestion
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Pyrexia
Clinical narrative: elevated heart rate: (100-105) on 01/11/2021 11:00 PM to 11/12/2021 05:00 AM fever: (100 -104) on 01/11/2021 07:00 PM to ongoing
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort
Clinical narrative: Pt returned from parking lot c/o chest tightness
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Dyspnoea, Erythema, Heart rate increased, Hypersensitivity
Clinical narrative: Pt returned from parking lot c/o chest tightness
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Swelling face, Wheezing
Clinical narrative: Pt returned from parking lot c/o chest tightness
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary mass, Axillary pain, Injection site pain
Clinical narrative: Patient report soreness at the injection site and there is soreness and a lump under her arm (armpit area).
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain
Clinical narrative: Chills, Headache, Nausea, Body Aches
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature abnormal, Headache, Injection site erythema, Injection site induration, Injection site mass
Clinical narrative: low grade temp, body aches, headache 48 hours after vaccine which lasted 24 hours 1 week after the vaccine, hard, red swollen lump at the injection site
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Pain
Clinical narrative: low grade temp, body aches, headache 48 hours after vaccine which lasted 24 hours 1 week after the vaccine, hard, red swollen lump at the injection site
Age: 54.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Fatigue, Nausea, Pain, Rheumatoid arthritis
Clinical narrative: 24 hours of chills, severe body aches, nausea, flare up of RA, fatigue
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Paraesthesia
Clinical narrative: Pt c/o tingling in face and nausea
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Left arm tinging sensation. monitored for 30 mins vitals taken.  reports improvement in symptom
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain
Clinical narrative: HA, body aches, fatigue
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site urticaria
Clinical narrative: had hives at site on 1/4/21 in the pm none when in the office on 1/5/21
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Facial paralysis
Clinical narrative: Pt states she awoke at 0600 01/05/2021 with right side facial paralysis Was seen by PA diagnosis with Bells Palsy was started on Prednisone 01/05/2021
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: Approximately 10 mins post vaccine administration, patient began to feel that her throat was tight, similar to when she has had reactions to shrimp in the past. Patient's lungs were clear, sat >97%, speaking in clear sentences. Given 50mg IM benadryl and 60mg PO prednisone with some relief of symptoms. Several minutes later, patient felt that symptoms were returning. At this point patient was given .3mL IM epi with some relief of symptoms. Patient maintained airway throughout entire encounter and sat remained above 97. EMS was called, report was given to EMs along with her visit documentation.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain
Clinical narrative: Headache, nausea, chills, Body aches
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Nausea, Pyrexia, Sleep disorder, Vomiting
Clinical narrative: had chills, fever and nausea with vomiting in middle of the night so badly it woke me up from my sleep.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Heat and redness around injection site - occurred one day after injection and continues to be present
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypoaesthesia
Clinical narrative: dizziness, cheeks numb
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Vomiting
Clinical narrative: severe headache 36 hours, vomiting 8 hours,
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Injection site red, swollen, warm to touch and itchy after injection. Resolved in 4 days then returned on the 13th day. Headache has also been experienced since vaccination. Injection was administered lower than normal. Will contact pcp if symptoms do not resolve in a few days.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered at inappropriate site
Clinical narrative: Injection site red, swollen, warm to touch and itchy after injection. Resolved in 4 days then returned on the 13th day. Headache has also been experienced since vaccination. Injection was administered lower than normal. Will contact pcp if symptoms do not resolve in a few days.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Chest X-ray, Electrocardiogram, Hypoaesthesia, Laboratory test
Clinical narrative: PT COMPLAINED OF NUMBNESS IN HER ARM AND COMPARED TO THE SENSATION TO BEING SIMILAR TO FEELING SHE HAD EXPERIENCED WHEN HAVING A SEIZURE. TAKEN TO ER, NO SEIZURE. ELEVATED B/P 210/90
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, SARS-CoV-2 test negative
Clinical narrative: sore throat; covid negative
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Blepharospasm, Hyperaesthesia, Hypoaesthesia
Clinical narrative: left sided facial numbness, hyperesthesia, and left eye twitching
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Axillary pain, Chills, Contusion, Decreased appetite
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA 8hrs-40hrs after injection:  fever (ranging from 102-104) chills, body aches, fatigue/weakness, loss of appetite, headache, vision changes, swollen right axillary lymph node (hard, painful) 40hrs-60hrs after injection: fever steady around 101, headache, fatigue, swollen right axillary lymph node (no longer hard, more disperse, still painful) 60+ hrs after injection: swollen right axillary lymph node (disperse, painful, bruising/discoloration)  emailed ob/gyn about concern for swollen lymph node turning into mastitis, but referred to PCP
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Induration, Lymphadenopathy, Pain
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA 8hrs-40hrs after injection:  fever (ranging from 102-104) chills, body aches, fatigue/weakness, loss of appetite, headache, vision changes, swollen right axillary lymph node (hard, painful) 40hrs-60hrs after injection: fever steady around 101, headache, fatigue, swollen right axillary lymph node (no longer hard, more disperse, still painful) 60+ hrs after injection: swollen right axillary lymph node (disperse, painful, bruising/discoloration)  emailed ob/gyn about concern for swollen lymph node turning into mastitis, but referred to PCP
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Skin discolouration, Visual impairment
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA 8hrs-40hrs after injection:  fever (ranging from 102-104) chills, body aches, fatigue/weakness, loss of appetite, headache, vision changes, swollen right axillary lymph node (hard, painful) 40hrs-60hrs after injection: fever steady around 101, headache, fatigue, swollen right axillary lymph node (no longer hard, more disperse, still painful) 60+ hrs after injection: swollen right axillary lymph node (disperse, painful, bruising/discoloration)  emailed ob/gyn about concern for swollen lymph node turning into mastitis, but referred to PCP
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Impaired work ability, Mobility decreased, Neck pain, Pain in extremity
Clinical narrative: Left arm started hurting me the day after the vaccine and everyday the pain got worse it travel in to my neck and back side of my upper back. On 01/12/2021 couldn't go to work due to the pain been higher and I couldn't turn my neck to the left side
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Post injection;  the site was reddened, warm to touch and indurated on 01/05/2021.  The noted redness was not in the deltoid region but in the subcutaneous tissue distal of the deltoid.   Our Medical Director, Dr. gave orders for all of our residents to receive Benadryl and Tylenol prior to injection.  On 01/07/2021 the area became more diffuse, remained warm and indurated we had to obtain additional Benadryl po orders as well as Hydrocortisone topically from the Medical Director.  The Resident remained with her function of her arm at her baseline.  Dr. has seen resident the last two Tuesdays during his rounds, it is slowly resolving.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Myalgia, Productive cough
Clinical narrative: She reported achy muscles (especially legs), chest tightness and a productive cough. This began on 1/11/2021. I told her she could take Tylenol for the aches. She is going to monitor the other symptoms and if they progress or get worse she will call her primary care doctor. She thinks it is just the start of a cold.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis, Pruritus
Clinical narrative: I asked patient to send me information when she finds it.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: sharp excruciating pain in left arm starting at injection site to elbow site.  Took Ibuprofen for pain
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: slight SOB, cough later the same day of vaccine, then high fever, body aches for 1 day and injection site red, hot, and swollen which improved over 4 days.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: slight SOB, cough later the same day of vaccine, then high fever, body aches for 1 day and injection site red, hot, and swollen which improved over 4 days.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: Received dose #1 of COVID-19 vaccine Moderna on 1/02/21. I was estimated to be 4 weeks pregnant at that time. Estimated due date 9/08/21. I experienced tenderness of injection site for approximately 48-72 hours after injection that resolved. Since 1/10/21 I began experiencing mild tenderness, redness, itching, and warm at the injection site again.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram, Laboratory test normal, Nausea, Tachycardia
Clinical narrative: Tachycardia, shortness of breath, and nausea with second dose of Pfizer-BioNTech COVID-19 vaccine 0.3 mL IM in left deltoid. vitals stable. Monitored in clinic for 1 hour and then sent to ED for further evaluation. ECG normal. Patient able to discharge in stable condition.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Cyanosis, Lethargy, Pallor, Somnolence
Clinical narrative: Minutes after his vaccinations he became lethargic, pale in color and bluish hue to lips. Needing RN to enter room to evaluate. No wheezing, retractions, grunting, lip swelling, tongue swelling or rashes. Remained pale, bluish lips and falling asleep for 2-3 minutes. Stimulation/chest rubbing to stay awake. After this he recovered to his normal self and left the clinic without further intervention.
Age: 42.0
Sex: U
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid positive
Age: 31.0
Sex: U
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Grip strength decreased, Hypoaesthesia, Injection site pain
Clinical narrative: The next morning I could not feel my entire right arm, it was all numb, I lost strength for a few hours, could not hold anything, had injection site pain for several days. The numbness/loss of feeling lasted for about 8-10 hours. After 3 to 4 hours I called my PCP for advice and they advised me to go to the ER or UC.  I also had diarrhea and fatigue
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Blood glucose abnormal, Dizziness, Electrocardiogram normal, Haemoglobin decreased
Clinical narrative: Moderna COVID-19 Vaccine EUA About 30 minutes after receiving the vaccine she felt dizzy and lightheaded and felt like she was going to pass out.  She is a type II diabetic but they did not have any ability to check her blood sugar at employee health.  Therefore, rapid response team was called and patient was brought here to the emergency department.  Patient notes that she has had a couple of syncopal episodes in the past in her life and has had several near syncopal episodes.  Upon arrival to the ED her blood sugar was noted to be 99.  She is feeling little bit better but still just a little bit dizzy.  She was completely and entirely asymptomatic prior to getting the vaccine shot.  She has not been ill lately.  BP 116/68  | Pulse 62  | Temp 36.7 °C (98.1 °F) (Oral)  | Resp 15  | Ht 1.524 m (5')  | Wt 229 lb 8 oz (104 kg)  | SpO2 100%  | BMI 44.82 kg/m² 69-year-old female presented to the emergency department following a near syncopal episode after getting her COVID-19 vaccine.  She is normotensive, not tachycardic, tachypneic or hypoxic.  She has a normal physical exam and normal cardiopulmonary exam.  Lab work-up shows a mild chronic anemia with a hemoglobin of 9.9.  BMP, chest pain panel normal.  EKG was normal.  Patient was kept on cardiac monitoring and given oral fluids.  We then got her up and she was ambulatory without symptoms and without difficulty. Therefore, this appears to be a vasovagal near syncopal episode that has resolved.  Work-up here is negative.  No further work-up is indicated.  Will discharge home, rest, fluids, cautioned her that she might feel poorly for a day or 2.  Follow-up with primary care as needed.  Return for worsening symptoms.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Presyncope, Troponin normal
Clinical narrative: Moderna COVID-19 Vaccine EUA About 30 minutes after receiving the vaccine she felt dizzy and lightheaded and felt like she was going to pass out.  She is a type II diabetic but they did not have any ability to check her blood sugar at employee health.  Therefore, rapid response team was called and patient was brought here to the emergency department.  Patient notes that she has had a couple of syncopal episodes in the past in her life and has had several near syncopal episodes.  Upon arrival to the ED her blood sugar was noted to be 99.  She is feeling little bit better but still just a little bit dizzy.  She was completely and entirely asymptomatic prior to getting the vaccine shot.  She has not been ill lately.  BP 116/68  | Pulse 62  | Temp 36.7 °C (98.1 °F) (Oral)  | Resp 15  | Ht 1.524 m (5')  | Wt 229 lb 8 oz (104 kg)  | SpO2 100%  | BMI 44.82 kg/m² 69-year-old female presented to the emergency department following a near syncopal episode after getting her COVID-19 vaccine.  She is normotensive, not tachycardic, tachypneic or hypoxic.  She has a normal physical exam and normal cardiopulmonary exam.  Lab work-up shows a mild chronic anemia with a hemoglobin of 9.9.  BMP, chest pain panel normal.  EKG was normal.  Patient was kept on cardiac monitoring and given oral fluids.  We then got her up and she was ambulatory without symptoms and without difficulty. Therefore, this appears to be a vasovagal near syncopal episode that has resolved.  Work-up here is negative.  No further work-up is indicated.  Will discharge home, rest, fluids, cautioned her that she might feel poorly for a day or 2.  Follow-up with primary care as needed.  Return for worsening symptoms.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Headache, Pain, Vomiting
Clinical narrative: Sunday morning woke up with a sick headache, vomiting, body aches and temperature 100.9 By early afternoon vomiting had stopped, headache was letting up and temp was normal. Was able to eat Sunday night and have been fine ever since.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Injection site reported to become swollen, tender with red patch on January 1, 2021.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Disturbance in attention, Dizziness, Electrocardiogram, Erythema
Clinical narrative: About 15 min ?icy hot? numb feeling hands feet, lips mouth, dizzy, difficulty thinking,   heart pounding, tongue felt big, nausea, tightness back throat that progressed down neck, paramedics reported near syncope decreased pupil& verbal response, tachycardia, red neck chest, spots on face.  On site ambulance IV meds Epi? Benadryl 50mg and o2, transferred to ER- IV meds Pepcid and solumedrol, and home 5 days oral prednisone, Benadryl, Pepcid, albuterol
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Feeling hot, Hypoaesthesia, Hypoaesthesia oral, Miosis
Clinical narrative: About 15 min ?icy hot? numb feeling hands feet, lips mouth, dizzy, difficulty thinking,   heart pounding, tongue felt big, nausea, tightness back throat that progressed down neck, paramedics reported near syncope decreased pupil& verbal response, tachycardia, red neck chest, spots on face.  On site ambulance IV meds Epi? Benadryl 50mg and o2, transferred to ER- IV meds Pepcid and solumedrol, and home 5 days oral prednisone, Benadryl, Pepcid, albuterol
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle tightness, Nausea, Palpitations, Presyncope, Rash
Clinical narrative: About 15 min ?icy hot? numb feeling hands feet, lips mouth, dizzy, difficulty thinking,   heart pounding, tongue felt big, nausea, tightness back throat that progressed down neck, paramedics reported near syncope decreased pupil& verbal response, tachycardia, red neck chest, spots on face.  On site ambulance IV meds Epi? Benadryl 50mg and o2, transferred to ER- IV meds Pepcid and solumedrol, and home 5 days oral prednisone, Benadryl, Pepcid, albuterol
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Swollen tongue, Tachycardia, Throat tightness, Unresponsive to stimuli
Clinical narrative: About 15 min ?icy hot? numb feeling hands feet, lips mouth, dizzy, difficulty thinking,   heart pounding, tongue felt big, nausea, tightness back throat that progressed down neck, paramedics reported near syncope decreased pupil& verbal response, tachycardia, red neck chest, spots on face.  On site ambulance IV meds Epi? Benadryl 50mg and o2, transferred to ER- IV meds Pepcid and solumedrol, and home 5 days oral prednisone, Benadryl, Pepcid, albuterol
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Myalgia, Pyrexia
Clinical narrative: Fever (38.4C), Chills, Fatigue, Myalgia, Headache
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Blood calcium decreased, Blood potassium normal, Cough, Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: Moderna COVID-19 Vaccine Returns to clinic at 0739. Had first dose of Moderna vaccine at 0715 today.  She states that immediately after her lips felt tingly.  She states that she was driving home and she began to feel tingling and numbness into her face around her mouth.  Patient denies having any allergies. Was walking her to the ED and she was talking to nurse, all of a sudden she leaned forward and was coughing and grabbing her throat. Rapid response team called, patient transferred to ED. She gets influenza thoughts without difficulty.  She denies any current URI symptoms no history of heart or lung problems high blood pressure or diabetes.  She denies numbness or tingling in her hands currently.  Currently very nauseated. Patient was given some BENADRYL and some Zofran was watched she still complained of some perioral numbness some labs were obtained potassium is minimally low at 3.5 calcium is also low at 8.1.  This time I suspect this is more of an adverse reaction to immunization shot however if the tingling or numbness persists then a recheck of her electrolytes may be warranted follow-up primary care physician.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Nausea, Paraesthesia, Paraesthesia oral
Clinical narrative: Moderna COVID-19 Vaccine Returns to clinic at 0739. Had first dose of Moderna vaccine at 0715 today.  She states that immediately after her lips felt tingly.  She states that she was driving home and she began to feel tingling and numbness into her face around her mouth.  Patient denies having any allergies. Was walking her to the ED and she was talking to nurse, all of a sudden she leaned forward and was coughing and grabbing her throat. Rapid response team called, patient transferred to ED. She gets influenza thoughts without difficulty.  She denies any current URI symptoms no history of heart or lung problems high blood pressure or diabetes.  She denies numbness or tingling in her hands currently.  Currently very nauseated. Patient was given some BENADRYL and some Zofran was watched she still complained of some perioral numbness some labs were obtained potassium is minimally low at 3.5 calcium is also low at 8.1.  This time I suspect this is more of an adverse reaction to immunization shot however if the tingling or numbness persists then a recheck of her electrolytes may be warranted follow-up primary care physician.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Nausea, Vomiting
Clinical narrative: Dizziness, vomiting, headache, and nausea
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Skin discolouration, Vaccination site erythema, Vaccination site induration, Vaccination site pain
Clinical narrative: started as an erythematous area over the vaccine site, with itching, and over the next 2 days it expanded a couple of centimeters making it 3x4 cm, until day 7 I had become a 7x7 erythematous area, with induration, warmth, and tender to touch, evaluated by a physician and recommended starting antibiotics, started doxycycline 100 mg twice a day, and by 24 hours of starting medication swelling was improved, with a complete resolution on day 7 of antibiotics, a very small area of discoloration remains, but it is likely to my skin color.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site warmth
Clinical narrative: started as an erythematous area over the vaccine site, with itching, and over the next 2 days it expanded a couple of centimeters making it 3x4 cm, until day 7 I had become a 7x7 erythematous area, with induration, warmth, and tender to touch, evaluated by a physician and recommended starting antibiotics, started doxycycline 100 mg twice a day, and by 24 hours of starting medication swelling was improved, with a complete resolution on day 7 of antibiotics, a very small area of discoloration remains, but it is likely to my skin color.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site hypoaesthesia, Injection site paraesthesia, Paraesthesia
Clinical narrative: Immediate numbness/tingling in left arm and left hand and both feet.  Left arm/hand  symptoms lasted ~15 minutes.  Symptoms in both feet lasted 5-6 hours and continue intermittently.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Flushing, Nausea, Pruritus
Clinical narrative: After monitoring patient for 15 mins he then returned to his office. Called around 30 mins or so later and stated he was experiencing itching all over body and extreme nausea. Employee health went to office to check on patient. Face did appear flushed, but no rash seen. Stayed with patient until he stated he felt better and no further issues.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Feeling abnormal
Clinical narrative: Lightheaded, woozy, tired, strange
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Diarrhoea, Hyperhidrosis, Laboratory test normal, Myalgia
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA 64-year-old female presents as a rapid response team patient status post immunization her second shot was done on Tuesday 2 days ago.  She had some diarrhea last night and had some body aches in her arms following the rules today she woke up did not eat breakfast which is not abnormal for her did have some coffee came to work describes some myalgias and felt sweaty felt chilled so she went downstairs had a glass of orange juice to see if that would help had a small helping of hashbrowns did not help she was so she went to employee health in the then was sent here for further evaluation.  Patient denies any heart or lung problems high blood pressure diabetes has URI symptoms. No history of PEs or DVTs denies hypertension she fell your blood sugar is low but has no documented history of hypoglycemia is not on any hypoglycemic medications.  No history of PEs or DVTs no travel or surgeries.  No nausea or vomiting with the diarrhea.  Also complains of body aches.BP 120/69  | Pulse 76  | Temp 37 °C (98.6 °F) (Oral)  | Resp 21  | Ht 1.676 m (5' 6")  | Wt 198 lb (89.8 kg)  | SpO2 95%  | BMI 31.96 kg/m² Labs reviewed on the chart are normal symptomatically she feels better offered Toradol for myalgias she refused she I suspect is having a reaction/side effect not an allergic reaction to her vaccination she received. Patient discharged.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA 64-year-old female presents as a rapid response team patient status post immunization her second shot was done on Tuesday 2 days ago.  She had some diarrhea last night and had some body aches in her arms following the rules today she woke up did not eat breakfast which is not abnormal for her did have some coffee came to work describes some myalgias and felt sweaty felt chilled so she went downstairs had a glass of orange juice to see if that would help had a small helping of hashbrowns did not help she was so she went to employee health in the then was sent here for further evaluation.  Patient denies any heart or lung problems high blood pressure diabetes has URI symptoms. No history of PEs or DVTs denies hypertension she fell your blood sugar is low but has no documented history of hypoglycemia is not on any hypoglycemic medications.  No history of PEs or DVTs no travel or surgeries.  No nausea or vomiting with the diarrhea.  Also complains of body aches.BP 120/69  | Pulse 76  | Temp 37 °C (98.6 °F) (Oral)  | Resp 21  | Ht 1.676 m (5' 6")  | Wt 198 lb (89.8 kg)  | SpO2 95%  | BMI 31.96 kg/m² Labs reviewed on the chart are normal symptomatically she feels better offered Toradol for myalgias she refused she I suspect is having a reaction/side effect not an allergic reaction to her vaccination she received. Patient discharged.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain
Clinical narrative: Received the vaccine and the following day started experiencing aches, chills, nausea and headache. An ERT (emergency response was called at work) ; however, there was no further treatment.
Age: 29.0
Sex: F
Vaccine: COVID19, TD
Symptoms: Contraindicated product administered, Injection site erythema, Pain
Clinical narrative: Patient had COVID moderna vaccine on 1/4 with minimal side effects beyond some pain. Patient given Tetanus vaccine on 1/11 in opposite arm and the following day an large ovid erythematous patch at injection site for covid vaccine
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Heart rate increased, Injection site pain
Clinical narrative: Within first half hour I experienced increase in heart rate (110 BPM) , dizziness and headache. This subsided within 10-15 minutes. I experienced slight fatigue and soreness at injection site approximately 4 hours after receiving vaccination.  This morning upon waking, approximately 20 hours after, I experienced a slight headache and continued soreness at injection site. Headache and soreness at site continue 25 hours after vaccination. No treatment needed other than resting, maintaining hydration and taking naproxen.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash, Injection site warmth, Rash erythematous
Clinical narrative: After day 9 post vaccine injection red rash that itches presented. Took benadryl, area has progressively gotten redder, hot and itching. Now cover entire bicep area of left upper arm.  Photo taken today for documentation Moderna 037 k or (IC) 2 or Z  o or 0 A  Lot number is hand written  so hard to tell exact lot number  Given 12/3/2020 at Medical Center
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Hypoaesthesia, Palpitations, Paraesthesia
Clinical narrative: Vaccine given about 09:20, patient ambulated 30 feet without difficulty, began texting on phone and shared her right arm & finger was numb & tingling.  Patient became anxious acting, claimed "I feel dizzy & heart racing."  Patient monitored, 09:25 heart rate less than 100,  states dizziness has resolved, patients respirations even & unlabored skin pink and dry.   09:30  Patient talking  in a relaxed manner with co-workers, does continue to complain of "my fingers feel asleep".  Pt monitored for over one hour.    Patient ambulating without issues out of observation area, skin pink warm, dry, no acute distress reports numbness & tingling resolved, has full range of motion to right arm.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Blood glucose normal, Cardiovascular examination, Dizziness, Electrocardiogram normal
Clinical narrative: Moderna COVID-19 Vaccine EUA About 30 minutes after receiving the vaccine she felt dizzy and lightheaded and felt like she was going to pass out.  She is a type II diabetic but they did not have any ability to check her blood sugar at employee health.  Therefore, rapid response team was called and patient was brought here to the emergency department.  Patient notes that she has had a couple of syncopal episodes in the past in her life and has had several near syncopal episodes.  Upon arrival to the ED her blood sugar was noted to be 99.  She is feeling little bit better but still just a little bit dizzy.  She was completely and entirely asymptomatic prior to getting the vaccine shot.  She has not been ill lately.  BP 116/68  | Pulse 62  | Temp 36.7 °C (98.1 °F) (Oral)  | Resp 15  | Ht 1.524 m (5')  | Wt 229 lb 8 oz (104 kg)  | SpO2 100%  | BMI 44.82 kg/m² 69-year-old female presented to the emergency department following a near syncopal episode after getting her COVID-19 vaccine.  She is normotensive, not tachycardic, tachypneic or hypoxic.  She has a normal physical exam and normal cardiopulmonary exam.  Lab work-up shows a mild chronic anemia with a hemoglobin of 9.9.  BMP, chest pain panel normal.  EKG was normal.  Patient was kept on cardiac monitoring and given oral fluids.  We then got her up and she was ambulatory without symptoms and without difficulty. Therefore, this appears to be a vasovagal near syncopal episode that has resolved.  Work-up here is negative.  No further work-up is indicated.  Will discharge home, rest, fluids, cautioned her that she might feel poorly for a day or 2.  Follow-up with primary care as needed.  Return for worsening symptoms.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Metabolic function test, Presyncope, Pulmonary function test normal, Troponin normal
Clinical narrative: Moderna COVID-19 Vaccine EUA About 30 minutes after receiving the vaccine she felt dizzy and lightheaded and felt like she was going to pass out.  She is a type II diabetic but they did not have any ability to check her blood sugar at employee health.  Therefore, rapid response team was called and patient was brought here to the emergency department.  Patient notes that she has had a couple of syncopal episodes in the past in her life and has had several near syncopal episodes.  Upon arrival to the ED her blood sugar was noted to be 99.  She is feeling little bit better but still just a little bit dizzy.  She was completely and entirely asymptomatic prior to getting the vaccine shot.  She has not been ill lately.  BP 116/68  | Pulse 62  | Temp 36.7 °C (98.1 °F) (Oral)  | Resp 15  | Ht 1.524 m (5')  | Wt 229 lb 8 oz (104 kg)  | SpO2 100%  | BMI 44.82 kg/m² 69-year-old female presented to the emergency department following a near syncopal episode after getting her COVID-19 vaccine.  She is normotensive, not tachycardic, tachypneic or hypoxic.  She has a normal physical exam and normal cardiopulmonary exam.  Lab work-up shows a mild chronic anemia with a hemoglobin of 9.9.  BMP, chest pain panel normal.  EKG was normal.  Patient was kept on cardiac monitoring and given oral fluids.  We then got her up and she was ambulatory without symptoms and without difficulty. Therefore, this appears to be a vasovagal near syncopal episode that has resolved.  Work-up here is negative.  No further work-up is indicated.  Will discharge home, rest, fluids, cautioned her that she might feel poorly for a day or 2.  Follow-up with primary care as needed.  Return for worsening symptoms.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Pain in extremity
Clinical narrative: Day 14 after vaccine have red skin a vaccine site, extending to 3 inches round vaccine site.  Previously only had arm soreness with no redness until day 14.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pyrexia
Clinical narrative: c.o fever severe headache and fatigue
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Viral upper respiratory tract infection
Clinical narrative: Viral URI; sore throat
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Pruritus
Clinical narrative: Patient received the first dose of the covid vaccine on 12/30, and today 1/10/21  my arm has been itchy and I now have a round ring like rash on my arm near the injection site
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Nausea, Pyrexia, Urticaria, Vomiting
Clinical narrative: Nausea, hives, vomiting, fever 101, fatigue lasting 2 days.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Vomiting
Clinical narrative: vomiting, chills  lasted 5 hours
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Burning sensation, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: swelling and painful at injection site within first 24hrs in left arm. Red, itchy raised rash after 7 days post injection that increased in area. Burning sensation experienced. Skin still discolored more than 20 days after 1st shot. 2nd dose in right arm: same reaction within 48hrs. redness, burning , itchiness sensation spreading to upper arm.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash papular, Skin discolouration
Clinical narrative: swelling and painful at injection site within first 24hrs in left arm. Red, itchy raised rash after 7 days post injection that increased in area. Burning sensation experienced. Skin still discolored more than 20 days after 1st shot. 2nd dose in right arm: same reaction within 48hrs. redness, burning , itchiness sensation spreading to upper arm.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Pruritus
Clinical narrative: Six days after the shot,  my are started to itch and a red area developed  4 inches by 3 inches.  I am not experiencing any pain. The red area itches on one side of the  red area.
Age: 52.0
Sex: M
Vaccine: FLU4
Symptoms: Migraine, Visual impairment
Clinical narrative: While driving home from Pharmacy after getting my Flu shot I started seeing squiggly lights which is indicative of an upcoming Migraine headache.  I haven't had a migraine headache in over 10 years.  The squiggly lights got larger and obstructed my field of view.  As soon as I got home I found my prescription from my neurologist.  I took one tablet of: BUTALB-APAP-CAF50-325.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Presyncope
Clinical narrative: Received 1st dose vaccine and became nauseated, dizzy, lightheaded and almost passed out.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID positive
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2
Clinical narrative: Covid Exposure
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue
Clinical narrative: Fatigue
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site erythema, Injection site inflammation, Injection site pain
Clinical narrative: High fever 26 hours post injection. Severely painful headache, extreme fatigue. Very large red, feverish patch at injection site, approximately 5"/2". Fever lasted approximately 12 hours, took ibuprofen and excedrin migraine for headache throughout the course of the day...approximately 1200mg of ibuprofen over an 18 hour period, 800mg excedrin migraine for the same period. Fever broke, symptoms started to subside. Lower fever second day post vaccination, milder headache, injection site still inflamed and very sore. Even lower fever third day, no headache, injection site still swollen, but not as painful.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: High fever 26 hours post injection. Severely painful headache, extreme fatigue. Very large red, feverish patch at injection site, approximately 5"/2". Fever lasted approximately 12 hours, took ibuprofen and excedrin migraine for headache throughout the course of the day...approximately 1200mg of ibuprofen over an 18 hour period, 800mg excedrin migraine for the same period. Fever broke, symptoms started to subside. Lower fever second day post vaccination, milder headache, injection site still inflamed and very sore. Even lower fever third day, no headache, injection site still swollen, but not as painful.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pyrexia
Clinical narrative: Low grade temp, tired, headache. Resolved.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Blood culture negative, Blood lactic acid increased, Contraception, Injection site erythema, Injection site pruritus
Clinical narrative: See prior description
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Ultrasound scan normal
Clinical narrative: See prior description
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Nausea, Oropharyngeal pain, Throat irritation
Clinical narrative: Patient received vaccine around 10 am. She waited 30 minutes in the clinic with staff due to history of numerous allergies (zantac, demerol, amoxicillin, paxil, gluten). After patient left the site, she returned around 11:18am reporting she was feeling poorly (specifically with nausea, headache, and itchy/sore throat).  No lip swelling , shortness of breath, hives noted. Vital signs were monitored and were stable. Diphenhydramine 50mg given orally and EMS notified as per our company protocol. Patient left via ambulance at 11:32 in stable condition to Hospital .
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Full blood count normal, Hypersensitivity, Impaired work ability, Laboratory test normal
Clinical narrative: 48 hours after the injection I began to notice a sore throat before bedtime on Dec 30, but slept well. The next morning, Dec 31, I had acute allergic symptoms that never start so suddenly.  I was having constant Post-nasal Drip, nasal congestion and beginning of cough due to PND.  That night I had a severe sore throat similar to my typical allergic pattern.  I coughed all night and awoke on the morning of Jan 1st with clear severe onset allergies and could not talk without coughing.  That persisted for 4 days, then my allergist prescribed inhaled steroids BID which reduced the nighttime cough, but I persisted with symptoms for 10 days when they slowly resolved and my sense of well-being returned.  I missed 7 days of work, which is atypical for my allergies when I catch them early.  This was an acute flare of typical allergic symptoms that seems to have been triggered by the timing of the immune change from the vaccine at day #2-3 after the vaccine #1 was given.  I  am worried about getting vaccine #2 in 2 weeks and don't want to go through another flare up of dialing allergies again.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Oropharyngeal pain, Red blood cell sedimentation rate increased, Upper-airway cough syndrome
Clinical narrative: 48 hours after the injection I began to notice a sore throat before bedtime on Dec 30, but slept well. The next morning, Dec 31, I had acute allergic symptoms that never start so suddenly.  I was having constant Post-nasal Drip, nasal congestion and beginning of cough due to PND.  That night I had a severe sore throat similar to my typical allergic pattern.  I coughed all night and awoke on the morning of Jan 1st with clear severe onset allergies and could not talk without coughing.  That persisted for 4 days, then my allergist prescribed inhaled steroids BID which reduced the nighttime cough, but I persisted with symptoms for 10 days when they slowly resolved and my sense of well-being returned.  I missed 7 days of work, which is atypical for my allergies when I catch them early.  This was an acute flare of typical allergic symptoms that seems to have been triggered by the timing of the immune change from the vaccine at day #2-3 after the vaccine #1 was given.  I  am worried about getting vaccine #2 in 2 weeks and don't want to go through another flare up of dialing allergies again.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: acute shoulder pain
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Pruritus
Clinical narrative: itchy arms, back, head, chest and legs and light headed  Sat for 1 hour, itching and dizziness resolved
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Tinnitus
Clinical narrative: Ringing / buzzing in the ears and light headache beginning on 1/10.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Bradykinesia, Chest X-ray, Dizziness, Dyspnoea, Electrocardiogram
Clinical narrative: Vaccine administered at approx. 9 am. At 1000am , began feeling very tired, dizzy. S/sx increased over the next 2 hours. - began vomiting, felt very "slow motion". At approx. 1 pm, went back to vaccine area; felt like there was more effort to breath (heaviness); given epi-pen in ED, S/sx improved, Hydration started.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Full blood count, Metabolic function test, Troponin, Vomiting
Clinical narrative: Vaccine administered at approx. 9 am. At 1000am , began feeling very tired, dizzy. S/sx increased over the next 2 hours. - began vomiting, felt very "slow motion". At approx. 1 pm, went back to vaccine area; felt like there was more effort to breath (heaviness); given epi-pen in ED, S/sx improved, Hydration started.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Blood bilirubin decreased, Blood glucose increased, Blood sodium decreased, Blood thyroid stimulating hormone, Chest X-ray normal
Clinical narrative: Patient presented to the emergency department 12/29/20 7 AM, reporting hyperglycemia since receiving COVID vaccine one day earlier.  Had been 140 at time of immunization.   Highest reported was "high 300's". At time of presentation glucose 360 and accompanied by nausea, shakes and sweating.  Also reporting fatigue.  Patient reporting having felt like this when she is in DKA
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Diabetic ketoacidosis, Electrocardiogram normal, Fatigue, Feeling abnormal, Full blood count normal
Clinical narrative: Patient presented to the emergency department 12/29/20 7 AM, reporting hyperglycemia since receiving COVID vaccine one day earlier.  Had been 140 at time of immunization.   Highest reported was "high 300's". At time of presentation glucose 360 and accompanied by nausea, shakes and sweating.  Also reporting fatigue.  Patient reporting having felt like this when she is in DKA
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperglycaemia, Hyperhidrosis, Metabolic function test, Nausea, Tremor
Clinical narrative: Patient presented to the emergency department 12/29/20 7 AM, reporting hyperglycemia since receiving COVID vaccine one day earlier.  Had been 140 at time of immunization.   Highest reported was "high 300's". At time of presentation glucose 360 and accompanied by nausea, shakes and sweating.  Also reporting fatigue.  Patient reporting having felt like this when she is in DKA