chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Hyperhidrosis
Clinical narrative: Notes (Nurse Practitioner) ? ? Nurse Practitioner Cosigned by:  MD at 3/19/2021  9:22 AM Expand AllCollapse All      3/18/2021    Subjective female who was seen at Clinic today for her first  dose of the COVID 19 vaccination.    She was given the Pfizer vaccination in the left deltoid muscle.   During her 15 minute waiting period after the injection, the patient began to experience lightheadedness and dizziness.  She denied rash, hives, welts, difficulty breathing, difficulty swallowing, wheezing, throat tightness, hoarseness, stridor, itching, facial swelling, lip swelling and tongue swelling.   This provider was notified of patient reaction and she was then assessed in the emergency bay area.   Monitored patient for severe reaction symptoms, including but not limited to abdominal pain, blood pressure abnormality , chest pain, collapse, drooling, hypotension, increased swelling, rapid progression of symptoms, respiratory distress, skin changes, tongue swelling and vomiting.   Pt became hot and light headed after receiving her shot.  She was brought by WC to the bay. She was given water and an ice pack was laid on the back of her neck.     ALLERGY REVIEW OF SYSTEMS:  Patient complains of dizziness    Hot and sweaty: CONT negative HENT negative Eyes negative Respiratory negative Skin negative GI negative Musculo negative     Previous Reactions: None    Objective    Vitals Vitals:   03/18/21 1535 03/18/21 1550 BP: 131/67 130/75 Pulse: 84 65 SpO2: 100% 100%          Physical Exam Vitals and nursing note reviewed.  Constitutional:      Appearance: She is well-developed.  HENT:     Head: Normocephalic and atraumatic.     Right Ear: External ear normal.     Left Ear: External ear normal.     Nose: Nose normal.  Eyes:     Conjunctiva/sclera: Conjunctivae normal.     Pupils: Pupils are equal, round, and reactive to light.  Cardiovascular:     Rate and Rhythm: Normal rate and regular rhythm.     Heart sounds: Normal heart sounds.  Pulmonary:     Effort: Pulmonary effort is normal.     Breath sounds: Normal breath sounds.  Abdominal:     General: Bowel sounds are normal.     Palpations: Abdomen is soft.  Musculoskeletal:        General: Normal range of motion.     Cervical back: Normal range of motion and neck supple.  Skin:    General: Skin is warm and dry.     Capillary Refill: Capillary refill takes less than 2 seconds.  Neurological:     Mental Status: She is alert and oriented to person, place, and time.        Assessment/Plan  Treatment included: water and ice pack Follow up response to treatment: excellent. Patient discharge: Stable to go home and follow up with PCP.  Differential Diagnosis: Local reaction (arm pain, bleeding/bruising, mechanical irritation, localized rash) Pt dismissed to go home at 3:57pm with coworker.        Electronically Signed 3/18/2021 4:00 PM
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal swelling, Rash
Clinical narrative: Patient was observed for 15 minutes and then left the building. She returned a few minutes later complaining about a neck and face rash, as well as throat swelling. She was given Benadryl 50 mg IM. O2 sats were 99-100% on RA, lungs clear . HR 105, B/P 158/80. She was taken t0 Treatment area of the clinic for further observation with Dr. .
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Feeling abnormal, Headache, Laboratory test, Pain
Clinical narrative: pt states by noon after taking 2nd dose she had developed itching, chills, headache, body pain, and head was foggy.  Pt had very odd body aches and pains, itching, and headaches that would come and go for weeks.  These symptoms lasted at least 22 days before subsiding.  Pt contacted her PCP and was told to take Claritin.  Pt also had an annual appt w/ PCP where she did blood work but pt has not received any results.  Pt no longer has these symptoms.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: pt states by noon after taking 2nd dose she had developed itching, chills, headache, body pain, and head was foggy.  Pt had very odd body aches and pains, itching, and headaches that would come and go for weeks.  These symptoms lasted at least 22 days before subsiding.  Pt contacted her PCP and was told to take Claritin.  Pt also had an annual appt w/ PCP where she did blood work but pt has not received any results.  Pt no longer has these symptoms.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Ear, nose and throat examination, Gait disturbance, Hypoaesthesia, Magnetic resonance imaging head
Clinical narrative: Migraines, dizziness, nausea, blurred vision about 10 days after vaccination. Very unsteady gait, sensitivity to light, numbness and tingling in my face, both sides, some vomiting. Still to this date, I feel numbness on my face, more common on the right side of my face.  Arm pain, no swelling.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Nausea, Pain in extremity, Paraesthesia, Photophobia
Clinical narrative: Migraines, dizziness, nausea, blurred vision about 10 days after vaccination. Very unsteady gait, sensitivity to light, numbness and tingling in my face, both sides, some vomiting. Still to this date, I feel numbness on my face, more common on the right side of my face.  Arm pain, no swelling.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred, Vomiting
Clinical narrative: Migraines, dizziness, nausea, blurred vision about 10 days after vaccination. Very unsteady gait, sensitivity to light, numbness and tingling in my face, both sides, some vomiting. Still to this date, I feel numbness on my face, more common on the right side of my face.  Arm pain, no swelling.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Feeling abnormal, Headache, Myalgia
Clinical narrative: Chills, fever, severe headache, neck and shoulder muscle pain, dizziness and almost passed out.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pyrexia
Clinical narrative: Chills, fever, severe headache, neck and shoulder muscle pain, dizziness and almost passed out.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis, Blister, Condition aggravated, Fatigue, Gastroenteritis viral
Clinical narrative: I felt fatigue even the day of the second vaccine.  Then about 2 days after I had a severe and sudden bout of plantar facsitis, then increase in other arthritis symptoms.  Then a week after I suffered a stomach virus.  Then latter that same week for two days I experienced severe right leg pain.  Then developed cluster rashes on the whole right leg.  Went to Urgent care since we are  wintering out of state.  Was diagnosed with Shingles which I have never had and hope to never have again.  The blisters are improving but the pain remains.  I very strongly feel this is ALL due to the second dose of this vaccine.       I certainly feel the second dose of this vaccine should not be given for at least 6 months.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Herpes zoster, Pain in extremity, Plantar fasciitis, Rash
Clinical narrative: I felt fatigue even the day of the second vaccine.  Then about 2 days after I had a severe and sudden bout of plantar facsitis, then increase in other arthritis symptoms.  Then a week after I suffered a stomach virus.  Then latter that same week for two days I experienced severe right leg pain.  Then developed cluster rashes on the whole right leg.  Went to Urgent care since we are  wintering out of state.  Was diagnosed with Shingles which I have never had and hope to never have again.  The blisters are improving but the pain remains.  I very strongly feel this is ALL due to the second dose of this vaccine.       I certainly feel the second dose of this vaccine should not be given for at least 6 months.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Nausea, Vomiting
Clinical narrative: Nausea and vomiting ,SOB - EPI  given transported to the ED
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Aphthous ulcer, Feeling abnormal, Muscle spasms, Sleep disorder
Clinical narrative: Severe painful muscle spasms lasting ten days, foggy-headed for two weeks, trouble sleeping for one week, canker sores in mouth and sensitive gums for two weeks.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Condition aggravated, Hypotension, Presyncope
Clinical narrative: PATIENT EXPERIENCED A VAGAL REACTION DUE TO ANXIETY. BLOOD PRESSURE WAS LOW. ORAL REHYDRATION GIVEN WITH WATER. BP IMPROVED. MONITORED FOR 15 ADDITIONAL MINUTES AND RELEASED WITH MOTHER
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Chromaturia, Fatigue
Clinical narrative: lower back pain, brown urine, lasted for 24 hours, maybe 30 hours. I feel about 80% recovered
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue
Clinical narrative: Extreme fatigue starting next morning Saturday after vaccine. Slept almost continuously until Sunday afternoon.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Flushing
Clinical narrative: dizziness, flushing, slight chest tightness
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Blood bicarbonate normal, Blood gases abnormal, Blood pH decreased, Chills
Clinical narrative: Pt received vaccine and two days later displayed reduced appetite, shortness of breath, chills, and cough productive of grayish thick sputum. Pt presented to hospital 5 days later (7 days after vaccination) with these symptoms, deemed to be in acute on chronic hypoxic/hypercarbic respiratory failure.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Dyspnoea, Hypercapnia, PCO2 increased, PO2 decreased
Clinical narrative: Pt received vaccine and two days later displayed reduced appetite, shortness of breath, chills, and cough productive of grayish thick sputum. Pt presented to hospital 5 days later (7 days after vaccination) with these symptoms, deemed to be in acute on chronic hypoxic/hypercarbic respiratory failure.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Productive cough, Respiratory failure
Clinical narrative: Pt received vaccine and two days later displayed reduced appetite, shortness of breath, chills, and cough productive of grayish thick sputum. Pt presented to hospital 5 days later (7 days after vaccination) with these symptoms, deemed to be in acute on chronic hypoxic/hypercarbic respiratory failure.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Biliary colic, Computerised tomogram, Magnetic resonance imaging, Ultrasound abdomen
Clinical narrative: I had 2 gallbladder attacks, one 2 weeks after my 1 shot and then another attack 2 weeks after my 2nd shot. The 2nd attack put me in the hospital for 3 days.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dermatitis acneiform
Clinical narrative: I developed little (pimple size) red spots on my outer lower arms and on my outer upper legs.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Erythema
Clinical narrative: I developed little (pimple size) red spots on my outer lower arms and on my outer upper legs.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Respiration abnormal
Clinical narrative: Had shortness of breath, unable to breath properly
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: Scratch in throat. Patient states has history of severe allergic reactions, states does not feel that sore
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram cerebral normal, Arteriogram carotid normal, Asthenia, Chest X-ray normal, Chills
Clinical narrative: Adverse Events: chills, dizziness, difficulty standing, weakness,confusion,light-headiness Treatment: zosyn,vancomycin,acyclovir Outcomes: spent 8 days in hospital and 5 days in acute rehab recovering.  As of March 17, 2021, under primary physician care due to ongoing occurrences of weakness, sleepiness, nausea and chills.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen normal, Computerised tomogram head normal, Computerised tomogram spine, Confusional state, Dizziness
Clinical narrative: Adverse Events: chills, dizziness, difficulty standing, weakness,confusion,light-headiness Treatment: zosyn,vancomycin,acyclovir Outcomes: spent 8 days in hospital and 5 days in acute rehab recovering.  As of March 17, 2021, under primary physician care due to ongoing occurrences of weakness, sleepiness, nausea and chills.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Dysstasia, Electrocardiogram normal, Electroencephalogram normal, Magnetic resonance imaging head normal, Nausea
Clinical narrative: Adverse Events: chills, dizziness, difficulty standing, weakness,confusion,light-headiness Treatment: zosyn,vancomycin,acyclovir Outcomes: spent 8 days in hospital and 5 days in acute rehab recovering.  As of March 17, 2021, under primary physician care due to ongoing occurrences of weakness, sleepiness, nausea and chills.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Somnolence, Ultrasound kidney normal
Clinical narrative: Adverse Events: chills, dizziness, difficulty standing, weakness,confusion,light-headiness Treatment: zosyn,vancomycin,acyclovir Outcomes: spent 8 days in hospital and 5 days in acute rehab recovering.  As of March 17, 2021, under primary physician care due to ongoing occurrences of weakness, sleepiness, nausea and chills.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site warmth, Lymphadenopathy, Odynophagia
Clinical narrative: Lump, redness, and heat in injection site on the day after the second shot.   The second day after the shot developed swelling in the neck on left side between neck and shoulder area.  Third day lymph node swelling and pain when swallowing.  Arm still red, swollen and hot on third day after the shot.   I have iced down both area which has not helped.  I contacted occupational health as I work at a hospital and received the vaccine there.  I was told to contact my PCP,  which I did and am waiting to hear back.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Swelling
Clinical narrative: Lump, redness, and heat in injection site on the day after the second shot.   The second day after the shot developed swelling in the neck on left side between neck and shoulder area.  Third day lymph node swelling and pain when swallowing.  Arm still red, swollen and hot on third day after the shot.   I have iced down both area which has not helped.  I contacted occupational health as I work at a hospital and received the vaccine there.  I was told to contact my PCP,  which I did and am waiting to hear back.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal
Clinical narrative: patient states "feels foggy" and dizzy starting 2 days post vaccine, still ongoing 4 days post vaccine
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Fatigue, Influenza like illness, Myalgia
Clinical narrative: I felt like I had the flu.  Extreme muscle pain in both arms and legs.  Fever, tired, chills, overall weakness.  The event occurred around 2:00pm the day following the shot.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: I felt like I had the flu.  Extreme muscle pain in both arms and legs.  Fever, tired, chills, overall weakness.  The event occurred around 2:00pm the day following the shot.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Flushing, Hyperhidrosis, Nausea
Clinical narrative: Reports since having dose 2 of Moderna vaccine: feels flushed, anxious, nausea, off/on body aches, light headedness, and off/on diaphoresis that occurs daily. She has not seeked treatment/evaluation as of today 3/22/2021. She reported to provider today and scheduled her to f/u with physician 3/22/2021 at 1:40pm.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Reports since having dose 2 of Moderna vaccine: feels flushed, anxious, nausea, off/on body aches, light headedness, and off/on diaphoresis that occurs daily. She has not seeked treatment/evaluation as of today 3/22/2021. She reported to provider today and scheduled her to f/u with physician 3/22/2021 at 1:40pm.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site rash, Injection site swelling, Rash
Clinical narrative: Rash (red/raised) noted below the injection site.  Faded by March 15, 2021 - Returned March 17, 2021 with additional spots below the original rash.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Injection site rash, Pain, Swelling
Clinical narrative: Large rash at site. Pain, swelling. extreme fatigue.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Bone pain, Injection site pain, Musculoskeletal stiffness
Clinical narrative: Pain in muscle and bone on upper arm and shoulder that has not abated in several days; stiffness and sharp pain near injection site; pain has become unmanageable even with ibuprofen
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Diarrhoea, Headache, Myalgia, Nausea
Clinical narrative: headache, fever, muscle aches, joint pain, nausea, diarrhea
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: headache, fever, muscle aches, joint pain, nausea, diarrhea
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Lip swelling, Pharyngeal swelling
Clinical narrative: client reported to EMS personnel that their lips, throat felt swollen and they were having difficulty breathing. patient transported to Hospital for further evaluation.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Pain, Pain in extremity
Clinical narrative: Patient presents to urgent care 4 days afer 1st covid vaccine with chest discomfort, SOB, body aches, arm pain. Mild vaccine reaction, follow up with PCP.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Anaemia, Haemoglobin decreased
Clinical narrative: Low hemoglobin detected when attempting to donate blood.    Completely asymptomatic, but was rejected from donating blood today because of a fingerstick Hgb 11.7 gm/dl.  This result was duplicated when the fingerstick was redone.  I've never been told that I am anemic before.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Bradycardia, Immediate post-injection reaction, Unresponsive to stimuli
Clinical narrative: Per vaccinator's account, patient became unresponsive immediately following IM injection at 1440 into left deltoid and slumped down in chair. Vaccine Floor Manager (reporter of this Adverse Event) was called over who then radioed for the on-site paramedics to respond. Vaccinator verified patient was still breathing. She was bradycardic with a pulse in the 40's per vaccinator. Within 15-20 seconds of becoming unresponsive, patient became responsive as paramedics came into vaccine room. Paramedics took vitals and measured a systolic blood pressure of 80 and pulse 44-50 BPM, 98% oxygen. Patient was alert and oriented at this time, transferred to a transport chair and sent to on-site Emergency Room for further evaluation.  As staff were leaving the clinic site at approximately 1630 (including this reporter), we encountered patient self-ambulating in no apparent distress back to her car having been discharged from the emergency room.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hepatic enzyme increased, Pain, Pyrexia, Systemic inflammatory response syndrome
Clinical narrative: Patient was hospitalized with fever, body aches, inability to transfer and SIRS.  Increased liver enzymes as well
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: This employee was vaccinated on 1/27 and 2/17. On 3/9 employee saw her Uncle for 10 minutes, no masks but hugged each other. Uncle had been living with family for one month.  On 3/10 Uncle tested Covid +.  Patient immediately isolated from Uncle (he was removed from the household). Patient phoned Covid EHS on 3/11 and was set up for testing on 3/16 (asymptomatic).  Patient obtained her own Covid test on 3/11 (not at Hospital) and resulted Covid negative.  Hospital test completed on 3/16 (5 days post exposure) and tested Covid Positive. Patient's 5 year old brother now is Covid Positive, and employee's father is being tested, no results yet.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Tongue disorder, Urticaria, Vision blurred
Clinical narrative: client began feeling like tongue was thick, blurry vision, general itching all over body 3 minutes after receiving immunization.  10:05 am:  Client was given 0.5 ml of Benadryl IM in the Right deltoid.  Vital signs were bp 121/85, respirations @ 20, heart rate 90 bpm.  Oxygen sats were 98%.  Client was assessed by paramedics. 10:18 am: bp 114/82, Oxygen sats at 100%, heart rate 82. Client reported she felt less urticaria, less tongue thickness, and vision improved. Watched client for the next hour.  Last assessment: 11:07 am: blood pressure 110/74, heart rate 80, no tongue thickness, no itching, no blurred vision. Client left on own accord and drove self home from vaccine pod. Recommended client follow up with primary care physician to discuss options for second dose of moderna vaccine.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Lymphadenopathy, Oropharyngeal pain
Clinical narrative: Shot taken at 4:45pm on 3/15/2021 in the left arm - intramuscular shot. Around 8:00pm the next day, 3/16/2021, I began to notice swollen lymph nodes under armpits. Upon waking up Wednesday morning, 3/17/2021 @ 8:00 AM, I had multiple severely swollen lymph nodes under both armpits note that my right armpit has been constantly more severe, Id began to get a mild sore throat and throughout the day I gained a cough. My swollen lymph nodes continued to get worse until Saturday 3/20, at which point they began to subside. As of today, 3/22/21 @ 11:20 AM, I currently still have 2 small swollen lymph nodes under my right armpit, as well as a sore throat, which seems to be getting worse with time.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Immunisation, Underdose
Clinical narrative: Patient received injection with no vaccine in it, was empty with just air. Pt showed no symptoms of adverse events, this is just a report of error in administration. He was then administered a dose of the vaccine separated by a couple of inches from the location of the original injection of air.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue
Clinical narrative: Fatigue on March 20-21, 2021
Sex: U
Vaccine: VARCEL
Symptoms: Product storage error
Clinical narrative: no other AE's reported; temperature excursion; This spontaneous report was received from a nurse and refers to a patient of unknown age and gender.  No information regarding the patient's pertinent medical history, drug reactions or allergies and concomitant therapies was provided. On 22-FEB-2021, the patient was vaccinated with an improperly stored dose of varicella virus vaccine live (oka/merck) (VARIVAX) 0.5ml, lot # T021821 has been verified to be a valid lot number, expiration date was reported as 25-JUN-2022 (formulation, strength, dose, frequency and route of administration were not reported) for prophylaxis. There was no adverse effect reported. Administered dose of vaccine experienced the temperature excursion of (-7.4) Celsius for 3 hours and 54 minutes. Data logger was involved. There were no previous excursions reported. The outcome of product storage error and no adverse event was unknown.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, Rash, Rash erythematous
Clinical narrative: Got the vaccine, she had no side effects and about 3/12/201 noticed a major rash from above the elbow, inner aspect of her arm down to her wrist.  This was bright red.  She put cortisone on it, and now it's brownish and rough in nature.  It is 4" above the elbow and probably down to about 2-3" above the wrist, watch area.  It runs up the outer aspect of the arm to the elbow.  She put cortisone cream on it, the redness and inflammation was there for about 2 days, and now it has changed to the brownish/rough area.   She did not go to the doctor, just took the OTC Cortisone cream.   It is not itching, it did not itch, just red and inflamed.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: The patient received the vaccine and when she went to her car she was feeling short of breath.  When the EMT arrived they gave her an epi-pen.  We called and checked on the patient.  She stated that they did not believe it was anaphylaxis but they gave her an Epipen as a precaution.  The patient is doing well.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Feeling cold, Hyperhidrosis, Nausea
Clinical narrative: He reports symptoms of Other: Nausea, dizziness, diaphoretic, clammy and cold. Pt placed on cot, initial vital signs include:  HR - 86, RR 22, SBP 118/76, Spo2 98%.  Pt able to answer questions appropriately, Confirms he is a Type 2 diabetic, takes insulin daily. Has a implanted device that he checks his blood sugar with his phone. BS at this time is 171.  Color continues to improve as lying on the cot. Less diaphoretic. Nausea subsiding. Close monitoring done.  Vitals signs rechecked after 10 minutes include:  HR 90, RR 20, SBP 110/76, Spo2 98%.  Patient feels much better, all symptoms resolved. Sat up to edge of cot, denies light headedness, dizziness or nausea.  Breathing easy.  Provided with water, taken without difficulty. Pt stayed 30 minutes in observation area. Agrees he is fine to leave. Cleared by RN. Advised to seek medical attention should anything change.  Verbalized understanding.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Type 1 diabetes mellitus
Clinical narrative: He reports symptoms of Other: Nausea, dizziness, diaphoretic, clammy and cold. Pt placed on cot, initial vital signs include:  HR - 86, RR 22, SBP 118/76, Spo2 98%.  Pt able to answer questions appropriately, Confirms he is a Type 2 diabetic, takes insulin daily. Has a implanted device that he checks his blood sugar with his phone. BS at this time is 171.  Color continues to improve as lying on the cot. Less diaphoretic. Nausea subsiding. Close monitoring done.  Vitals signs rechecked after 10 minutes include:  HR 90, RR 20, SBP 110/76, Spo2 98%.  Patient feels much better, all symptoms resolved. Sat up to edge of cot, denies light headedness, dizziness or nausea.  Breathing easy.  Provided with water, taken without difficulty. Pt stayed 30 minutes in observation area. Agrees he is fine to leave. Cleared by RN. Advised to seek medical attention should anything change.  Verbalized understanding.
Age: 101.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Diarrhoea, Headache, Respiratory arrest, Unresponsive to stimuli
Clinical narrative: Dose given at 1649hrs. At 2030hrs, complaints of headache and diarrhea. At 0100hrs on 03/21, family noticed patient unresponsive and not breathing. Fire rescue called out and pronounced her at 0210hrs.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dysphagia, Immediate post-injection reaction, Paraesthesia oral, Pruritus
Clinical narrative: Client received first dose of Moderna Vaccine at 13:02 pm.  Began reporting symptoms of lips tingling and itching, tongue thickness, chest tightness and difficulty swallowing at 13:07 pm. Reported this to observer at 13:10 and Notified onsite EMS paramedics. 1320: B/P 154/74; Pulse 96. 13:24: B/P 155/104; Pulse 84, 13:24--APRN administered Benadryl 25 mg/0.5 ml IM Right Deltoid. 13:29--B/P 153/97; Pulse 90, O2 94; 13:33 administered 1:1000 Aq. Epinephrine via epi pen in Left AL thigh X 1. 13:38--B/P 154/114, pulse 85, O2 saturation at 94%; O2 per non-rebreather mask started at 13:39 @ 8L/min. Ambulance called for transport @ 13:39. B/P 153/103, Pulse 86, O2 saturation at 100%. EMS transport unit tranported at 13:47.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Tongue disorder
Clinical narrative: Client received first dose of Moderna Vaccine at 13:02 pm.  Began reporting symptoms of lips tingling and itching, tongue thickness, chest tightness and difficulty swallowing at 13:07 pm. Reported this to observer at 13:10 and Notified onsite EMS paramedics. 1320: B/P 154/74; Pulse 96. 13:24: B/P 155/104; Pulse 84, 13:24--APRN administered Benadryl 25 mg/0.5 ml IM Right Deltoid. 13:29--B/P 153/97; Pulse 90, O2 94; 13:33 administered 1:1000 Aq. Epinephrine via epi pen in Left AL thigh X 1. 13:38--B/P 154/114, pulse 85, O2 saturation at 94%; O2 per non-rebreather mask started at 13:39 @ 8L/min. Ambulance called for transport @ 13:39. B/P 153/103, Pulse 86, O2 saturation at 100%. EMS transport unit tranported at 13:47.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure measurement, Burning sensation, Computerised tomogram, Computerised tomogram neck, Differential white blood cell count
Clinical narrative: Started 03/18 Headaches - stabbing/ache/pressure/burning/tingling Started 03/14 Tired Started 03/14 Dizzy Started 03/14 High Blood pressure Started 03/14 Slight nausea
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram, Fatigue, Full blood count, Head discomfort
Clinical narrative: Started 03/18 Headaches - stabbing/ache/pressure/burning/tingling Started 03/14 Tired Started 03/14 Dizzy Started 03/14 High Blood pressure Started 03/14 Slight nausea
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Metabolic function test, Nausea, Pain, Paraesthesia
Clinical narrative: Started 03/18 Headaches - stabbing/ache/pressure/burning/tingling Started 03/14 Tired Started 03/14 Dizzy Started 03/14 High Blood pressure Started 03/14 Slight nausea
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Prothrombin time, X-ray
Clinical narrative: Started 03/18 Headaches - stabbing/ache/pressure/burning/tingling Started 03/14 Tired Started 03/14 Dizzy Started 03/14 High Blood pressure Started 03/14 Slight nausea
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Antinuclear antibody negative, Blood thyroid stimulating hormone, Dry eye, Dry mouth, Glycosylated haemoglobin
Clinical narrative: 1/9/21 after 2nd dose on 1/7/21 I had a moderately severe headache and severe fatigue.  By 1/10/21 AM I was fine.   3/1/21 I developed moderately severe dry mouth and dry eyes that haven't resolved.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rheumatoid factor negative
Clinical narrative: 1/9/21 after 2nd dose on 1/7/21 I had a moderately severe headache and severe fatigue.  By 1/10/21 AM I was fine.   3/1/21 I developed moderately severe dry mouth and dry eyes that haven't resolved.
Sex: U
Vaccine: MMR
Symptoms: Expired product administered
Clinical narrative: No additional AE reported; MMR-11 that expired on 2/20/2021 was administered to a consumer; This spontaneous report was received from a nurse and refers to a patient of unknown age and gender. No information regarding the patient's pertinent medical history, drug reactions or allergies and concomitant therapies was provided. On 25-FEB-2021, the patient was vaccinated with an expired dose of measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live(M-M-R II), 0.5 milliliter (expiration date: 20-FEB-2021) (formulation, strength, frequency, route of administration and lot # were not reported) for prophylaxis. No additional adverse event reported.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swelling of left axillary lymph node.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Itchy arm, rash
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Erectile dysfunction, Muscle spasms, Muscular weakness
Clinical narrative: Muscle cramp, charlie hoarse on calf and muscle weakness  in legs, went in the following day to doctor to check for blood clot [ 03/03/2021] this was before all the news about potential clotting.  Blood was drawn to check, came back ok.  Since that time I have had erectile issues., which were never an issue before.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Dyspnoea, Pain in extremity, Tremor
Clinical narrative: When I first got home about an hour after the vaccine I just have chills and sore arm. At 9pm that night when I took out my dog outside for a couple minutes I started uncontrollably shaking and I couldn?t stop. My chest started hurting and my breathing was difficult. I went back inside and laid on the floor and waited for the symptoms to stop. Once they finally stopped after about 10 minutes I just had the sore arm and chills again. It?s now been 2 days sense the vaccine and the chills hasn?t gone away. But I don?t have the uncontrollable shaking anymore.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus - constant and unrelenting. No treatment known.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling abnormal, Hot flush, Hyperhidrosis
Clinical narrative: high fever x 2 days, low grade fever x 1 day, fatigue, body aches, severe chills, shaking, brain fog x 4 days , injection site reaction - swelling and redness in entire L arm x 3 days, hot flashes with intense sweating.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Pain, Pyrexia, Tremor
Clinical narrative: high fever x 2 days, low grade fever x 1 day, fatigue, body aches, severe chills, shaking, brain fog x 4 days , injection site reaction - swelling and redness in entire L arm x 3 days, hot flashes with intense sweating.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Client was given the vaccine 3 1/2weeks before his 18 th birthday
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Client received first dose of Moderna Vaccine at 14:57 pm. Sat in observation for 15 mins. 15: 12--Reported to Observer that her right arm felt numb, however received immunization in left arm. 15: 20: APRNs  assessed client and local on-site paramedics notified. Client denied difficulty breathing, or any symptoms typically associated with anaphylaxis.  15:21--BP 148/94, pulse 102 15:26--BP 136/84, pulse 96, O2 saturation @ 99% 15:31--BP 128/97, pulse 94, O2 saturation @ 98% Client able to move arm and vocalized feeling in arm/hands/fingers. EMS offered to take client to ER; client declined transport.  3/18/21 client reports she is feeling well
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia
Clinical narrative: Patient stated " bad taste in mouth" denied trouble swallowing several times. All resolved after 2-3 minutes
Age: 2.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: She did not report further adverse event details; This was outside of the recommended administration schedule.; his initial dose of MMRlI and VARIVAX on l 1JUL2019 at the age of 2 years and 5 months old; This spontaneous report was received from a nurse referring to a male patient of 3 years old. Information regarding the patient's pertinent medical history, concurrent condition, drug reactions/allergies and concomitant medication was not provided. Concomitant therapies included varicella virus vaccine live (oka/merck) (VARIVAX).    On 11-JUL-2019, the patient was vaccinated with initial dose of measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (M-M-R II) (albumin status of rHA (recombinant human albumin), lot # R029516, expiration date was reported as 14-OCT-2020, 0.5 ml, strength was not provided) and varicella virus vaccine live (oka/merck)(VARIVAX) for prophylaxis at the age of 2 years and 5 months old. He received his second dose of measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (M-M-R II) (albumin status of rHA (recombinant human albumin), lot # S007813, expiration date was reported as 14-MAR-2021, 0.5 ml, strength was not provided) on 10-FEB-2020 (inappropriate schedule of product administration and product administered to patient of inappropriate age). This was outside of the recommended administration schedule. No further adverse event details.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was 17 (1 week away from 18) at time of vaccination. No adverse reaction
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Lip pain, Lip swelling, Oral discomfort
Clinical narrative: center of Bottom lip sore and swollen and discomfort upon touch.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Disorientation, Dizziness
Clinical narrative: Dizziness started around the second day after receiving the vaccine.  Today is the 4th day after and I am still having bouts of dizziness.  It's not enough that I need to sit down, although it is somewhat disorienting.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Head injury, Loss of consciousness
Clinical narrative: Client received first dose of Moderna Vaccine at 15:31. 15:32--sat down in observation area F.  Without warning, client lost consciousness, fell from chair and hit head/left side on concrete floor. Was unresponsive x 1min.  Used Syncope protocol. APRNs  assessed client and local on-site paramedics notified  Client denied difficulty breathing, or any other symptoms typically associated with anaphylaxis. 15:36: BP 87/57, pulse 67 15:37--client awake and talking. Complaining top of head hurts. Client reports she has not eaten today, as she indicated she was very anxious about getting the covid immunization and reports she did not sleep last night. Next page15:39: BP 110/65, pulse 87 15:41: BP 119/77, pulse 91 15:47: BP 110/77, pulse 88 15:50--paramedics started IV and checked blood sugar at 103. Client very anxious, but agreed to be tranported to ER due to hit to head. Local transport unit called. 16:01: BP 98/64, pulse 76. 16:03: EMS transport unit arrived/transported to Emergency Room.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Psoriasis
Clinical narrative: Psoriasis flare up worsening after second dose, 02/23/21
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Decreased appetite, Dizziness, Dysphonia
Clinical narrative: 3/18/21 very sore arm, sore throat, horse, cough, headache, fever 101.4 high, chills, nausea, dizziness despite drinking 8-16 oz every 4 hrs throughout the night.   Symptoms continued through early morning, then felt better on 3/19/21 but still had HA, body aches, cough, sore thorat, no appetitie (nausea gone) and felt very wiped out.   Back to normal except arm still sore on 3/21/21.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Malaise, Nausea, Oropharyngeal pain, Pain in extremity
Clinical narrative: 3/18/21 very sore arm, sore throat, horse, cough, headache, fever 101.4 high, chills, nausea, dizziness despite drinking 8-16 oz every 4 hrs throughout the night.   Symptoms continued through early morning, then felt better on 3/19/21 but still had HA, body aches, cough, sore thorat, no appetitie (nausea gone) and felt very wiped out.   Back to normal except arm still sore on 3/21/21.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 3/18/21 very sore arm, sore throat, horse, cough, headache, fever 101.4 high, chills, nausea, dizziness despite drinking 8-16 oz every 4 hrs throughout the night.   Symptoms continued through early morning, then felt better on 3/19/21 but still had HA, body aches, cough, sore thorat, no appetitie (nausea gone) and felt very wiped out.   Back to normal except arm still sore on 3/21/21.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Nausea, Vaccination site rash, Vomiting
Clinical narrative: Nausea and Vomiting: vomitted twice evening of 03/21/2021, still feeling nauseaus on 03/22/2021 at 2:30pm Headache: took tylenol for that, still dealing with the headache almost 24 hours later Dizziness: subsisided on it's own around 10pm last night Increased heart rate: went from 70 to 145 in one minutes at 5:47pm, went back down to normal heart rate around 6:30pm on 03/21/2021 Mild rash at vaccination site: did not take any medication, but disappeared this morning at 6:30am
Sex: F
Vaccine: PPV
Symptoms: Pain in extremity
Clinical narrative: experienced sore arms after getting an injection of the PNEUMOV AX 23; This spontaneous report has been received from a company employee of other company, referring to a female patient of unknown age. The patient's medical history, concurrent condition and concomitant medication were unknown.       On 08-MAR-2021, the patient got an injection of pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23) (strength, exact dose, lot number and expiration date were not unknown; route was reported as injection) for preventative.   On the same day after the injection, the patient experienced sore arms. Information about treatment given for the event was not provided. Information about lab diagnostics/studies was unknown. The patient didn't seek medical attention. The outcome of this event was reported as recovering. The causality between this event and pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23) was not reported by the reporter.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Tenderness
Clinical narrative: Patient called morning of 3/22/21 reporting pain/soreness in right leg and joints starting day of vaccination (3/19/21). Patient routinely wears support hose on legs but indicates his wife finding bruising on back of his right knee. Also, beginning of today (3/22/21) patient states having right-side face tenderness and soreness starting at top of head, down the face, neck, shoulder, and into chest area, making it difficult to chew. Pharmacist on duty told patient to go to the ER as soon as possible. Going to call patient to check in this afternoon.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Cough, Dizziness, Dyspnoea, Hyperhidrosis
Clinical narrative: Client reports having received first dose of Moderna Vaccine at 15:52, sat through 15 min observation period. She was released from observation at 16:07, left building and walked with spouse to her car over 150 yards from the building. She reports experiencing nausea, chest tightness, difficulty breathing, lightheaded. She told her spouse she needed attn immediately, she caught a golf-cart shuttle back to the expo building where EMS medics were stationed. 16:19--Client arrived at EMS station coughing and visibly in respiratory distress, pale and sweaty. EMS Paramedics and APRNs assessed client EMS transport was called.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pallor, Respiratory distress
Clinical narrative: Client reports having received first dose of Moderna Vaccine at 15:52, sat through 15 min observation period. She was released from observation at 16:07, left building and walked with spouse to her car over 150 yards from the building. She reports experiencing nausea, chest tightness, difficulty breathing, lightheaded. She told her spouse she needed attn immediately, she caught a golf-cart shuttle back to the expo building where EMS medics were stationed. 16:19--Client arrived at EMS station coughing and visibly in respiratory distress, pale and sweaty. EMS Paramedics and APRNs assessed client EMS transport was called.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary normal, Arteriogram coronary normal, Cardiac imaging procedure abnormal, Dyspnoea, Echocardiogram abnormal
Clinical narrative: progressive shortness of breath following vaccination starting on day of 2nd shot, resulting in hospitalization 3/11, normal CT pulmonary angiogram, elevated troponin, echo with EF 48% and focal hypokinesis, normal coronary angiogram, and Cardiac MRI showing myocarditis
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Ejection fraction, Magnetic resonance imaging heart, Myocarditis, Troponin increased
Clinical narrative: progressive shortness of breath following vaccination starting on day of 2nd shot, resulting in hospitalization 3/11, normal CT pulmonary angiogram, elevated troponin, echo with EF 48% and focal hypokinesis, normal coronary angiogram, and Cardiac MRI showing myocarditis
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Injection site erythema, Injection site pruritus, Pruritus, Rash macular
Clinical narrative: 8 days after the vaccination, the area of the inoculation became red, warm to the touch and itchy.  At times there is a circle around the injection site that is normal skin color and a redish pink area surrounding that circle, and a swarth of patchy redness on the upper side of the arm extending to just above the elbow.  It is itchy.   At other times, the entire area is pink and itchy.  This has been going on as of this writing  for 9 days.  Saw my cardiologist today, advised to see my PCP.  Have an appointment  3/24/21.    Should I get the second shot on April 2nd?
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccination site warmth
Clinical narrative: 8 days after the vaccination, the area of the inoculation became red, warm to the touch and itchy.  At times there is a circle around the injection site that is normal skin color and a redish pink area surrounding that circle, and a swarth of patchy redness on the upper side of the arm extending to just above the elbow.  It is itchy.   At other times, the entire area is pink and itchy.  This has been going on as of this writing  for 9 days.  Saw my cardiologist today, advised to see my PCP.  Have an appointment  3/24/21.    Should I get the second shot on April 2nd?
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Erythema, Fatigue, Influenza like illness
Clinical narrative: Temp @ 10:30AM - 97.3; 4:30 PM - Rt. arm red, hot , muscle hard and sore @ inj. site; temp 99.8, took 10 gr ASA; 10:30 PM, temp 101.3, N&V, fever and chills, terrible body aching; took 15 gr ASA, applied cold cloth to head and neck. This lasted with fever, aching and flu like symptoms for 3 days and  general fatigue and malaise with temp running 99, taking ASA.  Did not return to normal until 5th day, but arm was still slightly wqrm, sore and itching.  No problems after day 6.  Only able to hold down soup and gingerale for first 3 days.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: Temp @ 10:30AM - 97.3; 4:30 PM - Rt. arm red, hot , muscle hard and sore @ inj. site; temp 99.8, took 10 gr ASA; 10:30 PM, temp 101.3, N&V, fever and chills, terrible body aching; took 15 gr ASA, applied cold cloth to head and neck. This lasted with fever, aching and flu like symptoms for 3 days and  general fatigue and malaise with temp running 99, taking ASA.  Did not return to normal until 5th day, but arm was still slightly wqrm, sore and itching.  No problems after day 6.  Only able to hold down soup and gingerale for first 3 days.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Myalgia, Nausea, Pain, Pain in extremity
Clinical narrative: Temp @ 10:30AM - 97.3; 4:30 PM - Rt. arm red, hot , muscle hard and sore @ inj. site; temp 99.8, took 10 gr ASA; 10:30 PM, temp 101.3, N&V, fever and chills, terrible body aching; took 15 gr ASA, applied cold cloth to head and neck. This lasted with fever, aching and flu like symptoms for 3 days and  general fatigue and malaise with temp running 99, taking ASA.  Did not return to normal until 5th day, but arm was still slightly wqrm, sore and itching.  No problems after day 6.  Only able to hold down soup and gingerale for first 3 days.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Skin warm, Vomiting
Clinical narrative: Temp @ 10:30AM - 97.3; 4:30 PM - Rt. arm red, hot , muscle hard and sore @ inj. site; temp 99.8, took 10 gr ASA; 10:30 PM, temp 101.3, N&V, fever and chills, terrible body aching; took 15 gr ASA, applied cold cloth to head and neck. This lasted with fever, aching and flu like symptoms for 3 days and  general fatigue and malaise with temp running 99, taking ASA.  Did not return to normal until 5th day, but arm was still slightly wqrm, sore and itching.  No problems after day 6.  Only able to hold down soup and gingerale for first 3 days.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Borrelia test negative, Chills, Computerised tomogram thorax normal, Electrocardiogram normal
Clinical narrative: Intense flu symptoms for three days, to include fever chills, aches, swelling of face and neck. Subsequent to flu, low oxygen rates of 82-91, low resting heart rate of  48-54, extreme exhaustion, swelling of face and neck. General weakness.