chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Cardiac monitoring normal, Chest discomfort, Dyspnoea, Echocardiogram normal
Clinical narrative: 3/9-  4:10 pm- Felt extreme nausea, heart racing, pins and needle is hands and legs.  The heart rate slowed after 15 minutes.  The pins and needles lasted till 6:30pm and the nausea lasted all night.   3/10- 5am- severe headache, pins and needles on and off in hands and muscle spasms in legs.  Headache and muscle spasms continued all day.  Afternoon body aches and fatigue.   3/11- 5am- slight headache, few muscle spasms in legs- was able to return to work.  3/12- 9am- Began to feel chest tightness and restriction In breathing.  Called doctors offices, but had a wait time to get seen for following week.   3/13- 6am- muscle spasms continued in legs on and off through the day, slight headache, but chest tightness barely noticeable. 3/14- 10:00pm- check tightness and shortness of breath begins again; this time more constant.   3/15- 5am- chest still tight, no other symptoms. Go to work walk up 2 flights of stairs and have severe shortness of breath.  Really struggling with chest tightness and shortness of breath so make primary care appointment. 3/15- 1:00pm- see primary care- who sends me to the ER 3/15-3:00pm- ER- does chest X-ray, EKG, blood panel- all come back clean 3/15-6:00- ER admits to observe me in their outpatient diagnostic unit behind ER.   3/15-3/16- Hospital Hooked up to heart monitor all night, 2 more rounds of blood work, echo, and another EKG. All normal- still having symptoms.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Headache, Muscle spasms, Nausea, Palpitations
Clinical narrative: 3/9-  4:10 pm- Felt extreme nausea, heart racing, pins and needle is hands and legs.  The heart rate slowed after 15 minutes.  The pins and needles lasted till 6:30pm and the nausea lasted all night.   3/10- 5am- severe headache, pins and needles on and off in hands and muscle spasms in legs.  Headache and muscle spasms continued all day.  Afternoon body aches and fatigue.   3/11- 5am- slight headache, few muscle spasms in legs- was able to return to work.  3/12- 9am- Began to feel chest tightness and restriction In breathing.  Called doctors offices, but had a wait time to get seen for following week.   3/13- 6am- muscle spasms continued in legs on and off through the day, slight headache, but chest tightness barely noticeable. 3/14- 10:00pm- check tightness and shortness of breath begins again; this time more constant.   3/15- 5am- chest still tight, no other symptoms. Go to work walk up 2 flights of stairs and have severe shortness of breath.  Really struggling with chest tightness and shortness of breath so make primary care appointment. 3/15- 1:00pm- see primary care- who sends me to the ER 3/15-3:00pm- ER- does chest X-ray, EKG, blood panel- all come back clean 3/15-6:00- ER admits to observe me in their outpatient diagnostic unit behind ER.   3/15-3/16- Hospital Hooked up to heart monitor all night, 2 more rounds of blood work, echo, and another EKG. All normal- still having symptoms.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, X-ray normal
Clinical narrative: 3/9-  4:10 pm- Felt extreme nausea, heart racing, pins and needle is hands and legs.  The heart rate slowed after 15 minutes.  The pins and needles lasted till 6:30pm and the nausea lasted all night.   3/10- 5am- severe headache, pins and needles on and off in hands and muscle spasms in legs.  Headache and muscle spasms continued all day.  Afternoon body aches and fatigue.   3/11- 5am- slight headache, few muscle spasms in legs- was able to return to work.  3/12- 9am- Began to feel chest tightness and restriction In breathing.  Called doctors offices, but had a wait time to get seen for following week.   3/13- 6am- muscle spasms continued in legs on and off through the day, slight headache, but chest tightness barely noticeable. 3/14- 10:00pm- check tightness and shortness of breath begins again; this time more constant.   3/15- 5am- chest still tight, no other symptoms. Go to work walk up 2 flights of stairs and have severe shortness of breath.  Really struggling with chest tightness and shortness of breath so make primary care appointment. 3/15- 1:00pm- see primary care- who sends me to the ER 3/15-3:00pm- ER- does chest X-ray, EKG, blood panel- all come back clean 3/15-6:00- ER admits to observe me in their outpatient diagnostic unit behind ER.   3/15-3/16- Hospital Hooked up to heart monitor all night, 2 more rounds of blood work, echo, and another EKG. All normal- still having symptoms.
Age: 36.0
Sex: F
Vaccine: UNK
Symptoms: Back pain, Chills, Headache, Hyperaesthesia teeth, Hyperhidrosis
Clinical narrative: Within a couple hours I had strong back aches. By about 8p.m. started to get chills severe enough to make my whole body shake. Hot shower took 5 minutes to take the edge off. Hopped in bed about 9 p.m. and spent the whole night either sweating and feverish or chilled and shaking. Developed a headache in the middle of the night. About 4 times on Monday I got sharp pains shooting in my left temple. By Monday evening I had sinus sensitivity that made it hard to ear or drink because all my upper teeth felt hyper sensitive. Today, Tuesday 16th, teeth are slightly sensitive, but overall I feel better
Age: 36.0
Sex: F
Vaccine: UNK
Symptoms: Pyrexia, Sinus pain
Clinical narrative: Within a couple hours I had strong back aches. By about 8p.m. started to get chills severe enough to make my whole body shake. Hot shower took 5 minutes to take the edge off. Hopped in bed about 9 p.m. and spent the whole night either sweating and feverish or chilled and shaking. Developed a headache in the middle of the night. About 4 times on Monday I got sharp pains shooting in my left temple. By Monday evening I had sinus sensitivity that made it hard to ear or drink because all my upper teeth felt hyper sensitive. Today, Tuesday 16th, teeth are slightly sensitive, but overall I feel better
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site extravasation, Underdose
Clinical narrative: Patient received 2nd dose of Pfizer COVID vaccine in left deltoid.  Immediately after administration, fluid was noted to run down his arm.  Unknown how much of the dose was received versus lost at the point of administration.  Decision made to monitor patient and not attempt a repeat dose at this time.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Night sweats, Pain
Clinical narrative: Chills and body aches at 8pm evening of shot. Temperature 99.6. Hot sweats during the night. Upon waking up temperature was 102. Body aches persist.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Tinnitus
Clinical narrative: pt was walking out of the building after getting the vax she had a headache right away along with ringing in both ears.  The vax administrator told her to try the medicine Similasan for the ringing in her ears.  She says it only helps temporally.  She had these same symptoms after taking the 1st covid vax and they went away after 27 days.   She will contact her PCP and get a referral  an ENT if these symptoms to do go away after a this time frame.
Age: 43.0
Sex: F
Vaccine: UNK
Symptoms: Oral herpes
Clinical narrative: recurring extreme fever blisters since receiving first vaccine date, continuining on one right after the other. Not a normal occurrence for me
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Fatigue, Mental impairment
Clinical narrative: severe fatigue, confusion, inability to have clear thought process (worst 4-8 hours after shot but is lessening with time)
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site reaction, Injection site warmth
Clinical narrative: 7 days after the injection, the site is red, feels a little warm, and itchy.  It had gotten better a couple days after the shot, but the symptom I have described just appeared today.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Death, Decreased appetite, Headache, Unresponsive to stimuli
Clinical narrative: She received the 2nd Dose on 3/9/2021.  On 3/10/2021 She complained of a headache.  On the morning of 3/11/2021 she complained of abdominal pain and had no appetite.  We then found her unresponsive, called 911 and the medics pronounced her at around 1300.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Back pain, Chills, Fatigue, Headache
Clinical narrative: Second Pfizer: I had a mild headache and sore R arm the evening of the 24th. The next day, I became very ill around 1pm with incontrollable chills, severe spinal pain from Cervical to sacrum, and severe radiating pain on both sides of my back. Pain ranked as a 7-8/10. Took 800 mg of Advil and then took Tylenol 3 hours later and no change. Thought about going to ER but did not go. The next day pain was reduced to a 3/10 and was extremely tired and no energy and was lying down most of the day with extremely fatigue. Gradually better the next two days for full recovery.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Pain in extremity, Spinal pain
Clinical narrative: Second Pfizer: I had a mild headache and sore R arm the evening of the 24th. The next day, I became very ill around 1pm with incontrollable chills, severe spinal pain from Cervical to sacrum, and severe radiating pain on both sides of my back. Pain ranked as a 7-8/10. Took 800 mg of Advil and then took Tylenol 3 hours later and no change. Thought about going to ER but did not go. The next day pain was reduced to a 3/10 and was extremely tired and no energy and was lying down most of the day with extremely fatigue. Gradually better the next two days for full recovery.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Autopsy, Death
Clinical narrative: first vaccine (Moderna) was injected on 02/03/2021, second vaccine (pfizer) was injected on 03/02/2021, my Mother was dead on 03/08/2021. with no symptoms on 03/07/2021.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Feeling abnormal, Injection site pain
Clinical narrative: Symptoms started 8 hours after injection--started slowly with overall body fatigue, hazy mind, sore injection site. Then progressed to body aches, severe chills, headache and high fever( 101) and joint pain.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Symptoms started 8 hours after injection--started slowly with overall body fatigue, hazy mind, sore injection site. Then progressed to body aches, severe chills, headache and high fever( 101) and joint pain.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Back pain, Chills, Fatigue, Pain in extremity, Peripheral swelling
Clinical narrative: fatigue, arm soreness for 6 days; chills and extreme pain in back, legs and arms on second day, red and extremely swollen arm starting on 3rd day and still swollen on day 6
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Deep vein thrombosis, Erythema, Lymphadenopathy, Peripheral swelling, Ultrasound scan
Clinical narrative: fatigue, arm soreness for 6 days; chills and extreme pain in back, legs and arms on second day, red and extremely swollen arm starting on 3rd day and still swollen on day 6
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Rash and welts started on both ankles - front and back; spread up legs to knees over period of week;  lasted for 2 weeks and 3 days until prednisone.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Headache, Myalgia
Clinical narrative: Chills, muscle pain, skin felt like it is prickly, headache, tiredness nausea  Had these within 24 hours and then in 48 hours still had fatigue and headaches.  on the 4th day had diarreha.  took Tylenol.  For fatigue on the 3rd day I had tea.   My arm is still swollen, hurts and has a red rash 4 days later.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Peripheral swelling, Rash erythematous
Clinical narrative: Chills, muscle pain, skin felt like it is prickly, headache, tiredness nausea  Had these within 24 hours and then in 48 hours still had fatigue and headaches.  on the 4th day had diarreha.  took Tylenol.  For fatigue on the 3rd day I had tea.   My arm is still swollen, hurts and has a red rash 4 days later.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hot flush, Nervousness
Clinical narrative: While in Recovery c/o dizziness, feeling flushed, full shaky body tingles. Brought to First Aid area. VS taken 152/90, HR 74 Reg, resps 12, SPO2 96%. Left Deltoid site being monitored - LOC - NIV. Water for hydration. Stay for 30 min recheck. Pt stated he feels much better. V-Safe OK'd to exit. S. Reagan RN 3/15/2021 - 3:20pm - Feeling much better.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Differential white blood cell count, Full blood count, Purpura
Clinical narrative: Purpritic rash on bilateral lower legs. Being evaluated for bleeding disorder at present. TBD
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Blood test, Chest X-ray, Condition aggravated, Cough
Clinical narrative: Numbness of nose & upper lip, shortness of breathe, anxiety, heart palps, coughing within 14 minutes of injections.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Dyspnoea, Electrocardiogram, Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: Numbness of nose & upper lip, shortness of breathe, anxiety, heart palps, coughing within 14 minutes of injections.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Palpitations, Panic attack, Urine analysis
Clinical narrative: Numbness of nose & upper lip, shortness of breathe, anxiety, heart palps, coughing within 14 minutes of injections.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Blood test, Chest X-ray, Cough, Depression
Clinical narrative: Numbness of nose & upper lip, shortness of breathe, anxiety, heart palps, coughing within 14 minutes of injections.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Dyspnoea, Electrocardiogram, Electrocardiogram abnormal, Fall
Clinical narrative: Numbness of nose & upper lip, shortness of breathe, anxiety, heart palps, coughing within 14 minutes of injections.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hyperventilation, Hypoaesthesia, Hypoaesthesia oral, Nervousness, Palpitations
Clinical narrative: Numbness of nose & upper lip, shortness of breathe, anxiety, heart palps, coughing within 14 minutes of injections.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Panic attack, Urine analysis
Clinical narrative: Numbness of nose & upper lip, shortness of breathe, anxiety, heart palps, coughing within 14 minutes of injections.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Nausea, Pain, Pyrexia
Clinical narrative: Fever, sore arm at injection site, overall body aches, mild nausea.  The symptoms came on suddenly at 5:00pm.  Fever lasted until 3am.  Body aches remained thru evening after injection.  Symptoms were completely gone after 36 hours.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Hypoaesthesia oral, Paraesthesia oral, Swollen tongue
Clinical narrative: Pfizer biontech covid 19 Swollen tongue., difficulty swallowing, numb/tingling lips
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dysgeusia, Flushing, Headache, Hypoaesthesia oral
Clinical narrative: Minutes after injection, numbness in lips, metallic taste in mouth, and flushed skin. All subsided after a few minutes.  Approximately 10 hours later, fever, chills, and body/head aches. Ongoing as of form submission.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Minutes after injection, numbness in lips, metallic taste in mouth, and flushed skin. All subsided after a few minutes.  Approximately 10 hours later, fever, chills, and body/head aches. Ongoing as of form submission.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: Shortness of breath not controlled by rescue inhaler or steroid inhaler
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Burning sensation, Chills, Decreased appetite, Dizziness
Clinical narrative: Saturday,Shot at 10:00am: within 15 minutes- migraine, joint pain and slight swelling in left wrist and hand, fatigue (took frova for migraine) Around 7:00PM- chills and issues with temperature regulation (still had migraine, took 2nd frova) 9:00 9PM: nausea, chills, burning sensation on throat, lower-half of face (no swelling or difficulty breathing), burning spread over enitre body- felt like being boiled alive and still had chills throughout the night. Sunday, about 9:00am- walked around for a few minutes and then experienced dizziness and blacked out-my face hit something on the way to the floor.  couldn't stand up because everything would turn black again.  had to crawl or be dragged under my armpits to the bed (took reglan for nausea because I felt like I was going to vomit but couldn't safely get to the bathroom)  about 12:00pm- dizziness when standing but no blackouts.  migraine and nausea remained, fatigue, arm soreness Monday, fatigue, nausea,  and migraine- in bed entire day- eating but no appetite Tuesday: out of bed but still have nausea, fatigue, slight dizziness
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness postural, Dysstasia, Fatigue, Joint swelling, Loss of consciousness
Clinical narrative: Saturday,Shot at 10:00am: within 15 minutes- migraine, joint pain and slight swelling in left wrist and hand, fatigue (took frova for migraine) Around 7:00PM- chills and issues with temperature regulation (still had migraine, took 2nd frova) 9:00 9PM: nausea, chills, burning sensation on throat, lower-half of face (no swelling or difficulty breathing), burning spread over enitre body- felt like being boiled alive and still had chills throughout the night. Sunday, about 9:00am- walked around for a few minutes and then experienced dizziness and blacked out-my face hit something on the way to the floor.  couldn't stand up because everything would turn black again.  had to crawl or be dragged under my armpits to the bed (took reglan for nausea because I felt like I was going to vomit but couldn't safely get to the bathroom)  about 12:00pm- dizziness when standing but no blackouts.  migraine and nausea remained, fatigue, arm soreness Monday, fatigue, nausea,  and migraine- in bed entire day- eating but no appetite Tuesday: out of bed but still have nausea, fatigue, slight dizziness
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Nausea, Pain in extremity, Peripheral swelling, Throat irritation
Clinical narrative: Saturday,Shot at 10:00am: within 15 minutes- migraine, joint pain and slight swelling in left wrist and hand, fatigue (took frova for migraine) Around 7:00PM- chills and issues with temperature regulation (still had migraine, took 2nd frova) 9:00 9PM: nausea, chills, burning sensation on throat, lower-half of face (no swelling or difficulty breathing), burning spread over enitre body- felt like being boiled alive and still had chills throughout the night. Sunday, about 9:00am- walked around for a few minutes and then experienced dizziness and blacked out-my face hit something on the way to the floor.  couldn't stand up because everything would turn black again.  had to crawl or be dragged under my armpits to the bed (took reglan for nausea because I felt like I was going to vomit but couldn't safely get to the bathroom)  about 12:00pm- dizziness when standing but no blackouts.  migraine and nausea remained, fatigue, arm soreness Monday, fatigue, nausea,  and migraine- in bed entire day- eating but no appetite Tuesday: out of bed but still have nausea, fatigue, slight dizziness
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Fatigue, Headache, Myalgia, Nausea
Clinical narrative: Back pain Fever Muscle aches Nausea Headache Fatigue
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Back pain Fever Muscle aches Nausea Headache Fatigue
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site pain, Injection site reaction
Clinical narrative: Fever, chills, body aches, intense headache, nausea, fatigue, arm soreness at injection site & through the upper part of arm. I received the shot on the morning of 3/12 & the reactions started that evening. Although lessening in severity each day, it lasted  at least 4 days.  Acetaminophen was taken as directed on bottle & by the nurse who gave the shot.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia
Clinical narrative: Fever, chills, body aches, intense headache, nausea, fatigue, arm soreness at injection site & through the upper part of arm. I received the shot on the morning of 3/12 & the reactions started that evening. Although lessening in severity each day, it lasted  at least 4 days.  Acetaminophen was taken as directed on bottle & by the nurse who gave the shot.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Blood pressure increased, Body temperature increased, Chills, Fatigue
Clinical narrative: chills all night , arm somewhat sore, when I got up to use the bathroom my heart pounded vey hard and could feel below the esophagus area, March 12 at 6:30 am T 99.9, BP 151/85 achy , took tylenol  and at 8:40 am BP 128/ 74   P 93, my back ached all day, 3:45 pm BP 141/74   P 90, Took tylenol for achy body, 6:00pm  BP 158/82  P 84,  8:08pm   BP 138/73  P82 . Felt very tired and slept in my chair 3:30- 6:00 pm, felt really exhausted and went to bed early : slept 9:00pm-7:00 am .  Saturday 3/13 /21  felt better T 97.3   BP124/69   P 64  felt fairly good all day but tired
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Palpitations
Clinical narrative: chills all night , arm somewhat sore, when I got up to use the bathroom my heart pounded vey hard and could feel below the esophagus area, March 12 at 6:30 am T 99.9, BP 151/85 achy , took tylenol  and at 8:40 am BP 128/ 74   P 93, my back ached all day, 3:45 pm BP 141/74   P 90, Took tylenol for achy body, 6:00pm  BP 158/82  P 84,  8:08pm   BP 138/73  P82 . Felt very tired and slept in my chair 3:30- 6:00 pm, felt really exhausted and went to bed early : slept 9:00pm-7:00 am .  Saturday 3/13 /21  felt better T 97.3   BP124/69   P 64  felt fairly good all day but tired
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Nausea
Clinical narrative: Dizzy,nauseous,hot
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Ear pain, Headache, Mononucleosis heterophile test negative, Nausea
Clinical narrative: sore throat, followed by headache and right ear pain. Nausea and fever of 101.0 on March 8th, in addition to previous symptoms. In the emergency department on March 11th with complete right facial droop consistent with Bell's palsy; this has persisted as of today, also with evidence of right serous otitis media
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Otitis media, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: sore throat, followed by headache and right ear pain. Nausea and fever of 101.0 on March 8th, in addition to previous symptoms. In the emergency department on March 11th with complete right facial droop consistent with Bell's palsy; this has persisted as of today, also with evidence of right serous otitis media
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Hallucination, Head discomfort, Headache
Clinical narrative: I would compare my reaction to the vaccine to having malaria. I had two full days of fevers, extreme chills and body aches, hallucinations, vomiting, nausea, headaches/head pressure. It has been a week since my vaccine today and I am still experiencing some nausea and shortness of breath.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia, Reaction to previous exposure to any vaccine, Vomiting
Clinical narrative: I would compare my reaction to the vaccine to having malaria. I had two full days of fevers, extreme chills and body aches, hallucinations, vomiting, nausea, headaches/head pressure. It has been a week since my vaccine today and I am still experiencing some nausea and shortness of breath.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Dysarthria, Facial paresis, Fall, Hemiparesis, Pain in extremity
Clinical narrative: Client fell at home on the night of 01/29/21, woke up on 01/30/21 with left sided weakness, dysarthia, left sided facial weakness, left hand pain and swelling.  Client transported via ambulance and admitted to Hospital.  Transferred to rehab care on 02/02/21 and discharged on 02/16/21.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: Client fell at home on the night of 01/29/21, woke up on 01/30/21 with left sided weakness, dysarthia, left sided facial weakness, left hand pain and swelling.  Client transported via ambulance and admitted to Hospital.  Transferred to rehab care on 02/02/21 and discharged on 02/16/21.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Few minutes after 15 minute monitoring clearance, employee returned with itching on left lower back.  Upon examination, area reddened with bolder hives noted.  Vaccination at 1447, left area at 1502, returned to clinic at 1524.  Patient given 50 mg of oral Benadryl.  Within 15 min of medication, noted improvement, hives gone only redness remained, patient reports itching improved.  By 1604 redness, hives and itching gone.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: About 7 days after thee second dose of vaccination,patient complains of rash and itching to arm.  Classifies as mild.  Patient has taken diphenhydramine po and hydrocotisone cream to assist with symptoms.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray, Computerised tomogram, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Patient received Pfizer Covid 19 vaccine dose #1 on 02/02/2021 Lot # EL9264  in left deltoid IM. Dose #2 as listed above in item 17 administered on 02/23/2021. Patient presented to ER with family on 03/15/2021 with breathing difficulty. COVID PCR Positive. Specimen sent to State Lab for genetic sequencing and reported to VAERS as required.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: hives two weeks ago
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Exposure during pregnancy, Fatigue, Headache
Clinical narrative: I had a fever of 101.4 that lasted for about 24 hours, aches, chills, and fatigue that lasted for about 48 hours. My headache lasted for about 72 hours.   Estimated date of deliver is 03/24/2021
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza virus test negative, Lymphadenitis, Pain, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: I had a fever of 101.4 that lasted for about 24 hours, aches, chills, and fatigue that lasted for about 48 hours. My headache lasted for about 72 hours.   Estimated date of deliver is 03/24/2021
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Viral test negative
Clinical narrative: I had a fever of 101.4 that lasted for about 24 hours, aches, chills, and fatigue that lasted for about 48 hours. My headache lasted for about 72 hours.   Estimated date of deliver is 03/24/2021
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Urticaria, rash on face.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Itching all over body about 3-5 minutes after injection.  I took 2 Benadryl when I got home. Symptoms improved within 1-2 hours.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Myalgia, Pain in extremity, Somnolence
Clinical narrative: sore arm , joint pain and muscle more than normal and very sleepy.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Coagulopathy, Culture urine, Cystitis, Haemorrhage, Ultrasound bladder
Clinical narrative: Sudden presentation of Ecoli bladder infection with numerous clotting and emergency catheterization.  Have not had prior UTIs that I am aware of.  Urologist doesn't see any possible correlation but I am now on a third round of antibiotics.  Three days after my second shot on 3/12/2021 bleeding again started so now am now back on antibiotics.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection, Vaccine positive rechallenge
Clinical narrative: Sudden presentation of Ecoli bladder infection with numerous clotting and emergency catheterization.  Have not had prior UTIs that I am aware of.  Urologist doesn't see any possible correlation but I am now on a third round of antibiotics.  Three days after my second shot on 3/12/2021 bleeding again started so now am now back on antibiotics.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Progress Notes APRN (Nurse Practitioner) ? ? Family Medicine Cosign Needed Expand AllCollapse All                                                                                                       Subjective Patient is a 35 y.o. female who was seen at COVID Vaccine 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 heart racing.  She denied rash, hives, welts, difficulty breathing, difficulty swallowing, wheezing, throat tightness, hoarseness, stridor, itching, lightheadedness, dizziness, 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 blood pressure abnormality , rapid progression of symptoms and skin changes.    Past Medical History: Diagnosis Date ? Salivary gland calculi   ? Tuberculosis 2002     ALLERGY REVIEW OF SYSTEMS:  Patient denies chills, fever, malaise/fatigue, facial swelling, sore throat, frequent throat clearing, cough, chest tightness, shortness of breath, wheezing, rash, hives, itching of skin, abdominal pain, muscle aches, dizziness and headaches       Previous Reactions: hx of having an allergic reaction to allergy injection.      Objective    Vitals Vitals:   03/12/21 1425 BP: 131/83 Pulse: 86 SpO2: 100%        Physical Exam Constitutional:      General: She is not in acute distress.    Appearance: Normal appearance. She is well-developed. She is not diaphoretic.  HENT:     Mouth/Throat:     Mouth: Mucous membranes are moist.     Pharynx: Oropharynx is clear.  Eyes:     Extraocular Movements: Extraocular movements intact.     Conjunctiva/sclera: Conjunctivae normal.     Pupils: Pupils are equal, round, and reactive to light.  Cardiovascular:     Rate and Rhythm: Normal rate and regular rhythm.     Pulses: Normal pulses.     Heart sounds: Normal heart sounds.  Pulmonary:     Effort: Pulmonary effort is normal. No respiratory distress.     Breath sounds: Normal breath sounds. No wheezing.  Skin:    General: Skin is warm and dry.  Neurological:     General: No focal deficit present.     Mental Status: She is alert and oriented to person, place, and time.     Gait: Gait normal.  Psychiatric:        Mood and Affect: Mood normal.        Behavior: Behavior normal.        Thought Content: Thought content normal.        Judgment: Judgment normal.         Assessment/Plan  Treatment included: water Follow up response to treatment: excellent. Patient discharge: Stable to go home and follow up with PCP.  Differential Diagnosis: Vaccine-Related Anxiety (include misc mental health)   Reassuring vitals and exam. Pt feels comfortable going home. Follow up with pcp as needed. Pt voiced appreciation of care today.    APRN Electronically Signed 3/12/2021 2:27 PM
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dermatitis allergic, Hypersensitivity, Injection site pruritus, Injection site rash, Rash macular
Clinical narrative: Cutaneous hypersensitivity reaction with macular circumferential rash around injection site with associated pruritus, improving at day four after presentation
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site reaction, Muscle fatigue, Myalgia
Clinical narrative: Muscle soreness at site of injection  Muscle fatigue General fatigue
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Dyspepsia, Fatigue, Pain in extremity
Clinical narrative: Fever Chills tired sleeping all day pain in the arm unable to lift arm    Very bad heartburn - painful burning feeling in your chest  12 hours apart
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever Chills tired sleeping all day pain in the arm unable to lift arm    Very bad heartburn - painful burning feeling in your chest  12 hours apart
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Fatigue, Injection site erythema, Injection site pain, Malaise
Clinical narrative: generally felt bad and tired, some soreness at injection site, red spot on the left arm with a small lump (not at injection site) the red spot is still visible, had fever the day after shot.  Day of  the shot I slept all day and that night.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash macular, Vaccination site mass
Clinical narrative: generally felt bad and tired, some soreness at injection site, red spot on the left arm with a small lump (not at injection site) the red spot is still visible, had fever the day after shot.  Day of  the shot I slept all day and that night.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Fatigue and high fever onset ~9 hours post-injection. Fever of ~101-102 F + chills, aches, etc. lasted 9-10 hours. ~20 Hours post injection, fever dropped to ~100 F; severe headache onset treated/relieved with 400mg ibuprofen; still fatigued and experiences aches and chills; fever broke around ~30  hours post-injection.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Pt brought her Vaccination Record Card where she got her first shot at the Health Department. The card had the date and facility given but did not have the specific vaccine record filled out. Pt verified when asked that her first dose had been one brand covid vaccine.  Pt was given the second vaccine. During her 15 minute wait we thought to look up on agency to fill in the Lot of her first vaccine to complete her record card. Agency had her record as one covid for her first dose however. So pt received one vaccine for her first dose and other brand vaccine as a second dose.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Fatigue, Headache, Influenza like illness
Clinical narrative: Moderate flu-like reaction to the first doze: extreme pain in left arm (unable to lift), severe flu like symptoms with 100-101 fever for 3 days, severe chills and body aches for 6 days, was in bed.  Was unable to sit more than few minutes due to weakness.  Headache, fatigue, weakeness continues on and off after 12 days since first doze.   I have to take several naps in between working just to get thru the day. I don't feel like my  normal self
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: Moderate flu-like reaction to the first doze: extreme pain in left arm (unable to lift), severe flu like symptoms with 100-101 fever for 3 days, severe chills and body aches for 6 days, was in bed.  Was unable to sit more than few minutes due to weakness.  Headache, fatigue, weakeness continues on and off after 12 days since first doze.   I have to take several naps in between working just to get thru the day. I don't feel like my  normal self
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Hyperhidrosis, Malaise, Vomiting
Clinical narrative: I became extremely dizzy in the middle of the night. The room was visually spinning and I felt like my body was spinning. I was sweating profusely. This went on for 5  hours until I vomited. Still felt lightheaded and tired the rest of the day.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Discomfort, Dizziness, Dyspnoea
Clinical narrative: Approximately six hours after receiving my second dose of the vaccine on 2/11/2021, I had chills, nausea, joint pain, a feeling of heaviness like I couldn't move or walk, a migraine. Most of those symptoms lasted for 36 hours, however the headache and the chills remained. The following Tuesday (2/16) I starting having severe difficulty breathing and was gasping often. I tried my inhaler and that did nothing. This persisted. On 3pm Thurs (2/18) I started feeling dizzy and by 4:30pm I could not stand. Went to the doctor on Friday (2/19) with a fever of about 100, inability to walk without assistance. I've also been having memory problems. I went to a balance center EMT on 3/10 for a repositioning procedure and I still Additional information for Item 18: feel dizzy, so there were no results to date.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dysstasia, Gait disturbance, Headache, Memory impairment, Migraine
Clinical narrative: Approximately six hours after receiving my second dose of the vaccine on 2/11/2021, I had chills, nausea, joint pain, a feeling of heaviness like I couldn't move or walk, a migraine. Most of those symptoms lasted for 36 hours, however the headache and the chills remained. The following Tuesday (2/16) I starting having severe difficulty breathing and was gasping often. I tried my inhaler and that did nothing. This persisted. On 3pm Thurs (2/18) I started feeling dizzy and by 4:30pm I could not stand. Went to the doctor on Friday (2/19) with a fever of about 100, inability to walk without assistance. I've also been having memory problems. I went to a balance center EMT on 3/10 for a repositioning procedure and I still Additional information for Item 18: feel dizzy, so there were no results to date.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia
Clinical narrative: Approximately six hours after receiving my second dose of the vaccine on 2/11/2021, I had chills, nausea, joint pain, a feeling of heaviness like I couldn't move or walk, a migraine. Most of those symptoms lasted for 36 hours, however the headache and the chills remained. The following Tuesday (2/16) I starting having severe difficulty breathing and was gasping often. I tried my inhaler and that did nothing. This persisted. On 3pm Thurs (2/18) I started feeling dizzy and by 4:30pm I could not stand. Went to the doctor on Friday (2/19) with a fever of about 100, inability to walk without assistance. I've also been having memory problems. I went to a balance center EMT on 3/10 for a repositioning procedure and I still Additional information for Item 18: feel dizzy, so there were no results to date.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Injection site pruritus, Oropharyngeal discomfort, Pruritus
Clinical narrative: 3/10 10 minutes after vaccination itching began.  By 11:50 severe itching over scalp, arms, chest and neck.  1203 Benadryl 50 mg IM administered with relief.   On 3/11 at 2000 itching returned and throat felt tight and Karah became short of breath.  Took Benadryl 50 mg PO at home and 2 puffs of inhaler.  Karah went to local ER where Epi was administered.  Pepcid and Prednisone given IV.  Karah was kept in ER for 5 hours for observation.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Nervousness
Clinical narrative: C/o dizzy, lightheaded, shaky. Assess: - LOC, - NIV. VS 132/86, HR 96 Reg, + SOB, Resp 22 reg nonlabored. Within 5 min PT state I feel much better. Only had a muffin earlier. Encourage hydration & nutrition. Resp came down to 16 reg non labored. Daughter with her provided encouragement. Anxious about getting vaccine. Refused to wait 30 min. OK'd to exit. RN
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Somnolence
Clinical narrative: Redness at the injection site. feels dizzy from the day after up until today with excessive sleepiness.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dry mouth, Headache, Myalgia, Nausea
Clinical narrative: Violent shaking and chills, 100.1 fever, muscle aches, headache, dry mouth, pain in arm, nausea but no vomiting
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Tremor
Clinical narrative: Violent shaking and chills, 100.1 fever, muscle aches, headache, dry mouth, pain in arm, nausea but no vomiting
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site inflammation, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: A 62-year-old female patient reported feeling itching, redness, hot to the touch, swelling and pain in the puncture area (left arm) 7 days after vaccination. Reddened and slightly inflamed puncture area is evident at the time of the report.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth
Clinical narrative: A 62-year-old female patient reported feeling itching, redness, hot to the touch, swelling and pain in the puncture area (left arm) 7 days after vaccination. Reddened and slightly inflamed puncture area is evident at the time of the report.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebral haemorrhage, Cerebrovascular accident, Condition aggravated, Fall, Head injury
Clinical narrative: Client suffered a stroke on 02/11/21 which caused client to fall while getting into shower.  Client hit his head during fall causing a brain bleed and also broke his left shoulder.  Client was transferred to hospital via ambulance and admitted to hospital.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Upper limb fracture
Clinical narrative: Client suffered a stroke on 02/11/21 which caused client to fall while getting into shower.  Client hit his head during fall causing a brain bleed and also broke his left shoulder.  Client was transferred to hospital via ambulance and admitted to hospital.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous
Clinical narrative: Red rash about 1" wide by 3" long. No raised areas, no itching, tenderness or soreness. Appeared almost 1 week after injection. It is on my right side below my neck and slightly toward my right arm. I received the vaccine in my left arm. Area is not as red after about 36 hours of first appearance but still quite visible.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Magnetic resonance imaging, Migraine, Nausea, Pituitary tumour benign
Clinical narrative: Nausea and vomiting, headaches,for 6 days. Followed by an Emergency Room treatment for migraines MRI revealed a 2.5 cm pituitary gland nodule
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Nausea and vomiting, headaches,for 6 days. Followed by an Emergency Room treatment for migraines MRI revealed a 2.5 cm pituitary gland nodule
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Episcleritis, Ophthalmological examination, Scleral discolouration
Clinical narrative: Left eye- progressive redness in sclera starting on 3/9/2021- one day after the vaccine. Progressively worsened over the week- Was diagnosed with episcleritits on Monday 3/15/21. Has not improved with topical tobradex eye drops or topical moxifloxacin eye drops.
Age: 74.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Headache, Lethargy
Clinical narrative: about 24 hours after injection, extreme lethargy, headache, chills, but no fever. I just slept the rest of the day and bundled up. I was fine by this am.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Anion gap, Aspartate aminotransferase normal, Atrial fibrillation, Basophil count, Bilirubin urine
Clinical narrative: Chest Pain Pt has been having flu like sxs the past few days and tonight was woken out of her sleep by chest pain. (3/13/2021) pericarditis, atrial fibrillation, and CHF
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Blood albumin, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium, Blood chloride decreased
Clinical narrative: Chest Pain Pt has been having flu like sxs the past few days and tonight was woken out of her sleep by chest pain. (3/13/2021) pericarditis, atrial fibrillation, and CHF
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Blood cortisol, Blood creatine normal, Blood glucose increased, Blood iron, Blood magnesium normal
Clinical narrative: Chest Pain Pt has been having flu like sxs the past few days and tonight was woken out of her sleep by chest pain. (3/13/2021) pericarditis, atrial fibrillation, and CHF
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Blood osmolarity decreased, Blood potassium normal, Blood sodium normal, Blood urea normal, Blood urine absent
Clinical narrative: Chest Pain Pt has been having flu like sxs the past few days and tonight was woken out of her sleep by chest pain. (3/13/2021) pericarditis, atrial fibrillation, and CHF
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein increased, Carbon dioxide normal, Cardiac failure congestive, Chest X-ray, Chest pain
Clinical narrative: Chest Pain Pt has been having flu like sxs the past few days and tonight was woken out of her sleep by chest pain. (3/13/2021) pericarditis, atrial fibrillation, and CHF
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, EGFR status assay, Electrocardiogram, Eosinophil count normal, Fibrin D dimer
Clinical narrative: Chest Pain Pt has been having flu like sxs the past few days and tonight was woken out of her sleep by chest pain. (3/13/2021) pericarditis, atrial fibrillation, and CHF
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Glucose urine, Glucose urine absent, Granulocyte percentage, Haematocrit decreased, Haemoglobin
Clinical narrative: Chest Pain Pt has been having flu like sxs the past few days and tonight was woken out of her sleep by chest pain. (3/13/2021) pericarditis, atrial fibrillation, and CHF
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Human metapneumovirus test, Influenza A virus test negative, Influenza B virus test, Influenza like illness, Iron binding capacity total decreased
Clinical narrative: Chest Pain Pt has been having flu like sxs the past few days and tonight was woken out of her sleep by chest pain. (3/13/2021) pericarditis, atrial fibrillation, and CHF
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Legionella test, Lymphocyte count decreased, Mean cell haemoglobin concentration normal, Mean cell haemoglobin increased, Mean cell volume increased
Clinical narrative: Chest Pain Pt has been having flu like sxs the past few days and tonight was woken out of her sleep by chest pain. (3/13/2021) pericarditis, atrial fibrillation, and CHF
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Monocyte count increased, N-terminal prohormone brain natriuretic peptide, Neutrophil count, Neutrophil percentage increased, Nitrite urine absent
Clinical narrative: Chest Pain Pt has been having flu like sxs the past few days and tonight was woken out of her sleep by chest pain. (3/13/2021) pericarditis, atrial fibrillation, and CHF
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Pericarditis, Platelet count normal, Protein total normal, Protein urine absent, Red blood cell count
Clinical narrative: Chest Pain Pt has been having flu like sxs the past few days and tonight was woken out of her sleep by chest pain. (3/13/2021) pericarditis, atrial fibrillation, and CHF
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell count decreased, Red cell distribution width normal, Respiratory syncytial virus test negative, SARS-CoV-2 test negative, Transferrin saturation decreased
Clinical narrative: Chest Pain Pt has been having flu like sxs the past few days and tonight was woken out of her sleep by chest pain. (3/13/2021) pericarditis, atrial fibrillation, and CHF
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin I increased, Urine ketone body absent, Urine leukocyte esterase, Urine osmolarity decreased, Urobilinogen urine
Clinical narrative: Chest Pain Pt has been having flu like sxs the past few days and tonight was woken out of her sleep by chest pain. (3/13/2021) pericarditis, atrial fibrillation, and CHF
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count, pH urine normal
Clinical narrative: Chest Pain Pt has been having flu like sxs the past few days and tonight was woken out of her sleep by chest pain. (3/13/2021) pericarditis, atrial fibrillation, and CHF