chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Dysstasia, Eye swelling, Fatigue, Headache
Clinical narrative: Got shingles, and lower back pain. Couldn't stand for two days . Got headache, low grade fever, and nausea., fatigue. Swollen eye, sores covering left side of face, and itching, and pain. Went to the dermetologist and eye doctor. Now on two medications (Valtrex 3000 ml, Gavapiton, 300ml) Medication daily, bed rest 20 hours for 7 days.  Doctor's diagnosis was shingles.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Nausea, Pain, Pruritus, Pyrexia
Clinical narrative: Got shingles, and lower back pain. Couldn't stand for two days . Got headache, low grade fever, and nausea., fatigue. Swollen eye, sores covering left side of face, and itching, and pain. Went to the dermetologist and eye doctor. Now on two medications (Valtrex 3000 ml, Gavapiton, 300ml) Medication daily, bed rest 20 hours for 7 days.  Doctor's diagnosis was shingles.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Wound
Clinical narrative: Got shingles, and lower back pain. Couldn't stand for two days . Got headache, low grade fever, and nausea., fatigue. Swollen eye, sores covering left side of face, and itching, and pain. Went to the dermetologist and eye doctor. Now on two medications (Valtrex 3000 ml, Gavapiton, 300ml) Medication daily, bed rest 20 hours for 7 days.  Doctor's diagnosis was shingles.
Sex: F
Vaccine: COVID19
Symptoms: Nasopharyngitis
Clinical narrative: cold; This is a spontaneous report from a contactable consumer (patient's parent) from a Pfizer-sponsored program . A female patient of an unspecified age received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, lot number not provided), via an unspecified route of administration on an unspecified date as a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient received the first shot of the vaccine and had a cold after. It was recommended to get tested for COVID. The outcome of the event was unknown.  No follow-up attempts are possible; information about lot/batch number cannot be obtained.?
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Adverse reaction, Hyperhidrosis, Pallor
Clinical narrative: Patient was asked to wait 15 minutes in lobby. After ~5 minutes the person who was with him came and said he was having a reaction. When I reached the lobby the patient was lying supine in the floor with his feet on a chair. He had pallor in his face in arms, was diaphoretic, but alert to person and place. Upon questioning patient he said he had not eaten this morning. EMS arrived at 1059.
Age: 3.0
Sex: M
Vaccine: DTAP
Symptoms: Hypersensitivity, Injection site erythema, Injection site mass, Injection site swelling
Clinical narrative: Parent/guardian called to report that they had taken child to the doctor due to an allergic reaction after DTap vaccine was administered. She stated the child developed redness/swelling  from elbow to shoulder and a large lump at the site of the injection about the size of "a medium potato". She stated the doctor prescribed steroids and ibuprofen and advised her to call and let us know about the reaction. Advised to follow up with PCP if any changes or worsening and call EMS if signs of severe allergic reaction.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Blood alkaline phosphatase normal, Brain natriuretic peptide, Chest discomfort, Chest pain, Dyspnoea
Clinical narrative: Shortness of breath Chest tightness/pain - thought to be costochondritis
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Full blood count normal, Troponin normal
Clinical narrative: Shortness of breath Chest tightness/pain - thought to be costochondritis
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: Woke up the next and every since with arm in a lot of pain, when to go to pick up something she can barely pick it up.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Dizziness, Loss of consciousness, Syncope
Clinical narrative: Patient was given injection.  Aprox 2-3 minutes after, patient felt light headed.  Staff placed patient in chair.  Patient fainted and came back awake.  Patient given crackers, water, and apple juice.  He stated that he has a history of becoming light headed after shots.  Patients vitals were checked, all within normal limits.  Was monitored for an additional 30 minutes.  Felt fine at conclusion of that time and asked to leave.  Vitals were rechecked sitting and when he stood up.  All were within normal limits.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Injection site pain, Injection site swelling, Nausea
Clinical narrative: Site: Pain at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: Nausea-Severe, Additional Details: The evening after receiving the shot, the patient experienced severe chest pain followed by nausea. The nausea resolved first, followed by chest pain which was mostly better by the next morning.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Euphoric mood, Fatigue, Increased appetite
Clinical narrative: I gained weight at  a rapid pace and a appetite that I could not control. I started getting dizzy and was feeling like I had been drugged. I had extreme soreness in my arm. My energy level dropped down to  the point of being extremely exhausted..
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Weight increased
Clinical narrative: I gained weight at  a rapid pace and a appetite that I could not control. I started getting dizzy and was feeling like I had been drugged. I had extreme soreness in my arm. My energy level dropped down to  the point of being extremely exhausted..
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine administered after the expiration date of 04/28/21. Patient reports no adverse events.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Shingles developed; zoster outbreak.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, Computerised tomogram head normal, Computerised tomogram thorax, Dyspnoea, Electrocardiogram normal
Clinical narrative: Tingling headache that moved to the rest of my body, shortness of breath, blurry vision, and nausea
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Paraesthesia, Urine analysis abnormal, Vision blurred
Clinical narrative: Tingling headache that moved to the rest of my body, shortness of breath, blurry vision, and nausea
Age: 38.0
Sex: F
Vaccine: COVID19, DF
Symptoms: Alanine aminotransferase normal, Albumin globulin ratio, Anion gap, Arthralgia, Aspartate aminotransferase normal
Clinical narrative: Chief complaint: Syncope.   The patient was seen on paramedic arrival to room #2 with the above chief complaint.  She is a very pleasant otherwise healthy 38-year-old woman who had been in her usual state of health.  Today she felt a little lightheaded, laid down on the floor in her kitchen, and had a syncopal spell.  This occurred roughly an hour prior to arrival and lasted just a few minutes.  When her mother arrived she stated that she had witnessed the spell and that the patient was tonic but not having seizure-like activity.  She was completely unresponsive and confused afterwards but not incontinent.  She is describing nausea but no chest discomfort.  She has had no vomiting or diarrhea and no diaphoresis.  She denies prior similar symptoms and has no history of seizure, heart disease, VTE, or reactive airway disease.  She does feel like she has a dry mouth and also feels improved at this time.  She is not on medications chronically.  She did have her second COVID-19 vaccination yesterday with some mild arthralgias but nothing else.  She was seen by the paramedics and noted to be having dropped beats.  An EKG was obtained and during transport she went into a complete heart block with resumption of sinus rhythm afterwards.  The EMS rhythm strip was reviewed by myself and does reveal transient complete heart block.       DETAILS OF HOSPITAL STAY   Hospital Course Summary Patient is an 38 y.o. female w/ no significant PMHx who presented to the ED via EMS after a syncopal episode.  She was standing in the kitchen, felt lightheaded then fell to the floor and passed out.  Her mother subsequently arrived and witnessed an additional episode of of unresponsiveness.  EMS subsequently caught on telemetry multiple episodes of complete heart block.  The longest of these lasted 20 seconds.  She was referred for admission.  The interested reader is referred to the complete admission history and physical.   Patient is admitted to the hospital.  Pacer pads were placed.  On monitor she had no further symptoms nor pauses.  Cardiology consulted.  Echocardiogram was performed and was normal.  It was ultimately felt that the patient most likely experienced a vagal event with marked suppression of AV conduction.  Of note, patient received her second Pfizer COVID-19 vaccination the day prior.  Cardiology has recommended discharge home with a Zio patch.  Lengthy discussion has been held with patient regarding importance of immediately activating EMS should she have recurrent symptoms similar to what brought her in.   Patient was also noted to have a microcytic anemia.  Iron studies returned remarkable for severe iron deficiency.  She received 1 dose of IV iron in the hospital and is discharged with twice daily oral iron.  She is to follow-up with her PCP for ongoing monitoring and evaluation.  In addition, she should lay down immediately.
Age: 38.0
Sex: F
Vaccine: COVID19, DF
Symptoms: Atrioventricular block complete, Atrioventricular conduction time shortened, Basophil count decreased, Basophil percentage decreased, Blood albumin normal
Clinical narrative: Chief complaint: Syncope.   The patient was seen on paramedic arrival to room #2 with the above chief complaint.  She is a very pleasant otherwise healthy 38-year-old woman who had been in her usual state of health.  Today she felt a little lightheaded, laid down on the floor in her kitchen, and had a syncopal spell.  This occurred roughly an hour prior to arrival and lasted just a few minutes.  When her mother arrived she stated that she had witnessed the spell and that the patient was tonic but not having seizure-like activity.  She was completely unresponsive and confused afterwards but not incontinent.  She is describing nausea but no chest discomfort.  She has had no vomiting or diarrhea and no diaphoresis.  She denies prior similar symptoms and has no history of seizure, heart disease, VTE, or reactive airway disease.  She does feel like she has a dry mouth and also feels improved at this time.  She is not on medications chronically.  She did have her second COVID-19 vaccination yesterday with some mild arthralgias but nothing else.  She was seen by the paramedics and noted to be having dropped beats.  An EKG was obtained and during transport she went into a complete heart block with resumption of sinus rhythm afterwards.  The EMS rhythm strip was reviewed by myself and does reveal transient complete heart block.       DETAILS OF HOSPITAL STAY   Hospital Course Summary Patient is an 38 y.o. female w/ no significant PMHx who presented to the ED via EMS after a syncopal episode.  She was standing in the kitchen, felt lightheaded then fell to the floor and passed out.  Her mother subsequently arrived and witnessed an additional episode of of unresponsiveness.  EMS subsequently caught on telemetry multiple episodes of complete heart block.  The longest of these lasted 20 seconds.  She was referred for admission.  The interested reader is referred to the complete admission history and physical.   Patient is admitted to the hospital.  Pacer pads were placed.  On monitor she had no further symptoms nor pauses.  Cardiology consulted.  Echocardiogram was performed and was normal.  It was ultimately felt that the patient most likely experienced a vagal event with marked suppression of AV conduction.  Of note, patient received her second Pfizer COVID-19 vaccination the day prior.  Cardiology has recommended discharge home with a Zio patch.  Lengthy discussion has been held with patient regarding importance of immediately activating EMS should she have recurrent symptoms similar to what brought her in.   Patient was also noted to have a microcytic anemia.  Iron studies returned remarkable for severe iron deficiency.  She received 1 dose of IV iron in the hospital and is discharged with twice daily oral iron.  She is to follow-up with her PCP for ongoing monitoring and evaluation.  In addition, she should lay down immediately.
Age: 38.0
Sex: F
Vaccine: COVID19, DF
Symptoms: Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium decreased, Blood chloride normal, Blood creatinine normal
Clinical narrative: Chief complaint: Syncope.   The patient was seen on paramedic arrival to room #2 with the above chief complaint.  She is a very pleasant otherwise healthy 38-year-old woman who had been in her usual state of health.  Today she felt a little lightheaded, laid down on the floor in her kitchen, and had a syncopal spell.  This occurred roughly an hour prior to arrival and lasted just a few minutes.  When her mother arrived she stated that she had witnessed the spell and that the patient was tonic but not having seizure-like activity.  She was completely unresponsive and confused afterwards but not incontinent.  She is describing nausea but no chest discomfort.  She has had no vomiting or diarrhea and no diaphoresis.  She denies prior similar symptoms and has no history of seizure, heart disease, VTE, or reactive airway disease.  She does feel like she has a dry mouth and also feels improved at this time.  She is not on medications chronically.  She did have her second COVID-19 vaccination yesterday with some mild arthralgias but nothing else.  She was seen by the paramedics and noted to be having dropped beats.  An EKG was obtained and during transport she went into a complete heart block with resumption of sinus rhythm afterwards.  The EMS rhythm strip was reviewed by myself and does reveal transient complete heart block.       DETAILS OF HOSPITAL STAY   Hospital Course Summary Patient is an 38 y.o. female w/ no significant PMHx who presented to the ED via EMS after a syncopal episode.  She was standing in the kitchen, felt lightheaded then fell to the floor and passed out.  Her mother subsequently arrived and witnessed an additional episode of of unresponsiveness.  EMS subsequently caught on telemetry multiple episodes of complete heart block.  The longest of these lasted 20 seconds.  She was referred for admission.  The interested reader is referred to the complete admission history and physical.   Patient is admitted to the hospital.  Pacer pads were placed.  On monitor she had no further symptoms nor pauses.  Cardiology consulted.  Echocardiogram was performed and was normal.  It was ultimately felt that the patient most likely experienced a vagal event with marked suppression of AV conduction.  Of note, patient received her second Pfizer COVID-19 vaccination the day prior.  Cardiology has recommended discharge home with a Zio patch.  Lengthy discussion has been held with patient regarding importance of immediately activating EMS should she have recurrent symptoms similar to what brought her in.   Patient was also noted to have a microcytic anemia.  Iron studies returned remarkable for severe iron deficiency.  She received 1 dose of IV iron in the hospital and is discharged with twice daily oral iron.  She is to follow-up with her PCP for ongoing monitoring and evaluation.  In addition, she should lay down immediately.
Age: 38.0
Sex: F
Vaccine: COVID19, DF
Symptoms: Blood glucose normal, Blood potassium decreased, Blood sodium normal, Blood urea normal, Carbon dioxide normal
Clinical narrative: Chief complaint: Syncope.   The patient was seen on paramedic arrival to room #2 with the above chief complaint.  She is a very pleasant otherwise healthy 38-year-old woman who had been in her usual state of health.  Today she felt a little lightheaded, laid down on the floor in her kitchen, and had a syncopal spell.  This occurred roughly an hour prior to arrival and lasted just a few minutes.  When her mother arrived she stated that she had witnessed the spell and that the patient was tonic but not having seizure-like activity.  She was completely unresponsive and confused afterwards but not incontinent.  She is describing nausea but no chest discomfort.  She has had no vomiting or diarrhea and no diaphoresis.  She denies prior similar symptoms and has no history of seizure, heart disease, VTE, or reactive airway disease.  She does feel like she has a dry mouth and also feels improved at this time.  She is not on medications chronically.  She did have her second COVID-19 vaccination yesterday with some mild arthralgias but nothing else.  She was seen by the paramedics and noted to be having dropped beats.  An EKG was obtained and during transport she went into a complete heart block with resumption of sinus rhythm afterwards.  The EMS rhythm strip was reviewed by myself and does reveal transient complete heart block.       DETAILS OF HOSPITAL STAY   Hospital Course Summary Patient is an 38 y.o. female w/ no significant PMHx who presented to the ED via EMS after a syncopal episode.  She was standing in the kitchen, felt lightheaded then fell to the floor and passed out.  Her mother subsequently arrived and witnessed an additional episode of of unresponsiveness.  EMS subsequently caught on telemetry multiple episodes of complete heart block.  The longest of these lasted 20 seconds.  She was referred for admission.  The interested reader is referred to the complete admission history and physical.   Patient is admitted to the hospital.  Pacer pads were placed.  On monitor she had no further symptoms nor pauses.  Cardiology consulted.  Echocardiogram was performed and was normal.  It was ultimately felt that the patient most likely experienced a vagal event with marked suppression of AV conduction.  Of note, patient received her second Pfizer COVID-19 vaccination the day prior.  Cardiology has recommended discharge home with a Zio patch.  Lengthy discussion has been held with patient regarding importance of immediately activating EMS should she have recurrent symptoms similar to what brought her in.   Patient was also noted to have a microcytic anemia.  Iron studies returned remarkable for severe iron deficiency.  She received 1 dose of IV iron in the hospital and is discharged with twice daily oral iron.  She is to follow-up with her PCP for ongoing monitoring and evaluation.  In addition, she should lay down immediately.
Age: 38.0
Sex: F
Vaccine: COVID19, DF
Symptoms: Cardiac monitoring, Cardiac telemetry abnormal, Confusional state, Creatinine urine, Differential white blood cell count abnormal
Clinical narrative: Chief complaint: Syncope.   The patient was seen on paramedic arrival to room #2 with the above chief complaint.  She is a very pleasant otherwise healthy 38-year-old woman who had been in her usual state of health.  Today she felt a little lightheaded, laid down on the floor in her kitchen, and had a syncopal spell.  This occurred roughly an hour prior to arrival and lasted just a few minutes.  When her mother arrived she stated that she had witnessed the spell and that the patient was tonic but not having seizure-like activity.  She was completely unresponsive and confused afterwards but not incontinent.  She is describing nausea but no chest discomfort.  She has had no vomiting or diarrhea and no diaphoresis.  She denies prior similar symptoms and has no history of seizure, heart disease, VTE, or reactive airway disease.  She does feel like she has a dry mouth and also feels improved at this time.  She is not on medications chronically.  She did have her second COVID-19 vaccination yesterday with some mild arthralgias but nothing else.  She was seen by the paramedics and noted to be having dropped beats.  An EKG was obtained and during transport she went into a complete heart block with resumption of sinus rhythm afterwards.  The EMS rhythm strip was reviewed by myself and does reveal transient complete heart block.       DETAILS OF HOSPITAL STAY   Hospital Course Summary Patient is an 38 y.o. female w/ no significant PMHx who presented to the ED via EMS after a syncopal episode.  She was standing in the kitchen, felt lightheaded then fell to the floor and passed out.  Her mother subsequently arrived and witnessed an additional episode of of unresponsiveness.  EMS subsequently caught on telemetry multiple episodes of complete heart block.  The longest of these lasted 20 seconds.  She was referred for admission.  The interested reader is referred to the complete admission history and physical.   Patient is admitted to the hospital.  Pacer pads were placed.  On monitor she had no further symptoms nor pauses.  Cardiology consulted.  Echocardiogram was performed and was normal.  It was ultimately felt that the patient most likely experienced a vagal event with marked suppression of AV conduction.  Of note, patient received her second Pfizer COVID-19 vaccination the day prior.  Cardiology has recommended discharge home with a Zio patch.  Lengthy discussion has been held with patient regarding importance of immediately activating EMS should she have recurrent symptoms similar to what brought her in.   Patient was also noted to have a microcytic anemia.  Iron studies returned remarkable for severe iron deficiency.  She received 1 dose of IV iron in the hospital and is discharged with twice daily oral iron.  She is to follow-up with her PCP for ongoing monitoring and evaluation.  In addition, she should lay down immediately.
Age: 38.0
Sex: F
Vaccine: COVID19, DF
Symptoms: Dizziness, Drug screen, Dry mouth, Echocardiogram normal, Electrocardiogram abnormal
Clinical narrative: Chief complaint: Syncope.   The patient was seen on paramedic arrival to room #2 with the above chief complaint.  She is a very pleasant otherwise healthy 38-year-old woman who had been in her usual state of health.  Today she felt a little lightheaded, laid down on the floor in her kitchen, and had a syncopal spell.  This occurred roughly an hour prior to arrival and lasted just a few minutes.  When her mother arrived she stated that she had witnessed the spell and that the patient was tonic but not having seizure-like activity.  She was completely unresponsive and confused afterwards but not incontinent.  She is describing nausea but no chest discomfort.  She has had no vomiting or diarrhea and no diaphoresis.  She denies prior similar symptoms and has no history of seizure, heart disease, VTE, or reactive airway disease.  She does feel like she has a dry mouth and also feels improved at this time.  She is not on medications chronically.  She did have her second COVID-19 vaccination yesterday with some mild arthralgias but nothing else.  She was seen by the paramedics and noted to be having dropped beats.  An EKG was obtained and during transport she went into a complete heart block with resumption of sinus rhythm afterwards.  The EMS rhythm strip was reviewed by myself and does reveal transient complete heart block.       DETAILS OF HOSPITAL STAY   Hospital Course Summary Patient is an 38 y.o. female w/ no significant PMHx who presented to the ED via EMS after a syncopal episode.  She was standing in the kitchen, felt lightheaded then fell to the floor and passed out.  Her mother subsequently arrived and witnessed an additional episode of of unresponsiveness.  EMS subsequently caught on telemetry multiple episodes of complete heart block.  The longest of these lasted 20 seconds.  She was referred for admission.  The interested reader is referred to the complete admission history and physical.   Patient is admitted to the hospital.  Pacer pads were placed.  On monitor she had no further symptoms nor pauses.  Cardiology consulted.  Echocardiogram was performed and was normal.  It was ultimately felt that the patient most likely experienced a vagal event with marked suppression of AV conduction.  Of note, patient received her second Pfizer COVID-19 vaccination the day prior.  Cardiology has recommended discharge home with a Zio patch.  Lengthy discussion has been held with patient regarding importance of immediately activating EMS should she have recurrent symptoms similar to what brought her in.   Patient was also noted to have a microcytic anemia.  Iron studies returned remarkable for severe iron deficiency.  She received 1 dose of IV iron in the hospital and is discharged with twice daily oral iron.  She is to follow-up with her PCP for ongoing monitoring and evaluation.  In addition, she should lay down immediately.
Age: 38.0
Sex: F
Vaccine: COVID19, DF
Symptoms: Eosinophil count decreased, Eosinophil percentage decreased, Extrasystoles, Fall, Full blood count abnormal
Clinical narrative: Chief complaint: Syncope.   The patient was seen on paramedic arrival to room #2 with the above chief complaint.  She is a very pleasant otherwise healthy 38-year-old woman who had been in her usual state of health.  Today she felt a little lightheaded, laid down on the floor in her kitchen, and had a syncopal spell.  This occurred roughly an hour prior to arrival and lasted just a few minutes.  When her mother arrived she stated that she had witnessed the spell and that the patient was tonic but not having seizure-like activity.  She was completely unresponsive and confused afterwards but not incontinent.  She is describing nausea but no chest discomfort.  She has had no vomiting or diarrhea and no diaphoresis.  She denies prior similar symptoms and has no history of seizure, heart disease, VTE, or reactive airway disease.  She does feel like she has a dry mouth and also feels improved at this time.  She is not on medications chronically.  She did have her second COVID-19 vaccination yesterday with some mild arthralgias but nothing else.  She was seen by the paramedics and noted to be having dropped beats.  An EKG was obtained and during transport she went into a complete heart block with resumption of sinus rhythm afterwards.  The EMS rhythm strip was reviewed by myself and does reveal transient complete heart block.       DETAILS OF HOSPITAL STAY   Hospital Course Summary Patient is an 38 y.o. female w/ no significant PMHx who presented to the ED via EMS after a syncopal episode.  She was standing in the kitchen, felt lightheaded then fell to the floor and passed out.  Her mother subsequently arrived and witnessed an additional episode of of unresponsiveness.  EMS subsequently caught on telemetry multiple episodes of complete heart block.  The longest of these lasted 20 seconds.  She was referred for admission.  The interested reader is referred to the complete admission history and physical.   Patient is admitted to the hospital.  Pacer pads were placed.  On monitor she had no further symptoms nor pauses.  Cardiology consulted.  Echocardiogram was performed and was normal.  It was ultimately felt that the patient most likely experienced a vagal event with marked suppression of AV conduction.  Of note, patient received her second Pfizer COVID-19 vaccination the day prior.  Cardiology has recommended discharge home with a Zio patch.  Lengthy discussion has been held with patient regarding importance of immediately activating EMS should she have recurrent symptoms similar to what brought her in.   Patient was also noted to have a microcytic anemia.  Iron studies returned remarkable for severe iron deficiency.  She received 1 dose of IV iron in the hospital and is discharged with twice daily oral iron.  She is to follow-up with her PCP for ongoing monitoring and evaluation.  In addition, she should lay down immediately.
Age: 38.0
Sex: F
Vaccine: COVID19, DF
Symptoms: Globulin, Glomerular filtration rate normal, Haematocrit decreased, Haemoglobin decreased, Immature granulocyte count
Clinical narrative: Chief complaint: Syncope.   The patient was seen on paramedic arrival to room #2 with the above chief complaint.  She is a very pleasant otherwise healthy 38-year-old woman who had been in her usual state of health.  Today she felt a little lightheaded, laid down on the floor in her kitchen, and had a syncopal spell.  This occurred roughly an hour prior to arrival and lasted just a few minutes.  When her mother arrived she stated that she had witnessed the spell and that the patient was tonic but not having seizure-like activity.  She was completely unresponsive and confused afterwards but not incontinent.  She is describing nausea but no chest discomfort.  She has had no vomiting or diarrhea and no diaphoresis.  She denies prior similar symptoms and has no history of seizure, heart disease, VTE, or reactive airway disease.  She does feel like she has a dry mouth and also feels improved at this time.  She is not on medications chronically.  She did have her second COVID-19 vaccination yesterday with some mild arthralgias but nothing else.  She was seen by the paramedics and noted to be having dropped beats.  An EKG was obtained and during transport she went into a complete heart block with resumption of sinus rhythm afterwards.  The EMS rhythm strip was reviewed by myself and does reveal transient complete heart block.       DETAILS OF HOSPITAL STAY   Hospital Course Summary Patient is an 38 y.o. female w/ no significant PMHx who presented to the ED via EMS after a syncopal episode.  She was standing in the kitchen, felt lightheaded then fell to the floor and passed out.  Her mother subsequently arrived and witnessed an additional episode of of unresponsiveness.  EMS subsequently caught on telemetry multiple episodes of complete heart block.  The longest of these lasted 20 seconds.  She was referred for admission.  The interested reader is referred to the complete admission history and physical.   Patient is admitted to the hospital.  Pacer pads were placed.  On monitor she had no further symptoms nor pauses.  Cardiology consulted.  Echocardiogram was performed and was normal.  It was ultimately felt that the patient most likely experienced a vagal event with marked suppression of AV conduction.  Of note, patient received her second Pfizer COVID-19 vaccination the day prior.  Cardiology has recommended discharge home with a Zio patch.  Lengthy discussion has been held with patient regarding importance of immediately activating EMS should she have recurrent symptoms similar to what brought her in.   Patient was also noted to have a microcytic anemia.  Iron studies returned remarkable for severe iron deficiency.  She received 1 dose of IV iron in the hospital and is discharged with twice daily oral iron.  She is to follow-up with her PCP for ongoing monitoring and evaluation.  In addition, she should lay down immediately.
Age: 38.0
Sex: F
Vaccine: COVID19, DF
Symptoms: Intensive care, Iron deficiency, Loss of consciousness, Lymphocyte count decreased, Lymphocyte percentage decreased
Clinical narrative: Chief complaint: Syncope.   The patient was seen on paramedic arrival to room #2 with the above chief complaint.  She is a very pleasant otherwise healthy 38-year-old woman who had been in her usual state of health.  Today she felt a little lightheaded, laid down on the floor in her kitchen, and had a syncopal spell.  This occurred roughly an hour prior to arrival and lasted just a few minutes.  When her mother arrived she stated that she had witnessed the spell and that the patient was tonic but not having seizure-like activity.  She was completely unresponsive and confused afterwards but not incontinent.  She is describing nausea but no chest discomfort.  She has had no vomiting or diarrhea and no diaphoresis.  She denies prior similar symptoms and has no history of seizure, heart disease, VTE, or reactive airway disease.  She does feel like she has a dry mouth and also feels improved at this time.  She is not on medications chronically.  She did have her second COVID-19 vaccination yesterday with some mild arthralgias but nothing else.  She was seen by the paramedics and noted to be having dropped beats.  An EKG was obtained and during transport she went into a complete heart block with resumption of sinus rhythm afterwards.  The EMS rhythm strip was reviewed by myself and does reveal transient complete heart block.       DETAILS OF HOSPITAL STAY   Hospital Course Summary Patient is an 38 y.o. female w/ no significant PMHx who presented to the ED via EMS after a syncopal episode.  She was standing in the kitchen, felt lightheaded then fell to the floor and passed out.  Her mother subsequently arrived and witnessed an additional episode of of unresponsiveness.  EMS subsequently caught on telemetry multiple episodes of complete heart block.  The longest of these lasted 20 seconds.  She was referred for admission.  The interested reader is referred to the complete admission history and physical.   Patient is admitted to the hospital.  Pacer pads were placed.  On monitor she had no further symptoms nor pauses.  Cardiology consulted.  Echocardiogram was performed and was normal.  It was ultimately felt that the patient most likely experienced a vagal event with marked suppression of AV conduction.  Of note, patient received her second Pfizer COVID-19 vaccination the day prior.  Cardiology has recommended discharge home with a Zio patch.  Lengthy discussion has been held with patient regarding importance of immediately activating EMS should she have recurrent symptoms similar to what brought her in.   Patient was also noted to have a microcytic anemia.  Iron studies returned remarkable for severe iron deficiency.  She received 1 dose of IV iron in the hospital and is discharged with twice daily oral iron.  She is to follow-up with her PCP for ongoing monitoring and evaluation.  In addition, she should lay down immediately.
Age: 38.0
Sex: F
Vaccine: COVID19, DF
Symptoms: Mean cell haemoglobin concentration decreased, Mean cell haemoglobin decreased, Mean cell volume normal, Mean platelet volume increased, Metabolic function test abnormal
Clinical narrative: Chief complaint: Syncope.   The patient was seen on paramedic arrival to room #2 with the above chief complaint.  She is a very pleasant otherwise healthy 38-year-old woman who had been in her usual state of health.  Today she felt a little lightheaded, laid down on the floor in her kitchen, and had a syncopal spell.  This occurred roughly an hour prior to arrival and lasted just a few minutes.  When her mother arrived she stated that she had witnessed the spell and that the patient was tonic but not having seizure-like activity.  She was completely unresponsive and confused afterwards but not incontinent.  She is describing nausea but no chest discomfort.  She has had no vomiting or diarrhea and no diaphoresis.  She denies prior similar symptoms and has no history of seizure, heart disease, VTE, or reactive airway disease.  She does feel like she has a dry mouth and also feels improved at this time.  She is not on medications chronically.  She did have her second COVID-19 vaccination yesterday with some mild arthralgias but nothing else.  She was seen by the paramedics and noted to be having dropped beats.  An EKG was obtained and during transport she went into a complete heart block with resumption of sinus rhythm afterwards.  The EMS rhythm strip was reviewed by myself and does reveal transient complete heart block.       DETAILS OF HOSPITAL STAY   Hospital Course Summary Patient is an 38 y.o. female w/ no significant PMHx who presented to the ED via EMS after a syncopal episode.  She was standing in the kitchen, felt lightheaded then fell to the floor and passed out.  Her mother subsequently arrived and witnessed an additional episode of of unresponsiveness.  EMS subsequently caught on telemetry multiple episodes of complete heart block.  The longest of these lasted 20 seconds.  She was referred for admission.  The interested reader is referred to the complete admission history and physical.   Patient is admitted to the hospital.  Pacer pads were placed.  On monitor she had no further symptoms nor pauses.  Cardiology consulted.  Echocardiogram was performed and was normal.  It was ultimately felt that the patient most likely experienced a vagal event with marked suppression of AV conduction.  Of note, patient received her second Pfizer COVID-19 vaccination the day prior.  Cardiology has recommended discharge home with a Zio patch.  Lengthy discussion has been held with patient regarding importance of immediately activating EMS should she have recurrent symptoms similar to what brought her in.   Patient was also noted to have a microcytic anemia.  Iron studies returned remarkable for severe iron deficiency.  She received 1 dose of IV iron in the hospital and is discharged with twice daily oral iron.  She is to follow-up with her PCP for ongoing monitoring and evaluation.  In addition, she should lay down immediately.
Age: 38.0
Sex: F
Vaccine: COVID19, DF
Symptoms: Microcytic anaemia, Mineral supplementation, Monocyte count decreased, Monocyte percentage, Muscle contractions involuntary
Clinical narrative: Chief complaint: Syncope.   The patient was seen on paramedic arrival to room #2 with the above chief complaint.  She is a very pleasant otherwise healthy 38-year-old woman who had been in her usual state of health.  Today she felt a little lightheaded, laid down on the floor in her kitchen, and had a syncopal spell.  This occurred roughly an hour prior to arrival and lasted just a few minutes.  When her mother arrived she stated that she had witnessed the spell and that the patient was tonic but not having seizure-like activity.  She was completely unresponsive and confused afterwards but not incontinent.  She is describing nausea but no chest discomfort.  She has had no vomiting or diarrhea and no diaphoresis.  She denies prior similar symptoms and has no history of seizure, heart disease, VTE, or reactive airway disease.  She does feel like she has a dry mouth and also feels improved at this time.  She is not on medications chronically.  She did have her second COVID-19 vaccination yesterday with some mild arthralgias but nothing else.  She was seen by the paramedics and noted to be having dropped beats.  An EKG was obtained and during transport she went into a complete heart block with resumption of sinus rhythm afterwards.  The EMS rhythm strip was reviewed by myself and does reveal transient complete heart block.       DETAILS OF HOSPITAL STAY   Hospital Course Summary Patient is an 38 y.o. female w/ no significant PMHx who presented to the ED via EMS after a syncopal episode.  She was standing in the kitchen, felt lightheaded then fell to the floor and passed out.  Her mother subsequently arrived and witnessed an additional episode of of unresponsiveness.  EMS subsequently caught on telemetry multiple episodes of complete heart block.  The longest of these lasted 20 seconds.  She was referred for admission.  The interested reader is referred to the complete admission history and physical.   Patient is admitted to the hospital.  Pacer pads were placed.  On monitor she had no further symptoms nor pauses.  Cardiology consulted.  Echocardiogram was performed and was normal.  It was ultimately felt that the patient most likely experienced a vagal event with marked suppression of AV conduction.  Of note, patient received her second Pfizer COVID-19 vaccination the day prior.  Cardiology has recommended discharge home with a Zio patch.  Lengthy discussion has been held with patient regarding importance of immediately activating EMS should she have recurrent symptoms similar to what brought her in.   Patient was also noted to have a microcytic anemia.  Iron studies returned remarkable for severe iron deficiency.  She received 1 dose of IV iron in the hospital and is discharged with twice daily oral iron.  She is to follow-up with her PCP for ongoing monitoring and evaluation.  In addition, she should lay down immediately.
Age: 38.0
Sex: F
Vaccine: COVID19, DF
Symptoms: Nausea, Neutrophil count normal, Neutrophil percentage increased, Platelet count normal, Protein total normal
Clinical narrative: Chief complaint: Syncope.   The patient was seen on paramedic arrival to room #2 with the above chief complaint.  She is a very pleasant otherwise healthy 38-year-old woman who had been in her usual state of health.  Today she felt a little lightheaded, laid down on the floor in her kitchen, and had a syncopal spell.  This occurred roughly an hour prior to arrival and lasted just a few minutes.  When her mother arrived she stated that she had witnessed the spell and that the patient was tonic but not having seizure-like activity.  She was completely unresponsive and confused afterwards but not incontinent.  She is describing nausea but no chest discomfort.  She has had no vomiting or diarrhea and no diaphoresis.  She denies prior similar symptoms and has no history of seizure, heart disease, VTE, or reactive airway disease.  She does feel like she has a dry mouth and also feels improved at this time.  She is not on medications chronically.  She did have her second COVID-19 vaccination yesterday with some mild arthralgias but nothing else.  She was seen by the paramedics and noted to be having dropped beats.  An EKG was obtained and during transport she went into a complete heart block with resumption of sinus rhythm afterwards.  The EMS rhythm strip was reviewed by myself and does reveal transient complete heart block.       DETAILS OF HOSPITAL STAY   Hospital Course Summary Patient is an 38 y.o. female w/ no significant PMHx who presented to the ED via EMS after a syncopal episode.  She was standing in the kitchen, felt lightheaded then fell to the floor and passed out.  Her mother subsequently arrived and witnessed an additional episode of of unresponsiveness.  EMS subsequently caught on telemetry multiple episodes of complete heart block.  The longest of these lasted 20 seconds.  She was referred for admission.  The interested reader is referred to the complete admission history and physical.   Patient is admitted to the hospital.  Pacer pads were placed.  On monitor she had no further symptoms nor pauses.  Cardiology consulted.  Echocardiogram was performed and was normal.  It was ultimately felt that the patient most likely experienced a vagal event with marked suppression of AV conduction.  Of note, patient received her second Pfizer COVID-19 vaccination the day prior.  Cardiology has recommended discharge home with a Zio patch.  Lengthy discussion has been held with patient regarding importance of immediately activating EMS should she have recurrent symptoms similar to what brought her in.   Patient was also noted to have a microcytic anemia.  Iron studies returned remarkable for severe iron deficiency.  She received 1 dose of IV iron in the hospital and is discharged with twice daily oral iron.  She is to follow-up with her PCP for ongoing monitoring and evaluation.  In addition, she should lay down immediately.
Age: 38.0
Sex: F
Vaccine: COVID19, DF
Symptoms: Red blood cell count decreased, Red blood cell nucleated morphology, Red cell distribution width increased, Sinus arrhythmia, Syncope
Clinical narrative: Chief complaint: Syncope.   The patient was seen on paramedic arrival to room #2 with the above chief complaint.  She is a very pleasant otherwise healthy 38-year-old woman who had been in her usual state of health.  Today she felt a little lightheaded, laid down on the floor in her kitchen, and had a syncopal spell.  This occurred roughly an hour prior to arrival and lasted just a few minutes.  When her mother arrived she stated that she had witnessed the spell and that the patient was tonic but not having seizure-like activity.  She was completely unresponsive and confused afterwards but not incontinent.  She is describing nausea but no chest discomfort.  She has had no vomiting or diarrhea and no diaphoresis.  She denies prior similar symptoms and has no history of seizure, heart disease, VTE, or reactive airway disease.  She does feel like she has a dry mouth and also feels improved at this time.  She is not on medications chronically.  She did have her second COVID-19 vaccination yesterday with some mild arthralgias but nothing else.  She was seen by the paramedics and noted to be having dropped beats.  An EKG was obtained and during transport she went into a complete heart block with resumption of sinus rhythm afterwards.  The EMS rhythm strip was reviewed by myself and does reveal transient complete heart block.       DETAILS OF HOSPITAL STAY   Hospital Course Summary Patient is an 38 y.o. female w/ no significant PMHx who presented to the ED via EMS after a syncopal episode.  She was standing in the kitchen, felt lightheaded then fell to the floor and passed out.  Her mother subsequently arrived and witnessed an additional episode of of unresponsiveness.  EMS subsequently caught on telemetry multiple episodes of complete heart block.  The longest of these lasted 20 seconds.  She was referred for admission.  The interested reader is referred to the complete admission history and physical.   Patient is admitted to the hospital.  Pacer pads were placed.  On monitor she had no further symptoms nor pauses.  Cardiology consulted.  Echocardiogram was performed and was normal.  It was ultimately felt that the patient most likely experienced a vagal event with marked suppression of AV conduction.  Of note, patient received her second Pfizer COVID-19 vaccination the day prior.  Cardiology has recommended discharge home with a Zio patch.  Lengthy discussion has been held with patient regarding importance of immediately activating EMS should she have recurrent symptoms similar to what brought her in.   Patient was also noted to have a microcytic anemia.  Iron studies returned remarkable for severe iron deficiency.  She received 1 dose of IV iron in the hospital and is discharged with twice daily oral iron.  She is to follow-up with her PCP for ongoing monitoring and evaluation.  In addition, she should lay down immediately.