chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccine positive rechallenge
Clinical narrative: Fever of 103 starting g at 4am the next day along with chills, shaking, headache, fatigue, nausea. Took motrin which helped bring fever down to 100-101 but fever returned all that day.  The next morning (10/25), I had a fever of 101 with chills and headache. I stayed in bed those two days. By 10/26, I was better other than a sore and swollen arm. Arm is still slightly sore and itchy today 10/28
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac imaging procedure abnormal, Chest discomfort, Chest pain, Electrocardiogram abnormal, Myocardial fibrosis
Clinical narrative: On 9/21/2021, 4 days after receiving the shot I had  chest pressure and pain.  I went to the emergency room where my EKG showed abnormal and my Troponin levels were elevated.  I was transported to a surgical hospital and spent 2 days there after being diagnosed with Myocarditis
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Myocarditis, Troponin increased
Clinical narrative: On 9/21/2021, 4 days after receiving the shot I had  chest pressure and pain.  I went to the emergency room where my EKG showed abnormal and my Troponin levels were elevated.  I was transported to a surgical hospital and spent 2 days there after being diagnosed with Myocarditis
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia, Vaccine positive rechallenge
Clinical narrative: Fever, chills, headache, body aches.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Disorientation, Fall, Feeling abnormal
Clinical narrative: Booster 10/12 at about 3 pm.  Just had some arm soreness that evening.  She was restless going to sleep.  She woke up about 3 am with chills, diaphoresis, headache and tinnitus, and passed out--ended up on the floor.  She woke up at 0630 with nausea, dry heaves, watery diarrhea.  She felt "crappy:" the rest of the day with a "low grade headache".  She noted that there were things moved around in her bathroom and realized that she must have been disoriented during the middle of the night.  She has a scratch on her ankle and nose and a knot on her head.  She was able to shower later in the morning and didn't eat anything other than crackers yesterday due to nausea.  She had water.  She feels better today.  Not taking aspirin.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Head injury, Headache, Hyperhidrosis, Loss of consciousness, Nausea
Clinical narrative: Booster 10/12 at about 3 pm.  Just had some arm soreness that evening.  She was restless going to sleep.  She woke up about 3 am with chills, diaphoresis, headache and tinnitus, and passed out--ended up on the floor.  She woke up at 0630 with nausea, dry heaves, watery diarrhea.  She felt "crappy:" the rest of the day with a "low grade headache".  She noted that there were things moved around in her bathroom and realized that she must have been disoriented during the middle of the night.  She has a scratch on her ankle and nose and a knot on her head.  She was able to shower later in the morning and didn't eat anything other than crackers yesterday due to nausea.  She had water.  She feels better today.  Not taking aspirin.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Nodule, Pain in extremity, Restlessness, Retching, Scratch
Clinical narrative: Booster 10/12 at about 3 pm.  Just had some arm soreness that evening.  She was restless going to sleep.  She woke up about 3 am with chills, diaphoresis, headache and tinnitus, and passed out--ended up on the floor.  She woke up at 0630 with nausea, dry heaves, watery diarrhea.  She felt "crappy:" the rest of the day with a "low grade headache".  She noted that there were things moved around in her bathroom and realized that she must have been disoriented during the middle of the night.  She has a scratch on her ankle and nose and a knot on her head.  She was able to shower later in the morning and didn't eat anything other than crackers yesterday due to nausea.  She had water.  She feels better today.  Not taking aspirin.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Booster 10/12 at about 3 pm.  Just had some arm soreness that evening.  She was restless going to sleep.  She woke up about 3 am with chills, diaphoresis, headache and tinnitus, and passed out--ended up on the floor.  She woke up at 0630 with nausea, dry heaves, watery diarrhea.  She felt "crappy:" the rest of the day with a "low grade headache".  She noted that there were things moved around in her bathroom and realized that she must have been disoriented during the middle of the night.  She has a scratch on her ankle and nose and a knot on her head.  She was able to shower later in the morning and didn't eat anything other than crackers yesterday due to nausea.  She had water.  She feels better today.  Not taking aspirin.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary mass, Chills, Dyspnoea, Fatigue, Feeling abnormal
Clinical narrative: Large, grapefruit size growth under the right arm. Spinal pain, generalized muscle aches, shortness of breath, extreme fatigue, chills, fever, sore throat, brain fog.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Oropharyngeal pain, Pyrexia, Spinal pain
Clinical narrative: Large, grapefruit size growth under the right arm. Spinal pain, generalized muscle aches, shortness of breath, extreme fatigue, chills, fever, sore throat, brain fog.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No adverse event reported.  Vaccine given outside of EUA
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Malaise, Pyrexia
Clinical narrative: Fever, chills, malaise, headache
Age: 4.0
Sex: F
Vaccine: FLUR4
Symptoms: No adverse event, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: The flublok influenza syringes were in the Fluzone influenza box. Flublok was given for the flu vaccine instead of Fluzone. No side effects noted during monitoring after event. Supervisor, management, safety officer, and pharmacy were notified. Mom was also notified of the event. Child showed no side effects or issues after receiving vaccine and was checked on again several days later.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Disturbance in attention, Ear swelling, Feeling abnormal
Clinical narrative: 1) Persistent arm pain at injection site 2) Flu like symptoms   a) Sore neck   b) Jaw Pain - similar to TMJ (clicking)   c) Swollen Sinus' - Stuffed/Runny Nose   d) Joint Pain     i) Knees     ii) Back     iii) Fingers     iv) Elbow - particularly on the one with a torn tendon   e) Swollen/Hot Ears   f)  Chills - teeth chattering   g)  Unable to focus - feeling in a fog
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling hot, Influenza like illness, Injection site pain, Nasal congestion, Neck pain
Clinical narrative: 1) Persistent arm pain at injection site 2) Flu like symptoms   a) Sore neck   b) Jaw Pain - similar to TMJ (clicking)   c) Swollen Sinus' - Stuffed/Runny Nose   d) Joint Pain     i) Knees     ii) Back     iii) Fingers     iv) Elbow - particularly on the one with a torn tendon   e) Swollen/Hot Ears   f)  Chills - teeth chattering   g)  Unable to focus - feeling in a fog
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in jaw, Rhinorrhoea
Clinical narrative: 1) Persistent arm pain at injection site 2) Flu like symptoms   a) Sore neck   b) Jaw Pain - similar to TMJ (clicking)   c) Swollen Sinus' - Stuffed/Runny Nose   d) Joint Pain     i) Knees     ii) Back     iii) Fingers     iv) Elbow - particularly on the one with a torn tendon   e) Swollen/Hot Ears   f)  Chills - teeth chattering   g)  Unable to focus - feeling in a fog
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy skin, Dermatitis atopic, Pruritus, Rash
Clinical narrative: 2/13/21 rash both arms from shoulder to wrist. 2/23/21 saw dermatologist first time. Have seen dermatologist 9 times and been given 2 steroid shots, topical steroid creams, biopsy of rash which came back atopic dermatitis. Saw allergist 9/30/21 and no allergies  were found. Have been two months on elimination diet?no sugar,alcohol, dairy, gluten ,fried foods.  Six months and one week after second shot some relief from rash. Eight months and one week after second shot rash is gone but constant itch remains. Still using topical steroid foam and Cetaphil cream twice daily and following diet restrictions.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse event reported.  Vaccine given outside of EUA
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Extra dose administered, No adverse event
Clinical narrative: No adverse report cited.  Vaccine given outside of EUA
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased
Clinical narrative: Next day patient stated reaction started in right arm, unable to lift right arm.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Arteriosclerosis, Computerised tomogram abnormal, Computerised tomogram neck, Thyroid mass, Vocal cord paralysis
Clinical narrative: Patient reported:  Paralyzed left vocal cord, occurring 36 hours later and still a problem today,  some 6 weeks later.
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood creatine phosphokinase increased, Cardiac stress test, Dyspnoea, Laboratory test, Pneumonia
Clinical narrative: Shortness of breath developed to the point I could not breath and had to go to the ER First stay was 7 days and they were focused on my heart CK levels over 4,000 and troponin be really high Stress test and over 20 test were taken to try to find out what was going on and I had pneumonia on both lungs    Medication*  Mycophenolate mofetil 500mg (2times a day)/PredniSone 50mg (1time a day)/Colchicine 0.6 mg (1time a day) Famotidine 20m(2times a day)/ Albuterol HFA 90 mcg/actuation inhaler (2 puffs every 4 hours)
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Polymyositis, Troponin increased
Clinical narrative: Shortness of breath developed to the point I could not breath and had to go to the ER First stay was 7 days and they were focused on my heart CK levels over 4,000 and troponin be really high Stress test and over 20 test were taken to try to find out what was going on and I had pneumonia on both lungs    Medication*  Mycophenolate mofetil 500mg (2times a day)/PredniSone 50mg (1time a day)/Colchicine 0.6 mg (1time a day) Famotidine 20m(2times a day)/ Albuterol HFA 90 mcg/actuation inhaler (2 puffs every 4 hours)
Age: 18.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test normal, Rash
Clinical narrative: PT HAD RASH EMERGE ALL OVER BODY, PT WENT TO DR AND GOT BLOOD WORK DONE. NO ABNORMALITIY IN BLLOD WORK FOUND. PT RECEIVED LORATADINE 10 MG QD
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Dehydration, Fatigue, General physical condition abnormal
Clinical narrative: Extreme Chills/Shaking, extreme tiredness and fatigue,  bilateral leg cramping, intermittent & random sharp pain in upper abdomen, dehydration and gaunt appearance. excessively runny nose.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle spasms, Rhinorrhoea, Tremor
Clinical narrative: Extreme Chills/Shaking, extreme tiredness and fatigue,  bilateral leg cramping, intermittent & random sharp pain in upper abdomen, dehydration and gaunt appearance. excessively runny nose.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Confusional state, Pyrexia, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: The patient had a breakthrough COVID infection on 10/26/21. He presented to the hospital with fever and confusion on 10/26/21.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Cough, Fatigue, Migraine
Clinical narrative: Severe vertigo,  nausea, migraine, cough, joint pain, fatigue, fever, then chills, [sore throat was mild].
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Oropharyngeal pain, Pyrexia, Vertigo
Clinical narrative: Severe vertigo,  nausea, migraine, cough, joint pain, fatigue, fever, then chills, [sore throat was mild].
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Immunodeficiency, Lymphadenopathy, Pain in extremity, Peripheral swelling
Clinical narrative: severe arm swelling and pain down into the forearm (the arm doubled in size) 48 hours after the vaccine, severely swollen lymph nodes in neck, under arm pits, all lymph nodes on the left upper part of the body are still very swollen 62 hours later, vaccination site has small red bumps surrounding the injection site. This reaction to the  COVID-19 booster was much more severe that any of the two previous injections. Patient has had ongoing shoulder pain since the  second injection (vaccine burned in shoulder area during injection) Pfizer\BioNTech Lot EL1284 01/13/2021
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Vaccination site reaction, X-ray
Clinical narrative: severe arm swelling and pain down into the forearm (the arm doubled in size) 48 hours after the vaccine, severely swollen lymph nodes in neck, under arm pits, all lymph nodes on the left upper part of the body are still very swollen 62 hours later, vaccination site has small red bumps surrounding the injection site. This reaction to the  COVID-19 booster was much more severe that any of the two previous injections. Patient has had ongoing shoulder pain since the  second injection (vaccine burned in shoulder area during injection) Pfizer\BioNTech Lot EL1284 01/13/2021
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time prolonged, Alanine aminotransferase increased, Anion gap normal, Aspartate aminotransferase increased, Base excess decreased
Clinical narrative: SOB, Placed emergently on BiPAP for increased work of breathing. Given Decadron.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Basophil percentage decreased, Blood albumin decreased, Blood alkaline phosphatase increased, Blood bicarbonate decreased, Blood bilirubin increased
Clinical narrative: SOB, Placed emergently on BiPAP for increased work of breathing. Given Decadron.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Blood calcium normal, Blood chloride normal, Blood creatinine increased, Blood gases, Blood glucose normal
Clinical narrative: SOB, Placed emergently on BiPAP for increased work of breathing. Given Decadron.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Blood lactate dehydrogenase increased, Blood magnesium normal, Blood pH decreased, Blood phosphorus normal, Blood potassium normal
Clinical narrative: SOB, Placed emergently on BiPAP for increased work of breathing. Given Decadron.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Blood sodium normal, Blood urea increased, Brain natriuretic peptide increased, Carbon dioxide decreased, Carboxyhaemoglobin normal
Clinical narrative: SOB, Placed emergently on BiPAP for increased work of breathing. Given Decadron.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac failure congestive, Chest X-ray, Chronic kidney disease, Differential white blood cell count, Dyspnoea
Clinical narrative: SOB, Placed emergently on BiPAP for increased work of breathing. Given Decadron.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Eosinophil percentage decreased, Fibrin D dimer increased, Full blood count, Glomerular filtration rate decreased, Haematocrit normal
Clinical narrative: SOB, Placed emergently on BiPAP for increased work of breathing. Given Decadron.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin decreased, International normalised ratio increased, Lymphocyte count decreased, Lymphocyte percentage decreased, Mean cell haemoglobin concentration normal
Clinical narrative: SOB, Placed emergently on BiPAP for increased work of breathing. Given Decadron.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Mean cell haemoglobin increased, Mean cell volume normal, Mean platelet volume normal, Monocyte count normal, Monocyte percentage
Clinical narrative: SOB, Placed emergently on BiPAP for increased work of breathing. Given Decadron.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Myocardial injury, Neutrophil count normal, Neutrophil percentage increased, Oxygen saturation decreased, PCO2 normal
Clinical narrative: SOB, Placed emergently on BiPAP for increased work of breathing. Given Decadron.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: PO2 decreased, Platelet count decreased, Positive airway pressure therapy, Protein total normal, Prothrombin time prolonged
Clinical narrative: SOB, Placed emergently on BiPAP for increased work of breathing. Given Decadron.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell count decreased, Red cell distribution width increased, Troponin I increased, White blood cell count normal
Clinical narrative: SOB, Placed emergently on BiPAP for increased work of breathing. Given Decadron.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: Chills/fever/headache
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Influenza like illness, Pyrexia
Clinical narrative: Mild fever 37.5-37.6 C accompanied by mild headache and moderate to severe pain in joints and body much like arthritis and flu-like pain in joints.  Pain mostly resolved after 48 hours.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness postural, Fatigue, Hyperhidrosis, Loss of consciousness
Clinical narrative: Starting about 4 hours post vaccine I became tired with a sore throat. That evening after breastfeeding infant, infant vomited entire before bed feeding when prior infant was perfectly fine. Through the night, high fevers, chills, profuse sweating after taking Tylenol or ibuprofen.  The morning after, I became very dizzy with standing, this was an issue until 1200 pm the day after getting vaccine.  At 0800 I was getting child ready for school when suddenly felt like I was going to vomit, got to bathroom and loosed consciousness. Woke up next to toilet on floor several minutes later. I would estimate I laid there at least 5 minutes unconscious. My infant continued to not nurse well, and vomit after nursing for the day after vaccine. At 48 hours, my infant (7 months old) had very strong smelling stool, followed by diarrhea. That started last evening, 10/27/21.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Maternal exposure during breast feeding, Oropharyngeal pain, Pyrexia
Clinical narrative: Starting about 4 hours post vaccine I became tired with a sore throat. That evening after breastfeeding infant, infant vomited entire before bed feeding when prior infant was perfectly fine. Through the night, high fevers, chills, profuse sweating after taking Tylenol or ibuprofen.  The morning after, I became very dizzy with standing, this was an issue until 1200 pm the day after getting vaccine.  At 0800 I was getting child ready for school when suddenly felt like I was going to vomit, got to bathroom and loosed consciousness. Woke up next to toilet on floor several minutes later. I would estimate I laid there at least 5 minutes unconscious. My infant continued to not nurse well, and vomit after nursing for the day after vaccine. At 48 hours, my infant (7 months old) had very strong smelling stool, followed by diarrhea. That started last evening, 10/27/21.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Mass, Myositis
Clinical narrative: inflammation of back muscles, mass near breast, Lidocaine patches at home for weeks Many tests in ER at Hospital Do not have their report
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Hypoaesthesia, Injection site irritation, Injection site pruritus, Injection site rash
Clinical narrative: 15 minutes after recieving the Moderna vaccine, the left since of my face went numb. The numbing lasted over three days and has left my face with a tingling sensation to this day (16 days later). An itching, irritating rash appeared on the site of injection 2 days after recieving the vaccine which lasted about 4 days after appearance. Lastly, joint pain that has lasted to this day and is on going (16 days after the vaccine). Prior to the vaccine I had no joint pain, Starting the day after injection, my knees, hips, shoulders, elbows, wrists, and even finger joints are abnormally stiff and aching. I have a difficult time doing day to day tasks.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Joint stiffness, Loss of personal independence in daily activities, Paraesthesia
Clinical narrative: 15 minutes after recieving the Moderna vaccine, the left since of my face went numb. The numbing lasted over three days and has left my face with a tingling sensation to this day (16 days later). An itching, irritating rash appeared on the site of injection 2 days after recieving the vaccine which lasted about 4 days after appearance. Lastly, joint pain that has lasted to this day and is on going (16 days after the vaccine). Prior to the vaccine I had no joint pain, Starting the day after injection, my knees, hips, shoulders, elbows, wrists, and even finger joints are abnormally stiff and aching. I have a difficult time doing day to day tasks.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Head discomfort, Insomnia, Musculoskeletal stiffness, Pain
Clinical narrative: After 24 hours I got a stiff neck by night time I could not hold up my head. Could not sleep for the next 24 hours. It is now 10/28/2021 and still have a lot of pain. Don't know if this has anything to do with the shot. The shot was the booster.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site pain, Pyrexia, Tinnitus
Clinical narrative: Fever, pain and bruising at injection site, tinnitus
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Serum sickness, Transaminases increased
Clinical narrative: Patient received 3rd Moderna vaccine dose and developed fevers within hours of the dose, the fevers continued for weeks. He was admitted to the hospital on 10/1/2021 "serum sickness" like symptoms and transaminitis
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature, Chills, Condition aggravated, Fatigue, Headache
Clinical narrative: Tired, temperature, chills, body aches, and headache
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Tired, temperature, chills, body aches, and headache
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy, Rash, Rash pustular
Clinical narrative: Developed rash on back, stomach, arms and legs.  Outbreaks are fluid filled, some 1/8 inch wide and high, others smaller and not as "bubbly"
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Patient stated that he has rash spreading on his body, stated that he took benadryl day after vaccine but rash hasn't gotten any better.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site induration, Vaccination site rash
Clinical narrative: Approx. 10 minutes after vaccination, patient developed rash and itchiness around left deltoid and upper left arm.  Patient did not difficulty breathing or shortness of breath, reaction local to vaccine site.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dizziness, Fatigue, Hyperhidrosis
Clinical narrative: Chills, Fever, Fatigue, Sweating, Dizziness, Joint pain.  Treated with fluids and Tylenol.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Chills, Fever, Fatigue, Sweating, Dizziness, Joint pain.  Treated with fluids and Tylenol.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Headache, Injection site pain, Myalgia
Clinical narrative: Injection site soreness, headache, muscular aches, fever 100F.  Started yesterday 10/27/2021 about 7:00 p.m. persisting now about 14 hours later October 28, 2021
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Intervertebral disc space narrowing, Neck pain, Spinal X-ray, Spinal osteoarthritis
Clinical narrative: I have a bad neck ache. I went to the doctor for it. It has been more than a month since the vaccination and I do not think it could possibly be related to the vaccination, but I am not the expert. When I got this Covid vaccination, I also had the flu shot in my other arm, minutes apart. Yesterday (10/28/21) my doctors office had me get a cervical spinal X-Ray that shows some arthritis in my neck. They have recommended that I go to physical therapy to help with the pain.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Spinal retrolisthesis
Clinical narrative: I have a bad neck ache. I went to the doctor for it. It has been more than a month since the vaccination and I do not think it could possibly be related to the vaccination, but I am not the expert. When I got this Covid vaccination, I also had the flu shot in my other arm, minutes apart. Yesterday (10/28/21) my doctors office had me get a cervical spinal X-Ray that shows some arthritis in my neck. They have recommended that I go to physical therapy to help with the pain.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bone pain, Headache, Hypoaesthesia, Lymphadenopathy
Clinical narrative: lymph node swelling and pain in neck, collar bone, shoulder blade area, back of head. shoulder pain, arm numbness, pins and needles feeling in arm, headache in back of head.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal pain, Neck pain, Paraesthesia
Clinical narrative: lymph node swelling and pain in neck, collar bone, shoulder blade area, back of head. shoulder pain, arm numbness, pins and needles feeling in arm, headache in back of head.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Diarrhoea, Nausea
Clinical narrative: Nausea, stomach cramps, diarrhea, Went on Brat diet. Bismuth . Cleared up in 4 days
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract discomfort, Urine analysis normal
Clinical narrative: I experienced symptoms of a UTI but test results were negative. My symptoms lasted about a week.
Age: 62.0
Sex: M
Vaccine: HEPAB, TDAP
Symptoms: Diarrhoea, Headache, Malaise
Clinical narrative: Approximately one week of headaches, malaise, loose stools once to twice daily. All symptoms resolved within one week.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Throat tightness
Clinical narrative: Patient reports an anaphylactic reaction to the second Pfizer dose including his throat closing off.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Condition aggravated, Extra dose administered, Genital herpes
Clinical narrative: I have genital herpes and have never before had a significant out break, and never one that lasted over 1 week.  The outbreak after shots 1 and 2 lasted 5 months, so far the one after shot 3 has lasted the 4 weeks since the shot.  Both reactions have been bad (7+ lesions) and so far the traditional treatment (valacyclovir) has only had moderate effect.  I have taken 2 courses of the medication and still am not clear.
Age: 18.0
Sex: F
Vaccine: COVID19, UNK, COVID19
Symptoms: Back pain, Computerised tomogram head normal, Endotracheal intubation, Guillain-Barre syndrome, Haemoglobin decreased
Clinical narrative: Patient presented to ED on 18Oct21 c/o severe headache and back pain after receiving her first Pfizer COVID19 vaccine on 15Oct21. After getting the shot, she reports having immediate severe headache lasting 2 days. Pain migrated to her midline lumbar spine region and radiated to both LE's so she came to the ER.  There was a small consolidation in the lungs so was treated for pneumonia. Initial exam below:  "Gen: patient is writhing on the bed c/o excruciating pain in midline lumbar region + headache HEENT: Atraumatic, PERRL, no nasal discharge, airway patent, voice wnl Neck: Full ROM, no meningismus CV: RRR, no m/r/g, strong peripheral pulses Pulm: BL CTA, no increased WOB Abd: Soft, non-distended, non-tender w/o guarding Back: No injury, tenderness MSK: + midline TTP lumbar spine region Neuro: AAOx3, moving all extremities, normal speech, normal gait Skin: Warm, dry, no rash Psych: Normal mood, affect" Patient was admitted but developed progressive altered mental status and was intubated and transferred to a high level of care at another hospital on 20Oct21.  Unclear follow-up from other Hospital. Though patient is being transferred to yet another hospital facility. Suspected diagnosis is Guillain barre with Miller Fisher variant.
Age: 18.0
Sex: F
Vaccine: COVID19, UNK, COVID19
Symptoms: Headache, Immediate post-injection reaction, Lung consolidation, Magnetic resonance imaging spinal normal, Mental status changes
Clinical narrative: Patient presented to ED on 18Oct21 c/o severe headache and back pain after receiving her first Pfizer COVID19 vaccine on 15Oct21. After getting the shot, she reports having immediate severe headache lasting 2 days. Pain migrated to her midline lumbar spine region and radiated to both LE's so she came to the ER.  There was a small consolidation in the lungs so was treated for pneumonia. Initial exam below:  "Gen: patient is writhing on the bed c/o excruciating pain in midline lumbar region + headache HEENT: Atraumatic, PERRL, no nasal discharge, airway patent, voice wnl Neck: Full ROM, no meningismus CV: RRR, no m/r/g, strong peripheral pulses Pulm: BL CTA, no increased WOB Abd: Soft, non-distended, non-tender w/o guarding Back: No injury, tenderness MSK: + midline TTP lumbar spine region Neuro: AAOx3, moving all extremities, normal speech, normal gait Skin: Warm, dry, no rash Psych: Normal mood, affect" Patient was admitted but developed progressive altered mental status and was intubated and transferred to a high level of care at another hospital on 20Oct21.  Unclear follow-up from other Hospital. Though patient is being transferred to yet another hospital facility. Suspected diagnosis is Guillain barre with Miller Fisher variant.
Age: 18.0
Sex: F
Vaccine: COVID19, UNK, COVID19
Symptoms: Pain, Pain in extremity, Pneumonia, Red blood cell sedimentation rate increased, SARS-CoV-2 test negative
Clinical narrative: Patient presented to ED on 18Oct21 c/o severe headache and back pain after receiving her first Pfizer COVID19 vaccine on 15Oct21. After getting the shot, she reports having immediate severe headache lasting 2 days. Pain migrated to her midline lumbar spine region and radiated to both LE's so she came to the ER.  There was a small consolidation in the lungs so was treated for pneumonia. Initial exam below:  "Gen: patient is writhing on the bed c/o excruciating pain in midline lumbar region + headache HEENT: Atraumatic, PERRL, no nasal discharge, airway patent, voice wnl Neck: Full ROM, no meningismus CV: RRR, no m/r/g, strong peripheral pulses Pulm: BL CTA, no increased WOB Abd: Soft, non-distended, non-tender w/o guarding Back: No injury, tenderness MSK: + midline TTP lumbar spine region Neuro: AAOx3, moving all extremities, normal speech, normal gait Skin: Warm, dry, no rash Psych: Normal mood, affect" Patient was admitted but developed progressive altered mental status and was intubated and transferred to a high level of care at another hospital on 20Oct21.  Unclear follow-up from other Hospital. Though patient is being transferred to yet another hospital facility. Suspected diagnosis is Guillain barre with Miller Fisher variant.
Age: 18.0
Sex: F
Vaccine: COVID19, UNK, COVID19
Symptoms: Spinal pain, Tenderness, Toxicologic test normal, White blood cell count increased
Clinical narrative: Patient presented to ED on 18Oct21 c/o severe headache and back pain after receiving her first Pfizer COVID19 vaccine on 15Oct21. After getting the shot, she reports having immediate severe headache lasting 2 days. Pain migrated to her midline lumbar spine region and radiated to both LE's so she came to the ER.  There was a small consolidation in the lungs so was treated for pneumonia. Initial exam below:  "Gen: patient is writhing on the bed c/o excruciating pain in midline lumbar region + headache HEENT: Atraumatic, PERRL, no nasal discharge, airway patent, voice wnl Neck: Full ROM, no meningismus CV: RRR, no m/r/g, strong peripheral pulses Pulm: BL CTA, no increased WOB Abd: Soft, non-distended, non-tender w/o guarding Back: No injury, tenderness MSK: + midline TTP lumbar spine region Neuro: AAOx3, moving all extremities, normal speech, normal gait Skin: Warm, dry, no rash Psych: Normal mood, affect" Patient was admitted but developed progressive altered mental status and was intubated and transferred to a high level of care at another hospital on 20Oct21.  Unclear follow-up from other Hospital. Though patient is being transferred to yet another hospital facility. Suspected diagnosis is Guillain barre with Miller Fisher variant.
Age: 18.0
Sex: F
Vaccine: COVID19, UNK, COVID19
Symptoms: Areflexia, Biopsy muscle, Borrelia test negative, Electroencephalogram, Encephalitis autoimmune
Clinical narrative: Patient presented to ED on 18Oct21 c/o severe headache and back pain after receiving her first Pfizer COVID19 vaccine on 15Oct21. After getting the shot, she reports having immediate severe headache lasting 2 days. Pain migrated to her midline lumbar spine region and radiated to both LE's so she came to the ER.  There was a small consolidation in the lungs so was treated for pneumonia. Initial exam below:  "Gen: patient is writhing on the bed c/o excruciating pain in midline lumbar region + headache HEENT: Atraumatic, PERRL, no nasal discharge, airway patent, voice wnl Neck: Full ROM, no meningismus CV: RRR, no m/r/g, strong peripheral pulses Pulm: BL CTA, no increased WOB Abd: Soft, non-distended, non-tender w/o guarding Back: No injury, tenderness MSK: + midline TTP lumbar spine region Neuro: AAOx3, moving all extremities, normal speech, normal gait Skin: Warm, dry, no rash Psych: Normal mood, affect" Patient was admitted but developed progressive altered mental status and was intubated and transferred to a high level of care at another hospital on 20Oct21.  Unclear follow-up from other Hospital. Though patient is being transferred to yet another hospital facility. Suspected diagnosis is Guillain barre with Miller Fisher variant.
Age: 18.0
Sex: F
Vaccine: COVID19, UNK, COVID19
Symptoms: Encephalopathy, Guillain-Barre syndrome, Headache, Immunology test normal, Laboratory test normal
Clinical narrative: Patient presented to ED on 18Oct21 c/o severe headache and back pain after receiving her first Pfizer COVID19 vaccine on 15Oct21. After getting the shot, she reports having immediate severe headache lasting 2 days. Pain migrated to her midline lumbar spine region and radiated to both LE's so she came to the ER.  There was a small consolidation in the lungs so was treated for pneumonia. Initial exam below:  "Gen: patient is writhing on the bed c/o excruciating pain in midline lumbar region + headache HEENT: Atraumatic, PERRL, no nasal discharge, airway patent, voice wnl Neck: Full ROM, no meningismus CV: RRR, no m/r/g, strong peripheral pulses Pulm: BL CTA, no increased WOB Abd: Soft, non-distended, non-tender w/o guarding Back: No injury, tenderness MSK: + midline TTP lumbar spine region Neuro: AAOx3, moving all extremities, normal speech, normal gait Skin: Warm, dry, no rash Psych: Normal mood, affect" Patient was admitted but developed progressive altered mental status and was intubated and transferred to a high level of care at another hospital on 20Oct21.  Unclear follow-up from other Hospital. Though patient is being transferred to yet another hospital facility. Suspected diagnosis is Guillain barre with Miller Fisher variant.
Age: 18.0
Sex: F
Vaccine: COVID19, UNK, COVID19
Symptoms: Lethargy, Lumbar puncture, Magnetic resonance imaging, Mechanical ventilation, Meningitis
Clinical narrative: Patient presented to ED on 18Oct21 c/o severe headache and back pain after receiving her first Pfizer COVID19 vaccine on 15Oct21. After getting the shot, she reports having immediate severe headache lasting 2 days. Pain migrated to her midline lumbar spine region and radiated to both LE's so she came to the ER.  There was a small consolidation in the lungs so was treated for pneumonia. Initial exam below:  "Gen: patient is writhing on the bed c/o excruciating pain in midline lumbar region + headache HEENT: Atraumatic, PERRL, no nasal discharge, airway patent, voice wnl Neck: Full ROM, no meningismus CV: RRR, no m/r/g, strong peripheral pulses Pulm: BL CTA, no increased WOB Abd: Soft, non-distended, non-tender w/o guarding Back: No injury, tenderness MSK: + midline TTP lumbar spine region Neuro: AAOx3, moving all extremities, normal speech, normal gait Skin: Warm, dry, no rash Psych: Normal mood, affect" Patient was admitted but developed progressive altered mental status and was intubated and transferred to a high level of care at another hospital on 20Oct21.  Unclear follow-up from other Hospital. Though patient is being transferred to yet another hospital facility. Suspected diagnosis is Guillain barre with Miller Fisher variant.
Age: 18.0
Sex: F
Vaccine: COVID19, UNK, COVID19
Symptoms: Mental status changes, Muscle disorder, Neurological examination normal, Paralysis, Pathology test
Clinical narrative: Patient presented to ED on 18Oct21 c/o severe headache and back pain after receiving her first Pfizer COVID19 vaccine on 15Oct21. After getting the shot, she reports having immediate severe headache lasting 2 days. Pain migrated to her midline lumbar spine region and radiated to both LE's so she came to the ER.  There was a small consolidation in the lungs so was treated for pneumonia. Initial exam below:  "Gen: patient is writhing on the bed c/o excruciating pain in midline lumbar region + headache HEENT: Atraumatic, PERRL, no nasal discharge, airway patent, voice wnl Neck: Full ROM, no meningismus CV: RRR, no m/r/g, strong peripheral pulses Pulm: BL CTA, no increased WOB Abd: Soft, non-distended, non-tender w/o guarding Back: No injury, tenderness MSK: + midline TTP lumbar spine region Neuro: AAOx3, moving all extremities, normal speech, normal gait Skin: Warm, dry, no rash Psych: Normal mood, affect" Patient was admitted but developed progressive altered mental status and was intubated and transferred to a high level of care at another hospital on 20Oct21.  Unclear follow-up from other Hospital. Though patient is being transferred to yet another hospital facility. Suspected diagnosis is Guillain barre with Miller Fisher variant.
Age: 18.0
Sex: F
Vaccine: COVID19, UNK, COVID19
Symptoms: Plasmapheresis, Respiratory failure, Unresponsive to stimuli
Clinical narrative: Patient presented to ED on 18Oct21 c/o severe headache and back pain after receiving her first Pfizer COVID19 vaccine on 15Oct21. After getting the shot, she reports having immediate severe headache lasting 2 days. Pain migrated to her midline lumbar spine region and radiated to both LE's so she came to the ER.  There was a small consolidation in the lungs so was treated for pneumonia. Initial exam below:  "Gen: patient is writhing on the bed c/o excruciating pain in midline lumbar region + headache HEENT: Atraumatic, PERRL, no nasal discharge, airway patent, voice wnl Neck: Full ROM, no meningismus CV: RRR, no m/r/g, strong peripheral pulses Pulm: BL CTA, no increased WOB Abd: Soft, non-distended, non-tender w/o guarding Back: No injury, tenderness MSK: + midline TTP lumbar spine region Neuro: AAOx3, moving all extremities, normal speech, normal gait Skin: Warm, dry, no rash Psych: Normal mood, affect" Patient was admitted but developed progressive altered mental status and was intubated and transferred to a high level of care at another hospital on 20Oct21.  Unclear follow-up from other Hospital. Though patient is being transferred to yet another hospital facility. Suspected diagnosis is Guillain barre with Miller Fisher variant.
Age: 18.0
Sex: F
Vaccine: COVID19, UNK, COVID19
Symptoms: Encephalopathy, Paralysis
Clinical narrative: Patient presented to ED on 18Oct21 c/o severe headache and back pain after receiving her first Pfizer COVID19 vaccine on 15Oct21. After getting the shot, she reports having immediate severe headache lasting 2 days. Pain migrated to her midline lumbar spine region and radiated to both LE's so she came to the ER.  There was a small consolidation in the lungs so was treated for pneumonia. Initial exam below:  "Gen: patient is writhing on the bed c/o excruciating pain in midline lumbar region + headache HEENT: Atraumatic, PERRL, no nasal discharge, airway patent, voice wnl Neck: Full ROM, no meningismus CV: RRR, no m/r/g, strong peripheral pulses Pulm: BL CTA, no increased WOB Abd: Soft, non-distended, non-tender w/o guarding Back: No injury, tenderness MSK: + midline TTP lumbar spine region Neuro: AAOx3, moving all extremities, normal speech, normal gait Skin: Warm, dry, no rash Psych: Normal mood, affect" Patient was admitted but developed progressive altered mental status and was intubated and transferred to a high level of care at another hospital on 20Oct21.  Unclear follow-up from other Hospital. Though patient is being transferred to yet another hospital facility. Suspected diagnosis is Guillain barre with Miller Fisher variant.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Bone pain, Chills, Fatigue, Headache, Nausea
Clinical narrative: Chills Bone ache  Fatigue  Headache Sore throat  Nausea
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain
Clinical narrative: Chills Bone ache  Fatigue  Headache Sore throat  Nausea
Age: 62.0
Sex: M
Vaccine: FLU4
Symptoms: Chills, Headache, Pain
Clinical narrative: chills, body aches, headache
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chest pain, Condition aggravated, Pneumonia
Clinical narrative: Chest Pain, Chest Xrays confirmed pneumonia,  Levofloxacin 500mg tablets for 10 days,  Referral to Pulmonary Specialist.,
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Adnexa uteri pain, Arthritis, Condition aggravated, Crohn's disease, Fatigue
Clinical narrative: 24 hours after 3rd  injection, had a fever, sweating and body aches that lasted a day.  A week later I had a mild crohn's and arthritis flare up with extreme fatigue and ovarian pains that lasted all week. Just felt unwell overall.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Immunodeficiency, Malaise, Pain, Pyrexia
Clinical narrative: 24 hours after 3rd  injection, had a fever, sweating and body aches that lasted a day.  A week later I had a mild crohn's and arthritis flare up with extreme fatigue and ovarian pains that lasted all week. Just felt unwell overall.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Adult failure to thrive, Asymptomatic COVID-19, COVID-19 pneumonia, Death
Clinical narrative: I am the epidemiologist reporting on behalf of 92-year-old male patient. The patient received two doses of the Pfizer vaccine on 02/09/21 and 03/02/21. The patient received their third dose of the Pfizer vaccine on 10/01/21. On 10/10/21 (10 days post dose 3), the patient took a PCR test and a rapid test and was positive on both. According to contact tracing team who spoke with daughter of case, case was asymptomatic with the 3rd dose of the Pfizer vaccine. On 10/12, the case was moved to Hospice care as they are not treating the case for COVID, however, as they speaker mentioned a "heart attack." The patient died on 10/15/21 (15 days post 3rd dose). The cause of death is listed as ?Acute respiratory failure; Pneumonia due to Covid ;Covid? on the death certificate. Other significant conditions contributing to death but not resulting in underlying causes are listed as ?adult failure to thrive syndrome.? Known pre-existing conditions include cardiovascular disease.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Myocardial infarction, SARS-CoV-2 test positive
Clinical narrative: I am the epidemiologist reporting on behalf of 92-year-old male patient. The patient received two doses of the Pfizer vaccine on 02/09/21 and 03/02/21. The patient received their third dose of the Pfizer vaccine on 10/01/21. On 10/10/21 (10 days post dose 3), the patient took a PCR test and a rapid test and was positive on both. According to contact tracing team who spoke with daughter of case, case was asymptomatic with the 3rd dose of the Pfizer vaccine. On 10/12, the case was moved to Hospice care as they are not treating the case for COVID, however, as they speaker mentioned a "heart attack." The patient died on 10/15/21 (15 days post 3rd dose). The cause of death is listed as ?Acute respiratory failure; Pneumonia due to Covid ;Covid? on the death certificate. Other significant conditions contributing to death but not resulting in underlying causes are listed as ?adult failure to thrive syndrome.? Known pre-existing conditions include cardiovascular disease.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Amenorrhoea, Hypomenorrhoea, Pregnancy test negative, Vaginal discharge
Clinical narrative: Missed period on May 2. On May 31 experiences heavy thick discharge but not menstruation. On June 22 experienced light bleeding for only two days. On July 21 period returned but lighter than normal.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Anion gap normal, Aspartate aminotransferase normal, Base excess, Basophil percentage
Clinical narrative: fall and altered mental status, increasing mental confusion, shortness of breath with activity,
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Bilirubin urine, Blood albumin normal, Blood alkaline phosphatase normal, Blood bicarbonate normal, Blood bilirubin increased
Clinical narrative: fall and altered mental status, increasing mental confusion, shortness of breath with activity,
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Blood calcium decreased, Blood chloride normal, Blood creatinine normal, Blood gases, Blood glucose normal
Clinical narrative: fall and altered mental status, increasing mental confusion, shortness of breath with activity,
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Blood lactate dehydrogenase increased, Blood magnesium normal, Blood pH normal, Blood phosphorus normal, Blood potassium normal
Clinical narrative: fall and altered mental status, increasing mental confusion, shortness of breath with activity,
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Blood sodium decreased, Blood thyroid stimulating hormone decreased, Blood urea normal, Blood urine present, Carbon dioxide decreased
Clinical narrative: fall and altered mental status, increasing mental confusion, shortness of breath with activity,
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Carboxyhaemoglobin normal, Chest X-ray, Computerised tomogram head, Computerised tomogram spine, Confusional state
Clinical narrative: fall and altered mental status, increasing mental confusion, shortness of breath with activity,
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Differential white blood cell count, Dyspnoea exertional, Eosinophil percentage decreased, Fall, Fibrin D dimer normal
Clinical narrative: fall and altered mental status, increasing mental confusion, shortness of breath with activity,
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count, Glomerular filtration rate normal, Glucose urine absent, Haematocrit normal, Haemoglobin normal
Clinical narrative: fall and altered mental status, increasing mental confusion, shortness of breath with activity,
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphocyte count normal, Lymphocyte percentage, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal
Clinical narrative: fall and altered mental status, increasing mental confusion, shortness of breath with activity,
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Mean platelet volume normal, Mental status changes, Monocyte count normal, Monocyte percentage increased, Neutrophil count normal
Clinical narrative: fall and altered mental status, increasing mental confusion, shortness of breath with activity,
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Neutrophil percentage, Nitrite urine absent, Oxygen saturation decreased, PCO2 normal, PO2 decreased
Clinical narrative: fall and altered mental status, increasing mental confusion, shortness of breath with activity,
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count normal, Protein total normal, Protein urine absent, Red blood cell count normal, Red blood cells urine negative
Clinical narrative: fall and altered mental status, increasing mental confusion, shortness of breath with activity,
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Red cell distribution width normal, Specific gravity urine normal, Troponin I normal, Urine analysis, Urine ketone body absent
Clinical narrative: fall and altered mental status, increasing mental confusion, shortness of breath with activity,