chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lymphocyte percentage decreased, Malaise, Mean cell haemoglobin concentration decreased, Mean cell haemoglobin decreased, Mean cell volume decreased
Clinical narrative: 72yo female hx GERD, CKD stage 3, alpha thalassemia trait, COPD, NIDDM2 presents with acute renal failure, hyperkalemia, AGAP metabolic acidosis, uncontrolled diabetes and hyperglycemia, and sepsis of unclear etiology.   Acute kidney injury on chronic kidney disease stage 4: 72-year-old female with history of chronic kidney disease, anemia, GERD, COPD diabetes who presented with elevated creatinine not feeling well and was found to have acute kidney injury.  During hospitalization patient required 2 sessions of hemodialysis.  Patient's temporary hemodialysis catheter has been removed as per recommendation of Nephrology.  Patient's creatinine is stable.  Patient is to follow-up with nephrologist as an outpatient.   Hypertension: It was uncontrolled, patient medication has been adjusted.  Patient is currently on amlodipine, Coreg, losartan as per recommendation of nephrologist.   Diabetes: Mostly uncontrolled, patient is currently on home medication, that will be resumed on discharge   Physical exam: Constitutional:  Patient is lying in bed, no distress Head/eyes: atraumatic, normocephalic ENT: moist mucous membranes Neck: non-tender Cardiovascular:  regular rate and rhythm, no murmur, no rub Respiratory: decreased breath sounds, clear to auscultation, mild crackles Abdomen: non-tender, normal bowel sounds, soft, no rebound Extremities:  No clubbing, no cyanosis, edema mild Skin: intact, normal turgor 1   Discharge condition: stable
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mean platelet volume increased, Metabolic acidosis, Monocyte count, Monocyte percentage, Neutrophil count increased
Clinical narrative: 72yo female hx GERD, CKD stage 3, alpha thalassemia trait, COPD, NIDDM2 presents with acute renal failure, hyperkalemia, AGAP metabolic acidosis, uncontrolled diabetes and hyperglycemia, and sepsis of unclear etiology.   Acute kidney injury on chronic kidney disease stage 4: 72-year-old female with history of chronic kidney disease, anemia, GERD, COPD diabetes who presented with elevated creatinine not feeling well and was found to have acute kidney injury.  During hospitalization patient required 2 sessions of hemodialysis.  Patient's temporary hemodialysis catheter has been removed as per recommendation of Nephrology.  Patient's creatinine is stable.  Patient is to follow-up with nephrologist as an outpatient.   Hypertension: It was uncontrolled, patient medication has been adjusted.  Patient is currently on amlodipine, Coreg, losartan as per recommendation of nephrologist.   Diabetes: Mostly uncontrolled, patient is currently on home medication, that will be resumed on discharge   Physical exam: Constitutional:  Patient is lying in bed, no distress Head/eyes: atraumatic, normocephalic ENT: moist mucous membranes Neck: non-tender Cardiovascular:  regular rate and rhythm, no murmur, no rub Respiratory: decreased breath sounds, clear to auscultation, mild crackles Abdomen: non-tender, normal bowel sounds, soft, no rebound Extremities:  No clubbing, no cyanosis, edema mild Skin: intact, normal turgor 1   Discharge condition: stable
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Neutrophil percentage increased, Oedema, Platelet count increased, Protein total normal, Red blood cell count normal
Clinical narrative: 72yo female hx GERD, CKD stage 3, alpha thalassemia trait, COPD, NIDDM2 presents with acute renal failure, hyperkalemia, AGAP metabolic acidosis, uncontrolled diabetes and hyperglycemia, and sepsis of unclear etiology.   Acute kidney injury on chronic kidney disease stage 4: 72-year-old female with history of chronic kidney disease, anemia, GERD, COPD diabetes who presented with elevated creatinine not feeling well and was found to have acute kidney injury.  During hospitalization patient required 2 sessions of hemodialysis.  Patient's temporary hemodialysis catheter has been removed as per recommendation of Nephrology.  Patient's creatinine is stable.  Patient is to follow-up with nephrologist as an outpatient.   Hypertension: It was uncontrolled, patient medication has been adjusted.  Patient is currently on amlodipine, Coreg, losartan as per recommendation of nephrologist.   Diabetes: Mostly uncontrolled, patient is currently on home medication, that will be resumed on discharge   Physical exam: Constitutional:  Patient is lying in bed, no distress Head/eyes: atraumatic, normocephalic ENT: moist mucous membranes Neck: non-tender Cardiovascular:  regular rate and rhythm, no murmur, no rub Respiratory: decreased breath sounds, clear to auscultation, mild crackles Abdomen: non-tender, normal bowel sounds, soft, no rebound Extremities:  No clubbing, no cyanosis, edema mild Skin: intact, normal turgor 1   Discharge condition: stable
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Red cell distribution width increased, Sepsis, Serum ferritin, Troponin, White blood cell count increased
Clinical narrative: 72yo female hx GERD, CKD stage 3, alpha thalassemia trait, COPD, NIDDM2 presents with acute renal failure, hyperkalemia, AGAP metabolic acidosis, uncontrolled diabetes and hyperglycemia, and sepsis of unclear etiology.   Acute kidney injury on chronic kidney disease stage 4: 72-year-old female with history of chronic kidney disease, anemia, GERD, COPD diabetes who presented with elevated creatinine not feeling well and was found to have acute kidney injury.  During hospitalization patient required 2 sessions of hemodialysis.  Patient's temporary hemodialysis catheter has been removed as per recommendation of Nephrology.  Patient's creatinine is stable.  Patient is to follow-up with nephrologist as an outpatient.   Hypertension: It was uncontrolled, patient medication has been adjusted.  Patient is currently on amlodipine, Coreg, losartan as per recommendation of nephrologist.   Diabetes: Mostly uncontrolled, patient is currently on home medication, that will be resumed on discharge   Physical exam: Constitutional:  Patient is lying in bed, no distress Head/eyes: atraumatic, normocephalic ENT: moist mucous membranes Neck: non-tender Cardiovascular:  regular rate and rhythm, no murmur, no rub Respiratory: decreased breath sounds, clear to auscultation, mild crackles Abdomen: non-tender, normal bowel sounds, soft, no rebound Extremities:  No clubbing, no cyanosis, edema mild Skin: intact, normal turgor 1   Discharge condition: stable
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone normal, C-reactive protein normal, Chest pain, Dyspnoea exertional, Electrocardiogram normal
Clinical narrative: Had arm pain after the vaccine. Starting about 3 days after the vaccine, he developed chest pain, shortness of breath and fatigued after playing water polo. These symptoms were significant enough that his mother brought him to the ED for evaluation wherein tropinins, EKGs and chest xray were normal. These symptoms were severe enough to interfere with school and his sports. He now has symptoms of intermittent palpitations, chest pain and persistent fatigue.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Full blood count normal, Loss of personal independence in daily activities, Pain in extremity, Palpitations
Clinical narrative: Had arm pain after the vaccine. Starting about 3 days after the vaccine, he developed chest pain, shortness of breath and fatigued after playing water polo. These symptoms were significant enough that his mother brought him to the ED for evaluation wherein tropinins, EKGs and chest xray were normal. These symptoms were severe enough to interfere with school and his sports. He now has symptoms of intermittent palpitations, chest pain and persistent fatigue.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Serum ferritin normal, Troponin normal, Vitamin D
Clinical narrative: Had arm pain after the vaccine. Starting about 3 days after the vaccine, he developed chest pain, shortness of breath and fatigued after playing water polo. These symptoms were significant enough that his mother brought him to the ED for evaluation wherein tropinins, EKGs and chest xray were normal. These symptoms were severe enough to interfere with school and his sports. He now has symptoms of intermittent palpitations, chest pain and persistent fatigue.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Anosmia, Back pain, COVID-19, Cough, Dyspnoea
Clinical narrative: tested positive for Covid 19 - cough, shortness of breath, no smell, sinus pressure, back ache, very tired
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Paranasal sinus discomfort, SARS-CoV-2 test positive
Clinical narrative: tested positive for Covid 19 - cough, shortness of breath, no smell, sinus pressure, back ache, very tired
Sex: F
Vaccine: HEP
Symptoms: Balance disorder, Candida infection, Erythema, Injection site pain, Injection site swelling
Clinical narrative: Swelling of lower extremities with warm red skin, rash on lower extremities and abdomen. Site of injection was sore and raised. Next morning, fever of 99.6 degrees Fahrenheit, felt off balance/unwell. That night had thrush. Took a zyrtec and slept. Went to emergency room on 09/18/2021, symptoms better but not fully resolved. Gave nystatin for thrush  and told to take allergy medication. April says she took the nystatin and more Zyrtec.
Sex: F
Vaccine: HEP
Symptoms: Malaise, Peripheral swelling, Pyrexia, Rash, SARS-CoV-2 test negative
Clinical narrative: Swelling of lower extremities with warm red skin, rash on lower extremities and abdomen. Site of injection was sore and raised. Next morning, fever of 99.6 degrees Fahrenheit, felt off balance/unwell. That night had thrush. Took a zyrtec and slept. Went to emergency room on 09/18/2021, symptoms better but not fully resolved. Gave nystatin for thrush  and told to take allergy medication. April says she took the nystatin and more Zyrtec.
Sex: F
Vaccine: HEP
Symptoms: Skin warm, Ultrasound Doppler normal
Clinical narrative: Swelling of lower extremities with warm red skin, rash on lower extremities and abdomen. Site of injection was sore and raised. Next morning, fever of 99.6 degrees Fahrenheit, felt off balance/unwell. That night had thrush. Took a zyrtec and slept. Went to emergency room on 09/18/2021, symptoms better but not fully resolved. Gave nystatin for thrush  and told to take allergy medication. April says she took the nystatin and more Zyrtec.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Death, Mechanical ventilation
Clinical narrative: Patient fully vaccinated with pfizer COVID vaccine on 2/5/2021 and 3/5/2021. Pt has  h/o advanced COPD and is chronically oxygen dependent, on 5L of O2 at home, multiple sclerosis, Afib, GERD, CHF. Required admission to hospital for COVID pneumonia on 8/29/2021, requiring mechanical ventilation, and ultimately patient expired on 9/18/2021.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Feeling hot, Restlessness, Vomiting
Clinical narrative: Following the administration of the vaccine, patient started vomiting, then she reported feeling hot all over her body. She was pacing and was not able to settle. Patient was given 50mg oral benadryl and was taken to the hospital by medics.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Burning sensation, Hypoaesthesia, Immediate post-injection reaction, Lacrimation increased, Paraesthesia
Clinical narrative: Following the administration of the vaccine, patient started vomiting, then she reported feeling hot all over her body. She was pacing and was not able to settle. Patient was given 50mg oral benadryl and was taken to the hospital by medics.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash erythematous, Rash macular, Sensitive skin, Skin burning sensation, Tremor
Clinical narrative: Following the administration of the vaccine, patient started vomiting, then she reported feeling hot all over her body. She was pacing and was not able to settle. Patient was given 50mg oral benadryl and was taken to the hospital by medics.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: Following the administration of the vaccine, patient started vomiting, then she reported feeling hot all over her body. She was pacing and was not able to settle. Patient was given 50mg oral benadryl and was taken to the hospital by medics.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Feeling hot, Restlessness, Vomiting
Clinical narrative: Immediately after injection pt vomited once and within 15 minutes began feeling severe burning and tearing sensation throughout R arm (opposite the side that was injected) that spread toward upper back and further spread downward to lower back. Pt rates pain 9/10 now but immediately after injection states pain was 10/10.  Pt has sensation of skin being on fire, tingling, and numbness that she describes as being "like when your arm falls asleep". Skin is very sensitive to palpation and clothing is further irritating sx. Pt also has full body fine tremors. Immediately after injection she had blotchy red rash to chest noted by EMS but has resolved upon arrival to emergency room. Per pt, pharmacist at pharmacy where she received the vaccine also noted that her temperature rose from 97.4 to 99.2.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Burning sensation, Hypoaesthesia, Immediate post-injection reaction, Lacrimation increased, Paraesthesia
Clinical narrative: Immediately after injection pt vomited once and within 15 minutes began feeling severe burning and tearing sensation throughout R arm (opposite the side that was injected) that spread toward upper back and further spread downward to lower back. Pt rates pain 9/10 now but immediately after injection states pain was 10/10.  Pt has sensation of skin being on fire, tingling, and numbness that she describes as being "like when your arm falls asleep". Skin is very sensitive to palpation and clothing is further irritating sx. Pt also has full body fine tremors. Immediately after injection she had blotchy red rash to chest noted by EMS but has resolved upon arrival to emergency room. Per pt, pharmacist at pharmacy where she received the vaccine also noted that her temperature rose from 97.4 to 99.2.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash erythematous, Rash macular, Sensitive skin, Skin burning sensation, Tremor
Clinical narrative: Immediately after injection pt vomited once and within 15 minutes began feeling severe burning and tearing sensation throughout R arm (opposite the side that was injected) that spread toward upper back and further spread downward to lower back. Pt rates pain 9/10 now but immediately after injection states pain was 10/10.  Pt has sensation of skin being on fire, tingling, and numbness that she describes as being "like when your arm falls asleep". Skin is very sensitive to palpation and clothing is further irritating sx. Pt also has full body fine tremors. Immediately after injection she had blotchy red rash to chest noted by EMS but has resolved upon arrival to emergency room. Per pt, pharmacist at pharmacy where she received the vaccine also noted that her temperature rose from 97.4 to 99.2.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: Immediately after injection pt vomited once and within 15 minutes began feeling severe burning and tearing sensation throughout R arm (opposite the side that was injected) that spread toward upper back and further spread downward to lower back. Pt rates pain 9/10 now but immediately after injection states pain was 10/10.  Pt has sensation of skin being on fire, tingling, and numbness that she describes as being "like when your arm falls asleep". Skin is very sensitive to palpation and clothing is further irritating sx. Pt also has full body fine tremors. Immediately after injection she had blotchy red rash to chest noted by EMS but has resolved upon arrival to emergency room. Per pt, pharmacist at pharmacy where she received the vaccine also noted that her temperature rose from 97.4 to 99.2.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac flutter, Echocardiogram, Electrocardiogram, Full blood count, Hot flush
Clinical narrative: Heart fluttering, and hot flash the night of vaccine, then again several days later
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram, Laboratory test, Peripheral artery thrombosis, Thrombectomy, Ultrasound Doppler
Clinical narrative: acute arterial thrombus left brachial
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient was vaccinated at outside facility, subsequently admitted to our facility on 9/20/2021 due to symptomatic COVID and COVID test was positive on 9/21/2021
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Skin warm, Urinary tract infection, Urticaria
Clinical narrative: A couple days after the vaccine I broke out with a prominent rash and welts all over my body.  It was extremely itchy and warm.  It was so bad I went to the department and were I was given a prescription for nitrofurantoin mono mcr to take for 5 days to help with the discomfort.  I was advised then I had developed a  UTI was also treated for that as well.  I then  reached out to my PCP who then prescribed Benadryl which I took for about 3 mo. I saw my new dr. who stopped the Benadryl and had me start taking Losartan so I alternated the two for about 2 weeks  until I was off the Benadryl and to date I have been off the Benadryl for about 1mo.  No rashes has come back but I still break out in welts and anytime any pressure is applied to my body I break out in welts at the pressured site all over again as well
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Back pain, Delirium, Full blood count, Myalgia, Nausea
Clinical narrative: severe nausea  severe vomiting  severe back ache  severe muscle pain  delirium  convulsions
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Seizure, Vomiting
Clinical narrative: severe nausea  severe vomiting  severe back ache  severe muscle pain  delirium  convulsions
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood creatine phosphokinase, Blood test, Body temperature, Feeling abnormal, Influenza like illness
Clinical narrative: severe nausea  severe vomiting  severe back ache  severe muscle pain  delirium  convulsions
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Metabolic function test, SARS-CoV-2 test, Seizure
Clinical narrative: severe nausea  severe vomiting  severe back ache  severe muscle pain  delirium  convulsions
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal pain upper, Back pain, Biliary dyskinesia, Blood test normal
Clinical narrative: Around April 19, 2021 started feeling stomach sick--flank pain on my right side, pain on the upper center of my stomach and went around to my back and that continued for a week. I then I went to see my NP. I had ultrasound on my stomach- normal, blood test. She wrote a referral to have an upper and lower GI-test 06/15/2021- with Dr. Dr. ordered a Hida scan - 07/26/2021- then the next day the results were that my gall bladder was not functioning normal- Bilary dyskinesia. On 08/30/2021- I had surgery to have my gall bladder removed and I was out of work for 2 weeks. I do not think it is associated with the vaccine.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Cholecystectomy, Flank pain, Hepatobiliary scan, Impaired work ability, Scan abnormal
Clinical narrative: Around April 19, 2021 started feeling stomach sick--flank pain on my right side, pain on the upper center of my stomach and went around to my back and that continued for a week. I then I went to see my NP. I had ultrasound on my stomach- normal, blood test. She wrote a referral to have an upper and lower GI-test 06/15/2021- with Dr. Dr. ordered a Hida scan - 07/26/2021- then the next day the results were that my gall bladder was not functioning normal- Bilary dyskinesia. On 08/30/2021- I had surgery to have my gall bladder removed and I was out of work for 2 weeks. I do not think it is associated with the vaccine.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound abdomen
Clinical narrative: Around April 19, 2021 started feeling stomach sick--flank pain on my right side, pain on the upper center of my stomach and went around to my back and that continued for a week. I then I went to see my NP. I had ultrasound on my stomach- normal, blood test. She wrote a referral to have an upper and lower GI-test 06/15/2021- with Dr. Dr. ordered a Hida scan - 07/26/2021- then the next day the results were that my gall bladder was not functioning normal- Bilary dyskinesia. On 08/30/2021- I had surgery to have my gall bladder removed and I was out of work for 2 weeks. I do not think it is associated with the vaccine.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested NAAT positive for COVID 9/19/21 after being fully vaccinated.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Headache, Oropharyngeal discomfort, Pain, Pain in extremity
Clinical narrative: VERY ACHY LIKE THE FLU, very sore arm, headache (not my migraine type), loose bowels, slight thick feeling in throat, and light fever.99.8.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: VERY ACHY LIKE THE FLU, very sore arm, headache (not my migraine type), loose bowels, slight thick feeling in throat, and light fever.99.8.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, General physical condition abnormal, Unresponsive to stimuli, Vomiting
Clinical narrative: The patient presented to the  -  and was vaccinated with a dose of the Johnson & Johnson (Janssen) vaccine.  Approximately 5 minutes after administration, the patient called for the nurse.  The nurse immediately ran over to the patient and the patient stated "i am feeling light-headed".  The patient then slumped in her seat.  A request for EMS was initiated.  The patient was unresponsive for approximately 20 seconds.  She came around after 20 seconds and was able to respond to questions (ex:  Name, age, date).  Her vitals taken were 94/60, HR-84, 02 98%.  She was provided with an ice pack for the back of her neck and a bottle of water.  The patient remained dizzy and vommited a small amount.  EMS then arrived and assessed patient.  The patient agreed to be transported to  Hospital for evaluation,
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Bone pain, Chills, Pain
Clinical narrative: Severe body aches, chills, bone pain,
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dehydration, Hypertension, Neuropathy peripheral, Pain in extremity
Clinical narrative: FIRST NOTICED SHORTLY AFTER 1ST DOSE ON 7/31/21. WAS TOLD BY URGENT TREATMENT PROVIDER TO "HOLD OFF FOR A WEEK OR SO TO GET 2ND DOSE" PER PATIENT.  PATIENT STATES THAT SHE EXPERIENCED "WEIRD PAINS" IN FEET AND LEGS, NEUROPATHY IN LEGS, WAS DEHYDRATED AND BLOOD PRESSURE WAS EXTREMELY HIGH.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal discomfort, Headache, Nausea, Postmenopausal haemorrhage
Clinical narrative: Have been having excruciating headaches since the morning after vaccines.   They will dullen with Tylenol but will not go away.  I have been sick to my stomach/nauseous since the morning after vaccines.   Being a woman in menopause, I have now started having a period again since the morning after the vaccine.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Headache
Clinical narrative: Headache and severe upper back pain
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Computerised tomogram, Decreased activity, Deep vein thrombosis, Pulmonary embolism
Clinical narrative: I noticed that my endurance was diminished for two weeks and when I when I went to the hospital on 07/06/2021. I was diagnosed with multiple bilateral Pulmonary Emboli confirmed by ultrasound. I also had a DVT in my right leg slightly to the medial side of my knee. It was treated with anticoagulants. Currently I have no symptoms.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound scan abnormal
Clinical narrative: I noticed that my endurance was diminished for two weeks and when I when I went to the hospital on 07/06/2021. I was diagnosed with multiple bilateral Pulmonary Emboli confirmed by ultrasound. I also had a DVT in my right leg slightly to the medial side of my knee. It was treated with anticoagulants. Currently I have no symptoms.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea
Clinical narrative: Chest pains and shortness of breath, the first shot was given and the same symptoms but over the course of a couple weeks these went away and returned to normal.  Now this has been 3 weeks and still having shortness of breath and pain in my chest
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Condition aggravated, Fungal infection, Herpes virus infection, Mental disorder
Clinical narrative: Yeast, herpes, urinary tract, have mental illness, anxiety
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Depressed level of consciousness, Dizziness, Hypoacusis, Pallor
Clinical narrative: 31 year old M received first dose of Pfizer vaccine to left deltoid at 1622. About 5 minutes later after sitting down in a chair for observation pt c/o dizziness, pt stated he "started to loose sense of hearing and sight, and started to loose consciousness" but did NOT have syncopal episode. Pt also c/o "weird sensation in chest" but when inquired about chest statement pt denied CP, any radiating pain, pt denied like an elephant was sitting on his chest. Pt did state "weird sensation in chest" could of been related to anxiety but was not too sure. Upon nurse assessment pt had pallor look skin, very noticeable on the lips. Pt was immediately brought ice water, vital signs (VS) taken, fan was applied towards patient, ice pack applied on back of patient's neck, legs were propped up on a second chair for venous return. VS taken at 1628 were as followed 141/120. SpO2 100 RA, HR 61, VS at 1635 95/35 (61), SpO2 100% RA, HR 65.   Pt stated he did not have a good source of nutrition/meal the day of the vaccine. He reported he are two hours prior to the vaccine and he stated he only ate "a smallpiece of bread, hard candy, pumpkin butter, and cereal for breakfast". Pt educated and adviced on importance of having a nutritious meal on the day of the vaccine.   Pt was taken down to nurse treatment room via wheelchair and report was given to charge RN in nurse treatment room. Pt reported symptoms were improving and he felt better as well. Pt's skin color and lip color was improving and pallor was resolved.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: 31 year old M received first dose of Pfizer vaccine to left deltoid at 1622. About 5 minutes later after sitting down in a chair for observation pt c/o dizziness, pt stated he "started to loose sense of hearing and sight, and started to loose consciousness" but did NOT have syncopal episode. Pt also c/o "weird sensation in chest" but when inquired about chest statement pt denied CP, any radiating pain, pt denied like an elephant was sitting on his chest. Pt did state "weird sensation in chest" could of been related to anxiety but was not too sure. Upon nurse assessment pt had pallor look skin, very noticeable on the lips. Pt was immediately brought ice water, vital signs (VS) taken, fan was applied towards patient, ice pack applied on back of patient's neck, legs were propped up on a second chair for venous return. VS taken at 1628 were as followed 141/120. SpO2 100 RA, HR 61, VS at 1635 95/35 (61), SpO2 100% RA, HR 65.   Pt stated he did not have a good source of nutrition/meal the day of the vaccine. He reported he are two hours prior to the vaccine and he stated he only ate "a smallpiece of bread, hard candy, pumpkin butter, and cereal for breakfast". Pt educated and adviced on importance of having a nutritious meal on the day of the vaccine.   Pt was taken down to nurse treatment room via wheelchair and report was given to charge RN in nurse treatment room. Pt reported symptoms were improving and he felt better as well. Pt's skin color and lip color was improving and pallor was resolved.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test abnormal, COVID-19, Feeling abnormal, Headache
Clinical narrative: I have headache for 16 days, I had no energy, my whole-body aches like flu, after 17 days I was fine. I still have residual brain fogs; my short memory has been affected.  I got COVID on 7/20/2021. Doctor said I now have COVID Lung. I am taking Zing 15 mg/day., Vitamin B3 6000 IU/day., K290mc a day., B12 Methylcobalamin (nasal spray). I have been referred to Neurologist.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Immune system disorder, Influenza like illness, Memory impairment, Pain
Clinical narrative: I have headache for 16 days, I had no energy, my whole-body aches like flu, after 17 days I was fine. I still have residual brain fogs; my short memory has been affected.  I got COVID on 7/20/2021. Doctor said I now have COVID Lung. I am taking Zing 15 mg/day., Vitamin B3 6000 IU/day., K290mc a day., B12 Methylcobalamin (nasal spray). I have been referred to Neurologist.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Herpes zoster, Rash
Clinical narrative: Diagnosed shingles on upper left back, prescribed Valtrex and as of 09/21 rash is still present, fatigue is still present.
Age: 22.0
Sex: F
Vaccine: RAB
Symptoms: Erythema, Nodule, Pruritus, Swelling
Clinical narrative: Red, swollen, raised, itchy bump lasting for 5 days so far
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Diarrhoea, Faeces discoloured, Hypoaesthesia
Clinical narrative: 88 yr/o female with pmh for stroke (no residual) hld, htn, ckd, chf, atrial fib on Eliquis and osteoporosis who presented to the ed with left leg weakness and diarrhea.  Over the last few days she reports lle weakness/numbness her symptoms were reported to be intermittent until this am and says they were worse/constant. She was unable to bear weight on the leg d/t the weakness. There has been no known trauma or injuries. No arm weakness, visual disturbances, dizziness or difficulty with speech. Additionally she reports several episodes of black watery stools and intermittent non-productive cough for the last 4 days. No recent abx, no fevers/chills or abd pain. She is on Eliquis.-denies any bright red blood, or urinary complications. She has been vaccinated for COVID.  No other complaints at this time
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Muscular weakness, SARS-CoV-2 test positive, Weight bearing difficulty
Clinical narrative: 88 yr/o female with pmh for stroke (no residual) hld, htn, ckd, chf, atrial fib on Eliquis and osteoporosis who presented to the ed with left leg weakness and diarrhea.  Over the last few days she reports lle weakness/numbness her symptoms were reported to be intermittent until this am and says they were worse/constant. She was unable to bear weight on the leg d/t the weakness. There has been no known trauma or injuries. No arm weakness, visual disturbances, dizziness or difficulty with speech. Additionally she reports several episodes of black watery stools and intermittent non-productive cough for the last 4 days. No recent abx, no fevers/chills or abd pain. She is on Eliquis.-denies any bright red blood, or urinary complications. She has been vaccinated for COVID.  No other complaints at this time
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: UNEXPLAINED NUMBNESS IN RIGHT ROOT EXCEEDING 3 DAYS
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Adenovirus test, Antibody test, Arachnoid cyst, Biopsy bone marrow abnormal
Clinical narrative: FUO + pancytopenia + acute encephalopathy   Workup revealing secondary HLH  Symptom onset with fatigue reported day after the COVID-19 vaccine dose
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blast cells, Blood beta-D-glucan normal, Blood creatinine increased, Blood smear test normal, Bone lesion
Clinical narrative: FUO + pancytopenia + acute encephalopathy   Workup revealing secondary HLH  Symptom onset with fatigue reported day after the COVID-19 vaccine dose
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bone marrow failure, CSF immunoglobulin, CSF immunoglobulin G index, CSF white blood cell count negative, Computerised tomogram abdomen normal
Clinical narrative: FUO + pancytopenia + acute encephalopathy   Workup revealing secondary HLH  Symptom onset with fatigue reported day after the COVID-19 vaccine dose
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cryptococcus test, Cytomegalovirus test negative, Effusion, Encephalopathy, Epstein-Barr virus test negative
Clinical narrative: FUO + pancytopenia + acute encephalopathy   Workup revealing secondary HLH  Symptom onset with fatigue reported day after the COVID-19 vaccine dose
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Flow cytometry, Fungal test negative, Granulocyte percentage, Haemophagocytic lymphohistiocytosis
Clinical narrative: FUO + pancytopenia + acute encephalopathy   Workup revealing secondary HLH  Symptom onset with fatigue reported day after the COVID-19 vaccine dose
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hepatic enzyme increased, Human herpes virus 6 serology negative, Human herpes virus 8 test, Hyperplasia, Immunoglobulin therapy
Clinical narrative: FUO + pancytopenia + acute encephalopathy   Workup revealing secondary HLH  Symptom onset with fatigue reported day after the COVID-19 vaccine dose
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Interleukin-2 receptor assay, Lethargy, Liver function test increased, Lumbar puncture normal, Lymphocyte percentage decreased
Clinical narrative: FUO + pancytopenia + acute encephalopathy   Workup revealing secondary HLH  Symptom onset with fatigue reported day after the COVID-19 vaccine dose
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lymphocytic infiltration, Marrow hyperplasia, Megakaryocytes normal, Monocyte percentage, Musculoskeletal chest pain
Clinical narrative: FUO + pancytopenia + acute encephalopathy   Workup revealing secondary HLH  Symptom onset with fatigue reported day after the COVID-19 vaccine dose
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Natural killer cell count, Pancytopenia, Parasite blood test, Parvovirus B19 test negative, Pyrexia
Clinical narrative: FUO + pancytopenia + acute encephalopathy   Workup revealing secondary HLH  Symptom onset with fatigue reported day after the COVID-19 vaccine dose
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Respiratory viral panel, SARS-CoV-2 test negative, Serum ferritin increased, T-lymphocyte count, Traumatic haematoma
Clinical narrative: FUO + pancytopenia + acute encephalopathy   Workup revealing secondary HLH  Symptom onset with fatigue reported day after the COVID-19 vaccine dose
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Viral test
Clinical narrative: FUO + pancytopenia + acute encephalopathy   Workup revealing secondary HLH  Symptom onset with fatigue reported day after the COVID-19 vaccine dose
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Aspiration pleural cavity, Bacterial test negative, Biopsy bone marrow abnormal, Blood lactate dehydrogenase increased, CSF test normal
Clinical narrative: FUO + pancytopenia + acute encephalopathy   Workup revealing secondary HLH  Symptom onset with fatigue reported day after the COVID-19 vaccine dose
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Endotracheal intubation, Fatigue, Fungal test negative, Haemophagocytic lymphohistiocytosis, Hyperferritinaemia
Clinical narrative: FUO + pancytopenia + acute encephalopathy   Workup revealing secondary HLH  Symptom onset with fatigue reported day after the COVID-19 vaccine dose
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypertriglyceridaemia, Immunoglobulin therapy, Infection, Laboratory test normal, Lumbar puncture normal
Clinical narrative: FUO + pancytopenia + acute encephalopathy   Workup revealing secondary HLH  Symptom onset with fatigue reported day after the COVID-19 vaccine dose
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Malaise, Mental status changes, Neutropenia, Pancytopenia, Pyrexia
Clinical narrative: FUO + pancytopenia + acute encephalopathy   Workup revealing secondary HLH  Symptom onset with fatigue reported day after the COVID-19 vaccine dose
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Serum ferritin increased, Splenomegaly, Viral test negative, White blood cell count decreased
Clinical narrative: FUO + pancytopenia + acute encephalopathy   Workup revealing secondary HLH  Symptom onset with fatigue reported day after the COVID-19 vaccine dose
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Moderna vaccine was administered to a 17 year old. Administration error. Contacted  state DOH and also consulted CDC document dealing with this type of error and will follow up with 2nd dose of Moderna after 28 days as directed.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fall
Clinical narrative: Patient experienced dizziness right after vaccine and collapsed
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Blood test, Cardiac disorder, Cardiac monitoring, Chest X-ray
Clinical narrative: 8/7/21 @5:30am woke with "quivering" of the heart immediately followed by chest pain/tightness, "squeezing", & difficulty breathing. Pain/distress 6 on a scale of 1-10, better when sitting up, worse when lying down. Low risk of cardiovascular disease, no pain in left arm (or any extremities). Symptoms lasted ~1 hour until fell asleep sitting up 8/8/21 ~8pm symptoms occurred again, 3 out of 10. Lasted ~1.5 hours. 8/9/21 @4am symptoms occurred again, 4 out of 10, lasted ~1 hour.  @3pm symptoms occurred and worsened; @ 5pm visited urgent care. Attending physician sent to the emergency room.  At the ER they performed an EKG, attached heart and oxygen monitors, and performed bloodwork.  Elevated D-dimer levels prompted a chest x-ray and iodine CT scan: no clots. All other tests in  normal range.  Administered aspirin and referred to a cardiologist.  Symptoms continued until ~11pm. Aspirin helped. 8/10/21 - 8/12/21 symptoms recurred intermittently, 4 out of 10, usually at night. Stopped Apri. 8/13/21 @7am symptoms worsened and lasted all day, 6 out of 10, causing incapacitation and a migraine.   8/14/21 - 8/15/21 symptoms lessened but continued. GP and cardiologists booked through Nov; depression & anxiety spiked;  suicidal thoughts.  Took 10mg Escitalopram, an anti-depressant used before with good result. 8/16/21 @330am woke to severe quivering, "a wave of adrenaline", and clenching/shaking/seizing that started in chest, spread to torso, stomach, intestines, legs, eventually arms, locking up the jaw.  Spouse called ambulance; taken to another ER.  Episode lasted ~45 minutes; disoriented intermittently thereafter. EKG showed normal. Given Ativan, brought on more shaking, lasted ~10 minutes.  Referred to GP, upper GI professional, Psychiatrist. Chest discomfort continued 3 out of 10 intermittently. 8/17/21 @4am another seizure episode, lasted 15 minutes, similar severity as  first.  Discontinued Escitalopram.  Seizures brought on a migraine which continued 8/17 - 8/19.  Intermittent chest discomfort, 3 out of 10, continued until 8/18. 8/20/21 @3:30am seizure occurred, milder than before, lasted ~ 15 minutes.   8/22/21 @2am another seizure, milder still 8/22, 8/24, 8/25/21 chest tightness for several hours, racing/pounding/quivering heart when waking up, much milder than onset.  8/29/21 saw cardiologist, implemented use of a heart monitor to be worn at home for 4 weeks.  8/30/21 mild heart racing.   9/10/21-9/14/21 mild chest discomfort/pain  9/15/21 saw GP's Nurse Practitioner, referred to neurologist.  @8pm chest pain began and worsened through 7am 9/16/21, 6 out of 10; some muscle spasms since.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Computerised tomogram, Depression, Depression suicidal
Clinical narrative: 8/7/21 @5:30am woke with "quivering" of the heart immediately followed by chest pain/tightness, "squeezing", & difficulty breathing. Pain/distress 6 on a scale of 1-10, better when sitting up, worse when lying down. Low risk of cardiovascular disease, no pain in left arm (or any extremities). Symptoms lasted ~1 hour until fell asleep sitting up 8/8/21 ~8pm symptoms occurred again, 3 out of 10. Lasted ~1.5 hours. 8/9/21 @4am symptoms occurred again, 4 out of 10, lasted ~1 hour.  @3pm symptoms occurred and worsened; @ 5pm visited urgent care. Attending physician sent to the emergency room.  At the ER they performed an EKG, attached heart and oxygen monitors, and performed bloodwork.  Elevated D-dimer levels prompted a chest x-ray and iodine CT scan: no clots. All other tests in  normal range.  Administered aspirin and referred to a cardiologist.  Symptoms continued until ~11pm. Aspirin helped. 8/10/21 - 8/12/21 symptoms recurred intermittently, 4 out of 10, usually at night. Stopped Apri. 8/13/21 @7am symptoms worsened and lasted all day, 6 out of 10, causing incapacitation and a migraine.   8/14/21 - 8/15/21 symptoms lessened but continued. GP and cardiologists booked through Nov; depression & anxiety spiked;  suicidal thoughts.  Took 10mg Escitalopram, an anti-depressant used before with good result. 8/16/21 @330am woke to severe quivering, "a wave of adrenaline", and clenching/shaking/seizing that started in chest, spread to torso, stomach, intestines, legs, eventually arms, locking up the jaw.  Spouse called ambulance; taken to another ER.  Episode lasted ~45 minutes; disoriented intermittently thereafter. EKG showed normal. Given Ativan, brought on more shaking, lasted ~10 minutes.  Referred to GP, upper GI professional, Psychiatrist. Chest discomfort continued 3 out of 10 intermittently. 8/17/21 @4am another seizure episode, lasted 15 minutes, similar severity as  first.  Discontinued Escitalopram.  Seizures brought on a migraine which continued 8/17 - 8/19.  Intermittent chest discomfort, 3 out of 10, continued until 8/18. 8/20/21 @3:30am seizure occurred, milder than before, lasted ~ 15 minutes.   8/22/21 @2am another seizure, milder still 8/22, 8/24, 8/25/21 chest tightness for several hours, racing/pounding/quivering heart when waking up, much milder than onset.  8/29/21 saw cardiologist, implemented use of a heart monitor to be worn at home for 4 weeks.  8/30/21 mild heart racing.   9/10/21-9/14/21 mild chest discomfort/pain  9/15/21 saw GP's Nurse Practitioner, referred to neurologist.  @8pm chest pain began and worsened through 7am 9/16/21, 6 out of 10; some muscle spasms since.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Disorientation, Dyspnoea, Electrocardiogram, Fibrin D dimer increased, Migraine
Clinical narrative: 8/7/21 @5:30am woke with "quivering" of the heart immediately followed by chest pain/tightness, "squeezing", & difficulty breathing. Pain/distress 6 on a scale of 1-10, better when sitting up, worse when lying down. Low risk of cardiovascular disease, no pain in left arm (or any extremities). Symptoms lasted ~1 hour until fell asleep sitting up 8/8/21 ~8pm symptoms occurred again, 3 out of 10. Lasted ~1.5 hours. 8/9/21 @4am symptoms occurred again, 4 out of 10, lasted ~1 hour.  @3pm symptoms occurred and worsened; @ 5pm visited urgent care. Attending physician sent to the emergency room.  At the ER they performed an EKG, attached heart and oxygen monitors, and performed bloodwork.  Elevated D-dimer levels prompted a chest x-ray and iodine CT scan: no clots. All other tests in  normal range.  Administered aspirin and referred to a cardiologist.  Symptoms continued until ~11pm. Aspirin helped. 8/10/21 - 8/12/21 symptoms recurred intermittently, 4 out of 10, usually at night. Stopped Apri. 8/13/21 @7am symptoms worsened and lasted all day, 6 out of 10, causing incapacitation and a migraine.   8/14/21 - 8/15/21 symptoms lessened but continued. GP and cardiologists booked through Nov; depression & anxiety spiked;  suicidal thoughts.  Took 10mg Escitalopram, an anti-depressant used before with good result. 8/16/21 @330am woke to severe quivering, "a wave of adrenaline", and clenching/shaking/seizing that started in chest, spread to torso, stomach, intestines, legs, eventually arms, locking up the jaw.  Spouse called ambulance; taken to another ER.  Episode lasted ~45 minutes; disoriented intermittently thereafter. EKG showed normal. Given Ativan, brought on more shaking, lasted ~10 minutes.  Referred to GP, upper GI professional, Psychiatrist. Chest discomfort continued 3 out of 10 intermittently. 8/17/21 @4am another seizure episode, lasted 15 minutes, similar severity as  first.  Discontinued Escitalopram.  Seizures brought on a migraine which continued 8/17 - 8/19.  Intermittent chest discomfort, 3 out of 10, continued until 8/18. 8/20/21 @3:30am seizure occurred, milder than before, lasted ~ 15 minutes.   8/22/21 @2am another seizure, milder still 8/22, 8/24, 8/25/21 chest tightness for several hours, racing/pounding/quivering heart when waking up, much milder than onset.  8/29/21 saw cardiologist, implemented use of a heart monitor to be worn at home for 4 weeks.  8/30/21 mild heart racing.   9/10/21-9/14/21 mild chest discomfort/pain  9/15/21 saw GP's Nurse Practitioner, referred to neurologist.  @8pm chest pain began and worsened through 7am 9/16/21, 6 out of 10; some muscle spasms since.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Palpitations, Seizure, Sleep disorder, Tremor
Clinical narrative: 8/7/21 @5:30am woke with "quivering" of the heart immediately followed by chest pain/tightness, "squeezing", & difficulty breathing. Pain/distress 6 on a scale of 1-10, better when sitting up, worse when lying down. Low risk of cardiovascular disease, no pain in left arm (or any extremities). Symptoms lasted ~1 hour until fell asleep sitting up 8/8/21 ~8pm symptoms occurred again, 3 out of 10. Lasted ~1.5 hours. 8/9/21 @4am symptoms occurred again, 4 out of 10, lasted ~1 hour.  @3pm symptoms occurred and worsened; @ 5pm visited urgent care. Attending physician sent to the emergency room.  At the ER they performed an EKG, attached heart and oxygen monitors, and performed bloodwork.  Elevated D-dimer levels prompted a chest x-ray and iodine CT scan: no clots. All other tests in  normal range.  Administered aspirin and referred to a cardiologist.  Symptoms continued until ~11pm. Aspirin helped. 8/10/21 - 8/12/21 symptoms recurred intermittently, 4 out of 10, usually at night. Stopped Apri. 8/13/21 @7am symptoms worsened and lasted all day, 6 out of 10, causing incapacitation and a migraine.   8/14/21 - 8/15/21 symptoms lessened but continued. GP and cardiologists booked through Nov; depression & anxiety spiked;  suicidal thoughts.  Took 10mg Escitalopram, an anti-depressant used before with good result. 8/16/21 @330am woke to severe quivering, "a wave of adrenaline", and clenching/shaking/seizing that started in chest, spread to torso, stomach, intestines, legs, eventually arms, locking up the jaw.  Spouse called ambulance; taken to another ER.  Episode lasted ~45 minutes; disoriented intermittently thereafter. EKG showed normal. Given Ativan, brought on more shaking, lasted ~10 minutes.  Referred to GP, upper GI professional, Psychiatrist. Chest discomfort continued 3 out of 10 intermittently. 8/17/21 @4am another seizure episode, lasted 15 minutes, similar severity as  first.  Discontinued Escitalopram.  Seizures brought on a migraine which continued 8/17 - 8/19.  Intermittent chest discomfort, 3 out of 10, continued until 8/18. 8/20/21 @3:30am seizure occurred, milder than before, lasted ~ 15 minutes.   8/22/21 @2am another seizure, milder still 8/22, 8/24, 8/25/21 chest tightness for several hours, racing/pounding/quivering heart when waking up, much milder than onset.  8/29/21 saw cardiologist, implemented use of a heart monitor to be worn at home for 4 weeks.  8/30/21 mild heart racing.   9/10/21-9/14/21 mild chest discomfort/pain  9/15/21 saw GP's Nurse Practitioner, referred to neurologist.  @8pm chest pain began and worsened through 7am 9/16/21, 6 out of 10; some muscle spasms since.