chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fall, Flushing, Head injury, Headache
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Mild, Systemic: Shakiness-Medium, Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: Patient suddenly fainted while seated during observation, about 5-10 minutes after moderna shot.I (RPh) tried to catch his fall but did not catch him in time, he fell and hit his head on the floor.Regained consciousness within about a minute or so,but had a small cut in his head which stopped bleeding quickly.Had him seated while waiting for 911 but he got lightheaded again,had him lie down on floor till EMS arrived.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Paraesthesia, Syncope, Tremor, Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Mild, Systemic: Shakiness-Medium, Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: Patient suddenly fainted while seated during observation, about 5-10 minutes after moderna shot.I (RPh) tried to catch his fall but did not catch him in time, he fell and hit his head on the floor.Regained consciousness within about a minute or so,but had a small cut in his head which stopped bleeding quickly.Had him seated while waiting for 911 but he got lightheaded again,had him lie down on floor till EMS arrived.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: Error: Diluent Administered Instead of Vaccine-
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Pulmonary embolism
Clinical narrative: AKI (acute kidney injury)  Acute pulmonary embolism, unspecified pulmonary embolism type, unspecified whether acute cor pulmonale present
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Head injury, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient fainted for less than a minute.  She hit the right side of her head.  It was red but no bruising.  Observered for 30 minutes. She stated that she had a history of fainting in relation to blood
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoacusis, Tinnitus
Clinical narrative: Systemic: Tinnitus-Mild, Additional Details: Patient reports mild ringing in her left ear and that she can't hear as well. She first noticed symptom at 4:30pm (about 3-4 hrs after 2nd dose of Moderna)
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest discomfort, Chest pain, Cough, Disturbance in attention
Clinical narrative: Same day and next day: Pain in right arm, followed by pain in whole right body side (incl leg and feet). Headache, feverish Starting next day and ongoing (getting worse): Pain in chest, shallow breathing, feeling pressure in lungs, occasional cough with mucus, sweating after small physical "exercise" (e.g., walking down and up 10 stairs), feeling weak and tired, difficulty to concentrate
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Hyperhidrosis, Hypopnoea, Pain
Clinical narrative: Same day and next day: Pain in right arm, followed by pain in whole right body side (incl leg and feet). Headache, feverish Starting next day and ongoing (getting worse): Pain in chest, shallow breathing, feeling pressure in lungs, occasional cough with mucus, sweating after small physical "exercise" (e.g., walking down and up 10 stairs), feeling weak and tired, difficulty to concentrate
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Secretion discharge
Clinical narrative: Same day and next day: Pain in right arm, followed by pain in whole right body side (incl leg and feet). Headache, feverish Starting next day and ongoing (getting worse): Pain in chest, shallow breathing, feeling pressure in lungs, occasional cough with mucus, sweating after small physical "exercise" (e.g., walking down and up 10 stairs), feeling weak and tired, difficulty to concentrate
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pulmonary embolism, Thrombocytopenia
Clinical narrative: Pulmonary emboli Thrombocytopenia, unspecified
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Swelling
Clinical narrative: Booster had swelling Ang itching within three hours of injection. No fever at this point. Did not have this reaction prior. Short was one day after hizentra treatment. Doing fine with otc but felt it should be reported
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Dizziness, Fatigue, Flushing, Hyperhidrosis
Clinical narrative: Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Mild, Systemic: Shakiness-Medium, Systemic: Tachycardia-Mild, Additional Details: patient complained of dizziness, became tachycardic (130-145bpm) lost consciousness for 30 to 45 seconds, once in supine position became conscious, blood pressure measured x 3 (wnl) HR monitored x 15min (wnl).  pt obtained ride home with girlfriend. she will continue to monitor for next 24 hours.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Lethargy, Loss of consciousness, Syncope, Tachycardia
Clinical narrative: Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Mild, Systemic: Shakiness-Medium, Systemic: Tachycardia-Mild, Additional Details: patient complained of dizziness, became tachycardic (130-145bpm) lost consciousness for 30 to 45 seconds, once in supine position became conscious, blood pressure measured x 3 (wnl) HR monitored x 15min (wnl).  pt obtained ride home with girlfriend. she will continue to monitor for next 24 hours.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor, Unresponsive to stimuli
Clinical narrative: Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Mild, Systemic: Shakiness-Medium, Systemic: Tachycardia-Mild, Additional Details: patient complained of dizziness, became tachycardic (130-145bpm) lost consciousness for 30 to 45 seconds, once in supine position became conscious, blood pressure measured x 3 (wnl) HR monitored x 15min (wnl).  pt obtained ride home with girlfriend. she will continue to monitor for next 24 hours.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Disturbance in attention, Dyspnoea, Insomnia
Clinical narrative: I have had shortness of breath and tightness in chest. I feel like I cant concentrate. I cant sleep more than 2 hours at a time. I thought it would go away but it has not.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Vomiting
Clinical narrative: By about 18 hrs (@ 10:00AM on 8/14/21) after 2nd dose of my Pfizer Covid vaccine, the headache started and then by 21 hrs (@ 1:00 PM on 8/14/21) vomiting began.  Felt better after vomiting but still had a headache. Then by 31hrs (@11:00PM on 8/14/21) vomiting began again, but felt some relief immediately after.  After first event, (2) 500mg Acetaminophen (@1:30 on 8/14/21) tablets were taken and then (@10:00AM on 8/15/21) because headache was still present. Then, (@ 7:00AM on 8/16/21) due to persistent headache.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise
Clinical narrative: admitted to the hospital for covid 19 symptoms post vaccination.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute myocardial infarction
Clinical narrative: NSTEMI (non-ST elevated myocardial infarction) (CMS/HCC). PFIZER Lots # EL 9269, EN6200.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Paraesthesia, Paraesthesia oral
Clinical narrative: Friday 5pm- upon vaccine, I felt a tingling and slight numbness in my lips, which went away within an hour. Later that night (around 8pm) I felt a slight tingling, numbness in my lower left calf and foot. Saturday- my lower left calf and foot had more of a tingling/numbness, which improved as the day went on, Sunday Day- still slight tingling in left and now right calf, feet, upper arms. Sunday night- numbness in both legs and feet, Monday- woke up with numbness in both shins, tingling in upper left leg.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia, Paraesthesia oral
Clinical narrative: Friday 5pm- upon vaccine, I felt a tingling and slight numbness in my lips, which went away within an hour. Later that night (around 8pm) I felt a slight tingling, numbness in my lower left calf and foot. Saturday- my lower left calf and foot had more of a tingling/numbness, which improved as the day went on, Sunday Day- still slight tingling in left and now right calf, feet, upper arms. Sunday night- numbness in both legs and feet, Monday- woke up with numbness in both shins, tingling in upper left leg.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: swelling underneath my right underarm  Pfizer-BioNTech COVID-19 Vaccine EUA
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Hyponatraemia, Seizure like phenomena
Clinical narrative: E87.1 - Hyponatremia N17.9 - AKI (acute kidney injury)  R56.9 - Seizure-like activity
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Shingles outbreak.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Nasopharyngitis, Vaccination complication
Clinical narrative: Slight cold; Some buggers; feeling not too bad nor temperature in the body; This spontaneous case was reported by a consumer and describes the occurrence of NASOPHARYNGITIS (Slight cold), VACCINATION COMPLICATION (Some buggers) and FEELING ABNORMAL (feeling not too bad nor temperature in the body) in a 58-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination.     No Medical History information was reported.    On 30-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-May-2021, the patient experienced NASOPHARYNGITIS (Slight cold), VACCINATION COMPLICATION (Some buggers) and FEELING ABNORMAL (feeling not too bad nor temperature in the body). At the time of the report, NASOPHARYNGITIS (Slight cold), VACCINATION COMPLICATION (Some buggers) and FEELING ABNORMAL (feeling not too bad nor temperature in the body) had resolved. Not Provided      The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.       Concomitant medications were not reported. No treatment information was provided.   Most recent FOLLOW-UP information incorporated above includes: On 22-Jul-2021: Significant follow up received. Outcome of events updated as resolved.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Migraine, Nausea, Pain, Pyrexia
Clinical narrative: Nausea, vomiting, migraine, fever (100°), body aches, fatigue
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Nausea, vomiting, migraine, fever (100°), body aches, fatigue
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Antinuclear antibody negative, Arthritis, Borrelia test negative, Joint stiffness, Loss of personal independence in daily activities
Clinical narrative: I exp pain, stiffness of my hips, low grade fever, inflammation of shoulders, elbows and hands. I was immobilized for 8 weeks total. Due to my adverse events I couldn't get myself dressed or shower. I now take steroids twice a day the condition was diagnosed as polymyalgia rheumatica.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased, Pain, Polymyalgia rheumatica, Pyrexia, Rheumatoid factor positive
Clinical narrative: I exp pain, stiffness of my hips, low grade fever, inflammation of shoulders, elbows and hands. I was immobilized for 8 weeks total. Due to my adverse events I couldn't get myself dressed or shower. I now take steroids twice a day the condition was diagnosed as polymyalgia rheumatica.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension
Clinical narrative: patient has no COVID related symptom but has admitted with hypotensive event
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Myalgia
Clinical narrative: Muscle in left arm extremely sore. Limited mobility 3 months after second shot.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, COVID-19, Infection, SARS-CoV-2 test positive
Clinical narrative: breakthrough case requiring hospitalization and supplemental O2,
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Vision blurred
Clinical narrative: EXTREMELY BLURRY VISION. I could not see my face standing in front of mirror. I had to put my nose on the mirror to see my face. Went to 3 different mirrors and was the same. The morning of 8/13/2021 my signt was a little better in the morning and fine by end of that day. I also had body aches
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Fatigue, Headache, Mobility decreased, Musculoskeletal stiffness
Clinical narrative: Dose 1 - Severe headache, body aches to include extremely stiff neck, rash on arms, upper chest, belly and thighs, extreme fatigue and low grade fever lasting 2 days.  Dose 2 - Severe headache for 5 days. Full body pain, extremely stiff neck - unable to turn head left or right, knee, hip and ankle joint pain whenever I would walk, rash on arms, upper chest, belly and thighs, extremely emotional and extreme fatigue - all lasting a little over 2 weeks. Had a fever of (100.2 - 102.0) for 5 straight days after vaccine administration. Missed 3 days, after receiving of work due to fever and extreme fatigue.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Pyrexia, Rash
Clinical narrative: Dose 1 - Severe headache, body aches to include extremely stiff neck, rash on arms, upper chest, belly and thighs, extreme fatigue and low grade fever lasting 2 days.  Dose 2 - Severe headache for 5 days. Full body pain, extremely stiff neck - unable to turn head left or right, knee, hip and ankle joint pain whenever I would walk, rash on arms, upper chest, belly and thighs, extremely emotional and extreme fatigue - all lasting a little over 2 weeks. Had a fever of (100.2 - 102.0) for 5 straight days after vaccine administration. Missed 3 days, after receiving of work due to fever and extreme fatigue.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: Chills, body aches, fever, and headache
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Did not have reaction to vaccine but did get COVID symptoms and tested positive for COVID on 08/13/2021
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Conjunctival haemorrhage, Migraine
Clinical narrative: Woke up with sever lower back pain.  Migraine headaches.  conjunctival hemorrhage in left eye.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ageusia, COVID-19, Cough, Diarrhoea, Dyspnoea
Clinical narrative: Patient is a 75 y.o. male with medical comorbidities significant for prior CVA, hypertension, hyperlipidemia, type 2 diabetes mellitus c/b diabetic retinopathy, s/p gastric bypass NASH, OSA, CAD, PAD s/p right SFA to peroneal artery bypass, CKD Stage IIIB and recent hospitalization (06/23-07/02) for intestinal perforation requiring ex lap for repair of gastrojejunostomy marginal ulcer. His hospitalization was complicated by acute renal failure requiring iHD which improved prior to discharge, and delirium. He presented to the ED today for evaluation for 3 days of cough and poor oral intake. In the ED he was afebrile and hemodynamically stable. Oxygenating well on room air. Labs were notable for
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Exposure to SARS-CoV-2, Fatigue, Hypophagia, SARS-CoV-2 test positive, Urine output decreased
Clinical narrative: Patient is a 75 y.o. male with medical comorbidities significant for prior CVA, hypertension, hyperlipidemia, type 2 diabetes mellitus c/b diabetic retinopathy, s/p gastric bypass NASH, OSA, CAD, PAD s/p right SFA to peroneal artery bypass, CKD Stage IIIB and recent hospitalization (06/23-07/02) for intestinal perforation requiring ex lap for repair of gastrojejunostomy marginal ulcer. His hospitalization was complicated by acute renal failure requiring iHD which improved prior to discharge, and delirium. He presented to the ED today for evaluation for 3 days of cough and poor oral intake. In the ED he was afebrile and hemodynamically stable. Oxygenating well on room air. Labs were notable for
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Weight decreased
Clinical narrative: Patient is a 75 y.o. male with medical comorbidities significant for prior CVA, hypertension, hyperlipidemia, type 2 diabetes mellitus c/b diabetic retinopathy, s/p gastric bypass NASH, OSA, CAD, PAD s/p right SFA to peroneal artery bypass, CKD Stage IIIB and recent hospitalization (06/23-07/02) for intestinal perforation requiring ex lap for repair of gastrojejunostomy marginal ulcer. His hospitalization was complicated by acute renal failure requiring iHD which improved prior to discharge, and delirium. He presented to the ED today for evaluation for 3 days of cough and poor oral intake. In the ED he was afebrile and hemodynamically stable. Oxygenating well on room air. Labs were notable for
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Diabetic ketoacidosis, SARS-CoV-2 test positive, Sepsis, Vaccine breakthrough infection
Clinical narrative: breakthrough Covid case requiring hospitalization, supplemental O2, sepsis, and mild DKA
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Influenza, Injection site pain, Intermenstrual bleeding
Clinical narrative: Tired,headache, neck ache, body ache, feeling unwell or flu-ish,fever,nausea, muscle aches, injection site sore, delayed menstration (cycle came later than usual), menstrual spotting, elongated bleeding time during menstrual cycle (bleeding for longer amount of days than normal)
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Menstrual disorder, Menstruation delayed, Myalgia, Nausea
Clinical narrative: Tired,headache, neck ache, body ache, feeling unwell or flu-ish,fever,nausea, muscle aches, injection site sore, delayed menstration (cycle came later than usual), menstrual spotting, elongated bleeding time during menstrual cycle (bleeding for longer amount of days than normal)
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pain
Clinical narrative: Tired,headache, neck ache, body ache, feeling unwell or flu-ish,fever,nausea, muscle aches, injection site sore, delayed menstration (cycle came later than usual), menstrual spotting, elongated bleeding time during menstrual cycle (bleeding for longer amount of days than normal)
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiomegaly, Chest pain, Imaging procedure
Clinical narrative: Chest pains-for 3 days
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Apnoea test, Cardiac monitoring abnormal, Computerised tomogram thorax normal, Heart rate increased, Palpitations
Clinical narrative: in July started having heart palpations
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep study abnormal, Supraventricular extrasystoles, Ventricular extrasystoles
Clinical narrative: in July started having heart palpations
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, C-reactive protein increased, Cardiac monitoring, Chest X-ray normal
Clinical narrative: 15 y/o M presents to the ED with chest pain onset 1 day ago. Per mom the pt received his second dose of the COVID-19 vaccine 3 days ago. Pt developed headaches, "head pressure," body aches, and pain 2 days ago. Pt developed chest pain and SOB 1 day ago. The chest pain and SOB worsened this morning. Pt reports the chest pain is exacerbated when he lays down. Denies fever.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Dyspnoea, Echocardiogram normal, Electrocardiogram ST segment elevation, Head discomfort
Clinical narrative: 15 y/o M presents to the ED with chest pain onset 1 day ago. Per mom the pt received his second dose of the COVID-19 vaccine 3 days ago. Pt developed headaches, "head pressure," body aches, and pain 2 days ago. Pt developed chest pain and SOB 1 day ago. The chest pain and SOB worsened this morning. Pt reports the chest pain is exacerbated when he lays down. Denies fever.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache, Intensive care, Pain, Pericarditis, SARS-CoV-2 test negative
Clinical narrative: 15 y/o M presents to the ED with chest pain onset 1 day ago. Per mom the pt received his second dose of the COVID-19 vaccine 3 days ago. Pt developed headaches, "head pressure," body aches, and pain 2 days ago. Pt developed chest pain and SOB 1 day ago. The chest pain and SOB worsened this morning. Pt reports the chest pain is exacerbated when he lays down. Denies fever.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Troponin increased, White blood cell count increased
Clinical narrative: 15 y/o M presents to the ED with chest pain onset 1 day ago. Per mom the pt received his second dose of the COVID-19 vaccine 3 days ago. Pt developed headaches, "head pressure," body aches, and pain 2 days ago. Pt developed chest pain and SOB 1 day ago. The chest pain and SOB worsened this morning. Pt reports the chest pain is exacerbated when he lays down. Denies fever.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Dyspnoea, Echocardiogram normal, Electrocardiogram ST segment elevation, Headache
Clinical narrative: 15 y/o M presents to the ED with chest pain onset 1 day ago. Per mom the pt received his second dose of the COVID-19 vaccine 3 days ago. Pt developed headaches, "head pressure," body aches, and pain 2 days ago. Pt developed chest pain and SOB 1 day ago. The chest pain and SOB worsened this morning. Pt reports the chest pain is exacerbated when he lays down. Denies fever.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hyperhidrosis, Injection site pain, Pain, Painful respiration, Pericarditis
Clinical narrative: 15 y/o M presents to the ED with chest pain onset 1 day ago. Per mom the pt received his second dose of the COVID-19 vaccine 3 days ago. Pt developed headaches, "head pressure," body aches, and pain 2 days ago. Pt developed chest pain and SOB 1 day ago. The chest pain and SOB worsened this morning. Pt reports the chest pain is exacerbated when he lays down. Denies fever.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Troponin
Clinical narrative: 15 y/o M presents to the ED with chest pain onset 1 day ago. Per mom the pt received his second dose of the COVID-19 vaccine 3 days ago. Pt developed headaches, "head pressure," body aches, and pain 2 days ago. Pt developed chest pain and SOB 1 day ago. The chest pain and SOB worsened this morning. Pt reports the chest pain is exacerbated when he lays down. Denies fever.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Eye swelling, Influenza like illness, Pain, Rash, Swelling face
Clinical narrative: Rash on chest and arms the first night along with flu like aches and pains. The next day more aches and pains but then my right eye started swelling and I broke out in hives all over. By the 3rd day my eye was swelled shut and more hives. On day 4 more hives and facial swelling. Doctor gave prescription for Prednizone. Day 5 still have eye and facial swelling alone with more hives all over body including eye and mouth.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Rash on chest and arms the first night along with flu like aches and pains. The next day more aches and pains but then my right eye started swelling and I broke out in hives all over. By the 3rd day my eye was swelled shut and more hives. On day 4 more hives and facial swelling. Doctor gave prescription for Prednizone. Day 5 still have eye and facial swelling alone with more hives all over body including eye and mouth.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Cough, Dyspnoea, Pyrexia
Clinical narrative: Pt is being admitted for acute hypoxic respiratory failure secondary to COVID pneumonia.  Patient developed shortness of breath, fever/chills, and cough that started about 5 days ago.  He just returned from a cruise yesterday and reports that he was COVID negative 5 days ago.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Polymenorrhoea
Clinical narrative: Heavy menstrual bleeding, shorter cycles between periods, longer periods
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Breast discharge, Breast tenderness, Palpitations, Ultrasound breast
Clinical narrative: Palpitations (had to start taking a medication to control)  Also, left breast tenderness & leaking from nipple. Saw specialist & had ultrasound down.  I still am having issues.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Fatigue, Immediate post-injection reaction, Nausea
Clinical narrative: sore arm (immediate lasting for over 3 days), fatigue, fever (3 days so far), dizziness, nausea (occurred next day for about 2-3 hours), difficulty breathing Saturday Sunday and Monday so far)
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: sore arm (immediate lasting for over 3 days), fatigue, fever (3 days so far), dizziness, nausea (occurred next day for about 2-3 hours), difficulty breathing Saturday Sunday and Monday so far)
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested Positive for Covid 8/13/21
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Cough, Hypoxia, Pyrexia
Clinical narrative: Patient presented to urgent care on 7/28/2021 with cough and congestion with symptoms presenting about one week prior. Following chest x-ray and clinical presentation, was referred to emergency department due to concerns of pneumonia and possible COVID-19 infection.  At emergency department, was found to have fever of 102 and hypoxia. He was found to be COVID-19 positive and denied any positive contacts. He was admitted for further management.  He required treatment with dexamethasone, supplemental oxygen, and tocilizumab. He was discharged home with home health services and oxygen on 8/13/2021
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Patient presented to urgent care on 7/28/2021 with cough and congestion with symptoms presenting about one week prior. Following chest x-ray and clinical presentation, was referred to emergency department due to concerns of pneumonia and possible COVID-19 infection.  At emergency department, was found to have fever of 102 and hypoxia. He was found to be COVID-19 positive and denied any positive contacts. He was admitted for further management.  He required treatment with dexamethasone, supplemental oxygen, and tocilizumab. He was discharged home with home health services and oxygen on 8/13/2021
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypotension, Muscle spasms
Clinical narrative: After about 10 minutes of receiving the 1st Dose of the Pfizer vaccine the patient complained of dizziness and cramping of her hands,  the vaccination nurse took her blood pressure which was very low 97/52. Her feet were elevated and she was given juice, then we called the rapid response team to assess her further.  They took her to the emergency department for observation.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: swelling/ redness/itching on left arm at injection site.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Injection site mass, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Injection site shows hives, bump, itching, swelling, and heat for 10 days plus after injection.  Muscle pain radiating from injection site up the neck and into the the back, as well as left side pain. Symptoms have  NOT been resolved as of 8/16/2021.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site urticaria, Injection site warmth, Neck pain, Pain
Clinical narrative: Injection site shows hives, bump, itching, swelling, and heat for 10 days plus after injection.  Muscle pain radiating from injection site up the neck and into the the back, as well as left side pain. Symptoms have  NOT been resolved as of 8/16/2021.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospital 8/12/21
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain upper, Blood test normal, Chest pain, Chills, Dyspnoea
Clinical narrative: Symptoms - chest pain, shortness of breath, fever, stomach pain, chill   Time course - above symptoms lasted for a week, the severity of symptoms got better after 3 days
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram normal, Pyrexia
Clinical narrative: Symptoms - chest pain, shortness of breath, fever, stomach pain, chill   Time course - above symptoms lasted for a week, the severity of symptoms got better after 3 days
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Exposure to SARS-CoV-2, Fatigue
Clinical narrative: He presented to the ED for fatigue. Had recent exposure to a family member who was COVID-19 positive. Denies fever, shortness of breath, or any other symptoms. Was able to be discharged home.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal pain, Adnexa uteri pain, Nausea, Pain in extremity
Clinical narrative: Day 2 my arm was sore as expected but over the days I felt nauseous and lower abdominal pressure and discomfort, I feel loped a welt on my left thigh then my abdominal pain increased and I felt a lot of pressure in my womb area then my left ovary became swollen and very tender (I am not sexually active) I took Motrin for the pain, it started to radiate toward my thigh it hurt to even touch this is going on the  fourth day and it seems to be going away, there still is a slight discomfort in my lower abdomin but not as bad as before. The tech who gave me my shot did a great job but I do believe this was a reaction to the vaccine.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID in fully vaccinated patient requiring hospitalization, patient admitted with weakness and cough, requiring 2L O2
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstrual disorder, Mobility decreased, Vomiting
Clinical narrative: A week following the vaccine, I started my period a week early. This is odd as I am typically very on schedule. It was the worst period I have had in at least ten years. I threw up, couldn't leave my bed, and nearly blacked out when getting up. I also bled very heavily. I was scared and almost went to a clinic. It subsided after seven days. I had heard it was a potential side affect, but wanted to add my experience to the list. I am terrified for next month.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Dyspnoea, Exposure to SARS-CoV-2
Clinical narrative: She presented to the ED for concerns of COVID-19.  Four day history of shortness of breath and weakness. Recent exposure to family member who was positive for COVID. She was able to be discharged home.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Developed Tinnitus day after injection that has not gone away
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness, Hypoacusis, Tinnitus
Clinical narrative: Patient reported on 8/2/2021 the day after she had received her 2nd dose of Pfizer vaccine she had ?muffled? sound in ears , then developed into ringing in ears.  She is seeing an ENT for this.  He stated she has some hearing loss.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Gastrointestinal disorder, Injection site reaction
Clinical narrative: Unable to take pain meds due to stomach problems, redness at injection site.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Hyperhidrosis, Insomnia
Clinical narrative: 11am: Covid Vaccine Shot #2 11pm: Heart Racing, Restlessness, unable to sleep, restless leg syndrome feelings Midnight: Heart Racing, Restlessness, unable to sleep, restless leg syndrome feelings, chills, uncontrollable shivering 3am: Heart Racing, Restlessness, unable to sleep, restless leg syndrome feelings, fever, excessive sweating, body aches, sore muscles 6am: body aches, sore muscles, headache, sinus pressure, stuffy nose, fever, fatigue 1 day later: headache, body aches, sore muscles, fatigue 2 days later: headache, fatigue
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nasal congestion, Pain, Palpitations, Paranasal sinus discomfort
Clinical narrative: 11am: Covid Vaccine Shot #2 11pm: Heart Racing, Restlessness, unable to sleep, restless leg syndrome feelings Midnight: Heart Racing, Restlessness, unable to sleep, restless leg syndrome feelings, chills, uncontrollable shivering 3am: Heart Racing, Restlessness, unable to sleep, restless leg syndrome feelings, fever, excessive sweating, body aches, sore muscles 6am: body aches, sore muscles, headache, sinus pressure, stuffy nose, fever, fatigue 1 day later: headache, body aches, sore muscles, fatigue 2 days later: headache, fatigue
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Restless legs syndrome, Restlessness
Clinical narrative: 11am: Covid Vaccine Shot #2 11pm: Heart Racing, Restlessness, unable to sleep, restless leg syndrome feelings Midnight: Heart Racing, Restlessness, unable to sleep, restless leg syndrome feelings, chills, uncontrollable shivering 3am: Heart Racing, Restlessness, unable to sleep, restless leg syndrome feelings, fever, excessive sweating, body aches, sore muscles 6am: body aches, sore muscles, headache, sinus pressure, stuffy nose, fever, fatigue 1 day later: headache, body aches, sore muscles, fatigue 2 days later: headache, fatigue
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Differential white blood cell count normal, Epstein-Barr virus antibody negative, Erythema, Full blood count normal, Genital ulceration
Clinical narrative: After the second dose of the Pfizer vaccine, approximately 48- 72 hours after she developed genital ulcers.  Very painful, sore, reddened sores in the vaginal area. She did test positive for Covid on 2/5/2021
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Gram stain negative, Metabolic function test normal, Vulvovaginal pain
Clinical narrative: After the second dose of the Pfizer vaccine, approximately 48- 72 hours after she developed genital ulcers.  Very painful, sore, reddened sores in the vaginal area. She did test positive for Covid on 2/5/2021
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, COVID-19, SARS-CoV-2 test positive
Clinical narrative: POSITIVE COVID TEST 08/10/21. NO SIGNS OR SYMPTOMS.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Cardiac disorder, Computerised tomogram, Fatigue, Lung disorder
Clinical narrative: Got aches through my whole body went to the Doctor and he put me on prednisone for 2 weeks. They didn't go away. I went back to the Doctor and they gave me stronger prednisone and it didn't go away. It go worse and I couldn't lift my arms or feet. Went to the hospital and they did tests, they had no beds so came back home. Then went to my Family doctor. Then  I went to the ER  and they sent me to the Rheumatology Doctor. He diagnosed me with Tillis Disease they gave me several pills (toradof, methotrexate 20mg, folic acid 1mg/daily, Prednisone, Fosamax) for this and I don't have the Charlie horses as much now. I'm still having aches, very tired all the time, occasional charlie horse in neck/shoulders. I have another appointment with him. They said my heart was a bit compromised and left lung.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Muscle spasms, Pain, Ultrasound scan
Clinical narrative: Got aches through my whole body went to the Doctor and he put me on prednisone for 2 weeks. They didn't go away. I went back to the Doctor and they gave me stronger prednisone and it didn't go away. It go worse and I couldn't lift my arms or feet. Went to the hospital and they did tests, they had no beds so came back home. Then went to my Family doctor. Then  I went to the ER  and they sent me to the Rheumatology Doctor. He diagnosed me with Tillis Disease they gave me several pills (toradof, methotrexate 20mg, folic acid 1mg/daily, Prednisone, Fosamax) for this and I don't have the Charlie horses as much now. I'm still having aches, very tired all the time, occasional charlie horse in neck/shoulders. I have another appointment with him. They said my heart was a bit compromised and left lung.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test normal, Hypoaesthesia, Liver function test normal, Muscle twitching
Clinical narrative: Th symptom started with tingling and itching across right breast. Everything looked fine otherwise so decided to wait on upcoming mammogram. The next symptom was a sharp electric zap in a leg muscle when I would bend my left knee too far, and/or sit back on my hips. Thought that could be due to a nerve pinch, and decided to wait to get it checked out until after a 10 day vacation. This went on for a while, and about 6 weeks after the second vaccine, both legs started to have zapping and burning pains, and random muscle twitching. Shortly after that, it evolved to burning, numbness and tingling all over, including face, scalp, torso, plus both arms and legs. The areas with "zapping" and burning also have lasting skin sensitivity that feels a bit like sunburn. These sensations have evolved to fell more like prickling, and stinging. It is still ongoing. and leg muscles still get electrical jolt with certain positions.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain of skin, Paraesthesia, Pruritus, Renal function test normal
Clinical narrative: Th symptom started with tingling and itching across right breast. Everything looked fine otherwise so decided to wait on upcoming mammogram. The next symptom was a sharp electric zap in a leg muscle when I would bend my left knee too far, and/or sit back on my hips. Thought that could be due to a nerve pinch, and decided to wait to get it checked out until after a 10 day vacation. This went on for a while, and about 6 weeks after the second vaccine, both legs started to have zapping and burning pains, and random muscle twitching. Shortly after that, it evolved to burning, numbness and tingling all over, including face, scalp, torso, plus both arms and legs. The areas with "zapping" and burning also have lasting skin sensitivity that feels a bit like sunburn. These sensations have evolved to fell more like prickling, and stinging. It is still ongoing. and leg muscles still get electrical jolt with certain positions.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Thyroid function test normal
Clinical narrative: Th symptom started with tingling and itching across right breast. Everything looked fine otherwise so decided to wait on upcoming mammogram. The next symptom was a sharp electric zap in a leg muscle when I would bend my left knee too far, and/or sit back on my hips. Thought that could be due to a nerve pinch, and decided to wait to get it checked out until after a 10 day vacation. This went on for a while, and about 6 weeks after the second vaccine, both legs started to have zapping and burning pains, and random muscle twitching. Shortly after that, it evolved to burning, numbness and tingling all over, including face, scalp, torso, plus both arms and legs. The areas with "zapping" and burning also have lasting skin sensitivity that feels a bit like sunburn. These sensations have evolved to fell more like prickling, and stinging. It is still ongoing. and leg muscles still get electrical jolt with certain positions.
Age: 56.0
Sex: M
Vaccine: VARZOS
Symptoms: Asthenia, Decreased appetite, Fatigue, General physical condition abnormal, Nausea
Clinical narrative: #1: RASH IN RIGHT HAND, DERMITOLOGIST SAID "WEIRD, LIKE FROM WITHIN BODY" - STAYED FOR 2 MONTHS TRYING DIFFERENT CREMES AND BENADRYL FOR ITCHING, FINALLY A STEROID CREME GAVE RELIEF, STILL POPS UP IN TIMES OF HEAT.  NEVER OCCURED BEFORE IN 57 YEARS  #2: NAUSEA, WEAKNESS, GAUNT APPEARANCE, TIRED, LACK OF APPETITE, LOW-GRADE FEVER
Age: 56.0
Sex: M
Vaccine: VARZOS
Symptoms: Pruritus, Pyrexia, Rash
Clinical narrative: #1: RASH IN RIGHT HAND, DERMITOLOGIST SAID "WEIRD, LIKE FROM WITHIN BODY" - STAYED FOR 2 MONTHS TRYING DIFFERENT CREMES AND BENADRYL FOR ITCHING, FINALLY A STEROID CREME GAVE RELIEF, STILL POPS UP IN TIMES OF HEAT.  NEVER OCCURED BEFORE IN 57 YEARS  #2: NAUSEA, WEAKNESS, GAUNT APPEARANCE, TIRED, LACK OF APPETITE, LOW-GRADE FEVER
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea
Clinical narrative: I defecated my pants.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Headache, Heart rate increased, Heart rate irregular, Pain
Clinical narrative: #1. Tired. Sore arm. Headache. Increased heart rate  #2.  Aches. Low grade fever 100.4. Body aches headache x 24 hrs. Increased irregular  heart rate
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: #1. Tired. Sore arm. Headache. Increased heart rate  #2.  Aches. Low grade fever 100.4. Body aches headache x 24 hrs. Increased irregular  heart rate
Age: 57.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Tendonitis
Clinical narrative: Tendonitis- M 77.9
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives all over body. First observed on forearms and lower back. They were then observed all over the body.  I went to the ER at hospital in city, state. They administered Prednisone, Benedryl, and Pepcid. I was discharged from the hospital with a script for prednisone. Symptoms started occurring the following day (Sun 8/15) and benedryl/prednisone combination appeared to help symptoms. The next morning (Mon 8/16) symptoms arose again, with hives on arms, legs, neck, feet, and head. Doctor visit is scheduled but if symptoms do not subside I will need to visit the ER again (Mon 8/16).
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Confusional state, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Positive covid test required hospitalization.   History of B Cell Lymphoma (Cancer) Going thru Treatment Patient  admits to SOB, Confusion / Patient is doing chemo / still in hospital on a regular unit
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Malaise
Clinical narrative: Received both covid vaccine  and still got covid
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Diarrhoea, Nausea, Pain
Clinical narrative: Breakthrough COVID (partially vs fully vaccinated?).  Patient received one dose of Pfizer vaccine, but states he completed 2 shots of Pfizer in July.  Could not be confirmed.  Admitted for suicidal ideation with an incidental finding of COVID.  Patient is symptomatic with chills, body aches, diarrhea, nausea, but no respiratory symptoms.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Suicidal ideation, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID (partially vs fully vaccinated?).  Patient received one dose of Pfizer vaccine, but states he completed 2 shots of Pfizer in July.  Could not be confirmed.  Admitted for suicidal ideation with an incidental finding of COVID.  Patient is symptomatic with chills, body aches, diarrhea, nausea, but no respiratory symptoms.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Internal haemorrhage, Oral discharge
Clinical narrative: Internal bleeding, purplish fluid began to ooze from her mouth on.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Herpes zoster
Clinical narrative: Developed Shingles ( Herpes Simplex) om neck in an area that has had repeated outbreaks.   Didn't connect the dots to COVID shot until I read about the connection between MRNA shots and herpes simplex outbreaks.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: 10 minutes after receiving vaccine patient reported to nurse a "sensation of her throat closing."  Patient had taken 100 mg Benadryl at home before appt.  Patient injected own epi pen.  Smartwatch showed normal sinus rhythm and heart rate in the 70s.  Lungs were clear and no edema noted to mouth or facial area.  Patient refused EMS to be called.  Was observed for 30 minutes without further incident.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient was fully vaccinated as of April 2021 and resulted in testing positive for COVID on 8/14/2021 and has been admitted to the hospital
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood alkaline phosphatase increased, Blood creatinine normal, Blood culture
Clinical narrative: ED visit, Non-prescription medication, Prescription medication No significant past medical history who presents to the ED with 2-week history of fever, chills, fatigue, sweating and frontal headache.  The patient states that 4 days after getting her Covid Pfizer vaccine//2021 she started developing the symptoms on a daily basis.  The symptoms have been constant with no day/night variations. The patient has been taking Tylenol and Advil with mild improvement in symptoms.  Patient also reports some "swelling" at the side of her neck, but no URI symptoms or problems with swallowing.  She did report also dry cough with no CP, SOB, palp, wheezing, or hemoptysis; On presentation the patient had mild fever 37.9, heart rate 122, BP 80/52, she received 1 L bolus of Plasma-Lyte and pressure responded.  CBC showed mild hypochromic microcytic anemia Hgb 11.3, MCH 25.1, MCV 78.2, platelets 295, no leukocytosis WBC 7.4.  Her metabolic panel showed mild hyponatremia NA 132, K4.7, CR 0.9.  There was mild AST 84 and ALT 69 elevation with normal bilirubin 0.6, alk phos 241.  Lactate x2 normal.  Troponin x1 normal.  Normal coagulation panel.  Negative Covid and respiratory panel.  UA showed SG 1.020, trace ketones, protein, leukocyte Estrace, 1-5 WBC and RBC.  Blood and urine cultures were sent.  Patient was started on Vanco and Zosyn.  Chest x-ray normal. Abdominal ultrasound shows GB wall thickening 6.9 mm, negative sonographic Murphy sign. Mild hydronephrosis of right kidney.. Portal lymph node. Borderline enlarged liver 18.2 cm. Left liver cyst 2.2 x 1.6 x 2.3 cm; Extensive workup was done and patient presented with diagnosis of chronic Hepatitis B and extensive retrorperitoneal lymphadenopathy on CT abdomen. Patient followed by Infectious disease and oncology for differential diagnosis of lymphadenopathy that included infection x lymphoma/leukemia.