chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dizziness, Electrocardiogram, Electrocardiogram QRS complex prolonged, Electrocardiogram QT prolonged
Clinical narrative: 63 y/o female with PMH of GI issues, s/p ileostomy c/o pain (4/10) in her left shoulder and left SCM. Pt was assessed by clinical leads and a heat pack was applied to her left shoulder. Pt was re-assessed 2 minutes later to monitor symptoms. Pt appeared diaphoretic, pale, complaining of dizziness + nausea. Ice packs were applied to her neck and forehead and EMS was called to monitor vitals, lay pt on a stretcher, 2L O2 via nasal canula. Pt reported "feeling awful" and did not respond to any questions, pt maintained consciousness throughout the entire encounter. Pt was attached to a monitor and a 12 lead EKG was obtained that showed evidence of a wide QRS, new right bundle branch, prolonged QT and T wave changes. Pt denied any cardiac history or history of abnormal EKGs or similar prior experiences. She was immediately transported via EMS to the Hospital Emergency Room for further evaluation, pt gave consent for transport. Pt denied notifying / calling a family member or friend to inform them.   Denies chest pain, LOC, SOB, respiratory distress, vomiting, itchiness, erythema, swelling, HA, similar prior experiences  PMH: weak pelvic floor, IBS, imbalanced gut flora, ileostomy for unknown reason -  DENIES history of: cardiac issues, pulmonary issues, diverticulitis, cancer, autoimmune conditions (ulcerative colitis, crohns)  Surgical History: ileostomy, C-section Meds: Linzess, Motegrity, Baclofen, Liothyrozine  Vaccine was administered at 11:48 am in the left deltoid. Pt began experiencing symptoms at ~ 12:03pm.   General: A&Ox3 HEENT: NC/AT, EOMI, PERRL, airway patent, no trismus MSK: tenderness to left SCM, neurologically intact b/l, brisk capillary refill b/l, radial pulse 2+ b/l, full ROM b/l, 5+ strength b/l Skin: diaphoretic, pale  Pulmonary: clear to auscultation b/l  Vitals:  @12:09: BP: 74/52, HR: 53, SpO2: 96% RA,  @12:12 2L O2 NC @12:13: BP: 106/73, HR: 72, SpO2: 97% 2L NC @12:15: SpO2: 99% 2L NC @12:16: BGM: 118 @12:20: BP: 112/77, HR: 69, SpO2: 100% 2L NC
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Hyperhidrosis, Myalgia, Nausea, Pallor
Clinical narrative: 63 y/o female with PMH of GI issues, s/p ileostomy c/o pain (4/10) in her left shoulder and left SCM. Pt was assessed by clinical leads and a heat pack was applied to her left shoulder. Pt was re-assessed 2 minutes later to monitor symptoms. Pt appeared diaphoretic, pale, complaining of dizziness + nausea. Ice packs were applied to her neck and forehead and EMS was called to monitor vitals, lay pt on a stretcher, 2L O2 via nasal canula. Pt reported "feeling awful" and did not respond to any questions, pt maintained consciousness throughout the entire encounter. Pt was attached to a monitor and a 12 lead EKG was obtained that showed evidence of a wide QRS, new right bundle branch, prolonged QT and T wave changes. Pt denied any cardiac history or history of abnormal EKGs or similar prior experiences. She was immediately transported via EMS to the Hospital Emergency Room for further evaluation, pt gave consent for transport. Pt denied notifying / calling a family member or friend to inform them.   Denies chest pain, LOC, SOB, respiratory distress, vomiting, itchiness, erythema, swelling, HA, similar prior experiences  PMH: weak pelvic floor, IBS, imbalanced gut flora, ileostomy for unknown reason -  DENIES history of: cardiac issues, pulmonary issues, diverticulitis, cancer, autoimmune conditions (ulcerative colitis, crohns)  Surgical History: ileostomy, C-section Meds: Linzess, Motegrity, Baclofen, Liothyrozine  Vaccine was administered at 11:48 am in the left deltoid. Pt began experiencing symptoms at ~ 12:03pm.   General: A&Ox3 HEENT: NC/AT, EOMI, PERRL, airway patent, no trismus MSK: tenderness to left SCM, neurologically intact b/l, brisk capillary refill b/l, radial pulse 2+ b/l, full ROM b/l, 5+ strength b/l Skin: diaphoretic, pale  Pulmonary: clear to auscultation b/l  Vitals:  @12:09: BP: 74/52, HR: 53, SpO2: 96% RA,  @12:12 2L O2 NC @12:13: BP: 106/73, HR: 72, SpO2: 97% 2L NC @12:15: SpO2: 99% 2L NC @12:16: BGM: 118 @12:20: BP: 112/77, HR: 69, SpO2: 100% 2L NC
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Upon verifying the vaccine information was documented correctly in our system we discovered that the patient has received another 2 dose series at another location.  The patient did not disclose this information to us at any point while filling out his consent form.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Head injury, Laboratory test, Loss of consciousness
Clinical narrative: The morning after my 2nd shot, I got up to use the restroom.   I took an item out of the bathroom vanity under the sink and then without feeling dizzy and not knowing that it was going to happen, I passed out and landed on the bathroom floor.  I've never had this happen to me before and so I am questioning if it could be because of the covid shot that I had less than 23 hours earlier.  I ended up with 10 staples in my head with the 2 1/2 inch injury on the back of my head.  Thankfully I didn't break any bones nor have any other adverse problems.  The emergency room did several tests,  and  they couldn't find any reason for it to happen.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, Product administered to patient of inappropriate age
Clinical narrative: Pt. presented to clinic w/ documentation showing she rec'd Moderna vaccine on 3/10/2021 d/t pts. age, 2nd vaccine recommended was Pfizer, Pfizer administered per pts. guardian consent.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Joint swelling, Peripheral swelling
Clinical narrative: Right ankle/foot swelling the day following vaccination. No redness, tenderness, or itching. The reaction only lasted 24 hours from vaccine.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site pain, Mobility decreased, Neuralgia
Clinical narrative: 6 days after I received the 2nd pfizer vaccination in my left arm, I started to experience a deep dull ache in my arm at the vaccination site.  This has been getting progressively worse and feels like nerve pain. I am having increased pain when I try to raise my arm. I am typing this form 7 days after the shot.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Product administered to patient of inappropriate age
Clinical narrative: Client, was less than 18 years of age when she received the vaccine at the Campus MPOD.  Mother's consent /approval was obtained by her aunt and was physically present during the vaccination.  No adverse affects were noted.  Mild to moderate right arm soreness was experienced the day after the vaccination was given.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash all over body
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation error
Clinical narrative: 1 vial of undiluted Pfizer-BioNTech Covid-19 Vaccine was administered to the patient. 30 minutes after, patient denies allergic reaction. a follow up call was made to inform the patient about 1 undiluted vial administered, patient  denies reaction but feeling Ok. Patient was told to go to the Hospital if not feeling well. Another follow up call x2 patient denies allergic reaction, Another call 4/7/21,  AM and PM patient express no allergic reaction.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pain, Oropharyngeal pain, Pruritus, Vital signs measurement
Clinical narrative: 13:04 RRT Called for pt complaining of itchiness, pain of the throat.     13:06 Vs 155/103 85 HR 85  99% on room air.   13:07 Cetirizine HCL 10mg PO for allergy symptoms   13:09 VS 163/95 HR 76 98% Room Air. Clear lung sounds. Heart tone strong regular rhythm. Strong upper and lower extremities strength. A/0X4. Clear speech.   13:14 pt complain of left ear pain 6/10. Clear speech, no sign of facial drooping. 81mg Asprin PO given for left ear pain.   13:17 VS 150/70 71HR 99% on room air.   13:21 called 911 for pt ear pain and throat symptoms not improving. Airway is intact. No sign of distress or no difficulty breathing. Clear lung sounds.   13:27 pt state throat symptoms improving. Left ear pain 6/10. VS 140/60 71HR 98% on room air.   13:34 Ear pain 5/10. Airway intact no sign of distress or difficulty breathing.   13:38 Ambulance arrived. No change in pt condition.   13:45 VS 148/71 72HR 100% on room air. Left ear pain 3/10. Pt state throat symptoms are improving. Airway intact, no sign of distress or no difficulty breathing.   13:47 pt left to ER by ambulance in stable condition and with all belongings.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Balance disorder, Chills, Computerised tomogram, Concussion, Dizziness
Clinical narrative: Fever, chills, myalgias, dizziness, fatigue, loss of balance, Fall, sustained concussion
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Fall, Fatigue, Myalgia, Pyrexia, X-ray
Clinical narrative: Fever, chills, myalgias, dizziness, fatigue, loss of balance, Fall, sustained concussion
Age: 38.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Chills, Fall, Haemorrhage, Headache, Hypotension
Clinical narrative: Mild side effects in the hours after the injection (headache, sore throat, muscle aches, chills). Mild enough to not need any medications. At 1:30am, I woke up needing to urinate. I went into the bathroom and lost consciousness, finding myself with one hand in the toilet and one on the side. I felt nauseous and thought I would vomit, but didn't and believe I lost consciousness again. I was able to make it to the sink to try to wash my hands, and I fell down on my knees. I knew I was bleeding somewhere but didn't know from where (my right pinky was cut on an item in the bathroom when I fell). My wife made it to me, and I lost consciousness a couple more times while talking with her. I laid on the bathroom floor for a
Age: 38.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Loss of consciousness, Myalgia, Nausea, Oropharyngeal pain, Vomiting
Clinical narrative: Mild side effects in the hours after the injection (headache, sore throat, muscle aches, chills). Mild enough to not need any medications. At 1:30am, I woke up needing to urinate. I went into the bathroom and lost consciousness, finding myself with one hand in the toilet and one on the side. I felt nauseous and thought I would vomit, but didn't and believe I lost consciousness again. I was able to make it to the sink to try to wash my hands, and I fell down on my knees. I knew I was bleeding somewhere but didn't know from where (my right pinky was cut on an item in the bathroom when I fell). My wife made it to me, and I lost consciousness a couple more times while talking with her. I laid on the bathroom floor for a
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Herpes zoster, Pyrexia, Swollen tongue, Urticaria
Clinical narrative: First 32 hours: Swollen tongue, hives around left eye, fever, joint pain At the 6th day: SHINGLES, joint pain, fever
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Condition aggravated, Gait disturbance, Joint swelling, Rheumatoid arthritis
Clinical narrative: Several hours after getting the first dose of moderna my knees started feeling sore. 24 hours after the vaccine they were so swollen and painful that I couldn't walk. It has been over a week since my vaccine and I still can't walk without crutches and need to get a wheelchair. I have rheumatoid arthritis but have never had a flareup like this before. Contacted my doctor's office for help.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Neck pain, Pain, Pain in extremity, Paranasal sinus discomfort
Clinical narrative: Full body aches, arm pain, 100F fever, neck and headache and sinus pressure.  All subsided after 16 hrs from onset.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Full body aches, arm pain, 100F fever, neck and headache and sinus pressure.  All subsided after 16 hrs from onset.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Cluster headache, Computerised tomogram normal, Pain
Clinical narrative: Three days after receiving the vaccine, I started experiencing debilitating cluster migraines. I have experienced these cluster migraines every day, multiple times per day since then. My pain level gets up to a ten out of ten multiple times per day. No medication has worked so far.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hallucination, Pyrexia
Clinical narrative: Patient started hallucinating at 3:00am. He had a low grade fever which we thought might be the cause. Slept and appeared dizzy upon waking but alert. At 3:30 pm, he again started hallucinating.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Computerised tomogram abnormal, Electrocardiogram, Pulmonary embolism
Clinical narrative: Pulmonary embolisms in both lungs
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: patient felt her heart race. she has no past medical history. states back in december 2020 she had covid-19 and did experience rapid heart rate at that time. since then, however, she has not had any issues with heart rate. she denies chest pain, lightheadedness, sob. no nausea or vomiting. no headache, no blurred vision.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysphagia, Laboratory test, Throat irritation
Clinical narrative: Client c/o dizziness and "burning in throat" with difficulty swallowing a few mins after Pfizer Biontech vaccine.  Was given Benadryl 50 mg po.  In 20 mins, dizziness resolved but burning in throat and dysphagia remained.  Vital signs were normal range throughout observation period.  Was advised to seek tx if it worsened. Transported home by family member and "slept off the Benadryl".  States throat burning lasted through the next day.  Dysphagia resolved that evening.  Spoke w/her dr. 2 weeks later at routine visit who advised not to get 2nd dose right away.  Pt. states she was having a flare of her lupus at the time of 1st dose.  Said dr. advised to wait until her ANA levels decreased before 2nd dose.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Flushing, Headache, Hypertension
Clinical narrative: Flushing, headache, and hypertension Treated with intravenous ketorolac and famotidine Flushing, headache, and hypertension improving
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Nausea, Pallor, Syncope
Clinical narrative: Symptoms of medical shock about 16 hours after vaccine dose--cold sweat and ashen complexion, dizziness, fainted, intense nausea. All symptoms except nausea and thirst subsided with bed rest and electrolyte fluids.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Thirst decreased
Clinical narrative: Symptoms of medical shock about 16 hours after vaccine dose--cold sweat and ashen complexion, dizziness, fainted, intense nausea. All symptoms except nausea and thirst subsided with bed rest and electrolyte fluids.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient administered 2.5mL
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure decreased, Cold sweat, Dizziness, Paraesthesia, Syncope
Clinical narrative: Patient had a syncope episode, felt tingly, dizzy, and clammy to the touch. Patient's blood pressure dropped to 98/62. Patient legs were elevated and a cold compress was used
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Vital signs measurement
Clinical narrative: 10:45a 32yo female complains of lite chest pain ofter receiving 2nd dose of Moderna. Pain level is a 4 out of 10 on a 0-10 pain scale 10 being the worst. Vital signs 118/86, 88, RR16. Patient will stay in observation for 30 minutes breathing is normal and unlabored. 11:20a vital signs were rechecked B/P 100/86, HR 84, RR16 pain level is a 3 out of 10, 10 being the worst. Patient states she felt good, patient was discharged to go home. Patient was educated on the side effect and allergic reaction if symptoms continue to call 911.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Insomnia
Clinical narrative: Muscle pain at site of injection making it difficult to sleep. No known injury to the affected area and has been ongoing for about 3 weeks.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Musculoskeletal stiffness, Pain
Clinical narrative: Extreme fatigue, soreness at injection site. Muscle stiffness, headache and  body aches.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash erythematous
Clinical narrative: Itch and appear red rashes on joints, wrists and fingers.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: swollen painful lympth node under arm pit of vaccination side. lasted 1-2 days
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Culture, Fungal infection
Clinical narrative: I had symptoms of a yeast infection and the over the counter medication did not work. It was a strange coincidence in timing because it was within a week of my vaccine. The doctor cultured and she did not recommend any treatment.  It lasted about four days and then became better. I only used medication for 48 hours which did not seem to help.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Bed rest, Chills, Decreased appetite, Dizziness, Fatigue
Clinical narrative: Very painful left arm started around 2 hours later. Hurts even if not moving the arm; a constant severe throbbing pain on whole upper arm but radiates to forearm as well occasionally . Low grade fever with chills. Slight dizzy ness when standing. Fatigue is moderate at some points and severe at others throughout the day. Loss of appetite. Very difficult to perform normal activities and spent most of day in bed. Symptoms still ongoing as of 9 hours later
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Pain, Pain in extremity, Pyrexia
Clinical narrative: Very painful left arm started around 2 hours later. Hurts even if not moving the arm; a constant severe throbbing pain on whole upper arm but radiates to forearm as well occasionally . Low grade fever with chills. Slight dizzy ness when standing. Fatigue is moderate at some points and severe at others throughout the day. Loss of appetite. Very difficult to perform normal activities and spent most of day in bed. Symptoms still ongoing as of 9 hours later
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Blindness, Fatigue, Headache, Pyrexia, Vision blurred
Clinical narrative: After 40 hours after having normal Mild symptoms from the vaccine. Such as a headache, fatigue and mild fever. My left eye started to lose vision. It's hard to focus, and feels like I have astigmatism and myopia.  Took Tylenol to reduce the headache and fever, but nothing has fixed my vision
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: Benadryl 50 mg po and Zofran 4 mg ODT given with no further lightheadedness or nausea.  VSS.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Vertigo
Clinical narrative: Second day:. Severe vertigo with accompanying headache and nausea.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Skin exfoliation
Clinical narrative: Upon receving the Pfizer vaccine-2nd dose, within 24 hours, patient developed peeling of the skin from the bottom of the feet and spreading upward to the bilateral ankle.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: At 4 am I passed out and banged my head. Dizziness might have caused this. I got the vaccine the prior day at 11 am.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Confusional state, Dyspnoea, Electrocardiogram abnormal, Hypoaesthesia
Clinical narrative: SOB, numbness and tingling  in lower extremities. Confused, did not know where she was . BP 170/100 HR 135  EKG- PVCs. transported to Hospital
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Ventricular extrasystoles
Clinical narrative: SOB, numbness and tingling  in lower extremities. Confused, did not know where she was . BP 170/100 HR 135  EKG- PVCs. transported to Hospital
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Rash, Rash erythematous, Urticaria
Clinical narrative: I did not have an immediate reaction on the same. The next day I noticed red hives disperse on my torso: stomach, upper back, lower back, upper buttocks, legs, and penis. On Sunday, I got a burning red rash on my anterior arm, but it went away in a hour. By Wednesday, when I visited my doctor, the hives were not red, only a small dot was left.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: Pt had difficulty breathing approximately 5 to 10 minutes after receiving the vaccine.  An EpiPen was administered and the patients symptoms began to improve and then EMS took over care.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Nausea, Presyncope
Clinical narrative: PT PRESENTED DIAPHORETIC WITH NAUSEA, NEAR-SYNCOPAL EPISODE O2 SAT - 97 BP - 132/72 RESP. RATE - 18 GCS - 15
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure fluctuation, Dizziness, Immediate post-injection reaction, Pallor, Visual impairment
Clinical narrative: The patient became pale and light headed within minutes of his vaccination.  He also reported his vision dimmed.  He reported he has a history of this reaction with any injection.  We gave him water and took his blood pressure, it was initially 69/58 with a pulse of 46.  Five minutes later it was 164/93 with a pulse rate of 41.  Five minutes later it was back down to 82/50 with a pulse of 87. Five minutes later he was feeling better, his color and site normalized and his blood pressure was 117/70 with a pulse rate of 69.  We let him sit for a while longer and when he was comfortable he got up, walked around, and left.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site urticaria, Pruritus, Skin discolouration
Clinical narrative: Developed a red spot below injection site about 24 hours after the first dose. Did not itch, was slightly painful to touch (almost felt like a bruise). Faded over the next 7 days and on Day 8 post-injection had large hives in same area (about 2-3 inches below injection site). Was itchy and lasted about a week. As of 2.5 weeks after injection it is now resolved (just slight skin discoloration).
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Swollen tongue
Clinical narrative: About 6 hours after the Pfizer COVID vaccine she developed rash and some tongue swelling. Went away with benadryl.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Muscle spasms, Pain in extremity
Clinical narrative: Shot gave me lightheadedness, hot, and muscle spasms also pain from my left shoulder all the way to my hand
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Fear of injection, Feeling hot, Flushing, Syncope
Clinical narrative: Patient informed the pharmacist that he had needle phobia. He was doing fine during the immunization but fainted 2 minutes after. his face turn red and feel heated. He was moved to the floor for better support with his feet elevated. Pharmacist accessed his breathing and applied cold compresses to the neck. offered cold water to drink. Patient rested in the room for about 15 minutes and returned normal and left pharmacy.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: patient complains that she feels dizzy. no chest pain or sob. no nausea or vomiting. no sensation of fainting.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Dizziness, Fatigue, Feeling abnormal
Clinical narrative: Extreme stiffness that was from shoulder up into neck. Extreme nausea dizziness  chills extreme headache and fatigue. for 7 days. Would never go completly go away and would intensify and start again severely making it impossible to  leave the house. On day 7 and 8 still nausea with diarhea. The heaasche dizziness and brain fog were from days 4-7 Shaking and delayed movement of legs  numbness around lips and tongue on day7   Was told noone knew what to do and just drink water.  Awful to be this sick for one week.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia oral, Loss of personal independence in daily activities, Movement disorder, Musculoskeletal stiffness
Clinical narrative: Extreme stiffness that was from shoulder up into neck. Extreme nausea dizziness  chills extreme headache and fatigue. for 7 days. Would never go completly go away and would intensify and start again severely making it impossible to  leave the house. On day 7 and 8 still nausea with diarhea. The heaasche dizziness and brain fog were from days 4-7 Shaking and delayed movement of legs  numbness around lips and tongue on day7   Was told noone knew what to do and just drink water.  Awful to be this sick for one week.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Tremor
Clinical narrative: Extreme stiffness that was from shoulder up into neck. Extreme nausea dizziness  chills extreme headache and fatigue. for 7 days. Would never go completly go away and would intensify and start again severely making it impossible to  leave the house. On day 7 and 8 still nausea with diarhea. The heaasche dizziness and brain fog were from days 4-7 Shaking and delayed movement of legs  numbness around lips and tongue on day7   Was told noone knew what to do and just drink water.  Awful to be this sick for one week.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19, UNK
Symptoms: Unevaluable event
Clinical narrative: Patient administered 2.5mL
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19, UNK
Symptoms: Overdose
Clinical narrative: Patient administered 2.5mL
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19, UNK
Symptoms: Extra dose administered
Clinical narrative: Patient administered 2.5mL
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase, Blood magnesium, Differential white blood cell count, Full blood count, Metabolic function test
Clinical narrative: Muscle Spasms
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle spasms
Clinical narrative: Muscle Spasms
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Vomiting
Clinical narrative: Stomach cramping with vomiting lasted from midnight through to 8am
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Fatigue, Myalgia, Pain in extremity
Clinical narrative: Arm pain immediately after shot for 2 days Low grade fever 8 am morning day after until 9 PM day after Extreme Fatigue day after beginning 24 hours after shot Muscle aches starting morning after shot for 18 hours  Joint pain morning after shot for 18 hours Intense back pain/muscle pain 24 hours after
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Arm pain immediately after shot for 2 days Low grade fever 8 am morning day after until 9 PM day after Extreme Fatigue day after beginning 24 hours after shot Muscle aches starting morning after shot for 18 hours  Joint pain morning after shot for 18 hours Intense back pain/muscle pain 24 hours after
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Burning sensation, Dysphagia, Dysphonia, Electrocardiogram, Lip swelling
Clinical narrative: Pfizer COVID-19 Vaccine EUA  Patient received dose#1 Pfizer vaccine on 3/9/2021. Patient received dose #2 of Pfizer Vaccine on 4/6/2021. Approximately 25 minutes after dose #2, patients reported facial swelling, tongue swelling, burning, swelling lips, and stated difficulty swallowing.  Raspy voice was noted, as well. Epinephrine 0.3 mg IM administered, and patient subsequently transferred to Emergency Department. Upon arrival, patient was AAOx4, respirations were even and unlabored and patient was speaking in clear and complete sentences. No facial swelling noted and patient was maintaining airway and secretions.  Troponin was noted to be within normal limits, EKG without changes from prior.  Patient observed in ED for 4 hours without concerning symptoms.  Patient discharged home in stable condition.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Swelling face, Troponin I normal
Clinical narrative: Pfizer COVID-19 Vaccine EUA  Patient received dose#1 Pfizer vaccine on 3/9/2021. Patient received dose #2 of Pfizer Vaccine on 4/6/2021. Approximately 25 minutes after dose #2, patients reported facial swelling, tongue swelling, burning, swelling lips, and stated difficulty swallowing.  Raspy voice was noted, as well. Epinephrine 0.3 mg IM administered, and patient subsequently transferred to Emergency Department. Upon arrival, patient was AAOx4, respirations were even and unlabored and patient was speaking in clear and complete sentences. No facial swelling noted and patient was maintaining airway and secretions.  Troponin was noted to be within normal limits, EKG without changes from prior.  Patient observed in ED for 4 hours without concerning symptoms.  Patient discharged home in stable condition.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Hypokinesia, Pain in extremity, Pyrexia, SARS-CoV-2 test
Clinical narrative: Intermittent low grade fevers for 2 weeks after, extreme arm soreness (was unable to move arm) for two days
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Blood pressure measurement, Dizziness, Dry mouth, Dysgeusia
Clinical narrative: Dizziness, light-headedness, nausea, dry mouth, metallic taste, tingly tongue and mouth, heart palpitations and anxiety within 10 minutes of the shot.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Palpitations, Paraesthesia oral
Clinical narrative: Dizziness, light-headedness, nausea, dry mouth, metallic taste, tingly tongue and mouth, heart palpitations and anxiety within 10 minutes of the shot.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: The patient got up from the vaccine and sat in the chair.  He felt faint and his mother put him on the floor.   She immediately contacted the pharmacist and the pharmacist checked his pulse and talked to him.  His mom wanted him to be seen at the hospital so 911 was called and the ambulance took him to the ER.  He never passed out only felt like he was going to.   He felt better at the time he was taken away in the ambulance.
Age: 40.0
Sex: F
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site erythema
Clinical narrative: Pt. called c/o redness and bruising at the injection site lasting a week.  No swelling, drainage or heat reported.  Provider advised warm moist packs may help.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Oropharyngeal pain, Somnolence, Throat tightness
Clinical narrative: Patient complaints included dizziness and flushness. She appeared drowsy as well. Onset of symptoms occurred within 10 minutes after vaccination. I continued to monitor the patient and took her blood pressure (128/77, HR 80). Over the next 2 minutes, she then complained that her throat was sore and started to feel tight. At that time, I informed that patient that I was going to administer a dose of Epinephrine. She was responsive and understood. I called for medical attention and the paramedics arrived to take over patient's care.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Periarthritis
Clinical narrative: Frozen shoulder on injection side.  Until testing negative for covid I have no other info.  Dr visit on April 6th.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: Passed out approximately 11 hours after receiving vaccine. Hit head on tile floor.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Vaccine mixed with incorrect diluent (sterile water instead of normal saline). Pt informed of error and offered revaccination. Pt reports no adverse reactions.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Immunisation, Product preparation issue
Clinical narrative: Vaccine mixed with incorrect diluent (sterile water instead of normal saline). Pt informed of error and offered revaccination. Pt reports no adverse reactions.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Lymphadenopathy, Pain
Clinical narrative: Patient experienced swollen lymph nodes, tired, and soreness.
Age: 31.0
Sex: F
Vaccine: UNK
Symptoms: Disturbance in attention, Dysarthria, Encephalitis, Headache, Mental impairment
Clinical narrative: Encephalitis symptoms: stiff neck, headache lasting more than 7 days, trouble thinking, trouble concentrating, slurred speach
Age: 31.0
Sex: F
Vaccine: UNK
Symptoms: Musculoskeletal stiffness
Clinical narrative: Encephalitis symptoms: stiff neck, headache lasting more than 7 days, trouble thinking, trouble concentrating, slurred speach
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: Vision in right eye was markedly blurry for about 60 hours. Was most noticeable at mid to long distance. It cleared up on its own.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Large, swollen, itchy rash on upper arm at injection site.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Areflexia, Blood test normal, Chest X-ray, Dizziness
Clinical narrative: Right away I experienced dizziness; nausea - they gave me Benadryl shot. After that, it looked like it affected all my muscles and nerves - especially my lower back. From hips to toes I was in extreme pain. I thought it would go away but it didn't. The second day I went to ER and they didn't know what to do. They checked my reflexes. My right leg was responding okay but the left leg didn't move. Still my left leg is numb. They did send me home with the vaccine. I haven't had the second vaccine because I still feel the shortness of breath. Walking a little bit is like losing my breath. I have a headache, nausea and stomach was upset with diarrhea for two months and especially the first week. My lower back was most affected area. I couldn't work. My left side was numb and painful. I was dragging myself with my right leg. Since my vaccine my memory is really really bad.  I went to the doctor after three weeks and they sent me to same ER   - I think on Feb 5 - because they didn't know what to do at Doctor's office. My left side was numb.  They gave me more medicine after the second ER visit - I will have to call back with the names of the meds.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Exercise tolerance decreased, Facial paralysis, Gait disturbance, Headache
Clinical narrative: Right away I experienced dizziness; nausea - they gave me Benadryl shot. After that, it looked like it affected all my muscles and nerves - especially my lower back. From hips to toes I was in extreme pain. I thought it would go away but it didn't. The second day I went to ER and they didn't know what to do. They checked my reflexes. My right leg was responding okay but the left leg didn't move. Still my left leg is numb. They did send me home with the vaccine. I haven't had the second vaccine because I still feel the shortness of breath. Walking a little bit is like losing my breath. I have a headache, nausea and stomach was upset with diarrhea for two months and especially the first week. My lower back was most affected area. I couldn't work. My left side was numb and painful. I was dragging myself with my right leg. Since my vaccine my memory is really really bad.  I went to the doctor after three weeks and they sent me to same ER   - I think on Feb 5 - because they didn't know what to do at Doctor's office. My left side was numb.  They gave me more medicine after the second ER visit - I will have to call back with the names of the meds.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Impaired work ability, Memory impairment, Musculoskeletal stiffness, Nausea
Clinical narrative: Right away I experienced dizziness; nausea - they gave me Benadryl shot. After that, it looked like it affected all my muscles and nerves - especially my lower back. From hips to toes I was in extreme pain. I thought it would go away but it didn't. The second day I went to ER and they didn't know what to do. They checked my reflexes. My right leg was responding okay but the left leg didn't move. Still my left leg is numb. They did send me home with the vaccine. I haven't had the second vaccine because I still feel the shortness of breath. Walking a little bit is like losing my breath. I have a headache, nausea and stomach was upset with diarrhea for two months and especially the first week. My lower back was most affected area. I couldn't work. My left side was numb and painful. I was dragging myself with my right leg. Since my vaccine my memory is really really bad.  I went to the doctor after three weeks and they sent me to same ER   - I think on Feb 5 - because they didn't know what to do at Doctor's office. My left side was numb.  They gave me more medicine after the second ER visit - I will have to call back with the names of the meds.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Neuromuscular pain, Pain
Clinical narrative: Right away I experienced dizziness; nausea - they gave me Benadryl shot. After that, it looked like it affected all my muscles and nerves - especially my lower back. From hips to toes I was in extreme pain. I thought it would go away but it didn't. The second day I went to ER and they didn't know what to do. They checked my reflexes. My right leg was responding okay but the left leg didn't move. Still my left leg is numb. They did send me home with the vaccine. I haven't had the second vaccine because I still feel the shortness of breath. Walking a little bit is like losing my breath. I have a headache, nausea and stomach was upset with diarrhea for two months and especially the first week. My lower back was most affected area. I couldn't work. My left side was numb and painful. I was dragging myself with my right leg. Since my vaccine my memory is really really bad.  I went to the doctor after three weeks and they sent me to same ER   - I think on Feb 5 - because they didn't know what to do at Doctor's office. My left side was numb.  They gave me more medicine after the second ER visit - I will have to call back with the names of the meds.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Dyskinesia, Headache, Injection site pain, Myalgia
Clinical narrative: Severe back pain, random and involuntary muscle jerking, headache. Pain at injection site, muscle aches
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Ultrasound scan, Uterine dilation and curettage
Clinical narrative: Miscarried found no fetal heartbeat at 3/11 ultrasound. D&C completed 3/19
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Syncope
Clinical narrative: Patient fainted after receiving the vaccine.  She was seated at the time and immediately the chair was reclined.  She did NOT hit her head and regained consciousness within a minute.  Felt nauseated and dizzy.  She remained laying down for ~15 minutes until feeling better.  She left later feeling fine.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: First symptom was controllable shaking over my entire body, then fever, chills, mild headache, fatigue - I could not stay awake the whole next day.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: First symptom was controllable shaking over my entire body, then fever, chills, mild headache, fatigue - I could not stay awake the whole next day.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Gait inability, Head discomfort, Headache
Clinical narrative: towards end of monitoring time post vaccine, c/o feeling shaky, having visual disturbances, nausea, and headache. brought back to obs 1722, 1724 bp 134/78 hr 71 rr 18 sao2 99% on ra. patient laying on stretcher, feeling relief of headache, flushing, and lightheadedness, but headache remains, though improved. 1730 bp 120/81 hr 73 rr 18 sao2 99% on ra, s/s improved, head pressure relieving, and visual disturbances improved. patient sitting up on side of bed at 1745 bp 124/75 hr 75 rr 20 sao2 99% on ra, denies increased s/s with standing. agrees stable to be escorted to personal vehicle, no further issues
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Tremor, Visual impairment
Clinical narrative: towards end of monitoring time post vaccine, c/o feeling shaky, having visual disturbances, nausea, and headache. brought back to obs 1722, 1724 bp 134/78 hr 71 rr 18 sao2 99% on ra. patient laying on stretcher, feeling relief of headache, flushing, and lightheadedness, but headache remains, though improved. 1730 bp 120/81 hr 73 rr 18 sao2 99% on ra, s/s improved, head pressure relieving, and visual disturbances improved. patient sitting up on side of bed at 1745 bp 124/75 hr 75 rr 20 sao2 99% on ra, denies increased s/s with standing. agrees stable to be escorted to personal vehicle, no further issues
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received first dose of Moderna vaccine on 03/09/2021. Second dose was received on 04/01/2021. Vaccine was administered too early. Vaccine was due on 04/06/2021. Patient experienced no adverse reactions as a result of receiving vaccine too soon.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Dyspnoea, Hypoxia, Interstitial lung disease, Myalgia
Clinical narrative: Rapid onset in fever and myalgia.  Dyspnea and hypoxia developed over days, and eventually patient was hospitalized with bilateral pneumonia consistent with COVID-19, however patient had multiple negative tests for SARS-CoV-2, both antigen and PCR.  Patient eventually diagnosed with interstitial lung disease prior to expiring on 4/7/2021.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Rapid onset in fever and myalgia.  Dyspnea and hypoxia developed over days, and eventually patient was hospitalized with bilateral pneumonia consistent with COVID-19, however patient had multiple negative tests for SARS-CoV-2, both antigen and PCR.  Patient eventually diagnosed with interstitial lung disease prior to expiring on 4/7/2021.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeding disorder, Nausea
Clinical narrative: Severe chills; nausea, fatigue, inability to eat.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Pharyngeal swelling
Clinical narrative: pt was getting her  vaccine . Because of her previous hx of rx with MMR vaccine ( throat swelled up[) I asked pt to wait for atleast 45 mins . Pt started having same rxn again after 30 mins . I administered 1 shot of epipen and pt started feeling better . 911 was called and paramedics checked her vitals . Everything was okay except for the bp which was 199/100 because of the epipen. Pt refused to go to the hospital
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood albumin decreased, Blood creatine phosphokinase MB, Blood creatine phosphokinase increased, Blood lactic acid, Blood magnesium normal
Clinical narrative: Per triage note of 4/7/2021:  "Chief Complaint: pt presents with Nausea & vomitting, ha,  body ache, unable to       sleep, swollen feet. Symptoms started 3/25 after he recieved his 1st covid       vaccine. has had to use a walker and gets SOB. pt had COVID 11/2020"  Assessment reveals mild CHF, positive troponin, myocarditis per physician's notes of 4/7/2021  Patient treated with Zofran 4 mg IV and given 500 ml NS IV then Lasix 40 mg IV.  Patient transferred to  Medical Center 4/7
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood sodium decreased, Blood urea nitrogen/creatinine ratio, Brain natriuretic peptide increased, Cardiac failure congestive, Drug screen negative
Clinical narrative: Per triage note of 4/7/2021:  "Chief Complaint: pt presents with Nausea & vomitting, ha,  body ache, unable to       sleep, swollen feet. Symptoms started 3/25 after he recieved his 1st covid       vaccine. has had to use a walker and gets SOB. pt had COVID 11/2020"  Assessment reveals mild CHF, positive troponin, myocarditis per physician's notes of 4/7/2021  Patient treated with Zofran 4 mg IV and given 500 ml NS IV then Lasix 40 mg IV.  Patient transferred to  Medical Center 4/7
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Haematocrit decreased, Haemoglobin decreased, Headache, Hepatic enzyme abnormal
Clinical narrative: Per triage note of 4/7/2021:  "Chief Complaint: pt presents with Nausea & vomitting, ha,  body ache, unable to       sleep, swollen feet. Symptoms started 3/25 after he recieved his 1st covid       vaccine. has had to use a walker and gets SOB. pt had COVID 11/2020"  Assessment reveals mild CHF, positive troponin, myocarditis per physician's notes of 4/7/2021  Patient treated with Zofran 4 mg IV and given 500 ml NS IV then Lasix 40 mg IV.  Patient transferred to  Medical Center 4/7
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Immature granulocyte percentage increased, Insomnia, International normalised ratio increased, Lymphocyte percentage decreased, Metabolic function test normal
Clinical narrative: Per triage note of 4/7/2021:  "Chief Complaint: pt presents with Nausea & vomitting, ha,  body ache, unable to       sleep, swollen feet. Symptoms started 3/25 after he recieved his 1st covid       vaccine. has had to use a walker and gets SOB. pt had COVID 11/2020"  Assessment reveals mild CHF, positive troponin, myocarditis per physician's notes of 4/7/2021  Patient treated with Zofran 4 mg IV and given 500 ml NS IV then Lasix 40 mg IV.  Patient transferred to  Medical Center 4/7
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myocarditis, Nausea, Neutrophil percentage increased, Pain, Peripheral swelling
Clinical narrative: Per triage note of 4/7/2021:  "Chief Complaint: pt presents with Nausea & vomitting, ha,  body ache, unable to       sleep, swollen feet. Symptoms started 3/25 after he recieved his 1st covid       vaccine. has had to use a walker and gets SOB. pt had COVID 11/2020"  Assessment reveals mild CHF, positive troponin, myocarditis per physician's notes of 4/7/2021  Patient treated with Zofran 4 mg IV and given 500 ml NS IV then Lasix 40 mg IV.  Patient transferred to  Medical Center 4/7
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Protein urine present, Prothrombin level normal, Red blood cell count decreased, SARS-CoV-2 test negative, Troponin increased
Clinical narrative: Per triage note of 4/7/2021:  "Chief Complaint: pt presents with Nausea & vomitting, ha,  body ache, unable to       sleep, swollen feet. Symptoms started 3/25 after he recieved his 1st covid       vaccine. has had to use a walker and gets SOB. pt had COVID 11/2020"  Assessment reveals mild CHF, positive troponin, myocarditis per physician's notes of 4/7/2021  Patient treated with Zofran 4 mg IV and given 500 ml NS IV then Lasix 40 mg IV.  Patient transferred to  Medical Center 4/7
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Urine analysis normal, Vomiting, Walking aid user
Clinical narrative: Per triage note of 4/7/2021:  "Chief Complaint: pt presents with Nausea & vomitting, ha,  body ache, unable to       sleep, swollen feet. Symptoms started 3/25 after he recieved his 1st covid       vaccine. has had to use a walker and gets SOB. pt had COVID 11/2020"  Assessment reveals mild CHF, positive troponin, myocarditis per physician's notes of 4/7/2021  Patient treated with Zofran 4 mg IV and given 500 ml NS IV then Lasix 40 mg IV.  Patient transferred to  Medical Center 4/7
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute myocardial infarction, Anticoagulant therapy, Catheterisation cardiac abnormal, Chest pain, Coronary artery disease
Clinical narrative: Per triage note of 4/7/2021:  "Chief Complaint: pt presents with Nausea & vomitting, ha,  body ache, unable to       sleep, swollen feet. Symptoms started 3/25 after he recieved his 1st covid       vaccine. has had to use a walker and gets SOB. pt had COVID 11/2020"  Assessment reveals mild CHF, positive troponin, myocarditis per physician's notes of 4/7/2021  Patient treated with Zofran 4 mg IV and given 500 ml NS IV then Lasix 40 mg IV.  Patient transferred to  Medical Center 4/7