chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Blood test, Injection site pain, Myalgia
Clinical narrative: pt states the day after the 4th covid vax he had severe pain in his hips, legs, and ankles.  He had pain the arm around the injection site.  He had some pain in his neck and shoulder.  He had 101 fever that lasted about 36 hours.  He had pain in both leg and ankle muscles as well as all of his joints.  The more severe pain is in the lower body including the back down to legs and ankles. He went to his physician for these symptoms and told him to stop exercising and to slow down his physical activity and rest his body.  He was also told to try yoga. He visited an Urgent Care where he had Xrays with negative results. He continues to have severe pain with his joints and legs.  He is terrified that this will be a permanent condition since does not seem to be getting any better.  He states with each Covid vax the joint pain seems to get worse. (Patient states he would like to be contacted prior to medical records being requested from us)
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Neck pain, Pain in extremity, Pyrexia, X-ray normal
Clinical narrative: pt states the day after the 4th covid vax he had severe pain in his hips, legs, and ankles.  He had pain the arm around the injection site.  He had some pain in his neck and shoulder.  He had 101 fever that lasted about 36 hours.  He had pain in both leg and ankle muscles as well as all of his joints.  The more severe pain is in the lower body including the back down to legs and ankles. He went to his physician for these symptoms and told him to stop exercising and to slow down his physical activity and rest his body.  He was also told to try yoga. He visited an Urgent Care where he had Xrays with negative results. He continues to have severe pain with his joints and legs.  He is terrified that this will be a permanent condition since does not seem to be getting any better.  He states with each Covid vax the joint pain seems to get worse. (Patient states he would like to be contacted prior to medical records being requested from us)
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: 1st and 2nd dose Pfizer COVID vaccine given as the booster instead of the PFizer Bivalent booster
Age: 0.67
Sex: F
Vaccine: COVID19-2
Symptoms: Urticaria
Clinical narrative: PATIENT BROKE OUT IN LARGE HIVES ON ARMS, ABDOMEN, CHEST AND BACK. THIS LASTED FOR ABOUT AN HOUR AND WENT AWAY ON ITS OWN.PATIENT ADVISED THEY WERE ALLERGIC TO PEANUTS AS THE ONLY KNOWN ALLERGY.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Headache, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea
Clinical narrative: Believe that I contracted COVID-19 at a memorial service. A couple days later I developed a runny nose and tested positive for COVID-19. Mostly felt like head cold, sore throat, and headache. Called Dr and was prescribed Paxlovid. Paxlovid helped resolve symptoms but I experienced a rebound case of COVID-19. Took 3 weeks total for symptoms to resolve.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Believe that I contracted COVID-19 at a memorial service. A couple days later I developed a runny nose and tested positive for COVID-19. Mostly felt like head cold, sore throat, and headache. Called Dr and was prescribed Paxlovid. Paxlovid helped resolve symptoms but I experienced a rebound case of COVID-19. Took 3 weeks total for symptoms to resolve.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: 1st and 2nd dose Pfizer COVID vaccine given as the booster instead of the Pfizer Bivalent booster
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: 1st and 2nd Pfizer dose series given as a booster instead of the Pfizer Bivalent Booster
Age: 67.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Fatigue, Feeling cold, Headache, Hyperhidrosis
Clinical narrative: Extreme chills starting at 11:30 pm. Chattering teeth.  Felt chilled to the core. Thus lasted for 4 hours followed by fever and sweating for several hours. Headache and extreme fatigue. Got up and took ibuprofen then slept entire day.
Age: 67.0
Sex: F
Vaccine: FLU4
Symptoms: Hypersomnia, Pyrexia
Clinical narrative: Extreme chills starting at 11:30 pm. Chattering teeth.  Felt chilled to the core. Thus lasted for 4 hours followed by fever and sweating for several hours. Headache and extreme fatigue. Got up and took ibuprofen then slept entire day.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Feeling abnormal, Headache, Hypertension, Influenza like illness
Clinical narrative: I always react to any vaccinations, so my arm always gets really sore for quite a few days. I don't remember exactly, but I remember I was feeling kind of crummy the next day. Headachy, flu type symptoms, but that went away after one or two days. It wasn't until about the beginning of May but I started getting these tremendous headaches and thought it might be from high blood pressure and went to the urgent care (6/10/22). They told my blood pressure was 185 and told me to see my primary care physician. I wasn't able to get in. I went to the ER on 6/12/22 My blood pressure was almost up to 190. They gave me a lisinopril. I saw a nurse practitioner that following Monday, 6/13/22. Went back the following weekend to the ER because it was around 200. The following day I saw a doctor at my normal facility and he said he would play around with my medications, but nothing helped. Then finally I saw my allergist on 7/7/22, who I have regular appts with, she is more familiar with my health history and said that it was possible that my liver was overloaded. She was able to add some supplements that allowed me to feel more normal, but I'm still feeling headaches on my left side. N-acetyl cysteine, magnesium, hawthorne extract, and another one that I have since stopped taking. I feel more comfortable with my allergists. Along with those supplements I am also taking lisinopril 6.5 mg.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Magnetic resonance imaging head, Magnetic resonance imaging neck, Pain in extremity, X-ray
Clinical narrative: I always react to any vaccinations, so my arm always gets really sore for quite a few days. I don't remember exactly, but I remember I was feeling kind of crummy the next day. Headachy, flu type symptoms, but that went away after one or two days. It wasn't until about the beginning of May but I started getting these tremendous headaches and thought it might be from high blood pressure and went to the urgent care (6/10/22). They told my blood pressure was 185 and told me to see my primary care physician. I wasn't able to get in. I went to the ER on 6/12/22 My blood pressure was almost up to 190. They gave me a lisinopril. I saw a nurse practitioner that following Monday, 6/13/22. Went back the following weekend to the ER because it was around 200. The following day I saw a doctor at my normal facility and he said he would play around with my medications, but nothing helped. Then finally I saw my allergist on 7/7/22, who I have regular appts with, she is more familiar with my health history and said that it was possible that my liver was overloaded. She was able to add some supplements that allowed me to feel more normal, but I'm still feeling headaches on my left side. N-acetyl cysteine, magnesium, hawthorne extract, and another one that I have since stopped taking. I feel more comfortable with my allergists. Along with those supplements I am also taking lisinopril 6.5 mg.
Age: 56.0
Sex: F
Vaccine: FLU4
Symptoms: Immediate post-injection reaction, Incorrect route of product administration, Injection site erythema, Injection site reaction, Injection site swelling
Clinical narrative: Patient immediately had severe swelling, redness, and heat 2 hours after injection. She says she had injection site reactions before but this was much worse than she's ever experienced. The swelling was treated with ibuprofen and ice around the clock for 48 hours before it resolved. She states that the vaccine was given a little more laterally than the usual deltoid area .
Age: 56.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site warmth
Clinical narrative: Patient immediately had severe swelling, redness, and heat 2 hours after injection. She says she had injection site reactions before but this was much worse than she's ever experienced. The swelling was treated with ibuprofen and ice around the clock for 48 hours before it resolved. She states that the vaccine was given a little more laterally than the usual deltoid area .
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was supposed to receive bivalent booster but was mistakenly administered monovalent vaccine due to look-alike error.
Age: 58.0
Sex: F
Vaccine: COVID19-2
Symptoms: Atrial flutter, Blood magnesium, Blood phosphorus, Blood thyroid stimulating hormone, Cardiac telemetry
Clinical narrative: STARTING FEELING JITTERY AROUND 1045AM ON 9/23/22.   CAME DOWN TO PHARMACY DEPARTMENT TO STAFF AND FELT A LITTLE OFF.  AROUND 1115 AM, FELT MORE JITTERY AND AND HAD NOT EATEN, SO HAD SOME WATER AND 1/2 OF BAGEL. DIFFICULT TO GET DOWN, SWALLOW.  AROUND 1145, HAD ANOTHER PHARMACIST CHECK PULSE AND SHE NOTED IT BEING ERRATIC.  WENT DOWN TO EMPLOYEE HEALTH AND RN TOOK BP/HR.  BP=159/110 AND HR =155.  MAX HR UP INTO 170S.NURSE CALLED MEDICAL-PSYCH FLOOR FOR EKG, WHICH SHOWED ORIGINALLY ATRIAL FLUTTER, BUT THEN LISTED AS SVT PER RN/MD. IV STARTED AND MONITOR REMAINED ON UNTIL EMS ARRIVED AROUND 1PM TO TRANSPORT TO EMERGENCY DEPARTMENT. ON 9/23/22 CONVERTED BACK TO NORMAL SINUS RHYTHM(NSR) BY VASOVAGAL MANEUVER DOWN TO LOW 100s AROUND 3PM.  WITH IV MAG SULFATE 2GM, WAS ABLE TO COME BACK DOWN INTO THE 80S. AND DISCHARGED HOME AROUND 6PM SAME DAY WITH NO NEW MEDS.  ON 9/25/22 AROUND 2PM WHILE RESTING AT HOME, NOTICED ANOTHER EPISODE OF TACHYCARDIA, POUNDING IN THROAT AND CHEST. I  TRIED VASOVAGAL MANEUVER TO TRY AND CONVERT TO NSR. UNABLE TO DO, SO CALLED EMS AROUND 1445.  WHEN EMS ARRIVED,  EKG HOOKED UP AND NOTED TO BE IN SVT AGAIN.  TRANSFERRED TO ED AND WHILE IN ROUTE TO HOSPITAL, ADENOSINE 6MG IV GIVEN.  BRIEFLY CONVERTED TO NSR, BUT BACK UP INTO 150s FOR HR.  AFTER ARRIVAL AT ED,  HR STILL IN 150S WITH FLUCTUATIONS UP INTO 170s.   CARDIZEM 25MG IVP GIVEN AROUND 4PM AND FINALLY CONVERTED BACK TO NSR.  LABS-TSH, CBC, MG, PHOS, LIPID PANEL, HGBA1C, COVID SWAB FOR ADMIT-NEG, DRUG SCREEN -NEG.  ADMITTED TO HOSPITAL FROM ED AROUND 6PM FOR TELEMETRY MONITORING, SINCE 2ND EPISODE IN 48 HRS.  NO FURTHER EPISODES AND CARDIZEM CD 120MG QD STARTED ON 9/26/22  HR RUNNING STILL IN 90s. ON 9/26/22 ECHOCARDIOGRAM DONE  AROUND 2PM AND UNREMARKABLE.  DISCHARGED AROUND 7PM ON 9/26/22 WITH NEW RX FOR CARDIZEM CD 120MG QD.  F/U WITH PCP ON 10/11/22 AND CARDIOLOGY ON 10/28/22.
Age: 58.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chest X-ray, Chest discomfort, Drug screen negative, Dysphagia, Echocardiogram normal
Clinical narrative: STARTING FEELING JITTERY AROUND 1045AM ON 9/23/22.   CAME DOWN TO PHARMACY DEPARTMENT TO STAFF AND FELT A LITTLE OFF.  AROUND 1115 AM, FELT MORE JITTERY AND AND HAD NOT EATEN, SO HAD SOME WATER AND 1/2 OF BAGEL. DIFFICULT TO GET DOWN, SWALLOW.  AROUND 1145, HAD ANOTHER PHARMACIST CHECK PULSE AND SHE NOTED IT BEING ERRATIC.  WENT DOWN TO EMPLOYEE HEALTH AND RN TOOK BP/HR.  BP=159/110 AND HR =155.  MAX HR UP INTO 170S.NURSE CALLED MEDICAL-PSYCH FLOOR FOR EKG, WHICH SHOWED ORIGINALLY ATRIAL FLUTTER, BUT THEN LISTED AS SVT PER RN/MD. IV STARTED AND MONITOR REMAINED ON UNTIL EMS ARRIVED AROUND 1PM TO TRANSPORT TO EMERGENCY DEPARTMENT. ON 9/23/22 CONVERTED BACK TO NORMAL SINUS RHYTHM(NSR) BY VASOVAGAL MANEUVER DOWN TO LOW 100s AROUND 3PM.  WITH IV MAG SULFATE 2GM, WAS ABLE TO COME BACK DOWN INTO THE 80S. AND DISCHARGED HOME AROUND 6PM SAME DAY WITH NO NEW MEDS.  ON 9/25/22 AROUND 2PM WHILE RESTING AT HOME, NOTICED ANOTHER EPISODE OF TACHYCARDIA, POUNDING IN THROAT AND CHEST. I  TRIED VASOVAGAL MANEUVER TO TRY AND CONVERT TO NSR. UNABLE TO DO, SO CALLED EMS AROUND 1445.  WHEN EMS ARRIVED,  EKG HOOKED UP AND NOTED TO BE IN SVT AGAIN.  TRANSFERRED TO ED AND WHILE IN ROUTE TO HOSPITAL, ADENOSINE 6MG IV GIVEN.  BRIEFLY CONVERTED TO NSR, BUT BACK UP INTO 150s FOR HR.  AFTER ARRIVAL AT ED,  HR STILL IN 150S WITH FLUCTUATIONS UP INTO 170s.   CARDIZEM 25MG IVP GIVEN AROUND 4PM AND FINALLY CONVERTED BACK TO NSR.  LABS-TSH, CBC, MG, PHOS, LIPID PANEL, HGBA1C, COVID SWAB FOR ADMIT-NEG, DRUG SCREEN -NEG.  ADMITTED TO HOSPITAL FROM ED AROUND 6PM FOR TELEMETRY MONITORING, SINCE 2ND EPISODE IN 48 HRS.  NO FURTHER EPISODES AND CARDIZEM CD 120MG QD STARTED ON 9/26/22  HR RUNNING STILL IN 90s. ON 9/26/22 ECHOCARDIOGRAM DONE  AROUND 2PM AND UNREMARKABLE.  DISCHARGED AROUND 7PM ON 9/26/22 WITH NEW RX FOR CARDIZEM CD 120MG QD.  F/U WITH PCP ON 10/11/22 AND CARDIOLOGY ON 10/28/22.
Age: 58.0
Sex: F
Vaccine: COVID19-2
Symptoms: Electrocardiogram abnormal, Feeling abnormal, Feeling jittery, Full blood count, Glycosylated haemoglobin
Clinical narrative: STARTING FEELING JITTERY AROUND 1045AM ON 9/23/22.   CAME DOWN TO PHARMACY DEPARTMENT TO STAFF AND FELT A LITTLE OFF.  AROUND 1115 AM, FELT MORE JITTERY AND AND HAD NOT EATEN, SO HAD SOME WATER AND 1/2 OF BAGEL. DIFFICULT TO GET DOWN, SWALLOW.  AROUND 1145, HAD ANOTHER PHARMACIST CHECK PULSE AND SHE NOTED IT BEING ERRATIC.  WENT DOWN TO EMPLOYEE HEALTH AND RN TOOK BP/HR.  BP=159/110 AND HR =155.  MAX HR UP INTO 170S.NURSE CALLED MEDICAL-PSYCH FLOOR FOR EKG, WHICH SHOWED ORIGINALLY ATRIAL FLUTTER, BUT THEN LISTED AS SVT PER RN/MD. IV STARTED AND MONITOR REMAINED ON UNTIL EMS ARRIVED AROUND 1PM TO TRANSPORT TO EMERGENCY DEPARTMENT. ON 9/23/22 CONVERTED BACK TO NORMAL SINUS RHYTHM(NSR) BY VASOVAGAL MANEUVER DOWN TO LOW 100s AROUND 3PM.  WITH IV MAG SULFATE 2GM, WAS ABLE TO COME BACK DOWN INTO THE 80S. AND DISCHARGED HOME AROUND 6PM SAME DAY WITH NO NEW MEDS.  ON 9/25/22 AROUND 2PM WHILE RESTING AT HOME, NOTICED ANOTHER EPISODE OF TACHYCARDIA, POUNDING IN THROAT AND CHEST. I  TRIED VASOVAGAL MANEUVER TO TRY AND CONVERT TO NSR. UNABLE TO DO, SO CALLED EMS AROUND 1445.  WHEN EMS ARRIVED,  EKG HOOKED UP AND NOTED TO BE IN SVT AGAIN.  TRANSFERRED TO ED AND WHILE IN ROUTE TO HOSPITAL, ADENOSINE 6MG IV GIVEN.  BRIEFLY CONVERTED TO NSR, BUT BACK UP INTO 150s FOR HR.  AFTER ARRIVAL AT ED,  HR STILL IN 150S WITH FLUCTUATIONS UP INTO 170s.   CARDIZEM 25MG IVP GIVEN AROUND 4PM AND FINALLY CONVERTED BACK TO NSR.  LABS-TSH, CBC, MG, PHOS, LIPID PANEL, HGBA1C, COVID SWAB FOR ADMIT-NEG, DRUG SCREEN -NEG.  ADMITTED TO HOSPITAL FROM ED AROUND 6PM FOR TELEMETRY MONITORING, SINCE 2ND EPISODE IN 48 HRS.  NO FURTHER EPISODES AND CARDIZEM CD 120MG QD STARTED ON 9/26/22  HR RUNNING STILL IN 90s. ON 9/26/22 ECHOCARDIOGRAM DONE  AROUND 2PM AND UNREMARKABLE.  DISCHARGED AROUND 7PM ON 9/26/22 WITH NEW RX FOR CARDIZEM CD 120MG QD.  F/U WITH PCP ON 10/11/22 AND CARDIOLOGY ON 10/28/22.
Age: 58.0
Sex: F
Vaccine: COVID19-2
Symptoms: International normalised ratio, Laboratory test, Lipids, Metabolic function test, Prothrombin time
Clinical narrative: STARTING FEELING JITTERY AROUND 1045AM ON 9/23/22.   CAME DOWN TO PHARMACY DEPARTMENT TO STAFF AND FELT A LITTLE OFF.  AROUND 1115 AM, FELT MORE JITTERY AND AND HAD NOT EATEN, SO HAD SOME WATER AND 1/2 OF BAGEL. DIFFICULT TO GET DOWN, SWALLOW.  AROUND 1145, HAD ANOTHER PHARMACIST CHECK PULSE AND SHE NOTED IT BEING ERRATIC.  WENT DOWN TO EMPLOYEE HEALTH AND RN TOOK BP/HR.  BP=159/110 AND HR =155.  MAX HR UP INTO 170S.NURSE CALLED MEDICAL-PSYCH FLOOR FOR EKG, WHICH SHOWED ORIGINALLY ATRIAL FLUTTER, BUT THEN LISTED AS SVT PER RN/MD. IV STARTED AND MONITOR REMAINED ON UNTIL EMS ARRIVED AROUND 1PM TO TRANSPORT TO EMERGENCY DEPARTMENT. ON 9/23/22 CONVERTED BACK TO NORMAL SINUS RHYTHM(NSR) BY VASOVAGAL MANEUVER DOWN TO LOW 100s AROUND 3PM.  WITH IV MAG SULFATE 2GM, WAS ABLE TO COME BACK DOWN INTO THE 80S. AND DISCHARGED HOME AROUND 6PM SAME DAY WITH NO NEW MEDS.  ON 9/25/22 AROUND 2PM WHILE RESTING AT HOME, NOTICED ANOTHER EPISODE OF TACHYCARDIA, POUNDING IN THROAT AND CHEST. I  TRIED VASOVAGAL MANEUVER TO TRY AND CONVERT TO NSR. UNABLE TO DO, SO CALLED EMS AROUND 1445.  WHEN EMS ARRIVED,  EKG HOOKED UP AND NOTED TO BE IN SVT AGAIN.  TRANSFERRED TO ED AND WHILE IN ROUTE TO HOSPITAL, ADENOSINE 6MG IV GIVEN.  BRIEFLY CONVERTED TO NSR, BUT BACK UP INTO 150s FOR HR.  AFTER ARRIVAL AT ED,  HR STILL IN 150S WITH FLUCTUATIONS UP INTO 170s.   CARDIZEM 25MG IVP GIVEN AROUND 4PM AND FINALLY CONVERTED BACK TO NSR.  LABS-TSH, CBC, MG, PHOS, LIPID PANEL, HGBA1C, COVID SWAB FOR ADMIT-NEG, DRUG SCREEN -NEG.  ADMITTED TO HOSPITAL FROM ED AROUND 6PM FOR TELEMETRY MONITORING, SINCE 2ND EPISODE IN 48 HRS.  NO FURTHER EPISODES AND CARDIZEM CD 120MG QD STARTED ON 9/26/22  HR RUNNING STILL IN 90s. ON 9/26/22 ECHOCARDIOGRAM DONE  AROUND 2PM AND UNREMARKABLE.  DISCHARGED AROUND 7PM ON 9/26/22 WITH NEW RX FOR CARDIZEM CD 120MG QD.  F/U WITH PCP ON 10/11/22 AND CARDIOLOGY ON 10/28/22.
Age: 58.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pulse abnormal, SARS-CoV-2 test negative, Sensory disturbance, Supraventricular tachycardia, Tachycardia
Clinical narrative: STARTING FEELING JITTERY AROUND 1045AM ON 9/23/22.   CAME DOWN TO PHARMACY DEPARTMENT TO STAFF AND FELT A LITTLE OFF.  AROUND 1115 AM, FELT MORE JITTERY AND AND HAD NOT EATEN, SO HAD SOME WATER AND 1/2 OF BAGEL. DIFFICULT TO GET DOWN, SWALLOW.  AROUND 1145, HAD ANOTHER PHARMACIST CHECK PULSE AND SHE NOTED IT BEING ERRATIC.  WENT DOWN TO EMPLOYEE HEALTH AND RN TOOK BP/HR.  BP=159/110 AND HR =155.  MAX HR UP INTO 170S.NURSE CALLED MEDICAL-PSYCH FLOOR FOR EKG, WHICH SHOWED ORIGINALLY ATRIAL FLUTTER, BUT THEN LISTED AS SVT PER RN/MD. IV STARTED AND MONITOR REMAINED ON UNTIL EMS ARRIVED AROUND 1PM TO TRANSPORT TO EMERGENCY DEPARTMENT. ON 9/23/22 CONVERTED BACK TO NORMAL SINUS RHYTHM(NSR) BY VASOVAGAL MANEUVER DOWN TO LOW 100s AROUND 3PM.  WITH IV MAG SULFATE 2GM, WAS ABLE TO COME BACK DOWN INTO THE 80S. AND DISCHARGED HOME AROUND 6PM SAME DAY WITH NO NEW MEDS.  ON 9/25/22 AROUND 2PM WHILE RESTING AT HOME, NOTICED ANOTHER EPISODE OF TACHYCARDIA, POUNDING IN THROAT AND CHEST. I  TRIED VASOVAGAL MANEUVER TO TRY AND CONVERT TO NSR. UNABLE TO DO, SO CALLED EMS AROUND 1445.  WHEN EMS ARRIVED,  EKG HOOKED UP AND NOTED TO BE IN SVT AGAIN.  TRANSFERRED TO ED AND WHILE IN ROUTE TO HOSPITAL, ADENOSINE 6MG IV GIVEN.  BRIEFLY CONVERTED TO NSR, BUT BACK UP INTO 150s FOR HR.  AFTER ARRIVAL AT ED,  HR STILL IN 150S WITH FLUCTUATIONS UP INTO 170s.   CARDIZEM 25MG IVP GIVEN AROUND 4PM AND FINALLY CONVERTED BACK TO NSR.  LABS-TSH, CBC, MG, PHOS, LIPID PANEL, HGBA1C, COVID SWAB FOR ADMIT-NEG, DRUG SCREEN -NEG.  ADMITTED TO HOSPITAL FROM ED AROUND 6PM FOR TELEMETRY MONITORING, SINCE 2ND EPISODE IN 48 HRS.  NO FURTHER EPISODES AND CARDIZEM CD 120MG QD STARTED ON 9/26/22  HR RUNNING STILL IN 90s. ON 9/26/22 ECHOCARDIOGRAM DONE  AROUND 2PM AND UNREMARKABLE.  DISCHARGED AROUND 7PM ON 9/26/22 WITH NEW RX FOR CARDIZEM CD 120MG QD.  F/U WITH PCP ON 10/11/22 AND CARDIOLOGY ON 10/28/22.
Age: 58.0
Sex: F
Vaccine: COVID19-2
Symptoms: Troponin
Clinical narrative: STARTING FEELING JITTERY AROUND 1045AM ON 9/23/22.   CAME DOWN TO PHARMACY DEPARTMENT TO STAFF AND FELT A LITTLE OFF.  AROUND 1115 AM, FELT MORE JITTERY AND AND HAD NOT EATEN, SO HAD SOME WATER AND 1/2 OF BAGEL. DIFFICULT TO GET DOWN, SWALLOW.  AROUND 1145, HAD ANOTHER PHARMACIST CHECK PULSE AND SHE NOTED IT BEING ERRATIC.  WENT DOWN TO EMPLOYEE HEALTH AND RN TOOK BP/HR.  BP=159/110 AND HR =155.  MAX HR UP INTO 170S.NURSE CALLED MEDICAL-PSYCH FLOOR FOR EKG, WHICH SHOWED ORIGINALLY ATRIAL FLUTTER, BUT THEN LISTED AS SVT PER RN/MD. IV STARTED AND MONITOR REMAINED ON UNTIL EMS ARRIVED AROUND 1PM TO TRANSPORT TO EMERGENCY DEPARTMENT. ON 9/23/22 CONVERTED BACK TO NORMAL SINUS RHYTHM(NSR) BY VASOVAGAL MANEUVER DOWN TO LOW 100s AROUND 3PM.  WITH IV MAG SULFATE 2GM, WAS ABLE TO COME BACK DOWN INTO THE 80S. AND DISCHARGED HOME AROUND 6PM SAME DAY WITH NO NEW MEDS.  ON 9/25/22 AROUND 2PM WHILE RESTING AT HOME, NOTICED ANOTHER EPISODE OF TACHYCARDIA, POUNDING IN THROAT AND CHEST. I  TRIED VASOVAGAL MANEUVER TO TRY AND CONVERT TO NSR. UNABLE TO DO, SO CALLED EMS AROUND 1445.  WHEN EMS ARRIVED,  EKG HOOKED UP AND NOTED TO BE IN SVT AGAIN.  TRANSFERRED TO ED AND WHILE IN ROUTE TO HOSPITAL, ADENOSINE 6MG IV GIVEN.  BRIEFLY CONVERTED TO NSR, BUT BACK UP INTO 150s FOR HR.  AFTER ARRIVAL AT ED,  HR STILL IN 150S WITH FLUCTUATIONS UP INTO 170s.   CARDIZEM 25MG IVP GIVEN AROUND 4PM AND FINALLY CONVERTED BACK TO NSR.  LABS-TSH, CBC, MG, PHOS, LIPID PANEL, HGBA1C, COVID SWAB FOR ADMIT-NEG, DRUG SCREEN -NEG.  ADMITTED TO HOSPITAL FROM ED AROUND 6PM FOR TELEMETRY MONITORING, SINCE 2ND EPISODE IN 48 HRS.  NO FURTHER EPISODES AND CARDIZEM CD 120MG QD STARTED ON 9/26/22  HR RUNNING STILL IN 90s. ON 9/26/22 ECHOCARDIOGRAM DONE  AROUND 2PM AND UNREMARKABLE.  DISCHARGED AROUND 7PM ON 9/26/22 WITH NEW RX FOR CARDIZEM CD 120MG QD.  F/U WITH PCP ON 10/11/22 AND CARDIOLOGY ON 10/28/22.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was supposed to receive bivalent booster but was mistakenly administered monovalent vaccine due to look-alike error.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Fatigue, Pain, Rhinorrhoea
Clinical narrative: Covid 19 I tested positive for covid on July 18, 2022 I experienced scratchy throat, chills, fatigue, runny nose, body aches. I prescribed  Lagrevio for 5 days for my symptoms. I started to feel better after 2 days of taking medications and I still tested positive for 20 days after.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Throat irritation
Clinical narrative: Covid 19 I tested positive for covid on July 18, 2022 I experienced scratchy throat, chills, fatigue, runny nose, body aches. I prescribed  Lagrevio for 5 days for my symptoms. I started to feel better after 2 days of taking medications and I still tested positive for 20 days after.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: -There was no adverse event at all. -Vaccine was administered 2 days past BUD, but several months before product expiration. -We reached out to Pfizer, the CDC, and to the patient, and offered patient a re-vaccination but he declined, stating he didn't really care about the vaccine in the first place but only needed to show proof for upcoming travels.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: This is my second COVID 19 booster shot (and the 5th shot altogether; all shots received were Moderna). Round, quarter-sized red swelling below the injection site. Intermittent itching. Began the day after the injection. Injection received on Saturday, 1 October at 1:00 pm; today is Monday, 3 October at 2:00 pm. Swelling is not spreading. Arm is not swollen. I have not experienced a reaction of this sort from any of my other Moderna shots. No other allergic or other reactions. Just red, swelling below the injection site.
Age: 56.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Dysphagia, Erythema, Face oedema, Feeling jittery, Lip oedema
Clinical narrative: Per FNP  at  6:50 PM patient noted to be clearing throat, face (masked) reddened; hives x 3 on right forehead, 1 hive on upper right arm, patient noted to be rubbing back of neck, upon questioning, patient stated neck and hives on face pruretic, FNP assessed back of neck (unable to assess fully due to body suit under clothes) and back of neck and upper shoulders noted to be reddened with mild hives noted, 7:05 PM patient complained of itching right eyebrow, hive apparent, vital signs B/P 128/80 Pulse 80 Respirations 18, patient continued to be alert and oriented, face, especially cheeks, area around eyes and lips noted to be getting edematous, EpiPen, 0.3mg IM administered in the left upper thigh.  Patient denied difficulty swallowing, continued to down play symptoms, EMS called for transfer to Hospital, recommended that patient call family member, patient placed telephone call to wife, 7:08 PM redness in face noted to be decreasing but patient admitted to feeling swelling in his throat, patient continued to deny difficuty breathing, 7:12 PM B/P 100/70 Pulse 72 Respirations 24, patient complained of feeling "jittery", hands noted to be trembling, explained to patient that these feelings are normal reaction to the Epinephrine, 7:15 PM Heart Rate 84 Respirations 22, reddening of face and neck, resolving, facial swelling with exception of lower lip resolving, EMTs arrived at 7:24 PM; report given to EMTs by EMT present at the vaccine POD.
Age: 56.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Pharyngeal swelling, Pruritus, Rash pruritic, Throat clearing, Tremor
Clinical narrative: Per FNP  at  6:50 PM patient noted to be clearing throat, face (masked) reddened; hives x 3 on right forehead, 1 hive on upper right arm, patient noted to be rubbing back of neck, upon questioning, patient stated neck and hives on face pruretic, FNP assessed back of neck (unable to assess fully due to body suit under clothes) and back of neck and upper shoulders noted to be reddened with mild hives noted, 7:05 PM patient complained of itching right eyebrow, hive apparent, vital signs B/P 128/80 Pulse 80 Respirations 18, patient continued to be alert and oriented, face, especially cheeks, area around eyes and lips noted to be getting edematous, EpiPen, 0.3mg IM administered in the left upper thigh.  Patient denied difficulty swallowing, continued to down play symptoms, EMS called for transfer to Hospital, recommended that patient call family member, patient placed telephone call to wife, 7:08 PM redness in face noted to be decreasing but patient admitted to feeling swelling in his throat, patient continued to deny difficuty breathing, 7:12 PM B/P 100/70 Pulse 72 Respirations 24, patient complained of feeling "jittery", hands noted to be trembling, explained to patient that these feelings are normal reaction to the Epinephrine, 7:15 PM Heart Rate 84 Respirations 22, reddening of face and neck, resolving, facial swelling with exception of lower lip resolving, EMTs arrived at 7:24 PM; report given to EMTs by EMT present at the vaccine POD.
Age: 56.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Urticaria
Clinical narrative: Per FNP  at  6:50 PM patient noted to be clearing throat, face (masked) reddened; hives x 3 on right forehead, 1 hive on upper right arm, patient noted to be rubbing back of neck, upon questioning, patient stated neck and hives on face pruretic, FNP assessed back of neck (unable to assess fully due to body suit under clothes) and back of neck and upper shoulders noted to be reddened with mild hives noted, 7:05 PM patient complained of itching right eyebrow, hive apparent, vital signs B/P 128/80 Pulse 80 Respirations 18, patient continued to be alert and oriented, face, especially cheeks, area around eyes and lips noted to be getting edematous, EpiPen, 0.3mg IM administered in the left upper thigh.  Patient denied difficulty swallowing, continued to down play symptoms, EMS called for transfer to Hospital, recommended that patient call family member, patient placed telephone call to wife, 7:08 PM redness in face noted to be decreasing but patient admitted to feeling swelling in his throat, patient continued to deny difficuty breathing, 7:12 PM B/P 100/70 Pulse 72 Respirations 24, patient complained of feeling "jittery", hands noted to be trembling, explained to patient that these feelings are normal reaction to the Epinephrine, 7:15 PM Heart Rate 84 Respirations 22, reddening of face and neck, resolving, facial swelling with exception of lower lip resolving, EMTs arrived at 7:24 PM; report given to EMTs by EMT present at the vaccine POD.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Administered monovalent to patient instead of bivalent immunization
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Diarrhoea, Rectal haemorrhage, Vomiting
Clinical narrative: Ten days after vaccine had severe abdominal cramps, diarrhea, rectal bleeding and vomiting for about 4 hours.
Age: 9.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: PARENT REPORTS REDNESS ITCHYNESS AND PAIN TO INJECTION SITE.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chest pain, Dyspnoea, Dysstasia, Electromyogram normal
Clinical narrative: He received the Pfizer mRNA COVID vaccination on 11/20/2021. About 10-12 days later he developed left ear tinnitus which progressed into dyspnea and chest pain. He could not stand for more than 3-4 minutes without chest pain and could barely walk due to dyspnea. He had pain at the injection site which has only recent resolved. He also experienced streaks of light across his vision.         On January 7 he developed nummness in hands, arms, legs, and face. He was admitted to Hospital. He was started on antibiotics empirically. Due to bed constraints he was sent home. He saw a neurologist as an outpatient and had an EMG which was normal. His weakness has improved since that time.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Gait disturbance, Hypoaesthesia, Injection site pain, Photopsia, Tinnitus
Clinical narrative: He received the Pfizer mRNA COVID vaccination on 11/20/2021. About 10-12 days later he developed left ear tinnitus which progressed into dyspnea and chest pain. He could not stand for more than 3-4 minutes without chest pain and could barely walk due to dyspnea. He had pain at the injection site which has only recent resolved. He also experienced streaks of light across his vision.         On January 7 he developed nummness in hands, arms, legs, and face. He was admitted to Hospital. He was started on antibiotics empirically. Due to bed constraints he was sent home. He saw a neurologist as an outpatient and had an EMG which was normal. His weakness has improved since that time.
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: Felt a little sick right after shot but was still functional. Got worse over next two days Tested positive for Covid 3 days after vaccination
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Breast swelling, Full blood count normal, Injection site pain, Injection site rash, Injection site swelling
Clinical narrative: The same night I received my fourth dose of my Moderna vaccine, I ended up with swelling and pain in my left arm at the injection site and around my whole upper arm into my armpit. The next day, it started going down into the lymph nodes and in my armpit. A few days later it had spread to my left breast and caused it to swell. I also ended up with a rash from the injection site to a little bit down below my elbow. That lasted for around 5 days. The swelling in my breast lasted for almost two months. My doctor was concerned about the swelling and wanted some lab work done to ensure there wasn't an infection or anything. They did not find anything of concern and the swelling in my breast subsided around three weeks ago.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Peripheral swelling
Clinical narrative: The same night I received my fourth dose of my Moderna vaccine, I ended up with swelling and pain in my left arm at the injection site and around my whole upper arm into my armpit. The next day, it started going down into the lymph nodes and in my armpit. A few days later it had spread to my left breast and caused it to swell. I also ended up with a rash from the injection site to a little bit down below my elbow. That lasted for around 5 days. The swelling in my breast lasted for almost two months. My doctor was concerned about the swelling and wanted some lab work done to ensure there wasn't an infection or anything. They did not find anything of concern and the swelling in my breast subsided around three weeks ago.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Angioedema, Anti-thyroid antibody, Anti-transglutaminase antibody negative, Antinuclear antibody negative, Blood test
Clinical narrative: Hives started 11/4/2022, on my neck. The next day it was all over my back and scalp. 11/14/21, it was more wide spread, so, I went to the emergency room. They put me on 20mg prednisone for 5 days, and 25mg of hydroxyzine for 3 times a day, and a lotion. I followed that regimen and it didn't help, so, I saw my primary care 11/18/21. She prescribed 10mg Zyrtec once a day, 20mg  famotidine once a day, and continue to take the hydroxyzine, but reduce to 1 time a day.  After 5 days nothing resolved, so she referred me to a dermatologist, which I saw on 11/30/21. They recommended a tapering prednisone regime for 39 days, with 40mg  famotidine, and 10mg Zyrtec, and hydroxyzine as needed. She also said if this didn't work to do a bland diet, and keep a food and rash journal and follow up with an allergist. I did the diet first, and saw the allergist on 12/10/21. He said it wasn't food or environmental allergies, and he drew some blood work. I started the regime the dermatologist recommended and started to get a little relief, for the first 3 days, then it was back to full blown scratching. He also recommended I see an immunologist. The immunologist didn't have an opening until 3/1/22. So, I went to the clinic 2/25/22, and he diagnosed me with chronic idiopathic urticaria. He also did a chest x-ray, and a blood test. Everything came back normal and he recommended 4 Pepcid, 4 Zyrtec, and 1 Montelukast a day. I decided to wait to talk to my Immunologist and they agreed with the medication regimen, but not with the diagnosis, and  said it was called chronic spontaneous urticaria and I didn't  need to take the Montelukast. I also had been having angioedema and the last time I had that was 2/2/22. Then, they started me on Xolair and it is a monthly shot that I started 7/18/22. She said to continue all other medications until this shot is able to build up in my system, and then I might be able to stop, or taper all other mediations. I saw my primary care today and she drew labs and it shows that my white blood cell count decreased, and thinks it is due to all the mediations I am taking which are immunosuppressive drugs. I also have to carry an Epi pen now, which I never have had to do. I talked to my friend that is a neuroscientist. that said there are people that have developed these issues within 2 weeks of their Moderna booster.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Blood thyroid stimulating hormone normal, C-reactive protein normal, Chest X-ray normal, Chronic spontaneous urticaria
Clinical narrative: Hives started 11/4/2022, on my neck. The next day it was all over my back and scalp. 11/14/21, it was more wide spread, so, I went to the emergency room. They put me on 20mg prednisone for 5 days, and 25mg of hydroxyzine for 3 times a day, and a lotion. I followed that regimen and it didn't help, so, I saw my primary care 11/18/21. She prescribed 10mg Zyrtec once a day, 20mg  famotidine once a day, and continue to take the hydroxyzine, but reduce to 1 time a day.  After 5 days nothing resolved, so she referred me to a dermatologist, which I saw on 11/30/21. They recommended a tapering prednisone regime for 39 days, with 40mg  famotidine, and 10mg Zyrtec, and hydroxyzine as needed. She also said if this didn't work to do a bland diet, and keep a food and rash journal and follow up with an allergist. I did the diet first, and saw the allergist on 12/10/21. He said it wasn't food or environmental allergies, and he drew some blood work. I started the regime the dermatologist recommended and started to get a little relief, for the first 3 days, then it was back to full blown scratching. He also recommended I see an immunologist. The immunologist didn't have an opening until 3/1/22. So, I went to the clinic 2/25/22, and he diagnosed me with chronic idiopathic urticaria. He also did a chest x-ray, and a blood test. Everything came back normal and he recommended 4 Pepcid, 4 Zyrtec, and 1 Montelukast a day. I decided to wait to talk to my Immunologist and they agreed with the medication regimen, but not with the diagnosis, and  said it was called chronic spontaneous urticaria and I didn't  need to take the Montelukast. I also had been having angioedema and the last time I had that was 2/2/22. Then, they started me on Xolair and it is a monthly shot that I started 7/18/22. She said to continue all other medications until this shot is able to build up in my system, and then I might be able to stop, or taper all other mediations. I saw my primary care today and she drew labs and it shows that my white blood cell count decreased, and thinks it is due to all the mediations I am taking which are immunosuppressive drugs. I also have to carry an Epi pen now, which I never have had to do. I talked to my friend that is a neuroscientist. that said there are people that have developed these issues within 2 weeks of their Moderna booster.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Hepatitis B surface antigen negative, Hepatitis C antibody negative, Immunosuppressant drug therapy, Pruritus, Red blood cell sedimentation rate normal
Clinical narrative: Hives started 11/4/2022, on my neck. The next day it was all over my back and scalp. 11/14/21, it was more wide spread, so, I went to the emergency room. They put me on 20mg prednisone for 5 days, and 25mg of hydroxyzine for 3 times a day, and a lotion. I followed that regimen and it didn't help, so, I saw my primary care 11/18/21. She prescribed 10mg Zyrtec once a day, 20mg  famotidine once a day, and continue to take the hydroxyzine, but reduce to 1 time a day.  After 5 days nothing resolved, so she referred me to a dermatologist, which I saw on 11/30/21. They recommended a tapering prednisone regime for 39 days, with 40mg  famotidine, and 10mg Zyrtec, and hydroxyzine as needed. She also said if this didn't work to do a bland diet, and keep a food and rash journal and follow up with an allergist. I did the diet first, and saw the allergist on 12/10/21. He said it wasn't food or environmental allergies, and he drew some blood work. I started the regime the dermatologist recommended and started to get a little relief, for the first 3 days, then it was back to full blown scratching. He also recommended I see an immunologist. The immunologist didn't have an opening until 3/1/22. So, I went to the clinic 2/25/22, and he diagnosed me with chronic idiopathic urticaria. He also did a chest x-ray, and a blood test. Everything came back normal and he recommended 4 Pepcid, 4 Zyrtec, and 1 Montelukast a day. I decided to wait to talk to my Immunologist and they agreed with the medication regimen, but not with the diagnosis, and  said it was called chronic spontaneous urticaria and I didn't  need to take the Montelukast. I also had been having angioedema and the last time I had that was 2/2/22. Then, they started me on Xolair and it is a monthly shot that I started 7/18/22. She said to continue all other medications until this shot is able to build up in my system, and then I might be able to stop, or taper all other mediations. I saw my primary care today and she drew labs and it shows that my white blood cell count decreased, and thinks it is due to all the mediations I am taking which are immunosuppressive drugs. I also have to carry an Epi pen now, which I never have had to do. I talked to my friend that is a neuroscientist. that said there are people that have developed these issues within 2 weeks of their Moderna booster.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria, White blood cell count decreased
Clinical narrative: Hives started 11/4/2022, on my neck. The next day it was all over my back and scalp. 11/14/21, it was more wide spread, so, I went to the emergency room. They put me on 20mg prednisone for 5 days, and 25mg of hydroxyzine for 3 times a day, and a lotion. I followed that regimen and it didn't help, so, I saw my primary care 11/18/21. She prescribed 10mg Zyrtec once a day, 20mg  famotidine once a day, and continue to take the hydroxyzine, but reduce to 1 time a day.  After 5 days nothing resolved, so she referred me to a dermatologist, which I saw on 11/30/21. They recommended a tapering prednisone regime for 39 days, with 40mg  famotidine, and 10mg Zyrtec, and hydroxyzine as needed. She also said if this didn't work to do a bland diet, and keep a food and rash journal and follow up with an allergist. I did the diet first, and saw the allergist on 12/10/21. He said it wasn't food or environmental allergies, and he drew some blood work. I started the regime the dermatologist recommended and started to get a little relief, for the first 3 days, then it was back to full blown scratching. He also recommended I see an immunologist. The immunologist didn't have an opening until 3/1/22. So, I went to the clinic 2/25/22, and he diagnosed me with chronic idiopathic urticaria. He also did a chest x-ray, and a blood test. Everything came back normal and he recommended 4 Pepcid, 4 Zyrtec, and 1 Montelukast a day. I decided to wait to talk to my Immunologist and they agreed with the medication regimen, but not with the diagnosis, and  said it was called chronic spontaneous urticaria and I didn't  need to take the Montelukast. I also had been having angioedema and the last time I had that was 2/2/22. Then, they started me on Xolair and it is a monthly shot that I started 7/18/22. She said to continue all other medications until this shot is able to build up in my system, and then I might be able to stop, or taper all other mediations. I saw my primary care today and she drew labs and it shows that my white blood cell count decreased, and thinks it is due to all the mediations I am taking which are immunosuppressive drugs. I also have to carry an Epi pen now, which I never have had to do. I talked to my friend that is a neuroscientist. that said there are people that have developed these issues within 2 weeks of their Moderna booster.
Age: 58.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Asthenia, Basophil count decreased, Basophil percentage decreased, Blood calcium normal, Blood chloride increased
Clinical narrative: Patient is a 58 year old FEMALE  who was brought down to ED from her work office here with sudden onset of     chilling, weakness, nausea, body aches, and near-syncope which she blames     on flu/COVID vaccines given approx 5 hours before. She was asymptomatic     until around 30 minutes ago. Denies chest pain, palpitations, HA, ST,     swelling, rash, back pain or incontinence. Did have urge to have BM at the     time as well, not diarrhea. Feels some better now but still weak. No  vertigo, slurred speech, visual changes. No significant PMHx. Treated with 15mg IV ketorolac, 4mg IV ondansetron, and 1000ml IV normal saline.
Age: 58.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Blood creatinine normal, Blood glucose normal, Blood potassium normal, Blood sodium normal, Blood urea normal
Clinical narrative: Patient is a 58 year old FEMALE  who was brought down to ED from her work office here with sudden onset of     chilling, weakness, nausea, body aches, and near-syncope which she blames     on flu/COVID vaccines given approx 5 hours before. She was asymptomatic     until around 30 minutes ago. Denies chest pain, palpitations, HA, ST,     swelling, rash, back pain or incontinence. Did have urge to have BM at the     time as well, not diarrhea. Feels some better now but still weak. No  vertigo, slurred speech, visual changes. No significant PMHx. Treated with 15mg IV ketorolac, 4mg IV ondansetron, and 1000ml IV normal saline.
Age: 58.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Carbon dioxide normal, Chills, Defaecation urgency, Eosinophil count decreased, Eosinophil percentage decreased
Clinical narrative: Patient is a 58 year old FEMALE  who was brought down to ED from her work office here with sudden onset of     chilling, weakness, nausea, body aches, and near-syncope which she blames     on flu/COVID vaccines given approx 5 hours before. She was asymptomatic     until around 30 minutes ago. Denies chest pain, palpitations, HA, ST,     swelling, rash, back pain or incontinence. Did have urge to have BM at the     time as well, not diarrhea. Feels some better now but still weak. No  vertigo, slurred speech, visual changes. No significant PMHx. Treated with 15mg IV ketorolac, 4mg IV ondansetron, and 1000ml IV normal saline.
Age: 58.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Glomerular filtration rate normal, Granulocyte percentage, Haematocrit normal, Haemoglobin normal, Immature granulocyte count
Clinical narrative: Patient is a 58 year old FEMALE  who was brought down to ED from her work office here with sudden onset of     chilling, weakness, nausea, body aches, and near-syncope which she blames     on flu/COVID vaccines given approx 5 hours before. She was asymptomatic     until around 30 minutes ago. Denies chest pain, palpitations, HA, ST,     swelling, rash, back pain or incontinence. Did have urge to have BM at the     time as well, not diarrhea. Feels some better now but still weak. No  vertigo, slurred speech, visual changes. No significant PMHx. Treated with 15mg IV ketorolac, 4mg IV ondansetron, and 1000ml IV normal saline.
Age: 58.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Lymphocyte count decreased, Lymphocyte percentage decreased, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal
Clinical narrative: Patient is a 58 year old FEMALE  who was brought down to ED from her work office here with sudden onset of     chilling, weakness, nausea, body aches, and near-syncope which she blames     on flu/COVID vaccines given approx 5 hours before. She was asymptomatic     until around 30 minutes ago. Denies chest pain, palpitations, HA, ST,     swelling, rash, back pain or incontinence. Did have urge to have BM at the     time as well, not diarrhea. Feels some better now but still weak. No  vertigo, slurred speech, visual changes. No significant PMHx. Treated with 15mg IV ketorolac, 4mg IV ondansetron, and 1000ml IV normal saline.
Age: 58.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Mean platelet volume normal, Monocyte count, Monocyte percentage decreased, Nausea, Neutrophil count
Clinical narrative: Patient is a 58 year old FEMALE  who was brought down to ED from her work office here with sudden onset of     chilling, weakness, nausea, body aches, and near-syncope which she blames     on flu/COVID vaccines given approx 5 hours before. She was asymptomatic     until around 30 minutes ago. Denies chest pain, palpitations, HA, ST,     swelling, rash, back pain or incontinence. Did have urge to have BM at the     time as well, not diarrhea. Feels some better now but still weak. No  vertigo, slurred speech, visual changes. No significant PMHx. Treated with 15mg IV ketorolac, 4mg IV ondansetron, and 1000ml IV normal saline.
Age: 58.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Neutrophil percentage increased, Nucleated red cells, Pain, Platelet count normal, Presyncope
Clinical narrative: Patient is a 58 year old FEMALE  who was brought down to ED from her work office here with sudden onset of     chilling, weakness, nausea, body aches, and near-syncope which she blames     on flu/COVID vaccines given approx 5 hours before. She was asymptomatic     until around 30 minutes ago. Denies chest pain, palpitations, HA, ST,     swelling, rash, back pain or incontinence. Did have urge to have BM at the     time as well, not diarrhea. Feels some better now but still weak. No  vertigo, slurred speech, visual changes. No significant PMHx. Treated with 15mg IV ketorolac, 4mg IV ondansetron, and 1000ml IV normal saline.
Age: 58.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Red blood cell count decreased, Red cell distribution width normal, White blood cell count normal
Clinical narrative: Patient is a 58 year old FEMALE  who was brought down to ED from her work office here with sudden onset of     chilling, weakness, nausea, body aches, and near-syncope which she blames     on flu/COVID vaccines given approx 5 hours before. She was asymptomatic     until around 30 minutes ago. Denies chest pain, palpitations, HA, ST,     swelling, rash, back pain or incontinence. Did have urge to have BM at the     time as well, not diarrhea. Feels some better now but still weak. No  vertigo, slurred speech, visual changes. No significant PMHx. Treated with 15mg IV ketorolac, 4mg IV ondansetron, and 1000ml IV normal saline.