chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Electrocardiogram QT prolonged, Hypertension, Myalgia, SARS-CoV-2 test positive, Troponin increased
Clinical narrative: Reported Symptoms: 10020772:HYPERTENSION; 10028411:MYALGIA; 10037700:QT INCREASED; 10058267; TROPONIN INCREASED: 10084268:COVID-19; Narrative: Patient received three doses of Pfizer COVID 19 vaccine (Feb/Nov 2021). The patient presented to the ED with significant weakness and increased blood pressure. The patient tested positive for COVID 19 on 4 Jan 2023 and was admitted with elevated troponin, prolonged QT, mild chest pain, and potential lung involvement. The patient was monitored and treated for cardiac issues. The patient was discharged in stable condition on 10 Jan 23 with referral to cardiology. Reported per EUA. Other relevant HX: Other: COVID 19, elevated troponin, elevated QT
Sex: M
Vaccine: FLUX
Symptoms: Tachyarrhythmia, Tachycardia
Clinical narrative: Reported Symptoms: 10043071:TACHYCARDIA;  10049447:TACHYARRHYTHMIA; Narrative:  Other Relevant HX: Patient reported tachycardia to vaccine in the past. Patient was not administered influenza vaccine at clinic, last administered in Oct 2022. Reaction documented as historical Other: TACHYARRHYTHMIA
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Bilirubin conjugated normal, Blood electrolytes, Blood glucose normal, Chest X-ray normal, Electrocardiogram normal
Clinical narrative: Reported Symptoms:  10033556:PALPITATION;   Narrative: Patient received Moderna COVID 19 vaccine on 2/9/21.  The patient experienced irregular heartbeat on 3/22/21 and has experienced several episodes since then.  The patient was evaluated and is followed by cardiology.   Other Relevant HX: This is a 76-year-old male presents emergency department today chief complaints of palpations and being sent in by his chiropractor for concerns of AFib. Patient is found to be in normal sinus  rhythm with occasional PAC, with no other abnormalities. His electrolytes are stable, he has no elevated troponin, no EKG abnormalities. He is  discharged in stable condition, advised to have a Holter monitor and follow up with PCP he continues to have symptoms but this time needs no further  treatments. Other:
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate irregular, N-terminal prohormone brain natriuretic peptide increased, Palpitations, Sinus rhythm, Supraventricular extrasystoles
Clinical narrative: Reported Symptoms:  10033556:PALPITATION;   Narrative: Patient received Moderna COVID 19 vaccine on 2/9/21.  The patient experienced irregular heartbeat on 3/22/21 and has experienced several episodes since then.  The patient was evaluated and is followed by cardiology.   Other Relevant HX: This is a 76-year-old male presents emergency department today chief complaints of palpations and being sent in by his chiropractor for concerns of AFib. Patient is found to be in normal sinus  rhythm with occasional PAC, with no other abnormalities. His electrolytes are stable, he has no elevated troponin, no EKG abnormalities. He is  discharged in stable condition, advised to have a Holter monitor and follow up with PCP he continues to have symptoms but this time needs no further  treatments. Other:
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin
Clinical narrative: Reported Symptoms:  10033556:PALPITATION;   Narrative: Patient received Moderna COVID 19 vaccine on 2/9/21.  The patient experienced irregular heartbeat on 3/22/21 and has experienced several episodes since then.  The patient was evaluated and is followed by cardiology.   Other Relevant HX: This is a 76-year-old male presents emergency department today chief complaints of palpations and being sent in by his chiropractor for concerns of AFib. Patient is found to be in normal sinus  rhythm with occasional PAC, with no other abnormalities. His electrolytes are stable, he has no elevated troponin, no EKG abnormalities. He is  discharged in stable condition, advised to have a Holter monitor and follow up with PCP he continues to have symptoms but this time needs no further  treatments. Other:
Sex: M
Vaccine: COVID19
Symptoms: Cardiac disorder, Immunisation reaction, Tachycardia
Clinical narrative: Reported Symptoms: 10043071:TACHYCARDIA; Narrative:  Other Relevant HX: Patient presented to PCP visit on 3/2/23. At that time, he was offered COVID-19 vaccine but he declined. Nursing note from 3/20/23 states "heart condition to COVID vaccine" Reaction to COVID vaccine listed as tachycardia. Patient did not receive COVID vaccine from the facility (event is historical). Other: TACHYCARDIA
Age: 42.0
Sex: F
Vaccine: VARZOS
Symptoms: Angioedema, Hypersensitivity, Lip swelling, Pruritus, Swollen tongue
Clinical narrative: Reported Symptoms: 10002424:ANGIOEDEMA; 10037087:PRURITUS; Narrative: 42F reported to the ED 3/31 following a PCP appointment for evaluation of an allergic reaction s/p Shingles vaccine. The pt  had the shingles vaccine, Went to her car, and developed lower lip/tongue swelling and body wide itching. She was given prednisone and benadryl and discharged from the ER. Other Relevant HX: 42F reported to the ED 3/31 following a PCP appointment for evaluation of an allergic reaction s/p Shingles vaccine. The pt had the shingles vaccine, went to her car, and developed lower lip/tongue swelling and body wide itching. She was given prednisone and benadryl and discharged from the ER. Other:
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Diplopia, Vision blurred
Clinical narrative: Reported Symptoms: 10005866:BLURRED VISION; 10013614:DOUBLE VISION; Narrative: Patient received three doses of Moderna COVID 19 vaccine. After the 3rd vaccine, the patient experienced double vision. The patient discussed this with the provider on 3 May 2023. Other Relevant HX: Other: double vision
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Diarrhoea, Nausea, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Reported Symptoms: 10012727:DIARRHEA; 10028813:NAUSEA; 10047700:VOMITING; 10054112:HOSPTALISATION: 10067923:VACCINE BREAKTHROUGH INFECTION; 10084355:COVID-19 VIRUS TEST POSITIVE; Narrative: Hospitalization-COVID positive fully vaccinated admitted for N/V diarrhea, Treated with remdesivir and dexamethasone. Other Relevant HX: Other: Hospitalization- COVID positive fully vaccinated admitted for N/V diarrhea
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Reported Symptoms: 10012727:DIARRHEA; 10028813:NAUSEA; 10047700:VOMITING; 10054112:HOSPTALISATION: 10067923:VACCINE BREAKTHROUGH INFECTION; 10084355:COVID-19 VIRUS TEST POSITIVE; Narrative: Hospitalization-COVID positive fully vaccinated admitted for N/V diarrhea, Treated with remdesivir and dexamethasone. Other Relevant HX: Other: Hospitalization- COVID positive fully vaccinated admitted for N/V diarrhea
Age: 63.0
Sex: M
Vaccine: TDAP
Symptoms: Arthralgia, Myalgia
Clinical narrative: Reported Symptoms: 10003239:ARTHRALGIA; 10028411:MYALGIA; Narrative: Other Relevant HX: Other:
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Adenovirus test, Asthenia, Bacterial test positive, Bilirubin urine, Blood glucose normal
Clinical narrative: Reported Symptoms: 10011232:COUGHING; 10047862:WEAKNESS; Narrative: 3/28/23 - Pt seen at community hospital (patient unable to walk and use legs since 3/27) and discharged home. 3/29/23 - Spouse told facility nurse that husband has had an acute change in mobility. He has no strength to stand or use legs. He has had multiple falls. Wife also reports Pt has a cough that started 2 days prior. Pt has no energy and no strength. Chest x-ray from community hosp. on 3/28/23 was negative. Provider consulted and spouse was asked to bring Pt into ED for evaluation. 3/29/23 at 11:46 - Pt presented to ED with c/o feeling weak over past 3 days and unable to stand. Pt reports poor appetite and intake for 2 days. Pt given Tylenol 1gram and Unasyn 3mg IV. COVID test result - POSITIVE. Pt will be admitted to medical floor 3/29 for assessment of General body weakness, fever, poor appetite, UTI, leukocytosis, Hyperglycemia with hx of DM2, COVID-19, Hx of MS. Medical Admission 3-29-23: PRINCIPAL DIAGNOSIS (Reason for admission after study): covid 19 illness ADITIONAL DIAGNOSES: e coli urinary tract infection multiple sclerosis diabetes mellitus type 2 hyperlipidemia chronic depression and post traumatic stress disorder chronic prostatitis HOSPITAL COURSE: Pt admitted to the floor. covid positive. pt w/o hypoxia, but given hs of MS - pt agreed to remdesivir tx as recommended. pt tolerated medication well, no oxygen needs noted. pt noted to have ongoing higher temps. cxr neg. ct abd/pelvis w/o acute process. ua/uc noted uti. started on rocephin. uc resulted with e coli. plan for
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urine present, COVID-19, Cardiac monitoring normal, Chest X-ray normal, Chromaturia
Clinical narrative: Reported Symptoms: 10011232:COUGHING; 10047862:WEAKNESS; Narrative: 3/28/23 - Pt seen at community hospital (patient unable to walk and use legs since 3/27) and discharged home. 3/29/23 - Spouse told facility nurse that husband has had an acute change in mobility. He has no strength to stand or use legs. He has had multiple falls. Wife also reports Pt has a cough that started 2 days prior. Pt has no energy and no strength. Chest x-ray from community hosp. on 3/28/23 was negative. Provider consulted and spouse was asked to bring Pt into ED for evaluation. 3/29/23 at 11:46 - Pt presented to ED with c/o feeling weak over past 3 days and unable to stand. Pt reports poor appetite and intake for 2 days. Pt given Tylenol 1gram and Unasyn 3mg IV. COVID test result - POSITIVE. Pt will be admitted to medical floor 3/29 for assessment of General body weakness, fever, poor appetite, UTI, leukocytosis, Hyperglycemia with hx of DM2, COVID-19, Hx of MS. Medical Admission 3-29-23: PRINCIPAL DIAGNOSIS (Reason for admission after study): covid 19 illness ADITIONAL DIAGNOSES: e coli urinary tract infection multiple sclerosis diabetes mellitus type 2 hyperlipidemia chronic depression and post traumatic stress disorder chronic prostatitis HOSPITAL COURSE: Pt admitted to the floor. covid positive. pt w/o hypoxia, but given hs of MS - pt agreed to remdesivir tx as recommended. pt tolerated medication well, no oxygen needs noted. pt noted to have ongoing higher temps. cxr neg. ct abd/pelvis w/o acute process. ua/uc noted uti. started on rocephin. uc resulted with e coli. plan for
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen normal, Cough, Culture urine positive, Decreased appetite, Dysstasia
Clinical narrative: Reported Symptoms: 10011232:COUGHING; 10047862:WEAKNESS; Narrative: 3/28/23 - Pt seen at community hospital (patient unable to walk and use legs since 3/27) and discharged home. 3/29/23 - Spouse told facility nurse that husband has had an acute change in mobility. He has no strength to stand or use legs. He has had multiple falls. Wife also reports Pt has a cough that started 2 days prior. Pt has no energy and no strength. Chest x-ray from community hosp. on 3/28/23 was negative. Provider consulted and spouse was asked to bring Pt into ED for evaluation. 3/29/23 at 11:46 - Pt presented to ED with c/o feeling weak over past 3 days and unable to stand. Pt reports poor appetite and intake for 2 days. Pt given Tylenol 1gram and Unasyn 3mg IV. COVID test result - POSITIVE. Pt will be admitted to medical floor 3/29 for assessment of General body weakness, fever, poor appetite, UTI, leukocytosis, Hyperglycemia with hx of DM2, COVID-19, Hx of MS. Medical Admission 3-29-23: PRINCIPAL DIAGNOSIS (Reason for admission after study): covid 19 illness ADITIONAL DIAGNOSES: e coli urinary tract infection multiple sclerosis diabetes mellitus type 2 hyperlipidemia chronic depression and post traumatic stress disorder chronic prostatitis HOSPITAL COURSE: Pt admitted to the floor. covid positive. pt w/o hypoxia, but given hs of MS - pt agreed to remdesivir tx as recommended. pt tolerated medication well, no oxygen needs noted. pt noted to have ongoing higher temps. cxr neg. ct abd/pelvis w/o acute process. ua/uc noted uti. started on rocephin. uc resulted with e coli. plan for
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Escherichia infection, Escherichia test positive, Fall, Gait inability, Glucose urine absent
Clinical narrative: Reported Symptoms: 10011232:COUGHING; 10047862:WEAKNESS; Narrative: 3/28/23 - Pt seen at community hospital (patient unable to walk and use legs since 3/27) and discharged home. 3/29/23 - Spouse told facility nurse that husband has had an acute change in mobility. He has no strength to stand or use legs. He has had multiple falls. Wife also reports Pt has a cough that started 2 days prior. Pt has no energy and no strength. Chest x-ray from community hosp. on 3/28/23 was negative. Provider consulted and spouse was asked to bring Pt into ED for evaluation. 3/29/23 at 11:46 - Pt presented to ED with c/o feeling weak over past 3 days and unable to stand. Pt reports poor appetite and intake for 2 days. Pt given Tylenol 1gram and Unasyn 3mg IV. COVID test result - POSITIVE. Pt will be admitted to medical floor 3/29 for assessment of General body weakness, fever, poor appetite, UTI, leukocytosis, Hyperglycemia with hx of DM2, COVID-19, Hx of MS. Medical Admission 3-29-23: PRINCIPAL DIAGNOSIS (Reason for admission after study): covid 19 illness ADITIONAL DIAGNOSES: e coli urinary tract infection multiple sclerosis diabetes mellitus type 2 hyperlipidemia chronic depression and post traumatic stress disorder chronic prostatitis HOSPITAL COURSE: Pt admitted to the floor. covid positive. pt w/o hypoxia, but given hs of MS - pt agreed to remdesivir tx as recommended. pt tolerated medication well, no oxygen needs noted. pt noted to have ongoing higher temps. cxr neg. ct abd/pelvis w/o acute process. ua/uc noted uti. started on rocephin. uc resulted with e coli. plan for
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Human metapneumovirus test, Hyperglycaemia, Hypophagia, Hypoxia, Leukocytosis
Clinical narrative: Reported Symptoms: 10011232:COUGHING; 10047862:WEAKNESS; Narrative: 3/28/23 - Pt seen at community hospital (patient unable to walk and use legs since 3/27) and discharged home. 3/29/23 - Spouse told facility nurse that husband has had an acute change in mobility. He has no strength to stand or use legs. He has had multiple falls. Wife also reports Pt has a cough that started 2 days prior. Pt has no energy and no strength. Chest x-ray from community hosp. on 3/28/23 was negative. Provider consulted and spouse was asked to bring Pt into ED for evaluation. 3/29/23 at 11:46 - Pt presented to ED with c/o feeling weak over past 3 days and unable to stand. Pt reports poor appetite and intake for 2 days. Pt given Tylenol 1gram and Unasyn 3mg IV. COVID test result - POSITIVE. Pt will be admitted to medical floor 3/29 for assessment of General body weakness, fever, poor appetite, UTI, leukocytosis, Hyperglycemia with hx of DM2, COVID-19, Hx of MS. Medical Admission 3-29-23: PRINCIPAL DIAGNOSIS (Reason for admission after study): covid 19 illness ADITIONAL DIAGNOSES: e coli urinary tract infection multiple sclerosis diabetes mellitus type 2 hyperlipidemia chronic depression and post traumatic stress disorder chronic prostatitis HOSPITAL COURSE: Pt admitted to the floor. covid positive. pt w/o hypoxia, but given hs of MS - pt agreed to remdesivir tx as recommended. pt tolerated medication well, no oxygen needs noted. pt noted to have ongoing higher temps. cxr neg. ct abd/pelvis w/o acute process. ua/uc noted uti. started on rocephin. uc resulted with e coli. plan for
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased, Musculoskeletal disorder, Nitrite urine absent, Protein urine, Pyrexia
Clinical narrative: Reported Symptoms: 10011232:COUGHING; 10047862:WEAKNESS; Narrative: 3/28/23 - Pt seen at community hospital (patient unable to walk and use legs since 3/27) and discharged home. 3/29/23 - Spouse told facility nurse that husband has had an acute change in mobility. He has no strength to stand or use legs. He has had multiple falls. Wife also reports Pt has a cough that started 2 days prior. Pt has no energy and no strength. Chest x-ray from community hosp. on 3/28/23 was negative. Provider consulted and spouse was asked to bring Pt into ED for evaluation. 3/29/23 at 11:46 - Pt presented to ED with c/o feeling weak over past 3 days and unable to stand. Pt reports poor appetite and intake for 2 days. Pt given Tylenol 1gram and Unasyn 3mg IV. COVID test result - POSITIVE. Pt will be admitted to medical floor 3/29 for assessment of General body weakness, fever, poor appetite, UTI, leukocytosis, Hyperglycemia with hx of DM2, COVID-19, Hx of MS. Medical Admission 3-29-23: PRINCIPAL DIAGNOSIS (Reason for admission after study): covid 19 illness ADITIONAL DIAGNOSES: e coli urinary tract infection multiple sclerosis diabetes mellitus type 2 hyperlipidemia chronic depression and post traumatic stress disorder chronic prostatitis HOSPITAL COURSE: Pt admitted to the floor. covid positive. pt w/o hypoxia, but given hs of MS - pt agreed to remdesivir tx as recommended. pt tolerated medication well, no oxygen needs noted. pt noted to have ongoing higher temps. cxr neg. ct abd/pelvis w/o acute process. ua/uc noted uti. started on rocephin. uc resulted with e coli. plan for
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cells urine positive, SARS-CoV-2 test positive, Sinus rhythm, Specific gravity urine normal, Troponin I
Clinical narrative: Reported Symptoms: 10011232:COUGHING; 10047862:WEAKNESS; Narrative: 3/28/23 - Pt seen at community hospital (patient unable to walk and use legs since 3/27) and discharged home. 3/29/23 - Spouse told facility nurse that husband has had an acute change in mobility. He has no strength to stand or use legs. He has had multiple falls. Wife also reports Pt has a cough that started 2 days prior. Pt has no energy and no strength. Chest x-ray from community hosp. on 3/28/23 was negative. Provider consulted and spouse was asked to bring Pt into ED for evaluation. 3/29/23 at 11:46 - Pt presented to ED with c/o feeling weak over past 3 days and unable to stand. Pt reports poor appetite and intake for 2 days. Pt given Tylenol 1gram and Unasyn 3mg IV. COVID test result - POSITIVE. Pt will be admitted to medical floor 3/29 for assessment of General body weakness, fever, poor appetite, UTI, leukocytosis, Hyperglycemia with hx of DM2, COVID-19, Hx of MS. Medical Admission 3-29-23: PRINCIPAL DIAGNOSIS (Reason for admission after study): covid 19 illness ADITIONAL DIAGNOSES: e coli urinary tract infection multiple sclerosis diabetes mellitus type 2 hyperlipidemia chronic depression and post traumatic stress disorder chronic prostatitis HOSPITAL COURSE: Pt admitted to the floor. covid positive. pt w/o hypoxia, but given hs of MS - pt agreed to remdesivir tx as recommended. pt tolerated medication well, no oxygen needs noted. pt noted to have ongoing higher temps. cxr neg. ct abd/pelvis w/o acute process. ua/uc noted uti. started on rocephin. uc resulted with e coli. plan for
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Urinary sediment present, Urinary tract infection, Urine analysis abnormal, Urine ketone body present, Urobilinogen urine
Clinical narrative: Reported Symptoms: 10011232:COUGHING; 10047862:WEAKNESS; Narrative: 3/28/23 - Pt seen at community hospital (patient unable to walk and use legs since 3/27) and discharged home. 3/29/23 - Spouse told facility nurse that husband has had an acute change in mobility. He has no strength to stand or use legs. He has had multiple falls. Wife also reports Pt has a cough that started 2 days prior. Pt has no energy and no strength. Chest x-ray from community hosp. on 3/28/23 was negative. Provider consulted and spouse was asked to bring Pt into ED for evaluation. 3/29/23 at 11:46 - Pt presented to ED with c/o feeling weak over past 3 days and unable to stand. Pt reports poor appetite and intake for 2 days. Pt given Tylenol 1gram and Unasyn 3mg IV. COVID test result - POSITIVE. Pt will be admitted to medical floor 3/29 for assessment of General body weakness, fever, poor appetite, UTI, leukocytosis, Hyperglycemia with hx of DM2, COVID-19, Hx of MS. Medical Admission 3-29-23: PRINCIPAL DIAGNOSIS (Reason for admission after study): covid 19 illness ADITIONAL DIAGNOSES: e coli urinary tract infection multiple sclerosis diabetes mellitus type 2 hyperlipidemia chronic depression and post traumatic stress disorder chronic prostatitis HOSPITAL COURSE: Pt admitted to the floor. covid positive. pt w/o hypoxia, but given hs of MS - pt agreed to remdesivir tx as recommended. pt tolerated medication well, no oxygen needs noted. pt noted to have ongoing higher temps. cxr neg. ct abd/pelvis w/o acute process. ua/uc noted uti. started on rocephin. uc resulted with e coli. plan for
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cells urine positive, pH urine normal
Clinical narrative: Reported Symptoms: 10011232:COUGHING; 10047862:WEAKNESS; Narrative: 3/28/23 - Pt seen at community hospital (patient unable to walk and use legs since 3/27) and discharged home. 3/29/23 - Spouse told facility nurse that husband has had an acute change in mobility. He has no strength to stand or use legs. He has had multiple falls. Wife also reports Pt has a cough that started 2 days prior. Pt has no energy and no strength. Chest x-ray from community hosp. on 3/28/23 was negative. Provider consulted and spouse was asked to bring Pt into ED for evaluation. 3/29/23 at 11:46 - Pt presented to ED with c/o feeling weak over past 3 days and unable to stand. Pt reports poor appetite and intake for 2 days. Pt given Tylenol 1gram and Unasyn 3mg IV. COVID test result - POSITIVE. Pt will be admitted to medical floor 3/29 for assessment of General body weakness, fever, poor appetite, UTI, leukocytosis, Hyperglycemia with hx of DM2, COVID-19, Hx of MS. Medical Admission 3-29-23: PRINCIPAL DIAGNOSIS (Reason for admission after study): covid 19 illness ADITIONAL DIAGNOSES: e coli urinary tract infection multiple sclerosis diabetes mellitus type 2 hyperlipidemia chronic depression and post traumatic stress disorder chronic prostatitis HOSPITAL COURSE: Pt admitted to the floor. covid positive. pt w/o hypoxia, but given hs of MS - pt agreed to remdesivir tx as recommended. pt tolerated medication well, no oxygen needs noted. pt noted to have ongoing higher temps. cxr neg. ct abd/pelvis w/o acute process. ua/uc noted uti. started on rocephin. uc resulted with e coli. plan for
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Hepatic enzyme abnormal, Liver function test increased
Clinical narrative: Reported Symptoms: 10024409: LFTS RAISED; 10024677:LIVER ENZYME ABNORMAL; Narrative: Other Relevant HX: Other: LIVER ENZYMES ABNORMAL
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema multiforme, Influenza like illness, Peripheral swelling, Pruritus, Pyrexia
Clinical narrative: Reported Symptoms: 10015218:ERYTHEMA MULTIFORME; 10016558:FEVER; 10022009:INFLUENZA-LIKE SYMPTOMS; 10037087:PRURITUS; 10037844:RASH; 10042680;SWELLING ARM; Narrative: Other Relevant HX: Other: SWELLING OF ARM; INFLUENZA-LIKE ILLNESS
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: Reported Symptoms: 10015218:ERYTHEMA MULTIFORME; 10016558:FEVER; 10022009:INFLUENZA-LIKE SYMPTOMS; 10037087:PRURITUS; 10037844:RASH; 10042680;SWELLING ARM; Narrative: Other Relevant HX: Other: SWELLING OF ARM; INFLUENZA-LIKE ILLNESS
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Anaemia, COVID-19, Melaena, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Reported Symptoms: 10054112:HOSPITALISATION; 10067923:VACCINE BREAKTHROUGH INFECTION; 10004355:COVID-19 VIRUS TEST POSITIVE;   Narrative: Hospitalized- Fully vaccinated, COVID positive and asymptomatic. Admitted due to melena and anemia.  Other Relevant HX:  Other: Hospitalized- Fully vaccinated, COVID positive
Age: 55.0
Sex: M
Vaccine: HEP
Symptoms: Anaphylactic reaction
Clinical narrative: Reported Symptoms: 10002218:ANAPHYLAXIS; Narrative: Other Relevant HX: Other: ANAPHYLAXIS
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cough, Dizziness, Pyrexia
Clinical narrative: Reported Symptoms: 10011232:COUGHING; 100103573; DIZZINESS; 10016558:FEVER; 10038678:RESPIRATORY DEPRESSION; 10084380:COVID-19 PNEUMONIA: Narrative: The patient received Janssen COVID 19 vaccine Oct 2021. The patient presented to the ED on 16 Jan 2023 with cough, congestion, dizziness, and fever. The patient tested positive for covid 19 on 16 Jan 23 and was admitted to the hospital with covid pneumonia. The patient was treated with remdesivir and dexamethasone. The patient was discharged on 6 February 23 in stable condition. Reported per EUA. Other Relevant HX: Other: covid pneumonia
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory depression, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Reported Symptoms: 10011232:COUGHING; 100103573; DIZZINESS; 10016558:FEVER; 10038678:RESPIRATORY DEPRESSION; 10084380:COVID-19 PNEUMONIA: Narrative: The patient received Janssen COVID 19 vaccine Oct 2021. The patient presented to the ED on 16 Jan 2023 with cough, congestion, dizziness, and fever. The patient tested positive for covid 19 on 16 Jan 23 and was admitted to the hospital with covid pneumonia. The patient was treated with remdesivir and dexamethasone. The patient was discharged on 6 February 23 in stable condition. Reported per EUA. Other Relevant HX: Other: covid pneumonia
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Erythema, Pruritus, Purpura, Skin swelling
Clinical narrative: Reported Symptoms: 10005215:BLISTERS; 10037087:PRURITUS; 10037549:PURPURA; 10041012:SLEEP WALKING;   Narrative: Patient states she received Moderna immunization in left deltoid 7/9/2021 and  two days later noticed bilateral hives from her arm (triceps) to her wrist.  Patient states she continues to have red, swollen, itchy welts on the skin more  on her right arm, very minimal on her left arm. Patient states she has been without  air condition and wonders if the heat may have something to do with her  symptoms. Other Relevant HX:  Other: BLISTER; ITCHING PURPURA; SLEEP WALKING
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Somnambulism, Urticaria
Clinical narrative: Reported Symptoms: 10005215:BLISTERS; 10037087:PRURITUS; 10037549:PURPURA; 10041012:SLEEP WALKING;   Narrative: Patient states she received Moderna immunization in left deltoid 7/9/2021 and  two days later noticed bilateral hives from her arm (triceps) to her wrist.  Patient states she continues to have red, swollen, itchy welts on the skin more  on her right arm, very minimal on her left arm. Patient states she has been without  air condition and wonders if the heat may have something to do with her  symptoms. Other Relevant HX:  Other: BLISTER; ITCHING PURPURA; SLEEP WALKING
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: Reported Symptoms: 10013963:DYSPNEA;  Narrative:  Other Relevant HX:
Age: 92.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cough, Diarrhoea, Pyrexia
Clinical narrative: Reported Symptoms: 10011232:COUGHING; 10012727:DIARRHEA; 10016558:FEVER; 10038678:RESPIRATORY DEPRESSION; 10040047:SEPSIS; 10047700:VOMITING; 10084380:COVID-19 PNEUMONIA; Narrative: The patient received two doses of Pfizer COVID 19 Vaccine (Jan/Feb 21) and one dose Moderna COVID 19 vaccine (Sep 21). Yhe patient presented to the ED on 19 April 2023 with cough, fever, diarrhea, and vomiting. The patient tested positive for COVID 19 on 19 April and was admitted with tachycardia, sepsis, and covid pneumonia. The patient was treated with oxygen, antibiotics, remdesivir, and dexamethasone. The patient was discharged on 23 April 2023 in stable condition. Reported per EAU Other Relevant HX: Other: covid pneumonia, sepsis
Age: 92.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Respiratory depression, SARS-CoV-2 test positive, Sepsis, Tachycardia, Vomiting
Clinical narrative: Reported Symptoms: 10011232:COUGHING; 10012727:DIARRHEA; 10016558:FEVER; 10038678:RESPIRATORY DEPRESSION; 10040047:SEPSIS; 10047700:VOMITING; 10084380:COVID-19 PNEUMONIA; Narrative: The patient received two doses of Pfizer COVID 19 Vaccine (Jan/Feb 21) and one dose Moderna COVID 19 vaccine (Sep 21). Yhe patient presented to the ED on 19 April 2023 with cough, fever, diarrhea, and vomiting. The patient tested positive for COVID 19 on 19 April and was admitted with tachycardia, sepsis, and covid pneumonia. The patient was treated with oxygen, antibiotics, remdesivir, and dexamethasone. The patient was discharged on 23 April 2023 in stable condition. Reported per EAU Other Relevant HX: Other: covid pneumonia, sepsis
Sex: M
Vaccine: PPV
Symptoms: Erythema multiforme, Pruritus
Clinical narrative: Reported Symptoms: 10015218:ERYTHEMA MULTIFORME; 10037087:PRURITUS; Narrative: Other Relevant HX: Other:
Age: 71.0
Sex: M
Vaccine: PPV
Symptoms: Abdominal pain, Abdominal tenderness, Back pain, Band neutrophil count, Basophil count normal
Clinical narrative: Reported Symptoms: 10008479:CHEST PAIN; 10012703:DIAPHORESIS; Narrative: 4/7/23 - Patient was at his PCP today and received a Pneumovax. Immediately after the shot, he felt flushed, became sweaty and developed severe low back pain. A code white was called and pt was transported to the ED. He says that the symptoms lasted for several minutes. All of his symptoms have currently resolved with the exception of his lower back pain and abdominal tenderness. It has improved, but has not resolved. He did not have back pain until this am. He denies recent injury. His pain is located in the lower back and is not radiating. WBC is elevated and Pt is noted to have an elevated lipase level. CT showed no sign of pancreatitis but he does have gall stones with no surrounding inflammatory changes, peri cholecystic fluid, or gall bladder wall thickening. The ER work-up showed WBC 16K, Lipase 545, CT scan showing Gallstones, but no inflammatory signs of acute pancreatitis. Normal LFT's except elevated ALKQ (157). ED provider had concerns that he could have an early pancreatitis or cholecystitis, so he was admitted for observation. Admission diagnosis included: PRINCIPAL DIAGNOSIS (Reason for admission after study): acute syncopal event post immunization ADDITIONAL DIAGNOSES: acute back pain and abominal pain chemical pancreatitis cholelithiasis leukocytosis incidental lung nodule finding Symptoms resolved - unclear if allergy to shot or psychogenic reaction to injection. Pt discharged 4/8/23. Other Relevant HX: PMH: Asthma, Hypertension HLD, DM, neuropathy Other: DIAPHORESIS; CHEST PAIN
Age: 71.0
Sex: M
Vaccine: PPV
Symptoms: Basophil percentage increased, Bilirubin urine, Blood alkaline phosphatase increased, Blood urine absent, Cardio-respiratory arrest
Clinical narrative: Reported Symptoms: 10008479:CHEST PAIN; 10012703:DIAPHORESIS; Narrative: 4/7/23 - Patient was at his PCP today and received a Pneumovax. Immediately after the shot, he felt flushed, became sweaty and developed severe low back pain. A code white was called and pt was transported to the ED. He says that the symptoms lasted for several minutes. All of his symptoms have currently resolved with the exception of his lower back pain and abdominal tenderness. It has improved, but has not resolved. He did not have back pain until this am. He denies recent injury. His pain is located in the lower back and is not radiating. WBC is elevated and Pt is noted to have an elevated lipase level. CT showed no sign of pancreatitis but he does have gall stones with no surrounding inflammatory changes, peri cholecystic fluid, or gall bladder wall thickening. The ER work-up showed WBC 16K, Lipase 545, CT scan showing Gallstones, but no inflammatory signs of acute pancreatitis. Normal LFT's except elevated ALKQ (157). ED provider had concerns that he could have an early pancreatitis or cholecystitis, so he was admitted for observation. Admission diagnosis included: PRINCIPAL DIAGNOSIS (Reason for admission after study): acute syncopal event post immunization ADDITIONAL DIAGNOSES: acute back pain and abominal pain chemical pancreatitis cholelithiasis leukocytosis incidental lung nodule finding Symptoms resolved - unclear if allergy to shot or psychogenic reaction to injection. Pt discharged 4/8/23. Other Relevant HX: PMH: Asthma, Hypertension HLD, DM, neuropathy Other: DIAPHORESIS; CHEST PAIN
Age: 71.0
Sex: M
Vaccine: PPV
Symptoms: Chest pain, Cholelithiasis, Chromaturia, Computerised tomogram abdomen abnormal, Eosinophil count normal
Clinical narrative: Reported Symptoms: 10008479:CHEST PAIN; 10012703:DIAPHORESIS; Narrative: 4/7/23 - Patient was at his PCP today and received a Pneumovax. Immediately after the shot, he felt flushed, became sweaty and developed severe low back pain. A code white was called and pt was transported to the ED. He says that the symptoms lasted for several minutes. All of his symptoms have currently resolved with the exception of his lower back pain and abdominal tenderness. It has improved, but has not resolved. He did not have back pain until this am. He denies recent injury. His pain is located in the lower back and is not radiating. WBC is elevated and Pt is noted to have an elevated lipase level. CT showed no sign of pancreatitis but he does have gall stones with no surrounding inflammatory changes, peri cholecystic fluid, or gall bladder wall thickening. The ER work-up showed WBC 16K, Lipase 545, CT scan showing Gallstones, but no inflammatory signs of acute pancreatitis. Normal LFT's except elevated ALKQ (157). ED provider had concerns that he could have an early pancreatitis or cholecystitis, so he was admitted for observation. Admission diagnosis included: PRINCIPAL DIAGNOSIS (Reason for admission after study): acute syncopal event post immunization ADDITIONAL DIAGNOSES: acute back pain and abominal pain chemical pancreatitis cholelithiasis leukocytosis incidental lung nodule finding Symptoms resolved - unclear if allergy to shot or psychogenic reaction to injection. Pt discharged 4/8/23. Other Relevant HX: PMH: Asthma, Hypertension HLD, DM, neuropathy Other: DIAPHORESIS; CHEST PAIN
Age: 71.0
Sex: M
Vaccine: PPV
Symptoms: Eosinophil percentage, Flushing, Glucose urine, Haemoglobin, Hyperhidrosis
Clinical narrative: Reported Symptoms: 10008479:CHEST PAIN; 10012703:DIAPHORESIS; Narrative: 4/7/23 - Patient was at his PCP today and received a Pneumovax. Immediately after the shot, he felt flushed, became sweaty and developed severe low back pain. A code white was called and pt was transported to the ED. He says that the symptoms lasted for several minutes. All of his symptoms have currently resolved with the exception of his lower back pain and abdominal tenderness. It has improved, but has not resolved. He did not have back pain until this am. He denies recent injury. His pain is located in the lower back and is not radiating. WBC is elevated and Pt is noted to have an elevated lipase level. CT showed no sign of pancreatitis but he does have gall stones with no surrounding inflammatory changes, peri cholecystic fluid, or gall bladder wall thickening. The ER work-up showed WBC 16K, Lipase 545, CT scan showing Gallstones, but no inflammatory signs of acute pancreatitis. Normal LFT's except elevated ALKQ (157). ED provider had concerns that he could have an early pancreatitis or cholecystitis, so he was admitted for observation. Admission diagnosis included: PRINCIPAL DIAGNOSIS (Reason for admission after study): acute syncopal event post immunization ADDITIONAL DIAGNOSES: acute back pain and abominal pain chemical pancreatitis cholelithiasis leukocytosis incidental lung nodule finding Symptoms resolved - unclear if allergy to shot or psychogenic reaction to injection. Pt discharged 4/8/23. Other Relevant HX: PMH: Asthma, Hypertension HLD, DM, neuropathy Other: DIAPHORESIS; CHEST PAIN
Age: 71.0
Sex: M
Vaccine: PPV
Symptoms: Immediate post-injection reaction, Influenza A virus test negative, Influenza B virus test negative, Leukocytosis, Lipase increased
Clinical narrative: Reported Symptoms: 10008479:CHEST PAIN; 10012703:DIAPHORESIS; Narrative: 4/7/23 - Patient was at his PCP today and received a Pneumovax. Immediately after the shot, he felt flushed, became sweaty and developed severe low back pain. A code white was called and pt was transported to the ED. He says that the symptoms lasted for several minutes. All of his symptoms have currently resolved with the exception of his lower back pain and abdominal tenderness. It has improved, but has not resolved. He did not have back pain until this am. He denies recent injury. His pain is located in the lower back and is not radiating. WBC is elevated and Pt is noted to have an elevated lipase level. CT showed no sign of pancreatitis but he does have gall stones with no surrounding inflammatory changes, peri cholecystic fluid, or gall bladder wall thickening. The ER work-up showed WBC 16K, Lipase 545, CT scan showing Gallstones, but no inflammatory signs of acute pancreatitis. Normal LFT's except elevated ALKQ (157). ED provider had concerns that he could have an early pancreatitis or cholecystitis, so he was admitted for observation. Admission diagnosis included: PRINCIPAL DIAGNOSIS (Reason for admission after study): acute syncopal event post immunization ADDITIONAL DIAGNOSES: acute back pain and abominal pain chemical pancreatitis cholelithiasis leukocytosis incidental lung nodule finding Symptoms resolved - unclear if allergy to shot or psychogenic reaction to injection. Pt discharged 4/8/23. Other Relevant HX: PMH: Asthma, Hypertension HLD, DM, neuropathy Other: DIAPHORESIS; CHEST PAIN
Age: 71.0
Sex: M
Vaccine: PPV
Symptoms: Lymphocyte percentage decreased, Mean cell haemoglobin concentration normal, Mean cell haemoglobin increased, Mean cell volume normal, Mean platelet volume normal
Clinical narrative: Reported Symptoms: 10008479:CHEST PAIN; 10012703:DIAPHORESIS; Narrative: 4/7/23 - Patient was at his PCP today and received a Pneumovax. Immediately after the shot, he felt flushed, became sweaty and developed severe low back pain. A code white was called and pt was transported to the ED. He says that the symptoms lasted for several minutes. All of his symptoms have currently resolved with the exception of his lower back pain and abdominal tenderness. It has improved, but has not resolved. He did not have back pain until this am. He denies recent injury. His pain is located in the lower back and is not radiating. WBC is elevated and Pt is noted to have an elevated lipase level. CT showed no sign of pancreatitis but he does have gall stones with no surrounding inflammatory changes, peri cholecystic fluid, or gall bladder wall thickening. The ER work-up showed WBC 16K, Lipase 545, CT scan showing Gallstones, but no inflammatory signs of acute pancreatitis. Normal LFT's except elevated ALKQ (157). ED provider had concerns that he could have an early pancreatitis or cholecystitis, so he was admitted for observation. Admission diagnosis included: PRINCIPAL DIAGNOSIS (Reason for admission after study): acute syncopal event post immunization ADDITIONAL DIAGNOSES: acute back pain and abominal pain chemical pancreatitis cholelithiasis leukocytosis incidental lung nodule finding Symptoms resolved - unclear if allergy to shot or psychogenic reaction to injection. Pt discharged 4/8/23. Other Relevant HX: PMH: Asthma, Hypertension HLD, DM, neuropathy Other: DIAPHORESIS; CHEST PAIN
Age: 71.0
Sex: M
Vaccine: PPV
Symptoms: Monocyte percentage decreased, Neutrophil percentage, Nitrite urine absent, Pancreatitis, Platelet count normal
Clinical narrative: Reported Symptoms: 10008479:CHEST PAIN; 10012703:DIAPHORESIS; Narrative: 4/7/23 - Patient was at his PCP today and received a Pneumovax. Immediately after the shot, he felt flushed, became sweaty and developed severe low back pain. A code white was called and pt was transported to the ED. He says that the symptoms lasted for several minutes. All of his symptoms have currently resolved with the exception of his lower back pain and abdominal tenderness. It has improved, but has not resolved. He did not have back pain until this am. He denies recent injury. His pain is located in the lower back and is not radiating. WBC is elevated and Pt is noted to have an elevated lipase level. CT showed no sign of pancreatitis but he does have gall stones with no surrounding inflammatory changes, peri cholecystic fluid, or gall bladder wall thickening. The ER work-up showed WBC 16K, Lipase 545, CT scan showing Gallstones, but no inflammatory signs of acute pancreatitis. Normal LFT's except elevated ALKQ (157). ED provider had concerns that he could have an early pancreatitis or cholecystitis, so he was admitted for observation. Admission diagnosis included: PRINCIPAL DIAGNOSIS (Reason for admission after study): acute syncopal event post immunization ADDITIONAL DIAGNOSES: acute back pain and abominal pain chemical pancreatitis cholelithiasis leukocytosis incidental lung nodule finding Symptoms resolved - unclear if allergy to shot or psychogenic reaction to injection. Pt discharged 4/8/23. Other Relevant HX: PMH: Asthma, Hypertension HLD, DM, neuropathy Other: DIAPHORESIS; CHEST PAIN
Age: 71.0
Sex: M
Vaccine: PPV
Symptoms: Protein urine, Pulmonary mass, Red blood cell count decreased, Red blood cells urine negative, Red cell distribution width normal
Clinical narrative: Reported Symptoms: 10008479:CHEST PAIN; 10012703:DIAPHORESIS; Narrative: 4/7/23 - Patient was at his PCP today and received a Pneumovax. Immediately after the shot, he felt flushed, became sweaty and developed severe low back pain. A code white was called and pt was transported to the ED. He says that the symptoms lasted for several minutes. All of his symptoms have currently resolved with the exception of his lower back pain and abdominal tenderness. It has improved, but has not resolved. He did not have back pain until this am. He denies recent injury. His pain is located in the lower back and is not radiating. WBC is elevated and Pt is noted to have an elevated lipase level. CT showed no sign of pancreatitis but he does have gall stones with no surrounding inflammatory changes, peri cholecystic fluid, or gall bladder wall thickening. The ER work-up showed WBC 16K, Lipase 545, CT scan showing Gallstones, but no inflammatory signs of acute pancreatitis. Normal LFT's except elevated ALKQ (157). ED provider had concerns that he could have an early pancreatitis or cholecystitis, so he was admitted for observation. Admission diagnosis included: PRINCIPAL DIAGNOSIS (Reason for admission after study): acute syncopal event post immunization ADDITIONAL DIAGNOSES: acute back pain and abominal pain chemical pancreatitis cholelithiasis leukocytosis incidental lung nodule finding Symptoms resolved - unclear if allergy to shot or psychogenic reaction to injection. Pt discharged 4/8/23. Other Relevant HX: PMH: Asthma, Hypertension HLD, DM, neuropathy Other: DIAPHORESIS; CHEST PAIN
Age: 71.0
Sex: M
Vaccine: PPV
Symptoms: Respiratory syncytial virus test negative, SARS-CoV-2 test negative, Smear site unspecified normal, Specific gravity urine normal, Syncope
Clinical narrative: Reported Symptoms: 10008479:CHEST PAIN; 10012703:DIAPHORESIS; Narrative: 4/7/23 - Patient was at his PCP today and received a Pneumovax. Immediately after the shot, he felt flushed, became sweaty and developed severe low back pain. A code white was called and pt was transported to the ED. He says that the symptoms lasted for several minutes. All of his symptoms have currently resolved with the exception of his lower back pain and abdominal tenderness. It has improved, but has not resolved. He did not have back pain until this am. He denies recent injury. His pain is located in the lower back and is not radiating. WBC is elevated and Pt is noted to have an elevated lipase level. CT showed no sign of pancreatitis but he does have gall stones with no surrounding inflammatory changes, peri cholecystic fluid, or gall bladder wall thickening. The ER work-up showed WBC 16K, Lipase 545, CT scan showing Gallstones, but no inflammatory signs of acute pancreatitis. Normal LFT's except elevated ALKQ (157). ED provider had concerns that he could have an early pancreatitis or cholecystitis, so he was admitted for observation. Admission diagnosis included: PRINCIPAL DIAGNOSIS (Reason for admission after study): acute syncopal event post immunization ADDITIONAL DIAGNOSES: acute back pain and abominal pain chemical pancreatitis cholelithiasis leukocytosis incidental lung nodule finding Symptoms resolved - unclear if allergy to shot or psychogenic reaction to injection. Pt discharged 4/8/23. Other Relevant HX: PMH: Asthma, Hypertension HLD, DM, neuropathy Other: DIAPHORESIS; CHEST PAIN
Age: 71.0
Sex: M
Vaccine: PPV
Symptoms: Troponin I normal, Urine ketone body absent, Urobilinogen urine decreased, White blood cell count increased, White blood cells urine negative
Clinical narrative: Reported Symptoms: 10008479:CHEST PAIN; 10012703:DIAPHORESIS; Narrative: 4/7/23 - Patient was at his PCP today and received a Pneumovax. Immediately after the shot, he felt flushed, became sweaty and developed severe low back pain. A code white was called and pt was transported to the ED. He says that the symptoms lasted for several minutes. All of his symptoms have currently resolved with the exception of his lower back pain and abdominal tenderness. It has improved, but has not resolved. He did not have back pain until this am. He denies recent injury. His pain is located in the lower back and is not radiating. WBC is elevated and Pt is noted to have an elevated lipase level. CT showed no sign of pancreatitis but he does have gall stones with no surrounding inflammatory changes, peri cholecystic fluid, or gall bladder wall thickening. The ER work-up showed WBC 16K, Lipase 545, CT scan showing Gallstones, but no inflammatory signs of acute pancreatitis. Normal LFT's except elevated ALKQ (157). ED provider had concerns that he could have an early pancreatitis or cholecystitis, so he was admitted for observation. Admission diagnosis included: PRINCIPAL DIAGNOSIS (Reason for admission after study): acute syncopal event post immunization ADDITIONAL DIAGNOSES: acute back pain and abominal pain chemical pancreatitis cholelithiasis leukocytosis incidental lung nodule finding Symptoms resolved - unclear if allergy to shot or psychogenic reaction to injection. Pt discharged 4/8/23. Other Relevant HX: PMH: Asthma, Hypertension HLD, DM, neuropathy Other: DIAPHORESIS; CHEST PAIN
Age: 71.0
Sex: M
Vaccine: PPV
Symptoms: pH urine normal
Clinical narrative: Reported Symptoms: 10008479:CHEST PAIN; 10012703:DIAPHORESIS; Narrative: 4/7/23 - Patient was at his PCP today and received a Pneumovax. Immediately after the shot, he felt flushed, became sweaty and developed severe low back pain. A code white was called and pt was transported to the ED. He says that the symptoms lasted for several minutes. All of his symptoms have currently resolved with the exception of his lower back pain and abdominal tenderness. It has improved, but has not resolved. He did not have back pain until this am. He denies recent injury. His pain is located in the lower back and is not radiating. WBC is elevated and Pt is noted to have an elevated lipase level. CT showed no sign of pancreatitis but he does have gall stones with no surrounding inflammatory changes, peri cholecystic fluid, or gall bladder wall thickening. The ER work-up showed WBC 16K, Lipase 545, CT scan showing Gallstones, but no inflammatory signs of acute pancreatitis. Normal LFT's except elevated ALKQ (157). ED provider had concerns that he could have an early pancreatitis or cholecystitis, so he was admitted for observation. Admission diagnosis included: PRINCIPAL DIAGNOSIS (Reason for admission after study): acute syncopal event post immunization ADDITIONAL DIAGNOSES: acute back pain and abominal pain chemical pancreatitis cholelithiasis leukocytosis incidental lung nodule finding Symptoms resolved - unclear if allergy to shot or psychogenic reaction to injection. Pt discharged 4/8/23. Other Relevant HX: PMH: Asthma, Hypertension HLD, DM, neuropathy Other: DIAPHORESIS; CHEST PAIN