chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphocyte percentage, Mean cell volume normal, Monocyte percentage, Myocardial ischaemia, Neutrophil percentage
Clinical narrative: 80 yof with HTN, HLD, DM2, CKD3, Alzheimer dementia, CAD ( PCI in 2002), s/p fall in 4/2021 resulting in subdural hematoma and T8 vertebral fx requiring hospitalization 4/20-5/2/2021, who was transferred from her SNF residence with shortness of breath and hypoxia and was found to have COVID-19 PNA.   CORONAVIRUS COVID-19 PNEUMONIA (10/25/2021)  ACUTE HYPOXEMIC RESPIRATORY FAILURE (10/25/2021) Mildly elevated Troponin.   Assessment:  Pt has completed 2 doses of COVID vaccine. Initially required 2lit of supplemental O2 to keep sat>90. She was started on Remdesivir and 3 doses of decadron and with improving oxygenation medications were discontinued.  She has been able to transition to room air  At rest and work with PT with no supplemental O2 needs.  Mildly elevated D dimer is likely secondary  to COVID infection. And she had Mildly elevated troponin (0.07-0.1-0.06)  likely due to demand ischemia from COVID pneumonia.  Incentive spirometry encouraged.  IMPROVE VTE SCORE   D-dimer > 2x Upper Limit of Normal - 2 POINTS Immobilization for at least 7 days - 1 POINTS Age more than 60 years. - 1 POINTS    She was not on chemical DVT prophylaxis while in house given hx of prior SDH hx and noted down trending WBC and PLT counts. As the counts seems steady to improved, I discussed the case with neurology on call, given no symptoms and absence of blood in last CT head in 4/202, it would be ok to treat with chemical DVT prophylaxis. I will also request for a repeat CBC in a week.     HTN / CAD s/p stents She was initially started on half dose of her BP meds and as BP started to increase, PTA dose of BP meds were resumed, however metoprolol was kept at half dose with noted resting HR of 50's-60's on current dose.  - continue PTA lasix 10 mg daily    DM 2.  Hba1c 7.6 4/2021. Fasting glucose was 200s. Pt was on NPH 40 mg qam and 10 mg qpm at SNF+ glipizide per PTA meds.  Glipizide was on hold in the hospital and While on decadron pm dose of NPH was increased in house, however with discontinuation of decadron and 50-60% of meal intake, I am holding off glipizide upon discharge.    Thrombocytopenia sec to COVID pneumonia: platelet 130's also is leukopenic ?COVID related. Levels better today.  Will arrange for follow up CBC in a week.     1/2 positive blood cx with GPC in clusters from admission with no fever and overall improvement and coag negative staph growth suspect contaminant.  Primary Procedures:  None   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  Hypoxic respiratory failure, COVID-19 disease
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Platelet count decreased, Red blood cell count normal, Red cell distribution width normal, Staphylococcal infection, Thrombocytopenia
Clinical narrative: 80 yof with HTN, HLD, DM2, CKD3, Alzheimer dementia, CAD ( PCI in 2002), s/p fall in 4/2021 resulting in subdural hematoma and T8 vertebral fx requiring hospitalization 4/20-5/2/2021, who was transferred from her SNF residence with shortness of breath and hypoxia and was found to have COVID-19 PNA.   CORONAVIRUS COVID-19 PNEUMONIA (10/25/2021)  ACUTE HYPOXEMIC RESPIRATORY FAILURE (10/25/2021) Mildly elevated Troponin.   Assessment:  Pt has completed 2 doses of COVID vaccine. Initially required 2lit of supplemental O2 to keep sat>90. She was started on Remdesivir and 3 doses of decadron and with improving oxygenation medications were discontinued.  She has been able to transition to room air  At rest and work with PT with no supplemental O2 needs.  Mildly elevated D dimer is likely secondary  to COVID infection. And she had Mildly elevated troponin (0.07-0.1-0.06)  likely due to demand ischemia from COVID pneumonia.  Incentive spirometry encouraged.  IMPROVE VTE SCORE   D-dimer > 2x Upper Limit of Normal - 2 POINTS Immobilization for at least 7 days - 1 POINTS Age more than 60 years. - 1 POINTS    She was not on chemical DVT prophylaxis while in house given hx of prior SDH hx and noted down trending WBC and PLT counts. As the counts seems steady to improved, I discussed the case with neurology on call, given no symptoms and absence of blood in last CT head in 4/202, it would be ok to treat with chemical DVT prophylaxis. I will also request for a repeat CBC in a week.     HTN / CAD s/p stents She was initially started on half dose of her BP meds and as BP started to increase, PTA dose of BP meds were resumed, however metoprolol was kept at half dose with noted resting HR of 50's-60's on current dose.  - continue PTA lasix 10 mg daily    DM 2.  Hba1c 7.6 4/2021. Fasting glucose was 200s. Pt was on NPH 40 mg qam and 10 mg qpm at SNF+ glipizide per PTA meds.  Glipizide was on hold in the hospital and While on decadron pm dose of NPH was increased in house, however with discontinuation of decadron and 50-60% of meal intake, I am holding off glipizide upon discharge.    Thrombocytopenia sec to COVID pneumonia: platelet 130's also is leukopenic ?COVID related. Levels better today.  Will arrange for follow up CBC in a week.     1/2 positive blood cx with GPC in clusters from admission with no fever and overall improvement and coag negative staph growth suspect contaminant.  Primary Procedures:  None   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  Hypoxic respiratory failure, COVID-19 disease
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin I increased, Troponin increased, White blood cell count decreased
Clinical narrative: 80 yof with HTN, HLD, DM2, CKD3, Alzheimer dementia, CAD ( PCI in 2002), s/p fall in 4/2021 resulting in subdural hematoma and T8 vertebral fx requiring hospitalization 4/20-5/2/2021, who was transferred from her SNF residence with shortness of breath and hypoxia and was found to have COVID-19 PNA.   CORONAVIRUS COVID-19 PNEUMONIA (10/25/2021)  ACUTE HYPOXEMIC RESPIRATORY FAILURE (10/25/2021) Mildly elevated Troponin.   Assessment:  Pt has completed 2 doses of COVID vaccine. Initially required 2lit of supplemental O2 to keep sat>90. She was started on Remdesivir and 3 doses of decadron and with improving oxygenation medications were discontinued.  She has been able to transition to room air  At rest and work with PT with no supplemental O2 needs.  Mildly elevated D dimer is likely secondary  to COVID infection. And she had Mildly elevated troponin (0.07-0.1-0.06)  likely due to demand ischemia from COVID pneumonia.  Incentive spirometry encouraged.  IMPROVE VTE SCORE   D-dimer > 2x Upper Limit of Normal - 2 POINTS Immobilization for at least 7 days - 1 POINTS Age more than 60 years. - 1 POINTS    She was not on chemical DVT prophylaxis while in house given hx of prior SDH hx and noted down trending WBC and PLT counts. As the counts seems steady to improved, I discussed the case with neurology on call, given no symptoms and absence of blood in last CT head in 4/202, it would be ok to treat with chemical DVT prophylaxis. I will also request for a repeat CBC in a week.     HTN / CAD s/p stents She was initially started on half dose of her BP meds and as BP started to increase, PTA dose of BP meds were resumed, however metoprolol was kept at half dose with noted resting HR of 50's-60's on current dose.  - continue PTA lasix 10 mg daily    DM 2.  Hba1c 7.6 4/2021. Fasting glucose was 200s. Pt was on NPH 40 mg qam and 10 mg qpm at SNF+ glipizide per PTA meds.  Glipizide was on hold in the hospital and While on decadron pm dose of NPH was increased in house, however with discontinuation of decadron and 50-60% of meal intake, I am holding off glipizide upon discharge.    Thrombocytopenia sec to COVID pneumonia: platelet 130's also is leukopenic ?COVID related. Levels better today.  Will arrange for follow up CBC in a week.     1/2 positive blood cx with GPC in clusters from admission with no fever and overall improvement and coag negative staph growth suspect contaminant.  Primary Procedures:  None   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  Hypoxic respiratory failure, COVID-19 disease
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Balance disorder, Dysstasia, Pain, Pyrexia
Clinical narrative: Fever 101, complete body weakness not able to get up from sitting position without help, equallibirum off balance,  body aches
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Vaccination complication
Clinical narrative: covid arm - swollen, red, itchy, tender injection site reaction that presents itself days after the initial injection.  In this instance, the reaction occurred 7 days after vaccination.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID with Rapid Test during a community outbreak
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: COVID
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Hypotension
Clinical narrative: 10/1/21 for COVID pneumonia after presenting with hypotension in the setting of increased ostomy output. increasing oxygen requirements and eventually required initiation of HFNC.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Feeling hot, Peripheral swelling
Clinical narrative: pt stated she received booster dose moderna.  the next day her arm was swollen, red, and warm.  she said it has been getting worse.  I referred her to PCP
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Induration, Swelling face
Clinical narrative: Patient states that approximately 2 hours after receiving his Janssen booster vaccine for Covid 19, it was noticed that his left cheek was slightly swollen and area firm to touch..  states he has  a mild numbness of left cheek. with  uneven smile.  No other symptoms.  States symptoms are decreasng 12 hours later.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough Case
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, Cardiac discomfort, Cardioversion, Electrocardiogram, Laboratory test
Clinical narrative: Within a few days of receiving the first dose, I had cardiac irritabiliy.  After the second dose, I went into Atrial Fibrillation which required cardioverson in June.  On November 5, 2021, I went into A-fib again, and am scheduled for cardioversion on 11/11/2021.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Decreased appetite, Diarrhoea, Fatigue
Clinical narrative: Eyes are droopy, tired, light fever for a day or so, major sore throat, headache, brain fog, stuffy nose and dripping, nausea, no appetite, diarrhea, and coughing.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Nasal congestion, Nausea, Ocular discomfort
Clinical narrative: Eyes are droopy, tired, light fever for a day or so, major sore throat, headache, brain fog, stuffy nose and dripping, nausea, no appetite, diarrhea, and coughing.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: Eyes are droopy, tired, light fever for a day or so, major sore throat, headache, brain fog, stuffy nose and dripping, nausea, no appetite, diarrhea, and coughing.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Client was mistakenly administered Pfizer booster dose when she requested Moderna. Client received Moderna as primary vaccine series. The supervising nurse on site notified the client. Reeducation/remediation was provided to administering nurse.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Gait disturbance, Sleep disorder, Ultrasound scan normal
Clinical narrative: Patient awoke several times in the night with abdominal pain.  We treated with Pepto Bismol (antacid) and saw no relief.  In the morning the pain continued and worsened, becoming overwhelmingly severe.  It was painful to walk.  She was carried to the pediatrician's office at 10:15AM.  The pediatrician observed that patient was tender on palpation and advised that we take her immediately to Hospital's outpatient radiology for a sonogram to determine whether she had appendicitis.  In the car on the way to the sonogram she began to feel much better.  By around 12:25pm the pain had completely gone away.   The sonogram at around 1PM  showed no abnormalities.  She ate a light lunch and was fine thereafter.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Breast swelling, Oedema peripheral, Rash erythematous, Swelling
Clinical narrative: Swelling with fluid buildup from left armpit down to left side of breast and upper side of torso.  At day 4 still present and seems to be working it's way downward. Red rash which appeared at day 2 after injection and subsided at day 3.
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19, FLUC4
Symptoms: Death, Headache, Malaise, Myocardial infarction, Pain in extremity
Clinical narrative: Systemic: Heart Attack-Severe, Additional Details: 11/1/21 received moderna booster and first flu shot ever 11/2 headache, didn't feel well 11/3 pain in right leg- collapsed at md and couldn't be revived. Mother describes him as healthy and no underlying conditions thought clot earlier this year and pt using asa. We are told md ruled death heart attack as a result of pulmonary embolism.
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19, FLUC4
Symptoms: Pulmonary embolism, Syncope
Clinical narrative: Systemic: Heart Attack-Severe, Additional Details: 11/1/21 received moderna booster and first flu shot ever 11/2 headache, didn't feel well 11/3 pain in right leg- collapsed at md and couldn't be revived. Mother describes him as healthy and no underlying conditions thought clot earlier this year and pt using asa. We are told md ruled death heart attack as a result of pulmonary embolism.
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19, FLUC4
Symptoms: Death, Pain in extremity, Resuscitation, Syncope
Clinical narrative: Systemic: Heart Attack-Severe, Additional Details: 11/1/21 received moderna booster and first flu shot ever 11/2 headache, didn't feel well 11/3 pain in right leg- collapsed at md and couldn't be revived. Mother describes him as healthy and no underlying conditions thought clot earlier this year and pt using asa. We are told md ruled death heart attack as a result of pulmonary embolism.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Cold sweat, Disorientation, Dizziness, Pallor
Clinical narrative: AT 14 MINUTES 30 SECONDS POST INJECTION, PT WAS DIZZY, LIGHT HEADED, LOSS OF BALANCE, DISORIENTED, PALE, SOME TINNITIS, CLAMMY AND COOL TO THE TOUCH . PT RESPONDED QUICKLY TO ORAL INTAKE OF WATER AND HARD CANDY AND ICE PACK TO THE BACK OF THE NECK.  PATIENT RECOVERED ENOUGH WITHIN 15 MINUTES TO GO HOME WITH ADULT WHO ACCOMPANIED HIM.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: AT 14 MINUTES 30 SECONDS POST INJECTION, PT WAS DIZZY, LIGHT HEADED, LOSS OF BALANCE, DISORIENTED, PALE, SOME TINNITIS, CLAMMY AND COOL TO THE TOUCH . PT RESPONDED QUICKLY TO ORAL INTAKE OF WATER AND HARD CANDY AND ICE PACK TO THE BACK OF THE NECK.  PATIENT RECOVERED ENOUGH WITHIN 15 MINUTES TO GO HOME WITH ADULT WHO ACCOMPANIED HIM.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient inadvertently received pediatric formulation of Pfizer-BioNTech COVID-19 vaccine. Patient is twelve years old and should have received adult (12 and up) formulation of Pfizer-BioNTech. Mother was contacted by Manager and informed of adverse event on 11/8/2021. Patient's mom did not note any adverse reactions from the vaccine. Mother agreed to bring her son in 21 days from the event to restart the series with the correct dosage per CDC/ACIP recommendations.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bronchiectasis, COVID-19, COVID-19 pneumonia, Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: tested positive for COVID 11/9. admitted for COVID PNA, COPD exacerbation and bronchiectasis exacerbation
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: tested positive for COVID 11/9. admitted for COVID PNA, COPD exacerbation and bronchiectasis exacerbation
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Diarrhoea, SARS-CoV-2 test positive
Clinical narrative: DIARRHEA, WEAKNESS
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Palpitations
Clinical narrative: heart palpitations for 3 weeks post booster shot- it has resolved on its won
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Computerised tomogram head, Electrocardiogram, Full blood count, Heart rate irregular
Clinical narrative: Cardiac Irregularity, Diagnosed as Atrial fibrillation in Oct 2021
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test, Troponin
Clinical narrative: Cardiac Irregularity, Diagnosed as Atrial fibrillation in Oct 2021
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: Severe headache,  body aches,  Fever (100 - 103),
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis, Extra dose administered, Hypersensitivity, Injection site erythema, Injection site infection
Clinical narrative: Just below the injection site it was redness and slight swelling in the upper arm. The very next day the swelling went completely down her arm to elbow. It was itchy and red. The doctor said it was fluid, allergic reaction, and cellulitis of the left arm. It was an infection that was swollen and painful.  She was prescribed Bactrim to take one tablet twice daily for seven days. She started it on November 7th, 2021. Triamcinolone was prescribed to relieve the itching.  The was no reaction to the first two.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Just below the injection site it was redness and slight swelling in the upper arm. The very next day the swelling went completely down her arm to elbow. It was itchy and red. The doctor said it was fluid, allergic reaction, and cellulitis of the left arm. It was an infection that was swollen and painful.  She was prescribed Bactrim to take one tablet twice daily for seven days. She started it on November 7th, 2021. Triamcinolone was prescribed to relieve the itching.  The was no reaction to the first two.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Patient was monitored for well over 15 minutes without any adverse reactions
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Headache
Clinical narrative: . Prior to vaccination client stated she was nervous and anxious. Client was placed in the anti-gravity chair while vaccine was administered. Client sat in chair for the remainder of the observation. At 233pm client was asked if she was feeling well and stated she felt lightheaded. Client was able to answer all questions, and when asked  if she usually gets lightheaded and anxious during a vaccine she answered, ?Yes?. Client confirmed she was able to swallow. Client denied shortness of breath, or any difficulty breathing. A juice carton was given. Client was drinking with no problem. Skin color was normal for ethnicity no paleness observed Fingers were cool to touch. Vital signs were taken 1441 BP  110/70 RR 18 HR 88. Client was observed for30mins.  Vital signs at 1446 taken BP 112/70 HR 81 RR 19. At 1451 client was asked how she was feeling and client states she felt weak and lightheaded. Client was drinking her juice in between vital sign check. 1451 BP 109/70 HR 80 RR 18. Vitals were stable. Last set of vitals taken at 1507 BP 108/69 HR 78 RR19. Client completed her additional observation and at 1510 client was assessed and was asked and client stated she felt better, and denied feeling lightheaded or any weakness. Client stated she had a mild headache, 2/10 pain scale. She also stated she has history of migraines. Client was ready to board bus. Emergency precautions were given to client as well as client?s brother, and chaperone. Emergency Precautions were given by to seek emergency care if symptoms worsen or experiences SOB, or difficulty breathing, and/or hives. She was instructed to see her primary care provider in 24hrs. Client, brother and Chaperone verbalized understanding. Client left observation area at 3:17pm in a steady gait accompanied by brother.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Immunisation, Inappropriate schedule of product administration
Clinical narrative: Error: Booster Given Too Early-
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive with a rapid test during a community outbreak
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Incorrect dose administered
Clinical narrative: Pt wanted the booster to the Moderna shot. I looked through the company emails and saw where it was approved but did not see where the dosage had changed to 0.25 ml instead of the 0.5 ml. Pt received the full dose of 0.5 ml. I called him on 10/29 after speaking with a Moderna representative and receiving an email on the  specifics of the Moderna vaccine. Pt explained that he did not have any side effects from the shot. After telling him what happened he said that he did think his pressure was up on Wednesday 10/27.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Facial paralysis, Hemiplegia, Hypoaesthesia, Magnetic resonance imaging
Clinical narrative: Experienced numbness / paralysis on left side of face and body, confusion, stroke-like symptoms. Husband took her to ER.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Neurological symptom
Clinical narrative: Experienced numbness / paralysis on left side of face and body, confusion, stroke-like symptoms. Husband took her to ER.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Vaccination error
Clinical narrative: Patient came in for Fluad vaccine around 430pm. Vaccine was dropped into system correctly however once vaccinating tech went out to vaccinate patient, Moderna was given instead of flu vaccine. RXM went out to apologize to patient and informed her that we will be informing her doctor on incident. Patient wanted to hold off on flu shot until further notice. RXM called patient at 7pm to check how patient was doing and she was fine. Will call patient again tomorrow to check on her. Spoke with PCP office, doctor is aware and will also reached out to patient who reported no effect. Moderna vaccine manually entered into STC to show on patients vaccination record that Moderna booster (0.25ml) was given on 11/9/2021.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: tested positive with a rapid test during a community outbreak
Age: 81.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Pyrexia
Clinical narrative: Developed chills and fever of 101.5 on the evening of 11/9/21 no other symptoms- this morning still had low grade temp of 100 but took tylenol
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Mobility decreased, Peripheral swelling
Clinical narrative: My forearm and hand starting swelling. I couldn't make a fist. I also had a moderate headache. The swelling has slightly gone down, but my arm and hand are still a bit swollen.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Blood test, Computerised tomogram head, Fatigue, Headache
Clinical narrative: Leg and arm pain, nausea and twitching of abdominal muscles, numbness in left side of head neck and torso, hot flashes up and down body, fatigue, headache, ringing in left ear, overall body sick feeling, sharp quick pains in legs and arms and joints.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hot flush, Hypoaesthesia, Malaise, Muscle twitching, Nausea
Clinical narrative: Leg and arm pain, nausea and twitching of abdominal muscles, numbness in left side of head neck and torso, hot flashes up and down body, fatigue, headache, ringing in left ear, overall body sick feeling, sharp quick pains in legs and arms and joints.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Tinnitus
Clinical narrative: Leg and arm pain, nausea and twitching of abdominal muscles, numbness in left side of head neck and torso, hot flashes up and down body, fatigue, headache, ringing in left ear, overall body sick feeling, sharp quick pains in legs and arms and joints.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain upper, Abdominal rigidity, Blood test, Computerised tomogram, Feeling abnormal
Clinical narrative: Leg and arm pain, nausea and twitching of abdominal muscles, numbness in left side of head neck and torso, hot flashes up and down body, fatigue, headache, ringing in left ear, overall body sick feeling, sharp quick pains in legs and arms and joints.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Illness, Middle insomnia, Nausea, Pain
Clinical narrative: Leg and arm pain, nausea and twitching of abdominal muscles, numbness in left side of head neck and torso, hot flashes up and down body, fatigue, headache, ringing in left ear, overall body sick feeling, sharp quick pains in legs and arms and joints.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Skin burning sensation
Clinical narrative: Leg and arm pain, nausea and twitching of abdominal muscles, numbness in left side of head neck and torso, hot flashes up and down body, fatigue, headache, ringing in left ear, overall body sick feeling, sharp quick pains in legs and arms and joints.
Age: 81.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: Hospitalized due to covid after being vaccinated
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Community acquired infection, SARS-CoV-2 test positive
Clinical narrative: Tested positive with a rapid test during a community outbreak
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough Case
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Patient arrived to the ED on 10/21/2021 with shortness of breath x 3days
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: headache, fever, body aches resolved in 24 hours with OTC Motrin
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Neck pain
Clinical narrative: JOINT PAIN IN WRIST, NECK, HIP
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder, Ovarian cyst, Ultrasound pelvis, Uterine pain
Clinical narrative: On day 3 of menstrual cycle. Menses abruptly ended within 12 hours of receiving vaccine. Normal cycle length 7 days. Subsequently, all menstrual cycles have included mid-cycle bleeding, severe uterine pain, ovarian cyst formation with no prior history of these events.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Lymphadenopathy, Pain, Pyrexia
Clinical narrative: severe headache, severe dizziness, body aches, fever, enlarge lymph nodes in right arm.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Recurring headache (daily)
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site pain, Injection site swelling
Clinical narrative: Red, hot, and hard lump appeared at injection site ~2 days after receiving vaccination (COVID-19 booster). The lump grew for ~2-3 days and remained painful to the touch. The lump is still present a week after vaccination; however, seems to be getting better/smaller (less red, hot, and painful). I believe this is called ?COVID arm?.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth
Clinical narrative: Red, hot, and hard lump appeared at injection site ~2 days after receiving vaccination (COVID-19 booster). The lump grew for ~2-3 days and remained painful to the touch. The lump is still present a week after vaccination; however, seems to be getting better/smaller (less red, hot, and painful). I believe this is called ?COVID arm?.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Pt received Moderna Booster. His first covid shot was Johnson and Johnson vaccine. I looked through the company email and saw where it was approved but did not see that change in booster dose. I called patient on 10/29 after calling  Moderna (10/26) and received the email with all the information concerning the vaccine. Pt stated on 10/29 that he had no side effects from receiving the full dose of Moderna.
Age: 25.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE ADMINISTERED WAS STORED IN THE FRIDGE  MORE THAN 30 DAYS AS ORDERED BY THE MANUFACTURERER
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Headache, Middle ear effusion, Nasal congestion, Nasopharyngitis
Clinical narrative: I have had a sinus infection. I determined it was a sinus infection - it was very bad cold symptoms, head congestion, headache, and cough. Started on October 26th, in the afternoon. Those lasted for about 6-7 days. And then I felt better for a few days and now I have similar symptoms reoccurring again. Particularly, head congestion and fluid on my ears. Home remedies and mover the counter cold medicine. I noticed post vaccine, ringing in my ears and that has been off and on since having the vaccine. I still don't feel 100%.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Sinusitis, Tinnitus
Clinical narrative: I have had a sinus infection. I determined it was a sinus infection - it was very bad cold symptoms, head congestion, headache, and cough. Started on October 26th, in the afternoon. Those lasted for about 6-7 days. And then I felt better for a few days and now I have similar symptoms reoccurring again. Particularly, head congestion and fluid on my ears. Home remedies and mover the counter cold medicine. I noticed post vaccine, ringing in my ears and that has been off and on since having the vaccine. I still don't feel 100%.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Asthenia, Chest discomfort, Cognitive disorder, Diplopia
Clinical narrative: 11/2/21 COVID VAC - IMMEDIATE FLU S/S 11/3/21  FLU S/S   11/4/21  3AM  SUDDEN ONSET DIZZINESS, NAUSEA, HEADACHE. TO ER FOR EVAL.  STROKE ALERT AND TESTING. ADMIT TO OBSERVATION. DC HOME APPROX. 6PM . NO DRIVING OR WORK SYMPTOMS CONTINUE -  FOGGY, COGNITIVE FUNC. SLOWER, UNSTABLE GAIT, DBL VISION, WEAKNESS/FATIGUE, CHEST PRESSURE (SOMETIMES) 11/8/21 ER VISIT  (UNABLE TO SEE PCP - NO APPTS AVAIL)  NEW MEDS ORDERED. NO WORK OR DRIVING   NEW ONSET RINGING IN EARS CONTINUE OTHER SYMPTOMS. ARRANGING APPTS TO  FOLLOW UP WITH ENT (11/22), NEURO(AWAITING DATE), AND PCP (AWAITING DATE)
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Echocardiogram, Fatigue, Feeling abnormal, Gait disturbance
Clinical narrative: 11/2/21 COVID VAC - IMMEDIATE FLU S/S 11/3/21  FLU S/S   11/4/21  3AM  SUDDEN ONSET DIZZINESS, NAUSEA, HEADACHE. TO ER FOR EVAL.  STROKE ALERT AND TESTING. ADMIT TO OBSERVATION. DC HOME APPROX. 6PM . NO DRIVING OR WORK SYMPTOMS CONTINUE -  FOGGY, COGNITIVE FUNC. SLOWER, UNSTABLE GAIT, DBL VISION, WEAKNESS/FATIGUE, CHEST PRESSURE (SOMETIMES) 11/8/21 ER VISIT  (UNABLE TO SEE PCP - NO APPTS AVAIL)  NEW MEDS ORDERED. NO WORK OR DRIVING   NEW ONSET RINGING IN EARS CONTINUE OTHER SYMPTOMS. ARRANGING APPTS TO  FOLLOW UP WITH ENT (11/22), NEURO(AWAITING DATE), AND PCP (AWAITING DATE)
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Immediate post-injection reaction, Impaired driving ability, Impaired work ability, Influenza
Clinical narrative: 11/2/21 COVID VAC - IMMEDIATE FLU S/S 11/3/21  FLU S/S   11/4/21  3AM  SUDDEN ONSET DIZZINESS, NAUSEA, HEADACHE. TO ER FOR EVAL.  STROKE ALERT AND TESTING. ADMIT TO OBSERVATION. DC HOME APPROX. 6PM . NO DRIVING OR WORK SYMPTOMS CONTINUE -  FOGGY, COGNITIVE FUNC. SLOWER, UNSTABLE GAIT, DBL VISION, WEAKNESS/FATIGUE, CHEST PRESSURE (SOMETIMES) 11/8/21 ER VISIT  (UNABLE TO SEE PCP - NO APPTS AVAIL)  NEW MEDS ORDERED. NO WORK OR DRIVING   NEW ONSET RINGING IN EARS CONTINUE OTHER SYMPTOMS. ARRANGING APPTS TO  FOLLOW UP WITH ENT (11/22), NEURO(AWAITING DATE), AND PCP (AWAITING DATE)
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Magnetic resonance imaging, Nausea, Tinnitus
Clinical narrative: 11/2/21 COVID VAC - IMMEDIATE FLU S/S 11/3/21  FLU S/S   11/4/21  3AM  SUDDEN ONSET DIZZINESS, NAUSEA, HEADACHE. TO ER FOR EVAL.  STROKE ALERT AND TESTING. ADMIT TO OBSERVATION. DC HOME APPROX. 6PM . NO DRIVING OR WORK SYMPTOMS CONTINUE -  FOGGY, COGNITIVE FUNC. SLOWER, UNSTABLE GAIT, DBL VISION, WEAKNESS/FATIGUE, CHEST PRESSURE (SOMETIMES) 11/8/21 ER VISIT  (UNABLE TO SEE PCP - NO APPTS AVAIL)  NEW MEDS ORDERED. NO WORK OR DRIVING   NEW ONSET RINGING IN EARS CONTINUE OTHER SYMPTOMS. ARRANGING APPTS TO  FOLLOW UP WITH ENT (11/22), NEURO(AWAITING DATE), AND PCP (AWAITING DATE)
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, Atelectasis, COVID-19, COVID-19 pneumonia
Clinical narrative: 10/9/2021 Hospitalized with cough, hypoxia, weakness, SOB. Initially treated with oxygen, dexamethasone and respiratory treatments.  Died. Primary cause: ACUTE ON CHRONIC RESPIRATORY FAILURE WITH HYPOXIA 10/9-10/24/21 Due to or consequence of:  COVID-19 PNEUMONIA 10/9-10/24/21, ACUTE CHF EXACERBATION 10/9-10/24/21 COPD EXACERBATION
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac failure congestive, Chest X-ray abnormal, Chronic obstructive pulmonary disease, Condition aggravated, Cough
Clinical narrative: 10/9/2021 Hospitalized with cough, hypoxia, weakness, SOB. Initially treated with oxygen, dexamethasone and respiratory treatments.  Died. Primary cause: ACUTE ON CHRONIC RESPIRATORY FAILURE WITH HYPOXIA 10/9-10/24/21 Due to or consequence of:  COVID-19 PNEUMONIA 10/9-10/24/21, ACUTE CHF EXACERBATION 10/9-10/24/21 COPD EXACERBATION
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Dyspnoea, Hypoxia, SARS-CoV-2 antibody test negative, SARS-CoV-2 test positive
Clinical narrative: 10/9/2021 Hospitalized with cough, hypoxia, weakness, SOB. Initially treated with oxygen, dexamethasone and respiratory treatments.  Died. Primary cause: ACUTE ON CHRONIC RESPIRATORY FAILURE WITH HYPOXIA 10/9-10/24/21 Due to or consequence of:  COVID-19 PNEUMONIA 10/9-10/24/21, ACUTE CHF EXACERBATION 10/9-10/24/21 COPD EXACERBATION
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Chest pain, Condition aggravated, Dizziness, Dyspnoea
Clinical narrative: From the 2nd vaccine, I still have a sore spot and a lump where the vaccination was administered, I am having problems breathing, chest pain on the left side, fatigue all of the time, problems sleeping, sleepiness during the day (I thought this was because of my problems with sleeping), pounding headache EVERYDAY since the 1st vaccine, daily joint pain, but mostly in my hips and shoulders, dizziness and issues with medical or physical exertion.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, General physical health deterioration, Headache, Injection site mass, Injection site pain
Clinical narrative: From the 2nd vaccine, I still have a sore spot and a lump where the vaccination was administered, I am having problems breathing, chest pain on the left side, fatigue all of the time, problems sleeping, sleepiness during the day (I thought this was because of my problems with sleeping), pounding headache EVERYDAY since the 1st vaccine, daily joint pain, but mostly in my hips and shoulders, dizziness and issues with medical or physical exertion.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Insomnia, Somnolence
Clinical narrative: From the 2nd vaccine, I still have a sore spot and a lump where the vaccination was administered, I am having problems breathing, chest pain on the left side, fatigue all of the time, problems sleeping, sleepiness during the day (I thought this was because of my problems with sleeping), pounding headache EVERYDAY since the 1st vaccine, daily joint pain, but mostly in my hips and shoulders, dizziness and issues with medical or physical exertion.
Age: 87.0
Sex: F
Vaccine: VARZOS
Symptoms: Extra dose administered
Clinical narrative: Patient reported to pharmacy and told us that her physician told her to come get a SHINGRIX vaccine from our pharmacy. When logging into the system, it was discovered that the patient had already received 2 doses of SHINGRIX in 2018. Patient was informed and documentation was sent to prescriber.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Migraine, Submaxillary gland enlargement
Clinical narrative: Migraine and extreme fatigue started 14 hours later, then developed a huge lump in left armpit the size of a tennis ball.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Heavy menstrual bleeding, Menstruation irregular
Clinical narrative: Irregular periods, heavy bleeding
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Cellulitis, Erythema, Local reaction, Peripheral swelling, Skin warm
Clinical narrative: Increased arm swelling, redness, tenderness and warmth. Body chills and sweats.  ? subsequent cellulitis vs local reaction. tx with abx.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Tenderness
Clinical narrative: Increased arm swelling, redness, tenderness and warmth. Body chills and sweats.  ? subsequent cellulitis vs local reaction. tx with abx.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: redness, warmth, swelling at injection site
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Fatigue, Feeling abnormal, Myalgia, Oral pain
Clinical narrative: Twenty-four to forty-eight hours after vaccination, muscle aches all over and feeling exhausted for three weeks, I felt yucky. I tried getting an appointment with my doctor but had no luck, I also started feeling pain in my mouth and my teeth. This is the real health even ever. I had never had a cavity in my life and after vaccine this started happening. This shot affected me because now my hair is falling out and I've always been healthy.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Toothache
Clinical narrative: Twenty-four to forty-eight hours after vaccination, muscle aches all over and feeling exhausted for three weeks, I felt yucky. I tried getting an appointment with my doctor but had no luck, I also started feeling pain in my mouth and my teeth. This is the real health even ever. I had never had a cavity in my life and after vaccine this started happening. This shot affected me because now my hair is falling out and I've always been healthy.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Audiogram, Conjunctivitis, Ear infection, Oropharyngeal pain, Sinusitis
Clinical narrative: Upper respiratory infection - sinus infection, sore throat, ear infection, conjunctivitis. 4 days of amoxicillin, 10 days of Augmentin, 3 weeks of Mucinex D, 6 days of oral steroids, 14 days of nasal steroids.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Upper respiratory tract infection
Clinical narrative: Upper respiratory infection - sinus infection, sore throat, ear infection, conjunctivitis. 4 days of amoxicillin, 10 days of Augmentin, 3 weeks of Mucinex D, 6 days of oral steroids, 14 days of nasal steroids.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Anxiety, Back pain, Diarrhoea, Exposure during pregnancy
Clinical narrative: Adverse event: moderately itchy hives on and off on arms from wrists to armpits (NOT near injection site), neck, and belly, for approximately 72 hours (Benadryl taken PRN, approx 1x/day), then reoccurrence of hives/swelling/itchiness for 2 hours near injection site 1 week after the dose was administered (no meds taken.)  Also of note, increased fatigue, mild lower back ache, mild diarrhea, slight abdominal cramping noted several hours before reoccurrence of hives observed this morning, so perhaps a stress response since I was anxious about those symptoms.  Current Pregnancy: 36 weeks, 3 days. Planned c-section at 37 weeks 2 days (11/16/2021), current healthy.   Previous Pregnancies: 2019 planned c-section at 37w 3d, no complications; 2017 full term stat c-section s/p complete placental abruption with neonatal death
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pruritus, Stress, Swelling, Urticaria
Clinical narrative: Adverse event: moderately itchy hives on and off on arms from wrists to armpits (NOT near injection site), neck, and belly, for approximately 72 hours (Benadryl taken PRN, approx 1x/day), then reoccurrence of hives/swelling/itchiness for 2 hours near injection site 1 week after the dose was administered (no meds taken.)  Also of note, increased fatigue, mild lower back ache, mild diarrhea, slight abdominal cramping noted several hours before reoccurrence of hives observed this morning, so perhaps a stress response since I was anxious about those symptoms.  Current Pregnancy: 36 weeks, 3 days. Planned c-section at 37 weeks 2 days (11/16/2021), current healthy.   Previous Pregnancies: 2019 planned c-section at 37w 3d, no complications; 2017 full term stat c-section s/p complete placental abruption with neonatal death
Age: 12.0
Sex: F
Vaccine: FLU4
Symptoms: Eye swelling, Immediate post-injection reaction, Injection site urticaria, Pruritus
Clinical narrative: Itching immediately after injection and that same night, first noticed hives surrounding injection site the next morning (documented with photograph), and swelling around both eyes noted next morning. Resolved with 1 dose of benadryl (12.5mg).
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Nausea
Clinical narrative: severe diarrhea, nausea lasted 3 days
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood albumin decreased, Blood alkaline phosphatase increased, Blood bilirubin increased
Clinical narrative: vaccine given 10/13/2021. Next day fatigue which patient had after first 2 doses and then felt fine until 10/25/21 when developed mild chills, extreme fatigue and low grade temp up to 100 F, also myalgias. These symptoms persisted until 10/29/21 when fatigue better, no temp. However on that day developed dark urine, pale stool, decreased appetite and itching. These symptoms persisted until 11/5/21 when urine and stool color improved. Appetite improved. Had labs 11/5/21: albumin 3.2, alk phos 260, AST 166, ALT 1113 and bili 2.6. CBC normal. UA upper nl bili. 11/6/21 alk phos 240, albumin 3.3, AST 152, ALT 953, bili 2.7. 11/8/21 albumin 3.3, alk phos 227, AST 96, ALT 616, bili 1.9. Hep A neg, Hep C negative, PT/INR nl. Have been vaccinated to hep B.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Chromaturia, Decreased appetite, Faeces pale, Fatigue
Clinical narrative: vaccine given 10/13/2021. Next day fatigue which patient had after first 2 doses and then felt fine until 10/25/21 when developed mild chills, extreme fatigue and low grade temp up to 100 F, also myalgias. These symptoms persisted until 10/29/21 when fatigue better, no temp. However on that day developed dark urine, pale stool, decreased appetite and itching. These symptoms persisted until 11/5/21 when urine and stool color improved. Appetite improved. Had labs 11/5/21: albumin 3.2, alk phos 260, AST 166, ALT 1113 and bili 2.6. CBC normal. UA upper nl bili. 11/6/21 alk phos 240, albumin 3.3, AST 152, ALT 953, bili 2.7. 11/8/21 albumin 3.3, alk phos 227, AST 96, ALT 616, bili 1.9. Hep A neg, Hep C negative, PT/INR nl. Have been vaccinated to hep B.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count normal, Hepatitis A antibody negative, Hepatitis C antibody negative, International normalised ratio normal, Myalgia
Clinical narrative: vaccine given 10/13/2021. Next day fatigue which patient had after first 2 doses and then felt fine until 10/25/21 when developed mild chills, extreme fatigue and low grade temp up to 100 F, also myalgias. These symptoms persisted until 10/29/21 when fatigue better, no temp. However on that day developed dark urine, pale stool, decreased appetite and itching. These symptoms persisted until 11/5/21 when urine and stool color improved. Appetite improved. Had labs 11/5/21: albumin 3.2, alk phos 260, AST 166, ALT 1113 and bili 2.6. CBC normal. UA upper nl bili. 11/6/21 alk phos 240, albumin 3.3, AST 152, ALT 953, bili 2.7. 11/8/21 albumin 3.3, alk phos 227, AST 96, ALT 616, bili 1.9. Hep A neg, Hep C negative, PT/INR nl. Have been vaccinated to hep B.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Prothrombin time normal, Pruritus, Pyrexia, Ultrasound abdomen normal
Clinical narrative: vaccine given 10/13/2021. Next day fatigue which patient had after first 2 doses and then felt fine until 10/25/21 when developed mild chills, extreme fatigue and low grade temp up to 100 F, also myalgias. These symptoms persisted until 10/29/21 when fatigue better, no temp. However on that day developed dark urine, pale stool, decreased appetite and itching. These symptoms persisted until 11/5/21 when urine and stool color improved. Appetite improved. Had labs 11/5/21: albumin 3.2, alk phos 260, AST 166, ALT 1113 and bili 2.6. CBC normal. UA upper nl bili. 11/6/21 alk phos 240, albumin 3.3, AST 152, ALT 953, bili 2.7. 11/8/21 albumin 3.3, alk phos 227, AST 96, ALT 616, bili 1.9. Hep A neg, Hep C negative, PT/INR nl. Have been vaccinated to hep B.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, C-reactive protein increased, Cardiac imaging procedure abnormal, Chest discomfort, Chest pain
Clinical narrative: Left chest pain within a few hours of shot, along with malaise, diaphoresis. Accompanied by fatigue, chills, fever, nausea, headache over next 48 hours. Other symptoms resolved after 48 hours with rest and 500-650 mg Tylenol 2-3x/day, except chest pain, pleuritic at times, associated at times with nausea, retching, cough, fatigue. Chest pain was 3-5/10 and intermittent, until escalated to 10/10 and awoke me from sleep 60 hours after shot, no longer pleuritic but crushing, associated with sense of doom, nausea/vomiting, and radiation to left ear.  This episode lasted about an hour and returned to 1-2/10 pain after 650 mg Tylenol by the time I reached the ED. Found to have elevated troponin, and cardiac MRI identified myoperciarditis. Admitted for 1 night. Being treated with colchicine and ibuprofen (initially aspirin given contra-indication to NSAIDS due to history of idiopathic angioedema).
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Ear pain, Echocardiogram normal, Ejection fraction normal
Clinical narrative: Left chest pain within a few hours of shot, along with malaise, diaphoresis. Accompanied by fatigue, chills, fever, nausea, headache over next 48 hours. Other symptoms resolved after 48 hours with rest and 500-650 mg Tylenol 2-3x/day, except chest pain, pleuritic at times, associated at times with nausea, retching, cough, fatigue. Chest pain was 3-5/10 and intermittent, until escalated to 10/10 and awoke me from sleep 60 hours after shot, no longer pleuritic but crushing, associated with sense of doom, nausea/vomiting, and radiation to left ear.  This episode lasted about an hour and returned to 1-2/10 pain after 650 mg Tylenol by the time I reached the ED. Found to have elevated troponin, and cardiac MRI identified myoperciarditis. Admitted for 1 night. Being treated with colchicine and ibuprofen (initially aspirin given contra-indication to NSAIDS due to history of idiopathic angioedema).