chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Dialysis, Diarrhoea, Dyspnoea, Exposure to SARS-CoV-2, Fluid overload
Clinical narrative: Patient is a 73 y.o. female who presents today with multiple complaints worsening shortness of breath, cough, weakness, headache, nausea, and diarrhea.  Symptoms began with a cough 3 days prior.  She went to dialysis on her usual time.  Sent to ER to be evaluated due to cough.  Positive COVID-19 4/27.  Other family members positive.   Patient became progressively more weak, short of breath that she was unable to go to dialysis today.  She has had poor intake with intractable nausea and diarrhea.   Audible gurgling.  In ER, potassium elevated and chest x-ray with congestion consistent with overload.  Nephrology intending on dialysis today while inpatient.   Due to poor respiratory status now requiring oxygen typically only at night.  Decadron added.  Not a candidate for remdesivir.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypophagia, Nausea, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Patient is a 73 y.o. female who presents today with multiple complaints worsening shortness of breath, cough, weakness, headache, nausea, and diarrhea.  Symptoms began with a cough 3 days prior.  She went to dialysis on her usual time.  Sent to ER to be evaluated due to cough.  Positive COVID-19 4/27.  Other family members positive.   Patient became progressively more weak, short of breath that she was unable to go to dialysis today.  She has had poor intake with intractable nausea and diarrhea.   Audible gurgling.  In ER, potassium elevated and chest x-ray with congestion consistent with overload.  Nephrology intending on dialysis today while inpatient.   Due to poor respiratory status now requiring oxygen typically only at night.  Decadron added.  Not a candidate for remdesivir.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Wheezing
Clinical narrative: Patient is a 73 y.o. female who presents today with multiple complaints worsening shortness of breath, cough, weakness, headache, nausea, and diarrhea.  Symptoms began with a cough 3 days prior.  She went to dialysis on her usual time.  Sent to ER to be evaluated due to cough.  Positive COVID-19 4/27.  Other family members positive.   Patient became progressively more weak, short of breath that she was unable to go to dialysis today.  She has had poor intake with intractable nausea and diarrhea.   Audible gurgling.  In ER, potassium elevated and chest x-ray with congestion consistent with overload.  Nephrology intending on dialysis today while inpatient.   Due to poor respiratory status now requiring oxygen typically only at night.  Decadron added.  Not a candidate for remdesivir.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Covid arm, large red spot at injection site.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Blindness, Dizziness, Muscular weakness, Nausea, Vomiting
Clinical narrative: Light headed, nausea, limb weakness, "Sparkly" vision to the point of loss of vision, vomiting.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Back pain, Computerised tomogram abdomen, Computerised tomogram abnormal, Computerised tomogram thorax abnormal
Clinical narrative: Patient with no reported past medical history or past surgical history presented to ED and found to have massive bilateral pulmonary embolism. Upon presentation, patient was confused and lethargic. The morning of the event, niece reports that patient was in her usual state of health this am and had gone downstairs to the kitchen this afternoon, when she was downstairs she began complaining of nausea and generalized back pain. Her niece went to grab her things to take patient to the hospital but when she returned she found the patient laying on the floor due to weakness and pain, no reported fall or trauma. Chest/Abd/Pelvis CT Angio was significant for large PE in R and L main pulmonary arteries. No family history of DVT/PE.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Lethargy, Nausea, Pain, Pulmonary embolism
Clinical narrative: Patient with no reported past medical history or past surgical history presented to ED and found to have massive bilateral pulmonary embolism. Upon presentation, patient was confused and lethargic. The morning of the event, niece reports that patient was in her usual state of health this am and had gone downstairs to the kitchen this afternoon, when she was downstairs she began complaining of nausea and generalized back pain. Her niece went to grab her things to take patient to the hospital but when she returned she found the patient laying on the floor due to weakness and pain, no reported fall or trauma. Chest/Abd/Pelvis CT Angio was significant for large PE in R and L main pulmonary arteries. No family history of DVT/PE.
Age: 67.0
Sex: F
Vaccine: UNK
Symptoms: Abdominal pain, Blood test abnormal, Computerised tomogram abnormal, Hyperhidrosis, Nausea
Clinical narrative: 14 hours after vaccination I had a sore arm, fever, full body aches, sweating.  It was better in the morning of the 2nd.  Around 1 pm on the 2nd I started feeling nauseous.   It got progressively worse and at 7pm I had severe nausea and intense abdominal pain.  At 10 pm I went to the emergency room
Age: 67.0
Sex: F
Vaccine: UNK
Symptoms: Pain, Pain in extremity, Pancreatitis, Pyrexia
Clinical narrative: 14 hours after vaccination I had a sore arm, fever, full body aches, sweating.  It was better in the morning of the 2nd.  Around 1 pm on the 2nd I started feeling nauseous.   It got progressively worse and at 7pm I had severe nausea and intense abdominal pain.  At 10 pm I went to the emergency room
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Catheterisation cardiac abnormal, Chest pain, Coronary arterial stent insertion, Deep vein thrombosis
Clinical narrative: This patient was admitted on 5/1/21 with chest pain. He was found to have an inferior STEMI with a thrombotic lesion in the proximal circumflex artery that was stented. He was also found to have a chronic right gastrocnemius deep vein thrombosis on a lower extremity ultrasound on 5/3/21. He is currently undergoing a hypercoagulable workup. There is potential concern that the thromboses may have been related to his COVID vaccine, as he received the second dose on 4/25/21.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Intracardiac thrombus, Synovial cyst, Ultrasound Doppler abnormal
Clinical narrative: This patient was admitted on 5/1/21 with chest pain. He was found to have an inferior STEMI with a thrombotic lesion in the proximal circumflex artery that was stented. He was also found to have a chronic right gastrocnemius deep vein thrombosis on a lower extremity ultrasound on 5/3/21. He is currently undergoing a hypercoagulable workup. There is potential concern that the thromboses may have been related to his COVID vaccine, as he received the second dose on 4/25/21.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Diarrhoea, Nasal congestion, Oropharyngeal pain, Pyrexia
Clinical narrative: Congestion, stuffy nose, store throat, things taste funny, fever x1 day, diarrhea    Cough -     benzonatate (TESSALON) 100 mg capsule; Take 1 capsule (100 mg total) by mouth 3 (three) times a day as needed  for cough for up to 7 days -     guaiFENesin (MUCINEX) 600 mg 12 hr tablet; Take 2 tablets (1,200 mg total) by mouth 2 (two) times a day as needed  for cough for up to 7 days
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test, Taste disorder
Clinical narrative: Congestion, stuffy nose, store throat, things taste funny, fever x1 day, diarrhea    Cough -     benzonatate (TESSALON) 100 mg capsule; Take 1 capsule (100 mg total) by mouth 3 (three) times a day as needed  for cough for up to 7 days -     guaiFENesin (MUCINEX) 600 mg 12 hr tablet; Take 2 tablets (1,200 mg total) by mouth 2 (two) times a day as needed  for cough for up to 7 days
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Diarrhoea, Fatigue, Headache, Urticaria
Clinical narrative: Patient called stating she received her 2nd dose of Pfizer vaccine 4/29/21 and later that evening she started with hives on her shoulders which spread to her chest, severe diarrhea starting around midnight, severe joint pain, fatigue and headache which all lasted until Saturday when she began to feel much better.  Patient is not concerned at this time - she called so that we could report to VAERS on her behalf.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site swelling, Pain in extremity
Clinical narrative: Localized swelling at injection area a couple of days afterwards and continued pain in the entire arm up to 2 weeks after second dose.  Left arm felt as if there was a torn muscle and 10 days after second dose, a large bruise appeared running lengthwise from armpit to below the interior elbow.  the torn muscle feeling is subsiding though and seems to be getting better day by day.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Loss of consciousness, Nausea, Paraesthesia, Tunnel vision
Clinical narrative: Pt brought to med obs #1 via stretcher in trendelenburg position d/t brief LOC after receiving vaccine. Reports h/o syncope with previous injections, last episode approximately in high school, per his report. Reports tunnel vision with nausea, diaphoresis, and tingling sensation to BUE. Pt regained consciousness prior to arrival in med obs. Pt offered and accepted water, declined snack, reports he ate PTA. PA-C at bedside to assess patient. Orthostatic VS obtained. VSS. No s/s of distress noted. Pt refused wheelchair, opting to ambulate to exit with staff escort. VS are as follows: 1344: BP 93/58, HR 80, RR 18, O2 sat 98% on RA 1349: BP 105/71, HR 79, RR 20, O2 sat 96% on RA 1354: BP 95/65, HR 72, RR 18, O2 sat 98% on RA 1359 (lying): BP 126/76, HR 89, RR 18, O2 sat 100% on RA 1404 (sitting): BP 115/82, HR 66, RR 16, O2 sat 100% on RA 1405 (standing): BP 109/78, HR 86, RR 16, O2 sat 99% on RA
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Oropharyngeal pain, Pain
Clinical narrative: Cough started this am- took the first dose of the Covid vaccine on 12/24, Sore Throat, Headache, Generalized Body Aches.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Cough started this am- took the first dose of the Covid vaccine on 12/24, Sore Throat, Headache, Generalized Body Aches.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Hyperhidrosis, Syncope
Clinical narrative: patient received Pfizer vaccine and within 5 minutes of administration had a syncopal episode while seated. Patient was diaphoretic and clammy during monitoring period. Vitals 147/87, HR 50, Spo2 100%. Patient reports prior syncopal episodes during blood draws and acupuncture as stated by girlfriend. Was sent to to Urgent care onsite for further monitoring.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis, Immunology test
Clinical narrative: Chronic arthritis in shoulders, knees, wrists, and ankles (not present before vaccine)
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Swelling face, Swelling of eyelid, Urticaria
Clinical narrative: Patient reports having first dose Moderna vaccine 4/29/21. She started to have left eyelid swelling 4/30/21 which has progressed to mild facial swelling, 2 small hives on forehead and generalized pruritus. Advised to continue taking Claritin. She cannot tolerate Benadryl due to side effects. Started on prednisone taper and advised to go to ED if sx worsen
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: Full body rash developed 4 days following injection. Red and itchy. Located on back, arms, buttocks, legs. Pt came to clinic for treatment of rash. No breathing difficulties.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal swelling
Clinical narrative: After leaving vaccine site, patient felt throat swelling. She took Benadryl herself and felt relief.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt tested positive for covid infection on 5/3
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Syncope, Unresponsive to stimuli
Clinical narrative: PATIENT BECAME FAINT ANDTHEN ADMIN UNRESPONSIVE AFTER RECEIVING VACCINE . STARTED TO SWEAT . EPIPEN WAS ADMINISTERED AND PARIENT SLOWLY RETURNED TO NORMAL. PATIENT STATED THAT THEY HAVE REACTION TO INJECTIONS OR NEEDLES AND IT HAS HAPPENED BEFORE AND CONSIDERS IT PSYCOLOGICAL.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site erythema, Injection site pain
Clinical narrative: Pain, redness, swelling, rash and knot at injection site, 102.6 fever, tiredness, muscle pain, chills, nausea and headache.  The arm pain, swelling and rash took 7 days to resolve.  All other symptoms resolved 24-48 hours later with NSAID pain reliever.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Injection site swelling, Myalgia, Nausea, Pyrexia
Clinical narrative: Pain, redness, swelling, rash and knot at injection site, 102.6 fever, tiredness, muscle pain, chills, nausea and headache.  The arm pain, swelling and rash took 7 days to resolve.  All other symptoms resolved 24-48 hours later with NSAID pain reliever.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Pain, Product administered to patient of inappropriate age
Clinical narrative: Too young.  Mom reports child experienced body aches and tiredness starting the evening after getting vaccinated and ending the afternoon the day after vaccination.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Vaccination site pain, Vaccination site swelling
Clinical narrative: Severe pain in the left arm where vaccine was taken  Swelling at the vaccine site  Redness at the vaccine site
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Asthma, Body temperature increased, Cough
Clinical narrative: Hypertension, Tachycardia, Febrile (over 100.4) for 18 days, chills, severe systemic muscle & joint pain, burning pain, golf ball size lymph nodes, difficulty breathing, cough, asthma exacerbation, lungs sounds - wheezing, productive cough,  fatigue, flushing face (magenta colored), severe weakness, lethargy, mild peripheral edema, dizziness, decreased urine output, diarrhea, painful injection site, nausea, change in dreams.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dizziness, Dyspnoea, Dysuria, Fatigue
Clinical narrative: Hypertension, Tachycardia, Febrile (over 100.4) for 18 days, chills, severe systemic muscle & joint pain, burning pain, golf ball size lymph nodes, difficulty breathing, cough, asthma exacerbation, lungs sounds - wheezing, productive cough,  fatigue, flushing face (magenta colored), severe weakness, lethargy, mild peripheral edema, dizziness, decreased urine output, diarrhea, painful injection site, nausea, change in dreams.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Hypertension, Injection site pain, Lethargy, Lymphadenopathy
Clinical narrative: Hypertension, Tachycardia, Febrile (over 100.4) for 18 days, chills, severe systemic muscle & joint pain, burning pain, golf ball size lymph nodes, difficulty breathing, cough, asthma exacerbation, lungs sounds - wheezing, productive cough,  fatigue, flushing face (magenta colored), severe weakness, lethargy, mild peripheral edema, dizziness, decreased urine output, diarrhea, painful injection site, nausea, change in dreams.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Oedema peripheral, Pain, Productive cough
Clinical narrative: Hypertension, Tachycardia, Febrile (over 100.4) for 18 days, chills, severe systemic muscle & joint pain, burning pain, golf ball size lymph nodes, difficulty breathing, cough, asthma exacerbation, lungs sounds - wheezing, productive cough,  fatigue, flushing face (magenta colored), severe weakness, lethargy, mild peripheral edema, dizziness, decreased urine output, diarrhea, painful injection site, nausea, change in dreams.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Wheezing
Clinical narrative: Hypertension, Tachycardia, Febrile (over 100.4) for 18 days, chills, severe systemic muscle & joint pain, burning pain, golf ball size lymph nodes, difficulty breathing, cough, asthma exacerbation, lungs sounds - wheezing, productive cough,  fatigue, flushing face (magenta colored), severe weakness, lethargy, mild peripheral edema, dizziness, decreased urine output, diarrhea, painful injection site, nausea, change in dreams.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Blood pressure fluctuation, Headache
Clinical narrative: Patient had headache, balance issues, and erratic blood pressure
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Thrombocytopenic purpura
Clinical narrative: apparent vaccine-induced thrombocytopenia purpura covering 80% of body. No other adverse effect - no fever, good 02.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: Bumpy, red rash covering shoulders, upper back, and part of chest. Some bumps are like small pimples. This showed up 2 days after vaccination. It is so what itchy but not terribly so.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: tinnitus 1 week after pfizer vaccine for covid
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Pruritus
Clinical narrative: Tingling sensation in extremities and mild itching on right flank; symptoms began approx. 20 minutes after vaccinates and self-resolved after 5 minutes without medication administration
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Blood creatinine increased, Blood glucose increased, Blood potassium increased, Chest X-ray normal
Clinical narrative: Pt describes feeling unwell that night, nausea and vomiting next day, general body aches, hypothermic, 3 days later seen in ED, hypotension, septic shock, and DKA/AKI. Also noted to have mild prominence of right oropharyngeal well with normal epiglottis and larynx on CT. There is noted uvular edema of unknown etiology
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram neck, Culture throat negative, Diabetic ketoacidosis, Differential white blood cell count abnormal, Full blood count
Clinical narrative: Pt describes feeling unwell that night, nausea and vomiting next day, general body aches, hypothermic, 3 days later seen in ED, hypotension, septic shock, and DKA/AKI. Also noted to have mild prominence of right oropharyngeal well with normal epiglottis and larynx on CT. There is noted uvular edema of unknown etiology
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Hypothermia, Malaise, Nausea, Pain
Clinical narrative: Pt describes feeling unwell that night, nausea and vomiting next day, general body aches, hypothermic, 3 days later seen in ED, hypotension, septic shock, and DKA/AKI. Also noted to have mild prominence of right oropharyngeal well with normal epiglottis and larynx on CT. There is noted uvular edema of unknown etiology
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory viral panel, SARS-CoV-2 test negative, Septic shock, Staphylococcal infection, Ultrasound abdomen normal
Clinical narrative: Pt describes feeling unwell that night, nausea and vomiting next day, general body aches, hypothermic, 3 days later seen in ED, hypotension, septic shock, and DKA/AKI. Also noted to have mild prominence of right oropharyngeal well with normal epiglottis and larynx on CT. There is noted uvular edema of unknown etiology
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting, White blood cell count increased
Clinical narrative: Pt describes feeling unwell that night, nausea and vomiting next day, general body aches, hypothermic, 3 days later seen in ED, hypotension, septic shock, and DKA/AKI. Also noted to have mild prominence of right oropharyngeal well with normal epiglottis and larynx on CT. There is noted uvular edema of unknown etiology
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, SARS-CoV-2 test positive
Clinical narrative: patient states she received Moderna Vaccine for COVID 2/17/21 and 3/5/21 and then tested positive for COVID 4/22/21- admitted to hospital 4/27/21 for treatment of COVID Pneumonia
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Chest discomfort, Lymphadenopathy
Clinical narrative: swollen node, extreme pain in my left armpit, some pressure in my chest as a result of the pain in armpit area
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Inflammation, Joint swelling, Pain in extremity, Peripheral swelling
Clinical narrative: Inflammation, pain an swelling in my feet, toes, bottom of my feet, knees , Hands, thumb finger etc. and joints.  In the fleshy part of my body.  Mostly on the Right side.   I did not have this before and I. work out and do yoga often.   I AM STILL HAVING PAIN.  Have been seeing my GP  Dr.  and my orthopedic Dr..  tomorrow I will be seeing and rheumatoid doctor subject by orthopedic PCP.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: After the first vaccine I had a soreness in the arm that I got the vaccine in. At first it was sore for a few days and then it was sore with pressure. I have problems with external rotation. I still have symptoms and I cannot reach back. I can?t lay on that arm at night. It has been four months since my shot and my arm is still affected. It seems to a problem with my Deltoid Muscle.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Pain in extremity, Paraesthesia
Clinical narrative: He got the vaccine, and his arm was sore.  Before his arm got sore a few hours after that suddenly it was harder and harder to breath.  He was trying to lie down and go to sleep and couldn't breath, and progressively it got worse.  He did check his pulse and other VS and they were not unusual.   Yesterday it was worse, tingling in his hands and felt like they were asleep.  He was about to go to the ER and was out of breath while lying down and trying to rest.  Today, 5/4/21 his symptoms have totally subsided.  He took  tablets for your immune system.  Did not have any chills or anything else other than the arm pain and the shortness of breath.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Diverticulum intestinal haemorrhagic, Gastritis, Haemoglobin decreased, Influenza A virus test negative
Clinical narrative: 4/13/21 Patient presented to ED with LGI bleed. She had a positive screening test on admission. Daughter requested repeat testing which was also positive Hematochezia Likely diverticular bleed in the setting of Eliquis -Approximately 3 episodes of BRBPR with possible episodes of melena -Remains hemodynamically stable, Hgb 13.5-- > 9.0 -Held Eliquis on arrival -GI consulted -EGD done 4/14 with mild gastritis but no etiology of bleeding or old blood, suspect likely self-limited diverticular bleed; patient has had no further bloody bowel movements -Hemoglobin 10.9 on day of discharge, we are stopping Eliquis as below, patient and patient's daughter to follow-up with cardiology prior to resuming   COVID-19 positive -Patient asymptomatic, incidentally tested positive, previously received 2 doses of Pfizer vaccine > 1 month ago  -Positive COVID-19 on 4/13/2021, daughter requesting recheck, remains +
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza B virus test, Lower gastrointestinal haemorrhage, SARS-CoV-2 test positive
Clinical narrative: 4/13/21 Patient presented to ED with LGI bleed. She had a positive screening test on admission. Daughter requested repeat testing which was also positive Hematochezia Likely diverticular bleed in the setting of Eliquis -Approximately 3 episodes of BRBPR with possible episodes of melena -Remains hemodynamically stable, Hgb 13.5-- > 9.0 -Held Eliquis on arrival -GI consulted -EGD done 4/14 with mild gastritis but no etiology of bleeding or old blood, suspect likely self-limited diverticular bleed; patient has had no further bloody bowel movements -Hemoglobin 10.9 on day of discharge, we are stopping Eliquis as below, patient and patient's daughter to follow-up with cardiology prior to resuming   COVID-19 positive -Patient asymptomatic, incidentally tested positive, previously received 2 doses of Pfizer vaccine > 1 month ago  -Positive COVID-19 on 4/13/2021, daughter requesting recheck, remains +
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Induration, International normalised ratio increased, Oedema peripheral, Ultrasound scan normal
Clinical narrative: 3 days after vaccination, patient had edema in legs, excessive bruising (9 spots) in legs, knots in forearms (5 total, one 9cm in diameter and one smaller), one knot initiated in wrist and moved upward on forearm; patient consulted with cardiologist who referred her to ER on April 28, 2021.  Patient has not experienced shortness of breath or difficulty breathing.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac arrest
Clinical narrative: patient went into cardiac arrest three times
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Intestinal obstruction, Vomiting
Clinical narrative: 72 hours after Pfizer vaccine Adverse reaction and was admitted to hospital with intestinal obstruction. Symptoms: vomiting, abdominal pain/cramping, decreased output from colostomy
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Rash, Rash erythematous, Rash vesicular
Clinical narrative: Received COVID vaccine on 10Apr2021 and on approx 27Apr2021 developed 2 vesicular rashes on left finger.  On 02May2021, continued to develop rashes on back of neck (left side), 2 more vesicular pimples (l finger), 2 on L wrist and red rash under L breast .  Diagnosed with shingles.  No pre-existing auto immune disease or any pre existing conditions.  Treated with valacyclovir HCL 1 gram 1 tab 3xs/day for 7 days.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Pain in extremity, Paraesthesia
Clinical narrative: Patient experienced a very painful arm, followed by tingling and numbness that traveled down arm and into hand
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: Patient passed out
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, Cough, SARS-CoV-2 test
Clinical narrative: COUGH
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein increased, Chest X-ray normal, Chest pain, Electrocardiogram normal, Fatigue
Clinical narrative: Concern for Vaccine induced Myocarditis. Fever 101, headache,  started 12 hours after vaccine dose #2. 48 hours after vaccine,  severe substernal chest pain with left arm radiation, fatigue required emergency visit to ER to rule out Myocarditis. Patient is currently being watched for myocarditis development in this young male.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pain, Pain in extremity, Pyrexia, SARS-CoV-2 antibody test negative
Clinical narrative: Concern for Vaccine induced Myocarditis. Fever 101, headache,  started 12 hours after vaccine dose #2. 48 hours after vaccine,  severe substernal chest pain with left arm radiation, fatigue required emergency visit to ER to rule out Myocarditis. Patient is currently being watched for myocarditis development in this young male.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Troponin T increased
Clinical narrative: Concern for Vaccine induced Myocarditis. Fever 101, headache,  started 12 hours after vaccine dose #2. 48 hours after vaccine,  severe substernal chest pain with left arm radiation, fatigue required emergency visit to ER to rule out Myocarditis. Patient is currently being watched for myocarditis development in this young male.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Angioedema, Dyspnoea, Headache, Pain in extremity, Periorbital oedema
Clinical narrative: Severe arm pain,  headache, swollen cheeks, periorbital rash, lip angioedema, and shortness of breath all within 1 hour of receiving the vaccine
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: Severe arm pain,  headache, swollen cheeks, periorbital rash, lip angioedema, and shortness of breath all within 1 hour of receiving the vaccine
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Light headedness and dizziness
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Food intolerance, Vomiting
Clinical narrative: Uncontrollable vomiting, unable to stomach food and water for 7+ hours, multiple episodes of vomiting even on an empty stomach, called telehealth and was prescribed Zofran, which stopped the vomiting .
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Heavy menstrual bleeding, Menstruation delayed, Menstruation irregular
Clinical narrative: My period was delayed in starting/started about 7 days late and then I had menstrual bleeding for 18 days that was very heavy. This is very irregular for me.   I did also have a fever of 102.9, myalgias, chills, and joint pain on 3/31-4/1/21 right after receiving the vaccine
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia
Clinical narrative: My period was delayed in starting/started about 7 days late and then I had menstrual bleeding for 18 days that was very heavy. This is very irregular for me.   I did also have a fever of 102.9, myalgias, chills, and joint pain on 3/31-4/1/21 right after receiving the vaccine
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Body temperature increased, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Presented to ED on 4/23/21 with weakness, malaise, poor appetite and nausea; elevated temperature, tachycardia, lactic acidosis, chest XRAY patchy infiltrates.  COVID test positive. Respiratory failure and COVID19 pneumonia. Patient referred to hospice.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Lactic acidosis, Lung infiltration, Malaise, Nausea
Clinical narrative: Presented to ED on 4/23/21 with weakness, malaise, poor appetite and nausea; elevated temperature, tachycardia, lactic acidosis, chest XRAY patchy infiltrates.  COVID test positive. Respiratory failure and COVID19 pneumonia. Patient referred to hospice.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory failure, SARS-CoV-2 test positive, Tachycardia
Clinical narrative: Presented to ED on 4/23/21 with weakness, malaise, poor appetite and nausea; elevated temperature, tachycardia, lactic acidosis, chest XRAY patchy infiltrates.  COVID test positive. Respiratory failure and COVID19 pneumonia. Patient referred to hospice.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Diarrhoea, Dyspnoea, Headache
Clinical narrative: the night of 4/30/21 started to get a slight fever of 100.5. at 2:00am on 5/1/21 i woke straight up with bodyaches, fever of 102.8, headache, nausea, vomited x 3 times, SOB,  diarrhea, chills which all lasted till sunday 5/2/21. on 5/2/21 the area of the injection started to itchy, be painful and the become red and swollen with heat, the injection site to this day on 5/4/21 the redness of the site getting bigger and itching and painful more and going up my left shoulder area.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: the night of 4/30/21 started to get a slight fever of 100.5. at 2:00am on 5/1/21 i woke straight up with bodyaches, fever of 102.8, headache, nausea, vomited x 3 times, SOB,  diarrhea, chills which all lasted till sunday 5/2/21. on 5/2/21 the area of the injection started to itchy, be painful and the become red and swollen with heat, the injection site to this day on 5/4/21 the redness of the site getting bigger and itching and painful more and going up my left shoulder area.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Sleep disorder, Vomiting
Clinical narrative: the night of 4/30/21 started to get a slight fever of 100.5. at 2:00am on 5/1/21 i woke straight up with bodyaches, fever of 102.8, headache, nausea, vomited x 3 times, SOB,  diarrhea, chills which all lasted till sunday 5/2/21. on 5/2/21 the area of the injection started to itchy, be painful and the become red and swollen with heat, the injection site to this day on 5/4/21 the redness of the site getting bigger and itching and painful more and going up my left shoulder area.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site rash, Pain, Rash erythematous
Clinical narrative: Patient stated she received first Moderna vaccine on 4/22, next day  was tired and sore.  She stated those side effects went away but last Friday she got a red rash on arm that  injection was given in . She denies any other symptoms.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Loss of consciousness
Clinical narrative: Less than 15 mins after having the shot, I had passed out. This was Wednesday. On Sunday morning I got the worst headache I have ever had. Acetaminophen  didn't do anything to alleviate the pain. It was debilitating. Took Motrin, 2-200 mgs. finally got some relief. The pain lasted the rest of the day. Monday it came back just after lunch. Pooped more Motrin, better. Tuesday just before dinner it came back. More Motrin. That was the last of that headache, just very worn out, tired the rest of the week.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Loss of personal independence in daily activities, Mobility decreased, Myalgia, Neck pain
Clinical narrative: Janssen COVID-19 Vaccine EUA: patient reports severe muscle pain during clinic visit for underlying medical condition 22 days after vaccination.  Pain is at injection site and through entire arm into hand and neck. The patient reports they are limited in activities of daily living, especially when they need to raise their arm. Patient denies numbness and weakness and is following up with a physical rehabilitation provider.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Janssen COVID-19 Vaccine EUA: patient reports severe muscle pain during clinic visit for underlying medical condition 22 days after vaccination.  Pain is at injection site and through entire arm into hand and neck. The patient reports they are limited in activities of daily living, especially when they need to raise their arm. Patient denies numbness and weakness and is following up with a physical rehabilitation provider.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: client completes 15 min observation wait , c/o of N/ dizziness and lightheadness to nurse. Ems and doctor paged to observation site. VS taken 02- 97% BP- 116/81 Hr 67. Client states improvement in condition after a few min. client was advise to wait an additional 20 min and to drink lots of fluid. Client leaves site 11:56 AOX4 ambulating and states he feels 100percent better
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pain, Rash, Rash pruritic
Clinical narrative: After 18 hours I ( patient) had normal chill/body pain which went away in another 12 hours. However after 70 hours of vaccination, approximately at around 6pm on May 3rd, I have sever rash all over the body. I tried Benadryl and other ani histamines such as Zyrtech / Claritin and saw no remission. At 9am on May 4th, I went to the urgent care where I was given steroids (merit). As of May 4th noon - I still have the rashes. The rashes are red spot all over the body. they are itchy. I do not have any weakness or swollen mouth etc.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Dermatitis, Erythema, Pain of skin
Clinical narrative: INflammation, severe pain, redness, and continued yet after two month
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Ringing in ears
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Disorientation, Dizziness, Dyspnoea, Hyperhidrosis, Hypotension
Clinical narrative: Patient received first dose of Pfizer COVID-19 vaccine. Patient's husband alerted staff that patient was feeling lightheaded. When provider approached pt she was unresponsive, spastic with obstructed breathing and diaphoretic. Patient lowered to floor supine with knees elevated and regained consciousness after a total of roughly 45 seconds. Patient was not oriented to place. Patient became unconscious again for roughly 15 seconds and became alert with the use of smelling salts. Patient and husband endorsed history of syncopal episodes with prior vaccines. Patient endorsed anxiety surrounding vaccine administration. Patient denied any medical history aside from anxiety and specifically denied neuro history of seizures or pseudo-seizures. EMS was called immediately upon finding patient spastic with obstructed breathing. Patients pulse and O2 saturation were within normal limits for the entire episode. Her blood pressure was low with a systolic in the 90s initially, but increased to roughly 115 prior to EMS arrival. Patient remained alert and oriented x3. She was evaluated by EMS and taken to the hospital for further workup for possible seizure activity.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasticity, Unresponsive to stimuli
Clinical narrative: Patient received first dose of Pfizer COVID-19 vaccine. Patient's husband alerted staff that patient was feeling lightheaded. When provider approached pt she was unresponsive, spastic with obstructed breathing and diaphoretic. Patient lowered to floor supine with knees elevated and regained consciousness after a total of roughly 45 seconds. Patient was not oriented to place. Patient became unconscious again for roughly 15 seconds and became alert with the use of smelling salts. Patient and husband endorsed history of syncopal episodes with prior vaccines. Patient endorsed anxiety surrounding vaccine administration. Patient denied any medical history aside from anxiety and specifically denied neuro history of seizures or pseudo-seizures. EMS was called immediately upon finding patient spastic with obstructed breathing. Patients pulse and O2 saturation were within normal limits for the entire episode. Her blood pressure was low with a systolic in the 90s initially, but increased to roughly 115 prior to EMS arrival. Patient remained alert and oriented x3. She was evaluated by EMS and taken to the hospital for further workup for possible seizure activity.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chills, Muscle tightness, Pyrexia, Tension headache
Clinical narrative: Fever, chills, eventual hospital/ED visit. Consistent neck/head tightness
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Urine analysis
Clinical narrative: Fever, chills, eventual hospital/ED visit. Consistent neck/head tightness
Age: 16.0
Sex: U
Vaccine: COVID19
Symptoms: Echocardiogram normal, Electrocardiogram normal, Myocarditis, Troponin increased
Clinical narrative: The patient developed acute perimyocarditis 2 days following Covid-19 vaccination. Ultimately this was mild, with recovery with NSAIDs alone.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Patient's mother called 5/3/21 to let us know that patient still has a bump at injection site, redness, warm to the touch and soreness. Patient was directed to use OTC meds and follow up with PCP
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Computerised tomogram thorax, Dyspnoea, Fatigue
Clinical narrative: shortness of breath, fatigue
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Ear discomfort, Migraine, Nausea
Clinical narrative: The first shot I was dizzy, ran a fever, nausea and chills for 36 hours- moderate to sick. But the second shot I was violently sick with fever, migraine, nausea, chills and extreme dizziness. I am still very dizzy and have an issue with my left ear blocking. I feel as if I have permanent sea sickness.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: The first shot I was dizzy, ran a fever, nausea and chills for 36 hours- moderate to sick. But the second shot I was violently sick with fever, migraine, nausea, chills and extreme dizziness. I am still very dizzy and have an issue with my left ear blocking. I feel as if I have permanent sea sickness.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstrual disorder
Clinical narrative: 1st shot on 3/23/21; had period on 3/28/21 (first one in five months so thought it odd since assumed was menopausal); 2nd shot on 4/14/21; had period on 4/21/21 (again thought was menopausal so found this very disconcerting. Also, this second period was much more heavy and lasted longer than the one previous month). I didn?t assume the periods were related to the COVID shots until I saw an article about other women reporting same.  Just wanted to share this in case it turns out to be related to COVID vaccination.  Will wait to see if I have another period in May, since no more shots.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Syncope
Clinical narrative: Patient had a syncopal event from chair to floor. He fell off the chair prone. Patient had no signs of distress prior to event. Medical emergency was called and patient was transported to ED for further evaluation and observation.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Erythema, Laboratory test, Pain in extremity, Peripheral swelling
Clinical narrative: right leg: sore, pinkish, swelling, puffiness, sore walking and climbing steps dr. visit, on March, sent to ER for ultrasound, admitted to ER for visit and tests Deep Vein Thrombosis in right leg and superficial blood clots in right leg diagnosed eliquis prescribed for 3 months
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan
Clinical narrative: right leg: sore, pinkish, swelling, puffiness, sore walking and climbing steps dr. visit, on March, sent to ER for ultrasound, admitted to ER for visit and tests Deep Vein Thrombosis in right leg and superficial blood clots in right leg diagnosed eliquis prescribed for 3 months
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: patient passed away before second dose
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased
Clinical narrative: Patient calls with what she states is a difficult to raise arm issue
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Amnesia, Cognitive disorder, Computerised tomogram normal, Condition aggravated, Echocardiogram normal
Clinical narrative: Six days after receiving the Pfizer vaccine, patients developed transient ischemic attacks.  Had a full evaluation at Medicine Center.  Work up negative and symptoms resolved; atorvastin dose was doubled.  He has had some short term memory loss and decrease in neurocognitive function.  He had the second dose of the vaccine as scheduled, following which he had a severe unilateral headache but he did not seek care/evaluation.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram ambulatory normal, Headache, Transient ischaemic attack
Clinical narrative: Six days after receiving the Pfizer vaccine, patients developed transient ischemic attacks.  Had a full evaluation at Medicine Center.  Work up negative and symptoms resolved; atorvastin dose was doubled.  He has had some short term memory loss and decrease in neurocognitive function.  He had the second dose of the vaccine as scheduled, following which he had a severe unilateral headache but he did not seek care/evaluation.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Depression, Suicidal ideation
Clinical narrative: Suicide ideation and a severe depressive episode that has been hard to break out of.
Age: 60.0
Sex: F
Vaccine: UNK
Symptoms: Influenza like illness, Injection site rash, Pyrexia, Rash erythematous
Clinical narrative: 12 hours after the shot I was sick with flu like symptoms and fever for about 30 hours.  Then I developed a localized red rash around the injections site that is about 5 '' by 4''
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy bone marrow abnormal, Bone marrow failure, Escherichia bacteraemia, Mucosal inflammation, Neutropenia
Clinical narrative: Patient presented with mucositis, lower extremity rash, and pancytopenia WBC 0.41, ANC 0.25, Plt 39. CBC on 3/4 with WBC 10 and Plt 254. BM biopsy hypocellular marrow with trilineage hypoplasia.  2 days after admission patient developed e. coli bacteremia from neutropenia.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Neutrophil count decreased, Pancytopenia, Platelet disorder, Rash, White blood cell disorder
Clinical narrative: Patient presented with mucositis, lower extremity rash, and pancytopenia WBC 0.41, ANC 0.25, Plt 39. CBC on 3/4 with WBC 10 and Plt 254. BM biopsy hypocellular marrow with trilineage hypoplasia.  2 days after admission patient developed e. coli bacteremia from neutropenia.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Patient called office and reported being seen at Urgent Care 5/3/21 for severe case of shingles
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chills, Dizziness, Dysphagia, Electrocardiogram
Clinical narrative: A few minutes after I had difficulty swallowing, heart was pounding and dizziness.  Symptoms got better after sitting and waiting 20 minutes.  That night into the next day I had a fever, aches and chills, nausea, headache and fatigue.  Once that passed I had three days(Tuesday-Thursday) of random moments of heart palpitations.  I also had some minor headaches and some fatigue.  On Thursday 4/29 I went to  doctors care after having heart palpitations a couple of hours apart in the morning.  They said everything seemed fine and to rest.  On 4/30 and 5/1 I was slightly fatigued and had a tightness in my chest.  On 5/2 and 5/3 I only had some fatigue and a headache. I went to a primary care doctor 5/4. My blood pressure was slightly on the high side.  Other than that everything seemed fine.  I also had some dizziness in the afternoon that day.  Each day seems a little better but still just working through the symptoms.  Before the vaccine on 4/25 I was feeling very well and I have never had any heart palpitations in the past.  I am 5'4 130lbs and a overall very healthy person.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Hypertension, Nausea, Pain
Clinical narrative: A few minutes after I had difficulty swallowing, heart was pounding and dizziness.  Symptoms got better after sitting and waiting 20 minutes.  That night into the next day I had a fever, aches and chills, nausea, headache and fatigue.  Once that passed I had three days(Tuesday-Thursday) of random moments of heart palpitations.  I also had some minor headaches and some fatigue.  On Thursday 4/29 I went to  doctors care after having heart palpitations a couple of hours apart in the morning.  They said everything seemed fine and to rest.  On 4/30 and 5/1 I was slightly fatigued and had a tightness in my chest.  On 5/2 and 5/3 I only had some fatigue and a headache. I went to a primary care doctor 5/4. My blood pressure was slightly on the high side.  Other than that everything seemed fine.  I also had some dizziness in the afternoon that day.  Each day seems a little better but still just working through the symptoms.  Before the vaccine on 4/25 I was feeling very well and I have never had any heart palpitations in the past.  I am 5'4 130lbs and a overall very healthy person.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Pyrexia
Clinical narrative: A few minutes after I had difficulty swallowing, heart was pounding and dizziness.  Symptoms got better after sitting and waiting 20 minutes.  That night into the next day I had a fever, aches and chills, nausea, headache and fatigue.  Once that passed I had three days(Tuesday-Thursday) of random moments of heart palpitations.  I also had some minor headaches and some fatigue.  On Thursday 4/29 I went to  doctors care after having heart palpitations a couple of hours apart in the morning.  They said everything seemed fine and to rest.  On 4/30 and 5/1 I was slightly fatigued and had a tightness in my chest.  On 5/2 and 5/3 I only had some fatigue and a headache. I went to a primary care doctor 5/4. My blood pressure was slightly on the high side.  Other than that everything seemed fine.  I also had some dizziness in the afternoon that day.  Each day seems a little better but still just working through the symptoms.  Before the vaccine on 4/25 I was feeling very well and I have never had any heart palpitations in the past.  I am 5'4 130lbs and a overall very healthy person.