chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Fibrin D dimer increased, Joint swelling, Knee arthroplasty
Clinical narrative: Patient is COVID + on 11/4/2021.  Admission dx with cough, malaise and fatigue,  Increased weakness when ambulating.  Pain and swelling of the right knee.  71-year-old female, significant for past medical history for osteoarthritis, status post right knee arthroplasty, which was done on 10/16, presented due to complaint of right knee pain.  D dimer 3185--2091-downtrended--continue with aspirin BID and close PCP follow up  Negative DVT, Negative CT PE---no evidence of pulmonary embolism.  started on Lovenox.  No indications for Decadron, no remdesivir. Pt discharged.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, SARS-CoV-2 test positive
Clinical narrative: Patient is COVID + on 11/4/2021.  Admission dx with cough, malaise and fatigue,  Increased weakness when ambulating.  Pain and swelling of the right knee.  71-year-old female, significant for past medical history for osteoarthritis, status post right knee arthroplasty, which was done on 10/16, presented due to complaint of right knee pain.  D dimer 3185--2091-downtrended--continue with aspirin BID and close PCP follow up  Negative DVT, Negative CT PE---no evidence of pulmonary embolism.  started on Lovenox.  No indications for Decadron, no remdesivir. Pt discharged.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: joint pain
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site pain
Clinical narrative: I had very little  reaction initially, but over the following months I get an ache at random times at the injection site that continues to this day. It?s as if someone has punched me there with their knuckle.  The ache seems to be more consistent in the morning but can appear at any time of day as I move my arm.  Sometimes many days will pass before I feel the ache again. It is not a sharp pain (scale of 5) but still there after all these months, which has made me hesitant to get the booster.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Chills, Computerised tomogram normal, Dyspnoea, Fatigue
Clinical narrative: For 8 days after vaccination I had the usual fever, body aches, chills and fatigue. Then suddenly I started having pain down my left arm and into the front of my armpit. I was concerned of cardiac arrest. I was having trouble with my breathing but not short of breath. It was like I could not catch my breath like I could not fill my lungs full.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: For 8 days after vaccination I had the usual fever, body aches, chills and fatigue. Then suddenly I started having pain down my left arm and into the front of my armpit. I was concerned of cardiac arrest. I was having trouble with my breathing but not short of breath. It was like I could not catch my breath like I could not fill my lungs full.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Administered 0.5ml instead of the 0.25ml dose. Patient is not aware of the error and never reported any side effects or adverse reactions.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Back pain, Chest pain, Discomfort, Dyspnoea, Inflammation
Clinical narrative: After the booster shot, very bad back pains started the second day after and are still present, but are not as bad as when they started. It effected my life greatly. Then, on Jan. 2nd, chest pains and shortness of breath began. I thought maybe I slept wrong or something but the next few days it worsened to the point of needing to go to the doctor immediately. I took a Covid test prior to going in, it was negative. I then went to Urgent Care to find some answers and get help. The doctors and nurses were great and saw me right away. All of my vitals were normal - good but still puzzling. Then the doctor assessed me. I had no cough or sickness, no injury, I hadn't been exercising vigorously, no indigestion. I am too young for a heart attack. The doctor ruled out is was Costochondritis. The cartilage is irritated and inflamed between the ribs causing painful breathing and pressure. I was given a 5 day prescription of Prednisone, 20 mg twice a day. If it doesn't subside, then we will do x-rays to see if there is a blood clot. I asked the doctor if it could be a side effect of the booster shot since I just had it 12 days prior, they said they didn't think it was that. I don't believe that. Very strange this is happening. The only thing different is I had the shot.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Loss of personal independence in daily activities
Clinical narrative: After the booster shot, very bad back pains started the second day after and are still present, but are not as bad as when they started. It effected my life greatly. Then, on Jan. 2nd, chest pains and shortness of breath began. I thought maybe I slept wrong or something but the next few days it worsened to the point of needing to go to the doctor immediately. I took a Covid test prior to going in, it was negative. I then went to Urgent Care to find some answers and get help. The doctors and nurses were great and saw me right away. All of my vitals were normal - good but still puzzling. Then the doctor assessed me. I had no cough or sickness, no injury, I hadn't been exercising vigorously, no indigestion. I am too young for a heart attack. The doctor ruled out is was Costochondritis. The cartilage is irritated and inflamed between the ribs causing painful breathing and pressure. I was given a 5 day prescription of Prednisone, 20 mg twice a day. If it doesn't subside, then we will do x-rays to see if there is a blood clot. I asked the doctor if it could be a side effect of the booster shot since I just had it 12 days prior, they said they didn't think it was that. I don't believe that. Very strange this is happening. The only thing different is I had the shot.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Ageusia, Anosmia, Chills, Cough, Diarrhoea
Clinical narrative: headache, congestion, nonproductive cough, chills, shortness of breath (mild, hx of asthma, has been using albuterol which has been helpful), body aches, loss of taste, loss of smell, diarrhea, ear pain, post nasal drainage. starting 12/30/21
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea, Ear pain, Headache, Pain, Respiratory tract congestion
Clinical narrative: headache, congestion, nonproductive cough, chills, shortness of breath (mild, hx of asthma, has been using albuterol which has been helpful), body aches, loss of taste, loss of smell, diarrhea, ear pain, post nasal drainage. starting 12/30/21
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Upper-airway cough syndrome
Clinical narrative: headache, congestion, nonproductive cough, chills, shortness of breath (mild, hx of asthma, has been using albuterol which has been helpful), body aches, loss of taste, loss of smell, diarrhea, ear pain, post nasal drainage. starting 12/30/21
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Body temperature increased, Chills, Fatigue, Headache
Clinical narrative: Fatigue, all over body aches, headache, fever, chills, 101-102 temp, blood pressure raised above normal, rapid heartbeat.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Pain, Pyrexia
Clinical narrative: Fatigue, all over body aches, headache, fever, chills, 101-102 temp, blood pressure raised above normal, rapid heartbeat.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Cholecystitis, Cholelithiasis, Computerised tomogram abdomen abnormal, SARS-CoV-2 test positive
Clinical narrative: Presented to ED on 12/29/21 and found to be COVID positive. Received pfizer on 09/02/21 and 09/25/21. ER with complaints of vomiting for the past day.  Patient had a CT scan of his abdomen done which revealed cholecystitis so an ultrasound was done which confirmed cholecystitis with small gallstones. Patient denies any abdominal pain.  Denies any fevers or chills.   Patient also incidentally tested positive for COVID. He was asymptomatic. Admitted for cholecystitis not COVID. Discharged on 12/31/21
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound abdomen abnormal, Vomiting
Clinical narrative: Presented to ED on 12/29/21 and found to be COVID positive. Received pfizer on 09/02/21 and 09/25/21. ER with complaints of vomiting for the past day.  Patient had a CT scan of his abdomen done which revealed cholecystitis so an ultrasound was done which confirmed cholecystitis with small gallstones. Patient denies any abdominal pain.  Denies any fevers or chills.   Patient also incidentally tested positive for COVID. He was asymptomatic. Admitted for cholecystitis not COVID. Discharged on 12/31/21
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Depressed level of consciousness, Hyporesponsive to stimuli, Loss of consciousness
Clinical narrative: 12/27/2021: Event occurred after 2nd vaccine.  Patient presents with decreased responsiveness.  History obtained from EMS as patient is not responding to verbal stimuli right now, they were apparently called for a decreased level consciousness, mother unable to wake patient up, per the mother the patient did not have any equipment to measure her blood sugar at home so had just been taking ad lib. doses of her Lantus.  01/05/2022: remains in house.- day 10
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Lung opacity, SARS-CoV-2 test positive, Unresponsive to stimuli
Clinical narrative: 12/27/2021: Event occurred after 2nd vaccine.  Patient presents with decreased responsiveness.  History obtained from EMS as patient is not responding to verbal stimuli right now, they were apparently called for a decreased level consciousness, mother unable to wake patient up, per the mother the patient did not have any equipment to measure her blood sugar at home so had just been taking ad lib. doses of her Lantus.  01/05/2022: remains in house.- day 10
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: 12/27/2021: Event occurred after 2nd vaccine.  Patient presents with decreased responsiveness.  History obtained from EMS as patient is not responding to verbal stimuli right now, they were apparently called for a decreased level consciousness, mother unable to wake patient up, per the mother the patient did not have any equipment to measure her blood sugar at home so had just been taking ad lib. doses of her Lantus.  01/05/2022: remains in house.- day 10
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain in extremity, Pharyngeal swelling, Pruritus, Rash
Clinical narrative: Severe Rash/Hives - Head causing secretions from hair to matte hair, Neck, Upper Thighs on Back and Lower Hips, Under each arm, Both Groins, Genital Area. Then hands and feet started itching uncontrollably.  Left Arm hurt Throat hurt like it was too big for the area
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Secretion discharge, Urticaria
Clinical narrative: Severe Rash/Hives - Head causing secretions from hair to matte hair, Neck, Upper Thighs on Back and Lower Hips, Under each arm, Both Groins, Genital Area. Then hands and feet started itching uncontrollably.  Left Arm hurt Throat hurt like it was too big for the area
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pt presented to clinic for scheduled appointment to receive the Moderna booster shot. Pt well appearing NAD. Pt completed prescreen/immunization forms. All questions/concerns addressed. Pt tolerated vaccine shot well, no s/s rxn noted. After administration of this vaccine it was noted that this particular vial lot had expired 10/29/2021 and was not extended per Moderna list of extended lots. Moderna company contacted ASAP and their medical team will be in touch with our clinic to let us know what to do next in this situation. The patient has also been notified, no questions or concerns at this time- pt instructed to call clinic if any questions or concerns come up. Dr.  notified as well.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased
Clinical narrative: received vaccine 6/22/2021. Admitted to the Hospital 12/31/2021 for evaluation of stroke.  Found to have elevated blood pressure and no stroke.  Never developed symptoms of COVID. Discharged 1/3/2022 to home from hospital.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Extra dose administered
Clinical narrative: Patient received a 3rd dose of Shingrix from us on 8/4/2021. When she went to another pharmacy for her 4th dose, they notified us to let us know that she had already completed the course from a pharmacy 8/28/2020 and another pharmacy 12/02/2020. No issues that we are aware of that arose from the 3rd dose. Advised patient to contact MD if there is anything further that needs to be done.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea, Dizziness, Seizure, Speech disorder
Clinical narrative: Dizziness, seizures type? Absence periods, difficulty speaking due to loss of vocabulary. Difficulty generating sentences or expressing words.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Differential white blood cell count, Full blood count, Metabolic function test, Rash pruritic, Red blood cell sedimentation rate increased
Clinical narrative: Pt received her moderna booster vaccine on 12/17/2021. She was previously vaccinated with moderna vaccines on 3/19/21 and 4/17/21 without incident. On 12/30/2021 she suddenly developed a diffuse, pruritic body rash that has persisted since. She was seen in the office for documentation of this rash on 1/4/2021. The rash involves her trunk, chest, arms and face/neck. It involves multiple, small, papular lesions without crusting, drainage. they are blanchable and non tender but are pruritic. she has no fever. She has never has a rash before. No hx of allergies.  No change in medications, soaps, no recent illness. No other cause to attribute this rash  other than recent vaccination. pt using benadryl and hydrocortisone cream to treat symptoms.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Myocardial infarction
Clinical narrative: Heart Attck
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Chest X-ray normal, Haematuria, Haemorrhage urinary tract, SARS-CoV-2 test positive
Clinical narrative: Received moderna COVID19 vaccine on 02/10/21, 03/15/21, and 12/20/21. Presented to ER on 12/29/21. On the 27th he passed some clots but then had normal urine. Last night he developed gross hematuria. on 12/29/21 it continued to so he came to ER. Asymptomatic COVID. Treated for UTI and hospitalized. Discharged on 1/1/22.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Urinary tract infection
Clinical narrative: Received moderna COVID19 vaccine on 02/10/21, 03/15/21, and 12/20/21. Presented to ER on 12/29/21. On the 27th he passed some clots but then had normal urine. Last night he developed gross hematuria. on 12/29/21 it continued to so he came to ER. Asymptomatic COVID. Treated for UTI and hospitalized. Discharged on 1/1/22.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Cough, Headache, Influenza like illness, Joint stiffness
Clinical narrative: Swollen lymph node- right armpit. No treatment   Cold/flu like symptoms(headache, joint pain/tightness, malaise, sinus congestion, cough). Treat at home/rest.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy, Malaise, Nasopharyngitis, Sinus congestion
Clinical narrative: Swollen lymph node- right armpit. No treatment   Cold/flu like symptoms(headache, joint pain/tightness, malaise, sinus congestion, cough). Treat at home/rest.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthropathy
Clinical narrative: Severe burning in left knee joint. Lasted 6 days. Burning faded, but I am still having problems with knee
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular
Clinical narrative: Menstrual change.  Menstruation started much earlier than typical (22 day cycle), followed by 2 months of late beginnings (38 day cycles). Regular menstruation resumed after 3 cycles.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose increased, Diabetic ketoacidosis, Increased appetite, Lethargy, Pollakiuria
Clinical narrative: Lethargy, increased appetite, increased thirst and urination
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Thirst, Type 1 diabetes mellitus
Clinical narrative: Lethargy, increased appetite, increased thirst and urination
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Metabolic function test, Pruritus, Throat irritation, Urticaria
Clinical narrative: Advised to go to ER: symptoms included hive to face, itching to face an d body and itchy throat  aproximatley 30 minutes after getting Pfizer Vaccine Was prescribed benadryl and prednisone.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: I got a rash behind my ears.  I have had these ever since Jan of 2021.  I went to the doctor about this.  They did not do any test and they gave me a cream for it.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Headache, Pain
Clinical narrative: I had a headache for the following 3 weeks, abdominal weak for the next weeks and I'm still having cramps but it started after the vaccine, Pain on my lower right side. I called my doctor last month due to my symptoms and I want to know what is going on. I saw the NP 12/29/2021 she advised to take a few things to calm it down, I was referred to a GI because the cramping wasn't clear. My primary care had me take Bentyl. I'm still trying to figure out what is going on with me.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: During a review of the Department of Health?s internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Cold urticaria, Dermatitis allergic, Erythema, Pruritus
Clinical narrative: Allergic skin reaction to several circumstance:  swimming in cold water (was in a lake in October and all areas that were in contact with the water immediately welted up to the exact water line on my body) , being out in cold weather and drinking beverages with ice - hives, itching, burning, redness.  In phone consult, nurse from PCP office felt that it was cold induced urticaria.  At the time, I didn?t link it with the vaccine booster, but afterward saw some information linking the two in some studies.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Temperature intolerance, Urticaria
Clinical narrative: Allergic skin reaction to several circumstance:  swimming in cold water (was in a lake in October and all areas that were in contact with the water immediately welted up to the exact water line on my body) , being out in cold weather and drinking beverages with ice - hives, itching, burning, redness.  In phone consult, nurse from PCP office felt that it was cold induced urticaria.  At the time, I didn?t link it with the vaccine booster, but afterward saw some information linking the two in some studies.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Feeling cold, Headache, Immediate post-injection reaction, Influenza
Clinical narrative: 1/4/22 Headache immediately following the injection. Swelling at injection site.  Had flu symptoms throughout the day. Severe chills in the evening that lasted roughly 4 hours. Used a heating pad(on high) and several blankets but could nit warm up. Hips and thighs were very cold. Skin hurt when touched.  1/5/22 No more chills but I feel like I have the flu. Lethargic.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Lethargy, Pain of skin, Peripheral coldness
Clinical narrative: 1/4/22 Headache immediately following the injection. Swelling at injection site.  Had flu symptoms throughout the day. Severe chills in the evening that lasted roughly 4 hours. Used a heating pad(on high) and several blankets but could nit warm up. Hips and thighs were very cold. Skin hurt when touched.  1/5/22 No more chills but I feel like I have the flu. Lethargic.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Diarrhoea, Dyspnoea
Clinical narrative: Received Pfizer COVID19 vaccine on 01/25/21 and 02/15/21. COVID positive 12/30/21.  Presented to ER on 1/1/22  for evaluation of SOB for the past few days. She tested positive for COVID on 12/30. She has also been having some diarrhea. In ER she was found to be hypoxic, placed on 3 liters O2 with good improvement in her saturation. Patient was admitted. Patient started on dexamethasone and remdesivir. Completed three days of remdesivir and 4 of steroids. Patient discharged with the remaining steroid course given nicotine use and possible underlying COPD. Dischaged without oxygen on 1/4/22
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, SARS-CoV-2 test positive
Clinical narrative: Received Pfizer COVID19 vaccine on 01/25/21 and 02/15/21. COVID positive 12/30/21.  Presented to ER on 1/1/22  for evaluation of SOB for the past few days. She tested positive for COVID on 12/30. She has also been having some diarrhea. In ER she was found to be hypoxic, placed on 3 liters O2 with good improvement in her saturation. Patient was admitted. Patient started on dexamethasone and remdesivir. Completed three days of remdesivir and 4 of steroids. Patient discharged with the remaining steroid course given nicotine use and possible underlying COPD. Dischaged without oxygen on 1/4/22
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Back pain, Diarrhoea, Headache, Nausea
Clinical narrative: 103.5 fever initially aprox 9 hours after vaccine and then decreased to 102 and broke after 32 hours to 99.5. Severe headache, nausea, abdominal bloating and severe diarrhea. Resolved after approximately 32 hours. Took 1000mg of Tylenol at onset of 103.5 fever and then 800mg Motrin to control body aches and back pain. This also happened with dose 1 and 2 of vaccine. I had confirmed COVID in January of 2021 and monoclonal antibody infusion 1/12/2021.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Vaccine positive rechallenge
Clinical narrative: 103.5 fever initially aprox 9 hours after vaccine and then decreased to 102 and broke after 32 hours to 99.5. Severe headache, nausea, abdominal bloating and severe diarrhea. Resolved after approximately 32 hours. Took 1000mg of Tylenol at onset of 103.5 fever and then 800mg Motrin to control body aches and back pain. This also happened with dose 1 and 2 of vaccine. I had confirmed COVID in January of 2021 and monoclonal antibody infusion 1/12/2021.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Pfizer COVID-19 vaccine reconstituted with sterile water instead of normal saline. Patient given a dose of diluted suspension. Error caught. No adverse effects noted. Vaccine remade with normal saline and patient given dose of correctly reconstituted suspension.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Administered 0.5ml instead of the 0.25ml dose. Patient is not aware of the error and never reported any side effects or adverse reactions.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, Product administered to patient of inappropriate age
Clinical narrative: Patient presented to our health dept COVID 19 vaccine clinic requesting Moderna Booster vaccine.  None of the staff assessed to recognize that he was not eligible at age 17 years.  His primary series was Pfizer.  He received an unauthorized Moderna Booster at age 17
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Haemorrhage, Head discomfort, Joint stiffness, Loss of consciousness, Malaise
Clinical narrative: Stiffened joints, feeling sick about 3 hours after injection, led to passing out in bed only to become aware of exceedingly loud whooshing sounds in ears, unable to move, fearing something would burst in my head (blood vessels?). Passed out again, awoke sometime next day. Reported reactions to my doctors at the usual 6 month appointments, in July and August of 2021. Eye doctor did find hemorraghes on my retinas, but thought might indicate diabetes. Primary care doctor did annual bloodwork showing no diabetes; suggested might be from high blood pressure. Latest eye doctor appointment, December 2021, found hemorraghes are now gone.  Have not got booster.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Tinnitus
Clinical narrative: Stiffened joints, feeling sick about 3 hours after injection, led to passing out in bed only to become aware of exceedingly loud whooshing sounds in ears, unable to move, fearing something would burst in my head (blood vessels?). Passed out again, awoke sometime next day. Reported reactions to my doctors at the usual 6 month appointments, in July and August of 2021. Eye doctor did find hemorraghes on my retinas, but thought might indicate diabetes. Primary care doctor did annual bloodwork showing no diabetes; suggested might be from high blood pressure. Latest eye doctor appointment, December 2021, found hemorraghes are now gone.  Have not got booster.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Skin warm, Urticaria
Clinical narrative: Scattered/Diffuse Hives through the whole body. Red, elevated  small and large hives, itchy, and hot to touch. A large cluster of hives develops on one part of the body lasting 1-6 hours, then dissipate, and reappear in another part of the body. No respiratory symptoms, anaphylaxis or angioedema at this time. However, the hives spread over the neck, face and mouth superficially.  Time course, to date, is 4 days with no improvement and continues. Antihistamines including benadryl 25mg q4-6h and zyrtec 10mg q24h have had mild effect/relief of itchiness. But the hives continue. Prescribed Prednisone taper started at 50mg, today marks day 2 of 10, with mild effect.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: itching, rash, hives on arms, shoulders, waist, neck, wrists, scalp all beginning on December 11 after my Moderna booster on December 6.   Adverse events still continuing.
Age: 27.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Cough, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: sore throat, cough, fever 100.9, chills, body aches.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Administered 0.5ml instead of the 0.25ml dose. Patient is not aware of the error and never reported any side effects or adverse reactions.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Balance disorder, Blood bicarbonate normal, Blood glucose normal, Blood pH normal
Clinical narrative: Chief Complaint  pt arrives to triage with HA, fever, cough, off balance states +covid on Monday.  Patient is a 63 y/o female who presented with complaints of cough, fever, headache, and dizziness for the past week. Patient symptoms started on 12/26, she was diagnosed with COVID19 on 12/27. Patient reports persistent symptoms of dizziness, cough, and fevers 101.7 at home. She has had associated nausea and vomiting. She received 2 doses of the Pfizer vaccine in April, no booster. Due to persistent symptoms with no improvement she presented to the emergency department. Upon arrival patient was noted to be hypoxic with pulse ox in the 90s on room air. Routine lab work with Na 133, CO2 21, glucose 135. ABG pH 7.45, oCO2 35, pO251, HCO3 24.4 on room air. Patient has been placed on 2L O2 via NC. Hospitalist service asked to admit.  Currently on COVID Stepdown unit (01/05/2021).   Progress note of 01/05/2022:  Subjective  Feeling somewhat better, cough still bothersome. On 5L, unable to turn down to 4 without dropping. Energy level improving.    Review of Systems  Constitutional:  Negative.   Respiratory:  Shortness of breath, Cough.   Cardiovascular:  Negative.   Gastrointestinal:  Negative.   Genitourinary:  Negative.   Musculoskeletal:  Negative.   Integumentary:  Negative.   Neurologic:  Negative.   ROS reviewed as documented in chart   Objective  VS/Measurements   Vital Signs( 01/03/22 11:55:56 to current )  VITAL SIGN LAST CHARTED MINIMUM MAXIMUM  Blood Pressure 149/69   (01/04 11:11) 104/50   (01/04 05:00) 149/69   (01/04 11:11)  Heart Rate 46   (01/04 11:40) 46   (01/04 11:40) 74   (01/03 15:15)  Respirations 18   (01/04 11:40) 11   (01/04 08:00) 25   (01/03 17:16)  Temperature 97.4   (01/04 08:15) 96.8   (01/04 05:00) 98.7   (01/03 17:16)  SpO2 90   (01/04 11:40) 88   (01/04 00:00) 96   (01/04 10:00)  Oxygen Flow Rate 5   (01/04 11:40) 4   (01/04 11:30) 6   (01/04 09:00)  Weight 94.1   (01/04 11:29) 94.1   (01/04 11:29) 94.1   (01/04 11:29)
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood sodium decreased, COVID-19, Carbon dioxide decreased, Cough, Dizziness
Clinical narrative: Chief Complaint  pt arrives to triage with HA, fever, cough, off balance states +covid on Monday.  Patient is a 63 y/o female who presented with complaints of cough, fever, headache, and dizziness for the past week. Patient symptoms started on 12/26, she was diagnosed with COVID19 on 12/27. Patient reports persistent symptoms of dizziness, cough, and fevers 101.7 at home. She has had associated nausea and vomiting. She received 2 doses of the Pfizer vaccine in April, no booster. Due to persistent symptoms with no improvement she presented to the emergency department. Upon arrival patient was noted to be hypoxic with pulse ox in the 90s on room air. Routine lab work with Na 133, CO2 21, glucose 135. ABG pH 7.45, oCO2 35, pO251, HCO3 24.4 on room air. Patient has been placed on 2L O2 via NC. Hospitalist service asked to admit.  Currently on COVID Stepdown unit (01/05/2021).   Progress note of 01/05/2022:  Subjective  Feeling somewhat better, cough still bothersome. On 5L, unable to turn down to 4 without dropping. Energy level improving.    Review of Systems  Constitutional:  Negative.   Respiratory:  Shortness of breath, Cough.   Cardiovascular:  Negative.   Gastrointestinal:  Negative.   Genitourinary:  Negative.   Musculoskeletal:  Negative.   Integumentary:  Negative.   Neurologic:  Negative.   ROS reviewed as documented in chart   Objective  VS/Measurements   Vital Signs( 01/03/22 11:55:56 to current )  VITAL SIGN LAST CHARTED MINIMUM MAXIMUM  Blood Pressure 149/69   (01/04 11:11) 104/50   (01/04 05:00) 149/69   (01/04 11:11)  Heart Rate 46   (01/04 11:40) 46   (01/04 11:40) 74   (01/03 15:15)  Respirations 18   (01/04 11:40) 11   (01/04 08:00) 25   (01/03 17:16)  Temperature 97.4   (01/04 08:15) 96.8   (01/04 05:00) 98.7   (01/03 17:16)  SpO2 90   (01/04 11:40) 88   (01/04 00:00) 96   (01/04 10:00)  Oxygen Flow Rate 5   (01/04 11:40) 4   (01/04 11:30) 6   (01/04 09:00)  Weight 94.1   (01/04 11:29) 94.1   (01/04 11:29) 94.1   (01/04 11:29)
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Headache, Hypoxia, Nausea, PO2 decreased
Clinical narrative: Chief Complaint  pt arrives to triage with HA, fever, cough, off balance states +covid on Monday.  Patient is a 63 y/o female who presented with complaints of cough, fever, headache, and dizziness for the past week. Patient symptoms started on 12/26, she was diagnosed with COVID19 on 12/27. Patient reports persistent symptoms of dizziness, cough, and fevers 101.7 at home. She has had associated nausea and vomiting. She received 2 doses of the Pfizer vaccine in April, no booster. Due to persistent symptoms with no improvement she presented to the emergency department. Upon arrival patient was noted to be hypoxic with pulse ox in the 90s on room air. Routine lab work with Na 133, CO2 21, glucose 135. ABG pH 7.45, oCO2 35, pO251, HCO3 24.4 on room air. Patient has been placed on 2L O2 via NC. Hospitalist service asked to admit.  Currently on COVID Stepdown unit (01/05/2021).   Progress note of 01/05/2022:  Subjective  Feeling somewhat better, cough still bothersome. On 5L, unable to turn down to 4 without dropping. Energy level improving.    Review of Systems  Constitutional:  Negative.   Respiratory:  Shortness of breath, Cough.   Cardiovascular:  Negative.   Gastrointestinal:  Negative.   Genitourinary:  Negative.   Musculoskeletal:  Negative.   Integumentary:  Negative.   Neurologic:  Negative.   ROS reviewed as documented in chart   Objective  VS/Measurements   Vital Signs( 01/03/22 11:55:56 to current )  VITAL SIGN LAST CHARTED MINIMUM MAXIMUM  Blood Pressure 149/69   (01/04 11:11) 104/50   (01/04 05:00) 149/69   (01/04 11:11)  Heart Rate 46   (01/04 11:40) 46   (01/04 11:40) 74   (01/03 15:15)  Respirations 18   (01/04 11:40) 11   (01/04 08:00) 25   (01/03 17:16)  Temperature 97.4   (01/04 08:15) 96.8   (01/04 05:00) 98.7   (01/03 17:16)  SpO2 90   (01/04 11:40) 88   (01/04 00:00) 96   (01/04 10:00)  Oxygen Flow Rate 5   (01/04 11:40) 4   (01/04 11:30) 6   (01/04 09:00)  Weight 94.1   (01/04 11:29) 94.1   (01/04 11:29) 94.1   (01/04 11:29)
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Chief Complaint  pt arrives to triage with HA, fever, cough, off balance states +covid on Monday.  Patient is a 63 y/o female who presented with complaints of cough, fever, headache, and dizziness for the past week. Patient symptoms started on 12/26, she was diagnosed with COVID19 on 12/27. Patient reports persistent symptoms of dizziness, cough, and fevers 101.7 at home. She has had associated nausea and vomiting. She received 2 doses of the Pfizer vaccine in April, no booster. Due to persistent symptoms with no improvement she presented to the emergency department. Upon arrival patient was noted to be hypoxic with pulse ox in the 90s on room air. Routine lab work with Na 133, CO2 21, glucose 135. ABG pH 7.45, oCO2 35, pO251, HCO3 24.4 on room air. Patient has been placed on 2L O2 via NC. Hospitalist service asked to admit.  Currently on COVID Stepdown unit (01/05/2021).   Progress note of 01/05/2022:  Subjective  Feeling somewhat better, cough still bothersome. On 5L, unable to turn down to 4 without dropping. Energy level improving.    Review of Systems  Constitutional:  Negative.   Respiratory:  Shortness of breath, Cough.   Cardiovascular:  Negative.   Gastrointestinal:  Negative.   Genitourinary:  Negative.   Musculoskeletal:  Negative.   Integumentary:  Negative.   Neurologic:  Negative.   ROS reviewed as documented in chart   Objective  VS/Measurements   Vital Signs( 01/03/22 11:55:56 to current )  VITAL SIGN LAST CHARTED MINIMUM MAXIMUM  Blood Pressure 149/69   (01/04 11:11) 104/50   (01/04 05:00) 149/69   (01/04 11:11)  Heart Rate 46   (01/04 11:40) 46   (01/04 11:40) 74   (01/03 15:15)  Respirations 18   (01/04 11:40) 11   (01/04 08:00) 25   (01/03 17:16)  Temperature 97.4   (01/04 08:15) 96.8   (01/04 05:00) 98.7   (01/03 17:16)  SpO2 90   (01/04 11:40) 88   (01/04 00:00) 96   (01/04 10:00)  Oxygen Flow Rate 5   (01/04 11:40) 4   (01/04 11:30) 6   (01/04 09:00)  Weight 94.1   (01/04 11:29) 94.1   (01/04 11:29) 94.1   (01/04 11:29)
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient was supposed to receive second dose in the Moderna series for COVID-19 (0.5ml). Patient instead received a booster dose of Moderna (0.25ml).
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Aldolase, Blood thyroid stimulating hormone, C-reactive protein, Fatigue, Full blood count
Clinical narrative: Severe fatigue, headache, naseau, body pain, inflammation for 7 months.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Inflammation, Magnetic resonance imaging head, Magnetic resonance imaging neck, Nausea
Clinical narrative: Severe fatigue, headache, naseau, body pain, inflammation for 7 months.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, White blood cell count
Clinical narrative: Severe fatigue, headache, naseau, body pain, inflammation for 7 months.
Age: 20.0
Sex: M
Vaccine: COVID19, UNK, COVID19, FLUR4
Symptoms: Chest pain, Computerised tomogram, Echocardiogram, Electrocardiogram, Laboratory test
Clinical narrative: Felt ill the day after the injection. On the 3rd day I woke up with chest pain and heart palpitations. I went to the emergency room. Once there I worsened with severe pain, nausea, vomiting, and more heart palpitations, elevated blood Troponin. I was admitted, treated with IVs and medicine, rest and discharged with instructions to continue medication, follow-up in 2-3 weeks with the cardiologist, avoid exertion and take it easy.
Age: 20.0
Sex: M
Vaccine: COVID19, UNK, COVID19, FLUR4
Symptoms: Magnetic resonance imaging heart, Malaise, Nausea, Palpitations, Troponin increased
Clinical narrative: Felt ill the day after the injection. On the 3rd day I woke up with chest pain and heart palpitations. I went to the emergency room. Once there I worsened with severe pain, nausea, vomiting, and more heart palpitations, elevated blood Troponin. I was admitted, treated with IVs and medicine, rest and discharged with instructions to continue medication, follow-up in 2-3 weeks with the cardiologist, avoid exertion and take it easy.
Age: 20.0
Sex: M
Vaccine: COVID19, UNK, COVID19, FLUR4
Symptoms: Ultrasound scan, Vomiting
Clinical narrative: Felt ill the day after the injection. On the 3rd day I woke up with chest pain and heart palpitations. I went to the emergency room. Once there I worsened with severe pain, nausea, vomiting, and more heart palpitations, elevated blood Troponin. I was admitted, treated with IVs and medicine, rest and discharged with instructions to continue medication, follow-up in 2-3 weeks with the cardiologist, avoid exertion and take it easy.
Age: 20.0
Sex: M
Vaccine: COVID19, UNK, COVID19, FLUR4
Symptoms: Blood creatinine, Blood electrolytes, Blood glucose, Blood urea, C-reactive protein
Clinical narrative: Felt ill the day after the injection. On the 3rd day I woke up with chest pain and heart palpitations. I went to the emergency room. Once there I worsened with severe pain, nausea, vomiting, and more heart palpitations, elevated blood Troponin. I was admitted, treated with IVs and medicine, rest and discharged with instructions to continue medication, follow-up in 2-3 weeks with the cardiologist, avoid exertion and take it easy.
Age: 20.0
Sex: M
Vaccine: COVID19, UNK, COVID19, FLUR4
Symptoms: Cardiac monitoring, Chest pain, Computerised tomogram, Differential white blood cell count, Dizziness
Clinical narrative: Felt ill the day after the injection. On the 3rd day I woke up with chest pain and heart palpitations. I went to the emergency room. Once there I worsened with severe pain, nausea, vomiting, and more heart palpitations, elevated blood Troponin. I was admitted, treated with IVs and medicine, rest and discharged with instructions to continue medication, follow-up in 2-3 weeks with the cardiologist, avoid exertion and take it easy.
Age: 20.0
Sex: M
Vaccine: COVID19, UNK, COVID19, FLUR4
Symptoms: Dyspnoea, Echocardiogram, Electrocardiogram, Electrocardiogram abnormal, Electroencephalogram abnormal
Clinical narrative: Felt ill the day after the injection. On the 3rd day I woke up with chest pain and heart palpitations. I went to the emergency room. Once there I worsened with severe pain, nausea, vomiting, and more heart palpitations, elevated blood Troponin. I was admitted, treated with IVs and medicine, rest and discharged with instructions to continue medication, follow-up in 2-3 weeks with the cardiologist, avoid exertion and take it easy.
Age: 20.0
Sex: M
Vaccine: COVID19, UNK, COVID19, FLUR4
Symptoms: Full blood count, Haematocrit, Haemoglobin, Immunohistochemistry, Inflammation
Clinical narrative: Felt ill the day after the injection. On the 3rd day I woke up with chest pain and heart palpitations. I went to the emergency room. Once there I worsened with severe pain, nausea, vomiting, and more heart palpitations, elevated blood Troponin. I was admitted, treated with IVs and medicine, rest and discharged with instructions to continue medication, follow-up in 2-3 weeks with the cardiologist, avoid exertion and take it easy.
Age: 20.0
Sex: M
Vaccine: COVID19, UNK, COVID19, FLUR4
Symptoms: International normalised ratio, Lipids, Magnetic resonance imaging, Metabolic function test, Myocarditis
Clinical narrative: Felt ill the day after the injection. On the 3rd day I woke up with chest pain and heart palpitations. I went to the emergency room. Once there I worsened with severe pain, nausea, vomiting, and more heart palpitations, elevated blood Troponin. I was admitted, treated with IVs and medicine, rest and discharged with instructions to continue medication, follow-up in 2-3 weeks with the cardiologist, avoid exertion and take it easy.
Age: 20.0
Sex: M
Vaccine: COVID19, UNK, COVID19, FLUR4
Symptoms: Nausea, Nervous system disorder, Pain in extremity, Prothrombin time, Red blood cell sedimentation rate
Clinical narrative: Felt ill the day after the injection. On the 3rd day I woke up with chest pain and heart palpitations. I went to the emergency room. Once there I worsened with severe pain, nausea, vomiting, and more heart palpitations, elevated blood Troponin. I was admitted, treated with IVs and medicine, rest and discharged with instructions to continue medication, follow-up in 2-3 weeks with the cardiologist, avoid exertion and take it easy.
Age: 20.0
Sex: M
Vaccine: COVID19, UNK, COVID19, FLUR4
Symptoms: SARS-CoV-2 test, Troponin I, Vomiting, X-ray
Clinical narrative: Felt ill the day after the injection. On the 3rd day I woke up with chest pain and heart palpitations. I went to the emergency room. Once there I worsened with severe pain, nausea, vomiting, and more heart palpitations, elevated blood Troponin. I was admitted, treated with IVs and medicine, rest and discharged with instructions to continue medication, follow-up in 2-3 weeks with the cardiologist, avoid exertion and take it easy.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: Upon inquiring about a COVID-19 booster, patient reports that she experienced sharp chest pain after each dose in her primary vaccination (both Moderna). Evaluated by cardiologist. Patient had multiple risk factors for coronary artery disease prior to vaccinations per cardiology note. Cardiologist assessed and determined that the patient likely had atypical chest pain after the two vaccinations. After reporting this and being evaluated, the patient was diagnosed with
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient given 0.25mL of Moderna instead of the full first dose of 0.5mL. Patient to come in later today for other 0.25mL to complete first dose.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Chest pain, Injection site pain, Pain, Pyrexia, Swelling
Clinical narrative: Pt. states that after receiving the 1st dose of Shingrix 01/03/2021, started to experience symptoms 15mins later of extreme pain at the injection site. 2hrs later pain radiating throughout the inside of the arm to the shoulder and Left side of the chest, fever presenting close to 100.0 continuing. Primary communications 01/05/2021 (still waiting for recommendations, Communications with Pharmacist recommendations of reporting. Swelling 01/05/2022 under the Left armpit with visual development, pain is presistant and continuing to travel throughout the left side of the body.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Anti-thyroid antibody, Blood thyroid stimulating hormone decreased, Exposure during pregnancy, Fatigue, Temperature intolerance
Clinical narrative: Extreme fatigue and cold intolerance. One previous pregnancy (unremarkable with no complications). Expected due date: May 19, 2022. Tested thyroid. Treatment plan is to retest hormone levels in 6 weeks. 20 week ultrasound showed no fetal abnormalities.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Thyroxine free decreased, Tri-iodothyronine decreased, Tri-iodothyronine free
Clinical narrative: Extreme fatigue and cold intolerance. One previous pregnancy (unremarkable with no complications). Expected due date: May 19, 2022. Tested thyroid. Treatment plan is to retest hormone levels in 6 weeks. 20 week ultrasound showed no fetal abnormalities.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dizziness exertional, Dyspnoea, Heart rate increased, Sensory disturbance
Clinical narrative: Reg. Symptoms then rapid heartbeat and body pulsing for 20-30 minutes.  Chest pain on left side on and off since, shortness of breath, have upper chest pain if talk more than couple of minutes.  Bending over makes me feel faint.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Blood creatine phosphokinase decreased, Blood glucose normal, Blood magnesium normal, Blood phosphorus normal
Clinical narrative: 1 day after receiving her booster vaccine, the patient developed new non-bloody, non-bilious emesis x2, as well as new chest pain, which was pleuritic in nature. The patient presented to the hospital on day 3 of symptoms and was evaluated with a CT and ECHO and found to have pericardial and pleural effusions, consistent with a diagnosis of pericarditis.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Blood sodium decreased, C-reactive protein increased, Carbon dioxide decreased, Computerised tomogram abnormal, Echocardiogram abnormal
Clinical narrative: 1 day after receiving her booster vaccine, the patient developed new non-bloody, non-bilious emesis x2, as well as new chest pain, which was pleuritic in nature. The patient presented to the hospital on day 3 of symptoms and was evaluated with a CT and ECHO and found to have pericardial and pleural effusions, consistent with a diagnosis of pericarditis.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram ST-T segment abnormal, Electrocardiogram abnormal, Fibrin D dimer, Full blood count abnormal, Haematocrit decreased
Clinical narrative: 1 day after receiving her booster vaccine, the patient developed new non-bloody, non-bilious emesis x2, as well as new chest pain, which was pleuritic in nature. The patient presented to the hospital on day 3 of symptoms and was evaluated with a CT and ECHO and found to have pericardial and pleural effusions, consistent with a diagnosis of pericarditis.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Metabolic function test abnormal, Pericardial effusion, Pericarditis, Pleural effusion
Clinical narrative: 1 day after receiving her booster vaccine, the patient developed new non-bloody, non-bilious emesis x2, as well as new chest pain, which was pleuritic in nature. The patient presented to the hospital on day 3 of symptoms and was evaluated with a CT and ECHO and found to have pericardial and pleural effusions, consistent with a diagnosis of pericarditis.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Pleuritic pain, Procalcitonin increased, Prohormone brain natriuretic peptide, Red blood cell sedimentation rate increased, Respiratory viral panel
Clinical narrative: 1 day after receiving her booster vaccine, the patient developed new non-bloody, non-bilious emesis x2, as well as new chest pain, which was pleuritic in nature. The patient presented to the hospital on day 3 of symptoms and was evaluated with a CT and ECHO and found to have pericardial and pleural effusions, consistent with a diagnosis of pericarditis.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 antibody test positive, SARS-CoV-2 test negative, Sinus tachycardia, Troponin T increased, Troponin increased
Clinical narrative: 1 day after receiving her booster vaccine, the patient developed new non-bloody, non-bilious emesis x2, as well as new chest pain, which was pleuritic in nature. The patient presented to the hospital on day 3 of symptoms and was evaluated with a CT and ECHO and found to have pericardial and pleural effusions, consistent with a diagnosis of pericarditis.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting, White blood cell count increased
Clinical narrative: 1 day after receiving her booster vaccine, the patient developed new non-bloody, non-bilious emesis x2, as well as new chest pain, which was pleuritic in nature. The patient presented to the hospital on day 3 of symptoms and was evaluated with a CT and ECHO and found to have pericardial and pleural effusions, consistent with a diagnosis of pericarditis.