chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Erythema, Induration, Pruritus, Rash
Clinical narrative: Black and blue mark, itching under skin not relieved by hydrocortisone cream, swelling and feeling of hardness with the swelling, slight warmth.  At the point of feeling the warmth, took one Benadryl tablet at night.  By the next morning, swelling and hardness had started to dissipate but then a slight rash and redness extending in a circle started to about 3.5 to 4 inches in diameter.  Benadryl cream and/or hydrocortisone (whichever I had available at the time) started to relieve the itching.  Today, 11 days out from the shot, it is still improving.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm, Swelling
Clinical narrative: Black and blue mark, itching under skin not relieved by hydrocortisone cream, swelling and feeling of hardness with the swelling, slight warmth.  At the point of feeling the warmth, took one Benadryl tablet at night.  By the next morning, swelling and hardness had started to dissipate but then a slight rash and redness extending in a circle started to about 3.5 to 4 inches in diameter.  Benadryl cream and/or hydrocortisone (whichever I had available at the time) started to relieve the itching.  Today, 11 days out from the shot, it is still improving.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Hangover, Headache, Tinnitus
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA.  Tinnitus in both left and right ears. Onset was 18 hours after vaccine dose.  Continuing unresolved tinnitus at 4 days after dose administered.  Separate Headache and hangover symptoms have resolved and started 18 hours after dose and subsided 42 hours after.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Pain in extremity, Pyrexia
Clinical narrative: Fever  Joint pain Headaches Sore arm
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Error: Incorrect Reconstitution
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Dyspnoea, Lymphadenopathy, Pharyngeal swelling
Clinical narrative: Swollen gland on right side of throat through swelling could not breathe
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pain
Clinical narrative: Headache, chills, nausea, tired, body aches
Age: 27.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Axillary pain, Injected limb mobility decreased, Injection site pain, Injection site swelling, Lymph node pain
Clinical narrative: Normal swelling of Lymph Nodes under left injection arm 1 day post vaccine. Normal sore injection site. 2 Days post injection, I cannot lift my arm higher than about 45 degrees due to the shooting pain up my arm. My lymph nodes are EXTREMELY painful and swollen, the swelling and pain encompasses my left armpit, and my left lat muscle, my left chest near my arm, & my left deltoid muscle. The pain radiates up the left side of my neck as well as into my left elbow.. Depp, throbbing, painful type of  pain and Ibuprofen and Tylenol are not helping. I am reporting on day 2, if it does not ease up today I will go to the minute clinic tomorrow.
Age: 27.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Lymphadenopathy, Muscle swelling, Myalgia, Neck pain, Oedema peripheral
Clinical narrative: Normal swelling of Lymph Nodes under left injection arm 1 day post vaccine. Normal sore injection site. 2 Days post injection, I cannot lift my arm higher than about 45 degrees due to the shooting pain up my arm. My lymph nodes are EXTREMELY painful and swollen, the swelling and pain encompasses my left armpit, and my left lat muscle, my left chest near my arm, & my left deltoid muscle. The pain radiates up the left side of my neck as well as into my left elbow.. Depp, throbbing, painful type of  pain and Ibuprofen and Tylenol are not helping. I am reporting on day 2, if it does not ease up today I will go to the minute clinic tomorrow.
Age: 27.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Pain, Pain in extremity
Clinical narrative: Normal swelling of Lymph Nodes under left injection arm 1 day post vaccine. Normal sore injection site. 2 Days post injection, I cannot lift my arm higher than about 45 degrees due to the shooting pain up my arm. My lymph nodes are EXTREMELY painful and swollen, the swelling and pain encompasses my left armpit, and my left lat muscle, my left chest near my arm, & my left deltoid muscle. The pain radiates up the left side of my neck as well as into my left elbow.. Depp, throbbing, painful type of  pain and Ibuprofen and Tylenol are not helping. I am reporting on day 2, if it does not ease up today I will go to the minute clinic tomorrow.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Myalgia, Night sweats, Pain in extremity, Pyrexia
Clinical narrative: Sore arm, fever (99.5-100.1 F) , muscle ache, night sweats and chills. Symptoms started about 9 hours after receiving the vaccine; persisted for the next 24 hours.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Head discomfort, Malaise
Clinical narrative: Head Body sick
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: Started w/small red itchy bump at the injection site that I thought was a bug bite. Hot to the touch and with slight discomfort. Redness and raised area spread down my arm and stopped about halfway between injection site and elbow. Continued to be itchy, red, hot and sore. It looks like the typical allergic reaction hive. Redness, itching and raised area is slowly reducing, but still present.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Started w/small red itchy bump at the injection site that I thought was a bug bite. Hot to the touch and with slight discomfort. Redness and raised area spread down my arm and stopped about halfway between injection site and elbow. Continued to be itchy, red, hot and sore. It looks like the typical allergic reaction hive. Redness, itching and raised area is slowly reducing, but still present.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Death
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Clostridium test, Culture, Diarrhoea, Parasite stool test, SARS-CoV-2 test negative
Clinical narrative: Diarrhea x 3 weeks, Bristol scale 7.
Age: 49.0
Sex: F
Vaccine: UNK
Symptoms: Balance disorder, Fatigue, Feeling abnormal, Headache
Clinical narrative: I woke up Monday morning feeling off balance, fatigued, foggy and had  a headache. I had to go back to bed. I slept till noon. Still didn't feel right the rest of the day. Balance felt wrong. Extreme fatigue Monday night so went to bed early and slept till the next day. Felt better but still not right. No headache on Tuesday but fatigue and balance felt weird. Today I have no headache. Fatigue less. My orientation feels abnormal and I still feel very foggy.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Error: Incorrect Reconstitution
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Raynaud's phenomenon
Clinical narrative: raynauds phenomenon both forearms lasting 15 minutes
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Crying, Fatigue, Injected limb mobility decreased, Injection site erythema, Pain
Clinical narrative: Redness at injection site, pain when moving injected arm, high level of fatigue, inability to get restful sleep, body aches, crying with no recognized physical or emotional cause
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Sleep disorder
Clinical narrative: Redness at injection site, pain when moving injected arm, high level of fatigue, inability to get restful sleep, body aches, crying with no recognized physical or emotional cause
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal distension, Chills, Discomfort, Muscle spasms, Pain in extremity
Clinical narrative: After having my second Moderna Vaccine I had the usual side effects of fever, chills, arm pain etc. in addition to that it has caused a significant delay in my period along with significant cramping and bloating and discomfort.  I am very regular on my cycles and am NOT pregnant as am sterilized. The Moderna Vaccine has caused chamgeses and delays to my menstruation.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pregnancy test negative, Pyrexia
Clinical narrative: After having my second Moderna Vaccine I had the usual side effects of fever, chills, arm pain etc. in addition to that it has caused a significant delay in my period along with significant cramping and bloating and discomfort.  I am very regular on my cycles and am NOT pregnant as am sterilized. The Moderna Vaccine has caused chamgeses and delays to my menstruation.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Induration, Musculoskeletal stiffness, Nodule, Pain, Skin warm
Clinical narrative: In left clavicle swollen lump or gland about the size of a quarter. Same arm as shot. Knot is warm and appeared a few hours after shot. Thank you. Stiff in nature. Sore. Not fluid filled?a little firmer.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: In left clavicle swollen lump or gland about the size of a quarter. Same arm as shot. Knot is warm and appeared a few hours after shot. Thank you. Stiff in nature. Sore. Not fluid filled?a little firmer.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Patient complained of Palpitations
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Candida infection, Headache, SARS-CoV-2 test negative
Clinical narrative: Other than the already reported headaches I also started developing thrush. I?m obviously not sure that the thrush breakout is related to the vaccine but from my understand I am supposed to report it regardless.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Pain
Clinical narrative: On day 3 if first  shot,  2/24/2021. I had intense pain in left arm pit  across collarbone,  to right armpit  when I lifted my arms,  described  best as a quick  shooting pain ending in a pinched nerve type feeling, lasting  a split  second.  Lasted for 7 days,but lingered on my right armpit, sore to touch.  On 2nd dose I waited 30 minutes  after just to be cautious.   Started driving  the 70 miles home and within  10 mi minutes  the same strange shooting  pain started  targeting  my , both  inside elbows, both wrist, rib cage.   Not as strong  a pain as first dose but very noticeable  .  This has continued, especially  when I exert myself.  At random times, random places on my body.  I did text my doctor  office.  The nurse practioner  said since it's a new virus,a new shot,she had not heard of this reaction and had no idea what to do except  for me to take tylenol.   I am getting  concerned  cause now  at random  times, I feel this Strang quick  shooting  pain from the back of my eyeball toward the front.  Only  lasts a split second, very annoying, but wondering  why it's still continuing  and showing up all over in random body areas etc.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Death
Clinical narrative: Acute respiratory failure with hypoxia Death
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue
Clinical narrative: Fatigue/extreme tiredness
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Head discomfort, Migraine
Clinical narrative: I have had a excruciating migraine for 3 days. It's causing an exuberant amount of pressure feeling in my head. I'm doing light headed and in lots of pain.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase, Fatigue, Full blood count, Impaired work ability, Magnetic therapy
Clinical narrative: swelling, muscle pain, neck pain, raised red bump size of a peach, hot to the touch, muscle weakness. fatigue, itching Used antihistamine cream from hot/itchy bump on arm.  seeked workers comp due to severity of muscle weakness treated with Steriod pak- did not work had to schedule a emg after this electro-magnetic therapy for my arm
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Myalgia, Neck pain, Pruritus, Skin warm
Clinical narrative: swelling, muscle pain, neck pain, raised red bump size of a peach, hot to the touch, muscle weakness. fatigue, itching Used antihistamine cream from hot/itchy bump on arm.  seeked workers comp due to severity of muscle weakness treated with Steriod pak- did not work had to schedule a emg after this electro-magnetic therapy for my arm
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: swelling, muscle pain, neck pain, raised red bump size of a peach, hot to the touch, muscle weakness. fatigue, itching Used antihistamine cream from hot/itchy bump on arm.  seeked workers comp due to severity of muscle weakness treated with Steriod pak- did not work had to schedule a emg after this electro-magnetic therapy for my arm
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Flushing, Hyperhidrosis, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Vaccination site induration, Vaccination site pain, Vaccination site swelling, Vaccination site warmth
Clinical narrative: Large, firm, red circular spot at vaccination site. Lots of heat coming from the spot as well. Painful to touch and tender around the outside of the spot as well.  Began the next day and is still present with the circular area enlarging as the days pass. No other adverse symptoms, ie. headache, fatigue etc.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient fainted briefly during the observation period after recieving the shot
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Error: Diluent Administered Instead of Vaccine
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Pruritus, Rash
Clinical narrative: rash, itchy, burning
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Asthenia, Chills, Erythema, Lethargy, Pain in extremity
Clinical narrative: Extreme pain in total arm, not just the vaccination site, redness and swelling in whole arm, low energy and felt lethargic, chills the day after vaccine. The extreme pain, redness and swelling continued for 3 additional days. Moderate pain continued for 2 more days.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Peripheral swelling, Vaccination site pain
Clinical narrative: Extreme pain in total arm, not just the vaccination site, redness and swelling in whole arm, low energy and felt lethargic, chills the day after vaccine. The extreme pain, redness and swelling continued for 3 additional days. Moderate pain continued for 2 more days.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache
Clinical narrative: A WEEK AFTER VACCINATION PATIENT DESCRIBED HEADACHE, FATIGUE THAT LASTED SEVERAL WEEKS.  ADVISED TO SEEK MEDICAL FOLLOW-UP.  PATIENT IS SPANISH SPEAKING AND DOES NOT LIVE IN TEXAS FULL TIME.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Insomnia, Myalgia, Pain in extremity
Clinical narrative: SORE ARM, AT FIRST ATTRIBUTED TO muscle ache, but later realized it was very specific to injection site, and very intense pain.  I was unable to sleep more than a few short spurts the entire night as the pain was so intense.  I read online that Benadryl was to be used for the pain, as well as ice.  Originally I had used heat, before finding the information online.  Nothing seems to help at this point.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: Error: Incorrect Reconstitution
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: 4/28 Day 6 serious numbness in right leg, glute to heel, especially in calf and heel.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Dry mouth, Nervousness, Pruritus
Clinical narrative: Pt reports feeling a "little shakey" with itching to face/top of head/back of neck and dry mouth. Self administered chlortrimeton, an allergy medication that she usually takes Qday for cat allergies. Within 15 minutes she reported itchy feeling had resolved.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Nothing
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Feeling abnormal, Hyperhidrosis, Syncope
Clinical narrative: About 3 minutes after leaving the drive-through vaccine center (following the 15 minute wait period during which I felt fine), while driving home, I felt dizzy, ears ringing, and light-headed and it kept increasing.  Luckily, I pulled into a parking lot, called 911, and fainted.  I regained awareness after a couple of minutes with a fire truck arriving, but was foggy and sweating. I recovered after several minutes and did not get transported anywhere. Firemen advised me to drink lots of water.  I felt very tired but otherwise OK by about 35 minutes after the shot.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: About 3 minutes after leaving the drive-through vaccine center (following the 15 minute wait period during which I felt fine), while driving home, I felt dizzy, ears ringing, and light-headed and it kept increasing.  Luckily, I pulled into a parking lot, called 911, and fainted.  I regained awareness after a couple of minutes with a fire truck arriving, but was foggy and sweating. I recovered after several minutes and did not get transported anywhere. Firemen advised me to drink lots of water.  I felt very tired but otherwise OK by about 35 minutes after the shot.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Loss of personal independence in daily activities
Clinical narrative: Significant fatigue for the past two months. Not able to do her normal day-to-day activities without taking a break or taking a nap.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Diarrhoea, Diplopia, Fatigue, Headache
Clinical narrative: Fatigue double vision asthma-like breathing diarrhea headache
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Fall, Head injury, Headache
Clinical narrative: Patient is a 70 yr/o female with a history of dementia, hyperlipidemia, hypertension and GERD, who presents to the emergency department complaining of head pain status post fall she reports that this morning she was getting up to let her daughter into her house and she lost her balance and fell back and hit her head.  She report that when she stood up "everything felt dark"  Denies any LOC or anticoagulation.  She denies any chest pain shortness of air dizziness palpitations or passing out prior to fall.  Denies any blurry vision, nausea or vomiting.  Patient is a nontobacco user.  She denies any illicit drug use and occasional alcohol use.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Gait disturbance, Pain, Peripheral swelling
Clinical narrative: Had swelling in left foot, unable to wear shoe. Had severe pain, like walking on nails. Lasted approximately 4 days and then abated. My dad thought he?d have to give up walking.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Irritability, Lethargy, Platelet count decreased, Thrombocytopenia
Clinical narrative: weakness, Lethargy, uncharacteristic irritability beginning one day post vaccine 3/23/21.       Labs:  Thrombocytopenia: PLT 85 4/23/21, repeat PLT 4/26/21  75,   repeat PLT 4/28/21 pending
Age: 55.0
Sex: U
Vaccine: COVID19
Symptoms: Blood pressure measurement, Headache
Clinical narrative: Pt c/o pounding frontal headache 5/10 14 mins after receiving 1st dose of the vaccine. She reported that she has Hx of hypothyroidism for which she takes Synthroid and she ate at 9am. She was assessed and monitored by NP, EMT and paramedic. BP - 121/81, H.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Deafness neurosensory, Dizziness, Tinnitus
Clinical narrative: On Feb 26, after my vaccine, I arrived home at 6:30 pm and told my wife my ears are ringing loudly. This lasted a few hours.   On March 26, after my vaccine, I arrived home at 6:30 pm and told my wife my ears are ringing loudly. This lasted a few hours.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient received first dose of Pfizer on 4/16/2021 and then received second dose of Pfizer early on 4/28/2021.  The second dose was administered by LPN and it was reported to the provider at the site after administration.  No adverse reaction noted after the vaccine was given.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Pt called call center regarding symptoms after getting J&J vaccine  on 4/10. Pt was upset that she had to repeat her symptoms when she was transferred to advice nurse. Pt stated multiple times that her symptoms were only on both arms. She denied any emergency symptoms and declined to answer the rest of call center staff questions. I advised the patient that I need to ask screening questions prior to making a telephone MD appt. Pt stated again, that her symptoms were localized only to both arms and had some pain. Staff explained to the interpreter, at this time there are no urgent care appts available, pt would need to go to Urgent Care or ED to be evaluated. Translator repeated once more, and no response from pt. Pt disconnected from the call. called patient back, no answer.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Acquired diaphragmatic eventration, Activated partial thromboplastin time, Acute respiratory failure, Anticoagulant therapy, Antiphospholipid antibodies
Clinical narrative: Patient developed shortness of breath, chest pain 'fuzzy head,' headache, rhinorrhea, diarrhea, and increased fatigue around 3/28/21  had clinic appointment 3/30/21, diagnosed with pneumonia.  XR CHEST 2 VIEWS (PA AND LATERAL), TRANSTHORACIC ECHO (TTE) ADULT NON CONGENITAL, EKG 12-LEAD completed. given cefTRIAXone (ROCEPHIN-Equivalent) injection 1,000mg IM, and doxycycline monohydrate (MONODOX) 100 mg capsule  PO.  was evaluated in ED 4/5/21  CT Abdomen Pelvis with IV Contrast  Final Result  1. Positive for extensive acute bilateral pulmonary emboli at the lung bases as  detailed in the body of the report.  DX Chest Portable 1 View  Final Result  Mild left ventricular prominence is noted. Small right pleural  effusion is seen. Minimal discoid atelectatic changes in the left perihilar  region and left lung base. Elevated right hemidiaphragm suggests eventration.   Admitted to Hospital 4/5/21, per admission diagnosis: Acute pulmonary embolism (*) submassive likely secondary to covid 19  Per hospital course notes:Patient presented with acute hypoxic respiratory failure and was show to have submassive PE with severe pulmonary hypertension seen on TTE. He should be on lifelong therapy given 2nd VTE and severity.  Iwould consider unprovoked (COVID in 11/20 wouldn't count I wouldn't think).  He was started on eliquis 10 mg BID x 7 days than 5 mg bid. Given his severe pulm htn on TTE, left atrial pressure normal.  We would have outpatient sleep study as well He will need VQ scan to assure no CTEPH. Will have outpatient follow up. We discontinued his aspirin on discharge as well.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Atelectasis, Blood creatinine, Blood electrolytes, Blood gases, Blood lactic acid
Clinical narrative: Patient developed shortness of breath, chest pain 'fuzzy head,' headache, rhinorrhea, diarrhea, and increased fatigue around 3/28/21  had clinic appointment 3/30/21, diagnosed with pneumonia.  XR CHEST 2 VIEWS (PA AND LATERAL), TRANSTHORACIC ECHO (TTE) ADULT NON CONGENITAL, EKG 12-LEAD completed. given cefTRIAXone (ROCEPHIN-Equivalent) injection 1,000mg IM, and doxycycline monohydrate (MONODOX) 100 mg capsule  PO.  was evaluated in ED 4/5/21  CT Abdomen Pelvis with IV Contrast  Final Result  1. Positive for extensive acute bilateral pulmonary emboli at the lung bases as  detailed in the body of the report.  DX Chest Portable 1 View  Final Result  Mild left ventricular prominence is noted. Small right pleural  effusion is seen. Minimal discoid atelectatic changes in the left perihilar  region and left lung base. Elevated right hemidiaphragm suggests eventration.   Admitted to Hospital 4/5/21, per admission diagnosis: Acute pulmonary embolism (*) submassive likely secondary to covid 19  Per hospital course notes:Patient presented with acute hypoxic respiratory failure and was show to have submassive PE with severe pulmonary hypertension seen on TTE. He should be on lifelong therapy given 2nd VTE and severity.  Iwould consider unprovoked (COVID in 11/20 wouldn't count I wouldn't think).  He was started on eliquis 10 mg BID x 7 days than 5 mg bid. Given his severe pulm htn on TTE, left atrial pressure normal.  We would have outpatient sleep study as well He will need VQ scan to assure no CTEPH. Will have outpatient follow up. We discontinued his aspirin on discharge as well.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Blood magnesium, Blood potassium, Blood sodium, COVID-19, Chest X-ray abnormal
Clinical narrative: Patient developed shortness of breath, chest pain 'fuzzy head,' headache, rhinorrhea, diarrhea, and increased fatigue around 3/28/21  had clinic appointment 3/30/21, diagnosed with pneumonia.  XR CHEST 2 VIEWS (PA AND LATERAL), TRANSTHORACIC ECHO (TTE) ADULT NON CONGENITAL, EKG 12-LEAD completed. given cefTRIAXone (ROCEPHIN-Equivalent) injection 1,000mg IM, and doxycycline monohydrate (MONODOX) 100 mg capsule  PO.  was evaluated in ED 4/5/21  CT Abdomen Pelvis with IV Contrast  Final Result  1. Positive for extensive acute bilateral pulmonary emboli at the lung bases as  detailed in the body of the report.  DX Chest Portable 1 View  Final Result  Mild left ventricular prominence is noted. Small right pleural  effusion is seen. Minimal discoid atelectatic changes in the left perihilar  region and left lung base. Elevated right hemidiaphragm suggests eventration.   Admitted to Hospital 4/5/21, per admission diagnosis: Acute pulmonary embolism (*) submassive likely secondary to covid 19  Per hospital course notes:Patient presented with acute hypoxic respiratory failure and was show to have submassive PE with severe pulmonary hypertension seen on TTE. He should be on lifelong therapy given 2nd VTE and severity.  Iwould consider unprovoked (COVID in 11/20 wouldn't count I wouldn't think).  He was started on eliquis 10 mg BID x 7 days than 5 mg bid. Given his severe pulm htn on TTE, left atrial pressure normal.  We would have outpatient sleep study as well He will need VQ scan to assure no CTEPH. Will have outpatient follow up. We discontinued his aspirin on discharge as well.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Computerised tomogram abdomen abnormal, Computerised tomogram pelvis, Diarrhoea, Differential white blood cell count
Clinical narrative: Patient developed shortness of breath, chest pain 'fuzzy head,' headache, rhinorrhea, diarrhea, and increased fatigue around 3/28/21  had clinic appointment 3/30/21, diagnosed with pneumonia.  XR CHEST 2 VIEWS (PA AND LATERAL), TRANSTHORACIC ECHO (TTE) ADULT NON CONGENITAL, EKG 12-LEAD completed. given cefTRIAXone (ROCEPHIN-Equivalent) injection 1,000mg IM, and doxycycline monohydrate (MONODOX) 100 mg capsule  PO.  was evaluated in ED 4/5/21  CT Abdomen Pelvis with IV Contrast  Final Result  1. Positive for extensive acute bilateral pulmonary emboli at the lung bases as  detailed in the body of the report.  DX Chest Portable 1 View  Final Result  Mild left ventricular prominence is noted. Small right pleural  effusion is seen. Minimal discoid atelectatic changes in the left perihilar  region and left lung base. Elevated right hemidiaphragm suggests eventration.   Admitted to Hospital 4/5/21, per admission diagnosis: Acute pulmonary embolism (*) submassive likely secondary to covid 19  Per hospital course notes:Patient presented with acute hypoxic respiratory failure and was show to have submassive PE with severe pulmonary hypertension seen on TTE. He should be on lifelong therapy given 2nd VTE and severity.  Iwould consider unprovoked (COVID in 11/20 wouldn't count I wouldn't think).  He was started on eliquis 10 mg BID x 7 days than 5 mg bid. Given his severe pulm htn on TTE, left atrial pressure normal.  We would have outpatient sleep study as well He will need VQ scan to assure no CTEPH. Will have outpatient follow up. We discontinued his aspirin on discharge as well.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram, Electrocardiogram, Fatigue, Feeling abnormal
Clinical narrative: Patient developed shortness of breath, chest pain 'fuzzy head,' headache, rhinorrhea, diarrhea, and increased fatigue around 3/28/21  had clinic appointment 3/30/21, diagnosed with pneumonia.  XR CHEST 2 VIEWS (PA AND LATERAL), TRANSTHORACIC ECHO (TTE) ADULT NON CONGENITAL, EKG 12-LEAD completed. given cefTRIAXone (ROCEPHIN-Equivalent) injection 1,000mg IM, and doxycycline monohydrate (MONODOX) 100 mg capsule  PO.  was evaluated in ED 4/5/21  CT Abdomen Pelvis with IV Contrast  Final Result  1. Positive for extensive acute bilateral pulmonary emboli at the lung bases as  detailed in the body of the report.  DX Chest Portable 1 View  Final Result  Mild left ventricular prominence is noted. Small right pleural  effusion is seen. Minimal discoid atelectatic changes in the left perihilar  region and left lung base. Elevated right hemidiaphragm suggests eventration.   Admitted to Hospital 4/5/21, per admission diagnosis: Acute pulmonary embolism (*) submassive likely secondary to covid 19  Per hospital course notes:Patient presented with acute hypoxic respiratory failure and was show to have submassive PE with severe pulmonary hypertension seen on TTE. He should be on lifelong therapy given 2nd VTE and severity.  Iwould consider unprovoked (COVID in 11/20 wouldn't count I wouldn't think).  He was started on eliquis 10 mg BID x 7 days than 5 mg bid. Given his severe pulm htn on TTE, left atrial pressure normal.  We would have outpatient sleep study as well He will need VQ scan to assure no CTEPH. Will have outpatient follow up. We discontinued his aspirin on discharge as well.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count, Haemoglobin, Headache, Hernial eventration, Lipase
Clinical narrative: Patient developed shortness of breath, chest pain 'fuzzy head,' headache, rhinorrhea, diarrhea, and increased fatigue around 3/28/21  had clinic appointment 3/30/21, diagnosed with pneumonia.  XR CHEST 2 VIEWS (PA AND LATERAL), TRANSTHORACIC ECHO (TTE) ADULT NON CONGENITAL, EKG 12-LEAD completed. given cefTRIAXone (ROCEPHIN-Equivalent) injection 1,000mg IM, and doxycycline monohydrate (MONODOX) 100 mg capsule  PO.  was evaluated in ED 4/5/21  CT Abdomen Pelvis with IV Contrast  Final Result  1. Positive for extensive acute bilateral pulmonary emboli at the lung bases as  detailed in the body of the report.  DX Chest Portable 1 View  Final Result  Mild left ventricular prominence is noted. Small right pleural  effusion is seen. Minimal discoid atelectatic changes in the left perihilar  region and left lung base. Elevated right hemidiaphragm suggests eventration.   Admitted to Hospital 4/5/21, per admission diagnosis: Acute pulmonary embolism (*) submassive likely secondary to covid 19  Per hospital course notes:Patient presented with acute hypoxic respiratory failure and was show to have submassive PE with severe pulmonary hypertension seen on TTE. He should be on lifelong therapy given 2nd VTE and severity.  Iwould consider unprovoked (COVID in 11/20 wouldn't count I wouldn't think).  He was started on eliquis 10 mg BID x 7 days than 5 mg bid. Given his severe pulm htn on TTE, left atrial pressure normal.  We would have outpatient sleep study as well He will need VQ scan to assure no CTEPH. Will have outpatient follow up. We discontinued his aspirin on discharge as well.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test, N-terminal prohormone brain natriuretic peptide, Platelet count, Pleural effusion, Pneumonia
Clinical narrative: Patient developed shortness of breath, chest pain 'fuzzy head,' headache, rhinorrhea, diarrhea, and increased fatigue around 3/28/21  had clinic appointment 3/30/21, diagnosed with pneumonia.  XR CHEST 2 VIEWS (PA AND LATERAL), TRANSTHORACIC ECHO (TTE) ADULT NON CONGENITAL, EKG 12-LEAD completed. given cefTRIAXone (ROCEPHIN-Equivalent) injection 1,000mg IM, and doxycycline monohydrate (MONODOX) 100 mg capsule  PO.  was evaluated in ED 4/5/21  CT Abdomen Pelvis with IV Contrast  Final Result  1. Positive for extensive acute bilateral pulmonary emboli at the lung bases as  detailed in the body of the report.  DX Chest Portable 1 View  Final Result  Mild left ventricular prominence is noted. Small right pleural  effusion is seen. Minimal discoid atelectatic changes in the left perihilar  region and left lung base. Elevated right hemidiaphragm suggests eventration.   Admitted to Hospital 4/5/21, per admission diagnosis: Acute pulmonary embolism (*) submassive likely secondary to covid 19  Per hospital course notes:Patient presented with acute hypoxic respiratory failure and was show to have submassive PE with severe pulmonary hypertension seen on TTE. He should be on lifelong therapy given 2nd VTE and severity.  Iwould consider unprovoked (COVID in 11/20 wouldn't count I wouldn't think).  He was started on eliquis 10 mg BID x 7 days than 5 mg bid. Given his severe pulm htn on TTE, left atrial pressure normal.  We would have outpatient sleep study as well He will need VQ scan to assure no CTEPH. Will have outpatient follow up. We discontinued his aspirin on discharge as well.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Prothrombin time, Pulmonary embolism, Pulmonary hypertension, Rhinorrhoea, Right ventricular hypertrophy
Clinical narrative: Patient developed shortness of breath, chest pain 'fuzzy head,' headache, rhinorrhea, diarrhea, and increased fatigue around 3/28/21  had clinic appointment 3/30/21, diagnosed with pneumonia.  XR CHEST 2 VIEWS (PA AND LATERAL), TRANSTHORACIC ECHO (TTE) ADULT NON CONGENITAL, EKG 12-LEAD completed. given cefTRIAXone (ROCEPHIN-Equivalent) injection 1,000mg IM, and doxycycline monohydrate (MONODOX) 100 mg capsule  PO.  was evaluated in ED 4/5/21  CT Abdomen Pelvis with IV Contrast  Final Result  1. Positive for extensive acute bilateral pulmonary emboli at the lung bases as  detailed in the body of the report.  DX Chest Portable 1 View  Final Result  Mild left ventricular prominence is noted. Small right pleural  effusion is seen. Minimal discoid atelectatic changes in the left perihilar  region and left lung base. Elevated right hemidiaphragm suggests eventration.   Admitted to Hospital 4/5/21, per admission diagnosis: Acute pulmonary embolism (*) submassive likely secondary to covid 19  Per hospital course notes:Patient presented with acute hypoxic respiratory failure and was show to have submassive PE with severe pulmonary hypertension seen on TTE. He should be on lifelong therapy given 2nd VTE and severity.  Iwould consider unprovoked (COVID in 11/20 wouldn't count I wouldn't think).  He was started on eliquis 10 mg BID x 7 days than 5 mg bid. Given his severe pulm htn on TTE, left atrial pressure normal.  We would have outpatient sleep study as well He will need VQ scan to assure no CTEPH. Will have outpatient follow up. We discontinued his aspirin on discharge as well.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Troponin, Troponin T, Urine analysis
Clinical narrative: Patient developed shortness of breath, chest pain 'fuzzy head,' headache, rhinorrhea, diarrhea, and increased fatigue around 3/28/21  had clinic appointment 3/30/21, diagnosed with pneumonia.  XR CHEST 2 VIEWS (PA AND LATERAL), TRANSTHORACIC ECHO (TTE) ADULT NON CONGENITAL, EKG 12-LEAD completed. given cefTRIAXone (ROCEPHIN-Equivalent) injection 1,000mg IM, and doxycycline monohydrate (MONODOX) 100 mg capsule  PO.  was evaluated in ED 4/5/21  CT Abdomen Pelvis with IV Contrast  Final Result  1. Positive for extensive acute bilateral pulmonary emboli at the lung bases as  detailed in the body of the report.  DX Chest Portable 1 View  Final Result  Mild left ventricular prominence is noted. Small right pleural  effusion is seen. Minimal discoid atelectatic changes in the left perihilar  region and left lung base. Elevated right hemidiaphragm suggests eventration.   Admitted to Hospital 4/5/21, per admission diagnosis: Acute pulmonary embolism (*) submassive likely secondary to covid 19  Per hospital course notes:Patient presented with acute hypoxic respiratory failure and was show to have submassive PE with severe pulmonary hypertension seen on TTE. He should be on lifelong therapy given 2nd VTE and severity.  Iwould consider unprovoked (COVID in 11/20 wouldn't count I wouldn't think).  He was started on eliquis 10 mg BID x 7 days than 5 mg bid. Given his severe pulm htn on TTE, left atrial pressure normal.  We would have outpatient sleep study as well He will need VQ scan to assure no CTEPH. Will have outpatient follow up. We discontinued his aspirin on discharge as well.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Pallor
Clinical narrative: Pt reported feeling light headed, clammy and pale. Placed in semifowler's position, given a bottle of water to drink and felt better. VSS and within acceptable parameters.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient presented to the ED on 3/3/2021 and was subsequently hospitalized. After 4 days he was transferred to Clinic on 3/7/2021 for another 10 days.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Pyrexia
Clinical narrative: Low grade fever and dizziness, stable V/S
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Back pain, Brain natriuretic peptide normal, Chest pain, Computerised tomogram abnormal
Clinical narrative: 4/2 vaccination  4/8 severe HA, leg, arm, lower back pain, chest pain, diarrhea, bad anxiety with shaking 4/9 PCM (NP) appt; CT scan of abdomen and blood panel 4/10 felt worse, nauseous. Diarrhea continued 4/11 At 11PM, pain right side of neck, to jaw, and toes turned purple.  4/13 PCM; vit D prescribed as they were extremely low, extra strength Tylenol release for leg and arm pain, ordered a D-dimer for possible blood clot.  Doppler for right leg. COVID; neg  4/17 chest pain was extremely severe. Radiated to L arm. Went back to ER. EKG, CT Scan, BNP. All normal. Stated probably really bad heartburn.  4/19 Prilosec. I called my dr on 4/22 to follow up. They told me to keep eye on BP as been elevated thru this whole thing.  4/22 My chest, arm and leg pain with HA are still present despite Tylenol and Prilosec. My PCM said to come back in . She prescribed Prednisone and Pantropical and did a blood test to check for inflammation which was normal. I have been taking both medications since Tuesday.  *My HA still present. My right side still has pain and I still have chest pain.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Dyspepsia, Electrocardiogram normal, Fibrin D dimer, Headache
Clinical narrative: 4/2 vaccination  4/8 severe HA, leg, arm, lower back pain, chest pain, diarrhea, bad anxiety with shaking 4/9 PCM (NP) appt; CT scan of abdomen and blood panel 4/10 felt worse, nauseous. Diarrhea continued 4/11 At 11PM, pain right side of neck, to jaw, and toes turned purple.  4/13 PCM; vit D prescribed as they were extremely low, extra strength Tylenol release for leg and arm pain, ordered a D-dimer for possible blood clot.  Doppler for right leg. COVID; neg  4/17 chest pain was extremely severe. Radiated to L arm. Went back to ER. EKG, CT Scan, BNP. All normal. Stated probably really bad heartburn.  4/19 Prilosec. I called my dr on 4/22 to follow up. They told me to keep eye on BP as been elevated thru this whole thing.  4/22 My chest, arm and leg pain with HA are still present despite Tylenol and Prilosec. My PCM said to come back in . She prescribed Prednisone and Pantropical and did a blood test to check for inflammation which was normal. I have been taking both medications since Tuesday.  *My HA still present. My right side still has pain and I still have chest pain.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Metabolic function test, Mononucleosis heterophile test negative, Nausea, Neck pain, Pain in extremity
Clinical narrative: 4/2 vaccination  4/8 severe HA, leg, arm, lower back pain, chest pain, diarrhea, bad anxiety with shaking 4/9 PCM (NP) appt; CT scan of abdomen and blood panel 4/10 felt worse, nauseous. Diarrhea continued 4/11 At 11PM, pain right side of neck, to jaw, and toes turned purple.  4/13 PCM; vit D prescribed as they were extremely low, extra strength Tylenol release for leg and arm pain, ordered a D-dimer for possible blood clot.  Doppler for right leg. COVID; neg  4/17 chest pain was extremely severe. Radiated to L arm. Went back to ER. EKG, CT Scan, BNP. All normal. Stated probably really bad heartburn.  4/19 Prilosec. I called my dr on 4/22 to follow up. They told me to keep eye on BP as been elevated thru this whole thing.  4/22 My chest, arm and leg pain with HA are still present despite Tylenol and Prilosec. My PCM said to come back in . She prescribed Prednisone and Pantropical and did a blood test to check for inflammation which was normal. I have been taking both medications since Tuesday.  *My HA still present. My right side still has pain and I still have chest pain.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in jaw, SARS-CoV-2 test negative, Skin discolouration, Tremor, Ultrasound Doppler
Clinical narrative: 4/2 vaccination  4/8 severe HA, leg, arm, lower back pain, chest pain, diarrhea, bad anxiety with shaking 4/9 PCM (NP) appt; CT scan of abdomen and blood panel 4/10 felt worse, nauseous. Diarrhea continued 4/11 At 11PM, pain right side of neck, to jaw, and toes turned purple.  4/13 PCM; vit D prescribed as they were extremely low, extra strength Tylenol release for leg and arm pain, ordered a D-dimer for possible blood clot.  Doppler for right leg. COVID; neg  4/17 chest pain was extremely severe. Radiated to L arm. Went back to ER. EKG, CT Scan, BNP. All normal. Stated probably really bad heartburn.  4/19 Prilosec. I called my dr on 4/22 to follow up. They told me to keep eye on BP as been elevated thru this whole thing.  4/22 My chest, arm and leg pain with HA are still present despite Tylenol and Prilosec. My PCM said to come back in . She prescribed Prednisone and Pantropical and did a blood test to check for inflammation which was normal. I have been taking both medications since Tuesday.  *My HA still present. My right side still has pain and I still have chest pain.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vitamin D decreased
Clinical narrative: 4/2 vaccination  4/8 severe HA, leg, arm, lower back pain, chest pain, diarrhea, bad anxiety with shaking 4/9 PCM (NP) appt; CT scan of abdomen and blood panel 4/10 felt worse, nauseous. Diarrhea continued 4/11 At 11PM, pain right side of neck, to jaw, and toes turned purple.  4/13 PCM; vit D prescribed as they were extremely low, extra strength Tylenol release for leg and arm pain, ordered a D-dimer for possible blood clot.  Doppler for right leg. COVID; neg  4/17 chest pain was extremely severe. Radiated to L arm. Went back to ER. EKG, CT Scan, BNP. All normal. Stated probably really bad heartburn.  4/19 Prilosec. I called my dr on 4/22 to follow up. They told me to keep eye on BP as been elevated thru this whole thing.  4/22 My chest, arm and leg pain with HA are still present despite Tylenol and Prilosec. My PCM said to come back in . She prescribed Prednisone and Pantropical and did a blood test to check for inflammation which was normal. I have been taking both medications since Tuesday.  *My HA still present. My right side still has pain and I still have chest pain.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Anxiety, Back pain, Blood test, Body temperature
Clinical narrative: 4/2 vaccination  4/8 severe HA, leg, arm, lower back pain, chest pain, diarrhea, bad anxiety with shaking 4/9 PCM (NP) appt; CT scan of abdomen and blood panel 4/10 felt worse, nauseous. Diarrhea continued 4/11 At 11PM, pain right side of neck, to jaw, and toes turned purple.  4/13 PCM; vit D prescribed as they were extremely low, extra strength Tylenol release for leg and arm pain, ordered a D-dimer for possible blood clot.  Doppler for right leg. COVID; neg  4/17 chest pain was extremely severe. Radiated to L arm. Went back to ER. EKG, CT Scan, BNP. All normal. Stated probably really bad heartburn.  4/19 Prilosec. I called my dr on 4/22 to follow up. They told me to keep eye on BP as been elevated thru this whole thing.  4/22 My chest, arm and leg pain with HA are still present despite Tylenol and Prilosec. My PCM said to come back in . She prescribed Prednisone and Pantropical and did a blood test to check for inflammation which was normal. I have been taking both medications since Tuesday.  *My HA still present. My right side still has pain and I still have chest pain.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Computerised tomogram, Condition aggravated, Decreased appetite, Diarrhoea
Clinical narrative: 4/2 vaccination  4/8 severe HA, leg, arm, lower back pain, chest pain, diarrhea, bad anxiety with shaking 4/9 PCM (NP) appt; CT scan of abdomen and blood panel 4/10 felt worse, nauseous. Diarrhea continued 4/11 At 11PM, pain right side of neck, to jaw, and toes turned purple.  4/13 PCM; vit D prescribed as they were extremely low, extra strength Tylenol release for leg and arm pain, ordered a D-dimer for possible blood clot.  Doppler for right leg. COVID; neg  4/17 chest pain was extremely severe. Radiated to L arm. Went back to ER. EKG, CT Scan, BNP. All normal. Stated probably really bad heartburn.  4/19 Prilosec. I called my dr on 4/22 to follow up. They told me to keep eye on BP as been elevated thru this whole thing.  4/22 My chest, arm and leg pain with HA are still present despite Tylenol and Prilosec. My PCM said to come back in . She prescribed Prednisone and Pantropical and did a blood test to check for inflammation which was normal. I have been taking both medications since Tuesday.  *My HA still present. My right side still has pain and I still have chest pain.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspepsia, Electrocardiogram, Headache, Hypertension, Nausea
Clinical narrative: 4/2 vaccination  4/8 severe HA, leg, arm, lower back pain, chest pain, diarrhea, bad anxiety with shaking 4/9 PCM (NP) appt; CT scan of abdomen and blood panel 4/10 felt worse, nauseous. Diarrhea continued 4/11 At 11PM, pain right side of neck, to jaw, and toes turned purple.  4/13 PCM; vit D prescribed as they were extremely low, extra strength Tylenol release for leg and arm pain, ordered a D-dimer for possible blood clot.  Doppler for right leg. COVID; neg  4/17 chest pain was extremely severe. Radiated to L arm. Went back to ER. EKG, CT Scan, BNP. All normal. Stated probably really bad heartburn.  4/19 Prilosec. I called my dr on 4/22 to follow up. They told me to keep eye on BP as been elevated thru this whole thing.  4/22 My chest, arm and leg pain with HA are still present despite Tylenol and Prilosec. My PCM said to come back in . She prescribed Prednisone and Pantropical and did a blood test to check for inflammation which was normal. I have been taking both medications since Tuesday.  *My HA still present. My right side still has pain and I still have chest pain.