chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Pain in extremity, Thirst
Clinical narrative: Sore arm, very thirsty, not hungry, diarrhea, dizziness, fatigue, lack of strength, uncoordinated and jerky motions.  Needed assistance to move around at home.  Even to sit and stand. All of these symptoms for 2 days.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: Headache, fever (100.5 F), body aches  Rest, no other treatment  Currently 8 hours, seems to be improving
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: PATIENT HAS A RASH ALL OVER BACK AND SIDES ON MONDAY FOLLOWING VACCINE ADMINISTRATION THE PRIOR TUESDAY. HE WAS SEEN IN THE LOCAL ER AND PRESCRIBED DIPHENHYDRAMINE, LORATADINE, AND TRIAMCINOLONE CREAM
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was offered the vaccine today at the clinic he said yes, gave patient the dose monitored patient for 15 min. Patient had no reaction to the vaccine. Went to put the vaccine into system and noticed patient was already vaccinated.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: I have been experiency swollen lymph node in my left armpit
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Dry mouth, Oral pruritus, Vital signs measurement
Clinical narrative: On 2/9/2021 @ 9:16am client c/o a dry/itchy mouth after receiving her 2nd dose of covid 19 vaccination brand moderna Lot 024M20A. Injection site Left deltoid. Upon assessment, no swelling warmth or redness noted at the site of injection site. Vitals Temp 98.2 Bp 166/104  Hr 120 RR 18 pain 0/10, O2 97. Client provided water and advised to sit from additional 30 mins for further observation. Client verbalized she has a history of HTN, anxiety, and obesity. Client instructed to continue  resting and taking a few slow deep breaths and to finish as much of the water as she could. reassessed @ 9:40am T98.4 P91 Bp 140/92 Pain 0/10 O2 98. Injection site continues to be free of swelling , warmth, or redness. Client no longer c/o dry/itching mouth. Bc of previous diagnosis of HTN client is satisfied with current vitals and states she feels fine. Client Awake AO to x3(person, place, time) upon leaving  clinic via personal transportation.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Vomiting
Clinical narrative: chills x24h, vomiting once, nausea x24h, headache x24h
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site reaction, Urticaria
Clinical narrative: Large red welt with hard skin at injection site
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Hypoaesthesia, Pyrexia
Clinical narrative: Chills, fever, numb hands, tiredness. All started about 12:45 same day as the vaccine.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate, Oxygen saturation, Pruritus, Rash, Rash erythematous
Clinical narrative: 11:48pm- vaccine administered 12:03pm- pt reported upper body itching, redness (papular rash on the left side of the neck) O2 Sat 98%, HR 60 pt denies SOA, no edema 12:05pm- Benadryl 12.5mg/5ml @ 10ml po was administered 12:20pm- Pt left, denied SOA, no itching, rash resolved O2 sat 98%
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Rash papular
Clinical narrative: 11:48pm- vaccine administered 12:03pm- pt reported upper body itching, redness (papular rash on the left side of the neck) O2 Sat 98%, HR 60 pt denies SOA, no edema 12:05pm- Benadryl 12.5mg/5ml @ 10ml po was administered 12:20pm- Pt left, denied SOA, no itching, rash resolved O2 sat 98%
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia, Pyrexia, Tachycardia
Clinical narrative: Approximately 12 hours after receiving the vaccine, I was running a fever of 101.7 F, with associated chills, muscle aches, and a pounding headache. Most notably, I was experiencing tachycardia with a resting heartrate of between 109-127 bpm which was sustained for at least two hours. My normal resting heartrate is between 60-70 bpm.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Headache, Heart rate increased, Hypoaesthesia, Myalgia
Clinical narrative: vomiting, increased heart rate, headache, stomach pain, muscle aches, numbness in lower limbs,
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: vomiting, increased heart rate, headache, stomach pain, muscle aches, numbness in lower limbs,
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Malaise, Nausea, Pain, Pyrexia
Clinical narrative: Patient stated that she got really sick - fever, ache, nausea, vomiting, fatigue
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Patient stated that she got really sick - fever, ache, nausea, vomiting, fatigue
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: dizziness, nausea,          over 3-5 minutes that subsequently releived with water and rest.   HR 50's-60's  #21 advised to see doctor or other healthcare professional office/clinic.          #21 advised to visit
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Decreased appetite, Fall, Feeling abnormal, Malaise
Clinical narrative: Loss of appetite, malaise, nausea, falls, mental fog, death.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Loss of appetite, malaise, nausea, falls, mental fog, death.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Myalgia, Nausea
Clinical narrative: Fatigue, headache, chills, fever, body aches, nausea, muscle pain
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Fatigue, headache, chills, fever, body aches, nausea, muscle pain
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Dyspnoea, Sleep disorder
Clinical narrative: Cough that lasted two weeks mostly at night not able to sleep because I could not breath. Prescribed steroids and cough medicine.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Eye inflammation, Hypersensitivity, Pruritus, Urticaria
Clinical narrative: Increased reactions to existing allergies. The skin around my eyes became very inflamed and my skin has been non-stop itchy for 24 hrs. all over my body. My skin gets hives as well.  I have never had allergic reactions like this in the past to any of my allergens.  Normally,  I would take Allegra and this would help my allergies (I have done this for years). Now even Allegra doesn't help anymore all of a sudden.  My allergist told me to increase my dosage of Allegra and start taking Pepsid to help control the itching.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Malaise, Pain in extremity
Clinical narrative: Sore arm, fatigued, chills and malaise 60 hours post injection
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain, Pyrexia
Clinical narrative: 1/2 hour after - felt pent up like I had to sigh to return to normal 24 hours later - heavy fatigue,  low grade fever 99.3, achiness since then fatigue, sometimes very bad which makes me miss planned activities, sometimes not as bad and I can flounder through
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: syncopal episode
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Myalgia
Clinical narrative: myalgia, fatigue, headache lasting 7 days
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Pain in extremity, Tinnitus
Clinical narrative: Tinnitus! Started the day after the vaccine.  Accompanied by headache.  Arm pain was intense but anticipated .  Started the day after and nearly gone 4 days afterward. Joint pain and fatigue also expected and gradually easing up.  But the tinnitus is relentless. I have NEVER had it before.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site pain, Migraine, Pain
Clinical narrative: mild headache started around 4:00 pm the day of the vaccination shot,  woke up the next morning with severe migraine, body aches, chills, and severe pain in left arm (where shot was administered).  These symptoms lasted all day and gradually started decreasing the following day.  By that night, they were mostly gone.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Head discomfort, Nausea, Pain, Throat irritation
Clinical narrative: 1108  RN  responded to vehicle 2 pt c/o lightheadedness. also c/o nausea and throat burning. NKA, c/o pressure in her head- pain 3 out of 10  1110: BP -114/78, p-62, R-17. No apparent distress noted, speaking and difficulty.  see progress note
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Dyspnoea, Heart rate increased
Clinical narrative: Pt arrived at station 15 at about 1145 for second dose of covid-19 vaccine. When the nurse reviewed patients per vaccination check list, nurse noted Pt checked box number 3 for having an allergic reaction to the first dose of moderna covid 19 vaccine. Pt stated she felt increased shortness of breath, but she brought her inhaler with her this time. Nurse advised pt she would have to sit in observation area for 30 minutes to monitor her for those other reactions. At 1205pm Pt friend came and told me that Pt stated she was experiencing chest tightness and trouble breathing.  BP and HR was taken. BP 154/84, HR 80. Nurse instructed pt to do pressed lip breathing. Nurse notified Lead nurse. Lead nurse asked Pt to stay for an additional 15 minutes for more observation. Pt advised nurse that she felt her HR increasing. Nurse rechecked BP and HR. BP 153/83 HR 79. Pt stated she was feeling better and would go to the ER if anything new happened or the chest pain and tightness came back. Nurse took one last BP and HR before Pt went home. BP 145/81 HR 81. Pt friend pulled the car close to the exit and they both left.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Dermatitis, Rash
Clinical narrative: Skin rash, dermatitis
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Dizziness, Electrocardiogram normal, Loss of consciousness
Clinical narrative: patient lost consciousness approximately 3 minutes after receiving vaccine, appeared to be fine immediately following vaccine, was speaking coherently to nurse, stood up under own power, became dizzy and lost consciousness
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms
Clinical narrative: Woken up at approximately 3 am with what I can only describe as a back spasm down my entire spine, with what seemed like shoulder blades pulled back.   It did not go away by sitting up or standing.  As I was awake, I went to the bathroom, bringing my phone in case I felt I needed to call 911 while there.  I took an full 325 mg aspirin, and went back to bed, as the aspirin immediately got rid of the spasm/pain.  It could have been due to my recent increase in activity - steps/miles walked (from 1 to up to 4 miles/day).  I have not experienced any subsequent discomforts.  If I had, I would schedule a visit with my primary physician.  I am reporting now as the Nurse who administered my second vaccine shot said I should even though I felt it was not vaccine related. It could be  vaccine related, but it could also be just due to increased activity level. I signed up for v-safe after the incident and didn't attempt to figure out how to report a past event until today, the day after my second vaccine shot.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Hyperhidrosis, Influenza like illness, Myalgia, Pyrexia
Clinical narrative: After roughly 15 hours I woke up with a fever, which followed by severe chills, sweating, and muscle aches. Was not ale to sleep the rest of the night. After around 8 hours the symptoms subsided, but still feel flu-like and have a low fever more than 24 hours after the shot.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Ear discomfort, Tinnitus
Clinical narrative: extremely loud high pitched ringing in both ears, as well as pressure in both ears.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Immediate post-injection reaction, Pruritus, Swelling
Clinical narrative: Immediate local itching, redness,  swelling.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Patient developed a rash on her neck 2 days after receiving her vaccine that spread to her face later that evening. Rash remains 3 days later without improvement after taking multiple doses of Benadryl and using hydrocortisone cream. Patient reported the rash to her primary care doctor.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain in extremity, Swelling, Vomiting
Clinical narrative: severe chills, vomiting, swelling/pain under RIGHT arm (side of lymph node removal 25 years ago) and fatigue
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Influenza like illness, Lethargy
Clinical narrative: started flu like symptoms 6 hrs after vaccine: body aches, headache, chills and dizzy but never had a fever. First 24 hours was very lethargic spending majority of time in bed. Took tylanol every 6 hours. After 48 hours health started to improve. I was back to normal in about 60 hrs.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: started flu like symptoms 6 hrs after vaccine: body aches, headache, chills and dizzy but never had a fever. First 24 hours was very lethargic spending majority of time in bed. Took tylanol every 6 hours. After 48 hours health started to improve. I was back to normal in about 60 hrs.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dizziness, Fall, Fatigue, Feeling cold
Clinical narrative: Sudden dizziness and fell out in floor three days later.  Followed by fatigue, diarrhea, headaches and hot cold sessions
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Headache
Clinical narrative: Sudden dizziness and fell out in floor three days later.  Followed by fatigue, diarrhea, headaches and hot cold sessions
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling
Clinical narrative: Red, swollen, itchy, hard area around injection site that showed up exactly 8 days after first vaccine injection.  Irritated area was about a 3" diameter circle around injection site.  It went away after 24 hours.  There remains a small hard spot about 1/2" in diameter at injection site but it is not irritated.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ear pain, Paraesthesia, Tinnitus, Toothache
Clinical narrative: TINGLING IN/ON SCALP, EARACHE (LEFT EAR), SOME RINGING IN THE EARS, TOOCH PAIN
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia
Clinical narrative: TINGLING IN/ON SCALP, EARACHE (LEFT EAR), SOME RINGING IN THE EARS, TOOCH PAIN
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Ear pain, Headache, Night sweats, Pain
Clinical narrative: Chills, low-grade fever, aches, ear pain, night sweats, headaches
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Chills, low-grade fever, aches, ear pain, night sweats, headaches
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pallor, Physical examination, Respiratory rate decreased, Unresponsive to stimuli
Clinical narrative: Patient was unresponsive initially, slow breathing , pallid color, called 911, patient came too and felt nauseous and needed to use the bathroom, Paramedics check him out and he left with his wife (did not go to the hospital)
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Heart rate decreased, Neck pain, Pain
Clinical narrative: Within 7 minutes of getting shot, I experienced a sharp pain radiating up my neck.  The pain then started moving down on my right side.  Within an hour the pain started radiating throughout my whole body.  The intensity of the pain in all of my muscles and joints was very sharp and intense, like when you throw your back out.  I also ran a low fever, and my pulse became very low.  I  had extreme fatigue and headache for two days.  Arm was sore for a week.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Within 7 minutes of getting shot, I experienced a sharp pain radiating up my neck.  The pain then started moving down on my right side.  Within an hour the pain started radiating throughout my whole body.  The intensity of the pain in all of my muscles and joints was very sharp and intense, like when you throw your back out.  I also ran a low fever, and my pulse became very low.  I  had extreme fatigue and headache for two days.  Arm was sore for a week.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives  not severe  lasted 4 hours or so
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Panic attack
Clinical narrative: upon arrival,noticed pt stated she was having a hard time to breath,she was laying  on the cot.vs was taken, po benadryl was given.pt seem to be having a pain attack. 11:40: assisted her to set up .vs stable,pt assisted out of the clinic with husband.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site rash, Injection site warmth, Pain in extremity
Clinical narrative: Several days after injection:  arm pain, large pink rash, warm, itchy at arm site.  Dr. looked at it on 03/22/2021 and didn?t believe it was cellulitis.  4-5 days later, no symptoms
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Skin warm
Clinical narrative: Several days after injection:  arm pain, large pink rash, warm, itchy at arm site.  Dr. looked at it on 03/22/2021 and didn?t believe it was cellulitis.  4-5 days later, no symptoms
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site pain, Pain, Pyrexia
Clinical narrative: Deep fatigue, full-body aches and chills, low grade fever, pain at injection site
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Haematoma, Tendon rupture
Clinical narrative: Tendon rupture left medial bicep, hematoma formation
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Nausea
Clinical narrative: c/o being clammy and nauseated after vaccine
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute myocardial infarction, Alanine aminotransferase normal, Aspartate aminotransferase normal, Asthenia, Back pain
Clinical narrative: 4/5/21 triage: Pt was in ED with son who was a pt today. Pt walked outside where she became light headed & briefly loss consciousness. This nurse witnessed pt knees begin to buckle & son lowered her to ground. Pt states "sometimes I get light headed if I haven't had enough water". Pt alert/oriented @ this time. C/o upper back pain that she states is new for her.  orthostatic positive HPI: 67 y.o. female who presents with a near syncopal episode just PTA. She feels that she is dehydrated. No chest pain. Some cough, no dyspnea or fever. No hx of CAD.  elevated troponin 1.28; 2.27 transferred to other HCF  hpi: History of Present Illness:   The patient is a 67 y.o. female with a past medical history notable for diabetes mellitus, hypertension, glaucoma who presents with chief complaint of "short of breath." Patient lives at home.Patient code status is:  Full code status.    Patient reports she has been battling a head cold over the past 2 weeks.  Patient has had low-grade fever of 99° F. Otherwise, patient has done well.  Patient had brought her son to the hospital emergency department.  When patient was getting ready to leave his room in the emergency department she says she felt sudden shortness of breath and dizziness.  Patient reported that she said ?I do not think I can make it.?  Patient then proceeded to get weak and syncopized.  Patient's son was already at her side and laid her on the ground.  Patient never hit her head.  When patient had return of consciousness, she continued to feel short of breath and dizzy.  Patient reported that sometimes she feels a sensation at home when she is dehydrated and has not drink in enough fluids.  Patient denies having any chest pain, fever, nausea, or vomiting.   Patient presented to the ED with the following vital signs:  Temperature 97.5°, heart rate 88, blood pressure 183/99, respiratory rate 24, oxygen saturation 85% on room air.  EKG was read as normal.  Laboratory findings reported as troponin I 0.11, repeat troponin I 3 hours later revealed 1.28.  Other laboratory findings significant for glucose 127, BUN 30, creatinine 1.2.  Chest x-ray was read as unremarkable. Patient given the following medications in the emergency department:  IV fluids x2 L bolus, 324 p.o. Aspirin, nitroglycerin ointment, treatment dose Lovenox.     During my evaluation of patient, patient denied having any chest pain.  Patient reported that she was feeling okay.   Patient was admitted to Internal Medicine service for further management of NSTEMI.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Basophil count decreased, Basophil percentage, Blood albumin decreased, Blood alkaline phosphatase normal, Blood bilirubin normal
Clinical narrative: 4/5/21 triage: Pt was in ED with son who was a pt today. Pt walked outside where she became light headed & briefly loss consciousness. This nurse witnessed pt knees begin to buckle & son lowered her to ground. Pt states "sometimes I get light headed if I haven't had enough water". Pt alert/oriented @ this time. C/o upper back pain that she states is new for her.  orthostatic positive HPI: 67 y.o. female who presents with a near syncopal episode just PTA. She feels that she is dehydrated. No chest pain. Some cough, no dyspnea or fever. No hx of CAD.  elevated troponin 1.28; 2.27 transferred to other HCF  hpi: History of Present Illness:   The patient is a 67 y.o. female with a past medical history notable for diabetes mellitus, hypertension, glaucoma who presents with chief complaint of "short of breath." Patient lives at home.Patient code status is:  Full code status.    Patient reports she has been battling a head cold over the past 2 weeks.  Patient has had low-grade fever of 99° F. Otherwise, patient has done well.  Patient had brought her son to the hospital emergency department.  When patient was getting ready to leave his room in the emergency department she says she felt sudden shortness of breath and dizziness.  Patient reported that she said ?I do not think I can make it.?  Patient then proceeded to get weak and syncopized.  Patient's son was already at her side and laid her on the ground.  Patient never hit her head.  When patient had return of consciousness, she continued to feel short of breath and dizzy.  Patient reported that sometimes she feels a sensation at home when she is dehydrated and has not drink in enough fluids.  Patient denies having any chest pain, fever, nausea, or vomiting.   Patient presented to the ED with the following vital signs:  Temperature 97.5°, heart rate 88, blood pressure 183/99, respiratory rate 24, oxygen saturation 85% on room air.  EKG was read as normal.  Laboratory findings reported as troponin I 0.11, repeat troponin I 3 hours later revealed 1.28.  Other laboratory findings significant for glucose 127, BUN 30, creatinine 1.2.  Chest x-ray was read as unremarkable. Patient given the following medications in the emergency department:  IV fluids x2 L bolus, 324 p.o. Aspirin, nitroglycerin ointment, treatment dose Lovenox.     During my evaluation of patient, patient denied having any chest pain.  Patient reported that she was feeling okay.   Patient was admitted to Internal Medicine service for further management of NSTEMI.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood calcium decreased, Blood chloride normal, Blood creatinine increased, Blood glucose normal, Blood potassium normal
Clinical narrative: 4/5/21 triage: Pt was in ED with son who was a pt today. Pt walked outside where she became light headed & briefly loss consciousness. This nurse witnessed pt knees begin to buckle & son lowered her to ground. Pt states "sometimes I get light headed if I haven't had enough water". Pt alert/oriented @ this time. C/o upper back pain that she states is new for her.  orthostatic positive HPI: 67 y.o. female who presents with a near syncopal episode just PTA. She feels that she is dehydrated. No chest pain. Some cough, no dyspnea or fever. No hx of CAD.  elevated troponin 1.28; 2.27 transferred to other HCF  hpi: History of Present Illness:   The patient is a 67 y.o. female with a past medical history notable for diabetes mellitus, hypertension, glaucoma who presents with chief complaint of "short of breath." Patient lives at home.Patient code status is:  Full code status.    Patient reports she has been battling a head cold over the past 2 weeks.  Patient has had low-grade fever of 99° F. Otherwise, patient has done well.  Patient had brought her son to the hospital emergency department.  When patient was getting ready to leave his room in the emergency department she says she felt sudden shortness of breath and dizziness.  Patient reported that she said ?I do not think I can make it.?  Patient then proceeded to get weak and syncopized.  Patient's son was already at her side and laid her on the ground.  Patient never hit her head.  When patient had return of consciousness, she continued to feel short of breath and dizzy.  Patient reported that sometimes she feels a sensation at home when she is dehydrated and has not drink in enough fluids.  Patient denies having any chest pain, fever, nausea, or vomiting.   Patient presented to the ED with the following vital signs:  Temperature 97.5°, heart rate 88, blood pressure 183/99, respiratory rate 24, oxygen saturation 85% on room air.  EKG was read as normal.  Laboratory findings reported as troponin I 0.11, repeat troponin I 3 hours later revealed 1.28.  Other laboratory findings significant for glucose 127, BUN 30, creatinine 1.2.  Chest x-ray was read as unremarkable. Patient given the following medications in the emergency department:  IV fluids x2 L bolus, 324 p.o. Aspirin, nitroglycerin ointment, treatment dose Lovenox.     During my evaluation of patient, patient denied having any chest pain.  Patient reported that she was feeling okay.   Patient was admitted to Internal Medicine service for further management of NSTEMI.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood sodium normal, Blood urea increased, Brain natriuretic peptide increased, Carbon dioxide normal, Chest X-ray normal
Clinical narrative: 4/5/21 triage: Pt was in ED with son who was a pt today. Pt walked outside where she became light headed & briefly loss consciousness. This nurse witnessed pt knees begin to buckle & son lowered her to ground. Pt states "sometimes I get light headed if I haven't had enough water". Pt alert/oriented @ this time. C/o upper back pain that she states is new for her.  orthostatic positive HPI: 67 y.o. female who presents with a near syncopal episode just PTA. She feels that she is dehydrated. No chest pain. Some cough, no dyspnea or fever. No hx of CAD.  elevated troponin 1.28; 2.27 transferred to other HCF  hpi: History of Present Illness:   The patient is a 67 y.o. female with a past medical history notable for diabetes mellitus, hypertension, glaucoma who presents with chief complaint of "short of breath." Patient lives at home.Patient code status is:  Full code status.    Patient reports she has been battling a head cold over the past 2 weeks.  Patient has had low-grade fever of 99° F. Otherwise, patient has done well.  Patient had brought her son to the hospital emergency department.  When patient was getting ready to leave his room in the emergency department she says she felt sudden shortness of breath and dizziness.  Patient reported that she said ?I do not think I can make it.?  Patient then proceeded to get weak and syncopized.  Patient's son was already at her side and laid her on the ground.  Patient never hit her head.  When patient had return of consciousness, she continued to feel short of breath and dizzy.  Patient reported that sometimes she feels a sensation at home when she is dehydrated and has not drink in enough fluids.  Patient denies having any chest pain, fever, nausea, or vomiting.   Patient presented to the ED with the following vital signs:  Temperature 97.5°, heart rate 88, blood pressure 183/99, respiratory rate 24, oxygen saturation 85% on room air.  EKG was read as normal.  Laboratory findings reported as troponin I 0.11, repeat troponin I 3 hours later revealed 1.28.  Other laboratory findings significant for glucose 127, BUN 30, creatinine 1.2.  Chest x-ray was read as unremarkable. Patient given the following medications in the emergency department:  IV fluids x2 L bolus, 324 p.o. Aspirin, nitroglycerin ointment, treatment dose Lovenox.     During my evaluation of patient, patient denied having any chest pain.  Patient reported that she was feeling okay.   Patient was admitted to Internal Medicine service for further management of NSTEMI.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Dehydration, Dizziness, Dyspnoea, Electrocardiogram normal
Clinical narrative: 4/5/21 triage: Pt was in ED with son who was a pt today. Pt walked outside where she became light headed & briefly loss consciousness. This nurse witnessed pt knees begin to buckle & son lowered her to ground. Pt states "sometimes I get light headed if I haven't had enough water". Pt alert/oriented @ this time. C/o upper back pain that she states is new for her.  orthostatic positive HPI: 67 y.o. female who presents with a near syncopal episode just PTA. She feels that she is dehydrated. No chest pain. Some cough, no dyspnea or fever. No hx of CAD.  elevated troponin 1.28; 2.27 transferred to other HCF  hpi: History of Present Illness:   The patient is a 67 y.o. female with a past medical history notable for diabetes mellitus, hypertension, glaucoma who presents with chief complaint of "short of breath." Patient lives at home.Patient code status is:  Full code status.    Patient reports she has been battling a head cold over the past 2 weeks.  Patient has had low-grade fever of 99° F. Otherwise, patient has done well.  Patient had brought her son to the hospital emergency department.  When patient was getting ready to leave his room in the emergency department she says she felt sudden shortness of breath and dizziness.  Patient reported that she said ?I do not think I can make it.?  Patient then proceeded to get weak and syncopized.  Patient's son was already at her side and laid her on the ground.  Patient never hit her head.  When patient had return of consciousness, she continued to feel short of breath and dizzy.  Patient reported that sometimes she feels a sensation at home when she is dehydrated and has not drink in enough fluids.  Patient denies having any chest pain, fever, nausea, or vomiting.   Patient presented to the ED with the following vital signs:  Temperature 97.5°, heart rate 88, blood pressure 183/99, respiratory rate 24, oxygen saturation 85% on room air.  EKG was read as normal.  Laboratory findings reported as troponin I 0.11, repeat troponin I 3 hours later revealed 1.28.  Other laboratory findings significant for glucose 127, BUN 30, creatinine 1.2.  Chest x-ray was read as unremarkable. Patient given the following medications in the emergency department:  IV fluids x2 L bolus, 324 p.o. Aspirin, nitroglycerin ointment, treatment dose Lovenox.     During my evaluation of patient, patient denied having any chest pain.  Patient reported that she was feeling okay.   Patient was admitted to Internal Medicine service for further management of NSTEMI.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Eosinophil count decreased, Eosinophil percentage, Glomerular filtration rate decreased, Haematocrit normal, Haemoglobin normal
Clinical narrative: 4/5/21 triage: Pt was in ED with son who was a pt today. Pt walked outside where she became light headed & briefly loss consciousness. This nurse witnessed pt knees begin to buckle & son lowered her to ground. Pt states "sometimes I get light headed if I haven't had enough water". Pt alert/oriented @ this time. C/o upper back pain that she states is new for her.  orthostatic positive HPI: 67 y.o. female who presents with a near syncopal episode just PTA. She feels that she is dehydrated. No chest pain. Some cough, no dyspnea or fever. No hx of CAD.  elevated troponin 1.28; 2.27 transferred to other HCF  hpi: History of Present Illness:   The patient is a 67 y.o. female with a past medical history notable for diabetes mellitus, hypertension, glaucoma who presents with chief complaint of "short of breath." Patient lives at home.Patient code status is:  Full code status.    Patient reports she has been battling a head cold over the past 2 weeks.  Patient has had low-grade fever of 99° F. Otherwise, patient has done well.  Patient had brought her son to the hospital emergency department.  When patient was getting ready to leave his room in the emergency department she says she felt sudden shortness of breath and dizziness.  Patient reported that she said ?I do not think I can make it.?  Patient then proceeded to get weak and syncopized.  Patient's son was already at her side and laid her on the ground.  Patient never hit her head.  When patient had return of consciousness, she continued to feel short of breath and dizzy.  Patient reported that sometimes she feels a sensation at home when she is dehydrated and has not drink in enough fluids.  Patient denies having any chest pain, fever, nausea, or vomiting.   Patient presented to the ED with the following vital signs:  Temperature 97.5°, heart rate 88, blood pressure 183/99, respiratory rate 24, oxygen saturation 85% on room air.  EKG was read as normal.  Laboratory findings reported as troponin I 0.11, repeat troponin I 3 hours later revealed 1.28.  Other laboratory findings significant for glucose 127, BUN 30, creatinine 1.2.  Chest x-ray was read as unremarkable. Patient given the following medications in the emergency department:  IV fluids x2 L bolus, 324 p.o. Aspirin, nitroglycerin ointment, treatment dose Lovenox.     During my evaluation of patient, patient denied having any chest pain.  Patient reported that she was feeling okay.   Patient was admitted to Internal Medicine service for further management of NSTEMI.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Immature granulocyte count, Lymphocyte count normal, Lymphocyte percentage decreased, Mean cell haemoglobin concentration decreased, Mean cell haemoglobin normal
Clinical narrative: 4/5/21 triage: Pt was in ED with son who was a pt today. Pt walked outside where she became light headed & briefly loss consciousness. This nurse witnessed pt knees begin to buckle & son lowered her to ground. Pt states "sometimes I get light headed if I haven't had enough water". Pt alert/oriented @ this time. C/o upper back pain that she states is new for her.  orthostatic positive HPI: 67 y.o. female who presents with a near syncopal episode just PTA. She feels that she is dehydrated. No chest pain. Some cough, no dyspnea or fever. No hx of CAD.  elevated troponin 1.28; 2.27 transferred to other HCF  hpi: History of Present Illness:   The patient is a 67 y.o. female with a past medical history notable for diabetes mellitus, hypertension, glaucoma who presents with chief complaint of "short of breath." Patient lives at home.Patient code status is:  Full code status.    Patient reports she has been battling a head cold over the past 2 weeks.  Patient has had low-grade fever of 99° F. Otherwise, patient has done well.  Patient had brought her son to the hospital emergency department.  When patient was getting ready to leave his room in the emergency department she says she felt sudden shortness of breath and dizziness.  Patient reported that she said ?I do not think I can make it.?  Patient then proceeded to get weak and syncopized.  Patient's son was already at her side and laid her on the ground.  Patient never hit her head.  When patient had return of consciousness, she continued to feel short of breath and dizzy.  Patient reported that sometimes she feels a sensation at home when she is dehydrated and has not drink in enough fluids.  Patient denies having any chest pain, fever, nausea, or vomiting.   Patient presented to the ED with the following vital signs:  Temperature 97.5°, heart rate 88, blood pressure 183/99, respiratory rate 24, oxygen saturation 85% on room air.  EKG was read as normal.  Laboratory findings reported as troponin I 0.11, repeat troponin I 3 hours later revealed 1.28.  Other laboratory findings significant for glucose 127, BUN 30, creatinine 1.2.  Chest x-ray was read as unremarkable. Patient given the following medications in the emergency department:  IV fluids x2 L bolus, 324 p.o. Aspirin, nitroglycerin ointment, treatment dose Lovenox.     During my evaluation of patient, patient denied having any chest pain.  Patient reported that she was feeling okay.   Patient was admitted to Internal Medicine service for further management of NSTEMI.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mean cell volume normal, Mean platelet volume normal, Monocyte count decreased, Monocyte percentage, Nasopharyngitis
Clinical narrative: 4/5/21 triage: Pt was in ED with son who was a pt today. Pt walked outside where she became light headed & briefly loss consciousness. This nurse witnessed pt knees begin to buckle & son lowered her to ground. Pt states "sometimes I get light headed if I haven't had enough water". Pt alert/oriented @ this time. C/o upper back pain that she states is new for her.  orthostatic positive HPI: 67 y.o. female who presents with a near syncopal episode just PTA. She feels that she is dehydrated. No chest pain. Some cough, no dyspnea or fever. No hx of CAD.  elevated troponin 1.28; 2.27 transferred to other HCF  hpi: History of Present Illness:   The patient is a 67 y.o. female with a past medical history notable for diabetes mellitus, hypertension, glaucoma who presents with chief complaint of "short of breath." Patient lives at home.Patient code status is:  Full code status.    Patient reports she has been battling a head cold over the past 2 weeks.  Patient has had low-grade fever of 99° F. Otherwise, patient has done well.  Patient had brought her son to the hospital emergency department.  When patient was getting ready to leave his room in the emergency department she says she felt sudden shortness of breath and dizziness.  Patient reported that she said ?I do not think I can make it.?  Patient then proceeded to get weak and syncopized.  Patient's son was already at her side and laid her on the ground.  Patient never hit her head.  When patient had return of consciousness, she continued to feel short of breath and dizzy.  Patient reported that sometimes she feels a sensation at home when she is dehydrated and has not drink in enough fluids.  Patient denies having any chest pain, fever, nausea, or vomiting.   Patient presented to the ED with the following vital signs:  Temperature 97.5°, heart rate 88, blood pressure 183/99, respiratory rate 24, oxygen saturation 85% on room air.  EKG was read as normal.  Laboratory findings reported as troponin I 0.11, repeat troponin I 3 hours later revealed 1.28.  Other laboratory findings significant for glucose 127, BUN 30, creatinine 1.2.  Chest x-ray was read as unremarkable. Patient given the following medications in the emergency department:  IV fluids x2 L bolus, 324 p.o. Aspirin, nitroglycerin ointment, treatment dose Lovenox.     During my evaluation of patient, patient denied having any chest pain.  Patient reported that she was feeling okay.   Patient was admitted to Internal Medicine service for further management of NSTEMI.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Neutrophil count normal, Neutrophil percentage increased, Platelet count normal, Presyncope, Protein total normal
Clinical narrative: 4/5/21 triage: Pt was in ED with son who was a pt today. Pt walked outside where she became light headed & briefly loss consciousness. This nurse witnessed pt knees begin to buckle & son lowered her to ground. Pt states "sometimes I get light headed if I haven't had enough water". Pt alert/oriented @ this time. C/o upper back pain that she states is new for her.  orthostatic positive HPI: 67 y.o. female who presents with a near syncopal episode just PTA. She feels that she is dehydrated. No chest pain. Some cough, no dyspnea or fever. No hx of CAD.  elevated troponin 1.28; 2.27 transferred to other HCF  hpi: History of Present Illness:   The patient is a 67 y.o. female with a past medical history notable for diabetes mellitus, hypertension, glaucoma who presents with chief complaint of "short of breath." Patient lives at home.Patient code status is:  Full code status.    Patient reports she has been battling a head cold over the past 2 weeks.  Patient has had low-grade fever of 99° F. Otherwise, patient has done well.  Patient had brought her son to the hospital emergency department.  When patient was getting ready to leave his room in the emergency department she says she felt sudden shortness of breath and dizziness.  Patient reported that she said ?I do not think I can make it.?  Patient then proceeded to get weak and syncopized.  Patient's son was already at her side and laid her on the ground.  Patient never hit her head.  When patient had return of consciousness, she continued to feel short of breath and dizzy.  Patient reported that sometimes she feels a sensation at home when she is dehydrated and has not drink in enough fluids.  Patient denies having any chest pain, fever, nausea, or vomiting.   Patient presented to the ED with the following vital signs:  Temperature 97.5°, heart rate 88, blood pressure 183/99, respiratory rate 24, oxygen saturation 85% on room air.  EKG was read as normal.  Laboratory findings reported as troponin I 0.11, repeat troponin I 3 hours later revealed 1.28.  Other laboratory findings significant for glucose 127, BUN 30, creatinine 1.2.  Chest x-ray was read as unremarkable. Patient given the following medications in the emergency department:  IV fluids x2 L bolus, 324 p.o. Aspirin, nitroglycerin ointment, treatment dose Lovenox.     During my evaluation of patient, patient denied having any chest pain.  Patient reported that she was feeling okay.   Patient was admitted to Internal Medicine service for further management of NSTEMI.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Red blood cell count normal, Red cell distribution width normal, Troponin increased, White blood cell count normal
Clinical narrative: 4/5/21 triage: Pt was in ED with son who was a pt today. Pt walked outside where she became light headed & briefly loss consciousness. This nurse witnessed pt knees begin to buckle & son lowered her to ground. Pt states "sometimes I get light headed if I haven't had enough water". Pt alert/oriented @ this time. C/o upper back pain that she states is new for her.  orthostatic positive HPI: 67 y.o. female who presents with a near syncopal episode just PTA. She feels that she is dehydrated. No chest pain. Some cough, no dyspnea or fever. No hx of CAD.  elevated troponin 1.28; 2.27 transferred to other HCF  hpi: History of Present Illness:   The patient is a 67 y.o. female with a past medical history notable for diabetes mellitus, hypertension, glaucoma who presents with chief complaint of "short of breath." Patient lives at home.Patient code status is:  Full code status.    Patient reports she has been battling a head cold over the past 2 weeks.  Patient has had low-grade fever of 99° F. Otherwise, patient has done well.  Patient had brought her son to the hospital emergency department.  When patient was getting ready to leave his room in the emergency department she says she felt sudden shortness of breath and dizziness.  Patient reported that she said ?I do not think I can make it.?  Patient then proceeded to get weak and syncopized.  Patient's son was already at her side and laid her on the ground.  Patient never hit her head.  When patient had return of consciousness, she continued to feel short of breath and dizzy.  Patient reported that sometimes she feels a sensation at home when she is dehydrated and has not drink in enough fluids.  Patient denies having any chest pain, fever, nausea, or vomiting.   Patient presented to the ED with the following vital signs:  Temperature 97.5°, heart rate 88, blood pressure 183/99, respiratory rate 24, oxygen saturation 85% on room air.  EKG was read as normal.  Laboratory findings reported as troponin I 0.11, repeat troponin I 3 hours later revealed 1.28.  Other laboratory findings significant for glucose 127, BUN 30, creatinine 1.2.  Chest x-ray was read as unremarkable. Patient given the following medications in the emergency department:  IV fluids x2 L bolus, 324 p.o. Aspirin, nitroglycerin ointment, treatment dose Lovenox.     During my evaluation of patient, patient denied having any chest pain.  Patient reported that she was feeling okay.   Patient was admitted to Internal Medicine service for further management of NSTEMI.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram pulmonary abnormal, Computerised tomogram thorax, Deep vein thrombosis, Pulmonary embolism, Ultrasound Doppler abnormal
Clinical narrative: 4/5/21 triage: Pt was in ED with son who was a pt today. Pt walked outside where she became light headed & briefly loss consciousness. This nurse witnessed pt knees begin to buckle & son lowered her to ground. Pt states "sometimes I get light headed if I haven't had enough water". Pt alert/oriented @ this time. C/o upper back pain that she states is new for her.  orthostatic positive HPI: 67 y.o. female who presents with a near syncopal episode just PTA. She feels that she is dehydrated. No chest pain. Some cough, no dyspnea or fever. No hx of CAD.  elevated troponin 1.28; 2.27 transferred to other HCF  hpi: History of Present Illness:   The patient is a 67 y.o. female with a past medical history notable for diabetes mellitus, hypertension, glaucoma who presents with chief complaint of "short of breath." Patient lives at home.Patient code status is:  Full code status.    Patient reports she has been battling a head cold over the past 2 weeks.  Patient has had low-grade fever of 99° F. Otherwise, patient has done well.  Patient had brought her son to the hospital emergency department.  When patient was getting ready to leave his room in the emergency department she says she felt sudden shortness of breath and dizziness.  Patient reported that she said ?I do not think I can make it.?  Patient then proceeded to get weak and syncopized.  Patient's son was already at her side and laid her on the ground.  Patient never hit her head.  When patient had return of consciousness, she continued to feel short of breath and dizzy.  Patient reported that sometimes she feels a sensation at home when she is dehydrated and has not drink in enough fluids.  Patient denies having any chest pain, fever, nausea, or vomiting.   Patient presented to the ED with the following vital signs:  Temperature 97.5°, heart rate 88, blood pressure 183/99, respiratory rate 24, oxygen saturation 85% on room air.  EKG was read as normal.  Laboratory findings reported as troponin I 0.11, repeat troponin I 3 hours later revealed 1.28.  Other laboratory findings significant for glucose 127, BUN 30, creatinine 1.2.  Chest x-ray was read as unremarkable. Patient given the following medications in the emergency department:  IV fluids x2 L bolus, 324 p.o. Aspirin, nitroglycerin ointment, treatment dose Lovenox.     During my evaluation of patient, patient denied having any chest pain.  Patient reported that she was feeling okay.   Patient was admitted to Internal Medicine service for further management of NSTEMI.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site pain, Injection site rash
Clinical narrative: About 36 hours post vaccination patient reported rash around the injection site and the area was hot/tender to the touch. Patient iced area, took APAP and notified her PCP. She also reported the expected reactions of low grade fever, headache, fatigue and chills.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Pyrexia
Clinical narrative: About 36 hours post vaccination patient reported rash around the injection site and the area was hot/tender to the touch. Patient iced area, took APAP and notified her PCP. She also reported the expected reactions of low grade fever, headache, fatigue and chills.