chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Supraventricular tachycardia
Clinical narrative: A few months after the initial two Covid vaccines that I received in March of 2021 I noticed I had times of irregular heartbeats, high pulse, palpations to a point I had to stop what I was doing until I could catch my breath and compose myself.  Then a month after receiving the booster in March of 2022 these conditions had increased in the number of episodes and the magnitude of them to a point I was very concerned. I saw my Primary Care Physician on 5/13/22 and wore an iRhythm Zio 14 day heart monitor from 5/29/22 to 6/12/22, 33 page report.  Due the severity of the data from this monitor I was immediately seen by my Cardiologist on 6/30/22 who immediately turned me over to an Electrophysiologist. I had an EKG and an Echocardiogram run.  I saw the Electrophysiologist on July 7, 2022 who noted I had a past history of First Degree AV Delay, but the monitor revealed I had Supraventricular Tachycardia (SVT) runs (over 1200 episodes) in 14 days along with pulse rates as high a 250.  I also had Ventricular Tachycardia and something new that did not show up in my October 2021 cardiology annual checkup which included an ECG and Echocardiogram which was Left Bundle Branch Block (LBBB). On July 25, 2022 I was admitted to the hospital for a Electrophysiology Study in which an ablation was performed. Currently I am feeling better than I have in the last year or more. Just so you understand I cannot prove 100% the Covid Vaccines had anything to do with my heart conditions that took place over the past year but looking back at the timeline of what took place and when I had gotten the vaccines, especially the Booster in March of 2022, I believe there is some correlation.  None of my doctors, my Primary Care Physician, my Cardiologist, nor the Electrophysiologist have an opinion on how these heart conditions came about, but to me I feel there is very good possibility the vaccines brought these things on in some manner or form especially after the booster in which case the severity of the condition increased immediately along with the magnitude of the episodes as they were not all there prior.
Age: 26.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: Patient stated that she gets dizzy from sight of needles and passed out once at a younger age.  After immunizing tech administered both shots the patient removed her mask  and then passed out and rolled to the ground.  Patient was light headed and dizzy for about 15 minutes.  We applied ice packs and cold clothes to her face/neck and she began to  feel better.  She stayed in pharmacy area for about 30 minutes for observation before leaving with her husband.  I will call her later this evening to follow up on her.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: A 5-year-old patient received Pfizer 6M-4 year old vaccine incorrectly.
Age: 2.0
Sex: F
Vaccine: COVID19
Symptoms: Oral pruritus, Pruritus
Clinical narrative: Patient's mother reported patient complaining of pruritis of mouth and bilateral arms approximately 5 minutes after receiving her first dose of infant Moderna vaccine. The patient was able to speak clearly, clear throat, stick tongue out, and cough on request. Denies shortness of breath, no swelling or hives noted. Administered Benadryl liquid 6ml PO based on age and weight. Monitored patient for 30 minutes. After 30 minutes, pt denied pruritis, no further symptoms noted. Educated mother on side effects of Benadryl and instructed to follow up with Pediatrician. Mother verbalized understanding. Follow up call to mother 90 mins after incident via phone call, reports "she is doing fine with no further issues"
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Electroencephalogram, Laboratory test, Magnetic resonance imaging, Migraine
Clinical narrative: complex migraine
Age: 66.0
Sex: F
Vaccine: FLUA4, PNC20
Symptoms: Anal incontinence, Gait disturbance, Gait inability, Grip strength decreased, Guillain-Barre syndrome
Clinical narrative: Patient received Fluad and Prevnar 20 at the pharmacy on 8/1/2022. Patient called pharmacy on 10/5/22 stating that some time after administration (about 2-3 weeks after) she experienced the following: numbness, tingling in feet, dropping things, tipping over own feet, losing ability to walk, no control of bladder/bowel. She ended up getting hospitalized and diagnosed with Guillain-Barre Syndrome and the hospital ran tests and concluded that the GBS was from the flu and prevnar vaccines. Patient is currently still in the hospital; also mentioned getting physical therapy to help with walking.
Age: 66.0
Sex: F
Vaccine: FLUA4, PNC20
Symptoms: Hypoaesthesia, Laboratory test abnormal, Paraesthesia, Urinary incontinence
Clinical narrative: Patient received Fluad and Prevnar 20 at the pharmacy on 8/1/2022. Patient called pharmacy on 10/5/22 stating that some time after administration (about 2-3 weeks after) she experienced the following: numbness, tingling in feet, dropping things, tipping over own feet, losing ability to walk, no control of bladder/bowel. She ended up getting hospitalized and diagnosed with Guillain-Barre Syndrome and the hospital ran tests and concluded that the GBS was from the flu and prevnar vaccines. Patient is currently still in the hospital; also mentioned getting physical therapy to help with walking.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Autopsy, Cardiac arrest, Death, Myocarditis
Clinical narrative: 2 weeks to the day patient recevied the vaccine he passed away in his sleep, heart stopped. Myrocarditis found in autopsy Date of Death- 05/25/2021
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, COVID-19, Chills, Cough, Fatigue
Clinical narrative: On 4/4/22 that evening and the next day I had a mild elevation in my temperature, I felt fatigue, chills and a little achy. I had a little soreness at the site of the injection, but no swelling or redness.  It lasted about 36 hours. On 6/22/2022, it started with a little dry cough.  That night I had a scratchy throat. The next morning the cough was worse, the throat was worse, and I started feeling achy and generally sick. On 6/23/2022 I took a at home antigen test, and it was positive.  I called my doctor, and he prescribed me Paxlovid. It took me around 4 or 5 days to completely recover.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Malaise, Pain, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: On 4/4/22 that evening and the next day I had a mild elevation in my temperature, I felt fatigue, chills and a little achy. I had a little soreness at the site of the injection, but no swelling or redness.  It lasted about 36 hours. On 6/22/2022, it started with a little dry cough.  That night I had a scratchy throat. The next morning the cough was worse, the throat was worse, and I started feeling achy and generally sick. On 6/23/2022 I took a at home antigen test, and it was positive.  I called my doctor, and he prescribed me Paxlovid. It took me around 4 or 5 days to completely recover.
Age: 32.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site bruising, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: At about 2 hours after receiving the injection, the injection site began to itch and puff up as if I had a mosquito bite, it also became warm to the touch. It stayed like this for about 1 to 1.5 hours before my arm was back to normal and had just a bruise left.
Age: 82.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site rash, Rash, Skin warm
Clinical narrative: large, red rash on left arm surrounding injection site. rash is hot and spreading. I instructed on taking benadryl when she gets home to see if this helps the rash resolve and then to seek medical care for potential cellulitis
Age: 61.0
Sex: M
Vaccine: FLU4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient, a 61 year old,  got Fluzone HD for over 65 years old instead of regular Flu  for under 65 yeas old.   I spoke to his wife and she said that patient was fine and did not experience any adverse effect.
Age: 36.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Heart rate increased
Clinical narrative: fast heartbeat and dizziness 30 minutes after the shot still dizzy hours later.
Age: 38.0
Sex: M
Vaccine: SMALLMNK, SMALLMNK
Symptoms: Wrong technique in product usage process
Clinical narrative: No visible wheal
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Cough, Fatigue, Nasal congestion, Rhinorrhoea
Clinical narrative: runny nose, cough, nasal congestion, fatigue
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: rash on chest, back, upper arm
Age: 72.0
Sex: F
Vaccine: UNK
Symptoms: Incorrect dose administered
Clinical narrative: Patient received .5ml instead of 0.3ml; no outcomes or outward issues; MD notified. Patient had no complaints yesterday or today.
Age: 29.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Mistakenly gave Pfizer bivalent as first dose. Patient is aware and had no side effects. He is aware that when he comes for second dose he will receive monovalent as second dose.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Computerised tomogram thorax, Electrocardiogram, Laboratory test, Palpitations
Clinical narrative: chest pain, palpitations
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound Doppler
Clinical narrative: chest pain, palpitations
Age: 54.0
Sex: M
Vaccine: COVID19-2
Symptoms: Visual impairment
Clinical narrative: My vision has been stable for 30+ years.  It had changed (for the better) in August with my left eye.  Starting around mid-September, the left eye seemed to change again.  I went to see the doctor and it had changed again (needing a weaker prescription) but could never be made sharp like previously.  I adjusted the glasses and it appears like my vision is changing again.  The ophthalmologist had no reason for the vision changing and changing rapidly or the lack of sharpness.  I started using lubricating eye drops and updated glasses.  Based on the continued poor vision in my left eye, will see the ophthalmologist again next week.    At this point, I don't know if this is related to the vaccine as I have had others with nothing like this before but it was recommended by the CDC call I got to report this.
Age: 47.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Abnormal menstrual clots, Heavy menstrual bleeding, Lymphadenopathy, Pain
Clinical narrative: I had aches, pains. I still have some lymph node swelling. These were not as serious as the main problem. Hours after the shot, I began to bleed heavily for approximately two weeks. Unusually, the flooding of blood involved both liquid, and large clots. The bleeding seemed nonstop during week one, I had an very heavy clot halfway through, and in the second week I had several incidents where I did not bleed at night, then passed several clots during the day. These clots were typically 2" x 1" x 3" - like a dried apricot - and passed in groups of 2 or 3 at a time. The biggest clot passed like a ripe plum, more like 3-4 inch thick, almost like the entire thickened lining had just been evacuated at once. Towards the end I had some 5-6 inch long, about 1 inch thick coagulated clots.   I had experienced menorrhagia in July's extreme heat wave, but even that heavy bleeding wasn't to this scale of heavy clotting. My doctor and I discussed whether I might take trans. acid, during heavy periods in August. I had a normal period and then another normal period. Then I got the shot and began unusually heavy bleeding for two weeks. Since I knew this wasn't a "period" I called the doctor to find out whether I should take the drug now, and over the weekend the bleeding finally ended.
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I had chronic cough and congestion. I took two at home test and they were negative. I went to the clinic and tested there and it came back positive. I called the doctor and I was prescribed Paxlovid for 5 days.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: No actual adverse event occured;required to be reported as a vaccine administration error per CDPHE. Monovalent mRNA Covid-19 vaccine booster administered to patient >12 year old after FDA's authorization of bivalent booster (08/31/22).
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE LOT NUMBER EXPIRED ON 9/30/22 AND VACCINE WAS GIVEN ON 10/2/22 (2 DAYS PAST EXPIRATION)
Age: 56.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Out of date vaccine given. Provider on site was notified that patient received out of date vaccine. Was told to let patient know. Patient was made aware, and is in the medical field and started he did not want to get revaccinated as long as we kept our supply in the refrigerator it will be fine. Patient has not had any adverse reaction to the vaccine. All conversations were documented in the patients chart.
Age: 6.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: VACCINE LOT NUMBER EXPIRED ON 9/30/22 AND VACCINE WAS GIVEN ON 10/2/22 (2 DAYS PAST EXPIRATION)
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Incorrect route of product administration
Clinical narrative: She was supposed to get the Covid booster bivalent vaccine.  She was given the Covid pfizer original vaccine.  She hasn't had any adverse reactions but is worried she will get covid because she states over half of her coworkers have covid. She thinks she will die. I explained we contacted Pfizer and it would boost her immune system and we could give her the bivalent vaccine in 2 months.
Age: 67.0
Sex: F
Vaccine: UNK
Symptoms: Headache, Photopsia
Clinical narrative: Saw flashing lights on left side of left eye for about ten minutes, and had slight headache on the left side of the head.
Age: 15.0
Sex: M
Vaccine: HPV9
Symptoms: Hyperhidrosis, Presyncope
Clinical narrative: vasovagal reaction with pre-syncopal episode, diaphoresis following  vaccine administration.
Age: 67.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Peripheral swelling, Skin reaction, Skin warm
Clinical narrative: Within 24 hours, arm was very red, hot to touch, and swollen. Redness was spreading down/around arm, continuing to get worse as time went on. Went to doctor 10/5/22 and was prescribed triamcinolone 0.5% ointment and prednisone 20mg tablets.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Client received monovalent instead of bivalent.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Biopsy skin abnormal, Erythema, Henoch-Schonlein purpura, Oedema peripheral
Clinical narrative: Received my second done of the Pfizer vaccine on 3/25/2021 and started showing  symptoms of IgA Vasculitis on 4/3/2021, with edema and erythema of the lower extremities. Was hospitalized due to persistent GI disturbances on the 4/8/2021
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Skin lesion
Clinical narrative: Received my second done of the Pfizer vaccine on 3/25/2021 and started showing  symptoms of IgA Vasculitis on 4/3/2021, with edema and erythema of the lower extremities. Was hospitalized due to persistent GI disturbances on the 4/8/2021
Age: 64.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Dizziness, Fatigue, Feeling abnormal
Clinical narrative: 9/14/2022- I felt a little lightheaded and a sore arm after the vaccine. On 9/22/2022 I went to an indoor concert, I was standing in the back, and I was wearing a mask, but I think it was then that I was exposed. Three nights later, I felt really lightheaded, my throat was rather sore. When I woke up that Monday, 9/26/2022, I was coughing, very sore throat, lightheaded, fluish, bad cold. I just felt off. I took a home test and it was positive, bright red. I called my doctor that morning and he prescribed me Paxlovid. I am probably 90 percent better. I still have a sore throat and I am feeling tired.  This past Monday, day 8, 10/3/2022, I took a home test and it was faintly positive. As of today, I am completely negative.
Age: 64.0
Sex: M
Vaccine: COVID19-2
Symptoms: Flushing, Nasopharyngitis, Oropharyngeal pain, Pain in extremity, SARS-CoV-2 test positive
Clinical narrative: 9/14/2022- I felt a little lightheaded and a sore arm after the vaccine. On 9/22/2022 I went to an indoor concert, I was standing in the back, and I was wearing a mask, but I think it was then that I was exposed. Three nights later, I felt really lightheaded, my throat was rather sore. When I woke up that Monday, 9/26/2022, I was coughing, very sore throat, lightheaded, fluish, bad cold. I just felt off. I took a home test and it was positive, bright red. I called my doctor that morning and he prescribed me Paxlovid. I am probably 90 percent better. I still have a sore throat and I am feeling tired.  This past Monday, day 8, 10/3/2022, I took a home test and it was faintly positive. As of today, I am completely negative.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Computerised tomogram normal, Eyelid function disorder, Muscle tightness, Oral herpes zoster
Clinical narrative: I woke up with the shingles in my mouth. They were open sores in my mouth. I went to the doctor and they prescribed me medication for that. I also got diagnosed with Bell Palsy. I also had to go to the eye doctor because I couldn't open my eye. Every once in a while the muscles under my eye gets tight.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Stomatitis
Clinical narrative: I woke up with the shingles in my mouth. They were open sores in my mouth. I went to the doctor and they prescribed me medication for that. I also got diagnosed with Bell Palsy. I also had to go to the eye doctor because I couldn't open my eye. Every once in a while the muscles under my eye gets tight.
Age: 67.0
Sex: M
Vaccine: FLU4
Symptoms: Extra dose administered, Pain in extremity
Clinical narrative: Patient came in 10/05/22 for a COVID booster and flu vaccine with spouse. Shots were not separated and patient received 2 doses of flu shot. Patient was informed of receiving two dosing of flu and advised on waiting to receive COVID booster shot. Patient did not report any side effects at time of shot and as of 6:48pm on 10/05/22, reported one arm was sore with no other reported side effects. No interventions or treatments have been completed.  Patient's Dr was contacted and Dr did not feel patient would be affected.
Age: 70.0
Sex: M
Vaccine: FLU4
Symptoms: Cough, Fatigue, Myalgia
Clinical narrative: dry cough, muscle ache, tiredeness
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Computerised tomogram abdomen normal, Fatigue, Flank pain, Laboratory test normal
Clinical narrative: I experienced right flank pain and right sided abdominal pain after my vaccine. This really went off for 5 days. I went to ER on day 4 and clinical follow-up on day 5 and I have gradually better since day 5.  I still have right side flank pain, minimally bothersome at this point. I also felt fatigues and had a sore left arm. At the ER they did complete lab work, urine test and CT scan of the abdomen which tests were normal.  I can say I am about 90% better today, not back to normal, well on the way to getting better.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Urine analysis normal
Clinical narrative: I experienced right flank pain and right sided abdominal pain after my vaccine. This really went off for 5 days. I went to ER on day 4 and clinical follow-up on day 5 and I have gradually better since day 5.  I still have right side flank pain, minimally bothersome at this point. I also felt fatigues and had a sore left arm. At the ER they did complete lab work, urine test and CT scan of the abdomen which tests were normal.  I can say I am about 90% better today, not back to normal, well on the way to getting better.
Age: 69.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Back pain, Burning sensation, Syncope
Clinical narrative: Immediate intense back pain Burning sensation on forehead  Faint
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Ear pain, Fatigue, Malaise
Clinical narrative: COVID symptoms with moderately severe sore throat and ear ache and fatigue beginning July 23, 2022.  Positive COVID test July 26, 2022.  Symptoms progressed to include frequent to continuous cough with other symptoms plus intermittent elevated temperature with highest 100.3F on July 27, 2022.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: COVID symptoms with moderately severe sore throat and ear ache and fatigue beginning July 23, 2022.  Positive COVID test July 26, 2022.  Symptoms progressed to include frequent to continuous cough with other symptoms plus intermittent elevated temperature with highest 100.3F on July 27, 2022.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient is experiencing no side effects, adverse events, or outcomes. Patient has received the Moderna Monovalent COVID-19 vaccine rather than the Moderna Bivalent COVID-19 vaccine. As per patient, pharmacist administered the shot and asked the patient if it was her fifth shot, patient confirmed it was but unaware that it was not the bivalent shot.
Age: 32.0
Sex: F
Vaccine: FLUC4
Symptoms: Dermatitis, Herpes zoster, Neuralgia
Clinical narrative: Localized shingles dermatitis of the left back of knee with neuropathic pain along length of the S1 dermatome, including dorsal upper leg and into lateral left foot.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Nausea, Pallor, Visual impairment
Clinical narrative: At approximately 1543, client received the Pfizer COVID vaccine (LOT# FP7137) at approximately 1543. At approximately 1548, client's father alerted RN. Client's father reported that client "saw black" and felt like vomiting. RNs assisted client into anti-gravity chair. RN noted palor and diaphoresis. Client denied itchiness, difficulty swallowing and difficulty breathing. Client's father reported no similar history and reported that client was anxious before vaccination. RNs recommended client to stay for 30 minutes for observation. At 1548, RNs assessed client: blood pressure 112/64 mmHg, heart rate 110 bpm, SpO2 98%, and respiratory rate 16 breaths/min. RNs placed a cool wash cloth on client's forehead and water to drink. At 1603, RNs reassessed client: 117/64 mmHg, heart rate 96 bpm, SpO2 98%, respiratory rate 16 breaths/min, and client reported feeling better. At 1603, client denied previous symptoms. At 1620, RN reassessed client. Client denied previous symptoms. RN educated client and client's father on signs/symptoms of when to seek emergency care and to sign up on V-safe. At 1621, client left facility with unlabored respirations and steady gait with father.
Age: 61.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Laboratory test abnormal, Photopsia, Vitreous detachment, Vitreous floaters
Clinical narrative: Started seeing floaters and flashes in my right (OD) eye approximately 3 hours after vaccine administration. These did not subside.  Scheduled an appointment with OD the following morning (10/4/22); eyes were dilated and the exam yielded a diagnosis of a vitreous detachment in said (OD) eye.
Age: 57.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Wrong product administered
Clinical narrative: Patient unable to be reached, VM is full. Will attempt to contact patient again on 10/06/22. Patient incorrectly received Moderna Monovalent COVID-19 vaccine booster rather than the Moderna Bivalent COVID-19 vaccine booster.
Age: 37.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Soft tissue swelling, Vaccination site erythema, Vaccination site pain, Vaccination site swelling, Vaccination site warmth
Clinical narrative: Significant swelling, erythema, warmth, pain at vaccination site and about 15cm diameter surrounding. Continued soft tissue swelling for >1 month.
Age: 66.0
Sex: F
Vaccine: PNC13
Symptoms: Arthralgia, Chills, Diarrhoea, Fatigue, Headache
Clinical narrative: nausea, diarrhea, vomiting, chills, HA, body aches, joint pain, fatigue, and fever 2 hours after vaccine time
Age: 66.0
Sex: F
Vaccine: PNC13
Symptoms: Nausea, Pain, Pyrexia, SARS-CoV-2 test negative, Vomiting
Clinical narrative: nausea, diarrhea, vomiting, chills, HA, body aches, joint pain, fatigue, and fever 2 hours after vaccine time
Age: 13.0
Sex: F
Vaccine: HPV9
Symptoms: Dizziness, Dizziness postural, Fatigue, Headache, Syncope
Clinical narrative: Since my daughter received the second dose of the HPV vaccination, she has had chronic headaches, extreme fatigue,  lightheadedness upon standing and occasional fainting.
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pain in extremity
Clinical narrative: severe pain in the right arm
Age: 32.0
Sex: F
Vaccine: COVID19-2
Symptoms: Discomfort, Paraesthesia, Paraesthesia oral, Pharyngeal paraesthesia
Clinical narrative: 10 min into her observation period pt let RN know that pt's lips were feeling tingly. RN sat with pt and tried to keep her calm and to take deep breaths. A little more time went by and pt stated that her face and hands were feeling tingly. Administered 50 mg diphenhydramine (Benadryl) PO. Pt then stated her tongue felt heavy and her throat tingled. Adminisered 0.3mg epi 1:1 IM in left thigh and called 911. BP 160/90, pulse 107, 96% SpO2. EMS arrived and transferred care to Paramedic.
Age: 66.0
Sex: M
Vaccine: COVID19-2
Symptoms: Dizziness, Muscle spasms, Musculoskeletal stiffness, Presyncope
Clinical narrative: LIght headed - almost fainted.  This lasted for about 10 minutes.  I sat down and felt better a bit later.    Cramping / stiffness in my right thumb that lasted for several minutes.  Then after that, I had cramping / stiffness in my left index finger that lasted for several minutes.  No pain, just could not move my fingers.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site erythema, Injection site swelling, Pain, Pruritus, Pustule
Clinical narrative: PATIENT DESCRIBES SWELLING  (SIZE OF HALF AN EGG) AND REDNESS AT INJECTION SITE, REDNESS TRAVELED DOWN ARM A LITTLE. REPORTS "TWO PUS FILLED SMALL NODULES" WHICH SOUND LIKE LITTLE BUMPS, MAYBE A RASH. REPORTS STINGING AND ITCHING BUT UNSURE IF THAT STARTED BEFORE OR AFTER SHE PUT SOME CORTISONE CREAM ON HER ARM
Age: 64.0
Sex: F
Vaccine: FLUR4
Symptoms: Induration, Mass, Swelling
Clinical narrative: Immediate swelling, hard lump about the size of a golf ball
Age: 32.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rash erythematous
Clinical narrative: Single red rash like bumps on top of right hand, left wrist, under both arms near armpit, calves.
Age: 8.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash, Urticaria
Clinical narrative: Hives like rash on face that is spreading to chest and abdomen
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: PFIZER MONOVALLENT WAS GIVEN WRONGLY INSTEAD OF BIVALENT
Age: 67.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Injection site pain, Injection site swelling
Clinical narrative: Per pt, she had red, swollen, tender left arm from below injection site to just above elbow that lasted 4 days. She took Benadryl to relieve symptoms. Symptoms got better each day and resolved by day 4.
Age: 70.0
Sex: M
Vaccine: FLU4
Symptoms: Incorrect dose administered, Syringe issue
Clinical narrative: The safety needle was not tightly attached to the syringe and patient did not get the full dose. patient did not have any symptoms or side effect and he is aware of the incident
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Lymphadenopathy, Pyrexia
Clinical narrative: Fever of 100.4, flu like symptoms, lymphadenopathy of right axillary.
Age: 37.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test negative, Vertigo
Clinical narrative: Vertigo starting 18 hours after vaccine and has persisted still today-18 days after the vaccine
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was by mistake administered with Covid-19 Moderna Booster Only (Monovalent) instead of Covid- 19 Updated Booster (Bivalent).
Age: 41.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Fatigue, Headache, Lymph node pain, Lymphadenopathy, Pyrexia
Clinical narrative: Fever of 102°F, headaches, fatigue, painful enlarged lymph nodes in left armpit.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes virus infection, Herpes zoster
Clinical narrative: Multiple Herpes Outbreaks in a short time span many of which were resistant to normal  prescription / therapeutic protocols Shingles outbreaks
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient was administered by mistake with Covid- 19 Moderna Booster Only Dose (Monovalent) instead of Covid-19 Updated Booster (Bivalent). Patient was contacted no side effects or adverse events were reported.
Age: 25.0
Sex: M
Vaccine: FLUC4
Symptoms: Angina pectoris, Disorientation, Dizziness, Dyspnoea, Exercise tolerance decreased
Clinical narrative: During a 15 minute walk, my heart started hurting. As I walked, it felt worse the point where I decided to file this report. I would label the pain scale as a 6 out of 10. At the same time, i began feeling dizzy.  My breathing had not changed, but my regular breathing did not feel adequate in getting enough oxygen in my body. I felt disoriented and had to sit down for several minutes to recover. I went to the gym, where my cardio workout had to be cancelled, since I could not walk on the treadmill without feeling sick. This is the worst I've ever felt in response to a flu shot, and I try to take flu shots annually.
Age: 25.0
Sex: M
Vaccine: FLUC4
Symptoms: Malaise
Clinical narrative: During a 15 minute walk, my heart started hurting. As I walked, it felt worse the point where I decided to file this report. I would label the pain scale as a 6 out of 10. At the same time, i began feeling dizzy.  My breathing had not changed, but my regular breathing did not feel adequate in getting enough oxygen in my body. I felt disoriented and had to sit down for several minutes to recover. I went to the gym, where my cardio workout had to be cancelled, since I could not walk on the treadmill without feeling sick. This is the worst I've ever felt in response to a flu shot, and I try to take flu shots annually.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: NO SIDE EFFECT. WRONG BOOSTER WAS GIVE
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: WRONG BOOSTER ADMINISTERED
Age: 66.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: Back pain, Headache, Neck pain
Clinical narrative: After administration patient experienced significant back pain, neck pain and throbbing headache.  Patient was given water, offered crackers, ems and offer to contact spouse.  All but water was declined.  After approximately 25 minutes symptoms resolved.  Patient denied any itching, tingling, swelling, puffiness or trouble breathing.
Age: 72.0
Sex: M
Vaccine: UNK
Symptoms: Incorrect product formulation administered
Clinical narrative: WRONG BOOSTER WAS GIVEN. MONOVALENT PFIZER GIVEN INSTEAD OF BIVAL PFIZER
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient was by mistake administered with Covid- 19 Booster Only Dose (Monovalent) instead of Covid- 19 Updated Booster (Bivalent). Patient was reached a NO report of any side effect or adverse event were made.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cerebrovascular accident, Hypoglycaemia, Hypoxia, Magnetic resonance imaging head abnormal, Mental status changes
Clinical narrative: Patient given vaccine on day of discharge to swing bed facility and returned with altered mental status, hypoxemia, hypoglycemia and MRI ultimately revealed multiple strokes.
Age: 48.0
Sex: M
Vaccine: COVID19-2, FLUC4
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Patient described the appearance of tiny red dots all over his body, similar to hives. Patient said these do not hurt, but itch slightly.
Age: 63.0
Sex: F
Vaccine: FLUC4
Symptoms: Product preparation error
Clinical narrative: Vaccine was not agitated per manufacturers recommendation prior to administration.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal behaviour, Dysarthria, Facial paralysis
Clinical narrative: Resident received Flu vaccination and Moderna Bivalent shot. On 9/25/2022  she was observed to have left sided droop, slurred sppech and unusual behavior (left faucet on, TV so loud).
Age: 80.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: Red, itchy rash occurring all over body in skin folds. Began about 48hrs after vaccination, no change in lotions/body care items/detergents or medications for 3 months prior.
Age: 81.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Asthenia, Dizziness, Nausea
Clinical narrative: C/O dizziness, weakness, nausea
Age: 92.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Subdural haematoma, Unresponsive to stimuli
Clinical narrative: Found on the floor, unresponsive. sent to ER, Dx: subdural hematoma
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Pyrexia, Rash erythematous, Rash pruritic, Rash pustular, Scab
Clinical narrative: Had 101 deg F fever all of 17 Sept 2022.  Fever gone 18 Sept 2022. On 27 Sept 2022, began having itchy rash on the inside of the arm at the left elbow and the right abdomen just below the ribs.  Rash matches pictures of shingles. By 05 Oct 2022, rash had grown and coalesced into itchy red patches with pus and crust and spread to other areas of abdomen and right arm.  Plan to see doctor about apparent shingles.
Age: 32.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: tingling throughout the body, focused on hands and feet (ongoing six days later) numbness in the right thumb, pointer, and middle finger for ~24 hours
Age: 87.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site rash
Clinical narrative: Patient called the pharmacy on 10/5/22 stating that he started to notice a rash developing on his arm near the injection site around 10/3/22. He stated that today the rash has grown in size but has not caused more discomfort. He has had Fluzone-HD in the past with no issues.
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: Tinnitus
Clinical narrative: Tinnitus, predominately in left ear
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given monovalent vaccine instead of authorized bivalent vaccine
Age: 49.0
Sex: F
Vaccine: COVID19-2
Symptoms: Herpes zoster
Clinical narrative: Shingles
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given monovalent vaccine instead of authorized bivalent vaccine
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given monovalent vaccine instead of authorized bivalent vaccine
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given monovalent vaccine instead of authorized bivalent vaccine
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given monovalent vaccine instead of authorized bivalent vaccine
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given monovalent vaccine instead of authorized bivalent vaccine
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given monovalent vaccine instead of authorized bivalent vaccine
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given monovalent vaccine instead of authorized bivalent vaccine
Age: 34.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood pressure increased, Blood test, Cold sweat, Computerised tomogram normal, Dizziness
Clinical narrative: Awoken in middle of night with feelings of vertigo, dizziness, feelings of passing out, sweating, clammy, shaking, headache, nausea, fatigue
Age: 34.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fatigue, Headache, Hyperhidrosis, Nausea, Pregnancy test negative
Clinical narrative: Awoken in middle of night with feelings of vertigo, dizziness, feelings of passing out, sweating, clammy, shaking, headache, nausea, fatigue
Age: 34.0
Sex: F
Vaccine: COVID19-2
Symptoms: Sleep disorder, Tremor, Vertigo
Clinical narrative: Awoken in middle of night with feelings of vertigo, dizziness, feelings of passing out, sweating, clammy, shaking, headache, nausea, fatigue
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given monovalent vaccine instead of authorized bivalent vaccine
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given monovalent vaccine instead of authorized bivalent vaccine
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Mechanical urticaria, Pruritus, Rash, Urticaria
Clinical narrative: Very mild initial symptoms. Approximately 12 days after this shot Urticaria + Dermatographism all over body, ongoing skin rash/skin writing/mild itchiness.  Never experienced this before in life, or with any of the previous 3 COVID vaccine shots.
Age: 54.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Back pain, Eye pain, Eyelid disorder, Headache, Lacrimation increased
Clinical narrative: 1. Back Pain 2. Headaches t 3. Right jaw,  face, eye and right temporal pain 4. right eye lid feels weak , and tearing
Age: 54.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Pain in jaw
Clinical narrative: 1. Back Pain 2. Headaches t 3. Right jaw,  face, eye and right temporal pain 4. right eye lid feels weak , and tearing
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient got monovalent covid vaccine instead of the bivalent covid vaccine for booster dose
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Acquired diaphragmatic eventration, Acute respiratory failure, Anion gap, Atrial fibrillation, Atrial flutter
Clinical narrative: /Narrative: Pt presented to ED on 9/27/2022 c/o cough with yellow mucous and chest congestion x 1 week; + sick contact exposure. In the ED, the pt was tachypnic. COVID-19 swab was positive. CXR showed elevated right diaphragm and possible right lower lobe atelectasis. Pt admitted 9/27/22-9/30/22 with priniple diagnosis: PRINCIPAL DIAGNOSIS: 1. New Onset of Shortness of Breath with Productive Cough, Tachypnea & Tachycardia 2/2 COVID-19 Viral Syndrome 2. Acute Respiratory Failure with Hypoxia & Hypocapnia 2/2 Covid-19 Viral Pneumonia 3. Acute Tachycardia & Tachypnea in Setting of Acute on Chronic Atrial Fibrillation w/ Flutter, Occasional Rapid Response on Apixaban 4. Acute on Chronic Normocytic Anemia 5. Acute on Chronic Kidney Disease Stage 4 6. Hyperkalemia 7. Hyperchloremia ADDITIONAL DIAGNSES: 8. BPH 9. Hypertension 10. Hx Prostate Cancer 11. Depression 12. Type II diabetes, Diet Controlled 13. GERD 14. Obesity Class 2: BMI 34.0 Hosp. Course includes: Patient's chief symptoms on admission were; hypoxia requiring supplemental oxygen therapy, hypocapnea, tachycardia and tachypnea. Patient noted on file- Moderna vaccination x 3 doses. Supportive care and monitoring implemented; screening/trend labs, EKGs and imaging studies. EKGs obtained during this hospitalization, noted with Atrial flutter with variable A-V block with PVCs. Pt is on chronic anticoagulation with apixiban for management of chronic Atrial Flutter. CXR obtained-impression negative for cardiopulmonary and elevated right diaphragm and possible right lower lobe atelectasis. No evidence of superimposed bacterial pneumonia. Airborne Precautions initiated. COVID-19 viral pneumonia treatment was initiated with ; dexamethasone 6mg qd, PRN acetaminophen/tesselon/albuterol inhaler, continous pox, telemetry monitoring, PRN supplementation of electrolytes, consults, etc. Patient noted with respiratory alkalosis; CO2 levels ranged between 15-20 mmol/L - treated with sodium bicarbonate supplementation of 1300mg oral twice a day for management. Patient did not require remdesivir. Patient considered for discharge on 9/29/22, and initially no labs were obtained. In preparing medication reconcillation, unable to determine if sodium bicarbonate should be ordered on discharge. There fore, ordered a CHEM7 at 13:00 on 9/29/2022. CHEM7 resulted, most notable for hyperkalemia (K+ level of 5.80) and Scr 2.2/BUN 40. NO hemolysis noted on lab report. Discharge cancelled for management of hyperkalemia. One dose of Patiromer Calcium Sorbitex 8.4gm/1PKT was ordered and administered. Telemetry monitoring restarted, EKG obtained at this time(results - Aflutter with variable A-V block, ST & Twave abnormality), initiated IVF hydration w/ NS @ 75cc/hr and cardiac enzymes ordered. On following day (9/30/22), Pt denied any acute concerns or pain, K+ level; 5.0, Scr 2.2 and cardiac enzyme set of 3 negative for troponin elevation. Patient was cleared for discharge to home with family at this time- on 9/30/22.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Atrioventricular block, Basophil count decreased, Basophil percentage decreased, Blood calcium decreased, Blood chloride
Clinical narrative: /Narrative: Pt presented to ED on 9/27/2022 c/o cough with yellow mucous and chest congestion x 1 week; + sick contact exposure. In the ED, the pt was tachypnic. COVID-19 swab was positive. CXR showed elevated right diaphragm and possible right lower lobe atelectasis. Pt admitted 9/27/22-9/30/22 with priniple diagnosis: PRINCIPAL DIAGNOSIS: 1. New Onset of Shortness of Breath with Productive Cough, Tachypnea & Tachycardia 2/2 COVID-19 Viral Syndrome 2. Acute Respiratory Failure with Hypoxia & Hypocapnia 2/2 Covid-19 Viral Pneumonia 3. Acute Tachycardia & Tachypnea in Setting of Acute on Chronic Atrial Fibrillation w/ Flutter, Occasional Rapid Response on Apixaban 4. Acute on Chronic Normocytic Anemia 5. Acute on Chronic Kidney Disease Stage 4 6. Hyperkalemia 7. Hyperchloremia ADDITIONAL DIAGNSES: 8. BPH 9. Hypertension 10. Hx Prostate Cancer 11. Depression 12. Type II diabetes, Diet Controlled 13. GERD 14. Obesity Class 2: BMI 34.0 Hosp. Course includes: Patient's chief symptoms on admission were; hypoxia requiring supplemental oxygen therapy, hypocapnea, tachycardia and tachypnea. Patient noted on file- Moderna vaccination x 3 doses. Supportive care and monitoring implemented; screening/trend labs, EKGs and imaging studies. EKGs obtained during this hospitalization, noted with Atrial flutter with variable A-V block with PVCs. Pt is on chronic anticoagulation with apixiban for management of chronic Atrial Flutter. CXR obtained-impression negative for cardiopulmonary and elevated right diaphragm and possible right lower lobe atelectasis. No evidence of superimposed bacterial pneumonia. Airborne Precautions initiated. COVID-19 viral pneumonia treatment was initiated with ; dexamethasone 6mg qd, PRN acetaminophen/tesselon/albuterol inhaler, continous pox, telemetry monitoring, PRN supplementation of electrolytes, consults, etc. Patient noted with respiratory alkalosis; CO2 levels ranged between 15-20 mmol/L - treated with sodium bicarbonate supplementation of 1300mg oral twice a day for management. Patient did not require remdesivir. Patient considered for discharge on 9/29/22, and initially no labs were obtained. In preparing medication reconcillation, unable to determine if sodium bicarbonate should be ordered on discharge. There fore, ordered a CHEM7 at 13:00 on 9/29/2022. CHEM7 resulted, most notable for hyperkalemia (K+ level of 5.80) and Scr 2.2/BUN 40. NO hemolysis noted on lab report. Discharge cancelled for management of hyperkalemia. One dose of Patiromer Calcium Sorbitex 8.4gm/1PKT was ordered and administered. Telemetry monitoring restarted, EKG obtained at this time(results - Aflutter with variable A-V block, ST & Twave abnormality), initiated IVF hydration w/ NS @ 75cc/hr and cardiac enzymes ordered. On following day (9/30/22), Pt denied any acute concerns or pain, K+ level; 5.0, Scr 2.2 and cardiac enzyme set of 3 negative for troponin elevation. Patient was cleared for discharge to home with family at this time- on 9/30/22.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine increased, Blood glucose normal, Blood potassium increased, Blood sodium, Blood urea increased
Clinical narrative: /Narrative: Pt presented to ED on 9/27/2022 c/o cough with yellow mucous and chest congestion x 1 week; + sick contact exposure. In the ED, the pt was tachypnic. COVID-19 swab was positive. CXR showed elevated right diaphragm and possible right lower lobe atelectasis. Pt admitted 9/27/22-9/30/22 with priniple diagnosis: PRINCIPAL DIAGNOSIS: 1. New Onset of Shortness of Breath with Productive Cough, Tachypnea & Tachycardia 2/2 COVID-19 Viral Syndrome 2. Acute Respiratory Failure with Hypoxia & Hypocapnia 2/2 Covid-19 Viral Pneumonia 3. Acute Tachycardia & Tachypnea in Setting of Acute on Chronic Atrial Fibrillation w/ Flutter, Occasional Rapid Response on Apixaban 4. Acute on Chronic Normocytic Anemia 5. Acute on Chronic Kidney Disease Stage 4 6. Hyperkalemia 7. Hyperchloremia ADDITIONAL DIAGNSES: 8. BPH 9. Hypertension 10. Hx Prostate Cancer 11. Depression 12. Type II diabetes, Diet Controlled 13. GERD 14. Obesity Class 2: BMI 34.0 Hosp. Course includes: Patient's chief symptoms on admission were; hypoxia requiring supplemental oxygen therapy, hypocapnea, tachycardia and tachypnea. Patient noted on file- Moderna vaccination x 3 doses. Supportive care and monitoring implemented; screening/trend labs, EKGs and imaging studies. EKGs obtained during this hospitalization, noted with Atrial flutter with variable A-V block with PVCs. Pt is on chronic anticoagulation with apixiban for management of chronic Atrial Flutter. CXR obtained-impression negative for cardiopulmonary and elevated right diaphragm and possible right lower lobe atelectasis. No evidence of superimposed bacterial pneumonia. Airborne Precautions initiated. COVID-19 viral pneumonia treatment was initiated with ; dexamethasone 6mg qd, PRN acetaminophen/tesselon/albuterol inhaler, continous pox, telemetry monitoring, PRN supplementation of electrolytes, consults, etc. Patient noted with respiratory alkalosis; CO2 levels ranged between 15-20 mmol/L - treated with sodium bicarbonate supplementation of 1300mg oral twice a day for management. Patient did not require remdesivir. Patient considered for discharge on 9/29/22, and initially no labs were obtained. In preparing medication reconcillation, unable to determine if sodium bicarbonate should be ordered on discharge. There fore, ordered a CHEM7 at 13:00 on 9/29/2022. CHEM7 resulted, most notable for hyperkalemia (K+ level of 5.80) and Scr 2.2/BUN 40. NO hemolysis noted on lab report. Discharge cancelled for management of hyperkalemia. One dose of Patiromer Calcium Sorbitex 8.4gm/1PKT was ordered and administered. Telemetry monitoring restarted, EKG obtained at this time(results - Aflutter with variable A-V block, ST & Twave abnormality), initiated IVF hydration w/ NS @ 75cc/hr and cardiac enzymes ordered. On following day (9/30/22), Pt denied any acute concerns or pain, K+ level; 5.0, Scr 2.2 and cardiac enzyme set of 3 negative for troponin elevation. Patient was cleared for discharge to home with family at this time- on 9/30/22.