chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Scan with contrast, Urine analysis, White blood cell count increased
Clinical narrative: 37 weeks pregnant admitted to the hospital with early appendicitis. Estimated due date: August 23, 2021. Received the first dose of the COVID shot around 5:15pm on 8/4/2021, and woke up around 6:15am on 8/5/2021 with lower right abdominal pain. Went into the hospital, no signs of labor so blood and urine tests were ran. White blood count was at 19.69 so a CT of the abdomen pelvis with IV CONTRAST was performed. Finding were concerning for early acute appendicitis. Received antibiotics of Ceftriaxone 1g IV qd and Flagyl 500 IV TID. After about two days white blood count went down and was released from the hospital. No effects on the pregnancy.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Blood creatinine increased, Blood urea increased, Glomerular filtration rate normal
Clinical narrative: Acute Kidney Injury, formally diagnosed on 8/6/2021 based on lab values obtained 4/20/2021, 5/20/2021 and 6/?/2021
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site inflammation, Injection site mass, Injection site swelling, Pruritus
Clinical narrative: The vaccinated arm became itchy and swollen exactly one week after injection.  The itching dissipated within a week, but my arm eventually became swollen, lumpy, and inflamed from my shoulder to my elbow and lasted for another couple of weeks.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Menstrual disorder, Pain, Polymenorrhoea, Pyrexia
Clinical narrative: I/m 41 and have never had early or late periods. I'm not on birth control. I got the second dose the day I started my period on May 21st. I got my next period early and twice in June.   Also, after the second dose, I was down for three days with severe chills, a fever and severe body aches.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Confusional state, Dizziness, Headache, Hypertension
Clinical narrative: Started having headaches within a couple days after second Pfizer COVID-19 dose along with tinnitus sometime that week.  Subsequently diagnosed with hypertension consistent 150/110 (was normal 120/80 at last measure 6 months prior).  Blood pressure has been controlled with amlodipine 5 mg qd but tinnitus has not resolved
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Tinnitus
Clinical narrative: Started having headaches within a couple days after second Pfizer COVID-19 dose along with tinnitus sometime that week.  Subsequently diagnosed with hypertension consistent 150/110 (was normal 120/80 at last measure 6 months prior).  Blood pressure has been controlled with amlodipine 5 mg qd but tinnitus has not resolved
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Dyspnoea, Echocardiogram, Electrocardiogram, Fatigue
Clinical narrative: Possible heart function issue, with  shortness of breath, extreme fatigue, with no such previous issues,
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound scan
Clinical narrative: Possible heart function issue, with  shortness of breath, extreme fatigue, with no such previous issues,
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Flushing, Hyperhidrosis, Skin discolouration
Clinical narrative: Systemic: Chills-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: AFTER 4 TO 5 MINUTES SKIN COLOR CHANGED-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Shakiness-Medium
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Systemic: Chills-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: AFTER 4 TO 5 MINUTES SKIN COLOR CHANGED-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Shakiness-Medium
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac monitoring, Dizziness, Syncope
Clinical narrative: vasovagal sycope , fainting , dizzy, started about  2 weeks after second shot
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Patient contracted COVID-19 after  being fully vaccinated
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Infusion, Malaise
Clinical narrative: I did not feel well after receiving my second dose vaccine. On 08-08-2021, I was in bed all day because I felt sick. I was diagnosed with COVID on Monday 08-09-2021. I started with body aches and chills, mild fever and some congestion. My fever then started to get worse, but I started taking Tylenol and Advil, and right now my fever is manageable. I had a fever for 48 hours without any Advil and Tylenol. When I was diagnosed with COVID, Monday morning, I went and had an infusion at the hospital. I am still sick although my fever is manageable, still have cough, congestion and body aches.
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pain, Pyrexia, Respiratory tract congestion
Clinical narrative: I did not feel well after receiving my second dose vaccine. On 08-08-2021, I was in bed all day because I felt sick. I was diagnosed with COVID on Monday 08-09-2021. I started with body aches and chills, mild fever and some congestion. My fever then started to get worse, but I started taking Tylenol and Advil, and right now my fever is manageable. I had a fever for 48 hours without any Advil and Tylenol. When I was diagnosed with COVID, Monday morning, I went and had an infusion at the hospital. I am still sick although my fever is manageable, still have cough, congestion and body aches.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Blood glucose decreased, COVID-19, COVID-19 pneumonia, Intensive care, SARS-CoV-2 test positive
Clinical narrative: 7/29/21: Patient arrived at the ER due to being found unresponsive with low blood sugar. Patient tested positive for COVID on 7/29/2021.  Diagnosed with COVID-19 pneumonia Note: patient previously vaccinated with Pfizer COVID-19 vaccine (2nd dose in Feb 2021) 8/8/21: patient transferred to ICU 8/12/21: patient still admitted at the time of this report submission. Please note: Patient received First dose of Pfizer COVID-19 vaccine on 1/14/2021, followed by the second dose on 2/3/2021 (confirmed through database)
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: 7/29/21: Patient arrived at the ER due to being found unresponsive with low blood sugar. Patient tested positive for COVID on 7/29/2021.  Diagnosed with COVID-19 pneumonia Note: patient previously vaccinated with Pfizer COVID-19 vaccine (2nd dose in Feb 2021) 8/8/21: patient transferred to ICU 8/12/21: patient still admitted at the time of this report submission. Please note: Patient received First dose of Pfizer COVID-19 vaccine on 1/14/2021, followed by the second dose on 2/3/2021 (confirmed through database)
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Altered state of consciousness, Chest X-ray abnormal, Dyspnoea, Fatigue, Lung infiltration
Clinical narrative: 7/29/21: Patient arrived at the ER due to being found unresponsive with low blood sugar. Patient tested positive for COVID on 7/29/2021.  Diagnosed with COVID-19 pneumonia Note: patient previously vaccinated with Pfizer COVID-19 vaccine (2nd dose in Feb 2021) 8/8/21: patient transferred to ICU 8/12/21: patient still admitted at the time of this report submission. Please note: Patient received First dose of Pfizer COVID-19 vaccine on 1/14/2021, followed by the second dose on 2/3/2021 (confirmed through database)
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Pneumonia, SARS-CoV-2 test positive, Unresponsive to stimuli
Clinical narrative: 7/29/21: Patient arrived at the ER due to being found unresponsive with low blood sugar. Patient tested positive for COVID on 7/29/2021.  Diagnosed with COVID-19 pneumonia Note: patient previously vaccinated with Pfizer COVID-19 vaccine (2nd dose in Feb 2021) 8/8/21: patient transferred to ICU 8/12/21: patient still admitted at the time of this report submission. Please note: Patient received First dose of Pfizer COVID-19 vaccine on 1/14/2021, followed by the second dose on 2/3/2021 (confirmed through database)
Age: 66.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient tested positive for COVID19 past two weeks after second dose of vaccine
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Dysgeusia, Electrocardiogram normal, Hypoaesthesia oral
Clinical narrative: Within 20 minutes of receiving the vaccination, I started getting dizzy, mouth, tongue and throat started tingling and becoming numb, nausea, tightness in chest, metallic taste in mouth. Was seen and monitored in the ER, released a couple of hours later. Tingling and numbness in mouth, tongue and throat and dizziness still persist over 24 hours later (at time of this report).
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Paraesthesia oral, Pharyngeal hypoaesthesia, Pharyngeal paraesthesia
Clinical narrative: Within 20 minutes of receiving the vaccination, I started getting dizzy, mouth, tongue and throat started tingling and becoming numb, nausea, tightness in chest, metallic taste in mouth. Was seen and monitored in the ER, released a couple of hours later. Tingling and numbness in mouth, tongue and throat and dizziness still persist over 24 hours later (at time of this report).
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Joint swelling, Pain in extremity, Swelling, Vaccination site bruising
Clinical narrative: arm was red and sore the vaccine site was bigger than the palm of her hand, it was bruise, glands became swollen, joints swole, allergies became at all time high
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site swelling
Clinical narrative: arm was red and sore the vaccine site was bigger than the palm of her hand, it was bruise, glands became swollen, joints swole, allergies became at all time high
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood lactic acid, Blood sodium decreased, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: The patient presents with Shortness of breath. Pt reports to have taken her oxygen saturation at home and was noted to be hypoxic. Pt is currently COVID-19 positive, states she tested positive yesterday. Pt is not anticoagulated. PMHx significant for HTN, PE. Pt denies chest pain, cough, nausea, vomiting, fevers, chills,  and all other acute systemic symptoms.  The onset was Few days ago. Patient is a 75-year-old female with history of hypertension, hyperlipidemia, prior stroke and borderline diabetes presents the ED with worsening COVID-19 symptoms.  Patient states she has been feeling ill for the past week.  She tested positive for COVID infection yesterday.  She reports a mild cough but significant shortness of breath.  She denies any fevers or chills.  She denies any nausea, vomiting or diarrhea.  Husband is also sick with COVID infection.  She had 1 Pfizer COVID vaccination last week.  Patient was monitoring her O2 sats and says they were dropping into the 70s at home.  She was initially on 10 L nasal cannula has since been transition to 60 liters/minute high-flow oxygen in the ED.  Laboratory studies are generally unremarkable other than sodium of 133, and a lactic acid of 2.2.  Her chest x-ray shows multifocal ground-glass infiltrates consistent with COVID pneumonia.  CT of the chest is negative for pulmonary embolus.  She does have moderate to severe bilateral ground-glass opacification and developing consolidation consistent with her known COVID pneumonia.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram thorax normal, Cough, Dyspnoea, Exposure to SARS-CoV-2, Hypoxia
Clinical narrative: The patient presents with Shortness of breath. Pt reports to have taken her oxygen saturation at home and was noted to be hypoxic. Pt is currently COVID-19 positive, states she tested positive yesterday. Pt is not anticoagulated. PMHx significant for HTN, PE. Pt denies chest pain, cough, nausea, vomiting, fevers, chills,  and all other acute systemic symptoms.  The onset was Few days ago. Patient is a 75-year-old female with history of hypertension, hyperlipidemia, prior stroke and borderline diabetes presents the ED with worsening COVID-19 symptoms.  Patient states she has been feeling ill for the past week.  She tested positive for COVID infection yesterday.  She reports a mild cough but significant shortness of breath.  She denies any fevers or chills.  She denies any nausea, vomiting or diarrhea.  Husband is also sick with COVID infection.  She had 1 Pfizer COVID vaccination last week.  Patient was monitoring her O2 sats and says they were dropping into the 70s at home.  She was initially on 10 L nasal cannula has since been transition to 60 liters/minute high-flow oxygen in the ED.  Laboratory studies are generally unremarkable other than sodium of 133, and a lactic acid of 2.2.  Her chest x-ray shows multifocal ground-glass infiltrates consistent with COVID pneumonia.  CT of the chest is negative for pulmonary embolus.  She does have moderate to severe bilateral ground-glass opacification and developing consolidation consistent with her known COVID pneumonia.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lung consolidation, Lung opacity, Malaise, Oxygen saturation decreased, SARS-CoV-2 test positive
Clinical narrative: The patient presents with Shortness of breath. Pt reports to have taken her oxygen saturation at home and was noted to be hypoxic. Pt is currently COVID-19 positive, states she tested positive yesterday. Pt is not anticoagulated. PMHx significant for HTN, PE. Pt denies chest pain, cough, nausea, vomiting, fevers, chills,  and all other acute systemic symptoms.  The onset was Few days ago. Patient is a 75-year-old female with history of hypertension, hyperlipidemia, prior stroke and borderline diabetes presents the ED with worsening COVID-19 symptoms.  Patient states she has been feeling ill for the past week.  She tested positive for COVID infection yesterday.  She reports a mild cough but significant shortness of breath.  She denies any fevers or chills.  She denies any nausea, vomiting or diarrhea.  Husband is also sick with COVID infection.  She had 1 Pfizer COVID vaccination last week.  Patient was monitoring her O2 sats and says they were dropping into the 70s at home.  She was initially on 10 L nasal cannula has since been transition to 60 liters/minute high-flow oxygen in the ED.  Laboratory studies are generally unremarkable other than sodium of 133, and a lactic acid of 2.2.  Her chest x-ray shows multifocal ground-glass infiltrates consistent with COVID pneumonia.  CT of the chest is negative for pulmonary embolus.  She does have moderate to severe bilateral ground-glass opacification and developing consolidation consistent with her known COVID pneumonia.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sick relative
Clinical narrative: The patient presents with Shortness of breath. Pt reports to have taken her oxygen saturation at home and was noted to be hypoxic. Pt is currently COVID-19 positive, states she tested positive yesterday. Pt is not anticoagulated. PMHx significant for HTN, PE. Pt denies chest pain, cough, nausea, vomiting, fevers, chills,  and all other acute systemic symptoms.  The onset was Few days ago. Patient is a 75-year-old female with history of hypertension, hyperlipidemia, prior stroke and borderline diabetes presents the ED with worsening COVID-19 symptoms.  Patient states she has been feeling ill for the past week.  She tested positive for COVID infection yesterday.  She reports a mild cough but significant shortness of breath.  She denies any fevers or chills.  She denies any nausea, vomiting or diarrhea.  Husband is also sick with COVID infection.  She had 1 Pfizer COVID vaccination last week.  Patient was monitoring her O2 sats and says they were dropping into the 70s at home.  She was initially on 10 L nasal cannula has since been transition to 60 liters/minute high-flow oxygen in the ED.  Laboratory studies are generally unremarkable other than sodium of 133, and a lactic acid of 2.2.  Her chest x-ray shows multifocal ground-glass infiltrates consistent with COVID pneumonia.  CT of the chest is negative for pulmonary embolus.  She does have moderate to severe bilateral ground-glass opacification and developing consolidation consistent with her known COVID pneumonia.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bilevel positive airway pressure, Blood glucose normal, Blood potassium decreased, COVID-19, Death
Clinical narrative: The patient presents with Shortness of breath. Pt reports to have taken her oxygen saturation at home and was noted to be hypoxic. Pt is currently COVID-19 positive, states she tested positive yesterday. Pt is not anticoagulated. PMHx significant for HTN, PE. Pt denies chest pain, cough, nausea, vomiting, fevers, chills,  and all other acute systemic symptoms.  The onset was Few days ago. Patient is a 75-year-old female with history of hypertension, hyperlipidemia, prior stroke and borderline diabetes presents the ED with worsening COVID-19 symptoms.  Patient states she has been feeling ill for the past week.  She tested positive for COVID infection yesterday.  She reports a mild cough but significant shortness of breath.  She denies any fevers or chills.  She denies any nausea, vomiting or diarrhea.  Husband is also sick with COVID infection.  She had 1 Pfizer COVID vaccination last week.  Patient was monitoring her O2 sats and says they were dropping into the 70s at home.  She was initially on 10 L nasal cannula has since been transition to 60 liters/minute high-flow oxygen in the ED.  Laboratory studies are generally unremarkable other than sodium of 133, and a lactic acid of 2.2.  Her chest x-ray shows multifocal ground-glass infiltrates consistent with COVID pneumonia.  CT of the chest is negative for pulmonary embolus.  She does have moderate to severe bilateral ground-glass opacification and developing consolidation consistent with her known COVID pneumonia.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise, Mechanical ventilation, Oxygen saturation decreased
Clinical narrative: The patient presents with Shortness of breath. Pt reports to have taken her oxygen saturation at home and was noted to be hypoxic. Pt is currently COVID-19 positive, states she tested positive yesterday. Pt is not anticoagulated. PMHx significant for HTN, PE. Pt denies chest pain, cough, nausea, vomiting, fevers, chills,  and all other acute systemic symptoms.  The onset was Few days ago. Patient is a 75-year-old female with history of hypertension, hyperlipidemia, prior stroke and borderline diabetes presents the ED with worsening COVID-19 symptoms.  Patient states she has been feeling ill for the past week.  She tested positive for COVID infection yesterday.  She reports a mild cough but significant shortness of breath.  She denies any fevers or chills.  She denies any nausea, vomiting or diarrhea.  Husband is also sick with COVID infection.  She had 1 Pfizer COVID vaccination last week.  Patient was monitoring her O2 sats and says they were dropping into the 70s at home.  She was initially on 10 L nasal cannula has since been transition to 60 liters/minute high-flow oxygen in the ED.  Laboratory studies are generally unremarkable other than sodium of 133, and a lactic acid of 2.2.  Her chest x-ray shows multifocal ground-glass infiltrates consistent with COVID pneumonia.  CT of the chest is negative for pulmonary embolus.  She does have moderate to severe bilateral ground-glass opacification and developing consolidation consistent with her known COVID pneumonia.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Error: Booster Given Too Early-
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Error: Booster Given Too Early-
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Herpes zoster
Clinical narrative: On Monday May 3rd I noticed the blisters on my back and they confirmed shingles. It took a week to 10 days for the blisters to disappear.
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Facial spasm, Muscle spasms
Clinical narrative: patient said the next day after receiving her first pfizer dose she began to have muscle spasms in the extremities (calves, face, neck muscles, glutes ) she continued to get the second dose 21 days later and she has had the spasms ever since.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Injection site erythema, Injection site pain, Pruritus, Rash
Clinical narrative: Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: Allergic: Anaphylaxis-Medium, Systemic: Allergic: Itch Generalized-Medium, Systemic: Allergic: Rash Generalized-Medium
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Loss of consciousness
Clinical narrative: Pt passed out as soon as shot was given.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Pfizer-BioNTech COVID 19 vaccine EUA Fever of 100.9, chills, body aches, headache, tired
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Flushing, Hyperhidrosis, Lethargy
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Severe
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Severe
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy skin, Miliaria, Rash
Clinical narrative: Rash over body that gets worse with heat. Rash started about 5 days after vaccine and has never went away. The spots look like targets on legs, arms, panty lines.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: Sterile water used as a diluent instead of normal saline
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Rash, Urine analysis normal, Urticaria
Clinical narrative: 4/22 2am (day prior to 2nd Pfizer dose) broke out in rash/hives on both arms (armpits to wrists) and both legs (thighs to knees).  Have had recurring rash/hives almost daily since then.  It wasn't until the morning of 8/10 that rash/hives spread to entire body fully arms, legs, torso, back.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: She has under left armpit a lump that has come up about 1 cm in size.  She also started having hands and feet turning red and itching.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Asthenia, Autoimmune disorder, Chest X-ray, Chest discomfort
Clinical narrative: RUE pain - After COVID vaccine in L arm on 1/23 developed fever (tmax 104, could only get it down to 102 with apap and ibuprofen) and severe upper body myalgias.This resolved by 2 days later, but has had persistent RUE pain since. Describes she had to sleep upright x1.5 weeks and was nearly in tears due to the pain. Using peppermint oil with improvement.   Noticing pain with flexion >90 and scapular popping sensation. Weakness, while washing hair (has to prop her elbow on shower wall) and inability to cross arm across her chest. Also having difficulty lifting grocery bags. Was having R lower chest wall/inframammary/RUQ discomfort too. Talked about these sx with rheum, had shoulder xray which was normal and cspine xray which showed DJD. labwork showed brief elevation in LFTs which subsequently normalized.     Has persistent R flank pain since November, currently dull. Not limiting her, just constantly there . Some shooting pains up/down spine at times  +scapular winging on exam, subsequently seen by ortho and neurology given onset and acute nature of the scapular weakness (long thoracic distribution), most likely that this was neuralgic amyotrophy/parsonage turner syndrome, which is in general an idiopathic auto-immune disorder that affects all or portions of the brachial plexus, but very commonly the long thoracic nerve alone
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Flank pain, Joint noise, Joint range of motion decreased, Laboratory test abnormal, Liver function test increased
Clinical narrative: RUE pain - After COVID vaccine in L arm on 1/23 developed fever (tmax 104, could only get it down to 102 with apap and ibuprofen) and severe upper body myalgias.This resolved by 2 days later, but has had persistent RUE pain since. Describes she had to sleep upright x1.5 weeks and was nearly in tears due to the pain. Using peppermint oil with improvement.   Noticing pain with flexion >90 and scapular popping sensation. Weakness, while washing hair (has to prop her elbow on shower wall) and inability to cross arm across her chest. Also having difficulty lifting grocery bags. Was having R lower chest wall/inframammary/RUQ discomfort too. Talked about these sx with rheum, had shoulder xray which was normal and cspine xray which showed DJD. labwork showed brief elevation in LFTs which subsequently normalized.     Has persistent R flank pain since November, currently dull. Not limiting her, just constantly there . Some shooting pains up/down spine at times  +scapular winging on exam, subsequently seen by ortho and neurology given onset and acute nature of the scapular weakness (long thoracic distribution), most likely that this was neuralgic amyotrophy/parsonage turner syndrome, which is in general an idiopathic auto-immune disorder that affects all or portions of the brachial plexus, but very commonly the long thoracic nerve alone
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Movement disorder, Myalgia, Osteoarthritis, Pain, Pain in extremity
Clinical narrative: RUE pain - After COVID vaccine in L arm on 1/23 developed fever (tmax 104, could only get it down to 102 with apap and ibuprofen) and severe upper body myalgias.This resolved by 2 days later, but has had persistent RUE pain since. Describes she had to sleep upright x1.5 weeks and was nearly in tears due to the pain. Using peppermint oil with improvement.   Noticing pain with flexion >90 and scapular popping sensation. Weakness, while washing hair (has to prop her elbow on shower wall) and inability to cross arm across her chest. Also having difficulty lifting grocery bags. Was having R lower chest wall/inframammary/RUQ discomfort too. Talked about these sx with rheum, had shoulder xray which was normal and cspine xray which showed DJD. labwork showed brief elevation in LFTs which subsequently normalized.     Has persistent R flank pain since November, currently dull. Not limiting her, just constantly there . Some shooting pains up/down spine at times  +scapular winging on exam, subsequently seen by ortho and neurology given onset and acute nature of the scapular weakness (long thoracic distribution), most likely that this was neuralgic amyotrophy/parsonage turner syndrome, which is in general an idiopathic auto-immune disorder that affects all or portions of the brachial plexus, but very commonly the long thoracic nerve alone
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Sensory disturbance, Sleep disorder due to a general medical condition, Spinal X-ray abnormal, Spinal pain
Clinical narrative: RUE pain - After COVID vaccine in L arm on 1/23 developed fever (tmax 104, could only get it down to 102 with apap and ibuprofen) and severe upper body myalgias.This resolved by 2 days later, but has had persistent RUE pain since. Describes she had to sleep upright x1.5 weeks and was nearly in tears due to the pain. Using peppermint oil with improvement.   Noticing pain with flexion >90 and scapular popping sensation. Weakness, while washing hair (has to prop her elbow on shower wall) and inability to cross arm across her chest. Also having difficulty lifting grocery bags. Was having R lower chest wall/inframammary/RUQ discomfort too. Talked about these sx with rheum, had shoulder xray which was normal and cspine xray which showed DJD. labwork showed brief elevation in LFTs which subsequently normalized.     Has persistent R flank pain since November, currently dull. Not limiting her, just constantly there . Some shooting pains up/down spine at times  +scapular winging on exam, subsequently seen by ortho and neurology given onset and acute nature of the scapular weakness (long thoracic distribution), most likely that this was neuralgic amyotrophy/parsonage turner syndrome, which is in general an idiopathic auto-immune disorder that affects all or portions of the brachial plexus, but very commonly the long thoracic nerve alone
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray limb normal
Clinical narrative: RUE pain - After COVID vaccine in L arm on 1/23 developed fever (tmax 104, could only get it down to 102 with apap and ibuprofen) and severe upper body myalgias.This resolved by 2 days later, but has had persistent RUE pain since. Describes she had to sleep upright x1.5 weeks and was nearly in tears due to the pain. Using peppermint oil with improvement.   Noticing pain with flexion >90 and scapular popping sensation. Weakness, while washing hair (has to prop her elbow on shower wall) and inability to cross arm across her chest. Also having difficulty lifting grocery bags. Was having R lower chest wall/inframammary/RUQ discomfort too. Talked about these sx with rheum, had shoulder xray which was normal and cspine xray which showed DJD. labwork showed brief elevation in LFTs which subsequently normalized.     Has persistent R flank pain since November, currently dull. Not limiting her, just constantly there . Some shooting pains up/down spine at times  +scapular winging on exam, subsequently seen by ortho and neurology given onset and acute nature of the scapular weakness (long thoracic distribution), most likely that this was neuralgic amyotrophy/parsonage turner syndrome, which is in general an idiopathic auto-immune disorder that affects all or portions of the brachial plexus, but very commonly the long thoracic nerve alone
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acoustic stimulation tests normal, Tinnitus
Clinical narrative: Ringing in my ears
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Coordination abnormal, Gait inability, Guillain-Barre syndrome, Loss of personal independence in daily activities, Motor dysfunction
Clinical narrative: Guillain-Barre Syndrome with  and rehabilitation; loss of use of feet legs arms and hands; loss of sensation plus pain and lack of coordination in hands and legs; loss of ability to walk and carry out basic functions of living; treatment remains ongoing, with recovery proceeding slowly.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Sensory loss
Clinical narrative: Guillain-Barre Syndrome with  and rehabilitation; loss of use of feet legs arms and hands; loss of sensation plus pain and lack of coordination in hands and legs; loss of ability to walk and carry out basic functions of living; treatment remains ongoing, with recovery proceeding slowly.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Limb discomfort, Magnetic resonance imaging, Nerve stimulation test, Orthosis user, Paraesthesia
Clinical narrative: ABOUT 2-3 WEEKS AFTER RECIEVING THE SHOT, I WAS FEELING LIKE MY LEFT LEG/FOOT WAS ASLEEP AND FEELING VERY HEAVY.  FIRST WEEK IT WOULD COME AND GO, DIDN'T THINK MUCH OF IT, BUT THAN IT CONTINUED AND NEVER STOPPED WHICH NOW LEADS ME TO HAVE DROP FOOT IN MY LEFT FOOT.  I WAS SENT TO SEE IF IT WAS A BLOOD CLOT WHICH WAS DETERMAINED IT WASN'T, WHICH THAN LEFT ME TO SEE A NEURLOGIST AND THAN TO A NEURSURGEON AND NOW ONTO A ORTHO DOCTOR.  I HAVE HAD A NERVE TEST AND LOTS OF XRAYS AND MRI'S.  I AM NOW ISSUED A ORTHOSIS ANKLE FOOT BOOT TO HELP WITH MY DROP FOOT.  BEEN GOING ON SINCE END OF MARCH APRIL AND I STILL HAVE NO DIRECT ANSWERS.  I KEEP BRINING UP I HAD THE COVID TEST, BUT IT GETS PUSHED ASIDE.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Peroneal nerve palsy, X-ray
Clinical narrative: ABOUT 2-3 WEEKS AFTER RECIEVING THE SHOT, I WAS FEELING LIKE MY LEFT LEG/FOOT WAS ASLEEP AND FEELING VERY HEAVY.  FIRST WEEK IT WOULD COME AND GO, DIDN'T THINK MUCH OF IT, BUT THAN IT CONTINUED AND NEVER STOPPED WHICH NOW LEADS ME TO HAVE DROP FOOT IN MY LEFT FOOT.  I WAS SENT TO SEE IF IT WAS A BLOOD CLOT WHICH WAS DETERMAINED IT WASN'T, WHICH THAN LEFT ME TO SEE A NEURLOGIST AND THAN TO A NEURSURGEON AND NOW ONTO A ORTHO DOCTOR.  I HAVE HAD A NERVE TEST AND LOTS OF XRAYS AND MRI'S.  I AM NOW ISSUED A ORTHOSIS ANKLE FOOT BOOT TO HELP WITH MY DROP FOOT.  BEEN GOING ON SINCE END OF MARCH APRIL AND I STILL HAVE NO DIRECT ANSWERS.  I KEEP BRINING UP I HAD THE COVID TEST, BUT IT GETS PUSHED ASIDE.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Flushing, Hyperhidrosis, Hypoaesthesia
Clinical narrative: Site: Pain at Injection Site-Severe, Systemic: Dizziness / Lightheadness-Medium, Systemic: numbness in fingers-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Weakness-Mild, Additional Details: Patient just moved from out of country and does not have a PCP
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Site: Pain at Injection Site-Severe, Systemic: Dizziness / Lightheadness-Medium, Systemic: numbness in fingers-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Weakness-Mild, Additional Details: Patient just moved from out of country and does not have a PCP
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Arrhythmia, Cardiac monitoring, Echocardiogram, Electrocardiogram, Electrocardiogram abnormal
Clinical narrative: After having chest pain 3/1 and then going forward with recommendation by Dr to have Angiogram and everything looked fine, then i had the J&J shot 4/10.  Since then, my EKG has been abnormal (a hernia surgery  cancelled as a result) and arrhythmia disagnosed.  Had Echocardiogram and Holter heart monitor.  Have to see a ElectroPhysiologist next week and I have been prescribed metoprolol.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19 pneumonia, Lethargy, SARS-CoV-2 test positive
Clinical narrative: 7/30/21: Patient arrived at the ER due to generalized weakness and lethargy after being found on the floor during a wellness check. Patient tested positive for COVID on 7/30/2021.  Diagnosed with: COVID-19 pneumonia Please note: Patient received First dose of Pfizer COVID-19 vaccine on 1/29/2021, followed by the second dose on 2/26/2021 (confirmed through electronic symptoms)  8/12/21: patient still admitted at the time of this report submission.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Mental impairment
Clinical narrative: "Mental effects."  The vaccine (and news reports about this vaccine) has caused me to feel compelled to report something to VAERS to test whether the often-cited VAERS database contains unverified, anecdotal information or rather verified, scientific data that establishes a causal relationship between the vaccine and the event reported.  This report is not intended to mislead the Department of Health and Human Services.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site scab, Injection site swelling
Clinical narrative: A red raised bump/scab at sight of injection that has not gone away since administered a month ago. It does not hurt/ itch.
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angiocardiogram, Cardiac stress test abnormal, Palpitations, Supraventricular extrasystoles, Supraventricular tachycardia
Clinical narrative: Started to develop palpitations in March 2021.  Went for a cardiac stress test in June 2021 which showed SVT.  The SVT lasted about 10 beats and would recur.  There would be 5 or more episodes per min.  SVT and PAC continues to this day.  Occurs daily every minute.
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Dizziness, Dysphagia, Eye swelling, Flushing
Clinical narrative: Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Severe, Systemic: Abdominal Pain-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Severe, Systemic: Hyperventilation-Medium, Systemic: Nausea-Medium, Systemic: Tingling (specify: facial area, extemities)-Severe, Systemic: Vomiting-Medium
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hyperhidrosis, Hyperventilation, Mouth swelling, Nausea, Paraesthesia
Clinical narrative: Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Severe, Systemic: Abdominal Pain-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Severe, Systemic: Hyperventilation-Medium, Systemic: Nausea-Medium, Systemic: Tingling (specify: facial area, extemities)-Severe, Systemic: Vomiting-Medium
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pruritus, Rash, Swelling face, Swollen tongue, Throat tightness
Clinical narrative: Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Severe, Systemic: Abdominal Pain-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Severe, Systemic: Hyperventilation-Medium, Systemic: Nausea-Medium, Systemic: Tingling (specify: facial area, extemities)-Severe, Systemic: Vomiting-Medium
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Severe, Systemic: Abdominal Pain-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Severe, Systemic: Hyperventilation-Medium, Systemic: Nausea-Medium, Systemic: Tingling (specify: facial area, extemities)-Severe, Systemic: Vomiting-Medium
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain upper, Dysgeusia, Dyspnoea, Erythema, Exophthalmos
Clinical narrative: Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Severe, Systemic: Abdominal Pain-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Severe, Systemic: Hyperventilation-Medium, Systemic: Nausea-Medium, Systemic: Tingling (specify: facial area, extemities)-Severe, Systemic: Vomiting-Medium
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Heart rate increased, Hyperhidrosis, Induration, Laboratory test, Nausea
Clinical narrative: Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Severe, Systemic: Abdominal Pain-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Severe, Systemic: Hyperventilation-Medium, Systemic: Nausea-Medium, Systemic: Tingling (specify: facial area, extemities)-Severe, Systemic: Vomiting-Medium
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Photopsia, Pruritus, Rash, Retching, Swelling
Clinical narrative: Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Severe, Systemic: Abdominal Pain-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Severe, Systemic: Hyperventilation-Medium, Systemic: Nausea-Medium, Systemic: Tingling (specify: facial area, extemities)-Severe, Systemic: Vomiting-Medium
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Swelling face, Vomiting
Clinical narrative: Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Severe, Systemic: Abdominal Pain-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Severe, Systemic: Hyperventilation-Medium, Systemic: Nausea-Medium, Systemic: Tingling (specify: facial area, extemities)-Severe, Systemic: Vomiting-Medium
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Moderna COVID-19 EUA dose given 15 days after BUD for refrigeration
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: Pt still complaining of arm soreness and loss of range of motion since shot was given. She has not sought treatment yet. I referred her to start at her primary care doctor so they could direct to appropriate specialist if needed.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Joint range of motion decreased, Shoulder injury related to vaccine administration, X-ray
Clinical narrative: Pt still complaining of arm soreness and loss of range of motion since shot was given. She has not sought treatment yet. I referred her to start at her primary care doctor so they could direct to appropriate specialist if needed.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Throat tightness
Clinical narrative: Complained of chest tightness, shortness of breath, closing of throat.  Checked blood pressure 114/76, pulse of 64. Administered 2 diphenhydramine 25mg and observed for a further 30 minutes.  Appeared normal when they left the pharmacy.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaemia, Dizziness, Heavy menstrual bleeding, Intermenstrual bleeding, Pregnancy test negative
Clinical narrative: Within 2 minutes after getting the second dose I felt like passing out. Within the hour I had a severe gush of blood as if I was miscarrying but I wasn't even supposed to be on my period nor was I pregnant. The hemmorhaging continued for 4 days when I went to the er and they noted that there was no cause and couldn't say it was the vaccine. I bled out for 9 days total, extremely heavy to the point where I became severely anemic. No reason for it other than the vaccine.
Age: 12.0
Sex: F
Vaccine: DTAP
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient was to get TDAP vaccine, was administered DTaP instead.  No adverse reactions noted.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Myalgia, Pain in extremity
Clinical narrative: ARM PAIN, SWELLING, TIREDNESS, HEADACHE, MUSCLE PAIN, FEVER, CHILLS, THROWS UP
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Swelling, Vomiting
Clinical narrative: ARM PAIN, SWELLING, TIREDNESS, HEADACHE, MUSCLE PAIN, FEVER, CHILLS, THROWS UP
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Vaccination site rash, Vaccination site swelling, Vaccination site warmth
Clinical narrative: Rash where the vaccine was administered, pain, swollen and warm to touch. Client also complained that she started having pain in right arm that was consistent and is still bothering her. Allergy medicine and tylenol/ibuprofen.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Dizziness, Dysstasia, Fall, Loss of consciousness
Clinical narrative: Patient informed immunizer that he did not have food in the 6 hours leading up to vaccination. Patient felt light headed within 5 minutes after vaccination. Patient rapidly lost consciousness and fell down within 6 minutes after vaccination. Patient regained consciousness within 1 minute and was alert and talking. EMS was called and evaluated patient. Blood sugar was at 98. Patient was advised to go to hospital because they were feeling lightheaded and unable to stand on their own. Patient's caregiver declined ambulance and chose to transport patient to hospital or clinic themselves.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspepsia, Erectile dysfunction, Flatulence, Gastrooesophageal reflux disease, Loss of libido
Clinical narrative: total loss of libido - can not achieve an erection  serious stomach indigestion - acid reflux/gas
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood testosterone decreased, Erectile dysfunction, Gastrointestinal disorder, Headache, Loss of libido
Clinical narrative: total loss of libido - can not achieve an erection  serious stomach indigestion - acid reflux/gas
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood sodium decreased, COVID-19, Chest X-ray abnormal, Dementia, Dyspnoea
Clinical narrative: The patient presents with Couple of days hx of shortness of breath. Pt is currently COVID-19 positive, tested positive today. PMHx significant HTN, HLD. Pt denies nausea, vomiting, diarrhea, fevers, chills, and all other acute sysmetic symptoms.  The onset was Couple of days ago.  The course/duration of symptoms is constant.  The Relieving factors is none.  Risk factors consist of hypertension.  Associated symptoms: denies chest pain, denies fever, denies chills, denies cough, denies nausea, denies vomiting, denies abdominal pain, denies back pain, denies weight gain and denies hemoptysis. She is largely asymptomatic.  She denies any cough, shortness of breath, fevers, vomiting or diarrhea.  He seems to some degree of dementia but is very pleasant and attempts to answer questions.  She thinks that she received both COVID vaccinations several months ago.  We were able to obtain her medication list from her daughter and appears that she has a history of Congestive heart failure, hypertension and Chronic obstructive pulmonary disease based on her medications.  Patient has been stable on room air.  Laboratory studies are significant for hemoglobin of 10.5, sodium of 130 in mildly elevated troponins of 21 and 15.  Her chest x-ray shows findings consistent with Chronic obstructive pulmonary disease but no acute infiltrates.  ALF facility is declined to accept her back to her COVID positive status and therefore admission is requested.
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Haemoglobin decreased, SARS-CoV-2 test positive, Troponin increased
Clinical narrative: The patient presents with Couple of days hx of shortness of breath. Pt is currently COVID-19 positive, tested positive today. PMHx significant HTN, HLD. Pt denies nausea, vomiting, diarrhea, fevers, chills, and all other acute sysmetic symptoms.  The onset was Couple of days ago.  The course/duration of symptoms is constant.  The Relieving factors is none.  Risk factors consist of hypertension.  Associated symptoms: denies chest pain, denies fever, denies chills, denies cough, denies nausea, denies vomiting, denies abdominal pain, denies back pain, denies weight gain and denies hemoptysis. She is largely asymptomatic.  She denies any cough, shortness of breath, fevers, vomiting or diarrhea.  He seems to some degree of dementia but is very pleasant and attempts to answer questions.  She thinks that she received both COVID vaccinations several months ago.  We were able to obtain her medication list from her daughter and appears that she has a history of Congestive heart failure, hypertension and Chronic obstructive pulmonary disease based on her medications.  Patient has been stable on room air.  Laboratory studies are significant for hemoglobin of 10.5, sodium of 130 in mildly elevated troponins of 21 and 15.  Her chest x-ray shows findings consistent with Chronic obstructive pulmonary disease but no acute infiltrates.  ALF facility is declined to accept her back to her COVID positive status and therefore admission is requested.