chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Blister, Blood glucose, Blood glucose increased, Blood immunoglobulin G, Blood immunoglobulin G increased
Clinical narrative: Tiny red blisters which grew and became itchy and painful.  Took 6 weeks to resolve.  Appeared again couple wks ago. More than before.  They hurt and itch more than before.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Blood immunoglobulin M, Coxsackie viral infection, Erythema, Full blood count, Herpes simplex
Clinical narrative: Tiny red blisters which grew and became itchy and painful.  Took 6 weeks to resolve.  Appeared again couple wks ago. More than before.  They hurt and itch more than before.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphocyte count, Lymphocyte count decreased, Metabolic function test, Neutrophil count, Neutrophil count increased
Clinical narrative: Tiny red blisters which grew and became itchy and painful.  Took 6 weeks to resolve.  Appeared again couple wks ago. More than before.  They hurt and itch more than before.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pruritus, White blood cell count, White blood cell count increased
Clinical narrative: Tiny red blisters which grew and became itchy and painful.  Took 6 weeks to resolve.  Appeared again couple wks ago. More than before.  They hurt and itch more than before.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: patient felt dizzy and light deaded after 5 minutes from receiving fist first dose of covid 19 moderna vaccine patient was helped to lay down on the floor and his legs were put up . Patient didn't loose consciousness.  pharmacist kept patient for 20 minutes to make sure he is going well.  patient refused 911 call or calling anyone to help pick him up . he was feeling fine when he decided to leave the pharmacy .
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Lip swelling
Clinical narrative: during 30 min observation period, patient developed swelling of lips and chest tightness.  given diphenhydramine 50mg.  Felt better.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaphylactic reaction, Heart rate, Swollen tongue
Clinical narrative: during 30 min observation period, patient developed swelling of lips and chest tightness.  given diphenhydramine 50mg.  Felt better.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: I've had ringing in my left ear dating back to shortly after my first injection.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Pain in extremity, Swelling, Ultrasound Doppler
Clinical narrative: Right Bicep pain, swelling started about 3 weeks post vaccine. Diagnosed with Bracial DVT 5/26/21
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Yellow skin
Clinical narrative: Entire upper arm to the elbow turned bright yellow, especially underside of arm and underarm, about 3 hours after receiving vaccine.  It remained yellow until approximately 14 hours after the shot was administered.  No pain or swelling associated with the discoloration.  Color was bright yellow.
Age: 27.0
Sex: F
Vaccine: TYP
Symptoms: Rash, Rash pruritic
Clinical narrative: On the last day of the pills I had an itchy rash all over my body and went to the emergency room at Hospital
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea
Clinical narrative: much worse stomach cramping than usual during period
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Loss of consciousness, Unresponsive to stimuli
Clinical narrative: 24 hours after receiving the 2nd dose of Moderna, Patient passed out and fell to the floor, unresponsive for about 10 minutes.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient was hospitalized and died within 60 days of receiving a COVID vaccine series
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Blood test, Chest X-ray, Chills, Computerised tomogram thorax abnormal
Clinical narrative: Started with chills, fever,  body aches, shortness of breath and headache for about 36 hours. The shortness of breath didn't subside so went in to see the NP at my family doctors office. She had me go get some blood work and chest x-ray. My d-dimer was over 2000 so she sent me to the ER where they did a CT Scan and found blood clots in my lungs. They then admitted me for the night on a heparin drip and then discharged me with Eliquis blood thinners. Meeting with my family doctor next week for more information.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fibrin D dimer, Headache, Pain, Pulmonary thrombosis
Clinical narrative: Started with chills, fever,  body aches, shortness of breath and headache for about 36 hours. The shortness of breath didn't subside so went in to see the NP at my family doctors office. She had me go get some blood work and chest x-ray. My d-dimer was over 2000 so she sent me to the ER where they did a CT Scan and found blood clots in my lungs. They then admitted me for the night on a heparin drip and then discharged me with Eliquis blood thinners. Meeting with my family doctor next week for more information.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Started with chills, fever,  body aches, shortness of breath and headache for about 36 hours. The shortness of breath didn't subside so went in to see the NP at my family doctors office. She had me go get some blood work and chest x-ray. My d-dimer was over 2000 so she sent me to the ER where they did a CT Scan and found blood clots in my lungs. They then admitted me for the night on a heparin drip and then discharged me with Eliquis blood thinners. Meeting with my family doctor next week for more information.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pain, Fatigue, Feeling cold, Headache, Pain
Clinical narrative: At 6 pm I started having some goosebumps, at 9:00pm I felt cold, I was shaking a lot. At 3am the shaking started again.  At 7:00am I had  headache, pain on my eyes and a lot of body pain. Felt so tired and painful
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Piloerection, Tremor
Clinical narrative: At 6 pm I started having some goosebumps, at 9:00pm I felt cold, I was shaking a lot. At 3am the shaking started again.  At 7:00am I had  headache, pain on my eyes and a lot of body pain. Felt so tired and painful
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Syringe issue
Clinical narrative: Clinician began to administer vaccine to patient. Due to a malfunction of the syringe, part of the moderna was leaked out of the side of the needle. Dose was determined to be not administered fully so another dose was approved for the patient.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site inflammation, Injection site mass, Injection site warmth, Urticaria
Clinical narrative: 2ND INJECTION     (NO REACTION 1ST VACCINE LEFT ARM) 2ND INJECTION - RIGHT ARM..AROUND 3 I FELT VERY HOT ON THE RIGHT ARM. LATER THAT NIGHT I HAD A LARGE BUMP. THIS WAS  WEDNESDAY 5/12/2021, THIS WENT ON FOR A FEW DAYS. I HAD BROKEN OUT WITH A SORE AROUND THE INJECTION. I CALLED THE ONCOGOLIST OFFICE AND WENT IN ON THE 19TH, MY ONCOGOLOGIST DID NOTE THE  REDNESS, HEAT, AND INFLAMATION. HE PRESCRIBED  CEPHALEXIN 500 MG CAPSULE 1 CAPSULE 3 X A DAY FOR 19 DAYSNONE      THE PILLS APPEARED TO WORK BUT NOW I HAVE  A LOT OD SMALL LOOKING SORES ONLR ON THE RIGHT ARM
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Injection site pain, Malaise, Pain, Pyrexia
Clinical narrative: flulike symptoms:  general malaise, body aches, low grade fever,  pain at site of injection symptoms began appx. 12 hours after injection and continued for the next 24 hours
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Pallor, Rash
Clinical narrative: Large oval patch (plaque?) rough around the border, smooth and paler color inside.  1" long.  Center of my back (I have a photo) I just noticed it yesterday. No treatments.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy, Computerised tomogram thorax, Dry eye, Dyspnoea, Ear pain
Clinical narrative: Patient presented to her primary care provider on 2/11/2021 with right ear pain, numbness on right side of face and head, full feeling on right side of throat and right eye dryness. Patient had received 2nd dose of Pfizer COVID19 vaccine on 2/2/2021 and started feeling itchy from head to tow that lasted 24 hours. Was diagnosed with Bell's Palsy at this visit.  She then presented to the Emergency Department on 2/13/2021 with shortness of breath.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hepatic steatosis, Hilar lymphadenopathy, Hypoaesthesia, Nodule, Oropharyngeal discomfort
Clinical narrative: Patient presented to her primary care provider on 2/11/2021 with right ear pain, numbness on right side of face and head, full feeling on right side of throat and right eye dryness. Patient had received 2nd dose of Pfizer COVID19 vaccine on 2/2/2021 and started feeling itchy from head to tow that lasted 24 hours. Was diagnosed with Bell's Palsy at this visit.  She then presented to the Emergency Department on 2/13/2021 with shortness of breath.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pruritus
Clinical narrative: Patient presented to her primary care provider on 2/11/2021 with right ear pain, numbness on right side of face and head, full feeling on right side of throat and right eye dryness. Patient had received 2nd dose of Pfizer COVID19 vaccine on 2/2/2021 and started feeling itchy from head to tow that lasted 24 hours. Was diagnosed with Bell's Palsy at this visit.  She then presented to the Emergency Department on 2/13/2021 with shortness of breath.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine increased, Blood urea normal, Blood urine present, Cough, Glomerular filtration rate decreased
Clinical narrative: Pt developed fever, cough and production of yellow phlegm for 4-5 days prior to clinic visit.  When Pt was examined and labs draw he was found to have blood and protein in his urine. labs from 5/21 BUN 16 Cr 1.77, 5/25 BUN 17 Cr 2.01. Labs prior to vaccine from 02/2020 wer BUN 15, Cr 1.07
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Haematocrit decreased, Haemoglobin decreased, Protein urine present, Pyrexia, Red blood cell count decreased
Clinical narrative: Pt developed fever, cough and production of yellow phlegm for 4-5 days prior to clinic visit.  When Pt was examined and labs draw he was found to have blood and protein in his urine. labs from 5/21 BUN 16 Cr 1.77, 5/25 BUN 17 Cr 2.01. Labs prior to vaccine from 02/2020 wer BUN 15, Cr 1.07
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Sputum discoloured
Clinical narrative: Pt developed fever, cough and production of yellow phlegm for 4-5 days prior to clinic visit.  When Pt was examined and labs draw he was found to have blood and protein in his urine. labs from 5/21 BUN 16 Cr 1.77, 5/25 BUN 17 Cr 2.01. Labs prior to vaccine from 02/2020 wer BUN 15, Cr 1.07
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Fatigue, Flashback, Injection site pain, Mobility decreased
Clinical narrative: 3 months after second dose of Pfizer vaccine, I had a "flashback" to the symptoms I experienced following the injection: Very sore arm at the injection site (couldn't move arm), low back pain, general aches and pains, extreme fatigue. It lasted 3-4 days, then cleared up-- the same as the symptoms after the injection
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: 3 months after second dose of Pfizer vaccine, I had a "flashback" to the symptoms I experienced following the injection: Very sore arm at the injection site (couldn't move arm), low back pain, general aches and pains, extreme fatigue. It lasted 3-4 days, then cleared up-- the same as the symptoms after the injection
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Ringing in ears
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder
Clinical narrative: Menstruation returns 7 years post menopause.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Diabetes mellitus, Glycosylated haemoglobin increased, Polydipsia, Polyuria
Clinical narrative: Developed polydipsia and polyuria within a couple of days of receiving the vaccine.  Diagnosed with diabetes via elevated A1C on 5/6/2021.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Facial paralysis, Facial spasm, Feeling hot
Clinical narrative: Facial spasm (left side, same as injection arm), warm sensation on left side of face, mild dropping of left side.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Eye swelling, Joint swelling, Peripheral swelling, Urticaria
Clinical narrative: I have had lots of hives and swelling since day 2 of the shot.  Some of the hives were so big.  The bottom of both of my feet were swollen for 2 days, then it jumped to my right hand, over to my left elbow.  I woke up with a swollen eye yesterday, and now today huge hives on my arm.  It has been 17 days and I have been living on Benedryl
Age: 46.0
Sex: F
Vaccine: COVID19, PPV
Symptoms: Asthenia, Ear pain, Fatigue, Inappropriate schedule of product administration, Oropharyngeal pain
Clinical narrative: Patient received the Covid vaccine on 5-13-21.  She had seen her PCP and did not tell him that she received it.  On 5-19-21 she received the Pneumovax and  2 days later she had extreme fatigue, body aches, weakness, fever, ear and throat pain.
Age: 46.0
Sex: F
Vaccine: COVID19, PPV
Symptoms: Pain, Pyrexia
Clinical narrative: Patient received the Covid vaccine on 5-13-21.  She had seen her PCP and did not tell him that she received it.  On 5-19-21 she received the Pneumovax and  2 days later she had extreme fatigue, body aches, weakness, fever, ear and throat pain.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Loss of consciousness, Pallor
Clinical narrative: PATIENT REMAINED SEATE AFTER VACCINATION, AND ALERTED US AFTER THAT HE HAD JUST PASSED OUT. HE WAS SWEATY AND SEEMED PALE AND LIKE HE WAS LIGHT HEADED.
Age: 54.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Myalgia, Pain in extremity, Pyrexia
Clinical narrative: Fever. Headache, sore arm, tired, muscle pain
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: I have had constant tinnitus for almost two weeks which started very soon after my second Moderna shot. It varies in severity but never goes away completely.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Vaccine given to patient not yet 12 years old .  No adverse event.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pruritus
Clinical narrative: Left arm little swollen for two day.  It was itchy really bad that it would not go away. The next on a Friday, it swelled up again but bigger.  I called doctor and sent picture of my arm.  They give me antibiotic and steroid cream for the itch.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: sore arm
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Mobility decreased, Neck pain, Pain in extremity
Clinical narrative: The first day just my arm hurt, but 24 hours later both arms both legs my back and neck hurt so much so that I just had to lay down for the rest of the night
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient was hospitalized multiple times and died within 60 days of receiving a COVID vaccine series
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives developed 6 hours post vaccine.  Employee seen at urgent care.  Prescribed antihistamines.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Cough, Fatigue, Headache
Clinical narrative: Day 2: Fever, chills, pain throughout body, weakness, sore arm, severe headache Day 3: Low grade fever, severe headache, weakness Days 4-5: Weakness, Tired, Trouble falling asleep, cough
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Initial insomnia, Pain, Pain in extremity, Pyrexia
Clinical narrative: Day 2: Fever, chills, pain throughout body, weakness, sore arm, severe headache Day 3: Low grade fever, severe headache, weakness Days 4-5: Weakness, Tired, Trouble falling asleep, cough
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Encephalopathy, Fasciotomy, Iliac artery occlusion, Peripheral artery bypass, Peripheral artery occlusion
Clinical narrative: Acute limb ischemia- with left internal iliac, common femoral, popliteal artery occlusive thrombosis- underwent emergent Fem-Fem bypass with fasciotomy. Patient subsequently developed respiratory failure with shock and encephalopathy- remains undertreatment.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral artery thrombosis, Peripheral ischaemia, Respiratory failure, Shock
Clinical narrative: Acute limb ischemia- with left internal iliac, common femoral, popliteal artery occlusive thrombosis- underwent emergent Fem-Fem bypass with fasciotomy. Patient subsequently developed respiratory failure with shock and encephalopathy- remains undertreatment.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Electric shock sensation, Paraesthesia
Clinical narrative: brain zapping  jolts throughout the day, pins and needles sensation in fingers, hand, toes, and random parts of body
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Injection site erythema, Tenderness
Clinical narrative: Tenderness for 7 days and counting Redness in an area of 5 to 6 inches around the injection site Ongoing dizziness, and light headed feeling (7 days and counting)
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Instant dizziness that lasted 12 days with first shot and constantly since second shot on 5/22.  Intolerance to any foods with histamines in them now (dizzy reaction) and presumed bacterial overgrowth. The overgrowth happened initially with a progestin-only injection in 2015.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Urticaria on bilateral arms/legs, trunk
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination complication
Clinical narrative: About a month and a half after getting 2nd dose of Modera 3/30, I had covid arm, it came out of no where and about 3-4 days ago another bump has come up but it's not big as the first one.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site nodule
Clinical narrative: 2 weeks after date of 1st moderna shot my injection site has turned red and there is a knot there.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Blood urine present, Nephrolithiasis, Pain, Urine analysis
Clinical narrative: Passed a kidney stone.  Symptoms began in the am, prior to going for the vaccine.  Urinating blood, pain, et.  Elected to get the shot, then pain became too intense, so I went to the ER.  Was on antibiotics for ~10 days post episode.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Micturition urgency, Urine analysis normal
Clinical narrative: Pt developed severe urinary urgency several days after the second dose of the Moderna that has been present for 9 weeks. No prior history of this symptoms
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Six days post first injection I developed Moderna Arm. The left arm around the injection site developed a grapefruit size, extremely red, swollen, hard, hot, and itchy welt.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Skin discolouration
Clinical narrative: Six days post first injection I developed Moderna Arm. The left arm around the injection site developed a grapefruit size, extremely red, swollen, hard, hot, and itchy welt.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Anti-cyclic citrullinated peptide antibody, Anti-thyroid antibody, Anti-thyroid antibody positive, Antinuclear antibody, Anxiety
Clinical narrative: On 04/15/2021 at 6:15pm, experienced severe joint pain, sharp headache, and felt pain/pressure in throat area - it was difficult to swallow. No fever. Symptoms not present next morning but returned around 4:30pm on 04/16/2021 and continued on a nightly basis for over a week. On 04/30/2021 joint pain disruptive to sleep, work, regular activities, and also developed extreme night sweats, fatigue, severe anxiety, tremors, unintentional weight loss, and throat pain was increasing. Saw Dr. on 04/30/2021 and labs were ordered. Anxiety continued to increase, getting a deep breath almost impossible, and I could not work so went back to Dr.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood immunoglobulin G, Blood thyroid stimulating hormone increased, Brain natriuretic peptide, C-reactive protein
Clinical narrative: On 04/15/2021 at 6:15pm, experienced severe joint pain, sharp headache, and felt pain/pressure in throat area - it was difficult to swallow. No fever. Symptoms not present next morning but returned around 4:30pm on 04/16/2021 and continued on a nightly basis for over a week. On 04/30/2021 joint pain disruptive to sleep, work, regular activities, and also developed extreme night sweats, fatigue, severe anxiety, tremors, unintentional weight loss, and throat pain was increasing. Saw Dr. on 04/30/2021 and labs were ordered. Anxiety continued to increase, getting a deep breath almost impossible, and I could not work so went back to Dr.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Dyspnoea, Fatigue, Full blood count, Headache
Clinical narrative: On 04/15/2021 at 6:15pm, experienced severe joint pain, sharp headache, and felt pain/pressure in throat area - it was difficult to swallow. No fever. Symptoms not present next morning but returned around 4:30pm on 04/16/2021 and continued on a nightly basis for over a week. On 04/30/2021 joint pain disruptive to sleep, work, regular activities, and also developed extreme night sweats, fatigue, severe anxiety, tremors, unintentional weight loss, and throat pain was increasing. Saw Dr. on 04/30/2021 and labs were ordered. Anxiety continued to increase, getting a deep breath almost impossible, and I could not work so went back to Dr.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperthyroidism, Impaired work ability, Night sweats, Oropharyngeal pain, Red blood cell sedimentation rate increased
Clinical narrative: On 04/15/2021 at 6:15pm, experienced severe joint pain, sharp headache, and felt pain/pressure in throat area - it was difficult to swallow. No fever. Symptoms not present next morning but returned around 4:30pm on 04/16/2021 and continued on a nightly basis for over a week. On 04/30/2021 joint pain disruptive to sleep, work, regular activities, and also developed extreme night sweats, fatigue, severe anxiety, tremors, unintentional weight loss, and throat pain was increasing. Saw Dr. on 04/30/2021 and labs were ordered. Anxiety continued to increase, getting a deep breath almost impossible, and I could not work so went back to Dr.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Rheumatoid factor, Sleep disorder, Thyroiditis, Thyroxine increased, Tremor
Clinical narrative: On 04/15/2021 at 6:15pm, experienced severe joint pain, sharp headache, and felt pain/pressure in throat area - it was difficult to swallow. No fever. Symptoms not present next morning but returned around 4:30pm on 04/16/2021 and continued on a nightly basis for over a week. On 04/30/2021 joint pain disruptive to sleep, work, regular activities, and also developed extreme night sweats, fatigue, severe anxiety, tremors, unintentional weight loss, and throat pain was increasing. Saw Dr. on 04/30/2021 and labs were ordered. Anxiety continued to increase, getting a deep breath almost impossible, and I could not work so went back to Dr.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Tri-iodothyronine free increased, Ultrasound thyroid, Weight decreased
Clinical narrative: On 04/15/2021 at 6:15pm, experienced severe joint pain, sharp headache, and felt pain/pressure in throat area - it was difficult to swallow. No fever. Symptoms not present next morning but returned around 4:30pm on 04/16/2021 and continued on a nightly basis for over a week. On 04/30/2021 joint pain disruptive to sleep, work, regular activities, and also developed extreme night sweats, fatigue, severe anxiety, tremors, unintentional weight loss, and throat pain was increasing. Saw Dr. on 04/30/2021 and labs were ordered. Anxiety continued to increase, getting a deep breath almost impossible, and I could not work so went back to Dr.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Asthenia, Blood test, Central venous catheterisation, Gait disturbance
Clinical narrative: On May 9th my father started to not feel well. On May 16th he was admitted to the hospital with sepsis. He had 2 MRIs which concluded he has an infection in the bone of one of his toes. He was sent home after 5 days in the hospital with a PIC line where he has to be on 2 antibiotics and a blood thinner for 6 weeks. If infection doesn't resolve he will have to have toe amputated. Prior to Covid vaccines my father was very active and healthy. He could do things without distress. He can now barely walk too far because he is so weak.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Localised infection, Magnetic resonance imaging abnormal, Malaise, Osteomyelitis, Sepsis
Clinical narrative: On May 9th my father started to not feel well. On May 16th he was admitted to the hospital with sepsis. He had 2 MRIs which concluded he has an infection in the bone of one of his toes. He was sent home after 5 days in the hospital with a PIC line where he has to be on 2 antibiotics and a blood thinner for 6 weeks. If infection doesn't resolve he will have to have toe amputated. Prior to Covid vaccines my father was very active and healthy. He could do things without distress. He can now barely walk too far because he is so weak.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: patient falsely represented DOB twice during vaccine clinic - once on line questionnaire and once verbally when asked
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Loss of consciousness, Presyncope
Clinical narrative: Patient experienced a vasovagal reaction, loss of consciousness, sweating over the course of several minutes.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Electric shock sensation, Hypoaesthesia, Imaging procedure, Pain
Clinical narrative: Soreness in feet, ankles and calves starting on March 24th, then soreness started progressing up the body with numbness and tingling within my trunk, skull, arms, hands, legs and feet. Lightning Strikes throughout my whole body
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Paraesthesia, Scan normal, Scan with contrast, Sensory disturbance
Clinical narrative: Soreness in feet, ankles and calves starting on March 24th, then soreness started progressing up the body with numbness and tingling within my trunk, skull, arms, hands, legs and feet. Lightning Strikes throughout my whole body
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Food aversion, Nausea, Pain
Clinical narrative: Extreme nausea and moderate stomach pain that is still ongoing 6 days after first injection. The nausea is keeping me awake at night and I have strong food aversion. I?ve forced myself to eat toast or ramen a few times to take medication, but otherwise I don?t want to eat. I had chills and an achy body in addition to these other symptoms but those went away after 48 hours but the nausea and stomach pain continue.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: Extreme nausea and moderate stomach pain that is still ongoing 6 days after first injection. The nausea is keeping me awake at night and I have strong food aversion. I?ve forced myself to eat toast or ramen a few times to take medication, but otherwise I don?t want to eat. I had chills and an achy body in addition to these other symptoms but those went away after 48 hours but the nausea and stomach pain continue.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory distress
Clinical narrative: "Pt w/ hx of allergies/intolerance to Librium, Iodine, and Codeine (upset stomach). Pt w/ hx of anxiety/depression, Asthma, Hyperlipidemia, HTN.  Pt had unscheduled MH visit the morning of vaccination.  Pt c/o respiratory distress.  BP 161/83, HR 90, RR 27, temp 99.1. Pt evaluated for anxiety.  Pt stable and released from the vaccination site. Current Outpatient Medications:  ?  acyclovir (ZOVIRAX) 400 MG tablet, 3 times a day for 5 days as needed for cold sores (herpes) outbreak., Disp: 45 tablet, Rfl: 0 ?  acyclovir (ZOVIRAX) 5 % cream, Apply 2 times daily, Disp: 15 g, Rfl: 0 ?  acyclovir (ZOVIRAX) 5 % ointment, Apply to affected areas every 3 (three) hours., Disp: 15 g, Rfl: 0 ?  albuterol sulfate (PROVENTIL HFA;VENTOLIN HFA) 90 mcg/actuation HFA inhaler, inhale 2 puff by inhalation route 4 - 6 hours as needed, Disp: 18 g, Rfl: 4 ?  aspirin 81 MG EC tablet, Take 81 mg by mouth daily.  , Disp: , Rfl:  ?  atenolol (TENORMIN) 100 MG tablet, Take one tablet by mouth one time a day., Disp: 90 tablet, Rfl: 3 ?  atorvastatin (LIPITOR) 80 MG tablet, Take 0.5 tablets by mouth at bedtime., Disp: 45 tablet, Rfl: 2 ?  cetirizine (ZYRTEC) 10 MG tablet, Take 1 tablet by mouth daily., Disp: 90 tablet, Rfl: 3 ?  fluticasone propionate (FLONASE) 50 mcg/actuation nasal spray, Inhale 1 spray into each nostril daily., Disp: 16 g, Rfl: 4 ?  hydroCHLOROthiazide (HYDRODIURIL) 25 MG tablet, Take 0.5 tablets by mouth daily. **Need to make appt with MD for more refills **, Disp: 90 tablet, Rfl: 3 ?  hydrocortisone 2.5 % ointment, Apply to affected areas 2 (two) times daily. use as directed, Disp: 28.35 g, Rfl: 3 ?  ibuprofen (ADVIL,MOTRIN) 600 MG tablet, Take 1 tablet by mouth every 6 (six) hours as needed (headache)., Disp: 50 tablet, Rfl: 0 ?  lamoTRIgine (LAMICTAL) 150 MG tablet, Take 1 tablet by mouth at bedtime., Disp: 30 tablet, Rfl: 2 ?  lamoTRIgine (LAMICTAL) 200 MG tablet, Take 1 tablet by mouth daily., Disp: 30 tablet, Rfl: 2 ?  lamoTRIgine (LAMICTAL) 25 MG tablet, Take with Lamictal 150 mg to make 175 mg at bedtime, Disp: 30 tablet, Rfl: 2 ?  predniSONE (DELTASONE) 20 MG tablet, Take 2 tablets by mouth daily for 5 days, Disp: 10 tablet, Rfl: 0 ?  valACYclovir (VALTREX) 1000 MG tablet, Take 1 tablet by mouth 2 (two) times daily., Disp: 20 tablet, Rfl: 0"
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Diarrhoea, Hyperhidrosis, Nausea
Clinical narrative: Diarrhea, nausea, sweats, stomach ache
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash pruritic, Skin warm
Clinical narrative: Red, itchy rash, hot to touch began forming one week after initial dose.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: patient falsely represented age 2 times during vaccination. once on line questionnaire and once verbally.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram, Deep vein thrombosis, Pulmonary embolism, Ultrasound scan abnormal
Clinical narrative: PE/DVT.  Pt had BL PE around 5/1/21 demonstrated on CT Angio Chest 5/12/21.  Workup to ID source included BL LE ultrasound on 5/26/21 which was positive for "chronic DVT" in L femoral, popliteal, and gastroc.  Pt had no symptoms of that so onset is unclear but "chronic" implies it was there at least by February.  Pt had no risk factors whatsoever - non-smoker, trim, exercises regularly, no travel.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pain, Pain in extremity
Clinical narrative: Left hip pain that radiated down the left leg to left foot. Developed about 12hrs after vaccination and started to relieve about 36hrs after vaccination. No treatments.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram thorax abnormal, Deep vein thrombosis, Hypoxia, Pulmonary embolism, Syncope
Clinical narrative: Massive pulmonary embolism resulting in syncope and hypoxia
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ultrasound Doppler abnormal
Clinical narrative: Massive pulmonary embolism resulting in syncope and hypoxia
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Condition aggravated, Death, Fatigue, Malaise
Clinical narrative: My brother had his second vaccine shot on 4/30.  When I talked to him on 5/5 he told me he'd had a lot of joint pain and fatigue but thought he would go into work the next day.   Thursday he left work feeling sick with a lot of 'rib pain'.   At some point that night he passed away.   We still do not have an autopsy report, but the timing seems odd.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Musculoskeletal chest pain
Clinical narrative: My brother had his second vaccine shot on 4/30.  When I talked to him on 5/5 he told me he'd had a lot of joint pain and fatigue but thought he would go into work the next day.   Thursday he left work feeling sick with a lot of 'rib pain'.   At some point that night he passed away.   We still do not have an autopsy report, but the timing seems odd.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient was hospitalized and died within 60 days of receiving a COVID vaccine series
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: patient with hx of epilepsy controlled, no seizures since 2018 on Depakote and lamictal, after second dose of Moderna vaccine two days later has had 7 seizures in one week. No other obvious seizure trigger.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chills, Deep vein thrombosis, Echocardiogram, Fatigue
Clinical narrative: I woke up the morning after my second dose experiencing  the common symptoms related to the vaccine -- persistent headache, body ache, fever, cold shivers, and fatigue. These symptoms lasted for approximately 24 hours, and I continued to have a headache for a total of approximately 48 hours.   However, I then developed pain in my left calf approximately 10 days after the second dose and on three consecutive evenings at approximately 9pm I developed an all-body itchy rash (big red raised welts) that would disappear by the time I woke up the next morning. The rash only occurred on these three evenings, but the pain in my calf persisted. I went to see my primary care doctor the following Monday (05/17/21) who gave me a referral for an ultrasound to rule out a DVT, although he said that it was not urgent that I go as I didn't have the other regular symptoms of a DVT (swelling, redness, warm to the touch) and I was too young and healthy to be at risk for one. My doctor said that if the pain didn't subside by the end of the week I should go for the ultrasound. The pain got worse and so I went for an ultrasound on Saturday (05/22/2021). I WAS SUBSEQUENTLY DIAGNOSED WITH A BLOOD CLOT (DVT), and sent to the emergency department.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Nasopharyngitis, Pain, Pain in extremity, Pruritus
Clinical narrative: I woke up the morning after my second dose experiencing  the common symptoms related to the vaccine -- persistent headache, body ache, fever, cold shivers, and fatigue. These symptoms lasted for approximately 24 hours, and I continued to have a headache for a total of approximately 48 hours.   However, I then developed pain in my left calf approximately 10 days after the second dose and on three consecutive evenings at approximately 9pm I developed an all-body itchy rash (big red raised welts) that would disappear by the time I woke up the next morning. The rash only occurred on these three evenings, but the pain in my calf persisted. I went to see my primary care doctor the following Monday (05/17/21) who gave me a referral for an ultrasound to rule out a DVT, although he said that it was not urgent that I go as I didn't have the other regular symptoms of a DVT (swelling, redness, warm to the touch) and I was too young and healthy to be at risk for one. My doctor said that if the pain didn't subside by the end of the week I should go for the ultrasound. The pain got worse and so I went for an ultrasound on Saturday (05/22/2021). I WAS SUBSEQUENTLY DIAGNOSED WITH A BLOOD CLOT (DVT), and sent to the emergency department.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Rash pruritic, Urticaria
Clinical narrative: I woke up the morning after my second dose experiencing  the common symptoms related to the vaccine -- persistent headache, body ache, fever, cold shivers, and fatigue. These symptoms lasted for approximately 24 hours, and I continued to have a headache for a total of approximately 48 hours.   However, I then developed pain in my left calf approximately 10 days after the second dose and on three consecutive evenings at approximately 9pm I developed an all-body itchy rash (big red raised welts) that would disappear by the time I woke up the next morning. The rash only occurred on these three evenings, but the pain in my calf persisted. I went to see my primary care doctor the following Monday (05/17/21) who gave me a referral for an ultrasound to rule out a DVT, although he said that it was not urgent that I go as I didn't have the other regular symptoms of a DVT (swelling, redness, warm to the touch) and I was too young and healthy to be at risk for one. My doctor said that if the pain didn't subside by the end of the week I should go for the ultrasound. The pain got worse and so I went for an ultrasound on Saturday (05/22/2021). I WAS SUBSEQUENTLY DIAGNOSED WITH A BLOOD CLOT (DVT), and sent to the emergency department.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Pruritus
Clinical narrative: after about 5 minutes she came and said she was starting to itch and roof of mouth was feeling funny , I gave her 2 Benadryl 25 mg and she stated she was feeling better after about 15 to 20 minutes
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Reoccurred after 2nd dose. Chest much more prominent hives and lips
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Pt was given 1st dose of Moderna vaccine at another location on 4/25/21 and then was administered Pfizer at our location on 5/25/21. No known adverse effects from either vaccination at this point but vaccines were administered incorrectly based on current series guidance.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Conjunctival haemorrhage, Eye pain, Ocular hyperaemia
Clinical narrative: I am 61, received Pfizer-BioNTech Covid Vaccine on 3-19-21, & 4-9-21. On 5-2-21, after doing some gardening, I felt a sharp pain in my right eye resulting in the sclera part of eye becoming red/bloodshot. I saw PCP, then ophthalmologist on 5-5-21, diagnosing it as right sub conjunctival hemorrhage.  I did not lose any vision, but as of today, I still have some residual redness in sclera. My younger sister who had the same above vaccine on same above dates, also experienced right eye redness on 5-11-21, stating no trauma to area.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Herpes zoster, Myalgia, Pain in extremity, Pyrexia
Clinical narrative: Arm pain 36 hour fever,chills, muscle pain after 12 hours Developed shingles a few weeks later
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia eye, Hypoaesthesia oral, Magnetic resonance imaging
Clinical narrative: 2 weeks after 2nd moderna vaccine forehead became numb, then within 2 weeks from that the numbness moved down through left  eye,cheek and mouth area - the numbness comes and goes - no changes in cognitive function - still has been occurring occasionally
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Blood test, Contusion, Culture urine, Diarrhoea
Clinical narrative: On 4/27 around 5pm my leg was itchy (right leg), I scratch it and didn't think any thing of it that evening I got into the shower and on my right leg when I got into the shower I had brusing but it was same 5in wide 7in long  and I took a picture of itt and sent a picture to my doctor through the online portal and let him know what was going. and it look like little spots of blood under my skin , 9:37 was when the picture was sent. 4/28 8:27am my doctor responding back and asked me some question and asked if it was any where else outside of my leg and asked if there was any bleeding or bleed in my urine and then asked if I had got my covid vaccine. I responded that it was only on my right leg and I didn't see any blood in urine or stool but that I had got my vaccine 4/11 she did call me around 10:15am and wanted to walk through some questions and asked about stomach pain and I had been having some pain and diherra and he also asked about vision changes and migrains and he said at that point because of the recent concerns with the vaccine he did want me to get checked out considering my history petechiae . He advised me to go to the er because of vaccine induced trombotic thromboctopenina (VITT) and he wanted to run some blood test and diagnostics. I arrived at the Medical center around 11am and I was seen by Dr  and explained everything that was going and he knew that they were concerd about VITT and they ran a CBC, and Estimated Glomerular Villtration Rate, Lypaz, Liver profile, collected urine and did a culture with an analysis and a pregnancy's test, Vitals were normal. the test came normal. All blood work came back normal, plateness was at 300, urine should a little bit of epidilla cells. They didn't feel like they needed to be concern about the VITT. I was discharged and then told to follow up with my family doctor and have had some communication, they asked that I followed up with a dermatologist and too look at genetics. 4/28 in the evening my left leg closer to my knee also started to itch it also developed a rash looking like strains but not as bad as what was on my right leg. but since then I have not had any more pop ups but I do still itch.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Glomerular filtration rate, Liver function test, Petechiae, Pregnancy test
Clinical narrative: On 4/27 around 5pm my leg was itchy (right leg), I scratch it and didn't think any thing of it that evening I got into the shower and on my right leg when I got into the shower I had brusing but it was same 5in wide 7in long  and I took a picture of itt and sent a picture to my doctor through the online portal and let him know what was going. and it look like little spots of blood under my skin , 9:37 was when the picture was sent. 4/28 8:27am my doctor responding back and asked me some question and asked if it was any where else outside of my leg and asked if there was any bleeding or bleed in my urine and then asked if I had got my covid vaccine. I responded that it was only on my right leg and I didn't see any blood in urine or stool but that I had got my vaccine 4/11 she did call me around 10:15am and wanted to walk through some questions and asked about stomach pain and I had been having some pain and diherra and he also asked about vision changes and migrains and he said at that point because of the recent concerns with the vaccine he did want me to get checked out considering my history petechiae . He advised me to go to the er because of vaccine induced trombotic thromboctopenina (VITT) and he wanted to run some blood test and diagnostics. I arrived at the Medical center around 11am and I was seen by Dr  and explained everything that was going and he knew that they were concerd about VITT and they ran a CBC, and Estimated Glomerular Villtration Rate, Lypaz, Liver profile, collected urine and did a culture with an analysis and a pregnancy's test, Vitals were normal. the test came normal. All blood work came back normal, plateness was at 300, urine should a little bit of epidilla cells. They didn't feel like they needed to be concern about the VITT. I was discharged and then told to follow up with my family doctor and have had some communication, they asked that I followed up with a dermatologist and too look at genetics. 4/28 in the evening my left leg closer to my knee also started to itch it also developed a rash looking like strains but not as bad as what was on my right leg. but since then I have not had any more pop ups but I do still itch.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Urine analysis
Clinical narrative: On 4/27 around 5pm my leg was itchy (right leg), I scratch it and didn't think any thing of it that evening I got into the shower and on my right leg when I got into the shower I had brusing but it was same 5in wide 7in long  and I took a picture of itt and sent a picture to my doctor through the online portal and let him know what was going. and it look like little spots of blood under my skin , 9:37 was when the picture was sent. 4/28 8:27am my doctor responding back and asked me some question and asked if it was any where else outside of my leg and asked if there was any bleeding or bleed in my urine and then asked if I had got my covid vaccine. I responded that it was only on my right leg and I didn't see any blood in urine or stool but that I had got my vaccine 4/11 she did call me around 10:15am and wanted to walk through some questions and asked about stomach pain and I had been having some pain and diherra and he also asked about vision changes and migrains and he said at that point because of the recent concerns with the vaccine he did want me to get checked out considering my history petechiae . He advised me to go to the er because of vaccine induced trombotic thromboctopenina (VITT) and he wanted to run some blood test and diagnostics. I arrived at the Medical center around 11am and I was seen by Dr  and explained everything that was going and he knew that they were concerd about VITT and they ran a CBC, and Estimated Glomerular Villtration Rate, Lypaz, Liver profile, collected urine and did a culture with an analysis and a pregnancy's test, Vitals were normal. the test came normal. All blood work came back normal, plateness was at 300, urine should a little bit of epidilla cells. They didn't feel like they needed to be concern about the VITT. I was discharged and then told to follow up with my family doctor and have had some communication, they asked that I followed up with a dermatologist and too look at genetics. 4/28 in the evening my left leg closer to my knee also started to itch it also developed a rash looking like strains but not as bad as what was on my right leg. but since then I have not had any more pop ups but I do still itch.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus, popping sound in the ear.  Two days after the vaccine it started.  it was happening once or twice a day, but has become more frequent. Symptoms started after the first shot of the Pfizer vaccine.  Will NOT be returning for the second shot.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Anion gap, Biopsy endometrium, Blood culture, Cerebral haemorrhage, Computerised tomogram head abnormal
Clinical narrative: Patient is a 66 y.o. female with an unknown PMHx admitted with DKA and found to have thrombocytopenia, an intraparenchymal bleed on Head CT 2/2 to dural venous thrombosis. Course also complicated by saddle submassive PE w/ + biomarkers and mild RHS.  Given unclear etiology of thrombocytopenia, venous thrombosis, and PE, suspect a precipitating/underlying etiology and cannot rule out possible occult malignancy, autoimmune disorder or alternative hypercoagulable state such as APLS. Possibly bacteremic given GPB and Staph on blood cx, though likely contaminant. DKA resolved, anion gap is closed, continued monitoring of glucose and insulin adjustment .OB/Gyn following for heavy vaginal bleeding and possibly gyn malignancy workup, endometrial biopsy pending. Heme also following.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Diabetic ketoacidosis, Herpes zoster oticus, Pulmonary embolism, Thrombocytopenia, Vaginal haemorrhage
Clinical narrative: Patient is a 66 y.o. female with an unknown PMHx admitted with DKA and found to have thrombocytopenia, an intraparenchymal bleed on Head CT 2/2 to dural venous thrombosis. Course also complicated by saddle submassive PE w/ + biomarkers and mild RHS.  Given unclear etiology of thrombocytopenia, venous thrombosis, and PE, suspect a precipitating/underlying etiology and cannot rule out possible occult malignancy, autoimmune disorder or alternative hypercoagulable state such as APLS. Possibly bacteremic given GPB and Staph on blood cx, though likely contaminant. DKA resolved, anion gap is closed, continued monitoring of glucose and insulin adjustment .OB/Gyn following for heavy vaginal bleeding and possibly gyn malignancy workup, endometrial biopsy pending. Heme also following.