chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Gliosis, Glomerular filtration rate normal, Haematocrit normal, Haemoglobin normal, Haemorrhagic infarction
Clinical narrative: ER HPI: 70 y.o. male who presents with headache and dizziness starting this morning. Some confusion per wife. No head injury, no illness. IMPRESSION: 1. Acute hemorrhagic infarct in the left occipital lobe with possible  rupture into the left  occipital horn. 2. There may be some extension of nonhemorrhagic ischemia or infarct in  the left thalamus  versus edema in the left thalamus. 2. Mixed density likely acute subdural hematoma laterally over the left  frontotemporal parietal  convexity with 1.1 cm left right midline shift of mass effect on the left  lateral ventricle. 4. Acute subdural hematoma in the posterior falx and in the left tentorium  cerebelli with  minimal extension into the free edge of the right internal surgically. 5. Old infarct with cystic encephalomalacia and gliosis in the right  temporal occipital lobe  with ex vacuo dilatation of posterior right lateral ventricle and right  occipital horn. 6. Old lacunar infarct with cystic change in the right basal  ganglia/capsule. 7. Mild-to-moderate nonspecific chronic deep cerebral white matter  microvascular disease in  bilateral cerebral hemispheres. 8. Atherosclerotic calcifications in the carotid siphons.  DX: Acute hemorragic stroke, transferred to Hospital
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Haemorrhagic stroke, Headache, Immature granulocyte count, Lymphocyte count decreased, Lymphocyte percentage decreased
Clinical narrative: ER HPI: 70 y.o. male who presents with headache and dizziness starting this morning. Some confusion per wife. No head injury, no illness. IMPRESSION: 1. Acute hemorrhagic infarct in the left occipital lobe with possible  rupture into the left  occipital horn. 2. There may be some extension of nonhemorrhagic ischemia or infarct in  the left thalamus  versus edema in the left thalamus. 2. Mixed density likely acute subdural hematoma laterally over the left  frontotemporal parietal  convexity with 1.1 cm left right midline shift of mass effect on the left  lateral ventricle. 4. Acute subdural hematoma in the posterior falx and in the left tentorium  cerebelli with  minimal extension into the free edge of the right internal surgically. 5. Old infarct with cystic encephalomalacia and gliosis in the right  temporal occipital lobe  with ex vacuo dilatation of posterior right lateral ventricle and right  occipital horn. 6. Old lacunar infarct with cystic change in the right basal  ganglia/capsule. 7. Mild-to-moderate nonspecific chronic deep cerebral white matter  microvascular disease in  bilateral cerebral hemispheres. 8. Atherosclerotic calcifications in the carotid siphons.  DX: Acute hemorragic stroke, transferred to Hospital
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal, Mean platelet volume normal, Metabolic function test abnormal
Clinical narrative: ER HPI: 70 y.o. male who presents with headache and dizziness starting this morning. Some confusion per wife. No head injury, no illness. IMPRESSION: 1. Acute hemorrhagic infarct in the left occipital lobe with possible  rupture into the left  occipital horn. 2. There may be some extension of nonhemorrhagic ischemia or infarct in  the left thalamus  versus edema in the left thalamus. 2. Mixed density likely acute subdural hematoma laterally over the left  frontotemporal parietal  convexity with 1.1 cm left right midline shift of mass effect on the left  lateral ventricle. 4. Acute subdural hematoma in the posterior falx and in the left tentorium  cerebelli with  minimal extension into the free edge of the right internal surgically. 5. Old infarct with cystic encephalomalacia and gliosis in the right  temporal occipital lobe  with ex vacuo dilatation of posterior right lateral ventricle and right  occipital horn. 6. Old lacunar infarct with cystic change in the right basal  ganglia/capsule. 7. Mild-to-moderate nonspecific chronic deep cerebral white matter  microvascular disease in  bilateral cerebral hemispheres. 8. Atherosclerotic calcifications in the carotid siphons.  DX: Acute hemorragic stroke, transferred to Hospital
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Monocyte count decreased, Monocyte percentage, Nasal septum deviation, Neutrophil count normal, Neutrophil percentage
Clinical narrative: ER HPI: 70 y.o. male who presents with headache and dizziness starting this morning. Some confusion per wife. No head injury, no illness. IMPRESSION: 1. Acute hemorrhagic infarct in the left occipital lobe with possible  rupture into the left  occipital horn. 2. There may be some extension of nonhemorrhagic ischemia or infarct in  the left thalamus  versus edema in the left thalamus. 2. Mixed density likely acute subdural hematoma laterally over the left  frontotemporal parietal  convexity with 1.1 cm left right midline shift of mass effect on the left  lateral ventricle. 4. Acute subdural hematoma in the posterior falx and in the left tentorium  cerebelli with  minimal extension into the free edge of the right internal surgically. 5. Old infarct with cystic encephalomalacia and gliosis in the right  temporal occipital lobe  with ex vacuo dilatation of posterior right lateral ventricle and right  occipital horn. 6. Old lacunar infarct with cystic change in the right basal  ganglia/capsule. 7. Mild-to-moderate nonspecific chronic deep cerebral white matter  microvascular disease in  bilateral cerebral hemispheres. 8. Atherosclerotic calcifications in the carotid siphons.  DX: Acute hemorragic stroke, transferred to Hospital
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count normal, Protein total normal, Red blood cell count decreased, Red cell distribution width normal, Subdural haematoma
Clinical narrative: ER HPI: 70 y.o. male who presents with headache and dizziness starting this morning. Some confusion per wife. No head injury, no illness. IMPRESSION: 1. Acute hemorrhagic infarct in the left occipital lobe with possible  rupture into the left  occipital horn. 2. There may be some extension of nonhemorrhagic ischemia or infarct in  the left thalamus  versus edema in the left thalamus. 2. Mixed density likely acute subdural hematoma laterally over the left  frontotemporal parietal  convexity with 1.1 cm left right midline shift of mass effect on the left  lateral ventricle. 4. Acute subdural hematoma in the posterior falx and in the left tentorium  cerebelli with  minimal extension into the free edge of the right internal surgically. 5. Old infarct with cystic encephalomalacia and gliosis in the right  temporal occipital lobe  with ex vacuo dilatation of posterior right lateral ventricle and right  occipital horn. 6. Old lacunar infarct with cystic change in the right basal  ganglia/capsule. 7. Mild-to-moderate nonspecific chronic deep cerebral white matter  microvascular disease in  bilateral cerebral hemispheres. 8. Atherosclerotic calcifications in the carotid siphons.  DX: Acute hemorragic stroke, transferred to Hospital
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin I normal, White blood cell count decreased, White matter lesion
Clinical narrative: ER HPI: 70 y.o. male who presents with headache and dizziness starting this morning. Some confusion per wife. No head injury, no illness. IMPRESSION: 1. Acute hemorrhagic infarct in the left occipital lobe with possible  rupture into the left  occipital horn. 2. There may be some extension of nonhemorrhagic ischemia or infarct in  the left thalamus  versus edema in the left thalamus. 2. Mixed density likely acute subdural hematoma laterally over the left  frontotemporal parietal  convexity with 1.1 cm left right midline shift of mass effect on the left  lateral ventricle. 4. Acute subdural hematoma in the posterior falx and in the left tentorium  cerebelli with  minimal extension into the free edge of the right internal surgically. 5. Old infarct with cystic encephalomalacia and gliosis in the right  temporal occipital lobe  with ex vacuo dilatation of posterior right lateral ventricle and right  occipital horn. 6. Old lacunar infarct with cystic change in the right basal  ganglia/capsule. 7. Mild-to-moderate nonspecific chronic deep cerebral white matter  microvascular disease in  bilateral cerebral hemispheres. 8. Atherosclerotic calcifications in the carotid siphons.  DX: Acute hemorragic stroke, transferred to Hospital
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Employee received her third dose of moderna vaccine thinking it was her second and final administration resulting in full immunization.  Employee and staff were educated that if a recipient of the vaccine did not receive their second dose within the defined time line, that the recipient would be required to start the vaccination process over again.  Therefor the recipient and the administrator of the vaccine were under the impression that the june vaccine was indeed the second and final vaccination.  It was per new defined timed guidelines actually the recipients third vaccine.   Recipient denies and adverse effects.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardiac stress test, Chest pain, Dizziness, Dyspnoea, Echocardiogram
Clinical narrative: Chest Pain, Shortness of Breath, Dizziness
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Condition aggravated, Dyspnoea, Fatigue, Immediate post-injection reaction
Clinical narrative: Immediately after she exp fatigue and pain in left shoulder. Then when she woke up full body, heart palpitations and tightness in throat causing her having trouble breathing. Her Epipen shot to relieve her pain and she followed up at the hospital. The symptoms that are lingering which happened after 1st Dose sensation of throat(uncomfortable for her to swallow) and fatigue.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Palpitations, Throat tightness
Clinical narrative: Immediately after she exp fatigue and pain in left shoulder. Then when she woke up full body, heart palpitations and tightness in throat causing her having trouble breathing. Her Epipen shot to relieve her pain and she followed up at the hospital. The symptoms that are lingering which happened after 1st Dose sensation of throat(uncomfortable for her to swallow) and fatigue.
Age: 9.0
Sex: M
Vaccine: HPV9
Symptoms: No adverse event, Product storage error
Clinical narrative: Storage unit did not record temperature of vaccine. Could not verify for a period of time, vaccine may have been ineffective; no treatment or adverse reaction.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Chills, Erythema, Fatigue, Headache
Clinical narrative: March 11: fever, headache, pain fatigue, arms turned bright red for about 10 minutes March 12:fever, headache, fatigue, nausea March 13:fever, pain, fatigue March 14:fever, pain, chills, fatigue, nausea, vomiting March 15: fever, chills, headache, tinnitus March 16: fever March 17:  March 18: fever March 19: fever March 24: fever March 25: fever  Last week or so: chest pains, really high heart rate
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Nausea, Pain, Pyrexia, Tinnitus
Clinical narrative: March 11: fever, headache, pain fatigue, arms turned bright red for about 10 minutes March 12:fever, headache, fatigue, nausea March 13:fever, pain, fatigue March 14:fever, pain, chills, fatigue, nausea, vomiting March 15: fever, chills, headache, tinnitus March 16: fever March 17:  March 18: fever March 19: fever March 24: fever March 25: fever  Last week or so: chest pains, really high heart rate
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: March 11: fever, headache, pain fatigue, arms turned bright red for about 10 minutes March 12:fever, headache, fatigue, nausea March 13:fever, pain, fatigue March 14:fever, pain, chills, fatigue, nausea, vomiting March 15: fever, chills, headache, tinnitus March 16: fever March 17:  March 18: fever March 19: fever March 24: fever March 25: fever  Last week or so: chest pains, really high heart rate
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Headache, Thrombosis, Ultrasound Doppler abnormal
Clinical narrative: Chest pain and head ache was taken to the ER on 4/16/21
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Epistaxis, Heart rate increased, Hyperhidrosis, Hypertension
Clinical narrative: Well I developed a 104 fever approximately 9 hours after the second dose of the vaccine. I became sweaty, vomiting and had muscle spasms all over my legs and arms. I have never experienced anything like that before so it was very strange. I noticed that I was swelling and having problems with high BP. They have not been able to get that under control since then, rapid heart beat as well and nosebleeds too. Blood would be pouring out of my nose. I contacted my DR after, I don't remember the date of my initial contact with them. I most recently saw the DR on June 11th 2021 as well.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Pyrexia, Swelling, Vomiting
Clinical narrative: Well I developed a 104 fever approximately 9 hours after the second dose of the vaccine. I became sweaty, vomiting and had muscle spasms all over my legs and arms. I have never experienced anything like that before so it was very strange. I noticed that I was swelling and having problems with high BP. They have not been able to get that under control since then, rapid heart beat as well and nosebleeds too. Blood would be pouring out of my nose. I contacted my DR after, I don't remember the date of my initial contact with them. I most recently saw the DR on June 11th 2021 as well.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received vaccination 8 days early.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Fatigue, Feeling abnormal, Feeling of body temperature change, Pyrexia
Clinical narrative: That Sunday night i felt off.  Monday morning I had a irritated throat, and had a sinus headache.  I felt very tired.  I also felt feverish from really hot to really cold.  I did have a temperature that night to 101 degrees.  The next day I got a rapid COVID test which was negative.   I had a virtual visit with my PCP and he diagnosed it as a sinus infection.  He prescribed medicine and a few days later I felt back to normal.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Sinus headache, Sinusitis, Throat irritation
Clinical narrative: That Sunday night i felt off.  Monday morning I had a irritated throat, and had a sinus headache.  I felt very tired.  I also felt feverish from really hot to really cold.  I did have a temperature that night to 101 degrees.  The next day I got a rapid COVID test which was negative.   I had a virtual visit with my PCP and he diagnosed it as a sinus infection.  He prescribed medicine and a few days later I felt back to normal.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Fatigue, Headache, Pain
Clinical narrative: Beginning about 10 hours after covid vaccine dose #2-- fever of 102 to 103 for 24 hours; chills; body aches; extreme headache.  36 hours afterward and still going---extreme fatigue and weakness.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Beginning about 10 hours after covid vaccine dose #2-- fever of 102 to 103 for 24 hours; chills; body aches; extreme headache.  36 hours afterward and still going---extreme fatigue and weakness.
Age: 2.0
Sex: M
Vaccine: PNC13
Symptoms: No adverse event, Product storage error
Clinical narrative: Storage unit did not record temperature of vaccine. Could not verify for a period of time, vaccine may have been ineffective; no treatment or adverse reaction.
Age: 72.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Arthralgia, Chills, Condition aggravated, Nausea, Psoriasis
Clinical narrative: Palmoplantar psoriasis flare up and arthritis pain, chronic chills and nausea
Age: 72.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Psoriatic arthropathy
Clinical narrative: Palmoplantar psoriasis flare up and arthritis pain, chronic chills and nausea
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Syncope
Clinical narrative: Patient had vasovagal syncope shortly after vaccination given
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Syncope
Clinical narrative: patient fainted five minutes after receiving the first Pfizer Covid-19 vaccine. Patient lost consciousness for few seconds.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Burning sensation, Erythema, Herpes zoster, Neuralgia
Clinical narrative: I experienced a bad rash around my face like it was hot and burning. A week later it was the same thing on my face, I also had it around my back and abdomen. After that one week my daughter took me to the hospital and my daughter noticed a red patch on my back. After that we got the doctor and I was diagnosed with shingles. I was given the antiviral medication for the shingles and the Gabapentin for nerve pain.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Skin warm
Clinical narrative: I experienced a bad rash around my face like it was hot and burning. A week later it was the same thing on my face, I also had it around my back and abdomen. After that one week my daughter took me to the hospital and my daughter noticed a red patch on my back. After that we got the doctor and I was diagnosed with shingles. I was given the antiviral medication for the shingles and the Gabapentin for nerve pain.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injected limb mobility decreased, Injection site pain, Injection site swelling, Tenderness
Clinical narrative: Developed pain and swelling at injection site the evening of 2nd.  Upper arm became more swollen and painful over next 2 days; unable to lift arm due to tenderness;  erythema minimal
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Blood albumin decreased, Blood thyroid stimulating hormone, C-reactive protein increased, Eye disorder, Facial paralysis
Clinical narrative: Numbness started after the second covid vaccine numbness throughout her body started in late April and early May, felt like facial droop and squeezing her left eye then saw neurologist. Has been treated with topirimate and mostly improved but still with facial numbness. Also  reports new dx atypical Migraines reports they started prior to getting vaccine.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Hypoaesthesia, Metabolic function test, Migraine, Vitamin B12
Clinical narrative: Numbness started after the second covid vaccine numbness throughout her body started in late April and early May, felt like facial droop and squeezing her left eye then saw neurologist. Has been treated with topirimate and mostly improved but still with facial numbness. Also  reports new dx atypical Migraines reports they started prior to getting vaccine.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Vitamin D
Clinical narrative: Numbness started after the second covid vaccine numbness throughout her body started in late April and early May, felt like facial droop and squeezing her left eye then saw neurologist. Has been treated with topirimate and mostly improved but still with facial numbness. Also  reports new dx atypical Migraines reports they started prior to getting vaccine.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain, Peripheral swelling, Pyrexia
Clinical narrative: about 18 hours later my body ache fatigue and large hard bump on my armpit. Headaches and little fever. Went to the doctor for the armpit bump. The bump was on the same arm
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Vertigo, Vestibular disorder, Vestibular neuronitis, Vomiting
Clinical narrative: Acute Right unilateral vestibular Hypofunction (Vestibular Neuritis)  Vertigo Nausea  Vomiting
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: No adverse event, Product storage error
Clinical narrative: Storage unit did not record temperature of vaccine. Could not verify for a period of time, vaccine may have been ineffective; no treatment or adverse reaction.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time shortened, Angiogram pulmonary abnormal, Anticoagulant therapy, Aspiration pleural cavity, Atelectasis
Clinical narrative: 57 y.o. female with PMH significant for multiple comorbidities including history of obstructive sleep apnea, chronic left shoulder pain s/p surgery in the past, right carpal tunnel surgery recently, came into the ER from home with complaint of shortness of breath.  Patient was in her usual state of health at least until last Tuesday when she got her second Covid shot, starting Wednesday she started to have pleuritic chest pain, followed by shortness of breath.  Shortness of breath progressively was getting worse, increased on exertion, subsequently was short of breath at rest and even on talking.  Patient also noted frothy sputum tinged with blood.  Secondary to above patient initially had a televisit with PCP early this morning and was instructed to come to ED. On further questioning patient denies complains of associated nausea, vomiting, diarrhea abdominal pain.  Denies any fever, chills. Denies any other complaints of melena or hematochezia  In the ED further work-up including a CT angio pulmonary showed evidence of PE.  pt was treated and discharged the next day on Xarelto.  On 6/13/21, pt presented back to ED with Chest heaviness and shortness of breath  for 3 days Patient with recent diagnosis of unexplained pulmonary embolism. She was loaded with Xarelto for 21 days and subsequently is taking the full daily dose now. Ultrasound of legs was not performed to her initial hospitalization. CTA was repeated today and does not show new pulmonary emboli. CTA on May 17 showed small pulmonary emboli in the lobular in segment mental left lower lobe pulmonary arteries as well as a segmental right middle lobe and lingular pulmonary arteries. She had a left pleural effusion. This was later tapped. Cardiac echo obtained on 518 showed a small pericardial effusion. LVEF at that time was normal. RV systolic pressure was estimated at 36 mmHg. This is only slightly elevated. The patient is normally very active and wanted to get back to her normal activities. On Thursday she did some exercise and subsequent developed her current symptoms of chest heaviness and shortness of breath. She backed off on the exercise. She now came to the emergency room. Troponin is negative. EKG has nonspecific changes. Repeat CTA is now not showing pulmonary embolism. There is no significant pericardial effusion or pleural effusion seen. No evidence of recurrent pulmonary emboli and pt was discharged home.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Blood calcium decreased, Blood chloride normal, Blood creatinine normal, Blood glucose normal, Blood potassium normal
Clinical narrative: 57 y.o. female with PMH significant for multiple comorbidities including history of obstructive sleep apnea, chronic left shoulder pain s/p surgery in the past, right carpal tunnel surgery recently, came into the ER from home with complaint of shortness of breath.  Patient was in her usual state of health at least until last Tuesday when she got her second Covid shot, starting Wednesday she started to have pleuritic chest pain, followed by shortness of breath.  Shortness of breath progressively was getting worse, increased on exertion, subsequently was short of breath at rest and even on talking.  Patient also noted frothy sputum tinged with blood.  Secondary to above patient initially had a televisit with PCP early this morning and was instructed to come to ED. On further questioning patient denies complains of associated nausea, vomiting, diarrhea abdominal pain.  Denies any fever, chills. Denies any other complaints of melena or hematochezia  In the ED further work-up including a CT angio pulmonary showed evidence of PE.  pt was treated and discharged the next day on Xarelto.  On 6/13/21, pt presented back to ED with Chest heaviness and shortness of breath  for 3 days Patient with recent diagnosis of unexplained pulmonary embolism. She was loaded with Xarelto for 21 days and subsequently is taking the full daily dose now. Ultrasound of legs was not performed to her initial hospitalization. CTA was repeated today and does not show new pulmonary emboli. CTA on May 17 showed small pulmonary emboli in the lobular in segment mental left lower lobe pulmonary arteries as well as a segmental right middle lobe and lingular pulmonary arteries. She had a left pleural effusion. This was later tapped. Cardiac echo obtained on 518 showed a small pericardial effusion. LVEF at that time was normal. RV systolic pressure was estimated at 36 mmHg. This is only slightly elevated. The patient is normally very active and wanted to get back to her normal activities. On Thursday she did some exercise and subsequent developed her current symptoms of chest heaviness and shortness of breath. She backed off on the exercise. She now came to the emergency room. Troponin is negative. EKG has nonspecific changes. Repeat CTA is now not showing pulmonary embolism. There is no significant pericardial effusion or pleural effusion seen. No evidence of recurrent pulmonary emboli and pt was discharged home.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Blood sodium normal, Blood urea normal, Carbon dioxide increased, Cardiac telemetry, Cardiomegaly
Clinical narrative: 57 y.o. female with PMH significant for multiple comorbidities including history of obstructive sleep apnea, chronic left shoulder pain s/p surgery in the past, right carpal tunnel surgery recently, came into the ER from home with complaint of shortness of breath.  Patient was in her usual state of health at least until last Tuesday when she got her second Covid shot, starting Wednesday she started to have pleuritic chest pain, followed by shortness of breath.  Shortness of breath progressively was getting worse, increased on exertion, subsequently was short of breath at rest and even on talking.  Patient also noted frothy sputum tinged with blood.  Secondary to above patient initially had a televisit with PCP early this morning and was instructed to come to ED. On further questioning patient denies complains of associated nausea, vomiting, diarrhea abdominal pain.  Denies any fever, chills. Denies any other complaints of melena or hematochezia  In the ED further work-up including a CT angio pulmonary showed evidence of PE.  pt was treated and discharged the next day on Xarelto.  On 6/13/21, pt presented back to ED with Chest heaviness and shortness of breath  for 3 days Patient with recent diagnosis of unexplained pulmonary embolism. She was loaded with Xarelto for 21 days and subsequently is taking the full daily dose now. Ultrasound of legs was not performed to her initial hospitalization. CTA was repeated today and does not show new pulmonary emboli. CTA on May 17 showed small pulmonary emboli in the lobular in segment mental left lower lobe pulmonary arteries as well as a segmental right middle lobe and lingular pulmonary arteries. She had a left pleural effusion. This was later tapped. Cardiac echo obtained on 518 showed a small pericardial effusion. LVEF at that time was normal. RV systolic pressure was estimated at 36 mmHg. This is only slightly elevated. The patient is normally very active and wanted to get back to her normal activities. On Thursday she did some exercise and subsequent developed her current symptoms of chest heaviness and shortness of breath. She backed off on the exercise. She now came to the emergency room. Troponin is negative. EKG has nonspecific changes. Repeat CTA is now not showing pulmonary embolism. There is no significant pericardial effusion or pleural effusion seen. No evidence of recurrent pulmonary emboli and pt was discharged home.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chest discomfort, Chest pain, Coeliac artery compression syndrome, Computerised tomogram thorax
Clinical narrative: 57 y.o. female with PMH significant for multiple comorbidities including history of obstructive sleep apnea, chronic left shoulder pain s/p surgery in the past, right carpal tunnel surgery recently, came into the ER from home with complaint of shortness of breath.  Patient was in her usual state of health at least until last Tuesday when she got her second Covid shot, starting Wednesday she started to have pleuritic chest pain, followed by shortness of breath.  Shortness of breath progressively was getting worse, increased on exertion, subsequently was short of breath at rest and even on talking.  Patient also noted frothy sputum tinged with blood.  Secondary to above patient initially had a televisit with PCP early this morning and was instructed to come to ED. On further questioning patient denies complains of associated nausea, vomiting, diarrhea abdominal pain.  Denies any fever, chills. Denies any other complaints of melena or hematochezia  In the ED further work-up including a CT angio pulmonary showed evidence of PE.  pt was treated and discharged the next day on Xarelto.  On 6/13/21, pt presented back to ED with Chest heaviness and shortness of breath  for 3 days Patient with recent diagnosis of unexplained pulmonary embolism. She was loaded with Xarelto for 21 days and subsequently is taking the full daily dose now. Ultrasound of legs was not performed to her initial hospitalization. CTA was repeated today and does not show new pulmonary emboli. CTA on May 17 showed small pulmonary emboli in the lobular in segment mental left lower lobe pulmonary arteries as well as a segmental right middle lobe and lingular pulmonary arteries. She had a left pleural effusion. This was later tapped. Cardiac echo obtained on 518 showed a small pericardial effusion. LVEF at that time was normal. RV systolic pressure was estimated at 36 mmHg. This is only slightly elevated. The patient is normally very active and wanted to get back to her normal activities. On Thursday she did some exercise and subsequent developed her current symptoms of chest heaviness and shortness of breath. She backed off on the exercise. She now came to the emergency room. Troponin is negative. EKG has nonspecific changes. Repeat CTA is now not showing pulmonary embolism. There is no significant pericardial effusion or pleural effusion seen. No evidence of recurrent pulmonary emboli and pt was discharged home.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Dyspnoea exertional, Echocardiogram abnormal, Ejection fraction, Ejection fraction normal
Clinical narrative: 57 y.o. female with PMH significant for multiple comorbidities including history of obstructive sleep apnea, chronic left shoulder pain s/p surgery in the past, right carpal tunnel surgery recently, came into the ER from home with complaint of shortness of breath.  Patient was in her usual state of health at least until last Tuesday when she got her second Covid shot, starting Wednesday she started to have pleuritic chest pain, followed by shortness of breath.  Shortness of breath progressively was getting worse, increased on exertion, subsequently was short of breath at rest and even on talking.  Patient also noted frothy sputum tinged with blood.  Secondary to above patient initially had a televisit with PCP early this morning and was instructed to come to ED. On further questioning patient denies complains of associated nausea, vomiting, diarrhea abdominal pain.  Denies any fever, chills. Denies any other complaints of melena or hematochezia  In the ED further work-up including a CT angio pulmonary showed evidence of PE.  pt was treated and discharged the next day on Xarelto.  On 6/13/21, pt presented back to ED with Chest heaviness and shortness of breath  for 3 days Patient with recent diagnosis of unexplained pulmonary embolism. She was loaded with Xarelto for 21 days and subsequently is taking the full daily dose now. Ultrasound of legs was not performed to her initial hospitalization. CTA was repeated today and does not show new pulmonary emboli. CTA on May 17 showed small pulmonary emboli in the lobular in segment mental left lower lobe pulmonary arteries as well as a segmental right middle lobe and lingular pulmonary arteries. She had a left pleural effusion. This was later tapped. Cardiac echo obtained on 518 showed a small pericardial effusion. LVEF at that time was normal. RV systolic pressure was estimated at 36 mmHg. This is only slightly elevated. The patient is normally very active and wanted to get back to her normal activities. On Thursday she did some exercise and subsequent developed her current symptoms of chest heaviness and shortness of breath. She backed off on the exercise. She now came to the emergency room. Troponin is negative. EKG has nonspecific changes. Repeat CTA is now not showing pulmonary embolism. There is no significant pericardial effusion or pleural effusion seen. No evidence of recurrent pulmonary emboli and pt was discharged home.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram ST-T change, Embolism arterial, Full blood count, Goitre, Haematocrit normal
Clinical narrative: 57 y.o. female with PMH significant for multiple comorbidities including history of obstructive sleep apnea, chronic left shoulder pain s/p surgery in the past, right carpal tunnel surgery recently, came into the ER from home with complaint of shortness of breath.  Patient was in her usual state of health at least until last Tuesday when she got her second Covid shot, starting Wednesday she started to have pleuritic chest pain, followed by shortness of breath.  Shortness of breath progressively was getting worse, increased on exertion, subsequently was short of breath at rest and even on talking.  Patient also noted frothy sputum tinged with blood.  Secondary to above patient initially had a televisit with PCP early this morning and was instructed to come to ED. On further questioning patient denies complains of associated nausea, vomiting, diarrhea abdominal pain.  Denies any fever, chills. Denies any other complaints of melena or hematochezia  In the ED further work-up including a CT angio pulmonary showed evidence of PE.  pt was treated and discharged the next day on Xarelto.  On 6/13/21, pt presented back to ED with Chest heaviness and shortness of breath  for 3 days Patient with recent diagnosis of unexplained pulmonary embolism. She was loaded with Xarelto for 21 days and subsequently is taking the full daily dose now. Ultrasound of legs was not performed to her initial hospitalization. CTA was repeated today and does not show new pulmonary emboli. CTA on May 17 showed small pulmonary emboli in the lobular in segment mental left lower lobe pulmonary arteries as well as a segmental right middle lobe and lingular pulmonary arteries. She had a left pleural effusion. This was later tapped. Cardiac echo obtained on 518 showed a small pericardial effusion. LVEF at that time was normal. RV systolic pressure was estimated at 36 mmHg. This is only slightly elevated. The patient is normally very active and wanted to get back to her normal activities. On Thursday she did some exercise and subsequent developed her current symptoms of chest heaviness and shortness of breath. She backed off on the exercise. She now came to the emergency room. Troponin is negative. EKG has nonspecific changes. Repeat CTA is now not showing pulmonary embolism. There is no significant pericardial effusion or pleural effusion seen. No evidence of recurrent pulmonary emboli and pt was discharged home.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin normal, Haemoptysis, International normalised ratio increased, Loss of personal independence in daily activities, Lung consolidation
Clinical narrative: 57 y.o. female with PMH significant for multiple comorbidities including history of obstructive sleep apnea, chronic left shoulder pain s/p surgery in the past, right carpal tunnel surgery recently, came into the ER from home with complaint of shortness of breath.  Patient was in her usual state of health at least until last Tuesday when she got her second Covid shot, starting Wednesday she started to have pleuritic chest pain, followed by shortness of breath.  Shortness of breath progressively was getting worse, increased on exertion, subsequently was short of breath at rest and even on talking.  Patient also noted frothy sputum tinged with blood.  Secondary to above patient initially had a televisit with PCP early this morning and was instructed to come to ED. On further questioning patient denies complains of associated nausea, vomiting, diarrhea abdominal pain.  Denies any fever, chills. Denies any other complaints of melena or hematochezia  In the ED further work-up including a CT angio pulmonary showed evidence of PE.  pt was treated and discharged the next day on Xarelto.  On 6/13/21, pt presented back to ED with Chest heaviness and shortness of breath  for 3 days Patient with recent diagnosis of unexplained pulmonary embolism. She was loaded with Xarelto for 21 days and subsequently is taking the full daily dose now. Ultrasound of legs was not performed to her initial hospitalization. CTA was repeated today and does not show new pulmonary emboli. CTA on May 17 showed small pulmonary emboli in the lobular in segment mental left lower lobe pulmonary arteries as well as a segmental right middle lobe and lingular pulmonary arteries. She had a left pleural effusion. This was later tapped. Cardiac echo obtained on 518 showed a small pericardial effusion. LVEF at that time was normal. RV systolic pressure was estimated at 36 mmHg. This is only slightly elevated. The patient is normally very active and wanted to get back to her normal activities. On Thursday she did some exercise and subsequent developed her current symptoms of chest heaviness and shortness of breath. She backed off on the exercise. She now came to the emergency room. Troponin is negative. EKG has nonspecific changes. Repeat CTA is now not showing pulmonary embolism. There is no significant pericardial effusion or pleural effusion seen. No evidence of recurrent pulmonary emboli and pt was discharged home.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Lung infiltration, Lung opacity, Lymphadenopathy, Mean cell volume normal, Pericardial effusion
Clinical narrative: 57 y.o. female with PMH significant for multiple comorbidities including history of obstructive sleep apnea, chronic left shoulder pain s/p surgery in the past, right carpal tunnel surgery recently, came into the ER from home with complaint of shortness of breath.  Patient was in her usual state of health at least until last Tuesday when she got her second Covid shot, starting Wednesday she started to have pleuritic chest pain, followed by shortness of breath.  Shortness of breath progressively was getting worse, increased on exertion, subsequently was short of breath at rest and even on talking.  Patient also noted frothy sputum tinged with blood.  Secondary to above patient initially had a televisit with PCP early this morning and was instructed to come to ED. On further questioning patient denies complains of associated nausea, vomiting, diarrhea abdominal pain.  Denies any fever, chills. Denies any other complaints of melena or hematochezia  In the ED further work-up including a CT angio pulmonary showed evidence of PE.  pt was treated and discharged the next day on Xarelto.  On 6/13/21, pt presented back to ED with Chest heaviness and shortness of breath  for 3 days Patient with recent diagnosis of unexplained pulmonary embolism. She was loaded with Xarelto for 21 days and subsequently is taking the full daily dose now. Ultrasound of legs was not performed to her initial hospitalization. CTA was repeated today and does not show new pulmonary emboli. CTA on May 17 showed small pulmonary emboli in the lobular in segment mental left lower lobe pulmonary arteries as well as a segmental right middle lobe and lingular pulmonary arteries. She had a left pleural effusion. This was later tapped. Cardiac echo obtained on 518 showed a small pericardial effusion. LVEF at that time was normal. RV systolic pressure was estimated at 36 mmHg. This is only slightly elevated. The patient is normally very active and wanted to get back to her normal activities. On Thursday she did some exercise and subsequent developed her current symptoms of chest heaviness and shortness of breath. She backed off on the exercise. She now came to the emergency room. Troponin is negative. EKG has nonspecific changes. Repeat CTA is now not showing pulmonary embolism. There is no significant pericardial effusion or pleural effusion seen. No evidence of recurrent pulmonary emboli and pt was discharged home.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Platelet count normal, Pleural effusion, Pleuritic pain, Pulmonary embolism, Pulmonary mass
Clinical narrative: 57 y.o. female with PMH significant for multiple comorbidities including history of obstructive sleep apnea, chronic left shoulder pain s/p surgery in the past, right carpal tunnel surgery recently, came into the ER from home with complaint of shortness of breath.  Patient was in her usual state of health at least until last Tuesday when she got her second Covid shot, starting Wednesday she started to have pleuritic chest pain, followed by shortness of breath.  Shortness of breath progressively was getting worse, increased on exertion, subsequently was short of breath at rest and even on talking.  Patient also noted frothy sputum tinged with blood.  Secondary to above patient initially had a televisit with PCP early this morning and was instructed to come to ED. On further questioning patient denies complains of associated nausea, vomiting, diarrhea abdominal pain.  Denies any fever, chills. Denies any other complaints of melena or hematochezia  In the ED further work-up including a CT angio pulmonary showed evidence of PE.  pt was treated and discharged the next day on Xarelto.  On 6/13/21, pt presented back to ED with Chest heaviness and shortness of breath  for 3 days Patient with recent diagnosis of unexplained pulmonary embolism. She was loaded with Xarelto for 21 days and subsequently is taking the full daily dose now. Ultrasound of legs was not performed to her initial hospitalization. CTA was repeated today and does not show new pulmonary emboli. CTA on May 17 showed small pulmonary emboli in the lobular in segment mental left lower lobe pulmonary arteries as well as a segmental right middle lobe and lingular pulmonary arteries. She had a left pleural effusion. This was later tapped. Cardiac echo obtained on 518 showed a small pericardial effusion. LVEF at that time was normal. RV systolic pressure was estimated at 36 mmHg. This is only slightly elevated. The patient is normally very active and wanted to get back to her normal activities. On Thursday she did some exercise and subsequent developed her current symptoms of chest heaviness and shortness of breath. She backed off on the exercise. She now came to the emergency room. Troponin is negative. EKG has nonspecific changes. Repeat CTA is now not showing pulmonary embolism. There is no significant pericardial effusion or pleural effusion seen. No evidence of recurrent pulmonary emboli and pt was discharged home.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Right ventricular systolic pressure increased, Sinus rhythm, Sputum abnormal, Superior vena cava syndrome, Thyroid mass
Clinical narrative: 57 y.o. female with PMH significant for multiple comorbidities including history of obstructive sleep apnea, chronic left shoulder pain s/p surgery in the past, right carpal tunnel surgery recently, came into the ER from home with complaint of shortness of breath.  Patient was in her usual state of health at least until last Tuesday when she got her second Covid shot, starting Wednesday she started to have pleuritic chest pain, followed by shortness of breath.  Shortness of breath progressively was getting worse, increased on exertion, subsequently was short of breath at rest and even on talking.  Patient also noted frothy sputum tinged with blood.  Secondary to above patient initially had a televisit with PCP early this morning and was instructed to come to ED. On further questioning patient denies complains of associated nausea, vomiting, diarrhea abdominal pain.  Denies any fever, chills. Denies any other complaints of melena or hematochezia  In the ED further work-up including a CT angio pulmonary showed evidence of PE.  pt was treated and discharged the next day on Xarelto.  On 6/13/21, pt presented back to ED with Chest heaviness and shortness of breath  for 3 days Patient with recent diagnosis of unexplained pulmonary embolism. She was loaded with Xarelto for 21 days and subsequently is taking the full daily dose now. Ultrasound of legs was not performed to her initial hospitalization. CTA was repeated today and does not show new pulmonary emboli. CTA on May 17 showed small pulmonary emboli in the lobular in segment mental left lower lobe pulmonary arteries as well as a segmental right middle lobe and lingular pulmonary arteries. She had a left pleural effusion. This was later tapped. Cardiac echo obtained on 518 showed a small pericardial effusion. LVEF at that time was normal. RV systolic pressure was estimated at 36 mmHg. This is only slightly elevated. The patient is normally very active and wanted to get back to her normal activities. On Thursday she did some exercise and subsequent developed her current symptoms of chest heaviness and shortness of breath. She backed off on the exercise. She now came to the emergency room. Troponin is negative. EKG has nonspecific changes. Repeat CTA is now not showing pulmonary embolism. There is no significant pericardial effusion or pleural effusion seen. No evidence of recurrent pulmonary emboli and pt was discharged home.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin normal, Ultrasound thyroid abnormal, White blood cell count normal
Clinical narrative: 57 y.o. female with PMH significant for multiple comorbidities including history of obstructive sleep apnea, chronic left shoulder pain s/p surgery in the past, right carpal tunnel surgery recently, came into the ER from home with complaint of shortness of breath.  Patient was in her usual state of health at least until last Tuesday when she got her second Covid shot, starting Wednesday she started to have pleuritic chest pain, followed by shortness of breath.  Shortness of breath progressively was getting worse, increased on exertion, subsequently was short of breath at rest and even on talking.  Patient also noted frothy sputum tinged with blood.  Secondary to above patient initially had a televisit with PCP early this morning and was instructed to come to ED. On further questioning patient denies complains of associated nausea, vomiting, diarrhea abdominal pain.  Denies any fever, chills. Denies any other complaints of melena or hematochezia  In the ED further work-up including a CT angio pulmonary showed evidence of PE.  pt was treated and discharged the next day on Xarelto.  On 6/13/21, pt presented back to ED with Chest heaviness and shortness of breath  for 3 days Patient with recent diagnosis of unexplained pulmonary embolism. She was loaded with Xarelto for 21 days and subsequently is taking the full daily dose now. Ultrasound of legs was not performed to her initial hospitalization. CTA was repeated today and does not show new pulmonary emboli. CTA on May 17 showed small pulmonary emboli in the lobular in segment mental left lower lobe pulmonary arteries as well as a segmental right middle lobe and lingular pulmonary arteries. She had a left pleural effusion. This was later tapped. Cardiac echo obtained on 518 showed a small pericardial effusion. LVEF at that time was normal. RV systolic pressure was estimated at 36 mmHg. This is only slightly elevated. The patient is normally very active and wanted to get back to her normal activities. On Thursday she did some exercise and subsequent developed her current symptoms of chest heaviness and shortness of breath. She backed off on the exercise. She now came to the emergency room. Troponin is negative. EKG has nonspecific changes. Repeat CTA is now not showing pulmonary embolism. There is no significant pericardial effusion or pleural effusion seen. No evidence of recurrent pulmonary emboli and pt was discharged home.