chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Dysstasia, Laboratory test, Magnetic resonance imaging, Muscular weakness
Clinical narrative: At 2 a.m.the following morning after the vaccine , my father got up to use the bathroom and realized his legs were so weak he could not stand from the bed. This happened  again at 5 a.m.and 7 a.m. when he awakened to urinate. He called his doctor that morning who advised him to go to the ER to rule out a stroke. He was admitted overnight for observation. A CT scan of the head was negative for stroke. He had a follow up MRI head which was also negative for stroke. He will follow up with his neurologist.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Sore arm for four days and 24 hours of fever ranging  from 99.8 to 100.8
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Pt felt itching Benadryl 25mg given PO.  Pt had her own and reported taking  Benadryl 25mg before vaccine as well.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Pt was given 0.3mL of Moderna (second dose) instead of the recommended dosage 0.5mL of Moderna.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Fatigue, Headache, Nausea
Clinical narrative: mild headache several hours after shot along with fatigue.  At 6:00 PM that day, starting experiencing chills and mild temperature (99.5).  Chills got worse all night and fever spiked to almost 104 degrees.  Uncontrollable chills along with body aches and nausea until fever broke around 5:00 AM.  By 9:00 AM fever was back down and felt achy and tired for the remainder of the day and into the night.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: mild headache several hours after shot along with fatigue.  At 6:00 PM that day, starting experiencing chills and mild temperature (99.5).  Chills got worse all night and fever spiked to almost 104 degrees.  Uncontrollable chills along with body aches and nausea until fever broke around 5:00 AM.  By 9:00 AM fever was back down and felt achy and tired for the remainder of the day and into the night.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Feeling hot, Hyperhidrosis, Vision blurred
Clinical narrative: Patient received her covid vaccine at 9:50am. She was in the observation area. She stated she couldn't breathe at 9:55am. She showed no signs of any breathing difficulty. Patient reported a past history of anaphylaxis to bee stings. At 9:57am 50mg of Benadryl was given. 9:58 am she reported she was sweaty,  had blurred vision, and was hot. At 10:05, patient said she started to feel better. We asked that she wait the full 30 minutes. By 10:20am, she was feeling fine and the symptoms had resolved.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Aphasia, Feeling abnormal, Hypersomnia, Hypoaesthesia, Paraesthesia
Clinical narrative: Pt here with concerns of numbness and tingling of his body since his COVID vaccine. He had it on 2/3 in his R deltoid. He notes started to feel bad on 2/6. He went to urgent care and was told that he probably had TIA. He came into clinic that next week and I ordered an MRI of his brain.  MRI brain showed senescent changes and mastoid congestion, but no evidence of stroke/acute event.        His symptoms started with R hand numbness (R thumb and R index finger), then progressed to R leg and arm numbness, R facial numbness with trouble speaking, which he describes as feeling like he had a lidocaine shot at the dentist. He denies any acute illness at that time, but did sleep alot more.         Currently the only symptom he has left is R index and thumb numbness as well as feeling like the R side of his face feels different than the L.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Facial pain, Rash, Rash erythematous
Clinical narrative: Bruise like soreness and slight red rash at the chin.  It lasted 18 hours
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Breast swelling, Breast tenderness, Chest discomfort
Clinical narrative: swollen tight sensitive breasts/chest,  pain in the middle of the back
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal hernia, Abdominal pain lower, Accessory spleen, Alanine aminotransferase normal, Albumin globulin ratio
Clinical narrative: 75 y.o. male who presents with LLQ PAIN INTERMITTENT FOR 3 WEEKS.  PT STATES HIS "BOWELS HAVE NOT BEEN RIGHT" MEANING HE DOES NOT HAVE A STOOL EVERY DAY.  HE SAYS HE HAS BEEN TAKING A STOOL SOFTENER AND PROBIOTIC AND NOW STOOLS ARE "RUNNY" BUT PAIN PERSISTS AND IS WORSE WITH DEFECATION.  DENIES FEVER, CHILLS, NAUSEA OR VOMITING.  PT STATES HAS HEMORRHOIDS AND HAS HAD SOME BRIGHT RED BLOOD OCCASIONALLY WITH STOOLING.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Amylase decreased, Aortic arteriosclerosis, Aspartate aminotransferase normal, Basophil count normal, Basophil percentage
Clinical narrative: 75 y.o. male who presents with LLQ PAIN INTERMITTENT FOR 3 WEEKS.  PT STATES HIS "BOWELS HAVE NOT BEEN RIGHT" MEANING HE DOES NOT HAVE A STOOL EVERY DAY.  HE SAYS HE HAS BEEN TAKING A STOOL SOFTENER AND PROBIOTIC AND NOW STOOLS ARE "RUNNY" BUT PAIN PERSISTS AND IS WORSE WITH DEFECATION.  DENIES FEVER, CHILLS, NAUSEA OR VOMITING.  PT STATES HAS HEMORRHOIDS AND HAS HAD SOME BRIGHT RED BLOOD OCCASIONALLY WITH STOOLING.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Benign prostatic hyperplasia, Bilirubin urine, Bladder hypertrophy, Bladder outlet obstruction, Blood albumin decreased
Clinical narrative: 75 y.o. male who presents with LLQ PAIN INTERMITTENT FOR 3 WEEKS.  PT STATES HIS "BOWELS HAVE NOT BEEN RIGHT" MEANING HE DOES NOT HAVE A STOOL EVERY DAY.  HE SAYS HE HAS BEEN TAKING A STOOL SOFTENER AND PROBIOTIC AND NOW STOOLS ARE "RUNNY" BUT PAIN PERSISTS AND IS WORSE WITH DEFECATION.  DENIES FEVER, CHILLS, NAUSEA OR VOMITING.  PT STATES HAS HEMORRHOIDS AND HAS HAD SOME BRIGHT RED BLOOD OCCASIONALLY WITH STOOLING.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium normal, Blood chloride normal, Blood creatinine normal
Clinical narrative: 75 y.o. male who presents with LLQ PAIN INTERMITTENT FOR 3 WEEKS.  PT STATES HIS "BOWELS HAVE NOT BEEN RIGHT" MEANING HE DOES NOT HAVE A STOOL EVERY DAY.  HE SAYS HE HAS BEEN TAKING A STOOL SOFTENER AND PROBIOTIC AND NOW STOOLS ARE "RUNNY" BUT PAIN PERSISTS AND IS WORSE WITH DEFECATION.  DENIES FEVER, CHILLS, NAUSEA OR VOMITING.  PT STATES HAS HEMORRHOIDS AND HAS HAD SOME BRIGHT RED BLOOD OCCASIONALLY WITH STOOLING.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Blood magnesium normal, Blood potassium normal, Blood sodium decreased, Blood urea normal
Clinical narrative: 75 y.o. male who presents with LLQ PAIN INTERMITTENT FOR 3 WEEKS.  PT STATES HIS "BOWELS HAVE NOT BEEN RIGHT" MEANING HE DOES NOT HAVE A STOOL EVERY DAY.  HE SAYS HE HAS BEEN TAKING A STOOL SOFTENER AND PROBIOTIC AND NOW STOOLS ARE "RUNNY" BUT PAIN PERSISTS AND IS WORSE WITH DEFECATION.  DENIES FEVER, CHILLS, NAUSEA OR VOMITING.  PT STATES HAS HEMORRHOIDS AND HAS HAD SOME BRIGHT RED BLOOD OCCASIONALLY WITH STOOLING.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urine absent, Carbon dioxide normal, Computerised tomogram thorax abnormal, Culture urine, Diarrhoea
Clinical narrative: 75 y.o. male who presents with LLQ PAIN INTERMITTENT FOR 3 WEEKS.  PT STATES HIS "BOWELS HAVE NOT BEEN RIGHT" MEANING HE DOES NOT HAVE A STOOL EVERY DAY.  HE SAYS HE HAS BEEN TAKING A STOOL SOFTENER AND PROBIOTIC AND NOW STOOLS ARE "RUNNY" BUT PAIN PERSISTS AND IS WORSE WITH DEFECATION.  DENIES FEVER, CHILLS, NAUSEA OR VOMITING.  PT STATES HAS HEMORRHOIDS AND HAS HAD SOME BRIGHT RED BLOOD OCCASIONALLY WITH STOOLING.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Differential white blood cell count abnormal, Diverticulitis, Diverticulum intestinal, Dyschezia, Eosinophil count normal
Clinical narrative: 75 y.o. male who presents with LLQ PAIN INTERMITTENT FOR 3 WEEKS.  PT STATES HIS "BOWELS HAVE NOT BEEN RIGHT" MEANING HE DOES NOT HAVE A STOOL EVERY DAY.  HE SAYS HE HAS BEEN TAKING A STOOL SOFTENER AND PROBIOTIC AND NOW STOOLS ARE "RUNNY" BUT PAIN PERSISTS AND IS WORSE WITH DEFECATION.  DENIES FEVER, CHILLS, NAUSEA OR VOMITING.  PT STATES HAS HEMORRHOIDS AND HAS HAD SOME BRIGHT RED BLOOD OCCASIONALLY WITH STOOLING.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Eosinophil percentage, Full blood count abnormal, Gastrointestinal disorder, Gastrointestinal wall thickening, Glomerular filtration rate decreased
Clinical narrative: 75 y.o. male who presents with LLQ PAIN INTERMITTENT FOR 3 WEEKS.  PT STATES HIS "BOWELS HAVE NOT BEEN RIGHT" MEANING HE DOES NOT HAVE A STOOL EVERY DAY.  HE SAYS HE HAS BEEN TAKING A STOOL SOFTENER AND PROBIOTIC AND NOW STOOLS ARE "RUNNY" BUT PAIN PERSISTS AND IS WORSE WITH DEFECATION.  DENIES FEVER, CHILLS, NAUSEA OR VOMITING.  PT STATES HAS HEMORRHOIDS AND HAS HAD SOME BRIGHT RED BLOOD OCCASIONALLY WITH STOOLING.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Glucose urine absent, Granulocyte percentage, Haematochezia, Haematocrit normal, Haemoglobin normal
Clinical narrative: 75 y.o. male who presents with LLQ PAIN INTERMITTENT FOR 3 WEEKS.  PT STATES HIS "BOWELS HAVE NOT BEEN RIGHT" MEANING HE DOES NOT HAVE A STOOL EVERY DAY.  HE SAYS HE HAS BEEN TAKING A STOOL SOFTENER AND PROBIOTIC AND NOW STOOLS ARE "RUNNY" BUT PAIN PERSISTS AND IS WORSE WITH DEFECATION.  DENIES FEVER, CHILLS, NAUSEA OR VOMITING.  PT STATES HAS HEMORRHOIDS AND HAS HAD SOME BRIGHT RED BLOOD OCCASIONALLY WITH STOOLING.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Hepatic cyst, Immature granulocyte count, Inguinal hernia, Lipase decreased, Lymphocyte count normal
Clinical narrative: 75 y.o. male who presents with LLQ PAIN INTERMITTENT FOR 3 WEEKS.  PT STATES HIS "BOWELS HAVE NOT BEEN RIGHT" MEANING HE DOES NOT HAVE A STOOL EVERY DAY.  HE SAYS HE HAS BEEN TAKING A STOOL SOFTENER AND PROBIOTIC AND NOW STOOLS ARE "RUNNY" BUT PAIN PERSISTS AND IS WORSE WITH DEFECATION.  DENIES FEVER, CHILLS, NAUSEA OR VOMITING.  PT STATES HAS HEMORRHOIDS AND HAS HAD SOME BRIGHT RED BLOOD OCCASIONALLY WITH STOOLING.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphocyte percentage decreased, Mean cell haemoglobin concentration normal, Mean cell volume normal, Mean platelet volume normal, Metabolic function test
Clinical narrative: 75 y.o. male who presents with LLQ PAIN INTERMITTENT FOR 3 WEEKS.  PT STATES HIS "BOWELS HAVE NOT BEEN RIGHT" MEANING HE DOES NOT HAVE A STOOL EVERY DAY.  HE SAYS HE HAS BEEN TAKING A STOOL SOFTENER AND PROBIOTIC AND NOW STOOLS ARE "RUNNY" BUT PAIN PERSISTS AND IS WORSE WITH DEFECATION.  DENIES FEVER, CHILLS, NAUSEA OR VOMITING.  PT STATES HAS HEMORRHOIDS AND HAS HAD SOME BRIGHT RED BLOOD OCCASIONALLY WITH STOOLING.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Monocyte count increased, Monocyte percentage, Neutrophil count increased, Neutrophil percentage increased, Nitrite urine absent
Clinical narrative: 75 y.o. male who presents with LLQ PAIN INTERMITTENT FOR 3 WEEKS.  PT STATES HIS "BOWELS HAVE NOT BEEN RIGHT" MEANING HE DOES NOT HAVE A STOOL EVERY DAY.  HE SAYS HE HAS BEEN TAKING A STOOL SOFTENER AND PROBIOTIC AND NOW STOOLS ARE "RUNNY" BUT PAIN PERSISTS AND IS WORSE WITH DEFECATION.  DENIES FEVER, CHILLS, NAUSEA OR VOMITING.  PT STATES HAS HEMORRHOIDS AND HAS HAD SOME BRIGHT RED BLOOD OCCASIONALLY WITH STOOLING.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Prostatic calcification, Protein total normal, Protein urine absent, Red blood cell count normal, Red blood cell morphology
Clinical narrative: 75 y.o. male who presents with LLQ PAIN INTERMITTENT FOR 3 WEEKS.  PT STATES HIS "BOWELS HAVE NOT BEEN RIGHT" MEANING HE DOES NOT HAVE A STOOL EVERY DAY.  HE SAYS HE HAS BEEN TAKING A STOOL SOFTENER AND PROBIOTIC AND NOW STOOLS ARE "RUNNY" BUT PAIN PERSISTS AND IS WORSE WITH DEFECATION.  DENIES FEVER, CHILLS, NAUSEA OR VOMITING.  PT STATES HAS HEMORRHOIDS AND HAS HAD SOME BRIGHT RED BLOOD OCCASIONALLY WITH STOOLING.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cell nucleated morphology, Red blood cells urine positive, Red cell distribution width normal, Renal cyst, Scan with contrast abnormal
Clinical narrative: 75 y.o. male who presents with LLQ PAIN INTERMITTENT FOR 3 WEEKS.  PT STATES HIS "BOWELS HAVE NOT BEEN RIGHT" MEANING HE DOES NOT HAVE A STOOL EVERY DAY.  HE SAYS HE HAS BEEN TAKING A STOOL SOFTENER AND PROBIOTIC AND NOW STOOLS ARE "RUNNY" BUT PAIN PERSISTS AND IS WORSE WITH DEFECATION.  DENIES FEVER, CHILLS, NAUSEA OR VOMITING.  PT STATES HAS HEMORRHOIDS AND HAS HAD SOME BRIGHT RED BLOOD OCCASIONALLY WITH STOOLING.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Specific gravity urine normal, Spinal osteoarthritis, Spinal retrolisthesis, Spondylolisthesis, Urine analysis
Clinical narrative: 75 y.o. male who presents with LLQ PAIN INTERMITTENT FOR 3 WEEKS.  PT STATES HIS "BOWELS HAVE NOT BEEN RIGHT" MEANING HE DOES NOT HAVE A STOOL EVERY DAY.  HE SAYS HE HAS BEEN TAKING A STOOL SOFTENER AND PROBIOTIC AND NOW STOOLS ARE "RUNNY" BUT PAIN PERSISTS AND IS WORSE WITH DEFECATION.  DENIES FEVER, CHILLS, NAUSEA OR VOMITING.  PT STATES HAS HEMORRHOIDS AND HAS HAD SOME BRIGHT RED BLOOD OCCASIONALLY WITH STOOLING.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Urine analysis abnormal, Urine ketone body absent, Urine leukocyte esterase, Urobilinogen urine, White blood cell count normal
Clinical narrative: 75 y.o. male who presents with LLQ PAIN INTERMITTENT FOR 3 WEEKS.  PT STATES HIS "BOWELS HAVE NOT BEEN RIGHT" MEANING HE DOES NOT HAVE A STOOL EVERY DAY.  HE SAYS HE HAS BEEN TAKING A STOOL SOFTENER AND PROBIOTIC AND NOW STOOLS ARE "RUNNY" BUT PAIN PERSISTS AND IS WORSE WITH DEFECATION.  DENIES FEVER, CHILLS, NAUSEA OR VOMITING.  PT STATES HAS HEMORRHOIDS AND HAS HAD SOME BRIGHT RED BLOOD OCCASIONALLY WITH STOOLING.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cells urine positive
Clinical narrative: 75 y.o. male who presents with LLQ PAIN INTERMITTENT FOR 3 WEEKS.  PT STATES HIS "BOWELS HAVE NOT BEEN RIGHT" MEANING HE DOES NOT HAVE A STOOL EVERY DAY.  HE SAYS HE HAS BEEN TAKING A STOOL SOFTENER AND PROBIOTIC AND NOW STOOLS ARE "RUNNY" BUT PAIN PERSISTS AND IS WORSE WITH DEFECATION.  DENIES FEVER, CHILLS, NAUSEA OR VOMITING.  PT STATES HAS HEMORRHOIDS AND HAS HAD SOME BRIGHT RED BLOOD OCCASIONALLY WITH STOOLING.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Illness, Injection site pain, Lethargy, Muscular weakness
Clinical narrative: Lethargic   Energy drain Soreness at injection site Weakness in arms and legs Overall feeling of sickness
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pruritus
Clinical narrative: Client was vaccinated with her second dose of Pfizer @1030 and while waiting the recommended observation time, she felt her eyes itching @1045. Client continued to self monitor as she has HX of these exact symptoms to other triggers and the notified medical staff @1130. No s/sx resp distress, no SOB,  Client took 25mg of Benadryl in  which she brought herself and felt her symptom diminish by 1200. Client advised by paramedic and nurse to seek further medical evaluation if symptom re-occurs.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pain
Clinical narrative: Feverish, chills, nausea, body aches, fatigued, headache,
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Feverish, chills, nausea, body aches, fatigued, headache,
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: This is an administration error, not an adverse event.  The patient is only 17 years old but is a college students and her age was missed when scheduling and administering the Moderna vaccine, which is only approved for ages 18 and over.  She will turn 18 in approximately 6 weeks. She qualified for the vaccine by having 2 medical conditions, Type 2 diabetes mellitus and BMI >30 (her BMI is 39).
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pain, Pain
Clinical narrative: I took a nap and now I can not move my head without my ear hurting anytime she moves significantly she has sharp pain
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Swelling, Urticaria, Vaccination complication
Clinical narrative: Broke
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Lymphadenopathy, Oropharyngeal discomfort
Clinical narrative: lymph nodes on left neck, same arm as shot, rough throat, headache .
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Each day, from 3/7/21 through 3/13/21 felt lightheaded for a few seconds, less than a minute.   The last on on the 13th lasted the longest and may have been over a minute.  This did not cause any problems.  It was very noticeable, caught my attention each time, like there was nothing I could do but pay attention to how I was feeling and then it was gone.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: patient only 17 years old, but received moderna (approved for 18 +). pt had no issues with vaccine.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Heart rate irregular, Supraventricular tachycardia
Clinical narrative: Accelerated heart rate/irregular heart beat.   Resting HR is normally 80bpm.  At around 1pm RHR went up to 110-120 with SVT
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Feeling cold, Heart rate decreased, Hypotension, Paraesthesia
Clinical narrative: Shaking, weakness, fingers tingling, throat tightness, drop in pulse and blood pressure, chills happened 20 minutes after vaccine that got better in two hours. The next 10 days pounding headache,
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness, Tremor
Clinical narrative: Shaking, weakness, fingers tingling, throat tightness, drop in pulse and blood pressure, chills happened 20 minutes after vaccine that got better in two hours. The next 10 days pounding headache,
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Guttate psoriasis
Clinical narrative: Rash that was diagnosed as Guttate Psoriasis, but usually appears in children/young adults, appears after a bacterial infection such as Strep and usually there is a family history of it, none of which pertain to me.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Injection site pruritus, Injection site rash
Clinical narrative: Large bruise beginning on 1st day, very itchy rash on arm below injection site on 8th day
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pruritus, Skin warm, Swelling
Clinical narrative: Covid Arm...heat, pain, swelling, itching.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Diarrhoea, Fatigue, Headache
Clinical narrative: Chills,headache,diarrhea,nausea,tired feeling,weak
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Chills,headache,diarrhea,nausea,tired feeling,weak
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Nausea, Neck pain, Pain in extremity
Clinical narrative: First shot: (02/03/2021) very sore arm, tired for two days, headache and dizziness.  Second shot: (03/04/2021) Arm very sore, nausea, headache, neck pain, chills, warmth, skin hurts,  more aware of body parts, more pain in joints, unable to sleep well.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pain of skin, Poor quality sleep, Skin warm
Clinical narrative: First shot: (02/03/2021) very sore arm, tired for two days, headache and dizziness.  Second shot: (03/04/2021) Arm very sore, nausea, headache, neck pain, chills, warmth, skin hurts,  more aware of body parts, more pain in joints, unable to sleep well.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dyspnoea, Fatigue, Mobility decreased
Clinical narrative: Symptoms started suddenly without warning:  weakness/fatigue- hard could get out of vehicle , needed assistance.  chills shortness of breath excessive thirst
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Thirst
Clinical narrative: Symptoms started suddenly without warning:  weakness/fatigue- hard could get out of vehicle , needed assistance.  chills shortness of breath excessive thirst
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure decreased, Dizziness, Somatic symptom disorder, Tremor
Clinical narrative: Approximately 5 minutes post injection my blood pressure plummeted and I began to feel faint. I also started shaking uncontrollably particularly hands and arms. Vaccine administrator was immediately notified and they summoned the closest EMT. Emergency Services took my BO and pulse oximeter. A few minutes after the start of the symptoms. They explained that since  my HR was at 84, BP was 110/68 and oxygen saturation was at 98% and I wasn't having difficulty breathing that I was not having an allergic reaction to the vaccine but a parasympathetic response instead. They sat with me until the shaking stopped approximately 15minutes later.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Fatigue, Pyrexia
Clinical narrative: Chills, fever, extreme fatigue, lack of appetite
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Blood test abnormal, Computerised tomogram abnormal, Dysarthria, Heart rate irregular
Clinical narrative: Thursday, March 11, 2021 (approximately 8:30 am)  Patient experienced blurred vision, unbalance, and slurred speech and had an irregular heartbeat. March 11, 2021 (approximately 11:30 am) Patient was admitted to Hospital administered CT scan, MRI and multiple blood tests. Diagnosis - Ischemic Stroke
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Ischaemic stroke, Magnetic resonance imaging abnormal, Vision blurred
Clinical narrative: Thursday, March 11, 2021 (approximately 8:30 am)  Patient experienced blurred vision, unbalance, and slurred speech and had an irregular heartbeat. March 11, 2021 (approximately 11:30 am) Patient was admitted to Hospital administered CT scan, MRI and multiple blood tests. Diagnosis - Ischemic Stroke
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient died on 2/28/2021
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site mass
Clinical narrative: Lumps appeared under injection site arm
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety
Clinical narrative: After second dose 20 days later I started with anxiety
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Dizziness, Fatigue, Somnolence
Clinical narrative: Dizzy, fatigue, sleepy, stomachache
Sex: U
Vaccine: VARZOS
Symptoms: Lethargy, Nausea, Pain
Clinical narrative: Body aches, no energy, nausea
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Skin irritation
Clinical narrative: allergic reaction: irritable skin,  itchy on upper torso and thighs for 24 hours.   no hives or difficulty breathing.  took an allergy pill for relief.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Feeling abnormal, Feeling cold, Myalgia, Pain
Clinical narrative: I felt fine immediately after vaccination, but when I work up the next morning I felt like I had gotten hit by a bus! Every muscle in my body aches and I had the chills, with slight fever.  No nausea. No headache. Just cold and sore. Today I feel much better, but not 100%.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: I felt fine immediately after vaccination, but when I work up the next morning I felt like I had gotten hit by a bus! Every muscle in my body aches and I had the chills, with slight fever.  No nausea. No headache. Just cold and sore. Today I feel much better, but not 100%.
Sex: U
Vaccine: COVID19
Symptoms: Asthenia, Blood pressure increased, Chest pain, Limb discomfort, Pain
Clinical narrative: received her #1 COVID 19 vaccine, Moderna, at 0903 this morning. At approximately 0913 patient reports having a strange "tingling" sensation and an overall feeling of weakness. She describes this as her arms feel "heavy". At approximately 0930 patient reported that she is having a "burning pain" in her chest. She is brought into a room and assessed by provider, Blood pressure on auto machine is 193/107, heart rate 86, and O2 sats are at 96-98% on room air. Patient is calm and is not reporting any other symptoms. She denies any SOB, difficulty swallowing, and is not itching any where. She states that she feels "tingling/burning" is moving up her arms and legs. Rechecked patients BP manually and reading os 192/112. Patient reports feeling "weak" and "heavy" in her arms and "tingling/burning" describing it as "a minor sunburn" in her arms only. The "burning/pain" in her chest has resolved and she feels like she is even breathing deeper now. Recheck of BP at 0945 shows manual reading 176/94, and auto reading 162/93. provider asks that she give another 5 to 10 minutes and recheck BP. Manual BP checked at 1000 and 158/72.  provider revisits patient and states that patient BP is coming down nicely and no other symptoms. She states that if next BP is still coming down, she is free to go home. Recheck of BP at 1015 152/78.
Sex: U
Vaccine: COVID19
Symptoms: Paraesthesia, Vital signs measurement
Clinical narrative: received her #1 COVID 19 vaccine, Moderna, at 0903 this morning. At approximately 0913 patient reports having a strange "tingling" sensation and an overall feeling of weakness. She describes this as her arms feel "heavy". At approximately 0930 patient reported that she is having a "burning pain" in her chest. She is brought into a room and assessed by provider, Blood pressure on auto machine is 193/107, heart rate 86, and O2 sats are at 96-98% on room air. Patient is calm and is not reporting any other symptoms. She denies any SOB, difficulty swallowing, and is not itching any where. She states that she feels "tingling/burning" is moving up her arms and legs. Rechecked patients BP manually and reading os 192/112. Patient reports feeling "weak" and "heavy" in her arms and "tingling/burning" describing it as "a minor sunburn" in her arms only. The "burning/pain" in her chest has resolved and she feels like she is even breathing deeper now. Recheck of BP at 0945 shows manual reading 176/94, and auto reading 162/93. provider asks that she give another 5 to 10 minutes and recheck BP. Manual BP checked at 1000 and 158/72.  provider revisits patient and states that patient BP is coming down nicely and no other symptoms. She states that if next BP is still coming down, she is free to go home. Recheck of BP at 1015 152/78.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia
Clinical narrative: Extreme weakness requiring  short visit to local hospital emergency room
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Pt was given 0.3mL of Moderna (second dose) instead of the recommended dosage 0.5mL of Moderna.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Muscle disorder, Palpitations, Paraesthesia
Clinical narrative: very mild tingling face. muscular changes in face during first 18 hours post vaccine. slightly fatigued day 2 slightly elevated heart rate during intense exercise days 3-4  Generally, however, I feel fine and plan to get the second dose!
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Pulsative tinnitus
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Haematoma
Clinical narrative: Immediately after vaccination, hematoma started to form.  Ice was applied to affected area
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Pruritus
Clinical narrative: tingling in mouth and lips, itchiness on neck, given Benadryl IM with improvement
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac monitoring, Chest X-ray, Electrocardiogram, Full blood count, Metabolic function test
Clinical narrative: Syncope shortly after administration
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope, Troponin
Clinical narrative: Syncope shortly after administration
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Mobility decreased, Muscular weakness
Clinical narrative: Three days after the 2nd vaccine injection I started experiencing muscle weakness in both legs and arms.  To navigate stairs in my home I use a banister on both sides, not much difficulty.  Since Monday, 3/15/2021,  I have much more difficulty using my walker, navigating stairs, getting in and out of cars.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Cellulitis, Dermatitis, Discharge, Peripheral swelling
Clinical narrative: Started on lower left leg at cellutis, leg swelled to double in size, deep red rash, then blisters, skin opened up and started to drain, then got what appeared to be a staph infection,  doctor ordered topical antibiotic then burning inflamed red rash and more blisters, then when it started to clear up a new  rash over right arm, then chest, then left arm and still burning hot and still not responding to Benadryl. Tried topical Benadryl too
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Skin burning sensation, Skin warm, Staphylococcal infection
Clinical narrative: Started on lower left leg at cellutis, leg swelled to double in size, deep red rash, then blisters, skin opened up and started to drain, then got what appeared to be a staph infection,  doctor ordered topical antibiotic then burning inflamed red rash and more blisters, then when it started to clear up a new  rash over right arm, then chest, then left arm and still burning hot and still not responding to Benadryl. Tried topical Benadryl too
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Wound
Clinical narrative: Started on lower left leg at cellutis, leg swelled to double in size, deep red rash, then blisters, skin opened up and started to drain, then got what appeared to be a staph infection,  doctor ordered topical antibiotic then burning inflamed red rash and more blisters, then when it started to clear up a new  rash over right arm, then chest, then left arm and still burning hot and still not responding to Benadryl. Tried topical Benadryl too
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Redness, hot to the touch (injection site), itchy and swollen.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardiomegaly, Cardioversion, Chest X-ray abnormal, Echocardiogram
Clinical narrative: Patient presented to emergency department in afib RVR with heart rate in 180's. Patient has no known history of afib, and stated that the heart rate of 180 started several days prior to arriving to emergency department. Patient was given IV push of 15mg cardizem, heart rate came down to 130. Patient then placed on cardizem drip at 10 mg/hr. Afib still present, but heart rate controlled in 120's. Patient underwent transesophageal echocardiography with cardioversion in order to convert patient back to normal sinus rhythm. Patient also stated that she slept for an extra 4 hrs/day for several days following vaccination and developed a scaly rash on injection site. Patient currently admitted in ICU under close monitoring.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Exfoliative rash, Haematocrit decreased, Haemoglobin decreased, Injection site rash, Intensive care
Clinical narrative: Patient presented to emergency department in afib RVR with heart rate in 180's. Patient has no known history of afib, and stated that the heart rate of 180 started several days prior to arriving to emergency department. Patient was given IV push of 15mg cardizem, heart rate came down to 130. Patient then placed on cardizem drip at 10 mg/hr. Afib still present, but heart rate controlled in 120's. Patient underwent transesophageal echocardiography with cardioversion in order to convert patient back to normal sinus rhythm. Patient also stated that she slept for an extra 4 hrs/day for several days following vaccination and developed a scaly rash on injection site. Patient currently admitted in ICU under close monitoring.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Platelet count decreased, Pulmonary congestion
Clinical narrative: Patient presented to emergency department in afib RVR with heart rate in 180's. Patient has no known history of afib, and stated that the heart rate of 180 started several days prior to arriving to emergency department. Patient was given IV push of 15mg cardizem, heart rate came down to 130. Patient then placed on cardizem drip at 10 mg/hr. Afib still present, but heart rate controlled in 120's. Patient underwent transesophageal echocardiography with cardioversion in order to convert patient back to normal sinus rhythm. Patient also stated that she slept for an extra 4 hrs/day for several days following vaccination and developed a scaly rash on injection site. Patient currently admitted in ICU under close monitoring.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood pressure decreased, Constipation, Death, Gait disturbance
Clinical narrative: My mother died on February 19, 2021. She had her 2nd dose vaccine on 2/11, on 2/12 it was noted that she was not able to walk, on 2/13 she was walking at 30%, on 2/14 she was walking with difficulty, on Monday 2/15 she was throwing up violently and her blood pressure dropped, so she was sent to Clinic. My sister was told she was just constipated and she had A Fib (never reported before to us). My sister was then told on 2/16 early a.m. that she had a blood clot that destroyed her colon. Due to age surgery would likely not be successful. She then died on the Friday. We are reporting in the event that the Pfizer vaccine was somehow a contributing factor to the A fib or to the Clot. She has no history of A fib or clotting prior to this incident. She was 93, and did have dementia, but was able to eat normal foods prior to this. What was unusual was the challenge in walking the day after the shot. Other than that no difference was observed until the day she was admitted to the hospital emergency room. She was a resident at Assisted Living, Memory Care, and that is where she received the vaccine. The mailing address I provided is her mailing address prior to death.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Gait inability, Thrombosis, Vomiting
Clinical narrative: My mother died on February 19, 2021. She had her 2nd dose vaccine on 2/11, on 2/12 it was noted that she was not able to walk, on 2/13 she was walking at 30%, on 2/14 she was walking with difficulty, on Monday 2/15 she was throwing up violently and her blood pressure dropped, so she was sent to Clinic. My sister was told she was just constipated and she had A Fib (never reported before to us). My sister was then told on 2/16 early a.m. that she had a blood clot that destroyed her colon. Due to age surgery would likely not be successful. She then died on the Friday. We are reporting in the event that the Pfizer vaccine was somehow a contributing factor to the A fib or to the Clot. She has no history of A fib or clotting prior to this incident. She was 93, and did have dementia, but was able to eat normal foods prior to this. What was unusual was the challenge in walking the day after the shot. Other than that no difference was observed until the day she was admitted to the hospital emergency room. She was a resident at Assisted Living, Memory Care, and that is where she received the vaccine. The mailing address I provided is her mailing address prior to death.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia oral, Speech disorder, Swollen tongue
Clinical narrative: Patient was given vaccine at approximately 10:20am and completed 15 minute monitoring in office. Patient returned to clinic at approximately 10:45 with complaints of left arm numbness, tongue tingling, tongue swelling, and speech difficulty. 0.3mg Epipen and 50mg benadryl was administered and patient immediately reported resolution of tongue swelling and speech difficulty. Patient was transported via EMS per clinic  protocol.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time shortened, Alanine aminotransferase normal, Albumin globulin ratio normal, Aspartate aminotransferase normal, Atelectasis
Clinical narrative: Sent: 3/4/2021   7:55 AM Subject: Non-Urgent Medical Question                    For a full week now, I have been battling diarrhea and a very hyperactive stomach and intestines. Provider prescribed some bentyl Sunday to ease my cramping. At early onset I had some nausea too. I'm wondering if I don't need some blood work, whatever you think and maybe recheck my TSH too. Dr. already ordered a UA with culture which were both negative. That was done because of back pain over left kidney a couple of weeks ago. Diagnosis: Theo. My intestines have never been right since my surgery, but this gassiness and hyperactivity is much more extreme. I tried Metamucil and it blew my guts up even worse. I know I'm due for a CT scan. I see Dr. March 22. I'm trying to hold off until then because I want to discuss with him why I prefer to have all scans at specific facility. I just wanted to get your advice since it's been a week now. I did get my second Moderna vaccine on February 15 and  Fulvestrant injections on Feb. 22. My issues started on Feb. 25. Oddly, right now as I'm typing this, my gut is much calmer. Yesterday was my worst day with diarrhea.  3/13/21 ER for back pain - transferred to second hospital - remains admitted there as of 3/16/21 History of Present Illness:  Patient is a 68-year-old female with known metastatic ovarian cancer under active treatment since 2004, currently on fulvestrant after a massive debulking surgery by Dr. last July (2020).  Patient presented to outlying emergency room with flank pain & transferred here with severe bilateral hydronephrosis on imaging.  Patient had severe left flank pain about 2 weeks ago. Treated with tylenol, motrin, and heat and pain eventually dissipated. Then Tuesday and Wednesday pt did a lot of yard work and lifting. Thursday patient woke up with excruciating right flank pain.  Nothing has made it better.  Patient has tried ice, heat, tramadol Tylenol, Motrin, steroids and pain persists.  Additionally patient having nausea and vomiting.  She has started to have burning with urination.  Pain is excruciating stabbing.  Radiates to the groin.  Patient has also started running fevers today.  She feels pretty miserable.   Also patient notes difficulty with her bowels since her last surgery.  Prior to surgery she took Linzess every day.  Since surgery it has been suggested she does not need this medication.  Patient does note little to no notice when her bowels decide to move.  Severe significant gas.  Other times patient feels quite constipated.   UA suggests possible infection with positive nitrites, 1+ leukocyte esterase and 3+ blood.  WBC 2.1, Cr 1.0, K 3.0 CT scan with multiple abnormalities, but most notably severe bilateral hydronephrosis without obvious obstructing lesion.  Multiple scattered nodular densities concerning for metastatic disease.    Patient transferred for higher level of care and urology consultation.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Bacterial test positive, Basophil count abnormal, Basophil count normal, Biliary ascites
Clinical narrative: Sent: 3/4/2021   7:55 AM Subject: Non-Urgent Medical Question                    For a full week now, I have been battling diarrhea and a very hyperactive stomach and intestines. Provider prescribed some bentyl Sunday to ease my cramping. At early onset I had some nausea too. I'm wondering if I don't need some blood work, whatever you think and maybe recheck my TSH too. Dr. already ordered a UA with culture which were both negative. That was done because of back pain over left kidney a couple of weeks ago. Diagnosis: Theo. My intestines have never been right since my surgery, but this gassiness and hyperactivity is much more extreme. I tried Metamucil and it blew my guts up even worse. I know I'm due for a CT scan. I see Dr. March 22. I'm trying to hold off until then because I want to discuss with him why I prefer to have all scans at specific facility. I just wanted to get your advice since it's been a week now. I did get my second Moderna vaccine on February 15 and  Fulvestrant injections on Feb. 22. My issues started on Feb. 25. Oddly, right now as I'm typing this, my gut is much calmer. Yesterday was my worst day with diarrhea.  3/13/21 ER for back pain - transferred to second hospital - remains admitted there as of 3/16/21 History of Present Illness:  Patient is a 68-year-old female with known metastatic ovarian cancer under active treatment since 2004, currently on fulvestrant after a massive debulking surgery by Dr. last July (2020).  Patient presented to outlying emergency room with flank pain & transferred here with severe bilateral hydronephrosis on imaging.  Patient had severe left flank pain about 2 weeks ago. Treated with tylenol, motrin, and heat and pain eventually dissipated. Then Tuesday and Wednesday pt did a lot of yard work and lifting. Thursday patient woke up with excruciating right flank pain.  Nothing has made it better.  Patient has tried ice, heat, tramadol Tylenol, Motrin, steroids and pain persists.  Additionally patient having nausea and vomiting.  She has started to have burning with urination.  Pain is excruciating stabbing.  Radiates to the groin.  Patient has also started running fevers today.  She feels pretty miserable.   Also patient notes difficulty with her bowels since her last surgery.  Prior to surgery she took Linzess every day.  Since surgery it has been suggested she does not need this medication.  Patient does note little to no notice when her bowels decide to move.  Severe significant gas.  Other times patient feels quite constipated.   UA suggests possible infection with positive nitrites, 1+ leukocyte esterase and 3+ blood.  WBC 2.1, Cr 1.0, K 3.0 CT scan with multiple abnormalities, but most notably severe bilateral hydronephrosis without obvious obstructing lesion.  Multiple scattered nodular densities concerning for metastatic disease.    Patient transferred for higher level of care and urology consultation.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Bilirubin urine, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium, Blood chloride normal
Clinical narrative: Sent: 3/4/2021   7:55 AM Subject: Non-Urgent Medical Question                    For a full week now, I have been battling diarrhea and a very hyperactive stomach and intestines. Provider prescribed some bentyl Sunday to ease my cramping. At early onset I had some nausea too. I'm wondering if I don't need some blood work, whatever you think and maybe recheck my TSH too. Dr. already ordered a UA with culture which were both negative. That was done because of back pain over left kidney a couple of weeks ago. Diagnosis: Theo. My intestines have never been right since my surgery, but this gassiness and hyperactivity is much more extreme. I tried Metamucil and it blew my guts up even worse. I know I'm due for a CT scan. I see Dr. March 22. I'm trying to hold off until then because I want to discuss with him why I prefer to have all scans at specific facility. I just wanted to get your advice since it's been a week now. I did get my second Moderna vaccine on February 15 and  Fulvestrant injections on Feb. 22. My issues started on Feb. 25. Oddly, right now as I'm typing this, my gut is much calmer. Yesterday was my worst day with diarrhea.  3/13/21 ER for back pain - transferred to second hospital - remains admitted there as of 3/16/21 History of Present Illness:  Patient is a 68-year-old female with known metastatic ovarian cancer under active treatment since 2004, currently on fulvestrant after a massive debulking surgery by Dr. last July (2020).  Patient presented to outlying emergency room with flank pain & transferred here with severe bilateral hydronephrosis on imaging.  Patient had severe left flank pain about 2 weeks ago. Treated with tylenol, motrin, and heat and pain eventually dissipated. Then Tuesday and Wednesday pt did a lot of yard work and lifting. Thursday patient woke up with excruciating right flank pain.  Nothing has made it better.  Patient has tried ice, heat, tramadol Tylenol, Motrin, steroids and pain persists.  Additionally patient having nausea and vomiting.  She has started to have burning with urination.  Pain is excruciating stabbing.  Radiates to the groin.  Patient has also started running fevers today.  She feels pretty miserable.   Also patient notes difficulty with her bowels since her last surgery.  Prior to surgery she took Linzess every day.  Since surgery it has been suggested she does not need this medication.  Patient does note little to no notice when her bowels decide to move.  Severe significant gas.  Other times patient feels quite constipated.   UA suggests possible infection with positive nitrites, 1+ leukocyte esterase and 3+ blood.  WBC 2.1, Cr 1.0, K 3.0 CT scan with multiple abnormalities, but most notably severe bilateral hydronephrosis without obvious obstructing lesion.  Multiple scattered nodular densities concerning for metastatic disease.    Patient transferred for higher level of care and urology consultation.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatine normal, Blood culture negative, Blood glucose normal, Blood magnesium normal, Blood potassium decreased
Clinical narrative: Sent: 3/4/2021   7:55 AM Subject: Non-Urgent Medical Question                    For a full week now, I have been battling diarrhea and a very hyperactive stomach and intestines. Provider prescribed some bentyl Sunday to ease my cramping. At early onset I had some nausea too. I'm wondering if I don't need some blood work, whatever you think and maybe recheck my TSH too. Dr. already ordered a UA with culture which were both negative. That was done because of back pain over left kidney a couple of weeks ago. Diagnosis: Theo. My intestines have never been right since my surgery, but this gassiness and hyperactivity is much more extreme. I tried Metamucil and it blew my guts up even worse. I know I'm due for a CT scan. I see Dr. March 22. I'm trying to hold off until then because I want to discuss with him why I prefer to have all scans at specific facility. I just wanted to get your advice since it's been a week now. I did get my second Moderna vaccine on February 15 and  Fulvestrant injections on Feb. 22. My issues started on Feb. 25. Oddly, right now as I'm typing this, my gut is much calmer. Yesterday was my worst day with diarrhea.  3/13/21 ER for back pain - transferred to second hospital - remains admitted there as of 3/16/21 History of Present Illness:  Patient is a 68-year-old female with known metastatic ovarian cancer under active treatment since 2004, currently on fulvestrant after a massive debulking surgery by Dr. last July (2020).  Patient presented to outlying emergency room with flank pain & transferred here with severe bilateral hydronephrosis on imaging.  Patient had severe left flank pain about 2 weeks ago. Treated with tylenol, motrin, and heat and pain eventually dissipated. Then Tuesday and Wednesday pt did a lot of yard work and lifting. Thursday patient woke up with excruciating right flank pain.  Nothing has made it better.  Patient has tried ice, heat, tramadol Tylenol, Motrin, steroids and pain persists.  Additionally patient having nausea and vomiting.  She has started to have burning with urination.  Pain is excruciating stabbing.  Radiates to the groin.  Patient has also started running fevers today.  She feels pretty miserable.   Also patient notes difficulty with her bowels since her last surgery.  Prior to surgery she took Linzess every day.  Since surgery it has been suggested she does not need this medication.  Patient does note little to no notice when her bowels decide to move.  Severe significant gas.  Other times patient feels quite constipated.   UA suggests possible infection with positive nitrites, 1+ leukocyte esterase and 3+ blood.  WBC 2.1, Cr 1.0, K 3.0 CT scan with multiple abnormalities, but most notably severe bilateral hydronephrosis without obvious obstructing lesion.  Multiple scattered nodular densities concerning for metastatic disease.    Patient transferred for higher level of care and urology consultation.