chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic encephalopathy, SARS-CoV-2 test positive, Vascular dementia
Clinical narrative: Clinical Summary Patient is a 75 y.o. male with a history of Migraines, Afib and Cerebral amyloid angiopathy with associated cognitive decline who presented to RMH 10/22/2022 with acute worsening of confusion, expressive aphasia and generalized weakness found to have nonacute CT head and CTA H/N and COVID positive   1. Acute on chronic metabolic encephalopathy: with chronic vascular/amyloid dementia - precipitated by likely COVID. At baseline Oriented x 2. MRI brain - limited study 10/22/22 showed no acute infarct.  EEG with no epileptiform activity. Improved.  2. COVID 19: diagnosed 10/22/22 with wife being recently positive. Asymptomatic except as above and on room air. Isolation through 11/2/22 per infection control. 3. Afib RVR: Known history, not on AC due to amyloid. Continued ASA. Previously on BB - but stopped as HR controlled and soft BP. Restarted BB 10/23.  HR controlled
Age: 38.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Decreased appetite, Fatigue, Feeling abnormal, Headache
Clinical narrative: Headache later in the day. Overnight (Tuesday) and through Thursday night, chills, sweating, fevers, exhaustion. From Wednesday through Friday, nausea. However, extreme nausea and loss of appetite Wednesday and Thursday. Exhaustion on both of those days. Did not feel okay again until Saturday, even though the vaccine was received on Tuesday. Have never experienced ANY reaction to the flu vaccine before and the vaccine has been received many, many times.
Age: 38.0
Sex: F
Vaccine: FLU4
Symptoms: Hyperhidrosis, Nausea, Pyrexia
Clinical narrative: Headache later in the day. Overnight (Tuesday) and through Thursday night, chills, sweating, fevers, exhaustion. From Wednesday through Friday, nausea. However, extreme nausea and loss of appetite Wednesday and Thursday. Exhaustion on both of those days. Did not feel okay again until Saturday, even though the vaccine was received on Tuesday. Have never experienced ANY reaction to the flu vaccine before and the vaccine has been received many, many times.
Age: 11.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: No adverse event; admin. error only. Pt was not to receive grey cap Pfizer bivalent booster and should have received the pediatric orange cap bivalent booster.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Blood culture negative, Blood glucose normal, Bradycardia, COVID-19, Cardiac failure congestive
Clinical narrative: Patient is a 65 y.o. male patient of local MD with history of COPD with chronic hypoxic respiratory failure (on 3-4L NC), DM2, chronic venous stasis with chronic BLE wounds, OSA noncompliant with CPAP who presents with AMS and hypoxia, COVID positive    Acute on chronic hypoxic hypercapneic respiratory failure COVID-19 Acute COPD exacerbation H/O left upper lobectomy  Found to be confused at his PCP office, hypoxic on RA (wasn't wearing his baseline O2 of 4L), bradycardic to 30s, and hypotensive to 70s. Semi-emergently intubated in ER due to worsening responsiveness.  Pulmonology consult appreciated Intubated Completed 10 day course of IV Decadron  Hold IV Lasix due to hypotension DuoNebs   VAP Chest x-ray-retrocardiac consolidations noted, sputum cultures MSSA and haemophilus influenza MRSA probe is positive, blood cultures negative Due to worsening hypoxia, antibiotics broadened to vancomycin and ceftriaxone on 11/4 Sputum culture positive for MRSA and Haemophilus Influenzae  MRSA DNA probe positive Abx stopped on 11/09/22 due to palliative extubation and changing to DNRCC Blood cultures negative Pulmonary consulted.    Bilateral chronic venous stasis Noted right lower extremity purplish discoloration and cold Bilateral ABI-mild peripheral artery disease noted Monitor   Shock  Unlikely Cardiogenic as per Cardio ECHO- preserved LVEF, with right ventricular systolic dysfunction CTPE- no p.e, probable Pulmonary HTN Likely due to hypovolemia and sedatives Initially required pressors but weaned off Hypotension on 11/8/22 and not responsive to fluid boluses Family wanted to hold off on additional IVF boluses and/or pressor Covid-19 Virus Infection Date of onset of symptoms: 10/25/22 Symptoms present on admission: lethargy Date of covid positive test: 10/27/22 Vaccination status: unvaccinated (according to brother POA) Imaging: CXR with left whiteout, CHF Oxygen requirements on admission: up to 15L NRB, intubated 10/27/22 Medical therapy: Finished course of steroids.  CRP <75 Consultants following: pulm critical care Anticipated special isolation end date: TBD    Metabolic Encephalopathy Delirium Due to polypharmacy, recent start of Marijuana, on Flexeril and Gabapentin CT head on admission- normal On delirium protocol, up titrated Seroquel to 25 mg 3 times daily   T2DM Home RX: lantus 20 units at bedtime, SSI. Recent A1C 7.8% in June 2022. On decreased dose of lantus to 10 units given relative normoglycemia, continue SSI Blood sugar stable    Nutrition Received TF Add free water 300 every 6 hours Bowel regimen   Goals of Care Palliative Care consulted.  Palliative extubated on 11/09/22 and pronounced deceased at  1310 DNRCC
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chronic obstructive pulmonary disease, Computerised tomogram head normal, Computerised tomogram thorax abnormal, Condition aggravated
Clinical narrative: Patient is a 65 y.o. male patient of local MD with history of COPD with chronic hypoxic respiratory failure (on 3-4L NC), DM2, chronic venous stasis with chronic BLE wounds, OSA noncompliant with CPAP who presents with AMS and hypoxia, COVID positive    Acute on chronic hypoxic hypercapneic respiratory failure COVID-19 Acute COPD exacerbation H/O left upper lobectomy  Found to be confused at his PCP office, hypoxic on RA (wasn't wearing his baseline O2 of 4L), bradycardic to 30s, and hypotensive to 70s. Semi-emergently intubated in ER due to worsening responsiveness.  Pulmonology consult appreciated Intubated Completed 10 day course of IV Decadron  Hold IV Lasix due to hypotension DuoNebs   VAP Chest x-ray-retrocardiac consolidations noted, sputum cultures MSSA and haemophilus influenza MRSA probe is positive, blood cultures negative Due to worsening hypoxia, antibiotics broadened to vancomycin and ceftriaxone on 11/4 Sputum culture positive for MRSA and Haemophilus Influenzae  MRSA DNA probe positive Abx stopped on 11/09/22 due to palliative extubation and changing to DNRCC Blood cultures negative Pulmonary consulted.    Bilateral chronic venous stasis Noted right lower extremity purplish discoloration and cold Bilateral ABI-mild peripheral artery disease noted Monitor   Shock  Unlikely Cardiogenic as per Cardio ECHO- preserved LVEF, with right ventricular systolic dysfunction CTPE- no p.e, probable Pulmonary HTN Likely due to hypovolemia and sedatives Initially required pressors but weaned off Hypotension on 11/8/22 and not responsive to fluid boluses Family wanted to hold off on additional IVF boluses and/or pressor Covid-19 Virus Infection Date of onset of symptoms: 10/25/22 Symptoms present on admission: lethargy Date of covid positive test: 10/27/22 Vaccination status: unvaccinated (according to brother POA) Imaging: CXR with left whiteout, CHF Oxygen requirements on admission: up to 15L NRB, intubated 10/27/22 Medical therapy: Finished course of steroids.  CRP <75 Consultants following: pulm critical care Anticipated special isolation end date: TBD    Metabolic Encephalopathy Delirium Due to polypharmacy, recent start of Marijuana, on Flexeril and Gabapentin CT head on admission- normal On delirium protocol, up titrated Seroquel to 25 mg 3 times daily   T2DM Home RX: lantus 20 units at bedtime, SSI. Recent A1C 7.8% in June 2022. On decreased dose of lantus to 10 units given relative normoglycemia, continue SSI Blood sugar stable    Nutrition Received TF Add free water 300 every 6 hours Bowel regimen   Goals of Care Palliative Care consulted.  Palliative extubated on 11/09/22 and pronounced deceased at  1310 DNRCC
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Death, Delirium, Echocardiogram, Ejection fraction
Clinical narrative: Patient is a 65 y.o. male patient of local MD with history of COPD with chronic hypoxic respiratory failure (on 3-4L NC), DM2, chronic venous stasis with chronic BLE wounds, OSA noncompliant with CPAP who presents with AMS and hypoxia, COVID positive    Acute on chronic hypoxic hypercapneic respiratory failure COVID-19 Acute COPD exacerbation H/O left upper lobectomy  Found to be confused at his PCP office, hypoxic on RA (wasn't wearing his baseline O2 of 4L), bradycardic to 30s, and hypotensive to 70s. Semi-emergently intubated in ER due to worsening responsiveness.  Pulmonology consult appreciated Intubated Completed 10 day course of IV Decadron  Hold IV Lasix due to hypotension DuoNebs   VAP Chest x-ray-retrocardiac consolidations noted, sputum cultures MSSA and haemophilus influenza MRSA probe is positive, blood cultures negative Due to worsening hypoxia, antibiotics broadened to vancomycin and ceftriaxone on 11/4 Sputum culture positive for MRSA and Haemophilus Influenzae  MRSA DNA probe positive Abx stopped on 11/09/22 due to palliative extubation and changing to DNRCC Blood cultures negative Pulmonary consulted.    Bilateral chronic venous stasis Noted right lower extremity purplish discoloration and cold Bilateral ABI-mild peripheral artery disease noted Monitor   Shock  Unlikely Cardiogenic as per Cardio ECHO- preserved LVEF, with right ventricular systolic dysfunction CTPE- no p.e, probable Pulmonary HTN Likely due to hypovolemia and sedatives Initially required pressors but weaned off Hypotension on 11/8/22 and not responsive to fluid boluses Family wanted to hold off on additional IVF boluses and/or pressor Covid-19 Virus Infection Date of onset of symptoms: 10/25/22 Symptoms present on admission: lethargy Date of covid positive test: 10/27/22 Vaccination status: unvaccinated (according to brother POA) Imaging: CXR with left whiteout, CHF Oxygen requirements on admission: up to 15L NRB, intubated 10/27/22 Medical therapy: Finished course of steroids.  CRP <75 Consultants following: pulm critical care Anticipated special isolation end date: TBD    Metabolic Encephalopathy Delirium Due to polypharmacy, recent start of Marijuana, on Flexeril and Gabapentin CT head on admission- normal On delirium protocol, up titrated Seroquel to 25 mg 3 times daily   T2DM Home RX: lantus 20 units at bedtime, SSI. Recent A1C 7.8% in June 2022. On decreased dose of lantus to 10 units given relative normoglycemia, continue SSI Blood sugar stable    Nutrition Received TF Add free water 300 every 6 hours Bowel regimen   Goals of Care Palliative Care consulted.  Palliative extubated on 11/09/22 and pronounced deceased at  1310 DNRCC
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Endotracheal intubation, Glycosylated haemoglobin increased, Haemophilus test positive, Hyporesponsive to stimuli, Hypotension
Clinical narrative: Patient is a 65 y.o. male patient of local MD with history of COPD with chronic hypoxic respiratory failure (on 3-4L NC), DM2, chronic venous stasis with chronic BLE wounds, OSA noncompliant with CPAP who presents with AMS and hypoxia, COVID positive    Acute on chronic hypoxic hypercapneic respiratory failure COVID-19 Acute COPD exacerbation H/O left upper lobectomy  Found to be confused at his PCP office, hypoxic on RA (wasn't wearing his baseline O2 of 4L), bradycardic to 30s, and hypotensive to 70s. Semi-emergently intubated in ER due to worsening responsiveness.  Pulmonology consult appreciated Intubated Completed 10 day course of IV Decadron  Hold IV Lasix due to hypotension DuoNebs   VAP Chest x-ray-retrocardiac consolidations noted, sputum cultures MSSA and haemophilus influenza MRSA probe is positive, blood cultures negative Due to worsening hypoxia, antibiotics broadened to vancomycin and ceftriaxone on 11/4 Sputum culture positive for MRSA and Haemophilus Influenzae  MRSA DNA probe positive Abx stopped on 11/09/22 due to palliative extubation and changing to DNRCC Blood cultures negative Pulmonary consulted.    Bilateral chronic venous stasis Noted right lower extremity purplish discoloration and cold Bilateral ABI-mild peripheral artery disease noted Monitor   Shock  Unlikely Cardiogenic as per Cardio ECHO- preserved LVEF, with right ventricular systolic dysfunction CTPE- no p.e, probable Pulmonary HTN Likely due to hypovolemia and sedatives Initially required pressors but weaned off Hypotension on 11/8/22 and not responsive to fluid boluses Family wanted to hold off on additional IVF boluses and/or pressor Covid-19 Virus Infection Date of onset of symptoms: 10/25/22 Symptoms present on admission: lethargy Date of covid positive test: 10/27/22 Vaccination status: unvaccinated (according to brother POA) Imaging: CXR with left whiteout, CHF Oxygen requirements on admission: up to 15L NRB, intubated 10/27/22 Medical therapy: Finished course of steroids.  CRP <75 Consultants following: pulm critical care Anticipated special isolation end date: TBD    Metabolic Encephalopathy Delirium Due to polypharmacy, recent start of Marijuana, on Flexeril and Gabapentin CT head on admission- normal On delirium protocol, up titrated Seroquel to 25 mg 3 times daily   T2DM Home RX: lantus 20 units at bedtime, SSI. Recent A1C 7.8% in June 2022. On decreased dose of lantus to 10 units given relative normoglycemia, continue SSI Blood sugar stable    Nutrition Received TF Add free water 300 every 6 hours Bowel regimen   Goals of Care Palliative Care consulted.  Palliative extubated on 11/09/22 and pronounced deceased at  1310 DNRCC
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Hypovolaemia, Lethargy, Lung consolidation, Malaise, Mental status changes
Clinical narrative: Patient is a 65 y.o. male patient of local MD with history of COPD with chronic hypoxic respiratory failure (on 3-4L NC), DM2, chronic venous stasis with chronic BLE wounds, OSA noncompliant with CPAP who presents with AMS and hypoxia, COVID positive    Acute on chronic hypoxic hypercapneic respiratory failure COVID-19 Acute COPD exacerbation H/O left upper lobectomy  Found to be confused at his PCP office, hypoxic on RA (wasn't wearing his baseline O2 of 4L), bradycardic to 30s, and hypotensive to 70s. Semi-emergently intubated in ER due to worsening responsiveness.  Pulmonology consult appreciated Intubated Completed 10 day course of IV Decadron  Hold IV Lasix due to hypotension DuoNebs   VAP Chest x-ray-retrocardiac consolidations noted, sputum cultures MSSA and haemophilus influenza MRSA probe is positive, blood cultures negative Due to worsening hypoxia, antibiotics broadened to vancomycin and ceftriaxone on 11/4 Sputum culture positive for MRSA and Haemophilus Influenzae  MRSA DNA probe positive Abx stopped on 11/09/22 due to palliative extubation and changing to DNRCC Blood cultures negative Pulmonary consulted.    Bilateral chronic venous stasis Noted right lower extremity purplish discoloration and cold Bilateral ABI-mild peripheral artery disease noted Monitor   Shock  Unlikely Cardiogenic as per Cardio ECHO- preserved LVEF, with right ventricular systolic dysfunction CTPE- no p.e, probable Pulmonary HTN Likely due to hypovolemia and sedatives Initially required pressors but weaned off Hypotension on 11/8/22 and not responsive to fluid boluses Family wanted to hold off on additional IVF boluses and/or pressor Covid-19 Virus Infection Date of onset of symptoms: 10/25/22 Symptoms present on admission: lethargy Date of covid positive test: 10/27/22 Vaccination status: unvaccinated (according to brother POA) Imaging: CXR with left whiteout, CHF Oxygen requirements on admission: up to 15L NRB, intubated 10/27/22 Medical therapy: Finished course of steroids.  CRP <75 Consultants following: pulm critical care Anticipated special isolation end date: TBD    Metabolic Encephalopathy Delirium Due to polypharmacy, recent start of Marijuana, on Flexeril and Gabapentin CT head on admission- normal On delirium protocol, up titrated Seroquel to 25 mg 3 times daily   T2DM Home RX: lantus 20 units at bedtime, SSI. Recent A1C 7.8% in June 2022. On decreased dose of lantus to 10 units given relative normoglycemia, continue SSI Blood sugar stable    Nutrition Received TF Add free water 300 every 6 hours Bowel regimen   Goals of Care Palliative Care consulted.  Palliative extubated on 11/09/22 and pronounced deceased at  1310 DNRCC
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic encephalopathy, Multiple drug therapy, Peripheral arterial occlusive disease, Peripheral coldness, Peripheral venous disease
Clinical narrative: Patient is a 65 y.o. male patient of local MD with history of COPD with chronic hypoxic respiratory failure (on 3-4L NC), DM2, chronic venous stasis with chronic BLE wounds, OSA noncompliant with CPAP who presents with AMS and hypoxia, COVID positive    Acute on chronic hypoxic hypercapneic respiratory failure COVID-19 Acute COPD exacerbation H/O left upper lobectomy  Found to be confused at his PCP office, hypoxic on RA (wasn't wearing his baseline O2 of 4L), bradycardic to 30s, and hypotensive to 70s. Semi-emergently intubated in ER due to worsening responsiveness.  Pulmonology consult appreciated Intubated Completed 10 day course of IV Decadron  Hold IV Lasix due to hypotension DuoNebs   VAP Chest x-ray-retrocardiac consolidations noted, sputum cultures MSSA and haemophilus influenza MRSA probe is positive, blood cultures negative Due to worsening hypoxia, antibiotics broadened to vancomycin and ceftriaxone on 11/4 Sputum culture positive for MRSA and Haemophilus Influenzae  MRSA DNA probe positive Abx stopped on 11/09/22 due to palliative extubation and changing to DNRCC Blood cultures negative Pulmonary consulted.    Bilateral chronic venous stasis Noted right lower extremity purplish discoloration and cold Bilateral ABI-mild peripheral artery disease noted Monitor   Shock  Unlikely Cardiogenic as per Cardio ECHO- preserved LVEF, with right ventricular systolic dysfunction CTPE- no p.e, probable Pulmonary HTN Likely due to hypovolemia and sedatives Initially required pressors but weaned off Hypotension on 11/8/22 and not responsive to fluid boluses Family wanted to hold off on additional IVF boluses and/or pressor Covid-19 Virus Infection Date of onset of symptoms: 10/25/22 Symptoms present on admission: lethargy Date of covid positive test: 10/27/22 Vaccination status: unvaccinated (according to brother POA) Imaging: CXR with left whiteout, CHF Oxygen requirements on admission: up to 15L NRB, intubated 10/27/22 Medical therapy: Finished course of steroids.  CRP <75 Consultants following: pulm critical care Anticipated special isolation end date: TBD    Metabolic Encephalopathy Delirium Due to polypharmacy, recent start of Marijuana, on Flexeril and Gabapentin CT head on admission- normal On delirium protocol, up titrated Seroquel to 25 mg 3 times daily   T2DM Home RX: lantus 20 units at bedtime, SSI. Recent A1C 7.8% in June 2022. On decreased dose of lantus to 10 units given relative normoglycemia, continue SSI Blood sugar stable    Nutrition Received TF Add free water 300 every 6 hours Bowel regimen   Goals of Care Palliative Care consulted.  Palliative extubated on 11/09/22 and pronounced deceased at  1310 DNRCC
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary hypertension, Respiratory failure, Right ventricular dysfunction, SARS-CoV-2 test positive, Shock
Clinical narrative: Patient is a 65 y.o. male patient of local MD with history of COPD with chronic hypoxic respiratory failure (on 3-4L NC), DM2, chronic venous stasis with chronic BLE wounds, OSA noncompliant with CPAP who presents with AMS and hypoxia, COVID positive    Acute on chronic hypoxic hypercapneic respiratory failure COVID-19 Acute COPD exacerbation H/O left upper lobectomy  Found to be confused at his PCP office, hypoxic on RA (wasn't wearing his baseline O2 of 4L), bradycardic to 30s, and hypotensive to 70s. Semi-emergently intubated in ER due to worsening responsiveness.  Pulmonology consult appreciated Intubated Completed 10 day course of IV Decadron  Hold IV Lasix due to hypotension DuoNebs   VAP Chest x-ray-retrocardiac consolidations noted, sputum cultures MSSA and haemophilus influenza MRSA probe is positive, blood cultures negative Due to worsening hypoxia, antibiotics broadened to vancomycin and ceftriaxone on 11/4 Sputum culture positive for MRSA and Haemophilus Influenzae  MRSA DNA probe positive Abx stopped on 11/09/22 due to palliative extubation and changing to DNRCC Blood cultures negative Pulmonary consulted.    Bilateral chronic venous stasis Noted right lower extremity purplish discoloration and cold Bilateral ABI-mild peripheral artery disease noted Monitor   Shock  Unlikely Cardiogenic as per Cardio ECHO- preserved LVEF, with right ventricular systolic dysfunction CTPE- no p.e, probable Pulmonary HTN Likely due to hypovolemia and sedatives Initially required pressors but weaned off Hypotension on 11/8/22 and not responsive to fluid boluses Family wanted to hold off on additional IVF boluses and/or pressor Covid-19 Virus Infection Date of onset of symptoms: 10/25/22 Symptoms present on admission: lethargy Date of covid positive test: 10/27/22 Vaccination status: unvaccinated (according to brother POA) Imaging: CXR with left whiteout, CHF Oxygen requirements on admission: up to 15L NRB, intubated 10/27/22 Medical therapy: Finished course of steroids.  CRP <75 Consultants following: pulm critical care Anticipated special isolation end date: TBD    Metabolic Encephalopathy Delirium Due to polypharmacy, recent start of Marijuana, on Flexeril and Gabapentin CT head on admission- normal On delirium protocol, up titrated Seroquel to 25 mg 3 times daily   T2DM Home RX: lantus 20 units at bedtime, SSI. Recent A1C 7.8% in June 2022. On decreased dose of lantus to 10 units given relative normoglycemia, continue SSI Blood sugar stable    Nutrition Received TF Add free water 300 every 6 hours Bowel regimen   Goals of Care Palliative Care consulted.  Palliative extubated on 11/09/22 and pronounced deceased at  1310 DNRCC
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Skin discolouration, Sputum culture positive, Staphylococcus test positive, Substance use, Systolic dysfunction
Clinical narrative: Patient is a 65 y.o. male patient of local MD with history of COPD with chronic hypoxic respiratory failure (on 3-4L NC), DM2, chronic venous stasis with chronic BLE wounds, OSA noncompliant with CPAP who presents with AMS and hypoxia, COVID positive    Acute on chronic hypoxic hypercapneic respiratory failure COVID-19 Acute COPD exacerbation H/O left upper lobectomy  Found to be confused at his PCP office, hypoxic on RA (wasn't wearing his baseline O2 of 4L), bradycardic to 30s, and hypotensive to 70s. Semi-emergently intubated in ER due to worsening responsiveness.  Pulmonology consult appreciated Intubated Completed 10 day course of IV Decadron  Hold IV Lasix due to hypotension DuoNebs   VAP Chest x-ray-retrocardiac consolidations noted, sputum cultures MSSA and haemophilus influenza MRSA probe is positive, blood cultures negative Due to worsening hypoxia, antibiotics broadened to vancomycin and ceftriaxone on 11/4 Sputum culture positive for MRSA and Haemophilus Influenzae  MRSA DNA probe positive Abx stopped on 11/09/22 due to palliative extubation and changing to DNRCC Blood cultures negative Pulmonary consulted.    Bilateral chronic venous stasis Noted right lower extremity purplish discoloration and cold Bilateral ABI-mild peripheral artery disease noted Monitor   Shock  Unlikely Cardiogenic as per Cardio ECHO- preserved LVEF, with right ventricular systolic dysfunction CTPE- no p.e, probable Pulmonary HTN Likely due to hypovolemia and sedatives Initially required pressors but weaned off Hypotension on 11/8/22 and not responsive to fluid boluses Family wanted to hold off on additional IVF boluses and/or pressor Covid-19 Virus Infection Date of onset of symptoms: 10/25/22 Symptoms present on admission: lethargy Date of covid positive test: 10/27/22 Vaccination status: unvaccinated (according to brother POA) Imaging: CXR with left whiteout, CHF Oxygen requirements on admission: up to 15L NRB, intubated 10/27/22 Medical therapy: Finished course of steroids.  CRP <75 Consultants following: pulm critical care Anticipated special isolation end date: TBD    Metabolic Encephalopathy Delirium Due to polypharmacy, recent start of Marijuana, on Flexeril and Gabapentin CT head on admission- normal On delirium protocol, up titrated Seroquel to 25 mg 3 times daily   T2DM Home RX: lantus 20 units at bedtime, SSI. Recent A1C 7.8% in June 2022. On decreased dose of lantus to 10 units given relative normoglycemia, continue SSI Blood sugar stable    Nutrition Received TF Add free water 300 every 6 hours Bowel regimen   Goals of Care Palliative Care consulted.  Palliative extubated on 11/09/22 and pronounced deceased at  1310 DNRCC
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Type 2 diabetes mellitus
Clinical narrative: Patient is a 65 y.o. male patient of local MD with history of COPD with chronic hypoxic respiratory failure (on 3-4L NC), DM2, chronic venous stasis with chronic BLE wounds, OSA noncompliant with CPAP who presents with AMS and hypoxia, COVID positive    Acute on chronic hypoxic hypercapneic respiratory failure COVID-19 Acute COPD exacerbation H/O left upper lobectomy  Found to be confused at his PCP office, hypoxic on RA (wasn't wearing his baseline O2 of 4L), bradycardic to 30s, and hypotensive to 70s. Semi-emergently intubated in ER due to worsening responsiveness.  Pulmonology consult appreciated Intubated Completed 10 day course of IV Decadron  Hold IV Lasix due to hypotension DuoNebs   VAP Chest x-ray-retrocardiac consolidations noted, sputum cultures MSSA and haemophilus influenza MRSA probe is positive, blood cultures negative Due to worsening hypoxia, antibiotics broadened to vancomycin and ceftriaxone on 11/4 Sputum culture positive for MRSA and Haemophilus Influenzae  MRSA DNA probe positive Abx stopped on 11/09/22 due to palliative extubation and changing to DNRCC Blood cultures negative Pulmonary consulted.    Bilateral chronic venous stasis Noted right lower extremity purplish discoloration and cold Bilateral ABI-mild peripheral artery disease noted Monitor   Shock  Unlikely Cardiogenic as per Cardio ECHO- preserved LVEF, with right ventricular systolic dysfunction CTPE- no p.e, probable Pulmonary HTN Likely due to hypovolemia and sedatives Initially required pressors but weaned off Hypotension on 11/8/22 and not responsive to fluid boluses Family wanted to hold off on additional IVF boluses and/or pressor Covid-19 Virus Infection Date of onset of symptoms: 10/25/22 Symptoms present on admission: lethargy Date of covid positive test: 10/27/22 Vaccination status: unvaccinated (according to brother POA) Imaging: CXR with left whiteout, CHF Oxygen requirements on admission: up to 15L NRB, intubated 10/27/22 Medical therapy: Finished course of steroids.  CRP <75 Consultants following: pulm critical care Anticipated special isolation end date: TBD    Metabolic Encephalopathy Delirium Due to polypharmacy, recent start of Marijuana, on Flexeril and Gabapentin CT head on admission- normal On delirium protocol, up titrated Seroquel to 25 mg 3 times daily   T2DM Home RX: lantus 20 units at bedtime, SSI. Recent A1C 7.8% in June 2022. On decreased dose of lantus to 10 units given relative normoglycemia, continue SSI Blood sugar stable    Nutrition Received TF Add free water 300 every 6 hours Bowel regimen   Goals of Care Palliative Care consulted.  Palliative extubated on 11/09/22 and pronounced deceased at  1310 DNRCC
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: NO ADVERSE REACTIONS OCCURRED. DOSE WAS DRAWN BUT A VIAL THAT WAS PUNCTURED > 12 HOURS AGO (11/18/22 106 PM) AND ADMINISTERED 11/19/22.
Age: 50.0
Sex: F
Vaccine: FLUR4, PNC20, VARZOS
Symptoms: Headache, Insomnia, Neck pain, Pain in extremity, Peripheral swelling
Clinical narrative: PATIENT CAME WITH SWOLLEN ARM (RIGHT ARM) AND COMPLAINED OF NECK/HEAD /ARM PAIN, COULDN'T SLEEP AT NIGHT , HAD FEVER, WENT TO PATIENT FIRST ON 11/19, GOT ANTIBIOTICS FOR 10 DAYS (NOT SURE).
Age: 50.0
Sex: F
Vaccine: FLUR4, PNC20, VARZOS
Symptoms: Pyrexia
Clinical narrative: PATIENT CAME WITH SWOLLEN ARM (RIGHT ARM) AND COMPLAINED OF NECK/HEAD /ARM PAIN, COULDN'T SLEEP AT NIGHT , HAD FEVER, WENT TO PATIENT FIRST ON 11/19, GOT ANTIBIOTICS FOR 10 DAYS (NOT SURE).
Age: 65.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: NO ADVERSE REACTIONS. DOSE WAS DRAWN FROM A VIAL OPEN THE PREVIOUS DAY 11/18/22 AT 106 PM.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Atelectasis, Blood creatinine increased, Blood urea increased
Clinical narrative: Patient is a 50 y.o. male patient with history of hypertension, diabetes mellitus type 2 that presented to Hospital with shortness of breath.   Acute hypoxic respiratory failure, possibly due to acute bronchitis COVID-19 virus infection Continue azithromycin and dexamethasone Oxygen saturation 93% on 2 L nasal cannula.   Covid-19 Virus Infection Date of onset of symptoms: 2 weeks Symptoms present on admission: cough, shortness of breath Date of covid positive test: 10/31/2022 Vaccination status: vaccinated Imaging: Chest x-ray showed increased bronchovascular lung markings.  No acute airspace disease.  CT scan showed no pulmonary embolism and small pleural effusion with atelectatic change possible inflammatory/pleuritic process Oxygen requirements on admission: 4 L per nasal cannula Current oxygen requirements: 2 L per nasal cannula Medical therapy: steroids Anticipated special isolation end date: 11/9/2022  Acute kidney injury BUN was 27 with a creatinine of 1.55 on admission. Appreciate nephrology consultation Creatinine is down to 1.32 today. Continue to monitor.  Diabetes mellitus type 2 Resume previous home regimen at discharge.  Hypertension Continue amlodipine, atenolol, clonidine.        Hyperlipidemia Continue statin  Hypothyroid Continue levothyroxine  Gastroesophageal reflux disease Continue PPI   Morbid obesity BMI 48.23
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Computerised tomogram thorax abnormal, Cough, Dyspnoea
Clinical narrative: Patient is a 50 y.o. male patient with history of hypertension, diabetes mellitus type 2 that presented to Hospital with shortness of breath.   Acute hypoxic respiratory failure, possibly due to acute bronchitis COVID-19 virus infection Continue azithromycin and dexamethasone Oxygen saturation 93% on 2 L nasal cannula.   Covid-19 Virus Infection Date of onset of symptoms: 2 weeks Symptoms present on admission: cough, shortness of breath Date of covid positive test: 10/31/2022 Vaccination status: vaccinated Imaging: Chest x-ray showed increased bronchovascular lung markings.  No acute airspace disease.  CT scan showed no pulmonary embolism and small pleural effusion with atelectatic change possible inflammatory/pleuritic process Oxygen requirements on admission: 4 L per nasal cannula Current oxygen requirements: 2 L per nasal cannula Medical therapy: steroids Anticipated special isolation end date: 11/9/2022  Acute kidney injury BUN was 27 with a creatinine of 1.55 on admission. Appreciate nephrology consultation Creatinine is down to 1.32 today. Continue to monitor.  Diabetes mellitus type 2 Resume previous home regimen at discharge.  Hypertension Continue amlodipine, atenolol, clonidine.        Hyperlipidemia Continue statin  Hypothyroid Continue levothyroxine  Gastroesophageal reflux disease Continue PPI   Morbid obesity BMI 48.23
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Lung disorder, Malaise, Pleural effusion, SARS-CoV-2 test positive
Clinical narrative: Patient is a 50 y.o. male patient with history of hypertension, diabetes mellitus type 2 that presented to Hospital with shortness of breath.   Acute hypoxic respiratory failure, possibly due to acute bronchitis COVID-19 virus infection Continue azithromycin and dexamethasone Oxygen saturation 93% on 2 L nasal cannula.   Covid-19 Virus Infection Date of onset of symptoms: 2 weeks Symptoms present on admission: cough, shortness of breath Date of covid positive test: 10/31/2022 Vaccination status: vaccinated Imaging: Chest x-ray showed increased bronchovascular lung markings.  No acute airspace disease.  CT scan showed no pulmonary embolism and small pleural effusion with atelectatic change possible inflammatory/pleuritic process Oxygen requirements on admission: 4 L per nasal cannula Current oxygen requirements: 2 L per nasal cannula Medical therapy: steroids Anticipated special isolation end date: 11/9/2022  Acute kidney injury BUN was 27 with a creatinine of 1.55 on admission. Appreciate nephrology consultation Creatinine is down to 1.32 today. Continue to monitor.  Diabetes mellitus type 2 Resume previous home regimen at discharge.  Hypertension Continue amlodipine, atenolol, clonidine.        Hyperlipidemia Continue statin  Hypothyroid Continue levothyroxine  Gastroesophageal reflux disease Continue PPI   Morbid obesity BMI 48.23
Age: 37.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Patient was given a 0.3 ml IM once of pediatric dose undiluted
Age: 46.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Fatigue, Migraine, Pain, Pyrexia
Clinical narrative: Body aches, low-grade fever, chills, tremors, fatigue, migraines.
Age: 46.0
Sex: F
Vaccine: FLU4
Symptoms: Tremor
Clinical narrative: Body aches, low-grade fever, chills, tremors, fatigue, migraines.
Age: 60.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: patient was given 0.3 ml IM once of pediatric pfizer undiluted
Age: 20.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood test, Cardiac disorder, Chest X-ray, Head titubation, Heart rate increased
Clinical narrative: Hives Heart problems. Palpitation  irregular heart beat. Low blood pressure. Rapid heart beat Vocal chord dysfunction  Tremors. All limbs and head
Age: 20.0
Sex: F
Vaccine: COVID19-2
Symptoms: Heart rate irregular, Hypotension, Magnetic resonance imaging, Palpitations, Tremor
Clinical narrative: Hives Heart problems. Palpitation  irregular heart beat. Low blood pressure. Rapid heart beat Vocal chord dysfunction  Tremors. All limbs and head
Age: 20.0
Sex: F
Vaccine: COVID19-2
Symptoms: Urticaria, Vocal cord dysfunction
Clinical narrative: Hives Heart problems. Palpitation  irregular heart beat. Low blood pressure. Rapid heart beat Vocal chord dysfunction  Tremors. All limbs and head
Age: 75.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Chest pain, Lethargy
Clinical narrative: Developed severe generalized pain in chest, most severe centrally around 10 pm.  Pain scale 8/10. No nausea or sweating BP 200/98. Rechecked in approximately 10 minutes and had decreased to 160/82.  Pain lasted about 30 minutes, lessening gradually. Felt extremely  weak afterward. Continuing to have weakness and lethargy today (pain last night), but no pain.
Age: 68.0
Sex: F
Vaccine: COVID19-2, FLUA4, PPV
Symptoms: Anticoagulant therapy, Deep vein thrombosis, Joint swelling, Laboratory test abnormal, Limb discomfort
Clinical narrative: Patients husband came in over a week after vaccines were administered and notified us of DVT that patient had experienced with symptoms starting 2 days after receiving her vaccine . Started as pain in toes and pressure and traveling up the leg. Strong burning pain and swollen ankle and calf. Patient's son took her to the hospital a week after her symptoms began fearing it was a clot. Hospital ran tests/exams and diagnosed that she had a clot in her inguinal area and started patient on blood thinners and surgical removal. Patient believes it was the Pfizer Bivalent Vaccine or possible combination of the 3 vaccines (Pfizer bivalent, Fluad, Pnuemovax 23). Patient was released from hospital 4 days after she entered.
Age: 68.0
Sex: F
Vaccine: COVID19-2, FLUA4, PPV
Symptoms: Pain, Pain in extremity, Peripheral swelling, Thrombectomy
Clinical narrative: Patients husband came in over a week after vaccines were administered and notified us of DVT that patient had experienced with symptoms starting 2 days after receiving her vaccine . Started as pain in toes and pressure and traveling up the leg. Strong burning pain and swollen ankle and calf. Patient's son took her to the hospital a week after her symptoms began fearing it was a clot. Hospital ran tests/exams and diagnosed that she had a clot in her inguinal area and started patient on blood thinners and surgical removal. Patient believes it was the Pfizer Bivalent Vaccine or possible combination of the 3 vaccines (Pfizer bivalent, Fluad, Pnuemovax 23). Patient was released from hospital 4 days after she entered.
Age: 87.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Erythema, Peripheral swelling, Pruritus, Rash erythematous, Skin irritation
Clinical narrative: On November  16, 2022 the patient came in to receive a Flu  and Pneumovax 23 immunization...the patient's daughter came by the store on 11/19/22 to tell us both of her mom's arms are swollen and irritated.  The patient received Flu in the right arm  and said  it is itching, red, and swollen.  The patient received Pneumovax 23 in the left arm and it is swollen, red, itching, hot to touch, and has small red spots.  The daughter was instructed to give patient Claritin, Pepcid, Tylenol and use a cold compression.
Age: 87.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Skin warm
Clinical narrative: On November  16, 2022 the patient came in to receive a Flu  and Pneumovax 23 immunization...the patient's daughter came by the store on 11/19/22 to tell us both of her mom's arms are swollen and irritated.  The patient received Flu in the right arm  and said  it is itching, red, and swollen.  The patient received Pneumovax 23 in the left arm and it is swollen, red, itching, hot to touch, and has small red spots.  The daughter was instructed to give patient Claritin, Pepcid, Tylenol and use a cold compression.
Age: 7.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: 7 yo patient received 0.2ml of undiluted vaccine,  remaining quantity of vial was destroyed
Age: 33.0
Sex: M
Vaccine: COVID19-2, FLUC4
Symptoms: Extra dose administered
Clinical narrative: Administered another seasonal flu shot on accident.  Patient had previously received seasonal flu vaccine before on 10/09/2022.  Patient originally came in to receive a Pfizer-BioNTech Bivalent COVID-19 Vaccine, which patient also received shortly after.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chest pain
Clinical narrative: Some chest pain started about 24.5 h after injection.  Has occurred a few more times today.    Mild
Age: 12.0
Sex: F
Vaccine: COVID19-2
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Administration Error: 12-Year-Old Female patient receives Bivalent Pfizer dose as first dose.
Age: 61.0
Sex: F
Vaccine: COVID19-2, UNK
Symptoms: Imaging procedure, Injected limb mobility decreased, Injection site pain, Insomnia, Loss of personal independence in daily activities
Clinical narrative: FLU VACCINE (I had to check unknown vaccine as I do not know the manufacturer and because of digital form limits)  I received the flu vaccine by injection into my right arm. The next morning I work with severe pain and limited right arm movement at the shoulder.  Severe pain on attempting to move arm 9+ on a 10 scale.  I call clinic who administered it at the office.  I called several times but was always transferred to leave a message.  I did but did not get called back.  So after another week of limited movement and severe pain.  I called Clinic and Mr. to address the pain and limited movement.  The vaccine was given high and to the back of arm.  As she injected whe met resistance and then laced two hands on syringe and pushed in the plugner again. I saw Mr. on 10-07-2022.  I got on a wait list for a radiograph.  I continue to have pain and limited movement.  It felt sharp, aching, like wanting to move away from shoulder...a tearing feeling...
Age: 61.0
Sex: F
Vaccine: COVID19-2, UNK
Symptoms: Muscle discomfort, Pain, Product administered at inappropriate site, Product administration error
Clinical narrative: FLU VACCINE (I had to check unknown vaccine as I do not know the manufacturer and because of digital form limits)  I received the flu vaccine by injection into my right arm. The next morning I work with severe pain and limited right arm movement at the shoulder.  Severe pain on attempting to move arm 9+ on a 10 scale.  I call clinic who administered it at the office.  I called several times but was always transferred to leave a message.  I did but did not get called back.  So after another week of limited movement and severe pain.  I called Clinic and Mr. to address the pain and limited movement.  The vaccine was given high and to the back of arm.  As she injected whe met resistance and then laced two hands on syringe and pushed in the plugner again. I saw Mr. on 10-07-2022.  I got on a wait list for a radiograph.  I continue to have pain and limited movement.  It felt sharp, aching, like wanting to move away from shoulder...a tearing feeling...
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Patient started to have itching/ redness on shoulder and neck. itching/redness and welting skin on torso and near belly button. Patient had irritated from symptoms till she discovered the signs
Age: 25.0
Sex: F
Vaccine: COVID19-2
Symptoms: Erythema, Hypersensitivity, Pain in extremity, Pruritus, Rash macular
Clinical narrative: My arm got red and blotchy. The spots puffed up a lot. Then my skin felt hot on the spots. Then it was extra sore and itchy. The spots got worse, and by day 5 my whole upper arm was red and super itchy and sore. My doctor prescribed a cream and told me it was an allergic reaction. He advised I do not get the vaccine again.
Age: 25.0
Sex: F
Vaccine: COVID19-2
Symptoms: Skin warm
Clinical narrative: My arm got red and blotchy. The spots puffed up a lot. Then my skin felt hot on the spots. Then it was extra sore and itchy. The spots got worse, and by day 5 my whole upper arm was red and super itchy and sore. My doctor prescribed a cream and told me it was an allergic reaction. He advised I do not get the vaccine again.
Age: 15.0
Sex: F
Vaccine: COVID19-2
Symptoms: Crying, Mobility decreased, Neck pain
Clinical narrative: She awoke at 4:30 a.m  (about 19 hours after administration) with extreme pain in her neck. She could not move her neck at all. She was sobbing with pain. Administered heat to affected area and gave her Tylenol. Did not seem to help much but she did get back to sleep after about an hour. Neck continue to be extremely sore until about 5 p.m. on Monday (3.5 days after admin) even with Ibuprofen and Tylenol. As it was a weekend and early morning hours at the first reaction, we did not seek medical care. She was calmer after she awoke although still in pain. She slowly regained mobility until complete recovery about 3.5 days later. She did not have any side effects other than mild soreness at injection site for previous doses.
Age: 9.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Pain, Pain in extremity, Product preparation issue
Clinical narrative: The patient received the Pfizer Pediatric dose undiluted at 0.2ml. The RPh called Pfizer and it was calculated that the patient received double the dose. The employee also informed the patient that there were studies where patient received double and triple the dose. Side effects reported were fever, headache, soreness. Employee informed pt to monitor for local and systemic effects.  The patient has experienced minor pain and arm soreness. Patient's mom states that her daughter says her arm feels heavy after 48 hours. Within 24 hours, patient had no symptoms and went to school as normal. We told the mother we would follow up again in 7 days to make sure she's ok.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: PT ON 11/19/22 CAME TO THE PHARMACY TENT ASKING FOR A 2ND MODERNA SHOT. HE CAME AS A WALK-IN AND NOT AN APPOINTMENT. PT SAID HE LEFT HIS VACCINE CARD IN THE CAR BUT MENTIONED THAT A STICKER CAN BE GIVEN TO HIM AFTER RECEIVING THE SHOT AND HE CAN PUT IT ON HIS CARD AT HIS CONVENIENCE. HIS NAME WAS CALLED, VERIFIED NAME AND DOB. ASKED PATIENT HE'S HERE FOR A MODERNA BIVALENT BOOSTER SHOT CORRECT HE SAID "YES". THE DOSE WAS GIVEN ON HIS LEFT ARM. PATIENT WENT TO HIS VEHICLE TO PUT THE STICKER ON AND CAME BACK INSIDE AND SAW THAT MODERNA "BOOSTER" BIVALENT WAS GIVEN AND HE SAID "OH, I THOUGHT I WAS GETTING THE SECOND SHOT". WITH HIS INTERPRETATION, WHEN HE CAME AND SAID HE'S HERE FOR A 2ND MODERNA (WHICH WOULD BE THE PRIMARY SERIES DOSE). LOOKED AT HIS VACCINE CARD AND HE GOT HIS FIRST SHOT. A SECOND SHOT WAS GIVEN AT THE SAME TIME AS THE BIVALENT (ON THE OTHER ARM). PATIENT NEEDED THE SHOT FOR WORK PURPOSES.  GUIDELINES DEVIATION APPENDIX TABLE D: Bivalent Moderna vaccine: Repeat 1 monovalent dose immediately (no minimum interval) because administration of the booster dose will result in a lower-than-authorized dose. THIS RECOMMENDATION WAS FOLLOWED.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy breast, Breast cancer female, Breast mass, Breast pain, Computerised tomogram
Clinical narrative: Left breast cancer  After 3 days later since 1st covid vaccine(07/14/2021), I started having left breast pain and palpable lump which I never had before. My obgyne doctor examined my breast  on Dec. 2020. Nothing palpable lump at that time. I do self-examination after shower as well. It couldn't be missed since size of lump was greater than 3 cm and right next to left nipple. As a result, I ended up having two major surgeries including mastectomy and radiation therapy.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Imaging procedure, Intraductal proliferative breast lesion, Magnetic resonance imaging, Mammogram, Mastectomy
Clinical narrative: Left breast cancer  After 3 days later since 1st covid vaccine(07/14/2021), I started having left breast pain and palpable lump which I never had before. My obgyne doctor examined my breast  on Dec. 2020. Nothing palpable lump at that time. I do self-examination after shower as well. It couldn't be missed since size of lump was greater than 3 cm and right next to left nipple. As a result, I ended up having two major surgeries including mastectomy and radiation therapy.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Radiotherapy, Surgery, Ultrasound breast, Ultrasound lymph nodes
Clinical narrative: Left breast cancer  After 3 days later since 1st covid vaccine(07/14/2021), I started having left breast pain and palpable lump which I never had before. My obgyne doctor examined my breast  on Dec. 2020. Nothing palpable lump at that time. I do self-examination after shower as well. It couldn't be missed since size of lump was greater than 3 cm and right next to left nipple. As a result, I ended up having two major surgeries including mastectomy and radiation therapy.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Acupuncture, Arthralgia, Blood test, Chest pain, Dizziness
Clinical narrative: Neuropathy Tingling in my legs and feet and face Severe joint pain  Constant headaches that turned into constant migraines Phantom smells- started smelling bleach POTS- inability to even sit up Severe fatigue, brain fog, sensitivity to sound, light, and touch Severe chest pain Esophageal spasms Internal tremors Dizziness, legs give out Inability to eat, as a result, lost about 20 pounds.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeding disorder, Feeling abnormal, Headache, Hyperacusis
Clinical narrative: Neuropathy Tingling in my legs and feet and face Severe joint pain  Constant headaches that turned into constant migraines Phantom smells- started smelling bleach POTS- inability to even sit up Severe fatigue, brain fog, sensitivity to sound, light, and touch Severe chest pain Esophageal spasms Internal tremors Dizziness, legs give out Inability to eat, as a result, lost about 20 pounds.