chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Lymphadenopathy
Clinical narrative: Swollen lymph nodes under arm, tiredness
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood pressure increased, Chills, Dyspnoea, Hyperhidrosis
Clinical narrative: Patient experienced faintness,rigors,weakness, diaphoresis, and c/o of neck and jaw pain.  Blood pressure was elevated with complaints of shortness of breath as well. Vaccine administered at 1:39 and adverse reaction at 1:45pm. Benedryl 50mg IM given at 2pm. Symptoms resolved about 2:45pm.  Patient was discharged to home with family member.  Patient declined EMS transport to ER. Patient encouraged to follow-up with PMP.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pain in jaw, Syncope
Clinical narrative: Patient experienced faintness,rigors,weakness, diaphoresis, and c/o of neck and jaw pain.  Blood pressure was elevated with complaints of shortness of breath as well. Vaccine administered at 1:39 and adverse reaction at 1:45pm. Benedryl 50mg IM given at 2pm. Symptoms resolved about 2:45pm.  Patient was discharged to home with family member.  Patient declined EMS transport to ER. Patient encouraged to follow-up with PMP.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Lip swelling, Rash
Clinical narrative: Swelling of lips, redness. Rash on wrist of lower arm
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Ear swelling, Periorbital swelling, Peripheral swelling, Pruritus, Rash
Clinical narrative: Moderna Covid-19 Vaccine EUA Persistent rash on both arms, hands, fingers, and face Swelling behind left ear, swelling around left eye on face, severe swelling on both hands, and fingers.   Severe itching on arms.   Treatment used cortizone cream, and Tylenol.  Allergic symptoms persisted for 8 days, gradually improving after day 6.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: Moderna Covid-19 Vaccine EUA Persistent rash on both arms, hands, fingers, and face Swelling behind left ear, swelling around left eye on face, severe swelling on both hands, and fingers.   Severe itching on arms.   Treatment used cortizone cream, and Tylenol.  Allergic symptoms persisted for 8 days, gradually improving after day 6.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Supraventricular tachycardia
Clinical narrative: Patient with history of stent placement on 3/8/21 who developed SVT on 3/11/21 and was treated in the ED, Presented for covid vaccination on 3/13/21 as recommended by his cardiologist.  Came back to the hospital ED approximately 9 hours post vaccination with SVT.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: From the time I woke up, on the day after receiving the vaccine I was extremely dizzy. It was so bad all of Sat I could barely move. It is fourvdays later and I am still dizzy, but can function, just slower than normal.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Dehydration, Diarrhoea, Hyperhidrosis, Oral fungal infection
Clinical narrative: Patient reported post vaccination "sweating profusely. The EMS guys kept asking if I was alright. I felt that it wasn't an emergency." States upon arriving home, fever noted and lasted "for about 3 days". After that, noted that her stomach hurt and noted yeast in her mouth. Consulted with her endocrinologist. Prescribed Diflucan for 3 days orally. Terazole 0.4% x 7 days intravaginally. Nystatin Oral for "about two weeks". Reports dehydration and diarrhea as well.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Patient reported post vaccination "sweating profusely. The EMS guys kept asking if I was alright. I felt that it wasn't an emergency." States upon arriving home, fever noted and lasted "for about 3 days". After that, noted that her stomach hurt and noted yeast in her mouth. Consulted with her endocrinologist. Prescribed Diflucan for 3 days orally. Terazole 0.4% x 7 days intravaginally. Nystatin Oral for "about two weeks". Reports dehydration and diarrhea as well.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anaphylactic reaction, Anxiety, Throat irritation, Throat tightness
Clinical narrative: Pt had itchy throat, tight throat, sense of doom at 30 min obs mark. Was given EPI and transferred to local ED. Had rebound anaphylaxis days later (3 days after) resulting in 2nd ED trip.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anaphylactoid reaction, Dizziness, Urticaria
Clinical narrative: Pt had itchy throat, tight throat, sense of doom at 30 min obs mark. Was given EPI and transferred to local ED. Had rebound anaphylaxis days later (3 days after) resulting in 2nd ED trip.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest discomfort, Dizziness, Dyspnoea, Injection site urticaria, Throat tightness
Clinical narrative: Pt had itchy throat, tight throat, sense of doom at 30 min obs mark. Was given EPI and transferred to local ED. Had rebound anaphylaxis days later (3 days after) resulting in 2nd ED trip.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Injection site pain, Myasthenia gravis
Clinical narrative: FIRST: An ache at the injection site progressing to a  throbbing aching. The peak-pain lasted 18 hours. Icing the area did nothing to reduce the throbbing.  SECOND: Progressive Myasthenia Gravis weakening began about 20 hours after the injection. It was escalating toward being a full-blown crisis. I have an emergency stash of Prednisone, and I alerted my Neurologist that I began taking it. Prednisone effect saved me from a full-blown bulbar deficit, which would have required hospitalization. For MG, I've long only needed to take CellCept to be symptom-free. The Pfizer shot IS to blame for the MG exacerbation
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: eyes became slightly out of focus ~ 3days
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Arthralgia, Contusion, Diarrhoea, Fatigue
Clinical narrative: Arm very tender/bruised feeling immediately after vaccination for 5 days. Evening following vaccination, I woke up in the middle of the night with a headache and body aches. Day 1 After: I had headache, body aches, muscle pain and joint pain, extremely tired the full day.  Day 2 after: Headache and tiredness was gone but the body aches and muscle aches continued. Day 3: body and muscle aches. Day 4 body and muscle aches improving but GI upset including nausea. Day 5: Aches mostly  gone but continued GI upset and diarrhea . Day 6 feeling well.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Immediate post-injection reaction, Myalgia, Nausea, Pain
Clinical narrative: Arm very tender/bruised feeling immediately after vaccination for 5 days. Evening following vaccination, I woke up in the middle of the night with a headache and body aches. Day 1 After: I had headache, body aches, muscle pain and joint pain, extremely tired the full day.  Day 2 after: Headache and tiredness was gone but the body aches and muscle aches continued. Day 3: body and muscle aches. Day 4 body and muscle aches improving but GI upset including nausea. Day 5: Aches mostly  gone but continued GI upset and diarrhea . Day 6 feeling well.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder, Tenderness
Clinical narrative: Arm very tender/bruised feeling immediately after vaccination for 5 days. Evening following vaccination, I woke up in the middle of the night with a headache and body aches. Day 1 After: I had headache, body aches, muscle pain and joint pain, extremely tired the full day.  Day 2 after: Headache and tiredness was gone but the body aches and muscle aches continued. Day 3: body and muscle aches. Day 4 body and muscle aches improving but GI upset including nausea. Day 5: Aches mostly  gone but continued GI upset and diarrhea . Day 6 feeling well.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Erythema, Eye swelling, Headache, Ocular hyperaemia, Pain
Clinical narrative: 2/23/21- Redness swelling to Rt side of face - Rt eye red and swollen and headache Rt entire arm swollen and redness from shoulder to elbow w/a sting 2 weeks after 2nd dose
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Peripheral swelling, Swelling face
Clinical narrative: 2/23/21- Redness swelling to Rt side of face - Rt eye red and swollen and headache Rt entire arm swollen and redness from shoulder to elbow w/a sting 2 weeks after 2nd dose
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash, Sensitive skin, Swelling
Clinical narrative: Swelling, Rash & persistent itching & sensitivity on both arms & hands continuing now into the 13th Day. I have had no headaches & no fever.  I'm concerned about having the 2nd injection..
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Injection site pruritus, Injection site rash, Pruritus, Rash
Clinical narrative: Dismissed after waiting 30 minutes.  On drive home, swallowing felt somewhat restricted.  Within 2 hours of vaccination, I had an itchy rash where my bra straps touch my body and in the left armpit.  Itching  and rash spread to elbow of opposite (right) arm, scalp, face back, and right leg by the time 2 1/2 hours had passed.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: approximately 30 min after patient received COVID vaccine #2, pt stated she started feeling "throat tightening". Denied difficulty breathing. BP162/88. Benadryl 50 IM injected to RD. 911 called-Volunteer Rescue Squad arrived within 2-3 min of call. Assessed patient. O2 sats on Room Air 99-100%. Ambulance services arrived 20 min after call placed. Pt was feeling some better; BP 112/80 HR 125. Pt declined EMS taki1105878-1 03/16/2021 Non-Serious Initial Report - Hng her to ER, but did consent to boyfriend taking her. Pt was discharged from ER at approximately 1300 hours after receiving "2 shots in ER" per patient. ER staff declined to give treatment information d/t HIPPA.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Depressed level of consciousness, Fasting, Pallor
Clinical narrative: After about 20 minutes of receiving the vaccine, the patient became slightly unconscious in the waiting area of the pharmacy. He began falling over in the chair and seemed very pale. His wife was with him and myself and two customers in the store were helping to keep him awake. 911 was called and did arrive. He was barely speaking at first and then when he was given oxygen by 911 he began to come to. His wife was stating that he had not eaten today. Paramedics took him to the hospital, he was awake and conscious when they took him.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, General physical health deterioration, Pyrexia, SARS-CoV-2 test, Swelling face
Clinical narrative: Patient was admitted to hospice services on 2/11/21. Patient received vaccination on 3/2/21. On 3/16/21, patient developed severe ineffective breathing and is requiring palliative management of respiratory symptoms. Patient also suffered swelling to jaw and fever of 102 F. Patient is a DNR and appears to be approaching end of life.  Patient was on the following medications prior to the current event: Citalopram, Quetiapine, Simvastatin, Furosemide, Miralax, Potassium Chloride PO, Vitamin D3, Zinc, Tylenol.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Dehydration, Fatigue, Gait disturbance, Pyrexia
Clinical narrative: confused, not walking well, fever, fatigue.  Went to ER by ambulance and was given IV fluids which helped improve pt's status and was discharge home in stable condition.  Was diagnoses with dehydration and fatigue.  All symptoms were resolved on 3-15-21
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Alanine aminotransferase normal, Amylase, Aspartate aminotransferase normal, Atrial fibrillation
Clinical narrative: 3/13/21 Ferrell ER to admission hpi: 84 y.o. female presented to the emergency room with complaints of back pain, nausea, and abdominal pain.  Patient approximately 1 week ago was bending over to pick something up and fell to the floor landing on her coccyx, and has had increased low back pain since that time.  Patient does have a history of congestive heart failure and atrial fibrillation.  Patient states that she had noticed increasing lower extremity edema and mild shortness of breath with exertion.  The patient states that her back pain escalated and she was unable to stand or walk on her own.  Patient was then brought to the ER for further evaluation per EMS.  The patient did have a CT of the abdomen and pelvis which showed no definite acute intra-abdominal/pelvic abnormality, and mild acute during L2 superior endplate compression fracture with approximately 4 mm of displacement into the spinal canal.  Patient also had a CT of the lumbar spine without contrast which showed acute appearing mild L2 superior endplate compression fracture with approximately 2 mm of displacement to the spinal canal, and multilevel degenerative disc disease.  This morning upon entering the room the patient was standing with assistance of a walker and hospital staff.  Patient tolerated fair.   Patient does complain of severe pain with standing and movement.  Patient does have 3+ pitting edema to bilateral lower extremities.  Denies numbness or tingling to lower extremities.  Bilateral lower extremity pulses are 1+ 1+, with CMS being less than 3 sec and skin is pink warm and dry.  Patient's EKG in the emergency room did show atrial fibrillation with RVR with a rate of 137.  Patient was given Cardizem IV in the emergency room, and then was started on Cardizem CD 100 80 mg p.o. daily.  Patient's rate is controlled at between 92 and 96 beats per minute and continues to show atrial fibrillation on the telemetry.  No shortness of breath is noted at this time.  Patient did also have lab work drawn in the emergency room CBC:  White count is 9.4, hemoglobin 14.4, hematocrit was 43.7, with a platelet count of 261.  Patient's CMP showed a BUN of 21, creatinine 1.2, potassium was normal at 4.6, and her GFR was noted at 41.  Patient also had a BMP drawn which was noted at 322.  Patient also had a urinalysis performed which shows negative for leukocytes, nitrate negative.  Patient was admitted to medical inpatient as it is deemed that she will need longer than a 2 midnight stay for cardiac monitoring and will work with physical therapy and occupational therapy for gait training and strengthening with relation to the compression fracture of her L2 fracture, and pain control.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Blood albumin decreased, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium decreased
Clinical narrative: 3/13/21 Ferrell ER to admission hpi: 84 y.o. female presented to the emergency room with complaints of back pain, nausea, and abdominal pain.  Patient approximately 1 week ago was bending over to pick something up and fell to the floor landing on her coccyx, and has had increased low back pain since that time.  Patient does have a history of congestive heart failure and atrial fibrillation.  Patient states that she had noticed increasing lower extremity edema and mild shortness of breath with exertion.  The patient states that her back pain escalated and she was unable to stand or walk on her own.  Patient was then brought to the ER for further evaluation per EMS.  The patient did have a CT of the abdomen and pelvis which showed no definite acute intra-abdominal/pelvic abnormality, and mild acute during L2 superior endplate compression fracture with approximately 4 mm of displacement into the spinal canal.  Patient also had a CT of the lumbar spine without contrast which showed acute appearing mild L2 superior endplate compression fracture with approximately 2 mm of displacement to the spinal canal, and multilevel degenerative disc disease.  This morning upon entering the room the patient was standing with assistance of a walker and hospital staff.  Patient tolerated fair.   Patient does complain of severe pain with standing and movement.  Patient does have 3+ pitting edema to bilateral lower extremities.  Denies numbness or tingling to lower extremities.  Bilateral lower extremity pulses are 1+ 1+, with CMS being less than 3 sec and skin is pink warm and dry.  Patient's EKG in the emergency room did show atrial fibrillation with RVR with a rate of 137.  Patient was given Cardizem IV in the emergency room, and then was started on Cardizem CD 100 80 mg p.o. daily.  Patient's rate is controlled at between 92 and 96 beats per minute and continues to show atrial fibrillation on the telemetry.  No shortness of breath is noted at this time.  Patient did also have lab work drawn in the emergency room CBC:  White count is 9.4, hemoglobin 14.4, hematocrit was 43.7, with a platelet count of 261.  Patient's CMP showed a BUN of 21, creatinine 1.2, potassium was normal at 4.6, and her GFR was noted at 41.  Patient also had a BMP drawn which was noted at 322.  Patient also had a urinalysis performed which shows negative for leukocytes, nitrate negative.  Patient was admitted to medical inpatient as it is deemed that she will need longer than a 2 midnight stay for cardiac monitoring and will work with physical therapy and occupational therapy for gait training and strengthening with relation to the compression fracture of her L2 fracture, and pain control.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Blood calcium normal, Blood chloride normal, Blood creatinine increased, Blood glucose normal, Blood lactic acid
Clinical narrative: 3/13/21 Ferrell ER to admission hpi: 84 y.o. female presented to the emergency room with complaints of back pain, nausea, and abdominal pain.  Patient approximately 1 week ago was bending over to pick something up and fell to the floor landing on her coccyx, and has had increased low back pain since that time.  Patient does have a history of congestive heart failure and atrial fibrillation.  Patient states that she had noticed increasing lower extremity edema and mild shortness of breath with exertion.  The patient states that her back pain escalated and she was unable to stand or walk on her own.  Patient was then brought to the ER for further evaluation per EMS.  The patient did have a CT of the abdomen and pelvis which showed no definite acute intra-abdominal/pelvic abnormality, and mild acute during L2 superior endplate compression fracture with approximately 4 mm of displacement into the spinal canal.  Patient also had a CT of the lumbar spine without contrast which showed acute appearing mild L2 superior endplate compression fracture with approximately 2 mm of displacement to the spinal canal, and multilevel degenerative disc disease.  This morning upon entering the room the patient was standing with assistance of a walker and hospital staff.  Patient tolerated fair.   Patient does complain of severe pain with standing and movement.  Patient does have 3+ pitting edema to bilateral lower extremities.  Denies numbness or tingling to lower extremities.  Bilateral lower extremity pulses are 1+ 1+, with CMS being less than 3 sec and skin is pink warm and dry.  Patient's EKG in the emergency room did show atrial fibrillation with RVR with a rate of 137.  Patient was given Cardizem IV in the emergency room, and then was started on Cardizem CD 100 80 mg p.o. daily.  Patient's rate is controlled at between 92 and 96 beats per minute and continues to show atrial fibrillation on the telemetry.  No shortness of breath is noted at this time.  Patient did also have lab work drawn in the emergency room CBC:  White count is 9.4, hemoglobin 14.4, hematocrit was 43.7, with a platelet count of 261.  Patient's CMP showed a BUN of 21, creatinine 1.2, potassium was normal at 4.6, and her GFR was noted at 41.  Patient also had a BMP drawn which was noted at 322.  Patient also had a urinalysis performed which shows negative for leukocytes, nitrate negative.  Patient was admitted to medical inpatient as it is deemed that she will need longer than a 2 midnight stay for cardiac monitoring and will work with physical therapy and occupational therapy for gait training and strengthening with relation to the compression fracture of her L2 fracture, and pain control.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Blood magnesium normal, Blood potassium, Blood sodium normal, Blood urea increased, Brain natriuretic peptide increased
Clinical narrative: 3/13/21 Ferrell ER to admission hpi: 84 y.o. female presented to the emergency room with complaints of back pain, nausea, and abdominal pain.  Patient approximately 1 week ago was bending over to pick something up and fell to the floor landing on her coccyx, and has had increased low back pain since that time.  Patient does have a history of congestive heart failure and atrial fibrillation.  Patient states that she had noticed increasing lower extremity edema and mild shortness of breath with exertion.  The patient states that her back pain escalated and she was unable to stand or walk on her own.  Patient was then brought to the ER for further evaluation per EMS.  The patient did have a CT of the abdomen and pelvis which showed no definite acute intra-abdominal/pelvic abnormality, and mild acute during L2 superior endplate compression fracture with approximately 4 mm of displacement into the spinal canal.  Patient also had a CT of the lumbar spine without contrast which showed acute appearing mild L2 superior endplate compression fracture with approximately 2 mm of displacement to the spinal canal, and multilevel degenerative disc disease.  This morning upon entering the room the patient was standing with assistance of a walker and hospital staff.  Patient tolerated fair.   Patient does complain of severe pain with standing and movement.  Patient does have 3+ pitting edema to bilateral lower extremities.  Denies numbness or tingling to lower extremities.  Bilateral lower extremity pulses are 1+ 1+, with CMS being less than 3 sec and skin is pink warm and dry.  Patient's EKG in the emergency room did show atrial fibrillation with RVR with a rate of 137.  Patient was given Cardizem IV in the emergency room, and then was started on Cardizem CD 100 80 mg p.o. daily.  Patient's rate is controlled at between 92 and 96 beats per minute and continues to show atrial fibrillation on the telemetry.  No shortness of breath is noted at this time.  Patient did also have lab work drawn in the emergency room CBC:  White count is 9.4, hemoglobin 14.4, hematocrit was 43.7, with a platelet count of 261.  Patient's CMP showed a BUN of 21, creatinine 1.2, potassium was normal at 4.6, and her GFR was noted at 41.  Patient also had a BMP drawn which was noted at 322.  Patient also had a urinalysis performed which shows negative for leukocytes, nitrate negative.  Patient was admitted to medical inpatient as it is deemed that she will need longer than a 2 midnight stay for cardiac monitoring and will work with physical therapy and occupational therapy for gait training and strengthening with relation to the compression fracture of her L2 fracture, and pain control.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Compression fracture, Computerised tomogram abdomen, Computerised tomogram abnormal, Dyspnoea
Clinical narrative: 3/13/21 Ferrell ER to admission hpi: 84 y.o. female presented to the emergency room with complaints of back pain, nausea, and abdominal pain.  Patient approximately 1 week ago was bending over to pick something up and fell to the floor landing on her coccyx, and has had increased low back pain since that time.  Patient does have a history of congestive heart failure and atrial fibrillation.  Patient states that she had noticed increasing lower extremity edema and mild shortness of breath with exertion.  The patient states that her back pain escalated and she was unable to stand or walk on her own.  Patient was then brought to the ER for further evaluation per EMS.  The patient did have a CT of the abdomen and pelvis which showed no definite acute intra-abdominal/pelvic abnormality, and mild acute during L2 superior endplate compression fracture with approximately 4 mm of displacement into the spinal canal.  Patient also had a CT of the lumbar spine without contrast which showed acute appearing mild L2 superior endplate compression fracture with approximately 2 mm of displacement to the spinal canal, and multilevel degenerative disc disease.  This morning upon entering the room the patient was standing with assistance of a walker and hospital staff.  Patient tolerated fair.   Patient does complain of severe pain with standing and movement.  Patient does have 3+ pitting edema to bilateral lower extremities.  Denies numbness or tingling to lower extremities.  Bilateral lower extremity pulses are 1+ 1+, with CMS being less than 3 sec and skin is pink warm and dry.  Patient's EKG in the emergency room did show atrial fibrillation with RVR with a rate of 137.  Patient was given Cardizem IV in the emergency room, and then was started on Cardizem CD 100 80 mg p.o. daily.  Patient's rate is controlled at between 92 and 96 beats per minute and continues to show atrial fibrillation on the telemetry.  No shortness of breath is noted at this time.  Patient did also have lab work drawn in the emergency room CBC:  White count is 9.4, hemoglobin 14.4, hematocrit was 43.7, with a platelet count of 261.  Patient's CMP showed a BUN of 21, creatinine 1.2, potassium was normal at 4.6, and her GFR was noted at 41.  Patient also had a BMP drawn which was noted at 322.  Patient also had a urinalysis performed which shows negative for leukocytes, nitrate negative.  Patient was admitted to medical inpatient as it is deemed that she will need longer than a 2 midnight stay for cardiac monitoring and will work with physical therapy and occupational therapy for gait training and strengthening with relation to the compression fracture of her L2 fracture, and pain control.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Dysstasia, Electrocardiogram abnormal, Fall, Full blood count abnormal, Gait inability
Clinical narrative: 3/13/21 Ferrell ER to admission hpi: 84 y.o. female presented to the emergency room with complaints of back pain, nausea, and abdominal pain.  Patient approximately 1 week ago was bending over to pick something up and fell to the floor landing on her coccyx, and has had increased low back pain since that time.  Patient does have a history of congestive heart failure and atrial fibrillation.  Patient states that she had noticed increasing lower extremity edema and mild shortness of breath with exertion.  The patient states that her back pain escalated and she was unable to stand or walk on her own.  Patient was then brought to the ER for further evaluation per EMS.  The patient did have a CT of the abdomen and pelvis which showed no definite acute intra-abdominal/pelvic abnormality, and mild acute during L2 superior endplate compression fracture with approximately 4 mm of displacement into the spinal canal.  Patient also had a CT of the lumbar spine without contrast which showed acute appearing mild L2 superior endplate compression fracture with approximately 2 mm of displacement to the spinal canal, and multilevel degenerative disc disease.  This morning upon entering the room the patient was standing with assistance of a walker and hospital staff.  Patient tolerated fair.   Patient does complain of severe pain with standing and movement.  Patient does have 3+ pitting edema to bilateral lower extremities.  Denies numbness or tingling to lower extremities.  Bilateral lower extremity pulses are 1+ 1+, with CMS being less than 3 sec and skin is pink warm and dry.  Patient's EKG in the emergency room did show atrial fibrillation with RVR with a rate of 137.  Patient was given Cardizem IV in the emergency room, and then was started on Cardizem CD 100 80 mg p.o. daily.  Patient's rate is controlled at between 92 and 96 beats per minute and continues to show atrial fibrillation on the telemetry.  No shortness of breath is noted at this time.  Patient did also have lab work drawn in the emergency room CBC:  White count is 9.4, hemoglobin 14.4, hematocrit was 43.7, with a platelet count of 261.  Patient's CMP showed a BUN of 21, creatinine 1.2, potassium was normal at 4.6, and her GFR was noted at 41.  Patient also had a BMP drawn which was noted at 322.  Patient also had a urinalysis performed which shows negative for leukocytes, nitrate negative.  Patient was admitted to medical inpatient as it is deemed that she will need longer than a 2 midnight stay for cardiac monitoring and will work with physical therapy and occupational therapy for gait training and strengthening with relation to the compression fracture of her L2 fracture, and pain control.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Haematocrit decreased, Haemoglobin decreased, International normalised ratio increased, Intervertebral disc degeneration, Lipase
Clinical narrative: 3/13/21 Ferrell ER to admission hpi: 84 y.o. female presented to the emergency room with complaints of back pain, nausea, and abdominal pain.  Patient approximately 1 week ago was bending over to pick something up and fell to the floor landing on her coccyx, and has had increased low back pain since that time.  Patient does have a history of congestive heart failure and atrial fibrillation.  Patient states that she had noticed increasing lower extremity edema and mild shortness of breath with exertion.  The patient states that her back pain escalated and she was unable to stand or walk on her own.  Patient was then brought to the ER for further evaluation per EMS.  The patient did have a CT of the abdomen and pelvis which showed no definite acute intra-abdominal/pelvic abnormality, and mild acute during L2 superior endplate compression fracture with approximately 4 mm of displacement into the spinal canal.  Patient also had a CT of the lumbar spine without contrast which showed acute appearing mild L2 superior endplate compression fracture with approximately 2 mm of displacement to the spinal canal, and multilevel degenerative disc disease.  This morning upon entering the room the patient was standing with assistance of a walker and hospital staff.  Patient tolerated fair.   Patient does complain of severe pain with standing and movement.  Patient does have 3+ pitting edema to bilateral lower extremities.  Denies numbness or tingling to lower extremities.  Bilateral lower extremity pulses are 1+ 1+, with CMS being less than 3 sec and skin is pink warm and dry.  Patient's EKG in the emergency room did show atrial fibrillation with RVR with a rate of 137.  Patient was given Cardizem IV in the emergency room, and then was started on Cardizem CD 100 80 mg p.o. daily.  Patient's rate is controlled at between 92 and 96 beats per minute and continues to show atrial fibrillation on the telemetry.  No shortness of breath is noted at this time.  Patient did also have lab work drawn in the emergency room CBC:  White count is 9.4, hemoglobin 14.4, hematocrit was 43.7, with a platelet count of 261.  Patient's CMP showed a BUN of 21, creatinine 1.2, potassium was normal at 4.6, and her GFR was noted at 41.  Patient also had a BMP drawn which was noted at 322.  Patient also had a urinalysis performed which shows negative for leukocytes, nitrate negative.  Patient was admitted to medical inpatient as it is deemed that she will need longer than a 2 midnight stay for cardiac monitoring and will work with physical therapy and occupational therapy for gait training and strengthening with relation to the compression fracture of her L2 fracture, and pain control.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Mean cell volume increased, Nausea, Nitrite urine absent, Oedema peripheral, Pain
Clinical narrative: 3/13/21 Ferrell ER to admission hpi: 84 y.o. female presented to the emergency room with complaints of back pain, nausea, and abdominal pain.  Patient approximately 1 week ago was bending over to pick something up and fell to the floor landing on her coccyx, and has had increased low back pain since that time.  Patient does have a history of congestive heart failure and atrial fibrillation.  Patient states that she had noticed increasing lower extremity edema and mild shortness of breath with exertion.  The patient states that her back pain escalated and she was unable to stand or walk on her own.  Patient was then brought to the ER for further evaluation per EMS.  The patient did have a CT of the abdomen and pelvis which showed no definite acute intra-abdominal/pelvic abnormality, and mild acute during L2 superior endplate compression fracture with approximately 4 mm of displacement into the spinal canal.  Patient also had a CT of the lumbar spine without contrast which showed acute appearing mild L2 superior endplate compression fracture with approximately 2 mm of displacement to the spinal canal, and multilevel degenerative disc disease.  This morning upon entering the room the patient was standing with assistance of a walker and hospital staff.  Patient tolerated fair.   Patient does complain of severe pain with standing and movement.  Patient does have 3+ pitting edema to bilateral lower extremities.  Denies numbness or tingling to lower extremities.  Bilateral lower extremity pulses are 1+ 1+, with CMS being less than 3 sec and skin is pink warm and dry.  Patient's EKG in the emergency room did show atrial fibrillation with RVR with a rate of 137.  Patient was given Cardizem IV in the emergency room, and then was started on Cardizem CD 100 80 mg p.o. daily.  Patient's rate is controlled at between 92 and 96 beats per minute and continues to show atrial fibrillation on the telemetry.  No shortness of breath is noted at this time.  Patient did also have lab work drawn in the emergency room CBC:  White count is 9.4, hemoglobin 14.4, hematocrit was 43.7, with a platelet count of 261.  Patient's CMP showed a BUN of 21, creatinine 1.2, potassium was normal at 4.6, and her GFR was noted at 41.  Patient also had a BMP drawn which was noted at 322.  Patient also had a urinalysis performed which shows negative for leukocytes, nitrate negative.  Patient was admitted to medical inpatient as it is deemed that she will need longer than a 2 midnight stay for cardiac monitoring and will work with physical therapy and occupational therapy for gait training and strengthening with relation to the compression fracture of her L2 fracture, and pain control.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Platelet count normal, Pleural effusion, Prothrombin time prolonged, Red blood cell count normal, Specific gravity urine increased
Clinical narrative: 3/13/21 Ferrell ER to admission hpi: 84 y.o. female presented to the emergency room with complaints of back pain, nausea, and abdominal pain.  Patient approximately 1 week ago was bending over to pick something up and fell to the floor landing on her coccyx, and has had increased low back pain since that time.  Patient does have a history of congestive heart failure and atrial fibrillation.  Patient states that she had noticed increasing lower extremity edema and mild shortness of breath with exertion.  The patient states that her back pain escalated and she was unable to stand or walk on her own.  Patient was then brought to the ER for further evaluation per EMS.  The patient did have a CT of the abdomen and pelvis which showed no definite acute intra-abdominal/pelvic abnormality, and mild acute during L2 superior endplate compression fracture with approximately 4 mm of displacement into the spinal canal.  Patient also had a CT of the lumbar spine without contrast which showed acute appearing mild L2 superior endplate compression fracture with approximately 2 mm of displacement to the spinal canal, and multilevel degenerative disc disease.  This morning upon entering the room the patient was standing with assistance of a walker and hospital staff.  Patient tolerated fair.   Patient does complain of severe pain with standing and movement.  Patient does have 3+ pitting edema to bilateral lower extremities.  Denies numbness or tingling to lower extremities.  Bilateral lower extremity pulses are 1+ 1+, with CMS being less than 3 sec and skin is pink warm and dry.  Patient's EKG in the emergency room did show atrial fibrillation with RVR with a rate of 137.  Patient was given Cardizem IV in the emergency room, and then was started on Cardizem CD 100 80 mg p.o. daily.  Patient's rate is controlled at between 92 and 96 beats per minute and continues to show atrial fibrillation on the telemetry.  No shortness of breath is noted at this time.  Patient did also have lab work drawn in the emergency room CBC:  White count is 9.4, hemoglobin 14.4, hematocrit was 43.7, with a platelet count of 261.  Patient's CMP showed a BUN of 21, creatinine 1.2, potassium was normal at 4.6, and her GFR was noted at 41.  Patient also had a BMP drawn which was noted at 322.  Patient also had a urinalysis performed which shows negative for leukocytes, nitrate negative.  Patient was admitted to medical inpatient as it is deemed that she will need longer than a 2 midnight stay for cardiac monitoring and will work with physical therapy and occupational therapy for gait training and strengthening with relation to the compression fracture of her L2 fracture, and pain control.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Spinal cord disorder, Troponin I normal, Urine analysis, Urine ketone body absent, Urine leukocyte esterase
Clinical narrative: 3/13/21 Ferrell ER to admission hpi: 84 y.o. female presented to the emergency room with complaints of back pain, nausea, and abdominal pain.  Patient approximately 1 week ago was bending over to pick something up and fell to the floor landing on her coccyx, and has had increased low back pain since that time.  Patient does have a history of congestive heart failure and atrial fibrillation.  Patient states that she had noticed increasing lower extremity edema and mild shortness of breath with exertion.  The patient states that her back pain escalated and she was unable to stand or walk on her own.  Patient was then brought to the ER for further evaluation per EMS.  The patient did have a CT of the abdomen and pelvis which showed no definite acute intra-abdominal/pelvic abnormality, and mild acute during L2 superior endplate compression fracture with approximately 4 mm of displacement into the spinal canal.  Patient also had a CT of the lumbar spine without contrast which showed acute appearing mild L2 superior endplate compression fracture with approximately 2 mm of displacement to the spinal canal, and multilevel degenerative disc disease.  This morning upon entering the room the patient was standing with assistance of a walker and hospital staff.  Patient tolerated fair.   Patient does complain of severe pain with standing and movement.  Patient does have 3+ pitting edema to bilateral lower extremities.  Denies numbness or tingling to lower extremities.  Bilateral lower extremity pulses are 1+ 1+, with CMS being less than 3 sec and skin is pink warm and dry.  Patient's EKG in the emergency room did show atrial fibrillation with RVR with a rate of 137.  Patient was given Cardizem IV in the emergency room, and then was started on Cardizem CD 100 80 mg p.o. daily.  Patient's rate is controlled at between 92 and 96 beats per minute and continues to show atrial fibrillation on the telemetry.  No shortness of breath is noted at this time.  Patient did also have lab work drawn in the emergency room CBC:  White count is 9.4, hemoglobin 14.4, hematocrit was 43.7, with a platelet count of 261.  Patient's CMP showed a BUN of 21, creatinine 1.2, potassium was normal at 4.6, and her GFR was noted at 41.  Patient also had a BMP drawn which was noted at 322.  Patient also had a urinalysis performed which shows negative for leukocytes, nitrate negative.  Patient was admitted to medical inpatient as it is deemed that she will need longer than a 2 midnight stay for cardiac monitoring and will work with physical therapy and occupational therapy for gait training and strengthening with relation to the compression fracture of her L2 fracture, and pain control.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count increased
Clinical narrative: 3/13/21 Ferrell ER to admission hpi: 84 y.o. female presented to the emergency room with complaints of back pain, nausea, and abdominal pain.  Patient approximately 1 week ago was bending over to pick something up and fell to the floor landing on her coccyx, and has had increased low back pain since that time.  Patient does have a history of congestive heart failure and atrial fibrillation.  Patient states that she had noticed increasing lower extremity edema and mild shortness of breath with exertion.  The patient states that her back pain escalated and she was unable to stand or walk on her own.  Patient was then brought to the ER for further evaluation per EMS.  The patient did have a CT of the abdomen and pelvis which showed no definite acute intra-abdominal/pelvic abnormality, and mild acute during L2 superior endplate compression fracture with approximately 4 mm of displacement into the spinal canal.  Patient also had a CT of the lumbar spine without contrast which showed acute appearing mild L2 superior endplate compression fracture with approximately 2 mm of displacement to the spinal canal, and multilevel degenerative disc disease.  This morning upon entering the room the patient was standing with assistance of a walker and hospital staff.  Patient tolerated fair.   Patient does complain of severe pain with standing and movement.  Patient does have 3+ pitting edema to bilateral lower extremities.  Denies numbness or tingling to lower extremities.  Bilateral lower extremity pulses are 1+ 1+, with CMS being less than 3 sec and skin is pink warm and dry.  Patient's EKG in the emergency room did show atrial fibrillation with RVR with a rate of 137.  Patient was given Cardizem IV in the emergency room, and then was started on Cardizem CD 100 80 mg p.o. daily.  Patient's rate is controlled at between 92 and 96 beats per minute and continues to show atrial fibrillation on the telemetry.  No shortness of breath is noted at this time.  Patient did also have lab work drawn in the emergency room CBC:  White count is 9.4, hemoglobin 14.4, hematocrit was 43.7, with a platelet count of 261.  Patient's CMP showed a BUN of 21, creatinine 1.2, potassium was normal at 4.6, and her GFR was noted at 41.  Patient also had a BMP drawn which was noted at 322.  Patient also had a urinalysis performed which shows negative for leukocytes, nitrate negative.  Patient was admitted to medical inpatient as it is deemed that she will need longer than a 2 midnight stay for cardiac monitoring and will work with physical therapy and occupational therapy for gait training and strengthening with relation to the compression fracture of her L2 fracture, and pain control.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Pain
Clinical narrative: severe left shoulder joint pain   not able to lift shoulder due to joint pain
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Lymphadenopathy
Clinical narrative: Swollen lymph node in neck (left side).  No treatment given.  Lymph node swelling resolved 16Mar2021.   Extreme fatigue - start 16Mar2021 - on going as of this report.  No treatment given.
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myalgia, Pain in extremity
Clinical narrative: Continued soreness in left arm muscle
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: Continued soreness in left arm muscle
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest X-ray, Electrocardiogram, Fatigue, Full blood count
Clinical narrative: Panic attacks, chronic fatigue/weakness began on Feb 1st, less than 3 days after shot number 1 was given.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Panic attack
Clinical narrative: Panic attacks, chronic fatigue/weakness began on Feb 1st, less than 3 days after shot number 1 was given.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Full blood count, Haematoma, Ultrasound scan abnormal, Vaginal haemorrhage
Clinical narrative: I have vaginal bleeding and then it stopped on its own after two weeks and the bleed healed up. Dr visit - no treatment - peri gestational hematoma.   My due date is 9/18/2021; my second history - I have one living child.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased
Clinical narrative: PATIENT'S BLOOD PRESSURE INCREASED TO 185/123 ABOUT 3 MINUTES AFTER RECEIVING THE VACCINE. PATIENT STATES HE IS ON BLOOD PRESSURE MEDS AND HIS BLOOD PRESSURE USUALLY RUNS AROUND 146/102
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Injection site erythema, Injection site inflammation, Myalgia
Clinical narrative: The day after I started to have fairly serious muscle pain in my shoulder.  It now nearly four days later and it is reoccurring multiple times each day, with red inflammation visible near the injection site.  I'm treating with ibuprofen.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature increased, Condition aggravated, Diarrhoea, Fibromyalgia
Clinical narrative: At first nausea, vomiting, diarrhea and achy all over. Temperature was 101.7. About two days later the nausea, vomiting and diarrhea stopped temp went down to 99. Muscle and joint pain increased in severity. I attributed it to Fibromyalgia and Chronic Pain Syndrome. The pain has continued to spread to areas where I have not had chronic pain or Fibromyalgia in the past. Muscle cramps are now in groin, left shoulder, neck, and shins. All joints are painful and getting worse. Only relief is taking Xanax and muscle relaxers prescribed by doctor. Difficulty walking, I have been using a cane or walker.  Temp 100 at this time
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Muscle spasms, Myalgia, Nausea, Pain
Clinical narrative: At first nausea, vomiting, diarrhea and achy all over. Temperature was 101.7. About two days later the nausea, vomiting and diarrhea stopped temp went down to 99. Muscle and joint pain increased in severity. I attributed it to Fibromyalgia and Chronic Pain Syndrome. The pain has continued to spread to areas where I have not had chronic pain or Fibromyalgia in the past. Muscle cramps are now in groin, left shoulder, neck, and shins. All joints are painful and getting worse. Only relief is taking Xanax and muscle relaxers prescribed by doctor. Difficulty walking, I have been using a cane or walker.  Temp 100 at this time
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: At first nausea, vomiting, diarrhea and achy all over. Temperature was 101.7. About two days later the nausea, vomiting and diarrhea stopped temp went down to 99. Muscle and joint pain increased in severity. I attributed it to Fibromyalgia and Chronic Pain Syndrome. The pain has continued to spread to areas where I have not had chronic pain or Fibromyalgia in the past. Muscle cramps are now in groin, left shoulder, neck, and shins. All joints are painful and getting worse. Only relief is taking Xanax and muscle relaxers prescribed by doctor. Difficulty walking, I have been using a cane or walker.  Temp 100 at this time
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Flushing, Headache, Myalgia
Clinical narrative: Muscle ache, neck pain, fatigue, extreme headache, flushing, fever, chills,
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pyrexia
Clinical narrative: Muscle ache, neck pain, fatigue, extreme headache, flushing, fever, chills,
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal swelling, Swollen tongue, Urticaria
Clinical narrative: Hives, Swelling of tongue and throat
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Paraesthesia oral, Periorbital swelling, Swelling
Clinical narrative: 20 minutes after vaccine injection Patient C/O tongue tingling, feeling swollen and puffy eyes. Patient mildly swollen around eyes. VS Stable. IM Benadryl 50MG administered to right deltoid. O2 at 2L per NC administered. Improved for 10 minutes and then tingling and swelling returned. C/O of feeling lightheaded.  Medicated with Epi pen to left thigh. Patient improved/stable and was sent via EMS to hospital for evaluation and treatment.