chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Hiatus hernia, Lung opacity, Mental status changes, Nephrolithiasis, Pneumonia viral
Clinical narrative: Patient presented to ED with nursing home report stating patient is altered compared to baseline, and less interactive than normal. History is otherwise limited by mental status. Patient was found to have UTI and COVID-19. Patient will be admitted to the hospital.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cells urine positive, Renal cyst, SARS-CoV-2 test positive, Urinary sediment present, Urinary tract infection
Clinical narrative: Patient presented to ED with nursing home report stating patient is altered compared to baseline, and less interactive than normal. History is otherwise limited by mental status. Patient was found to have UTI and COVID-19. Patient will be admitted to the hospital.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis abnormal, White blood cells urine positive
Clinical narrative: Patient presented to ED with nursing home report stating patient is altered compared to baseline, and less interactive than normal. History is otherwise limited by mental status. Patient was found to have UTI and COVID-19. Patient will be admitted to the hospital.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal swelling
Clinical narrative: Mild, subjective sensation of throat swelling about 25 minutes after the injection. Received solumedrol, benadryl, and pepcid with resolution of symptoms.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Received full dose of Moderna booster instead of half dose
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Diarrhoea, Dyspnoea, Enterovirus test positive
Clinical narrative: Patient admitted to reporting hospital on 11/4/21 and continues to be admitted. Patient was a transfer from another Hospital. Patient visited Hospital ER 3 times prior to being admitted with symptoms of worsening shortness of breath, nausea, gagging, diarrhea, body aches and headaches. She was originally positive for Rhinovirus. Patient eventually tested positive for COVID on 10/31/21.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Human rhinovirus test positive, Interstitial lung disease, Lung infiltration, Lung opacity
Clinical narrative: Patient admitted to reporting hospital on 11/4/21 and continues to be admitted. Patient was a transfer from another Hospital. Patient visited Hospital ER 3 times prior to being admitted with symptoms of worsening shortness of breath, nausea, gagging, diarrhea, body aches and headaches. She was originally positive for Rhinovirus. Patient eventually tested positive for COVID on 10/31/21.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Retching, SARS-CoV-2 test positive
Clinical narrative: Patient admitted to reporting hospital on 11/4/21 and continues to be admitted. Patient was a transfer from another Hospital. Patient visited Hospital ER 3 times prior to being admitted with symptoms of worsening shortness of breath, nausea, gagging, diarrhea, body aches and headaches. She was originally positive for Rhinovirus. Patient eventually tested positive for COVID on 10/31/21.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Error: Incorrect Reconstitution-
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Pneumonia
Clinical narrative: Patient admitted with generalized weakness, initially mild, then later diagnosed with pneumonia
Age: 0.5
Sex: M
Vaccine: MMR
Symptoms: Autism spectrum disorder, Laboratory test abnormal
Clinical narrative: Autism diagnosed at the age of 9
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Patient vaccinated with Pfizer vaccine mixed with sterile water instead of 09% Normal Saline, preservative free. Consulted with FDA and CDC to determine next steps for patient after discovery. Re-vaccination advised and outreach team contacting impacted patient and offering to speak with a physician to discuss.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Chills, Fatigue, Headache, Injection site pain
Clinical narrative: Injection site pain without pressure began about 3 pm 11/09; continued until evening of 11/10 Overall body muscle ache began 8 pm 11/09; continued until evening of 11/10 Tiredness began 7 pm 11/09; continued until early morning of 11/11 Fever (low-grade about 100º) and chills began 9 pm 11/09; continued until about 3 am 11/10 Upset stomach (no vomiting) from 5 pm to 7 pm 11/10 Extreme Headache began 10 pm 11/10; continued until early morning 11/10
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pyrexia
Clinical narrative: Injection site pain without pressure began about 3 pm 11/09; continued until evening of 11/10 Overall body muscle ache began 8 pm 11/09; continued until evening of 11/10 Tiredness began 7 pm 11/09; continued until early morning of 11/11 Fever (low-grade about 100º) and chills began 9 pm 11/09; continued until about 3 am 11/10 Upset stomach (no vomiting) from 5 pm to 7 pm 11/10 Extreme Headache began 10 pm 11/10; continued until early morning 11/10
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient requested booster dose of Moderna shot (0.25mL) and given a dose of 0.5mL.
Age: 48.0
Sex: U
Vaccine: COVID19
Symptoms: Amnesia, Balance disorder, Dizziness, Gait disturbance, Headache
Clinical narrative: First dose presented sweating, a lot of fever, dizziness, muscle pain, loss of memory, loss of balances, walking pain, head pain.
Age: 48.0
Sex: U
Vaccine: COVID19
Symptoms: Hyperhidrosis, Myalgia, Pain, Pyrexia
Clinical narrative: First dose presented sweating, a lot of fever, dizziness, muscle pain, loss of memory, loss of balances, walking pain, head pain.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test, Computerised tomogram, Feeling abnormal, Incontinence
Clinical narrative: Pt. states that after receiving the 2nd dose of Phizer 03/30/2021, started experiencing symptoms 05/21/2021 of passing out resulting in four fractures in the *Right arm, possible Concussion, broken Jaw, 34 stitches throughout the face, and brain fog. Emergency Room visit 05/21/2021, admitted to Hospital for 7 days then transported to a Rehabilitation center 05/28/2021-06/20/2021. Discharged and continues to experience symptoms of Brain Fog, weakness, and Incontinence.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Jaw fracture, Loss of consciousness, Skin laceration, Upper limb fracture, X-ray
Clinical narrative: Pt. states that after receiving the 2nd dose of Phizer 03/30/2021, started experiencing symptoms 05/21/2021 of passing out resulting in four fractures in the *Right arm, possible Concussion, broken Jaw, 34 stitches throughout the face, and brain fog. Emergency Room visit 05/21/2021, admitted to Hospital for 7 days then transported to a Rehabilitation center 05/28/2021-06/20/2021. Discharged and continues to experience symptoms of Brain Fog, weakness, and Incontinence.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV, VARCEL
Symptoms: Blood test, C-reactive protein normal, Gait disturbance, Injection site pain, Joint dislocation
Clinical narrative: Mother called MD on 10.16.2021 and reported that child had been complaining of leg pain on and off since vaccination and is limping today.. She was going to preschool and was still active these past 2 weeks. Upon examination in the clinic, the left hip was guarding so full range of motion could not be obtained. At the emergency room, blood work, xray of pelvis and ultrasound were obtained. C rective protein was 5.7. Moderate simple appearing left hip joint effusion was found on ultrasound. Ibuprofen was given. Child recovered quickly and completely within a few days.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV, VARCEL
Symptoms: Joint effusion, Joint range of motion decreased, Ultrasound pelvis abnormal, X-ray of pelvis and hip abnormal
Clinical narrative: Mother called MD on 10.16.2021 and reported that child had been complaining of leg pain on and off since vaccination and is limping today.. She was going to preschool and was still active these past 2 weeks. Upon examination in the clinic, the left hip was guarding so full range of motion could not be obtained. At the emergency room, blood work, xray of pelvis and ultrasound were obtained. C rective protein was 5.7. Moderate simple appearing left hip joint effusion was found on ultrasound. Ibuprofen was given. Child recovered quickly and completely within a few days.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Blood test abnormal, Gastrointestinal bacterial overgrowth, Menstrual disorder, Ultrasound scan
Clinical narrative: Change in menstrual cycle from monthly or every twenty-three days to having four cycles in six weeks. Cycle gradually went back to normal over four months.  Extreme bloating due to SIBO (Small Intestinal Bacterial Overgrowth), diagnosed with SIBO, was treated for SIBO.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Extra dose administered, Feeling abnormal, Pain
Clinical narrative: Booster reactions: Covid-like symptoms: Fever, chills, body aches, loss of apetite, "brain-fog."
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Booster reactions: Covid-like symptoms: Fever, chills, body aches, loss of apetite, "brain-fog."
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: Patient vaccinated with Pfizer vaccine mixed with sterile water instead of 09% Normal Saline, preservative free. Consulted with FDA and CDC to determine next steps for patient after discovery. Re-vaccination advised and outreach team contacting impacted patient and offering to speak with a physician to discuss.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Vulvovaginal pain
Clinical narrative: Vagina pain
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough Case  Patient received Booster on 10/19/2021  Lot #FC3182  Admitted by Pharmacy
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone normal, Brain scan normal, Exophthalmos, Fear, Head discomfort
Clinical narrative: WAS AWAKENED WITH FEELING OF TERRIBLE PRESSURE IN MY HEAD, FEELING OF MY EYES BULGING ALONG WITH SEVERE PAIN, NECK PAIN ESPECAILLY ALONG THE LEFT SIDE OF MY NECK. FELT AS IF THE TOP PART OF MY HEAD WAS FULL OF AIR, AND THE TEMPLES RIGHT AND LEFT WERE ACHING AND PAINFUL!!! THIS HAD GONE ON FOR 3 WEEKS.! MY PCP WAS CONTACTED AND I VISITED HER, AND SHE ORDERED A STAT CT SCAN OF THE BRAIN, AND LAB WORK LOOKING FOR INFLAMMATION AND TEMPORAL ARTERITIS... SHE PLACED ME ON 50 MG OF PREDNISONE X 4 DAYS. AND I DID HAVE POSITIVE RESULTS WITH THE USE OF THE PREDNISONE. STILL HAVE SLIGHT RESIDUAL FUNNY FEELING IN THE HEAD BUT NOTHING LIKE IN THE BEGINNING. VERY SCARY!! BRAIN SCAN WAS NL, LABS WERE NL, AND IT HAS BEEN 4 DAYS SINCE THE TREATMENT TOOK PLACE,
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Laboratory test normal, Neck pain, Pain, Red blood cell sedimentation rate normal
Clinical narrative: WAS AWAKENED WITH FEELING OF TERRIBLE PRESSURE IN MY HEAD, FEELING OF MY EYES BULGING ALONG WITH SEVERE PAIN, NECK PAIN ESPECAILLY ALONG THE LEFT SIDE OF MY NECK. FELT AS IF THE TOP PART OF MY HEAD WAS FULL OF AIR, AND THE TEMPLES RIGHT AND LEFT WERE ACHING AND PAINFUL!!! THIS HAD GONE ON FOR 3 WEEKS.! MY PCP WAS CONTACTED AND I VISITED HER, AND SHE ORDERED A STAT CT SCAN OF THE BRAIN, AND LAB WORK LOOKING FOR INFLAMMATION AND TEMPORAL ARTERITIS... SHE PLACED ME ON 50 MG OF PREDNISONE X 4 DAYS. AND I DID HAVE POSITIVE RESULTS WITH THE USE OF THE PREDNISONE. STILL HAVE SLIGHT RESIDUAL FUNNY FEELING IN THE HEAD BUT NOTHING LIKE IN THE BEGINNING. VERY SCARY!! BRAIN SCAN WAS NL, LABS WERE NL, AND IT HAS BEEN 4 DAYS SINCE THE TREATMENT TOOK PLACE,
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Sensory disturbance
Clinical narrative: WAS AWAKENED WITH FEELING OF TERRIBLE PRESSURE IN MY HEAD, FEELING OF MY EYES BULGING ALONG WITH SEVERE PAIN, NECK PAIN ESPECAILLY ALONG THE LEFT SIDE OF MY NECK. FELT AS IF THE TOP PART OF MY HEAD WAS FULL OF AIR, AND THE TEMPLES RIGHT AND LEFT WERE ACHING AND PAINFUL!!! THIS HAD GONE ON FOR 3 WEEKS.! MY PCP WAS CONTACTED AND I VISITED HER, AND SHE ORDERED A STAT CT SCAN OF THE BRAIN, AND LAB WORK LOOKING FOR INFLAMMATION AND TEMPORAL ARTERITIS... SHE PLACED ME ON 50 MG OF PREDNISONE X 4 DAYS. AND I DID HAVE POSITIVE RESULTS WITH THE USE OF THE PREDNISONE. STILL HAVE SLIGHT RESIDUAL FUNNY FEELING IN THE HEAD BUT NOTHING LIKE IN THE BEGINNING. VERY SCARY!! BRAIN SCAN WAS NL, LABS WERE NL, AND IT HAS BEEN 4 DAYS SINCE THE TREATMENT TOOK PLACE,
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Balance disorder, Blood test, Cellulitis, Chills
Clinical narrative: All my joints and muscles hurt. No relief with anything I tried. I had fever, chills, all flu-like symptoms, blood pressure was low, pulse was high, equilibrium was off.  All happened on 11/03/2021. By the third day I had a hard time breathing . I had a big red knot the size of a baseball that's red and hot to the touch. I went to urgent care and diagnosed with cellulitis on my arm he gave me medication. The baseball like rash moved to back of my arm to elbow. By Monday it was moving up to my shoulder. Went back to Urgent Care, which sent me to ER.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Erythema, Heart rate increased, Hypotension, Influenza like illness
Clinical narrative: All my joints and muscles hurt. No relief with anything I tried. I had fever, chills, all flu-like symptoms, blood pressure was low, pulse was high, equilibrium was off.  All happened on 11/03/2021. By the third day I had a hard time breathing . I had a big red knot the size of a baseball that's red and hot to the touch. I went to urgent care and diagnosed with cellulitis on my arm he gave me medication. The baseball like rash moved to back of my arm to elbow. By Monday it was moving up to my shoulder. Went back to Urgent Care, which sent me to ER.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nodule, Pyrexia, Rash, Skin warm
Clinical narrative: All my joints and muscles hurt. No relief with anything I tried. I had fever, chills, all flu-like symptoms, blood pressure was low, pulse was high, equilibrium was off.  All happened on 11/03/2021. By the third day I had a hard time breathing . I had a big red knot the size of a baseball that's red and hot to the touch. I went to urgent care and diagnosed with cellulitis on my arm he gave me medication. The baseball like rash moved to back of my arm to elbow. By Monday it was moving up to my shoulder. Went back to Urgent Care, which sent me to ER.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan
Clinical narrative: All my joints and muscles hurt. No relief with anything I tried. I had fever, chills, all flu-like symptoms, blood pressure was low, pulse was high, equilibrium was off.  All happened on 11/03/2021. By the third day I had a hard time breathing . I had a big red knot the size of a baseball that's red and hot to the touch. I went to urgent care and diagnosed with cellulitis on my arm he gave me medication. The baseball like rash moved to back of my arm to elbow. By Monday it was moving up to my shoulder. Went back to Urgent Care, which sent me to ER.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: Patient vaccinated with Pfizer vaccine mixed with sterile water instead of 09% Normal Saline, preservative free. Consulted with FDA and CDC to determine next steps for patient after discovery. Re-vaccination advised and outreach team contacting impacted patient and offering to speak with a physician to discuss.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Patient vaccinated with Pfizer vaccine mixed with sterile water instead of 09% Normal Saline, preservative free. Consulted with Agencies to determine next steps for patient after discovery. Re-vaccination advised and outreach team contacting impacted patient and offering to speak with a physician to discuss.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time, Ageusia, Anaemia, Angiogram cerebral abnormal, Anion gap
Clinical narrative: Patient is a 57 y.o. woman with PMH significant for paroxysmal AFib on Xarelto, sick sinus syndrome, diastolic congestive heart failure, history of CVA with residual left-sided weakness obstructive sleep apnea on CPAP and seizure disorder presented to emergency department for right-sided weakness, tingling numbness and slow speech.   According to patient she started having symptoms yesterday evening.  Also she was having cough with expectoration and shortness of breath, sore throat, headache, loss of sensation of taste and smell and fever on Monday.  Given the symptoms she presented to emergency department for further evaluation.   In emergency department she were tested positive for COVID-19.  CT imaging of head, angiogram of head and neck showed chronic findings.  Neurology evaluated patient and recommended to rule out acute stroke.   At the time of interview patient is complaining of right-sided weakness, slowing of speech, shortness of breath, cough, on and off fever, loss of sensation of taste and smell, soreness in throat and headache.  Patient seen evaluated.  Presents for today(11-9-21) for evaluation of stroke-like symptoms.  Took upon presentation to the bedside code stroke was activated.  Patient is still having some symptoms however symptoms are not quite focal.  As last well known is 1800 yesterday and is well as her being on anticoagulation she is not a candidate for tPA.  CT head shows no acute CVA.  There are multiple focal sites of chronic infarction.  CT perfusion reveals no evidence of infarct core critical hypoperfusion.  CT angiogram head neck shows no new intracranial large vessel occlusion.  There is severe chronic stenosis of the left middle cerebral artery proximal M1 segment and moderate stenosis of the distal right middle cerebral artery.  Complete blood count reveals normal white count.  Hemoglobin mildly anemic 11.8.  Platelet count 134. COVID screen is positive.  Patient was hypoxic initially 87% upon my arrival to the room when she 1st presented.  She did require 2 L supplemental oxygen.  She was started on Decadron 6 mg. Chest x-ray did show possible of point vascular congestion versus early infection.  BNP only 799. She remained stable condition saturating well on 2 L at this time no acute respiratory distress.  She will be admitted to the hospitalist for stroke workup along with further treatment of her COVID-19.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Anosmia, Anticoagulant therapy, Anticoagulation drug level, Arteriogram carotid abnormal, Blood albumin decreased
Clinical narrative: Patient is a 57 y.o. woman with PMH significant for paroxysmal AFib on Xarelto, sick sinus syndrome, diastolic congestive heart failure, history of CVA with residual left-sided weakness obstructive sleep apnea on CPAP and seizure disorder presented to emergency department for right-sided weakness, tingling numbness and slow speech.   According to patient she started having symptoms yesterday evening.  Also she was having cough with expectoration and shortness of breath, sore throat, headache, loss of sensation of taste and smell and fever on Monday.  Given the symptoms she presented to emergency department for further evaluation.   In emergency department she were tested positive for COVID-19.  CT imaging of head, angiogram of head and neck showed chronic findings.  Neurology evaluated patient and recommended to rule out acute stroke.   At the time of interview patient is complaining of right-sided weakness, slowing of speech, shortness of breath, cough, on and off fever, loss of sensation of taste and smell, soreness in throat and headache.  Patient seen evaluated.  Presents for today(11-9-21) for evaluation of stroke-like symptoms.  Took upon presentation to the bedside code stroke was activated.  Patient is still having some symptoms however symptoms are not quite focal.  As last well known is 1800 yesterday and is well as her being on anticoagulation she is not a candidate for tPA.  CT head shows no acute CVA.  There are multiple focal sites of chronic infarction.  CT perfusion reveals no evidence of infarct core critical hypoperfusion.  CT angiogram head neck shows no new intracranial large vessel occlusion.  There is severe chronic stenosis of the left middle cerebral artery proximal M1 segment and moderate stenosis of the distal right middle cerebral artery.  Complete blood count reveals normal white count.  Hemoglobin mildly anemic 11.8.  Platelet count 134. COVID screen is positive.  Patient was hypoxic initially 87% upon my arrival to the room when she 1st presented.  She did require 2 L supplemental oxygen.  She was started on Decadron 6 mg. Chest x-ray did show possible of point vascular congestion versus early infection.  BNP only 799. She remained stable condition saturating well on 2 L at this time no acute respiratory distress.  She will be admitted to the hospitalist for stroke workup along with further treatment of her COVID-19.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Blood calcium decreased, Blood creatine normal, Blood glucose normal, Blood lactic acid normal, Brain natriuretic peptide increased
Clinical narrative: Patient is a 57 y.o. woman with PMH significant for paroxysmal AFib on Xarelto, sick sinus syndrome, diastolic congestive heart failure, history of CVA with residual left-sided weakness obstructive sleep apnea on CPAP and seizure disorder presented to emergency department for right-sided weakness, tingling numbness and slow speech.   According to patient she started having symptoms yesterday evening.  Also she was having cough with expectoration and shortness of breath, sore throat, headache, loss of sensation of taste and smell and fever on Monday.  Given the symptoms she presented to emergency department for further evaluation.   In emergency department she were tested positive for COVID-19.  CT imaging of head, angiogram of head and neck showed chronic findings.  Neurology evaluated patient and recommended to rule out acute stroke.   At the time of interview patient is complaining of right-sided weakness, slowing of speech, shortness of breath, cough, on and off fever, loss of sensation of taste and smell, soreness in throat and headache.  Patient seen evaluated.  Presents for today(11-9-21) for evaluation of stroke-like symptoms.  Took upon presentation to the bedside code stroke was activated.  Patient is still having some symptoms however symptoms are not quite focal.  As last well known is 1800 yesterday and is well as her being on anticoagulation she is not a candidate for tPA.  CT head shows no acute CVA.  There are multiple focal sites of chronic infarction.  CT perfusion reveals no evidence of infarct core critical hypoperfusion.  CT angiogram head neck shows no new intracranial large vessel occlusion.  There is severe chronic stenosis of the left middle cerebral artery proximal M1 segment and moderate stenosis of the distal right middle cerebral artery.  Complete blood count reveals normal white count.  Hemoglobin mildly anemic 11.8.  Platelet count 134. COVID screen is positive.  Patient was hypoxic initially 87% upon my arrival to the room when she 1st presented.  She did require 2 L supplemental oxygen.  She was started on Decadron 6 mg. Chest x-ray did show possible of point vascular congestion versus early infection.  BNP only 799. She remained stable condition saturating well on 2 L at this time no acute respiratory distress.  She will be admitted to the hospitalist for stroke workup along with further treatment of her COVID-19.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cerebral artery stenosis, Chest X-ray abnormal, Computerised tomogram head abnormal, Condition aggravated
Clinical narrative: Patient is a 57 y.o. woman with PMH significant for paroxysmal AFib on Xarelto, sick sinus syndrome, diastolic congestive heart failure, history of CVA with residual left-sided weakness obstructive sleep apnea on CPAP and seizure disorder presented to emergency department for right-sided weakness, tingling numbness and slow speech.   According to patient she started having symptoms yesterday evening.  Also she was having cough with expectoration and shortness of breath, sore throat, headache, loss of sensation of taste and smell and fever on Monday.  Given the symptoms she presented to emergency department for further evaluation.   In emergency department she were tested positive for COVID-19.  CT imaging of head, angiogram of head and neck showed chronic findings.  Neurology evaluated patient and recommended to rule out acute stroke.   At the time of interview patient is complaining of right-sided weakness, slowing of speech, shortness of breath, cough, on and off fever, loss of sensation of taste and smell, soreness in throat and headache.  Patient seen evaluated.  Presents for today(11-9-21) for evaluation of stroke-like symptoms.  Took upon presentation to the bedside code stroke was activated.  Patient is still having some symptoms however symptoms are not quite focal.  As last well known is 1800 yesterday and is well as her being on anticoagulation she is not a candidate for tPA.  CT head shows no acute CVA.  There are multiple focal sites of chronic infarction.  CT perfusion reveals no evidence of infarct core critical hypoperfusion.  CT angiogram head neck shows no new intracranial large vessel occlusion.  There is severe chronic stenosis of the left middle cerebral artery proximal M1 segment and moderate stenosis of the distal right middle cerebral artery.  Complete blood count reveals normal white count.  Hemoglobin mildly anemic 11.8.  Platelet count 134. COVID screen is positive.  Patient was hypoxic initially 87% upon my arrival to the room when she 1st presented.  She did require 2 L supplemental oxygen.  She was started on Decadron 6 mg. Chest x-ray did show possible of point vascular congestion versus early infection.  BNP only 799. She remained stable condition saturating well on 2 L at this time no acute respiratory distress.  She will be admitted to the hospitalist for stroke workup along with further treatment of her COVID-19.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Differential white blood cell count abnormal, Drug level, Dyspnoea, Electrocardiogram T wave abnormal
Clinical narrative: Patient is a 57 y.o. woman with PMH significant for paroxysmal AFib on Xarelto, sick sinus syndrome, diastolic congestive heart failure, history of CVA with residual left-sided weakness obstructive sleep apnea on CPAP and seizure disorder presented to emergency department for right-sided weakness, tingling numbness and slow speech.   According to patient she started having symptoms yesterday evening.  Also she was having cough with expectoration and shortness of breath, sore throat, headache, loss of sensation of taste and smell and fever on Monday.  Given the symptoms she presented to emergency department for further evaluation.   In emergency department she were tested positive for COVID-19.  CT imaging of head, angiogram of head and neck showed chronic findings.  Neurology evaluated patient and recommended to rule out acute stroke.   At the time of interview patient is complaining of right-sided weakness, slowing of speech, shortness of breath, cough, on and off fever, loss of sensation of taste and smell, soreness in throat and headache.  Patient seen evaluated.  Presents for today(11-9-21) for evaluation of stroke-like symptoms.  Took upon presentation to the bedside code stroke was activated.  Patient is still having some symptoms however symptoms are not quite focal.  As last well known is 1800 yesterday and is well as her being on anticoagulation she is not a candidate for tPA.  CT head shows no acute CVA.  There are multiple focal sites of chronic infarction.  CT perfusion reveals no evidence of infarct core critical hypoperfusion.  CT angiogram head neck shows no new intracranial large vessel occlusion.  There is severe chronic stenosis of the left middle cerebral artery proximal M1 segment and moderate stenosis of the distal right middle cerebral artery.  Complete blood count reveals normal white count.  Hemoglobin mildly anemic 11.8.  Platelet count 134. COVID screen is positive.  Patient was hypoxic initially 87% upon my arrival to the room when she 1st presented.  She did require 2 L supplemental oxygen.  She was started on Decadron 6 mg. Chest x-ray did show possible of point vascular congestion versus early infection.  BNP only 799. She remained stable condition saturating well on 2 L at this time no acute respiratory distress.  She will be admitted to the hospitalist for stroke workup along with further treatment of her COVID-19.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count abnormal, Haematocrit decreased, Haemoglobin decreased, Headache, Hemiparesis
Clinical narrative: Patient is a 57 y.o. woman with PMH significant for paroxysmal AFib on Xarelto, sick sinus syndrome, diastolic congestive heart failure, history of CVA with residual left-sided weakness obstructive sleep apnea on CPAP and seizure disorder presented to emergency department for right-sided weakness, tingling numbness and slow speech.   According to patient she started having symptoms yesterday evening.  Also she was having cough with expectoration and shortness of breath, sore throat, headache, loss of sensation of taste and smell and fever on Monday.  Given the symptoms she presented to emergency department for further evaluation.   In emergency department she were tested positive for COVID-19.  CT imaging of head, angiogram of head and neck showed chronic findings.  Neurology evaluated patient and recommended to rule out acute stroke.   At the time of interview patient is complaining of right-sided weakness, slowing of speech, shortness of breath, cough, on and off fever, loss of sensation of taste and smell, soreness in throat and headache.  Patient seen evaluated.  Presents for today(11-9-21) for evaluation of stroke-like symptoms.  Took upon presentation to the bedside code stroke was activated.  Patient is still having some symptoms however symptoms are not quite focal.  As last well known is 1800 yesterday and is well as her being on anticoagulation she is not a candidate for tPA.  CT head shows no acute CVA.  There are multiple focal sites of chronic infarction.  CT perfusion reveals no evidence of infarct core critical hypoperfusion.  CT angiogram head neck shows no new intracranial large vessel occlusion.  There is severe chronic stenosis of the left middle cerebral artery proximal M1 segment and moderate stenosis of the distal right middle cerebral artery.  Complete blood count reveals normal white count.  Hemoglobin mildly anemic 11.8.  Platelet count 134. COVID screen is positive.  Patient was hypoxic initially 87% upon my arrival to the room when she 1st presented.  She did require 2 L supplemental oxygen.  She was started on Decadron 6 mg. Chest x-ray did show possible of point vascular congestion versus early infection.  BNP only 799. She remained stable condition saturating well on 2 L at this time no acute respiratory distress.  She will be admitted to the hospitalist for stroke workup along with further treatment of her COVID-19.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypoxia, Infarction, International normalised ratio increased, Lymphocyte count decreased
Clinical narrative: Patient is a 57 y.o. woman with PMH significant for paroxysmal AFib on Xarelto, sick sinus syndrome, diastolic congestive heart failure, history of CVA with residual left-sided weakness obstructive sleep apnea on CPAP and seizure disorder presented to emergency department for right-sided weakness, tingling numbness and slow speech.   According to patient she started having symptoms yesterday evening.  Also she was having cough with expectoration and shortness of breath, sore throat, headache, loss of sensation of taste and smell and fever on Monday.  Given the symptoms she presented to emergency department for further evaluation.   In emergency department she were tested positive for COVID-19.  CT imaging of head, angiogram of head and neck showed chronic findings.  Neurology evaluated patient and recommended to rule out acute stroke.   At the time of interview patient is complaining of right-sided weakness, slowing of speech, shortness of breath, cough, on and off fever, loss of sensation of taste and smell, soreness in throat and headache.  Patient seen evaluated.  Presents for today(11-9-21) for evaluation of stroke-like symptoms.  Took upon presentation to the bedside code stroke was activated.  Patient is still having some symptoms however symptoms are not quite focal.  As last well known is 1800 yesterday and is well as her being on anticoagulation she is not a candidate for tPA.  CT head shows no acute CVA.  There are multiple focal sites of chronic infarction.  CT perfusion reveals no evidence of infarct core critical hypoperfusion.  CT angiogram head neck shows no new intracranial large vessel occlusion.  There is severe chronic stenosis of the left middle cerebral artery proximal M1 segment and moderate stenosis of the distal right middle cerebral artery.  Complete blood count reveals normal white count.  Hemoglobin mildly anemic 11.8.  Platelet count 134. COVID screen is positive.  Patient was hypoxic initially 87% upon my arrival to the room when she 1st presented.  She did require 2 L supplemental oxygen.  She was started on Decadron 6 mg. Chest x-ray did show possible of point vascular congestion versus early infection.  BNP only 799. She remained stable condition saturating well on 2 L at this time no acute respiratory distress.  She will be admitted to the hospitalist for stroke workup along with further treatment of her COVID-19.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphocyte percentage decreased, Mean cell haemoglobin decreased, Metabolic function test, Monocyte count increased, Monocyte percentage increased
Clinical narrative: Patient is a 57 y.o. woman with PMH significant for paroxysmal AFib on Xarelto, sick sinus syndrome, diastolic congestive heart failure, history of CVA with residual left-sided weakness obstructive sleep apnea on CPAP and seizure disorder presented to emergency department for right-sided weakness, tingling numbness and slow speech.   According to patient she started having symptoms yesterday evening.  Also she was having cough with expectoration and shortness of breath, sore throat, headache, loss of sensation of taste and smell and fever on Monday.  Given the symptoms she presented to emergency department for further evaluation.   In emergency department she were tested positive for COVID-19.  CT imaging of head, angiogram of head and neck showed chronic findings.  Neurology evaluated patient and recommended to rule out acute stroke.   At the time of interview patient is complaining of right-sided weakness, slowing of speech, shortness of breath, cough, on and off fever, loss of sensation of taste and smell, soreness in throat and headache.  Patient seen evaluated.  Presents for today(11-9-21) for evaluation of stroke-like symptoms.  Took upon presentation to the bedside code stroke was activated.  Patient is still having some symptoms however symptoms are not quite focal.  As last well known is 1800 yesterday and is well as her being on anticoagulation she is not a candidate for tPA.  CT head shows no acute CVA.  There are multiple focal sites of chronic infarction.  CT perfusion reveals no evidence of infarct core critical hypoperfusion.  CT angiogram head neck shows no new intracranial large vessel occlusion.  There is severe chronic stenosis of the left middle cerebral artery proximal M1 segment and moderate stenosis of the distal right middle cerebral artery.  Complete blood count reveals normal white count.  Hemoglobin mildly anemic 11.8.  Platelet count 134. COVID screen is positive.  Patient was hypoxic initially 87% upon my arrival to the room when she 1st presented.  She did require 2 L supplemental oxygen.  She was started on Decadron 6 mg. Chest x-ray did show possible of point vascular congestion versus early infection.  BNP only 799. She remained stable condition saturating well on 2 L at this time no acute respiratory distress.  She will be admitted to the hospitalist for stroke workup along with further treatment of her COVID-19.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Neurological symptom, Oropharyngeal pain, Paraesthesia, Perfusion brain scan normal, Platelet count decreased
Clinical narrative: Patient is a 57 y.o. woman with PMH significant for paroxysmal AFib on Xarelto, sick sinus syndrome, diastolic congestive heart failure, history of CVA with residual left-sided weakness obstructive sleep apnea on CPAP and seizure disorder presented to emergency department for right-sided weakness, tingling numbness and slow speech.   According to patient she started having symptoms yesterday evening.  Also she was having cough with expectoration and shortness of breath, sore throat, headache, loss of sensation of taste and smell and fever on Monday.  Given the symptoms she presented to emergency department for further evaluation.   In emergency department she were tested positive for COVID-19.  CT imaging of head, angiogram of head and neck showed chronic findings.  Neurology evaluated patient and recommended to rule out acute stroke.   At the time of interview patient is complaining of right-sided weakness, slowing of speech, shortness of breath, cough, on and off fever, loss of sensation of taste and smell, soreness in throat and headache.  Patient seen evaluated.  Presents for today(11-9-21) for evaluation of stroke-like symptoms.  Took upon presentation to the bedside code stroke was activated.  Patient is still having some symptoms however symptoms are not quite focal.  As last well known is 1800 yesterday and is well as her being on anticoagulation she is not a candidate for tPA.  CT head shows no acute CVA.  There are multiple focal sites of chronic infarction.  CT perfusion reveals no evidence of infarct core critical hypoperfusion.  CT angiogram head neck shows no new intracranial large vessel occlusion.  There is severe chronic stenosis of the left middle cerebral artery proximal M1 segment and moderate stenosis of the distal right middle cerebral artery.  Complete blood count reveals normal white count.  Hemoglobin mildly anemic 11.8.  Platelet count 134. COVID screen is positive.  Patient was hypoxic initially 87% upon my arrival to the room when she 1st presented.  She did require 2 L supplemental oxygen.  She was started on Decadron 6 mg. Chest x-ray did show possible of point vascular congestion versus early infection.  BNP only 799. She remained stable condition saturating well on 2 L at this time no acute respiratory distress.  She will be admitted to the hospitalist for stroke workup along with further treatment of her COVID-19.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Productive cough, Prohormone brain natriuretic peptide, Prothrombin time prolonged, Pulmonary oedema, Pyrexia
Clinical narrative: Patient is a 57 y.o. woman with PMH significant for paroxysmal AFib on Xarelto, sick sinus syndrome, diastolic congestive heart failure, history of CVA with residual left-sided weakness obstructive sleep apnea on CPAP and seizure disorder presented to emergency department for right-sided weakness, tingling numbness and slow speech.   According to patient she started having symptoms yesterday evening.  Also she was having cough with expectoration and shortness of breath, sore throat, headache, loss of sensation of taste and smell and fever on Monday.  Given the symptoms she presented to emergency department for further evaluation.   In emergency department she were tested positive for COVID-19.  CT imaging of head, angiogram of head and neck showed chronic findings.  Neurology evaluated patient and recommended to rule out acute stroke.   At the time of interview patient is complaining of right-sided weakness, slowing of speech, shortness of breath, cough, on and off fever, loss of sensation of taste and smell, soreness in throat and headache.  Patient seen evaluated.  Presents for today(11-9-21) for evaluation of stroke-like symptoms.  Took upon presentation to the bedside code stroke was activated.  Patient is still having some symptoms however symptoms are not quite focal.  As last well known is 1800 yesterday and is well as her being on anticoagulation she is not a candidate for tPA.  CT head shows no acute CVA.  There are multiple focal sites of chronic infarction.  CT perfusion reveals no evidence of infarct core critical hypoperfusion.  CT angiogram head neck shows no new intracranial large vessel occlusion.  There is severe chronic stenosis of the left middle cerebral artery proximal M1 segment and moderate stenosis of the distal right middle cerebral artery.  Complete blood count reveals normal white count.  Hemoglobin mildly anemic 11.8.  Platelet count 134. COVID screen is positive.  Patient was hypoxic initially 87% upon my arrival to the room when she 1st presented.  She did require 2 L supplemental oxygen.  She was started on Decadron 6 mg. Chest x-ray did show possible of point vascular congestion versus early infection.  BNP only 799. She remained stable condition saturating well on 2 L at this time no acute respiratory distress.  She will be admitted to the hospitalist for stroke workup along with further treatment of her COVID-19.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: QRS axis abnormal, SARS-CoV-2 test positive, Scan with contrast abnormal, Scan with contrast normal, Sinus rhythm
Clinical narrative: Patient is a 57 y.o. woman with PMH significant for paroxysmal AFib on Xarelto, sick sinus syndrome, diastolic congestive heart failure, history of CVA with residual left-sided weakness obstructive sleep apnea on CPAP and seizure disorder presented to emergency department for right-sided weakness, tingling numbness and slow speech.   According to patient she started having symptoms yesterday evening.  Also she was having cough with expectoration and shortness of breath, sore throat, headache, loss of sensation of taste and smell and fever on Monday.  Given the symptoms she presented to emergency department for further evaluation.   In emergency department she were tested positive for COVID-19.  CT imaging of head, angiogram of head and neck showed chronic findings.  Neurology evaluated patient and recommended to rule out acute stroke.   At the time of interview patient is complaining of right-sided weakness, slowing of speech, shortness of breath, cough, on and off fever, loss of sensation of taste and smell, soreness in throat and headache.  Patient seen evaluated.  Presents for today(11-9-21) for evaluation of stroke-like symptoms.  Took upon presentation to the bedside code stroke was activated.  Patient is still having some symptoms however symptoms are not quite focal.  As last well known is 1800 yesterday and is well as her being on anticoagulation she is not a candidate for tPA.  CT head shows no acute CVA.  There are multiple focal sites of chronic infarction.  CT perfusion reveals no evidence of infarct core critical hypoperfusion.  CT angiogram head neck shows no new intracranial large vessel occlusion.  There is severe chronic stenosis of the left middle cerebral artery proximal M1 segment and moderate stenosis of the distal right middle cerebral artery.  Complete blood count reveals normal white count.  Hemoglobin mildly anemic 11.8.  Platelet count 134. COVID screen is positive.  Patient was hypoxic initially 87% upon my arrival to the room when she 1st presented.  She did require 2 L supplemental oxygen.  She was started on Decadron 6 mg. Chest x-ray did show possible of point vascular congestion versus early infection.  BNP only 799. She remained stable condition saturating well on 2 L at this time no acute respiratory distress.  She will be admitted to the hospitalist for stroke workup along with further treatment of her COVID-19.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Slow speech, Urine analysis, Vertebrobasilar insufficiency, White blood cell count normal
Clinical narrative: Patient is a 57 y.o. woman with PMH significant for paroxysmal AFib on Xarelto, sick sinus syndrome, diastolic congestive heart failure, history of CVA with residual left-sided weakness obstructive sleep apnea on CPAP and seizure disorder presented to emergency department for right-sided weakness, tingling numbness and slow speech.   According to patient she started having symptoms yesterday evening.  Also she was having cough with expectoration and shortness of breath, sore throat, headache, loss of sensation of taste and smell and fever on Monday.  Given the symptoms she presented to emergency department for further evaluation.   In emergency department she were tested positive for COVID-19.  CT imaging of head, angiogram of head and neck showed chronic findings.  Neurology evaluated patient and recommended to rule out acute stroke.   At the time of interview patient is complaining of right-sided weakness, slowing of speech, shortness of breath, cough, on and off fever, loss of sensation of taste and smell, soreness in throat and headache.  Patient seen evaluated.  Presents for today(11-9-21) for evaluation of stroke-like symptoms.  Took upon presentation to the bedside code stroke was activated.  Patient is still having some symptoms however symptoms are not quite focal.  As last well known is 1800 yesterday and is well as her being on anticoagulation she is not a candidate for tPA.  CT head shows no acute CVA.  There are multiple focal sites of chronic infarction.  CT perfusion reveals no evidence of infarct core critical hypoperfusion.  CT angiogram head neck shows no new intracranial large vessel occlusion.  There is severe chronic stenosis of the left middle cerebral artery proximal M1 segment and moderate stenosis of the distal right middle cerebral artery.  Complete blood count reveals normal white count.  Hemoglobin mildly anemic 11.8.  Platelet count 134. COVID screen is positive.  Patient was hypoxic initially 87% upon my arrival to the room when she 1st presented.  She did require 2 L supplemental oxygen.  She was started on Decadron 6 mg. Chest x-ray did show possible of point vascular congestion versus early infection.  BNP only 799. She remained stable condition saturating well on 2 L at this time no acute respiratory distress.  She will be admitted to the hospitalist for stroke workup along with further treatment of her COVID-19.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea, Blood follicle stimulating hormone increased, Feeling abnormal, Hot flush, Intermenstrual bleeding
Clinical narrative: Noticed spotting mid-cycle during the month following second vaccine.   Had a menstrual period that same month (in May of 2021), but missed two periods in the months following, June and July.  The missed periods were coupled with hot flashes and some brain fog during that time (summer).
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Cardiovascular function test, Chest X-ray normal, Computerised tomogram normal, Dehydration
Clinical narrative: 11/05/2021, 8:30 AM, home.  Unexplained syncope, resulting in loss of consciousness, a forward fall from a chair, hitting floor above left eye. Unconscious for about 60 seconds. 911 called. Paramedics arrived, completed ECG and functionality tests, recommended visit to ED. I had consumed 12 oz of water and 10 oz of black coffee, was about to eat breakfast when I felt faint and sat down. Hospital ED, 9:45 AM. Admitted to ER quickly. Tests: CT scan, chest x-ray, blood work, urinalysis, multiple ECGs. All tests negative. Syncope believed to be caused by dehydration.  Follow-up, Monday, 11/08/2021, personal physician, completed examination, no adverse results, suggested dehydration as cause, recommended I take losartan at night rather than in the morning and to drink 2 liters of water a day.  11/11/2021. Feeling very good, bruising around eye is rapidly getting lighter and less noticeable. No adverse events sense 11/05. I'm not a doctor, but I don't believe the vaccine had anything to do with my syncope.