chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Culture urine negative, Electrocardiogram abnormal, Eosinophil percentage decreased, Fall, Full blood count
Clinical narrative: ED to Hosp-Admission  Current  10/2/2021 - present (12 days) Pneumonia  Principal problem Patient is a 86 y.o. male on hospital day number 0   Principal Problem:   Pneumonia Altered mental state Atrial fibrillation with slow ventricular response Prostate cancer with metastasis Troponin elevation Mild rhabdomyolysis Hypokalemia Generalized weakness    Plan      Chief Complaint Patient presents with ? Altered Mental Status ? Fall     1. Pneumonia?patient has a cough.  X-ray is concerning for possible pneumonia.  I will place him on community-acquired pneumonia.  He was apparently recently started on Vantin which may have been for recently diagnosed community-acquired pneumonia as well. 2. Atrial fibrillation/flutter with slow ventricular response?he had EKG demonstrating atrial fibrillation in January of this year.  He is not on any anticoagulant.  Will consult cardiology as he also now has a slow ventricular response.  He is not on any negative chronotropic medications. 3. Altered mental state?patient has no recollection of what been transpiring recently.  His long-term memory seems fairly intact.  CT scan of the head was unremarkable.  Confusion may be secondary to underlying pneumonia.  We will continue to monitor.  He does not have any focal motor deficits currently. 4. Prostate cancer with bony metastasis?continue with Zytiga. 5. Troponin elevation?likely demand ischemia in the setting of having been down for a day or so as well as having pneumonia.  Will obtain echo in the morning and continue to trend enzymes. 6. Mild rhabdomyolysis?secondary to have been down.  We will continue to trend.  Levels are now very high. 7. Hypokalemia?replete. 8. Generalized weakness-patient has a baseline gait dysfunction.  The family has been contemplating placement.  Will order physical and Occupational Therapy and consult case management.    History of Present Illness     Patient is an 86 y.o. male.    Comes in today after being found down.  Patient lives by himself.  He has metastatic prostate cancer.  Family has spoke with him yesterday but not since.  Today he was found on the floor covered in feces with traumatic skin tears.  He was unable to get up.  Patient was brought into the emergency room where work-up was notable for possible pneumonia on x-rays.  He was very confused and not able to provide any history and has no recollection of what transpired recently.  Patient's functional capacity has been poor recently with a gait dysfunction and family has been contemplating sending him for placement.  Patient currently denies any pain.  Not able to provide any additional information.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Gait disturbance, Haematocrit decreased, Haemoglobin decreased, Head injury, Hypokalaemia
Clinical narrative: ED to Hosp-Admission  Current  10/2/2021 - present (12 days) Pneumonia  Principal problem Patient is a 86 y.o. male on hospital day number 0   Principal Problem:   Pneumonia Altered mental state Atrial fibrillation with slow ventricular response Prostate cancer with metastasis Troponin elevation Mild rhabdomyolysis Hypokalemia Generalized weakness    Plan      Chief Complaint Patient presents with ? Altered Mental Status ? Fall     1. Pneumonia?patient has a cough.  X-ray is concerning for possible pneumonia.  I will place him on community-acquired pneumonia.  He was apparently recently started on Vantin which may have been for recently diagnosed community-acquired pneumonia as well. 2. Atrial fibrillation/flutter with slow ventricular response?he had EKG demonstrating atrial fibrillation in January of this year.  He is not on any anticoagulant.  Will consult cardiology as he also now has a slow ventricular response.  He is not on any negative chronotropic medications. 3. Altered mental state?patient has no recollection of what been transpiring recently.  His long-term memory seems fairly intact.  CT scan of the head was unremarkable.  Confusion may be secondary to underlying pneumonia.  We will continue to monitor.  He does not have any focal motor deficits currently. 4. Prostate cancer with bony metastasis?continue with Zytiga. 5. Troponin elevation?likely demand ischemia in the setting of having been down for a day or so as well as having pneumonia.  Will obtain echo in the morning and continue to trend enzymes. 6. Mild rhabdomyolysis?secondary to have been down.  We will continue to trend.  Levels are now very high. 7. Hypokalemia?replete. 8. Generalized weakness-patient has a baseline gait dysfunction.  The family has been contemplating placement.  Will order physical and Occupational Therapy and consult case management.    History of Present Illness     Patient is an 86 y.o. male.    Comes in today after being found down.  Patient lives by himself.  He has metastatic prostate cancer.  Family has spoke with him yesterday but not since.  Today he was found on the floor covered in feces with traumatic skin tears.  He was unable to get up.  Patient was brought into the emergency room where work-up was notable for possible pneumonia on x-rays.  He was very confused and not able to provide any history and has no recollection of what transpired recently.  Patient's functional capacity has been poor recently with a gait dysfunction and family has been contemplating sending him for placement.  Patient currently denies any pain.  Not able to provide any additional information.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Injury, International normalised ratio normal, Intervertebral disc space narrowing, Lung opacity, Lymphocyte percentage decreased
Clinical narrative: ED to Hosp-Admission  Current  10/2/2021 - present (12 days) Pneumonia  Principal problem Patient is a 86 y.o. male on hospital day number 0   Principal Problem:   Pneumonia Altered mental state Atrial fibrillation with slow ventricular response Prostate cancer with metastasis Troponin elevation Mild rhabdomyolysis Hypokalemia Generalized weakness    Plan      Chief Complaint Patient presents with ? Altered Mental Status ? Fall     1. Pneumonia?patient has a cough.  X-ray is concerning for possible pneumonia.  I will place him on community-acquired pneumonia.  He was apparently recently started on Vantin which may have been for recently diagnosed community-acquired pneumonia as well. 2. Atrial fibrillation/flutter with slow ventricular response?he had EKG demonstrating atrial fibrillation in January of this year.  He is not on any anticoagulant.  Will consult cardiology as he also now has a slow ventricular response.  He is not on any negative chronotropic medications. 3. Altered mental state?patient has no recollection of what been transpiring recently.  His long-term memory seems fairly intact.  CT scan of the head was unremarkable.  Confusion may be secondary to underlying pneumonia.  We will continue to monitor.  He does not have any focal motor deficits currently. 4. Prostate cancer with bony metastasis?continue with Zytiga. 5. Troponin elevation?likely demand ischemia in the setting of having been down for a day or so as well as having pneumonia.  Will obtain echo in the morning and continue to trend enzymes. 6. Mild rhabdomyolysis?secondary to have been down.  We will continue to trend.  Levels are now very high. 7. Hypokalemia?replete. 8. Generalized weakness-patient has a baseline gait dysfunction.  The family has been contemplating placement.  Will order physical and Occupational Therapy and consult case management.    History of Present Illness     Patient is an 86 y.o. male.    Comes in today after being found down.  Patient lives by himself.  He has metastatic prostate cancer.  Family has spoke with him yesterday but not since.  Today he was found on the floor covered in feces with traumatic skin tears.  He was unable to get up.  Patient was brought into the emergency room where work-up was notable for possible pneumonia on x-rays.  He was very confused and not able to provide any history and has no recollection of what transpired recently.  Patient's functional capacity has been poor recently with a gait dysfunction and family has been contemplating sending him for placement.  Patient currently denies any pain.  Not able to provide any additional information.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Mental status changes, Metastases to bone, Monocyte percentage, Movement disorder, Myocardial ischaemia
Clinical narrative: ED to Hosp-Admission  Current  10/2/2021 - present (12 days) Pneumonia  Principal problem Patient is a 86 y.o. male on hospital day number 0   Principal Problem:   Pneumonia Altered mental state Atrial fibrillation with slow ventricular response Prostate cancer with metastasis Troponin elevation Mild rhabdomyolysis Hypokalemia Generalized weakness    Plan      Chief Complaint Patient presents with ? Altered Mental Status ? Fall     1. Pneumonia?patient has a cough.  X-ray is concerning for possible pneumonia.  I will place him on community-acquired pneumonia.  He was apparently recently started on Vantin which may have been for recently diagnosed community-acquired pneumonia as well. 2. Atrial fibrillation/flutter with slow ventricular response?he had EKG demonstrating atrial fibrillation in January of this year.  He is not on any anticoagulant.  Will consult cardiology as he also now has a slow ventricular response.  He is not on any negative chronotropic medications. 3. Altered mental state?patient has no recollection of what been transpiring recently.  His long-term memory seems fairly intact.  CT scan of the head was unremarkable.  Confusion may be secondary to underlying pneumonia.  We will continue to monitor.  He does not have any focal motor deficits currently. 4. Prostate cancer with bony metastasis?continue with Zytiga. 5. Troponin elevation?likely demand ischemia in the setting of having been down for a day or so as well as having pneumonia.  Will obtain echo in the morning and continue to trend enzymes. 6. Mild rhabdomyolysis?secondary to have been down.  We will continue to trend.  Levels are now very high. 7. Hypokalemia?replete. 8. Generalized weakness-patient has a baseline gait dysfunction.  The family has been contemplating placement.  Will order physical and Occupational Therapy and consult case management.    History of Present Illness     Patient is an 86 y.o. male.    Comes in today after being found down.  Patient lives by himself.  He has metastatic prostate cancer.  Family has spoke with him yesterday but not since.  Today he was found on the floor covered in feces with traumatic skin tears.  He was unable to get up.  Patient was brought into the emergency room where work-up was notable for possible pneumonia on x-rays.  He was very confused and not able to provide any history and has no recollection of what transpired recently.  Patient's functional capacity has been poor recently with a gait dysfunction and family has been contemplating sending him for placement.  Patient currently denies any pain.  Not able to provide any additional information.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Neck pain, Neutrophil percentage increased, Platelet count normal, Pneumonia, Prostate cancer metastatic
Clinical narrative: ED to Hosp-Admission  Current  10/2/2021 - present (12 days) Pneumonia  Principal problem Patient is a 86 y.o. male on hospital day number 0   Principal Problem:   Pneumonia Altered mental state Atrial fibrillation with slow ventricular response Prostate cancer with metastasis Troponin elevation Mild rhabdomyolysis Hypokalemia Generalized weakness    Plan      Chief Complaint Patient presents with ? Altered Mental Status ? Fall     1. Pneumonia?patient has a cough.  X-ray is concerning for possible pneumonia.  I will place him on community-acquired pneumonia.  He was apparently recently started on Vantin which may have been for recently diagnosed community-acquired pneumonia as well. 2. Atrial fibrillation/flutter with slow ventricular response?he had EKG demonstrating atrial fibrillation in January of this year.  He is not on any anticoagulant.  Will consult cardiology as he also now has a slow ventricular response.  He is not on any negative chronotropic medications. 3. Altered mental state?patient has no recollection of what been transpiring recently.  His long-term memory seems fairly intact.  CT scan of the head was unremarkable.  Confusion may be secondary to underlying pneumonia.  We will continue to monitor.  He does not have any focal motor deficits currently. 4. Prostate cancer with bony metastasis?continue with Zytiga. 5. Troponin elevation?likely demand ischemia in the setting of having been down for a day or so as well as having pneumonia.  Will obtain echo in the morning and continue to trend enzymes. 6. Mild rhabdomyolysis?secondary to have been down.  We will continue to trend.  Levels are now very high. 7. Hypokalemia?replete. 8. Generalized weakness-patient has a baseline gait dysfunction.  The family has been contemplating placement.  Will order physical and Occupational Therapy and consult case management.    History of Present Illness     Patient is an 86 y.o. male.    Comes in today after being found down.  Patient lives by himself.  He has metastatic prostate cancer.  Family has spoke with him yesterday but not since.  Today he was found on the floor covered in feces with traumatic skin tears.  He was unable to get up.  Patient was brought into the emergency room where work-up was notable for possible pneumonia on x-rays.  He was very confused and not able to provide any history and has no recollection of what transpired recently.  Patient's functional capacity has been poor recently with a gait dysfunction and family has been contemplating sending him for placement.  Patient currently denies any pain.  Not able to provide any additional information.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Protein total decreased, Rhabdomyolysis, SARS-CoV-2 test positive, Sepsis, Skin laceration
Clinical narrative: ED to Hosp-Admission  Current  10/2/2021 - present (12 days) Pneumonia  Principal problem Patient is a 86 y.o. male on hospital day number 0   Principal Problem:   Pneumonia Altered mental state Atrial fibrillation with slow ventricular response Prostate cancer with metastasis Troponin elevation Mild rhabdomyolysis Hypokalemia Generalized weakness    Plan      Chief Complaint Patient presents with ? Altered Mental Status ? Fall     1. Pneumonia?patient has a cough.  X-ray is concerning for possible pneumonia.  I will place him on community-acquired pneumonia.  He was apparently recently started on Vantin which may have been for recently diagnosed community-acquired pneumonia as well. 2. Atrial fibrillation/flutter with slow ventricular response?he had EKG demonstrating atrial fibrillation in January of this year.  He is not on any anticoagulant.  Will consult cardiology as he also now has a slow ventricular response.  He is not on any negative chronotropic medications. 3. Altered mental state?patient has no recollection of what been transpiring recently.  His long-term memory seems fairly intact.  CT scan of the head was unremarkable.  Confusion may be secondary to underlying pneumonia.  We will continue to monitor.  He does not have any focal motor deficits currently. 4. Prostate cancer with bony metastasis?continue with Zytiga. 5. Troponin elevation?likely demand ischemia in the setting of having been down for a day or so as well as having pneumonia.  Will obtain echo in the morning and continue to trend enzymes. 6. Mild rhabdomyolysis?secondary to have been down.  We will continue to trend.  Levels are now very high. 7. Hypokalemia?replete. 8. Generalized weakness-patient has a baseline gait dysfunction.  The family has been contemplating placement.  Will order physical and Occupational Therapy and consult case management.    History of Present Illness     Patient is an 86 y.o. male.    Comes in today after being found down.  Patient lives by himself.  He has metastatic prostate cancer.  Family has spoke with him yesterday but not since.  Today he was found on the floor covered in feces with traumatic skin tears.  He was unable to get up.  Patient was brought into the emergency room where work-up was notable for possible pneumonia on x-rays.  He was very confused and not able to provide any history and has no recollection of what transpired recently.  Patient's functional capacity has been poor recently with a gait dysfunction and family has been contemplating sending him for placement.  Patient currently denies any pain.  Not able to provide any additional information.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Spinal osteoarthritis, Troponin I increased, Vertebral lesion, Vertebral osteophyte, White blood cell count increased
Clinical narrative: ED to Hosp-Admission  Current  10/2/2021 - present (12 days) Pneumonia  Principal problem Patient is a 86 y.o. male on hospital day number 0   Principal Problem:   Pneumonia Altered mental state Atrial fibrillation with slow ventricular response Prostate cancer with metastasis Troponin elevation Mild rhabdomyolysis Hypokalemia Generalized weakness    Plan      Chief Complaint Patient presents with ? Altered Mental Status ? Fall     1. Pneumonia?patient has a cough.  X-ray is concerning for possible pneumonia.  I will place him on community-acquired pneumonia.  He was apparently recently started on Vantin which may have been for recently diagnosed community-acquired pneumonia as well. 2. Atrial fibrillation/flutter with slow ventricular response?he had EKG demonstrating atrial fibrillation in January of this year.  He is not on any anticoagulant.  Will consult cardiology as he also now has a slow ventricular response.  He is not on any negative chronotropic medications. 3. Altered mental state?patient has no recollection of what been transpiring recently.  His long-term memory seems fairly intact.  CT scan of the head was unremarkable.  Confusion may be secondary to underlying pneumonia.  We will continue to monitor.  He does not have any focal motor deficits currently. 4. Prostate cancer with bony metastasis?continue with Zytiga. 5. Troponin elevation?likely demand ischemia in the setting of having been down for a day or so as well as having pneumonia.  Will obtain echo in the morning and continue to trend enzymes. 6. Mild rhabdomyolysis?secondary to have been down.  We will continue to trend.  Levels are now very high. 7. Hypokalemia?replete. 8. Generalized weakness-patient has a baseline gait dysfunction.  The family has been contemplating placement.  Will order physical and Occupational Therapy and consult case management.    History of Present Illness     Patient is an 86 y.o. male.    Comes in today after being found down.  Patient lives by himself.  He has metastatic prostate cancer.  Family has spoke with him yesterday but not since.  Today he was found on the floor covered in feces with traumatic skin tears.  He was unable to get up.  Patient was brought into the emergency room where work-up was notable for possible pneumonia on x-rays.  He was very confused and not able to provide any history and has no recollection of what transpired recently.  Patient's functional capacity has been poor recently with a gait dysfunction and family has been contemplating sending him for placement.  Patient currently denies any pain.  Not able to provide any additional information.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: White matter lesion
Clinical narrative: ED to Hosp-Admission  Current  10/2/2021 - present (12 days) Pneumonia  Principal problem Patient is a 86 y.o. male on hospital day number 0   Principal Problem:   Pneumonia Altered mental state Atrial fibrillation with slow ventricular response Prostate cancer with metastasis Troponin elevation Mild rhabdomyolysis Hypokalemia Generalized weakness    Plan      Chief Complaint Patient presents with ? Altered Mental Status ? Fall     1. Pneumonia?patient has a cough.  X-ray is concerning for possible pneumonia.  I will place him on community-acquired pneumonia.  He was apparently recently started on Vantin which may have been for recently diagnosed community-acquired pneumonia as well. 2. Atrial fibrillation/flutter with slow ventricular response?he had EKG demonstrating atrial fibrillation in January of this year.  He is not on any anticoagulant.  Will consult cardiology as he also now has a slow ventricular response.  He is not on any negative chronotropic medications. 3. Altered mental state?patient has no recollection of what been transpiring recently.  His long-term memory seems fairly intact.  CT scan of the head was unremarkable.  Confusion may be secondary to underlying pneumonia.  We will continue to monitor.  He does not have any focal motor deficits currently. 4. Prostate cancer with bony metastasis?continue with Zytiga. 5. Troponin elevation?likely demand ischemia in the setting of having been down for a day or so as well as having pneumonia.  Will obtain echo in the morning and continue to trend enzymes. 6. Mild rhabdomyolysis?secondary to have been down.  We will continue to trend.  Levels are now very high. 7. Hypokalemia?replete. 8. Generalized weakness-patient has a baseline gait dysfunction.  The family has been contemplating placement.  Will order physical and Occupational Therapy and consult case management.    History of Present Illness     Patient is an 86 y.o. male.    Comes in today after being found down.  Patient lives by himself.  He has metastatic prostate cancer.  Family has spoke with him yesterday but not since.  Today he was found on the floor covered in feces with traumatic skin tears.  He was unable to get up.  Patient was brought into the emergency room where work-up was notable for possible pneumonia on x-rays.  He was very confused and not able to provide any history and has no recollection of what transpired recently.  Patient's functional capacity has been poor recently with a gait dysfunction and family has been contemplating sending him for placement.  Patient currently denies any pain.  Not able to provide any additional information.
Age: 82.0
Sex: M
Vaccine: VARZOS
Symptoms: Extra dose administered
Clinical narrative: Pt came into pharmacy asking for shingrix and had stated that he never received the shingles shot before. I gave the shingrix to him thinking it was dose 1, but further investigation (unfortunately after already given) showed that he already received 2 doses, making this a third dose.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Body temperature decreased, Dizziness, Feeling abnormal, Hyperhidrosis
Clinical narrative: The morning after I  began to have sudden temperature drops,  which would make me feel weak, lightheaded and really bad, just as it suddenly dropped,  it would jump back up,  once again making me feel sickly.  I would have major sweats during the drops in body temperature and when it jumped back up.  My temperature normally runs a bit low,  avg around 96.7 to 97.5 and I feel fine with my temperature at those averages.  My temperature got as low as 90.1, but mainly it was around 92 and then would jump to 98.8, which me makes me feel feverish. It did this for about 5 1/2 days after the vaccine
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: The morning after I  began to have sudden temperature drops,  which would make me feel weak, lightheaded and really bad, just as it suddenly dropped,  it would jump back up,  once again making me feel sickly.  I would have major sweats during the drops in body temperature and when it jumped back up.  My temperature normally runs a bit low,  avg around 96.7 to 97.5 and I feel fine with my temperature at those averages.  My temperature got as low as 90.1, but mainly it was around 92 and then would jump to 98.8, which me makes me feel feverish. It did this for about 5 1/2 days after the vaccine
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect route of product administration
Clinical narrative: Client  moved at the time of the vaccine and the vaccine was injected in the top of the bicep instead of the deltoid
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Delirium, Gait disturbance, Seizure, Tremor
Clinical narrative: Seizures, inability to control bladder, tremors, trouble walking, weakness, delirium.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Urinary incontinence
Clinical narrative: Seizures, inability to control bladder, tremors, trouble walking, weakness, delirium.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Heart rate increased, Lymph node pain
Clinical narrative: Headache, elevated heart rate, fatigue, achy joints, very swollen/painful lymph node on right side under arm of injection site.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Headache, elevated heart rate, fatigue, achy joints, very swollen/painful lymph node on right side under arm of injection site.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Anion gap, Aspartate aminotransferase increased, Epistaxis, Full blood count abnormal, Gingival bleeding
Clinical narrative: Bleeding of gums when flossing, nose bleed, small amount of blood in stools and large bruise at injection site.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Haematochezia, Injection site bruising, Platelet count normal
Clinical narrative: Bleeding of gums when flossing, nose bleed, small amount of blood in stools and large bruise at injection site.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular
Clinical narrative: My period isn?t due for 5 days. I so bleeding light pink and have tissue discharge. This has NEVER happened before.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Deep vein thrombosis, Pain in extremity, Ultrasound Doppler abnormal
Clinical narrative: 2nd dose of covid vaccine on 4/21/21, last week of June I started having extreme pain in my left calf. On july 2nd ultrasound showed i had 4 DVTs in my left leg.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis
Clinical narrative: Patient reported to ER and was told to have cellulitis on the arm that was given the shot.
Age: 66.0
Sex: F
Vaccine: UNK
Symptoms: Rash
Clinical narrative: Got a rash with second dose at site of injection and then covering left  side of body. Only lasted 15hours. This was booster shot - rash  covered face about   three hours post injection, and now is covering other areas of body
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Disorientation, Muscle rigidity, Seizure, Unresponsive to stimuli
Clinical narrative: Spouse reported the night of the 3rd vaccine, the patient experienced a "seizure." He was rigid and unresponsive for a minute or so then was disoriented for an hour.  Called the MD but has not had a return call.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle twitching
Clinical narrative: Muscle twitching that started at two weeks post vaccination. Still ongoing.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Hypoaesthesia, Injection site pain, Injection site swelling, Lymphadenopathy
Clinical narrative: Swelling under arm, pain and swelling in injection site, swollen lymph nodes, pain in right arm radiating upwards, severe pain and numbness in both legs from hips and ankles. Falling over from legs being weak. Tingling sensation in both legs.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Pain, Pain in extremity, Paraesthesia
Clinical narrative: Swelling under arm, pain and swelling in injection site, swollen lymph nodes, pain in right arm radiating upwards, severe pain and numbness in both legs from hips and ankles. Falling over from legs being weak. Tingling sensation in both legs.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Chest pain, Flank pain, Injection site erythema, Injection site swelling
Clinical narrative: Left arm red at injection site, swollen all around upper arm , stiff neck left side, arm Hot, not normal.  Swollen left side arm pit ( hard lump, pain) pain radiates toward side chest- breast to opposite direction towards elbow.  Trying massage plus ice to relieve swelling and pain.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Musculoskeletal stiffness, Pain, Skin warm
Clinical narrative: Left arm red at injection site, swollen all around upper arm , stiff neck left side, arm Hot, not normal.  Swollen left side arm pit ( hard lump, pain) pain radiates toward side chest- breast to opposite direction towards elbow.  Trying massage plus ice to relieve swelling and pain.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Urticaria
Clinical narrative: Chromic Hives starting after second dose of covid vaccine.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation delayed, Peripheral swelling
Clinical narrative: I start to notice the next day after the shot my arm swelled.  Now the following week, my menstrual is late when the month prior and before they were on time.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Arthropathy, Immediate post-injection reaction, Incorrect route of product administration, Injection site pain, Joint range of motion decreased
Clinical narrative: The moment I received my first covid vaccine it hurt my arm terribly and I could barely use my arm for the first 3 days and had a lot of pain from the injection site all the way down my arm to my elbow for next 8 days. Over the next 3 months I could point to the exact place the injection was administered and felt intermittent muscle pain from the injection site down to my elbow. It gradually got worse and worse until mid-June when my shoulder began to move around and pop and felt like it was almost dislocating. This began by simply raising my arm above my head. Ever since then my shoulder joint continues to move and pop and the muscles all the way down my arm to my elbow hurt almost constantly and sometimes extreme pain.  I can still point to the exact spot of the injection site and my shoulder continues to move and pop and makes my muscles all the way down my arm to my elbow feel pulled very badly and in addition, the muscle at the top of my shoulder that connects to my upper chest, right at the front of my armpit, is very, very tight and I sometimes now have muscle pain all across my chest and my upper back feels compromised now as well.  This is now 7 months since my first injection and I am still in a lot of pain and sometimes cannot use my arm.  The 2nd Pfizer Covid shot was administered on 3/26/2021 in my right arm and once I told them all the trouble I was having after the first shot, they used a smaller needle and made sure to place it in the right spot.  I have had no problem with the right arm.  It seems to me that the first shot was placed either too high or too deep.  I seem to also be having an inflammation reaction to stress in all the areas described in my left arm so am wondering if the Covid vaccine has caused all this or if it was the placement of the vaccine.  I have been in physical and massage therapy since mid-June, so in therapy once a week now for over 3 months.  I have a little better mobility in my right arm but am still experiencing all the pain and movement in my shoulder daily.  For 4 months there has never been a day my arm does not hurt and for 3 months prior to that, I had intermittent pain weekly.  I feel I am about to have to go to an Orthopedist and certainly hope this vaccine has not caused me to have to have surgery or permanent damage to my left arm muscles, ligaments, or tendons.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia
Clinical narrative: The moment I received my first covid vaccine it hurt my arm terribly and I could barely use my arm for the first 3 days and had a lot of pain from the injection site all the way down my arm to my elbow for next 8 days. Over the next 3 months I could point to the exact place the injection was administered and felt intermittent muscle pain from the injection site down to my elbow. It gradually got worse and worse until mid-June when my shoulder began to move around and pop and felt like it was almost dislocating. This began by simply raising my arm above my head. Ever since then my shoulder joint continues to move and pop and the muscles all the way down my arm to my elbow hurt almost constantly and sometimes extreme pain.  I can still point to the exact spot of the injection site and my shoulder continues to move and pop and makes my muscles all the way down my arm to my elbow feel pulled very badly and in addition, the muscle at the top of my shoulder that connects to my upper chest, right at the front of my armpit, is very, very tight and I sometimes now have muscle pain all across my chest and my upper back feels compromised now as well.  This is now 7 months since my first injection and I am still in a lot of pain and sometimes cannot use my arm.  The 2nd Pfizer Covid shot was administered on 3/26/2021 in my right arm and once I told them all the trouble I was having after the first shot, they used a smaller needle and made sure to place it in the right spot.  I have had no problem with the right arm.  It seems to me that the first shot was placed either too high or too deep.  I seem to also be having an inflammation reaction to stress in all the areas described in my left arm so am wondering if the Covid vaccine has caused all this or if it was the placement of the vaccine.  I have been in physical and massage therapy since mid-June, so in therapy once a week now for over 3 months.  I have a little better mobility in my right arm but am still experiencing all the pain and movement in my shoulder daily.  For 4 months there has never been a day my arm does not hurt and for 3 months prior to that, I had intermittent pain weekly.  I feel I am about to have to go to an Orthopedist and certainly hope this vaccine has not caused me to have to have surgery or permanent damage to my left arm muscles, ligaments, or tendons.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Arteriosclerosis coronary artery, Bipolar I disorder, COVID-19, Cerebrovascular accident, Chest X-ray abnormal
Clinical narrative: ED to Hosp-Admission Current 9/26/2021 - present (18 days) COVID-19 Principal problem   Hospital Problems          POA   * (Principal) Toxic metabolic encephalopathy Yes       Coronary arteriosclerosis Yes       Multi-infarct dementia with delirium Yes       Bipolar affective disorder, depressed, in full remission Yes       Stage 3a chronic kidney disease Yes       Essential hypertension Yes       Polyneuropathy associated with underlying disease  Yes       VP (ventriculoperitoneal) shunt status Not Applicable       Ambulatory dysfunction Yes            Medical Problems                Plan: Admit patient to MedSurg under observation status. PT evaluation to gauge patient's mobility as the wife is able to take care of him as long as he is able to walk with a walker Toxic metabolic encephalopathy has resolved, patient is at baseline, wife is at bedside to confirm. Continue home medications Avoid benzodiazepines and opiates to prevent delirium, frequent reorientation, maintain sleep-wake circadian rhythm. Consult infectious diseases the patient has a history of VRE in the urine looks infected however it is difficult to gauge if the patient is actually symptomatic.  He does have mild leukocytosis. Addendum: spiked fever overnight, will switch abx to linezolid. Culture reviewed, only sensitive to linezolid. ID consult is pending.    VTE prophylaxis: Heparin Full Code     History of Present Illness    Chief Complaint Patient presents with ? Altered Mental Status   Patient is an 78 y.o. male.    Past medical history of VP shunt, dementia, ambulatory dysfunction dependent on a walker, BPH status post proctectomy complicated by urinary incontinence.  Patient is accompanied by his wife who is at the provider of history.  She states that he was in his usual state of health and he was sitting in his recliner in the garage which he normally does.  She went out to go check on him and asked him to come inside so she can change his diaper at that point the patient would not get out of the chair and look like no one was home.  She denies seeing any tonic-clonic like activity.  She called over a neighbor to help get patient out of the chair and when they were not able to, they called EMS.  Patient is pleasantly demented and is symptom free.  He is seen eating a sandwich and appears to be very comfortable.  Wife is at bedside who states that he is back to his baseline mental status.  She does straight cath him every other day.     In the ER labs are notable for mild leukocytosis with urine that appears to be infected.  He was given ceftriaxone in the ER.  Labs and imaging reviewed.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Chronic kidney disease, Computerised tomogram head normal, Condition aggravated, Confusional state, Delirium
Clinical narrative: ED to Hosp-Admission Current 9/26/2021 - present (18 days) COVID-19 Principal problem   Hospital Problems          POA   * (Principal) Toxic metabolic encephalopathy Yes       Coronary arteriosclerosis Yes       Multi-infarct dementia with delirium Yes       Bipolar affective disorder, depressed, in full remission Yes       Stage 3a chronic kidney disease Yes       Essential hypertension Yes       Polyneuropathy associated with underlying disease  Yes       VP (ventriculoperitoneal) shunt status Not Applicable       Ambulatory dysfunction Yes            Medical Problems                Plan: Admit patient to MedSurg under observation status. PT evaluation to gauge patient's mobility as the wife is able to take care of him as long as he is able to walk with a walker Toxic metabolic encephalopathy has resolved, patient is at baseline, wife is at bedside to confirm. Continue home medications Avoid benzodiazepines and opiates to prevent delirium, frequent reorientation, maintain sleep-wake circadian rhythm. Consult infectious diseases the patient has a history of VRE in the urine looks infected however it is difficult to gauge if the patient is actually symptomatic.  He does have mild leukocytosis. Addendum: spiked fever overnight, will switch abx to linezolid. Culture reviewed, only sensitive to linezolid. ID consult is pending.    VTE prophylaxis: Heparin Full Code     History of Present Illness    Chief Complaint Patient presents with ? Altered Mental Status   Patient is an 78 y.o. male.    Past medical history of VP shunt, dementia, ambulatory dysfunction dependent on a walker, BPH status post proctectomy complicated by urinary incontinence.  Patient is accompanied by his wife who is at the provider of history.  She states that he was in his usual state of health and he was sitting in his recliner in the garage which he normally does.  She went out to go check on him and asked him to come inside so she can change his diaper at that point the patient would not get out of the chair and look like no one was home.  She denies seeing any tonic-clonic like activity.  She called over a neighbor to help get patient out of the chair and when they were not able to, they called EMS.  Patient is pleasantly demented and is symptom free.  He is seen eating a sandwich and appears to be very comfortable.  Wife is at bedside who states that he is back to his baseline mental status.  She does straight cath him every other day.     In the ER labs are notable for mild leukocytosis with urine that appears to be infected.  He was given ceftriaxone in the ER.  Labs and imaging reviewed.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Essential hypertension, Gait disturbance, Leukocytosis, Lung opacity, Mental status changes
Clinical narrative: ED to Hosp-Admission Current 9/26/2021 - present (18 days) COVID-19 Principal problem   Hospital Problems          POA   * (Principal) Toxic metabolic encephalopathy Yes       Coronary arteriosclerosis Yes       Multi-infarct dementia with delirium Yes       Bipolar affective disorder, depressed, in full remission Yes       Stage 3a chronic kidney disease Yes       Essential hypertension Yes       Polyneuropathy associated with underlying disease  Yes       VP (ventriculoperitoneal) shunt status Not Applicable       Ambulatory dysfunction Yes            Medical Problems                Plan: Admit patient to MedSurg under observation status. PT evaluation to gauge patient's mobility as the wife is able to take care of him as long as he is able to walk with a walker Toxic metabolic encephalopathy has resolved, patient is at baseline, wife is at bedside to confirm. Continue home medications Avoid benzodiazepines and opiates to prevent delirium, frequent reorientation, maintain sleep-wake circadian rhythm. Consult infectious diseases the patient has a history of VRE in the urine looks infected however it is difficult to gauge if the patient is actually symptomatic.  He does have mild leukocytosis. Addendum: spiked fever overnight, will switch abx to linezolid. Culture reviewed, only sensitive to linezolid. ID consult is pending.    VTE prophylaxis: Heparin Full Code     History of Present Illness    Chief Complaint Patient presents with ? Altered Mental Status   Patient is an 78 y.o. male.    Past medical history of VP shunt, dementia, ambulatory dysfunction dependent on a walker, BPH status post proctectomy complicated by urinary incontinence.  Patient is accompanied by his wife who is at the provider of history.  She states that he was in his usual state of health and he was sitting in his recliner in the garage which he normally does.  She went out to go check on him and asked him to come inside so she can change his diaper at that point the patient would not get out of the chair and look like no one was home.  She denies seeing any tonic-clonic like activity.  She called over a neighbor to help get patient out of the chair and when they were not able to, they called EMS.  Patient is pleasantly demented and is symptom free.  He is seen eating a sandwich and appears to be very comfortable.  Wife is at bedside who states that he is back to his baseline mental status.  She does straight cath him every other day.     In the ER labs are notable for mild leukocytosis with urine that appears to be infected.  He was given ceftriaxone in the ER.  Labs and imaging reviewed.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic encephalopathy, Neurological symptom, Pneumonia, Polyneuropathy, Pyrexia
Clinical narrative: ED to Hosp-Admission Current 9/26/2021 - present (18 days) COVID-19 Principal problem   Hospital Problems          POA   * (Principal) Toxic metabolic encephalopathy Yes       Coronary arteriosclerosis Yes       Multi-infarct dementia with delirium Yes       Bipolar affective disorder, depressed, in full remission Yes       Stage 3a chronic kidney disease Yes       Essential hypertension Yes       Polyneuropathy associated with underlying disease  Yes       VP (ventriculoperitoneal) shunt status Not Applicable       Ambulatory dysfunction Yes            Medical Problems                Plan: Admit patient to MedSurg under observation status. PT evaluation to gauge patient's mobility as the wife is able to take care of him as long as he is able to walk with a walker Toxic metabolic encephalopathy has resolved, patient is at baseline, wife is at bedside to confirm. Continue home medications Avoid benzodiazepines and opiates to prevent delirium, frequent reorientation, maintain sleep-wake circadian rhythm. Consult infectious diseases the patient has a history of VRE in the urine looks infected however it is difficult to gauge if the patient is actually symptomatic.  He does have mild leukocytosis. Addendum: spiked fever overnight, will switch abx to linezolid. Culture reviewed, only sensitive to linezolid. ID consult is pending.    VTE prophylaxis: Heparin Full Code     History of Present Illness    Chief Complaint Patient presents with ? Altered Mental Status   Patient is an 78 y.o. male.    Past medical history of VP shunt, dementia, ambulatory dysfunction dependent on a walker, BPH status post proctectomy complicated by urinary incontinence.  Patient is accompanied by his wife who is at the provider of history.  She states that he was in his usual state of health and he was sitting in his recliner in the garage which he normally does.  She went out to go check on him and asked him to come inside so she can change his diaper at that point the patient would not get out of the chair and look like no one was home.  She denies seeing any tonic-clonic like activity.  She called over a neighbor to help get patient out of the chair and when they were not able to, they called EMS.  Patient is pleasantly demented and is symptom free.  He is seen eating a sandwich and appears to be very comfortable.  Wife is at bedside who states that he is back to his baseline mental status.  She does straight cath him every other day.     In the ER labs are notable for mild leukocytosis with urine that appears to be infected.  He was given ceftriaxone in the ER.  Labs and imaging reviewed.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Urinary tract infection, Vascular dementia
Clinical narrative: ED to Hosp-Admission Current 9/26/2021 - present (18 days) COVID-19 Principal problem   Hospital Problems          POA   * (Principal) Toxic metabolic encephalopathy Yes       Coronary arteriosclerosis Yes       Multi-infarct dementia with delirium Yes       Bipolar affective disorder, depressed, in full remission Yes       Stage 3a chronic kidney disease Yes       Essential hypertension Yes       Polyneuropathy associated with underlying disease  Yes       VP (ventriculoperitoneal) shunt status Not Applicable       Ambulatory dysfunction Yes            Medical Problems                Plan: Admit patient to MedSurg under observation status. PT evaluation to gauge patient's mobility as the wife is able to take care of him as long as he is able to walk with a walker Toxic metabolic encephalopathy has resolved, patient is at baseline, wife is at bedside to confirm. Continue home medications Avoid benzodiazepines and opiates to prevent delirium, frequent reorientation, maintain sleep-wake circadian rhythm. Consult infectious diseases the patient has a history of VRE in the urine looks infected however it is difficult to gauge if the patient is actually symptomatic.  He does have mild leukocytosis. Addendum: spiked fever overnight, will switch abx to linezolid. Culture reviewed, only sensitive to linezolid. ID consult is pending.    VTE prophylaxis: Heparin Full Code     History of Present Illness    Chief Complaint Patient presents with ? Altered Mental Status   Patient is an 78 y.o. male.    Past medical history of VP shunt, dementia, ambulatory dysfunction dependent on a walker, BPH status post proctectomy complicated by urinary incontinence.  Patient is accompanied by his wife who is at the provider of history.  She states that he was in his usual state of health and he was sitting in his recliner in the garage which he normally does.  She went out to go check on him and asked him to come inside so she can change his diaper at that point the patient would not get out of the chair and look like no one was home.  She denies seeing any tonic-clonic like activity.  She called over a neighbor to help get patient out of the chair and when they were not able to, they called EMS.  Patient is pleasantly demented and is symptom free.  He is seen eating a sandwich and appears to be very comfortable.  Wife is at bedside who states that he is back to his baseline mental status.  She does straight cath him every other day.     In the ER labs are notable for mild leukocytosis with urine that appears to be infected.  He was given ceftriaxone in the ER.  Labs and imaging reviewed.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Muscle twitching, Pain in extremity, Paraesthesia, Vision blurred
Clinical narrative: Left eye twitching, tingling in hands feet, legs and left side of face. Fatigue. Fuzzy vision. Pain in legs and feet.