chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site pain, Mobility decreased, Myalgia
Clinical narrative: Myalgia, Fever, injection site pain, chills, fatigue Narrative:  Employee reported myalgia 4/21/2021 with chills and fatigue. "I could not get out of bed. Symptoms stared to go away 4/22/2021. Self treated with 1 tab acetaminophen and "felt better and was able to sleep".
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Myalgia, Fever, injection site pain, chills, fatigue Narrative:  Employee reported myalgia 4/21/2021 with chills and fatigue. "I could not get out of bed. Symptoms stared to go away 4/22/2021. Self treated with 1 tab acetaminophen and "felt better and was able to sleep".
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Myalgia, Nausea, Pyrexia
Clinical narrative: Narrative:  Pt reported nausea/vomiting/diarrhea/fever/fatigue & muscle pain on day after had received first dose of covid vaccine. Pt reported SE to facility. RN informed pt these were common SEs.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Narrative:  Pt reported nausea/vomiting/diarrhea/fever/fatigue & muscle pain on day after had received first dose of covid vaccine. Pt reported SE to facility. RN informed pt these were common SEs.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea, Vomiting
Clinical narrative: NauseaVomiting Fatigue,headache Narrative:
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, COVID-19, Headache, Injection site pain, Myalgia
Clinical narrative: Headache, Sedation, Myalgia, Arthralgia, injection site pain Narrative: Employee tested covid + on 3/29
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Headache, Sedation, Myalgia, Arthralgia, injection site pain Narrative: Employee tested covid + on 3/29
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: 4/28/2021 COVID-19 Positive Breakthrough Case >14- Days Post Vaccination Series Completion Narrative:
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Immunisation reaction
Clinical narrative: Narrative: A 48yo male with PMH of Obesity, HTN, Low Back pain Rhinitis, Shoulder Pain, Hypercholesterolemia, Neck Pain, Chronic PTSD, Low Back Pain, Cataplexy and Narcolepsy, Sleep Apnea, Eosinophilic Esophagitis and GERD A historical Adverse vaccine event of anaphylaxis was reported on April 29, 2021 by the documenting nurse's telephone contact note but no immunization record in the facility's system.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Injection site erythema, Injection site pain
Clinical narrative: Dizziness, Fever, LIGHT HEADED, CHILLS, FATIGUE, REDNESS, TENDERNESS AT INJECTION SITE LEFT DELTOID Narrative:
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Dizziness, Fever, LIGHT HEADED, CHILLS, FATIGUE, REDNESS, TENDERNESS AT INJECTION SITE LEFT DELTOID Narrative:
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Adverse drug reaction, Dehydration, Nausea, Vomiting
Clinical narrative: Narrative: A 32yo B. female with PMH of Cardiac murmur and anxiety disorder She was reported with Pfizer Covid -19 vaccine induced ADR ofN/V, on April 14, 2021, by the unit's PA Per nurse's documentation- she received Pfizer's Covid - 19 vaccine 1M in the LT deltoid without complication, per policy and protocol, on April 9, 2021 On April 14, 2021 she presented to the ER with nausea and vomiting x 2 days post Covid- 19 vaccine Per ER documentation, she was rehydrated and treated with I L ofD51/2NS, IL NS iv fluid, 4mg of ondansetron iv and 15mg of ketorolac iv Her discharge instructions included f/u with her primary and hydration with fluid and electrolytes, She was also informed PACT nurse would contact her within 48hrs The patient received second Pfizer Covid -19 vaccine on April 30 , 2021 to LT Deltoid 1M per policy and protocol and without complication.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Contusion, Fall, Musculoskeletal pain, Pain
Clinical narrative: Narrative:  Patient received Janssen vaccine on 03/18/2021, the patient reported right hip and buttocks pain that radiates to legs that stops at knees for one week post administration of vaccine. Patient reports taking Bayer Back and Body Aspirin (500mg). Patient also reports falling a few weeks ago and did have bruising.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Narrative:  Patient received Janssen vaccine on 03/18/2021, the patient reported right hip and buttocks pain that radiates to legs that stops at knees for one week post administration of vaccine. Patient reports taking Bayer Back and Body Aspirin (500mg). Patient also reports falling a few weeks ago and did have bruising.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Headache
Clinical narrative: Narrative: A 43yo F VA employee with no significant PMH presented to the ED accompanied by a nurse, with CC of headache and dizziness, after receiving the second Pfizer's COVID-19 vaccine on April 12, 2021 ED documentation included she had her first Pfizer Covid - 19 vaccine on March 20. 2021
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pyrexia
Clinical narrative: Narrative: Patient received Janssen vaccine on 04/09/2021; upon follow-up call with nurse the patient reported fever and chills that lasted 36 hours after vaccination administration. Patient did not report taking any medication for symptom management and denied any symptoms at time of follow-up call.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris, Myalgia, Pyrexia
Clinical narrative: Narrative: Myalgia, Fever & Angina
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pyrexia
Clinical narrative: Fever chills Narrative:
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Limb discomfort, Myalgia, Pyrexia, Tinnitus
Clinical narrative: Myalgia, Arthralgia, Fever,  heaviness in legs, tinnitus Narrative:
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Diarrhoea, Dizziness, Fatigue, Headache
Clinical narrative: Positive COVID test result Narrative:  Employee tested positive for COVID. Her symptoms included "not feeling well." Specifically, she reported sore throat, congestion, malaise, fatigue, sleepiness, diarrhea, dizziness, and HA. All symptoms were mild. Her husband, who also tested positive, required hospitalization. Positive test on 3/27/2021. Vaccinated, as above, with Moderna on 12/30/2020 and 1/27/2021.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive, Somnolence
Clinical narrative: Positive COVID test result Narrative:  Employee tested positive for COVID. Her symptoms included "not feeling well." Specifically, she reported sore throat, congestion, malaise, fatigue, sleepiness, diarrhea, dizziness, and HA. All symptoms were mild. Her husband, who also tested positive, required hospitalization. Positive test on 3/27/2021. Vaccinated, as above, with Moderna on 12/30/2020 and 1/27/2021.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache
Clinical narrative: Headache fatigue Narrative:
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Injection site erythema, Injection site nodule, Injection site pruritus
Clinical narrative: BlurredVision, Myalgia, Arthralgia, Fever, fatigue, injection site -knot, redness and itching  Narrative:
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia, Vision blurred
Clinical narrative: BlurredVision, Myalgia, Arthralgia, Fever, fatigue, injection site -knot, redness and itching  Narrative:
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Musculoskeletal stiffness, Presyncope
Clinical narrative: Narrative:  A 66yo F. with PMH of Osteoporosis, Cobalamin deficiency, Low Back Pain and Varicose Veins She presented to the ER with complains of light headedness and elevated BP after the second Pfizer Covid-19 vaccine per ED documentation she also admitted to stiffness and dizziness post the second vaccine in AM improved in PM Patient was observed her discharge dx was documented as suspected Vegal event after second Covid-19 vaccine
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Electromyogram, Laboratory test, Muscle contractions involuntary, Myalgia, Paraesthesia
Clinical narrative: Narrative: Myalgia, paresthesia, fasciculations; Otherwise healthy female who developed paresthesia/fasciculations  on day 2 after vaccine. Has been evaluated by neurologist Dr. at Health facility in state and had EMG/testing. At this time she is currently taking prednisone and symptoms have not resolved.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia, Pyrexia
Clinical narrative: Headache,  Muscle aches,chills mild fever Narrative:
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  hospice pt
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Adverse drug reaction
Clinical narrative: Narrative: Administered outside facility so full details limited. ADR entered per patient report by clinic staff.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: None stated
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: SkinRash & Rash Narrative:
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Injection site reaction, Rash erythematous, Rash papular
Clinical narrative: Narrative:  Patient reported red, raised rash to upper deltoid around where the injection was given. Patient requested a renewal of her hydrocortisone 2.5% cream, used that to help treat the allergic reaction. No further action needed, adverse reaction abated.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Impaired work ability, Injection site pain, Myalgia
Clinical narrative: Myalgia injection site pain Narrative: myalgia 4/10/2021 self treated with ice pack and injection site pain 4/7/2021 self treated with ice pack and massage area, resulted in missed work 4/12/2021
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Dry eye
Clinical narrative: Narrative: Patient received first dose of Moderna COVID vaccine on 3/25/21. On 4/14/21, patient reported to PCP that he was treated by outside facility 2 weeks after dose and diagnosed with Bell's Palsy. He was given a course of prednisone at outside facility. Bell's palsy was still present at time of reporting and patient was referred to ophthalmology due to complaint of dry eyes.
Age: 67.0
Sex: M
Vaccine: FLUX
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Headache, Nausea, Vomiting
Clinical narrative: Dizziness, Headache & NauseaVomiting Narrative:
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site rash, Injection site warmth
Clinical narrative: Narrative: Rash, developed will circumscribed baseball sized area of erythema/rash over the injection site. This started about 4 days after the vaccination and intermittently persisted for " a few weeks." It was not associated with pruritus, induration, or slough-but was intermittently warm to touch. She applied cold packs and aloe, but no other therapies.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Came in for second dose late   Narrative:  This is to report that the employee was late for her second dose. The efficacy was explained to her and she verbalizes understanding of any side effects.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Diarrhoea, Discomfort, Headache
Clinical narrative: Headache, Fever, Diarrhea, NauseaVomitin,  Local symptoms: Pain-discomfort. General symptoms: Chills, fever, headaches, joint pains, muscle pains, nausea, diarrhea.   Narrative:
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Pain, Pyrexia, Vomiting
Clinical narrative: Headache, Fever, Diarrhea, NauseaVomitin,  Local symptoms: Pain-discomfort. General symptoms: Chills, fever, headaches, joint pains, muscle pains, nausea, diarrhea.   Narrative:
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Malaise, Pain, Pyrexia
Clinical narrative: Headache, Fever, BODY ACHES, MALAISE Narrative: EMPLOYEE STATES: SHE RECEIVED THE VACCINE ON 4/8/2021 AND STARTED RUNNING A FEVER THAT NIGHT. ON 4/9/21 SHE WENT TO A LOCAL ER WITH A TEMPERATURE OF 106.5 F. SHE STATES SHE SPENT THE NIGHT IN THE HOSPITAL. SHE HAD BODY ACHES, HEADACHES, MALAISE, AND FEVERS UNTIL MONDAY 4/12/2021
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Malaise, Myalgia, Nausea
Clinical narrative: Headache, Myalgia, Fever, NauseaVomiting, malaise, chills Narrative:
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Headache, Myalgia, Fever, NauseaVomiting, malaise, chills Narrative:
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain
Clinical narrative: Narrative: Sorethroat for 3.5 weeks 2 days after the administrative of the 1st dose
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Myalgia, Nausea, Vomiting
Clinical narrative: Myalgia, Diarrhea, NauseaVomiting, chills Narrative:
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Fall, Hyperhidrosis, Loss of consciousness, Presyncope
Clinical narrative: vaso vagal reaction   Narrative:  Loss of consciousness X 30 second. Patient was 5 minutes into his minute observation period. Observer noticed patient was tilting in chair and was able to prevent employee from falling out of chair and eased him to the ground in a  supine position. He regained consciousness after about 5 seconds on the ground.  He was orientated to person, place, time. Experienced significant diaphoresis. BP was 130/86 with pulse of 100. Patient remained seated of floor for several minutes. He denied chest pain, change in vision, no headache, with no other symptoms but persistent diaphoresis. He was then moved to a location that he could continue to lay down in a supine position. Patient was advised he should goto Emergency room but choose to be monitored by medical staff in the building outside of the vaccine clinic. The 12 lead ECG was normal sinus rhythm and  choose to go home with his wife who was driving him.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Sinus rhythm
Clinical narrative: vaso vagal reaction   Narrative:  Loss of consciousness X 30 second. Patient was 5 minutes into his minute observation period. Observer noticed patient was tilting in chair and was able to prevent employee from falling out of chair and eased him to the ground in a  supine position. He regained consciousness after about 5 seconds on the ground.  He was orientated to person, place, time. Experienced significant diaphoresis. BP was 130/86 with pulse of 100. Patient remained seated of floor for several minutes. He denied chest pain, change in vision, no headache, with no other symptoms but persistent diaphoresis. He was then moved to a location that he could continue to lay down in a supine position. Patient was advised he should goto Emergency room but choose to be monitored by medical staff in the building outside of the vaccine clinic. The 12 lead ECG was normal sinus rhythm and  choose to go home with his wife who was driving him.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Right arm pain  Narrative:
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Angina pectoris, Chest discomfort, Dizziness, Headache, Myalgia
Clinical narrative: Narrative:  Dizziness, bodyache, headache, intermittent chest discomfort Myalgia & Angina
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Narrative:  Dizziness, bodyache, headache, intermittent chest discomfort Myalgia & Angina
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Pain, Vomiting
Clinical narrative: Myalgia & NauseaVomiting Narrative:  Myalgias, body aches on 4/29/21 1 day after vaccine, 4/29/21 1 episode of vomiting.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Chills, Dyspnoea, Headache, Nausea
Clinical narrative: Headache, Fever, NauseaVomiting, chills, abdominal pain, shortness of breath Narrative:
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Headache, Fever, NauseaVomiting, chills, abdominal pain, shortness of breath Narrative:
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Cough, Paraesthesia oral, Pruritus, Rash
Clinical narrative: Anaphylaxis, SkinRash, CoughWheeze, Rash & UrticarialPruritus  Narrative:  Vaccinated 1/27/2021 6 pm. . 5 mins later developed tingling sensation her lips took immediately 50 mg of Benadryl , some relief from tingling lips, begun to also have throat itchiness and wanting to hack, , 3 hours (9pm) later itchiness popliteal areas bilateral and antecubital fossa , still symptomatic lips and throat, Took another 50mg Benadryl and slept. Woke up with drowsy like hangover (Benadryl) still with itch so she took one more Benadryl 25 mg and all symptoms resolved after 1 hour. Advised to see provider. advised to see an allergist before getting2nd dos of pfizer covid 19
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation, Urticaria, Wheezing
Clinical narrative: Anaphylaxis, SkinRash, CoughWheeze, Rash & UrticarialPruritus  Narrative:  Vaccinated 1/27/2021 6 pm. . 5 mins later developed tingling sensation her lips took immediately 50 mg of Benadryl , some relief from tingling lips, begun to also have throat itchiness and wanting to hack, , 3 hours (9pm) later itchiness popliteal areas bilateral and antecubital fossa , still symptomatic lips and throat, Took another 50mg Benadryl and slept. Woke up with drowsy like hangover (Benadryl) still with itch so she took one more Benadryl 25 mg and all symptoms resolved after 1 hour. Advised to see provider. advised to see an allergist before getting2nd dos of pfizer covid 19
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Myalgia
Clinical narrative: Narrative: Headache & Myalgia.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising
Clinical narrative: bruise, at injection site Narrative:
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Pericarditis
Clinical narrative: Narrative:  Pericarditis. On steroid orally. Had Covid 19 about 1 month prior to vaccine and had fully recovered to getting J&J vaccine. HYPERtension Pericarditis
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Oropharyngeal pain
Clinical narrative: Myalgia SORE THROAT  Narrative:
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Myalgia, Nausea, Vomiting
Clinical narrative: Myalgia, NauseaVomitin, muscle cramps Narrative:
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia, Oropharyngeal pain
Clinical narrative: Headache, Myalgia sore throat Narrative:
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: UrticariaPruiritis Narrative:
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Pyrexia
Clinical narrative: Fever Fever and arm soreness at site of injection Narrative:
Age: 1.75
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Presyncope
Clinical narrative: vaso-vagal reaction. Lightheaded and dizzy. Laid down in supine position for 30 minutes and recovered Narrative:
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Myalgia
Clinical narrative: Narrative: Headache, Myalgia & Arthralgia
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Headache, Myalgia, Oedema peripheral
Clinical narrative: Headache, Fever,  FATIGUE, MUSCLE ACHES, DIARRHEA, INJECTION SITE ARMPIT SWELLING  Narrative:  EMPLOYEE STATES: EXPERIENCED SIDE EFFECTS FOR 2 DAYS FATIGUE, HEADACHE, MUSCHLE ACHES, FEVER UP TO 102 F, DIARRHEA 4/26 AND 4/27 SWELLING OF ARM PIT OF INJECTION SITE ARM.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Headache, Fever,  FATIGUE, MUSCLE ACHES, DIARRHEA, INJECTION SITE ARMPIT SWELLING  Narrative:  EMPLOYEE STATES: EXPERIENCED SIDE EFFECTS FOR 2 DAYS FATIGUE, HEADACHE, MUSCHLE ACHES, FEVER UP TO 102 F, DIARRHEA 4/26 AND 4/27 SWELLING OF ARM PIT OF INJECTION SITE ARM.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Arthralgia, Chills, Conjunctivitis, Decreased appetite
Clinical narrative: Headache, Fever, CHILLS, KOINT PAIN, TONGUE NUMBNESS, LOSS OF TASTE, LOSS OF APPETITE, SINUS INFECTION AND PINK EYE Narrative: EMPLOYEE STATES ABOVE LISTED SIDE EFFECTS FEVER RANGE 99.1 TO 104.4F PINK EYE STARTED SECOND DAY AFTER VACCINATION
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia oral, Pyrexia, Sinusitis
Clinical narrative: Headache, Fever, CHILLS, KOINT PAIN, TONGUE NUMBNESS, LOSS OF TASTE, LOSS OF APPETITE, SINUS INFECTION AND PINK EYE Narrative: EMPLOYEE STATES ABOVE LISTED SIDE EFFECTS FEVER RANGE 99.1 TO 104.4F PINK EYE STARTED SECOND DAY AFTER VACCINATION
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Wheezing
Clinical narrative: CoughWheeze  ON 4/23/21 DEVELOPED SEVERE BRONCHIAL COUGH, WITH WHEEZING NO HX OF ASTHMA STATE HAD COUGH WITH FIRST DOSE ALSO  Narrative:  ON 4/23/21 DEVELOPED SEVERE BRONCHIAL COUGH, WITH WHEEZING NO HX OF ASTHM STATE HAD COUGH WITH FIRST DOSE ALSO, PLACED ON ALBUTEROL INH AND TESSALON CAPS
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis
Clinical narrative: BLOOD IN NASAL MUCOUS Narrative:
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Myalgia
Clinical narrative: Narrative: myalgia and fatigue lasted 2 days after the injections.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Myalgia, Pyrexia
Clinical narrative: Myalgia, Arthralgia, Fever, fatigue Narrative:
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Myalgia
Clinical narrative: Narrative: Headache, Myalgia, chills,fatigue
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Headache, Myalgia, Pain in extremity
Clinical narrative: Headache, Myalgia, Diarrhea, sore left arm, fatigue, Narrative:
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Myalgia, Pyrexia
Clinical narrative: Headache, Myalgia, Arthralgia & Fever Narrative:
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hypoaesthesia, Pain, Pain in extremity, Paraesthesia
Clinical narrative: Narrative:  Patient is a 58 yo male with PMH of CAD, HOLD, and HTN who received first COVID-19 vaccine (Moderna) on 3/9/21. Patient received second dose on 4/6/21. On chart review, patient c/o dizziness, fever of 100.4 F, body aches, and numbness/tingling in fingers and left arm pain. Patient noted to receive both injections in left deltoid. Patient spoke to nurse on 4/15/21 via telephone c/o left arm pain x1 month, worsened after second dose of COVID-19 vaccine. Pain score 8/10 relieved with ibuprofen 800mg down to score of 5/10. Patient noted to have MI ~10 years ago. No follow-up with PCP as patient denied. Patient was instructed to present to ED if symptoms worsen.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Narrative:  Patient is a 58 yo male with PMH of CAD, HOLD, and HTN who received first COVID-19 vaccine (Moderna) on 3/9/21. Patient received second dose on 4/6/21. On chart review, patient c/o dizziness, fever of 100.4 F, body aches, and numbness/tingling in fingers and left arm pain. Patient noted to receive both injections in left deltoid. Patient spoke to nurse on 4/15/21 via telephone c/o left arm pain x1 month, worsened after second dose of COVID-19 vaccine. Pain score 8/10 relieved with ibuprofen 800mg down to score of 5/10. Patient noted to have MI ~10 years ago. No follow-up with PCP as patient denied. Patient was instructed to present to ED if symptoms worsen.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Narrative:  A 39yo female with PMH of Knee pain, Cholecystectomy and disorder of the Pituitary She received Pfizer Covid-19 vaccine per policy procedure First dose on April 15, 2021 and developed generalized rash on face chest and neck which developed 20 minutes afte receiving the shot . she was evaluated in the ER. received methylprednisolone 125mg iv, Diphenhydramine 25mg iv push and was hydrated with 1 L of NS and Pepcid 20mg she was discharged with Benadryl 25mg po every 6 hrs as needed for rash, Pepcid 20mg po twice a day and to f/u with her primary physician. The patient recived the second dose of Covid-19 on May 6, 2021
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Nausea
Clinical narrative: Narrative:  Following receipt of second dose of COVID vaccine, patient reported mild headache/nausea that were not documented as being present following first dose.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Condition aggravated, Dizziness, Excessive eye blinking, Headache
Clinical narrative: Narrative:  Patient had severe hypertension, patient outcome unknown as transfer of care occurred.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate abnormal, Heart rate decreased, Hypertension, Injection site paraesthesia, Paraesthesia
Clinical narrative: Narrative:  Patient had severe hypertension, patient outcome unknown as transfer of care occurred.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Sensory disturbance, Taste disorder
Clinical narrative: Narrative:  Patient had severe hypertension, patient outcome unknown as transfer of care occurred.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Narrative:  Patient received Janssen Vaccine on 03/29/2021 and reported onset of headache two days later. Patient reports taking Excedrin (aspirin and caffeine) tablets. Denies fever, vomiting, and other symptoms. On 07/22/2021 patient was seen in ED for headache, and left without being seen or treated per ED DC note.  Also noted in chart; chronic sinusitis, chronic neck/shoulder pain, is being followed up by PCP.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  hospice pt
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot
Clinical narrative: Narrative:  30 minutes after patient received J&J COVID-19 vaccine, patient stated they felt warm. Vitals were obtained. Vitals unremarkable except temperature was 99.1 F. Cold pack was applied and water given to pt to drink. PCP examined pt and determined pt was in no need of immediate  medical attention. Patient at no time reported or displayed that they were in distress. Patient then proceeded for scheduled PCP appt.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Headache, Myalgia, Neck pain, Pain
Clinical narrative: time course) and treatment, if any:   Headache, Sedation, Myalgia,   chills, soreness in neck radiating into head  Narrative:
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sedation
Clinical narrative: time course) and treatment, if any:   Headache, Sedation, Myalgia,   chills, soreness in neck radiating into head  Narrative:
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Myalgia, Nausea, Vomiting
Clinical narrative: Myalgia, Diarrhea & NauseaVomiting Narrative:
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Myalgia
Clinical narrative: Narrative:  Injection site pain and fatigue for 3 days. Myalgia fatigue
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: SkinRash pruritis Narrative:
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Nausea, Oropharyngeal pain, Pyrexia, Vomiting
Clinical narrative: Fever, NauseaVomiting, sore throat, sweating Narrative:
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain
Clinical narrative: fatigue, injection site soreness X24 hours Narrative:
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Chills, Headache, Hyperhidrosis, Myalgia
Clinical narrative: Headache, Myalgia, NauseaVomiting, chills, diaphoresis, abdominal cramps. Narrative:
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: Headache, Myalgia, NauseaVomiting, chills, diaphoresis, abdominal cramps. Narrative:
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: behind left knee pain 1 wk after vaccine lasting 3 days  Narrative:  behind left knee pain 1 wk after vaccine lasting 3 days- she is going to follow up with pcp to evaluate this symptom post vaccine
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Headache, Migraine
Clinical narrative: Headache Narrative: ha 1 wk after vaccine h/o migraine treated as migraine.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: Narrative: Back of neck swelling x up to 42 days post 2nd dose.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Injection site pain, Insomnia, Pain, Pyrexia
Clinical narrative: Narrative: site soreness x day 1; fever, chills, body aches, sleeplessness x day 1-4
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Herpes simplex, Injection site pain, Injection site swelling
Clinical narrative: site pain, swelling x days 1-3; HA, fatigue x day 2; herpetic whitlow x day 7 and up to 3 weeks post dose. Narrative:
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Nausea, Vomiting
Clinical narrative: Headache, NauseaVomiting, General Symptoms: Headaches, joint pains, fatigue, nausea, vomiting. Narrative:
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Herpes simplex, Injection site pain, Injection site swelling
Clinical narrative: site pain and swelling x days 1-5; fatigue, chills fever x day 2-3; herpetic whitlow x weeks 2-3 after dose. Narrative:
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: site pain and swelling x days 1-5; fatigue, chills fever x day 2-3; herpetic whitlow x weeks 2-3 after dose. Narrative:
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Myalgia
Clinical narrative: lHeadache, Myalgia, chills, tired
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Dyspnoea, Fatigue, Headache, Myalgia
Clinical narrative: Headache, Palpitations,  Muscle aches, joint paints, fatigue, shortness of breath Narrative: 24 hours after 4/23/@1100 employee reports all symptoms have  resolved except for mild H/a; mild fatigue, joint and muscle pains. Advised employee to seek medical attention if SXS persist >48 hours/worsen/become acutely ill. F/u with supervisor and employee health for changes.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Headache, Palpitations,  Muscle aches, joint paints, fatigue, shortness of breath Narrative: 24 hours after 4/23/@1100 employee reports all symptoms have  resolved except for mild H/a; mild fatigue, joint and muscle pains. Advised employee to seek medical attention if SXS persist >48 hours/worsen/become acutely ill. F/u with supervisor and employee health for changes.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pyrexia
Clinical narrative: Narrative: Patient reported experiencing fever/chills (as high as 102 F) for ~48 hours after administration of vaccine, resolution of symptoms within 48 hours of vaccine administration.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Injection site swelling, Myalgia, Peripheral swelling
Clinical narrative: Myalgia fatigue, mildly swollen and tender arm/site  Narrative:
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Tenderness
Clinical narrative: Myalgia fatigue, mildly swollen and tender arm/site  Narrative:
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Influenza like illness, Injection site pain, Oropharyngeal pain
Clinical narrative: Headache site pain x days 1-5; flu-like symptoms x day 2-3; sore throat, fatigue and headache x days 4-5 Narrative:
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Injection site pain, Injection site swelling, Myalgia
Clinical narrative: Headache, Myalgia, pain, swelling at site x day 1-3; rash on back x day 1; H/A x day 2 ;hip pain x weeks 2 and 3 Narrative:
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Headache, Myalgia, pain, swelling at site x day 1-3; rash on back x day 1; H/A x day 2 ;hip pain x weeks 2 and 3 Narrative:
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Influenza like illness, Rash
Clinical narrative: Headache, SkinRash, hip pain x days 1-3, rash on torso x days 2 -4; chills, HA, flu-like symptoms x days 1-3 Narrative:
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Narrative: Rash, Rash on hand.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Hyperhidrosis, Impaired work ability, Nasal congestion
Clinical narrative: Headache, Fever,  sweating, chills, body, nasal congestion  Narrative:  Employee reports symptoms are improving today on 4/21/21 and believes he will be able to RTW on 4/22/21.Employee verbalises understanding symptoms experienced are within the expected reactions, however if symptoms persist>48 hours or worse, F/u with pcp/medical attention for medical concerns/attention. Seek emergency attention with acute changes or concern.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Headache, Fever,  sweating, chills, body, nasal congestion  Narrative:  Employee reports symptoms are improving today on 4/21/21 and believes he will be able to RTW on 4/22/21.Employee verbalises understanding symptoms experienced are within the expected reactions, however if symptoms persist>48 hours or worse, F/u with pcp/medical attention for medical concerns/attention. Seek emergency attention with acute changes or concern.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Feeling hot, Headache, Myalgia
Clinical narrative: FATIGUE,JOINT PAIN; MUSCLE PAIN; HEADACHE; WARM RESOLVED 8AM NEXT DAY Narrative:
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Immediate post-injection reaction
Clinical narrative: Dizziness diaphoretic Narrative: Employee had complaints of dizziness and was briefly diaphoretic as soon as the injection was given. The employee lied down on the exam table for 10 minutes and her symptoms resolved. No further treatment was needed.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pain in extremity
Clinical narrative: Fever PAINFUL ARM, SWEOLLEN NODES IN LEFT AXILLA AND BEHIND EARS Narrative:
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Headache, Pyrexia
Clinical narrative: Headache, Fever, lightheadedness Narrative:
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Myalgia, Pain in extremity
Clinical narrative: Dizziness, Myalgia,  sore arm Narrative:
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: Headache, Fever, chills Narrative:
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris, Condition aggravated, Refusal of vaccination
Clinical narrative: Narrative: Patient reported experiencing angina for ~6 weeks after receiving first dose of COVID vaccine. Patient received first dose at Facility- patient refused second dose. symptom first appeared day after receiving vaccine. Of note patient diagnosed with CAD and has previously experienced angina (2019) though follow up with cardiology since that time patient has been deemed stable.
Age: 1.75
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis
Clinical narrative: Dizziness  diaphoresis  Narrative: Employee in vaccine clinic and started to feel dizzy after receiving  first dose of the COVID vaccine. He lied down on the exam table and water was  give. Initial BP 103/66, HR 90, Repeat 10 at 11:50 minutes later 113/82, HR 86;  repeat at 12noon was 120/82, HR 80. He was diaphoretic but this resolved after  10 minutes. He recovered for 30 minutes and he reported feeling better and well  enough to return to work.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Diarrhoea, Ear pain, Oropharyngeal pain, Pyrexia
Clinical narrative: Narrative: Fever, Diarrhea, Congestion, cough, earache, sore throat
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion
Clinical narrative: Narrative: Fever, Diarrhea, Congestion, cough, earache, sore throat
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Dizziness Narrative: Employee was in vaccination clinic when she developed dizziness. Vital signs were stable and she was given water and was lying down on the exam table. She continue to fell dizzy and was sent to the ED at 8:30am via w/c. She was given juice/crackers and water in the ER and symptoms resolved.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Cough, Headache, Myalgia, Wheezing
Clinical narrative: Narrative: Headache, Myalgia, Arthralgia & CoughWheeze
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Headache, Impaired work ability, Inappropriate schedule of product administration
Clinical narrative: Headache, Myalgia, Diarrhea, NauseaVomiting, chills, rhinitis Narrative: Employee received 1st dose of Pfizer COVID vaccine on March 26, 2021 and received the 2nd dose on April 6, 2021. The second dose was administered fewer than 17 days. The employee went home from work on 4/6 since she could no longer work due to the diarrhea and headache. She return to work on 4/7 and had continue headache, diarrhea decreased, +myalgias. She was advised to use tylenol and fluids as needed, seek emergency care if symptoms worsen or persist.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Rhinitis, Vomiting
Clinical narrative: Headache, Myalgia, Diarrhea, NauseaVomiting, chills, rhinitis Narrative: Employee received 1st dose of Pfizer COVID vaccine on March 26, 2021 and received the 2nd dose on April 6, 2021. The second dose was administered fewer than 17 days. The employee went home from work on 4/6 since she could no longer work due to the diarrhea and headache. She return to work on 4/7 and had continue headache, diarrhea decreased, +myalgias. She was advised to use tylenol and fluids as needed, seek emergency care if symptoms worsen or persist.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Anxiety, Dizziness, Dysgeusia, Fatigue
Clinical narrative: Dizziness & NauseaVomiting Employee in COVID vaccine clinic observation area started to feel nauseated and a little dizzy. Also had a metallic taste in her mouth. She felt her pulse elevate but felt a little anxious after her symptoms started. She declined to lay down and declined antiemetic medication. She was given a peppermint and water. She was observed for 2 hours. She was contacted later in the evening and her symptoms had improved, but felt fatigue with a stomach ache.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Nausea, Vomiting
Clinical narrative: Dizziness & NauseaVomiting Employee in COVID vaccine clinic observation area started to feel nauseated and a little dizzy. Also had a metallic taste in her mouth. She felt her pulse elevate but felt a little anxious after her symptoms started. She declined to lay down and declined antiemetic medication. She was given a peppermint and water. She was observed for 2 hours. She was contacted later in the evening and her symptoms had improved, but felt fatigue with a stomach ache.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia
Clinical narrative: Narrative: Patient is a 43 yo male patient with PMH of PTSD who received the first dose of the Moderna COVID-19 vaccine on 3/4/21. Patient received his second dose on 4/1/21. Patient received both vaccinations in left deltoid. On 4/2/21, patient reported body aches, nausea, and fever with temperature 101-103 F. Body aches with pain score 7/10.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Diarrhoea
Clinical narrative: Narrative: Diarrhea, abdominal pain.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: Nausea Vomiting Narrative:
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Oropharyngeal pain, Pyrexia
Clinical narrative: Narrative: Headache, Fever, sore throat,
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site reaction, Pyrexia
Clinical narrative: Narrative: Headache, Fever, Injection Site Reaction.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever Narrative:
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia, Pyrexia
Clinical narrative: Headache, Myalgia & Fever Per supervisor report: "received 2nd shot 4/22/2021; headache, muscle ache, fever"
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Narrative: Headache, Fever, Injection site pain and swelling
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: Narrative: A 37-year-old B. Male with PMH of shoulder pain, bursitis, palpitation, chronic sinusitis, male hypogonadism, Migraine, anxiety, obesity, hyperlipidemia, thiamine deficiency, steatosis of liver, vitamin D deficiency, constipation and chronic PTSD on April 6. 2021, he was reported with a historical Johnson and Johnson covid-19 Vaccine induced fever, chills headache and body ache, which occurred on April 3, 2021, x1-2 days after the vaccine.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Oropharyngeal pain, Pain in extremity
Clinical narrative: Narrative:  Patient contacted call center day prior to second dose of his vaccine. On phone call, patient described ADRs experienced after first dose - "sore throat, sore arm, heavy fatique and mind foggy" Endorsed that symptoms lasted ~ 1 week. Patient is self-employed, and refused second dose of vaccine because they stated they could not afford to stop work for 1 week as they did after their first dose of vaccine.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Injection site pain, Myalgia, Pain
Clinical narrative: Myalgia, Arthralgia,  Injection site soreness  Narrative:  Day 1: Fatigue, injection site pain Day 2: Fatigue, injection site pain-hurt to move arm. Symptoms resolved by day three
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal distension, Anal incontinence, Asthenia, Back pain, Diarrhoea
Clinical narrative: Narrative:  60-year old male with PMHx significant for back pain, admitted on 5/26/2021 for complaint of progressive weakness and numbness along his entire body. Per documentation, he had his second COVID-19 vaccine on 05/14.Two days later, he started having watery explosive diarrhea. One week later, he started having numbness, tingling, bowel and bladder incontinence. A gradually progressed to his hands and torso. The day before admission on 05/26, he had difficulty swallowing. Speech consult determined that he should be NPO with NG tube feedings. He had been to the ED multiple times before admission which did MRI of his back that showed right neural foraminal stenosis at L5/S1. He was transferred to different facility after receiving steroids for back pain. Patient was admitted on medical service in ICU. He was closely monitored due to worsening of respiratory status and muscle weakness patient was intubated. Neurology was also consulted. Patient was treated with 5 days course of IVIG. Did not require plasmapheresis. Patient also required PEG tube placement. After starting the tube feeding he also developed abdominal distension and ileus. Therefore PEG tube is on hold. Seen by general surgery and recommended good bowel bowel regimen. Patient was clinically treated for Guillain-Barre syndrome per neurology recommendations. Lumbar puncture was not done because of his body habitus was not safe to do LP. I discussed with Neurology today. And recommended to have outpatient follow-up with Neurology. He will be discharged to long-term rehab while remaining on ventilator.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Dysphagia, Endotracheal intubation, Enteral nutrition, Gastrostomy, Guillain-Barre syndrome
Clinical narrative: Narrative:  60-year old male with PMHx significant for back pain, admitted on 5/26/2021 for complaint of progressive weakness and numbness along his entire body. Per documentation, he had his second COVID-19 vaccine on 05/14.Two days later, he started having watery explosive diarrhea. One week later, he started having numbness, tingling, bowel and bladder incontinence. A gradually progressed to his hands and torso. The day before admission on 05/26, he had difficulty swallowing. Speech consult determined that he should be NPO with NG tube feedings. He had been to the ED multiple times before admission which did MRI of his back that showed right neural foraminal stenosis at L5/S1. He was transferred to different facility after receiving steroids for back pain. Patient was admitted on medical service in ICU. He was closely monitored due to worsening of respiratory status and muscle weakness patient was intubated. Neurology was also consulted. Patient was treated with 5 days course of IVIG. Did not require plasmapheresis. Patient also required PEG tube placement. After starting the tube feeding he also developed abdominal distension and ileus. Therefore PEG tube is on hold. Seen by general surgery and recommended good bowel bowel regimen. Patient was clinically treated for Guillain-Barre syndrome per neurology recommendations. Lumbar puncture was not done because of his body habitus was not safe to do LP. I discussed with Neurology today. And recommended to have outpatient follow-up with Neurology. He will be discharged to long-term rehab while remaining on ventilator.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Ileus, Immunoglobulin therapy, Intensive care, Magnetic resonance imaging spinal abnormal
Clinical narrative: Narrative:  60-year old male with PMHx significant for back pain, admitted on 5/26/2021 for complaint of progressive weakness and numbness along his entire body. Per documentation, he had his second COVID-19 vaccine on 05/14.Two days later, he started having watery explosive diarrhea. One week later, he started having numbness, tingling, bowel and bladder incontinence. A gradually progressed to his hands and torso. The day before admission on 05/26, he had difficulty swallowing. Speech consult determined that he should be NPO with NG tube feedings. He had been to the ED multiple times before admission which did MRI of his back that showed right neural foraminal stenosis at L5/S1. He was transferred to different facility after receiving steroids for back pain. Patient was admitted on medical service in ICU. He was closely monitored due to worsening of respiratory status and muscle weakness patient was intubated. Neurology was also consulted. Patient was treated with 5 days course of IVIG. Did not require plasmapheresis. Patient also required PEG tube placement. After starting the tube feeding he also developed abdominal distension and ileus. Therefore PEG tube is on hold. Seen by general surgery and recommended good bowel bowel regimen. Patient was clinically treated for Guillain-Barre syndrome per neurology recommendations. Lumbar puncture was not done because of his body habitus was not safe to do LP. I discussed with Neurology today. And recommended to have outpatient follow-up with Neurology. He will be discharged to long-term rehab while remaining on ventilator.