chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: Patient passed out after COVID vaccination. Became alert and oriented within 1 minute after vaccine. Gently lowered to floor. Wet washcloth placed to forehead. Given sip of water by parent at 11:00am. At 11:03am patient felt normal and was able to stand without problems. Parent declined any further treatment or EMS notification. Left building ambulatory with parents.
Age: 51.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue
Clinical narrative: Fatigue
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis, Condition aggravated
Clinical narrative: Severe arthritis flare-up in lower extremedies
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID after being fully vaccination, Got the antibody infusion.
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Dyspnoea exertional, Electrocardiogram normal, Neck pain
Clinical narrative: Left sided chest pain- squeezing sensation, radiating to neck and down left arm, tingling left arm, with shortness of breath on exertion x several days
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Paraesthesia, Stress echocardiogram normal, Troponin normal
Clinical narrative: Left sided chest pain- squeezing sensation, radiating to neck and down left arm, tingling left arm, with shortness of breath on exertion x several days
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertension
Clinical narrative: High blood pressure for two weeks sfdfdf
Age: 16.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID-19.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: COVID
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Physical examination, Shoulder injury related to vaccine administration
Clinical narrative: shoulder pain since the time of vaccine persisting until first visit with me on 12/9/21.  diagnosed by me as SIRVA
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, Chills, Clostridium test positive, Dysphonia
Clinical narrative: Hospitalized abdominal pain, possible early appendicitis, sore throat, fever, chills, and voice changes and positive COVID and positive C difficile, also COVID positive in October prior to completion of vaccine series.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Hospitalized abdominal pain, possible early appendicitis, sore throat, fever, chills, and voice changes and positive COVID and positive C difficile, also COVID positive in October prior to completion of vaccine series.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Circumstance or information capable of leading to medication error
Clinical narrative: Error: Wrong patient.
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Limb discomfort, Vision blurred
Clinical narrative: An hour after the vaccination, his legs felt heavy above his ankles. He also had blurred vision. His mother called the doctor and they told her to monitor him. Go to ER/urgent care if things got worse.
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Limb discomfort, Vaccination site erythema, Vaccination site pain, Vision blurred
Clinical narrative: An hour after the vaccination, his legs felt heavy above his ankles. He also had blurred vision. His mother called the doctor and they told her to monitor him. Go to ER/urgent care if things got worse.
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Limb discomfort, Pain in extremity, Vaccination site erythema, Vision blurred
Clinical narrative: An hour after the vaccination, his legs felt heavy above his ankles. He also had blurred vision. His mother called the doctor and they told her to monitor him. Go to ER/urgent care if things got worse.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, Product administered to patient of inappropriate age
Clinical narrative: The underage patient inadvertently received a Moderna Covid-19 booster (0.25mL) vaccine on 01/15/2022 after completing his initial Pfizer  Covid-19 vaccine series on 06/08/2021.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: COVID
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Biopsy lymph gland, Bone pain, Fall, Inflammatory marker test
Clinical narrative: I ran high fever for 3 days, muscle ache, and then joints (all, including  bones in feet, ankles, wrist, thumbs and finger joints, hips, both knees (I had total done after falling and injuring my right knee but now all joints hurt and proceeded to get worse.  Lymph nodes swollen to point scalp began to swell with edema,  Lymph node biopsy done
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Joint injury, Lymphadenopathy, Myalgia, Oedema, Pyrexia
Clinical narrative: I ran high fever for 3 days, muscle ache, and then joints (all, including  bones in feet, ankles, wrist, thumbs and finger joints, hips, both knees (I had total done after falling and injuring my right knee but now all joints hurt and proceeded to get worse.  Lymph nodes swollen to point scalp began to swell with edema,  Lymph node biopsy done
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Skin swelling, White blood cell count increased
Clinical narrative: I ran high fever for 3 days, muscle ache, and then joints (all, including  bones in feet, ankles, wrist, thumbs and finger joints, hips, both knees (I had total done after falling and injuring my right knee but now all joints hurt and proceeded to get worse.  Lymph nodes swollen to point scalp began to swell with edema,  Lymph node biopsy done
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Electrocardiogram, Hyperhidrosis, Muscular weakness
Clinical narrative: At approx. 1300 CNA reported resident was in the bathroom holding onto the door and the bar in bathroom crouching over and she needed assistance getting resident into w/c. Resident was diaphoretic at the time and weak. BP 96/56, pulse 120, respirations 20, temp 98.3, O2 96% RA. No c/o pain, he did c/o weakness to his left leg with walking. Resident said he walked from his bed to the bathroom independent. Res. did have the 2nd dose of the Covid vaccine on 1/14/22. Gave order to send resident to ED for eval at 1325. EMS called at 1357, EMS left with resident at 1419.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Urine analysis normal
Clinical narrative: At approx. 1300 CNA reported resident was in the bathroom holding onto the door and the bar in bathroom crouching over and she needed assistance getting resident into w/c. Resident was diaphoretic at the time and weak. BP 96/56, pulse 120, respirations 20, temp 98.3, O2 96% RA. No c/o pain, he did c/o weakness to his left leg with walking. Resident said he walked from his bed to the bathroom independent. Res. did have the 2nd dose of the Covid vaccine on 1/14/22. Gave order to send resident to ED for eval at 1325. EMS called at 1357, EMS left with resident at 1419.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiomyopathy, Laboratory test, Pulmonary embolism
Clinical narrative: Myocardial and pulmonary embolism
Age: 64.0
Sex: M
Vaccine: FLU4
Symptoms: Headache, Malaise, Nausea, Pyrexia
Clinical narrative: After the second dose of Pfizer vaccine I became very ill. Most of the symptoms were as advertised, nausea, fever, headache etc. The reaction to the fist dose was not as bad, I just went to bed early and after 24 hours felt better. This persisted for more like 48 hours.  I had no reaction to the 3rd dose.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Systemic: Weakness-Mild, Additional Details: PATIENT RECIEVED MODERNA BOOSTER IN LEFT DELTOID AND BEGAN TO FEEL FAINT. PT DRANK SOME WATER AND STATED HE WAS READY TO RECIEVE THE FLU SHOT. THE FLU SHOT WAS ADMINISTERED IN THE RIGHT DELTOID AND PATIENT IMMEDIATELY FAINTED. PATIENT REPORTED HISTORY OF FAINTING AFTER RECIEVING VACCINES. PT BECAME CONSCIOUS AND WAS MONITORED FOR 30 MINUTES BEFORE LEAVING THE PHARMACY. PT WAS ABLE TO WALK OUT.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: The patient was under 18 yrs  old that was overlooked by the vaccinator. The patient is fine and no treatment has been needed. The error  was only noticed as the consent form was being filed.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Confusional state, Diarrhoea, Dizziness
Clinical narrative: Systemic: Chills-Medium, Systemic: Confusion-Severe, Systemic: Diarrhea-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Weakness-Severe
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Chills-Medium, Systemic: Confusion-Severe, Systemic: Diarrhea-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Weakness-Severe
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Loss of personal independence in daily activities, Myalgia, Nausea, Pain
Clinical narrative: During PCP visit on 1/18/2022, patient reports having nausea, body aches and headaches since the booster shot on 10/27/2021. Reaction: High-grade fever following vaccine (102.1-104.0 F), headache that requires use of prescription medication or prevents daily activity and myalgias.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: During PCP visit on 1/18/2022, patient reports having nausea, body aches and headaches since the booster shot on 10/27/2021. Reaction: High-grade fever following vaccine (102.1-104.0 F), headache that requires use of prescription medication or prevents daily activity and myalgias.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: The underage patient inadvertently received a Moderna Covid-19 booster (0.25mL) vaccine on 01/15/2022 after completing her initial Pfizer  Covid-19 vaccine series on 05/18/2021.
Age: 50.0
Sex: F
Vaccine: UNK
Symptoms: Fatigue, Headache, Injection site pain, Muscular weakness, Myalgia
Clinical narrative: Fatigue, muscle soreness & weakness, pain at injection site, headache
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Fatigue, Headache, Limb discomfort, Nausea
Clinical narrative: Pt states her arm was feeling heavy in the arm she was vaxed in(left arm). Pt states on 1/15 she was tired and had headache, chills and nausea, on 1/16 pt says everything went away except her arm was red, tender and swollen. Swollen bigger then a softball. Pt says she has the same AE with the first and second vax
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Peripheral swelling, Skin reaction, Tenderness
Clinical narrative: Pt states her arm was feeling heavy in the arm she was vaxed in(left arm). Pt states on 1/15 she was tired and had headache, chills and nausea, on 1/16 pt says everything went away except her arm was red, tender and swollen. Swollen bigger then a softball. Pt says she has the same AE with the first and second vax
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Asthenia, Chills, Decreased appetite, Fatigue
Clinical narrative: Pt states her arm was feeling heavy in the arm she was vaxed in(left arm). Pt states on 1/15 she was tired and had headache, chills and nausea, on 1/16 pt says everything went away except her arm was red, tender and swollen. Swollen bigger then a softball. Pt says she has the same AE with the first and second vax
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Feeling abnormal, Headache, Immunisation, Malaise, Myalgia
Clinical narrative: Pt states her arm was feeling heavy in the arm she was vaxed in(left arm). Pt states on 1/15 she was tired and had headache, chills and nausea, on 1/16 pt says everything went away except her arm was red, tender and swollen. Swollen bigger then a softball. Pt says she has the same AE with the first and second vax
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Pain, Somnolence, Vaccination site erythema, Vaccination site mass
Clinical narrative: Pt states her arm was feeling heavy in the arm she was vaxed in(left arm). Pt states on 1/15 she was tired and had headache, chills and nausea, on 1/16 pt says everything went away except her arm was red, tender and swollen. Swollen bigger then a softball. Pt says she has the same AE with the first and second vax
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaccination site pain, Vaccination site swelling
Clinical narrative: Pt states her arm was feeling heavy in the arm she was vaxed in(left arm). Pt states on 1/15 she was tired and had headache, chills and nausea, on 1/16 pt says everything went away except her arm was red, tender and swollen. Swollen bigger then a softball. Pt says she has the same AE with the first and second vax
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Arthralgia, Asymptomatic COVID-19, Leukocytosis, Medical device removal, SARS-CoV-2 test positive
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 03/01/2021.  86y/o PMH HTN, CAD, Afib, Pacemaker, HLD, Right CEA, Colostomy with reversal originally admitted on 1/1/2022 for c/o progressive hip pain and had hip hardware removed.  ID consulted for Leukocytosis, tests ordered and pt found to be Covid +, simply monitoring as pt with no symptoms.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 03/01/2021.  86y/o PMH HTN, CAD, Afib, Pacemaker, HLD, Right CEA, Colostomy with reversal originally admitted on 1/1/2022 for c/o progressive hip pain and had hip hardware removed.  ID consulted for Leukocytosis, tests ordered and pt found to be Covid +, simply monitoring as pt with no symptoms.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Incorrect dose administered, Peripheral swelling, Product preparation issue, Pyrexia
Clinical narrative: Vaccine was not diluted prior to injection pt experiencing low grade fever and fatigue and arm swelling
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: pt said she started experiencing tingling in arm and hand of inj arm about 30 to 45 minutes after receiving inj. tried icing and moving arm but no relief
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary mass, Axillary pain, Pyrexia
Clinical narrative: Fever 102.9 for 8 hours, nothing would bring it down! Felt like I got hot by a speeding train for 5 days... had huge (softball size) hard, very painful mass in left armpit to side boob
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Pallor
Clinical narrative: Became pale and diaphoretic after 10 minutes observation after vaccine. Assisted to W/C and transported to Facility for assessment. No LOC observed.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time, Acute kidney injury, Acute respiratory failure, Alanine aminotransferase normal, Aspartate aminotransferase increased
Clinical narrative: 72 y/o woman with history of  gout, hypertension, T2DM (last HgA1c of 7.2) and arthritis, vaccinated with Pfizer/21 but no booster, who presented to the Emergency Department on 12/10 with worsening shortness of breath. She was tested positive for covid on 12/2/2021. She was admitted for acute hypoxemic respiratory failure due to covid pneumonia.    Hospital course:       COVID Pneumonia with acute hypoxemic respiratory failure: Symptom onset on 12/5, COVID positive on 12/2. Last fever on unknown. She is s/p 5 days of Remdesivir ended on 12/15 and on D7/10 of decadron 6 mg daily. Now on RA and needs 1-2L on ambulation to keep O2 sat above 92%. Liver enzymes stable, mild elevated ALP 33, CRP down trended to 1.8, she received lovenox for DVT PPx and pepcid for GI ppx. She will be discharged on home O2 only with ambulation. Booster when she is feeling better, within a month. She will be in isolation 20 days from started on symptoms which was 12/5.    EKG on admission with new afib, continued to remain in for >48 hours. CHA2DS2VASC score of 4. She was started on pradaxa by Doctor. She has converted to SR and remains in SR with HR 50-60s on atenolol 50 mg daily. PTA was atenolol 100 mg daily but HR drops to 48-50s during sleep and her blood pressure is well controlled on atenolol 50 mg daily and cozaar 25 mg daily. Please adjust her blood pressure medication.   AKI : resolved  Cr 2.01 on admission. Suspect pre-renal. S/p IVF resuscitation and good PO intake with normalization of Cr.     AGMA due to  lactic acidosis (5.9) which resolved after IVF resuscitation. Suspect due to hypovolemia and concomitant metformin use at home.    T2DM:  Resume PTA metformin/glipizide   history of gout: continue PTA allopurinol   History of HTN/HLD: on much lower meds here even on steroids. I am only resuming cozaar at 25 mg daily and atenolol 50 mg daily. Holding PTA Norvasc 10 mg daily, Losartan 100 mg daily since tenuous blood pressure. Advised daughter to monitor her diet and blood pressure.    Primary Procedures:  none   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  Lactic acidosis and Hypoxemia
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood chloride normal, Blood cholesterol normal
Clinical narrative: 72 y/o woman with history of  gout, hypertension, T2DM (last HgA1c of 7.2) and arthritis, vaccinated with Pfizer/21 but no booster, who presented to the Emergency Department on 12/10 with worsening shortness of breath. She was tested positive for covid on 12/2/2021. She was admitted for acute hypoxemic respiratory failure due to covid pneumonia.    Hospital course:       COVID Pneumonia with acute hypoxemic respiratory failure: Symptom onset on 12/5, COVID positive on 12/2. Last fever on unknown. She is s/p 5 days of Remdesivir ended on 12/15 and on D7/10 of decadron 6 mg daily. Now on RA and needs 1-2L on ambulation to keep O2 sat above 92%. Liver enzymes stable, mild elevated ALP 33, CRP down trended to 1.8, she received lovenox for DVT PPx and pepcid for GI ppx. She will be discharged on home O2 only with ambulation. Booster when she is feeling better, within a month. She will be in isolation 20 days from started on symptoms which was 12/5.    EKG on admission with new afib, continued to remain in for >48 hours. CHA2DS2VASC score of 4. She was started on pradaxa by Doctor. She has converted to SR and remains in SR with HR 50-60s on atenolol 50 mg daily. PTA was atenolol 100 mg daily but HR drops to 48-50s during sleep and her blood pressure is well controlled on atenolol 50 mg daily and cozaar 25 mg daily. Please adjust her blood pressure medication.   AKI : resolved  Cr 2.01 on admission. Suspect pre-renal. S/p IVF resuscitation and good PO intake with normalization of Cr.     AGMA due to  lactic acidosis (5.9) which resolved after IVF resuscitation. Suspect due to hypovolemia and concomitant metformin use at home.    T2DM:  Resume PTA metformin/glipizide   history of gout: continue PTA allopurinol   History of HTN/HLD: on much lower meds here even on steroids. I am only resuming cozaar at 25 mg daily and atenolol 50 mg daily. Holding PTA Norvasc 10 mg daily, Losartan 100 mg daily since tenuous blood pressure. Advised daughter to monitor her diet and blood pressure.    Primary Procedures:  none   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  Lactic acidosis and Hypoxemia
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatinine increased, Blood electrolytes, Blood glucose increased, Blood lactic acid, Blood potassium normal
Clinical narrative: 72 y/o woman with history of  gout, hypertension, T2DM (last HgA1c of 7.2) and arthritis, vaccinated with Pfizer/21 but no booster, who presented to the Emergency Department on 12/10 with worsening shortness of breath. She was tested positive for covid on 12/2/2021. She was admitted for acute hypoxemic respiratory failure due to covid pneumonia.    Hospital course:       COVID Pneumonia with acute hypoxemic respiratory failure: Symptom onset on 12/5, COVID positive on 12/2. Last fever on unknown. She is s/p 5 days of Remdesivir ended on 12/15 and on D7/10 of decadron 6 mg daily. Now on RA and needs 1-2L on ambulation to keep O2 sat above 92%. Liver enzymes stable, mild elevated ALP 33, CRP down trended to 1.8, she received lovenox for DVT PPx and pepcid for GI ppx. She will be discharged on home O2 only with ambulation. Booster when she is feeling better, within a month. She will be in isolation 20 days from started on symptoms which was 12/5.    EKG on admission with new afib, continued to remain in for >48 hours. CHA2DS2VASC score of 4. She was started on pradaxa by Doctor. She has converted to SR and remains in SR with HR 50-60s on atenolol 50 mg daily. PTA was atenolol 100 mg daily but HR drops to 48-50s during sleep and her blood pressure is well controlled on atenolol 50 mg daily and cozaar 25 mg daily. Please adjust her blood pressure medication.   AKI : resolved  Cr 2.01 on admission. Suspect pre-renal. S/p IVF resuscitation and good PO intake with normalization of Cr.     AGMA due to  lactic acidosis (5.9) which resolved after IVF resuscitation. Suspect due to hypovolemia and concomitant metformin use at home.    T2DM:  Resume PTA metformin/glipizide   history of gout: continue PTA allopurinol   History of HTN/HLD: on much lower meds here even on steroids. I am only resuming cozaar at 25 mg daily and atenolol 50 mg daily. Holding PTA Norvasc 10 mg daily, Losartan 100 mg daily since tenuous blood pressure. Advised daughter to monitor her diet and blood pressure.    Primary Procedures:  none   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  Lactic acidosis and Hypoxemia
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure abnormal, Blood sodium decreased, Blood thyroid stimulating hormone normal, Blood triglycerides normal, Blood urea increased
Clinical narrative: 72 y/o woman with history of  gout, hypertension, T2DM (last HgA1c of 7.2) and arthritis, vaccinated with Pfizer/21 but no booster, who presented to the Emergency Department on 12/10 with worsening shortness of breath. She was tested positive for covid on 12/2/2021. She was admitted for acute hypoxemic respiratory failure due to covid pneumonia.    Hospital course:       COVID Pneumonia with acute hypoxemic respiratory failure: Symptom onset on 12/5, COVID positive on 12/2. Last fever on unknown. She is s/p 5 days of Remdesivir ended on 12/15 and on D7/10 of decadron 6 mg daily. Now on RA and needs 1-2L on ambulation to keep O2 sat above 92%. Liver enzymes stable, mild elevated ALP 33, CRP down trended to 1.8, she received lovenox for DVT PPx and pepcid for GI ppx. She will be discharged on home O2 only with ambulation. Booster when she is feeling better, within a month. She will be in isolation 20 days from started on symptoms which was 12/5.    EKG on admission with new afib, continued to remain in for >48 hours. CHA2DS2VASC score of 4. She was started on pradaxa by Doctor. She has converted to SR and remains in SR with HR 50-60s on atenolol 50 mg daily. PTA was atenolol 100 mg daily but HR drops to 48-50s during sleep and her blood pressure is well controlled on atenolol 50 mg daily and cozaar 25 mg daily. Please adjust her blood pressure medication.   AKI : resolved  Cr 2.01 on admission. Suspect pre-renal. S/p IVF resuscitation and good PO intake with normalization of Cr.     AGMA due to  lactic acidosis (5.9) which resolved after IVF resuscitation. Suspect due to hypovolemia and concomitant metformin use at home.    T2DM:  Resume PTA metformin/glipizide   history of gout: continue PTA allopurinol   History of HTN/HLD: on much lower meds here even on steroids. I am only resuming cozaar at 25 mg daily and atenolol 50 mg daily. Holding PTA Norvasc 10 mg daily, Losartan 100 mg daily since tenuous blood pressure. Advised daughter to monitor her diet and blood pressure.    Primary Procedures:  none   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  Lactic acidosis and Hypoxemia
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein increased, CHA2DS2-VASc annual stroke risk high, COVID-19, COVID-19 pneumonia, Carbon dioxide decreased
Clinical narrative: 72 y/o woman with history of  gout, hypertension, T2DM (last HgA1c of 7.2) and arthritis, vaccinated with Pfizer/21 but no booster, who presented to the Emergency Department on 12/10 with worsening shortness of breath. She was tested positive for covid on 12/2/2021. She was admitted for acute hypoxemic respiratory failure due to covid pneumonia.    Hospital course:       COVID Pneumonia with acute hypoxemic respiratory failure: Symptom onset on 12/5, COVID positive on 12/2. Last fever on unknown. She is s/p 5 days of Remdesivir ended on 12/15 and on D7/10 of decadron 6 mg daily. Now on RA and needs 1-2L on ambulation to keep O2 sat above 92%. Liver enzymes stable, mild elevated ALP 33, CRP down trended to 1.8, she received lovenox for DVT PPx and pepcid for GI ppx. She will be discharged on home O2 only with ambulation. Booster when she is feeling better, within a month. She will be in isolation 20 days from started on symptoms which was 12/5.    EKG on admission with new afib, continued to remain in for >48 hours. CHA2DS2VASC score of 4. She was started on pradaxa by Doctor. She has converted to SR and remains in SR with HR 50-60s on atenolol 50 mg daily. PTA was atenolol 100 mg daily but HR drops to 48-50s during sleep and her blood pressure is well controlled on atenolol 50 mg daily and cozaar 25 mg daily. Please adjust her blood pressure medication.   AKI : resolved  Cr 2.01 on admission. Suspect pre-renal. S/p IVF resuscitation and good PO intake with normalization of Cr.     AGMA due to  lactic acidosis (5.9) which resolved after IVF resuscitation. Suspect due to hypovolemia and concomitant metformin use at home.    T2DM:  Resume PTA metformin/glipizide   history of gout: continue PTA allopurinol   History of HTN/HLD: on much lower meds here even on steroids. I am only resuming cozaar at 25 mg daily and atenolol 50 mg daily. Holding PTA Norvasc 10 mg daily, Losartan 100 mg daily since tenuous blood pressure. Advised daughter to monitor her diet and blood pressure.    Primary Procedures:  none   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  Lactic acidosis and Hypoxemia
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Coagulation test, Dyspnoea, Electrocardiogram abnormal, Eosinophil percentage decreased, Full blood count
Clinical narrative: 72 y/o woman with history of  gout, hypertension, T2DM (last HgA1c of 7.2) and arthritis, vaccinated with Pfizer/21 but no booster, who presented to the Emergency Department on 12/10 with worsening shortness of breath. She was tested positive for covid on 12/2/2021. She was admitted for acute hypoxemic respiratory failure due to covid pneumonia.    Hospital course:       COVID Pneumonia with acute hypoxemic respiratory failure: Symptom onset on 12/5, COVID positive on 12/2. Last fever on unknown. She is s/p 5 days of Remdesivir ended on 12/15 and on D7/10 of decadron 6 mg daily. Now on RA and needs 1-2L on ambulation to keep O2 sat above 92%. Liver enzymes stable, mild elevated ALP 33, CRP down trended to 1.8, she received lovenox for DVT PPx and pepcid for GI ppx. She will be discharged on home O2 only with ambulation. Booster when she is feeling better, within a month. She will be in isolation 20 days from started on symptoms which was 12/5.    EKG on admission with new afib, continued to remain in for >48 hours. CHA2DS2VASC score of 4. She was started on pradaxa by Doctor. She has converted to SR and remains in SR with HR 50-60s on atenolol 50 mg daily. PTA was atenolol 100 mg daily but HR drops to 48-50s during sleep and her blood pressure is well controlled on atenolol 50 mg daily and cozaar 25 mg daily. Please adjust her blood pressure medication.   AKI : resolved  Cr 2.01 on admission. Suspect pre-renal. S/p IVF resuscitation and good PO intake with normalization of Cr.     AGMA due to  lactic acidosis (5.9) which resolved after IVF resuscitation. Suspect due to hypovolemia and concomitant metformin use at home.    T2DM:  Resume PTA metformin/glipizide   history of gout: continue PTA allopurinol   History of HTN/HLD: on much lower meds here even on steroids. I am only resuming cozaar at 25 mg daily and atenolol 50 mg daily. Holding PTA Norvasc 10 mg daily, Losartan 100 mg daily since tenuous blood pressure. Advised daughter to monitor her diet and blood pressure.    Primary Procedures:  none   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  Lactic acidosis and Hypoxemia
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Glycosylated haemoglobin increased, Haematocrit decreased, Haemoglobin decreased, Hepatic enzyme, High density lipoprotein normal
Clinical narrative: 72 y/o woman with history of  gout, hypertension, T2DM (last HgA1c of 7.2) and arthritis, vaccinated with Pfizer/21 but no booster, who presented to the Emergency Department on 12/10 with worsening shortness of breath. She was tested positive for covid on 12/2/2021. She was admitted for acute hypoxemic respiratory failure due to covid pneumonia.    Hospital course:       COVID Pneumonia with acute hypoxemic respiratory failure: Symptom onset on 12/5, COVID positive on 12/2. Last fever on unknown. She is s/p 5 days of Remdesivir ended on 12/15 and on D7/10 of decadron 6 mg daily. Now on RA and needs 1-2L on ambulation to keep O2 sat above 92%. Liver enzymes stable, mild elevated ALP 33, CRP down trended to 1.8, she received lovenox for DVT PPx and pepcid for GI ppx. She will be discharged on home O2 only with ambulation. Booster when she is feeling better, within a month. She will be in isolation 20 days from started on symptoms which was 12/5.    EKG on admission with new afib, continued to remain in for >48 hours. CHA2DS2VASC score of 4. She was started on pradaxa by Doctor. She has converted to SR and remains in SR with HR 50-60s on atenolol 50 mg daily. PTA was atenolol 100 mg daily but HR drops to 48-50s during sleep and her blood pressure is well controlled on atenolol 50 mg daily and cozaar 25 mg daily. Please adjust her blood pressure medication.   AKI : resolved  Cr 2.01 on admission. Suspect pre-renal. S/p IVF resuscitation and good PO intake with normalization of Cr.     AGMA due to  lactic acidosis (5.9) which resolved after IVF resuscitation. Suspect due to hypovolemia and concomitant metformin use at home.    T2DM:  Resume PTA metformin/glipizide   history of gout: continue PTA allopurinol   History of HTN/HLD: on much lower meds here even on steroids. I am only resuming cozaar at 25 mg daily and atenolol 50 mg daily. Holding PTA Norvasc 10 mg daily, Losartan 100 mg daily since tenuous blood pressure. Advised daughter to monitor her diet and blood pressure.    Primary Procedures:  none   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  Lactic acidosis and Hypoxemia
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Hypovolaemia, Hypoxia, International normalised ratio, Lactic acidosis, Lipase normal
Clinical narrative: 72 y/o woman with history of  gout, hypertension, T2DM (last HgA1c of 7.2) and arthritis, vaccinated with Pfizer/21 but no booster, who presented to the Emergency Department on 12/10 with worsening shortness of breath. She was tested positive for covid on 12/2/2021. She was admitted for acute hypoxemic respiratory failure due to covid pneumonia.    Hospital course:       COVID Pneumonia with acute hypoxemic respiratory failure: Symptom onset on 12/5, COVID positive on 12/2. Last fever on unknown. She is s/p 5 days of Remdesivir ended on 12/15 and on D7/10 of decadron 6 mg daily. Now on RA and needs 1-2L on ambulation to keep O2 sat above 92%. Liver enzymes stable, mild elevated ALP 33, CRP down trended to 1.8, she received lovenox for DVT PPx and pepcid for GI ppx. She will be discharged on home O2 only with ambulation. Booster when she is feeling better, within a month. She will be in isolation 20 days from started on symptoms which was 12/5.    EKG on admission with new afib, continued to remain in for >48 hours. CHA2DS2VASC score of 4. She was started on pradaxa by Doctor. She has converted to SR and remains in SR with HR 50-60s on atenolol 50 mg daily. PTA was atenolol 100 mg daily but HR drops to 48-50s during sleep and her blood pressure is well controlled on atenolol 50 mg daily and cozaar 25 mg daily. Please adjust her blood pressure medication.   AKI : resolved  Cr 2.01 on admission. Suspect pre-renal. S/p IVF resuscitation and good PO intake with normalization of Cr.     AGMA due to  lactic acidosis (5.9) which resolved after IVF resuscitation. Suspect due to hypovolemia and concomitant metformin use at home.    T2DM:  Resume PTA metformin/glipizide   history of gout: continue PTA allopurinol   History of HTN/HLD: on much lower meds here even on steroids. I am only resuming cozaar at 25 mg daily and atenolol 50 mg daily. Holding PTA Norvasc 10 mg daily, Losartan 100 mg daily since tenuous blood pressure. Advised daughter to monitor her diet and blood pressure.    Primary Procedures:  none   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  Lactic acidosis and Hypoxemia
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Liver function test, Low density lipoprotein normal, Lymphocyte percentage, Mean cell volume decreased, Metabolic acidosis
Clinical narrative: 72 y/o woman with history of  gout, hypertension, T2DM (last HgA1c of 7.2) and arthritis, vaccinated with Pfizer/21 but no booster, who presented to the Emergency Department on 12/10 with worsening shortness of breath. She was tested positive for covid on 12/2/2021. She was admitted for acute hypoxemic respiratory failure due to covid pneumonia.    Hospital course:       COVID Pneumonia with acute hypoxemic respiratory failure: Symptom onset on 12/5, COVID positive on 12/2. Last fever on unknown. She is s/p 5 days of Remdesivir ended on 12/15 and on D7/10 of decadron 6 mg daily. Now on RA and needs 1-2L on ambulation to keep O2 sat above 92%. Liver enzymes stable, mild elevated ALP 33, CRP down trended to 1.8, she received lovenox for DVT PPx and pepcid for GI ppx. She will be discharged on home O2 only with ambulation. Booster when she is feeling better, within a month. She will be in isolation 20 days from started on symptoms which was 12/5.    EKG on admission with new afib, continued to remain in for >48 hours. CHA2DS2VASC score of 4. She was started on pradaxa by Doctor. She has converted to SR and remains in SR with HR 50-60s on atenolol 50 mg daily. PTA was atenolol 100 mg daily but HR drops to 48-50s during sleep and her blood pressure is well controlled on atenolol 50 mg daily and cozaar 25 mg daily. Please adjust her blood pressure medication.   AKI : resolved  Cr 2.01 on admission. Suspect pre-renal. S/p IVF resuscitation and good PO intake with normalization of Cr.     AGMA due to  lactic acidosis (5.9) which resolved after IVF resuscitation. Suspect due to hypovolemia and concomitant metformin use at home.    T2DM:  Resume PTA metformin/glipizide   history of gout: continue PTA allopurinol   History of HTN/HLD: on much lower meds here even on steroids. I am only resuming cozaar at 25 mg daily and atenolol 50 mg daily. Holding PTA Norvasc 10 mg daily, Losartan 100 mg daily since tenuous blood pressure. Advised daughter to monitor her diet and blood pressure.    Primary Procedures:  none   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  Lactic acidosis and Hypoxemia
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Monocyte percentage, Neutrophil percentage increased, Platelet count normal, Prerenal failure, Prothrombin time
Clinical narrative: 72 y/o woman with history of  gout, hypertension, T2DM (last HgA1c of 7.2) and arthritis, vaccinated with Pfizer/21 but no booster, who presented to the Emergency Department on 12/10 with worsening shortness of breath. She was tested positive for covid on 12/2/2021. She was admitted for acute hypoxemic respiratory failure due to covid pneumonia.    Hospital course:       COVID Pneumonia with acute hypoxemic respiratory failure: Symptom onset on 12/5, COVID positive on 12/2. Last fever on unknown. She is s/p 5 days of Remdesivir ended on 12/15 and on D7/10 of decadron 6 mg daily. Now on RA and needs 1-2L on ambulation to keep O2 sat above 92%. Liver enzymes stable, mild elevated ALP 33, CRP down trended to 1.8, she received lovenox for DVT PPx and pepcid for GI ppx. She will be discharged on home O2 only with ambulation. Booster when she is feeling better, within a month. She will be in isolation 20 days from started on symptoms which was 12/5.    EKG on admission with new afib, continued to remain in for >48 hours. CHA2DS2VASC score of 4. She was started on pradaxa by Doctor. She has converted to SR and remains in SR with HR 50-60s on atenolol 50 mg daily. PTA was atenolol 100 mg daily but HR drops to 48-50s during sleep and her blood pressure is well controlled on atenolol 50 mg daily and cozaar 25 mg daily. Please adjust her blood pressure medication.   AKI : resolved  Cr 2.01 on admission. Suspect pre-renal. S/p IVF resuscitation and good PO intake with normalization of Cr.     AGMA due to  lactic acidosis (5.9) which resolved after IVF resuscitation. Suspect due to hypovolemia and concomitant metformin use at home.    T2DM:  Resume PTA metformin/glipizide   history of gout: continue PTA allopurinol   History of HTN/HLD: on much lower meds here even on steroids. I am only resuming cozaar at 25 mg daily and atenolol 50 mg daily. Holding PTA Norvasc 10 mg daily, Losartan 100 mg daily since tenuous blood pressure. Advised daughter to monitor her diet and blood pressure.    Primary Procedures:  none   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  Lactic acidosis and Hypoxemia
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Troponin, White blood cell count normal
Clinical narrative: 72 y/o woman with history of  gout, hypertension, T2DM (last HgA1c of 7.2) and arthritis, vaccinated with Pfizer/21 but no booster, who presented to the Emergency Department on 12/10 with worsening shortness of breath. She was tested positive for covid on 12/2/2021. She was admitted for acute hypoxemic respiratory failure due to covid pneumonia.    Hospital course:       COVID Pneumonia with acute hypoxemic respiratory failure: Symptom onset on 12/5, COVID positive on 12/2. Last fever on unknown. She is s/p 5 days of Remdesivir ended on 12/15 and on D7/10 of decadron 6 mg daily. Now on RA and needs 1-2L on ambulation to keep O2 sat above 92%. Liver enzymes stable, mild elevated ALP 33, CRP down trended to 1.8, she received lovenox for DVT PPx and pepcid for GI ppx. She will be discharged on home O2 only with ambulation. Booster when she is feeling better, within a month. She will be in isolation 20 days from started on symptoms which was 12/5.    EKG on admission with new afib, continued to remain in for >48 hours. CHA2DS2VASC score of 4. She was started on pradaxa by Doctor. She has converted to SR and remains in SR with HR 50-60s on atenolol 50 mg daily. PTA was atenolol 100 mg daily but HR drops to 48-50s during sleep and her blood pressure is well controlled on atenolol 50 mg daily and cozaar 25 mg daily. Please adjust her blood pressure medication.   AKI : resolved  Cr 2.01 on admission. Suspect pre-renal. S/p IVF resuscitation and good PO intake with normalization of Cr.     AGMA due to  lactic acidosis (5.9) which resolved after IVF resuscitation. Suspect due to hypovolemia and concomitant metformin use at home.    T2DM:  Resume PTA metformin/glipizide   history of gout: continue PTA allopurinol   History of HTN/HLD: on much lower meds here even on steroids. I am only resuming cozaar at 25 mg daily and atenolol 50 mg daily. Holding PTA Norvasc 10 mg daily, Losartan 100 mg daily since tenuous blood pressure. Advised daughter to monitor her diet and blood pressure.    Primary Procedures:  none   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  Lactic acidosis and Hypoxemia
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Hypoaesthesia oral, Paraesthesia, Paraesthesia oral
Clinical narrative: After my vaccine my lips tingled. It was at the pharmacy. My lips went numb with pins and needles. When I got home, I got a fever and had a bad headache. I had a headaches on and off for a good month and felt very tired. Today I have no symptoms.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: After my vaccine my lips tingled. It was at the pharmacy. My lips went numb with pins and needles. When I got home, I got a fever and had a bad headache. I had a headaches on and off for a good month and felt very tired. Today I have no symptoms.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient given an adult dose of Pfizer when patient is a pediatric patient. Infectious disease doctors on site consulted, parents of patient notified of  error and recommendations form infectious disease specialists.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Echocardiogram abnormal, Ejection fraction, Laboratory test abnormal, Left ventricular dysfunction
Clinical narrative: Patient received COVID-19 vaccine Pfizer booster third dose on 1/13 and on 1/17 patient presented with acute chest pain. Upon laboratories troponin were reported at 11K. Echochardiogram showed 50% EF: Patient was diagnosed with myocarditis
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Myocarditis, Troponin I increased
Clinical narrative: Patient received COVID-19 vaccine Pfizer booster third dose on 1/13 and on 1/17 patient presented with acute chest pain. Upon laboratories troponin were reported at 11K. Echochardiogram showed 50% EF: Patient was diagnosed with myocarditis
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Palpitations
Clinical narrative: heart palpitations, racing heart, fatigue, shortness of breath for 3 days.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Mechanical urticaria, Pruritus, Skin reaction, Urticaria
Clinical narrative: On 1/13/2022, patient began experiencing hives on abdomen and intense itching. Over the next two days, itching continues and hives appear on neck, scalp, abdomen, and chest. On 1/16/2022, the itching continues and the skin reaction changes to long raised lines/skin writing where the skin is touched (dermatographia). The itching is more intense in the evening. The itching is reduced with use of benadryl, zyrtec, and witch hazel, but the skin writing continues to occur. At the time of this report, 1/19/2022, patient is still experiencing these symptoms.
Age: 57.0
Sex: U
Vaccine: COVID19
Symptoms: Erythema, Immediate post-injection reaction, Pain in extremity, Peripheral swelling, Pruritus
Clinical narrative: Immediately after getting the vaccine my arm swelled, red and a bump developed which was itchy. The provider kept me for 30 minutes. My arm hurt for over a week.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient given an adult dose of Pfizer when patient is a pediatric patient. Infectious disease doctors on site consulted, parents of patient notified of error and given information and recommendations from infectious disease specialists.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Blood test, Facial asymmetry, Hypoaesthesia, Laboratory test
Clinical narrative: Right side of face numb. Per ER Bell?s palsy. Currently on steroids for inflammatiin and antiviral medication and eye antibiotic ointment.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head
Clinical narrative: Right side of face numb. Per ER Bell?s palsy. Currently on steroids for inflammatiin and antiviral medication and eye antibiotic ointment.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: The day after getting my booster (after the Benadryl wore off) I started getting hives and itching. Allegra was able to stop it for a while. Gone by day 3.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Myalgia, Pyrexia
Clinical narrative: Pt. states that after receiving the 3rd dose of Moderna 01/15/2022, started experiencing symptom of a fever and "delays". 01/16/2022 symptoms of muscle aches with pain in the left side of the chest. Symptom of chest pain and "delays" still remain. No noted Primary visit/communications.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Aldolase, Asthenia, Blood calcium, Blood copper, Blood creatine phosphokinase
Clinical narrative: After first dose: large localized raised rish with hives, swelling, bruising reproted to PCP, fever and fatigue. After second shot same reaction. After third shot less localized reaction but fever and fatigue. Starting around 4/2021 (2 months post fully vaccinated) reproted nocturnal leg cramps severe and debilitating.  Continued reprots and problems with this including increaisng involuntary movements and fasciculations.  Referred to neurology first opinion bengin fasciculations.  referred to second neurologist for increasing cramps and fasciculations after thrird dose. Second neuriologist did EMG showing fasciculations in all muscles groups of lower limbs plus cramping.Dx: Cramp fasciculation syndrome, further wor pending.  Trials of flexeril, gabapentin, tizanidine, cardizem, benadryl, baclafen.  No relief for continued --progressing symptoms. All labs have ruled out other causes. MRI spine ruled out oterh causes. EMG ruled pout neuomuscular deggeneration. Nerve conduction showed continued fasciculations and cramping.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood folate, Blood iron, Blood magnesium, Blood parathyroid hormone, Blood thyroid stimulating hormone
Clinical narrative: After first dose: large localized raised rish with hives, swelling, bruising reproted to PCP, fever and fatigue. After second shot same reaction. After third shot less localized reaction but fever and fatigue. Starting around 4/2021 (2 months post fully vaccinated) reproted nocturnal leg cramps severe and debilitating.  Continued reprots and problems with this including increaisng involuntary movements and fasciculations.  Referred to neurology first opinion bengin fasciculations.  referred to second neurologist for increasing cramps and fasciculations after thrird dose. Second neuriologist did EMG showing fasciculations in all muscles groups of lower limbs plus cramping.Dx: Cramp fasciculation syndrome, further wor pending.  Trials of flexeril, gabapentin, tizanidine, cardizem, benadryl, baclafen.  No relief for continued --progressing symptoms. All labs have ruled out other causes. MRI spine ruled out oterh causes. EMG ruled pout neuomuscular deggeneration. Nerve conduction showed continued fasciculations and cramping.