chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: International normalised ratio decreased, Intestinal mass, Laboratory test abnormal, Leukocytosis, Liver function test normal
Clinical narrative: Patient is a 85-year-old male with a past medical history of rectal bleed/melena, rectal biopsy revealing malignant mass, macrocytic anemia, CAD, history of seizures, history of CVA who presented to Hospital on 5/17/2022 from nursing home with complaints of shortness of breath.  Reported fever of 101 Fahrenheit, on 2 L nasal cannula and no supplemental O2 at baseline.  Upper extremity edema bilaterally, lower extremity edema bilaterally.  No abdominal pain.  No reports of bloody stools.  No reports of nausea or vomiting.  Denies any tobacco use.  Denies any alcohol use.  Reports history of pacemaker.  Allergies and medications have been reviewed and reconciled.  Family history has been reviewed.   ER course: T-max 101.1.  Tachycardic up to 102.  Tachypneic up to 28.  Blood pressures are on the lower end of normal with most recent pressure of 108/62.  Labs significant for leukocytosis of 27,300.  Hemoglobin 8.5, repeat of 8.0.  D-dimer 963.  Potassium 3.3 and then 2.9, this has been replaced.  Creatinine 1.36 with GFR 47.  LFTs unremarkable.  Troponin 169 and subsequent level was 166.  Lactate 1.6 and then 1.4.  ABG unremarkable.  Urinalysis with some yeast, large leukocyte esterase, 51-100 WBCs, trace hemoglobin.  Blood type is O+ with indirect Coombs negative.  COVID antigen negative.  Chest x-ray with significant left pleural effusion and associated air opacities.  CTA chest negative for pulmonary embolism, bilateral pleural effusions, subcutaneous edema, 2.2 cm gallstone within the gallbladder but no evidence of acute cholecystitis, 2.1 cm right thyroid lobe dominant nodule.   Of note patient was recently admitted to hospital from 5/4/2022 until 5/9/2022.  At that time he was admitted for rectal bleeding with melena.  No family history of colorectal cancer was reported.  Biopsy of rectal mass revealed malignancy.  EGD on 5/5/2022 with flexible sigmoidoscopy revealed hiatal hernia, esophageal stricture, status post dilatation, duodenal diverticulum.  Gastroenterology at that time was recommending endoscopic ultrasound for staging as well as referral to colorectal surgery. Last set of labs on 5/7/2022 showed a hemoglobin of 7.5 with hematocrit of 23.7%.  White blood cell count of 12,000.  MCV of 101.2.  BMP with GFR in the mid 40s.  LFTs were unremarkable.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Lung opacity, Lymphocyte count decreased, Lymphocyte percentage decreased, Mean cell haemoglobin concentration normal, Mean cell haemoglobin increased
Clinical narrative: Patient is a 85-year-old male with a past medical history of rectal bleed/melena, rectal biopsy revealing malignant mass, macrocytic anemia, CAD, history of seizures, history of CVA who presented to Hospital on 5/17/2022 from nursing home with complaints of shortness of breath.  Reported fever of 101 Fahrenheit, on 2 L nasal cannula and no supplemental O2 at baseline.  Upper extremity edema bilaterally, lower extremity edema bilaterally.  No abdominal pain.  No reports of bloody stools.  No reports of nausea or vomiting.  Denies any tobacco use.  Denies any alcohol use.  Reports history of pacemaker.  Allergies and medications have been reviewed and reconciled.  Family history has been reviewed.   ER course: T-max 101.1.  Tachycardic up to 102.  Tachypneic up to 28.  Blood pressures are on the lower end of normal with most recent pressure of 108/62.  Labs significant for leukocytosis of 27,300.  Hemoglobin 8.5, repeat of 8.0.  D-dimer 963.  Potassium 3.3 and then 2.9, this has been replaced.  Creatinine 1.36 with GFR 47.  LFTs unremarkable.  Troponin 169 and subsequent level was 166.  Lactate 1.6 and then 1.4.  ABG unremarkable.  Urinalysis with some yeast, large leukocyte esterase, 51-100 WBCs, trace hemoglobin.  Blood type is O+ with indirect Coombs negative.  COVID antigen negative.  Chest x-ray with significant left pleural effusion and associated air opacities.  CTA chest negative for pulmonary embolism, bilateral pleural effusions, subcutaneous edema, 2.2 cm gallstone within the gallbladder but no evidence of acute cholecystitis, 2.1 cm right thyroid lobe dominant nodule.   Of note patient was recently admitted to hospital from 5/4/2022 until 5/9/2022.  At that time he was admitted for rectal bleeding with melena.  No family history of colorectal cancer was reported.  Biopsy of rectal mass revealed malignancy.  EGD on 5/5/2022 with flexible sigmoidoscopy revealed hiatal hernia, esophageal stricture, status post dilatation, duodenal diverticulum.  Gastroenterology at that time was recommending endoscopic ultrasound for staging as well as referral to colorectal surgery. Last set of labs on 5/7/2022 showed a hemoglobin of 7.5 with hematocrit of 23.7%.  White blood cell count of 12,000.  MCV of 101.2.  BMP with GFR in the mid 40s.  LFTs were unremarkable.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Mean cell volume increased, Mean platelet volume normal, Melaena, Metabolic function test, Monocyte count decreased
Clinical narrative: Patient is a 85-year-old male with a past medical history of rectal bleed/melena, rectal biopsy revealing malignant mass, macrocytic anemia, CAD, history of seizures, history of CVA who presented to Hospital on 5/17/2022 from nursing home with complaints of shortness of breath.  Reported fever of 101 Fahrenheit, on 2 L nasal cannula and no supplemental O2 at baseline.  Upper extremity edema bilaterally, lower extremity edema bilaterally.  No abdominal pain.  No reports of bloody stools.  No reports of nausea or vomiting.  Denies any tobacco use.  Denies any alcohol use.  Reports history of pacemaker.  Allergies and medications have been reviewed and reconciled.  Family history has been reviewed.   ER course: T-max 101.1.  Tachycardic up to 102.  Tachypneic up to 28.  Blood pressures are on the lower end of normal with most recent pressure of 108/62.  Labs significant for leukocytosis of 27,300.  Hemoglobin 8.5, repeat of 8.0.  D-dimer 963.  Potassium 3.3 and then 2.9, this has been replaced.  Creatinine 1.36 with GFR 47.  LFTs unremarkable.  Troponin 169 and subsequent level was 166.  Lactate 1.6 and then 1.4.  ABG unremarkable.  Urinalysis with some yeast, large leukocyte esterase, 51-100 WBCs, trace hemoglobin.  Blood type is O+ with indirect Coombs negative.  COVID antigen negative.  Chest x-ray with significant left pleural effusion and associated air opacities.  CTA chest negative for pulmonary embolism, bilateral pleural effusions, subcutaneous edema, 2.2 cm gallstone within the gallbladder but no evidence of acute cholecystitis, 2.1 cm right thyroid lobe dominant nodule.   Of note patient was recently admitted to hospital from 5/4/2022 until 5/9/2022.  At that time he was admitted for rectal bleeding with melena.  No family history of colorectal cancer was reported.  Biopsy of rectal mass revealed malignancy.  EGD on 5/5/2022 with flexible sigmoidoscopy revealed hiatal hernia, esophageal stricture, status post dilatation, duodenal diverticulum.  Gastroenterology at that time was recommending endoscopic ultrasound for staging as well as referral to colorectal surgery. Last set of labs on 5/7/2022 showed a hemoglobin of 7.5 with hematocrit of 23.7%.  White blood cell count of 12,000.  MCV of 101.2.  BMP with GFR in the mid 40s.  LFTs were unremarkable.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Monocyte percentage, Neutrophil count, Neutrophil percentage increased, Nitrite urine absent, Oedema peripheral
Clinical narrative: Patient is a 85-year-old male with a past medical history of rectal bleed/melena, rectal biopsy revealing malignant mass, macrocytic anemia, CAD, history of seizures, history of CVA who presented to Hospital on 5/17/2022 from nursing home with complaints of shortness of breath.  Reported fever of 101 Fahrenheit, on 2 L nasal cannula and no supplemental O2 at baseline.  Upper extremity edema bilaterally, lower extremity edema bilaterally.  No abdominal pain.  No reports of bloody stools.  No reports of nausea or vomiting.  Denies any tobacco use.  Denies any alcohol use.  Reports history of pacemaker.  Allergies and medications have been reviewed and reconciled.  Family history has been reviewed.   ER course: T-max 101.1.  Tachycardic up to 102.  Tachypneic up to 28.  Blood pressures are on the lower end of normal with most recent pressure of 108/62.  Labs significant for leukocytosis of 27,300.  Hemoglobin 8.5, repeat of 8.0.  D-dimer 963.  Potassium 3.3 and then 2.9, this has been replaced.  Creatinine 1.36 with GFR 47.  LFTs unremarkable.  Troponin 169 and subsequent level was 166.  Lactate 1.6 and then 1.4.  ABG unremarkable.  Urinalysis with some yeast, large leukocyte esterase, 51-100 WBCs, trace hemoglobin.  Blood type is O+ with indirect Coombs negative.  COVID antigen negative.  Chest x-ray with significant left pleural effusion and associated air opacities.  CTA chest negative for pulmonary embolism, bilateral pleural effusions, subcutaneous edema, 2.2 cm gallstone within the gallbladder but no evidence of acute cholecystitis, 2.1 cm right thyroid lobe dominant nodule.   Of note patient was recently admitted to hospital from 5/4/2022 until 5/9/2022.  At that time he was admitted for rectal bleeding with melena.  No family history of colorectal cancer was reported.  Biopsy of rectal mass revealed malignancy.  EGD on 5/5/2022 with flexible sigmoidoscopy revealed hiatal hernia, esophageal stricture, status post dilatation, duodenal diverticulum.  Gastroenterology at that time was recommending endoscopic ultrasound for staging as well as referral to colorectal surgery. Last set of labs on 5/7/2022 showed a hemoglobin of 7.5 with hematocrit of 23.7%.  White blood cell count of 12,000.  MCV of 101.2.  BMP with GFR in the mid 40s.  LFTs were unremarkable.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Oesophageal stenosis, Oesophagogastroduodenoscopy abnormal, PCO2 decreased, PO2 normal, Platelet count normal
Clinical narrative: Patient is a 85-year-old male with a past medical history of rectal bleed/melena, rectal biopsy revealing malignant mass, macrocytic anemia, CAD, history of seizures, history of CVA who presented to Hospital on 5/17/2022 from nursing home with complaints of shortness of breath.  Reported fever of 101 Fahrenheit, on 2 L nasal cannula and no supplemental O2 at baseline.  Upper extremity edema bilaterally, lower extremity edema bilaterally.  No abdominal pain.  No reports of bloody stools.  No reports of nausea or vomiting.  Denies any tobacco use.  Denies any alcohol use.  Reports history of pacemaker.  Allergies and medications have been reviewed and reconciled.  Family history has been reviewed.   ER course: T-max 101.1.  Tachycardic up to 102.  Tachypneic up to 28.  Blood pressures are on the lower end of normal with most recent pressure of 108/62.  Labs significant for leukocytosis of 27,300.  Hemoglobin 8.5, repeat of 8.0.  D-dimer 963.  Potassium 3.3 and then 2.9, this has been replaced.  Creatinine 1.36 with GFR 47.  LFTs unremarkable.  Troponin 169 and subsequent level was 166.  Lactate 1.6 and then 1.4.  ABG unremarkable.  Urinalysis with some yeast, large leukocyte esterase, 51-100 WBCs, trace hemoglobin.  Blood type is O+ with indirect Coombs negative.  COVID antigen negative.  Chest x-ray with significant left pleural effusion and associated air opacities.  CTA chest negative for pulmonary embolism, bilateral pleural effusions, subcutaneous edema, 2.2 cm gallstone within the gallbladder but no evidence of acute cholecystitis, 2.1 cm right thyroid lobe dominant nodule.   Of note patient was recently admitted to hospital from 5/4/2022 until 5/9/2022.  At that time he was admitted for rectal bleeding with melena.  No family history of colorectal cancer was reported.  Biopsy of rectal mass revealed malignancy.  EGD on 5/5/2022 with flexible sigmoidoscopy revealed hiatal hernia, esophageal stricture, status post dilatation, duodenal diverticulum.  Gastroenterology at that time was recommending endoscopic ultrasound for staging as well as referral to colorectal surgery. Last set of labs on 5/7/2022 showed a hemoglobin of 7.5 with hematocrit of 23.7%.  White blood cell count of 12,000.  MCV of 101.2.  BMP with GFR in the mid 40s.  LFTs were unremarkable.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Pleural effusion, Protein total decreased, Protein urine absent, Prothrombin time prolonged, Pyrexia
Clinical narrative: Patient is a 85-year-old male with a past medical history of rectal bleed/melena, rectal biopsy revealing malignant mass, macrocytic anemia, CAD, history of seizures, history of CVA who presented to Hospital on 5/17/2022 from nursing home with complaints of shortness of breath.  Reported fever of 101 Fahrenheit, on 2 L nasal cannula and no supplemental O2 at baseline.  Upper extremity edema bilaterally, lower extremity edema bilaterally.  No abdominal pain.  No reports of bloody stools.  No reports of nausea or vomiting.  Denies any tobacco use.  Denies any alcohol use.  Reports history of pacemaker.  Allergies and medications have been reviewed and reconciled.  Family history has been reviewed.   ER course: T-max 101.1.  Tachycardic up to 102.  Tachypneic up to 28.  Blood pressures are on the lower end of normal with most recent pressure of 108/62.  Labs significant for leukocytosis of 27,300.  Hemoglobin 8.5, repeat of 8.0.  D-dimer 963.  Potassium 3.3 and then 2.9, this has been replaced.  Creatinine 1.36 with GFR 47.  LFTs unremarkable.  Troponin 169 and subsequent level was 166.  Lactate 1.6 and then 1.4.  ABG unremarkable.  Urinalysis with some yeast, large leukocyte esterase, 51-100 WBCs, trace hemoglobin.  Blood type is O+ with indirect Coombs negative.  COVID antigen negative.  Chest x-ray with significant left pleural effusion and associated air opacities.  CTA chest negative for pulmonary embolism, bilateral pleural effusions, subcutaneous edema, 2.2 cm gallstone within the gallbladder but no evidence of acute cholecystitis, 2.1 cm right thyroid lobe dominant nodule.   Of note patient was recently admitted to hospital from 5/4/2022 until 5/9/2022.  At that time he was admitted for rectal bleeding with melena.  No family history of colorectal cancer was reported.  Biopsy of rectal mass revealed malignancy.  EGD on 5/5/2022 with flexible sigmoidoscopy revealed hiatal hernia, esophageal stricture, status post dilatation, duodenal diverticulum.  Gastroenterology at that time was recommending endoscopic ultrasound for staging as well as referral to colorectal surgery. Last set of labs on 5/7/2022 showed a hemoglobin of 7.5 with hematocrit of 23.7%.  White blood cell count of 12,000.  MCV of 101.2.  BMP with GFR in the mid 40s.  LFTs were unremarkable.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Rectal cancer, Rectal haemorrhage, Red blood cell count decreased, Red blood cells urine, Red cell distribution width increased
Clinical narrative: Patient is a 85-year-old male with a past medical history of rectal bleed/melena, rectal biopsy revealing malignant mass, macrocytic anemia, CAD, history of seizures, history of CVA who presented to Hospital on 5/17/2022 from nursing home with complaints of shortness of breath.  Reported fever of 101 Fahrenheit, on 2 L nasal cannula and no supplemental O2 at baseline.  Upper extremity edema bilaterally, lower extremity edema bilaterally.  No abdominal pain.  No reports of bloody stools.  No reports of nausea or vomiting.  Denies any tobacco use.  Denies any alcohol use.  Reports history of pacemaker.  Allergies and medications have been reviewed and reconciled.  Family history has been reviewed.   ER course: T-max 101.1.  Tachycardic up to 102.  Tachypneic up to 28.  Blood pressures are on the lower end of normal with most recent pressure of 108/62.  Labs significant for leukocytosis of 27,300.  Hemoglobin 8.5, repeat of 8.0.  D-dimer 963.  Potassium 3.3 and then 2.9, this has been replaced.  Creatinine 1.36 with GFR 47.  LFTs unremarkable.  Troponin 169 and subsequent level was 166.  Lactate 1.6 and then 1.4.  ABG unremarkable.  Urinalysis with some yeast, large leukocyte esterase, 51-100 WBCs, trace hemoglobin.  Blood type is O+ with indirect Coombs negative.  COVID antigen negative.  Chest x-ray with significant left pleural effusion and associated air opacities.  CTA chest negative for pulmonary embolism, bilateral pleural effusions, subcutaneous edema, 2.2 cm gallstone within the gallbladder but no evidence of acute cholecystitis, 2.1 cm right thyroid lobe dominant nodule.   Of note patient was recently admitted to hospital from 5/4/2022 until 5/9/2022.  At that time he was admitted for rectal bleeding with melena.  No family history of colorectal cancer was reported.  Biopsy of rectal mass revealed malignancy.  EGD on 5/5/2022 with flexible sigmoidoscopy revealed hiatal hernia, esophageal stricture, status post dilatation, duodenal diverticulum.  Gastroenterology at that time was recommending endoscopic ultrasound for staging as well as referral to colorectal surgery. Last set of labs on 5/7/2022 showed a hemoglobin of 7.5 with hematocrit of 23.7%.  White blood cell count of 12,000.  MCV of 101.2.  BMP with GFR in the mid 40s.  LFTs were unremarkable.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, SARS-CoV-2 test positive, Sigmoidoscopy abnormal, Specific gravity urine normal, Tachycardia
Clinical narrative: Patient is a 85-year-old male with a past medical history of rectal bleed/melena, rectal biopsy revealing malignant mass, macrocytic anemia, CAD, history of seizures, history of CVA who presented to Hospital on 5/17/2022 from nursing home with complaints of shortness of breath.  Reported fever of 101 Fahrenheit, on 2 L nasal cannula and no supplemental O2 at baseline.  Upper extremity edema bilaterally, lower extremity edema bilaterally.  No abdominal pain.  No reports of bloody stools.  No reports of nausea or vomiting.  Denies any tobacco use.  Denies any alcohol use.  Reports history of pacemaker.  Allergies and medications have been reviewed and reconciled.  Family history has been reviewed.   ER course: T-max 101.1.  Tachycardic up to 102.  Tachypneic up to 28.  Blood pressures are on the lower end of normal with most recent pressure of 108/62.  Labs significant for leukocytosis of 27,300.  Hemoglobin 8.5, repeat of 8.0.  D-dimer 963.  Potassium 3.3 and then 2.9, this has been replaced.  Creatinine 1.36 with GFR 47.  LFTs unremarkable.  Troponin 169 and subsequent level was 166.  Lactate 1.6 and then 1.4.  ABG unremarkable.  Urinalysis with some yeast, large leukocyte esterase, 51-100 WBCs, trace hemoglobin.  Blood type is O+ with indirect Coombs negative.  COVID antigen negative.  Chest x-ray with significant left pleural effusion and associated air opacities.  CTA chest negative for pulmonary embolism, bilateral pleural effusions, subcutaneous edema, 2.2 cm gallstone within the gallbladder but no evidence of acute cholecystitis, 2.1 cm right thyroid lobe dominant nodule.   Of note patient was recently admitted to hospital from 5/4/2022 until 5/9/2022.  At that time he was admitted for rectal bleeding with melena.  No family history of colorectal cancer was reported.  Biopsy of rectal mass revealed malignancy.  EGD on 5/5/2022 with flexible sigmoidoscopy revealed hiatal hernia, esophageal stricture, status post dilatation, duodenal diverticulum.  Gastroenterology at that time was recommending endoscopic ultrasound for staging as well as referral to colorectal surgery. Last set of labs on 5/7/2022 showed a hemoglobin of 7.5 with hematocrit of 23.7%.  White blood cell count of 12,000.  MCV of 101.2.  BMP with GFR in the mid 40s.  LFTs were unremarkable.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Tachypnoea, Thyroid mass, Troponin, Troponin I increased, Urinary sediment present
Clinical narrative: Patient is a 85-year-old male with a past medical history of rectal bleed/melena, rectal biopsy revealing malignant mass, macrocytic anemia, CAD, history of seizures, history of CVA who presented to Hospital on 5/17/2022 from nursing home with complaints of shortness of breath.  Reported fever of 101 Fahrenheit, on 2 L nasal cannula and no supplemental O2 at baseline.  Upper extremity edema bilaterally, lower extremity edema bilaterally.  No abdominal pain.  No reports of bloody stools.  No reports of nausea or vomiting.  Denies any tobacco use.  Denies any alcohol use.  Reports history of pacemaker.  Allergies and medications have been reviewed and reconciled.  Family history has been reviewed.   ER course: T-max 101.1.  Tachycardic up to 102.  Tachypneic up to 28.  Blood pressures are on the lower end of normal with most recent pressure of 108/62.  Labs significant for leukocytosis of 27,300.  Hemoglobin 8.5, repeat of 8.0.  D-dimer 963.  Potassium 3.3 and then 2.9, this has been replaced.  Creatinine 1.36 with GFR 47.  LFTs unremarkable.  Troponin 169 and subsequent level was 166.  Lactate 1.6 and then 1.4.  ABG unremarkable.  Urinalysis with some yeast, large leukocyte esterase, 51-100 WBCs, trace hemoglobin.  Blood type is O+ with indirect Coombs negative.  COVID antigen negative.  Chest x-ray with significant left pleural effusion and associated air opacities.  CTA chest negative for pulmonary embolism, bilateral pleural effusions, subcutaneous edema, 2.2 cm gallstone within the gallbladder but no evidence of acute cholecystitis, 2.1 cm right thyroid lobe dominant nodule.   Of note patient was recently admitted to hospital from 5/4/2022 until 5/9/2022.  At that time he was admitted for rectal bleeding with melena.  No family history of colorectal cancer was reported.  Biopsy of rectal mass revealed malignancy.  EGD on 5/5/2022 with flexible sigmoidoscopy revealed hiatal hernia, esophageal stricture, status post dilatation, duodenal diverticulum.  Gastroenterology at that time was recommending endoscopic ultrasound for staging as well as referral to colorectal surgery. Last set of labs on 5/7/2022 showed a hemoglobin of 7.5 with hematocrit of 23.7%.  White blood cell count of 12,000.  MCV of 101.2.  BMP with GFR in the mid 40s.  LFTs were unremarkable.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Urine abnormality, Urine analysis abnormal, Urine ketone body absent, Urine leukocyte esterase positive, Urobilinogen urine
Clinical narrative: Patient is a 85-year-old male with a past medical history of rectal bleed/melena, rectal biopsy revealing malignant mass, macrocytic anemia, CAD, history of seizures, history of CVA who presented to Hospital on 5/17/2022 from nursing home with complaints of shortness of breath.  Reported fever of 101 Fahrenheit, on 2 L nasal cannula and no supplemental O2 at baseline.  Upper extremity edema bilaterally, lower extremity edema bilaterally.  No abdominal pain.  No reports of bloody stools.  No reports of nausea or vomiting.  Denies any tobacco use.  Denies any alcohol use.  Reports history of pacemaker.  Allergies and medications have been reviewed and reconciled.  Family history has been reviewed.   ER course: T-max 101.1.  Tachycardic up to 102.  Tachypneic up to 28.  Blood pressures are on the lower end of normal with most recent pressure of 108/62.  Labs significant for leukocytosis of 27,300.  Hemoglobin 8.5, repeat of 8.0.  D-dimer 963.  Potassium 3.3 and then 2.9, this has been replaced.  Creatinine 1.36 with GFR 47.  LFTs unremarkable.  Troponin 169 and subsequent level was 166.  Lactate 1.6 and then 1.4.  ABG unremarkable.  Urinalysis with some yeast, large leukocyte esterase, 51-100 WBCs, trace hemoglobin.  Blood type is O+ with indirect Coombs negative.  COVID antigen negative.  Chest x-ray with significant left pleural effusion and associated air opacities.  CTA chest negative for pulmonary embolism, bilateral pleural effusions, subcutaneous edema, 2.2 cm gallstone within the gallbladder but no evidence of acute cholecystitis, 2.1 cm right thyroid lobe dominant nodule.   Of note patient was recently admitted to hospital from 5/4/2022 until 5/9/2022.  At that time he was admitted for rectal bleeding with melena.  No family history of colorectal cancer was reported.  Biopsy of rectal mass revealed malignancy.  EGD on 5/5/2022 with flexible sigmoidoscopy revealed hiatal hernia, esophageal stricture, status post dilatation, duodenal diverticulum.  Gastroenterology at that time was recommending endoscopic ultrasound for staging as well as referral to colorectal surgery. Last set of labs on 5/7/2022 showed a hemoglobin of 7.5 with hematocrit of 23.7%.  White blood cell count of 12,000.  MCV of 101.2.  BMP with GFR in the mid 40s.  LFTs were unremarkable.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count increased, White blood cells urine positive, pH urine normal
Clinical narrative: Patient is a 85-year-old male with a past medical history of rectal bleed/melena, rectal biopsy revealing malignant mass, macrocytic anemia, CAD, history of seizures, history of CVA who presented to Hospital on 5/17/2022 from nursing home with complaints of shortness of breath.  Reported fever of 101 Fahrenheit, on 2 L nasal cannula and no supplemental O2 at baseline.  Upper extremity edema bilaterally, lower extremity edema bilaterally.  No abdominal pain.  No reports of bloody stools.  No reports of nausea or vomiting.  Denies any tobacco use.  Denies any alcohol use.  Reports history of pacemaker.  Allergies and medications have been reviewed and reconciled.  Family history has been reviewed.   ER course: T-max 101.1.  Tachycardic up to 102.  Tachypneic up to 28.  Blood pressures are on the lower end of normal with most recent pressure of 108/62.  Labs significant for leukocytosis of 27,300.  Hemoglobin 8.5, repeat of 8.0.  D-dimer 963.  Potassium 3.3 and then 2.9, this has been replaced.  Creatinine 1.36 with GFR 47.  LFTs unremarkable.  Troponin 169 and subsequent level was 166.  Lactate 1.6 and then 1.4.  ABG unremarkable.  Urinalysis with some yeast, large leukocyte esterase, 51-100 WBCs, trace hemoglobin.  Blood type is O+ with indirect Coombs negative.  COVID antigen negative.  Chest x-ray with significant left pleural effusion and associated air opacities.  CTA chest negative for pulmonary embolism, bilateral pleural effusions, subcutaneous edema, 2.2 cm gallstone within the gallbladder but no evidence of acute cholecystitis, 2.1 cm right thyroid lobe dominant nodule.   Of note patient was recently admitted to hospital from 5/4/2022 until 5/9/2022.  At that time he was admitted for rectal bleeding with melena.  No family history of colorectal cancer was reported.  Biopsy of rectal mass revealed malignancy.  EGD on 5/5/2022 with flexible sigmoidoscopy revealed hiatal hernia, esophageal stricture, status post dilatation, duodenal diverticulum.  Gastroenterology at that time was recommending endoscopic ultrasound for staging as well as referral to colorectal surgery. Last set of labs on 5/7/2022 showed a hemoglobin of 7.5 with hematocrit of 23.7%.  White blood cell count of 12,000.  MCV of 101.2.  BMP with GFR in the mid 40s.  LFTs were unremarkable.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Laboratory test, Menstruation irregular
Clinical narrative: I completed my 2 doses of the Pfizer vaccine and 1 booster. Prior to me getting the vaccine my periods were regular. Meaning they came every month consistently. However, I noted as reported to my doctor that after my first two doses and booster I missed my period for 3 months before it regulated again.    I had my period at the start of March (3/1/21-3/5/21). I then completed my two doses and did not see my period until June 21st. Not to long after my period regulated back to normal and I had no issues until after my booster shot on 12/09/21. After my shot I missed my period from January to March and did not see my cycle again until April 23rd. Since all of my doses my periods have not fully regulated .
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE
Age: 57.0
Sex: M
Vaccine: UNK
Symptoms: Atrial fibrillation, Chest X-ray, Electrocardiogram, Myocarditis, SARS-CoV-2 test
Clinical narrative: hospitalized 1/1/21 with atrial fibrillation/myocarditis
Age: 57.0
Sex: M
Vaccine: UNK
Symptoms: Troponin
Clinical narrative: hospitalized 1/1/21 with atrial fibrillation/myocarditis
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Hypoaesthesia
Clinical narrative: At 8 PM the night after receiving the vaccine (34 hours after dose) the patient's left thigh was numb.  This did not impede movement, just sensation.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site swelling, Injection site warmth, Musculoskeletal stiffness
Clinical narrative: Swelling of injections site, hot and chills, stiffness in left side of neck
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: none
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: None.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Injection site pain, Nausea, Pyrexia
Clinical narrative: I, as the patient, experienced mild to moderate pain at the site of the injection in my right arm.  I also had a low grade fever for a day or two ranging from 99.7 to 100.7 and some mild gastrointestinal discomfort, i.e., a bit of an upset stomach but not really bad nausea.  I took Pepto Bismol and also ate a bland diet for a couple of days.  To control the fever, I used Extra Strength Tylenol in the dose recommended on the label of the bottle of Tylenol.  These were mild, adverse symptoms commonly associated with this particular vaccine and all negative symptoms have now disappeared within two days of receiving the vaccine.  I am reporting this mild, adverse event in the interests of giving the Dept. of Health and Human Services more information about the various vaccines that are out there in the interests of assisting the federal government to assist the pharmaceutical companies and the medical profession to continue to monitor how various people react to these efforts to be proactive in avoiding disease while also creating better vaccines with fewer adverse reactions, either of a severe or even a mild nature.  Thank you for the opportunity to share this information which I hope, along with all of the other information you all are collecting thru this web site, can be used to benefit the general population.  Take care.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: none
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Peripheral swelling, Skin warm
Clinical narrative: The evening of the injection and the next day, hot, swollen upper arm. Two days after also lower arm swollen but not hot. Still ongoing.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Moderna was given to patient 13 years of age,  which is below the approved age of 18, mother was called, was fine with it, no adverse affects that we have been made aware of.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE
Age: 66.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Arthralgia, Bipolar disorder, Condition aggravated, Crying, Injection site pain
Clinical narrative: I had an appt with my Pharmacists for my shots as listed above with the date and time listed above. They had a female of whom I had no knowledge of her name, position or qualifications that gave me my shots. I was taken in a back office that was dark and sat in a chair against the wall. I slouch and she was standing over me and used a swab and did the shots. Within 24 hours the biceps of both arms had swelled to approximately a 2 1/2 inch radius and approximately 1/4 inch high. I put ice on both areas until the swelling went down approximately 2-4 hours later. The biceps stayed sore throughout the month of November and most of December, 2021, when both shoulders started having a "cutting" pain when I moved my arms and/or shoulders a certain way.. I sleep on my side and have a bed that raises or lowers at the top. I have it raised to approximately a 15 degree angle.  I could not sleep well; my shoulder pain would either keep me awake and I'd toss and turn all night. It was starting to hurt when I raised my arms, put them forward or to the side. When hanging at my sides they throb. It was extremely painful to wipe myself after using the toilet. It hurts to pull down i.e. a shirt. It hurts to pull up i.e. my underwear. It takes about 15 minutes just to put on a bra, in a way that hurts the least.  The pain was getting worse and worse i.e. if 8 was pretty bad mine was a 12-13 or higher.  I started getting up at 5:00 am or 6:00 am, drink my coffee, get on my computer and go back to bed around 10:00 am or 11:00 am. I would sleep until it was time to feed my cats at 4:15 p.m.  I sometimes went back to bed and just stayed in bed until the next morning. This continued this way through January and by then I was in so much pain and could not function properly I literally begged my doctor to let me get MRI's in both shoulders.  On February 17th, 2022 I met with Dr . He did a physical exam of my arms/shoulders, what I could/could not do, how much pain, etc. He prescribed Physical Therapy 2-3 times per week for as long as needed (they have a Physical Therapy on site).  I am trying my best however due to pain, I am sometimes not able to move and cancel my appointment. I recently (5/27/2022) started trying hydrotherapy at Recreation Center/Indoor Pools and hot tub. My next PT appointment is 6/01/2022.   As of today 5/29/2022 I would rate my current pain in both shoulders as an 8, however not consistently- sometimes its higher.  I have never ever had this much pain in my entire life. It feels as though I am being stabbed with a knife and then the skin sliced open. I have basically stopped the screaming/crying phase- I just bite the bullet I've had the pain for so long and I think to myself "maybe if I ignore it, it will go away". This has been a mess especially with my Bipolar Disorder and trying to stay emotionally stable.
Age: 66.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Injection site swelling, Loss of personal independence in daily activities, Magnetic resonance imaging abnormal, Pain, Periarthritis
Clinical narrative: I had an appt with my Pharmacists for my shots as listed above with the date and time listed above. They had a female of whom I had no knowledge of her name, position or qualifications that gave me my shots. I was taken in a back office that was dark and sat in a chair against the wall. I slouch and she was standing over me and used a swab and did the shots. Within 24 hours the biceps of both arms had swelled to approximately a 2 1/2 inch radius and approximately 1/4 inch high. I put ice on both areas until the swelling went down approximately 2-4 hours later. The biceps stayed sore throughout the month of November and most of December, 2021, when both shoulders started having a "cutting" pain when I moved my arms and/or shoulders a certain way.. I sleep on my side and have a bed that raises or lowers at the top. I have it raised to approximately a 15 degree angle.  I could not sleep well; my shoulder pain would either keep me awake and I'd toss and turn all night. It was starting to hurt when I raised my arms, put them forward or to the side. When hanging at my sides they throb. It was extremely painful to wipe myself after using the toilet. It hurts to pull down i.e. a shirt. It hurts to pull up i.e. my underwear. It takes about 15 minutes just to put on a bra, in a way that hurts the least.  The pain was getting worse and worse i.e. if 8 was pretty bad mine was a 12-13 or higher.  I started getting up at 5:00 am or 6:00 am, drink my coffee, get on my computer and go back to bed around 10:00 am or 11:00 am. I would sleep until it was time to feed my cats at 4:15 p.m.  I sometimes went back to bed and just stayed in bed until the next morning. This continued this way through January and by then I was in so much pain and could not function properly I literally begged my doctor to let me get MRI's in both shoulders.  On February 17th, 2022 I met with Dr . He did a physical exam of my arms/shoulders, what I could/could not do, how much pain, etc. He prescribed Physical Therapy 2-3 times per week for as long as needed (they have a Physical Therapy on site).  I am trying my best however due to pain, I am sometimes not able to move and cancel my appointment. I recently (5/27/2022) started trying hydrotherapy at Recreation Center/Indoor Pools and hot tub. My next PT appointment is 6/01/2022.   As of today 5/29/2022 I would rate my current pain in both shoulders as an 8, however not consistently- sometimes its higher.  I have never ever had this much pain in my entire life. It feels as though I am being stabbed with a knife and then the skin sliced open. I have basically stopped the screaming/crying phase- I just bite the bullet I've had the pain for so long and I think to myself "maybe if I ignore it, it will go away". This has been a mess especially with my Bipolar Disorder and trying to stay emotionally stable.
Age: 66.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Rotator cuff syndrome, Screaming, Sleep disorder, X-ray limb
Clinical narrative: I had an appt with my Pharmacists for my shots as listed above with the date and time listed above. They had a female of whom I had no knowledge of her name, position or qualifications that gave me my shots. I was taken in a back office that was dark and sat in a chair against the wall. I slouch and she was standing over me and used a swab and did the shots. Within 24 hours the biceps of both arms had swelled to approximately a 2 1/2 inch radius and approximately 1/4 inch high. I put ice on both areas until the swelling went down approximately 2-4 hours later. The biceps stayed sore throughout the month of November and most of December, 2021, when both shoulders started having a "cutting" pain when I moved my arms and/or shoulders a certain way.. I sleep on my side and have a bed that raises or lowers at the top. I have it raised to approximately a 15 degree angle.  I could not sleep well; my shoulder pain would either keep me awake and I'd toss and turn all night. It was starting to hurt when I raised my arms, put them forward or to the side. When hanging at my sides they throb. It was extremely painful to wipe myself after using the toilet. It hurts to pull down i.e. a shirt. It hurts to pull up i.e. my underwear. It takes about 15 minutes just to put on a bra, in a way that hurts the least.  The pain was getting worse and worse i.e. if 8 was pretty bad mine was a 12-13 or higher.  I started getting up at 5:00 am or 6:00 am, drink my coffee, get on my computer and go back to bed around 10:00 am or 11:00 am. I would sleep until it was time to feed my cats at 4:15 p.m.  I sometimes went back to bed and just stayed in bed until the next morning. This continued this way through January and by then I was in so much pain and could not function properly I literally begged my doctor to let me get MRI's in both shoulders.  On February 17th, 2022 I met with Dr . He did a physical exam of my arms/shoulders, what I could/could not do, how much pain, etc. He prescribed Physical Therapy 2-3 times per week for as long as needed (they have a Physical Therapy on site).  I am trying my best however due to pain, I am sometimes not able to move and cancel my appointment. I recently (5/27/2022) started trying hydrotherapy at Recreation Center/Indoor Pools and hot tub. My next PT appointment is 6/01/2022.   As of today 5/29/2022 I would rate my current pain in both shoulders as an 8, however not consistently- sometimes its higher.  I have never ever had this much pain in my entire life. It feels as though I am being stabbed with a knife and then the skin sliced open. I have basically stopped the screaming/crying phase- I just bite the bullet I've had the pain for so long and I think to myself "maybe if I ignore it, it will go away". This has been a mess especially with my Bipolar Disorder and trying to stay emotionally stable.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Haemorrhage, Peripheral swelling
Clinical narrative: Patient perceived reaction-patient thought they were bleeding significantly and had swelling on their arm. Patient had stopped bleeding almost immediately and there was no visible abnormality on their arm. watched patient for 15 minutes and re-examined and arm again had no abnormalities.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Fatigue, Feeling cold, Nausea
Clinical narrative: Chills, feeling cold, temp 101.2, nausea, fatigue.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Heart rate increased, Product preparation issue, Pyrexia
Clinical narrative: Patient received Pediatric vaccination without diluent at 0.2ml, patient reported to be feeling normal on 5/28  and on 5/29 reported having fatigue, increased heart rate, slight fever overnight into today.  Patient spoke with 24 hour nurse line about symptoms DR office stated to monitor symptoms
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Product preparation issue
Clinical narrative: Patient received pfizer pediatric vaccination without diluent at 0.2ml in the left arm. Patient reported experiencing arm pain with no other symptoms. will follow up with parents again on tuesday to double check for symptoms to report
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE
Age: 36.0
Sex: F
Vaccine: HEP, PNC20
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: patients arm very swollen and painful  from prevnar on right arm, left arm with energix b is also swollen and painful
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time, Alanine aminotransferase normal, Anion gap, Aspartate aminotransferase normal, Asthenia
Clinical narrative: patient has been admitted and discharged from hospital several times in last couple months.  He was admitted 5/18/22. the following information is admission  H/P and lab work. Chief complaint: Abnormal lab findings HPI: Patient is a 74-year-old male patient with no known medical history brought from medication list I can tell patient is having BPH, diabetes, gastroesophageal reflux disease, depression and some sort of neurological disorder for which he takes Keppra presented to emergency department today with a complaint of abnormal lab findings.  It appears that patient was sent from nursing home for a complaint of having a white count of 45.9.  Patient presented via EMS denies vomiting chest pain or fever.  Patient does report generalized weakness.  Patient is poor historian.  -Upon evaluation in the emergency room patient was found to have a white count of 48.1 hemoglobin 11 which is about his baseline absolute neutrophil count of 44.7 sodium of 134 BUN 37 creatinine 1.2 glucose 238 slightly elevated alkaline phosphatase at 147 normal lactate urinalysis showing large amount of leukoesterase small hemoglobin and bacteria.  Chest x-ray done in the emergency room shows patchy multifocal airspace opacities favored to represent pneumonia.  COVID-negative and lactate at 1.0.  Patient's vitals showing slight tachycardia on and off and tachypnea over 20.  Patient is being admitted for sepsis and evaluation is white count which is abnormally high despite the fact that he is having sepsis.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Bacterial test positive, Benign prostatic hyperplasia, Bilirubin conjugated, Bilirubin urine present, Blood albumin decreased
Clinical narrative: patient has been admitted and discharged from hospital several times in last couple months.  He was admitted 5/18/22. the following information is admission  H/P and lab work. Chief complaint: Abnormal lab findings HPI: Patient is a 74-year-old male patient with no known medical history brought from medication list I can tell patient is having BPH, diabetes, gastroesophageal reflux disease, depression and some sort of neurological disorder for which he takes Keppra presented to emergency department today with a complaint of abnormal lab findings.  It appears that patient was sent from nursing home for a complaint of having a white count of 45.9.  Patient presented via EMS denies vomiting chest pain or fever.  Patient does report generalized weakness.  Patient is poor historian.  -Upon evaluation in the emergency room patient was found to have a white count of 48.1 hemoglobin 11 which is about his baseline absolute neutrophil count of 44.7 sodium of 134 BUN 37 creatinine 1.2 glucose 238 slightly elevated alkaline phosphatase at 147 normal lactate urinalysis showing large amount of leukoesterase small hemoglobin and bacteria.  Chest x-ray done in the emergency room shows patchy multifocal airspace opacities favored to represent pneumonia.  COVID-negative and lactate at 1.0.  Patient's vitals showing slight tachycardia on and off and tachypnea over 20.  Patient is being admitted for sepsis and evaluation is white count which is abnormally high despite the fact that he is having sepsis.