chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin increased
Clinical narrative: Had SOB, hypotension, irregular pulse after going for a run. NSR when I went to the ER. Cardiac arrhythmia unknown, hypertension, elevated troponin level-15, normal echo and cardiac catheter.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Aggression, Ammonia normal, Blood culture, Blood thyroid stimulating hormone normal, COVID-19
Clinical narrative: Date of Admission:  1/29/2022   Chief Complaint:  AMS   Source of Information:  Patient, Spouse   History of Present Illness:  This is a 65y.o. male with past medical history significant for bipolar disorder, T2DM, neurogenic bladder with chronic suprapubic catheter, cirrhosis secondary to hepatitis C infection present to the hospital for aggressive behavior noted by family. Patient was recently discharged 1/21/2022 for TIA and community-acquired pneumonia. Since discharge, family has noted increased aggressive behavior and resistant to help from family. Per spouse, she has noted some behavioral changes since 2018 and had extensive neuropsychiatric evaluation for potential Lewy body dementia. However behavioral changes were thought to be secondary to medications, attempted to wean off Risperdal and Lyrica without benefit and was reinitiated on medications. She states that patient was evaluated by Dr. with neurology who did not attribute the symptoms to an underlying Lewy body dementia. She does endorse hallucinations and believes the patient to be responding to internal auditory stimuli. Patient is aggressive but denies any suicidal or homicidal ideation. During time my examination, patient is without acute complaints. He states "my family thinks I am crazy". When asked about prior hospitalization, patient states that he was feeling better and thus decided to leave AMA. He endorses a cough without sputum production but otherwise is without any acute complaints. He denies any fever, chills, nausea, vomiting, chest pain, palpitations, abdominal pain.   Upon evaluation in the ED, vital signs demonstrate BP 152/79, RR 18, HR 90, afebrile, stable SPO2 on room air. Work-up is significant for hyperglycemia, normochromic normocytic anemia with associated lymphopenia, COVID-19 infection. Chest x-ray with improved multifocal right lung airspace disease. UA findings consistent with infectious etiology, however suspect chronic colonization given suprapubic catheter. Urine and blood cultures are pending for completeness. Acute TME work-up including CT head, ammonia, TSH, UDS WNL. Patient to be admitted to medicine consult placed to neurology, ID, psychiatry for acute TME.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Computerised tomogram head normal, Cough, Culture urine, Drug screen negative
Clinical narrative: Date of Admission:  1/29/2022   Chief Complaint:  AMS   Source of Information:  Patient, Spouse   History of Present Illness:  This is a 65y.o. male with past medical history significant for bipolar disorder, T2DM, neurogenic bladder with chronic suprapubic catheter, cirrhosis secondary to hepatitis C infection present to the hospital for aggressive behavior noted by family. Patient was recently discharged 1/21/2022 for TIA and community-acquired pneumonia. Since discharge, family has noted increased aggressive behavior and resistant to help from family. Per spouse, she has noted some behavioral changes since 2018 and had extensive neuropsychiatric evaluation for potential Lewy body dementia. However behavioral changes were thought to be secondary to medications, attempted to wean off Risperdal and Lyrica without benefit and was reinitiated on medications. She states that patient was evaluated by Dr. with neurology who did not attribute the symptoms to an underlying Lewy body dementia. She does endorse hallucinations and believes the patient to be responding to internal auditory stimuli. Patient is aggressive but denies any suicidal or homicidal ideation. During time my examination, patient is without acute complaints. He states "my family thinks I am crazy". When asked about prior hospitalization, patient states that he was feeling better and thus decided to leave AMA. He endorses a cough without sputum production but otherwise is without any acute complaints. He denies any fever, chills, nausea, vomiting, chest pain, palpitations, abdominal pain.   Upon evaluation in the ED, vital signs demonstrate BP 152/79, RR 18, HR 90, afebrile, stable SPO2 on room air. Work-up is significant for hyperglycemia, normochromic normocytic anemia with associated lymphopenia, COVID-19 infection. Chest x-ray with improved multifocal right lung airspace disease. UA findings consistent with infectious etiology, however suspect chronic colonization given suprapubic catheter. Urine and blood cultures are pending for completeness. Acute TME work-up including CT head, ammonia, TSH, UDS WNL. Patient to be admitted to medicine consult placed to neurology, ID, psychiatry for acute TME.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Hallucination, Hallucination, auditory, Hyperglycaemia, Influenza A virus test negative, Influenza B virus test
Clinical narrative: Date of Admission:  1/29/2022   Chief Complaint:  AMS   Source of Information:  Patient, Spouse   History of Present Illness:  This is a 65y.o. male with past medical history significant for bipolar disorder, T2DM, neurogenic bladder with chronic suprapubic catheter, cirrhosis secondary to hepatitis C infection present to the hospital for aggressive behavior noted by family. Patient was recently discharged 1/21/2022 for TIA and community-acquired pneumonia. Since discharge, family has noted increased aggressive behavior and resistant to help from family. Per spouse, she has noted some behavioral changes since 2018 and had extensive neuropsychiatric evaluation for potential Lewy body dementia. However behavioral changes were thought to be secondary to medications, attempted to wean off Risperdal and Lyrica without benefit and was reinitiated on medications. She states that patient was evaluated by Dr. with neurology who did not attribute the symptoms to an underlying Lewy body dementia. She does endorse hallucinations and believes the patient to be responding to internal auditory stimuli. Patient is aggressive but denies any suicidal or homicidal ideation. During time my examination, patient is without acute complaints. He states "my family thinks I am crazy". When asked about prior hospitalization, patient states that he was feeling better and thus decided to leave AMA. He endorses a cough without sputum production but otherwise is without any acute complaints. He denies any fever, chills, nausea, vomiting, chest pain, palpitations, abdominal pain.   Upon evaluation in the ED, vital signs demonstrate BP 152/79, RR 18, HR 90, afebrile, stable SPO2 on room air. Work-up is significant for hyperglycemia, normochromic normocytic anemia with associated lymphopenia, COVID-19 infection. Chest x-ray with improved multifocal right lung airspace disease. UA findings consistent with infectious etiology, however suspect chronic colonization given suprapubic catheter. Urine and blood cultures are pending for completeness. Acute TME work-up including CT head, ammonia, TSH, UDS WNL. Patient to be admitted to medicine consult placed to neurology, ID, psychiatry for acute TME.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Lung disorder, Lymphopenia, Normochromic normocytic anaemia, Nucleic acid test, Pneumonia
Clinical narrative: Date of Admission:  1/29/2022   Chief Complaint:  AMS   Source of Information:  Patient, Spouse   History of Present Illness:  This is a 65y.o. male with past medical history significant for bipolar disorder, T2DM, neurogenic bladder with chronic suprapubic catheter, cirrhosis secondary to hepatitis C infection present to the hospital for aggressive behavior noted by family. Patient was recently discharged 1/21/2022 for TIA and community-acquired pneumonia. Since discharge, family has noted increased aggressive behavior and resistant to help from family. Per spouse, she has noted some behavioral changes since 2018 and had extensive neuropsychiatric evaluation for potential Lewy body dementia. However behavioral changes were thought to be secondary to medications, attempted to wean off Risperdal and Lyrica without benefit and was reinitiated on medications. She states that patient was evaluated by Dr. with neurology who did not attribute the symptoms to an underlying Lewy body dementia. She does endorse hallucinations and believes the patient to be responding to internal auditory stimuli. Patient is aggressive but denies any suicidal or homicidal ideation. During time my examination, patient is without acute complaints. He states "my family thinks I am crazy". When asked about prior hospitalization, patient states that he was feeling better and thus decided to leave AMA. He endorses a cough without sputum production but otherwise is without any acute complaints. He denies any fever, chills, nausea, vomiting, chest pain, palpitations, abdominal pain.   Upon evaluation in the ED, vital signs demonstrate BP 152/79, RR 18, HR 90, afebrile, stable SPO2 on room air. Work-up is significant for hyperglycemia, normochromic normocytic anemia with associated lymphopenia, COVID-19 infection. Chest x-ray with improved multifocal right lung airspace disease. UA findings consistent with infectious etiology, however suspect chronic colonization given suprapubic catheter. Urine and blood cultures are pending for completeness. Acute TME work-up including CT head, ammonia, TSH, UDS WNL. Patient to be admitted to medicine consult placed to neurology, ID, psychiatry for acute TME.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test negative, SARS-CoV-2 test positive, Transient ischaemic attack, Urine analysis abnormal
Clinical narrative: Date of Admission:  1/29/2022   Chief Complaint:  AMS   Source of Information:  Patient, Spouse   History of Present Illness:  This is a 65y.o. male with past medical history significant for bipolar disorder, T2DM, neurogenic bladder with chronic suprapubic catheter, cirrhosis secondary to hepatitis C infection present to the hospital for aggressive behavior noted by family. Patient was recently discharged 1/21/2022 for TIA and community-acquired pneumonia. Since discharge, family has noted increased aggressive behavior and resistant to help from family. Per spouse, she has noted some behavioral changes since 2018 and had extensive neuropsychiatric evaluation for potential Lewy body dementia. However behavioral changes were thought to be secondary to medications, attempted to wean off Risperdal and Lyrica without benefit and was reinitiated on medications. She states that patient was evaluated by Dr. with neurology who did not attribute the symptoms to an underlying Lewy body dementia. She does endorse hallucinations and believes the patient to be responding to internal auditory stimuli. Patient is aggressive but denies any suicidal or homicidal ideation. During time my examination, patient is without acute complaints. He states "my family thinks I am crazy". When asked about prior hospitalization, patient states that he was feeling better and thus decided to leave AMA. He endorses a cough without sputum production but otherwise is without any acute complaints. He denies any fever, chills, nausea, vomiting, chest pain, palpitations, abdominal pain.   Upon evaluation in the ED, vital signs demonstrate BP 152/79, RR 18, HR 90, afebrile, stable SPO2 on room air. Work-up is significant for hyperglycemia, normochromic normocytic anemia with associated lymphopenia, COVID-19 infection. Chest x-ray with improved multifocal right lung airspace disease. UA findings consistent with infectious etiology, however suspect chronic colonization given suprapubic catheter. Urine and blood cultures are pending for completeness. Acute TME work-up including CT head, ammonia, TSH, UDS WNL. Patient to be admitted to medicine consult placed to neurology, ID, psychiatry for acute TME.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Aspiration, Death
Clinical narrative: ED visit for aspiration of right lower lobe. Hospital admission Acute respiratory failure with hypoxia. Patient died on 11/12/2021. ED visit, hospital admission and death within 6 weeks of receiving the COVID vaccine.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Lichen planus, Oral lichen planus
Clinical narrative: Flare oral and skin lichan planus
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea exertional, Heart rate increased, Nausea
Clinical narrative: Accelerated heart rate, dizziness, nausea, and shortness of breath during minor physical activity
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Arrhythmia, COVID-19, COVID-19 pneumonia, Death
Clinical narrative: Presented with SOB, diarrhea; Covid + in ED; admit with Covid PNA & PE;  tx with steroids, maxipime, singulair, vanc, rocephin, remdisivir, actemra, doxycycline, zinc, supplemental O2; He experienced sudden loss of circulation to right leg and embolectomy was done by Dr. (Privacy) Anticoagulation was continued but he experienced pulmonary hemorrhage with further hypoxia and cardiac arrhythmias which were life taking.Discharge Condition:Expired
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Dyspnoea, Hypoxia, Poor peripheral circulation, Pulmonary haemorrhage
Clinical narrative: Presented with SOB, diarrhea; Covid + in ED; admit with Covid PNA & PE;  tx with steroids, maxipime, singulair, vanc, rocephin, remdisivir, actemra, doxycycline, zinc, supplemental O2; He experienced sudden loss of circulation to right leg and embolectomy was done by Dr. (Privacy) Anticoagulation was continued but he experienced pulmonary hemorrhage with further hypoxia and cardiac arrhythmias which were life taking.Discharge Condition:Expired
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Thromboembolectomy
Clinical narrative: Presented with SOB, diarrhea; Covid + in ED; admit with Covid PNA & PE;  tx with steroids, maxipime, singulair, vanc, rocephin, remdisivir, actemra, doxycycline, zinc, supplemental O2; He experienced sudden loss of circulation to right leg and embolectomy was done by Dr. (Privacy) Anticoagulation was continued but he experienced pulmonary hemorrhage with further hypoxia and cardiac arrhythmias which were life taking.Discharge Condition:Expired
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest discomfort, Hypoaesthesia, Lumbar puncture, Magnetic resonance imaging
Clinical narrative: I had trigeminal neuralgia and transverse myelitis after the booster dose. I was put on Gabapentin 1600mg. I went numb from the neck down lost feeling in arms and legs. I had banding across my chest. I lost body motion. Went to the hospital. Stayed for 3 days and was put on high levels of steroids and prescribe Dexamethasone.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Myelitis transverse, Trigeminal neuralgia
Clinical narrative: I had trigeminal neuralgia and transverse myelitis after the booster dose. I was put on Gabapentin 1600mg. I went numb from the neck down lost feeling in arms and legs. I had banding across my chest. I lost body motion. Went to the hospital. Stayed for 3 days and was put on high levels of steroids and prescribe Dexamethasone.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cough, Diarrhoea, Dyspnoea
Clinical narrative: Presented with fever, SOB, cough, diarrhea from MD office to ED; + Covid-19: admitted with Covid infection; TX with Maxipime, steroids, remdesivir, Singulair, zinc; developed Covid PNA; required high flow O2, tachycardia (card consult); HD initiated 9/6; 9/8 patient improving; weaning O2, last HD 9/7 and did not require at D/C.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Haemodialysis, Pyrexia, SARS-CoV-2 test positive, Tachycardia
Clinical narrative: Presented with fever, SOB, cough, diarrhea from MD office to ED; + Covid-19: admitted with Covid infection; TX with Maxipime, steroids, remdesivir, Singulair, zinc; developed Covid PNA; required high flow O2, tachycardia (card consult); HD initiated 9/6; 9/8 patient improving; weaning O2, last HD 9/7 and did not require at D/C.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site pruritus, Injection site rash, Pain
Clinical narrative: Chills, body aches, fever, headache began 12 hours after injection and lasted for about another 12 hours.  Tylenol and fluids were taken to alleviate the symptoms. One week after the injection I developed a rash on my arm at the injection site. The rash was very itchy and spread across my chest and to my legs. My doctor recommended Benadryl and prednisone.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash
Clinical narrative: Chills, body aches, fever, headache began 12 hours after injection and lasted for about another 12 hours.  Tylenol and fluids were taken to alleviate the symptoms. One week after the injection I developed a rash on my arm at the injection site. The rash was very itchy and spread across my chest and to my legs. My doctor recommended Benadryl and prednisone.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, COVID-19, Exposure to SARS-CoV-2, Malaise, SARS-CoV-2 test positive
Clinical narrative: Presented with covid symptoms x3 days; known covid exposure; + covid ED; admite for Covid infection and AKI, (no significant resp symptoms); tx with steroids, symbicort,
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, COVID-19, COVID-19 pneumonia, Chest pain, Cough
Clinical narrative: Presented with cough, fever x2 days, CP, mild SOB, fatigue,; Covid-19 + in ED; DX with NSTEMI d/t Covid & Covid PNA; TX with Vitamin C, steroids, Singulair, zinc, and minimal supplemental O2.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Presented with cough, fever x2 days, CP, mild SOB, fatigue,; Covid-19 + in ED; DX with NSTEMI d/t Covid & Covid PNA; TX with Vitamin C, steroids, Singulair, zinc, and minimal supplemental O2.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anticoagulant therapy, Blood gases abnormal, Blood pH normal, Chest X-ray abnormal, Cough
Clinical narrative: Patient is a 79yo F with h/o COPD recently on 8L with nocturnal BiPAP, HTN, PE who presents from LTC with hypoxia. Patient is a modest historian, she is vague on most details. I have called her facility and got more details today. Briefly, she was at local hospital with PNA and respiratory failure (COVID negative) in December/January, then sent to alternate clinic location in February. During that time she has been on 8-10L of O2 with BiPAP QHS. Apparently was on a steroid taper and cannot wean below 20mg daily without worsened hypoxia. She has been diagnosed with a PE at some point, she thinks recently but Dr. shows Eliquis since 9/2021. Ultimately she was felt to be at new baseline and sent to local health and rehab last week - COVID negative daily there, was exposed to her husband who was positive after his visit 3/4. She tells me she has had some occasional SOB and cough with clear sputum during this time, with indolent night sweats per her report. Today she was acutely SOB and sats were in 60s despite BiPAP, EMS was summoned and gave solumedrol along with updrafts. Patient arrived here on BiPAP, ABG showed pO2 66 but sat 94% and normal PH. Her CXR shows some chronic changes but no obvious infiltrate, unfortunately she has tested positive for COVID today. She is now weaned to 5L O2 NC and is no distress. Labs show WBC 18k with a left shift but again no infiltrate. She denies any CP, dysuria (chronic incontinence), N/V/D, constipation. We have been asked to admit for care. PATINT REMAINS INPATIENT AT THIS TIME.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea, Exposure to SARS-CoV-2, Hypoxia, Laboratory test, Night sweats
Clinical narrative: Patient is a 79yo F with h/o COPD recently on 8L with nocturnal BiPAP, HTN, PE who presents from LTC with hypoxia. Patient is a modest historian, she is vague on most details. I have called her facility and got more details today. Briefly, she was at local hospital with PNA and respiratory failure (COVID negative) in December/January, then sent to alternate clinic location in February. During that time she has been on 8-10L of O2 with BiPAP QHS. Apparently was on a steroid taper and cannot wean below 20mg daily without worsened hypoxia. She has been diagnosed with a PE at some point, she thinks recently but Dr. shows Eliquis since 9/2021. Ultimately she was felt to be at new baseline and sent to local health and rehab last week - COVID negative daily there, was exposed to her husband who was positive after his visit 3/4. She tells me she has had some occasional SOB and cough with clear sputum during this time, with indolent night sweats per her report. Today she was acutely SOB and sats were in 60s despite BiPAP, EMS was summoned and gave solumedrol along with updrafts. Patient arrived here on BiPAP, ABG showed pO2 66 but sat 94% and normal PH. Her CXR shows some chronic changes but no obvious infiltrate, unfortunately she has tested positive for COVID today. She is now weaned to 5L O2 NC and is no distress. Labs show WBC 18k with a left shift but again no infiltrate. She denies any CP, dysuria (chronic incontinence), N/V/D, constipation. We have been asked to admit for care. PATINT REMAINS INPATIENT AT THIS TIME.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: PO2 decreased, Pneumonia, Positive airway pressure therapy, Productive cough, Respiratory failure
Clinical narrative: Patient is a 79yo F with h/o COPD recently on 8L with nocturnal BiPAP, HTN, PE who presents from LTC with hypoxia. Patient is a modest historian, she is vague on most details. I have called her facility and got more details today. Briefly, she was at local hospital with PNA and respiratory failure (COVID negative) in December/January, then sent to alternate clinic location in February. During that time she has been on 8-10L of O2 with BiPAP QHS. Apparently was on a steroid taper and cannot wean below 20mg daily without worsened hypoxia. She has been diagnosed with a PE at some point, she thinks recently but Dr. shows Eliquis since 9/2021. Ultimately she was felt to be at new baseline and sent to local health and rehab last week - COVID negative daily there, was exposed to her husband who was positive after his visit 3/4. She tells me she has had some occasional SOB and cough with clear sputum during this time, with indolent night sweats per her report. Today she was acutely SOB and sats were in 60s despite BiPAP, EMS was summoned and gave solumedrol along with updrafts. Patient arrived here on BiPAP, ABG showed pO2 66 but sat 94% and normal PH. Her CXR shows some chronic changes but no obvious infiltrate, unfortunately she has tested positive for COVID today. She is now weaned to 5L O2 NC and is no distress. Labs show WBC 18k with a left shift but again no infiltrate. She denies any CP, dysuria (chronic incontinence), N/V/D, constipation. We have been asked to admit for care. PATINT REMAINS INPATIENT AT THIS TIME.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Shift to the left, White blood cell count increased
Clinical narrative: Patient is a 79yo F with h/o COPD recently on 8L with nocturnal BiPAP, HTN, PE who presents from LTC with hypoxia. Patient is a modest historian, she is vague on most details. I have called her facility and got more details today. Briefly, she was at local hospital with PNA and respiratory failure (COVID negative) in December/January, then sent to alternate clinic location in February. During that time she has been on 8-10L of O2 with BiPAP QHS. Apparently was on a steroid taper and cannot wean below 20mg daily without worsened hypoxia. She has been diagnosed with a PE at some point, she thinks recently but Dr. shows Eliquis since 9/2021. Ultimately she was felt to be at new baseline and sent to local health and rehab last week - COVID negative daily there, was exposed to her husband who was positive after his visit 3/4. She tells me she has had some occasional SOB and cough with clear sputum during this time, with indolent night sweats per her report. Today she was acutely SOB and sats were in 60s despite BiPAP, EMS was summoned and gave solumedrol along with updrafts. Patient arrived here on BiPAP, ABG showed pO2 66 but sat 94% and normal PH. Her CXR shows some chronic changes but no obvious infiltrate, unfortunately she has tested positive for COVID today. She is now weaned to 5L O2 NC and is no distress. Labs show WBC 18k with a left shift but again no infiltrate. She denies any CP, dysuria (chronic incontinence), N/V/D, constipation. We have been asked to admit for care. PATINT REMAINS INPATIENT AT THIS TIME.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Feeling hot, Flushing, Nausea, Peripheral coldness
Clinical narrative: Approximately 5 - 6 minutes after receiving the Pfizer vaccine she began to complain of feeling very hot and sudden onset nausea.  Her skin was noted to be cool and her ears and face were flushed.  Her blood pressure was elevated 180/90. She denied any pain or tingling in her chest or extremities. She was escorted to the emergency room for further evaluation.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Abnormal loss of weight, Anal fistula, COVID-19, Chest X-ray normal, Colitis
Clinical narrative: Patient Name: (Privacy); Patient MRN: (Privacy)                    AdmissionDate: 1/29/2022; Hospital Day: 2    Attending: (Privacy), DO ID Attending:  (Privacy), DO   Date of Consultation:  1/30/2022  Time of Consultation:  10:54 AM    Reason for Consultation: COVID-19   History of Present Illness: The patient is a41y.o. year old  male with a h/o anxiety/depression, HTN and Crohn's disease on Pentasa and weekly Humira who presented on 1/29 secondary to intractable diarrhea and weight loss. States he has had diarrhea every time he has gone to the bathroom since June 2021. Decreased appetite since that time with 60 lb unintentional weight loss and poor appettie. Denies N/V or abd pain. No F/C, sore throat, rhinorrhea, congestion, shortness of breath, myalgias, loss of taste or smell, night sweats. Admits to cough x 2 weeks which is resolving. Did not test for COVID at time of cough. Denies any recent increase on loose stools or acute changes. No recent Abx per patient.  ? accuracy of patient's history. Per GI office note in 12/1/21 patient had gained 8 lbs at that time and was reporting BM's only once a day. No BM's recorded since admission per nursing. Afebrile since admission with normal WBC. Procal elevated at 1.29 with cultures pending. Currently on Rocephin/Flagyl with findings of distal colitis with ? Perianal fistula formation, CXR with no acute process.    Symptom onset unclear ? 2 weeks prior with cough Tested positive:1/29 Vaccinated 4/30/21, 5/28/21 and boosted 11/30/21 Review of Systems: In addition to the pertinent findings noted in the history,  As above in HPI    Past Medical and Surgical History:
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Culture, Decreased appetite, Diarrhoea, Influenza A virus test negative
Clinical narrative: Patient Name: (Privacy); Patient MRN: (Privacy)                    AdmissionDate: 1/29/2022; Hospital Day: 2    Attending: (Privacy), DO ID Attending:  (Privacy), DO   Date of Consultation:  1/30/2022  Time of Consultation:  10:54 AM    Reason for Consultation: COVID-19   History of Present Illness: The patient is a41y.o. year old  male with a h/o anxiety/depression, HTN and Crohn's disease on Pentasa and weekly Humira who presented on 1/29 secondary to intractable diarrhea and weight loss. States he has had diarrhea every time he has gone to the bathroom since June 2021. Decreased appetite since that time with 60 lb unintentional weight loss and poor appettie. Denies N/V or abd pain. No F/C, sore throat, rhinorrhea, congestion, shortness of breath, myalgias, loss of taste or smell, night sweats. Admits to cough x 2 weeks which is resolving. Did not test for COVID at time of cough. Denies any recent increase on loose stools or acute changes. No recent Abx per patient.  ? accuracy of patient's history. Per GI office note in 12/1/21 patient had gained 8 lbs at that time and was reporting BM's only once a day. No BM's recorded since admission per nursing. Afebrile since admission with normal WBC. Procal elevated at 1.29 with cultures pending. Currently on Rocephin/Flagyl with findings of distal colitis with ? Perianal fistula formation, CXR with no acute process.    Symptom onset unclear ? 2 weeks prior with cough Tested positive:1/29 Vaccinated 4/30/21, 5/28/21 and boosted 11/30/21 Review of Systems: In addition to the pertinent findings noted in the history,  As above in HPI    Past Medical and Surgical History:
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza B virus test, Infrequent bowel movements, Nucleic acid test, Procalcitonin increased, Respiratory syncytial virus test negative
Clinical narrative: Patient Name: (Privacy); Patient MRN: (Privacy)                    AdmissionDate: 1/29/2022; Hospital Day: 2    Attending: (Privacy), DO ID Attending:  (Privacy), DO   Date of Consultation:  1/30/2022  Time of Consultation:  10:54 AM    Reason for Consultation: COVID-19   History of Present Illness: The patient is a41y.o. year old  male with a h/o anxiety/depression, HTN and Crohn's disease on Pentasa and weekly Humira who presented on 1/29 secondary to intractable diarrhea and weight loss. States he has had diarrhea every time he has gone to the bathroom since June 2021. Decreased appetite since that time with 60 lb unintentional weight loss and poor appettie. Denies N/V or abd pain. No F/C, sore throat, rhinorrhea, congestion, shortness of breath, myalgias, loss of taste or smell, night sweats. Admits to cough x 2 weeks which is resolving. Did not test for COVID at time of cough. Denies any recent increase on loose stools or acute changes. No recent Abx per patient.  ? accuracy of patient's history. Per GI office note in 12/1/21 patient had gained 8 lbs at that time and was reporting BM's only once a day. No BM's recorded since admission per nursing. Afebrile since admission with normal WBC. Procal elevated at 1.29 with cultures pending. Currently on Rocephin/Flagyl with findings of distal colitis with ? Perianal fistula formation, CXR with no acute process.    Symptom onset unclear ? 2 weeks prior with cough Tested positive:1/29 Vaccinated 4/30/21, 5/28/21 and boosted 11/30/21 Review of Systems: In addition to the pertinent findings noted in the history,  As above in HPI    Past Medical and Surgical History:
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Weight decreased, Weight increased, White blood cell count normal
Clinical narrative: Patient Name: (Privacy); Patient MRN: (Privacy)                    AdmissionDate: 1/29/2022; Hospital Day: 2    Attending: (Privacy), DO ID Attending:  (Privacy), DO   Date of Consultation:  1/30/2022  Time of Consultation:  10:54 AM    Reason for Consultation: COVID-19   History of Present Illness: The patient is a41y.o. year old  male with a h/o anxiety/depression, HTN and Crohn's disease on Pentasa and weekly Humira who presented on 1/29 secondary to intractable diarrhea and weight loss. States he has had diarrhea every time he has gone to the bathroom since June 2021. Decreased appetite since that time with 60 lb unintentional weight loss and poor appettie. Denies N/V or abd pain. No F/C, sore throat, rhinorrhea, congestion, shortness of breath, myalgias, loss of taste or smell, night sweats. Admits to cough x 2 weeks which is resolving. Did not test for COVID at time of cough. Denies any recent increase on loose stools or acute changes. No recent Abx per patient.  ? accuracy of patient's history. Per GI office note in 12/1/21 patient had gained 8 lbs at that time and was reporting BM's only once a day. No BM's recorded since admission per nursing. Afebrile since admission with normal WBC. Procal elevated at 1.29 with cultures pending. Currently on Rocephin/Flagyl with findings of distal colitis with ? Perianal fistula formation, CXR with no acute process.    Symptom onset unclear ? 2 weeks prior with cough Tested positive:1/29 Vaccinated 4/30/21, 5/28/21 and boosted 11/30/21 Review of Systems: In addition to the pertinent findings noted in the history,  As above in HPI    Past Medical and Surgical History:
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Ankylosing spondylitis, Arthralgia, Asthenia, Diarrhoea, Discomfort
Clinical narrative: She got her vaccine, within a few minutes she felt very weak and felt like she could not move much.  It was difficult for her to catch her breath or take a deep breath and they gave her some juice and asked if her sugar was low.   Her husband took her home.  Was home for about 4 hours, ate lunch and sitting on porch and when her kids were getting baths she felt tired and nauseous.  About an hour she felt like she was going to throw up or faint, and noticed when she went to the bathroom noticed that she had bright red rashes on her face to her shoulders.  Felt shaky and husband got her some juice again, checked her BP which was ok.  They called the doctor and he told her to take twice the amount of her allergy medicine, Claritin and if it didn't get better then go to the ER.   That night she ended up being up all of the night.  Had a lot of pressure in her head, inflamed rash.  Then started having her upper body from about her belly button up to her neck felt sunburned.  She could not even put her back to the chair due to being uncomfortable and did not want to go to the ER due to fear of getting sick.  She had jerking throughout her arms and legs, movement on and off, adn then had shaking tremors.  Had a fever of 103 and had it throughout this entire period and a headache.  She had urgency and was urinating frequently, but was drinking a lot of water and fatigue, more tired than she had ever felt.  She could hardly stand up due to be sick and has small children.  She has never been so sick from anything.     Due to the rash the Dr. would not see her as they told her that it was from the vaccine.  The next day she also got diarrhea.  The shaking and fever for about 24 hours and the sunburn feeling was a few days, the fatigue still continues.   She did have clotting at her period time, which had slowed down and since the vaccine they have not been normal.  She was in tremendous pain about 3 weeks after vaccine, blood clots and still has tremendous pain for a few hours and passes clots.   Her rash was in her face, ear, and then finally was able to see her doctor and could not turn her head the entire way, felt stuck and they decided to check her for Lyme.  She had 4 bands positive for that, and had been tested previously and was negative.  Now she just saw a rheumatologist that kept coming up, joint pains, knee swelling on right knee, left shoulder started being frozen.  Diagnosed with ankylosing spondylitis in October.  She hasn't gotten back to see her doctor yet.  She had seen a rheumatologist 5 years and everything was OK.  Her ESR is now 43 with inflammation in her body that they do not know where it is since the vaccine.     Cognitively she has her days that she is not able to do as much as she wants to do, slower on concentration.    Feels that the vaccine itself has to be looked at for autoimmune over reacting.  If you have had an autoimmune issue and symptoms have diminished, the vaccine seems to heighten the reactions or bring them back.   Also that the vaccine is altering the monthly menstrual cycle.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dysstasia, Fatigue, Feeling hot, Head discomfort, Headache
Clinical narrative: She got her vaccine, within a few minutes she felt very weak and felt like she could not move much.  It was difficult for her to catch her breath or take a deep breath and they gave her some juice and asked if her sugar was low.   Her husband took her home.  Was home for about 4 hours, ate lunch and sitting on porch and when her kids were getting baths she felt tired and nauseous.  About an hour she felt like she was going to throw up or faint, and noticed when she went to the bathroom noticed that she had bright red rashes on her face to her shoulders.  Felt shaky and husband got her some juice again, checked her BP which was ok.  They called the doctor and he told her to take twice the amount of her allergy medicine, Claritin and if it didn't get better then go to the ER.   That night she ended up being up all of the night.  Had a lot of pressure in her head, inflamed rash.  Then started having her upper body from about her belly button up to her neck felt sunburned.  She could not even put her back to the chair due to being uncomfortable and did not want to go to the ER due to fear of getting sick.  She had jerking throughout her arms and legs, movement on and off, adn then had shaking tremors.  Had a fever of 103 and had it throughout this entire period and a headache.  She had urgency and was urinating frequently, but was drinking a lot of water and fatigue, more tired than she had ever felt.  She could hardly stand up due to be sick and has small children.  She has never been so sick from anything.     Due to the rash the Dr. would not see her as they told her that it was from the vaccine.  The next day she also got diarrhea.  The shaking and fever for about 24 hours and the sunburn feeling was a few days, the fatigue still continues.   She did have clotting at her period time, which had slowed down and since the vaccine they have not been normal.  She was in tremendous pain about 3 weeks after vaccine, blood clots and still has tremendous pain for a few hours and passes clots.   Her rash was in her face, ear, and then finally was able to see her doctor and could not turn her head the entire way, felt stuck and they decided to check her for Lyme.  She had 4 bands positive for that, and had been tested previously and was negative.  Now she just saw a rheumatologist that kept coming up, joint pains, knee swelling on right knee, left shoulder started being frozen.  Diagnosed with ankylosing spondylitis in October.  She hasn't gotten back to see her doctor yet.  She had seen a rheumatologist 5 years and everything was OK.  Her ESR is now 43 with inflammation in her body that they do not know where it is since the vaccine.     Cognitively she has her days that she is not able to do as much as she wants to do, slower on concentration.    Feels that the vaccine itself has to be looked at for autoimmune over reacting.  If you have had an autoimmune issue and symptoms have diminished, the vaccine seems to heighten the reactions or bring them back.   Also that the vaccine is altering the monthly menstrual cycle.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular, Mobility decreased, Nausea, Pain, Periarthritis
Clinical narrative: She got her vaccine, within a few minutes she felt very weak and felt like she could not move much.  It was difficult for her to catch her breath or take a deep breath and they gave her some juice and asked if her sugar was low.   Her husband took her home.  Was home for about 4 hours, ate lunch and sitting on porch and when her kids were getting baths she felt tired and nauseous.  About an hour she felt like she was going to throw up or faint, and noticed when she went to the bathroom noticed that she had bright red rashes on her face to her shoulders.  Felt shaky and husband got her some juice again, checked her BP which was ok.  They called the doctor and he told her to take twice the amount of her allergy medicine, Claritin and if it didn't get better then go to the ER.   That night she ended up being up all of the night.  Had a lot of pressure in her head, inflamed rash.  Then started having her upper body from about her belly button up to her neck felt sunburned.  She could not even put her back to the chair due to being uncomfortable and did not want to go to the ER due to fear of getting sick.  She had jerking throughout her arms and legs, movement on and off, adn then had shaking tremors.  Had a fever of 103 and had it throughout this entire period and a headache.  She had urgency and was urinating frequently, but was drinking a lot of water and fatigue, more tired than she had ever felt.  She could hardly stand up due to be sick and has small children.  She has never been so sick from anything.     Due to the rash the Dr. would not see her as they told her that it was from the vaccine.  The next day she also got diarrhea.  The shaking and fever for about 24 hours and the sunburn feeling was a few days, the fatigue still continues.   She did have clotting at her period time, which had slowed down and since the vaccine they have not been normal.  She was in tremendous pain about 3 weeks after vaccine, blood clots and still has tremendous pain for a few hours and passes clots.   Her rash was in her face, ear, and then finally was able to see her doctor and could not turn her head the entire way, felt stuck and they decided to check her for Lyme.  She had 4 bands positive for that, and had been tested previously and was negative.  Now she just saw a rheumatologist that kept coming up, joint pains, knee swelling on right knee, left shoulder started being frozen.  Diagnosed with ankylosing spondylitis in October.  She hasn't gotten back to see her doctor yet.  She had seen a rheumatologist 5 years and everything was OK.  Her ESR is now 43 with inflammation in her body that they do not know where it is since the vaccine.     Cognitively she has her days that she is not able to do as much as she wants to do, slower on concentration.    Feels that the vaccine itself has to be looked at for autoimmune over reacting.  If you have had an autoimmune issue and symptoms have diminished, the vaccine seems to heighten the reactions or bring them back.   Also that the vaccine is altering the monthly menstrual cycle.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: She got her vaccine, within a few minutes she felt very weak and felt like she could not move much.  It was difficult for her to catch her breath or take a deep breath and they gave her some juice and asked if her sugar was low.   Her husband took her home.  Was home for about 4 hours, ate lunch and sitting on porch and when her kids were getting baths she felt tired and nauseous.  About an hour she felt like she was going to throw up or faint, and noticed when she went to the bathroom noticed that she had bright red rashes on her face to her shoulders.  Felt shaky and husband got her some juice again, checked her BP which was ok.  They called the doctor and he told her to take twice the amount of her allergy medicine, Claritin and if it didn't get better then go to the ER.   That night she ended up being up all of the night.  Had a lot of pressure in her head, inflamed rash.  Then started having her upper body from about her belly button up to her neck felt sunburned.  She could not even put her back to the chair due to being uncomfortable and did not want to go to the ER due to fear of getting sick.  She had jerking throughout her arms and legs, movement on and off, adn then had shaking tremors.  Had a fever of 103 and had it throughout this entire period and a headache.  She had urgency and was urinating frequently, but was drinking a lot of water and fatigue, more tired than she had ever felt.  She could hardly stand up due to be sick and has small children.  She has never been so sick from anything.     Due to the rash the Dr. would not see her as they told her that it was from the vaccine.  The next day she also got diarrhea.  The shaking and fever for about 24 hours and the sunburn feeling was a few days, the fatigue still continues.   She did have clotting at her period time, which had slowed down and since the vaccine they have not been normal.  She was in tremendous pain about 3 weeks after vaccine, blood clots and still has tremendous pain for a few hours and passes clots.   Her rash was in her face, ear, and then finally was able to see her doctor and could not turn her head the entire way, felt stuck and they decided to check her for Lyme.  She had 4 bands positive for that, and had been tested previously and was negative.  Now she just saw a rheumatologist that kept coming up, joint pains, knee swelling on right knee, left shoulder started being frozen.  Diagnosed with ankylosing spondylitis in October.  She hasn't gotten back to see her doctor yet.  She had seen a rheumatologist 5 years and everything was OK.  Her ESR is now 43 with inflammation in her body that they do not know where it is since the vaccine.     Cognitively she has her days that she is not able to do as much as she wants to do, slower on concentration.    Feels that the vaccine itself has to be looked at for autoimmune over reacting.  If you have had an autoimmune issue and symptoms have diminished, the vaccine seems to heighten the reactions or bring them back.   Also that the vaccine is altering the monthly menstrual cycle.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Blood pressure increased, Computerised tomogram normal, Facial paralysis, Muscle twitching
Clinical narrative: I received the Moderna shot around 2pm 03/02/2022. Within a hour of receiving the shot the right side of my face was twitching. Then it stopped after about 30 minutes. I continued with my day about 44 hours later on 03/04/2022 around 11 am I noticed the right side of my face was parilized. I thought I was having a stroke! I went to the E.R. I was shaking. My blood pressure was 158 over 114. Which is extremely high for me as my blood pressure is usually 114 over 74. I had my head cat scanned and a stroke was ruled out. I was diagnosed with Bells Palsey . I am currently reporting to you then I will report to the Heath department where the shot was adminstered and I am scheduling a fallow up appointment with my regular physician.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Neurological symptom, Tremor
Clinical narrative: I received the Moderna shot around 2pm 03/02/2022. Within a hour of receiving the shot the right side of my face was twitching. Then it stopped after about 30 minutes. I continued with my day about 44 hours later on 03/04/2022 around 11 am I noticed the right side of my face was parilized. I thought I was having a stroke! I went to the E.R. I was shaking. My blood pressure was 158 over 114. Which is extremely high for me as my blood pressure is usually 114 over 74. I had my head cat scanned and a stroke was ruled out. I was diagnosed with Bells Palsey . I am currently reporting to you then I will report to the Heath department where the shot was adminstered and I am scheduling a fallow up appointment with my regular physician.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Resident passed away 5 days after getting the booster dose. Received Primary Moderna vaccine on 8/20/2021 and 9/17/2021. Booster dose on 3/2/2022. Resident died on 3/7/2022.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Coronavirus infection, Death, Dementia Alzheimer's type, Failure to thrive
Clinical narrative: pt tested positive for COVID in rehab center on 7/22/2021; pt was found deceased in rehab center; per death certificate the causes of death were:  Failure to Thrive, Alzheimer's, Recent Coronavirus Infection; hx of falls, DM, Alzheimer's)
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Delivery, Exposure during pregnancy, Normal labour
Clinical narrative: Normal Labor and delivery on 10/1 /2021. Hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain, Mobility decreased, Musculoskeletal stiffness, Periarthritis
Clinical narrative: The injection was quite painful when the needle went in the right arm muscle near the shoulder. The next day the range of motion in the right shoulder joint became slightly limited due to pain. These symptoms persisted for 8 months, at which time, in early-March, the pain became severe all of a sudden, and resulted in no range of motion in the right shoulder joint due to pain and stiffness. At which time, I sought medical treatment.