chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Blood iron normal, Blood thyroid stimulating hormone normal, C-reactive protein normal, CSF protein increased, CSF white blood cell count increased
Clinical narrative: Narrative: Patient was in his baseline state of health until 4/6 when he noted R hemibody numbness, which began with right-sided facial numbness when brushing teeth. He was evaluated by his PCP (no exam noted) and initiated on regimen of doxycyclnine 100mg BID, acyclovir 800mg TID, and prednisone 40mg for 'Bells Palsy'. On 4/9, a referral to neurology was made after pt returnedd to clinic w/ burning deep low back pain that radiates up to his shoulder, and his b/l temples. Neuro exam documented at that time denote a L sided Bells Palsy only. CBC, CMP, PSA, RPR, TSH, B12, ESR, CRP, RPR, Iron lvls were all normal. MRI brain and Lumbar spine were ordered and pt was to obtain expedited LP. Pt again re-presented to urgent care on 4/12 due to severe burning back pain that resolved w/ activity. At this time again only L sided facial weakness noted (documented as reduced ability to close eyelid, raise eyebrow, weakness puffing out cheeck, and reduced smile on L), no other weakness, drift, or sensory findings. Pt was instructed to continue doxycycline 100mg BOD 10d course (4/6-4/15), prednisone 40mg 7d course (4/6-4/12), acyclovir 800mg TID 7d course (4/6/-4/15), prednisone 40mg 7d course (4/6-4/12), acyclovir 800mg TID 7d course (4/6-4/12). Pt was instructed to obtain MRI and LP in expedited fashion. Telephone note Addendum on 4/14 noted improve in Bell Palsy symptoms and back/shoulder/head pain w/ tylenol. Given persistent back pain and J&J COVID19 vaccine, pt was instructed to present to urgent Care. He deferred until the following day. On 4/15 pt woke up w/ worsening facial numbness. He presented to urgent care w/ b/l inability to close eyes and 'when attempting both eyes roll up into his head . He also complained of sharp pain upon extending his RUE and RLE. Exam showed b/l inability to close eyes, description of Bells phenomenon, and palpable tenderness at base of C spine w/ mild spasms. CTH was obtained and was unremarkable. CT C spine showed multilevel degenerative cahgnes w/ neuroforaminal narrowing at C5-C7. Given inability for pt to obtain an expedited MRI and LP to r/o inflammatory or malignancy process at outside hospital case was discussed and accepted for transfer on 4/15. Of note pt obtained J&J vaccine on 3/18 by outside hospital. On presentation patient confirms the timelime detailed above and additionally notes that he has lost his sense of taste. Pt underwent MRI scan on day of admission 4/15/21 which showed enhancement of the bilateral facial nerves and oculomotor nerves, and possible trigeminal nerve enhancement. He underwent LP which showed 6 WBCs and 346 protein;negative cytology and flow cytometry. Given his clinical presentation and imaging/CSF findings, high suspicion for atypical GBS/AIDP which EMG done on April 20th, 2021 was most consistent with. He underwent CT C/A/P which were all negative for malignancy. He was treated with IVIG for presumed AIDP/GBS. Discharged on April 21st, 2021.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Computerised tomogram spine, Cytology, Electromyogram, Eye movement disorder, Facial paresis
Clinical narrative: Narrative: Patient was in his baseline state of health until 4/6 when he noted R hemibody numbness, which began with right-sided facial numbness when brushing teeth. He was evaluated by his PCP (no exam noted) and initiated on regimen of doxycyclnine 100mg BID, acyclovir 800mg TID, and prednisone 40mg for 'Bells Palsy'. On 4/9, a referral to neurology was made after pt returnedd to clinic w/ burning deep low back pain that radiates up to his shoulder, and his b/l temples. Neuro exam documented at that time denote a L sided Bells Palsy only. CBC, CMP, PSA, RPR, TSH, B12, ESR, CRP, RPR, Iron lvls were all normal. MRI brain and Lumbar spine were ordered and pt was to obtain expedited LP. Pt again re-presented to urgent care on 4/12 due to severe burning back pain that resolved w/ activity. At this time again only L sided facial weakness noted (documented as reduced ability to close eyelid, raise eyebrow, weakness puffing out cheeck, and reduced smile on L), no other weakness, drift, or sensory findings. Pt was instructed to continue doxycycline 100mg BOD 10d course (4/6-4/15), prednisone 40mg 7d course (4/6-4/12), acyclovir 800mg TID 7d course (4/6/-4/15), prednisone 40mg 7d course (4/6-4/12), acyclovir 800mg TID 7d course (4/6-4/12). Pt was instructed to obtain MRI and LP in expedited fashion. Telephone note Addendum on 4/14 noted improve in Bell Palsy symptoms and back/shoulder/head pain w/ tylenol. Given persistent back pain and J&J COVID19 vaccine, pt was instructed to present to urgent Care. He deferred until the following day. On 4/15 pt woke up w/ worsening facial numbness. He presented to urgent care w/ b/l inability to close eyes and 'when attempting both eyes roll up into his head . He also complained of sharp pain upon extending his RUE and RLE. Exam showed b/l inability to close eyes, description of Bells phenomenon, and palpable tenderness at base of C spine w/ mild spasms. CTH was obtained and was unremarkable. CT C spine showed multilevel degenerative cahgnes w/ neuroforaminal narrowing at C5-C7. Given inability for pt to obtain an expedited MRI and LP to r/o inflammatory or malignancy process at outside hospital case was discussed and accepted for transfer on 4/15. Of note pt obtained J&J vaccine on 3/18 by outside hospital. On presentation patient confirms the timelime detailed above and additionally notes that he has lost his sense of taste. Pt underwent MRI scan on day of admission 4/15/21 which showed enhancement of the bilateral facial nerves and oculomotor nerves, and possible trigeminal nerve enhancement. He underwent LP which showed 6 WBCs and 346 protein;negative cytology and flow cytometry. Given his clinical presentation and imaging/CSF findings, high suspicion for atypical GBS/AIDP which EMG done on April 20th, 2021 was most consistent with. He underwent CT C/A/P which were all negative for malignancy. He was treated with IVIG for presumed AIDP/GBS. Discharged on April 21st, 2021.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Flow cytometry, Full blood count normal, Guillain-Barre syndrome, Headache, Hypoaesthesia
Clinical narrative: Narrative: Patient was in his baseline state of health until 4/6 when he noted R hemibody numbness, which began with right-sided facial numbness when brushing teeth. He was evaluated by his PCP (no exam noted) and initiated on regimen of doxycyclnine 100mg BID, acyclovir 800mg TID, and prednisone 40mg for 'Bells Palsy'. On 4/9, a referral to neurology was made after pt returnedd to clinic w/ burning deep low back pain that radiates up to his shoulder, and his b/l temples. Neuro exam documented at that time denote a L sided Bells Palsy only. CBC, CMP, PSA, RPR, TSH, B12, ESR, CRP, RPR, Iron lvls were all normal. MRI brain and Lumbar spine were ordered and pt was to obtain expedited LP. Pt again re-presented to urgent care on 4/12 due to severe burning back pain that resolved w/ activity. At this time again only L sided facial weakness noted (documented as reduced ability to close eyelid, raise eyebrow, weakness puffing out cheeck, and reduced smile on L), no other weakness, drift, or sensory findings. Pt was instructed to continue doxycycline 100mg BOD 10d course (4/6-4/15), prednisone 40mg 7d course (4/6-4/12), acyclovir 800mg TID 7d course (4/6/-4/15), prednisone 40mg 7d course (4/6-4/12), acyclovir 800mg TID 7d course (4/6-4/12). Pt was instructed to obtain MRI and LP in expedited fashion. Telephone note Addendum on 4/14 noted improve in Bell Palsy symptoms and back/shoulder/head pain w/ tylenol. Given persistent back pain and J&J COVID19 vaccine, pt was instructed to present to urgent Care. He deferred until the following day. On 4/15 pt woke up w/ worsening facial numbness. He presented to urgent care w/ b/l inability to close eyes and 'when attempting both eyes roll up into his head . He also complained of sharp pain upon extending his RUE and RLE. Exam showed b/l inability to close eyes, description of Bells phenomenon, and palpable tenderness at base of C spine w/ mild spasms. CTH was obtained and was unremarkable. CT C spine showed multilevel degenerative cahgnes w/ neuroforaminal narrowing at C5-C7. Given inability for pt to obtain an expedited MRI and LP to r/o inflammatory or malignancy process at outside hospital case was discussed and accepted for transfer on 4/15. Of note pt obtained J&J vaccine on 3/18 by outside hospital. On presentation patient confirms the timelime detailed above and additionally notes that he has lost his sense of taste. Pt underwent MRI scan on day of admission 4/15/21 which showed enhancement of the bilateral facial nerves and oculomotor nerves, and possible trigeminal nerve enhancement. He underwent LP which showed 6 WBCs and 346 protein;negative cytology and flow cytometry. Given his clinical presentation and imaging/CSF findings, high suspicion for atypical GBS/AIDP which EMG done on April 20th, 2021 was most consistent with. He underwent CT C/A/P which were all negative for malignancy. He was treated with IVIG for presumed AIDP/GBS. Discharged on April 21st, 2021.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Immunoglobulin therapy, Lagophthalmos, Lumbar puncture abnormal, Magnetic resonance imaging abnormal, Metabolic function test normal
Clinical narrative: Narrative: Patient was in his baseline state of health until 4/6 when he noted R hemibody numbness, which began with right-sided facial numbness when brushing teeth. He was evaluated by his PCP (no exam noted) and initiated on regimen of doxycyclnine 100mg BID, acyclovir 800mg TID, and prednisone 40mg for 'Bells Palsy'. On 4/9, a referral to neurology was made after pt returnedd to clinic w/ burning deep low back pain that radiates up to his shoulder, and his b/l temples. Neuro exam documented at that time denote a L sided Bells Palsy only. CBC, CMP, PSA, RPR, TSH, B12, ESR, CRP, RPR, Iron lvls were all normal. MRI brain and Lumbar spine were ordered and pt was to obtain expedited LP. Pt again re-presented to urgent care on 4/12 due to severe burning back pain that resolved w/ activity. At this time again only L sided facial weakness noted (documented as reduced ability to close eyelid, raise eyebrow, weakness puffing out cheeck, and reduced smile on L), no other weakness, drift, or sensory findings. Pt was instructed to continue doxycycline 100mg BOD 10d course (4/6-4/15), prednisone 40mg 7d course (4/6-4/12), acyclovir 800mg TID 7d course (4/6/-4/15), prednisone 40mg 7d course (4/6-4/12), acyclovir 800mg TID 7d course (4/6-4/12). Pt was instructed to obtain MRI and LP in expedited fashion. Telephone note Addendum on 4/14 noted improve in Bell Palsy symptoms and back/shoulder/head pain w/ tylenol. Given persistent back pain and J&J COVID19 vaccine, pt was instructed to present to urgent Care. He deferred until the following day. On 4/15 pt woke up w/ worsening facial numbness. He presented to urgent care w/ b/l inability to close eyes and 'when attempting both eyes roll up into his head . He also complained of sharp pain upon extending his RUE and RLE. Exam showed b/l inability to close eyes, description of Bells phenomenon, and palpable tenderness at base of C spine w/ mild spasms. CTH was obtained and was unremarkable. CT C spine showed multilevel degenerative cahgnes w/ neuroforaminal narrowing at C5-C7. Given inability for pt to obtain an expedited MRI and LP to r/o inflammatory or malignancy process at outside hospital case was discussed and accepted for transfer on 4/15. Of note pt obtained J&J vaccine on 3/18 by outside hospital. On presentation patient confirms the timelime detailed above and additionally notes that he has lost his sense of taste. Pt underwent MRI scan on day of admission 4/15/21 which showed enhancement of the bilateral facial nerves and oculomotor nerves, and possible trigeminal nerve enhancement. He underwent LP which showed 6 WBCs and 346 protein;negative cytology and flow cytometry. Given his clinical presentation and imaging/CSF findings, high suspicion for atypical GBS/AIDP which EMG done on April 20th, 2021 was most consistent with. He underwent CT C/A/P which were all negative for malignancy. He was treated with IVIG for presumed AIDP/GBS. Discharged on April 21st, 2021.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Muscle spasms, Neurological examination abnormal, Pain, Pain in extremity, Prostatic specific antigen normal
Clinical narrative: Narrative: Patient was in his baseline state of health until 4/6 when he noted R hemibody numbness, which began with right-sided facial numbness when brushing teeth. He was evaluated by his PCP (no exam noted) and initiated on regimen of doxycyclnine 100mg BID, acyclovir 800mg TID, and prednisone 40mg for 'Bells Palsy'. On 4/9, a referral to neurology was made after pt returnedd to clinic w/ burning deep low back pain that radiates up to his shoulder, and his b/l temples. Neuro exam documented at that time denote a L sided Bells Palsy only. CBC, CMP, PSA, RPR, TSH, B12, ESR, CRP, RPR, Iron lvls were all normal. MRI brain and Lumbar spine were ordered and pt was to obtain expedited LP. Pt again re-presented to urgent care on 4/12 due to severe burning back pain that resolved w/ activity. At this time again only L sided facial weakness noted (documented as reduced ability to close eyelid, raise eyebrow, weakness puffing out cheeck, and reduced smile on L), no other weakness, drift, or sensory findings. Pt was instructed to continue doxycycline 100mg BOD 10d course (4/6-4/15), prednisone 40mg 7d course (4/6-4/12), acyclovir 800mg TID 7d course (4/6/-4/15), prednisone 40mg 7d course (4/6-4/12), acyclovir 800mg TID 7d course (4/6-4/12). Pt was instructed to obtain MRI and LP in expedited fashion. Telephone note Addendum on 4/14 noted improve in Bell Palsy symptoms and back/shoulder/head pain w/ tylenol. Given persistent back pain and J&J COVID19 vaccine, pt was instructed to present to urgent Care. He deferred until the following day. On 4/15 pt woke up w/ worsening facial numbness. He presented to urgent care w/ b/l inability to close eyes and 'when attempting both eyes roll up into his head . He also complained of sharp pain upon extending his RUE and RLE. Exam showed b/l inability to close eyes, description of Bells phenomenon, and palpable tenderness at base of C spine w/ mild spasms. CTH was obtained and was unremarkable. CT C spine showed multilevel degenerative cahgnes w/ neuroforaminal narrowing at C5-C7. Given inability for pt to obtain an expedited MRI and LP to r/o inflammatory or malignancy process at outside hospital case was discussed and accepted for transfer on 4/15. Of note pt obtained J&J vaccine on 3/18 by outside hospital. On presentation patient confirms the timelime detailed above and additionally notes that he has lost his sense of taste. Pt underwent MRI scan on day of admission 4/15/21 which showed enhancement of the bilateral facial nerves and oculomotor nerves, and possible trigeminal nerve enhancement. He underwent LP which showed 6 WBCs and 346 protein;negative cytology and flow cytometry. Given his clinical presentation and imaging/CSF findings, high suspicion for atypical GBS/AIDP which EMG done on April 20th, 2021 was most consistent with. He underwent CT C/A/P which were all negative for malignancy. He was treated with IVIG for presumed AIDP/GBS. Discharged on April 21st, 2021.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Red blood cell sedimentation rate normal, Spinal osteoarthritis, Tenderness, Treponema test negative, Vertebral foraminal stenosis
Clinical narrative: Narrative: Patient was in his baseline state of health until 4/6 when he noted R hemibody numbness, which began with right-sided facial numbness when brushing teeth. He was evaluated by his PCP (no exam noted) and initiated on regimen of doxycyclnine 100mg BID, acyclovir 800mg TID, and prednisone 40mg for 'Bells Palsy'. On 4/9, a referral to neurology was made after pt returnedd to clinic w/ burning deep low back pain that radiates up to his shoulder, and his b/l temples. Neuro exam documented at that time denote a L sided Bells Palsy only. CBC, CMP, PSA, RPR, TSH, B12, ESR, CRP, RPR, Iron lvls were all normal. MRI brain and Lumbar spine were ordered and pt was to obtain expedited LP. Pt again re-presented to urgent care on 4/12 due to severe burning back pain that resolved w/ activity. At this time again only L sided facial weakness noted (documented as reduced ability to close eyelid, raise eyebrow, weakness puffing out cheeck, and reduced smile on L), no other weakness, drift, or sensory findings. Pt was instructed to continue doxycycline 100mg BOD 10d course (4/6-4/15), prednisone 40mg 7d course (4/6-4/12), acyclovir 800mg TID 7d course (4/6/-4/15), prednisone 40mg 7d course (4/6-4/12), acyclovir 800mg TID 7d course (4/6-4/12). Pt was instructed to obtain MRI and LP in expedited fashion. Telephone note Addendum on 4/14 noted improve in Bell Palsy symptoms and back/shoulder/head pain w/ tylenol. Given persistent back pain and J&J COVID19 vaccine, pt was instructed to present to urgent Care. He deferred until the following day. On 4/15 pt woke up w/ worsening facial numbness. He presented to urgent care w/ b/l inability to close eyes and 'when attempting both eyes roll up into his head . He also complained of sharp pain upon extending his RUE and RLE. Exam showed b/l inability to close eyes, description of Bells phenomenon, and palpable tenderness at base of C spine w/ mild spasms. CTH was obtained and was unremarkable. CT C spine showed multilevel degenerative cahgnes w/ neuroforaminal narrowing at C5-C7. Given inability for pt to obtain an expedited MRI and LP to r/o inflammatory or malignancy process at outside hospital case was discussed and accepted for transfer on 4/15. Of note pt obtained J&J vaccine on 3/18 by outside hospital. On presentation patient confirms the timelime detailed above and additionally notes that he has lost his sense of taste. Pt underwent MRI scan on day of admission 4/15/21 which showed enhancement of the bilateral facial nerves and oculomotor nerves, and possible trigeminal nerve enhancement. He underwent LP which showed 6 WBCs and 346 protein;negative cytology and flow cytometry. Given his clinical presentation and imaging/CSF findings, high suspicion for atypical GBS/AIDP which EMG done on April 20th, 2021 was most consistent with. He underwent CT C/A/P which were all negative for malignancy. He was treated with IVIG for presumed AIDP/GBS. Discharged on April 21st, 2021.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Arthralgia, Back pain, Bell's palsy, Blood iron normal, Blood thyroid stimulating hormone normal
Clinical narrative: Narrative: Patient was in his baseline state of health until 4/6 when he noted R hemibody numbness, which began with right-sided facial numbness when brushing teeth. He was evaluated by his PCP (no exam noted) and initiated on regimen of doxycyclnine 100mg BID, acyclovir 800mg TID, and prednisone 40mg for 'Bells Palsy'. On 4/9, a referral to neurology was made after pt returnedd to clinic w/ burning deep low back pain that radiates up to his shoulder, and his b/l temples. Neuro exam documented at that time denote a L sided Bells Palsy only. CBC, CMP, PSA, RPR, TSH, B12, ESR, CRP, RPR, Iron lvls were all normal. MRI brain and Lumbar spine were ordered and pt was to obtain expedited LP. Pt again re-presented to urgent care on 4/12 due to severe burning back pain that resolved w/ activity. At this time again only L sided facial weakness noted (documented as reduced ability to close eyelid, raise eyebrow, weakness puffing out cheeck, and reduced smile on L), no other weakness, drift, or sensory findings. Pt was instructed to continue doxycycline 100mg BOD 10d course (4/6-4/15), prednisone 40mg 7d course (4/6-4/12), acyclovir 800mg TID 7d course (4/6/-4/15), prednisone 40mg 7d course (4/6-4/12), acyclovir 800mg TID 7d course (4/6-4/12). Pt was instructed to obtain MRI and LP in expedited fashion. Telephone note Addendum on 4/14 noted improve in Bell Palsy symptoms and back/shoulder/head pain w/ tylenol. Given persistent back pain and J&J COVID19 vaccine, pt was instructed to present to urgent Care. He deferred until the following day. On 4/15 pt woke up w/ worsening facial numbness. He presented to urgent care w/ b/l inability to close eyes and 'when attempting both eyes roll up into his head . He also complained of sharp pain upon extending his RUE and RLE. Exam showed b/l inability to close eyes, description of Bells phenomenon, and palpable tenderness at base of C spine w/ mild spasms. CTH was obtained and was unremarkable. CT C spine showed multilevel degenerative cahgnes w/ neuroforaminal narrowing at C5-C7. Given inability for pt to obtain an expedited MRI and LP to r/o inflammatory or malignancy process at outside hospital case was discussed and accepted for transfer on 4/15. Of note pt obtained J&J vaccine on 3/18 by outside hospital. On presentation patient confirms the timelime detailed above and additionally notes that he has lost his sense of taste. Pt underwent MRI scan on day of admission 4/15/21 which showed enhancement of the bilateral facial nerves and oculomotor nerves, and possible trigeminal nerve enhancement. He underwent LP which showed 6 WBCs and 346 protein;negative cytology and flow cytometry. Given his clinical presentation and imaging/CSF findings, high suspicion for atypical GBS/AIDP which EMG done on April 20th, 2021 was most consistent with. He underwent CT C/A/P which were all negative for malignancy. He was treated with IVIG for presumed AIDP/GBS. Discharged on April 21st, 2021.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Computerised tomogram spine, Computerised tomogram thorax normal, Cytology normal, Electromyogram abnormal, Facial pain
Clinical narrative: Narrative: Patient was in his baseline state of health until 4/6 when he noted R hemibody numbness, which began with right-sided facial numbness when brushing teeth. He was evaluated by his PCP (no exam noted) and initiated on regimen of doxycyclnine 100mg BID, acyclovir 800mg TID, and prednisone 40mg for 'Bells Palsy'. On 4/9, a referral to neurology was made after pt returnedd to clinic w/ burning deep low back pain that radiates up to his shoulder, and his b/l temples. Neuro exam documented at that time denote a L sided Bells Palsy only. CBC, CMP, PSA, RPR, TSH, B12, ESR, CRP, RPR, Iron lvls were all normal. MRI brain and Lumbar spine were ordered and pt was to obtain expedited LP. Pt again re-presented to urgent care on 4/12 due to severe burning back pain that resolved w/ activity. At this time again only L sided facial weakness noted (documented as reduced ability to close eyelid, raise eyebrow, weakness puffing out cheeck, and reduced smile on L), no other weakness, drift, or sensory findings. Pt was instructed to continue doxycycline 100mg BOD 10d course (4/6-4/15), prednisone 40mg 7d course (4/6-4/12), acyclovir 800mg TID 7d course (4/6/-4/15), prednisone 40mg 7d course (4/6-4/12), acyclovir 800mg TID 7d course (4/6-4/12). Pt was instructed to obtain MRI and LP in expedited fashion. Telephone note Addendum on 4/14 noted improve in Bell Palsy symptoms and back/shoulder/head pain w/ tylenol. Given persistent back pain and J&J COVID19 vaccine, pt was instructed to present to urgent Care. He deferred until the following day. On 4/15 pt woke up w/ worsening facial numbness. He presented to urgent care w/ b/l inability to close eyes and 'when attempting both eyes roll up into his head . He also complained of sharp pain upon extending his RUE and RLE. Exam showed b/l inability to close eyes, description of Bells phenomenon, and palpable tenderness at base of C spine w/ mild spasms. CTH was obtained and was unremarkable. CT C spine showed multilevel degenerative cahgnes w/ neuroforaminal narrowing at C5-C7. Given inability for pt to obtain an expedited MRI and LP to r/o inflammatory or malignancy process at outside hospital case was discussed and accepted for transfer on 4/15. Of note pt obtained J&J vaccine on 3/18 by outside hospital. On presentation patient confirms the timelime detailed above and additionally notes that he has lost his sense of taste. Pt underwent MRI scan on day of admission 4/15/21 which showed enhancement of the bilateral facial nerves and oculomotor nerves, and possible trigeminal nerve enhancement. He underwent LP which showed 6 WBCs and 346 protein;negative cytology and flow cytometry. Given his clinical presentation and imaging/CSF findings, high suspicion for atypical GBS/AIDP which EMG done on April 20th, 2021 was most consistent with. He underwent CT C/A/P which were all negative for malignancy. He was treated with IVIG for presumed AIDP/GBS. Discharged on April 21st, 2021.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Facial paresis, Flow cytometry, Full blood count normal, Guillain-Barre syndrome, Headache
Clinical narrative: Narrative: Patient was in his baseline state of health until 4/6 when he noted R hemibody numbness, which began with right-sided facial numbness when brushing teeth. He was evaluated by his PCP (no exam noted) and initiated on regimen of doxycyclnine 100mg BID, acyclovir 800mg TID, and prednisone 40mg for 'Bells Palsy'. On 4/9, a referral to neurology was made after pt returnedd to clinic w/ burning deep low back pain that radiates up to his shoulder, and his b/l temples. Neuro exam documented at that time denote a L sided Bells Palsy only. CBC, CMP, PSA, RPR, TSH, B12, ESR, CRP, RPR, Iron lvls were all normal. MRI brain and Lumbar spine were ordered and pt was to obtain expedited LP. Pt again re-presented to urgent care on 4/12 due to severe burning back pain that resolved w/ activity. At this time again only L sided facial weakness noted (documented as reduced ability to close eyelid, raise eyebrow, weakness puffing out cheeck, and reduced smile on L), no other weakness, drift, or sensory findings. Pt was instructed to continue doxycycline 100mg BOD 10d course (4/6-4/15), prednisone 40mg 7d course (4/6-4/12), acyclovir 800mg TID 7d course (4/6/-4/15), prednisone 40mg 7d course (4/6-4/12), acyclovir 800mg TID 7d course (4/6-4/12). Pt was instructed to obtain MRI and LP in expedited fashion. Telephone note Addendum on 4/14 noted improve in Bell Palsy symptoms and back/shoulder/head pain w/ tylenol. Given persistent back pain and J&J COVID19 vaccine, pt was instructed to present to urgent Care. He deferred until the following day. On 4/15 pt woke up w/ worsening facial numbness. He presented to urgent care w/ b/l inability to close eyes and 'when attempting both eyes roll up into his head . He also complained of sharp pain upon extending his RUE and RLE. Exam showed b/l inability to close eyes, description of Bells phenomenon, and palpable tenderness at base of C spine w/ mild spasms. CTH was obtained and was unremarkable. CT C spine showed multilevel degenerative cahgnes w/ neuroforaminal narrowing at C5-C7. Given inability for pt to obtain an expedited MRI and LP to r/o inflammatory or malignancy process at outside hospital case was discussed and accepted for transfer on 4/15. Of note pt obtained J&J vaccine on 3/18 by outside hospital. On presentation patient confirms the timelime detailed above and additionally notes that he has lost his sense of taste. Pt underwent MRI scan on day of admission 4/15/21 which showed enhancement of the bilateral facial nerves and oculomotor nerves, and possible trigeminal nerve enhancement. He underwent LP which showed 6 WBCs and 346 protein;negative cytology and flow cytometry. Given his clinical presentation and imaging/CSF findings, high suspicion for atypical GBS/AIDP which EMG done on April 20th, 2021 was most consistent with. He underwent CT C/A/P which were all negative for malignancy. He was treated with IVIG for presumed AIDP/GBS. Discharged on April 21st, 2021.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Hypoaesthesia, Immunoglobulin therapy, Intervertebral disc space narrowing, Lumbar puncture abnormal, Magnetic resonance imaging head abnormal
Clinical narrative: Narrative: Patient was in his baseline state of health until 4/6 when he noted R hemibody numbness, which began with right-sided facial numbness when brushing teeth. He was evaluated by his PCP (no exam noted) and initiated on regimen of doxycyclnine 100mg BID, acyclovir 800mg TID, and prednisone 40mg for 'Bells Palsy'. On 4/9, a referral to neurology was made after pt returnedd to clinic w/ burning deep low back pain that radiates up to his shoulder, and his b/l temples. Neuro exam documented at that time denote a L sided Bells Palsy only. CBC, CMP, PSA, RPR, TSH, B12, ESR, CRP, RPR, Iron lvls were all normal. MRI brain and Lumbar spine were ordered and pt was to obtain expedited LP. Pt again re-presented to urgent care on 4/12 due to severe burning back pain that resolved w/ activity. At this time again only L sided facial weakness noted (documented as reduced ability to close eyelid, raise eyebrow, weakness puffing out cheeck, and reduced smile on L), no other weakness, drift, or sensory findings. Pt was instructed to continue doxycycline 100mg BOD 10d course (4/6-4/15), prednisone 40mg 7d course (4/6-4/12), acyclovir 800mg TID 7d course (4/6/-4/15), prednisone 40mg 7d course (4/6-4/12), acyclovir 800mg TID 7d course (4/6-4/12). Pt was instructed to obtain MRI and LP in expedited fashion. Telephone note Addendum on 4/14 noted improve in Bell Palsy symptoms and back/shoulder/head pain w/ tylenol. Given persistent back pain and J&J COVID19 vaccine, pt was instructed to present to urgent Care. He deferred until the following day. On 4/15 pt woke up w/ worsening facial numbness. He presented to urgent care w/ b/l inability to close eyes and 'when attempting both eyes roll up into his head . He also complained of sharp pain upon extending his RUE and RLE. Exam showed b/l inability to close eyes, description of Bells phenomenon, and palpable tenderness at base of C spine w/ mild spasms. CTH was obtained and was unremarkable. CT C spine showed multilevel degenerative cahgnes w/ neuroforaminal narrowing at C5-C7. Given inability for pt to obtain an expedited MRI and LP to r/o inflammatory or malignancy process at outside hospital case was discussed and accepted for transfer on 4/15. Of note pt obtained J&J vaccine on 3/18 by outside hospital. On presentation patient confirms the timelime detailed above and additionally notes that he has lost his sense of taste. Pt underwent MRI scan on day of admission 4/15/21 which showed enhancement of the bilateral facial nerves and oculomotor nerves, and possible trigeminal nerve enhancement. He underwent LP which showed 6 WBCs and 346 protein;negative cytology and flow cytometry. Given his clinical presentation and imaging/CSF findings, high suspicion for atypical GBS/AIDP which EMG done on April 20th, 2021 was most consistent with. He underwent CT C/A/P which were all negative for malignancy. He was treated with IVIG for presumed AIDP/GBS. Discharged on April 21st, 2021.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Magnetic resonance imaging spinal abnormal, Metabolic function test normal, Muscle spasms, Neurological examination abnormal, Pain
Clinical narrative: Narrative: Patient was in his baseline state of health until 4/6 when he noted R hemibody numbness, which began with right-sided facial numbness when brushing teeth. He was evaluated by his PCP (no exam noted) and initiated on regimen of doxycyclnine 100mg BID, acyclovir 800mg TID, and prednisone 40mg for 'Bells Palsy'. On 4/9, a referral to neurology was made after pt returnedd to clinic w/ burning deep low back pain that radiates up to his shoulder, and his b/l temples. Neuro exam documented at that time denote a L sided Bells Palsy only. CBC, CMP, PSA, RPR, TSH, B12, ESR, CRP, RPR, Iron lvls were all normal. MRI brain and Lumbar spine were ordered and pt was to obtain expedited LP. Pt again re-presented to urgent care on 4/12 due to severe burning back pain that resolved w/ activity. At this time again only L sided facial weakness noted (documented as reduced ability to close eyelid, raise eyebrow, weakness puffing out cheeck, and reduced smile on L), no other weakness, drift, or sensory findings. Pt was instructed to continue doxycycline 100mg BOD 10d course (4/6-4/15), prednisone 40mg 7d course (4/6-4/12), acyclovir 800mg TID 7d course (4/6/-4/15), prednisone 40mg 7d course (4/6-4/12), acyclovir 800mg TID 7d course (4/6-4/12). Pt was instructed to obtain MRI and LP in expedited fashion. Telephone note Addendum on 4/14 noted improve in Bell Palsy symptoms and back/shoulder/head pain w/ tylenol. Given persistent back pain and J&J COVID19 vaccine, pt was instructed to present to urgent Care. He deferred until the following day. On 4/15 pt woke up w/ worsening facial numbness. He presented to urgent care w/ b/l inability to close eyes and 'when attempting both eyes roll up into his head . He also complained of sharp pain upon extending his RUE and RLE. Exam showed b/l inability to close eyes, description of Bells phenomenon, and palpable tenderness at base of C spine w/ mild spasms. CTH was obtained and was unremarkable. CT C spine showed multilevel degenerative cahgnes w/ neuroforaminal narrowing at C5-C7. Given inability for pt to obtain an expedited MRI and LP to r/o inflammatory or malignancy process at outside hospital case was discussed and accepted for transfer on 4/15. Of note pt obtained J&J vaccine on 3/18 by outside hospital. On presentation patient confirms the timelime detailed above and additionally notes that he has lost his sense of taste. Pt underwent MRI scan on day of admission 4/15/21 which showed enhancement of the bilateral facial nerves and oculomotor nerves, and possible trigeminal nerve enhancement. He underwent LP which showed 6 WBCs and 346 protein;negative cytology and flow cytometry. Given his clinical presentation and imaging/CSF findings, high suspicion for atypical GBS/AIDP which EMG done on April 20th, 2021 was most consistent with. He underwent CT C/A/P which were all negative for malignancy. He was treated with IVIG for presumed AIDP/GBS. Discharged on April 21st, 2021.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Prostatic specific antigen normal, Red blood cell sedimentation rate normal, Spinal osteoarthritis, Tenderness, Treponema test negative
Clinical narrative: Narrative: Patient was in his baseline state of health until 4/6 when he noted R hemibody numbness, which began with right-sided facial numbness when brushing teeth. He was evaluated by his PCP (no exam noted) and initiated on regimen of doxycyclnine 100mg BID, acyclovir 800mg TID, and prednisone 40mg for 'Bells Palsy'. On 4/9, a referral to neurology was made after pt returnedd to clinic w/ burning deep low back pain that radiates up to his shoulder, and his b/l temples. Neuro exam documented at that time denote a L sided Bells Palsy only. CBC, CMP, PSA, RPR, TSH, B12, ESR, CRP, RPR, Iron lvls were all normal. MRI brain and Lumbar spine were ordered and pt was to obtain expedited LP. Pt again re-presented to urgent care on 4/12 due to severe burning back pain that resolved w/ activity. At this time again only L sided facial weakness noted (documented as reduced ability to close eyelid, raise eyebrow, weakness puffing out cheeck, and reduced smile on L), no other weakness, drift, or sensory findings. Pt was instructed to continue doxycycline 100mg BOD 10d course (4/6-4/15), prednisone 40mg 7d course (4/6-4/12), acyclovir 800mg TID 7d course (4/6/-4/15), prednisone 40mg 7d course (4/6-4/12), acyclovir 800mg TID 7d course (4/6-4/12). Pt was instructed to obtain MRI and LP in expedited fashion. Telephone note Addendum on 4/14 noted improve in Bell Palsy symptoms and back/shoulder/head pain w/ tylenol. Given persistent back pain and J&J COVID19 vaccine, pt was instructed to present to urgent Care. He deferred until the following day. On 4/15 pt woke up w/ worsening facial numbness. He presented to urgent care w/ b/l inability to close eyes and 'when attempting both eyes roll up into his head . He also complained of sharp pain upon extending his RUE and RLE. Exam showed b/l inability to close eyes, description of Bells phenomenon, and palpable tenderness at base of C spine w/ mild spasms. CTH was obtained and was unremarkable. CT C spine showed multilevel degenerative cahgnes w/ neuroforaminal narrowing at C5-C7. Given inability for pt to obtain an expedited MRI and LP to r/o inflammatory or malignancy process at outside hospital case was discussed and accepted for transfer on 4/15. Of note pt obtained J&J vaccine on 3/18 by outside hospital. On presentation patient confirms the timelime detailed above and additionally notes that he has lost his sense of taste. Pt underwent MRI scan on day of admission 4/15/21 which showed enhancement of the bilateral facial nerves and oculomotor nerves, and possible trigeminal nerve enhancement. He underwent LP which showed 6 WBCs and 346 protein;negative cytology and flow cytometry. Given his clinical presentation and imaging/CSF findings, high suspicion for atypical GBS/AIDP which EMG done on April 20th, 2021 was most consistent with. He underwent CT C/A/P which were all negative for malignancy. He was treated with IVIG for presumed AIDP/GBS. Discharged on April 21st, 2021.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Vitamin B12 normal
Clinical narrative: Narrative: Patient was in his baseline state of health until 4/6 when he noted R hemibody numbness, which began with right-sided facial numbness when brushing teeth. He was evaluated by his PCP (no exam noted) and initiated on regimen of doxycyclnine 100mg BID, acyclovir 800mg TID, and prednisone 40mg for 'Bells Palsy'. On 4/9, a referral to neurology was made after pt returnedd to clinic w/ burning deep low back pain that radiates up to his shoulder, and his b/l temples. Neuro exam documented at that time denote a L sided Bells Palsy only. CBC, CMP, PSA, RPR, TSH, B12, ESR, CRP, RPR, Iron lvls were all normal. MRI brain and Lumbar spine were ordered and pt was to obtain expedited LP. Pt again re-presented to urgent care on 4/12 due to severe burning back pain that resolved w/ activity. At this time again only L sided facial weakness noted (documented as reduced ability to close eyelid, raise eyebrow, weakness puffing out cheeck, and reduced smile on L), no other weakness, drift, or sensory findings. Pt was instructed to continue doxycycline 100mg BOD 10d course (4/6-4/15), prednisone 40mg 7d course (4/6-4/12), acyclovir 800mg TID 7d course (4/6/-4/15), prednisone 40mg 7d course (4/6-4/12), acyclovir 800mg TID 7d course (4/6-4/12). Pt was instructed to obtain MRI and LP in expedited fashion. Telephone note Addendum on 4/14 noted improve in Bell Palsy symptoms and back/shoulder/head pain w/ tylenol. Given persistent back pain and J&J COVID19 vaccine, pt was instructed to present to urgent Care. He deferred until the following day. On 4/15 pt woke up w/ worsening facial numbness. He presented to urgent care w/ b/l inability to close eyes and 'when attempting both eyes roll up into his head . He also complained of sharp pain upon extending his RUE and RLE. Exam showed b/l inability to close eyes, description of Bells phenomenon, and palpable tenderness at base of C spine w/ mild spasms. CTH was obtained and was unremarkable. CT C spine showed multilevel degenerative cahgnes w/ neuroforaminal narrowing at C5-C7. Given inability for pt to obtain an expedited MRI and LP to r/o inflammatory or malignancy process at outside hospital case was discussed and accepted for transfer on 4/15. Of note pt obtained J&J vaccine on 3/18 by outside hospital. On presentation patient confirms the timelime detailed above and additionally notes that he has lost his sense of taste. Pt underwent MRI scan on day of admission 4/15/21 which showed enhancement of the bilateral facial nerves and oculomotor nerves, and possible trigeminal nerve enhancement. He underwent LP which showed 6 WBCs and 346 protein;negative cytology and flow cytometry. Given his clinical presentation and imaging/CSF findings, high suspicion for atypical GBS/AIDP which EMG done on April 20th, 2021 was most consistent with. He underwent CT C/A/P which were all negative for malignancy. He was treated with IVIG for presumed AIDP/GBS. Discharged on April 21st, 2021.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Circumstance or information capable of leading to medication error, Fatigue, Pregnancy test negative, SARS-CoV-2 test negative
Clinical narrative: Pt. states that after receiving the 1st dose of Phizer 04/07/2021, started experiencing symptoms 04/09/2021 of extreme fatigue, 04/22/2021 irregular ?heavy? menstrual. Still continuing to experience symptoms.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sleep disorder
Clinical narrative: Pt. states that after receiving the 1st dose of Phizer 04/07/2021, started experiencing symptoms 04/09/2021 of extreme fatigue, 04/22/2021 irregular ?heavy? menstrual. Still continuing to experience symptoms.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Menstruation irregular
Clinical narrative: Pt. states that after receiving the 1st dose of Phizer 04/07/2021, started experiencing symptoms 04/09/2021 of extreme fatigue, 04/22/2021 irregular ?heavy? menstrual. Still continuing to experience symptoms.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Patient was admitted with sepsis and bacterial pneumonia on 12/17/2021. Patient had a COVID test on 12/24 for placement to Hospice and it was positive. Patient passed on 12/25.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Death, Pneumonia bacterial, SARS-CoV-2 test positive, Sepsis
Clinical narrative: Patient was admitted with sepsis and bacterial pneumonia on 12/17/2021. Patient had a COVID test on 12/24 for placement to Hospice and it was positive. Patient passed on 12/25.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested Positive for Covid.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Heart rate increased, Throat tightness, Urticaria
Clinical narrative: When I got the vaccine in my left arm. Just a few minutes after receiving the vaccine my arm began to feel heavy and my face felt tingling. I tried to look down at my arm to see why it felt heavy and that's when I noticed my throat began to feel tight. I then notice hives on my arm. I managed to get the pharmacy tech who then go the pharmacist who then administrated epi, 911 was called. Once on the ambulance I was given Benadryl and brought to the nearest hospital. I was given more medication via the ER nurse/ doc.  While on medicine to help control the reaction to the vaccine I continue and still continue to have affects. That following Saturday I felt my heart race and experience back and jaw pain. When I went to seek medical attention, I was told no one was going to assist me due to the vaccine was in my system and it was the cause of my discomfort. I followed up with a doctor appt with my primary who order xrays, ct scans, labs, and ekgs. dates spreading out from August to November.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Back pain, Computerised tomogram, Discomfort, Electrocardiogram, Laboratory test
Clinical narrative: When I got the vaccine in my left arm. Just a few minutes after receiving the vaccine my arm began to feel heavy and my face felt tingling. I tried to look down at my arm to see why it felt heavy and that's when I noticed my throat began to feel tight. I then notice hives on my arm. I managed to get the pharmacy tech who then go the pharmacist who then administrated epi, 911 was called. Once on the ambulance I was given Benadryl and brought to the nearest hospital. I was given more medication via the ER nurse/ doc.  While on medicine to help control the reaction to the vaccine I continue and still continue to have affects. That following Saturday I felt my heart race and experience back and jaw pain. When I went to seek medical attention, I was told no one was going to assist me due to the vaccine was in my system and it was the cause of my discomfort. I followed up with a doctor appt with my primary who order xrays, ct scans, labs, and ekgs. dates spreading out from August to November.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Limb discomfort, Pain in jaw, Palpitations, Paraesthesia, Throat tightness
Clinical narrative: When I got the vaccine in my left arm. Just a few minutes after receiving the vaccine my arm began to feel heavy and my face felt tingling. I tried to look down at my arm to see why it felt heavy and that's when I noticed my throat began to feel tight. I then notice hives on my arm. I managed to get the pharmacy tech who then go the pharmacist who then administrated epi, 911 was called. Once on the ambulance I was given Benadryl and brought to the nearest hospital. I was given more medication via the ER nurse/ doc.  While on medicine to help control the reaction to the vaccine I continue and still continue to have affects. That following Saturday I felt my heart race and experience back and jaw pain. When I went to seek medical attention, I was told no one was going to assist me due to the vaccine was in my system and it was the cause of my discomfort. I followed up with a doctor appt with my primary who order xrays, ct scans, labs, and ekgs. dates spreading out from August to November.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urticaria, X-ray
Clinical narrative: When I got the vaccine in my left arm. Just a few minutes after receiving the vaccine my arm began to feel heavy and my face felt tingling. I tried to look down at my arm to see why it felt heavy and that's when I noticed my throat began to feel tight. I then notice hives on my arm. I managed to get the pharmacy tech who then go the pharmacist who then administrated epi, 911 was called. Once on the ambulance I was given Benadryl and brought to the nearest hospital. I was given more medication via the ER nurse/ doc.  While on medicine to help control the reaction to the vaccine I continue and still continue to have affects. That following Saturday I felt my heart race and experience back and jaw pain. When I went to seek medical attention, I was told no one was going to assist me due to the vaccine was in my system and it was the cause of my discomfort. I followed up with a doctor appt with my primary who order xrays, ct scans, labs, and ekgs. dates spreading out from August to November.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Headache, Myalgia, SARS-CoV-2 test positive
Clinical narrative: per death certificate, pt died in the nursing home from COVID pneumonia; no mention of COVID in medical records received from nursing home; Doctor signed the death certificate
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19 pneumonia, Death
Clinical narrative: per death certificate, pt died in the nursing home from COVID pneumonia; no mention of COVID in medical records received from nursing home; Doctor signed the death certificate
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest pain, Computerised tomogram thorax abnormal, Cough
Clinical narrative: PMH:  CAD DMT2, lipidemia; admitted to hosp with AHRF secondary to COVID/bacterial coinfection; on high flow BiPAP; DNR/DNI; pt's condition deteriorated even after treatment with Lovenox, redesivir, Decadron, antibiotics; pt died in the hospital
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death, Dyspnoea, Inflammatory marker increased, Intensive care, Lung opacity
Clinical narrative: PMH:  CAD DMT2, lipidemia; admitted to hosp with AHRF secondary to COVID/bacterial coinfection; on high flow BiPAP; DNR/DNI; pt's condition deteriorated even after treatment with Lovenox, redesivir, Decadron, antibiotics; pt died in the hospital