chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Blood test, Blood urine present, Chills, Computerised tomogram
Clinical narrative: Day 1 after vaccine- felt fatigued and achy- backaches and chills  Day 2- felt fatigued and achy- backaches Day 3- felt fatigued and achy- backaches, blood in urine; went to family physician, urinalysis and meds given for severe infection  Day 6- started to feel better  Day 11- symptoms started again- back pain, fatigue, chills, body aches Day 13- saw family physician again.  Blood still in urine- no stones found on CAT scan, referred to Urologist. Day 15- Had severe stabbing pain and went to ER, another CAT scan performed- no stones. Blood still in Urine.  Referred to Urologist.    Day 34- symptoms are reoccurring  and waiting for Urologist appointment on 07/07/21
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain, Urine analysis
Clinical narrative: Day 1 after vaccine- felt fatigued and achy- backaches and chills  Day 2- felt fatigued and achy- backaches Day 3- felt fatigued and achy- backaches, blood in urine; went to family physician, urinalysis and meds given for severe infection  Day 6- started to feel better  Day 11- symptoms started again- back pain, fatigue, chills, body aches Day 13- saw family physician again.  Blood still in urine- no stones found on CAT scan, referred to Urologist. Day 15- Had severe stabbing pain and went to ER, another CAT scan performed- no stones. Blood still in Urine.  Referred to Urologist.    Day 34- symptoms are reoccurring  and waiting for Urologist appointment on 07/07/21
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Dermatitis, Dysstasia
Clinical narrative: Within 12 hours of the dosage typical symptoms reported such as as body aches, mild fever, chills, headache, injection site soreness were experienced. Following that for 12-48 hours following the vaccine administration, severe burning pain was felt in joints and throughout the body. Red inflamed skin was seen on hands, genital area. Visible twitching of face and arm, and leg muscles were seen. Numbness in left side of face was experienced. Severe weakness and inability to lift objects, weakness leading to difficulty standing and walking, spasm in muscles of back and legs, arms, and hands, stiffness in neck, blurred and shifting vision, flashes of light in vision, Etc.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Gait disturbance, Genital erythema, Genital tract inflammation, Headache
Clinical narrative: Within 12 hours of the dosage typical symptoms reported such as as body aches, mild fever, chills, headache, injection site soreness were experienced. Following that for 12-48 hours following the vaccine administration, severe burning pain was felt in joints and throughout the body. Red inflamed skin was seen on hands, genital area. Visible twitching of face and arm, and leg muscles were seen. Numbness in left side of face was experienced. Severe weakness and inability to lift objects, weakness leading to difficulty standing and walking, spasm in muscles of back and legs, arms, and hands, stiffness in neck, blurred and shifting vision, flashes of light in vision, Etc.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Injection site pain, Muscle spasms, Muscle twitching, Musculoskeletal stiffness
Clinical narrative: Within 12 hours of the dosage typical symptoms reported such as as body aches, mild fever, chills, headache, injection site soreness were experienced. Following that for 12-48 hours following the vaccine administration, severe burning pain was felt in joints and throughout the body. Red inflamed skin was seen on hands, genital area. Visible twitching of face and arm, and leg muscles were seen. Numbness in left side of face was experienced. Severe weakness and inability to lift objects, weakness leading to difficulty standing and walking, spasm in muscles of back and legs, arms, and hands, stiffness in neck, blurred and shifting vision, flashes of light in vision, Etc.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Photopsia, Pyrexia, Vision blurred, Visual impairment
Clinical narrative: Within 12 hours of the dosage typical symptoms reported such as as body aches, mild fever, chills, headache, injection site soreness were experienced. Following that for 12-48 hours following the vaccine administration, severe burning pain was felt in joints and throughout the body. Red inflamed skin was seen on hands, genital area. Visible twitching of face and arm, and leg muscles were seen. Numbness in left side of face was experienced. Severe weakness and inability to lift objects, weakness leading to difficulty standing and walking, spasm in muscles of back and legs, arms, and hands, stiffness in neck, blurred and shifting vision, flashes of light in vision, Etc.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acoustic stimulation tests, Blood test, Chest X-ray normal, Condition aggravated, Cough
Clinical narrative: Tinnitus is worse and still coughing
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Red blood cell count increased, Tinnitus
Clinical narrative: Tinnitus is worse and still coughing
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient presented to the ED and was subsequently hospitalized for  Possible ischemic colitis status post sigmoidectomy within 6 weeks of receiving COVID vaccination.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Immunisation, No adverse event
Clinical narrative: Patient received dose #2 of Pfizer vaccine on 6/9/2021 in vaccination facility and was notified by email that vial was left in freezer past recommended time frame. Medication expired beyond its freezer allowable date. Email recommended patient get re-vaccinated with dose again. Clinic re-administered dose on 6/14/2021 as recommended. No adverse reactions identified on site.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Agitation, Cardiac murmur, Mood swings, Palpitations
Clinical narrative: Pt states he has since visited the Dr. with heart palpations' and mummers'. Dr. stated she was going to later on to prescribe medications but no current change.  Very agitated and mood swings.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Condition aggravated, Pericarditis
Clinical narrative: relapse pericarditis unresponsive to customary treatment of Indocen 50mg 4x daily
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient experienced light-headedness post vaccination, recovered and released
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Migraine, Oral discomfort
Clinical narrative: A few hours after the injection burning feeling in the upper palate of the mouth. Still have the feeling two later. eighteen hours after injection severe headache. Pain was in the back of the head. Felt as if my head wanted to separate from the body and only a couple of muscles held it in place. That headache is now gone and has been replaced with a mild migraine.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Polyarthritis, Red blood cell sedimentation rate increased
Clinical narrative: severe ipsilateral shoulder pain. After second dose developed bilateral pain, then developed migratory polyarthritis. By the time I met him 2 months later he had inflamed joints, ESR 118. Rheumatology eval is in progress, but he has responded to steroids.  No prior history of an inflamatory arthritis
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Contusion, Fatigue, Pruritus, Rash, Rash erythematous
Clinical narrative: Primary Physician recommended I see a Dermatologist, which I did on 06/16/2021 and she concluded the malady was a result of "bruising".  I believe I have "Covid Arm" which I experienced the first day after the first shot. Initialy it was just my right arm, but following the second shot I developed it in both arms. I have a rash on my upper and lower right arm and a rash on my lower left arm. My hands and ankles often itch. I also have recurring red areas which were present on the second day after the first and second shot and only in my biceps area. I experience days of tiredness, and sometimes fatigue. I currently have all these symptoms.  DOB is 05/30/1940.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Menstruation irregular
Clinical narrative: Period problems after vaccine.  No period for 2 months after vaccine. First period that came back was extremely heavy, painful and lasted 12 days.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient received dose #2 of Pfizer vaccine on 6/7/2021 at vaccination center and was notified by email that vial was left in freezer past recommended time frame. Medication expired beyond its freezer allowable date. Email recommended patient get re-vaccinated with dose again. Clinic re-administered dose on 6/14/2021 as recommended. No adverse reactions identified on site.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Nausea
Clinical narrative: PATIENT COMPLAINED OF NAUSEA AND WAS COUGHING.  PATIENT DRANK WATER AND OBSERVED.
Age: 66.0
Sex: U
Vaccine: UNK, COVID19
Symptoms: Chest X-ray normal, Chills, Echocardiogram normal, Full blood count normal, Microbiology test normal
Clinical narrative: PATIENT RECIEVED HIS MODERNA VACCINATION FIRST DOSE ON FEBRUARY 1ST 2021 AND 2ND DOSE MARCH 1ST 2021 PATIENT DEVELOPED FEVER AND CHILLS AS WELL AS LOW O2 STAT, AND HE ADDRESSED HIS CONCERN WITHT HE PROVIDER HERE IN THE HOSPITAL THAT HIS HOSPITAL ADMISSION IS DUE TO THE MODERNA VACCINE HE RECEIVED
Age: 66.0
Sex: U
Vaccine: UNK, COVID19
Symptoms: Oxygen saturation decreased, Pyrexia
Clinical narrative: PATIENT RECIEVED HIS MODERNA VACCINATION FIRST DOSE ON FEBRUARY 1ST 2021 AND 2ND DOSE MARCH 1ST 2021 PATIENT DEVELOPED FEVER AND CHILLS AS WELL AS LOW O2 STAT, AND HE ADDRESSED HIS CONCERN WITHT HE PROVIDER HERE IN THE HOSPITAL THAT HIS HOSPITAL ADMISSION IS DUE TO THE MODERNA VACCINE HE RECEIVED
Age: 66.0
Sex: U
Vaccine: UNK, COVID19
Symptoms: Chills, Computerised tomogram normal, Laboratory test normal, Pain, Pyrexia
Clinical narrative: PATIENT RECIEVED HIS MODERNA VACCINATION FIRST DOSE ON FEBRUARY 1ST 2021 AND 2ND DOSE MARCH 1ST 2021 PATIENT DEVELOPED FEVER AND CHILLS AS WELL AS LOW O2 STAT, AND HE ADDRESSED HIS CONCERN WITHT HE PROVIDER HERE IN THE HOSPITAL THAT HIS HOSPITAL ADMISSION IS DUE TO THE MODERNA VACCINE HE RECEIVED
Age: 66.0
Sex: U
Vaccine: UNK, COVID19
Symptoms: Respiratory disorder, X-ray normal
Clinical narrative: PATIENT RECIEVED HIS MODERNA VACCINATION FIRST DOSE ON FEBRUARY 1ST 2021 AND 2ND DOSE MARCH 1ST 2021 PATIENT DEVELOPED FEVER AND CHILLS AS WELL AS LOW O2 STAT, AND HE ADDRESSED HIS CONCERN WITHT HE PROVIDER HERE IN THE HOSPITAL THAT HIS HOSPITAL ADMISSION IS DUE TO THE MODERNA VACCINE HE RECEIVED
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Lacunar stroke
Clinical narrative: numbness to left side of body from head down to toes- sensory stroke to left side
Age: 22.0
Sex: M
Vaccine: UNK
Symptoms: Back pain, Chest pain, Dyspnoea, Headache, Nausea
Clinical narrative: Shortness of breath, chest pain, back pain, fever, nausea, leg pain, headache
Age: 22.0
Sex: M
Vaccine: UNK
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Shortness of breath, chest pain, back pain, fever, nausea, leg pain, headache
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest discomfort, Chest pain, Condition aggravated, Crepitations
Clinical narrative: Some background info: I had shingles the month of April. Went on Famciclovir anti-viral medicine immediately and had to reschedule my COVID-19 vaccine. It was originally schedule for April 1st. Did not wait 90 days, only about 2 weeks before getting the Moderna shot on April 15th 10:30. The nurse practitioner said it should be fine to get the shot then. 2nd shot was May 13th. 1:00. First shot COVID-19 reaction was delayed, was a large red (about 2.5?), inflamed and sore area at the shot site. Lasted about 4-5 days. The second shot reaction occurred about 12 hours after the shot and was intense. The worst was uncontrollable shaking with my heart feeling like it was bursting out of my chest with irregular, fast pounding palpitations and intense shingles like pain everywhere. Especially in my lymph nodes and chest. My hands were so stiff and swollen I couldn't move them! Bones were grinding with shooting pain everytime I tried to reposition to try and get in a position that didn't hurt. Impossible...I thought I might be having a heart attack it woke me from a sound sleep at 1:30 in the morning. When the shakes subsided in about an hour, I decided not to call 911, figured I was going to live! It was really scary. Worst pain I've ever been in, would rather wear a mask all the rest of my days then get another moderna shot! Now I am having lots of arthritis like pain in my hands, neck and shoulders, even my toes. I?m having trigger finger  everyday in one or the other of my hands and had a one time strange cramping and paralysis in both my hands at the same time that started at the base of my thumb and flowed up my index finger making my hands look deformed. It lasted a few minutes then subsided. Also headaches are constant and more painful than before shot. I am still having some random heart palpitations and tightness, and pain in my chest. I tire more easily, especially after lifting and exercise. Waking up at night more between 1-3 am. Much more body aches and pains in general, but especially in my hands, head, chest, neck, shoulders and lymph nodes.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Joint contracture, Lymph node pain, Mobility decreased
Clinical narrative: Some background info: I had shingles the month of April. Went on Famciclovir anti-viral medicine immediately and had to reschedule my COVID-19 vaccine. It was originally schedule for April 1st. Did not wait 90 days, only about 2 weeks before getting the Moderna shot on April 15th 10:30. The nurse practitioner said it should be fine to get the shot then. 2nd shot was May 13th. 1:00. First shot COVID-19 reaction was delayed, was a large red (about 2.5?), inflamed and sore area at the shot site. Lasted about 4-5 days. The second shot reaction occurred about 12 hours after the shot and was intense. The worst was uncontrollable shaking with my heart feeling like it was bursting out of my chest with irregular, fast pounding palpitations and intense shingles like pain everywhere. Especially in my lymph nodes and chest. My hands were so stiff and swollen I couldn't move them! Bones were grinding with shooting pain everytime I tried to reposition to try and get in a position that didn't hurt. Impossible...I thought I might be having a heart attack it woke me from a sound sleep at 1:30 in the morning. When the shakes subsided in about an hour, I decided not to call 911, figured I was going to live! It was really scary. Worst pain I've ever been in, would rather wear a mask all the rest of my days then get another moderna shot! Now I am having lots of arthritis like pain in my hands, neck and shoulders, even my toes. I?m having trigger finger  everyday in one or the other of my hands and had a one time strange cramping and paralysis in both my hands at the same time that started at the base of my thumb and flowed up my index finger making my hands look deformed. It lasted a few minutes then subsided. Also headaches are constant and more painful than before shot. I am still having some random heart palpitations and tightness, and pain in my chest. I tire more easily, especially after lifting and exercise. Waking up at night more between 1-3 am. Much more body aches and pains in general, but especially in my hands, head, chest, neck, shoulders and lymph nodes.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Musculoskeletal stiffness, Pain, Palpitations, Paralysis
Clinical narrative: Some background info: I had shingles the month of April. Went on Famciclovir anti-viral medicine immediately and had to reschedule my COVID-19 vaccine. It was originally schedule for April 1st. Did not wait 90 days, only about 2 weeks before getting the Moderna shot on April 15th 10:30. The nurse practitioner said it should be fine to get the shot then. 2nd shot was May 13th. 1:00. First shot COVID-19 reaction was delayed, was a large red (about 2.5?), inflamed and sore area at the shot site. Lasted about 4-5 days. The second shot reaction occurred about 12 hours after the shot and was intense. The worst was uncontrollable shaking with my heart feeling like it was bursting out of my chest with irregular, fast pounding palpitations and intense shingles like pain everywhere. Especially in my lymph nodes and chest. My hands were so stiff and swollen I couldn't move them! Bones were grinding with shooting pain everytime I tried to reposition to try and get in a position that didn't hurt. Impossible...I thought I might be having a heart attack it woke me from a sound sleep at 1:30 in the morning. When the shakes subsided in about an hour, I decided not to call 911, figured I was going to live! It was really scary. Worst pain I've ever been in, would rather wear a mask all the rest of my days then get another moderna shot! Now I am having lots of arthritis like pain in my hands, neck and shoulders, even my toes. I?m having trigger finger  everyday in one or the other of my hands and had a one time strange cramping and paralysis in both my hands at the same time that started at the base of my thumb and flowed up my index finger making my hands look deformed. It lasted a few minutes then subsided. Also headaches are constant and more painful than before shot. I am still having some random heart palpitations and tightness, and pain in my chest. I tire more easily, especially after lifting and exercise. Waking up at night more between 1-3 am. Much more body aches and pains in general, but especially in my hands, head, chest, neck, shoulders and lymph nodes.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Sleep disorder, Tremor, Trigger finger
Clinical narrative: Some background info: I had shingles the month of April. Went on Famciclovir anti-viral medicine immediately and had to reschedule my COVID-19 vaccine. It was originally schedule for April 1st. Did not wait 90 days, only about 2 weeks before getting the Moderna shot on April 15th 10:30. The nurse practitioner said it should be fine to get the shot then. 2nd shot was May 13th. 1:00. First shot COVID-19 reaction was delayed, was a large red (about 2.5?), inflamed and sore area at the shot site. Lasted about 4-5 days. The second shot reaction occurred about 12 hours after the shot and was intense. The worst was uncontrollable shaking with my heart feeling like it was bursting out of my chest with irregular, fast pounding palpitations and intense shingles like pain everywhere. Especially in my lymph nodes and chest. My hands were so stiff and swollen I couldn't move them! Bones were grinding with shooting pain everytime I tried to reposition to try and get in a position that didn't hurt. Impossible...I thought I might be having a heart attack it woke me from a sound sleep at 1:30 in the morning. When the shakes subsided in about an hour, I decided not to call 911, figured I was going to live! It was really scary. Worst pain I've ever been in, would rather wear a mask all the rest of my days then get another moderna shot! Now I am having lots of arthritis like pain in my hands, neck and shoulders, even my toes. I?m having trigger finger  everyday in one or the other of my hands and had a one time strange cramping and paralysis in both my hands at the same time that started at the base of my thumb and flowed up my index finger making my hands look deformed. It lasted a few minutes then subsided. Also headaches are constant and more painful than before shot. I am still having some random heart palpitations and tightness, and pain in my chest. I tire more easily, especially after lifting and exercise. Waking up at night more between 1-3 am. Much more body aches and pains in general, but especially in my hands, head, chest, neck, shoulders and lymph nodes.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Blood test, Chest X-ray, Chest pain, Chills
Clinical narrative: The next day after the 2nd dose of the vaccine, I started getting flu like symptoms, headaches, chills, nausea, body aches, slight cough. These symptoms lasted for 5 days. I took cold medicine and Tylenol. I started to feel better, but I started to notice my heart racing. I went to the doctor and they confirm that your rate heart was a little high 90-95. My BP was OK and I was to keep an eye on it. I also noticed increase quantity of cysts around my thyroid from 3 prior to the vaccine to 7 after the vaccine. I went to get a sonogram to confirm the cysts. I have a appt with a surgeon this weekend to see if I need to have to get a biopsy. I go to the gym daily and I notice my heart rate racing and could visibly see my pulse beating on my neck and I also had chest pains. I went to the ER. They took my vitals, ECG, blood work and chest X-ray. Everything came back normal except my blood pressure and heart rate was elevated. I was diagnosed with possible anxiety and adverse events of COVID vaccine. I was discharge with no medications or instructions and to wait it out and let the vaccine the run its course.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Electrocardiogram, Headache, Heart rate increased, Influenza like illness
Clinical narrative: The next day after the 2nd dose of the vaccine, I started getting flu like symptoms, headaches, chills, nausea, body aches, slight cough. These symptoms lasted for 5 days. I took cold medicine and Tylenol. I started to feel better, but I started to notice my heart racing. I went to the doctor and they confirm that your rate heart was a little high 90-95. My BP was OK and I was to keep an eye on it. I also noticed increase quantity of cysts around my thyroid from 3 prior to the vaccine to 7 after the vaccine. I went to get a sonogram to confirm the cysts. I have a appt with a surgeon this weekend to see if I need to have to get a biopsy. I go to the gym daily and I notice my heart rate racing and could visibly see my pulse beating on my neck and I also had chest pains. I went to the ER. They took my vitals, ECG, blood work and chest X-ray. Everything came back normal except my blood pressure and heart rate was elevated. I was diagnosed with possible anxiety and adverse events of COVID vaccine. I was discharge with no medications or instructions and to wait it out and let the vaccine the run its course.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Palpitations, Thyroid cyst
Clinical narrative: The next day after the 2nd dose of the vaccine, I started getting flu like symptoms, headaches, chills, nausea, body aches, slight cough. These symptoms lasted for 5 days. I took cold medicine and Tylenol. I started to feel better, but I started to notice my heart racing. I went to the doctor and they confirm that your rate heart was a little high 90-95. My BP was OK and I was to keep an eye on it. I also noticed increase quantity of cysts around my thyroid from 3 prior to the vaccine to 7 after the vaccine. I went to get a sonogram to confirm the cysts. I have a appt with a surgeon this weekend to see if I need to have to get a biopsy. I go to the gym daily and I notice my heart rate racing and could visibly see my pulse beating on my neck and I also had chest pains. I went to the ER. They took my vitals, ECG, blood work and chest X-ray. Everything came back normal except my blood pressure and heart rate was elevated. I was diagnosed with possible anxiety and adverse events of COVID vaccine. I was discharge with no medications or instructions and to wait it out and let the vaccine the run its course.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Head injury, Syncope, Tooth injury
Clinical narrative: Patient fainted and fell out of chair immediately upon receiving shot  Hit her head on the floor and chipped a tooth.  called 911 and put cold wet paper towel on patient's forehead until emt's arrived.  Emt's advised patient to be seen by a physician.
Age: 30.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient received dose #2 of Pfizer vaccine on 6/7/2021 vaccination services and was notified by email that vial was left in freezer past recommended time frame. Medication expired beyond its freezer allowable date. Email recommended patient get re-vaccinated with dose again. Affiliated Physicians re-administered dose on 6/14/2021 as recommended. No adverse reactions identified on site.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: PATIENT COMPLAINED OF FEELING FAINT. DRANK WATER. PATIENT LAYED DOWN ON COT WITH FEET ELEVATED AND OBSERVED.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Client received first Moderna vaccine inadvertently.  Client family and Rehab and Nursing Center staff unaware that client received COVID-19 Janssen vaccine on 4/6/21 (per shots database) at time Moderna vaccine was administered.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest pain, Dyspnoea, Electrocardiogram, Heart rate increased
Clinical narrative: Mom woke me up with her pulse at 134, 140, her BP about 160/90, she was out of breath, complained of chest pain, refused going to the ER.  I increased her Toprol b/c it had controlled her pulse when she developed A-fib in 2011. I was afraid to do it, so I increased it very little after I confirmed clinical protocol online, plus I know her condition well, but still I am not a physician. Very early in the morning with her cardiologist from home called me and told me to increase by half the Toprol dosage. He is her cardiologist when mom lives . It took almost a week to bring her pulse down to the 70's which is the ideal goal Dr.  set. Her feet remained swollen for  a few weeks. I am taking her to the  clinic to see her cardiologists there as well on July 7th.  PCP ordered two ekg's locally and her usual blood work-up for tikosyn  (every 90 days). We go once a year  because it was Doctor  who stabilized her back in 2011 with tikosyn. I drove her from out of state then to the clinic. She had had an awful adverse response to multaq . It almost killed her. My brother was traveling abroad an took her to my home. I had her hospitalized to have her pulse stabilized and then arranged the  clinic visit. Since then she has the yearly visits and her home cardiologist  supervised her care. She is very lucky to have such amazing physicians. This year was a bit different because of online health care, but now that we are vaccinated we are driving in.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Renal function test
Clinical narrative: Mom woke me up with her pulse at 134, 140, her BP about 160/90, she was out of breath, complained of chest pain, refused going to the ER.  I increased her Toprol b/c it had controlled her pulse when she developed A-fib in 2011. I was afraid to do it, so I increased it very little after I confirmed clinical protocol online, plus I know her condition well, but still I am not a physician. Very early in the morning with her cardiologist from home called me and told me to increase by half the Toprol dosage. He is her cardiologist when mom lives . It took almost a week to bring her pulse down to the 70's which is the ideal goal Dr.  set. Her feet remained swollen for  a few weeks. I am taking her to the  clinic to see her cardiologists there as well on July 7th.  PCP ordered two ekg's locally and her usual blood work-up for tikosyn  (every 90 days). We go once a year  because it was Doctor  who stabilized her back in 2011 with tikosyn. I drove her from out of state then to the clinic. She had had an awful adverse response to multaq . It almost killed her. My brother was traveling abroad an took her to my home. I had her hospitalized to have her pulse stabilized and then arranged the  clinic visit. Since then she has the yearly visits and her home cardiologist  supervised her care. She is very lucky to have such amazing physicians. This year was a bit different because of online health care, but now that we are vaccinated we are driving in.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Acute disseminated encephalomyelitis, Angiogram cerebral normal, Aphasia, Ascites, Blood bicarbonate increased
Clinical narrative: Admit note patient is a 57-year-old female with past medical history of diabetes mellitus II, hyperlipidemia, COPD and recent history of anoxic brain injury for which she was admitted at hospital and subsequently discharged to hospital for completion of rehab. Patient presents to hospital via EMS due to significant dyspnea observed by staff over the previous 24 hours. Per medical record tab, patient was having difficulty maintaining O2 sats and was evaluated by Dr, sats were 77%. Patient had labs ordered and BNP revealed value of 90,000+. Patient received dose of IV Lasix at facility for pulmonary edema and alternated between nasal cannula, CPAP, nonrebreather's and Venti mask. Patient ultimately achieved 85% sat on Ventimask subsequently transported to ED this morning.     Of note, patient was functionally independent and lived with daughter prior to being found down and during late May and subsequently admitted to hospital where she was intubated, treated and subsequently discharged to facility for completion of rehab. Per facility staff, patient was able to speak and answer questions with baseline degree of expressive aphasia just 24 hours prior to presentation hospital. On evaluation at admission, patient appears alert but is not able to answer questions or obey commands. Thus, history was limited to information obtained from rehab and ED checkout. In the ED, an ABG was ambulated which revealed pH 7.35, PCO2 64, PO2 49, bicarb 37. CMP was significant for BG 135, BUN 27, creatinine 1.3, magnesium 1.5, electrolytes otherwise were largely within normal limits. Initial troponin was elevated at 87, BNP was significantly elevated at 111,902. Pro-Cal and lactic acid were negative within normal limits. CBC was largely within normal limits. Urinalysis demonstrated moderate blood with small leukocyte esterase. Vitamin D was significantly reduced to 15. Covid screen was negative. A CT PE was completed and negative for evidence of PE, however demonstrated bilateral pleural effusions body wall edema and ascites. Patient was subsequently admitted to Hospital for further management Neuro admit note: 57 year old female with DM, COPD, HTN, h/p anoxic brain injury. was at nursing home when started having desaturations. BNP was elevated and patient received oxygen and Lasix. Patient was unresponsive and had to be intubated. Was not moving left side very much stat head CTA was done which was negative, was hooked up to eeg and patient was found to be in status epilepticus. currently she is on keppra 1g q8h and propofol. She has had no clinical seizures today and is moving all 4 ext.  MD.  Working diagnosis Acute disseminated encephalomyelitis associated with COVID 19 Vaccine.. Patient responding to high dose steroids (1gm methylprednisolone daily) x 5 days.  Extubated, and alert and oriented. Responding to commands.  Only one oligoclonal band.  Still in ICU, but preparing for transfer to lower level of care.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatinine increased, Blood electrolytes normal, Blood glucose increased, Blood lactic acid normal, Blood magnesium normal
Clinical narrative: Admit note patient is a 57-year-old female with past medical history of diabetes mellitus II, hyperlipidemia, COPD and recent history of anoxic brain injury for which she was admitted at hospital and subsequently discharged to hospital for completion of rehab. Patient presents to hospital via EMS due to significant dyspnea observed by staff over the previous 24 hours. Per medical record tab, patient was having difficulty maintaining O2 sats and was evaluated by Dr, sats were 77%. Patient had labs ordered and BNP revealed value of 90,000+. Patient received dose of IV Lasix at facility for pulmonary edema and alternated between nasal cannula, CPAP, nonrebreather's and Venti mask. Patient ultimately achieved 85% sat on Ventimask subsequently transported to ED this morning.     Of note, patient was functionally independent and lived with daughter prior to being found down and during late May and subsequently admitted to hospital where she was intubated, treated and subsequently discharged to facility for completion of rehab. Per facility staff, patient was able to speak and answer questions with baseline degree of expressive aphasia just 24 hours prior to presentation hospital. On evaluation at admission, patient appears alert but is not able to answer questions or obey commands. Thus, history was limited to information obtained from rehab and ED checkout. In the ED, an ABG was ambulated which revealed pH 7.35, PCO2 64, PO2 49, bicarb 37. CMP was significant for BG 135, BUN 27, creatinine 1.3, magnesium 1.5, electrolytes otherwise were largely within normal limits. Initial troponin was elevated at 87, BNP was significantly elevated at 111,902. Pro-Cal and lactic acid were negative within normal limits. CBC was largely within normal limits. Urinalysis demonstrated moderate blood with small leukocyte esterase. Vitamin D was significantly reduced to 15. Covid screen was negative. A CT PE was completed and negative for evidence of PE, however demonstrated bilateral pleural effusions body wall edema and ascites. Patient was subsequently admitted to Hospital for further management Neuro admit note: 57 year old female with DM, COPD, HTN, h/p anoxic brain injury. was at nursing home when started having desaturations. BNP was elevated and patient received oxygen and Lasix. Patient was unresponsive and had to be intubated. Was not moving left side very much stat head CTA was done which was negative, was hooked up to eeg and patient was found to be in status epilepticus. currently she is on keppra 1g q8h and propofol. She has had no clinical seizures today and is moving all 4 ext.  MD.  Working diagnosis Acute disseminated encephalomyelitis associated with COVID 19 Vaccine.. Patient responding to high dose steroids (1gm methylprednisolone daily) x 5 days.  Extubated, and alert and oriented. Responding to commands.  Only one oligoclonal band.  Still in ICU, but preparing for transfer to lower level of care.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pH normal, Blood urea increased, Blood urine, Brain natriuretic peptide increased, CSF oligoclonal band present
Clinical narrative: Admit note patient is a 57-year-old female with past medical history of diabetes mellitus II, hyperlipidemia, COPD and recent history of anoxic brain injury for which she was admitted at hospital and subsequently discharged to hospital for completion of rehab. Patient presents to hospital via EMS due to significant dyspnea observed by staff over the previous 24 hours. Per medical record tab, patient was having difficulty maintaining O2 sats and was evaluated by Dr, sats were 77%. Patient had labs ordered and BNP revealed value of 90,000+. Patient received dose of IV Lasix at facility for pulmonary edema and alternated between nasal cannula, CPAP, nonrebreather's and Venti mask. Patient ultimately achieved 85% sat on Ventimask subsequently transported to ED this morning.     Of note, patient was functionally independent and lived with daughter prior to being found down and during late May and subsequently admitted to hospital where she was intubated, treated and subsequently discharged to facility for completion of rehab. Per facility staff, patient was able to speak and answer questions with baseline degree of expressive aphasia just 24 hours prior to presentation hospital. On evaluation at admission, patient appears alert but is not able to answer questions or obey commands. Thus, history was limited to information obtained from rehab and ED checkout. In the ED, an ABG was ambulated which revealed pH 7.35, PCO2 64, PO2 49, bicarb 37. CMP was significant for BG 135, BUN 27, creatinine 1.3, magnesium 1.5, electrolytes otherwise were largely within normal limits. Initial troponin was elevated at 87, BNP was significantly elevated at 111,902. Pro-Cal and lactic acid were negative within normal limits. CBC was largely within normal limits. Urinalysis demonstrated moderate blood with small leukocyte esterase. Vitamin D was significantly reduced to 15. Covid screen was negative. A CT PE was completed and negative for evidence of PE, however demonstrated bilateral pleural effusions body wall edema and ascites. Patient was subsequently admitted to Hospital for further management Neuro admit note: 57 year old female with DM, COPD, HTN, h/p anoxic brain injury. was at nursing home when started having desaturations. BNP was elevated and patient received oxygen and Lasix. Patient was unresponsive and had to be intubated. Was not moving left side very much stat head CTA was done which was negative, was hooked up to eeg and patient was found to be in status epilepticus. currently she is on keppra 1g q8h and propofol. She has had no clinical seizures today and is moving all 4 ext.  MD.  Working diagnosis Acute disseminated encephalomyelitis associated with COVID 19 Vaccine.. Patient responding to high dose steroids (1gm methylprednisolone daily) x 5 days.  Extubated, and alert and oriented. Responding to commands.  Only one oligoclonal band.  Still in ICU, but preparing for transfer to lower level of care.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Continuous positive airway pressure, Dyspnoea, Electroencephalogram abnormal, Flow cytometry
Clinical narrative: Admit note patient is a 57-year-old female with past medical history of diabetes mellitus II, hyperlipidemia, COPD and recent history of anoxic brain injury for which she was admitted at hospital and subsequently discharged to hospital for completion of rehab. Patient presents to hospital via EMS due to significant dyspnea observed by staff over the previous 24 hours. Per medical record tab, patient was having difficulty maintaining O2 sats and was evaluated by Dr, sats were 77%. Patient had labs ordered and BNP revealed value of 90,000+. Patient received dose of IV Lasix at facility for pulmonary edema and alternated between nasal cannula, CPAP, nonrebreather's and Venti mask. Patient ultimately achieved 85% sat on Ventimask subsequently transported to ED this morning.     Of note, patient was functionally independent and lived with daughter prior to being found down and during late May and subsequently admitted to hospital where she was intubated, treated and subsequently discharged to facility for completion of rehab. Per facility staff, patient was able to speak and answer questions with baseline degree of expressive aphasia just 24 hours prior to presentation hospital. On evaluation at admission, patient appears alert but is not able to answer questions or obey commands. Thus, history was limited to information obtained from rehab and ED checkout. In the ED, an ABG was ambulated which revealed pH 7.35, PCO2 64, PO2 49, bicarb 37. CMP was significant for BG 135, BUN 27, creatinine 1.3, magnesium 1.5, electrolytes otherwise were largely within normal limits. Initial troponin was elevated at 87, BNP was significantly elevated at 111,902. Pro-Cal and lactic acid were negative within normal limits. CBC was largely within normal limits. Urinalysis demonstrated moderate blood with small leukocyte esterase. Vitamin D was significantly reduced to 15. Covid screen was negative. A CT PE was completed and negative for evidence of PE, however demonstrated bilateral pleural effusions body wall edema and ascites. Patient was subsequently admitted to Hospital for further management Neuro admit note: 57 year old female with DM, COPD, HTN, h/p anoxic brain injury. was at nursing home when started having desaturations. BNP was elevated and patient received oxygen and Lasix. Patient was unresponsive and had to be intubated. Was not moving left side very much stat head CTA was done which was negative, was hooked up to eeg and patient was found to be in status epilepticus. currently she is on keppra 1g q8h and propofol. She has had no clinical seizures today and is moving all 4 ext.  MD.  Working diagnosis Acute disseminated encephalomyelitis associated with COVID 19 Vaccine.. Patient responding to high dose steroids (1gm methylprednisolone daily) x 5 days.  Extubated, and alert and oriented. Responding to commands.  Only one oligoclonal band.  Still in ICU, but preparing for transfer to lower level of care.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count normal, Intensive care, Laboratory test, Lumbar puncture normal, Magnetic resonance imaging head abnormal
Clinical narrative: Admit note patient is a 57-year-old female with past medical history of diabetes mellitus II, hyperlipidemia, COPD and recent history of anoxic brain injury for which she was admitted at hospital and subsequently discharged to hospital for completion of rehab. Patient presents to hospital via EMS due to significant dyspnea observed by staff over the previous 24 hours. Per medical record tab, patient was having difficulty maintaining O2 sats and was evaluated by Dr, sats were 77%. Patient had labs ordered and BNP revealed value of 90,000+. Patient received dose of IV Lasix at facility for pulmonary edema and alternated between nasal cannula, CPAP, nonrebreather's and Venti mask. Patient ultimately achieved 85% sat on Ventimask subsequently transported to ED this morning.     Of note, patient was functionally independent and lived with daughter prior to being found down and during late May and subsequently admitted to hospital where she was intubated, treated and subsequently discharged to facility for completion of rehab. Per facility staff, patient was able to speak and answer questions with baseline degree of expressive aphasia just 24 hours prior to presentation hospital. On evaluation at admission, patient appears alert but is not able to answer questions or obey commands. Thus, history was limited to information obtained from rehab and ED checkout. In the ED, an ABG was ambulated which revealed pH 7.35, PCO2 64, PO2 49, bicarb 37. CMP was significant for BG 135, BUN 27, creatinine 1.3, magnesium 1.5, electrolytes otherwise were largely within normal limits. Initial troponin was elevated at 87, BNP was significantly elevated at 111,902. Pro-Cal and lactic acid were negative within normal limits. CBC was largely within normal limits. Urinalysis demonstrated moderate blood with small leukocyte esterase. Vitamin D was significantly reduced to 15. Covid screen was negative. A CT PE was completed and negative for evidence of PE, however demonstrated bilateral pleural effusions body wall edema and ascites. Patient was subsequently admitted to Hospital for further management Neuro admit note: 57 year old female with DM, COPD, HTN, h/p anoxic brain injury. was at nursing home when started having desaturations. BNP was elevated and patient received oxygen and Lasix. Patient was unresponsive and had to be intubated. Was not moving left side very much stat head CTA was done which was negative, was hooked up to eeg and patient was found to be in status epilepticus. currently she is on keppra 1g q8h and propofol. She has had no clinical seizures today and is moving all 4 ext.  MD.  Working diagnosis Acute disseminated encephalomyelitis associated with COVID 19 Vaccine.. Patient responding to high dose steroids (1gm methylprednisolone daily) x 5 days.  Extubated, and alert and oriented. Responding to commands.  Only one oligoclonal band.  Still in ICU, but preparing for transfer to lower level of care.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Oxygen saturation decreased, PCO2 increased, PO2 decreased, Pleural effusion
Clinical narrative: Admit note patient is a 57-year-old female with past medical history of diabetes mellitus II, hyperlipidemia, COPD and recent history of anoxic brain injury for which she was admitted at hospital and subsequently discharged to hospital for completion of rehab. Patient presents to hospital via EMS due to significant dyspnea observed by staff over the previous 24 hours. Per medical record tab, patient was having difficulty maintaining O2 sats and was evaluated by Dr, sats were 77%. Patient had labs ordered and BNP revealed value of 90,000+. Patient received dose of IV Lasix at facility for pulmonary edema and alternated between nasal cannula, CPAP, nonrebreather's and Venti mask. Patient ultimately achieved 85% sat on Ventimask subsequently transported to ED this morning.     Of note, patient was functionally independent and lived with daughter prior to being found down and during late May and subsequently admitted to hospital where she was intubated, treated and subsequently discharged to facility for completion of rehab. Per facility staff, patient was able to speak and answer questions with baseline degree of expressive aphasia just 24 hours prior to presentation hospital. On evaluation at admission, patient appears alert but is not able to answer questions or obey commands. Thus, history was limited to information obtained from rehab and ED checkout. In the ED, an ABG was ambulated which revealed pH 7.35, PCO2 64, PO2 49, bicarb 37. CMP was significant for BG 135, BUN 27, creatinine 1.3, magnesium 1.5, electrolytes otherwise were largely within normal limits. Initial troponin was elevated at 87, BNP was significantly elevated at 111,902. Pro-Cal and lactic acid were negative within normal limits. CBC was largely within normal limits. Urinalysis demonstrated moderate blood with small leukocyte esterase. Vitamin D was significantly reduced to 15. Covid screen was negative. A CT PE was completed and negative for evidence of PE, however demonstrated bilateral pleural effusions body wall edema and ascites. Patient was subsequently admitted to Hospital for further management Neuro admit note: 57 year old female with DM, COPD, HTN, h/p anoxic brain injury. was at nursing home when started having desaturations. BNP was elevated and patient received oxygen and Lasix. Patient was unresponsive and had to be intubated. Was not moving left side very much stat head CTA was done which was negative, was hooked up to eeg and patient was found to be in status epilepticus. currently she is on keppra 1g q8h and propofol. She has had no clinical seizures today and is moving all 4 ext.  MD.  Working diagnosis Acute disseminated encephalomyelitis associated with COVID 19 Vaccine.. Patient responding to high dose steroids (1gm methylprednisolone daily) x 5 days.  Extubated, and alert and oriented. Responding to commands.  Only one oligoclonal band.  Still in ICU, but preparing for transfer to lower level of care.