chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Cytogenetic analysis, Delivery, Exposure during pregnancy, Foetal heart rate abnormal, Induced labour
Clinical narrative: I had went for a routine checkup at 14 weeks pregnant t. OBGYN.  I consulted her about my hesitancy to get the vaccine while pregnant.  I was due with a boy for 11/4.  I had an IUD in when I was discovered I was pregnant.  At was removed at 6 weeks pregnant.  I had multiple scans, checkups, a Natera Panorama evaluation he was doing great.  I scheduled my Pfizer at the local CVS for that evening.  My next appointment was  the Perinatal Center (due to advanced maternal age) when I was 20 weeks 5 days pregnant and the scans revealed no heartbeat and he stopped growing shortly after I received my first dose.  That was 6/22.  I was induced and delivered him at 21 weeks pregnant at hospital.  I have 3 living children.  They are 7.5, 5 and 2.5.  I have had 3 miscarriages prior.  One at 6 weeks, 8 weeks and 9 weeks.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound antenatal screen abnormal
Clinical narrative: I had went for a routine checkup at 14 weeks pregnant t. OBGYN.  I consulted her about my hesitancy to get the vaccine while pregnant.  I was due with a boy for 11/4.  I had an IUD in when I was discovered I was pregnant.  At was removed at 6 weeks pregnant.  I had multiple scans, checkups, a Natera Panorama evaluation he was doing great.  I scheduled my Pfizer at the local CVS for that evening.  My next appointment was  the Perinatal Center (due to advanced maternal age) when I was 20 weeks 5 days pregnant and the scans revealed no heartbeat and he stopped growing shortly after I received my first dose.  That was 6/22.  I was induced and delivered him at 21 weeks pregnant at hospital.  I have 3 living children.  They are 7.5, 5 and 2.5.  I have had 3 miscarriages prior.  One at 6 weeks, 8 weeks and 9 weeks.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Went shopping after I received the shot. Broke out in full body hives within an hour and a half after taking my first covid shot. Started on the lower back and spread to tummy area, arms.  Drank approx. 1/4 of children's liquid Benadryl to help with the hives. Headed home after drinking (& paying) for the Liquid Benadryl.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Patient uncooperative
Clinical narrative: Originally tried vaccinating patient using their left arm. Patient moved arm during vaccine administration and more than half of vaccine did not enter patient's arm. Re-dosed using right arm with new dose with no further problems.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Blood pressure increased, Dizziness, Headache, Heart rate increased
Clinical narrative: Day 2 and Day 3 - nausea, vertigo, dizziness, anxiety, trembling Day 3 and Day 4 - head ache, nausea, heart palpitations, elevated blood pressure ( 165/81 pulse 85 where the normal is 130's/70's pulse 60's) , night terrors
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Palpitations, Sleep terror, Tremor, Vertigo
Clinical narrative: Day 2 and Day 3 - nausea, vertigo, dizziness, anxiety, trembling Day 3 and Day 4 - head ache, nausea, heart palpitations, elevated blood pressure ( 165/81 pulse 85 where the normal is 130's/70's pulse 60's) , night terrors
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No Adverse Events noted
Age: 5.0
Sex: F
Vaccine: HEPA
Symptoms: Depersonalisation/derealisation disorder, Fall, Haemorrhage, Lethargy, Loss of consciousness
Clinical narrative: Patient was fine after the Hep A vaccine but passed out 10 minutes after the shot. She fell into a chair in the office and knocked out her 2 front teeth. After the bleeding slowed and the nurses reviewing her, she was released but in a lethargic state from the adverse reaction to the vaccine. The lethargic state continued for 3+ hours after returning home with her making groaning noise and not seeming herself.
Age: 5.0
Sex: F
Vaccine: HEPA
Symptoms: Tooth injury
Clinical narrative: Patient was fine after the Hep A vaccine but passed out 10 minutes after the shot. She fell into a chair in the office and knocked out her 2 front teeth. After the bleeding slowed and the nurses reviewing her, she was released but in a lethargic state from the adverse reaction to the vaccine. The lethargic state continued for 3+ hours after returning home with her making groaning noise and not seeming herself.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Abdominal pain upper, Flatulence
Clinical narrative: SEVERE GAS STARTING ON JUNE 19 2021 TO CURRENT (JULY 15, 2021), SEVERE BLOATING, MINOR STOMACH CRAMPS. ONLY MINOR REMEDY IS EATING FRESH FRUITS EVERY TWO TO THREE HOURS.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: 15 min after getting her vaccine, individual felt lightheaded.  HR:60/min, BP 120/60.  @ 13:05 pt. ate a protein bar (she didn't have breakfast), individual also drink plenty of water.  Pt states she feels better.  1310PM pt called her ride to be picked.  Pt left the facility at 13:30, asymptomatic.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site mass, Skin warm
Clinical narrative: Red lump 2 inches below the location of the shot It's hot to the touch and sore It matched what the CDC's site said about side-effects, except for being 2 inches away from the location of the shot
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Gait disturbance, Laboratory test normal, Loss of personal independence in daily activities, Pain
Clinical narrative: On approximately March 27, two weeks after Janssen vaccine, patient began having pain in right hip and started to have difficulty with walking and using stairs. Between April 3 and 10th patient began having severe right hip pain. She was unable to do stairs and had pain with ambulation.  She contacted her family physician but was unable to get in to see her until May 17th. patient was still having the severe pain in her right hip. Doctor ordered x-rays and blood work which did not have any unusual results. The doctor thought possibly sciatica or nerve pain. Pain in hip is slowly improving but now that info is out about guillain-barre syndrome she feels that could possibly be the cause. patient is contacting doctor to determine diagnosis.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray normal
Clinical narrative: On approximately March 27, two weeks after Janssen vaccine, patient began having pain in right hip and started to have difficulty with walking and using stairs. Between April 3 and 10th patient began having severe right hip pain. She was unable to do stairs and had pain with ambulation.  She contacted her family physician but was unable to get in to see her until May 17th. patient was still having the severe pain in her right hip. Doctor ordered x-rays and blood work which did not have any unusual results. The doctor thought possibly sciatica or nerve pain. Pain in hip is slowly improving but now that info is out about guillain-barre syndrome she feels that could possibly be the cause. patient is contacting doctor to determine diagnosis.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Diagnosed with COVID19 on 7/15/21, symptom onset 7/11/21. Confirmation w/PCR testing.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Impaired work ability, Oxygen saturation decreased
Clinical narrative: Patient was taken to the ER by his wife, on 4/12/21 with shortness of breath.  He was sent home on continuous O2, which was never needed prior to his vaccination.  Wife denies any chronic health conditions and reports that pt has been to more that one specialist because of his continued need to be on O2.  She reports his saturation drops with minimal exertion and that the client has not even been able to return to work.  When asked what the doctors had said, she reported that they blamed it on his weight.  She reports that his weight has been the same since well before the vaccination.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Itchy all over, but especially scalp
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Paraesthesia
Clinical narrative: Attendee voiced his reaction to his vaccine. There were complaints of lightheadedness and tingling sensation in lower extremities.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Palpitations
Clinical narrative: Heart palpitations, shortness of breath, breathing problems, difficulty taking deep breaths.
Age: 39.0
Sex: F
Vaccine: UNK
Symptoms: Ageusia, Anosmia, Chills, Dyspnoea, Fatigue
Clinical narrative: 7/9/2021 - shortness of breath  On 7/10/2021 - loss taste and smell  On 7/11/2021 - shortness of breath , smell and taste came back  On 7/12/2021 - extreme fatigue and chills (no fever) shortness of breath  7/13 - current - shortness of breath
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient was here for 2 nd Covid Vaccine. She did not bring her vaccine card with her but she  stated she got Pfizer vaccine. She also completed Consent Form and marked "Pfizer" vaccine to be administrated. Therefore, she received a Pfizer vaccine today. However, we found out that she received Moderna as a 1st dose 4 weeks ago. I reported  and spoke with State Covid hot line and CDC hot line representative. I was told she is considered as fully vaccinated and no further vaccine needed at this time. Patient was informed about this event and verbalized understating.   Patient was monitored  for another 20 mins at clinic and there was no adverse reaction.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Computerised tomogram, Nephrolithiasis, Pyrexia, Surgery
Clinical narrative: Pt. states after receiving the 2nd Phizer dose 02/22/2021, ER visit 06/18/2021 due to abdominal pain, slight fever, suffering from 5 kidney stones. Surgical efforts due to blockage from kidney stones. Outpatient surgery.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan
Clinical narrative: Pt. states after receiving the 2nd Phizer dose 02/22/2021, ER visit 06/18/2021 due to abdominal pain, slight fever, suffering from 5 kidney stones. Surgical efforts due to blockage from kidney stones. Outpatient surgery.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Ultrasound antenatal screen abnormal
Clinical narrative: At the time of the vaccine I was 5 weeks 4 days pregnant. It was discovered at my first ultrasound at 8 weeks 3 days on July 6th that the baby had stopped growing at 5 weeks 6 days two days after the second vaccine. I officially miscarried naturally 5 days later. This was my first first pregnancy.
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: lidocaine cream and gabapentin was given.
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Mobility decreased, Pain, Pain in extremity
Clinical narrative: lidocaine cream and gabapentin was given.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Photosensitivity reaction, Rash erythematous, Rash pruritic, Urticaria
Clinical narrative: I developed a sun allergy - it started out as itchy red rash and developed to Hives. I contacted Dermatologist (a friend who lives out of  the country - informal doctor visit)- He prescribed Allegra 10 days; Hydrocortisone cream and some Aloe Vera gel. It took about 5-6 days, then they subsided. But even now when I go back into the sun, I still have the symptoms reappear and I still get itchy. They aren't as bad as they were the first time but I still get itchy and the red rash appears.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Central nervous system lesion, Hypoaesthesia, Magnetic resonance imaging head abnormal, Migraine, Paraesthesia
Clinical narrative: Also, I had a second Pfizer COVID 19 shot on 1/19/2021. I had oral surgery on 1/8/2021 required an 8 day course of antibiotics. Adverse event began 1/15/2021, with migraines lasting 24 hour/day X 3 weeks, tingling in face, arms, legs, feet. Migraines resolved.  Tingling, numbness continued. ON June 25, 2021, 7-8 lesions found in my brain indicating possible demyelination. I see a neurologist on July 28, 2021. I have not yet been diagnosed. Prior to 12/29/2020, prior to first Pfizer shot, I had hypothyroidism and osteoporosis. No other chronic conditions.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Central nervous system lesion, Hypoaesthesia, Inappropriate schedule of product administration, Magnetic resonance imaging head, Migraine
Clinical narrative: Also, I had a second Pfizer COVID 19 shot on 1/19/2021. I had oral surgery on 1/8/2021 required an 8 day course of antibiotics. Adverse event began 1/15/2021, with migraines lasting 24 hour/day X 3 weeks, tingling in face, arms, legs, feet. Migraines resolved.  Tingling, numbness continued. ON June 25, 2021, 7-8 lesions found in my brain indicating possible demyelination. I see a neurologist on July 28, 2021. I have not yet been diagnosed. Prior to 12/29/2020, prior to first Pfizer shot, I had hypothyroidism and osteoporosis. No other chronic conditions.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Overdose, Paraesthesia
Clinical narrative: Also, I had a second Pfizer COVID 19 shot on 1/19/2021. I had oral surgery on 1/8/2021 required an 8 day course of antibiotics. Adverse event began 1/15/2021, with migraines lasting 24 hour/day X 3 weeks, tingling in face, arms, legs, feet. Migraines resolved.  Tingling, numbness continued. ON June 25, 2021, 7-8 lesions found in my brain indicating possible demyelination. I see a neurologist on July 28, 2021. I have not yet been diagnosed. Prior to 12/29/2020, prior to first Pfizer shot, I had hypothyroidism and osteoporosis. No other chronic conditions.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Magnetic resonance imaging head abnormal, Migraine, Neuropathy peripheral, White matter lesion
Clinical narrative: Also, I had a second Pfizer COVID 19 shot on 1/19/2021. I had oral surgery on 1/8/2021 required an 8 day course of antibiotics. Adverse event began 1/15/2021, with migraines lasting 24 hour/day X 3 weeks, tingling in face, arms, legs, feet. Migraines resolved.  Tingling, numbness continued. ON June 25, 2021, 7-8 lesions found in my brain indicating possible demyelination. I see a neurologist on July 28, 2021. I have not yet been diagnosed. Prior to 12/29/2020, prior to first Pfizer shot, I had hypothyroidism and osteoporosis. No other chronic conditions.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Central nervous system lesion, Hypoaesthesia, Magnetic resonance imaging head abnormal, Migraine, Paraesthesia
Clinical narrative: Migraine headaches, neuropathy of bilateral lower extremities
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Central nervous system lesion, Hypoaesthesia, Inappropriate schedule of product administration, Magnetic resonance imaging head, Migraine
Clinical narrative: Migraine headaches, neuropathy of bilateral lower extremities
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Overdose, Paraesthesia
Clinical narrative: Migraine headaches, neuropathy of bilateral lower extremities
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Magnetic resonance imaging head abnormal, Migraine, Neuropathy peripheral, White matter lesion
Clinical narrative: Migraine headaches, neuropathy of bilateral lower extremities
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bursitis, Movement disorder, Pain, Rotator cuff syndrome
Clinical narrative: Patient presents to orthopedic clinic after several months of shoulder pain beginning soon after immunization. Pain occurs with movement, not at rest, and patient is not able to put on clothing normally. Six weeks after immunization patient fell and had a pulling injury to affected shoulder. Pain is worse with abduction and internal rotation.  Diagnosed with rotator cuff impingement vaccine-related shoulder injury with secondary bursitis and referred to physical therapy.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Shoulder injury related to vaccine administration, X-ray abnormal
Clinical narrative: Patient presents to orthopedic clinic after several months of shoulder pain beginning soon after immunization. Pain occurs with movement, not at rest, and patient is not able to put on clothing normally. Six weeks after immunization patient fell and had a pulling injury to affected shoulder. Pain is worse with abduction and internal rotation.  Diagnosed with rotator cuff impingement vaccine-related shoulder injury with secondary bursitis and referred to physical therapy.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: Guest was here for first dose of Pfizer COVID vaccine, reporting a hx of fainting after injection with a quick recovery. Vaccine was injected at 5:15pm by RN. The RN observed the guest losing consciousness briefly; she called for aid at 5:18pm. EMT arrived at 5:19pm. Guest was medically cleared after approximately 5 minutes of observation, stating that he felt recovered. Guest waited 15 minutes in observation area, stated that he felt well enough to walk home, and left on foot.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Hypersomnia, Pain, Pyrexia
Clinical narrative: The evening after the vaccine I development fever, chills, body aches and a tremendous headache.  The next day all I wanted to do was sleep and my head and body still ache but fever had diminished.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Patient complains of severe pain, swelling ("a bump"), itchiness, and redness at site of injection, which started a few hours after the shot. Patient reported side effects to the pharmacy 3 days after the injection, saying the pain and swelling has subsided after taking ibuprofen and acetaminophen and topical Benadryl to the site. Three days after injection, her only complaint is slight swelling and itchiness. Instructed her to take Benadryl at bedtime and continue ibuprofen if needed.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: SYMPTOMS-UNRESPONSIVE TREATMENT- AMMONIA INHALANT, ICE PACK, FEET ELEVATED OUTCOME- FELT FINE
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Patient called 7/14/2021 to report that she developed tingling in her fingertips the day after her first vaccine. States it feels like her her hand is asleep. Stated the feeling is constant and has not gone away. Stated she has not talked to her PCP or been seen for the issue.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Fatigue, Headache, Induration, Joint swelling
Clinical narrative: Initial adverse reactions evening of 6/30/2021, days of 7/1-2/21:  extreme fatigue, low grade fever, body aches, bad headache. chills. 2nd more severe adverse reaction - 7/10/21: Upon awakening Saturday, 7/10: extreme pain, swelling of right hand below third joint of thumb to past the right wrist.  swollen lump on surface vein below thumb. Tender to touch, warmer than surrounding skin, with red, purplish discoloration.  Unable to turn wrist, overwhelming pain.  Unable to use hand.  Lasted a couple of days.  Hard lump in vein still remains.  Consulting with a Cardiologist, he diagnosed it as a Superficial Thrombophlebitis and recommended taking an NSAID med and using warm compresses, as well as raising arm above heart.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pain, Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: Initial adverse reactions evening of 6/30/2021, days of 7/1-2/21:  extreme fatigue, low grade fever, body aches, bad headache. chills. 2nd more severe adverse reaction - 7/10/21: Upon awakening Saturday, 7/10: extreme pain, swelling of right hand below third joint of thumb to past the right wrist.  swollen lump on surface vein below thumb. Tender to touch, warmer than surrounding skin, with red, purplish discoloration.  Unable to turn wrist, overwhelming pain.  Unable to use hand.  Lasted a couple of days.  Hard lump in vein still remains.  Consulting with a Cardiologist, he diagnosed it as a Superficial Thrombophlebitis and recommended taking an NSAID med and using warm compresses, as well as raising arm above heart.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm, Tenderness, Thrombophlebitis superficial
Clinical narrative: Initial adverse reactions evening of 6/30/2021, days of 7/1-2/21:  extreme fatigue, low grade fever, body aches, bad headache. chills. 2nd more severe adverse reaction - 7/10/21: Upon awakening Saturday, 7/10: extreme pain, swelling of right hand below third joint of thumb to past the right wrist.  swollen lump on surface vein below thumb. Tender to touch, warmer than surrounding skin, with red, purplish discoloration.  Unable to turn wrist, overwhelming pain.  Unable to use hand.  Lasted a couple of days.  Hard lump in vein still remains.  Consulting with a Cardiologist, he diagnosed it as a Superficial Thrombophlebitis and recommended taking an NSAID med and using warm compresses, as well as raising arm above heart.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction
Clinical narrative: Patient presented to the ED and was subsequently hospitalized for NSTEMI within 6 weeks of receiving COVID vaccination.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Condition aggravated, Feeling hot, Hypoaesthesia
Clinical narrative: See other question  -- described there
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Swelling
Clinical narrative: See other question  -- described there
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Laboratory test, Pain
Clinical narrative: Normal vaccine side effects (chills, body aches) for 2 days and then on 6/28/2021 severe loose diarrhea that is still ongoing. She otherwise does not feel ill.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dysphonia, Endoscopy, Sneezing
Clinical narrative: Hoarse voice, uncontrolled deep sneezes, dizziness
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Chills, Ear congestion, Ear discomfort
Clinical narrative: After the 2nd dose vaccine, within 6-7 hours, I developed fever and flu like symptoms, fatigue, swollen arm, body aches, chills, headache, and pressure, pain and congestion  in the ears.  I also lost my sense of smell and taste and my left leg was swollen.  These flu-like symptoms lasted for about 3 days and started to improve.  My leg remained swollen. I went to see my doctor on 5/3/2021 for my regular appointment with my oncologist.  She noticed my swollen leg and sent me to get a venous ultrasound that same day. The ultrasound did not find any clots.  Currently, I am still having lingering fatigue and the swollen leg has not resolved.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pain, Fatigue, Headache, Influenza like illness, Pain
Clinical narrative: After the 2nd dose vaccine, within 6-7 hours, I developed fever and flu like symptoms, fatigue, swollen arm, body aches, chills, headache, and pressure, pain and congestion  in the ears.  I also lost my sense of smell and taste and my left leg was swollen.  These flu-like symptoms lasted for about 3 days and started to improve.  My leg remained swollen. I went to see my doctor on 5/3/2021 for my regular appointment with my oncologist.  She noticed my swollen leg and sent me to get a venous ultrasound that same day. The ultrasound did not find any clots.  Currently, I am still having lingering fatigue and the swollen leg has not resolved.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pyrexia, Ultrasound Doppler
Clinical narrative: After the 2nd dose vaccine, within 6-7 hours, I developed fever and flu like symptoms, fatigue, swollen arm, body aches, chills, headache, and pressure, pain and congestion  in the ears.  I also lost my sense of smell and taste and my left leg was swollen.  These flu-like symptoms lasted for about 3 days and started to improve.  My leg remained swollen. I went to see my doctor on 5/3/2021 for my regular appointment with my oncologist.  She noticed my swollen leg and sent me to get a venous ultrasound that same day. The ultrasound did not find any clots.  Currently, I am still having lingering fatigue and the swollen leg has not resolved.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Herpes zoster, Pain, Varicella virus test positive
Clinical narrative: June 27th I developed Shingles, I am a healthy 44 yr old,  took valtrex po starting June 27th, July 2nd I ended up in ER with so much pain,  was admitted to  Medical center,  Varicella Zoster had gone to my spinal fluid.  I stayed 5 days in hospital getting Acyclovir IV every 8 hours, Sent home July 6th  continued with home health and continued to get Acyclovir IV every 8 hours until completed on July 12th at 2100
Age: 0.58
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Expired product administered
Clinical narrative: Patient was given vaccine and had left the clinic. I went to put the shots that was given into my system that's when I notice the expiration day. I in formed my office manager and the doctor of what happen and apologized for it, then I tried reaching out to the parent's. But the number we have on file is not in service, so we though it would be good to mail a letter out.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: PASSED OUT , AMMONIA INHALANT ADMINISTERED AND FELT FINE.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia
Clinical narrative: Patient reported that he has been unable to taste his food since receiving vaccine.
Age: 40.0
Sex: M
Vaccine: UNK
Symptoms: Muscle spasms
Clinical narrative: I am in perfect health,  I have no medical issue as of my recent blood work done on 07/05/2021.  Two days after taking the Pfizer covid 19 shot i went to the mall walking around. I was about to sit down and my leg starts locking up. it went from locking up to serious cramping through my body around dropping me to the floor. it lasts for about 30 seconds.  a week later it happened again since then it keeping happen.  After I took the second shot the frequency became more ofter.  went to the doc two times and they can't explain what is happening to me.  It can be super dangerous and I feel that is some sort of a side effect for the shots.   it is still ongoing.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Aphasia, Blood test, Cardiac monitoring, Chest pain
Clinical narrative: NOTE: no prior TIA or stroke  #1 Suspected TIA (chest pain, dizziness, confusion, thick tongue, search for words, weakness left arm and leg, high blood pressure) - transported by ambulance to hospital, hospitalized for 24 hours - put in low dose aspirin regimen and tests ongoing  #2 suspected TIA 3 weeks later - same symptoms except no chest pain - exchanged Plavix for aspirin - tests ongoing
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram, Confusional state, Dizziness, Hypertension, Magnetic resonance imaging
Clinical narrative: NOTE: no prior TIA or stroke  #1 Suspected TIA (chest pain, dizziness, confusion, thick tongue, search for words, weakness left arm and leg, high blood pressure) - transported by ambulance to hospital, hospitalized for 24 hours - put in low dose aspirin regimen and tests ongoing  #2 suspected TIA 3 weeks later - same symptoms except no chest pain - exchanged Plavix for aspirin - tests ongoing
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Muscular weakness, Tongue disorder, Transient ischaemic attack
Clinical narrative: NOTE: no prior TIA or stroke  #1 Suspected TIA (chest pain, dizziness, confusion, thick tongue, search for words, weakness left arm and leg, high blood pressure) - transported by ambulance to hospital, hospitalized for 24 hours - put in low dose aspirin regimen and tests ongoing  #2 suspected TIA 3 weeks later - same symptoms except no chest pain - exchanged Plavix for aspirin - tests ongoing
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy skin abnormal, Borrelia test negative, Hypersensitivity, Urticaria
Clinical narrative: Hives from knees to shoulders, starting 3 months after second injection. Skin biopsy shows hypersensitivity only. Treatment has been with oral steroids, Medrol shot and antihistamines without much change. There have been no major changes in my daily routine to suggest an allergy to something.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Alanine aminotransferase normal, Anion gap, Aspartate aminotransferase normal, Blindness transient, Blood albumin decreased
Clinical narrative: 59 Y female with history of hypothyroidism presenting with fever, cough, and fatigue, admitted for covid pneumonia.   COVID PNA/ AMS/ Fever. Pt p/w fever, cough, fatigue, x1wk, found to be covid+ in ED (7/12), p/w mild leukocytosis, fever 101.4, and elevated inflammatory markers. Pt s/p 2L IVF, and started on decadron 10mg in ED given desaturation to mid 80s w/ ambulation. CXR: w/o acute disease. Pt also p/w  and transient vision loss in setting of high fever (106), suspect symptoms 2/2 fever, no recurrent episode. Per neurology, no indication for further imaging or workup at this time. Given high fever 106 and tremulousness on admission concern for other etiologies of fever. TSH 0.4 wnl. Psych meds initially held given concern for serotonin synd, however given pt improvement w/ <24hrs of holding meds, and no recent dose changes, will restart. Pt w/ 1/2 Bcx + staph simulans, likely contaminant per ID, initially started on vanc (7/13-7/14), will dc. Worsening leukocytosis likely 2/2 known side effect of steroid use. Inflammatory markers downtrending. Overnight pt w/ episode of desaturation to 87% on ambulation to bathroom, this AM satting 94%. decadron 6mg daily for total tx 10d (7/12-); trend inflammatory markers every other day; Lovenox 40mg SQ BID (BMI>40) and hold for Plt <25k, Fibrinogen <100, active bleeding; Hypothyroidism  Last TSH 0.4 on 7/13/21. On PTA levothyroxine 25mcg daily. continue PTA levothyroxine 25mcg daily
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood alkaline phosphatase normal, Blood bilirubin normal, Blood chloride normal, Blood creatinine normal, Blood glucose normal
Clinical narrative: 59 Y female with history of hypothyroidism presenting with fever, cough, and fatigue, admitted for covid pneumonia.   COVID PNA/ AMS/ Fever. Pt p/w fever, cough, fatigue, x1wk, found to be covid+ in ED (7/12), p/w mild leukocytosis, fever 101.4, and elevated inflammatory markers. Pt s/p 2L IVF, and started on decadron 10mg in ED given desaturation to mid 80s w/ ambulation. CXR: w/o acute disease. Pt also p/w  and transient vision loss in setting of high fever (106), suspect symptoms 2/2 fever, no recurrent episode. Per neurology, no indication for further imaging or workup at this time. Given high fever 106 and tremulousness on admission concern for other etiologies of fever. TSH 0.4 wnl. Psych meds initially held given concern for serotonin synd, however given pt improvement w/ <24hrs of holding meds, and no recent dose changes, will restart. Pt w/ 1/2 Bcx + staph simulans, likely contaminant per ID, initially started on vanc (7/13-7/14), will dc. Worsening leukocytosis likely 2/2 known side effect of steroid use. Inflammatory markers downtrending. Overnight pt w/ episode of desaturation to 87% on ambulation to bathroom, this AM satting 94%. decadron 6mg daily for total tx 10d (7/12-); trend inflammatory markers every other day; Lovenox 40mg SQ BID (BMI>40) and hold for Plt <25k, Fibrinogen <100, active bleeding; Hypothyroidism  Last TSH 0.4 on 7/13/21. On PTA levothyroxine 25mcg daily. continue PTA levothyroxine 25mcg daily
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood lactate dehydrogenase increased, Blood lactic acid, Blood magnesium increased, Blood phosphorus decreased, Blood potassium normal
Clinical narrative: 59 Y female with history of hypothyroidism presenting with fever, cough, and fatigue, admitted for covid pneumonia.   COVID PNA/ AMS/ Fever. Pt p/w fever, cough, fatigue, x1wk, found to be covid+ in ED (7/12), p/w mild leukocytosis, fever 101.4, and elevated inflammatory markers. Pt s/p 2L IVF, and started on decadron 10mg in ED given desaturation to mid 80s w/ ambulation. CXR: w/o acute disease. Pt also p/w  and transient vision loss in setting of high fever (106), suspect symptoms 2/2 fever, no recurrent episode. Per neurology, no indication for further imaging or workup at this time. Given high fever 106 and tremulousness on admission concern for other etiologies of fever. TSH 0.4 wnl. Psych meds initially held given concern for serotonin synd, however given pt improvement w/ <24hrs of holding meds, and no recent dose changes, will restart. Pt w/ 1/2 Bcx + staph simulans, likely contaminant per ID, initially started on vanc (7/13-7/14), will dc. Worsening leukocytosis likely 2/2 known side effect of steroid use. Inflammatory markers downtrending. Overnight pt w/ episode of desaturation to 87% on ambulation to bathroom, this AM satting 94%. decadron 6mg daily for total tx 10d (7/12-); trend inflammatory markers every other day; Lovenox 40mg SQ BID (BMI>40) and hold for Plt <25k, Fibrinogen <100, active bleeding; Hypothyroidism  Last TSH 0.4 on 7/13/21. On PTA levothyroxine 25mcg daily. continue PTA levothyroxine 25mcg daily
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood sodium decreased, Blood thyroid stimulating hormone decreased, Blood urea increased, Brain natriuretic peptide normal, C-reactive protein increased
Clinical narrative: 59 Y female with history of hypothyroidism presenting with fever, cough, and fatigue, admitted for covid pneumonia.   COVID PNA/ AMS/ Fever. Pt p/w fever, cough, fatigue, x1wk, found to be covid+ in ED (7/12), p/w mild leukocytosis, fever 101.4, and elevated inflammatory markers. Pt s/p 2L IVF, and started on decadron 10mg in ED given desaturation to mid 80s w/ ambulation. CXR: w/o acute disease. Pt also p/w  and transient vision loss in setting of high fever (106), suspect symptoms 2/2 fever, no recurrent episode. Per neurology, no indication for further imaging or workup at this time. Given high fever 106 and tremulousness on admission concern for other etiologies of fever. TSH 0.4 wnl. Psych meds initially held given concern for serotonin synd, however given pt improvement w/ <24hrs of holding meds, and no recent dose changes, will restart. Pt w/ 1/2 Bcx + staph simulans, likely contaminant per ID, initially started on vanc (7/13-7/14), will dc. Worsening leukocytosis likely 2/2 known side effect of steroid use. Inflammatory markers downtrending. Overnight pt w/ episode of desaturation to 87% on ambulation to bathroom, this AM satting 94%. decadron 6mg daily for total tx 10d (7/12-); trend inflammatory markers every other day; Lovenox 40mg SQ BID (BMI>40) and hold for Plt <25k, Fibrinogen <100, active bleeding; Hypothyroidism  Last TSH 0.4 on 7/13/21. On PTA levothyroxine 25mcg daily. continue PTA levothyroxine 25mcg daily
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Carbon dioxide, Chest X-ray normal, Cough
Clinical narrative: 59 Y female with history of hypothyroidism presenting with fever, cough, and fatigue, admitted for covid pneumonia.   COVID PNA/ AMS/ Fever. Pt p/w fever, cough, fatigue, x1wk, found to be covid+ in ED (7/12), p/w mild leukocytosis, fever 101.4, and elevated inflammatory markers. Pt s/p 2L IVF, and started on decadron 10mg in ED given desaturation to mid 80s w/ ambulation. CXR: w/o acute disease. Pt also p/w  and transient vision loss in setting of high fever (106), suspect symptoms 2/2 fever, no recurrent episode. Per neurology, no indication for further imaging or workup at this time. Given high fever 106 and tremulousness on admission concern for other etiologies of fever. TSH 0.4 wnl. Psych meds initially held given concern for serotonin synd, however given pt improvement w/ <24hrs of holding meds, and no recent dose changes, will restart. Pt w/ 1/2 Bcx + staph simulans, likely contaminant per ID, initially started on vanc (7/13-7/14), will dc. Worsening leukocytosis likely 2/2 known side effect of steroid use. Inflammatory markers downtrending. Overnight pt w/ episode of desaturation to 87% on ambulation to bathroom, this AM satting 94%. decadron 6mg daily for total tx 10d (7/12-); trend inflammatory markers every other day; Lovenox 40mg SQ BID (BMI>40) and hold for Plt <25k, Fibrinogen <100, active bleeding; Hypothyroidism  Last TSH 0.4 on 7/13/21. On PTA levothyroxine 25mcg daily. continue PTA levothyroxine 25mcg daily
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Glomerular filtration rate, Inflammatory marker increased, Leukocytosis, Lipase normal
Clinical narrative: 59 Y female with history of hypothyroidism presenting with fever, cough, and fatigue, admitted for covid pneumonia.   COVID PNA/ AMS/ Fever. Pt p/w fever, cough, fatigue, x1wk, found to be covid+ in ED (7/12), p/w mild leukocytosis, fever 101.4, and elevated inflammatory markers. Pt s/p 2L IVF, and started on decadron 10mg in ED given desaturation to mid 80s w/ ambulation. CXR: w/o acute disease. Pt also p/w  and transient vision loss in setting of high fever (106), suspect symptoms 2/2 fever, no recurrent episode. Per neurology, no indication for further imaging or workup at this time. Given high fever 106 and tremulousness on admission concern for other etiologies of fever. TSH 0.4 wnl. Psych meds initially held given concern for serotonin synd, however given pt improvement w/ <24hrs of holding meds, and no recent dose changes, will restart. Pt w/ 1/2 Bcx + staph simulans, likely contaminant per ID, initially started on vanc (7/13-7/14), will dc. Worsening leukocytosis likely 2/2 known side effect of steroid use. Inflammatory markers downtrending. Overnight pt w/ episode of desaturation to 87% on ambulation to bathroom, this AM satting 94%. decadron 6mg daily for total tx 10d (7/12-); trend inflammatory markers every other day; Lovenox 40mg SQ BID (BMI>40) and hold for Plt <25k, Fibrinogen <100, active bleeding; Hypothyroidism  Last TSH 0.4 on 7/13/21. On PTA levothyroxine 25mcg daily. continue PTA levothyroxine 25mcg daily
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mental status changes, Oxygen saturation decreased, Pyrexia, SARS-CoV-2 test positive, Serum ferritin increased
Clinical narrative: 59 Y female with history of hypothyroidism presenting with fever, cough, and fatigue, admitted for covid pneumonia.   COVID PNA/ AMS/ Fever. Pt p/w fever, cough, fatigue, x1wk, found to be covid+ in ED (7/12), p/w mild leukocytosis, fever 101.4, and elevated inflammatory markers. Pt s/p 2L IVF, and started on decadron 10mg in ED given desaturation to mid 80s w/ ambulation. CXR: w/o acute disease. Pt also p/w  and transient vision loss in setting of high fever (106), suspect symptoms 2/2 fever, no recurrent episode. Per neurology, no indication for further imaging or workup at this time. Given high fever 106 and tremulousness on admission concern for other etiologies of fever. TSH 0.4 wnl. Psych meds initially held given concern for serotonin synd, however given pt improvement w/ <24hrs of holding meds, and no recent dose changes, will restart. Pt w/ 1/2 Bcx + staph simulans, likely contaminant per ID, initially started on vanc (7/13-7/14), will dc. Worsening leukocytosis likely 2/2 known side effect of steroid use. Inflammatory markers downtrending. Overnight pt w/ episode of desaturation to 87% on ambulation to bathroom, this AM satting 94%. decadron 6mg daily for total tx 10d (7/12-); trend inflammatory markers every other day; Lovenox 40mg SQ BID (BMI>40) and hold for Plt <25k, Fibrinogen <100, active bleeding; Hypothyroidism  Last TSH 0.4 on 7/13/21. On PTA levothyroxine 25mcg daily. continue PTA levothyroxine 25mcg daily
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Troponin I normal
Clinical narrative: 59 Y female with history of hypothyroidism presenting with fever, cough, and fatigue, admitted for covid pneumonia.   COVID PNA/ AMS/ Fever. Pt p/w fever, cough, fatigue, x1wk, found to be covid+ in ED (7/12), p/w mild leukocytosis, fever 101.4, and elevated inflammatory markers. Pt s/p 2L IVF, and started on decadron 10mg in ED given desaturation to mid 80s w/ ambulation. CXR: w/o acute disease. Pt also p/w  and transient vision loss in setting of high fever (106), suspect symptoms 2/2 fever, no recurrent episode. Per neurology, no indication for further imaging or workup at this time. Given high fever 106 and tremulousness on admission concern for other etiologies of fever. TSH 0.4 wnl. Psych meds initially held given concern for serotonin synd, however given pt improvement w/ <24hrs of holding meds, and no recent dose changes, will restart. Pt w/ 1/2 Bcx + staph simulans, likely contaminant per ID, initially started on vanc (7/13-7/14), will dc. Worsening leukocytosis likely 2/2 known side effect of steroid use. Inflammatory markers downtrending. Overnight pt w/ episode of desaturation to 87% on ambulation to bathroom, this AM satting 94%. decadron 6mg daily for total tx 10d (7/12-); trend inflammatory markers every other day; Lovenox 40mg SQ BID (BMI>40) and hold for Plt <25k, Fibrinogen <100, active bleeding; Hypothyroidism  Last TSH 0.4 on 7/13/21. On PTA levothyroxine 25mcg daily. continue PTA levothyroxine 25mcg daily
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Alanine aminotransferase, Alanine aminotransferase normal, Anion gap, Aspartate aminotransferase, Aspartate aminotransferase normal
Clinical narrative: 59 Y female with history of hypothyroidism presenting with fever, cough, and fatigue, admitted for covid pneumonia.   COVID PNA/ AMS/ Fever. Pt p/w fever, cough, fatigue, x1wk, found to be covid+ in ED (7/12), p/w mild leukocytosis, fever 101.4, and elevated inflammatory markers. Pt s/p 2L IVF, and started on decadron 10mg in ED given desaturation to mid 80s w/ ambulation. CXR: w/o acute disease. Pt also p/w  and transient vision loss in setting of high fever (106), suspect symptoms 2/2 fever, no recurrent episode. Per neurology, no indication for further imaging or workup at this time. Given high fever 106 and tremulousness on admission concern for other etiologies of fever. TSH 0.4 wnl. Psych meds initially held given concern for serotonin synd, however given pt improvement w/ <24hrs of holding meds, and no recent dose changes, will restart. Pt w/ 1/2 Bcx + staph simulans, likely contaminant per ID, initially started on vanc (7/13-7/14), will dc. Worsening leukocytosis likely 2/2 known side effect of steroid use. Inflammatory markers downtrending. Overnight pt w/ episode of desaturation to 87% on ambulation to bathroom, this AM satting 94%. decadron 6mg daily for total tx 10d (7/12-); trend inflammatory markers every other day; Lovenox 40mg SQ BID (BMI>40) and hold for Plt <25k, Fibrinogen <100, active bleeding; Hypothyroidism  Last TSH 0.4 on 7/13/21. On PTA levothyroxine 25mcg daily. continue PTA levothyroxine 25mcg daily
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blindness transient, Blood albumin, Blood albumin decreased, Blood alkaline phosphatase, Blood alkaline phosphatase normal
Clinical narrative: 59 Y female with history of hypothyroidism presenting with fever, cough, and fatigue, admitted for covid pneumonia.   COVID PNA/ AMS/ Fever. Pt p/w fever, cough, fatigue, x1wk, found to be covid+ in ED (7/12), p/w mild leukocytosis, fever 101.4, and elevated inflammatory markers. Pt s/p 2L IVF, and started on decadron 10mg in ED given desaturation to mid 80s w/ ambulation. CXR: w/o acute disease. Pt also p/w  and transient vision loss in setting of high fever (106), suspect symptoms 2/2 fever, no recurrent episode. Per neurology, no indication for further imaging or workup at this time. Given high fever 106 and tremulousness on admission concern for other etiologies of fever. TSH 0.4 wnl. Psych meds initially held given concern for serotonin synd, however given pt improvement w/ <24hrs of holding meds, and no recent dose changes, will restart. Pt w/ 1/2 Bcx + staph simulans, likely contaminant per ID, initially started on vanc (7/13-7/14), will dc. Worsening leukocytosis likely 2/2 known side effect of steroid use. Inflammatory markers downtrending. Overnight pt w/ episode of desaturation to 87% on ambulation to bathroom, this AM satting 94%. decadron 6mg daily for total tx 10d (7/12-); trend inflammatory markers every other day; Lovenox 40mg SQ BID (BMI>40) and hold for Plt <25k, Fibrinogen <100, active bleeding; Hypothyroidism  Last TSH 0.4 on 7/13/21. On PTA levothyroxine 25mcg daily. continue PTA levothyroxine 25mcg daily
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood bilirubin, Blood bilirubin normal, Blood chloride, Blood chloride normal, Blood creatinine
Clinical narrative: 59 Y female with history of hypothyroidism presenting with fever, cough, and fatigue, admitted for covid pneumonia.   COVID PNA/ AMS/ Fever. Pt p/w fever, cough, fatigue, x1wk, found to be covid+ in ED (7/12), p/w mild leukocytosis, fever 101.4, and elevated inflammatory markers. Pt s/p 2L IVF, and started on decadron 10mg in ED given desaturation to mid 80s w/ ambulation. CXR: w/o acute disease. Pt also p/w  and transient vision loss in setting of high fever (106), suspect symptoms 2/2 fever, no recurrent episode. Per neurology, no indication for further imaging or workup at this time. Given high fever 106 and tremulousness on admission concern for other etiologies of fever. TSH 0.4 wnl. Psych meds initially held given concern for serotonin synd, however given pt improvement w/ <24hrs of holding meds, and no recent dose changes, will restart. Pt w/ 1/2 Bcx + staph simulans, likely contaminant per ID, initially started on vanc (7/13-7/14), will dc. Worsening leukocytosis likely 2/2 known side effect of steroid use. Inflammatory markers downtrending. Overnight pt w/ episode of desaturation to 87% on ambulation to bathroom, this AM satting 94%. decadron 6mg daily for total tx 10d (7/12-); trend inflammatory markers every other day; Lovenox 40mg SQ BID (BMI>40) and hold for Plt <25k, Fibrinogen <100, active bleeding; Hypothyroidism  Last TSH 0.4 on 7/13/21. On PTA levothyroxine 25mcg daily. continue PTA levothyroxine 25mcg daily
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood creatinine normal, Blood fibrinogen, Blood glucose, Blood glucose normal, Blood lactate dehydrogenase
Clinical narrative: 59 Y female with history of hypothyroidism presenting with fever, cough, and fatigue, admitted for covid pneumonia.   COVID PNA/ AMS/ Fever. Pt p/w fever, cough, fatigue, x1wk, found to be covid+ in ED (7/12), p/w mild leukocytosis, fever 101.4, and elevated inflammatory markers. Pt s/p 2L IVF, and started on decadron 10mg in ED given desaturation to mid 80s w/ ambulation. CXR: w/o acute disease. Pt also p/w  and transient vision loss in setting of high fever (106), suspect symptoms 2/2 fever, no recurrent episode. Per neurology, no indication for further imaging or workup at this time. Given high fever 106 and tremulousness on admission concern for other etiologies of fever. TSH 0.4 wnl. Psych meds initially held given concern for serotonin synd, however given pt improvement w/ <24hrs of holding meds, and no recent dose changes, will restart. Pt w/ 1/2 Bcx + staph simulans, likely contaminant per ID, initially started on vanc (7/13-7/14), will dc. Worsening leukocytosis likely 2/2 known side effect of steroid use. Inflammatory markers downtrending. Overnight pt w/ episode of desaturation to 87% on ambulation to bathroom, this AM satting 94%. decadron 6mg daily for total tx 10d (7/12-); trend inflammatory markers every other day; Lovenox 40mg SQ BID (BMI>40) and hold for Plt <25k, Fibrinogen <100, active bleeding; Hypothyroidism  Last TSH 0.4 on 7/13/21. On PTA levothyroxine 25mcg daily. continue PTA levothyroxine 25mcg daily