chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: C-reactive protein, Fatigue, Groin pain, Guillain-Barre syndrome, Magnetic resonance imaging
Clinical narrative: After 2nd booster:  Extreme Fatigue (slept all day for months), Severe nerve pain, muscle spasms all over, brain fog & memory loss, jaw pain, back pain,, left groin pain, could not lift leg to get in car, very weak. Ongoing symptoms with muscle spasms and pain for 4 months now.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Memory impairment, Metabolic function test, Muscle spasms, Neuralgia, Pain
Clinical narrative: After 2nd booster:  Extreme Fatigue (slept all day for months), Severe nerve pain, muscle spasms all over, brain fog & memory loss, jaw pain, back pain,, left groin pain, could not lift leg to get in car, very weak. Ongoing symptoms with muscle spasms and pain for 4 months now.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Speech disorder, Urine analysis, X-ray, X-ray limb, X-ray of pelvis and hip
Clinical narrative: After 2nd booster:  Extreme Fatigue (slept all day for months), Severe nerve pain, muscle spasms all over, brain fog & memory loss, jaw pain, back pain,, left groin pain, could not lift leg to get in car, very weak. Ongoing symptoms with muscle spasms and pain for 4 months now.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Amnesia, Back pain, Blood test, Fatigue, Feeling abnormal
Clinical narrative: After 2nd booster:  Extreme Fatigue (slept all day for months), Severe nerve pain, muscle spasms all over, brain fog & memory loss, jaw pain, back pain,, left groin pain, could not lift leg to get in car, very weak. Ongoing symptoms with muscle spasms and pain for 4 months now.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Groin pain, Hypersomnia, Inflammation, Magnetic resonance imaging, Mobility decreased
Clinical narrative: After 2nd booster:  Extreme Fatigue (slept all day for months), Severe nerve pain, muscle spasms all over, brain fog & memory loss, jaw pain, back pain,, left groin pain, could not lift leg to get in car, very weak. Ongoing symptoms with muscle spasms and pain for 4 months now.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Muscle spasms, Neuralgia, Pain in jaw, X-ray
Clinical narrative: After 2nd booster:  Extreme Fatigue (slept all day for months), Severe nerve pain, muscle spasms all over, brain fog & memory loss, jaw pain, back pain,, left groin pain, could not lift leg to get in car, very weak. Ongoing symptoms with muscle spasms and pain for 4 months now.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fatigue, Feeling abnormal, Muscle spasms, Musculoskeletal disorder, Pain
Clinical narrative: After 2nd booster:  Extreme Fatigue (slept all day for months), Severe nerve pain, muscle spasms all over, brain fog & memory loss, jaw pain, back pain,, left groin pain, could not lift leg to get in car, very weak. Ongoing symptoms with muscle spasms and pain for 4 months now.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: C-reactive protein, Fatigue, Groin pain, Guillain-Barre syndrome, Magnetic resonance imaging
Clinical narrative: CAN NOT LIFT LEGS, FATIGUE, PAIN, BRAIN FOG, MUSCLE SPASMS THROUGHOUT BODY, STARTED ONE WEEK AFTER RECEIVING  2ND BOOSTER PFIZER VACCINE. PT RECEIVED VACCINES PREVIOUSLY AND NO PREVIOUS ADRs REPORTED. CURRENTLY ON TREATMENT WITH HCP
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Memory impairment, Metabolic function test, Muscle spasms, Neuralgia, Pain
Clinical narrative: CAN NOT LIFT LEGS, FATIGUE, PAIN, BRAIN FOG, MUSCLE SPASMS THROUGHOUT BODY, STARTED ONE WEEK AFTER RECEIVING  2ND BOOSTER PFIZER VACCINE. PT RECEIVED VACCINES PREVIOUSLY AND NO PREVIOUS ADRs REPORTED. CURRENTLY ON TREATMENT WITH HCP
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Speech disorder, Urine analysis, X-ray, X-ray limb, X-ray of pelvis and hip
Clinical narrative: CAN NOT LIFT LEGS, FATIGUE, PAIN, BRAIN FOG, MUSCLE SPASMS THROUGHOUT BODY, STARTED ONE WEEK AFTER RECEIVING  2ND BOOSTER PFIZER VACCINE. PT RECEIVED VACCINES PREVIOUSLY AND NO PREVIOUS ADRs REPORTED. CURRENTLY ON TREATMENT WITH HCP
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Amnesia, Back pain, Blood test, Fatigue, Feeling abnormal
Clinical narrative: CAN NOT LIFT LEGS, FATIGUE, PAIN, BRAIN FOG, MUSCLE SPASMS THROUGHOUT BODY, STARTED ONE WEEK AFTER RECEIVING  2ND BOOSTER PFIZER VACCINE. PT RECEIVED VACCINES PREVIOUSLY AND NO PREVIOUS ADRs REPORTED. CURRENTLY ON TREATMENT WITH HCP
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Groin pain, Hypersomnia, Inflammation, Magnetic resonance imaging, Mobility decreased
Clinical narrative: CAN NOT LIFT LEGS, FATIGUE, PAIN, BRAIN FOG, MUSCLE SPASMS THROUGHOUT BODY, STARTED ONE WEEK AFTER RECEIVING  2ND BOOSTER PFIZER VACCINE. PT RECEIVED VACCINES PREVIOUSLY AND NO PREVIOUS ADRs REPORTED. CURRENTLY ON TREATMENT WITH HCP
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Muscle spasms, Neuralgia, Pain in jaw, X-ray
Clinical narrative: CAN NOT LIFT LEGS, FATIGUE, PAIN, BRAIN FOG, MUSCLE SPASMS THROUGHOUT BODY, STARTED ONE WEEK AFTER RECEIVING  2ND BOOSTER PFIZER VACCINE. PT RECEIVED VACCINES PREVIOUSLY AND NO PREVIOUS ADRs REPORTED. CURRENTLY ON TREATMENT WITH HCP
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fatigue, Feeling abnormal, Muscle spasms, Musculoskeletal disorder, Pain
Clinical narrative: CAN NOT LIFT LEGS, FATIGUE, PAIN, BRAIN FOG, MUSCLE SPASMS THROUGHOUT BODY, STARTED ONE WEEK AFTER RECEIVING  2ND BOOSTER PFIZER VACCINE. PT RECEIVED VACCINES PREVIOUSLY AND NO PREVIOUS ADRs REPORTED. CURRENTLY ON TREATMENT WITH HCP
Age: 39.0
Sex: M
Vaccine: COVID19-2
Symptoms: Chest pain, Lethargy, Pain, Vertigo
Clinical narrative: Day 1: lethargy, body aches Day 2: lethargy, body aches, chest pain, severe vertigo.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Acquired diaphragmatic eventration, Chest X-ray abnormal, Hypotension, Lordosis
Clinical narrative: Document Type: ED Physician Progress Note   Document Subject: ED Progress Note   Encounter Info: Hospital, Emergency, 04/26/22 - 04/26/22    * Final Report *        Basic Information  Time Seen: 04/26/2022 16:18  Chief Complaint  Chest pain (Complaint of), Epigastric Pain (Complaint of)  History of Present Illness     Patient seen: 04/26/22 16:28:23 69 year old male, with hx of CAD, T1DM, HTN, and GERD, presents to the complaining of epigastric pain onset approx. 30 minutes prior to arrival. Pt states he feels as if someone hit him right at the junction of upper abdomen and lower chest wall. Notes at onset of pain he was sitting down and not performing any strenuous tasks. Denies fever, diaphoresis, sore throat, cough, dyspnea, nausea, vomiting, or diarrhea. Notes he took one dose of Nitroglycerin prior to arrival with no relief to symptoms. Pt reports  hx of stent placement approx. 8 years ago at Hospital. Notes pain today feels different then pain at that time. Reports he is supposed to be taking Nexium everyday for aid with GERD symptoms but he is not compliant with daily dose.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Musculoskeletal chest pain
Clinical narrative: Document Type: ED Physician Progress Note   Document Subject: ED Progress Note   Encounter Info: Hospital, Emergency, 04/26/22 - 04/26/22    * Final Report *        Basic Information  Time Seen: 04/26/2022 16:18  Chief Complaint  Chest pain (Complaint of), Epigastric Pain (Complaint of)  History of Present Illness     Patient seen: 04/26/22 16:28:23 69 year old male, with hx of CAD, T1DM, HTN, and GERD, presents to the complaining of epigastric pain onset approx. 30 minutes prior to arrival. Pt states he feels as if someone hit him right at the junction of upper abdomen and lower chest wall. Notes at onset of pain he was sitting down and not performing any strenuous tasks. Denies fever, diaphoresis, sore throat, cough, dyspnea, nausea, vomiting, or diarrhea. Notes he took one dose of Nitroglycerin prior to arrival with no relief to symptoms. Pt reports  hx of stent placement approx. 8 years ago at Hospital. Notes pain today feels different then pain at that time. Reports he is supposed to be taking Nexium everyday for aid with GERD symptoms but he is not compliant with daily dose.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test normal, Impaired work ability, Pain, Pruritus
Clinical narrative: I developed Chronic Hives on 11/21/20221 after receiving the Covid-19 booster on 11/09/2021. The chronic hives still persist to this day. The hives are severe and required an urgent care and ER visit. Without multiple types of allergy medication, the chronic hives are severe and debilitating, developing all over the body from feet to head causing pain and severe itching . I am now receiving monthly allergy shots. I reported the hives to the Pharmacy and the pharmacist communicated that he had received multiple reports of customers developing Chronic hives after receiving the covid vaccine. Many sick days were taken because of the Chronic Hives and may affect my ability to do my job long-term if I?m unable to continue to manage my symptoms. The hives have become progressively worse over time and require more medication & sooner allergy shots as time goes on.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: I developed Chronic Hives on 11/21/20221 after receiving the Covid-19 booster on 11/09/2021. The chronic hives still persist to this day. The hives are severe and required an urgent care and ER visit. Without multiple types of allergy medication, the chronic hives are severe and debilitating, developing all over the body from feet to head causing pain and severe itching . I am now receiving monthly allergy shots. I reported the hives to the Pharmacy and the pharmacist communicated that he had received multiple reports of customers developing Chronic hives after receiving the covid vaccine. Many sick days were taken because of the Chronic Hives and may affect my ability to do my job long-term if I?m unable to continue to manage my symptoms. The hives have become progressively worse over time and require more medication & sooner allergy shots as time goes on.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Blood bicarbonate normal, Blood calcium normal, Blood chloride normal, Blood creatinine increased
Clinical narrative: Document Type: History and Physical   Document Subject: History & Physical Note   Performed By: MD on September 02, 2022 18:30   Verified By: MD on September 02, 2022 18:30    Encounter Info: Hospital, Inpatient, 09/02/22 -     * Final Report *     History of Present Illness/Subjective     Patient is a 76-year-old male with a past history of recently diagnosed bronchogenic carcinoma of the right lung present emergency room with increased symptoms of shortness of breath and dyspnea exertion.  Patient began having symptoms of cough congestion and shortness of breath and early August and was started on antibiotic therapy at that time.  This was continued for approximately week to 10 days and then extended by his primary care provider.  He continue his antibiotics almost until about a week ago and had continued improvement in symptoms.  Recent imaging had shown ongoing pneumonitis in this region but improvement.  However this morning he woke up complaining of severe shortness of breath and dyspnea on exertion.  He had a productive cough but it was mostly clear and white in nature.  No hematemesis or hemoptysis.  No symptoms of chest pain or chest discomfort.  No complaints of peripheral edema.  He has not started radiation or chemotherapy as of yet.  He stopped smoking 3 weeks ago.  He is also increasing more somnolent this morning as well.  When EMS arrived his oxygen saturation was 82% on 3 L and he was started on nonrebreather mask prior to coming into the emergency room.  No symptoms of palpitations.  He has been dizzy with arising from recumbency.  Baseline oxygen is 2 to 3 L per nasal cannula.   In the emergency room his blood pressure was 98/61 pulse rate 91 respiratory rate 19 oxygen saturation was 90% on 10 L nonrebreather mask temperature 36.4.   Serology: White count 13,700 with slight left shift hemoglobin 13 hematocrit 40.8 and platelet count of 362,000.  Sodium 138 potassium 4.5 chloride of 102 bicarb 27 BUN 20 creatinine 1.2 and a blood sugar of 215.  Calcium 9.5 troponin of 20 serum lactate 0.9.  Arterial blood gas pH of 7.28/PCO2 60/PO2 73 with O2 sat of 94%.  COVID PCR negative.   CTA of the chest showed no obvious pulmonary embolism.  There is evidence of a right perihilar mass which encases the right lower lobe segmental pulmonary artery with mild narrowing.  Opacification of the right primary bronchus and right lower lobe segmental bronchus which could represent secretions or invasion by neoplasm.  There is a new airspace infiltrate in the right lower lobe posterior basal segment likely postobstructive pneumonia.   Past medical history: COPD, history of tobacco use, chronic renal insufficiency stage III, type 2 diabetes mellitus, coronary artery disease with ischemic cardiomyopathy recent ejection fraction of 40%, paroxysmal atrial flutter, status post ICD, hyperlipidemia, hypertension, anxiety and depression, squamous cell carcinoma of the right lung with known bronchial obstruction
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Blood gases, Blood glucose increased, Blood lactic acid, Blood pH decreased, Blood potassium normal
Clinical narrative: Document Type: History and Physical   Document Subject: History & Physical Note   Performed By: MD on September 02, 2022 18:30   Verified By: MD on September 02, 2022 18:30    Encounter Info: Hospital, Inpatient, 09/02/22 -     * Final Report *     History of Present Illness/Subjective     Patient is a 76-year-old male with a past history of recently diagnosed bronchogenic carcinoma of the right lung present emergency room with increased symptoms of shortness of breath and dyspnea exertion.  Patient began having symptoms of cough congestion and shortness of breath and early August and was started on antibiotic therapy at that time.  This was continued for approximately week to 10 days and then extended by his primary care provider.  He continue his antibiotics almost until about a week ago and had continued improvement in symptoms.  Recent imaging had shown ongoing pneumonitis in this region but improvement.  However this morning he woke up complaining of severe shortness of breath and dyspnea on exertion.  He had a productive cough but it was mostly clear and white in nature.  No hematemesis or hemoptysis.  No symptoms of chest pain or chest discomfort.  No complaints of peripheral edema.  He has not started radiation or chemotherapy as of yet.  He stopped smoking 3 weeks ago.  He is also increasing more somnolent this morning as well.  When EMS arrived his oxygen saturation was 82% on 3 L and he was started on nonrebreather mask prior to coming into the emergency room.  No symptoms of palpitations.  He has been dizzy with arising from recumbency.  Baseline oxygen is 2 to 3 L per nasal cannula.   In the emergency room his blood pressure was 98/61 pulse rate 91 respiratory rate 19 oxygen saturation was 90% on 10 L nonrebreather mask temperature 36.4.   Serology: White count 13,700 with slight left shift hemoglobin 13 hematocrit 40.8 and platelet count of 362,000.  Sodium 138 potassium 4.5 chloride of 102 bicarb 27 BUN 20 creatinine 1.2 and a blood sugar of 215.  Calcium 9.5 troponin of 20 serum lactate 0.9.  Arterial blood gas pH of 7.28/PCO2 60/PO2 73 with O2 sat of 94%.  COVID PCR negative.   CTA of the chest showed no obvious pulmonary embolism.  There is evidence of a right perihilar mass which encases the right lower lobe segmental pulmonary artery with mild narrowing.  Opacification of the right primary bronchus and right lower lobe segmental bronchus which could represent secretions or invasion by neoplasm.  There is a new airspace infiltrate in the right lower lobe posterior basal segment likely postobstructive pneumonia.   Past medical history: COPD, history of tobacco use, chronic renal insufficiency stage III, type 2 diabetes mellitus, coronary artery disease with ischemic cardiomyopathy recent ejection fraction of 40%, paroxysmal atrial flutter, status post ICD, hyperlipidemia, hypertension, anxiety and depression, squamous cell carcinoma of the right lung with known bronchial obstruction
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Blood sodium normal, Blood urea normal, Bronchial carcinoma, Cardiac perfusion defect, Cardiac pharmacologic stress test
Clinical narrative: Document Type: History and Physical   Document Subject: History & Physical Note   Performed By: MD on September 02, 2022 18:30   Verified By: MD on September 02, 2022 18:30    Encounter Info: Hospital, Inpatient, 09/02/22 -     * Final Report *     History of Present Illness/Subjective     Patient is a 76-year-old male with a past history of recently diagnosed bronchogenic carcinoma of the right lung present emergency room with increased symptoms of shortness of breath and dyspnea exertion.  Patient began having symptoms of cough congestion and shortness of breath and early August and was started on antibiotic therapy at that time.  This was continued for approximately week to 10 days and then extended by his primary care provider.  He continue his antibiotics almost until about a week ago and had continued improvement in symptoms.  Recent imaging had shown ongoing pneumonitis in this region but improvement.  However this morning he woke up complaining of severe shortness of breath and dyspnea on exertion.  He had a productive cough but it was mostly clear and white in nature.  No hematemesis or hemoptysis.  No symptoms of chest pain or chest discomfort.  No complaints of peripheral edema.  He has not started radiation or chemotherapy as of yet.  He stopped smoking 3 weeks ago.  He is also increasing more somnolent this morning as well.  When EMS arrived his oxygen saturation was 82% on 3 L and he was started on nonrebreather mask prior to coming into the emergency room.  No symptoms of palpitations.  He has been dizzy with arising from recumbency.  Baseline oxygen is 2 to 3 L per nasal cannula.   In the emergency room his blood pressure was 98/61 pulse rate 91 respiratory rate 19 oxygen saturation was 90% on 10 L nonrebreather mask temperature 36.4.   Serology: White count 13,700 with slight left shift hemoglobin 13 hematocrit 40.8 and platelet count of 362,000.  Sodium 138 potassium 4.5 chloride of 102 bicarb 27 BUN 20 creatinine 1.2 and a blood sugar of 215.  Calcium 9.5 troponin of 20 serum lactate 0.9.  Arterial blood gas pH of 7.28/PCO2 60/PO2 73 with O2 sat of 94%.  COVID PCR negative.   CTA of the chest showed no obvious pulmonary embolism.  There is evidence of a right perihilar mass which encases the right lower lobe segmental pulmonary artery with mild narrowing.  Opacification of the right primary bronchus and right lower lobe segmental bronchus which could represent secretions or invasion by neoplasm.  There is a new airspace infiltrate in the right lower lobe posterior basal segment likely postobstructive pneumonia.   Past medical history: COPD, history of tobacco use, chronic renal insufficiency stage III, type 2 diabetes mellitus, coronary artery disease with ischemic cardiomyopathy recent ejection fraction of 40%, paroxysmal atrial flutter, status post ICD, hyperlipidemia, hypertension, anxiety and depression, squamous cell carcinoma of the right lung with known bronchial obstruction
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dizziness postural, Dyspnoea, Dyspnoea exertional, Ejection fraction
Clinical narrative: Document Type: History and Physical   Document Subject: History & Physical Note   Performed By: MD on September 02, 2022 18:30   Verified By: MD on September 02, 2022 18:30    Encounter Info: Hospital, Inpatient, 09/02/22 -     * Final Report *     History of Present Illness/Subjective     Patient is a 76-year-old male with a past history of recently diagnosed bronchogenic carcinoma of the right lung present emergency room with increased symptoms of shortness of breath and dyspnea exertion.  Patient began having symptoms of cough congestion and shortness of breath and early August and was started on antibiotic therapy at that time.  This was continued for approximately week to 10 days and then extended by his primary care provider.  He continue his antibiotics almost until about a week ago and had continued improvement in symptoms.  Recent imaging had shown ongoing pneumonitis in this region but improvement.  However this morning he woke up complaining of severe shortness of breath and dyspnea on exertion.  He had a productive cough but it was mostly clear and white in nature.  No hematemesis or hemoptysis.  No symptoms of chest pain or chest discomfort.  No complaints of peripheral edema.  He has not started radiation or chemotherapy as of yet.  He stopped smoking 3 weeks ago.  He is also increasing more somnolent this morning as well.  When EMS arrived his oxygen saturation was 82% on 3 L and he was started on nonrebreather mask prior to coming into the emergency room.  No symptoms of palpitations.  He has been dizzy with arising from recumbency.  Baseline oxygen is 2 to 3 L per nasal cannula.   In the emergency room his blood pressure was 98/61 pulse rate 91 respiratory rate 19 oxygen saturation was 90% on 10 L nonrebreather mask temperature 36.4.   Serology: White count 13,700 with slight left shift hemoglobin 13 hematocrit 40.8 and platelet count of 362,000.  Sodium 138 potassium 4.5 chloride of 102 bicarb 27 BUN 20 creatinine 1.2 and a blood sugar of 215.  Calcium 9.5 troponin of 20 serum lactate 0.9.  Arterial blood gas pH of 7.28/PCO2 60/PO2 73 with O2 sat of 94%.  COVID PCR negative.   CTA of the chest showed no obvious pulmonary embolism.  There is evidence of a right perihilar mass which encases the right lower lobe segmental pulmonary artery with mild narrowing.  Opacification of the right primary bronchus and right lower lobe segmental bronchus which could represent secretions or invasion by neoplasm.  There is a new airspace infiltrate in the right lower lobe posterior basal segment likely postobstructive pneumonia.   Past medical history: COPD, history of tobacco use, chronic renal insufficiency stage III, type 2 diabetes mellitus, coronary artery disease with ischemic cardiomyopathy recent ejection fraction of 40%, paroxysmal atrial flutter, status post ICD, hyperlipidemia, hypertension, anxiety and depression, squamous cell carcinoma of the right lung with known bronchial obstruction
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Ex-tobacco user, Haematocrit decreased, Haemoglobin decreased, Lung infiltration
Clinical narrative: Document Type: History and Physical   Document Subject: History & Physical Note   Performed By: MD on September 02, 2022 18:30   Verified By: MD on September 02, 2022 18:30    Encounter Info: Hospital, Inpatient, 09/02/22 -     * Final Report *     History of Present Illness/Subjective     Patient is a 76-year-old male with a past history of recently diagnosed bronchogenic carcinoma of the right lung present emergency room with increased symptoms of shortness of breath and dyspnea exertion.  Patient began having symptoms of cough congestion and shortness of breath and early August and was started on antibiotic therapy at that time.  This was continued for approximately week to 10 days and then extended by his primary care provider.  He continue his antibiotics almost until about a week ago and had continued improvement in symptoms.  Recent imaging had shown ongoing pneumonitis in this region but improvement.  However this morning he woke up complaining of severe shortness of breath and dyspnea on exertion.  He had a productive cough but it was mostly clear and white in nature.  No hematemesis or hemoptysis.  No symptoms of chest pain or chest discomfort.  No complaints of peripheral edema.  He has not started radiation or chemotherapy as of yet.  He stopped smoking 3 weeks ago.  He is also increasing more somnolent this morning as well.  When EMS arrived his oxygen saturation was 82% on 3 L and he was started on nonrebreather mask prior to coming into the emergency room.  No symptoms of palpitations.  He has been dizzy with arising from recumbency.  Baseline oxygen is 2 to 3 L per nasal cannula.   In the emergency room his blood pressure was 98/61 pulse rate 91 respiratory rate 19 oxygen saturation was 90% on 10 L nonrebreather mask temperature 36.4.   Serology: White count 13,700 with slight left shift hemoglobin 13 hematocrit 40.8 and platelet count of 362,000.  Sodium 138 potassium 4.5 chloride of 102 bicarb 27 BUN 20 creatinine 1.2 and a blood sugar of 215.  Calcium 9.5 troponin of 20 serum lactate 0.9.  Arterial blood gas pH of 7.28/PCO2 60/PO2 73 with O2 sat of 94%.  COVID PCR negative.   CTA of the chest showed no obvious pulmonary embolism.  There is evidence of a right perihilar mass which encases the right lower lobe segmental pulmonary artery with mild narrowing.  Opacification of the right primary bronchus and right lower lobe segmental bronchus which could represent secretions or invasion by neoplasm.  There is a new airspace infiltrate in the right lower lobe posterior basal segment likely postobstructive pneumonia.   Past medical history: COPD, history of tobacco use, chronic renal insufficiency stage III, type 2 diabetes mellitus, coronary artery disease with ischemic cardiomyopathy recent ejection fraction of 40%, paroxysmal atrial flutter, status post ICD, hyperlipidemia, hypertension, anxiety and depression, squamous cell carcinoma of the right lung with known bronchial obstruction
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Lung opacity, Myocardial infarction, Myocardial ischaemia, PCO2 increased, PO2 decreased
Clinical narrative: Document Type: History and Physical   Document Subject: History & Physical Note   Performed By: MD on September 02, 2022 18:30   Verified By: MD on September 02, 2022 18:30    Encounter Info: Hospital, Inpatient, 09/02/22 -     * Final Report *     History of Present Illness/Subjective     Patient is a 76-year-old male with a past history of recently diagnosed bronchogenic carcinoma of the right lung present emergency room with increased symptoms of shortness of breath and dyspnea exertion.  Patient began having symptoms of cough congestion and shortness of breath and early August and was started on antibiotic therapy at that time.  This was continued for approximately week to 10 days and then extended by his primary care provider.  He continue his antibiotics almost until about a week ago and had continued improvement in symptoms.  Recent imaging had shown ongoing pneumonitis in this region but improvement.  However this morning he woke up complaining of severe shortness of breath and dyspnea on exertion.  He had a productive cough but it was mostly clear and white in nature.  No hematemesis or hemoptysis.  No symptoms of chest pain or chest discomfort.  No complaints of peripheral edema.  He has not started radiation or chemotherapy as of yet.  He stopped smoking 3 weeks ago.  He is also increasing more somnolent this morning as well.  When EMS arrived his oxygen saturation was 82% on 3 L and he was started on nonrebreather mask prior to coming into the emergency room.  No symptoms of palpitations.  He has been dizzy with arising from recumbency.  Baseline oxygen is 2 to 3 L per nasal cannula.   In the emergency room his blood pressure was 98/61 pulse rate 91 respiratory rate 19 oxygen saturation was 90% on 10 L nonrebreather mask temperature 36.4.   Serology: White count 13,700 with slight left shift hemoglobin 13 hematocrit 40.8 and platelet count of 362,000.  Sodium 138 potassium 4.5 chloride of 102 bicarb 27 BUN 20 creatinine 1.2 and a blood sugar of 215.  Calcium 9.5 troponin of 20 serum lactate 0.9.  Arterial blood gas pH of 7.28/PCO2 60/PO2 73 with O2 sat of 94%.  COVID PCR negative.   CTA of the chest showed no obvious pulmonary embolism.  There is evidence of a right perihilar mass which encases the right lower lobe segmental pulmonary artery with mild narrowing.  Opacification of the right primary bronchus and right lower lobe segmental bronchus which could represent secretions or invasion by neoplasm.  There is a new airspace infiltrate in the right lower lobe posterior basal segment likely postobstructive pneumonia.   Past medical history: COPD, history of tobacco use, chronic renal insufficiency stage III, type 2 diabetes mellitus, coronary artery disease with ischemic cardiomyopathy recent ejection fraction of 40%, paroxysmal atrial flutter, status post ICD, hyperlipidemia, hypertension, anxiety and depression, squamous cell carcinoma of the right lung with known bronchial obstruction
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count normal, Pneumonia, Pneumonitis, Productive cough, Pulmonary hilum mass
Clinical narrative: Document Type: History and Physical   Document Subject: History & Physical Note   Performed By: MD on September 02, 2022 18:30   Verified By: MD on September 02, 2022 18:30    Encounter Info: Hospital, Inpatient, 09/02/22 -     * Final Report *     History of Present Illness/Subjective     Patient is a 76-year-old male with a past history of recently diagnosed bronchogenic carcinoma of the right lung present emergency room with increased symptoms of shortness of breath and dyspnea exertion.  Patient began having symptoms of cough congestion and shortness of breath and early August and was started on antibiotic therapy at that time.  This was continued for approximately week to 10 days and then extended by his primary care provider.  He continue his antibiotics almost until about a week ago and had continued improvement in symptoms.  Recent imaging had shown ongoing pneumonitis in this region but improvement.  However this morning he woke up complaining of severe shortness of breath and dyspnea on exertion.  He had a productive cough but it was mostly clear and white in nature.  No hematemesis or hemoptysis.  No symptoms of chest pain or chest discomfort.  No complaints of peripheral edema.  He has not started radiation or chemotherapy as of yet.  He stopped smoking 3 weeks ago.  He is also increasing more somnolent this morning as well.  When EMS arrived his oxygen saturation was 82% on 3 L and he was started on nonrebreather mask prior to coming into the emergency room.  No symptoms of palpitations.  He has been dizzy with arising from recumbency.  Baseline oxygen is 2 to 3 L per nasal cannula.   In the emergency room his blood pressure was 98/61 pulse rate 91 respiratory rate 19 oxygen saturation was 90% on 10 L nonrebreather mask temperature 36.4.   Serology: White count 13,700 with slight left shift hemoglobin 13 hematocrit 40.8 and platelet count of 362,000.  Sodium 138 potassium 4.5 chloride of 102 bicarb 27 BUN 20 creatinine 1.2 and a blood sugar of 215.  Calcium 9.5 troponin of 20 serum lactate 0.9.  Arterial blood gas pH of 7.28/PCO2 60/PO2 73 with O2 sat of 94%.  COVID PCR negative.   CTA of the chest showed no obvious pulmonary embolism.  There is evidence of a right perihilar mass which encases the right lower lobe segmental pulmonary artery with mild narrowing.  Opacification of the right primary bronchus and right lower lobe segmental bronchus which could represent secretions or invasion by neoplasm.  There is a new airspace infiltrate in the right lower lobe posterior basal segment likely postobstructive pneumonia.   Past medical history: COPD, history of tobacco use, chronic renal insufficiency stage III, type 2 diabetes mellitus, coronary artery disease with ischemic cardiomyopathy recent ejection fraction of 40%, paroxysmal atrial flutter, status post ICD, hyperlipidemia, hypertension, anxiety and depression, squamous cell carcinoma of the right lung with known bronchial obstruction
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary imaging procedure abnormal, Respiratory tract congestion, SARS-CoV-2 test negative, Scan myocardial perfusion, Shift to the left
Clinical narrative: Document Type: History and Physical   Document Subject: History & Physical Note   Performed By: MD on September 02, 2022 18:30   Verified By: MD on September 02, 2022 18:30    Encounter Info: Hospital, Inpatient, 09/02/22 -     * Final Report *     History of Present Illness/Subjective     Patient is a 76-year-old male with a past history of recently diagnosed bronchogenic carcinoma of the right lung present emergency room with increased symptoms of shortness of breath and dyspnea exertion.  Patient began having symptoms of cough congestion and shortness of breath and early August and was started on antibiotic therapy at that time.  This was continued for approximately week to 10 days and then extended by his primary care provider.  He continue his antibiotics almost until about a week ago and had continued improvement in symptoms.  Recent imaging had shown ongoing pneumonitis in this region but improvement.  However this morning he woke up complaining of severe shortness of breath and dyspnea on exertion.  He had a productive cough but it was mostly clear and white in nature.  No hematemesis or hemoptysis.  No symptoms of chest pain or chest discomfort.  No complaints of peripheral edema.  He has not started radiation or chemotherapy as of yet.  He stopped smoking 3 weeks ago.  He is also increasing more somnolent this morning as well.  When EMS arrived his oxygen saturation was 82% on 3 L and he was started on nonrebreather mask prior to coming into the emergency room.  No symptoms of palpitations.  He has been dizzy with arising from recumbency.  Baseline oxygen is 2 to 3 L per nasal cannula.   In the emergency room his blood pressure was 98/61 pulse rate 91 respiratory rate 19 oxygen saturation was 90% on 10 L nonrebreather mask temperature 36.4.   Serology: White count 13,700 with slight left shift hemoglobin 13 hematocrit 40.8 and platelet count of 362,000.  Sodium 138 potassium 4.5 chloride of 102 bicarb 27 BUN 20 creatinine 1.2 and a blood sugar of 215.  Calcium 9.5 troponin of 20 serum lactate 0.9.  Arterial blood gas pH of 7.28/PCO2 60/PO2 73 with O2 sat of 94%.  COVID PCR negative.   CTA of the chest showed no obvious pulmonary embolism.  There is evidence of a right perihilar mass which encases the right lower lobe segmental pulmonary artery with mild narrowing.  Opacification of the right primary bronchus and right lower lobe segmental bronchus which could represent secretions or invasion by neoplasm.  There is a new airspace infiltrate in the right lower lobe posterior basal segment likely postobstructive pneumonia.   Past medical history: COPD, history of tobacco use, chronic renal insufficiency stage III, type 2 diabetes mellitus, coronary artery disease with ischemic cardiomyopathy recent ejection fraction of 40%, paroxysmal atrial flutter, status post ICD, hyperlipidemia, hypertension, anxiety and depression, squamous cell carcinoma of the right lung with known bronchial obstruction
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Single photon emission computerised tomogram, Somnolence, Troponin increased, Ventricular hypokinesia, Wall motion score index
Clinical narrative: Document Type: History and Physical   Document Subject: History & Physical Note   Performed By: MD on September 02, 2022 18:30   Verified By: MD on September 02, 2022 18:30    Encounter Info: Hospital, Inpatient, 09/02/22 -     * Final Report *     History of Present Illness/Subjective     Patient is a 76-year-old male with a past history of recently diagnosed bronchogenic carcinoma of the right lung present emergency room with increased symptoms of shortness of breath and dyspnea exertion.  Patient began having symptoms of cough congestion and shortness of breath and early August and was started on antibiotic therapy at that time.  This was continued for approximately week to 10 days and then extended by his primary care provider.  He continue his antibiotics almost until about a week ago and had continued improvement in symptoms.  Recent imaging had shown ongoing pneumonitis in this region but improvement.  However this morning he woke up complaining of severe shortness of breath and dyspnea on exertion.  He had a productive cough but it was mostly clear and white in nature.  No hematemesis or hemoptysis.  No symptoms of chest pain or chest discomfort.  No complaints of peripheral edema.  He has not started radiation or chemotherapy as of yet.  He stopped smoking 3 weeks ago.  He is also increasing more somnolent this morning as well.  When EMS arrived his oxygen saturation was 82% on 3 L and he was started on nonrebreather mask prior to coming into the emergency room.  No symptoms of palpitations.  He has been dizzy with arising from recumbency.  Baseline oxygen is 2 to 3 L per nasal cannula.   In the emergency room his blood pressure was 98/61 pulse rate 91 respiratory rate 19 oxygen saturation was 90% on 10 L nonrebreather mask temperature 36.4.   Serology: White count 13,700 with slight left shift hemoglobin 13 hematocrit 40.8 and platelet count of 362,000.  Sodium 138 potassium 4.5 chloride of 102 bicarb 27 BUN 20 creatinine 1.2 and a blood sugar of 215.  Calcium 9.5 troponin of 20 serum lactate 0.9.  Arterial blood gas pH of 7.28/PCO2 60/PO2 73 with O2 sat of 94%.  COVID PCR negative.   CTA of the chest showed no obvious pulmonary embolism.  There is evidence of a right perihilar mass which encases the right lower lobe segmental pulmonary artery with mild narrowing.  Opacification of the right primary bronchus and right lower lobe segmental bronchus which could represent secretions or invasion by neoplasm.  There is a new airspace infiltrate in the right lower lobe posterior basal segment likely postobstructive pneumonia.   Past medical history: COPD, history of tobacco use, chronic renal insufficiency stage III, type 2 diabetes mellitus, coronary artery disease with ischemic cardiomyopathy recent ejection fraction of 40%, paroxysmal atrial flutter, status post ICD, hyperlipidemia, hypertension, anxiety and depression, squamous cell carcinoma of the right lung with known bronchial obstruction
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count increased
Clinical narrative: Document Type: History and Physical   Document Subject: History & Physical Note   Performed By: MD on September 02, 2022 18:30   Verified By: MD on September 02, 2022 18:30    Encounter Info: Hospital, Inpatient, 09/02/22 -     * Final Report *     History of Present Illness/Subjective     Patient is a 76-year-old male with a past history of recently diagnosed bronchogenic carcinoma of the right lung present emergency room with increased symptoms of shortness of breath and dyspnea exertion.  Patient began having symptoms of cough congestion and shortness of breath and early August and was started on antibiotic therapy at that time.  This was continued for approximately week to 10 days and then extended by his primary care provider.  He continue his antibiotics almost until about a week ago and had continued improvement in symptoms.  Recent imaging had shown ongoing pneumonitis in this region but improvement.  However this morning he woke up complaining of severe shortness of breath and dyspnea on exertion.  He had a productive cough but it was mostly clear and white in nature.  No hematemesis or hemoptysis.  No symptoms of chest pain or chest discomfort.  No complaints of peripheral edema.  He has not started radiation or chemotherapy as of yet.  He stopped smoking 3 weeks ago.  He is also increasing more somnolent this morning as well.  When EMS arrived his oxygen saturation was 82% on 3 L and he was started on nonrebreather mask prior to coming into the emergency room.  No symptoms of palpitations.  He has been dizzy with arising from recumbency.  Baseline oxygen is 2 to 3 L per nasal cannula.   In the emergency room his blood pressure was 98/61 pulse rate 91 respiratory rate 19 oxygen saturation was 90% on 10 L nonrebreather mask temperature 36.4.   Serology: White count 13,700 with slight left shift hemoglobin 13 hematocrit 40.8 and platelet count of 362,000.  Sodium 138 potassium 4.5 chloride of 102 bicarb 27 BUN 20 creatinine 1.2 and a blood sugar of 215.  Calcium 9.5 troponin of 20 serum lactate 0.9.  Arterial blood gas pH of 7.28/PCO2 60/PO2 73 with O2 sat of 94%.  COVID PCR negative.   CTA of the chest showed no obvious pulmonary embolism.  There is evidence of a right perihilar mass which encases the right lower lobe segmental pulmonary artery with mild narrowing.  Opacification of the right primary bronchus and right lower lobe segmental bronchus which could represent secretions or invasion by neoplasm.  There is a new airspace infiltrate in the right lower lobe posterior basal segment likely postobstructive pneumonia.   Past medical history: COPD, history of tobacco use, chronic renal insufficiency stage III, type 2 diabetes mellitus, coronary artery disease with ischemic cardiomyopathy recent ejection fraction of 40%, paroxysmal atrial flutter, status post ICD, hyperlipidemia, hypertension, anxiety and depression, squamous cell carcinoma of the right lung with known bronchial obstruction
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding
Clinical narrative: Extremely heavy menstrual bleeding. The bleeding has been so severe I had to start taking Iron supplements and buying much heavier duty menstrual products. Seriously, floods of blood like I have never experienced. I had both vaccine shots and a booster on 1/9/22. I am still having these negative impacts as of 07/2022
Age: 34.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling
Clinical narrative: Redness and swelling at injection site. Started about the size of an egg, and now 2 days after vaccination (Sep. 3 2022) almost entire underside of forearm is red (approx. 8? in length, 4? wide oval shape spreading from injection site). There is also some firmness at injection site. Itchiness has occasionally accompanied this as well. Topical hydrocortisone and topical diphenhydramine were trialed but no improvement in symptoms were noted.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Facial paralysis, Hypoaesthesia, Magnetic resonance imaging, Neurological symptom, Paralysis
Clinical narrative: Patient 16 years old presented with facial and ear numbness/paralysis and received evaluation at facility. Physician  referred patient to Hospital where she was prescribed Barium MRI for brain/vascular evaluation. No known causes were determined aside from recent vaccination and Neurology follow-up determined no known existing conditions were determined.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Scan with contrast
Clinical narrative: Patient 16 years old presented with facial and ear numbness/paralysis and received evaluation at facility. Physician  referred patient to Hospital where she was prescribed Barium MRI for brain/vascular evaluation. No known causes were determined aside from recent vaccination and Neurology follow-up determined no known existing conditions were determined.
Age: 10.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diabetic ketoacidosis, Type 1 diabetes mellitus
Clinical narrative: Type one diabetes mellitus.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Site: Pain at Injection Site-Mild. Additional details: Patient reported after about a week pain in shoulder increased to a 7 on as scale from 1-10. Her provider prescribed a steroid. Now the pain is less than a 1 with a twinge here and there. Provider wanted to do MRI, but she wants to wait because her pain subsided considerably since finishing the steroid.
Age: 21.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Additional Details: injection side was warm and erythematous 2 days after injection
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site bruising, Injection site pain, Joint injury, Limb injury
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Severe, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Additional Details: patient reports consistent pain in both shoulders, pt has seen urgent care to address issue but reports that dr looked at neck only and did not address shoulder pain which patient believes is d/t moderna shot
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Severe, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Additional Details: patient reports consistent pain in both shoulders, pt has seen urgent care to address issue but reports that dr looked at neck only and did not address shoulder pain which patient believes is d/t moderna shot
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dizziness, Eye swelling, Headache, Hypoaesthesia
Clinical narrative: Site: Itching at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Allergic: Itch (specify: facial area, extremities)-Severe, Systemic: Allergic: Itch Generalized-Severe, Systemic: Allergic: Rash (specify: facial area, extremities)-Severe, Systemic: Allergic: Rash Generalized-Severe, Systemic: Allergic: Swelling of Face/Eyes/Mouth/Tongue-Severe, Systemic: Diarrhea-Severe, Systemic: Dizziness/Lightheadedness-Severe, Systemic: headache, numbness and tingling in extremities, could not sleep-Severe, Systemic: Headache-Severe, Systemic: Numbness (specify: facial area, extremities)-Severe, Systemic: Tingling (specify: facial area, extremities)-Severe, Systemic: Unable to Sleep-Medium, Additional details: Patient reported to pharmacy today, 8/31/2022, regarding an adverse effect(s). She contacted MD on 02/24/2022.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Insomnia, Mouth swelling
Clinical narrative: Site: Itching at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Allergic: Itch (specify: facial area, extremities)-Severe, Systemic: Allergic: Itch Generalized-Severe, Systemic: Allergic: Rash (specify: facial area, extremities)-Severe, Systemic: Allergic: Rash Generalized-Severe, Systemic: Allergic: Swelling of Face/Eyes/Mouth/Tongue-Severe, Systemic: Diarrhea-Severe, Systemic: Dizziness/Lightheadedness-Severe, Systemic: headache, numbness and tingling in extremities, could not sleep-Severe, Systemic: Headache-Severe, Systemic: Numbness (specify: facial area, extremities)-Severe, Systemic: Tingling (specify: facial area, extremities)-Severe, Systemic: Unable to Sleep-Medium, Additional details: Patient reported to pharmacy today, 8/31/2022, regarding an adverse effect(s). She contacted MD on 02/24/2022.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Pruritus, Rash, Swelling face, Swollen tongue
Clinical narrative: Site: Itching at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Allergic: Itch (specify: facial area, extremities)-Severe, Systemic: Allergic: Itch Generalized-Severe, Systemic: Allergic: Rash (specify: facial area, extremities)-Severe, Systemic: Allergic: Rash Generalized-Severe, Systemic: Allergic: Swelling of Face/Eyes/Mouth/Tongue-Severe, Systemic: Diarrhea-Severe, Systemic: Dizziness/Lightheadedness-Severe, Systemic: headache, numbness and tingling in extremities, could not sleep-Severe, Systemic: Headache-Severe, Systemic: Numbness (specify: facial area, extremities)-Severe, Systemic: Tingling (specify: facial area, extremities)-Severe, Systemic: Unable to Sleep-Medium, Additional details: Patient reported to pharmacy today, 8/31/2022, regarding an adverse effect(s). She contacted MD on 02/24/2022.
Age: 1.08
Sex: M
Vaccine: MMR, PNC13, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Fever x5 days, rash on face, back, and chest
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Cognitive disorder, Gait disturbance, Neurological symptom, Speech disorder, Urinary incontinence
Clinical narrative: Stroke-like symptoms - unable to speak clearly, unable to walk without assistance, unable to control urination, unable to follow instructions for approximately 24 hours