chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Paraesthesia, Red blood cell sedimentation rate normal, Treponema test negative, Vision blurred
Clinical narrative: Within 15-20 min L face began to tingle, while driving home.  Once home, I observed that the vaccine location was given at the lowest and most medial edge (and nearly off of) L deltoid muscle.    Within 5-8 hours whole left arm with tingling sensations followed by excrutiating nerve like pain shooting up and down arm most severe at medial L arm running up through axilla and into shoulder.    Entire left arm, shoulder and up into neck/face in severe pain (near inability to move or touch arm).    This subsided some after 1 week and was left with tingling sensations in Left>R hands and some in left arm as well.  2 months later tingling sensations began in feet.  Saw NP at Medical Clinic in Location who ran some generalized labs and was started on Gabapentin 100mg BID.  This improved symptoms and after 1 month of taking medicines stopped them and symptoms increased exponentially reprising initial post vaccine symptoms of tingling sensations in left face and whole L arm and leg.  Then increased muscle soreness and fatigue started particularly at joint areas on left side but also throughout Left shoulder, arm and Leg.  At this time Left eye also began to become blurry with difficulty focusing.   Saw NP again on 7/15 who ordered MRI of brain.    Then was referred to neurologist at  Clinic (first appointment 9/23) where further testing was completed until final follow-up visit on 11/30 where Doctor concluded Symptoms most likely the result of the vaccine and told me to fill out the VAERS.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Vitamin B12 normal
Clinical narrative: Within 15-20 min L face began to tingle, while driving home.  Once home, I observed that the vaccine location was given at the lowest and most medial edge (and nearly off of) L deltoid muscle.    Within 5-8 hours whole left arm with tingling sensations followed by excrutiating nerve like pain shooting up and down arm most severe at medial L arm running up through axilla and into shoulder.    Entire left arm, shoulder and up into neck/face in severe pain (near inability to move or touch arm).    This subsided some after 1 week and was left with tingling sensations in Left>R hands and some in left arm as well.  2 months later tingling sensations began in feet.  Saw NP at Medical Clinic in Location who ran some generalized labs and was started on Gabapentin 100mg BID.  This improved symptoms and after 1 month of taking medicines stopped them and symptoms increased exponentially reprising initial post vaccine symptoms of tingling sensations in left face and whole L arm and leg.  Then increased muscle soreness and fatigue started particularly at joint areas on left side but also throughout Left shoulder, arm and Leg.  At this time Left eye also began to become blurry with difficulty focusing.   Saw NP again on 7/15 who ordered MRI of brain.    Then was referred to neurologist at  Clinic (first appointment 9/23) where further testing was completed until final follow-up visit on 11/30 where Doctor concluded Symptoms most likely the result of the vaccine and told me to fill out the VAERS.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Feeling hot, Rash, Urticaria
Clinical narrative: 51-year-old male Moderna vaccine First dose in February 2021 and second dose in March 2021. No side effects with the exception of fatigue for one day and sore arm.  On November 14 I received my Moderna booster??????.  Once again no reaction but a sore arm for one day.  On November 22 I broke out all over my body in hives.  Went to my primary care physician the following day. I was put on a regimen of prednisone.   Thanksgiving morning I woke up feeling worse with difficulty breathing. I then went to the emergency room at my local hospital. I was put on an IV and administered 60 mg of prednisone along with Pepcid. I was discharged later that day.  Once the prednisone regimen was over I was hoping this would end. It did not. I?ve then went to an allergist who does believe this is booster related. She advised me to take one Zyrtec and one Pepcid daily for the next few weeks.  They are far from over. My left hand occasionally resembles somebody drawling red lines on it. In addition, after a shower it can really come out.???  I get weird warm sensations that cross under my nose and elsewhere on my face.  Everyday is another rash/urticaria either on my torso,forehead,etc  ??
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Disorientation, Headache, Pain
Clinical narrative: Chills, fever up to 104.5, body aches, headache, disorientation, no appetite. Treatment was lots of fluids and waiting it out with medication.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Chills, fever up to 104.5, body aches, headache, disorientation, no appetite. Treatment was lots of fluids and waiting it out with medication.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Feeding disorder, Lethargy
Clinical narrative: Extreme fatigue and lethargy.  Fever of 101.2.  Chills.  Inability to eat much or drink. Diarrhea.  Symptoms for more 2 days so far?
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Extreme fatigue and lethargy.  Fever of 101.2.  Chills.  Inability to eat much or drink. Diarrhea.  Symptoms for more 2 days so far?
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: I just looked at her arm, two days later and it?s swollen snd red BELOW the injections site. And sore too. But it?s a big lump. This is not COVID arm because it?s only been 48 hours I?ll be calling her doctor on Monday to discuss
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Extremely swollen lymph nodes especially in left armpit, swollen the size of a grapefruit.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Lymphadenopathy, Tenderness
Clinical narrative: Moderate to severe pain and tenderness in underarm/arm put of same side where shot was received. Has been occurring over 48 hours. Believe it is swollen lymph nodes.
Age: 33.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Erythema, Urticaria
Clinical narrative: Urticaria, redness from touch.  Anything touches me I?m red and welted  Only after dose 3.  Nothing from dose 1 or 2
Age: 43.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Chillblains, Interchange of vaccine products, Skin lesion
Clinical narrative: chilblain like lesions on right large and second toe within one month of Pfizer booster (11/21) after having had an initial Johnson and Johnson vaccine in 4/21.
Age: 38.0
Sex: F
Vaccine: FLU4
Symptoms: Joint range of motion decreased, Pain, Product administered at inappropriate site
Clinical narrative: Vaccine given too high, pain developed within 24 hours and I am now having limited range of motion as a result of pain
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Headache, Pyrexia, Syncope
Clinical narrative: I was completely healthy at the time of taking the vaccine. However, about 6 hours after taking the vaccine, I have been experiencing severe chills, very high fever, headache, and a lot of weakness. It?s been 4.5 days and the same symptoms have not gone. I just don?t know what to do. I have been to the ER as I was about to faint and was having severe bone crunching chills and then to a medical facility.  I have been constantly taking pain medication
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test normal, Chest discomfort, Condition aggravated, Discomfort, Dizziness
Clinical narrative: I have been experienceing pressure, discomfort, tightness in the chest since the second vaccination.  I passed out with extreme vertigo and my vitals dropped right after the second shot, then went to the hospital, and I was sick for 5 days afterwards.  I have had ongoing issues with irregularly high blood pressure and heavy palpitations, feeling very dizzy, shaking, and periodic severe discomfort.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram abnormal, Electrocardiogram normal, Hypertension, Loss of consciousness, Malaise
Clinical narrative: I have been experienceing pressure, discomfort, tightness in the chest since the second vaccination.  I passed out with extreme vertigo and my vitals dropped right after the second shot, then went to the hospital, and I was sick for 5 days afterwards.  I have had ongoing issues with irregularly high blood pressure and heavy palpitations, feeling very dizzy, shaking, and periodic severe discomfort.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Palpitations, Supraventricular tachycardia, Tremor, Vertigo
Clinical narrative: I have been experienceing pressure, discomfort, tightness in the chest since the second vaccination.  I passed out with extreme vertigo and my vitals dropped right after the second shot, then went to the hospital, and I was sick for 5 days afterwards.  I have had ongoing issues with irregularly high blood pressure and heavy palpitations, feeling very dizzy, shaking, and periodic severe discomfort.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Crying, Mood swings
Clinical narrative: intense mood swings/crying out of nowhere all day, 2 days following the vaccine. this happened with my second shot as well, but on a more minor scale.  not normal at all for me.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Mass, Rash, Rash pruritic
Clinical narrative: nickel size round itchy patch rash near injection site does not go away any tropicals raised lesion came suddenly months after 2 doses of moderna vaccine thus has not increased in diameter or color
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives or urticaria. I have never had this level of scratching before. I can also "skin write" on my skin and it results in marks where it was scratched. I never had this before and it started about 2 weeks after the Moderna booster shot.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Asthma, Chest X-ray normal, Computerised tomogram thorax, Dysphagia, Mechanical urticaria
Clinical narrative: Chronic urticaria with dermatographia, trouble swallowing (substernal esophageal discomfort even with saliva), and moderate to severe asthma with poor control, both ongoing even after 10 day oral steroids, first time in patient?s life needing inhaled corticosteroids and frequent bronchodilator use
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Oesophageal disorder, Urticaria chronic
Clinical narrative: Chronic urticaria with dermatographia, trouble swallowing (substernal esophageal discomfort even with saliva), and moderate to severe asthma with poor control, both ongoing even after 10 day oral steroids, first time in patient?s life needing inhaled corticosteroids and frequent bronchodilator use
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia
Clinical narrative: Loss of taste.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Haemorrhagic stroke, Intensive care, Magnetic resonance imaging head
Clinical narrative: Major hemorrhagic stroke
Age: 61.0
Sex: M
Vaccine: FLUX
Symptoms: Pain in extremity
Clinical narrative: Right arm soreness in shot area.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Condition aggravated, Respiratory arrest, Seizure, Vomiting
Clinical narrative: Pt had a breakthrough seizure 4 days after vaccination after not having a seizure  in over 6 years. Was also vomiting.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash erythematous, Rash papular, Urticaria
Clinical narrative: Diffuse red, raised rash/ hives mainly to bilateral legs, some to arms and torso, intensely itchy,  worsening by the day. Started 4 days post Moderna booster.
Age: 82.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Muscular weakness, Pain, Pain in extremity, Peripheral swelling
Clinical narrative: Arm became red hot, swolllen and achy.  it was seen a week later by doctor and was still found to be hot to touch. It gradually faded away but to this day I have achiness and residual weakness in the left upper arm, with bouts of mild fever mid upper arm level. Pain upon mush use  which fades but never quite completely leaves.
Age: 82.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia, Rash macular, Skin warm
Clinical narrative: Arm became red hot, swolllen and achy.  it was seen a week later by doctor and was still found to be hot to touch. It gradually faded away but to this day I have achiness and residual weakness in the left upper arm, with bouts of mild fever mid upper arm level. Pain upon mush use  which fades but never quite completely leaves.
Age: 26.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Joint range of motion decreased, Mobility decreased, Pain, Pain in extremity
Clinical narrative: Arm and shoulder pain , lack of range of motion , radiating pain down to the fingers , unable to lift arm
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Electrocardiogram normal, Fatigue, Myocarditis
Clinical narrative: Pretty certain it is myocarditis  Symptoms include tightness in chest, shortness of breath, fatigue
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Erectile dysfunction
Clinical narrative: Severe erectile dysfunction. Patient went from active and healthy sexual function to extreme dysfunction within approximately 30 days.  Treatment and outcome are pending.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chills, Fatigue, Headache, Pyrexia, Tremor
Clinical narrative: Fever of 102 degrees, heavy chills (shaking), headache, severe fatigue. Lasted 30 hours.   Returned to normal health Sunday morning.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: Bell's palsy
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Lymphadenopathy, Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: 8 days post vaccine developed Shingles on right front chest. Of note: 1 day post vaccine developed fever over 101F, swelling in right arm, very enlarged lymph nodes in right armpit. Fever broke after 1 day, arm pain lasted 4 days, swollen lymph nodes began to lessen after 1 week, still slightly enlarged two weeks later.
Age: 16.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angina pectoris, Heart rate irregular, Palpitations
Clinical narrative: Heart/ chest pain. Heart beat irregular, heart racing
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: Sever right ankle pain after waking up
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiomegaly, Chest X-ray abnormal, Fall, Laboratory test abnormal, Troponin increased
Clinical narrative: Patient came into the hospital after falling at home 2nd time in one day. No previous mention of falls.  After labs and tests has elevated troponin, cardiomegaly noted on CXR, she has no history of this. only history is spinal stenosis and osteoporosis.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Disturbance in attention, Dizziness, Headache, Hyperhidrosis, Lymphadenopathy
Clinical narrative: I am a 95lb adult.  My antibody test result taken five days prior to the booster shot was 2.39 index value. The booster shot Lot number might not be totally accurate as it was hard to decipher the handwriting. 12 hours after the booster shot I started having an intense headache to the point of becoming nauseous and everything turning black in front of my eyes, followed by a heavy sweating. It was all accompanied by a body ache and fever (37.3C). All the symptoms above lasted for exactly 24 hours, which was 36 hours from the shot. At that point I only felt light headed. Nearly 45 hours from the shot I noticed my memory was falling me. I take my weekly language tutoring and I could not conjugate the most comon verbs I have already mastered. That's when I noticed I haven't been able to really concentrate, I still felt light headed. Nearly 60 hours from the shot I started feeling the lymph node under my left arm bothering me and it lasted for nearly 40 hours and gradually disappeared.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Memory impairment, Nausea, Pain, Pyrexia, Visual impairment
Clinical narrative: I am a 95lb adult.  My antibody test result taken five days prior to the booster shot was 2.39 index value. The booster shot Lot number might not be totally accurate as it was hard to decipher the handwriting. 12 hours after the booster shot I started having an intense headache to the point of becoming nauseous and everything turning black in front of my eyes, followed by a heavy sweating. It was all accompanied by a body ache and fever (37.3C). All the symptoms above lasted for exactly 24 hours, which was 36 hours from the shot. At that point I only felt light headed. Nearly 45 hours from the shot I noticed my memory was falling me. I take my weekly language tutoring and I could not conjugate the most comon verbs I have already mastered. That's when I noticed I haven't been able to really concentrate, I still felt light headed. Nearly 60 hours from the shot I started feeling the lymph node under my left arm bothering me and it lasted for nearly 40 hours and gradually disappeared.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Mechanical urticaria, Rash
Clinical narrative: 10 days after Moderna covid booster i developed a rash like condition when pressure or scratched on skin. It was diagnosed as dermatographia
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Headache, Lymphadenopathy, Pain in extremity, Pyrexia
Clinical narrative: fever, headache, and very sore arm (feels like lymph nodes in underside of arm are swollen)
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Covid Moderna booster given by LPN was given to patient who is 17 years and 8 months. No adverse effect noted.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Gastrooesophageal reflux disease, Immunisation reaction, Impaired work ability, Loss of personal independence in daily activities
Clinical narrative: Ten days after my Moderna  booster, I broke out in hives and welts all over torso, back, and legs.   Also developed severe esophageal reflux.  My reaction to the Moderna vaccine and booster was swollen lymph nodes in my armpits.  The swelling was worse and lasted longer following the booster compared to the vaccine.  I was Covid+ in November of 2020. Symptoms were refractory to Benadryl, steroids, and antihistamines as well as topical treatments.    I had an EGD to confirm reflux and treated with 40mg pantoprazole BID.   GERD resolved in 2 weeks with medication.  My symptoms were most severe late afternoon into the night.   Tried elimination diets to rule out food allergy.   Familiar with mast cell disorders from my job.  Talked to my PCP and started Sodium Cromolyn 100mg 4x/day.  This worked for 2 weeks then increased to 200mg  4-5x/day depending schedule.  This is the only treatment that keeps my hives and welts away. Symptoms limited my ability to sleep, work, and participate in daily activities,
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Oesophagogastroduodenoscopy abnormal, Sleep disorder, Urticaria
Clinical narrative: Ten days after my Moderna  booster, I broke out in hives and welts all over torso, back, and legs.   Also developed severe esophageal reflux.  My reaction to the Moderna vaccine and booster was swollen lymph nodes in my armpits.  The swelling was worse and lasted longer following the booster compared to the vaccine.  I was Covid+ in November of 2020. Symptoms were refractory to Benadryl, steroids, and antihistamines as well as topical treatments.    I had an EGD to confirm reflux and treated with 40mg pantoprazole BID.   GERD resolved in 2 weeks with medication.  My symptoms were most severe late afternoon into the night.   Tried elimination diets to rule out food allergy.   Familiar with mast cell disorders from my job.  Talked to my PCP and started Sodium Cromolyn 100mg 4x/day.  This worked for 2 weeks then increased to 200mg  4-5x/day depending schedule.  This is the only treatment that keeps my hives and welts away. Symptoms limited my ability to sleep, work, and participate in daily activities,
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Generalised tonic-clonic seizure
Clinical narrative: Grand mail seizure (2 consecutive weeks), previously had complex partial seizures
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lip swelling, Myalgia, Pyrexia
Clinical narrative: After booster shot of Moderna: headache, muscle pain, fever ,SWELLING LIPS(I received a filler on lips 2 months ago before the booster shot).  The third day I am taking claritin, I plan to visit a doctor or go to urgent care, because after 3 days there is no improvement
Age: 48.0
Sex: F
Vaccine: UNK
Symptoms: Headache, Migraine
Clinical narrative: serious migraines every day. unbearable head pain.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Full body rash. primarily on the torso and arms.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, FLU4
Symptoms: Myalgia, Myositis, Pain in extremity, Tenosynovitis stenosans
Clinical narrative: None after 1st shot,  about a month after 2nd shot sharp muscle pain in left arm - inconsistent - can't say it happens with anyone event - lifting even pillows can cause it, putting on a jacket/sweater, making a bed are some examples. After booster it started in the right arm as well, while not as sharp any more in the left arm it is still there and still ongoing in right arm., sometimes muscles in both arms just ache.  Saw doctor on 12/22/21 and his notes say: " I feel she has de Quervain's tenosynovitis or localized myositis most likely related to COVID-19 vaccine."
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Myositis, Neuralgia, Pain, Pain in extremity
Clinical narrative: Myositis...excruciating arm pain in left upper arm (where injection was given)...feels nerve related. Radiates up to the shoulder...it was just tender like usual on following day but proceeded to get worse (internally) throughout the week. It has now been two weeks and the my arm radiates with pain. There has been no sign of lessening pain.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Tenderness
Clinical narrative: Myositis...excruciating arm pain in left upper arm (where injection was given)...feels nerve related. Radiates up to the shoulder...it was just tender like usual on following day but proceeded to get worse (internally) throughout the week. It has now been two weeks and the my arm radiates with pain. There has been no sign of lessening pain.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Blood pressure decreased, Electrocardiogram normal, Loss of consciousness, Syncope
Clinical narrative: 20 year old female experienced sycopal episode after receiving Pfeizer COVID booster. Patient collapsed after 15 minutes of observation and was helpedto the flood by RN. Patient experienced LOC but awoke less than a minute after event. She did not have any trauma. D stick from the event was reported WNL, Vitals showed BP of 70's/40's. She was laid down on a stretcher and given fluids. BP's returned to baseline without any other interventions. 911 was  activated and patient was transported to hospital with parent.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time, Acute kidney injury, Amylase, Anti-cyclic citrullinated peptide antibody, Anticoagulant therapy
Clinical narrative: On 9/29/2021  Patient received the Pfizer booster shot at pharmacy On 10/18/2021 Patient said "I feel funny". She had very low energy and a mild fever. On 11/1/2021 Patient saw a doctor for her problem. Diagnosis fluid on the lungs. Sent to ER. See Attached hospital record. Patient is a 77 yo F with h/o atrial fibrillation/flutter, status post cardioversion, stroke, vertigo, admitted with complaints of shortness of breath, found to have large pleural and pericardial effusion, status post pericardiocentesis, pericardial window with opening of both pleura with bilateral chest tubes, developed acute kidney injury and hyponatremia in the ICU, transfer to the floor on 11/9 Patient found to have large left pleural and pericardial effusion with dyspnea on exertion and orthopnea.  Bedside pericardiocentesis on 11/3 followed by the subxiphoid pericardial window on 11/5.  Patient also had drainage of bilateral pleural effusions with chest tube placement and pericardial drain which was removed.  Started on colchicine daily for pericarditis.  Pericardial fluid AFB, fungal cultures, cytology negative.  Pericardial biopsy positive for SSB, seen by rheumatology team and concern for MCTD, recommend Plaquenil for a year, cardiology referral as alternative with steroids, due to interaction of Plaquenil with flecainide.  Plan for trial of prednisone with taper over the the next 3 to 4 weeks, started on 11/13. Patient has a history of A. fib with RVR, had been on flecainide, history of prior cardioversion.  Eliquis has been on hold with all those procedures in the hospital, now Eliquis resumed, flecainide discontinued per  EP team, as okay with CT surgery to resume. Patient was found to have fevers, mild leukocytosis, blood and urine cultures have been negative, chest x-ray unremarkable, ID team thinks that it's likely related to MCTD. Patient found to have acute kidney injury and hyponatremia with metabolic acidosis and urinary retention on admission, AKI resolved, initially was given albumin, diuresis was held.  Seen by nephrology team.  Patient had Foley catheter placed which was removed. Patient developed diarrhea, no abdominal pain, diarrhea resolved.  PT and OT recommended SNF, patient wanted to go home and home therapy was ordered, she will go home with her husband.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody, Antinuclear antibody positive, Arterial catheterisation, Aspiration pleural cavity, Asthenia
Clinical narrative: On 9/29/2021  Patient received the Pfizer booster shot at pharmacy On 10/18/2021 Patient said "I feel funny". She had very low energy and a mild fever. On 11/1/2021 Patient saw a doctor for her problem. Diagnosis fluid on the lungs. Sent to ER. See Attached hospital record. Patient is a 77 yo F with h/o atrial fibrillation/flutter, status post cardioversion, stroke, vertigo, admitted with complaints of shortness of breath, found to have large pleural and pericardial effusion, status post pericardiocentesis, pericardial window with opening of both pleura with bilateral chest tubes, developed acute kidney injury and hyponatremia in the ICU, transfer to the floor on 11/9 Patient found to have large left pleural and pericardial effusion with dyspnea on exertion and orthopnea.  Bedside pericardiocentesis on 11/3 followed by the subxiphoid pericardial window on 11/5.  Patient also had drainage of bilateral pleural effusions with chest tube placement and pericardial drain which was removed.  Started on colchicine daily for pericarditis.  Pericardial fluid AFB, fungal cultures, cytology negative.  Pericardial biopsy positive for SSB, seen by rheumatology team and concern for MCTD, recommend Plaquenil for a year, cardiology referral as alternative with steroids, due to interaction of Plaquenil with flecainide.  Plan for trial of prednisone with taper over the the next 3 to 4 weeks, started on 11/13. Patient has a history of A. fib with RVR, had been on flecainide, history of prior cardioversion.  Eliquis has been on hold with all those procedures in the hospital, now Eliquis resumed, flecainide discontinued per  EP team, as okay with CT surgery to resume. Patient was found to have fevers, mild leukocytosis, blood and urine cultures have been negative, chest x-ray unremarkable, ID team thinks that it's likely related to MCTD. Patient found to have acute kidney injury and hyponatremia with metabolic acidosis and urinary retention on admission, AKI resolved, initially was given albumin, diuresis was held.  Seen by nephrology team.  Patient had Foley catheter placed which was removed. Patient developed diarrhea, no abdominal pain, diarrhea resolved.  PT and OT recommended SNF, patient wanted to go home and home therapy was ordered, she will go home with her husband.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Bacterial test, Biopsy pericardium abnormal, Bladder catheterisation, Blood cholesterol, Blood cortisol
Clinical narrative: On 9/29/2021  Patient received the Pfizer booster shot at pharmacy On 10/18/2021 Patient said "I feel funny". She had very low energy and a mild fever. On 11/1/2021 Patient saw a doctor for her problem. Diagnosis fluid on the lungs. Sent to ER. See Attached hospital record. Patient is a 77 yo F with h/o atrial fibrillation/flutter, status post cardioversion, stroke, vertigo, admitted with complaints of shortness of breath, found to have large pleural and pericardial effusion, status post pericardiocentesis, pericardial window with opening of both pleura with bilateral chest tubes, developed acute kidney injury and hyponatremia in the ICU, transfer to the floor on 11/9 Patient found to have large left pleural and pericardial effusion with dyspnea on exertion and orthopnea.  Bedside pericardiocentesis on 11/3 followed by the subxiphoid pericardial window on 11/5.  Patient also had drainage of bilateral pleural effusions with chest tube placement and pericardial drain which was removed.  Started on colchicine daily for pericarditis.  Pericardial fluid AFB, fungal cultures, cytology negative.  Pericardial biopsy positive for SSB, seen by rheumatology team and concern for MCTD, recommend Plaquenil for a year, cardiology referral as alternative with steroids, due to interaction of Plaquenil with flecainide.  Plan for trial of prednisone with taper over the the next 3 to 4 weeks, started on 11/13. Patient has a history of A. fib with RVR, had been on flecainide, history of prior cardioversion.  Eliquis has been on hold with all those procedures in the hospital, now Eliquis resumed, flecainide discontinued per  EP team, as okay with CT surgery to resume. Patient was found to have fevers, mild leukocytosis, blood and urine cultures have been negative, chest x-ray unremarkable, ID team thinks that it's likely related to MCTD. Patient found to have acute kidney injury and hyponatremia with metabolic acidosis and urinary retention on admission, AKI resolved, initially was given albumin, diuresis was held.  Seen by nephrology team.  Patient had Foley catheter placed which was removed. Patient developed diarrhea, no abdominal pain, diarrhea resolved.  PT and OT recommended SNF, patient wanted to go home and home therapy was ordered, she will go home with her husband.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase, Blood creatine phosphokinase MB, Blood culture negative, Blood gases, Blood glucose
Clinical narrative: On 9/29/2021  Patient received the Pfizer booster shot at pharmacy On 10/18/2021 Patient said "I feel funny". She had very low energy and a mild fever. On 11/1/2021 Patient saw a doctor for her problem. Diagnosis fluid on the lungs. Sent to ER. See Attached hospital record. Patient is a 77 yo F with h/o atrial fibrillation/flutter, status post cardioversion, stroke, vertigo, admitted with complaints of shortness of breath, found to have large pleural and pericardial effusion, status post pericardiocentesis, pericardial window with opening of both pleura with bilateral chest tubes, developed acute kidney injury and hyponatremia in the ICU, transfer to the floor on 11/9 Patient found to have large left pleural and pericardial effusion with dyspnea on exertion and orthopnea.  Bedside pericardiocentesis on 11/3 followed by the subxiphoid pericardial window on 11/5.  Patient also had drainage of bilateral pleural effusions with chest tube placement and pericardial drain which was removed.  Started on colchicine daily for pericarditis.  Pericardial fluid AFB, fungal cultures, cytology negative.  Pericardial biopsy positive for SSB, seen by rheumatology team and concern for MCTD, recommend Plaquenil for a year, cardiology referral as alternative with steroids, due to interaction of Plaquenil with flecainide.  Plan for trial of prednisone with taper over the the next 3 to 4 weeks, started on 11/13. Patient has a history of A. fib with RVR, had been on flecainide, history of prior cardioversion.  Eliquis has been on hold with all those procedures in the hospital, now Eliquis resumed, flecainide discontinued per  EP team, as okay with CT surgery to resume. Patient was found to have fevers, mild leukocytosis, blood and urine cultures have been negative, chest x-ray unremarkable, ID team thinks that it's likely related to MCTD. Patient found to have acute kidney injury and hyponatremia with metabolic acidosis and urinary retention on admission, AKI resolved, initially was given albumin, diuresis was held.  Seen by nephrology team.  Patient had Foley catheter placed which was removed. Patient developed diarrhea, no abdominal pain, diarrhea resolved.  PT and OT recommended SNF, patient wanted to go home and home therapy was ordered, she will go home with her husband.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Blood grouping, Blood immunoglobulin G, Blood lactate dehydrogenase, Blood magnesium, Blood osmolarity
Clinical narrative: On 9/29/2021  Patient received the Pfizer booster shot at pharmacy On 10/18/2021 Patient said "I feel funny". She had very low energy and a mild fever. On 11/1/2021 Patient saw a doctor for her problem. Diagnosis fluid on the lungs. Sent to ER. See Attached hospital record. Patient is a 77 yo F with h/o atrial fibrillation/flutter, status post cardioversion, stroke, vertigo, admitted with complaints of shortness of breath, found to have large pleural and pericardial effusion, status post pericardiocentesis, pericardial window with opening of both pleura with bilateral chest tubes, developed acute kidney injury and hyponatremia in the ICU, transfer to the floor on 11/9 Patient found to have large left pleural and pericardial effusion with dyspnea on exertion and orthopnea.  Bedside pericardiocentesis on 11/3 followed by the subxiphoid pericardial window on 11/5.  Patient also had drainage of bilateral pleural effusions with chest tube placement and pericardial drain which was removed.  Started on colchicine daily for pericarditis.  Pericardial fluid AFB, fungal cultures, cytology negative.  Pericardial biopsy positive for SSB, seen by rheumatology team and concern for MCTD, recommend Plaquenil for a year, cardiology referral as alternative with steroids, due to interaction of Plaquenil with flecainide.  Plan for trial of prednisone with taper over the the next 3 to 4 weeks, started on 11/13. Patient has a history of A. fib with RVR, had been on flecainide, history of prior cardioversion.  Eliquis has been on hold with all those procedures in the hospital, now Eliquis resumed, flecainide discontinued per  EP team, as okay with CT surgery to resume. Patient was found to have fevers, mild leukocytosis, blood and urine cultures have been negative, chest x-ray unremarkable, ID team thinks that it's likely related to MCTD. Patient found to have acute kidney injury and hyponatremia with metabolic acidosis and urinary retention on admission, AKI resolved, initially was given albumin, diuresis was held.  Seen by nephrology team.  Patient had Foley catheter placed which was removed. Patient developed diarrhea, no abdominal pain, diarrhea resolved.  PT and OT recommended SNF, patient wanted to go home and home therapy was ordered, she will go home with her husband.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Blood phosphorus, Blood thyroid stimulating hormone, Blood uric acid, Body fluid analysis, C-reactive protein
Clinical narrative: On 9/29/2021  Patient received the Pfizer booster shot at pharmacy On 10/18/2021 Patient said "I feel funny". She had very low energy and a mild fever. On 11/1/2021 Patient saw a doctor for her problem. Diagnosis fluid on the lungs. Sent to ER. See Attached hospital record. Patient is a 77 yo F with h/o atrial fibrillation/flutter, status post cardioversion, stroke, vertigo, admitted with complaints of shortness of breath, found to have large pleural and pericardial effusion, status post pericardiocentesis, pericardial window with opening of both pleura with bilateral chest tubes, developed acute kidney injury and hyponatremia in the ICU, transfer to the floor on 11/9 Patient found to have large left pleural and pericardial effusion with dyspnea on exertion and orthopnea.  Bedside pericardiocentesis on 11/3 followed by the subxiphoid pericardial window on 11/5.  Patient also had drainage of bilateral pleural effusions with chest tube placement and pericardial drain which was removed.  Started on colchicine daily for pericarditis.  Pericardial fluid AFB, fungal cultures, cytology negative.  Pericardial biopsy positive for SSB, seen by rheumatology team and concern for MCTD, recommend Plaquenil for a year, cardiology referral as alternative with steroids, due to interaction of Plaquenil with flecainide.  Plan for trial of prednisone with taper over the the next 3 to 4 weeks, started on 11/13. Patient has a history of A. fib with RVR, had been on flecainide, history of prior cardioversion.  Eliquis has been on hold with all those procedures in the hospital, now Eliquis resumed, flecainide discontinued per  EP team, as okay with CT surgery to resume. Patient was found to have fevers, mild leukocytosis, blood and urine cultures have been negative, chest x-ray unremarkable, ID team thinks that it's likely related to MCTD. Patient found to have acute kidney injury and hyponatremia with metabolic acidosis and urinary retention on admission, AKI resolved, initially was given albumin, diuresis was held.  Seen by nephrology team.  Patient had Foley catheter placed which was removed. Patient developed diarrhea, no abdominal pain, diarrhea resolved.  PT and OT recommended SNF, patient wanted to go home and home therapy was ordered, she will go home with her husband.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Chest tube insertion, Complement factor C3, Complement factor C4, Computerised tomogram thorax
Clinical narrative: On 9/29/2021  Patient received the Pfizer booster shot at pharmacy On 10/18/2021 Patient said "I feel funny". She had very low energy and a mild fever. On 11/1/2021 Patient saw a doctor for her problem. Diagnosis fluid on the lungs. Sent to ER. See Attached hospital record. Patient is a 77 yo F with h/o atrial fibrillation/flutter, status post cardioversion, stroke, vertigo, admitted with complaints of shortness of breath, found to have large pleural and pericardial effusion, status post pericardiocentesis, pericardial window with opening of both pleura with bilateral chest tubes, developed acute kidney injury and hyponatremia in the ICU, transfer to the floor on 11/9 Patient found to have large left pleural and pericardial effusion with dyspnea on exertion and orthopnea.  Bedside pericardiocentesis on 11/3 followed by the subxiphoid pericardial window on 11/5.  Patient also had drainage of bilateral pleural effusions with chest tube placement and pericardial drain which was removed.  Started on colchicine daily for pericarditis.  Pericardial fluid AFB, fungal cultures, cytology negative.  Pericardial biopsy positive for SSB, seen by rheumatology team and concern for MCTD, recommend Plaquenil for a year, cardiology referral as alternative with steroids, due to interaction of Plaquenil with flecainide.  Plan for trial of prednisone with taper over the the next 3 to 4 weeks, started on 11/13. Patient has a history of A. fib with RVR, had been on flecainide, history of prior cardioversion.  Eliquis has been on hold with all those procedures in the hospital, now Eliquis resumed, flecainide discontinued per  EP team, as okay with CT surgery to resume. Patient was found to have fevers, mild leukocytosis, blood and urine cultures have been negative, chest x-ray unremarkable, ID team thinks that it's likely related to MCTD. Patient found to have acute kidney injury and hyponatremia with metabolic acidosis and urinary retention on admission, AKI resolved, initially was given albumin, diuresis was held.  Seen by nephrology team.  Patient had Foley catheter placed which was removed. Patient developed diarrhea, no abdominal pain, diarrhea resolved.  PT and OT recommended SNF, patient wanted to go home and home therapy was ordered, she will go home with her husband.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Creatinine urine, Culture urine negative, Cytology normal, DNA antibody, Diarrhoea
Clinical narrative: On 9/29/2021  Patient received the Pfizer booster shot at pharmacy On 10/18/2021 Patient said "I feel funny". She had very low energy and a mild fever. On 11/1/2021 Patient saw a doctor for her problem. Diagnosis fluid on the lungs. Sent to ER. See Attached hospital record. Patient is a 77 yo F with h/o atrial fibrillation/flutter, status post cardioversion, stroke, vertigo, admitted with complaints of shortness of breath, found to have large pleural and pericardial effusion, status post pericardiocentesis, pericardial window with opening of both pleura with bilateral chest tubes, developed acute kidney injury and hyponatremia in the ICU, transfer to the floor on 11/9 Patient found to have large left pleural and pericardial effusion with dyspnea on exertion and orthopnea.  Bedside pericardiocentesis on 11/3 followed by the subxiphoid pericardial window on 11/5.  Patient also had drainage of bilateral pleural effusions with chest tube placement and pericardial drain which was removed.  Started on colchicine daily for pericarditis.  Pericardial fluid AFB, fungal cultures, cytology negative.  Pericardial biopsy positive for SSB, seen by rheumatology team and concern for MCTD, recommend Plaquenil for a year, cardiology referral as alternative with steroids, due to interaction of Plaquenil with flecainide.  Plan for trial of prednisone with taper over the the next 3 to 4 weeks, started on 11/13. Patient has a history of A. fib with RVR, had been on flecainide, history of prior cardioversion.  Eliquis has been on hold with all those procedures in the hospital, now Eliquis resumed, flecainide discontinued per  EP team, as okay with CT surgery to resume. Patient was found to have fevers, mild leukocytosis, blood and urine cultures have been negative, chest x-ray unremarkable, ID team thinks that it's likely related to MCTD. Patient found to have acute kidney injury and hyponatremia with metabolic acidosis and urinary retention on admission, AKI resolved, initially was given albumin, diuresis was held.  Seen by nephrology team.  Patient had Foley catheter placed which was removed. Patient developed diarrhea, no abdominal pain, diarrhea resolved.  PT and OT recommended SNF, patient wanted to go home and home therapy was ordered, she will go home with her husband.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Differential white blood cell count, Double stranded DNA antibody, Dyspnoea, Dyspnoea exertional, Echocardiogram
Clinical narrative: On 9/29/2021  Patient received the Pfizer booster shot at pharmacy On 10/18/2021 Patient said "I feel funny". She had very low energy and a mild fever. On 11/1/2021 Patient saw a doctor for her problem. Diagnosis fluid on the lungs. Sent to ER. See Attached hospital record. Patient is a 77 yo F with h/o atrial fibrillation/flutter, status post cardioversion, stroke, vertigo, admitted with complaints of shortness of breath, found to have large pleural and pericardial effusion, status post pericardiocentesis, pericardial window with opening of both pleura with bilateral chest tubes, developed acute kidney injury and hyponatremia in the ICU, transfer to the floor on 11/9 Patient found to have large left pleural and pericardial effusion with dyspnea on exertion and orthopnea.  Bedside pericardiocentesis on 11/3 followed by the subxiphoid pericardial window on 11/5.  Patient also had drainage of bilateral pleural effusions with chest tube placement and pericardial drain which was removed.  Started on colchicine daily for pericarditis.  Pericardial fluid AFB, fungal cultures, cytology negative.  Pericardial biopsy positive for SSB, seen by rheumatology team and concern for MCTD, recommend Plaquenil for a year, cardiology referral as alternative with steroids, due to interaction of Plaquenil with flecainide.  Plan for trial of prednisone with taper over the the next 3 to 4 weeks, started on 11/13. Patient has a history of A. fib with RVR, had been on flecainide, history of prior cardioversion.  Eliquis has been on hold with all those procedures in the hospital, now Eliquis resumed, flecainide discontinued per  EP team, as okay with CT surgery to resume. Patient was found to have fevers, mild leukocytosis, blood and urine cultures have been negative, chest x-ray unremarkable, ID team thinks that it's likely related to MCTD. Patient found to have acute kidney injury and hyponatremia with metabolic acidosis and urinary retention on admission, AKI resolved, initially was given albumin, diuresis was held.  Seen by nephrology team.  Patient had Foley catheter placed which was removed. Patient developed diarrhea, no abdominal pain, diarrhea resolved.  PT and OT recommended SNF, patient wanted to go home and home therapy was ordered, she will go home with her husband.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Ejection fraction, Electrocardiogram, Feeling abnormal, Full blood count, Fungal test negative
Clinical narrative: On 9/29/2021  Patient received the Pfizer booster shot at pharmacy On 10/18/2021 Patient said "I feel funny". She had very low energy and a mild fever. On 11/1/2021 Patient saw a doctor for her problem. Diagnosis fluid on the lungs. Sent to ER. See Attached hospital record. Patient is a 77 yo F with h/o atrial fibrillation/flutter, status post cardioversion, stroke, vertigo, admitted with complaints of shortness of breath, found to have large pleural and pericardial effusion, status post pericardiocentesis, pericardial window with opening of both pleura with bilateral chest tubes, developed acute kidney injury and hyponatremia in the ICU, transfer to the floor on 11/9 Patient found to have large left pleural and pericardial effusion with dyspnea on exertion and orthopnea.  Bedside pericardiocentesis on 11/3 followed by the subxiphoid pericardial window on 11/5.  Patient also had drainage of bilateral pleural effusions with chest tube placement and pericardial drain which was removed.  Started on colchicine daily for pericarditis.  Pericardial fluid AFB, fungal cultures, cytology negative.  Pericardial biopsy positive for SSB, seen by rheumatology team and concern for MCTD, recommend Plaquenil for a year, cardiology referral as alternative with steroids, due to interaction of Plaquenil with flecainide.  Plan for trial of prednisone with taper over the the next 3 to 4 weeks, started on 11/13. Patient has a history of A. fib with RVR, had been on flecainide, history of prior cardioversion.  Eliquis has been on hold with all those procedures in the hospital, now Eliquis resumed, flecainide discontinued per  EP team, as okay with CT surgery to resume. Patient was found to have fevers, mild leukocytosis, blood and urine cultures have been negative, chest x-ray unremarkable, ID team thinks that it's likely related to MCTD. Patient found to have acute kidney injury and hyponatremia with metabolic acidosis and urinary retention on admission, AKI resolved, initially was given albumin, diuresis was held.  Seen by nephrology team.  Patient had Foley catheter placed which was removed. Patient developed diarrhea, no abdominal pain, diarrhea resolved.  PT and OT recommended SNF, patient wanted to go home and home therapy was ordered, she will go home with her husband.