chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, COVID-19, Cough, Exposure to SARS-CoV-2
Clinical narrative: I am relatively certain that I was exposed to COVID-19 on 4/08/22. I was at an indoor performance with no mask. I began to see symptoms on 04/10/22 with fever, congestion, weakness, sore muscles and joints. I took an at home test on the 11th which was positive. After that I got a prescription for 5 days of Paxlovid on Tuesday, my fever broke and the tests were negative. But I was still experiencing nasal congestion which turned into chest congestion. I subsequently went to see the doctor 4/23/22. He prescribed 20mg of Prednisone twice daily for 5 days along with an Albuterol inhaler and a Fluticasone Fumarate inhaler. I'm still experiencing cough, nasal congestion, headache, and itchy throat. I suffer from allergies, but I have not had allergy symptoms this bad in the past.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Myalgia, Nasal congestion, Pyrexia, Respiratory tract congestion
Clinical narrative: I am relatively certain that I was exposed to COVID-19 on 4/08/22. I was at an indoor performance with no mask. I began to see symptoms on 04/10/22 with fever, congestion, weakness, sore muscles and joints. I took an at home test on the 11th which was positive. After that I got a prescription for 5 days of Paxlovid on Tuesday, my fever broke and the tests were negative. But I was still experiencing nasal congestion which turned into chest congestion. I subsequently went to see the doctor 4/23/22. He prescribed 20mg of Prednisone twice daily for 5 days along with an Albuterol inhaler and a Fluticasone Fumarate inhaler. I'm still experiencing cough, nasal congestion, headache, and itchy throat. I suffer from allergies, but I have not had allergy symptoms this bad in the past.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Throat irritation
Clinical narrative: I am relatively certain that I was exposed to COVID-19 on 4/08/22. I was at an indoor performance with no mask. I began to see symptoms on 04/10/22 with fever, congestion, weakness, sore muscles and joints. I took an at home test on the 11th which was positive. After that I got a prescription for 5 days of Paxlovid on Tuesday, my fever broke and the tests were negative. But I was still experiencing nasal congestion which turned into chest congestion. I subsequently went to see the doctor 4/23/22. He prescribed 20mg of Prednisone twice daily for 5 days along with an Albuterol inhaler and a Fluticasone Fumarate inhaler. I'm still experiencing cough, nasal congestion, headache, and itchy throat. I suffer from allergies, but I have not had allergy symptoms this bad in the past.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Swelling
Clinical narrative: armpit swelling in left arm, redness
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Aspartate aminotransferase increased, C-reactive protein increased, Chest X-ray normal, Conjunctivitis
Clinical narrative: Patient developed symptoms of MISC on 2/23/22; fevers began on 2/24/22 with a Tmax of 40.6 degrees Celsius. Over the course of illness, symptoms and complications included fevers, sinus tachycardia, shortness of breath, abdominal pain, vomiting, mucocutaneous lesions/conjunctivitis, headache, near syncope, neck pain, myalgias, and cervical lymphadenopathy. Abnormal labs included elevated NT-ProBNP, thrombocytopenia, elevated AST, elevated CRP, and elevated ferritin. ECHO studies were normal. Patient was admitted to the hospital on 2/28/22 and treated with IVIG, infliximab, and aspirin; he was discharged on 3/3/22. He was readmitted on 3/3/22 and treated with a second dose of infliximab; he was discharged on 3/5/2022.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram normal, Headache, Immunoglobulin therapy, Lymphadenopathy
Clinical narrative: Patient developed symptoms of MISC on 2/23/22; fevers began on 2/24/22 with a Tmax of 40.6 degrees Celsius. Over the course of illness, symptoms and complications included fevers, sinus tachycardia, shortness of breath, abdominal pain, vomiting, mucocutaneous lesions/conjunctivitis, headache, near syncope, neck pain, myalgias, and cervical lymphadenopathy. Abnormal labs included elevated NT-ProBNP, thrombocytopenia, elevated AST, elevated CRP, and elevated ferritin. ECHO studies were normal. Patient was admitted to the hospital on 2/28/22 and treated with IVIG, infliximab, and aspirin; he was discharged on 3/3/22. He was readmitted on 3/3/22 and treated with a second dose of infliximab; he was discharged on 3/5/2022.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, N-terminal prohormone brain natriuretic peptide increased, Neck pain, Oral disorder, Platelet count decreased
Clinical narrative: Patient developed symptoms of MISC on 2/23/22; fevers began on 2/24/22 with a Tmax of 40.6 degrees Celsius. Over the course of illness, symptoms and complications included fevers, sinus tachycardia, shortness of breath, abdominal pain, vomiting, mucocutaneous lesions/conjunctivitis, headache, near syncope, neck pain, myalgias, and cervical lymphadenopathy. Abnormal labs included elevated NT-ProBNP, thrombocytopenia, elevated AST, elevated CRP, and elevated ferritin. ECHO studies were normal. Patient was admitted to the hospital on 2/28/22 and treated with IVIG, infliximab, and aspirin; he was discharged on 3/3/22. He was readmitted on 3/3/22 and treated with a second dose of infliximab; he was discharged on 3/5/2022.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Presyncope, Pyrexia, SARS-CoV-2 antibody test, Serum ferritin increased, Sinus tachycardia
Clinical narrative: Patient developed symptoms of MISC on 2/23/22; fevers began on 2/24/22 with a Tmax of 40.6 degrees Celsius. Over the course of illness, symptoms and complications included fevers, sinus tachycardia, shortness of breath, abdominal pain, vomiting, mucocutaneous lesions/conjunctivitis, headache, near syncope, neck pain, myalgias, and cervical lymphadenopathy. Abnormal labs included elevated NT-ProBNP, thrombocytopenia, elevated AST, elevated CRP, and elevated ferritin. ECHO studies were normal. Patient was admitted to the hospital on 2/28/22 and treated with IVIG, infliximab, and aspirin; he was discharged on 3/3/22. He was readmitted on 3/3/22 and treated with a second dose of infliximab; he was discharged on 3/5/2022.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Thrombocytopenia, Vomiting
Clinical narrative: Patient developed symptoms of MISC on 2/23/22; fevers began on 2/24/22 with a Tmax of 40.6 degrees Celsius. Over the course of illness, symptoms and complications included fevers, sinus tachycardia, shortness of breath, abdominal pain, vomiting, mucocutaneous lesions/conjunctivitis, headache, near syncope, neck pain, myalgias, and cervical lymphadenopathy. Abnormal labs included elevated NT-ProBNP, thrombocytopenia, elevated AST, elevated CRP, and elevated ferritin. ECHO studies were normal. Patient was admitted to the hospital on 2/28/22 and treated with IVIG, infliximab, and aspirin; he was discharged on 3/3/22. He was readmitted on 3/3/22 and treated with a second dose of infliximab; he was discharged on 3/5/2022.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Exceed BUD
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: The product wasn't stored according to the labeling and was kept in the refrigerator longer than what the manufacturer requires.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Product use issue
Clinical narrative: Exceed BUD
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal distension, Inflammation, Musculoskeletal stiffness, Paraesthesia, Parosmia
Clinical narrative: Within minutes my right index finger began feeling tingly. I also smelled things that were not present. It smelled like sweaty putrid gym clothing? It?s hard to narrow that down but it is a scent that lingers incessantly. The next morning my neck was heavily stiff. Today, I began to feel just under my sternum, a bloated, inflammed sensation. It?s not painful to the touch but it?s very apparent that something is occurring in that location. This is day two. This is chronologically how it has occurred. With this only being the second day, after the first dose, after contracting COVID Twice, it?s alarming that this is occurring.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: The product wasn't stored according to the labeling and was kept in the refrigerator longer than what the manufacturer requires.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Exceed BUD
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: The product wasn't stored according to the labeling and was kept in the refrigerator longer than what the manufacturer requires.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No symptoms.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Movement disorder, Musculoskeletal stiffness, Pain
Clinical narrative: I think it was the 3rd or 4th day in, I started to get stiff on one side of my neck on the left. It kind of moved and I woke up the next morning and it was wrapping all the way around. I couldn't turn my neck and it was locked. If I moved one way or the other, it would hurt. I put a heating pad on and would try to stay still until it subsided. I only took Aleve and Acetaminophen combo, and it would lighten up. But it stayed for about 8-10 days, and it would get wider each day. The other thing about it is that that was February. The 2nd episode was on my birthday but more severe. It could have been set off by the vaccine because of the reaction. It could or could not be due to the Moderna vaccine. Not entirely sure.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Arthralgia, Joint range of motion decreased
Clinical narrative: SYMPTOMS: RIGHT SHOULDER joint continued pain, LOSS of full range of motion of RIGHT SHOULDER, ongoing.  TREATMENT: Topical rubs, Advil, Aleve, IBU, Tylenol, Heat, Cold compresses TIME COURSE: 2 DAY after first dose, ongoing and continues to hurt daily around the clock
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Headache, Myalgia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I contracted Covid19 on 3/8/2022 and was asymptomatic at time of testing, and for most of the illness with only a couple days of myalgia, congestion and headache. I have fully recovered with no lingering symptoms.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Full blood count normal, Pruritus, Rash
Clinical narrative: I broke out with burning and itching. Eventually, in March, I developed this really bad rash and the doctor couldn't figure it out. I then went to a dermatologist and they prescribe some cream. The rash was all over my body except my face. I had someone to come to my house to see if I had bed bugs or something in my house and it wasn't. It cleared up in the middle of March. Everything has cleared up. I can't say that it was the vaccine or not but I have never had any of this before.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort
Clinical narrative: Odd feeling in chest lasting 2 months and high blood.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: The product wasn't stored according to the labeling and was kept in the refrigerator longer than what the manufacturer requires.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis, Deafness, Post procedural hypothyroidism
Clinical narrative: ASSESSMENT and PLAN Visit Diagnoses and Orders: 1. Postoperative hypothyroidism (Primary)   2. History of thyroid cancer   3. Adverse effect of COVID-19 vaccine   4. Arthritis of carpometacarpal (CMC) joint of both thumbs -     diclofenac (VOLTAREN) 1% gel; Apply 2 g topically 4 times daily as needed (Upper extremity pain) Apply to affected area.  Do not occlude.  Do not apply to broken/inflamed skin..  Dispense: 100 g; Refill: 0   5. Hearing loss, unspecified hearing loss type, unspecified laterality     Discussion:   - follow up with Endocrinologist regarding referral to ENT referral for surgery. Discussed ENT options. On the local Clinic 2 Dr.'s   - consider different brand of COVID vaccine with 2nd booster which would be due June 2022. She was pleased with this idea and reports it helped her to feel she had options.   - trial of Voltaren Gel on thumbs. Continue acupuncture.   Approximately 30 minutes were spent on this visit:             Pre-visit work: 0 Documentation: 5             Face-to-face exam/evaluation, education/counseling, orders: 25             Referral/communication with other healthcare professionals: 0 Review of separately obtained history: 0 Independent Results Interpretation: 0
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Exceed BUD
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No symptoms.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac discomfort, Dyspnoea, Mass, Neck mass, Pain in extremity
Clinical narrative: The patient started developing lumps around her neck/shoulder, difficulty breathing, pressure on heart, and some arm pain the day after she got vaccination. Since these could be possible side effects from COVID19 vaccines, I recommended her to see her PCP as soon as possible and call 911 if breathing problem/pressure on heart get worse.
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site swelling, Muscle spasms
Clinical narrative: immediate swelling and redness at injection site, serious cramping on right side of body where injection was administered lasting more than one month after injection.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Audiogram abnormal, Disturbance in attention, Impaired work ability, Tinnitus
Clinical narrative: Sudden onset of loud high-pitched tinnitus in right ear approx. one month after the booster.  Resulted in difficulty concentrating requiring medical leave from work, and severe anxiety necessitating medication and CBT.  ENT visit did not determine a clear cause and determined the tinnitus  was not treatable.  Tinnitus has remained consistent since onset.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Exceed BUD
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No symptoms.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Myalgia, Pain
Clinical narrative: Progress Notes Nurse Practitioner Patient is a 65 y.o. male  Date:  4/20/2022 CC: Chief Complaint Patient presents with ? Generalized Body Aches      ASSESSMENT AND PLAN 1. Arthralgia after vaccination -     predniSONE (DELTASONE) 2.5 MG tablet; Take 1 tablet by mouth Daily for 90 days Please take dose between 5 to 10 mg that mitigates symptoms..  Dispense: 90 tablet; Refill: 3 -     predniSONE (DELTASONE) 10 mg tablet; Take 1 tablet by mouth Daily for 90 days Please take dose between 5 to 10 mg that mitigates symptoms..  Dispense: 90 tablet; Refill: 3 -     predniSONE (DELTASONE) 5 mg tablet; Take 1 tablet by mouth Daily for 90 days Please take dose between 5 to 10 mg that mitigates symptoms..  Dispense: 90 tablet; Refill: 3   2. History of autoimmune disorder -     predniSONE (DELTASONE) 2.5 MG tablet; Take 1 tablet by mouth Daily for 90 days Please take dose between 5 to 10 mg that mitigates symptoms..  Dispense: 90 tablet; Refill: 3 -     predniSONE (DELTASONE) 10 mg tablet; Take 1 tablet by mouth Daily for 90 days Please take dose between 5 to 10 mg that mitigates symptoms..  Dispense: 90 tablet; Refill: 3 -     predniSONE (DELTASONE) 5 mg tablet; Take 1 tablet by mouth Daily for 90 days Please take dose between 5 to 10 mg that mitigates symptoms..  Dispense: 90 tablet; Refill: 3   Patient currently taking 10 mg daily to control symptoms. Recently ran out of medications and was hopeful he would not need to resume, but generalized arthralgias and myalgias returned.  He would like to trial 7.5 mg daily.  He would also be interested in trying 7.5 mg and 10 mg regimen every other day; medication ordered in various dosage amounts to allow for patient to trial dosing regimens.  Unable to be seen by rheumatology until Jan '23.  Will continue to monitor for exacerbations.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis enteropathic, Attention deficit hyperactivity disorder
Clinical narrative: Visit Diagnoses and Orders: 1. Enteropathic arthritis (Primary) -     AMB Referral to Infusion Center   2. Adverse reaction to COVID-19 vaccine -     AMB Referral to Infusion Center   3. Attention deficit disorder, unspecified hyperactivity presence     Discussion:   Reviewed rheumatology note, patient had adverse reaction to COVID-19 vaccine, plan is for her to start treatment with immunosuppressing medication > Remicade. Rheumatology recommending patient receive Evusheld EUA acknowledgment was discussed and signed by patient and provider; advised patient this treatment is investigational and not approved but is approved for Emergency use. A copy of the fact sheet was given to the patient, we also reviewed online resources. Referral placed to the infusion center   I have personally reviewed acknowledgement, Full fact sheet for providers Approximately 30 minutes were spent on this visit:             Pre-visit work: 10 Documentation: 5             Face-to-face exam/evaluation, education/counseling, orders: 20             Referral/communication with other healthcare professionals: 0 Review of separately obtained history: 0 Independent Results Interpretation: 0
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Eye disorder, Facial pain, Inflammation, Rash
Clinical narrative: Two days after receiving my vaccine, I started getting bumps on my face. It felt like sunburn, my face was really red. It was hurting. I kind of thought it was rosacea and the eye doctor, Because the rash was affecting my eyes, told me it was linked to inflammation. Later I wondered was it connected to the vaccine. It is under control now, I am taking Erythromycin Ointment for eyes, Metronidazole for my skin.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous
Clinical narrative: Two days after receiving my vaccine, I started getting bumps on my face. It felt like sunburn, my face was really red. It was hurting. I kind of thought it was rosacea and the eye doctor, Because the rash was affecting my eyes, told me it was linked to inflammation. Later I wondered was it connected to the vaccine. It is under control now, I am taking Erythromycin Ointment for eyes, Metronidazole for my skin.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysarthria, Fatigue, Gait disturbance, Mobility decreased
Clinical narrative: On April 27th as soon as I had my shot I couldn't get up from the chair. I felt like I couldn't walk. I sat for a couple of minutes and I just barely made it outside as I was having issues walking. I barely made it to the car. My speech was slurred. I experienced fatigue when I got home. Speech went back to normal. For 2 weeks I was walking very slowly and realized I could have had a mini stroke. I also experienced dizziness and vertigo. Ever since I received the 2nd dose, my walking speed has dramatically decreased.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: On April 27th as soon as I had my shot I couldn't get up from the chair. I felt like I couldn't walk. I sat for a couple of minutes and I just barely made it outside as I was having issues walking. I barely made it to the car. My speech was slurred. I experienced fatigue when I got home. Speech went back to normal. For 2 weeks I was walking very slowly and realized I could have had a mini stroke. I also experienced dizziness and vertigo. Ever since I received the 2nd dose, my walking speed has dramatically decreased.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain in extremity, Peripheral swelling, Pruritus, Skin discolouration
Clinical narrative: I had sore arm, and it was painful. It was swollen, pink, and hot to touch. It was itchy a little bit. It was painful to touch. I had a fever of 99.9 degrees and chills. I called my doctor and she advised me to take some Tylenol and use a warm heat pad or warm moist tile for my arm. The fever lasted for two days. The arm is still a little sore, but it is much better now.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm, Tenderness
Clinical narrative: I had sore arm, and it was painful. It was swollen, pink, and hot to touch. It was itchy a little bit. It was painful to touch. I had a fever of 99.9 degrees and chills. I called my doctor and she advised me to take some Tylenol and use a warm heat pad or warm moist tile for my arm. The fever lasted for two days. The arm is still a little sore, but it is much better now.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Exceed BUD.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Exceed BUD
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: Had COVID symptoms starting Wed May 4, 2022;  Had a Positive PCR test for COVID on Fri May 6, 2022
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose increased, Blood thyroid stimulating hormone, Fatigue, Glycosylated haemoglobin, Metabolic function test
Clinical narrative: Office Visit  5/4/2022 MD   Family Medicine Long term current use of opiate analgesic +8 more   Dx Chronic Pain   Reason for Visit   Result QuickNote MD (Physician) ? ? Family Medicine    Overall has reassuring labs; does have elevation to A1c but is actually improved over 9 months ago; also has CRP (inflammatory marker) in normal range, normal thyroid, liver and kidney function and his BNP is also in the normal range (a marker of heart stress) so it appears the new swelling is NOT related to his heart, thankfully. It will be good to have this baseline going forward.  Emailed result to patient. Call if questions.       Progress Notes MD (Physician) ? ? Family Medicine    Patient ID:  Patient is a 61 y.o. male.   CC:   Chief Complaint Patient presents with ? Chronic Pain      ASSESSMENT AND PLAN:        ICD-10-CM ICD-9-CM   1. Long term current use of opiate analgesic  Z79.891 V58.69     reviewed how he's been using these to help with post op pain and also his activities through the day; sometimes will take in the night 2. S/P total left hip arthroplasty  Z96.642 V43.64     has been wanting to wean off medications; now still using about the same issue 3. Panlobular emphysema    J43.1 492.8     using oxygen; feeling of fatigue 4. Bilateral leg edema  R60.0 782.3   with Differential       Comprehensive Metabolic Panel 5. Fatigue after COVID-19 vaccination  R53.83 780.79     T50.B95A E949.6   6. Screening PSA (prostate specific antigen)  Z12.5 V76.44 PSA, Screen 7. DOE (dyspnea on exertion)  R06.00 786.09 TSH, Reflex Free T4       NT-PRO BNP 8. Elevated blood sugar  R73.9 790.29 Hemoglobin A1C   Ensure "Long term (current) use of opiate analgesic" ICD-10 Z79.891 is on the problem list. Pain consult required for MEDD>120;     Chronic pain issues are, mostly being controlled by the current treatment regimen. There have not been concerns or red flags for improper use/abuse of medications. The patient has been consistently compliant with his pain contract requirements.    o The patient's ongoing expectations of chronic pain treatment were reviewed o The patient's ongoing  functional goals were reviewed.                     His goal by next visit is:  Continue to heal from his surgery                   He feels likelihood of achieving this goal is fair to good o Medications: no change o Will continue on 84/28 days at this time
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: N-terminal prohormone brain natriuretic peptide, Oedema peripheral, Pain, Prostatic specific antigen, Thyroxine
Clinical narrative: Office Visit  5/4/2022 MD   Family Medicine Long term current use of opiate analgesic +8 more   Dx Chronic Pain   Reason for Visit   Result QuickNote MD (Physician) ? ? Family Medicine    Overall has reassuring labs; does have elevation to A1c but is actually improved over 9 months ago; also has CRP (inflammatory marker) in normal range, normal thyroid, liver and kidney function and his BNP is also in the normal range (a marker of heart stress) so it appears the new swelling is NOT related to his heart, thankfully. It will be good to have this baseline going forward.  Emailed result to patient. Call if questions.       Progress Notes MD (Physician) ? ? Family Medicine    Patient ID:  Patient is a 61 y.o. male.   CC:   Chief Complaint Patient presents with ? Chronic Pain      ASSESSMENT AND PLAN:        ICD-10-CM ICD-9-CM   1. Long term current use of opiate analgesic  Z79.891 V58.69     reviewed how he's been using these to help with post op pain and also his activities through the day; sometimes will take in the night 2. S/P total left hip arthroplasty  Z96.642 V43.64     has been wanting to wean off medications; now still using about the same issue 3. Panlobular emphysema    J43.1 492.8     using oxygen; feeling of fatigue 4. Bilateral leg edema  R60.0 782.3   with Differential       Comprehensive Metabolic Panel 5. Fatigue after COVID-19 vaccination  R53.83 780.79     T50.B95A E949.6   6. Screening PSA (prostate specific antigen)  Z12.5 V76.44 PSA, Screen 7. DOE (dyspnea on exertion)  R06.00 786.09 TSH, Reflex Free T4       NT-PRO BNP 8. Elevated blood sugar  R73.9 790.29 Hemoglobin A1C   Ensure "Long term (current) use of opiate analgesic" ICD-10 Z79.891 is on the problem list. Pain consult required for MEDD>120;     Chronic pain issues are, mostly being controlled by the current treatment regimen. There have not been concerns or red flags for improper use/abuse of medications. The patient has been consistently compliant with his pain contract requirements.    o The patient's ongoing expectations of chronic pain treatment were reviewed o The patient's ongoing  functional goals were reviewed.                     His goal by next visit is:  Continue to heal from his surgery                   He feels likelihood of achieving this goal is fair to good o Medications: no change o Will continue on 84/28 days at this time
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Product use issue
Clinical narrative: Exceed BUD
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Patient came in for first dose of Pediatric Pfizer, and the medication didn't get diluted properly.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Exceed BUD.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Brain natriuretic peptide increased, C-reactive protein abnormal, COVID-19, COVID-19 pneumonia
Clinical narrative: Case was vaccinated and boosted x1 against Covid, as of September 2021, then was hospitalized for COvid in February of 2022.   Hospitalized at:  Hospital.  Pneumonia due to COVID-19 virus Symptoms started 1/25/22, tested positive 1/27/22. Received molnupiravir before admission. Vaccinated but not boosted, and noted history of MDS likely decreased vaccine effectiveness. CXR and CT with multifocal patchy airspace opacities consistent with a viral pneumonia. Had increasing O2 needs requiring HFNC so received tocilizumab 2/12. She completed her initial steroid course 2/17. Then restarted steroids 2/19 with the ongoing high O2 needs. Fortunately her O2 needs then started to improve. Her CRP down trended. Patient was on 3L NC for the 2 days prior to discharge and felt well. She was discharged home with supplemental O2 and can wean it as able. She was also prescribed a dexamethasone taper due to the severity of her covid-19 pneumonia. She was out of isolation at the time of discharge.  Acute respiratory failure with hypoxia  Secondary to covid-19 pneumonia. Also had a high BNP and was diuresed 2/17 and 2/18 but that did not improve her O2 needs. Echo 12/20 showed moderate pHTN which also contributes to hypoxia. Treated covid as noted above. On 3L at the time of discharge, continue to wean as able
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Computerised tomogram thorax abnormal, Echocardiogram abnormal, Lung opacity, Pneumonia viral
Clinical narrative: Case was vaccinated and boosted x1 against Covid, as of September 2021, then was hospitalized for COvid in February of 2022.   Hospitalized at:  Hospital.  Pneumonia due to COVID-19 virus Symptoms started 1/25/22, tested positive 1/27/22. Received molnupiravir before admission. Vaccinated but not boosted, and noted history of MDS likely decreased vaccine effectiveness. CXR and CT with multifocal patchy airspace opacities consistent with a viral pneumonia. Had increasing O2 needs requiring HFNC so received tocilizumab 2/12. She completed her initial steroid course 2/17. Then restarted steroids 2/19 with the ongoing high O2 needs. Fortunately her O2 needs then started to improve. Her CRP down trended. Patient was on 3L NC for the 2 days prior to discharge and felt well. She was discharged home with supplemental O2 and can wean it as able. She was also prescribed a dexamethasone taper due to the severity of her covid-19 pneumonia. She was out of isolation at the time of discharge.  Acute respiratory failure with hypoxia  Secondary to covid-19 pneumonia. Also had a high BNP and was diuresed 2/17 and 2/18 but that did not improve her O2 needs. Echo 12/20 showed moderate pHTN which also contributes to hypoxia. Treated covid as noted above. On 3L at the time of discharge, continue to wean as able
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Polyuria, Pulmonary hypertension, SARS-CoV-2 test positive
Clinical narrative: Case was vaccinated and boosted x1 against Covid, as of September 2021, then was hospitalized for COvid in February of 2022.   Hospitalized at:  Hospital.  Pneumonia due to COVID-19 virus Symptoms started 1/25/22, tested positive 1/27/22. Received molnupiravir before admission. Vaccinated but not boosted, and noted history of MDS likely decreased vaccine effectiveness. CXR and CT with multifocal patchy airspace opacities consistent with a viral pneumonia. Had increasing O2 needs requiring HFNC so received tocilizumab 2/12. She completed her initial steroid course 2/17. Then restarted steroids 2/19 with the ongoing high O2 needs. Fortunately her O2 needs then started to improve. Her CRP down trended. Patient was on 3L NC for the 2 days prior to discharge and felt well. She was discharged home with supplemental O2 and can wean it as able. She was also prescribed a dexamethasone taper due to the severity of her covid-19 pneumonia. She was out of isolation at the time of discharge.  Acute respiratory failure with hypoxia  Secondary to covid-19 pneumonia. Also had a high BNP and was diuresed 2/17 and 2/18 but that did not improve her O2 needs. Echo 12/20 showed moderate pHTN which also contributes to hypoxia. Treated covid as noted above. On 3L at the time of discharge, continue to wean as able
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: The product wasn't stored according to the labeling and was kept in the refrigerator longer than what the manufacturer requires.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Product use issue
Clinical narrative: Exceed BUD
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Patient came in for first dose of Pediatric Pfizer, and the medication didn't get diluted properly.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: The product wasn't stored according to the labeling and was kept in the refrigerator longer than what the manufacturer requires.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Exceed BUD.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Chest discomfort, Chest pain, Chills, Discomfort
Clinical narrative: I experienced fever, myalgia, chills, fatigue, pain and discomfort, chest pain/tightness, and these symptoms lasted for 7 days. I went to the hospital on day 6 where they ran an ECG test, and chest x-rays where I was diagnosed with Wolff-Parkinson-White syndrome. The symptoms completely resolved.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Fatigue, Myalgia, Pain, Pyrexia
Clinical narrative: I experienced fever, myalgia, chills, fatigue, pain and discomfort, chest pain/tightness, and these symptoms lasted for 7 days. I went to the hospital on day 6 where they ran an ECG test, and chest x-rays where I was diagnosed with Wolff-Parkinson-White syndrome. The symptoms completely resolved.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Wolff-Parkinson-White syndrome
Clinical narrative: I experienced fever, myalgia, chills, fatigue, pain and discomfort, chest pain/tightness, and these symptoms lasted for 7 days. I went to the hospital on day 6 where they ran an ECG test, and chest x-rays where I was diagnosed with Wolff-Parkinson-White syndrome. The symptoms completely resolved.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Product use issue
Clinical narrative: Exceed BUD
Age: 63.0
Sex: M
Vaccine: COVID19, VARZOS
Symptoms: Fatigue
Clinical narrative: Severe fatigue after exercise
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: The product wasn't stored according to the labeling and was kept in the refrigerator longer than what the manufacturer requires.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Exceed BUD
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Patient came in to get first dose of Pediatric Pfizer and the medication didn't get diluted properly.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Exceed BUD
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: The product wasn't stored according to the labeling and was kept in the refrigerator longer than what the manufacturer requires.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: left upper arm redness, warmth, swelling beginning the night after vaccination,, extending down to left elbow area
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Product use issue
Clinical narrative: Exceed BUD
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: The product wasn't stored according to the labeling and was kept in the refrigerator longer than what the manufacturer requires.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: The product wasn't stored according to the labeling and was kept in the refrigerator longer than what the manufacturer requires.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Product use issue
Clinical narrative: Exceed BUD
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiovascular disorder, Computerised tomogram, Dyspnoea, Fatigue, Lymphadenopathy
Clinical narrative: I am now winded easily and get fatigued randomly out of no where. Doctors check my lungs and they are fine, but I have now a pulmonary hypertension of the right side of my heart now with a swollen lymph node there. Not sure if the shot had anything to do with it but I figured I will report it. This could be something I had prior to having the vaccine.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary hypertension, X-ray
Clinical narrative: I am now winded easily and get fatigued randomly out of no where. Doctors check my lungs and they are fine, but I have now a pulmonary hypertension of the right side of my heart now with a swollen lymph node there. Not sure if the shot had anything to do with it but I figured I will report it. This could be something I had prior to having the vaccine.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Exceed BUD
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Cerebrovascular accident, Computerised tomogram, Dizziness, Dysstasia
Clinical narrative: I experienced a stroke at work, that started with problems in my vision, dizziness, difficulty standing, and I became incoherent. It was diagnosed as a stroke at the hospital and I was placed on a treatment regimen.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Incoherent, Laboratory test, Visual impairment
Clinical narrative: I experienced a stroke at work, that started with problems in my vision, dizziness, difficulty standing, and I became incoherent. It was diagnosed as a stroke at the hospital and I was placed on a treatment regimen.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Exceed BUD
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Product use issue
Clinical narrative: Exceed BUD
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: The product wasn't stored according to the labeling and was kept in the refrigerator longer than what the manufacturer requires.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Nasopharyngitis, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Break through Covid case. I started feeling symptoms May 5th and tested positive on Monday May 9th. I developed a head cold and I treated with ibuprofen and later on with Mucinex cough syrup. As of today the only symptoms I have are residuals from head cold.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The product wasn't stored according to the labeling and was kept in the refrigerator longer than what the manufacturer requires.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given 0.3mL dose of Pfizer vaccine (adult dose) instead of pediatric dose of 0.1mL
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Exceed BUD
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: The product wasn't stored according to the labeling and was kept in the refrigerator longer than what the manufacturer requires.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Erythema, Insomnia, Mechanical urticaria, Mental disorder
Clinical narrative: I started to experience really gradual itching all over my body so I started to take Zyrtec. As the days went on it started to progress and now I have welts and raised areas all over the body that are hot to touch. On 05/05/2022 I went to the dermatologist and was diagnosed with Dermatographia and was told that it was related to the booster vaccine. I was prescribed prednisone and told to continue to take the Zyrtec. It is slowly getting better, but it has not gone away my ears are hot and red. I use  lotion to help relieve some of the itch and the heat of my skin. Sometimes I cant even get in a comfortable sleeping position due to the itching and that has really caused me to have sleepless nights. I have psychological problems do to the way I look with the welts and the redness. I wonder if it can do this to my skin is it affecting my organs.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash papular, Skin warm, Urticaria
Clinical narrative: I started to experience really gradual itching all over my body so I started to take Zyrtec. As the days went on it started to progress and now I have welts and raised areas all over the body that are hot to touch. On 05/05/2022 I went to the dermatologist and was diagnosed with Dermatographia and was told that it was related to the booster vaccine. I was prescribed prednisone and told to continue to take the Zyrtec. It is slowly getting better, but it has not gone away my ears are hot and red. I use  lotion to help relieve some of the itch and the heat of my skin. Sometimes I cant even get in a comfortable sleeping position due to the itching and that has really caused me to have sleepless nights. I have psychological problems do to the way I look with the welts and the redness. I wonder if it can do this to my skin is it affecting my organs.
Age: 68.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Anticoagulant therapy, Arthralgia, Joint swelling, Pain in extremity, Thrombosis
Clinical narrative: Developed pain in the lower right leg and in right thumb and wrist in January 2022.  I went to see Dr. on 2/28/2022. Right ankle was swollen. After results from Venous doppler revealed blood clots, Dr. prescribed Xarelto. I am still taking that. I had a followup visit with Dr. on 3/22/2022. The swelling had gone down in my right ankle. Dr. prescribed Tylenol for pain in thumb and wrist. I have a followup visit with Dr. on May 24.
Age: 68.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Ultrasound Doppler abnormal
Clinical narrative: Developed pain in the lower right leg and in right thumb and wrist in January 2022.  I went to see Dr. on 2/28/2022. Right ankle was swollen. After results from Venous doppler revealed blood clots, Dr. prescribed Xarelto. I am still taking that. I had a followup visit with Dr. on 3/22/2022. The swelling had gone down in my right ankle. Dr. prescribed Tylenol for pain in thumb and wrist. I have a followup visit with Dr. on May 24.
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Adult failure to thrive, Agitation, Asthenia, COVID-19, Death
Clinical narrative: This is an instance of breakthrough COVID-19 after which death occurred. The individual was vaccinated with the Moderna product on 02/02/2021 and 03/02/2021. They tested positive for COVID-19 on 09/19/2021.  They presented to emergency department and were admitted to hospital on 09/21/2021. Two repeat COVID-19 tests was also positive on 09/21/2021. Primary complaints for hospital admission were increased agitation, decreased appetite, and general weakness. On second day of hospitalization, the individual stopped all oral intake. The family agreed to comfort care only. The individual remained hospitalized until their death on 09/26/2021. They were diagnosed with failure to thrive in an adult and hypokalemia.
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Decreased appetite, General physical health deterioration, Hypokalaemia, Hypophagia, SARS-CoV-2 test positive
Clinical narrative: This is an instance of breakthrough COVID-19 after which death occurred. The individual was vaccinated with the Moderna product on 02/02/2021 and 03/02/2021. They tested positive for COVID-19 on 09/19/2021.  They presented to emergency department and were admitted to hospital on 09/21/2021. Two repeat COVID-19 tests was also positive on 09/21/2021. Primary complaints for hospital admission were increased agitation, decreased appetite, and general weakness. On second day of hospitalization, the individual stopped all oral intake. The family agreed to comfort care only. The individual remained hospitalized until their death on 09/26/2021. They were diagnosed with failure to thrive in an adult and hypokalemia.
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaccine breakthrough infection, Weight decreased
Clinical narrative: This is an instance of breakthrough COVID-19 after which death occurred. The individual was vaccinated with the Moderna product on 02/02/2021 and 03/02/2021. They tested positive for COVID-19 on 09/19/2021.  They presented to emergency department and were admitted to hospital on 09/21/2021. Two repeat COVID-19 tests was also positive on 09/21/2021. Primary complaints for hospital admission were increased agitation, decreased appetite, and general weakness. On second day of hospitalization, the individual stopped all oral intake. The family agreed to comfort care only. The individual remained hospitalized until their death on 09/26/2021. They were diagnosed with failure to thrive in an adult and hypokalemia.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Dyspnoea, Laboratory test, Pleurisy
Clinical narrative: PRESSURE AND CHEST PAIN. DIFFICULTY BREATHING. SEVER PLEURISY.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary function test, X-ray
Clinical narrative: PRESSURE AND CHEST PAIN. DIFFICULTY BREATHING. SEVER PLEURISY.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood glucose increased, Dysstasia, Fatigue, Impaired driving ability
Clinical narrative: Booster #2: Extremely dibilitating muscle weakness; began 3-4 days after vaccination; lasted hours per day or sometimes all day or sometimes intermittently/on & off (alternating between normal muscle strength & severe muscle weakness) for approximately 2 weeks after vaccination. This muscle weakness (arms & legs) was so extreme I could not do daily tasks including standing or driving a car safely. Initially I mistakenly assumed it was a hypoglycemic episode that I occasionally get. (I checked my blood glucose level with a finger stick/glucose monitor & it was at approx. 236/238 which proved I was NOT having a hypoglycemic episode.) Called multiple doctors who guessed this to be potential auto-immune response. Approximately 12 hours after receiving Pfizer Booster #2 vaccine I began to have a mild, low-grade fever; mild muscle aches & general tiredness, all of which was mild and was not a problem  as I was very able to perform daily living tasks.  The fever, aches, tiredness all resolved 24-48 hours without any fever or pain reliever after they first appeared. NOTE:  I had been tested for MS back in 2007 for MS-like symptoms but all neurological tests came back negative; I have not done any followups since 2007.)  NOTE: I was  infected with the Epstein-Barr virus (Mononucleosis) at the age of 19 back in 1980 & symptoms were extreme; family doctor prescribed  Prednisone which helped relieve severely swollen glands. I've always had a lifetime "sensitivity" to various OTC medications and prescription medications so I do not take any supplements, vitamins, herbs, OTC or prescribed medications  & was advised to conducted Pharmaco-Genetic testing to see if I have any metabolic issues with medications prescribed or OTC and how it may/may not be properly metabolized and/or clear out of my body properly. I did have a tachycardia episode with one flu vaccination in the late 2000's but have not had any since then when I get a flu vaccine.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Muscular weakness, Myalgia, Pyrexia
Clinical narrative: Booster #2: Extremely dibilitating muscle weakness; began 3-4 days after vaccination; lasted hours per day or sometimes all day or sometimes intermittently/on & off (alternating between normal muscle strength & severe muscle weakness) for approximately 2 weeks after vaccination. This muscle weakness (arms & legs) was so extreme I could not do daily tasks including standing or driving a car safely. Initially I mistakenly assumed it was a hypoglycemic episode that I occasionally get. (I checked my blood glucose level with a finger stick/glucose monitor & it was at approx. 236/238 which proved I was NOT having a hypoglycemic episode.) Called multiple doctors who guessed this to be potential auto-immune response. Approximately 12 hours after receiving Pfizer Booster #2 vaccine I began to have a mild, low-grade fever; mild muscle aches & general tiredness, all of which was mild and was not a problem  as I was very able to perform daily living tasks.  The fever, aches, tiredness all resolved 24-48 hours without any fever or pain reliever after they first appeared. NOTE:  I had been tested for MS back in 2007 for MS-like symptoms but all neurological tests came back negative; I have not done any followups since 2007.)  NOTE: I was  infected with the Epstein-Barr virus (Mononucleosis) at the age of 19 back in 1980 & symptoms were extreme; family doctor prescribed  Prednisone which helped relieve severely swollen glands. I've always had a lifetime "sensitivity" to various OTC medications and prescription medications so I do not take any supplements, vitamins, herbs, OTC or prescribed medications  & was advised to conducted Pharmaco-Genetic testing to see if I have any metabolic issues with medications prescribed or OTC and how it may/may not be properly metabolized and/or clear out of my body properly. I did have a tachycardia episode with one flu vaccination in the late 2000's but have not had any since then when I get a flu vaccine.