chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Ultrasound scan vagina abnormal, Weight increased
Clinical narrative: Following my second dose of the Pfizer Covid-19 vaccine in late January, I missed my period in the month of February.  I should note that my husband has had a vasectomy and I am not sexually active with anyone but him so pregnancy was not a possible reason for a missed period.  In addition, I have never missed a period unless I have been pregnant and I am textbook regular with a normal 26 day cycle.  I then had a 20 day period in March.  It stopped only because I went to my gynecologist who ordered an ultrasound, during which it was found that the lining of my uterus was extra thick.  He scraped the lining of my uterus in order to stop the bleeding and did a biopsy at that time, which turned up negative two days later.   After this extra long period, I began having bloating, weight gain, loss of strength, and other estrogen dominant type symptoms.  Only in early August of this year 2021 did my body go back to normal.  I should note that nothing about my eating or workout habits had changed.  I exercise 6 days per week and eat extremely clean.  When I asked my gynecologist if I could be going through early menopause, he said that I was not in menopause.  My mother was 51 years old when she began menopause.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Hypoaesthesia, Muscular weakness, Pain in extremity, Paraesthesia
Clinical narrative: Onset after one week of receiving vaccine. Weakness and numbness in both legs, pins-and-needles sensation in foot, toes, forearms, hands, fingers, fingertips, hip. Pain in thighs and lower back. Ongoing symptoms, no treatment available.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ankle deformity, Ankle fracture, Arrhythmia, Arthropathy, COVID-19
Clinical narrative: HISTORY OF PRESENT ILLNESS Patient is a 69 y.o. male who presented to the ED via EMS with a right ankle injury that he sustained while experiencing a syncopal event while in the shower.  He is being admitted to the Hospital. He has medical comorbidities including, but not limited to, nonischemic cardiomyopathy, LV ejection fraction 30%, bradycardia/complete heart block status post ICD, atrial fibrillation/flutter on Eliquis, hypertension, obstructive sleep apnea, minimal coronary artery disease by angiogram 2011, medically complicated obesity, and history of clostridium difficile causing hypovolemic shock.     Today patient was taking a shower and experienced a syncopal episode with complete loss of consciousness and awoke to find that he had sustained a right ankle injury.  He denied other injury, but is anticoagulated.  In the ED he was hemodynamically stable and conversant with an obvious deformity to the right ankle.  Bedside interrogation of pacemaker/ICD revealed two episodes of ventricular tachydysrhythmia within the past 24 hours, one corresponding to his syncopal event during which he received appropriate antitachycardia discharge.  Available EGM appears to show VT at a rate of 185-210 bpm, rate eventually sustained long enough for device to start therapies.  Device delivered (1) unsuccessful ATP and then a 41J shock with a type I break.  Device also reported 6 VT episodes that occurred on 10-23-21 between the times of 3:27am to 4:20.  Ventricular rates ranged between 171-183 bpm which were under detection therapy rate.  Longest episode was 31 seconds which appears to show no conversion of VT but just going below monitor zone of 171 bpm. Dr. was notified and  VT-1 zone was programmed at 160 bpm with ATP and shocks at max outputs. Monitor zone was programmed at 140 bpm.    Radiographs of the right ankle demonstrated a fracture dislocation of the tibiotalar joint with lateral dislocation of the talus relative to the tibial plafond with frank diastasis of the tibiofibular syndesmosis. Ortho was consulted in the ED and he was placed in a plaster splint, his leg should be elevated above the level of the heart for 23 out of 24 hours each day to assist with reduction of swelling and preparation of the soft tissues for surgical intervention.  He will be contacted by ortho with a cast room appointment in 1-2 weeks and should arrive at that appointment fasting in order to be prepared for surgery if indicated.  Strict nonweightbearing on the injured extremity   Upon arrival to the PCU, patient is resting comfortably in bed, denies any chest pain or shortness of breath.  Reports a cold with congestion that began last Monday, Wednesday was the worst day and since then has improved.  He has been taking Mucinex DM (guaifenesin and dextromethorphan).  Denies any fevers.  His right ankle is in a soft cast and toes are pink and warm. He reports at home he sleeps flat on one pillow, he takes torsemide only as needed.  He does not weigh himself but does not feel he has gained any weight or is retaining fluid.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: X-ray limb abnormal
Clinical narrative: HISTORY OF PRESENT ILLNESS Patient is a 69 y.o. male who presented to the ED via EMS with a right ankle injury that he sustained while experiencing a syncopal event while in the shower.  He is being admitted to the Hospital. He has medical comorbidities including, but not limited to, nonischemic cardiomyopathy, LV ejection fraction 30%, bradycardia/complete heart block status post ICD, atrial fibrillation/flutter on Eliquis, hypertension, obstructive sleep apnea, minimal coronary artery disease by angiogram 2011, medically complicated obesity, and history of clostridium difficile causing hypovolemic shock.     Today patient was taking a shower and experienced a syncopal episode with complete loss of consciousness and awoke to find that he had sustained a right ankle injury.  He denied other injury, but is anticoagulated.  In the ED he was hemodynamically stable and conversant with an obvious deformity to the right ankle.  Bedside interrogation of pacemaker/ICD revealed two episodes of ventricular tachydysrhythmia within the past 24 hours, one corresponding to his syncopal event during which he received appropriate antitachycardia discharge.  Available EGM appears to show VT at a rate of 185-210 bpm, rate eventually sustained long enough for device to start therapies.  Device delivered (1) unsuccessful ATP and then a 41J shock with a type I break.  Device also reported 6 VT episodes that occurred on 10-23-21 between the times of 3:27am to 4:20.  Ventricular rates ranged between 171-183 bpm which were under detection therapy rate.  Longest episode was 31 seconds which appears to show no conversion of VT but just going below monitor zone of 171 bpm. Dr. was notified and  VT-1 zone was programmed at 160 bpm with ATP and shocks at max outputs. Monitor zone was programmed at 140 bpm.    Radiographs of the right ankle demonstrated a fracture dislocation of the tibiotalar joint with lateral dislocation of the talus relative to the tibial plafond with frank diastasis of the tibiofibular syndesmosis. Ortho was consulted in the ED and he was placed in a plaster splint, his leg should be elevated above the level of the heart for 23 out of 24 hours each day to assist with reduction of swelling and preparation of the soft tissues for surgical intervention.  He will be contacted by ortho with a cast room appointment in 1-2 weeks and should arrive at that appointment fasting in order to be prepared for surgery if indicated.  Strict nonweightbearing on the injured extremity   Upon arrival to the PCU, patient is resting comfortably in bed, denies any chest pain or shortness of breath.  Reports a cold with congestion that began last Monday, Wednesday was the worst day and since then has improved.  He has been taking Mucinex DM (guaifenesin and dextromethorphan).  Denies any fevers.  His right ankle is in a soft cast and toes are pink and warm. He reports at home he sleeps flat on one pillow, he takes torsemide only as needed.  He does not weigh himself but does not feel he has gained any weight or is retaining fluid.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: patient got 0.5ml of moderna booster dose instead 0.25ml. no adverse events were seen at this moment
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Myalgia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Client was vaccinated for Covid with Pfizer vaccines in February 2021.  Developed symptoms on 10/13/2021: runny nose, congestion, myalgia.  Tested positive for Covid with PCR on 10/15/2021.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Computerised tomogram, Condition aggravated, Endoscopy abnormal, Gastritis
Clinical narrative: Upper mid upper gastric pain. I went to the ER. They gave me IV Protonix and then Dilodid for the pain - 2 - 4 mg of that.  That helped me with symptoms. They sent me home with Protonix. Still currently taking that. I am still in treatment. I had a follow up doctor visit and Endoscopy - confirming that I have acute gastritis.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arterial disorder, Arteriogram carotid abnormal, COVID-19, Chest X-ray abnormal, Chest pain
Clinical narrative: REASON FOR ADMISSION Fall, right sided rib fractures, right pneumothorax   HISTORY OF PRESENT ILLNESS  a 70 y.o. man who presents to the Hospital with chest pain, increased work of breathing and massive subcutaneous emphysema status post falling off a 6 ft roof yesterday.  Patient did not hit his head.  He denies loss of consciousness.  He is not on any blood thinner.  He presented to the ED and daily chest x-ray demonstrated several right-sided rib fractures and a small pneumothorax.  Patient was discharged pain meds.  The patient later developed worsening facial swelling and returned to the ED due to concern for an allergic reaction.  Patient was given epinephrine and prednisone and was discharged home.  Patient awoke this morning with increased chest pain and difficulty breathing and presented to Emergency Department.  Initial chest x-ray showed a left-sided pneumothorax with some mediastinal shift.  A left-sided chest tube was placed.  Imaging demonstrated right-sided rib fractures 1 through 7, large right pneumothorax, and large volume pneumomediastinum and subcutaneous emphysema.  Patient also had a left-sided 1st rib fracture.  A CTA of the neck was obtained which showed abnormal mild kinking of the left subclavian/axillary artery at the 1st rib. Patient was also COVID positive. Patient was transported up to the ICU for right chest tube placement and further management.   Upon arrival, patient had HR 80-90's, SBP in 160-170's, and saturating greater than 98% on 3 L nasal cannula.  Patient denies any allergies.  He reports right-sided chest wall pain.  His area decision maker would be his wife. A right-sided chest tube was placed under moderate sedation and confirmed by x-ray.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest tube insertion, Dyspnoea, Fall, Intensive care, Mediastinal shift
Clinical narrative: REASON FOR ADMISSION Fall, right sided rib fractures, right pneumothorax   HISTORY OF PRESENT ILLNESS  a 70 y.o. man who presents to the Hospital with chest pain, increased work of breathing and massive subcutaneous emphysema status post falling off a 6 ft roof yesterday.  Patient did not hit his head.  He denies loss of consciousness.  He is not on any blood thinner.  He presented to the ED and daily chest x-ray demonstrated several right-sided rib fractures and a small pneumothorax.  Patient was discharged pain meds.  The patient later developed worsening facial swelling and returned to the ED due to concern for an allergic reaction.  Patient was given epinephrine and prednisone and was discharged home.  Patient awoke this morning with increased chest pain and difficulty breathing and presented to Emergency Department.  Initial chest x-ray showed a left-sided pneumothorax with some mediastinal shift.  A left-sided chest tube was placed.  Imaging demonstrated right-sided rib fractures 1 through 7, large right pneumothorax, and large volume pneumomediastinum and subcutaneous emphysema.  Patient also had a left-sided 1st rib fracture.  A CTA of the neck was obtained which showed abnormal mild kinking of the left subclavian/axillary artery at the 1st rib. Patient was also COVID positive. Patient was transported up to the ICU for right chest tube placement and further management.   Upon arrival, patient had HR 80-90's, SBP in 160-170's, and saturating greater than 98% on 3 L nasal cannula.  Patient denies any allergies.  He reports right-sided chest wall pain.  His area decision maker would be his wife. A right-sided chest tube was placed under moderate sedation and confirmed by x-ray.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Musculoskeletal chest pain, Pneumomediastinum, Pneumothorax, Rib fracture, SARS-CoV-2 test positive
Clinical narrative: REASON FOR ADMISSION Fall, right sided rib fractures, right pneumothorax   HISTORY OF PRESENT ILLNESS  a 70 y.o. man who presents to the Hospital with chest pain, increased work of breathing and massive subcutaneous emphysema status post falling off a 6 ft roof yesterday.  Patient did not hit his head.  He denies loss of consciousness.  He is not on any blood thinner.  He presented to the ED and daily chest x-ray demonstrated several right-sided rib fractures and a small pneumothorax.  Patient was discharged pain meds.  The patient later developed worsening facial swelling and returned to the ED due to concern for an allergic reaction.  Patient was given epinephrine and prednisone and was discharged home.  Patient awoke this morning with increased chest pain and difficulty breathing and presented to Emergency Department.  Initial chest x-ray showed a left-sided pneumothorax with some mediastinal shift.  A left-sided chest tube was placed.  Imaging demonstrated right-sided rib fractures 1 through 7, large right pneumothorax, and large volume pneumomediastinum and subcutaneous emphysema.  Patient also had a left-sided 1st rib fracture.  A CTA of the neck was obtained which showed abnormal mild kinking of the left subclavian/axillary artery at the 1st rib. Patient was also COVID positive. Patient was transported up to the ICU for right chest tube placement and further management.   Upon arrival, patient had HR 80-90's, SBP in 160-170's, and saturating greater than 98% on 3 L nasal cannula.  Patient denies any allergies.  He reports right-sided chest wall pain.  His area decision maker would be his wife. A right-sided chest tube was placed under moderate sedation and confirmed by x-ray.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Subcutaneous emphysema, Swelling face
Clinical narrative: REASON FOR ADMISSION Fall, right sided rib fractures, right pneumothorax   HISTORY OF PRESENT ILLNESS  a 70 y.o. man who presents to the Hospital with chest pain, increased work of breathing and massive subcutaneous emphysema status post falling off a 6 ft roof yesterday.  Patient did not hit his head.  He denies loss of consciousness.  He is not on any blood thinner.  He presented to the ED and daily chest x-ray demonstrated several right-sided rib fractures and a small pneumothorax.  Patient was discharged pain meds.  The patient later developed worsening facial swelling and returned to the ED due to concern for an allergic reaction.  Patient was given epinephrine and prednisone and was discharged home.  Patient awoke this morning with increased chest pain and difficulty breathing and presented to Emergency Department.  Initial chest x-ray showed a left-sided pneumothorax with some mediastinal shift.  A left-sided chest tube was placed.  Imaging demonstrated right-sided rib fractures 1 through 7, large right pneumothorax, and large volume pneumomediastinum and subcutaneous emphysema.  Patient also had a left-sided 1st rib fracture.  A CTA of the neck was obtained which showed abnormal mild kinking of the left subclavian/axillary artery at the 1st rib. Patient was also COVID positive. Patient was transported up to the ICU for right chest tube placement and further management.   Upon arrival, patient had HR 80-90's, SBP in 160-170's, and saturating greater than 98% on 3 L nasal cannula.  Patient denies any allergies.  He reports right-sided chest wall pain.  His area decision maker would be his wife. A right-sided chest tube was placed under moderate sedation and confirmed by x-ray.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Peripheral swelling, Ultrasound scan
Clinical narrative: Left leg below the knee swole up.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Incorrect dose administered, No adverse event
Clinical narrative: moderna booster dose was given 0.5ml instead of 0.25ml. no adverse effect noted
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Cough, Facial pain, Headache, Oropharyngeal pain
Clinical narrative: started with headaches and bodyaches and is having non productive cough, sore throat, facial pain and fever with CP on coughing for last 4-5 days. She denies SOB. starting 10/18/21
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: started with headaches and bodyaches and is having non productive cough, sore throat, facial pain and fever with CP on coughing for last 4-5 days. She denies SOB. starting 10/18/21
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Death, Heart rate abnormal, Intestinal obstruction, Magnetic resonance imaging
Clinical narrative: First dose was 4/22/2021, general dr visit on 5/12/2021 showed radical heart beat. Second dose on 5/20/2021 became very ill, uncontrolled heartbeat, hospital admission that same day. He passed away the morning of 5/23/2021. I am his daughter, POA/Executor and was his designated health care director and caregiver.
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Malaise, Surgery, X-ray
Clinical narrative: First dose was 4/22/2021, general dr visit on 5/12/2021 showed radical heart beat. Second dose on 5/20/2021 became very ill, uncontrolled heartbeat, hospital admission that same day. He passed away the morning of 5/23/2021. I am his daughter, POA/Executor and was his designated health care director and caregiver.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Colon cancer metastatic, Dyspnoea, Hepatectomy, Metastases to liver
Clinical narrative: Patient present to hospital with short of breath. Work up showed metastatic colon cancer to the liver.  Required liver resection
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Thirst
Clinical narrative: Patient received booster dose of Pfizer and about a minute after complained of feeling thirsty. Patient had been seated but moved from seat to another seat near the water fountain. I brought the patient some water and stayed with her and her friend. I verified with the patient that she had no issues with the previous shots which she did not. Patient also stated she ate lunch around 1pm and was not aware of any low sugar issues. Patient stated she was not aware of any blood pressure issues. I asked patient if she would like a cold towel which she said yes she would. I went and got a cold pak from the pharmacy and activated it. I placed it in a few hand towels and held it to the patients forehead. After about 5 minutes, the patient stated she felt good enough to go home. Called patient about 20 minutes later and she informed me that she was in the store shopping and feeling fine. She thanked me for the care and concern.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Dyspnoea, Electrocardiogram ST segment abnormal, Electrocardiogram abnormal, Palpitations
Clinical narrative: Shortness of breath with heart palpitations
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Incorrect dose administered, No adverse event
Clinical narrative: moderna booster dose 0.5ml was given instead of 0.25ml. no adverse effect noted
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Photopsia, Sensation of foreign body
Clinical narrative: Post 10 minutes of 2nd Pfizer vaccine, patient developed a headache, seeing flashes light, & felt a lump in her throat. The symptoms lasted 15 minutes, & resolved on their own. A medical evaluation team was called and assessed the patient. Their recommendation was for extra observation time. Patient was observed for an extra 20 minutes and then left. Patient was given juice and crackers prior to leaving.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Lip pain, Oral herpes
Clinical narrative: Herpes on lips.  I have NEVER had a cold sore in my life and I have had several on my lips since I had the shot.  I am due to get the second shot this week and the cold sores are still visible and hurt
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: moderna booster dose 0.5ml was given instead of 0.25ml. no adverse effect noted
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Loss of consciousness, Syncope
Clinical narrative: Patient made us aware that she fainted after the first dose. Patient fainted within 10 minutes of getting dose 2. She came to a few seconds after while cold pack was held to forehead. Epi Pen was thought to have been given but ended up being trainer pen. Told ED regarding this. Called emergency services and EMTs arrived within 5 minutes and took her to Medical Center.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Upon arriving at the facility for a COVID booster clinic I was told that Pt needed her 2nd Moderna vaccine. There was only 1 shot documented in the facility's ER. Upon filling out the patient's card (the card could not be located when I started the clinic; it was brought to me towards the end of the clinic), I realized she had already received her 2nd dose on 08/24/2021. Because the patient does not qualify as immunocompromised, giving the 0.5ml of Moderna 2 months after her second shot was an error.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia, Paraesthesia, Tinnitus
Clinical narrative: R ear tinnitus : 10/18 x 4 hours  R hand ( pins and needles) that lead to inner area of full Right arm and hand  numbness: 10/19 -10/23 Occipital headache ( different than my migraines) 10/24 to ongoing ( today 10/25)
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Lot number used was beyond expiration date of 10/21/21
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Alopecia, Alopecia areata, Blood testosterone, Thyroid function test normal
Clinical narrative: on 3/25/21 I received my second shot. On April 26th I noticed a small spot of Allopecia Areatha. May 11th the spot grew to the size of a dime an I began to experience hair loss (200+ strands per day. June 20th we detected 5 spots of patchy baldness. By July my condition was no longer manageable and saw a dermatologist. I began steroid treatment, and completed two rounds with no results, I also began topical steroids and rogane with no results. Currently I am undergoing PRP Platelet rich plasma injections and have begun to see results with white regrowth. I have no history of Allopecia in my family and I have no history of hair loss.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperpyrexia, Lymphadenopathy
Clinical narrative: High fever the first night, followed by low grade fever (98.9F-99.6F) for 15 days. Swollen lymph node under left arm (until today it is still noticeable)
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: moderna booster dose 0.5ml was given instead of 0.25ml. no adverse effect noted
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Lymphadenopathy, Myalgia, Pyrexia
Clinical narrative: Headache, fatigue,muscle aches,fever,enlarged lymph nodes in left armpit
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Dizziness, Gait disturbance, Joint swelling
Clinical narrative: Prior to receiving the vaccines, I was in perfect health at 66 years of age! About three and a half weeks after receiving my first dose, I woke up and my knees were stiff and swollen. It felt funny to walk. My ankles were swollen also. I still went and got my second dose on 03/16/2021. On 03/17/2021, first thing in the morning, I tried to get out of bed and I had to call my husband because I could barely walk. I called him to take me to the hospital. I decided to shower to before going to the hospital, and when I got out of the shower I started to feel dizzy/lightheaded and nauseous. I lay on my bed, because I was feeling faint and called my husband again to see if he could come get me right away. I went to the hospital, and had to be put in a wheelchair because I could barely walk. I had x-rays on both knees and blood work. I was given a low dose steroid at first to help with the swelling, but it did not help. I told the doctor about it not helping and was prescribed a stronger steroid. I was on steroids for about four to five months. I was also having swelling and pains in my hands and wrists to the point that I couldn't hardly use them. It looked like I had a big lump on both hands. After seeing the Rheumatologist, I was told that I had the rheumatoid antibody. As of today, I feel better because of the Plaquenil and Methotrexate that I was given. As of three weeks ago, my white blood count was low so now I'm only taking Plaquenil. I go this week to have a blood test performed to see if my white blood count has improved. I'm doing well, without the Methotrexate. I wasn't able to walk well, for a few weeks, and I still have a little swelling on the bottoms of my feet. My wrist and fingers are doing better. The swelling has gone down on them.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Limb mass, Mobility decreased, Nausea, Pain in extremity, Peripheral swelling
Clinical narrative: Prior to receiving the vaccines, I was in perfect health at 66 years of age! About three and a half weeks after receiving my first dose, I woke up and my knees were stiff and swollen. It felt funny to walk. My ankles were swollen also. I still went and got my second dose on 03/16/2021. On 03/17/2021, first thing in the morning, I tried to get out of bed and I had to call my husband because I could barely walk. I called him to take me to the hospital. I decided to shower to before going to the hospital, and when I got out of the shower I started to feel dizzy/lightheaded and nauseous. I lay on my bed, because I was feeling faint and called my husband again to see if he could come get me right away. I went to the hospital, and had to be put in a wheelchair because I could barely walk. I had x-rays on both knees and blood work. I was given a low dose steroid at first to help with the swelling, but it did not help. I told the doctor about it not helping and was prescribed a stronger steroid. I was on steroids for about four to five months. I was also having swelling and pains in my hands and wrists to the point that I couldn't hardly use them. It looked like I had a big lump on both hands. After seeing the Rheumatologist, I was told that I had the rheumatoid antibody. As of today, I feel better because of the Plaquenil and Methotrexate that I was given. As of three weeks ago, my white blood count was low so now I'm only taking Plaquenil. I go this week to have a blood test performed to see if my white blood count has improved. I'm doing well, without the Methotrexate. I wasn't able to walk well, for a few weeks, and I still have a little swelling on the bottoms of my feet. My wrist and fingers are doing better. The swelling has gone down on them.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Rheumatoid factor positive, Swelling, White blood cell count decreased, X-ray limb
Clinical narrative: Prior to receiving the vaccines, I was in perfect health at 66 years of age! About three and a half weeks after receiving my first dose, I woke up and my knees were stiff and swollen. It felt funny to walk. My ankles were swollen also. I still went and got my second dose on 03/16/2021. On 03/17/2021, first thing in the morning, I tried to get out of bed and I had to call my husband because I could barely walk. I called him to take me to the hospital. I decided to shower to before going to the hospital, and when I got out of the shower I started to feel dizzy/lightheaded and nauseous. I lay on my bed, because I was feeling faint and called my husband again to see if he could come get me right away. I went to the hospital, and had to be put in a wheelchair because I could barely walk. I had x-rays on both knees and blood work. I was given a low dose steroid at first to help with the swelling, but it did not help. I told the doctor about it not helping and was prescribed a stronger steroid. I was on steroids for about four to five months. I was also having swelling and pains in my hands and wrists to the point that I couldn't hardly use them. It looked like I had a big lump on both hands. After seeing the Rheumatologist, I was told that I had the rheumatoid antibody. As of today, I feel better because of the Plaquenil and Methotrexate that I was given. As of three weeks ago, my white blood count was low so now I'm only taking Plaquenil. I go this week to have a blood test performed to see if my white blood count has improved. I'm doing well, without the Methotrexate. I wasn't able to walk well, for a few weeks, and I still have a little swelling on the bottoms of my feet. My wrist and fingers are doing better. The swelling has gone down on them.
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, COVID-19, Cough, Exposure to communicable disease, Hyperhidrosis
Clinical narrative: REASON FOR CONSULT ICU-ID  is following patient for fever and leukocytosis   EVENTS OVER THE PAST 24 HOURS:    We were asked to see patient in the setting of recent fever and new leukocytosis.   He reports that for the last couple of days he has been feeling unwell, like he has the flu.  He has myalgias, arthralgias, fevers, sweats, mild cough, and small amount of nasal drainage.  No nasal congestion, shortness of breath, new rashes, diarrhea, abdominal pain, or other specific complaints.   He is vaccinated for COVID-19.  He recently received the influenza vaccine after admission on the morning of 10/20.  He reports a positive exposure to his mother who had RSV (unclear exact timing).  Had negative COVID-19 swab on 10/18.
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Influenza like illness, Leukocytosis, Malaise, Myalgia, Pyrexia
Clinical narrative: REASON FOR CONSULT ICU-ID  is following patient for fever and leukocytosis   EVENTS OVER THE PAST 24 HOURS:    We were asked to see patient in the setting of recent fever and new leukocytosis.   He reports that for the last couple of days he has been feeling unwell, like he has the flu.  He has myalgias, arthralgias, fevers, sweats, mild cough, and small amount of nasal drainage.  No nasal congestion, shortness of breath, new rashes, diarrhea, abdominal pain, or other specific complaints.   He is vaccinated for COVID-19.  He recently received the influenza vaccine after admission on the morning of 10/20.  He reports a positive exposure to his mother who had RSV (unclear exact timing).  Had negative COVID-19 swab on 10/18.
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Sinus operation
Clinical narrative: REASON FOR CONSULT ICU-ID  is following patient for fever and leukocytosis   EVENTS OVER THE PAST 24 HOURS:    We were asked to see patient in the setting of recent fever and new leukocytosis.   He reports that for the last couple of days he has been feeling unwell, like he has the flu.  He has myalgias, arthralgias, fevers, sweats, mild cough, and small amount of nasal drainage.  No nasal congestion, shortness of breath, new rashes, diarrhea, abdominal pain, or other specific complaints.   He is vaccinated for COVID-19.  He recently received the influenza vaccine after admission on the morning of 10/20.  He reports a positive exposure to his mother who had RSV (unclear exact timing).  Had negative COVID-19 swab on 10/18.
Age: 66.0
Sex: F
Vaccine: FLUA4
Symptoms: Injection site rash
Clinical narrative: patient returned 3 days after shot with a rash on her bicep and patient claimed that is where vaccine was administered
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: moderna booster dose 0.5ml was given instead of 0.25ml. no adverse effect noted
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Heart rate increased, Hypotension, Pharyngeal swelling
Clinical narrative: Throat swelling, coughing, fast heart rate, low blood pressure
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: moderna booster dose 0.5ml was given instead of 0.25ml. no adverse effect noted
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Dizziness, Fatigue, Headache, Nasal congestion
Clinical narrative: Had stuffy/runny nose. Felt tired. Upset stomach. Headache. Dizzy
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea
Clinical narrative: Had stuffy/runny nose. Felt tired. Upset stomach. Headache. Dizzy
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Back pain, COVID-19, Chest discomfort, Chest pain
Clinical narrative: CHIEF COMPLAINT Chest pressure    HISTORY OF PRESENT ILLNESS Patient is a 77 y.o. female with medical comorbidities including Cataract, Dry Eye Syndrome Bilateral, Gastroesophageal Reflux Disease NOS, Glaucoma Suspect Ocular Hypertension Bilateral, Hyperlipidemia, and Malignant Neoplasm Of Uterus Endometrial (HCC), Migraine Headache.   Chest pain at approximately 10:00 p.m. last night which she initially was secondary to her GERD.  Due to the chest pressure she was unable to fall asleep with frequent awakenings.  Chest pressure is non-pleuritic, non-positional. The pressure/pain radiated into her shoulders and across her back.  She described a sensation of heaviness in her left arm.  She has never had symptoms like this previously.  She has no history of cardiac pain or imaging or interventions.    She developed fatigue, headache, nausea and chills starting on October 8th and tested positive for COVID-19 on October 14th.  She received monoclonal antibody body infusion on the 15th.  She continues to feel fatigue.   No abdominal pain, no altered mental status, no anorexia, no anxiety, no cough, no diaphoresis, no dizziness, no fever, no headache, no heartburn, no nausea, no orthopnea, no palpitations, no PND, no shortness of breath, no vomiting and no weakness.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Fatigue, Headache, Limb discomfort, Nausea
Clinical narrative: CHIEF COMPLAINT Chest pressure    HISTORY OF PRESENT ILLNESS Patient is a 77 y.o. female with medical comorbidities including Cataract, Dry Eye Syndrome Bilateral, Gastroesophageal Reflux Disease NOS, Glaucoma Suspect Ocular Hypertension Bilateral, Hyperlipidemia, and Malignant Neoplasm Of Uterus Endometrial (HCC), Migraine Headache.   Chest pain at approximately 10:00 p.m. last night which she initially was secondary to her GERD.  Due to the chest pressure she was unable to fall asleep with frequent awakenings.  Chest pressure is non-pleuritic, non-positional. The pressure/pain radiated into her shoulders and across her back.  She described a sensation of heaviness in her left arm.  She has never had symptoms like this previously.  She has no history of cardiac pain or imaging or interventions.    She developed fatigue, headache, nausea and chills starting on October 8th and tested positive for COVID-19 on October 14th.  She received monoclonal antibody body infusion on the 15th.  She continues to feel fatigue.   No abdominal pain, no altered mental status, no anorexia, no anxiety, no cough, no diaphoresis, no dizziness, no fever, no headache, no heartburn, no nausea, no orthopnea, no palpitations, no PND, no shortness of breath, no vomiting and no weakness.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, SARS-CoV-2 test positive, Sleep disorder
Clinical narrative: CHIEF COMPLAINT Chest pressure    HISTORY OF PRESENT ILLNESS Patient is a 77 y.o. female with medical comorbidities including Cataract, Dry Eye Syndrome Bilateral, Gastroesophageal Reflux Disease NOS, Glaucoma Suspect Ocular Hypertension Bilateral, Hyperlipidemia, and Malignant Neoplasm Of Uterus Endometrial (HCC), Migraine Headache.   Chest pain at approximately 10:00 p.m. last night which she initially was secondary to her GERD.  Due to the chest pressure she was unable to fall asleep with frequent awakenings.  Chest pressure is non-pleuritic, non-positional. The pressure/pain radiated into her shoulders and across her back.  She described a sensation of heaviness in her left arm.  She has never had symptoms like this previously.  She has no history of cardiac pain or imaging or interventions.    She developed fatigue, headache, nausea and chills starting on October 8th and tested positive for COVID-19 on October 14th.  She received monoclonal antibody body infusion on the 15th.  She continues to feel fatigue.   No abdominal pain, no altered mental status, no anorexia, no anxiety, no cough, no diaphoresis, no dizziness, no fever, no headache, no heartburn, no nausea, no orthopnea, no palpitations, no PND, no shortness of breath, no vomiting and no weakness.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Pain in extremity
Clinical narrative: Sore Arm from getting vaccine. Sept: head congestion and cough, lose taste and smell.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Sore Arm from getting vaccine. Sept: head congestion and cough, lose taste and smell.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: moderna booster dose 0.5ml was given instead of 0.25ml. no adverse effect noted
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: moderna booster dose 0.5ml was given instead of 0.25ml. no adverse effect noted
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Pulmonary embolism
Clinical narrative: Multiple pulmonary emboli bi-saddle
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Bladder catheterisation, Blood creatinine increased, Blood potassium increased, Blood urine
Clinical narrative: CHIEF COMPLAINT GI Bleed   HISTORY OF PRESENT ILLNESS Patient is a 80 y.o. male with a past medical history significant for dementia, Alzheimer's, atrial fibrillation, type 2 diabetes mellitus, peripheral artery disease and s/p TAVR (6/17/20) who was admitted with gastrointestinal bleeding.     Per records, the patient was hospitalized on 10/13/21 with acute hypoxia. He was discharged on 10/16/21 with a new supplemental oxygen requirement of 2L/day and 3L/night. In the interim following discharge, he developed confusion, weakness, hematuria, and hematochezia. His wife noted the latter this afternoon when she looked in the toilet bowl and found it to be full of blood. It was unclear to her whether this was from urine or stool. She called EMS and the patient was brought to the hospital.   On arrival to the ED, the patient was noted to be in renal failure with markedly elevated creatinine to 5.49 and potassium to 6.1. Calcium, insulin, and D50 were given. He had a CT abdomen/pelvis which was concerning for a pneumonia as the source of increased O2 demand. Ceftriaxone and doxycycline were initiated. The patient also complained of testicular pain with tenderness on examination. Urine contained >100 WBC with large leukocyte esterases. The specimen was reported to be bloody, however Foley was subsequently placed and no bleeding was appreciated. Testicular ultrasound not concerning for torsion The patient was also noted to have melenotic stools. His hemoglobin in the ED was 13.0 and he appeared hemodynamically stable. INR 2.5. Patient's wife reported increasing confusion over the past week so a CT head was done in the ED. This did not show any intracranial hemorrhage. Given his presentation and concern for bleeding, he was transferred to the ICU.   Of note, prior to transfer to the ICU, the patient was noted to be positive for COVID-19.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Computerised tomogram abdomen abnormal, Computerised tomogram head normal, Confusional state, Gastrointestinal haemorrhage
Clinical narrative: CHIEF COMPLAINT GI Bleed   HISTORY OF PRESENT ILLNESS Patient is a 80 y.o. male with a past medical history significant for dementia, Alzheimer's, atrial fibrillation, type 2 diabetes mellitus, peripheral artery disease and s/p TAVR (6/17/20) who was admitted with gastrointestinal bleeding.     Per records, the patient was hospitalized on 10/13/21 with acute hypoxia. He was discharged on 10/16/21 with a new supplemental oxygen requirement of 2L/day and 3L/night. In the interim following discharge, he developed confusion, weakness, hematuria, and hematochezia. His wife noted the latter this afternoon when she looked in the toilet bowl and found it to be full of blood. It was unclear to her whether this was from urine or stool. She called EMS and the patient was brought to the hospital.   On arrival to the ED, the patient was noted to be in renal failure with markedly elevated creatinine to 5.49 and potassium to 6.1. Calcium, insulin, and D50 were given. He had a CT abdomen/pelvis which was concerning for a pneumonia as the source of increased O2 demand. Ceftriaxone and doxycycline were initiated. The patient also complained of testicular pain with tenderness on examination. Urine contained >100 WBC with large leukocyte esterases. The specimen was reported to be bloody, however Foley was subsequently placed and no bleeding was appreciated. Testicular ultrasound not concerning for torsion The patient was also noted to have melenotic stools. His hemoglobin in the ED was 13.0 and he appeared hemodynamically stable. INR 2.5. Patient's wife reported increasing confusion over the past week so a CT head was done in the ED. This did not show any intracranial hemorrhage. Given his presentation and concern for bleeding, he was transferred to the ICU.   Of note, prior to transfer to the ICU, the patient was noted to be positive for COVID-19.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Haematochezia, Haematuria, Haemoglobin decreased, Hypoxia, Intensive care
Clinical narrative: CHIEF COMPLAINT GI Bleed   HISTORY OF PRESENT ILLNESS Patient is a 80 y.o. male with a past medical history significant for dementia, Alzheimer's, atrial fibrillation, type 2 diabetes mellitus, peripheral artery disease and s/p TAVR (6/17/20) who was admitted with gastrointestinal bleeding.     Per records, the patient was hospitalized on 10/13/21 with acute hypoxia. He was discharged on 10/16/21 with a new supplemental oxygen requirement of 2L/day and 3L/night. In the interim following discharge, he developed confusion, weakness, hematuria, and hematochezia. His wife noted the latter this afternoon when she looked in the toilet bowl and found it to be full of blood. It was unclear to her whether this was from urine or stool. She called EMS and the patient was brought to the hospital.   On arrival to the ED, the patient was noted to be in renal failure with markedly elevated creatinine to 5.49 and potassium to 6.1. Calcium, insulin, and D50 were given. He had a CT abdomen/pelvis which was concerning for a pneumonia as the source of increased O2 demand. Ceftriaxone and doxycycline were initiated. The patient also complained of testicular pain with tenderness on examination. Urine contained >100 WBC with large leukocyte esterases. The specimen was reported to be bloody, however Foley was subsequently placed and no bleeding was appreciated. Testicular ultrasound not concerning for torsion The patient was also noted to have melenotic stools. His hemoglobin in the ED was 13.0 and he appeared hemodynamically stable. INR 2.5. Patient's wife reported increasing confusion over the past week so a CT head was done in the ED. This did not show any intracranial hemorrhage. Given his presentation and concern for bleeding, he was transferred to the ICU.   Of note, prior to transfer to the ICU, the patient was noted to be positive for COVID-19.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: International normalised ratio increased, Melaena, Renal failure, SARS-CoV-2 test positive, Tenderness
Clinical narrative: CHIEF COMPLAINT GI Bleed   HISTORY OF PRESENT ILLNESS Patient is a 80 y.o. male with a past medical history significant for dementia, Alzheimer's, atrial fibrillation, type 2 diabetes mellitus, peripheral artery disease and s/p TAVR (6/17/20) who was admitted with gastrointestinal bleeding.     Per records, the patient was hospitalized on 10/13/21 with acute hypoxia. He was discharged on 10/16/21 with a new supplemental oxygen requirement of 2L/day and 3L/night. In the interim following discharge, he developed confusion, weakness, hematuria, and hematochezia. His wife noted the latter this afternoon when she looked in the toilet bowl and found it to be full of blood. It was unclear to her whether this was from urine or stool. She called EMS and the patient was brought to the hospital.   On arrival to the ED, the patient was noted to be in renal failure with markedly elevated creatinine to 5.49 and potassium to 6.1. Calcium, insulin, and D50 were given. He had a CT abdomen/pelvis which was concerning for a pneumonia as the source of increased O2 demand. Ceftriaxone and doxycycline were initiated. The patient also complained of testicular pain with tenderness on examination. Urine contained >100 WBC with large leukocyte esterases. The specimen was reported to be bloody, however Foley was subsequently placed and no bleeding was appreciated. Testicular ultrasound not concerning for torsion The patient was also noted to have melenotic stools. His hemoglobin in the ED was 13.0 and he appeared hemodynamically stable. INR 2.5. Patient's wife reported increasing confusion over the past week so a CT head was done in the ED. This did not show any intracranial hemorrhage. Given his presentation and concern for bleeding, he was transferred to the ICU.   Of note, prior to transfer to the ICU, the patient was noted to be positive for COVID-19.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Testicular pain, Ultrasound testes normal, Urine leukocyte esterase positive, White blood cells urine positive
Clinical narrative: CHIEF COMPLAINT GI Bleed   HISTORY OF PRESENT ILLNESS Patient is a 80 y.o. male with a past medical history significant for dementia, Alzheimer's, atrial fibrillation, type 2 diabetes mellitus, peripheral artery disease and s/p TAVR (6/17/20) who was admitted with gastrointestinal bleeding.     Per records, the patient was hospitalized on 10/13/21 with acute hypoxia. He was discharged on 10/16/21 with a new supplemental oxygen requirement of 2L/day and 3L/night. In the interim following discharge, he developed confusion, weakness, hematuria, and hematochezia. His wife noted the latter this afternoon when she looked in the toilet bowl and found it to be full of blood. It was unclear to her whether this was from urine or stool. She called EMS and the patient was brought to the hospital.   On arrival to the ED, the patient was noted to be in renal failure with markedly elevated creatinine to 5.49 and potassium to 6.1. Calcium, insulin, and D50 were given. He had a CT abdomen/pelvis which was concerning for a pneumonia as the source of increased O2 demand. Ceftriaxone and doxycycline were initiated. The patient also complained of testicular pain with tenderness on examination. Urine contained >100 WBC with large leukocyte esterases. The specimen was reported to be bloody, however Foley was subsequently placed and no bleeding was appreciated. Testicular ultrasound not concerning for torsion The patient was also noted to have melenotic stools. His hemoglobin in the ED was 13.0 and he appeared hemodynamically stable. INR 2.5. Patient's wife reported increasing confusion over the past week so a CT head was done in the ED. This did not show any intracranial hemorrhage. Given his presentation and concern for bleeding, he was transferred to the ICU.   Of note, prior to transfer to the ICU, the patient was noted to be positive for COVID-19.