chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac flutter, Chest discomfort, Chest pain
Clinical narrative: Noticeable fluttering heart beat, stronger than normal, causes a tightness and some pain in the chest. Occurs on and off all through out the day, every day
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient walked from pharmacy to front of store and promptly collapsed at the front registers. He was given slight fluids by bystanders before the ambulance was called, after ambulance was called the responder on the phone informed us to stop the patients intake of fluids.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Pallor, Seizure, Syncope, Vomiting
Clinical narrative: Patient began to slouch upon sitting in the waiting seat approximately 1-2 minutes after receiving their second dose of the COVID19 (Pfizer\BioNTech) vaccination. Pharmacist immediately assisted patient and instructed for technician to call 9-1-1 immediately. We were able to catch the patient as they were falling out of the seat. Patient then began to seize for 5 seconds. Post seizure the patient was pale but cognizant and able to answer questions correctly (i.e. Name, DOB). Patient then began vomiting profusely. Patient reported no history of seizures, however reported previous an episode of fainting 3 years ago due to heat. Patient was monitored, given bag for emesis, water for rehydration, and ice pack until EMS came.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient was given the vaccine 11 days after the recommended freeze storage life
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Hypersomnia, Narcolepsy
Clinical narrative: Near narcoleptic sleep events, twice. Just fall asleep despite being well rested and sleep for 4-5 extra hpurs. This includes sleeping through alarms and recieving phone calls.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy, Chest X-ray, Computerised tomogram, Electrocardiogram, Full blood count
Clinical narrative: right side Bells Palsy onseto five (5) months post injection
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Urine analysis
Clinical narrative: right side Bells Palsy onseto five (5) months post injection
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram, Angiogram normal, Biopsy skin, Blood thyroid stimulating hormone normal, C-reactive protein normal
Clinical narrative: High blood pressure, never had previous, shortness of breath , at rest and on exertion, rash, exhaustion
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardiac stress test normal, Dyspnoea, Dyspnoea exertional, Fatigue, Full blood count normal
Clinical narrative: High blood pressure, never had previous, shortness of breath , at rest and on exertion, rash, exhaustion
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypertension, Metabolic function test normal, Pulmonary function test normal, Rash, Red blood cell sedimentation rate normal
Clinical narrative: High blood pressure, never had previous, shortness of breath , at rest and on exertion, rash, exhaustion
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Thyroxine normal
Clinical narrative: High blood pressure, never had previous, shortness of breath , at rest and on exertion, rash, exhaustion
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Blood pressure fluctuation, Dyspnoea
Clinical narrative: High blood pressure, never had previous, shortness of breath , at rest and on exertion, rash, exhaustion
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Rash
Clinical narrative: Rash appeared 2 weeks ago (June 2021). Pt feels since wife's rash started 6-10 days after vaccine, his rash is also from vaccine.  Has not seen MD at this time
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure fluctuation, Cardiac monitoring normal, Chills, Dyspnoea, Echocardiogram
Clinical narrative: So about a month later after the vaccine, I woke up with chills, felt very cold and my heart was beating fast. I took my pulse and it was going up to 123. My oxygen saturation was good 96-98%. I took my temp and I had a low grade fever. I bought a BP monitor and my BP was as high as 145/88 and fluctuated throughout the day and would go back down. I went to an Urgent Care. I got an urinalysis and it was positive for UTI. I was prescribed a medication called Macrobid for the UTI and referred to a cardiologist. By the time I went to see the specialist, most of my symptoms had subside. I went to the cardiologist and did an ECHO and had to wear a monitor. Everything came back normal and all my symptoms has subsided except a little short of breath.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Heart rate increased, Pyrexia, Urinary tract infection, Urine analysis
Clinical narrative: So about a month later after the vaccine, I woke up with chills, felt very cold and my heart was beating fast. I took my pulse and it was going up to 123. My oxygen saturation was good 96-98%. I took my temp and I had a low grade fever. I bought a BP monitor and my BP was as high as 145/88 and fluctuated throughout the day and would go back down. I went to an Urgent Care. I got an urinalysis and it was positive for UTI. I was prescribed a medication called Macrobid for the UTI and referred to a cardiologist. By the time I went to see the specialist, most of my symptoms had subside. I went to the cardiologist and did an ECHO and had to wear a monitor. Everything came back normal and all my symptoms has subsided except a little short of breath.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Epistaxis, Gait disturbance, Lymphadenopathy, Movement disorder
Clinical narrative: My arm was sore for a couple of days but later that month my body started hurting real bad and I couldn't really walk or move. I was hurting in my ankles, my shoulder bones and my elbows. So I looked it over as arthritis but its never hurt like that before. I called the doctor who had me come in and gave me steroids  for inflammation. It didn't really go away so he put me on them again. I've been on them for about three or four months. Gland had swollen in my neck and had an ultrasound done on my neck to find the gland. I started to have a nose bleed off and on.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Ultrasound scan
Clinical narrative: My arm was sore for a couple of days but later that month my body started hurting real bad and I couldn't really walk or move. I was hurting in my ankles, my shoulder bones and my elbows. So I looked it over as arthritis but its never hurt like that before. I called the doctor who had me come in and gave me steroids  for inflammation. It didn't really go away so he put me on them again. I've been on them for about three or four months. Gland had swollen in my neck and had an ultrasound done on my neck to find the gland. I started to have a nose bleed off and on.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Cardiac stress test, Chest discomfort, Dyspnoea, Electrocardiogram
Clinical narrative: Pt states month after 2nd dose chest tightness, sweating, fatigued. Since then no breath, low energy.  Feels like his heart is pounding out of his chest. Doctors ordered stress test, Ekg 04/28/2021. Extreme mental state stress.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Hyperhidrosis, Mental disorder, Palpitations
Clinical narrative: Pt states month after 2nd dose chest tightness, sweating, fatigued. Since then no breath, low energy.  Feels like his heart is pounding out of his chest. Doctors ordered stress test, Ekg 04/28/2021. Extreme mental state stress.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash began to appear on day five following first dose. Rash spread over extremities and torso and has continued to date of 6/24/2021.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: I started a low grade fever around 7th of June, I contacted my doctor because I believe I had a prostate problem.  He prescribed a antibiotic which was Ciprofloxacin 500mg 2xday for 10 days to take.   I am not sure if it is related to the vaccine.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Breast cancer, Lymphadenopathy, Magnetic resonance imaging abnormal, Ultrasound breast abnormal
Clinical narrative: I had a reaction after each of the Covid shot but it was not a bad reaction. In terms of the enlarge lymph node I did not feel anything. They have been surveilling me for a while for breast care and I had enlarged lymph nodes a year ago and they removed one a year ago on October. It was benign. But they have been watching for close to a year. They did an MRI on 03/29/2021 just to check because I have problems and It turned out to be an enlarged lymph node on the right side where is the side where I got the shot. Also, the MRI revealed something going on in my left breast and that turned out to be carcinoma. They confirmed the left side tumor with an ultrasound 2 weeks later. They did a repeat MRI in May to look at the lymph node and it was still enlarged.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID+, but was + in Feb and has had vaccine since then, no COVID sx- do not suspect acute COVID infection now.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Swelling, Ultrasound scan abnormal, Vaccine positive rechallenge
Clinical narrative: I noticed a lump in my neck on 5/3/21 I scheduled an appointment to see healthcare provider for 5/12/21. Healthcare provider said to wait and see if lump would go down; was told to schedule a follow up appointment. I scheduled a follow up appointment for 6/3/21 at that time lump was still prominent so an ultrasound was ordered. I went to ultrasound on 6/7/21 at that time they were able to determine that I had 2 swollen lymph nodes in my neck but due to receiving the 2nd dose of Covid vaccine on 5/20/21 they want to do a follow up in July if swelling continues.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Inflammation, Nodule, Pain in extremity
Clinical narrative: arm pain, knot on left arm for 3 days, fever lasted 2-3 days, headache, fatigue, blood clot in lower left leg. Was prescribed a blood thinner, swollen arm, inflammation in previous energy places.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pyrexia, Thrombosis
Clinical narrative: arm pain, knot on left arm for 3 days, fever lasted 2-3 days, headache, fatigue, blood clot in lower left leg. Was prescribed a blood thinner, swollen arm, inflammation in previous energy places.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Anticoagulant therapy, Blood creatinine increased, Deep vein thrombosis, Pain in extremity
Clinical narrative: Patient received 2nd Moderna vaccination on 6/14/2021. Had labs drawn on 6/22 notable for AKI (Cr of 3.55 above baseline 1.6). Also had R calf pain and swelling. Presented to ER and found to have acute DVT of RLE femoral and popliteal veins. Given IVFs and AKI improved, and started on Apixaban for RLE DVT
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral swelling, Ultrasound Doppler abnormal, Ultrasound kidney normal
Clinical narrative: Patient received 2nd Moderna vaccination on 6/14/2021. Had labs drawn on 6/22 notable for AKI (Cr of 3.55 above baseline 1.6). Also had R calf pain and swelling. Presented to ER and found to have acute DVT of RLE femoral and popliteal veins. Given IVFs and AKI improved, and started on Apixaban for RLE DVT
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Viral test positive
Clinical narrative: herpes zoster (shingles)
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphonia, Dyspnoea, Fatigue, Immediate post-injection reaction, Larynx irritation
Clinical narrative: Immediate fatigue and malaise.  Nausea and vomiting by the next day, which persistent for 2 weeks.  Now has higher pitched voice and dyspnea, presumably from laryngeal irritation.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Nausea, Vomiting
Clinical narrative: Immediate fatigue and malaise.  Nausea and vomiting by the next day, which persistent for 2 weeks.  Now has higher pitched voice and dyspnea, presumably from laryngeal irritation.
Age: 28.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Troponin increased
Clinical narrative: Increasingly elevated troponin going to the cath lab for possible myocarditis.
Age: 28.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angiogram abnormal, Chest discomfort, Chest pain, Myocarditis
Clinical narrative: Increasingly elevated troponin going to the cath lab for possible myocarditis.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Influenza like illness, Pain
Clinical narrative: Headache, body aches, flu-like symptoms
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: I started to have a low grade fever on June 5th and I saw my doctor due to maybe having prostate issues.  He prescribed my a antibiotic to take.   I am unsure if this is related to the vaccine or not.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received the dose after manufacturer recommended freezer storage duration
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Headache, Pain
Clinical narrative: patient report that after the 2nd dose he started having headaches and body ache and upset stomach,
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Rash, Stress
Clinical narrative: Approx. 15 minutes after vaccination to rt deltoid muscle, pt began breaking out on both arms with small, raised bumps.  Gave 10ml Benadryl 12,5/5 solution. Approx. 10 minutes later pt indicated he was having "a little" difficulty breathing. Dad said he has Ehlers Danlos Syndrome and that his breathing was likely due to stress reaction.  pt was ok a short time later and dad said if reaction continued, or his breathing worsened that he would take him to the ER.  I followed up with dad an hour later and dad said the bumps were still there, but son's breathing was fine.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Laboratory test
Clinical narrative: fatigue, tiredness, and loss of strength
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test, SARS-CoV-2 test positive
Clinical narrative: Asymptomatic - Pre-Procedure testing
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Clostridium difficile colitis, Colonoscopy abnormal, Computerised tomogram abdomen, Computerised tomogram pelvis, Computerised tomogram thorax
Clinical narrative: Right after the vaccine, I had a slight ache at the injection site - that lasted a couple of days at the most. June 12th, I had a diarrhea. The surgeon who took care of my rectum - his office ordered a stool sample. I picked it up and took it back the same day - positive result for C Difficile - oral solution of Vancomycin - 2.5 ml every 6 hours for 10 days. I see the surgeon for the post op check on July 13th and maybe he'll re-test at that time.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Endoscopy, Immediate post-injection reaction, Injection site pain, Magnetic resonance imaging
Clinical narrative: Right after the vaccine, I had a slight ache at the injection site - that lasted a couple of days at the most. June 12th, I had a diarrhea. The surgeon who took care of my rectum - his office ordered a stool sample. I picked it up and took it back the same day - positive result for C Difficile - oral solution of Vancomycin - 2.5 ml every 6 hours for 10 days. I see the surgeon for the post op check on July 13th and maybe he'll re-test at that time.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Stool analysis abnormal
Clinical narrative: Right after the vaccine, I had a slight ache at the injection site - that lasted a couple of days at the most. June 12th, I had a diarrhea. The surgeon who took care of my rectum - his office ordered a stool sample. I picked it up and took it back the same day - positive result for C Difficile - oral solution of Vancomycin - 2.5 ml every 6 hours for 10 days. I see the surgeon for the post op check on July 13th and maybe he'll re-test at that time.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Off label use, Product administered to patient of inappropriate age
Clinical narrative: Given Moderna vaccine off label. Patient was 16 years old.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Sleep disorder, Tinnitus
Clinical narrative: I went to bed on the night I received my second does of the Moderna vaccine. I woke up at 2 am with a riningin noise in my head that wouldn't go away. I went to the doctor and they said it was Tinnitus.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Diabetes mellitus, Dyspnoea, Hyperhidrosis, Skin warm, Tongue pruritus
Clinical narrative: the patient came back med opts 1 shaky, warm, and slightly sweaty. she said her tongue was itchy and had slightly labored breathing.  Patient also said she was diabetic and was given apple juice.  Vitals- TIME: 4:37 HR: 116 RESP: 14 BP:168/100 SP02: 94%
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: the patient came back med opts 1 shaky, warm, and slightly sweaty. she said her tongue was itchy and had slightly labored breathing.  Patient also said she was diabetic and was given apple juice.  Vitals- TIME: 4:37 HR: 116 RESP: 14 BP:168/100 SP02: 94%
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose, Dizziness, Electrocardiogram, Feeling hot, Flushing
Clinical narrative: (I copied the notes from my doctor's visit and edited them) Patient developed dizziness at work during a virtual meeting while she was doing a presentation, while standing at her desk. She felt flushed, like her face was very hot and her computer screen looked like it was shaking side to side. She had to close the computer and lay down. Her symptoms resolved  since then. Patient has ongoing stress, does not get a good sleep as she raises a toddler . Remedies they have tried for relief of symptoms include: rest . Patient has  a history of  lightheadedness  in past. Patient asymptomatic at visit time, ate her lunch.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pregnancy test
Clinical narrative: (I copied the notes from my doctor's visit and edited them) Patient developed dizziness at work during a virtual meeting while she was doing a presentation, while standing at her desk. She felt flushed, like her face was very hot and her computer screen looked like it was shaking side to side. She had to close the computer and lay down. Her symptoms resolved  since then. Patient has ongoing stress, does not get a good sleep as she raises a toddler . Remedies they have tried for relief of symptoms include: rest . Patient has  a history of  lightheadedness  in past. Patient asymptomatic at visit time, ate her lunch.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Hospitalized, vaccine breakthrough
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Blood pressure increased, Disturbance in attention, Headache, Hypoaesthesia
Clinical narrative: Numbness felt in 2 fingers of left hand; and left face, mouth, cheek, felt within 2 minutes if getting the shots. Symptoms have been on and off for 2-3 days, and came back consistently after that. Numbness is now felt still in fingers, face, mouth abs also ear and eye.  All left side only.   Noticed difficulty to focus, loss of some strength in left arm. Light headache. Increased blood pressure.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Numbness felt in 2 fingers of left hand; and left face, mouth, cheek, felt within 2 minutes if getting the shots. Symptoms have been on and off for 2-3 days, and came back consistently after that. Numbness is now felt still in fingers, face, mouth abs also ear and eye.  All left side only.   Noticed difficulty to focus, loss of some strength in left arm. Light headache. Increased blood pressure.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia, Peripheral coldness
Clinical narrative: tingling/numb feeling down left arm and hand. My pointer and thumb had sensation while my middle, ring, and pinky would go cold and numb. I frequently massage my hand/arm to circulate blood and now wear a brace, given to me by my PCP to reduce stress on my wrist for 6-8 weeks. Though im sure this is a nerve issue rather than carpel tunnel.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received the does after manufacturer recommended freezer storage duration.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time normal, Angiogram pulmonary abnormal, Anti factor X activity increased, Anticoagulant therapy, Antiphospholipid antibodies negative
Clinical narrative: 35 Y female no signif PMH but with OCP (TriSprintec) since at least 2018, family hx of strokes in family members' 40s, daily marijuana use, and recently (10 days ago) seen in clinic for shortness of breath who per chart review was in her usual state of health until 10:30 am today shen she developed R sided headache, slurred speech, and L arm weakness while she was working out at the gym. At the time she was doing light cardio exercise including jumping jacks and lunges.    On arrival stroke scale - 3 for facial palsy, left arm drift, and mild dysarthria. CT H  demonstrated hyperdense R MCA which corresponded with a filling defect in the R MCA (M2/M3 segment) c/w thrombosis; her CTa neck was normal and there were no e/o hemorrhage. Furthermore, this same CTa showed extensive bilateral PE. An extended stroke alert was called and she was given IV tenecteplase at 1250pm and underwent thrombectomy.   2 weeks ago (6/2) she was seen in clinic for sudden onset shortness of breath, thought at that time by that clinician to be most likely exercise-induced asthma vs less likely ACS. She was advised to use her already written albuterol and had follow up in 2 days (6/4). At that time it was noted she had more SOB with exercises and increased chest tightness that were both relieved with inhaler use.   She has a family history of strokes: Maternal uncle and maternal aunt strokes in their 40s Recent surgeries/immobility/travel: No surgeries, no more than a 2 hour car ride Smoking history: Dialy cannabis smoking but no tobacco smoking Age appropriate cancer screen: Yes  Family history of cancer: breast cancer in grandmother   Baseline functional status Full IADL's and A&O x4.   At time of ICU consult, temp 98, BP 140/89, HR 88, RR 18.  Patient received: intraop NS, Versed, fentanyl, tenecteplase for thrombectomy Labs notable for All labs wnl  35 y.o female with no significant PMH on OCP presented with shortness of breath and slurred speech and LUE weakness found to have acute right M1 occlusion. She underwent thrombolysis with successful recanalization. Deficits resolved. She was also found bilateral PE and non occlusive DVT. Repeat imaging stable. TTE with evidence of small PFO. Today, she is feeling well, denies shortness of breath or new neurological complaints/deficits.    1. R MCA infarct s/p TNK and thrombectomy 6/14 with no residual deficits - secondary to paradoxical embolism. Appreciate neurology recommendations. Small PFO found on TTE, appreciate cardiology evaluation for closure.  2. Bilateral PE/non occlusive DVT - mildly elevated homocysteine level. Rest of hypercoagulable workup pending. Continue heparin gtt, transition to Pradaxa with Lovenox bridging.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Arteriogram carotid normal, Asthma exercise induced, Atrial septal defect, Blood folate normal, Blood homocysteine increased
Clinical narrative: 35 Y female no signif PMH but with OCP (TriSprintec) since at least 2018, family hx of strokes in family members' 40s, daily marijuana use, and recently (10 days ago) seen in clinic for shortness of breath who per chart review was in her usual state of health until 10:30 am today shen she developed R sided headache, slurred speech, and L arm weakness while she was working out at the gym. At the time she was doing light cardio exercise including jumping jacks and lunges.    On arrival stroke scale - 3 for facial palsy, left arm drift, and mild dysarthria. CT H  demonstrated hyperdense R MCA which corresponded with a filling defect in the R MCA (M2/M3 segment) c/w thrombosis; her CTa neck was normal and there were no e/o hemorrhage. Furthermore, this same CTa showed extensive bilateral PE. An extended stroke alert was called and she was given IV tenecteplase at 1250pm and underwent thrombectomy.   2 weeks ago (6/2) she was seen in clinic for sudden onset shortness of breath, thought at that time by that clinician to be most likely exercise-induced asthma vs less likely ACS. She was advised to use her already written albuterol and had follow up in 2 days (6/4). At that time it was noted she had more SOB with exercises and increased chest tightness that were both relieved with inhaler use.   She has a family history of strokes: Maternal uncle and maternal aunt strokes in their 40s Recent surgeries/immobility/travel: No surgeries, no more than a 2 hour car ride Smoking history: Dialy cannabis smoking but no tobacco smoking Age appropriate cancer screen: Yes  Family history of cancer: breast cancer in grandmother   Baseline functional status Full IADL's and A&O x4.   At time of ICU consult, temp 98, BP 140/89, HR 88, RR 18.  Patient received: intraop NS, Versed, fentanyl, tenecteplase for thrombectomy Labs notable for All labs wnl  35 y.o female with no significant PMH on OCP presented with shortness of breath and slurred speech and LUE weakness found to have acute right M1 occlusion. She underwent thrombolysis with successful recanalization. Deficits resolved. She was also found bilateral PE and non occlusive DVT. Repeat imaging stable. TTE with evidence of small PFO. Today, she is feeling well, denies shortness of breath or new neurological complaints/deficits.    1. R MCA infarct s/p TNK and thrombectomy 6/14 with no residual deficits - secondary to paradoxical embolism. Appreciate neurology recommendations. Small PFO found on TTE, appreciate cardiology evaluation for closure.  2. Bilateral PE/non occlusive DVT - mildly elevated homocysteine level. Rest of hypercoagulable workup pending. Continue heparin gtt, transition to Pradaxa with Lovenox bridging.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiolipin antibody negative, Cerebral artery occlusion, Cerebral artery thrombosis, Cerebral infarction, Chest discomfort
Clinical narrative: 35 Y female no signif PMH but with OCP (TriSprintec) since at least 2018, family hx of strokes in family members' 40s, daily marijuana use, and recently (10 days ago) seen in clinic for shortness of breath who per chart review was in her usual state of health until 10:30 am today shen she developed R sided headache, slurred speech, and L arm weakness while she was working out at the gym. At the time she was doing light cardio exercise including jumping jacks and lunges.    On arrival stroke scale - 3 for facial palsy, left arm drift, and mild dysarthria. CT H  demonstrated hyperdense R MCA which corresponded with a filling defect in the R MCA (M2/M3 segment) c/w thrombosis; her CTa neck was normal and there were no e/o hemorrhage. Furthermore, this same CTa showed extensive bilateral PE. An extended stroke alert was called and she was given IV tenecteplase at 1250pm and underwent thrombectomy.   2 weeks ago (6/2) she was seen in clinic for sudden onset shortness of breath, thought at that time by that clinician to be most likely exercise-induced asthma vs less likely ACS. She was advised to use her already written albuterol and had follow up in 2 days (6/4). At that time it was noted she had more SOB with exercises and increased chest tightness that were both relieved with inhaler use.   She has a family history of strokes: Maternal uncle and maternal aunt strokes in their 40s Recent surgeries/immobility/travel: No surgeries, no more than a 2 hour car ride Smoking history: Dialy cannabis smoking but no tobacco smoking Age appropriate cancer screen: Yes  Family history of cancer: breast cancer in grandmother   Baseline functional status Full IADL's and A&O x4.   At time of ICU consult, temp 98, BP 140/89, HR 88, RR 18.  Patient received: intraop NS, Versed, fentanyl, tenecteplase for thrombectomy Labs notable for All labs wnl  35 y.o female with no significant PMH on OCP presented with shortness of breath and slurred speech and LUE weakness found to have acute right M1 occlusion. She underwent thrombolysis with successful recanalization. Deficits resolved. She was also found bilateral PE and non occlusive DVT. Repeat imaging stable. TTE with evidence of small PFO. Today, she is feeling well, denies shortness of breath or new neurological complaints/deficits.    1. R MCA infarct s/p TNK and thrombectomy 6/14 with no residual deficits - secondary to paradoxical embolism. Appreciate neurology recommendations. Small PFO found on TTE, appreciate cardiology evaluation for closure.  2. Bilateral PE/non occlusive DVT - mildly elevated homocysteine level. Rest of hypercoagulable workup pending. Continue heparin gtt, transition to Pradaxa with Lovenox bridging.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head abnormal, Deep vein thrombosis, Dysarthria, Dyspnoea, Dyspnoea exertional
Clinical narrative: 35 Y female no signif PMH but with OCP (TriSprintec) since at least 2018, family hx of strokes in family members' 40s, daily marijuana use, and recently (10 days ago) seen in clinic for shortness of breath who per chart review was in her usual state of health until 10:30 am today shen she developed R sided headache, slurred speech, and L arm weakness while she was working out at the gym. At the time she was doing light cardio exercise including jumping jacks and lunges.    On arrival stroke scale - 3 for facial palsy, left arm drift, and mild dysarthria. CT H  demonstrated hyperdense R MCA which corresponded with a filling defect in the R MCA (M2/M3 segment) c/w thrombosis; her CTa neck was normal and there were no e/o hemorrhage. Furthermore, this same CTa showed extensive bilateral PE. An extended stroke alert was called and she was given IV tenecteplase at 1250pm and underwent thrombectomy.   2 weeks ago (6/2) she was seen in clinic for sudden onset shortness of breath, thought at that time by that clinician to be most likely exercise-induced asthma vs less likely ACS. She was advised to use her already written albuterol and had follow up in 2 days (6/4). At that time it was noted she had more SOB with exercises and increased chest tightness that were both relieved with inhaler use.   She has a family history of strokes: Maternal uncle and maternal aunt strokes in their 40s Recent surgeries/immobility/travel: No surgeries, no more than a 2 hour car ride Smoking history: Dialy cannabis smoking but no tobacco smoking Age appropriate cancer screen: Yes  Family history of cancer: breast cancer in grandmother   Baseline functional status Full IADL's and A&O x4.   At time of ICU consult, temp 98, BP 140/89, HR 88, RR 18.  Patient received: intraop NS, Versed, fentanyl, tenecteplase for thrombectomy Labs notable for All labs wnl  35 y.o female with no significant PMH on OCP presented with shortness of breath and slurred speech and LUE weakness found to have acute right M1 occlusion. She underwent thrombolysis with successful recanalization. Deficits resolved. She was also found bilateral PE and non occlusive DVT. Repeat imaging stable. TTE with evidence of small PFO. Today, she is feeling well, denies shortness of breath or new neurological complaints/deficits.    1. R MCA infarct s/p TNK and thrombectomy 6/14 with no residual deficits - secondary to paradoxical embolism. Appreciate neurology recommendations. Small PFO found on TTE, appreciate cardiology evaluation for closure.  2. Bilateral PE/non occlusive DVT - mildly elevated homocysteine level. Rest of hypercoagulable workup pending. Continue heparin gtt, transition to Pradaxa with Lovenox bridging.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram, Echocardiogram abnormal, Facial paralysis, Factor II mutation, Gene mutation identification test negative
Clinical narrative: 35 Y female no signif PMH but with OCP (TriSprintec) since at least 2018, family hx of strokes in family members' 40s, daily marijuana use, and recently (10 days ago) seen in clinic for shortness of breath who per chart review was in her usual state of health until 10:30 am today shen she developed R sided headache, slurred speech, and L arm weakness while she was working out at the gym. At the time she was doing light cardio exercise including jumping jacks and lunges.    On arrival stroke scale - 3 for facial palsy, left arm drift, and mild dysarthria. CT H  demonstrated hyperdense R MCA which corresponded with a filling defect in the R MCA (M2/M3 segment) c/w thrombosis; her CTa neck was normal and there were no e/o hemorrhage. Furthermore, this same CTa showed extensive bilateral PE. An extended stroke alert was called and she was given IV tenecteplase at 1250pm and underwent thrombectomy.   2 weeks ago (6/2) she was seen in clinic for sudden onset shortness of breath, thought at that time by that clinician to be most likely exercise-induced asthma vs less likely ACS. She was advised to use her already written albuterol and had follow up in 2 days (6/4). At that time it was noted she had more SOB with exercises and increased chest tightness that were both relieved with inhaler use.   She has a family history of strokes: Maternal uncle and maternal aunt strokes in their 40s Recent surgeries/immobility/travel: No surgeries, no more than a 2 hour car ride Smoking history: Dialy cannabis smoking but no tobacco smoking Age appropriate cancer screen: Yes  Family history of cancer: breast cancer in grandmother   Baseline functional status Full IADL's and A&O x4.   At time of ICU consult, temp 98, BP 140/89, HR 88, RR 18.  Patient received: intraop NS, Versed, fentanyl, tenecteplase for thrombectomy Labs notable for All labs wnl  35 y.o female with no significant PMH on OCP presented with shortness of breath and slurred speech and LUE weakness found to have acute right M1 occlusion. She underwent thrombolysis with successful recanalization. Deficits resolved. She was also found bilateral PE and non occlusive DVT. Repeat imaging stable. TTE with evidence of small PFO. Today, she is feeling well, denies shortness of breath or new neurological complaints/deficits.    1. R MCA infarct s/p TNK and thrombectomy 6/14 with no residual deficits - secondary to paradoxical embolism. Appreciate neurology recommendations. Small PFO found on TTE, appreciate cardiology evaluation for closure.  2. Bilateral PE/non occlusive DVT - mildly elevated homocysteine level. Rest of hypercoagulable workup pending. Continue heparin gtt, transition to Pradaxa with Lovenox bridging.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Intensive care, International normalised ratio normal, Muscular weakness, Paradoxical embolism
Clinical narrative: 35 Y female no signif PMH but with OCP (TriSprintec) since at least 2018, family hx of strokes in family members' 40s, daily marijuana use, and recently (10 days ago) seen in clinic for shortness of breath who per chart review was in her usual state of health until 10:30 am today shen she developed R sided headache, slurred speech, and L arm weakness while she was working out at the gym. At the time she was doing light cardio exercise including jumping jacks and lunges.    On arrival stroke scale - 3 for facial palsy, left arm drift, and mild dysarthria. CT H  demonstrated hyperdense R MCA which corresponded with a filling defect in the R MCA (M2/M3 segment) c/w thrombosis; her CTa neck was normal and there were no e/o hemorrhage. Furthermore, this same CTa showed extensive bilateral PE. An extended stroke alert was called and she was given IV tenecteplase at 1250pm and underwent thrombectomy.   2 weeks ago (6/2) she was seen in clinic for sudden onset shortness of breath, thought at that time by that clinician to be most likely exercise-induced asthma vs less likely ACS. She was advised to use her already written albuterol and had follow up in 2 days (6/4). At that time it was noted she had more SOB with exercises and increased chest tightness that were both relieved with inhaler use.   She has a family history of strokes: Maternal uncle and maternal aunt strokes in their 40s Recent surgeries/immobility/travel: No surgeries, no more than a 2 hour car ride Smoking history: Dialy cannabis smoking but no tobacco smoking Age appropriate cancer screen: Yes  Family history of cancer: breast cancer in grandmother   Baseline functional status Full IADL's and A&O x4.   At time of ICU consult, temp 98, BP 140/89, HR 88, RR 18.  Patient received: intraop NS, Versed, fentanyl, tenecteplase for thrombectomy Labs notable for All labs wnl  35 y.o female with no significant PMH on OCP presented with shortness of breath and slurred speech and LUE weakness found to have acute right M1 occlusion. She underwent thrombolysis with successful recanalization. Deficits resolved. She was also found bilateral PE and non occlusive DVT. Repeat imaging stable. TTE with evidence of small PFO. Today, she is feeling well, denies shortness of breath or new neurological complaints/deficits.    1. R MCA infarct s/p TNK and thrombectomy 6/14 with no residual deficits - secondary to paradoxical embolism. Appreciate neurology recommendations. Small PFO found on TTE, appreciate cardiology evaluation for closure.  2. Bilateral PE/non occlusive DVT - mildly elevated homocysteine level. Rest of hypercoagulable workup pending. Continue heparin gtt, transition to Pradaxa with Lovenox bridging.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Protein C increased, Protein S increased, Prothrombin time prolonged, Pulmonary embolism, Thrombectomy
Clinical narrative: 35 Y female no signif PMH but with OCP (TriSprintec) since at least 2018, family hx of strokes in family members' 40s, daily marijuana use, and recently (10 days ago) seen in clinic for shortness of breath who per chart review was in her usual state of health until 10:30 am today shen she developed R sided headache, slurred speech, and L arm weakness while she was working out at the gym. At the time she was doing light cardio exercise including jumping jacks and lunges.    On arrival stroke scale - 3 for facial palsy, left arm drift, and mild dysarthria. CT H  demonstrated hyperdense R MCA which corresponded with a filling defect in the R MCA (M2/M3 segment) c/w thrombosis; her CTa neck was normal and there were no e/o hemorrhage. Furthermore, this same CTa showed extensive bilateral PE. An extended stroke alert was called and she was given IV tenecteplase at 1250pm and underwent thrombectomy.   2 weeks ago (6/2) she was seen in clinic for sudden onset shortness of breath, thought at that time by that clinician to be most likely exercise-induced asthma vs less likely ACS. She was advised to use her already written albuterol and had follow up in 2 days (6/4). At that time it was noted she had more SOB with exercises and increased chest tightness that were both relieved with inhaler use.   She has a family history of strokes: Maternal uncle and maternal aunt strokes in their 40s Recent surgeries/immobility/travel: No surgeries, no more than a 2 hour car ride Smoking history: Dialy cannabis smoking but no tobacco smoking Age appropriate cancer screen: Yes  Family history of cancer: breast cancer in grandmother   Baseline functional status Full IADL's and A&O x4.   At time of ICU consult, temp 98, BP 140/89, HR 88, RR 18.  Patient received: intraop NS, Versed, fentanyl, tenecteplase for thrombectomy Labs notable for All labs wnl  35 y.o female with no significant PMH on OCP presented with shortness of breath and slurred speech and LUE weakness found to have acute right M1 occlusion. She underwent thrombolysis with successful recanalization. Deficits resolved. She was also found bilateral PE and non occlusive DVT. Repeat imaging stable. TTE with evidence of small PFO. Today, she is feeling well, denies shortness of breath or new neurological complaints/deficits.    1. R MCA infarct s/p TNK and thrombectomy 6/14 with no residual deficits - secondary to paradoxical embolism. Appreciate neurology recommendations. Small PFO found on TTE, appreciate cardiology evaluation for closure.  2. Bilateral PE/non occlusive DVT - mildly elevated homocysteine level. Rest of hypercoagulable workup pending. Continue heparin gtt, transition to Pradaxa with Lovenox bridging.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Thrombolysis, Upper motor neurone lesion, Vitamin B12 normal
Clinical narrative: 35 Y female no signif PMH but with OCP (TriSprintec) since at least 2018, family hx of strokes in family members' 40s, daily marijuana use, and recently (10 days ago) seen in clinic for shortness of breath who per chart review was in her usual state of health until 10:30 am today shen she developed R sided headache, slurred speech, and L arm weakness while she was working out at the gym. At the time she was doing light cardio exercise including jumping jacks and lunges.    On arrival stroke scale - 3 for facial palsy, left arm drift, and mild dysarthria. CT H  demonstrated hyperdense R MCA which corresponded with a filling defect in the R MCA (M2/M3 segment) c/w thrombosis; her CTa neck was normal and there were no e/o hemorrhage. Furthermore, this same CTa showed extensive bilateral PE. An extended stroke alert was called and she was given IV tenecteplase at 1250pm and underwent thrombectomy.   2 weeks ago (6/2) she was seen in clinic for sudden onset shortness of breath, thought at that time by that clinician to be most likely exercise-induced asthma vs less likely ACS. She was advised to use her already written albuterol and had follow up in 2 days (6/4). At that time it was noted she had more SOB with exercises and increased chest tightness that were both relieved with inhaler use.   She has a family history of strokes: Maternal uncle and maternal aunt strokes in their 40s Recent surgeries/immobility/travel: No surgeries, no more than a 2 hour car ride Smoking history: Dialy cannabis smoking but no tobacco smoking Age appropriate cancer screen: Yes  Family history of cancer: breast cancer in grandmother   Baseline functional status Full IADL's and A&O x4.   At time of ICU consult, temp 98, BP 140/89, HR 88, RR 18.  Patient received: intraop NS, Versed, fentanyl, tenecteplase for thrombectomy Labs notable for All labs wnl  35 y.o female with no significant PMH on OCP presented with shortness of breath and slurred speech and LUE weakness found to have acute right M1 occlusion. She underwent thrombolysis with successful recanalization. Deficits resolved. She was also found bilateral PE and non occlusive DVT. Repeat imaging stable. TTE with evidence of small PFO. Today, she is feeling well, denies shortness of breath or new neurological complaints/deficits.    1. R MCA infarct s/p TNK and thrombectomy 6/14 with no residual deficits - secondary to paradoxical embolism. Appreciate neurology recommendations. Small PFO found on TTE, appreciate cardiology evaluation for closure.  2. Bilateral PE/non occlusive DVT - mildly elevated homocysteine level. Rest of hypercoagulable workup pending. Continue heparin gtt, transition to Pradaxa with Lovenox bridging.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: ASYMPTOMATIC
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Intermenstrual bleeding, Menstruation irregular
Clinical narrative: Irregular period beginning in May. Longer cycle and breakthrough spotting mid cycle.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Myalgia, Vomiting
Clinical narrative: Really bad muscle pains in hips and legs and left forearm. Chest pain on left side. For 2 days vomiting couldn't hold anything down.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Feeling abnormal, Pain, Pyrexia
Clinical narrative: High fever, very achy, body aches and pains, felt lousy, didn't want to eat or drink
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Myocarditis
Clinical narrative: pt said he had myocarditis a day after shot and severe chest pain. he told me the doctor wanted him to get second shot but when i asked him to call dr he said he doesn't have one and just wanted second shot for travel to mexico. I told him i would like to get more information and my manager said to see if he could get the shot at a hospital setting. He didn't want to wait for me to call for more info.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain, Pruritus, Swelling face
Clinical narrative: Facial  redness, puffiness, stinging, itching 4/18-4/23  Itchy red neck also
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Staring, Tremor, Unresponsive to stimuli, Visual impairment
Clinical narrative: pt with lightheadedness after 30 min wait after covid vaccine.   rechecked and noted to have "white light" vision. RN notified. patient brought back to procedure room for monitoring. transferred to gurney. vitals taken. noted shakey, but states she gets shakey sometimes. noted staring gaze for a moment.  went to get MD. noted to have unresponsiveness for a couple seconds.   sternum rub to stimulate. MD to bedside and 911 initiated.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Heavy menstrual bleeding
Clinical narrative: Heavy, unprecedented period flows for periods following vaccine, primarily in first two periods after vaccine. Serious, unprecedented abdominal pain and cramping during first few days of menstruation periods following vaccine dose 1, has continued 4 cycles past the vaccine and is still continuing and has not subsided.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received the dose after manufacturer recommended freezer storage duration.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Patient was given first dose of Moderna vaccine intramuscularly in left deltoid on June 24, 2021. Patient had already received first dose of Janssen COVID-19 vaccine on April 7, 2021. Patient exhibited no symptoms or side effects and was monitored for 30 minutes post-vaccination.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Chest discomfort, Chest pain, Dyspnoea, Electrocardiogram normal
Clinical narrative: Lots of headaches. On June 9, 2021, Vision in left eye became fragmented and jumbled and stationary objects appeared to move. Didn?t clear up for 72+ hours. Couple days later felt like I was having a heart attack, pain and tightness in chest, tightness in jaws, short of breath
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Magnetic resonance imaging head normal, Muscle tightness, Ophthalmological examination, Visual impairment
Clinical narrative: Lots of headaches. On June 9, 2021, Vision in left eye became fragmented and jumbled and stationary objects appeared to move. Didn?t clear up for 72+ hours. Couple days later felt like I was having a heart attack, pain and tightness in chest, tightness in jaws, short of breath
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray normal
Clinical narrative: Lots of headaches. On June 9, 2021, Vision in left eye became fragmented and jumbled and stationary objects appeared to move. Didn?t clear up for 72+ hours. Couple days later felt like I was having a heart attack, pain and tightness in chest, tightness in jaws, short of breath
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bone pain, Fatigue, Feeling abnormal, Myalgia
Clinical narrative: Extreme pain in joints of fingers, wrists, ankles, toes,        All symptoms lasting until 6/18/21 and continuing with some pain in joints and Extreme Bone Pain in arm/legs                                                                             tiredness Extreme muscle pain in most of body Extreme fatigue necessitating sleep during the day brain fog
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received the dose after the manufacturer recommended freezer storage duration.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: I woke up with hives on my chest and back.  I took pictures to  share with my doctor.  I took the Benadryl for awhile.  My doctor told me to take more of allergy medicine.  I also had Shingles during the pandemic.