chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Pt received dose of J&J COVID-19 Vaccine from outside facility on 3/22/21.  He then presented at our facility's clinic on 4/16/2021 to receive his first dose of the Pfizer vaccine.  It was not noticed that the patient had previously received the J&J vaccine (unclear if the nurse administering did not notice this or if the record had not yet been filed) and the patient did not disclose this information, so the 1st dose of the Pfizer vaccine was administered.  The patient then presented on 5/7/2021 for his second dose of the pfizer vaccine.  At that time, it was noted that the patient had receive J&J as well as his first dose of Pfizer vaccine.  Following consultation with the physician on call for the clinic, the decision was made to administer the second dose.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID PCR test on 05/12/2021. Symptoms developed on 05/12/2021. Patient will be recieving antibody treatment.
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Echocardiogram, Electrocardiogram abnormal, Myocarditis, Troponin increased
Clinical narrative: presented to ER for chest pain on 5/11 and 5/12, diagnosed with myopericarditis with elevated troponin level, abnormal ECG; hospitalized and treated with anti-inflammatory (Ibuprofen)
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myocarditis
Clinical narrative: presented to ER for chest pain on 5/11 and 5/12, diagnosed with myopericarditis with elevated troponin level, abnormal ECG; hospitalized and treated with anti-inflammatory (Ibuprofen)
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Visual impairment
Clinical narrative: Patient was in observation area and started feeling dizzy with difficulty to see 10 minutes after vaccine administration and decided to go from sitting on chair to sit and then lay down on floor on top of her jacket. Observation room clinic staff noticed and notified RN lead. Patient was attended to and noted that she was alert and oriented c/o dizziness. Patient transferred from floor w/ assist to wheelchair and then to side observation area where her VS were obtained: 0850 BP 79/39. HR 62, O2sat 100%. Mom accompanied patient and stated patient did not eat this morning. Patient given water and crackers. VS 0853 BP 98/56, HR 71 and O2sat 100%. Patient stating that vision is better, continued eating and drinking. VSS 0855 BP 99/64. HR 68,O2sat 100%. Patient stating vision much better and dizzy feeling gone. Patient stood up and did not experience any symptoms, walked to observation room with mom and RN and continued to sit for an additional 10 mins. Patient left with mom at 0915 stating she is back to normal. Encouraged to have patient eat and drink prior to next vaccination appointment.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Feeding disorder, Malaise, Mobility decreased
Clinical narrative: Onset of chills followed by feeling not well.  Not able to eat and get out of bed.  Lasted 36 hours
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Nausea
Clinical narrative: Patient received shot in Left arm and after a few minutes became to feel dizzy and warm.  Patient felt nauseous.  Pharmacist applied Ice pack to patient's head.  Dizziness and warmness subsided after 5 minutes.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Vomiting
Clinical narrative: vomiting, back pain
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation
Clinical narrative: Patient  hospitalized within 6 weeks of receiving COVID vaccination. Diagnosis: Atrial fibrillation with RVR
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received second dose of Pfizer vaccine.  Vaccine expiration time 0930 on 5/12/2021. Patient received vaccine on 5/12/2021 at 0932. MD made aware.  No harm to patient.
Age: 19.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Epstein-Barr virus infection reactivation, Fatigue, Pain
Clinical narrative: Fatigue and body aches after having vaccine
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: patient received Covid 19 vaccine Johnston and Johnston on 03/13/2021, became positive for covid on 04/13/2021, went to hosp, admitted
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site pruritus, Rash macular
Clinical narrative: "COVID arm" - a big, red blotch of diameter around 2 cm, around the vaccine site on my left arm that started itching after a week of the vaccination.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Myalgia, Pyrexia
Clinical narrative: Chills, muscle aches for 16 hours, fever (102), headache, fatigue lasting 3 days
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Oral discomfort, Pruritus, Throat tightness, Tongue discomfort
Clinical narrative: The patient presents with 65-year-old here for evaluation of reaction.  Patient endorses that she had her first Covid vaccination at 830 this morning.  She was doing fine afterwards and went for a walk and then had breakfast and then did some yard work.  However a couple hours after receiving the vaccination she developed progressively worsening tightness of her throat, tongue and lips on fire, generalized severe itching all over her body.  At first she was going to just get driven in by her family but she noticed that it was becoming harder and harder to talk and she felt like her throat was closing so they called 911.  She has only had allergic reactions to codeine but has no other known allergies.  Patient did get epinephrine and the ambulance and that has significantly reduced her difficulty breathing.  Right now she is just feeling shaky from the epinephrine and itchiness all over and a tongue that feels hot.. The patient did return 7 days later with return of hives, trouble breathing and throat tightness,  resolved with diphenhydramine
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: The patient presents with 65-year-old here for evaluation of reaction.  Patient endorses that she had her first Covid vaccination at 830 this morning.  She was doing fine afterwards and went for a walk and then had breakfast and then did some yard work.  However a couple hours after receiving the vaccination she developed progressively worsening tightness of her throat, tongue and lips on fire, generalized severe itching all over her body.  At first she was going to just get driven in by her family but she noticed that it was becoming harder and harder to talk and she felt like her throat was closing so they called 911.  She has only had allergic reactions to codeine but has no other known allergies.  Patient did get epinephrine and the ambulance and that has significantly reduced her difficulty breathing.  Right now she is just feeling shaky from the epinephrine and itchiness all over and a tongue that feels hot.. The patient did return 7 days later with return of hives, trouble breathing and throat tightness,  resolved with diphenhydramine
Sex: U
Vaccine: COVID19
Symptoms: Dizziness, Pruritus, Urticaria
Clinical narrative: On March 23, I became dizzy and developed hives. I have had hives and uncontrollable itching until now May 13. Hives and itching are finally disappearing.  I was dizzy  during week of March 23 only. I have never had hives or been dizzy after any vaccination  until now. I have not seen a doctor concerning this.  .
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Crepitations, Mobility decreased, Pain in extremity, X-ray
Clinical narrative: Popping sensation on administration, severe pain in arm, unable to lift arm. Seen in Emergency Department 5/8/2021- given pain meds, steroids'
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, SARS-CoV-2 test
Clinical narrative: New loss of taste or smell, Has had both COVID Vaccines
Age: 94.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood gases abnormal, COVID-19, Hypoxia, Oxygen saturation decreased, PO2 decreased
Clinical narrative: Tested positive at hospital during outbreak on 4/27, hospital reporting cold-like symptoms until 05/06 when patient was noted to be hypoxic (70% O2 saturation on RA). Patient presented to ED with tachypnea and dyspnea.  O2 saturations in ED were in the low 90% and patient did require oxygen supplementation after admission. Received dexamethasone, no remdesivir given time course. Has required HFNC up to 40L/80%. Currently weaning oxygen but still admitted.
Age: 94.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Tachypnoea
Clinical narrative: Tested positive at hospital during outbreak on 4/27, hospital reporting cold-like symptoms until 05/06 when patient was noted to be hypoxic (70% O2 saturation on RA). Patient presented to ED with tachypnea and dyspnea.  O2 saturations in ED were in the low 90% and patient did require oxygen supplementation after admission. Received dexamethasone, no remdesivir given time course. Has required HFNC up to 40L/80%. Currently weaning oxygen but still admitted.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Headache, Mobility decreased, Musculoskeletal stiffness, Myalgia
Clinical narrative: left arm extremely painful, burning, very stuff couldnt lift it severe headache muscle aches
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: left arm extremely painful, burning, very stuff couldnt lift it severe headache muscle aches
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Pain in extremity, Throat tightness
Clinical narrative: tightening of the throat, anxiety, and sore arm at the half hour mark
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Headache, Nausea, Pain
Clinical narrative: within 24 hours of the second vaccine i have felt body aches, shivers, mild fever, head ache, nauseous diarrhea
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: within 24 hours of the second vaccine i have felt body aches, shivers, mild fever, head ache, nauseous diarrhea
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Administrative error, given at age 17
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: body aches, sore throat, fevers, chills, and fatigue beginning  3 months after vaccination
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Oropharyngeal pain, Pain, SARS-CoV-2 test
Clinical narrative: Nurse Triage 2/22/2021  RN Home Care Disposition cough, sore throat Reason for call Conversation: cough, sore throat (Oldest Message First)       2/22/21 9:07 AM (Name) contacted RN   (Name), RN      2/22/21 9:19 AM Note    Pt calling -  1st COVID vaccine on 2/17 1040 AM  - achy by evening 2/19 (achiness has improved) - for the next 2 days she has had chills, sore throat (7/10) & dry cough.  No fever or SOB.     Will use interim care & call back if other questions or concerns.   Reason for Disposition ? Cough with no complications
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatinine increased, Blood glucose normal, Blood thyroid stimulating hormone normal, Fatigue, Glomerular filtration rate decreased
Clinical narrative: second dose of Moderna vaccine reported she had fatique that has been ongoing since vaccine was given. Began day after vaccine. She also had nausea and headache but they subsided after a couple of days but fatique has never subsided.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Glycosylated haemoglobin increased, Headache, Metabolic function test, Nausea, Vitamin B12 normal
Clinical narrative: second dose of Moderna vaccine reported she had fatique that has been ongoing since vaccine was given. Began day after vaccine. She also had nausea and headache but they subsided after a couple of days but fatique has never subsided.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Vitamin D
Clinical narrative: second dose of Moderna vaccine reported she had fatique that has been ongoing since vaccine was given. Began day after vaccine. She also had nausea and headache but they subsided after a couple of days but fatique has never subsided.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Radial nerve palsy
Clinical narrative: ACUTE RADIAL NERVE PALSY
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Vaccine clinic RN went to inpatient ward with vaccine and questionnaire and appropriately screened and administered vaccine according to policy.  Patient was A&O x4 and also stated that she was in need of her second dose and consented to receive dose prior to going to rehab.   Vaccine clinic was informed on 5/13 that the patient?s husband had called and informed hospital that patient had received 2 COVID Pfizer doses already and the one she received as an outpatient on 5/12 was actually her 3rd vaccine.  This information was verified according to hospital EMAR there was a vaccine given on 3/26 and 4/16 for her first and second doses.   As of 3/26, the time of the administration of the first dose, the vaccine clinic was using the website VAMS in order to document vaccines administered in the clinic for reporting purposes.  Prior to the second dose, webiste VINI was implemented to replace VAMS and the second vaccine was recorded in VINI as per the new protocol for reporting.  When referencing VINI it appeared that only one vaccine dose had been administered, but it was the second and the first was recorded in the retired system VAMS.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: tINNITUS
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Neck pain
Clinical narrative: 7 days after 1st shot, I started getting an intense neck pain on right side of neck. This pain continued for next three days, only subsiding when I slept at night. Then the pain traveled up base of my skull and I?ve had intense headaches for the last 5 days. It comes and goes throughout the day. No OTC meds seem to work. Definitely not the normal headache pain I might get once in awhile.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Musculoskeletal stiffness, Pain, Pyrexia
Clinical narrative: ran a 104 fever for 24 hours, body aches, muscle stiffness, exhausted lasted 4 days
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Rash, SARS-CoV-2 test
Clinical narrative: High fever and rash 5 days after vaccine. Body aches and pain. Fevers lasted 3 days
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain
Clinical narrative: Chills, intense body aches, 2 days
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: The patient was contacted the next day on 5/11 and he said ge did not experience any strong side effects.  Only felt soreness in the arm.  Spoke to patient again on 5/13, patient feels fine and zero side effects.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria, Vaccine positive rechallenge, White blood cell count increased
Clinical narrative: Patient had received covid vaccine, and had been monitored her full fifteen minutes. Time ended at 11:56. Left facility, voicing no concerns and reentered building at 12:13, complaining of hives.  Alert, oriented, and not in any acute distress. Hives noted to bottom of chin, neck and chest area. 12: 15 Brought to cot area, where I was met by.  Patient stated she had a reaction to first vaccination so had already taken a Benadryl 25mg this am at 9:45. She also had taken a dose of Benadryl after leaving facility at noon. Total dose 50mg. Blood pressure 182/118 hr 145, r 22 sat 98%. Explained unable to give Benadryl as already had taken max dose for 4 hours, and unable to give epi since b/p and hr so high. 12:15 contacted EMS per protocol. 12:20 vitals 188/110 hr 128 r 20 sat 98%, hives remained unchanged, raised red present to neck, under chin and on chest. 12:24 ems arrived. care assumed by paramedic. Patient transported to ED
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Adenovirus test, Asthenia, Chest X-ray, Decreased appetite, Electrocardiogram
Clinical narrative: ED Discharged  2/26/2021 (3 hours)  Last attending ? Treatment team COVID-19 Clinical impression Rapid Heart Rate ? Fatigue Chief complaint ED Provider Notes  (Resident) ? ? Emergency Medicine Cosigned by: at 3/1/2021  7:31 AM Expand AllCollapse All        ED RESIDENT NOTE            Chief Complaint      Chief Complaint Patient presents with ? Rapid Heart Rate ? Fatigue       History of Present Illness     is a 70 y.o. yo female presenting to the ED with palpitations.  Patient states that last evening and this morning she has had the sensation of her heart racing.  She is also been coughing white sputum.  She feels generalized weakness.  Her grandson who she lives with is currently having a cough and fever and is being tested for Covid.  She presents with concerns for heart problem versus infection.  She did have her first dose of her Pfizer Covid vaccine last week.  She denies any pain at this time.  She does not feel short of breath.  She states she has not been eating or drinking as much as normal.       Medical Decision Making     Patient presents to the emergency department with generalized weakness, sensation of heart racing, and productive cough.  Patient was found to be febrile in the emergency department.  Her son who she lives with at home is also currently sick with a upper respiratory illness.  Covid test is pending for him.   I have high suspicion patient is likely suffering from Covid infection.  We will get Covid swab.  We will get basic lab work, EKG, chest x-ray.  Patient is maintaining O2 sats on room air.  Low suspicion for PE at this time.   Patient does appear a little bit dry on clinical exam so we will give her some IV fluids.  Will also give her Tylenol for fever. Anticipate patient is likely Covid positive and we will discuss with PCP about setting up for monoclonal antibody infusion.         ED Course as of Feb 27 1339 Fri Feb 26, 2021 1155 Sinus rhythm at a rate 80 bpm.  Normal axis, normal intervals.  No STEMI.  No EKG to compare to from prior.  ECG 12-lead: HOSPITAL or TEST FACILITY Once Chest pain, (r/o) Arrhythmia, Shortness of breath [BH] 1216 Lymphocytes # (Auto)(!): 0.93 [BH] 1216 Unremarkable  Comprehensive metabolic panel - STAT(!) [BH] 1301 COVID-19 SARS-CoV-2 Overall Result(!!): Detected [BH] 1439 Set up for monoclonal antibody testing in the outpatient setting.  Return precautions instructions given.  Social work will be reaching out to the patient to set up the monoclonal antibody infusion.  Patient discharged home in stable condition.   [BH] Sat Feb 27, 2021 1338 No acute cardiopulmonary abnormality.  X-ray chest 1 view, Portable [BH]
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Enterovirus test negative, Fatigue, Heart rate increased, Human metapneumovirus test, Influenza A virus test negative
Clinical narrative: ED Discharged  2/26/2021 (3 hours)  Last attending ? Treatment team COVID-19 Clinical impression Rapid Heart Rate ? Fatigue Chief complaint ED Provider Notes  (Resident) ? ? Emergency Medicine Cosigned by: at 3/1/2021  7:31 AM Expand AllCollapse All        ED RESIDENT NOTE            Chief Complaint      Chief Complaint Patient presents with ? Rapid Heart Rate ? Fatigue       History of Present Illness     is a 70 y.o. yo female presenting to the ED with palpitations.  Patient states that last evening and this morning she has had the sensation of her heart racing.  She is also been coughing white sputum.  She feels generalized weakness.  Her grandson who she lives with is currently having a cough and fever and is being tested for Covid.  She presents with concerns for heart problem versus infection.  She did have her first dose of her Pfizer Covid vaccine last week.  She denies any pain at this time.  She does not feel short of breath.  She states she has not been eating or drinking as much as normal.       Medical Decision Making     Patient presents to the emergency department with generalized weakness, sensation of heart racing, and productive cough.  Patient was found to be febrile in the emergency department.  Her son who she lives with at home is also currently sick with a upper respiratory illness.  Covid test is pending for him.   I have high suspicion patient is likely suffering from Covid infection.  We will get Covid swab.  We will get basic lab work, EKG, chest x-ray.  Patient is maintaining O2 sats on room air.  Low suspicion for PE at this time.   Patient does appear a little bit dry on clinical exam so we will give her some IV fluids.  Will also give her Tylenol for fever. Anticipate patient is likely Covid positive and we will discuss with PCP about setting up for monoclonal antibody infusion.         ED Course as of Feb 27 1339 Fri Feb 26, 2021 1155 Sinus rhythm at a rate 80 bpm.  Normal axis, normal intervals.  No STEMI.  No EKG to compare to from prior.  ECG 12-lead: HOSPITAL or TEST FACILITY Once Chest pain, (r/o) Arrhythmia, Shortness of breath [BH] 1216 Lymphocytes # (Auto)(!): 0.93 [BH] 1216 Unremarkable  Comprehensive metabolic panel - STAT(!) [BH] 1301 COVID-19 SARS-CoV-2 Overall Result(!!): Detected [BH] 1439 Set up for monoclonal antibody testing in the outpatient setting.  Return precautions instructions given.  Social work will be reaching out to the patient to set up the monoclonal antibody infusion.  Patient discharged home in stable condition.   [BH] Sat Feb 27, 2021 1338 No acute cardiopulmonary abnormality.  X-ray chest 1 view, Portable [BH]
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza B virus test, Laboratory test, Mycoplasma test negative, Palpitations, Productive cough
Clinical narrative: ED Discharged  2/26/2021 (3 hours)  Last attending ? Treatment team COVID-19 Clinical impression Rapid Heart Rate ? Fatigue Chief complaint ED Provider Notes  (Resident) ? ? Emergency Medicine Cosigned by: at 3/1/2021  7:31 AM Expand AllCollapse All        ED RESIDENT NOTE            Chief Complaint      Chief Complaint Patient presents with ? Rapid Heart Rate ? Fatigue       History of Present Illness     is a 70 y.o. yo female presenting to the ED with palpitations.  Patient states that last evening and this morning she has had the sensation of her heart racing.  She is also been coughing white sputum.  She feels generalized weakness.  Her grandson who she lives with is currently having a cough and fever and is being tested for Covid.  She presents with concerns for heart problem versus infection.  She did have her first dose of her Pfizer Covid vaccine last week.  She denies any pain at this time.  She does not feel short of breath.  She states she has not been eating or drinking as much as normal.       Medical Decision Making     Patient presents to the emergency department with generalized weakness, sensation of heart racing, and productive cough.  Patient was found to be febrile in the emergency department.  Her son who she lives with at home is also currently sick with a upper respiratory illness.  Covid test is pending for him.   I have high suspicion patient is likely suffering from Covid infection.  We will get Covid swab.  We will get basic lab work, EKG, chest x-ray.  Patient is maintaining O2 sats on room air.  Low suspicion for PE at this time.   Patient does appear a little bit dry on clinical exam so we will give her some IV fluids.  Will also give her Tylenol for fever. Anticipate patient is likely Covid positive and we will discuss with PCP about setting up for monoclonal antibody infusion.         ED Course as of Feb 27 1339 Fri Feb 26, 2021 1155 Sinus rhythm at a rate 80 bpm.  Normal axis, normal intervals.  No STEMI.  No EKG to compare to from prior.  ECG 12-lead: HOSPITAL or TEST FACILITY Once Chest pain, (r/o) Arrhythmia, Shortness of breath [BH] 1216 Lymphocytes # (Auto)(!): 0.93 [BH] 1216 Unremarkable  Comprehensive metabolic panel - STAT(!) [BH] 1301 COVID-19 SARS-CoV-2 Overall Result(!!): Detected [BH] 1439 Set up for monoclonal antibody testing in the outpatient setting.  Return precautions instructions given.  Social work will be reaching out to the patient to set up the monoclonal antibody infusion.  Patient discharged home in stable condition.   [BH] Sat Feb 27, 2021 1338 No acute cardiopulmonary abnormality.  X-ray chest 1 view, Portable [BH]
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: ED Discharged  2/26/2021 (3 hours)  Last attending ? Treatment team COVID-19 Clinical impression Rapid Heart Rate ? Fatigue Chief complaint ED Provider Notes  (Resident) ? ? Emergency Medicine Cosigned by: at 3/1/2021  7:31 AM Expand AllCollapse All        ED RESIDENT NOTE            Chief Complaint      Chief Complaint Patient presents with ? Rapid Heart Rate ? Fatigue       History of Present Illness     is a 70 y.o. yo female presenting to the ED with palpitations.  Patient states that last evening and this morning she has had the sensation of her heart racing.  She is also been coughing white sputum.  She feels generalized weakness.  Her grandson who she lives with is currently having a cough and fever and is being tested for Covid.  She presents with concerns for heart problem versus infection.  She did have her first dose of her Pfizer Covid vaccine last week.  She denies any pain at this time.  She does not feel short of breath.  She states she has not been eating or drinking as much as normal.       Medical Decision Making     Patient presents to the emergency department with generalized weakness, sensation of heart racing, and productive cough.  Patient was found to be febrile in the emergency department.  Her son who she lives with at home is also currently sick with a upper respiratory illness.  Covid test is pending for him.   I have high suspicion patient is likely suffering from Covid infection.  We will get Covid swab.  We will get basic lab work, EKG, chest x-ray.  Patient is maintaining O2 sats on room air.  Low suspicion for PE at this time.   Patient does appear a little bit dry on clinical exam so we will give her some IV fluids.  Will also give her Tylenol for fever. Anticipate patient is likely Covid positive and we will discuss with PCP about setting up for monoclonal antibody infusion.         ED Course as of Feb 27 1339 Fri Feb 26, 2021 1155 Sinus rhythm at a rate 80 bpm.  Normal axis, normal intervals.  No STEMI.  No EKG to compare to from prior.  ECG 12-lead: HOSPITAL or TEST FACILITY Once Chest pain, (r/o) Arrhythmia, Shortness of breath [BH] 1216 Lymphocytes # (Auto)(!): 0.93 [BH] 1216 Unremarkable  Comprehensive metabolic panel - STAT(!) [BH] 1301 COVID-19 SARS-CoV-2 Overall Result(!!): Detected [BH] 1439 Set up for monoclonal antibody testing in the outpatient setting.  Return precautions instructions given.  Social work will be reaching out to the patient to set up the monoclonal antibody infusion.  Patient discharged home in stable condition.   [BH] Sat Feb 27, 2021 1338 No acute cardiopulmonary abnormality.  X-ray chest 1 view, Portable [BH]
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt currently has Covid 19
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Health Department was notified of patient death. Health Department was not informed of cause of death. VAERS report completed.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Influenza like illness, Nausea, Toothache
Clinical narrative: The day after the vaccine I experienced extreme fatigue, Some nausea, slight headache and some flu-like muscle aches.   On day 13 I have a toothache that switches between my lower right jaw and my upper right jaw.  It comes and goes throughout the day and I have since experienced the same pain daily.  I have had no treatment for the pain.  I take Tylenol.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cough, Decreased appetite, Headache, Productive cough
Clinical narrative: The next morning after the vaccine I woke up with a fever, no energy and feeling really drained.  4/1 I lost my appetite and still had the fever for several days.  The first week was basically fever, loss of appetitie and lack of energy.  By week 2 I started having headaches so I went to the healthcare facility and was prescibed Naprozen but it has been ongoing since.  I was diagnosed with a URI and was prescribed Mucinex which did help with the flim that I begin coughing up.  I have been struggling with my appetite and has noticed about a 5lb weight loss.  It is getting better but still not fully back to normal yet.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Upper respiratory tract infection
Clinical narrative: The next morning after the vaccine I woke up with a fever, no energy and feeling really drained.  4/1 I lost my appetite and still had the fever for several days.  The first week was basically fever, loss of appetitie and lack of energy.  By week 2 I started having headaches so I went to the healthcare facility and was prescibed Naprozen but it has been ongoing since.  I was diagnosed with a URI and was prescribed Mucinex which did help with the flim that I begin coughing up.  I have been struggling with my appetite and has noticed about a 5lb weight loss.  It is getting better but still not fully back to normal yet.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dry mouth, Dry throat, Dysgeusia, Nausea
Clinical narrative: Sudden dizziness while laying down. Obviously nausea followed. My mouth and throat felt incredibly dried. I had a panic attack on top of it. I drank Benadryl and used my TENS machine (for the panic attack). Fell asleep feeling that way, woke up next morning with metallic taste.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Panic attack
Clinical narrative: Sudden dizziness while laying down. Obviously nausea followed. My mouth and throat felt incredibly dried. I had a panic attack on top of it. I drank Benadryl and used my TENS machine (for the panic attack). Fell asleep feeling that way, woke up next morning with metallic taste.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Feeling cold, Migraine, Nausea
Clinical narrative: Day one typical chills starting at 10 hours post-vaccine.  By 16 hours she had all-over body aches and a migraine, treated with 4x Motrin 200 mg tabs with good improvement by 28 hours.  Chills again at 36 hours and some shoulder and low back muscle aches, treated with 3 x Motrin 200 mg tabs.  She did well the rest of day 2.  Day 3 started by feeling well, but by 9 am she felt cold, weak, and nauseated.  I covered her with multiple blankets and a heating pad and lay her in bed.   About an hour later she felt less nauseated but still cold.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Day one typical chills starting at 10 hours post-vaccine.  By 16 hours she had all-over body aches and a migraine, treated with 4x Motrin 200 mg tabs with good improvement by 28 hours.  Chills again at 36 hours and some shoulder and low back muscle aches, treated with 3 x Motrin 200 mg tabs.  She did well the rest of day 2.  Day 3 started by feeling well, but by 9 am she felt cold, weak, and nauseated.  I covered her with multiple blankets and a heating pad and lay her in bed.   About an hour later she felt less nauseated but still cold.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pain
Clinical narrative: Major chills and body aches. Started almost 12 hours after vaccine, lasted for about 12 hours.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site reaction, Pain in extremity, Peripheral swelling, Rash erythematous
Clinical narrative: After my 1st dose of the Moderna vaccine my arm was tender the following 3 days. That went away. Then 7 days out from the 1st dose my arm became tender again and I noticed a red rash around the injection site, about 2" in diameter. It was  more inflamed on day 8. We are now on day 9 and the redness has lessened, however it is still tender. There is no itching and it does not appear to be infected. I inquired about this reaction with the pharmacist who administered the vaccine and he advised me to report it to the CDC.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Inner ear inflammation, Insomnia, Pain
Clinical narrative: The day of the injection there was no reaction. Three days later I started getting a headache that would?ve been April 11 or 12th 2021. I do not usually get headaches I?ve had this headache since then it never goes away I?ve also experienced ear ringing  , jaw joint pain In what feels like inflammation I?ve been to my ear canals. No present sinus infection or allergy type symptoms related to sinus pressure and pain.. Almost constantly. Over the course of week two and week three had extreme fatigue , tiredness, insomnia, And also very narrowly localized pain?s of which I?ve never had before. The fatigue tiredness insomnia and pains seem to be Diminishing but the headache and ear ringing now goes away. Headache has increased and then decreased but it?s always present. Ear ringing Constantly. Jaw  joint pain Changes between mild to moderate.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in jaw, Paranasal sinus discomfort, Sinus pain, Tinnitus
Clinical narrative: The day of the injection there was no reaction. Three days later I started getting a headache that would?ve been April 11 or 12th 2021. I do not usually get headaches I?ve had this headache since then it never goes away I?ve also experienced ear ringing  , jaw joint pain In what feels like inflammation I?ve been to my ear canals. No present sinus infection or allergy type symptoms related to sinus pressure and pain.. Almost constantly. Over the course of week two and week three had extreme fatigue , tiredness, insomnia, And also very narrowly localized pain?s of which I?ve never had before. The fatigue tiredness insomnia and pains seem to be Diminishing but the headache and ear ringing now goes away. Headache has increased and then decreased but it?s always present. Ear ringing Constantly. Jaw  joint pain Changes between mild to moderate.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: 10PM - LOW FEVER, HEADACHE, BODY ACHES, FATIGUE, RESTLESSNESS   5/13/2021@ 5AM  SLIGHT COUGH STARTED; 10AM, SWELLING TO RIGHT EYELID.  HEADACHE,BODY ACHES,  FATIGUE, LOW GRADE TEMP;  1100- TEMP 99.2 AFTER IBUPROFEN 0900 AND GOODYS POWDER@ 1030
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Restlessness, Swelling of eyelid
Clinical narrative: 10PM - LOW FEVER, HEADACHE, BODY ACHES, FATIGUE, RESTLESSNESS   5/13/2021@ 5AM  SLIGHT COUGH STARTED; 10AM, SWELLING TO RIGHT EYELID.  HEADACHE,BODY ACHES,  FATIGUE, LOW GRADE TEMP;  1100- TEMP 99.2 AFTER IBUPROFEN 0900 AND GOODYS POWDER@ 1030
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient received second dose of Pfizer vaccine.  Vaccine expiration time 0930 on 5/12/2021. Patient received vaccine on 5/12/2021 at 0932. MD made aware.  No harm to patient or adverse reactions.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling, Skin warm
Clinical narrative: Redness and swelling with heat covering entire upper arm for about 2.5 weeks post injection
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Decubitus ulcer, Gastrointestinal haemorrhage, Lethargy, Mental status changes
Clinical narrative: Altered mental status, confusion, subdural hematoma. Was lifeflighted to Clinic and remained there about 5 weeks, developed a stage IV pressure ulcer on buttock. Diagnosed with multi organ failure. Went to a SNF for rehab after being discharged. Wife said then patient received 2nd dose of vaccine about 2 weeks ago and is currently at Hosptial in town for a GI bleed, passing frank blood and clots. He was admitted 5/9/21.  Patient is still confused and lethargic. Before the vaccine, he was taking care of his farm and home. Now he doesn?t even know his wife or what is going on.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Multiple organ dysfunction syndrome, Subdural haematoma, Thrombosis
Clinical narrative: Altered mental status, confusion, subdural hematoma. Was lifeflighted to Clinic and remained there about 5 weeks, developed a stage IV pressure ulcer on buttock. Diagnosed with multi organ failure. Went to a SNF for rehab after being discharged. Wife said then patient received 2nd dose of vaccine about 2 weeks ago and is currently at Hosptial in town for a GI bleed, passing frank blood and clots. He was admitted 5/9/21.  Patient is still confused and lethargic. Before the vaccine, he was taking care of his farm and home. Now he doesn?t even know his wife or what is going on.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Immediate post-injection reaction, Visual impairment
Clinical narrative: Dizziness immediately after 2nd shot and symptoms continue to persist with impaired vision
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Pain, Pyrexia
Clinical narrative: Inection site painful and feverish for 7 days, fever one day/night, headache for 3 days, extreme fatigue for 5 days, body aches for 2 days
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Intermenstrual bleeding
Clinical narrative: Unexpected menstrual bleeding, light. I do not bleed during my menstrual cycle due to my IUD. The morning after my first pfeizer Covid vaccine, I woke up with spotting. Flow was manageable using a panty liner, and lasted only through the early afternoon. No bleeding the next day.   Initial assumption was that the spotting was due to my IUD nearing its expiration date, but no spotting occurred the next month.   No spotting occurred with the second vaccine shot.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia
Clinical narrative: Deep muscle pain in left glute: very painful for about 2 weeks, lessening over following 3-4 weeks
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Food craving, Haemorrhage
Clinical narrative: Immediate exhaustion Insane food cravings ( I never crave anything); followed by unprecedented blood loss.  Its been so many days that I am weak and tired.  I am horrified by the long term, so much so that I refuse to get the second dose scheduled for today.  This should NOT do this to the female body! You should all be ashamed.  Eight women I know have the same experience.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Headache, Nasal congestion, Pain
Clinical narrative: Muscle or body aches  Headache  New loss of taste or smell  Congestion or running nose
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Muscle or body aches  Headache  New loss of taste or smell  Congestion or running nose
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Migraine, Nausea, Pain, Sensitive skin
Clinical narrative: Nausea, body aches, sensitivity to temperature, chills, migraine.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy, Computerised tomogram, Psoriasis, Ultrasound abdomen
Clinical narrative: Severe Psoriasis covering 80 percent of the body.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Patient started developing tingling down her left arm (into the ulnar distribution) after the vaccination.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Dermal cyst, Erythema, Induration
Clinical narrative: I had had a very small sebaceous cyst on my right cheekbone for about 3 years prior to my covid Pfizer vaccination.  After the 1st dose, it seemed to grow slightly, and following the 2nd dose, it hardened and enlarged to the size of a blueberry in about a week or so.  Coincidence?  Maybe.  But I just thought I should report it, since it is now enlarged and red, and will require minor outpatient surgery later this month to remove.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Spinal pain, Vomiting
Clinical narrative: Chills, nausea, vomiting, spinal pain, headache
Age: 1.83
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Injection site pain, Irritability, Nasal congestion
Clinical narrative: I received the Pfizer COVID-19 vaccination, and experience injection site soreness. My nursing toddler (22month old) experienced the following adverse side effects: loose stool (days 2-4 post vaccine), vomiting (72hrs post vaccine), 102 -103 degree fever for several days/nights (beginning 72hrs post vaccine), wet cough (beginning 24-48hrs post vaccine, and ongoing), extreme congestion (immediately after first nursing session post vaccine and ongoing), exhaustion (72hrs post vaccine and ongoing), sensitivity to lights/brightness (24hrs post vaccine and ongoing), and irritability (beginning 24hrs posts vaccine and ongoing).
Age: 1.83
Sex: M
Vaccine: COVID19
Symptoms: Photophobia, Pyrexia, Vomiting
Clinical narrative: I received the Pfizer COVID-19 vaccination, and experience injection site soreness. My nursing toddler (22month old) experienced the following adverse side effects: loose stool (days 2-4 post vaccine), vomiting (72hrs post vaccine), 102 -103 degree fever for several days/nights (beginning 72hrs post vaccine), wet cough (beginning 24-48hrs post vaccine, and ongoing), extreme congestion (immediately after first nursing session post vaccine and ongoing), exhaustion (72hrs post vaccine and ongoing), sensitivity to lights/brightness (24hrs post vaccine and ongoing), and irritability (beginning 24hrs posts vaccine and ongoing).
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Alanine aminotransferase increased, Amylase abnormal, Computerised tomogram abnormal, Electrocardiogram
Clinical narrative: 3/27/21 Severe throwing up. 3/30/21 went to urgent care for abdominal soreness - nothing determined. 4/12/21 Follow up with cardiologist.  Bloodwork done - showed slightly elevated liver and pancreatic enzymes.  4/15/21 saw gastroenterologist.  4/19/21 CT scan of abdomen 4/19/21 Diagnosis: Pancreatitis. 4/21/21 repeat blood work.  Amylase and Lipase back to normal. ALT (SGPT) still slightly elevated.  Repeat blood work will done shortly. Repeat CT scan being done in 2 weeks.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hepatic enzyme increased, Lipase abnormal, Metabolic function test, Pancreatic enzymes increased, Pancreatitis
Clinical narrative: 3/27/21 Severe throwing up. 3/30/21 went to urgent care for abdominal soreness - nothing determined. 4/12/21 Follow up with cardiologist.  Bloodwork done - showed slightly elevated liver and pancreatic enzymes.  4/15/21 saw gastroenterologist.  4/19/21 CT scan of abdomen 4/19/21 Diagnosis: Pancreatitis. 4/21/21 repeat blood work.  Amylase and Lipase back to normal. ALT (SGPT) still slightly elevated.  Repeat blood work will done shortly. Repeat CT scan being done in 2 weeks.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: 3/27/21 Severe throwing up. 3/30/21 went to urgent care for abdominal soreness - nothing determined. 4/12/21 Follow up with cardiologist.  Bloodwork done - showed slightly elevated liver and pancreatic enzymes.  4/15/21 saw gastroenterologist.  4/19/21 CT scan of abdomen 4/19/21 Diagnosis: Pancreatitis. 4/21/21 repeat blood work.  Amylase and Lipase back to normal. ALT (SGPT) still slightly elevated.  Repeat blood work will done shortly. Repeat CT scan being done in 2 weeks.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain
Clinical narrative: Fatigue, headache, soreness
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received second dose of Pfizer vaccine. Vaccine expiration time 09:30 on 5/12/2021. Patient received vaccine on 5/12/2021 at 09:33. MD made aware. No harm to patient or adverse reactions.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Angioedema, Burning sensation, Dyspnoea, Oxygen saturation decreased, Pain
Clinical narrative: - DIFFICULTY BREATING, ANGIOEDEMA, BURNING/PAIN THROUGHOUT BODY, LOW O2 SAT - PT WAS GIVEN 0.3MG EPI 1:1000 VIA EPI AUTO INJECTOR PEN - PT VITALS IMPROVED
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Pain, Rhinorrhoea
Clinical narrative: Soreness, runny nose, coughs, chills
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Myalgia, Nausea, Pyrexia
Clinical narrative: Fever, severe muscle and joint aches, and nausea for two days
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: Patient started with shortness of breath one hour after getting vaccinated.  She called our student health line.  We told her to call 911.  She did; the EMTs came and assessed patient.  Her oxygen levels were fine and she felt better. She did not go to ER.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Culture negative, Erythema, Peripheral swelling, Red blood cell sedimentation rate normal, Rheumatoid factor negative
Clinical narrative: Swollen & red right index finger with no trauma.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: X-ray normal
Clinical narrative: Swollen & red right index finger with no trauma.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Facial discomfort, Musculoskeletal stiffness, Pain, Rash
Clinical narrative: Face broke out into a rash that was so painful, I could not move my face without it feeling like glass was in my face. Currently I am still experiencing great pain with my arthritis I feel stiffer than the tinman without oil. I also have been having dull pain every now and again in my right side that started once I got my shot.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Autopsy, COVID-19, Death, Influenza A virus test negative, Influenza B virus test
Clinical narrative: PT NO SHOW FOR APPT 5/11 FOR 2ND DOSE -CHECK OF agency system SHOWS PT REPORTED DECEASED 5/14- CHECK OF database SHOWS PT FOUND DECEASED AT HOMEN 5/14/21- AUTOPSY Completed
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: PT NO SHOW FOR APPT 5/11 FOR 2ND DOSE -CHECK OF agency system SHOWS PT REPORTED DECEASED 5/14- CHECK OF database SHOWS PT FOUND DECEASED AT HOMEN 5/14/21- AUTOPSY Completed
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swollen lymph node under left armpit
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash erythematous, Rash papular
Clinical narrative: Twelve days after receiving the second dose of Moderna, I started feeling an itching sensation in my left inner ankle around 7pm Monday night. By 6:00am the next morning (Tuesday, May 11), the itching became intense and had spread to both ankles and both legs below the knee. Numerous raised red bumps developed along the inside of both legs below the knee as well the ankles. They looked very similar to mosquito bites or bedbug bites but both of those possibilities has been ruled out through process of elimination. The itching became very intense and almost unbearable. The bumps became swollen. Most about 1/4" in diameter to as large as 1/2" in diameter. They are bright  red with  white halos. A very intense continuous burning itching sensation continued through the day, that night, and the next morning. Today (Wednesday, May 13) the itching seems to be subsiding.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Lethargy, Myalgia
Clinical narrative: Lethargic, sore muscles, weakness
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Haematochezia, Lethargy, Nausea, Vomiting
Clinical narrative: blood in stool, lethargy, upset stomach, nausea, vomiting
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Tinnitus
Clinical narrative: Although I have tinnitus, it is now very high pitched constant squealing which has increased drastically after my 2nd injection
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swollen lymph node on left side of neck
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Blood test, Chest X-ray, Chest pain, Fatigue
Clinical narrative: Headache, right sided arm and leg numbness, pain in both calves, pain in arm pit which is worse on right side, some center chest pain and extreme tiredness.  I have been to ER 3 times as well has PCP once and have follow up with a Neuro.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia, Magnetic resonance imaging abnormal, Pain in extremity
Clinical narrative: Headache, right sided arm and leg numbness, pain in both calves, pain in arm pit which is worse on right side, some center chest pain and extreme tiredness.  I have been to ER 3 times as well has PCP once and have follow up with a Neuro.