chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Urinary incontinence, Urinary tract infection, Urine analysis normal
Clinical narrative: I had a fever for 3 days of 103F. After which, I had strong abdominal pain. I had to stop and use the bathroom every 2 minutes it seems. I was bloated. I was in pain. I had blood in my urine. I have never had a UTI or a kidney problem and so I got scared and called my doctor and she said that was normal, that the vaccine causes bloating. And just like she told me, they went away as fast as they came. But my arm hurt so bad, the abdominal pain was so bad, the UTI was so severe and it took me almost 12 hours to stop feeling like I was dying, and I will not take a booster now because of this. I have had Covid before, but I beat it. I am of a healthy weight, healthy lifestyle. And I rather get Covid again then another vaccine. Inflammation is normal for vaccine but what if it was my heart? My brain? No thank you.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: NO adverse event occurred
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Impaired work ability, Injection site pain, Pain
Clinical narrative: severe pain in L suprascapular region and down lef arm to elbow x 1 week. Unrelenting, but worse with movement.  Unable to work.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: NO adverse event occurred
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Deep vein thrombosis, Gait inability, Laboratory test, Pain in extremity
Clinical narrative: booster given on 1-3-22 and could not walk on 1-7-22.  There was swelling and pain in the left leg.  I had a brief pain on Thursday the 6th, but could hardly walk on Friday.  I elevated my leg and took ibuprofen all day on Friday and Saturday.  I had no relief after a couple days so I went to urgent care on Sunday the 9th and had an ultrasound to dx : DVT.  Went on blood thinner and very little relief .  On the 21st I had a CT and was scheduled for thrombectomy on the 24th.  Massive bloot clot.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Thrombectomy, Ultrasound Doppler abnormal
Clinical narrative: booster given on 1-3-22 and could not walk on 1-7-22.  There was swelling and pain in the left leg.  I had a brief pain on Thursday the 6th, but could hardly walk on Friday.  I elevated my leg and took ibuprofen all day on Friday and Saturday.  I had no relief after a couple days so I went to urgent care on Sunday the 9th and had an ultrasound to dx : DVT.  Went on blood thinner and very little relief .  On the 21st I had a CT and was scheduled for thrombectomy on the 24th.  Massive bloot clot.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Eyelid irritation, Headache, Myalgia, Nausea
Clinical narrative: I had the typical symptoms everyone describes - light fever, chills, muscle aches, headache, nausea - which lasted about 5 days after the vaccine. But I also received another side effect - red spots on my face, eyelids become swollen and irritated. This last symptoms are persistent to this day and return in full force every time I have my period (monthly). The red spots are not itchy, but just very visible and last about a week.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash erythematous, Swelling of eyelid
Clinical narrative: I had the typical symptoms everyone describes - light fever, chills, muscle aches, headache, nausea - which lasted about 5 days after the vaccine. But I also received another side effect - red spots on my face, eyelids become swollen and irritated. This last symptoms are persistent to this day and return in full force every time I have my period (monthly). The red spots are not itchy, but just very visible and last about a week.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Throat tightness
Clinical narrative: Client was at clinic for a Pfizer covid booster, had previously had an Astrazeneca series completed 08/23/2021. At the time of administration she was A&O, in no apparent distress. Client was primarily different language speaking, interpreter was in the room with this RN. Reported no allergies at the time of screening. Reported a rash on her chest from a previous dose of Astrazeneca, but was not sure if it was r/t the vaccine. RN administered the Pfizer booster IM in the R deltoid and provided a new vaccine card.  Client went to the lobby area to wait the 15 minute observation period.  Approximately 2 -3 minutes later, client c/o tightness in her throat. Client was assessed by this RN. She was A&Ox3, denied SOB, dyspnea and any GI symptoms. There was no rash on her upper body and no c/o pruritus. HR was in the normal range, her O2 saturation was also normal 93 - 96% (checked on her apple watch). She coughed a couple of times during this period. Client was observed for more than 30 minutes.  She declined to have EMS called. Her husband was called and arrived shortly after. We explained our concerns about a possible allergic reaction and strongly encouraged him to take his wife to the ED at Hospital.  They left the clinic about 4:45 pm. RN, RN and RN were at the clinic during this event and consulted.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Immunisation reaction, Injection site pain, Lymphadenopathy, Pain
Clinical narrative: Second booster of covid vaccine was given at 11:55am on 4/11/22. Swollen lymph nodes in left armpit first noticed early morning on 4/13/22. Swelling gradually worsened and lymph node gradually increased in size all day 4/12 and 4/13. Throbbing pain in upper left arm began around noon on 4/13/22 as well.  Went into the doctor's office today (4/15/22) and was diagnosed with Lymphadenopathy caused by my covid vaccine.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: After the injection my arm started to hurt instantly. It hurt off and on for a few weeks. Some days I was unable to lift my arm above my head. So I had to see an orthopedic Dr. and he gave me a cortisone shots.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site erythema, Injection site pain
Clinical narrative: Headache, Chills, Muscle Ache, Fatigue in the 48 hours after the injection.  Swelling, pain and redness at the site of the injection that is not improving four days after the injection. The area of swelling is approximately 2.5 inches in diameter.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Myalgia
Clinical narrative: Headache, Chills, Muscle Ache, Fatigue in the 48 hours after the injection.  Swelling, pain and redness at the site of the injection that is not improving four days after the injection. The area of swelling is approximately 2.5 inches in diameter.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Ear discomfort, Ear pain, Fatigue, Mental impairment
Clinical narrative: The first week of January I had fever and I felt really tired I couldn't think clearly my left felt like it was not clear neither. It was clocked up. It also started hurting a bit. I did go to see a doctor about my ear issue he said it will clear by itself. The next day I went to get a COVID test and it came up positive. I had to quarantine for 10 days, After I felt much better.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: The first week of January I had fever and I felt really tired I couldn't think clearly my left felt like it was not clear neither. It was clocked up. It also started hurting a bit. I did go to see a doctor about my ear issue he said it will clear by itself. The next day I went to get a COVID test and it came up positive. I had to quarantine for 10 days, After I felt much better.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: NO adverse event occurred
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Patient reports hives on his face and torso 36 hr after 1st and 3rd Covid Pfizer vaccine.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Ophthalmic herpes zoster
Clinical narrative: Ocular shingles of the right eye
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Vision blurred
Clinical narrative: Patient reports feeling lightheaded and "hazy" vision when standing after injection. Denies SOB, CP. Pulse 74, Pulse ox 98%, BP 118/78. Patient states after 10 minutes symptoms improved but were still on/off. Patient also reports not eating yet today. MD is aware. Encouraged patient to increase fluids, eat and rest. Patient is aware to go to ER with any SOB, CP or worsening dizziness.
Age: 17.0
Sex: F
Vaccine: DTAPHEPBIP, MMR, MNQ, TDAP
Symptoms: Extra dose administered
Clinical narrative: DTAP was given when DTAP-HEPB-IPV was given. No adverse symptoms in the clinic. Tried to call pt to see how she was doing, no response. Left voicemail.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary mass, Axillary pain
Clinical narrative: Notice a lump under her left arm 2 days after the injection and soreness
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: NO adverse event occurred
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient is a minor under 18 and received the Moderna COVID vaccine on 2 different occasions. She did not have any adverse reactions to receiving the doses
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Decreased appetite, Diarrhoea, Headache, Mouth ulceration
Clinical narrative: Low grade fever (<101). NIght sweats. Muscle aches. Headache. Loose stools and some nausea. Decrease in appetite. Runny nose with no congestion. Vaccine site slightly warm and tender but not pink or raised.  Mouth pain with blisters and ulcers especially on tongue and in cheek pockets along gum line.  All symptoms started within 24 hours after vaccination and resolved over 7 days.   Mouth ulcers/blisters very painful. Tongue had burning sensation which lasted full 7 days. No change in taste or smell.  No cough.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Night sweats, Oral pain, Pyrexia
Clinical narrative: Low grade fever (<101). NIght sweats. Muscle aches. Headache. Loose stools and some nausea. Decrease in appetite. Runny nose with no congestion. Vaccine site slightly warm and tender but not pink or raised.  Mouth pain with blisters and ulcers especially on tongue and in cheek pockets along gum line.  All symptoms started within 24 hours after vaccination and resolved over 7 days.   Mouth ulcers/blisters very painful. Tongue had burning sensation which lasted full 7 days. No change in taste or smell.  No cough.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test negative, Tongue discomfort, Tongue ulceration, Vaccination site pain
Clinical narrative: Low grade fever (<101). NIght sweats. Muscle aches. Headache. Loose stools and some nausea. Decrease in appetite. Runny nose with no congestion. Vaccine site slightly warm and tender but not pink or raised.  Mouth pain with blisters and ulcers especially on tongue and in cheek pockets along gum line.  All symptoms started within 24 hours after vaccination and resolved over 7 days.   Mouth ulcers/blisters very painful. Tongue had burning sensation which lasted full 7 days. No change in taste or smell.  No cough.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site warmth
Clinical narrative: Low grade fever (<101). NIght sweats. Muscle aches. Headache. Loose stools and some nausea. Decrease in appetite. Runny nose with no congestion. Vaccine site slightly warm and tender but not pink or raised.  Mouth pain with blisters and ulcers especially on tongue and in cheek pockets along gum line.  All symptoms started within 24 hours after vaccination and resolved over 7 days.   Mouth ulcers/blisters very painful. Tongue had burning sensation which lasted full 7 days. No change in taste or smell.  No cough.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Electrocardiogram ambulatory abnormal, Palpitations
Clinical narrative: I have had a series of slow heart palpitations from early June 2021 and continuing until today
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Menstrual disorder, Migraine
Clinical narrative: I experienced migraines, heart rate increased and it messed up my cycle.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: hives on throat the day of injection,  next day had on lip and left eye and forehead.  Reported several days after vaccination.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Ageusia, Alanine aminotransferase increased, Anosmia, Anti-transglutaminase antibody negative, Antinuclear antibody negative
Clinical narrative: fatigue, muscle aches (arms, hands, back), indigestion, diarrhea, almost complete loss of smell and taste.  Occurred after first series of 2 and finally resolved after 9 months.  then had booster dose adn sx all returned again.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood cortisol, Blood glucose increased, Blood immunoglobulin A, Blood immunoglobulin G, Blood iron
Clinical narrative: fatigue, muscle aches (arms, hands, back), indigestion, diarrhea, almost complete loss of smell and taste.  Occurred after first series of 2 and finally resolved after 9 months.  then had booster dose adn sx all returned again.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood thyroid stimulating hormone normal, C-reactive protein normal, Diarrhoea, Dyspepsia, Epstein-Barr virus antibody negative
Clinical narrative: fatigue, muscle aches (arms, hands, back), indigestion, diarrhea, almost complete loss of smell and taste.  Occurred after first series of 2 and finally resolved after 9 months.  then had booster dose adn sx all returned again.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Epstein-Barr virus antibody positive, Fatigue, Full blood count abnormal, Iron binding capacity total, Laboratory test
Clinical narrative: fatigue, muscle aches (arms, hands, back), indigestion, diarrhea, almost complete loss of smell and taste.  Occurred after first series of 2 and finally resolved after 9 months.  then had booster dose adn sx all returned again.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Lipids, Lymphocyte percentage decreased, Metabolic function test abnormal, Myalgia, SARS-CoV-2 antibody test positive
Clinical narrative: fatigue, muscle aches (arms, hands, back), indigestion, diarrhea, almost complete loss of smell and taste.  Occurred after first series of 2 and finally resolved after 9 months.  then had booster dose adn sx all returned again.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Serum ferritin, Thyroxine normal, Tri-iodothyronine normal, Vitamin B12
Clinical narrative: fatigue, muscle aches (arms, hands, back), indigestion, diarrhea, almost complete loss of smell and taste.  Occurred after first series of 2 and finally resolved after 9 months.  then had booster dose adn sx all returned again.
Age: 61.0
Sex: F
Vaccine: HEPA
Symptoms: Expired product administered, Injection site erythema
Clinical narrative: Pt was inadvertently given an expired Hep A. dose. She was immediately notified and monitored for 30 minutes post with only redness to the site. Manager notified. Vaccine Expiration date 2/26/22. Pt also received a valid Hep. B dose on same date, same arm per her request.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Cough, Delivery, Exposure during pregnancy, Fluid retention
Clinical narrative: Coughing on and off for several weeks. At 38 weeks my water broke, legs very swollen, urine test for preeclampsia was negative. 38 weeks and delivered on March 3, 2022. Had so much fluid accumulated that I almost had preeclampsia.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Premature rupture of membranes, Urine analysis normal
Clinical narrative: Coughing on and off for several weeks. At 38 weeks my water broke, legs very swollen, urine test for preeclampsia was negative. 38 weeks and delivered on March 3, 2022. Had so much fluid accumulated that I almost had preeclampsia.
Age: 3.0
Sex: M
Vaccine: DTAPHEPBIP, HEPA, PNC13
Symptoms: Crying, Gait inability, Pain, Pain in extremity, Skin warm
Clinical narrative: Patient woke up feeling very warm and crying in pain, unable to get a temperature. Patient expressed pain in both legs and stated they could not walk. Patient was given Tylenol at home. Patient was able to stand and walk in office, no redness or swelling to areas were noted.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Bacterial infection, Chest X-ray, Computerised tomogram, Fatigue, Secretion discharge
Clinical narrative: On 11/17/2021 I started getting an itchy throat. I felt like a cold was coming on. I had a lot of mucus build up and fatigue. It continued for a week before I went urgent care for the first time. Over the course of a month I would go to urgent and my doctor and they would prescribe me antibiotics and prednisone. I would get better for 7-14 days and then the symptoms would come back. Since November I had 3 urgent care, 1 emergency room, and 2 doctor visits. Then I was sent to a pulmonologist and was provided another antibiotic that as of today, after two weeks from finishing antibiotic seems to have killed the bacteria that was causing the issues.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: On 11/17/2021 I started getting an itchy throat. I felt like a cold was coming on. I had a lot of mucus build up and fatigue. It continued for a week before I went urgent care for the first time. Over the course of a month I would go to urgent and my doctor and they would prescribe me antibiotics and prednisone. I would get better for 7-14 days and then the symptoms would come back. Since November I had 3 urgent care, 1 emergency room, and 2 doctor visits. Then I was sent to a pulmonologist and was provided another antibiotic that as of today, after two weeks from finishing antibiotic seems to have killed the bacteria that was causing the issues.
Age: 67.0
Sex: M
Vaccine: UNK
Symptoms: Death
Clinical narrative: DEATH - SEE OTHER NOTES
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Feeling abnormal, Gait disturbance, Impaired work ability
Clinical narrative: Eleven hours after the vaccination I experienced extreme muscle and joint pain. I could feel every bone I could barely walk and had to hold onto the walls to walk to the bathroom. I also had fever and chills that went on for two days. I had intense brain fog that cause me to stay out of work for three days because of the symptoms. I took ibuprofen and Tylenol to help alleviate my symptoms.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia
Clinical narrative: Eleven hours after the vaccination I experienced extreme muscle and joint pain. I could feel every bone I could barely walk and had to hold onto the walls to walk to the bathroom. I also had fever and chills that went on for two days. I had intense brain fog that cause me to stay out of work for three days because of the symptoms. I took ibuprofen and Tylenol to help alleviate my symptoms.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Serum sickness, Symptom recurrence
Clinical narrative: After my booster vaccine about ten minutes after the vaccine, I had a headache that had been almost immediately that was blinding and body aches as well. Serum Sickness Reaction. These symptoms occurred for approximately 3 months. I reached out to my primary and she gave me another shorter course of steroids. This prescription helped out extremely well however after the two weeks the symptoms came right back and I was dependent on Tylenol which did not help.  Eventually, they have only gone away after the beginning of February.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Dry skin, Food allergy, Nail disorder, Polydipsia, Skin exfoliation
Clinical narrative: 12/13/2021 at around 05:30 PM. At around 6:00 Pm I started feeling drying on skin, on nail joint peeling off. The dryness lasted one day when I drank 3 gallons of water. I don't drink or smoke. After 2 days I started feeling the hives. My skin was bumpy I got bumps on my skin and it bleed. My skin came off. It lasted a month after the blood came out it healed itself. When I eat non-veg the hives comes back, especially when I eat chicken it never happened to me before. After my booster I started experiencing hives so much I can't control. I did not go to see a doctor. When the pus came out of my skin it healed itself. I have to avoid eating chicken.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Skin haemorrhage, Swelling, Urticaria
Clinical narrative: 12/13/2021 at around 05:30 PM. At around 6:00 Pm I started feeling drying on skin, on nail joint peeling off. The dryness lasted one day when I drank 3 gallons of water. I don't drink or smoke. After 2 days I started feeling the hives. My skin was bumpy I got bumps on my skin and it bleed. My skin came off. It lasted a month after the blood came out it healed itself. When I eat non-veg the hives comes back, especially when I eat chicken it never happened to me before. After my booster I started experiencing hives so much I can't control. I did not go to see a doctor. When the pus came out of my skin it healed itself. I have to avoid eating chicken.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient received Moderna full dose instead of Moderna booster dose.  Patient was immediately notified of the dosing error.   Patient reported no reaction immediately following the vaccine administration.   No adverse reactions observed or reported, patient waited 15-20 minutes after injection before leaving clinic site.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Hyperaesthesia, Injection related reaction, Pain of skin, Skin burning sensation
Clinical narrative: Felt as though I was burning on all over on my skin, hurt to touch skin, clothing hurt, when I gave myself insulin shot - it burned.  Clammy feeling all over.  Lasted about 24 hours.  Took advil around the clock - did not alleviate burning sensation
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Diarrhoea, Fatigue
Clinical narrative: I tested positive for COVID-19. I had flu-like symptoms, heavy body aches, runny nose, diarrhea, coughing, chills, sweats, and a 99.8 fever. I received a 5 day course of Paxlovid. I still have a bit of a cough and tiredness.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Influenza like illness, Pain, Pyrexia, Rhinorrhoea
Clinical narrative: I tested positive for COVID-19. I had flu-like symptoms, heavy body aches, runny nose, diarrhea, coughing, chills, sweats, and a 99.8 fever. I received a 5 day course of Paxlovid. I still have a bit of a cough and tiredness.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I tested positive for COVID-19. I had flu-like symptoms, heavy body aches, runny nose, diarrhea, coughing, chills, sweats, and a 99.8 fever. I received a 5 day course of Paxlovid. I still have a bit of a cough and tiredness.
Age: 51.0
Sex: F
Vaccine: UNK
Symptoms: Arthralgia, Myalgia
Clinical narrative: Extreme joint and muscle pain that is progressively getting worse since the first injection received third booster shot March 4th 2022 and joint pain is still increasingly getting worse
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Electric shock sensation, Hypoaesthesia, Pain in extremity, Rash
Clinical narrative: At time of vaccination there was an electric type pain that shot down my arm into my finger tips. Within two days of vaccine my arm began going numb and since of touch on the 3 middle fingers. Also, began developing rash on the right wrist. Went to Dermatologist about 3 weeks after rash and it took about 10 weeks. Went to ortho doctor and he was unable to do anything about numb arm. Arm has recovered about 80% but still experiences numbness.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Bacteraemia, Biopsy bone marrow, COVID-19, Chest pain
Clinical narrative: Hospitalized 04/06/2022-04/15/2022; COVID-19 positive 04/06/2022; fully vaccinated plus booster  BRIEF OVERVIEW: Hematologist/Oncologist medical doctor Primary Care Physician at Discharge: medical doctor Admission Date: 4/6/2022 Discharge Date: 04/15/2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Lymphadenopathy; Pericardial effusion; Weakness; C. difficile colitis; Hx of lymphoma; Pneumonia of both lower lobes due to infectious organism; Weakness generalized; Mantle cell lymphoma   HOSPITAL COURSE:  This is a 73 y.o. patient with a past medical history significant for mantle cell lymphoma, C. Difficile infection, liver abscess, and covid-19 infection who presented to Emergency Department with symptoms of weakness, fevers, loss of appetite, cough, shortness of breath, and chest pain. This has been ongoing and gradually worsening since January when he was diagnosed with covid-19. He also has been dealing with persistent diarrhea since January and tested positive for C. Difficile at that time. He completed a course of antibiotics, but recently tested positive again 3/30/22. He has been taking oral vancomycin since 4/2/22. Because of the lingering symptoms, CT thorax, abdomen, pelvis was completed 3/9/22 and showed development of right axillary adenopathy. Due to concern of recurrence of his mantle cell lymphoma, a PET-CT scan was completed 4/5/22. During his work-up he as positive for Citrobacter freundii bacteremia, he was hypothermic, but asymptomatic for some time, as his infection was treated his hypothermia resolved. He was treated with 10 days of cefepime, he was briefly also on flagyl and vanco. . He did also experience resp failure, and was found to have bilateral pleural effusions. Right thora 4/9 per MICU, 960ml removed and he had a negative cytology. He was started on a prednisone taper for the respiratory failure as well. There was some concern for his mantle cell Lymphoma and a BMBx was done on 4/12  for which the flow cytometry is negative for B cell lymphoma. Final pathology pending.  right pleural fluid 4/9 - cytology negative for malignancy; flow cytometry with absent B cells, no definitive T cell population detected. So although final pathology of the BMBx was pending there was no definitive diagnosis for histological evidence of MCL recurrence. It was decided that he could DC home after last dose of cefepime and follow-up OP for results of the Bone marrow Biopsy
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Citrobacter test positive, Clostridium difficile colitis, Clostridium test positive, Computerised tomogram abdomen abnormal, Computerised tomogram thorax abnormal
Clinical narrative: Hospitalized 04/06/2022-04/15/2022; COVID-19 positive 04/06/2022; fully vaccinated plus booster  BRIEF OVERVIEW: Hematologist/Oncologist medical doctor Primary Care Physician at Discharge: medical doctor Admission Date: 4/6/2022 Discharge Date: 04/15/2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Lymphadenopathy; Pericardial effusion; Weakness; C. difficile colitis; Hx of lymphoma; Pneumonia of both lower lobes due to infectious organism; Weakness generalized; Mantle cell lymphoma   HOSPITAL COURSE:  This is a 73 y.o. patient with a past medical history significant for mantle cell lymphoma, C. Difficile infection, liver abscess, and covid-19 infection who presented to Emergency Department with symptoms of weakness, fevers, loss of appetite, cough, shortness of breath, and chest pain. This has been ongoing and gradually worsening since January when he was diagnosed with covid-19. He also has been dealing with persistent diarrhea since January and tested positive for C. Difficile at that time. He completed a course of antibiotics, but recently tested positive again 3/30/22. He has been taking oral vancomycin since 4/2/22. Because of the lingering symptoms, CT thorax, abdomen, pelvis was completed 3/9/22 and showed development of right axillary adenopathy. Due to concern of recurrence of his mantle cell lymphoma, a PET-CT scan was completed 4/5/22. During his work-up he as positive for Citrobacter freundii bacteremia, he was hypothermic, but asymptomatic for some time, as his infection was treated his hypothermia resolved. He was treated with 10 days of cefepime, he was briefly also on flagyl and vanco. . He did also experience resp failure, and was found to have bilateral pleural effusions. Right thora 4/9 per MICU, 960ml removed and he had a negative cytology. He was started on a prednisone taper for the respiratory failure as well. There was some concern for his mantle cell Lymphoma and a BMBx was done on 4/12  for which the flow cytometry is negative for B cell lymphoma. Final pathology pending.  right pleural fluid 4/9 - cytology negative for malignancy; flow cytometry with absent B cells, no definitive T cell population detected. So although final pathology of the BMBx was pending there was no definitive diagnosis for histological evidence of MCL recurrence. It was decided that he could DC home after last dose of cefepime and follow-up OP for results of the Bone marrow Biopsy
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cough, Cytology normal, Decreased appetite, Diarrhoea, Dyspnoea
Clinical narrative: Hospitalized 04/06/2022-04/15/2022; COVID-19 positive 04/06/2022; fully vaccinated plus booster  BRIEF OVERVIEW: Hematologist/Oncologist medical doctor Primary Care Physician at Discharge: medical doctor Admission Date: 4/6/2022 Discharge Date: 04/15/2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Lymphadenopathy; Pericardial effusion; Weakness; C. difficile colitis; Hx of lymphoma; Pneumonia of both lower lobes due to infectious organism; Weakness generalized; Mantle cell lymphoma   HOSPITAL COURSE:  This is a 73 y.o. patient with a past medical history significant for mantle cell lymphoma, C. Difficile infection, liver abscess, and covid-19 infection who presented to Emergency Department with symptoms of weakness, fevers, loss of appetite, cough, shortness of breath, and chest pain. This has been ongoing and gradually worsening since January when he was diagnosed with covid-19. He also has been dealing with persistent diarrhea since January and tested positive for C. Difficile at that time. He completed a course of antibiotics, but recently tested positive again 3/30/22. He has been taking oral vancomycin since 4/2/22. Because of the lingering symptoms, CT thorax, abdomen, pelvis was completed 3/9/22 and showed development of right axillary adenopathy. Due to concern of recurrence of his mantle cell lymphoma, a PET-CT scan was completed 4/5/22. During his work-up he as positive for Citrobacter freundii bacteremia, he was hypothermic, but asymptomatic for some time, as his infection was treated his hypothermia resolved. He was treated with 10 days of cefepime, he was briefly also on flagyl and vanco. . He did also experience resp failure, and was found to have bilateral pleural effusions. Right thora 4/9 per MICU, 960ml removed and he had a negative cytology. He was started on a prednisone taper for the respiratory failure as well. There was some concern for his mantle cell Lymphoma and a BMBx was done on 4/12  for which the flow cytometry is negative for B cell lymphoma. Final pathology pending.  right pleural fluid 4/9 - cytology negative for malignancy; flow cytometry with absent B cells, no definitive T cell population detected. So although final pathology of the BMBx was pending there was no definitive diagnosis for histological evidence of MCL recurrence. It was decided that he could DC home after last dose of cefepime and follow-up OP for results of the Bone marrow Biopsy
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Flow cytometry, Hypothermia, Lymphadenopathy, Mantle cell lymphoma, Pathology test
Clinical narrative: Hospitalized 04/06/2022-04/15/2022; COVID-19 positive 04/06/2022; fully vaccinated plus booster  BRIEF OVERVIEW: Hematologist/Oncologist medical doctor Primary Care Physician at Discharge: medical doctor Admission Date: 4/6/2022 Discharge Date: 04/15/2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Lymphadenopathy; Pericardial effusion; Weakness; C. difficile colitis; Hx of lymphoma; Pneumonia of both lower lobes due to infectious organism; Weakness generalized; Mantle cell lymphoma   HOSPITAL COURSE:  This is a 73 y.o. patient with a past medical history significant for mantle cell lymphoma, C. Difficile infection, liver abscess, and covid-19 infection who presented to Emergency Department with symptoms of weakness, fevers, loss of appetite, cough, shortness of breath, and chest pain. This has been ongoing and gradually worsening since January when he was diagnosed with covid-19. He also has been dealing with persistent diarrhea since January and tested positive for C. Difficile at that time. He completed a course of antibiotics, but recently tested positive again 3/30/22. He has been taking oral vancomycin since 4/2/22. Because of the lingering symptoms, CT thorax, abdomen, pelvis was completed 3/9/22 and showed development of right axillary adenopathy. Due to concern of recurrence of his mantle cell lymphoma, a PET-CT scan was completed 4/5/22. During his work-up he as positive for Citrobacter freundii bacteremia, he was hypothermic, but asymptomatic for some time, as his infection was treated his hypothermia resolved. He was treated with 10 days of cefepime, he was briefly also on flagyl and vanco. . He did also experience resp failure, and was found to have bilateral pleural effusions. Right thora 4/9 per MICU, 960ml removed and he had a negative cytology. He was started on a prednisone taper for the respiratory failure as well. There was some concern for his mantle cell Lymphoma and a BMBx was done on 4/12  for which the flow cytometry is negative for B cell lymphoma. Final pathology pending.  right pleural fluid 4/9 - cytology negative for malignancy; flow cytometry with absent B cells, no definitive T cell population detected. So although final pathology of the BMBx was pending there was no definitive diagnosis for histological evidence of MCL recurrence. It was decided that he could DC home after last dose of cefepime and follow-up OP for results of the Bone marrow Biopsy
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pericardial effusion, Pleural effusion, Pneumonia, Positron emission tomogram, Pyrexia
Clinical narrative: Hospitalized 04/06/2022-04/15/2022; COVID-19 positive 04/06/2022; fully vaccinated plus booster  BRIEF OVERVIEW: Hematologist/Oncologist medical doctor Primary Care Physician at Discharge: medical doctor Admission Date: 4/6/2022 Discharge Date: 04/15/2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Lymphadenopathy; Pericardial effusion; Weakness; C. difficile colitis; Hx of lymphoma; Pneumonia of both lower lobes due to infectious organism; Weakness generalized; Mantle cell lymphoma   HOSPITAL COURSE:  This is a 73 y.o. patient with a past medical history significant for mantle cell lymphoma, C. Difficile infection, liver abscess, and covid-19 infection who presented to Emergency Department with symptoms of weakness, fevers, loss of appetite, cough, shortness of breath, and chest pain. This has been ongoing and gradually worsening since January when he was diagnosed with covid-19. He also has been dealing with persistent diarrhea since January and tested positive for C. Difficile at that time. He completed a course of antibiotics, but recently tested positive again 3/30/22. He has been taking oral vancomycin since 4/2/22. Because of the lingering symptoms, CT thorax, abdomen, pelvis was completed 3/9/22 and showed development of right axillary adenopathy. Due to concern of recurrence of his mantle cell lymphoma, a PET-CT scan was completed 4/5/22. During his work-up he as positive for Citrobacter freundii bacteremia, he was hypothermic, but asymptomatic for some time, as his infection was treated his hypothermia resolved. He was treated with 10 days of cefepime, he was briefly also on flagyl and vanco. . He did also experience resp failure, and was found to have bilateral pleural effusions. Right thora 4/9 per MICU, 960ml removed and he had a negative cytology. He was started on a prednisone taper for the respiratory failure as well. There was some concern for his mantle cell Lymphoma and a BMBx was done on 4/12  for which the flow cytometry is negative for B cell lymphoma. Final pathology pending.  right pleural fluid 4/9 - cytology negative for malignancy; flow cytometry with absent B cells, no definitive T cell population detected. So although final pathology of the BMBx was pending there was no definitive diagnosis for histological evidence of MCL recurrence. It was decided that he could DC home after last dose of cefepime and follow-up OP for results of the Bone marrow Biopsy
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Hospitalized 04/06/2022-04/15/2022; COVID-19 positive 04/06/2022; fully vaccinated plus booster  BRIEF OVERVIEW: Hematologist/Oncologist medical doctor Primary Care Physician at Discharge: medical doctor Admission Date: 4/6/2022 Discharge Date: 04/15/2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Lymphadenopathy; Pericardial effusion; Weakness; C. difficile colitis; Hx of lymphoma; Pneumonia of both lower lobes due to infectious organism; Weakness generalized; Mantle cell lymphoma   HOSPITAL COURSE:  This is a 73 y.o. patient with a past medical history significant for mantle cell lymphoma, C. Difficile infection, liver abscess, and covid-19 infection who presented to Emergency Department with symptoms of weakness, fevers, loss of appetite, cough, shortness of breath, and chest pain. This has been ongoing and gradually worsening since January when he was diagnosed with covid-19. He also has been dealing with persistent diarrhea since January and tested positive for C. Difficile at that time. He completed a course of antibiotics, but recently tested positive again 3/30/22. He has been taking oral vancomycin since 4/2/22. Because of the lingering symptoms, CT thorax, abdomen, pelvis was completed 3/9/22 and showed development of right axillary adenopathy. Due to concern of recurrence of his mantle cell lymphoma, a PET-CT scan was completed 4/5/22. During his work-up he as positive for Citrobacter freundii bacteremia, he was hypothermic, but asymptomatic for some time, as his infection was treated his hypothermia resolved. He was treated with 10 days of cefepime, he was briefly also on flagyl and vanco. . He did also experience resp failure, and was found to have bilateral pleural effusions. Right thora 4/9 per MICU, 960ml removed and he had a negative cytology. He was started on a prednisone taper for the respiratory failure as well. There was some concern for his mantle cell Lymphoma and a BMBx was done on 4/12  for which the flow cytometry is negative for B cell lymphoma. Final pathology pending.  right pleural fluid 4/9 - cytology negative for malignancy; flow cytometry with absent B cells, no definitive T cell population detected. So although final pathology of the BMBx was pending there was no definitive diagnosis for histological evidence of MCL recurrence. It was decided that he could DC home after last dose of cefepime and follow-up OP for results of the Bone marrow Biopsy
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Immune thrombocytopenia, Platelet count decreased
Clinical narrative: 12/22/2021 I had routine bloodwork done and my platelet count was low: 25 10^9/L (normal 140-444).  I did not have any symptoms then or ever, blood tests were the only evidence of an issue. My PCP office told me to go to the emergency department for further testing. I was diagnosed with Acute Idiopathic thrombocytopenic purpura (ITP). I have been treated with 2 rounds of Dexamethesone (40mg/day for 4 days) and had several appointments at clinic. Currently (April 2022) my platelet level is in the normal range. Previous to this experience, I had not had any issues with platelets that I know of.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Diarrhoea, Fatigue
Clinical narrative: I had chronic diarrhea for 2 days. Extreme exhaustion, very tired and very weak. I drank a lot of Pedialyte and it cleared up after 2 days. I was still feeling tired and fatigue. All symptoms subsided after 1 week. I went to see my physician and he advised me that he had similar symptoms.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Illness, Pyrexia, Tremor, Vertigo
Clinical narrative: Sicker that I have ever been in my entire 49yrs! Fever, tremors, vomiting, diarreah, vertigo (all at once).
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Sicker that I have ever been in my entire 49yrs! Fever, tremors, vomiting, diarreah, vertigo (all at once).
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Blood test normal, Culture stool negative, Diarrhoea, Flatulence
Clinical narrative: Watery explosive diarrhea, severe abdominal cramping, abdominal pain, gas. 12/1/21 - 12/22/21. All tests negative. I lost 5 pounds. Resolved with diet: bananas, rice, applesauce, tea. Plain white chicken breast. Water. Probiotics
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan normal, Weight decreased
Clinical narrative: Watery explosive diarrhea, severe abdominal cramping, abdominal pain, gas. 12/1/21 - 12/22/21. All tests negative. I lost 5 pounds. Resolved with diet: bananas, rice, applesauce, tea. Plain white chicken breast. Water. Probiotics
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test, Dizziness, Headache, Lymphadenopathy
Clinical narrative: Lymph nodes in neck swelled up. I felt weak and faint. My head was throbbing on the left side. I also developed sciatic pain on the left side that lasted a year.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Pain, Sciatica, X-ray
Clinical narrative: Lymph nodes in neck swelled up. I felt weak and faint. My head was throbbing on the left side. I also developed sciatic pain on the left side that lasted a year.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Urinary tract infection, Urine analysis abnormal
Clinical narrative: Burning in urethra that felt like a UTI all the time.  Happened about a week after vaccination and lasted for a few weeks.  Went away on its own.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Cough, Dyspnoea, Fear
Clinical narrative: Severe non- stop coughing about half hour after vaccine.  Very scary. Almost couldn?t breathe.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal X-ray, Chills, Colonoscopy abnormal, Dehydration, Diarrhoea
Clinical narrative: She got her vaccine, had headaches, fever, chills, shakes, shivers, nausea and diarrhea.  She has never recovered, had fever over a week, called the pediatrician and told her to drink a coke to coat her stomach, never got better, continued throwing up.  Went to the ER and hooked up to an IV for several hours, dehydrated and treated her.  She is still having dizziness, nauseous and not keeping anything down, was given another drip and then admitted for 3 days for severe dehydration.  Upon that admission they did a pregnancy test, to see if she had a ruptured ovarian cyst, took X-rays of her appendix and other tests.  After being treated for 3 days sent her home, felt a little better.  She then got sick again and has an appointment with a gastroenterologist.    She has not been to school since January do to this, she has lost her job.  She tried to go to school and has a plan for her to be home schooled.  She has missed out of 1/2 of her year of school so far.    She saw the gastroenterologist, put her on erythromycin, given Zofran for a while.  put her on Prilosec which did not work either.  She had an endoscopy and colonoscopy on 2/14/22 and did cancer screenings as well, scans lit up.  Th colonoscopy showed sevearl lesions around the colon and EGD showed lesions along the esophageal tract.  They tested her for Crohn's.  She was diagnosed with IBS.  She was then back in the ER vomiting blood and having diarrhea.  She had a motility test and is having motility problems, and her esophagus is not connected with the digestive tract.  She was diagnosed with gastroparesis.  She was put on a liquid medication as she can now not able to swallow pills.  She is now 17 years old, and she has an NG tube coming out of her nose and a stimulator to stimulate her stomach about 3 weeks ago.    The stimulator right now that she has is temporary and now being 17 they will not see her, and she has 2 choices to go to another state or to go 3 hours away, and has decided to that.  Mom has now taken off about 21 days of work due to her daughter's illness.  Next Friday she is scheduled for a permanent stimulator where she will have 5 years of relief, and will still be on medication to help her.  She is at a point that she cannot take the medication anymore as it can cause neurological issues as well.  She has also been in counseling due to the events, missing school and may not be able to take her tests.    She was healthy prior to her vaccines, never saw doctors due to the PCOS, but otherwise healthy.  Mother said she got the 3rd shot at 4:00 PM and woke up the next day not the same and continues with these symptoms.  She has had numerous COVID tests, and many tests.  She has had the nuclear scan to see how her digestive tract is working several times.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysphagia, Gastrointestinal motility disorder, Gastrointestinal tube insertion, Haematemesis
Clinical narrative: She got her vaccine, had headaches, fever, chills, shakes, shivers, nausea and diarrhea.  She has never recovered, had fever over a week, called the pediatrician and told her to drink a coke to coat her stomach, never got better, continued throwing up.  Went to the ER and hooked up to an IV for several hours, dehydrated and treated her.  She is still having dizziness, nauseous and not keeping anything down, was given another drip and then admitted for 3 days for severe dehydration.  Upon that admission they did a pregnancy test, to see if she had a ruptured ovarian cyst, took X-rays of her appendix and other tests.  After being treated for 3 days sent her home, felt a little better.  She then got sick again and has an appointment with a gastroenterologist.    She has not been to school since January do to this, she has lost her job.  She tried to go to school and has a plan for her to be home schooled.  She has missed out of 1/2 of her year of school so far.    She saw the gastroenterologist, put her on erythromycin, given Zofran for a while.  put her on Prilosec which did not work either.  She had an endoscopy and colonoscopy on 2/14/22 and did cancer screenings as well, scans lit up.  Th colonoscopy showed sevearl lesions around the colon and EGD showed lesions along the esophageal tract.  They tested her for Crohn's.  She was diagnosed with IBS.  She was then back in the ER vomiting blood and having diarrhea.  She had a motility test and is having motility problems, and her esophagus is not connected with the digestive tract.  She was diagnosed with gastroparesis.  She was put on a liquid medication as she can now not able to swallow pills.  She is now 17 years old, and she has an NG tube coming out of her nose and a stimulator to stimulate her stomach about 3 weeks ago.    The stimulator right now that she has is temporary and now being 17 they will not see her, and she has 2 choices to go to another state or to go 3 hours away, and has decided to that.  Mom has now taken off about 21 days of work due to her daughter's illness.  Next Friday she is scheduled for a permanent stimulator where she will have 5 years of relief, and will still be on medication to help her.  She is at a point that she cannot take the medication anymore as it can cause neurological issues as well.  She has also been in counseling due to the events, missing school and may not be able to take her tests.    She was healthy prior to her vaccines, never saw doctors due to the PCOS, but otherwise healthy.  Mother said she got the 3rd shot at 4:00 PM and woke up the next day not the same and continues with these symptoms.  She has had numerous COVID tests, and many tests.  She has had the nuclear scan to see how her digestive tract is working several times.