chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 28.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood test, Complement factor C3, Complement factor C4, Cystatin C, Electrophoresis protein
Clinical narrative: The day after the vaccine I started peeing blood, after going to the doctor I received an MRI with no unusual results and then multiple rounds of blood and urine testing that had abnormally high results that have not gone away. It has been 5 to 6 months, and the blood and urine results are abnormally high as seen below.
Age: 28.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Full blood count, HIV test, Haematuria, International normalised ratio, Nephrotic syndrome
Clinical narrative: The day after the vaccine I started peeing blood, after going to the doctor I received an MRI with no unusual results and then multiple rounds of blood and urine testing that had abnormally high results that have not gone away. It has been 5 to 6 months, and the blood and urine results are abnormally high as seen below.
Age: 28.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Renal function test, Urine analysis
Clinical narrative: The day after the vaccine I started peeing blood, after going to the doctor I received an MRI with no unusual results and then multiple rounds of blood and urine testing that had abnormally high results that have not gone away. It has been 5 to 6 months, and the blood and urine results are abnormally high as seen below.
Age: 28.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bacterial test, Blood creatinine increased, Blood test abnormal, Blood urine present, Magnetic resonance imaging normal
Clinical narrative: The day after the vaccine I started peeing blood, after going to the doctor I received an MRI with no unusual results and then multiple rounds of blood and urine testing that had abnormally high results that have not gone away. It has been 5 to 6 months, and the blood and urine results are abnormally high as seen below.
Age: 28.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Protein urine present, Red blood cells urine positive, Urine albumin/creatinine ratio, Urine analysis abnormal, Urine leukocyte esterase
Clinical narrative: The day after the vaccine I started peeing blood, after going to the doctor I received an MRI with no unusual results and then multiple rounds of blood and urine testing that had abnormally high results that have not gone away. It has been 5 to 6 months, and the blood and urine results are abnormally high as seen below.
Age: 28.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Urine protein/creatinine ratio increased, White blood cells urine positive
Clinical narrative: The day after the vaccine I started peeing blood, after going to the doctor I received an MRI with no unusual results and then multiple rounds of blood and urine testing that had abnormally high results that have not gone away. It has been 5 to 6 months, and the blood and urine results are abnormally high as seen below.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anaphylactic shock
Clinical narrative: About 5 hours after receiving the vaccine, I began to exhibit flu-like symptoms (chills, aching/weak muscles, headache). After about 30 minutes of these symptoms, my body began shaking and sweating and I had a fever of 102. About an hour into the reaction, my muscles were constricting, body was shivering, I could not speak, and I was having major shortness of breath. By the time I was flown to hospital (about 2 hours after the reaction began) my fever registered at 104 degrees and the same symptoms previously listed were ongoing. At the hospital I was treated with epinephrine and symptoms began to settle after vomitting.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anaphylactic reaction, Chest discomfort, Dyspnoea, Human chorionic gonadotropin negative, Metabolic function test normal
Clinical narrative: About 5 hours after receiving the vaccine, I began to exhibit flu-like symptoms (chills, aching/weak muscles, headache). After about 30 minutes of these symptoms, my body began shaking and sweating and I had a fever of 102. About an hour into the reaction, my muscles were constricting, body was shivering, I could not speak, and I was having major shortness of breath. By the time I was flown to hospital (about 2 hours after the reaction began) my fever registered at 104 degrees and the same symptoms previously listed were ongoing. At the hospital I was treated with epinephrine and symptoms began to settle after vomitting.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Neutrophil percentage increased, Obstructive airways disorder, Tremor, White blood cell count decreased
Clinical narrative: About 5 hours after receiving the vaccine, I began to exhibit flu-like symptoms (chills, aching/weak muscles, headache). After about 30 minutes of these symptoms, my body began shaking and sweating and I had a fever of 102. About an hour into the reaction, my muscles were constricting, body was shivering, I could not speak, and I was having major shortness of breath. By the time I was flown to hospital (about 2 hours after the reaction began) my fever registered at 104 degrees and the same symptoms previously listed were ongoing. At the hospital I was treated with epinephrine and symptoms began to settle after vomitting.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Aphasia, Chills, Dyspnoea, Headache, Hyperhidrosis
Clinical narrative: About 5 hours after receiving the vaccine, I began to exhibit flu-like symptoms (chills, aching/weak muscles, headache). After about 30 minutes of these symptoms, my body began shaking and sweating and I had a fever of 102. About an hour into the reaction, my muscles were constricting, body was shivering, I could not speak, and I was having major shortness of breath. By the time I was flown to hospital (about 2 hours after the reaction began) my fever registered at 104 degrees and the same symptoms previously listed were ongoing. At the hospital I was treated with epinephrine and symptoms began to settle after vomitting.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Influenza like illness, Muscle tightness, Muscular weakness, Pain, Pyrexia
Clinical narrative: About 5 hours after receiving the vaccine, I began to exhibit flu-like symptoms (chills, aching/weak muscles, headache). After about 30 minutes of these symptoms, my body began shaking and sweating and I had a fever of 102. About an hour into the reaction, my muscles were constricting, body was shivering, I could not speak, and I was having major shortness of breath. By the time I was flown to hospital (about 2 hours after the reaction began) my fever registered at 104 degrees and the same symptoms previously listed were ongoing. At the hospital I was treated with epinephrine and symptoms began to settle after vomitting.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Tremor, Vomiting
Clinical narrative: About 5 hours after receiving the vaccine, I began to exhibit flu-like symptoms (chills, aching/weak muscles, headache). After about 30 minutes of these symptoms, my body began shaking and sweating and I had a fever of 102. About an hour into the reaction, my muscles were constricting, body was shivering, I could not speak, and I was having major shortness of breath. By the time I was flown to hospital (about 2 hours after the reaction began) my fever registered at 104 degrees and the same symptoms previously listed were ongoing. At the hospital I was treated with epinephrine and symptoms began to settle after vomitting.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Chest pain, Chills, Echocardiogram, Electrocardiogram, Headache
Clinical narrative: 3 days after vaccine presented with acute chest pain, nausea, vomiting, elevated inflammatory markers, extremely elevated Troponin. MRI and clinical picture dx myocarditis treated with IVIG and prednisone.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Myocarditis, Nausea, Troponin increased, Vomiting
Clinical narrative: 3 days after vaccine presented with acute chest pain, nausea, vomiting, elevated inflammatory markers, extremely elevated Troponin. MRI and clinical picture dx myocarditis treated with IVIG and prednisone.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Chest pain, Pain, Troponin I increased
Clinical narrative: 3 days after vaccine presented with acute chest pain, nausea, vomiting, elevated inflammatory markers, extremely elevated Troponin. MRI and clinical picture dx myocarditis treated with IVIG and prednisone.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Chest pain, Electrocardiogram abnormal, Laboratory test, Myocarditis, Pericarditis
Clinical narrative: 3 days after vaccine presented with acute chest pain, nausea, vomiting, elevated inflammatory markers, extremely elevated Troponin. MRI and clinical picture dx myocarditis treated with IVIG and prednisone.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Troponin increased, Vomiting
Clinical narrative: 3 days after vaccine presented with acute chest pain, nausea, vomiting, elevated inflammatory markers, extremely elevated Troponin. MRI and clinical picture dx myocarditis treated with IVIG and prednisone.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Myocarditis, SARS-CoV-2 test
Clinical narrative: 3 days after vaccine presented with acute chest pain, nausea, vomiting, elevated inflammatory markers, extremely elevated Troponin. MRI and clinical picture dx myocarditis treated with IVIG and prednisone.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Brain natriuretic peptide normal, Chest pain, Immunoglobulin therapy, Inflammatory marker increased, Magnetic resonance imaging heart
Clinical narrative: 3 days after vaccine presented with acute chest pain, nausea, vomiting, elevated inflammatory markers, extremely elevated Troponin. MRI and clinical picture dx myocarditis treated with IVIG and prednisone.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Myocardial oedema, Myocarditis, N-terminal prohormone brain natriuretic peptide increased, Nausea, Troponin I increased
Clinical narrative: 3 days after vaccine presented with acute chest pain, nausea, vomiting, elevated inflammatory markers, extremely elevated Troponin. MRI and clinical picture dx myocarditis treated with IVIG and prednisone.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Troponin T increased, Troponin increased, Vomiting
Clinical narrative: 3 days after vaccine presented with acute chest pain, nausea, vomiting, elevated inflammatory markers, extremely elevated Troponin. MRI and clinical picture dx myocarditis treated with IVIG and prednisone.
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Aphasia, Blood glucose normal, Hyperhidrosis, Loss of consciousness, Malaise
Clinical narrative: After administering the vaccine PFIZER, patient became unresponsive, appears sweaty and pale. The patient mother reports that at 11 years of age, patient had a similar reaction to another vaccine but patient responded quickly. Patient is with paramedic since she was not responding. Vitals are taken BP 90/60, dex 113, pulse 61, oxi 99, patient is placed on a superior position and the ambulance is called. Patient responded to time and place, but can not move extremities or speak. By nodding her head and asking her she indicates no pain but can not move her limbs but she does have sensation.
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Movement disorder, Pallor
Clinical narrative: After administering the vaccine PFIZER, patient became unresponsive, appears sweaty and pale. The patient mother reports that at 11 years of age, patient had a similar reaction to another vaccine but patient responded quickly. Patient is with paramedic since she was not responding. Vitals are taken BP 90/60, dex 113, pulse 61, oxi 99, patient is placed on a superior position and the ambulance is called. Patient responded to time and place, but can not move extremities or speak. By nodding her head and asking her she indicates no pain but can not move her limbs but she does have sensation.
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Aphasia, Hyperhidrosis, Movement disorder, Pallor, Unresponsive to stimuli
Clinical narrative: After administering the vaccine PFIZER, patient became unresponsive, appears sweaty and pale. The patient mother reports that at 11 years of age, patient had a similar reaction to another vaccine but patient responded quickly. Patient is with paramedic since she was not responding. Vitals are taken BP 90/60, dex 113, pulse 61, oxi 99, patient is placed on a superior position and the ambulance is called. Patient responded to time and place, but can not move extremities or speak. By nodding her head and asking her she indicates no pain but can not move her limbs but she does have sensation.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Depressed mood, Fall, Hypoaesthesia, Limb discomfort, Magnetic resonance imaging head
Clinical narrative: 12 hours after receiving vaccine dose, had L facial numbness. When sxs continued to worsen, brain MRI obtained and c/w Bell's Palsy. Since then, having worsening sxs which are bothersome to her. Now also having BUE numbness with mild weakness in addition to L leg numbness.  The weakness is not so severe as to impair motor function, but sensory sxs are very distressing to her and impacting her mental health. Has seen neurology who did not have anything to offer, so have referred for second opinion as well as ordering EMG
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Muscular weakness, Suicidal ideation
Clinical narrative: 12 hours after receiving vaccine dose, had L facial numbness. When sxs continued to worsen, brain MRI obtained and c/w Bell's Palsy. Since then, having worsening sxs which are bothersome to her. Now also having BUE numbness with mild weakness in addition to L leg numbness.  The weakness is not so severe as to impair motor function, but sensory sxs are very distressing to her and impacting her mental health. Has seen neurology who did not have anything to offer, so have referred for second opinion as well as ordering EMG
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy, Blood test, Hypoaesthesia, Magnetic resonance imaging head abnormal, Mental disorder
Clinical narrative: 12 hours after receiving vaccine dose, had L facial numbness. When sxs continued to worsen, brain MRI obtained and c/w Bell's Palsy. Since then, having worsening sxs which are bothersome to her. Now also having BUE numbness with mild weakness in addition to L leg numbness.  The weakness is not so severe as to impair motor function, but sensory sxs are very distressing to her and impacting her mental health. Has seen neurology who did not have anything to offer, so have referred for second opinion as well as ordering EMG
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Motor dysfunction, Muscular weakness, Neuropathy peripheral
Clinical narrative: 12 hours after receiving vaccine dose, had L facial numbness. When sxs continued to worsen, brain MRI obtained and c/w Bell's Palsy. Since then, having worsening sxs which are bothersome to her. Now also having BUE numbness with mild weakness in addition to L leg numbness.  The weakness is not so severe as to impair motor function, but sensory sxs are very distressing to her and impacting her mental health. Has seen neurology who did not have anything to offer, so have referred for second opinion as well as ordering EMG
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Activated partial thromboplastin time, Angiogram, Anticoagulant therapy, Arteriogram carotid, Arthralgia
Clinical narrative: joints neck sore
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Cerebrovascular accident, Computerised tomogram head, Confusional state, Dysarthria
Clinical narrative: joints neck sore
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram, Full blood count, Hemiparesis, International normalised ratio, Magnetic resonance imaging
Clinical narrative: joints neck sore
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Metabolic function test, Myalgia, Prothrombin time
Clinical narrative: joints neck sore
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Magnetic resonance imaging, Neck pain, Scan
Clinical narrative: joints neck sore
Age: 31.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Seizure
Clinical narrative: Receive shot 1-5mins-sit for the recommended 15 minutes and am pretty relaxed. Was quite painless and shots have never bothered me too badly.  5 mins in- without any recollection of losing consciousness, I begin to regain . I was without vision and the first thoughts going through my head were, where the hell am I, what time is it, how did I get here? I feel someone holding my arm and vision begins to return. I then realize I am in the pharmacy and remember that I had just received the vaccine. Upon returning to consciousness I have difficulty breathing, and I?m slumped in my chair. Whoever the woman was holding my arm begins to ask for my cell phone. She asks if there is somebody I should call. I think at first I said call my brother. I think I was confused why hey were asking the unconscious and hardly breathing person what to do, when it seems pretty obvious an ambulance or a doctor was what was needed. I someone asked if I wanted to lay down, I had become extremely cold, sweating, difficult breathing and my teeth were chattering. Eventually the ambulance came, they hooked an EKG up and then when I got to the hospital they hooked another EKG up. It felt like I was there for about five minutes and then a doctor came in and said well I think you?re good the EKG looks fine you can get out of here. Nobody followed up with anything, except for the insurance company the following day. They are my insurance company. They wanted to say it was a vasovagal reaction but I am not convinced that is true.
Age: 31.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Dyspnoea, Electrocardiogram normal, Feeling cold, Hyperhidrosis
Clinical narrative: Receive shot 1-5mins-sit for the recommended 15 minutes and am pretty relaxed. Was quite painless and shots have never bothered me too badly.  5 mins in- without any recollection of losing consciousness, I begin to regain . I was without vision and the first thoughts going through my head were, where the hell am I, what time is it, how did I get here? I feel someone holding my arm and vision begins to return. I then realize I am in the pharmacy and remember that I had just received the vaccine. Upon returning to consciousness I have difficulty breathing, and I?m slumped in my chair. Whoever the woman was holding my arm begins to ask for my cell phone. She asks if there is somebody I should call. I think at first I said call my brother. I think I was confused why hey were asking the unconscious and hardly breathing person what to do, when it seems pretty obvious an ambulance or a doctor was what was needed. I someone asked if I wanted to lay down, I had become extremely cold, sweating, difficult breathing and my teeth were chattering. Eventually the ambulance came, they hooked an EKG up and then when I got to the hospital they hooked another EKG up. It felt like I was there for about five minutes and then a doctor came in and said well I think you?re good the EKG looks fine you can get out of here. Nobody followed up with anything, except for the insurance company the following day. They are my insurance company. They wanted to say it was a vasovagal reaction but I am not convinced that is true.
Age: 31.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Loss of consciousness, Presyncope
Clinical narrative: Receive shot 1-5mins-sit for the recommended 15 minutes and am pretty relaxed. Was quite painless and shots have never bothered me too badly.  5 mins in- without any recollection of losing consciousness, I begin to regain . I was without vision and the first thoughts going through my head were, where the hell am I, what time is it, how did I get here? I feel someone holding my arm and vision begins to return. I then realize I am in the pharmacy and remember that I had just received the vaccine. Upon returning to consciousness I have difficulty breathing, and I?m slumped in my chair. Whoever the woman was holding my arm begins to ask for my cell phone. She asks if there is somebody I should call. I think at first I said call my brother. I think I was confused why hey were asking the unconscious and hardly breathing person what to do, when it seems pretty obvious an ambulance or a doctor was what was needed. I someone asked if I wanted to lay down, I had become extremely cold, sweating, difficult breathing and my teeth were chattering. Eventually the ambulance came, they hooked an EKG up and then when I got to the hospital they hooked another EKG up. It felt like I was there for about five minutes and then a doctor came in and said well I think you?re good the EKG looks fine you can get out of here. Nobody followed up with anything, except for the insurance company the following day. They are my insurance company. They wanted to say it was a vasovagal reaction but I am not convinced that is true.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Fatigue, Hot flush, Jugular vein thrombosis, Swelling
Clinical narrative: Received Pfizer COVID vaccine 1 of 2 on 9/12/21. Has office visit with PCP 9/16/21 chief compliant "R lateral neck pain and swelling, started 2 days ago, not improving. Did receive 1st COVID vaccine 4-5 days ago, was advised by lymphedema coach that her immune system would "flare".  Also has a port in her R upper chest wall, last accessed 3 weeks ago. Has tried nothing for her pain." Referral placed for CT scan of the area, instructions to apply heat and tizanidine prescribed. 9/20/21 hematology office outpatient visit note on 9/20/21, "Pt mentions received Covid vaccine 9/12. States she felt "hot and burny" for two days thereafter, with some tightness to throat. Felt fine Tuesday 9/14. Wed 9/15, swelling began" referred her to the emergency room where she was then admitted with diagnosis of right occlusive DVT in the internal jugular. Spent 3 days in the hospital and discharged on apixaban and pain medications.  10/1/21 heme/onc outpatient follow-up visit ". She is currently doing better compared to last week, has less pain, denies any shortness of breath or chest pain. ECOG 1. Swelling has also improved Lately however she is also having swelling of the left side of her body, worsening of previous lymphedema, going to physical therapy for this already." 10/11/21 Heme/onc follow-up call patient c/o "1) Constant "irritation" and tingling under her right jaw that started one hour ago. Pt reports HX of right jugular vein blood clot. 2) Pt denies jaw pain, dyspnea, chest tightness, chest palpitation, nausea, diaphoresis, HA, vision changes. Pt states she has experienced this jaw numbness when she has significant allergies.  Pt states she has missed 2 of her Eliquis doses within the last 5 days.A) Pt asking if she can have a neck ultrasound ordered. B) RN concerned that pt should be seen by an Urgent Care or ED."   10/11/21 ER visit for Paresthesia (Primary Dx); Thrombosis of internal jugular vein, unspecified laterality" with neck tingling. She did receive an ultrasound from triage and results are already available: "No change in the right proximal, mid and distal internal jugular vein thrombus noted since last exam dated 9/20/21.". She has normal voice and swallow and there is no evidence of airway compromise. She has no evidence of ear infection requiring antibiotics. She has set an alarm to help her remember her anticoagulation. She is relieved that there is no progression of the clot. I see no evidence of other emergent medical condition or further testing at this time, and she is stable for discharge to follow up with oncology as needed. To continue anticoagulation as prescribed."
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Swelling face, Throat tightness
Clinical narrative: Received Pfizer COVID vaccine 1 of 2 on 9/12/21. Has office visit with PCP 9/16/21 chief compliant "R lateral neck pain and swelling, started 2 days ago, not improving. Did receive 1st COVID vaccine 4-5 days ago, was advised by lymphedema coach that her immune system would "flare".  Also has a port in her R upper chest wall, last accessed 3 weeks ago. Has tried nothing for her pain." Referral placed for CT scan of the area, instructions to apply heat and tizanidine prescribed. 9/20/21 hematology office outpatient visit note on 9/20/21, "Pt mentions received Covid vaccine 9/12. States she felt "hot and burny" for two days thereafter, with some tightness to throat. Felt fine Tuesday 9/14. Wed 9/15, swelling began" referred her to the emergency room where she was then admitted with diagnosis of right occlusive DVT in the internal jugular. Spent 3 days in the hospital and discharged on apixaban and pain medications.  10/1/21 heme/onc outpatient follow-up visit ". She is currently doing better compared to last week, has less pain, denies any shortness of breath or chest pain. ECOG 1. Swelling has also improved Lately however she is also having swelling of the left side of her body, worsening of previous lymphedema, going to physical therapy for this already." 10/11/21 Heme/onc follow-up call patient c/o "1) Constant "irritation" and tingling under her right jaw that started one hour ago. Pt reports HX of right jugular vein blood clot. 2) Pt denies jaw pain, dyspnea, chest tightness, chest palpitation, nausea, diaphoresis, HA, vision changes. Pt states she has experienced this jaw numbness when she has significant allergies.  Pt states she has missed 2 of her Eliquis doses within the last 5 days.A) Pt asking if she can have a neck ultrasound ordered. B) RN concerned that pt should be seen by an Urgent Care or ED."   10/11/21 ER visit for Paresthesia (Primary Dx); Thrombosis of internal jugular vein, unspecified laterality" with neck tingling. She did receive an ultrasound from triage and results are already available: "No change in the right proximal, mid and distal internal jugular vein thrombus noted since last exam dated 9/20/21.". She has normal voice and swallow and there is no evidence of airway compromise. She has no evidence of ear infection requiring antibiotics. She has set an alarm to help her remember her anticoagulation. She is relieved that there is no progression of the clot. I see no evidence of other emergent medical condition or further testing at this time, and she is stable for discharge to follow up with oncology as needed. To continue anticoagulation as prescribed."
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Activated partial thromboplastin time normal, Anticoagulant therapy, Blood creatinine increased, Burning sensation, Computerised tomogram head abnormal
Clinical narrative: Received Pfizer COVID vaccine 1 of 2 on 9/12/21. Has office visit with PCP 9/16/21 chief compliant "R lateral neck pain and swelling, started 2 days ago, not improving. Did receive 1st COVID vaccine 4-5 days ago, was advised by lymphedema coach that her immune system would "flare".  Also has a port in her R upper chest wall, last accessed 3 weeks ago. Has tried nothing for her pain." Referral placed for CT scan of the area, instructions to apply heat and tizanidine prescribed. 9/20/21 hematology office outpatient visit note on 9/20/21, "Pt mentions received Covid vaccine 9/12. States she felt "hot and burny" for two days thereafter, with some tightness to throat. Felt fine Tuesday 9/14. Wed 9/15, swelling began" referred her to the emergency room where she was then admitted with diagnosis of right occlusive DVT in the internal jugular. Spent 3 days in the hospital and discharged on apixaban and pain medications.  10/1/21 heme/onc outpatient follow-up visit ". She is currently doing better compared to last week, has less pain, denies any shortness of breath or chest pain. ECOG 1. Swelling has also improved Lately however she is also having swelling of the left side of her body, worsening of previous lymphedema, going to physical therapy for this already." 10/11/21 Heme/onc follow-up call patient c/o "1) Constant "irritation" and tingling under her right jaw that started one hour ago. Pt reports HX of right jugular vein blood clot. 2) Pt denies jaw pain, dyspnea, chest tightness, chest palpitation, nausea, diaphoresis, HA, vision changes. Pt states she has experienced this jaw numbness when she has significant allergies.  Pt states she has missed 2 of her Eliquis doses within the last 5 days.A) Pt asking if she can have a neck ultrasound ordered. B) RN concerned that pt should be seen by an Urgent Care or ED."   10/11/21 ER visit for Paresthesia (Primary Dx); Thrombosis of internal jugular vein, unspecified laterality" with neck tingling. She did receive an ultrasound from triage and results are already available: "No change in the right proximal, mid and distal internal jugular vein thrombus noted since last exam dated 9/20/21.". She has normal voice and swallow and there is no evidence of airway compromise. She has no evidence of ear infection requiring antibiotics. She has set an alarm to help her remember her anticoagulation. She is relieved that there is no progression of the clot. I see no evidence of other emergent medical condition or further testing at this time, and she is stable for discharge to follow up with oncology as needed. To continue anticoagulation as prescribed."
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram neck, Condition aggravated, Feeling hot, Full blood count, Globulins increased
Clinical narrative: Received Pfizer COVID vaccine 1 of 2 on 9/12/21. Has office visit with PCP 9/16/21 chief compliant "R lateral neck pain and swelling, started 2 days ago, not improving. Did receive 1st COVID vaccine 4-5 days ago, was advised by lymphedema coach that her immune system would "flare".  Also has a port in her R upper chest wall, last accessed 3 weeks ago. Has tried nothing for her pain." Referral placed for CT scan of the area, instructions to apply heat and tizanidine prescribed. 9/20/21 hematology office outpatient visit note on 9/20/21, "Pt mentions received Covid vaccine 9/12. States she felt "hot and burny" for two days thereafter, with some tightness to throat. Felt fine Tuesday 9/14. Wed 9/15, swelling began" referred her to the emergency room where she was then admitted with diagnosis of right occlusive DVT in the internal jugular. Spent 3 days in the hospital and discharged on apixaban and pain medications.  10/1/21 heme/onc outpatient follow-up visit ". She is currently doing better compared to last week, has less pain, denies any shortness of breath or chest pain. ECOG 1. Swelling has also improved Lately however she is also having swelling of the left side of her body, worsening of previous lymphedema, going to physical therapy for this already." 10/11/21 Heme/onc follow-up call patient c/o "1) Constant "irritation" and tingling under her right jaw that started one hour ago. Pt reports HX of right jugular vein blood clot. 2) Pt denies jaw pain, dyspnea, chest tightness, chest palpitation, nausea, diaphoresis, HA, vision changes. Pt states she has experienced this jaw numbness when she has significant allergies.  Pt states she has missed 2 of her Eliquis doses within the last 5 days.A) Pt asking if she can have a neck ultrasound ordered. B) RN concerned that pt should be seen by an Urgent Care or ED."   10/11/21 ER visit for Paresthesia (Primary Dx); Thrombosis of internal jugular vein, unspecified laterality" with neck tingling. She did receive an ultrasound from triage and results are already available: "No change in the right proximal, mid and distal internal jugular vein thrombus noted since last exam dated 9/20/21.". She has normal voice and swallow and there is no evidence of airway compromise. She has no evidence of ear infection requiring antibiotics. She has set an alarm to help her remember her anticoagulation. She is relieved that there is no progression of the clot. I see no evidence of other emergent medical condition or further testing at this time, and she is stable for discharge to follow up with oncology as needed. To continue anticoagulation as prescribed."
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Glomerular filtration rate decreased, Haematocrit decreased, Hypoaesthesia, Jugular vein thrombosis, Lymphoedema
Clinical narrative: Received Pfizer COVID vaccine 1 of 2 on 9/12/21. Has office visit with PCP 9/16/21 chief compliant "R lateral neck pain and swelling, started 2 days ago, not improving. Did receive 1st COVID vaccine 4-5 days ago, was advised by lymphedema coach that her immune system would "flare".  Also has a port in her R upper chest wall, last accessed 3 weeks ago. Has tried nothing for her pain." Referral placed for CT scan of the area, instructions to apply heat and tizanidine prescribed. 9/20/21 hematology office outpatient visit note on 9/20/21, "Pt mentions received Covid vaccine 9/12. States she felt "hot and burny" for two days thereafter, with some tightness to throat. Felt fine Tuesday 9/14. Wed 9/15, swelling began" referred her to the emergency room where she was then admitted with diagnosis of right occlusive DVT in the internal jugular. Spent 3 days in the hospital and discharged on apixaban and pain medications.  10/1/21 heme/onc outpatient follow-up visit ". She is currently doing better compared to last week, has less pain, denies any shortness of breath or chest pain. ECOG 1. Swelling has also improved Lately however she is also having swelling of the left side of her body, worsening of previous lymphedema, going to physical therapy for this already." 10/11/21 Heme/onc follow-up call patient c/o "1) Constant "irritation" and tingling under her right jaw that started one hour ago. Pt reports HX of right jugular vein blood clot. 2) Pt denies jaw pain, dyspnea, chest tightness, chest palpitation, nausea, diaphoresis, HA, vision changes. Pt states she has experienced this jaw numbness when she has significant allergies.  Pt states she has missed 2 of her Eliquis doses within the last 5 days.A) Pt asking if she can have a neck ultrasound ordered. B) RN concerned that pt should be seen by an Urgent Care or ED."   10/11/21 ER visit for Paresthesia (Primary Dx); Thrombosis of internal jugular vein, unspecified laterality" with neck tingling. She did receive an ultrasound from triage and results are already available: "No change in the right proximal, mid and distal internal jugular vein thrombus noted since last exam dated 9/20/21.". She has normal voice and swallow and there is no evidence of airway compromise. She has no evidence of ear infection requiring antibiotics. She has set an alarm to help her remember her anticoagulation. She is relieved that there is no progression of the clot. I see no evidence of other emergent medical condition or further testing at this time, and she is stable for discharge to follow up with oncology as needed. To continue anticoagulation as prescribed."
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mean cell volume normal, Mean platelet volume decreased, Metabolic function test, Neck pain, Paraesthesia
Clinical narrative: Received Pfizer COVID vaccine 1 of 2 on 9/12/21. Has office visit with PCP 9/16/21 chief compliant "R lateral neck pain and swelling, started 2 days ago, not improving. Did receive 1st COVID vaccine 4-5 days ago, was advised by lymphedema coach that her immune system would "flare".  Also has a port in her R upper chest wall, last accessed 3 weeks ago. Has tried nothing for her pain." Referral placed for CT scan of the area, instructions to apply heat and tizanidine prescribed. 9/20/21 hematology office outpatient visit note on 9/20/21, "Pt mentions received Covid vaccine 9/12. States she felt "hot and burny" for two days thereafter, with some tightness to throat. Felt fine Tuesday 9/14. Wed 9/15, swelling began" referred her to the emergency room where she was then admitted with diagnosis of right occlusive DVT in the internal jugular. Spent 3 days in the hospital and discharged on apixaban and pain medications.  10/1/21 heme/onc outpatient follow-up visit ". She is currently doing better compared to last week, has less pain, denies any shortness of breath or chest pain. ECOG 1. Swelling has also improved Lately however she is also having swelling of the left side of her body, worsening of previous lymphedema, going to physical therapy for this already." 10/11/21 Heme/onc follow-up call patient c/o "1) Constant "irritation" and tingling under her right jaw that started one hour ago. Pt reports HX of right jugular vein blood clot. 2) Pt denies jaw pain, dyspnea, chest tightness, chest palpitation, nausea, diaphoresis, HA, vision changes. Pt states she has experienced this jaw numbness when she has significant allergies.  Pt states she has missed 2 of her Eliquis doses within the last 5 days.A) Pt asking if she can have a neck ultrasound ordered. B) RN concerned that pt should be seen by an Urgent Care or ED."   10/11/21 ER visit for Paresthesia (Primary Dx); Thrombosis of internal jugular vein, unspecified laterality" with neck tingling. She did receive an ultrasound from triage and results are already available: "No change in the right proximal, mid and distal internal jugular vein thrombus noted since last exam dated 9/20/21.". She has normal voice and swallow and there is no evidence of airway compromise. She has no evidence of ear infection requiring antibiotics. She has set an alarm to help her remember her anticoagulation. She is relieved that there is no progression of the clot. I see no evidence of other emergent medical condition or further testing at this time, and she is stable for discharge to follow up with oncology as needed. To continue anticoagulation as prescribed."
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Platelet count normal, Protein total increased, SARS-CoV-2 test negative, Swelling, Throat tightness
Clinical narrative: Received Pfizer COVID vaccine 1 of 2 on 9/12/21. Has office visit with PCP 9/16/21 chief compliant "R lateral neck pain and swelling, started 2 days ago, not improving. Did receive 1st COVID vaccine 4-5 days ago, was advised by lymphedema coach that her immune system would "flare".  Also has a port in her R upper chest wall, last accessed 3 weeks ago. Has tried nothing for her pain." Referral placed for CT scan of the area, instructions to apply heat and tizanidine prescribed. 9/20/21 hematology office outpatient visit note on 9/20/21, "Pt mentions received Covid vaccine 9/12. States she felt "hot and burny" for two days thereafter, with some tightness to throat. Felt fine Tuesday 9/14. Wed 9/15, swelling began" referred her to the emergency room where she was then admitted with diagnosis of right occlusive DVT in the internal jugular. Spent 3 days in the hospital and discharged on apixaban and pain medications.  10/1/21 heme/onc outpatient follow-up visit ". She is currently doing better compared to last week, has less pain, denies any shortness of breath or chest pain. ECOG 1. Swelling has also improved Lately however she is also having swelling of the left side of her body, worsening of previous lymphedema, going to physical therapy for this already." 10/11/21 Heme/onc follow-up call patient c/o "1) Constant "irritation" and tingling under her right jaw that started one hour ago. Pt reports HX of right jugular vein blood clot. 2) Pt denies jaw pain, dyspnea, chest tightness, chest palpitation, nausea, diaphoresis, HA, vision changes. Pt states she has experienced this jaw numbness when she has significant allergies.  Pt states she has missed 2 of her Eliquis doses within the last 5 days.A) Pt asking if she can have a neck ultrasound ordered. B) RN concerned that pt should be seen by an Urgent Care or ED."   10/11/21 ER visit for Paresthesia (Primary Dx); Thrombosis of internal jugular vein, unspecified laterality" with neck tingling. She did receive an ultrasound from triage and results are already available: "No change in the right proximal, mid and distal internal jugular vein thrombus noted since last exam dated 9/20/21.". She has normal voice and swallow and there is no evidence of airway compromise. She has no evidence of ear infection requiring antibiotics. She has set an alarm to help her remember her anticoagulation. She is relieved that there is no progression of the clot. I see no evidence of other emergent medical condition or further testing at this time, and she is stable for discharge to follow up with oncology as needed. To continue anticoagulation as prescribed."
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ultrasound Doppler abnormal, White matter lesion
Clinical narrative: Received Pfizer COVID vaccine 1 of 2 on 9/12/21. Has office visit with PCP 9/16/21 chief compliant "R lateral neck pain and swelling, started 2 days ago, not improving. Did receive 1st COVID vaccine 4-5 days ago, was advised by lymphedema coach that her immune system would "flare".  Also has a port in her R upper chest wall, last accessed 3 weeks ago. Has tried nothing for her pain." Referral placed for CT scan of the area, instructions to apply heat and tizanidine prescribed. 9/20/21 hematology office outpatient visit note on 9/20/21, "Pt mentions received Covid vaccine 9/12. States she felt "hot and burny" for two days thereafter, with some tightness to throat. Felt fine Tuesday 9/14. Wed 9/15, swelling began" referred her to the emergency room where she was then admitted with diagnosis of right occlusive DVT in the internal jugular. Spent 3 days in the hospital and discharged on apixaban and pain medications.  10/1/21 heme/onc outpatient follow-up visit ". She is currently doing better compared to last week, has less pain, denies any shortness of breath or chest pain. ECOG 1. Swelling has also improved Lately however she is also having swelling of the left side of her body, worsening of previous lymphedema, going to physical therapy for this already." 10/11/21 Heme/onc follow-up call patient c/o "1) Constant "irritation" and tingling under her right jaw that started one hour ago. Pt reports HX of right jugular vein blood clot. 2) Pt denies jaw pain, dyspnea, chest tightness, chest palpitation, nausea, diaphoresis, HA, vision changes. Pt states she has experienced this jaw numbness when she has significant allergies.  Pt states she has missed 2 of her Eliquis doses within the last 5 days.A) Pt asking if she can have a neck ultrasound ordered. B) RN concerned that pt should be seen by an Urgent Care or ED."   10/11/21 ER visit for Paresthesia (Primary Dx); Thrombosis of internal jugular vein, unspecified laterality" with neck tingling. She did receive an ultrasound from triage and results are already available: "No change in the right proximal, mid and distal internal jugular vein thrombus noted since last exam dated 9/20/21.". She has normal voice and swallow and there is no evidence of airway compromise. She has no evidence of ear infection requiring antibiotics. She has set an alarm to help her remember her anticoagulation. She is relieved that there is no progression of the clot. I see no evidence of other emergent medical condition or further testing at this time, and she is stable for discharge to follow up with oncology as needed. To continue anticoagulation as prescribed."
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Dysphagia, Hypoaesthesia, Joint swelling, Nervous system disorder
Clinical narrative: DULL NUMBING IN LEFT THIGH SINCE 3 WEEKS AFTER INJECTIONS AND WENT INTO FOOT. BLURRED VISSION, SWALLOWING ISSUES, ITCHY ALL OVER BODY AT TIMES. WIERD BRUISES BEHIND LEGS. ON SEPT/ 23/ 2021 WAS RUSHED TO Hospital AND THEN TRANSFERRED TO another Hospital. HAD AT LEAST 8 SEIZURES AND PUT ON OXYGEN. LEFT HOSPITAL SEPT/ 26/ 2021.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia, Peripheral swelling, Seizure, Visual impairment
Clinical narrative: DULL NUMBING IN LEFT THIGH SINCE 3 WEEKS AFTER INJECTIONS AND WENT INTO FOOT. BLURRED VISSION, SWALLOWING ISSUES, ITCHY ALL OVER BODY AT TIMES. WIERD BRUISES BEHIND LEGS. ON SEPT/ 23/ 2021 WAS RUSHED TO Hospital AND THEN TRANSFERRED TO another Hospital. HAD AT LEAST 8 SEIZURES AND PUT ON OXYGEN. LEFT HOSPITAL SEPT/ 26/ 2021.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Contusion, Dysphagia, Hypoaesthesia, Magnetic resonance imaging, Pruritus
Clinical narrative: DULL NUMBING IN LEFT THIGH SINCE 3 WEEKS AFTER INJECTIONS AND WENT INTO FOOT. BLURRED VISSION, SWALLOWING ISSUES, ITCHY ALL OVER BODY AT TIMES. WIERD BRUISES BEHIND LEGS. ON SEPT/ 23/ 2021 WAS RUSHED TO Hospital AND THEN TRANSFERRED TO another Hospital. HAD AT LEAST 8 SEIZURES AND PUT ON OXYGEN. LEFT HOSPITAL SEPT/ 26/ 2021.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Scan brain, Seizure, Vision blurred
Clinical narrative: DULL NUMBING IN LEFT THIGH SINCE 3 WEEKS AFTER INJECTIONS AND WENT INTO FOOT. BLURRED VISSION, SWALLOWING ISSUES, ITCHY ALL OVER BODY AT TIMES. WIERD BRUISES BEHIND LEGS. ON SEPT/ 23/ 2021 WAS RUSHED TO Hospital AND THEN TRANSFERRED TO another Hospital. HAD AT LEAST 8 SEIZURES AND PUT ON OXYGEN. LEFT HOSPITAL SEPT/ 26/ 2021.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Partial numbness/paresthesia of left side of face
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: CHIEF COMPLAINT/REASON FOR VISIT Chest Pain     HISTORY OF PRESENT ILLNESS  Pt is a COVID positive 83-year-old male with an extensive past medical history significant for CAD status post PCI of, heart failure with reduced ejection fraction most recent EF on 10/4 was 31%, atrial fibrillation status post pacemaker placement (not on anticoagulation due to recent history of GI bleed), mantle cell lymphoma on chemotherapy (recent history of tumor lysis syndrome during hospitalization from 09/21-9/30), who presents today with generalized weakness and mild central chest discomfort.  Of note, he was recently hospitalized from October 2nd through October 7th on the Cardiology Service for COVID-19 infection with acute o
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: CHIEF COMPLAINT/REASON FOR VISIT Chest Pain     HISTORY OF PRESENT ILLNESS  Pt is a COVID positive 83-year-old male with an extensive past medical history significant for CAD status post PCI of, heart failure with reduced ejection fraction most recent EF on 10/4 was 31%, atrial fibrillation status post pacemaker placement (not on anticoagulation due to recent history of GI bleed), mantle cell lymphoma on chemotherapy (recent history of tumor lysis syndrome during hospitalization from 09/21-9/30), who presents today with generalized weakness and mild central chest discomfort.  Of note, he was recently hospitalized from October 2nd through October 7th on the Cardiology Service for COVID-19 infection with acute o
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, Chest discomfort, SARS-CoV-2 test positive
Clinical narrative: CHIEF COMPLAINT/REASON FOR VISIT Chest Pain     HISTORY OF PRESENT ILLNESS  Pt is a COVID positive 83-year-old male with an extensive past medical history significant for CAD status post PCI of, heart failure with reduced ejection fraction most recent EF on 10/4 was 31%, atrial fibrillation status post pacemaker placement (not on anticoagulation due to recent history of GI bleed), mantle cell lymphoma on chemotherapy (recent history of tumor lysis syndrome during hospitalization from 09/21-9/30), who presents today with generalized weakness and mild central chest discomfort.  Of note, he was recently hospitalized from October 2nd through October 7th on the Cardiology Service for COVID-19 infection with acute o
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pruritus, Rash, Swelling
Clinical narrative: Itching on her trunk and arms, itchy throat, had chest pain and dyspnea. Reports she was wheezing 10/7/21 and used her daughter's inhaler.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Dyspnoea, Pruritus, Throat irritation, Tryptase
Clinical narrative: Itching on her trunk and arms, itchy throat, had chest pain and dyspnea. Reports she was wheezing 10/7/21 and used her daughter's inhaler.