chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Neck pain, Troponin normal
Clinical narrative: Reported Symptoms: 10008479:CHEST PAIN; 10013963:DYSPNEA; Narrative: On 10/19. pt received 1st dose of Pfizer COVID-19 vaccine. On 10/22, pt reached out to Nurse with complaints of 7/10 chest pain, SOB, headache, and neck pain. Pt was recommended to go to ER. ER performed several examinations (chest X-ray, troponin, D-dimer, lung auscultation, etc.) which were negative. Pt was recommended to make a follow-up appt with PCP prior to receiving 2nd COVID vaccine. On 11/3, pt spoke with facility care team, who stated that the only contraindications to COVID-19 vaccinations are allergic reactions (e.g. anaphylaxis) to the COVID-19 vaccines or their components. Pt received 2nd dose of Pfizer COVID-19 vaccine on 11/19. F/U testing at PCP appts did not find any condition (ischemia, PE, etc.) that can explain symptoms. Other Relevant HX: Other: DYSPNEA; CHEST PAIN
Age: 76.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema, Pruritus
Clinical narrative: Reported Symptoms: 10015150:ERYTHEMA; 10037087:PRURITUS; Narrative: Other Relevant HX: Other: PRURITUS; ERYTHEMA
Age: 55.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site swelling, Lymphadenopathy
Clinical narrative: Reported Symptoms: 10022086:INJECTION SITE PAIN; 10025186:LYMPH NODES ENLARGED; 10053425:INJECTION SITE SWELLING; Narrative: Other Relevant HX: Second shot not scheduled at this time due to reaction to first dose Other: lymph node enlargement; injection site pain/swelling
Sex: M
Vaccine: COVID19
Symptoms: Angioedema, Pharyngeal swelling, Swollen tongue, Throat tightness, Tongue oedema
Clinical narrative: Reported Symptoms: 10002424:ANGIOEDEMA; 10014257:EDEMA TONGUE; 10043528:THROAT TIGHTNESS;  Narrative: Other Relevant HX: Other: SWELLING OF THROAT: SWELLING OF TONGUE
Age: 58.0
Sex: M
Vaccine: FLU4
Symptoms: Erythema, Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling
Clinical narrative: Reported Symptoms: 10015150:ERYTHEMA; 10042674:SWELLING; 10042680:SWELLING ARM; 10046735:URTICARIA; Narrative: patient didn't further have complaints in regards to flu vaccine and got her 7th covid shot on 11/17/2023 (which was 14 days later) Other Relevant HX: This was the patient's 10th flu vaccine received since 2012, this was first reported complaint from flu vaccine patient has reported in documentation (med chart). per patient: Just wanted to let you know that I had a reaction to the flu shot. About a four inch circle Red, hard knots under the swelling. Itchy. The nurse here at work had me treat it with cortisone cream and hot compress. It will be fine. (located at injection site) Other: URTICARIA; ERYTHEMA; SWELLING; SWELLING OF ARM
Age: 58.0
Sex: M
Vaccine: FLU4
Symptoms: Peripheral swelling, Swelling, Urticaria
Clinical narrative: Reported Symptoms: 10015150:ERYTHEMA; 10042674:SWELLING; 10042680:SWELLING ARM; 10046735:URTICARIA; Narrative: patient didn't further have complaints in regards to flu vaccine and got her 7th covid shot on 11/17/2023 (which was 14 days later) Other Relevant HX: This was the patient's 10th flu vaccine received since 2012, this was first reported complaint from flu vaccine patient has reported in documentation (med chart). per patient: Just wanted to let you know that I had a reaction to the flu shot. About a four inch circle Red, hard knots under the swelling. Itchy. The nurse here at work had me treat it with cortisone cream and hot compress. It will be fine. (located at injection site) Other: URTICARIA; ERYTHEMA; SWELLING; SWELLING OF ARM
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: Joint swelling, Oedema, Oedema peripheral, Peripheral swelling
Clinical narrative: Reported Symptoms: 10034570:PERIPHERAL EDEMA;  Narrative: The patient experienced bilateral feet and ankle swelling after receiving the Pfizer COVID 19 Bivalent vaccine on 7 August 2023. The patient was seen by a provider on 14 August 2023 and documented that the patient had non-pitting edema to feet up to bilateral ankles possibly due to the vaccine. The patient was released to home to follow up with his primary care provider. Other Relevant HX: Other: bilateral swelling legs and feet
Age: 54.0
Sex: M
Vaccine: HEP
Symptoms: Presyncope
Clinical narrative: Reported Symptoms:  10047166:VASOVAGAL REACTION;    Narrative:  Other Relevant HX:  Other:  VASOVAGAL REACTION
Age: 83.0
Sex: F
Vaccine: RSV
Symptoms: Device malfunction
Clinical narrative: Reported Symptoms: Narrative: Product malfunction. Not given to a patient and no patient centric ADR occurred. When preparing the vaccine, the diluent syringe that was luer locked with the vial mate adapter to the antigen, did not flow smoothly into the vial to reconstitute. There was leakage of diluent liquid out of the vial mate adapter that prevented the vaccine from being reconstituted appropriately. Product not administered. Other Relevant HX: Other: Product malfunction
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Malaise, Peripheral swelling
Clinical narrative: Reported Symptms: 10016256:FATIGUE; 10016365:FEELING SICK; 10042688:SWELLING ARM; Narrative: Other Relevant HX: Other: Arm swelling, fatigue, "felt sick"
Age: 78.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: Chills, Hyperhidrosis, Pyrexia, Tremor
Clinical narrative: Reported Symptoms: 10008531:CHILLS; 10016558:FEVER; 10039177:RIGORS; 10040527:SHAKINESS; 10042661:SWEATING;  Narrative: Other Relevant HX: Other: sweats/chills/shaking/rigors
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: Allergy to vaccine, Angioedema, Hypersensitivity, Rash
Clinical narrative: Reported Symptoms: 10082424:ANGIOEDEMA: 10037844:RASH;   Narrative:  Patient administered vaccine, developed rash 2 days later. Per his report, stated he had similar reaction 6 months prior and had not received previous Covid vaccine in this time frame. He presumed reaction was from starting new eye drops, however was seen at urgent care who noted he was having an allergic reaction but did not appear to be to eye drops. For safety, allergy to vaccine was added as no other potential cause noted. Of note, he had no previous reaction to any prior covid vaccines. Other Relevant HX: Other:
Age: 77.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Diarrhoea, Hyperhidrosis, Pyrexia, Urinary incontinence
Clinical narrative: Reported Symptoms: 10005886:BLURRED VISION; 10008531:CHILLS; 10012727:DIARRHEA; 10016558:FEVER; 10042661:SWEATING; 10046543:URINARY INCONTINENCE: 10047700:VOMITING; Narrative: Other Relevant HX: Other: Chills, increased sweating, uncontrollable urination
Age: 77.0
Sex: M
Vaccine: VARZOS
Symptoms: Vision blurred, Vomiting
Clinical narrative: Reported Symptoms: 10005886:BLURRED VISION; 10008531:CHILLS; 10012727:DIARRHEA; 10016558:FEVER; 10042661:SWEATING; 10046543:URINARY INCONTINENCE: 10047700:VOMITING; Narrative: Other Relevant HX: Other: Chills, increased sweating, uncontrollable urination
Age: 76.0
Sex: M
Vaccine: VARZOS
Symptoms: Anaphylactic reaction, Dyspnoea, Throat tightness
Clinical narrative: Reported Symptoms: 10002218:ANAPHYLAXIS; 10040604:SHORTNESS OF BREATH; 10043528:THROAT TIGHTNESS; Narrative: Other Relevant HX: Other: Vaccine administered at facility in March 2023, patient reports throat swelling and shortness of breath occurred leading him to visit Non-facility ED. Does not report treatment or course of events during time in ED.
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: Rash
Clinical narrative: Reported System: 10035116:PITVRIASIS RUBRA PILARIS; 10037549: PURPURA; 10037844;RASH;   Narrative:  Patient received COVID 19 Pfizer Booster vaccine (4th dose) and experienced Pityriasis rubra pilaris-like eruption that started around September 2022.  The patient's rash expanded and worsened over several months. Dr. documented the reaction in his note from 29 June 23.  The patient was treated with topical and oral steroids, methotrexate, and Risankizumab (SYRIZA). The patient's rash was improving, but still present as of 29 June 23. The provider recommends avoiding any future Covid 19 vaccines. Other Relevant HX: Other Pityriasis rubra pilaris-like eruption
Age: 53.0
Sex: M
Vaccine: COVID19-2
Symptoms: Flushing, Hypertension
Clinical narrative: Reported Symptoms: 10016825: FLUSHING; 10020772: HYPERTENSION;   Narrative: pt developed Hypertension and flushed after second vaccine of Pfizer COVID  Other Relevant HX:  Flushing and Hypertension
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Eye pruritus, Pruritus, Rash, Rash erythematous, Rash pruritic
Clinical narrative: Reported Symptoms: 10015947:EYE ITCHING; 10037007:PRURITUS; 10037844:RASH; Narrative: 5/8/23 - 72-year-old male, with history of diabetes and COPD, presents with complaint red itchy rash with hives after receiving the shingles vaccine on May 4, 2023. Pt reports taking Benadryl with no improvement. Patient endorses he has an itchy red rash all over his body on his face, arms, chest, back, legs, with itchy eyes. Patient denies insect bites, viral illness, fever or chills, red streaks, shortness of breath or wheezing, swelling or exudates. Patient denies working in the yard or recent changes in medications, detergents, soaps or lotions. Pt scheduled for evaluation via Virtual Clinic Visit. Pt had no respiratory distress, stridor, or labored breathing. Pt had TNTC discrete erythemic papules on arm, face; no red streaks, exudates, or edema. Impression = allergic dermatitis, adverse medication reaction. Pt prescribed triamcinolone cream PRN and hydroxyzine PRN to be picked up 5/9. 5/9/23 - Pt prescribed 5d supply of prednisone to be picked up on 5/9 when other meds are picked up. Other Relevant HX: PMH includes diabetes, COPD, asthma, chronic kidney disease, colon polyp, gastric polyp, hemorrhoids, brachial plexus neuralgia, carpal tunnel, esophageal dysphagia, restless legs, meralgia paresthetica, snapping thumb syndrome, joint pain, abdominal pain, osteoarthrosis involving spine, diverticulosis, GERD, sleep apnea, HTN, hyperlipidemia, ED. Other: ITCHING OF EYE; RASH; PRURITUS
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Urticaria
Clinical narrative: Reported Symptoms: 10015947:EYE ITCHING; 10037007:PRURITUS; 10037844:RASH; Narrative: 5/8/23 - 72-year-old male, with history of diabetes and COPD, presents with complaint red itchy rash with hives after receiving the shingles vaccine on May 4, 2023. Pt reports taking Benadryl with no improvement. Patient endorses he has an itchy red rash all over his body on his face, arms, chest, back, legs, with itchy eyes. Patient denies insect bites, viral illness, fever or chills, red streaks, shortness of breath or wheezing, swelling or exudates. Patient denies working in the yard or recent changes in medications, detergents, soaps or lotions. Pt scheduled for evaluation via Virtual Clinic Visit. Pt had no respiratory distress, stridor, or labored breathing. Pt had TNTC discrete erythemic papules on arm, face; no red streaks, exudates, or edema. Impression = allergic dermatitis, adverse medication reaction. Pt prescribed triamcinolone cream PRN and hydroxyzine PRN to be picked up 5/9. 5/9/23 - Pt prescribed 5d supply of prednisone to be picked up on 5/9 when other meds are picked up. Other Relevant HX: PMH includes diabetes, COPD, asthma, chronic kidney disease, colon polyp, gastric polyp, hemorrhoids, brachial plexus neuralgia, carpal tunnel, esophageal dysphagia, restless legs, meralgia paresthetica, snapping thumb syndrome, joint pain, abdominal pain, osteoarthrosis involving spine, diverticulosis, GERD, sleep apnea, HTN, hyperlipidemia, ED. Other: ITCHING OF EYE; RASH; PRURITUS
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue
Clinical narrative: Reported Symptoms: 10016256:FATIGUE; Narrative: Other Relevant HX: Other: FATIGUE
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertension
Clinical narrative: Reported Symptoms: 10020772:HYPERTENSION;  Narrative: Other Relevant HX:
Sex: M
Vaccine: FLUX
Symptoms: Influenza like illness
Clinical narrative: Reported Symptoms: 10016797:FLU-LIKE SYMPTOMS; Narrative: A 41yo male with medical history of Anxiety, Migraine, TBI, Tinnitus, Malaria, OA, Chronic PTSD, Irritable Bowel, Chronic pain and Exposure to Toxin. On May 1, 2023, he presented to PCC MD, as a new patient to establish care. The PCC attending physician reported the patient had a historical ADR of Influenza vaccine induced Flu - like symptoms and updated patient's allergy profile. No other detailed information regarding the vaccine and when, where and by who it was administered was provided. Other Relevant HX: Other: INFLUENZA-LIKE ILLNESS
Sex: F
Vaccine: COVID19
Symptoms: Allergy to vaccine, Pharyngeal swelling, Throat tightness
Clinical narrative: Reported Symptoms:  10043528:THROAT TIGHTNESS;  Narrative:  A 29yo female with PMH of Depression, Anxiety, Varicose veins and cyst in her knees/knee injuries. Per May 25, 2023 PCC attending physician's note, the patient presented to the clinic to establish care at the OC. The attending physician reported the patient had a historical ADR of Pfizer of Covid- 19 vaccine induced "Swelling of Throat" and updated allergy profile. No other detailed information was provided regarding the vaccine and where, when and who administered the vaccine. Other Relevant HX:  Other: SWELLING OF THROAT
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Seizure
Clinical narrative: Reported Symptoms: 10039906:SEIZURE; Narrative: Patient is a 73 year old male with past medical history including epilepsy, spasmodic movement, BPM, severe acute respiratory syndrome, and HLD. He received one dose of the J&J vaccine on 4/9/2021 and experienced a seizure 4-5 days later. Around the time of the seizure, pertinent medications included lacosamide and lamotrigina. No information regarding seizure treatment was found within system, the patient was not hospitalized. Other Relevant HX: Other: SEIZURE
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chronic obstructive pulmonary disease, Condition aggravated, SARS-CoV-2 test positive
Clinical narrative: Reported Symptoms: 10054112:HOSPITALISATION; 10067923:VACCINE BREAKTHROGH INFECTION; 10084355:COVID-19 VIRUS TEST POSITIVE; Narrative: Hospitalization- fully vaccinated, COVID positive admitted with severe COVID pneumonia and COPD exacerbation. Patient was treated with remdesivir, azithromycin, and prednisone. Other Relevant HX: Other: Hospitalization- fully vaccinated, COVID positive
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Reported Symptoms: 10054112:HOSPITALISATION; 10067923:VACCINE BREAKTHROGH INFECTION; 10084355:COVID-19 VIRUS TEST POSITIVE; Narrative: Hospitalization- fully vaccinated, COVID positive admitted with severe COVID pneumonia and COPD exacerbation. Patient was treated with remdesivir, azithromycin, and prednisone. Other Relevant HX: Other: Hospitalization- fully vaccinated, COVID positive
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Hypoxia, Intensive care, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Reported Systems: 10054112:HOSPIALISATION; 10067923:VACCINE BREAKTHROUGH INFECTION; 10084355:COVID-19 VIRUS TEST POSITIVE; Narrative: Hospitalization- COVID positive, fully vaccinated .Admitted to ICU with PNA and hypoxia. Treated with ceftriaxone and dexamethasone.Discharged home with dexamethasone 5 day course. Other Relevant HX: Other: Hospitalization- COVID positive, fully vaccinated
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Reported Systems: 10054112:HOSPIALISATION; 10067923:VACCINE BREAKTHROUGH INFECTION; 10084355:COVID-19 VIRUS TEST POSITIVE; Narrative: Hospitalization- COVID positive, fully vaccinated .Admitted to ICU with PNA and hypoxia. Treated with ceftriaxone and dexamethasone.Discharged home with dexamethasone 5 day course. Other Relevant HX: Other: Hospitalization- COVID positive, fully vaccinated
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Wheezing
Clinical narrative: Reported Symptoms: 10047924:WHEEZING; Narrative: Other Relevant HX: Other: WHEEZING
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Joint swelling, Refusal of vaccination
Clinical narrative: Reported Symptoms: 10042697:SWELLING OF KNEES; Narrative; Per review of chart, patient refused COVID-19 booster on 2/23/23. Of note patient received initial dose of Moderna COVID-19 vaccine on 12/29/20. Patient received a second dose of Moderna COVID-19 vaccine on 3/12/21, which was verified on state shots. Per PCP notes on 2/23/23, patient reports that 10 days after COVID vaccine, he experienced worsening pain and swelling in his right knee. Reported per EUA. Other Relevant HX: Other: Swelling of right knee
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Injection site pain, Wrong technique in product usage process
Clinical narrative: Reported Symptoms: 10022086:INJECTION SITE PAIN; Narrative: On 07/19/2023 on 1345 RN administered the entire vial of Covid 19 Moderna Bivalent vaccine which is 5 doses, the pharmacy was notified they called CDC which referred them to Moderna which report to us that we could not overdose on antibodies. The doctor was notified of incident. The patient was notified to monitor or any site irritabilities and if any symptoms or concerns arise to call and or go to the ER. Patient only reported soreness to injection site at the time of entry per chart review. Other Relevant HX: Other: injection site pain
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Purpura, Rash, Urticaria
Clinical narrative: Reported Symptoms:  10037566:PURPURIC RASG; 10037844:RASH;  10046735:URTICARIA;    Narrative:  Other Relevant HX:  Other: URTICARIA; RASH: PURPURIC RASH
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19-2, COVID19-2
Symptoms: COVID-19, Gastroenteritis
Clinical narrative: Reported Symptoms: 10054112:HOSPITALISATION;   Narrative: Patient hospitalized for COVID-19 infection. Received treatment with dexamethasone and albuterol. Also, developed acute gastroenteritis secondary to COVID treated with lactobacillus and IV hydration. Patient discharged after two days of hospital stay.  Other Relevant HX: Hospitalization
Age: 71.0
Sex: M
Vaccine: FLUA4
Symptoms: Product administration error, Vaccination error
Clinical narrative: Reported Symptoms: 10063972:VACCINATION ERROR:  Narrative:  Patient received 2 flu vaccination on same day, 11/04/2022. Patient presented and checked into COVID/Flu clinic requesting COVID vaccine and Fly shot. Verified patient rcvd past COVID vaccination. Pt given COVID and flu 65+ vaccine. During discussion patient had rcvd other vaccines that same day at PCP appt. Confirmed patient rcvd flu shot during his previous appt on 11/04/2022. Other Relevant HX:  Other: Flu Vaccine Administration Error
Age: 81.0
Sex: M
Vaccine: COVID19-2, COVID19-2
Symptoms: Product administration error, Vaccination error
Clinical narrative: Reported Symptoms: 10069972:VACCINATION ERROR:   Narrative: Pt given second Bivalent COVID vaccine (10/2/22 AND 12/30/22). Should not have received second dose.  Other Relevant HX:  Other: COVID Vaccine Administration Error
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pain, Peripheral swelling, Swelling
Clinical narrative: Reported Symptoms: 10023698:LARGE ARM SWELLING; Narrative: Pt reported history of swelling arm, painful, erythema, significant swelling to MD. PCP MD flagged pt's chart with ADR to it. Other Relevant HX: Other: swelling of arm
Age: 55.0
Sex: M
Vaccine: COVID19-2
Symptoms: Unevaluable event
Clinical narrative: Reported Symptoms: 10063972:VACCINATION ERROR:   Narrative: Patient received Bivalent booster but had not had primary monovalent series (patient had stated he already received primary series, but was then discovered he had not) Other Relevant HX:  Other: COVID Vaccine Administration Error
Age: 73.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: Chills, Dizziness, Headache, Malaise, Tremor
Clinical narrative: Reported Symptoms: 10013573:Dizziness; 10019211:Headache;    Narrative: The day the patient received COVID bivalent booster, experienced a sudden onset of shaking chills, dizziness, blurred vision, and general malaise that evening. The following day, he felt daily episodes of dizziness and feels that he is continuously about to fall. He has never experienced episodes of dizziness in his life per patient. He continued to experience headache, both sides, and very discrete areas in the temporal area for about 2 weeks. He was treated with 40mg/day prednisone for the bilateral temporal headache and pain. Other Relevant HX: Other:
Age: 73.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: Vision blurred
Clinical narrative: Reported Symptoms: 10013573:Dizziness; 10019211:Headache;    Narrative: The day the patient received COVID bivalent booster, experienced a sudden onset of shaking chills, dizziness, blurred vision, and general malaise that evening. The following day, he felt daily episodes of dizziness and feels that he is continuously about to fall. He has never experienced episodes of dizziness in his life per patient. He continued to experience headache, both sides, and very discrete areas in the temporal area for about 2 weeks. He was treated with 40mg/day prednisone for the bilateral temporal headache and pain. Other Relevant HX: Other:
Age: 69.0
Sex: M
Vaccine: HEP
Symptoms: Conjunctival oedema
Clinical narrative: Reported Symptoms: 10014210:EDEMA CONJUNCTIVAL; Narrative: Other Relevant HX: Other: swelling under eyes
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Tachycardia
Clinical narrative: Reported Symptoms: 10043071:TACHYCARDIA; Narrative: Other Relevant HX: Other
Age: 60.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth, Rash
Clinical narrative: Reported Symptoms: 10037844:RASH; Narrative: Localized redness and soreness from pneumonia shot received on 7/25/23. Area is warm/hard to touch and painful at the slightest touch. Patient states that the area started off with a small red area and has to continued to get bigger. Area now meausres about an 1 1/2 inch in diameter. Patient denies history of skin reaction with any previous vaccines Other Relevant HX: Other:
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Diarrhoea, Headache, Injection site swelling, Myalgia
Clinical narrative: Reported Symptoms: 10003239:ARTHRALGIA; 10012727:DIARRHEA; 10019211:HEADACHE; 10028411:MYALGIA; 10043876:TINGLING; 10053425:INJECTION SITE SWELLING; Narrative: Other Relevant HX: Other: Swelling @ inj site w/ 'tingling' distally
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Paraesthesia
Clinical narrative: Reported Symptoms: 10003239:ARTHRALGIA; 10012727:DIARRHEA; 10019211:HEADACHE; 10028411:MYALGIA; 10043876:TINGLING; 10053425:INJECTION SITE SWELLING; Narrative: Other Relevant HX: Other: Swelling @ inj site w/ 'tingling' distally
Age: 48.0
Sex: M
Vaccine: FLUX
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Reported Symptoms: 10037087:PRURITUS; 10037844:RASH; 10046735: URTICARIA; Narrative: Other Relevant HX: Other URTICARIA (1/5/23@11:05:07); PRURITUS (1/5/23@11:05:07)
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Deep vein thrombosis, Phlebitis superficial, Superficial vein thrombosis
Clinical narrative: Reported Symptoms: 10043570:THROMBOPHLEBITIS;    Negative: 51 y o male with h/o LLE DVT and left leg superficial  thrombophlebitis, the former occurring after known covid infection and the GSV  phlebitis occurred after the moderna vaccines. he has no other known thrombotic  risk factors.  He had initial two vaccines, Moderna 5/7/21 and 6/8/21.  Superficial thrombophlebitis left leg Sept 13, 2021 and then DVT LLE Feb 2022. Other Relevant HX: 51 y o male with h/o LLE DVT and left leg superficial thrombophlebitis . the former occurring after known covid infection and the GSV phlebitis occurred after the moderna vaccines. He has no other thrombotic  risk factors.  He had initial two vaccines, Moderna 5/7/21 and 6/8/21. Superficial thrombophlebitis left leg Sept 13, 2021 and then DVT LLE Feb 2022. Other: superficial thrombophlebitis
Age: 57.0
Sex: M
Vaccine: FLUX
Symptoms: Angioedema, Lip swelling
Clinical narrative: Reported Symptoms: 10002424:ANGIOEDEMA; 10024570:LIP SWELLING; Narrative: Patient reports lip swelling with previous doses of influenza vaccine Other Relevant HX: Other: LIP SWELLING (01/12/23@15:37:23)
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: Dizziness, Fatigue, Influenza like illness
Clinical narrative: Reported Symptoms: 10013573:DIZZINESS; 10016256:FATIGUE; 10039897:SEDATION; Narrative: 65yoM with PMH of cirrhosis of the liver, COPD, HTN, Obesity, Hx of MI, hx of NSTEMI, DM and HLD called in to clinic 1/18/23 for medication reconciliation to establish care. At this time, pt reported experience of fatigue and dizziness following influenza vaccination on 10/26/22. At the same time he received his influenza vaccination, he also received his COVID 19 Moderna Bivalent Booster vaccination. There is no document of report w/in EMR notes. Pt did report flu like sx during 11/21/22 f/u appointment for HTN management but no other notes or documentation can be found. Other Relevant HX: Other: DIZZINESS (01/20/23@15:24:18); FATIGUE (1/20/23@15:24:18)
Age: 88.0
Sex: M
Vaccine: FLUA4
Symptoms: Dizziness
Clinical narrative: Reported Symptoms: 10013573:DIZZINESS; Narrative: Other Relevant HX:
Sex: M
Vaccine: FLUX
Symptoms: Pruritus, Urticaria
Clinical narrative: Reported Symptoms: 10037087:PRURITUS; 10046735:URTICARIA; Narrative: Other Relevant HX: Other: URTICARIA
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Reported Symptoms:  10037844:RASH;  Narrative:  Other Relevant HX:  Other:
Age: 70.0
Sex: M
Vaccine: FLUX
Symptoms: Pruritus
Clinical narrative: Reported Symptoms: 10037087:PRURITUS; Narrative: Pt reported history of itchy (urticaria) post influenza vaccine in 2006 to new Primary care provider. PCP flagged pt's chart with historical ADR to it. No info available from 2006 to record more information about the ADR to vaccine from 2006 - unknown location where pt received it. Pt no longer gets flu shots. Other Relevant HX: Other:
Age: 77.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash pruritic
Clinical narrative: Reported Symptoms: 10037087:PRURITUS; 10037844:RASH; Narrative: 77 yo male presents with itchy skin rash in knee, back, lower abdomen, left breast nipple, he states he first experienced the rash a week after he received shingrix vaccine, in the same time he received his immunotheray injection Besrami which he is using since last year for plycythemia Vera, he has no rash at shingrix vaccination site, no rash in oral mucosa, no Fever, no history taking any other new medicine, new detergent. He states he is very intolerant to hot water .Not sure cause, unsure if rash for shingrix or Besremi or cross interaction, Besremi is on hold. Other Relevant HX: Other:
Age: 82.0
Sex: M
Vaccine: TDAP
Symptoms: Needle issue
Clinical narrative: Reported Symptoms: 10069217:NEEDLE ISSUE;   Narrative: Needle that was used to administer the vaccine had a crack in it requiring the vaccine to be readministered. Originally reported 3/3/23  Pictures area available in system. Needle: 25G x 1 in [0.5mm x 25mm] lot 4271402 Manufactured Date 2022-04-12 Expiration Date 2027-04-12 Other Relevant HX:  Other: needle issue
Age: 33.0
Sex: M
Vaccine: PNC20
Symptoms: Angioedema
Clinical narrative: Reported Symptoms: 10002424:ANGIOEDEMA; Narrative: Other Relevant HX:
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: Hyperglycaemia
Clinical narrative: Reported Symptoms: 10020639:HYPERGLYCEMIA; Narrative: 68yoM with PMH of Atypical Chest Pain, OA, Obesity, HTN and DM was seen in clinic 2/16/23 for HTN management. At this time, pt reported hyperglycemia with previous COVID-19 Moderna vaccination booster received 11/14/22 at same time as Influenza vaccine. During visits in clinic in between time of vaccination until time adr reported, pt never previously reported this adr. On 12/13/22 f/u appointment with PCP it was noted pt DM was well controlled on current regimen without any notes of hyperglycemia. No other information found, and no exact note of pt adr noted w/in EMR. Pt also has hx of snacking and hyperglycemia could have been related to this rather than vaccination. Other Relevant HX: Other: HYPERGLYCEMIA (2/16/23@11:56:11)
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Reported Symptoms:  10037097:PRURITUS; 10046735:URTICARIA;  Narrative: Other Relevant HX:  Other: URTICARIA (2/7/23@10:52:59)
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Fatigue, Hypotension
Clinical narrative: Reported Symptoms:  10016256:FATIGUE; 10021097: HYPOTENSION; 10047865:WEAKNESS GENERALIZED;   Narrative: Other Relevant HX:  Other: weakness/fatigue
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Pain, Pyrexia
Clinical narrative: Reported Symptoms: 10016558:FEVER; 10028411:MYALGIA; 10033371:PAIN; Narrative: 45yoM with PMH CAD, HLD, Low Back Pain and Obesity consulted with pharmacist on 2/21/23 for med rec and reported that when he received COVID-19 Vaccination he experienced a fever and generalized aches and pains. It is unknown what COVID vaccine he received, how many, where, when and by whom. Other Relevant HX: Other: FEVER (2/21/23@15:42:46); GENERALIZED ACHES AND PAIN (2/21/23@15:42:46)
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, COVID-19, Cough, Diarrhoea, Malaise
Clinical narrative: Reported Symptoms: 10011232:COUGHING; 10028411:MYALGIA; 10033556:PALPITATION; 10084268:COVID-19; Narrative: Patient received two doses of Pfizer covid 19 vaccine (Mar/Apr 2021). The patient presented to the ED on 17 Jan 23 with dry cough, malaise, and diarrhea. The patient tested positive for COVID 19 on 17 Jan 23 and was admitted to the hospital with COVID with diarrhea and afib. The patient was treated for symptoms. The patient was discharged in stable condition on 25 Jan 2023. Reported per EUA. Other Relevant HX: Other: covid 19
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myalgia, Palpitations, SARS-CoV-2 test positive
Clinical narrative: Reported Symptoms: 10011232:COUGHING; 10028411:MYALGIA; 10033556:PALPITATION; 10084268:COVID-19; Narrative: Patient received two doses of Pfizer covid 19 vaccine (Mar/Apr 2021). The patient presented to the ED on 17 Jan 23 with dry cough, malaise, and diarrhea. The patient tested positive for COVID 19 on 17 Jan 23 and was admitted to the hospital with COVID with diarrhea and afib. The patient was treated for symptoms. The patient was discharged in stable condition on 25 Jan 2023. Reported per EUA. Other Relevant HX: Other: covid 19
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, Chills, Hypertension, Myalgia
Clinical narrative: Reported Symptoms: 10028411:MYALGIA; 10084268:COVID-19; Narrative: Patient received three doses of Moderna COVID 19 vaccine (Jan/Feb/Oct 2021). The patient presented to the ED on 21 Jan 2023 with complaints of weakness and chills. The patient tested positive for COVID 19 on 21 Jan 23. The patient was admitted to the hospital on 21 Jan 23 with covid 19, hypertension, and UTI. The patient was treated with antibiotics and remdesivir. The patent was discharged on 23 Jan 23. Reported per EUA. Other Relevant HX: Other: covid 19
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: Reported Symptoms: 10028411:MYALGIA; 10084268:COVID-19; Narrative: Patient received three doses of Moderna COVID 19 vaccine (Jan/Feb/Oct 2021). The patient presented to the ED on 21 Jan 2023 with complaints of weakness and chills. The patient tested positive for COVID 19 on 21 Jan 23. The patient was admitted to the hospital on 21 Jan 23 with covid 19, hypertension, and UTI. The patient was treated with antibiotics and remdesivir. The patent was discharged on 23 Jan 23. Reported per EUA. Other Relevant HX: Other: covid 19
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Confusional state, Cough, Myalgia, Pain
Clinical narrative: Reported Symptoms: 10010300:CONFUSION; 10011232: COUGHING; 10016558:FEVER; 10028411:MYALGIA; 10084401:COVID-19 RESPIRATORY INFECTION; Narrative: Patient received three doses of Pfizer COVID 19 vaccine in Feb/Oct 2021. The patient presented to the ED on 3 Jan 2023 after having symptoms of cough, body aches, confusion, and fever for 10 days without improvement. The patient tested positive for COVID on 2 Jan 2023. The patient was admitted to the hospital on 3 Jan 2023 with COVID infection for observation. The patient was treated for symptoms and discharged on 4 Jan 2023 in stable condition. Reported per EUA. Other Relevant HX: Other: covid infection
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Reported Symptoms: 10010300:CONFUSION; 10011232: COUGHING; 10016558:FEVER; 10028411:MYALGIA; 10084401:COVID-19 RESPIRATORY INFECTION; Narrative: Patient received three doses of Pfizer COVID 19 vaccine in Feb/Oct 2021. The patient presented to the ED on 3 Jan 2023 after having symptoms of cough, body aches, confusion, and fever for 10 days without improvement. The patient tested positive for COVID on 2 Jan 2023. The patient was admitted to the hospital on 3 Jan 2023 with COVID infection for observation. The patient was treated for symptoms and discharged on 4 Jan 2023 in stable condition. Reported per EUA. Other Relevant HX: Other: covid infection
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Dyspnoea, Influenza like illness, Productive cough
Clinical narrative: Reported Symptoms: 10011232:COUGHING; 10038678:RESPIRATORY DEPRESSION; 10043088:TACHYPNEA; 10084380:COVID-19:PNEUMONIA; Narrative: The patient received four doses of Pfizer COVID 19 vaccine. The patient presented to the ED on 14 Jan 2023 with shortness of breath, productive cough, flulike symptoms, and increased oxygen use. The patient tested positive for COVID 19 on 14 Jan 2023 and was admitted to the hospital with covid 19 pneumonia, respiratory failure, tocilizumab, and sepsis. The patient was treated with remdesivir, oxygen, and dexamethasone. The patent was discharged on 24 Jan 2023 in stable condition but not to pre-covid condition. Reported per EUA. Other Relevant HX: Other: covid pneumonia
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Respiratory depression, Respiratory failure, SARS-CoV-2 test positive, Sepsis, Tachypnoea
Clinical narrative: Reported Symptoms: 10011232:COUGHING; 10038678:RESPIRATORY DEPRESSION; 10043088:TACHYPNEA; 10084380:COVID-19:PNEUMONIA; Narrative: The patient received four doses of Pfizer COVID 19 vaccine. The patient presented to the ED on 14 Jan 2023 with shortness of breath, productive cough, flulike symptoms, and increased oxygen use. The patient tested positive for COVID 19 on 14 Jan 2023 and was admitted to the hospital with covid 19 pneumonia, respiratory failure, tocilizumab, and sepsis. The patient was treated with remdesivir, oxygen, and dexamethasone. The patent was discharged on 24 Jan 2023 in stable condition but not to pre-covid condition. Reported per EUA. Other Relevant HX: Other: covid pneumonia
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cough, Dyspnoea, Headache
Clinical narrative: Reported Symptoms: 10011232:COUGHING; 10019211:HEADACHE; 10024409:LFTS RAISED; 10028411:MYALGIA; 10038678:RESPIRATORY DEPRESSION; 10043088:TACHYPNEA; 10084380:COVID-19 PNEUMONIA; Narrative: Patient received four doses of Pfizer COVID 19 Vaccine (Jan 21, Aug 21, Nov 22) and one dose Moderna COVID 19 vaccine (Feb 22). The patient presented to the ED on 11 Jan 2023 with sinus headache, myalgia, shortness of breath, and dry cough. The patient tested positive for COVID 19 on 11 Jan 2023 and was admitted to the hospital with respiratory failure, COVID 19, and elevated LFTs. The patient was treated with remdesivir and steroids. The patient was discharged on 13 Jan 2023 in stable condition. The patient continues to feel residual COVID effects mentioned in report on 24 February 2023. Reported per EUA. Other Relevant HX: Other: covid pneumonia
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Liver function test increased, Myalgia, Respiratory depression, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Reported Symptoms: 10011232:COUGHING; 10019211:HEADACHE; 10024409:LFTS RAISED; 10028411:MYALGIA; 10038678:RESPIRATORY DEPRESSION; 10043088:TACHYPNEA; 10084380:COVID-19 PNEUMONIA; Narrative: Patient received four doses of Pfizer COVID 19 Vaccine (Jan 21, Aug 21, Nov 22) and one dose Moderna COVID 19 vaccine (Feb 22). The patient presented to the ED on 11 Jan 2023 with sinus headache, myalgia, shortness of breath, and dry cough. The patient tested positive for COVID 19 on 11 Jan 2023 and was admitted to the hospital with respiratory failure, COVID 19, and elevated LFTs. The patient was treated with remdesivir and steroids. The patient was discharged on 13 Jan 2023 in stable condition. The patient continues to feel residual COVID effects mentioned in report on 24 February 2023. Reported per EUA. Other Relevant HX: Other: covid pneumonia
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Sinus headache, Tachypnoea
Clinical narrative: Reported Symptoms: 10011232:COUGHING; 10019211:HEADACHE; 10024409:LFTS RAISED; 10028411:MYALGIA; 10038678:RESPIRATORY DEPRESSION; 10043088:TACHYPNEA; 10084380:COVID-19 PNEUMONIA; Narrative: Patient received four doses of Pfizer COVID 19 Vaccine (Jan 21, Aug 21, Nov 22) and one dose Moderna COVID 19 vaccine (Feb 22). The patient presented to the ED on 11 Jan 2023 with sinus headache, myalgia, shortness of breath, and dry cough. The patient tested positive for COVID 19 on 11 Jan 2023 and was admitted to the hospital with respiratory failure, COVID 19, and elevated LFTs. The patient was treated with remdesivir and steroids. The patient was discharged on 13 Jan 2023 in stable condition. The patient continues to feel residual COVID effects mentioned in report on 24 February 2023. Reported per EUA. Other Relevant HX: Other: covid pneumonia
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, Chills, Confusional state
Clinical narrative: Reported Symptoms: 10010300:CONFUSION; 10011232:COUGHING; 10011906:DEATH; 10038678:RESPIRATORY DEPRESSION; 10843068:TACHYPNEA; 10047700:VOMITING; 10084380:COVID-19 PNEUMONIA;  Narrative: Patient received two doses of Pfizer COVID 19 Vaccine (Jan 2021).  The patient presented to the ED on 9 Jan 2023 with shortness of breath, confusion, cough, chills, nausea, and weakness. The patient test positive for COVID 19 on 9 Jan 23 and was admitted to the hospital with COVID pneumonia and hematoma. The patient was treated with remdesivir, dexamethasone, oxygen and antibiotics. The patient was discharged o 19 Jan 2023 to covid skilled nursing facility.  On 6 February 2023, the patient's condition deteriorated due to covid related issues. The patient passed away on 22 February 2023 at a hospice center. Reported per EUA. Other Relevant Hx: Other: covid pneumonia
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Death, Dyspnoea, General physical health deterioration, Haematoma
Clinical narrative: Reported Symptoms: 10010300:CONFUSION; 10011232:COUGHING; 10011906:DEATH; 10038678:RESPIRATORY DEPRESSION; 10843068:TACHYPNEA; 10047700:VOMITING; 10084380:COVID-19 PNEUMONIA;  Narrative: Patient received two doses of Pfizer COVID 19 Vaccine (Jan 2021).  The patient presented to the ED on 9 Jan 2023 with shortness of breath, confusion, cough, chills, nausea, and weakness. The patient test positive for COVID 19 on 9 Jan 23 and was admitted to the hospital with COVID pneumonia and hematoma. The patient was treated with remdesivir, dexamethasone, oxygen and antibiotics. The patient was discharged o 19 Jan 2023 to covid skilled nursing facility.  On 6 February 2023, the patient's condition deteriorated due to covid related issues. The patient passed away on 22 February 2023 at a hospice center. Reported per EUA. Other Relevant Hx: Other: covid pneumonia
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Nausea, Respiratory depression, SARS-CoV-2 test positive, Tachypnoea, Vomiting
Clinical narrative: Reported Symptoms: 10010300:CONFUSION; 10011232:COUGHING; 10011906:DEATH; 10038678:RESPIRATORY DEPRESSION; 10843068:TACHYPNEA; 10047700:VOMITING; 10084380:COVID-19 PNEUMONIA;  Narrative: Patient received two doses of Pfizer COVID 19 Vaccine (Jan 2021).  The patient presented to the ED on 9 Jan 2023 with shortness of breath, confusion, cough, chills, nausea, and weakness. The patient test positive for COVID 19 on 9 Jan 23 and was admitted to the hospital with COVID pneumonia and hematoma. The patient was treated with remdesivir, dexamethasone, oxygen and antibiotics. The patient was discharged o 19 Jan 2023 to covid skilled nursing facility.  On 6 February 2023, the patient's condition deteriorated due to covid related issues. The patient passed away on 22 February 2023 at a hospice center. Reported per EUA. Other Relevant Hx: Other: covid pneumonia
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute kidney injury, Asthenia, COVID-19, COVID-19 pneumonia, Dyspnoea
Clinical narrative: Reported Symptoms: 10038436:RENAL FAILURE ACUTE; 10038678:RESPIRATORY DEPRESSION; 10040047:SEPSIS; 10043088: YACHYPNEA; 10084380:COVID-19 PNEUMONIA; Narrative: Patient received three doses Pfizer COVID 19 Vaccine (Jan/Oct 2021). The patient presented to the ED on 23 Jan 23 with weakness and shortness of breath. The patient tested positive for COVID 19 on 23 January 23 and was admitted to the hospital with acute kidney injury, respiratory failure, severe sepsis, and covid pneumonia. The patient was treated with oxygen, antibiotics, remdesivir, dexamethasone, and electrolytes. The patient was discharged on 28 February 2023 in stable condition. Reported per EUA. Other Relevant HX: Other: sepsis, covid pneumonia
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Respiratory depression, Respiratory failure, SARS-CoV-2 test positive, Sepsis, Tachypnoea
Clinical narrative: Reported Symptoms: 10038436:RENAL FAILURE ACUTE; 10038678:RESPIRATORY DEPRESSION; 10040047:SEPSIS; 10043088: YACHYPNEA; 10084380:COVID-19 PNEUMONIA; Narrative: Patient received three doses Pfizer COVID 19 Vaccine (Jan/Oct 2021). The patient presented to the ED on 23 Jan 23 with weakness and shortness of breath. The patient tested positive for COVID 19 on 23 January 23 and was admitted to the hospital with acute kidney injury, respiratory failure, severe sepsis, and covid pneumonia. The patient was treated with oxygen, antibiotics, remdesivir, dexamethasone, and electrolytes. The patient was discharged on 28 February 2023 in stable condition. Reported per EUA. Other Relevant HX: Other: sepsis, covid pneumonia
Sex: M
Vaccine: FLUX
Symptoms: Rash
Clinical narrative: Reported Symptoms: 10037844:RASH; Narrative: Other Relevant HX: This ADR to influenza is historical, during PCP appointment in which patient was offered immunizations he declined due to reported history of rash- this was recorded on the patient chart locally at this location. Patient has history of refusing influenza vaccinations since as far back as 2008 per chart review. In 2008 influenza with rash was recorded as historical ADR reported at different location per chart review. No additional information to provide at this time. Other: RASH (2/8/23@14:04:34)
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Asthenia, Atrial fibrillation, Balance disorder, Brain natriuretic peptide increased
Clinical narrative: Reported Symptoms: 10011232:COUGHING; 10012727:DIARRHEA; 10019211:HEADACHE; 10024895:LOW BLOOD PRESSURE; 10047700:VOMITING; 10047862:WEAKNESS; Narrative: 3/18/23 at 14:17 - Pt presented to ED with c/o NV/HA, weakness, fell 5x yesterday, one time hitting head and shoulder. Pt states his sx began after getting shingles vaccine on the 14th. Wife also states pt had low bp reading this am in the 90s. He states that since he received shingles vaccine on Tuesday he has become weak in his lower extremities. His wife states that he has fallen multiple times at home and at least on 2 of these falls he has hit his head. There was no loss of consciousness. She states twice he was so weak that she had to call family members to come help her get him up. The patient also complains of feeling off balance. Spouse states that he "cannot walk". At one point he attempted to crawl to the bathroom and when he got to the bathroom he was trying to get up to the toilet and hit his head on the toilet. Pt is COVID positive with multiple comorbidities, so will be admitted 3/18/23 to medical floor with following diagnosis: 1. COVID19 viral syndrome 2. Generalized weakness 3. Recurrent falls 4. Nausea and vomiting; resolved 5. chest pain; likely wall pain from his falls 6. Left sided abdominal pain; likely as a result of his falls Pt to medical floor 3/18/23 at 18:39. PRINICPAL DIAGNOSIS (Reason for admission after study): 1. Weakness, Recent multiple falls at home resulting in ribs fxs on left 2. Nausea and vomiting 3. COVID 4. Type II DM 5. HFpEF, not likely exacerbation 6. A. fib 7.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, Chest pain, Computerised tomogram, Computerised tomogram abdomen
Clinical narrative: Reported Symptoms: 10011232:COUGHING; 10012727:DIARRHEA; 10019211:HEADACHE; 10024895:LOW BLOOD PRESSURE; 10047700:VOMITING; 10047862:WEAKNESS; Narrative: 3/18/23 at 14:17 - Pt presented to ED with c/o NV/HA, weakness, fell 5x yesterday, one time hitting head and shoulder. Pt states his sx began after getting shingles vaccine on the 14th. Wife also states pt had low bp reading this am in the 90s. He states that since he received shingles vaccine on Tuesday he has become weak in his lower extremities. His wife states that he has fallen multiple times at home and at least on 2 of these falls he has hit his head. There was no loss of consciousness. She states twice he was so weak that she had to call family members to come help her get him up. The patient also complains of feeling off balance. Spouse states that he "cannot walk". At one point he attempted to crawl to the bathroom and when he got to the bathroom he was trying to get up to the toilet and hit his head on the toilet. Pt is COVID positive with multiple comorbidities, so will be admitted 3/18/23 to medical floor with following diagnosis: 1. COVID19 viral syndrome 2. Generalized weakness 3. Recurrent falls 4. Nausea and vomiting; resolved 5. chest pain; likely wall pain from his falls 6. Left sided abdominal pain; likely as a result of his falls Pt to medical floor 3/18/23 at 18:39. PRINICPAL DIAGNOSIS (Reason for admission after study): 1. Weakness, Recent multiple falls at home resulting in ribs fxs on left 2. Nausea and vomiting 3. COVID 4. Type II DM 5. HFpEF, not likely exacerbation 6. A. fib 7.