chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Pallor
Clinical narrative: Pt began to feel lightheaded and dizzy.  He did pass out while sitting in chair.  Quickly came back, woke back up and was able to answer orientation questions.  He did report that this always happens to him when he takes antihistamines.  Observed for a period of 5-7 minutes and felt / looked better.  Told him we would observe him for a period of 30 minutes.  Within 5 minutes, he had the exact same reaction.  Patient passed out, was pale and diaphoretic.  Blood pressure was 65/39 with HR 45 (3/16 @ 1430).  At that time, he was moved to a gurney and placed in Trendelenburg position.  Patient observed. repeat blood pressure at 1435 was 104/64 with HR 68.  Patient continued in Trendelenburg position.  Patient observed until 1455.  Repeat blood pressure at 1452 was 105/69 with HR 73.  Patient looked and felt better.  He refused to go to ED.  Wife to stay with patient and observe this evening and afternoon.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Paraesthesia oral, Rash
Clinical narrative: My lips started to tingle (same reaction as cobalt allergy before my lips swell).  I asked if I could take benadryl (which I brought with me).  The person watching us texted someone and they came in and looked at me, asked me what was happening, took my blood pressure and said to take 2 benadryl.  I told the nurse I only take one benedryl when this happens.  She said take 2 benadryl.  I did take 2 benadryl 12 minutes after my  vaccine.  My blood pressure went up.  They called an ambulance and I went to the Hospital.  My blood pressure was 176/105 at 11:50 am.  While I was in the ER, I took a selfie and noticed that I had a rash.  No one mentioned that earlier so I am guessing that is why they had me take 2 benadryl.  At the ER I was put on an IV - NS .09% 1000ML at 12:27 pm.  Then at 13:04 I was given Pepcid 40 MG/NS 250 ML IV at 500 ml/hr intravenous.  At 1:12 pm my blood pressure was 138/96 and at 2:31 pm it was 135/70.  My rash went away then.  Up until last week I have been taking benadryl and/or pepcid everyday since the vaccine.   I would still get a rash.  I have not had the rash for about 5 days.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tininitud
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose increased
Clinical narrative: Blood sugar levels increased over 100 points. Averaged around 260.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood potassium decreased, Blood pressure increased, Blood sodium normal, Chest X-ray normal, Disorientation
Clinical narrative: Pt received her 1st Moderna covid vaccine at Clinic on 3/11/21. She noted a history of bee stings and that she has an epi pen at home so was given the shot and monitored for 30 minutes. 20 minutes post vaccine, patient noted she felt dizzy and somewhat disoriented. She noted a dry throat and like her arms and legs felt funny "like jello". Her husband alerted staff at the vaccination site and EMS assessed her. She said she was told her blood pressure was high for her but otherwise vitals were fine. She denied itching, or shortness of breath or trouble breathing. She actually asked her husband to go home and get her epi pen and he returned with it and was given a dose of epi and sent to the local emergency room for evaluation. She said she felt better by the time she got their but was monitored for a number of hours. She felt completely fine by the time she was discharged. She noted for a few days following the vaccine she felt fatigued and a slightly itchy spot at injection site but that's it.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dry throat, Electrocardiogram normal, Fatigue, Haemoglobin normal
Clinical narrative: Pt received her 1st Moderna covid vaccine at Clinic on 3/11/21. She noted a history of bee stings and that she has an epi pen at home so was given the shot and monitored for 30 minutes. 20 minutes post vaccine, patient noted she felt dizzy and somewhat disoriented. She noted a dry throat and like her arms and legs felt funny "like jello". Her husband alerted staff at the vaccination site and EMS assessed her. She said she was told her blood pressure was high for her but otherwise vitals were fine. She denied itching, or shortness of breath or trouble breathing. She actually asked her husband to go home and get her epi pen and he returned with it and was given a dose of epi and sent to the local emergency room for evaluation. She said she felt better by the time she got their but was monitored for a number of hours. She felt completely fine by the time she was discharged. She noted for a few days following the vaccine she felt fatigued and a slightly itchy spot at injection site but that's it.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Muscular weakness, Troponin, White blood cell count normal
Clinical narrative: Pt received her 1st Moderna covid vaccine at Clinic on 3/11/21. She noted a history of bee stings and that she has an epi pen at home so was given the shot and monitored for 30 minutes. 20 minutes post vaccine, patient noted she felt dizzy and somewhat disoriented. She noted a dry throat and like her arms and legs felt funny "like jello". Her husband alerted staff at the vaccination site and EMS assessed her. She said she was told her blood pressure was high for her but otherwise vitals were fine. She denied itching, or shortness of breath or trouble breathing. She actually asked her husband to go home and get her epi pen and he returned with it and was given a dose of epi and sent to the local emergency room for evaluation. She said she felt better by the time she got their but was monitored for a number of hours. She felt completely fine by the time she was discharged. She noted for a few days following the vaccine she felt fatigued and a slightly itchy spot at injection site but that's it.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea
Clinical narrative: I exp nausea and slight headache lasting 8 hours.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Dry mouth, Headache, Nasopharyngitis, Nausea
Clinical narrative: 2:17 pm, Suddenly client felt faint, Layed her in exam room table gave, water & crackers, 2L 02 via adult face mask sat 100%. vitals; 139/82  HR 98. 2:30 felt, cold & clammy, shakey and tingling body & nausea vitals 125/70 HR 95 O2 sat 100% . By 3:00 previous symptoms subside , new symptoms dry mouth, headache 7/10 and nausea vitals 145/85 HR 105, taken of 2L 02. Called 911, emergency transport to AV emergency room. Patient choose to be driven to AVH emergency room by daughter who was at her mothers bedside during observation.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Syncope, Tremor
Clinical narrative: 2:17 pm, Suddenly client felt faint, Layed her in exam room table gave, water & crackers, 2L 02 via adult face mask sat 100%. vitals; 139/82  HR 98. 2:30 felt, cold & clammy, shakey and tingling body & nausea vitals 125/70 HR 95 O2 sat 100% . By 3:00 previous symptoms subside , new symptoms dry mouth, headache 7/10 and nausea vitals 145/85 HR 105, taken of 2L 02. Called 911, emergency transport to AV emergency room. Patient choose to be driven to AVH emergency room by daughter who was at her mothers bedside during observation.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia
Clinical narrative: Extreme weakness requiring  short emergency room  stay  (3 hours)
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: The day of the injection my injection site was sore and  tender to the touch. But no other side effects until yesterday. Seven days after the 1st vaccine I began feeling tired and had a headache that has lasted two days.  Then the area around my injection site became swollen red and very painful to touch. The site is also very itchy.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Pt felt slight headache coming on - was not sure if might progress to full-blown hemiplegic migraines - stated can be brought on by stress; requested check-up and VS, monitoring prior to departure.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Induration, Mobility decreased, Peripheral swelling
Clinical narrative: Arm swollen, +induration, unable to move freely. Denies fever, skin breakdown.  Used Tylenol, Motrin with minimal relief
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hot flush, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: On 03/14, I had a slight headache all day, a sore left arm where the injection was given. The site was warm and a large red, itchy spot beneath the injection site appeared. My normal temp is 97. I felt flushed all day and my temp was 98.6 at its highest.  I took 1 tylenol 500 tablet at 3pm and another 1 tablet at 9 pm. On Monday, 03/15, all symptoms were gone except for my slightly sore arm and the red spot which was lessening.  On 03/16, my left arm is almost back to normal.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Pain in extremity, Rash erythematous
Clinical narrative: On 03/14, I had a slight headache all day, a sore left arm where the injection was given. The site was warm and a large red, itchy spot beneath the injection site appeared. My normal temp is 97. I felt flushed all day and my temp was 98.6 at its highest.  I took 1 tylenol 500 tablet at 3pm and another 1 tablet at 9 pm. On Monday, 03/15, all symptoms were gone except for my slightly sore arm and the red spot which was lessening.  On 03/16, my left arm is almost back to normal.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash, Injection site warmth, Rash papular
Clinical narrative: Moderna COVID?19 Vaccine: Left arm rash slightly below injection site, 9 days after 1st Dose. Raised circular rash, itching and warm. I am using  Cortizone 10 Maximum Strength cream to relieve itching
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysphagia, Fatigue, Glossitis, Glossodynia
Clinical narrative: Within 15 minutes of injection, back if throat & back of tongue began to tingle & burn. I could feel my whole face & throat tightening up. Began to have swallowing difficulty. I was getting a woozie feeling within 30 minutes. I took 100mgm benedryl by mouth w about a pint of water. For the next 50-60  minutes, the tightness continued as far as below my collar bones  face very tight swollen. Red raised itchy rash started all over my body.  Had epipen in hand as well as stat dose of prednisone to take if necessary.  (I have an allergic reaction protocol in hand from my doc for these cases. Transport to ER is always there if needed) . Took about an hour for the benedryl to start countering the adverse affect.  Took another 100 mgm at the 4 hr post injection time mark.  By bedtime about 10pm, I felt very fatigued, throat & back of tongue very sore & raw feeling.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Paraesthesia oral, Pharyngeal paraesthesia, Rash erythematous, Rash papular
Clinical narrative: Within 15 minutes of injection, back if throat & back of tongue began to tingle & burn. I could feel my whole face & throat tightening up. Began to have swallowing difficulty. I was getting a woozie feeling within 30 minutes. I took 100mgm benedryl by mouth w about a pint of water. For the next 50-60  minutes, the tightness continued as far as below my collar bones  face very tight swollen. Red raised itchy rash started all over my body.  Had epipen in hand as well as stat dose of prednisone to take if necessary.  (I have an allergic reaction protocol in hand from my doc for these cases. Transport to ER is always there if needed) . Took about an hour for the benedryl to start countering the adverse affect.  Took another 100 mgm at the 4 hr post injection time mark.  By bedtime about 10pm, I felt very fatigued, throat & back of tongue very sore & raw feeling.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic, Skin tightness, Swelling face, Throat irritation, Throat tightness
Clinical narrative: Within 15 minutes of injection, back if throat & back of tongue began to tingle & burn. I could feel my whole face & throat tightening up. Began to have swallowing difficulty. I was getting a woozie feeling within 30 minutes. I took 100mgm benedryl by mouth w about a pint of water. For the next 50-60  minutes, the tightness continued as far as below my collar bones  face very tight swollen. Red raised itchy rash started all over my body.  Had epipen in hand as well as stat dose of prednisone to take if necessary.  (I have an allergic reaction protocol in hand from my doc for these cases. Transport to ER is always there if needed) . Took about an hour for the benedryl to start countering the adverse affect.  Took another 100 mgm at the 4 hr post injection time mark.  By bedtime about 10pm, I felt very fatigued, throat & back of tongue very sore & raw feeling.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Tongue discomfort
Clinical narrative: Within 15 minutes of injection, back if throat & back of tongue began to tingle & burn. I could feel my whole face & throat tightening up. Began to have swallowing difficulty. I was getting a woozie feeling within 30 minutes. I took 100mgm benedryl by mouth w about a pint of water. For the next 50-60  minutes, the tightness continued as far as below my collar bones  face very tight swollen. Red raised itchy rash started all over my body.  Had epipen in hand as well as stat dose of prednisone to take if necessary.  (I have an allergic reaction protocol in hand from my doc for these cases. Transport to ER is always there if needed) . Took about an hour for the benedryl to start countering the adverse affect.  Took another 100 mgm at the 4 hr post injection time mark.  By bedtime about 10pm, I felt very fatigued, throat & back of tongue very sore & raw feeling.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives on arms and chest
Sex: F
Vaccine: COVID19
Symptoms: Erythema
Clinical narrative: redness and itchiness in bilateral arms and neck. received benadryl iM. improved and dc'd t home with husband.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Myalgia, Pain, Pain in extremity
Clinical narrative: Whole body is sore like as if I just ran a mile and every muscle hurts. shoulder/injection site hurts. Legs especially hurt.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Hypoaesthesia, Paraesthesia
Clinical narrative: Facial numbness which began 17-18 minutes after the injection. Tingling/numbness in jaw area, from  ears to chin on both sides. Lasted only a minute or two and went away. Face has continued to feel flushed for 2 hours since. No other reaction.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Disorientation, Dizziness, Feeling abnormal, Vertigo
Clinical narrative: Unexplained dizziness, feeling very disoriented, almost vertigo like symptoms but it has affected my entire body not just my head. I?ll be functioning normally and then a wave of dizziness runs through me. This has persisted for nearly 4 weeks with only minor improvement. It feels like I?m ?off?, not debilitating enough to cancel work/plans, but persistent enough to know something isn?t normal. Had no symptoms prior to receiving the shot.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Antineutrophil cytoplasmic antibody negative, Antinuclear antibody negative, Blood creatine phosphokinase increased, C-reactive protein normal, Chest pain
Clinical narrative: Patient received first dose of Moderna COVID-19 vaccine on 2/10/21 and had a large, red, inflamed area on her arm at the injection site for a few days, but otherwise tolerated vaccine well. She received the second dose of the Moderna COVID-19 vaccine on 3/10/21 and the next day (3/11/21) developed fatigue and lightheadedness while exercising, which continued for the next few days. She developed acute onset, sharp chest pain on 3/13/21 AM which did not resolve so she presented to an ED. Vitals were normal but labs notable for troponin I which peaked at 4.36, CK 758, d-dimer 640. CBC/CMP and EKG were unremarkable and initial TTE with EF ~45%. Repeat TTE obtained a few days later with normal LV and RV size/function without any wall motion abnormalities. Cardiac MRI obtained with normal LV function (EF 64%) but late gadolinium enhancement in a subepicardial distribution within the inferolateral wall of the left ventricle at the base most compatible with myocarditis. ESR and CRP were normal. Further workup to determine etiology of myocarditis was negative (ANA, ANCA, RF, hepatitis panel, HIV, full respiratory viral panel, COVID-19 PCR). She was placed on metoprolol succinate 12.5mg XL daily and will follow up with a cardiologist as an outpatient. Family concerned that COVID-19 vaccine was the trigger/underlying etiology of her myocarditis.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Echocardiogram, Electrocardiogram normal, Fatigue, Fibrin D dimer increased
Clinical narrative: Patient received first dose of Moderna COVID-19 vaccine on 2/10/21 and had a large, red, inflamed area on her arm at the injection site for a few days, but otherwise tolerated vaccine well. She received the second dose of the Moderna COVID-19 vaccine on 3/10/21 and the next day (3/11/21) developed fatigue and lightheadedness while exercising, which continued for the next few days. She developed acute onset, sharp chest pain on 3/13/21 AM which did not resolve so she presented to an ED. Vitals were normal but labs notable for troponin I which peaked at 4.36, CK 758, d-dimer 640. CBC/CMP and EKG were unremarkable and initial TTE with EF ~45%. Repeat TTE obtained a few days later with normal LV and RV size/function without any wall motion abnormalities. Cardiac MRI obtained with normal LV function (EF 64%) but late gadolinium enhancement in a subepicardial distribution within the inferolateral wall of the left ventricle at the base most compatible with myocarditis. ESR and CRP were normal. Further workup to determine etiology of myocarditis was negative (ANA, ANCA, RF, hepatitis panel, HIV, full respiratory viral panel, COVID-19 PCR). She was placed on metoprolol succinate 12.5mg XL daily and will follow up with a cardiologist as an outpatient. Family concerned that COVID-19 vaccine was the trigger/underlying etiology of her myocarditis.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count normal, HIV test negative, Hepatitis viral test negative, Magnetic resonance imaging heart, Metabolic function test normal
Clinical narrative: Patient received first dose of Moderna COVID-19 vaccine on 2/10/21 and had a large, red, inflamed area on her arm at the injection site for a few days, but otherwise tolerated vaccine well. She received the second dose of the Moderna COVID-19 vaccine on 3/10/21 and the next day (3/11/21) developed fatigue and lightheadedness while exercising, which continued for the next few days. She developed acute onset, sharp chest pain on 3/13/21 AM which did not resolve so she presented to an ED. Vitals were normal but labs notable for troponin I which peaked at 4.36, CK 758, d-dimer 640. CBC/CMP and EKG were unremarkable and initial TTE with EF ~45%. Repeat TTE obtained a few days later with normal LV and RV size/function without any wall motion abnormalities. Cardiac MRI obtained with normal LV function (EF 64%) but late gadolinium enhancement in a subepicardial distribution within the inferolateral wall of the left ventricle at the base most compatible with myocarditis. ESR and CRP were normal. Further workup to determine etiology of myocarditis was negative (ANA, ANCA, RF, hepatitis panel, HIV, full respiratory viral panel, COVID-19 PCR). She was placed on metoprolol succinate 12.5mg XL daily and will follow up with a cardiologist as an outpatient. Family concerned that COVID-19 vaccine was the trigger/underlying etiology of her myocarditis.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Myocarditis, Red blood cell sedimentation rate normal, Respiratory viral panel, Rheumatoid factor negative, SARS-CoV-2 test negative
Clinical narrative: Patient received first dose of Moderna COVID-19 vaccine on 2/10/21 and had a large, red, inflamed area on her arm at the injection site for a few days, but otherwise tolerated vaccine well. She received the second dose of the Moderna COVID-19 vaccine on 3/10/21 and the next day (3/11/21) developed fatigue and lightheadedness while exercising, which continued for the next few days. She developed acute onset, sharp chest pain on 3/13/21 AM which did not resolve so she presented to an ED. Vitals were normal but labs notable for troponin I which peaked at 4.36, CK 758, d-dimer 640. CBC/CMP and EKG were unremarkable and initial TTE with EF ~45%. Repeat TTE obtained a few days later with normal LV and RV size/function without any wall motion abnormalities. Cardiac MRI obtained with normal LV function (EF 64%) but late gadolinium enhancement in a subepicardial distribution within the inferolateral wall of the left ventricle at the base most compatible with myocarditis. ESR and CRP were normal. Further workup to determine etiology of myocarditis was negative (ANA, ANCA, RF, hepatitis panel, HIV, full respiratory viral panel, COVID-19 PCR). She was placed on metoprolol succinate 12.5mg XL daily and will follow up with a cardiologist as an outpatient. Family concerned that COVID-19 vaccine was the trigger/underlying etiology of her myocarditis.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin I increased
Clinical narrative: Patient received first dose of Moderna COVID-19 vaccine on 2/10/21 and had a large, red, inflamed area on her arm at the injection site for a few days, but otherwise tolerated vaccine well. She received the second dose of the Moderna COVID-19 vaccine on 3/10/21 and the next day (3/11/21) developed fatigue and lightheadedness while exercising, which continued for the next few days. She developed acute onset, sharp chest pain on 3/13/21 AM which did not resolve so she presented to an ED. Vitals were normal but labs notable for troponin I which peaked at 4.36, CK 758, d-dimer 640. CBC/CMP and EKG were unremarkable and initial TTE with EF ~45%. Repeat TTE obtained a few days later with normal LV and RV size/function without any wall motion abnormalities. Cardiac MRI obtained with normal LV function (EF 64%) but late gadolinium enhancement in a subepicardial distribution within the inferolateral wall of the left ventricle at the base most compatible with myocarditis. ESR and CRP were normal. Further workup to determine etiology of myocarditis was negative (ANA, ANCA, RF, hepatitis panel, HIV, full respiratory viral panel, COVID-19 PCR). She was placed on metoprolol succinate 12.5mg XL daily and will follow up with a cardiologist as an outpatient. Family concerned that COVID-19 vaccine was the trigger/underlying etiology of her myocarditis.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Facial paralysis, Facial paresis
Clinical narrative: Patient received his first dose of Pfizer covid19 vaccine on 3/5/21. Over the next few days he developed progressive right facial weakness and was evaluated in the emergency dept. It progressed over the next week to severe R sided facial nerve palsy and has remained in this condiiton at the time of this report. He was started on Valacyclovir and prednisone with  minimal improvement
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Asthenia, Atelectasis, Blood chloride decreased, Blood creatinine increased
Clinical narrative: 3/13/21 ER HPI -> transferred to hospital 88 y.o. female who presents to the Hospital Emergency Department by private auto with her daughter.  Apparently, the patient has a 2 day history of intractable nausea and vomiting.  She states she has vomited more than 5 times over the last 2 days.  She has become more and more weak.  She states she has been having coffee-ground emesis.  No definite fever.  The patient had a similar episode to this a few months ago.  The patient does take nightly ibuprofen.  She also take iron on a daily basis because of chronic anemia.  She is not on any blood thinners.  When the patient did get to the ER she had an episode of vomiting and it did appear coffee-ground.  She is having a little bit of epigastric abdominal pain.  No history of GI bleed in the past  3/16  note from Hospital Hospital Course: 88 y.o. female with a past history significant for hypertension, renal artery stenosis, arthritis, skin cancer  presented to  hospital with nausea/vomiting and transferred to another hospital on 3/13/2021 for GI evaluation. Patient developed coffee ground emesis and had NG tube placed, yielding 1800 cc of coffee-ground emesis. She was also noted to be hypertensive. A CT done at the outside hospital revealed a large hiatal hernia with a significantly distended herniated portion of the stomach and a portion in the left upper quadrant compatible with a gastric outlet obstruction. Transferred to another hospital and GI consulted. Underwent EGD on 3/14 with results as noted below. Recommended to continue PPI, avoid NSAIDs if possible and repeat EGD in 8 weeks as outpatient. NG-tube removed and tolerated diet. No further bleeding noted. Hgb remained stable. Medically stable for discharge. Counseled on medication use and diet. Patient or daughter had no further questions or concerns on discharge.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Blood potassium normal, Blood sodium normal, Blood urea increased, Carbon dioxide increased, Cardiomegaly
Clinical narrative: 3/13/21 ER HPI -> transferred to hospital 88 y.o. female who presents to the Hospital Emergency Department by private auto with her daughter.  Apparently, the patient has a 2 day history of intractable nausea and vomiting.  She states she has vomited more than 5 times over the last 2 days.  She has become more and more weak.  She states she has been having coffee-ground emesis.  No definite fever.  The patient had a similar episode to this a few months ago.  The patient does take nightly ibuprofen.  She also take iron on a daily basis because of chronic anemia.  She is not on any blood thinners.  When the patient did get to the ER she had an episode of vomiting and it did appear coffee-ground.  She is having a little bit of epigastric abdominal pain.  No history of GI bleed in the past  3/16  note from Hospital Hospital Course: 88 y.o. female with a past history significant for hypertension, renal artery stenosis, arthritis, skin cancer  presented to  hospital with nausea/vomiting and transferred to another hospital on 3/13/2021 for GI evaluation. Patient developed coffee ground emesis and had NG tube placed, yielding 1800 cc of coffee-ground emesis. She was also noted to be hypertensive. A CT done at the outside hospital revealed a large hiatal hernia with a significantly distended herniated portion of the stomach and a portion in the left upper quadrant compatible with a gastric outlet obstruction. Transferred to another hospital and GI consulted. Underwent EGD on 3/14 with results as noted below. Recommended to continue PPI, avoid NSAIDs if possible and repeat EGD in 8 weeks as outpatient. NG-tube removed and tolerated diet. No further bleeding noted. Hgb remained stable. Medically stable for discharge. Counseled on medication use and diet. Patient or daughter had no further questions or concerns on discharge.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Computerised tomogram abdomen, Faecaloma, Gastric dilatation, Gastrointestinal tube insertion
Clinical narrative: 3/13/21 ER HPI -> transferred to hospital 88 y.o. female who presents to the Hospital Emergency Department by private auto with her daughter.  Apparently, the patient has a 2 day history of intractable nausea and vomiting.  She states she has vomited more than 5 times over the last 2 days.  She has become more and more weak.  She states she has been having coffee-ground emesis.  No definite fever.  The patient had a similar episode to this a few months ago.  The patient does take nightly ibuprofen.  She also take iron on a daily basis because of chronic anemia.  She is not on any blood thinners.  When the patient did get to the ER she had an episode of vomiting and it did appear coffee-ground.  She is having a little bit of epigastric abdominal pain.  No history of GI bleed in the past  3/16  note from Hospital Hospital Course: 88 y.o. female with a past history significant for hypertension, renal artery stenosis, arthritis, skin cancer  presented to  hospital with nausea/vomiting and transferred to another hospital on 3/13/2021 for GI evaluation. Patient developed coffee ground emesis and had NG tube placed, yielding 1800 cc of coffee-ground emesis. She was also noted to be hypertensive. A CT done at the outside hospital revealed a large hiatal hernia with a significantly distended herniated portion of the stomach and a portion in the left upper quadrant compatible with a gastric outlet obstruction. Transferred to another hospital and GI consulted. Underwent EGD on 3/14 with results as noted below. Recommended to continue PPI, avoid NSAIDs if possible and repeat EGD in 8 weeks as outpatient. NG-tube removed and tolerated diet. No further bleeding noted. Hgb remained stable. Medically stable for discharge. Counseled on medication use and diet. Patient or daughter had no further questions or concerns on discharge.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Haematemesis, Haematocrit decreased, Haemoglobin decreased, Hiatus hernia, Hypertension
Clinical narrative: 3/13/21 ER HPI -> transferred to hospital 88 y.o. female who presents to the Hospital Emergency Department by private auto with her daughter.  Apparently, the patient has a 2 day history of intractable nausea and vomiting.  She states she has vomited more than 5 times over the last 2 days.  She has become more and more weak.  She states she has been having coffee-ground emesis.  No definite fever.  The patient had a similar episode to this a few months ago.  The patient does take nightly ibuprofen.  She also take iron on a daily basis because of chronic anemia.  She is not on any blood thinners.  When the patient did get to the ER she had an episode of vomiting and it did appear coffee-ground.  She is having a little bit of epigastric abdominal pain.  No history of GI bleed in the past  3/16  note from Hospital Hospital Course: 88 y.o. female with a past history significant for hypertension, renal artery stenosis, arthritis, skin cancer  presented to  hospital with nausea/vomiting and transferred to another hospital on 3/13/2021 for GI evaluation. Patient developed coffee ground emesis and had NG tube placed, yielding 1800 cc of coffee-ground emesis. She was also noted to be hypertensive. A CT done at the outside hospital revealed a large hiatal hernia with a significantly distended herniated portion of the stomach and a portion in the left upper quadrant compatible with a gastric outlet obstruction. Transferred to another hospital and GI consulted. Underwent EGD on 3/14 with results as noted below. Recommended to continue PPI, avoid NSAIDs if possible and repeat EGD in 8 weeks as outpatient. NG-tube removed and tolerated diet. No further bleeding noted. Hgb remained stable. Medically stable for discharge. Counseled on medication use and diet. Patient or daughter had no further questions or concerns on discharge.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: International normalised ratio normal, Lung infiltration, Mean cell volume increased, Nausea, Obstruction gastric
Clinical narrative: 3/13/21 ER HPI -> transferred to hospital 88 y.o. female who presents to the Hospital Emergency Department by private auto with her daughter.  Apparently, the patient has a 2 day history of intractable nausea and vomiting.  She states she has vomited more than 5 times over the last 2 days.  She has become more and more weak.  She states she has been having coffee-ground emesis.  No definite fever.  The patient had a similar episode to this a few months ago.  The patient does take nightly ibuprofen.  She also take iron on a daily basis because of chronic anemia.  She is not on any blood thinners.  When the patient did get to the ER she had an episode of vomiting and it did appear coffee-ground.  She is having a little bit of epigastric abdominal pain.  No history of GI bleed in the past  3/16  note from Hospital Hospital Course: 88 y.o. female with a past history significant for hypertension, renal artery stenosis, arthritis, skin cancer  presented to  hospital with nausea/vomiting and transferred to another hospital on 3/13/2021 for GI evaluation. Patient developed coffee ground emesis and had NG tube placed, yielding 1800 cc of coffee-ground emesis. She was also noted to be hypertensive. A CT done at the outside hospital revealed a large hiatal hernia with a significantly distended herniated portion of the stomach and a portion in the left upper quadrant compatible with a gastric outlet obstruction. Transferred to another hospital and GI consulted. Underwent EGD on 3/14 with results as noted below. Recommended to continue PPI, avoid NSAIDs if possible and repeat EGD in 8 weeks as outpatient. NG-tube removed and tolerated diet. No further bleeding noted. Hgb remained stable. Medically stable for discharge. Counseled on medication use and diet. Patient or daughter had no further questions or concerns on discharge.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Oesophageal dilatation, Oesophagogastroduodenoscopy abnormal, Platelet count normal, Prothrombin time normal, Renal cyst
Clinical narrative: 3/13/21 ER HPI -> transferred to hospital 88 y.o. female who presents to the Hospital Emergency Department by private auto with her daughter.  Apparently, the patient has a 2 day history of intractable nausea and vomiting.  She states she has vomited more than 5 times over the last 2 days.  She has become more and more weak.  She states she has been having coffee-ground emesis.  No definite fever.  The patient had a similar episode to this a few months ago.  The patient does take nightly ibuprofen.  She also take iron on a daily basis because of chronic anemia.  She is not on any blood thinners.  When the patient did get to the ER she had an episode of vomiting and it did appear coffee-ground.  She is having a little bit of epigastric abdominal pain.  No history of GI bleed in the past  3/16  note from Hospital Hospital Course: 88 y.o. female with a past history significant for hypertension, renal artery stenosis, arthritis, skin cancer  presented to  hospital with nausea/vomiting and transferred to another hospital on 3/13/2021 for GI evaluation. Patient developed coffee ground emesis and had NG tube placed, yielding 1800 cc of coffee-ground emesis. She was also noted to be hypertensive. A CT done at the outside hospital revealed a large hiatal hernia with a significantly distended herniated portion of the stomach and a portion in the left upper quadrant compatible with a gastric outlet obstruction. Transferred to another hospital and GI consulted. Underwent EGD on 3/14 with results as noted below. Recommended to continue PPI, avoid NSAIDs if possible and repeat EGD in 8 weeks as outpatient. NG-tube removed and tolerated diet. No further bleeding noted. Hgb remained stable. Medically stable for discharge. Counseled on medication use and diet. Patient or daughter had no further questions or concerns on discharge.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Spinal osteoarthritis, Vascular calcification, Volvulus, Vomiting, White blood cell count normal
Clinical narrative: 3/13/21 ER HPI -> transferred to hospital 88 y.o. female who presents to the Hospital Emergency Department by private auto with her daughter.  Apparently, the patient has a 2 day history of intractable nausea and vomiting.  She states she has vomited more than 5 times over the last 2 days.  She has become more and more weak.  She states she has been having coffee-ground emesis.  No definite fever.  The patient had a similar episode to this a few months ago.  The patient does take nightly ibuprofen.  She also take iron on a daily basis because of chronic anemia.  She is not on any blood thinners.  When the patient did get to the ER she had an episode of vomiting and it did appear coffee-ground.  She is having a little bit of epigastric abdominal pain.  No history of GI bleed in the past  3/16  note from Hospital Hospital Course: 88 y.o. female with a past history significant for hypertension, renal artery stenosis, arthritis, skin cancer  presented to  hospital with nausea/vomiting and transferred to another hospital on 3/13/2021 for GI evaluation. Patient developed coffee ground emesis and had NG tube placed, yielding 1800 cc of coffee-ground emesis. She was also noted to be hypertensive. A CT done at the outside hospital revealed a large hiatal hernia with a significantly distended herniated portion of the stomach and a portion in the left upper quadrant compatible with a gastric outlet obstruction. Transferred to another hospital and GI consulted. Underwent EGD on 3/14 with results as noted below. Recommended to continue PPI, avoid NSAIDs if possible and repeat EGD in 8 weeks as outpatient. NG-tube removed and tolerated diet. No further bleeding noted. Hgb remained stable. Medically stable for discharge. Counseled on medication use and diet. Patient or daughter had no further questions or concerns on discharge.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Fatigue, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Muscle aches and pains and extreme fatigue the day after.  Resolved by the day after that.  Am  96 hours out from vaccine and still have red arm and some slight swelling at injection site and some pain, slight though.  Still feels a tad warm.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia
Clinical narrative: Muscle aches and pains and extreme fatigue the day after.  Resolved by the day after that.  Am  96 hours out from vaccine and still have red arm and some slight swelling at injection site and some pain, slight though.  Still feels a tad warm.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Angiogram, Blood thyroid stimulating hormone increased, Echocardiogram, Electrocardiogram abnormal, Fibrin D dimer increased
Clinical narrative: 61 yo female admitted with palpitations and flushing since getting the Covid 19 Vaccine on 3/8.. She was prescribed metoprolol and a short course of steroids by her pcp for symptomatic relief which patient  took 1 dose of metoprolol and did not start steroids. She came to the ED due to her symptoms, Her main concern was why did she react to the Vaccine., and wanted answers.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Flushing, Palpitations, Sinus tachycardia, Thyroxine normal, Troponin normal
Clinical narrative: 61 yo female admitted with palpitations and flushing since getting the Covid 19 Vaccine on 3/8.. She was prescribed metoprolol and a short course of steroids by her pcp for symptomatic relief which patient  took 1 dose of metoprolol and did not start steroids. She came to the ED due to her symptoms, Her main concern was why did she react to the Vaccine., and wanted answers.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Blood test normal, Computerised tomogram normal, Dizziness, Dyspnoea, Echocardiogram normal
Clinical narrative: 61 yo female admitted with palpitations and flushing since getting the Covid 19 Vaccine on 3/8.. She was prescribed metoprolol and a short course of steroids by her pcp for symptomatic relief which patient  took 1 dose of metoprolol and did not start steroids. She came to the ED due to her symptoms, Her main concern was why did she react to the Vaccine., and wanted answers.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Electrocardiogram abnormal, Flushing, Heart rate increased, Loss of consciousness, Palpitations
Clinical narrative: 61 yo female admitted with palpitations and flushing since getting the Covid 19 Vaccine on 3/8.. She was prescribed metoprolol and a short course of steroids by her pcp for symptomatic relief which patient  took 1 dose of metoprolol and did not start steroids. She came to the ED due to her symptoms, Her main concern was why did she react to the Vaccine., and wanted answers.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Tachycardia, Tremor
Clinical narrative: 61 yo female admitted with palpitations and flushing since getting the Covid 19 Vaccine on 3/8.. She was prescribed metoprolol and a short course of steroids by her pcp for symptomatic relief which patient  took 1 dose of metoprolol and did not start steroids. She came to the ED due to her symptoms, Her main concern was why did she react to the Vaccine., and wanted answers.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Alanine aminotransferase, Anion gap, Antinuclear antibody positive, Arrhythmia supraventricular, Aspartate aminotransferase
Clinical narrative: 61 yo female admitted with palpitations and flushing since getting the Covid 19 Vaccine on 3/8.. She was prescribed metoprolol and a short course of steroids by her pcp for symptomatic relief which patient  took 1 dose of metoprolol and did not start steroids. She came to the ED due to her symptoms, Her main concern was why did she react to the Vaccine., and wanted answers.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Asthenia, Basophil count, Bilirubin urine, Blood albumin, Blood alkaline phosphatase
Clinical narrative: 61 yo female admitted with palpitations and flushing since getting the Covid 19 Vaccine on 3/8.. She was prescribed metoprolol and a short course of steroids by her pcp for symptomatic relief which patient  took 1 dose of metoprolol and did not start steroids. She came to the ED due to her symptoms, Her main concern was why did she react to the Vaccine., and wanted answers.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Blood calcium, Blood chloride, Blood creatinine, Blood glucose, Blood osmolarity
Clinical narrative: 61 yo female admitted with palpitations and flushing since getting the Covid 19 Vaccine on 3/8.. She was prescribed metoprolol and a short course of steroids by her pcp for symptomatic relief which patient  took 1 dose of metoprolol and did not start steroids. She came to the ED due to her symptoms, Her main concern was why did she react to the Vaccine., and wanted answers.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Blood potassium, Blood pressure abnormal, Blood pressure measurement, Blood sodium, Blood test
Clinical narrative: 61 yo female admitted with palpitations and flushing since getting the Covid 19 Vaccine on 3/8.. She was prescribed metoprolol and a short course of steroids by her pcp for symptomatic relief which patient  took 1 dose of metoprolol and did not start steroids. She came to the ED due to her symptoms, Her main concern was why did she react to the Vaccine., and wanted answers.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Blood thyroid stimulating hormone, Blood urea, Blood urine, Body height, Body mass index
Clinical narrative: 61 yo female admitted with palpitations and flushing since getting the Covid 19 Vaccine on 3/8.. She was prescribed metoprolol and a short course of steroids by her pcp for symptomatic relief which patient  took 1 dose of metoprolol and did not start steroids. She came to the ED due to her symptoms, Her main concern was why did she react to the Vaccine., and wanted answers.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Body surface area, Body temperature, Brain natriuretic peptide, Carbon dioxide, Chest X-ray
Clinical narrative: 61 yo female admitted with palpitations and flushing since getting the Covid 19 Vaccine on 3/8.. She was prescribed metoprolol and a short course of steroids by her pcp for symptomatic relief which patient  took 1 dose of metoprolol and did not start steroids. She came to the ED due to her symptoms, Her main concern was why did she react to the Vaccine., and wanted answers.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Chest pain, Chills, Computerised tomogram, Computerised tomogram thorax, Dizziness
Clinical narrative: 61 yo female admitted with palpitations and flushing since getting the Covid 19 Vaccine on 3/8.. She was prescribed metoprolol and a short course of steroids by her pcp for symptomatic relief which patient  took 1 dose of metoprolol and did not start steroids. She came to the ED due to her symptoms, Her main concern was why did she react to the Vaccine., and wanted answers.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Dry mouth, Dyspepsia, Dyspnoea, Echocardiogram, Electrocardiogram
Clinical narrative: 61 yo female admitted with palpitations and flushing since getting the Covid 19 Vaccine on 3/8.. She was prescribed metoprolol and a short course of steroids by her pcp for symptomatic relief which patient  took 1 dose of metoprolol and did not start steroids. She came to the ED due to her symptoms, Her main concern was why did she react to the Vaccine., and wanted answers.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Electrocardiogram QT interval, Eosinophil count, Fatigue, Glomerular filtration rate, Glucose urine
Clinical narrative: 61 yo female admitted with palpitations and flushing since getting the Covid 19 Vaccine on 3/8.. She was prescribed metoprolol and a short course of steroids by her pcp for symptomatic relief which patient  took 1 dose of metoprolol and did not start steroids. She came to the ED due to her symptoms, Her main concern was why did she react to the Vaccine., and wanted answers.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Haematocrit, Haemoglobin, Headache, Heart rate, Heart rate increased
Clinical narrative: 61 yo female admitted with palpitations and flushing since getting the Covid 19 Vaccine on 3/8.. She was prescribed metoprolol and a short course of steroids by her pcp for symptomatic relief which patient  took 1 dose of metoprolol and did not start steroids. She came to the ED due to her symptoms, Her main concern was why did she react to the Vaccine., and wanted answers.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Hot flush, Hypercholesterolaemia, Hypersensitivity, Hypothyroidism, Illness
Clinical narrative: 61 yo female admitted with palpitations and flushing since getting the Covid 19 Vaccine on 3/8.. She was prescribed metoprolol and a short course of steroids by her pcp for symptomatic relief which patient  took 1 dose of metoprolol and did not start steroids. She came to the ED due to her symptoms, Her main concern was why did she react to the Vaccine., and wanted answers.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Immunology test, Impaired work ability, Lymphocyte count, Malaise, Mean cell haemoglobin
Clinical narrative: 61 yo female admitted with palpitations and flushing since getting the Covid 19 Vaccine on 3/8.. She was prescribed metoprolol and a short course of steroids by her pcp for symptomatic relief which patient  took 1 dose of metoprolol and did not start steroids. She came to the ED due to her symptoms, Her main concern was why did she react to the Vaccine., and wanted answers.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Mean cell haemoglobin concentration, Mean cell volume, Mean platelet volume, Metabolic function test, Micturition urgency
Clinical narrative: 61 yo female admitted with palpitations and flushing since getting the Covid 19 Vaccine on 3/8.. She was prescribed metoprolol and a short course of steroids by her pcp for symptomatic relief which patient  took 1 dose of metoprolol and did not start steroids. She came to the ED due to her symptoms, Her main concern was why did she react to the Vaccine., and wanted answers.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Migraine, Monocyte count, Neutrophil count, Nitrite urine, Osteopenia
Clinical narrative: 61 yo female admitted with palpitations and flushing since getting the Covid 19 Vaccine on 3/8.. She was prescribed metoprolol and a short course of steroids by her pcp for symptomatic relief which patient  took 1 dose of metoprolol and did not start steroids. She came to the ED due to her symptoms, Her main concern was why did she react to the Vaccine., and wanted answers.