chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Coombs direct test, Epistaxis, HIV test negative, Haemoglobin decreased, Haptoglobin decreased
Clinical narrative: Had moderna covid vaccines 1 Mar and 30 Mar 2021.  Noted epistaxis, headache, subconjunctival hemorrhages, headaches worsened.  Presented in 7/27/21 from PCP office with headache and was found to have bilateral SDH and platelets of 1k. He was treated with IVIG and steroids as well as 3 units of platelets. Platelets recovered to ~100k and patient underwent subdural evacuation with neurosurgery.  7/29/21: BMBx showed slightly hypercellular bone marrrow (50% cellularity) with slightly increased erythropoesis and granulopoesis and slightly decreased megakaryopoesis. No morphologic or immunophenotypic features of a myelodysplastic syndrome.  His platelet response was not sustained by the inital treatments with IVIG and steroids and he required intermittent platelet transfusions as an outpatient to try to keep platelets >50k as per neurosurgery. Spleen was normal size on exam and US.   Vitamin B12, folate, zinc and copper levels were WNL, HIV neg, ANA+, hepatitis a and C negative, hep B core IgM and surface antigen negative, hep B core antibody had been positive, DAT was negative on 21 September though it had been positive on 17 September 2021 for IgG, zinc had been low, creatinine normal, bilirubin 1.4, LDH 362, TSH suppressed at 0.055, 17 September 2021 haptoglobin was less than 8, 24 September 2021 white count 12.2, platelets 13, hemoglobin 9.7 with platelets of 13 and MCV of 107.  He was started on Eltrombopag 25 mg daily early Sep 2021 and was then increased to 50 mg daily, stopped after a couple wks due to lack of response. Reports of lack of response w/ romiplostim too in house. His platelet count decreased to 7k. Patient was admitted and received IVIG and solumedrol 60 mg q8hr IV as well as 8 units of platelets. Platelets only increased to 13k. Getting HLA matched plts.  He was then started on rituximab weekly x 4, completed 10/4/21. Most recent platelet count from 10/4/21 was 18k. He was also started on mycophenylate 500 mg BID in late September 2021 w/ prednisone 60 mg daily.  9/15/21: Repeat BMBx done due to low platelet counts and showed moderately hypercellular bone marrow with mild erythroid hyperplasia, megakaryocytic hypoplasia and minimal dyspoesis, negative for marrow infiltrative process  He denies use of heparin or quinine or significant antibiotics or Tylenol or NSAIDs or excess walnuts or medicinal teas or EBV or ulcers or malaria or other chronic infections or significant joint pains  CT head 27 July 2021 showed 2.1 cm right subdural hematoma CT chest 27 July 2021 with moderate peri and infrahilar bronchial thickening, suggestive of bronchitis Ultrasound of the spleen 28 July 2021 normal size spleen, liver 16 cm with hepatic steatosis 10 September 2021 CT head with significant decrease in right subdural hematoma 12 September 2021 CT abdomen pelvis spleen normal, mild bladder wall thickening, no lymphadenopathy
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hepatic steatosis, Hepatitis A virus test, Hepatitis B core antibody positive, Hepatitis C test negative
Clinical narrative: Had moderna covid vaccines 1 Mar and 30 Mar 2021.  Noted epistaxis, headache, subconjunctival hemorrhages, headaches worsened.  Presented in 7/27/21 from PCP office with headache and was found to have bilateral SDH and platelets of 1k. He was treated with IVIG and steroids as well as 3 units of platelets. Platelets recovered to ~100k and patient underwent subdural evacuation with neurosurgery.  7/29/21: BMBx showed slightly hypercellular bone marrrow (50% cellularity) with slightly increased erythropoesis and granulopoesis and slightly decreased megakaryopoesis. No morphologic or immunophenotypic features of a myelodysplastic syndrome.  His platelet response was not sustained by the inital treatments with IVIG and steroids and he required intermittent platelet transfusions as an outpatient to try to keep platelets >50k as per neurosurgery. Spleen was normal size on exam and US.   Vitamin B12, folate, zinc and copper levels were WNL, HIV neg, ANA+, hepatitis a and C negative, hep B core IgM and surface antigen negative, hep B core antibody had been positive, DAT was negative on 21 September though it had been positive on 17 September 2021 for IgG, zinc had been low, creatinine normal, bilirubin 1.4, LDH 362, TSH suppressed at 0.055, 17 September 2021 haptoglobin was less than 8, 24 September 2021 white count 12.2, platelets 13, hemoglobin 9.7 with platelets of 13 and MCV of 107.  He was started on Eltrombopag 25 mg daily early Sep 2021 and was then increased to 50 mg daily, stopped after a couple wks due to lack of response. Reports of lack of response w/ romiplostim too in house. His platelet count decreased to 7k. Patient was admitted and received IVIG and solumedrol 60 mg q8hr IV as well as 8 units of platelets. Platelets only increased to 13k. Getting HLA matched plts.  He was then started on rituximab weekly x 4, completed 10/4/21. Most recent platelet count from 10/4/21 was 18k. He was also started on mycophenylate 500 mg BID in late September 2021 w/ prednisone 60 mg daily.  9/15/21: Repeat BMBx done due to low platelet counts and showed moderately hypercellular bone marrow with mild erythroid hyperplasia, megakaryocytic hypoplasia and minimal dyspoesis, negative for marrow infiltrative process  He denies use of heparin or quinine or significant antibiotics or Tylenol or NSAIDs or excess walnuts or medicinal teas or EBV or ulcers or malaria or other chronic infections or significant joint pains  CT head 27 July 2021 showed 2.1 cm right subdural hematoma CT chest 27 July 2021 with moderate peri and infrahilar bronchial thickening, suggestive of bronchitis Ultrasound of the spleen 28 July 2021 normal size spleen, liver 16 cm with hepatic steatosis 10 September 2021 CT head with significant decrease in right subdural hematoma 12 September 2021 CT abdomen pelvis spleen normal, mild bladder wall thickening, no lymphadenopathy
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Immunoglobulin therapy, Marrow hyperplasia, Mean cell volume increased, Neurosurgery, Platelet count decreased
Clinical narrative: Had moderna covid vaccines 1 Mar and 30 Mar 2021.  Noted epistaxis, headache, subconjunctival hemorrhages, headaches worsened.  Presented in 7/27/21 from PCP office with headache and was found to have bilateral SDH and platelets of 1k. He was treated with IVIG and steroids as well as 3 units of platelets. Platelets recovered to ~100k and patient underwent subdural evacuation with neurosurgery.  7/29/21: BMBx showed slightly hypercellular bone marrrow (50% cellularity) with slightly increased erythropoesis and granulopoesis and slightly decreased megakaryopoesis. No morphologic or immunophenotypic features of a myelodysplastic syndrome.  His platelet response was not sustained by the inital treatments with IVIG and steroids and he required intermittent platelet transfusions as an outpatient to try to keep platelets >50k as per neurosurgery. Spleen was normal size on exam and US.   Vitamin B12, folate, zinc and copper levels were WNL, HIV neg, ANA+, hepatitis a and C negative, hep B core IgM and surface antigen negative, hep B core antibody had been positive, DAT was negative on 21 September though it had been positive on 17 September 2021 for IgG, zinc had been low, creatinine normal, bilirubin 1.4, LDH 362, TSH suppressed at 0.055, 17 September 2021 haptoglobin was less than 8, 24 September 2021 white count 12.2, platelets 13, hemoglobin 9.7 with platelets of 13 and MCV of 107.  He was started on Eltrombopag 25 mg daily early Sep 2021 and was then increased to 50 mg daily, stopped after a couple wks due to lack of response. Reports of lack of response w/ romiplostim too in house. His platelet count decreased to 7k. Patient was admitted and received IVIG and solumedrol 60 mg q8hr IV as well as 8 units of platelets. Platelets only increased to 13k. Getting HLA matched plts.  He was then started on rituximab weekly x 4, completed 10/4/21. Most recent platelet count from 10/4/21 was 18k. He was also started on mycophenylate 500 mg BID in late September 2021 w/ prednisone 60 mg daily.  9/15/21: Repeat BMBx done due to low platelet counts and showed moderately hypercellular bone marrow with mild erythroid hyperplasia, megakaryocytic hypoplasia and minimal dyspoesis, negative for marrow infiltrative process  He denies use of heparin or quinine or significant antibiotics or Tylenol or NSAIDs or excess walnuts or medicinal teas or EBV or ulcers or malaria or other chronic infections or significant joint pains  CT head 27 July 2021 showed 2.1 cm right subdural hematoma CT chest 27 July 2021 with moderate peri and infrahilar bronchial thickening, suggestive of bronchitis Ultrasound of the spleen 28 July 2021 normal size spleen, liver 16 cm with hepatic steatosis 10 September 2021 CT head with significant decrease in right subdural hematoma 12 September 2021 CT abdomen pelvis spleen normal, mild bladder wall thickening, no lymphadenopathy
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet transfusion, Subdural haematoma, Subdural haematoma evacuation, Ultrasound abdomen abnormal, Vitamin B12 normal
Clinical narrative: Had moderna covid vaccines 1 Mar and 30 Mar 2021.  Noted epistaxis, headache, subconjunctival hemorrhages, headaches worsened.  Presented in 7/27/21 from PCP office with headache and was found to have bilateral SDH and platelets of 1k. He was treated with IVIG and steroids as well as 3 units of platelets. Platelets recovered to ~100k and patient underwent subdural evacuation with neurosurgery.  7/29/21: BMBx showed slightly hypercellular bone marrrow (50% cellularity) with slightly increased erythropoesis and granulopoesis and slightly decreased megakaryopoesis. No morphologic or immunophenotypic features of a myelodysplastic syndrome.  His platelet response was not sustained by the inital treatments with IVIG and steroids and he required intermittent platelet transfusions as an outpatient to try to keep platelets >50k as per neurosurgery. Spleen was normal size on exam and US.   Vitamin B12, folate, zinc and copper levels were WNL, HIV neg, ANA+, hepatitis a and C negative, hep B core IgM and surface antigen negative, hep B core antibody had been positive, DAT was negative on 21 September though it had been positive on 17 September 2021 for IgG, zinc had been low, creatinine normal, bilirubin 1.4, LDH 362, TSH suppressed at 0.055, 17 September 2021 haptoglobin was less than 8, 24 September 2021 white count 12.2, platelets 13, hemoglobin 9.7 with platelets of 13 and MCV of 107.  He was started on Eltrombopag 25 mg daily early Sep 2021 and was then increased to 50 mg daily, stopped after a couple wks due to lack of response. Reports of lack of response w/ romiplostim too in house. His platelet count decreased to 7k. Patient was admitted and received IVIG and solumedrol 60 mg q8hr IV as well as 8 units of platelets. Platelets only increased to 13k. Getting HLA matched plts.  He was then started on rituximab weekly x 4, completed 10/4/21. Most recent platelet count from 10/4/21 was 18k. He was also started on mycophenylate 500 mg BID in late September 2021 w/ prednisone 60 mg daily.  9/15/21: Repeat BMBx done due to low platelet counts and showed moderately hypercellular bone marrow with mild erythroid hyperplasia, megakaryocytic hypoplasia and minimal dyspoesis, negative for marrow infiltrative process  He denies use of heparin or quinine or significant antibiotics or Tylenol or NSAIDs or excess walnuts or medicinal teas or EBV or ulcers or malaria or other chronic infections or significant joint pains  CT head 27 July 2021 showed 2.1 cm right subdural hematoma CT chest 27 July 2021 with moderate peri and infrahilar bronchial thickening, suggestive of bronchitis Ultrasound of the spleen 28 July 2021 normal size spleen, liver 16 cm with hepatic steatosis 10 September 2021 CT head with significant decrease in right subdural hematoma 12 September 2021 CT abdomen pelvis spleen normal, mild bladder wall thickening, no lymphadenopathy
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count increased
Clinical narrative: Had moderna covid vaccines 1 Mar and 30 Mar 2021.  Noted epistaxis, headache, subconjunctival hemorrhages, headaches worsened.  Presented in 7/27/21 from PCP office with headache and was found to have bilateral SDH and platelets of 1k. He was treated with IVIG and steroids as well as 3 units of platelets. Platelets recovered to ~100k and patient underwent subdural evacuation with neurosurgery.  7/29/21: BMBx showed slightly hypercellular bone marrrow (50% cellularity) with slightly increased erythropoesis and granulopoesis and slightly decreased megakaryopoesis. No morphologic or immunophenotypic features of a myelodysplastic syndrome.  His platelet response was not sustained by the inital treatments with IVIG and steroids and he required intermittent platelet transfusions as an outpatient to try to keep platelets >50k as per neurosurgery. Spleen was normal size on exam and US.   Vitamin B12, folate, zinc and copper levels were WNL, HIV neg, ANA+, hepatitis a and C negative, hep B core IgM and surface antigen negative, hep B core antibody had been positive, DAT was negative on 21 September though it had been positive on 17 September 2021 for IgG, zinc had been low, creatinine normal, bilirubin 1.4, LDH 362, TSH suppressed at 0.055, 17 September 2021 haptoglobin was less than 8, 24 September 2021 white count 12.2, platelets 13, hemoglobin 9.7 with platelets of 13 and MCV of 107.  He was started on Eltrombopag 25 mg daily early Sep 2021 and was then increased to 50 mg daily, stopped after a couple wks due to lack of response. Reports of lack of response w/ romiplostim too in house. His platelet count decreased to 7k. Patient was admitted and received IVIG and solumedrol 60 mg q8hr IV as well as 8 units of platelets. Platelets only increased to 13k. Getting HLA matched plts.  He was then started on rituximab weekly x 4, completed 10/4/21. Most recent platelet count from 10/4/21 was 18k. He was also started on mycophenylate 500 mg BID in late September 2021 w/ prednisone 60 mg daily.  9/15/21: Repeat BMBx done due to low platelet counts and showed moderately hypercellular bone marrow with mild erythroid hyperplasia, megakaryocytic hypoplasia and minimal dyspoesis, negative for marrow infiltrative process  He denies use of heparin or quinine or significant antibiotics or Tylenol or NSAIDs or excess walnuts or medicinal teas or EBV or ulcers or malaria or other chronic infections or significant joint pains  CT head 27 July 2021 showed 2.1 cm right subdural hematoma CT chest 27 July 2021 with moderate peri and infrahilar bronchial thickening, suggestive of bronchitis Ultrasound of the spleen 28 July 2021 normal size spleen, liver 16 cm with hepatic steatosis 10 September 2021 CT head with significant decrease in right subdural hematoma 12 September 2021 CT abdomen pelvis spleen normal, mild bladder wall thickening, no lymphadenopathy
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Presyncope
Clinical narrative: Patient given immunization in Right arm.  After waiting 16 minutes, as she was leaving facility patient had a vaso vagal response and fell to the floor .  Nurse made comfortable on floor and lifted legs above heart level;  provided cold pack at base of neck and pillow underneath head.  Vital signs taken.  BP  102/68, SPO2 97percent RA, HR  71 .  vital signs stable.  After laying down for 10 minutes patient sat up in chair and stated she felt fine.  Provided patient with juice and crackers. After 10 more minutes patient escorted out of facility with parent.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Myalgia, Pyrexia
Clinical narrative: Fatigue, muscle aches. Fever of over 103F, resolved quickly after taking acetaminophen. All symptoms of adverse reaction gone within 72 hours.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Balance disorder, Biopsy thyroid gland, Chest discomfort, Condition aggravated
Clinical narrative: Violent Shaking/Fever 102-102.5/Vicegrip Thunderclap headache w/pressure pushing downward to clavicle/Chest pressure w/heart palpitations/Swollen neck & glands hard to swallow/Unable to keep eyes open -as if having a seizure./Dry heaved from midnight to 7am/Cramps throughout whole body including disfigurement of  hands/feet & charlie horses through legs/Muscle spasms all around neck/back/shoulders/Burning nerve pain in toes/hips & left knee/Drawing pain down both legs/Couldn't Stand/Sit/Lay in one position/Gastritis w/diarrhea/Unable to sleep till the following afternoon/Tinnitus louder with new chirping sound  in over 30 yrs/Dizzy and unable to balance myself. All of the above for 36 hours/Stomach/balance/headache lasted for another 5 days. Ties .feet still numb/tingling w/nerve pains/ I wake with numb hands/arms/my lymph glands above breasts and in neck still swollen/Thyroid is enlarged w/2 nodules now.Still experiencing drawing pain though neck/shoulders and upper back.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Discomfort, Dizziness, Dysphagia, Gastritis
Clinical narrative: Violent Shaking/Fever 102-102.5/Vicegrip Thunderclap headache w/pressure pushing downward to clavicle/Chest pressure w/heart palpitations/Swollen neck & glands hard to swallow/Unable to keep eyes open -as if having a seizure./Dry heaved from midnight to 7am/Cramps throughout whole body including disfigurement of  hands/feet & charlie horses through legs/Muscle spasms all around neck/back/shoulders/Burning nerve pain in toes/hips & left knee/Drawing pain down both legs/Couldn't Stand/Sit/Lay in one position/Gastritis w/diarrhea/Unable to sleep till the following afternoon/Tinnitus louder with new chirping sound  in over 30 yrs/Dizzy and unable to balance myself. All of the above for 36 hours/Stomach/balance/headache lasted for another 5 days. Ties .feet still numb/tingling w/nerve pains/ I wake with numb hands/arms/my lymph glands above breasts and in neck still swollen/Thyroid is enlarged w/2 nodules now.Still experiencing drawing pain though neck/shoulders and upper back.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Goitre, Head discomfort, Hypoaesthesia, Insomnia, Lymphadenopathy
Clinical narrative: Violent Shaking/Fever 102-102.5/Vicegrip Thunderclap headache w/pressure pushing downward to clavicle/Chest pressure w/heart palpitations/Swollen neck & glands hard to swallow/Unable to keep eyes open -as if having a seizure./Dry heaved from midnight to 7am/Cramps throughout whole body including disfigurement of  hands/feet & charlie horses through legs/Muscle spasms all around neck/back/shoulders/Burning nerve pain in toes/hips & left knee/Drawing pain down both legs/Couldn't Stand/Sit/Lay in one position/Gastritis w/diarrhea/Unable to sleep till the following afternoon/Tinnitus louder with new chirping sound  in over 30 yrs/Dizzy and unable to balance myself. All of the above for 36 hours/Stomach/balance/headache lasted for another 5 days. Ties .feet still numb/tingling w/nerve pains/ I wake with numb hands/arms/my lymph glands above breasts and in neck still swollen/Thyroid is enlarged w/2 nodules now.Still experiencing drawing pain though neck/shoulders and upper back.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Muscle spasms, Neuralgia, Pain, Palpitations
Clinical narrative: Violent Shaking/Fever 102-102.5/Vicegrip Thunderclap headache w/pressure pushing downward to clavicle/Chest pressure w/heart palpitations/Swollen neck & glands hard to swallow/Unable to keep eyes open -as if having a seizure./Dry heaved from midnight to 7am/Cramps throughout whole body including disfigurement of  hands/feet & charlie horses through legs/Muscle spasms all around neck/back/shoulders/Burning nerve pain in toes/hips & left knee/Drawing pain down both legs/Couldn't Stand/Sit/Lay in one position/Gastritis w/diarrhea/Unable to sleep till the following afternoon/Tinnitus louder with new chirping sound  in over 30 yrs/Dizzy and unable to balance myself. All of the above for 36 hours/Stomach/balance/headache lasted for another 5 days. Ties .feet still numb/tingling w/nerve pains/ I wake with numb hands/arms/my lymph glands above breasts and in neck still swollen/Thyroid is enlarged w/2 nodules now.Still experiencing drawing pain though neck/shoulders and upper back.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Pyrexia, Retching, Seizure like phenomena, Swelling
Clinical narrative: Violent Shaking/Fever 102-102.5/Vicegrip Thunderclap headache w/pressure pushing downward to clavicle/Chest pressure w/heart palpitations/Swollen neck & glands hard to swallow/Unable to keep eyes open -as if having a seizure./Dry heaved from midnight to 7am/Cramps throughout whole body including disfigurement of  hands/feet & charlie horses through legs/Muscle spasms all around neck/back/shoulders/Burning nerve pain in toes/hips & left knee/Drawing pain down both legs/Couldn't Stand/Sit/Lay in one position/Gastritis w/diarrhea/Unable to sleep till the following afternoon/Tinnitus louder with new chirping sound  in over 30 yrs/Dizzy and unable to balance myself. All of the above for 36 hours/Stomach/balance/headache lasted for another 5 days. Ties .feet still numb/tingling w/nerve pains/ I wake with numb hands/arms/my lymph glands above breasts and in neck still swollen/Thyroid is enlarged w/2 nodules now.Still experiencing drawing pain though neck/shoulders and upper back.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Thunderclap headache, Thyroid mass, Tinnitus, Tremor, Ultrasound thyroid abnormal
Clinical narrative: Violent Shaking/Fever 102-102.5/Vicegrip Thunderclap headache w/pressure pushing downward to clavicle/Chest pressure w/heart palpitations/Swollen neck & glands hard to swallow/Unable to keep eyes open -as if having a seizure./Dry heaved from midnight to 7am/Cramps throughout whole body including disfigurement of  hands/feet & charlie horses through legs/Muscle spasms all around neck/back/shoulders/Burning nerve pain in toes/hips & left knee/Drawing pain down both legs/Couldn't Stand/Sit/Lay in one position/Gastritis w/diarrhea/Unable to sleep till the following afternoon/Tinnitus louder with new chirping sound  in over 30 yrs/Dizzy and unable to balance myself. All of the above for 36 hours/Stomach/balance/headache lasted for another 5 days. Ties .feet still numb/tingling w/nerve pains/ I wake with numb hands/arms/my lymph glands above breasts and in neck still swollen/Thyroid is enlarged w/2 nodules now.Still experiencing drawing pain though neck/shoulders and upper back.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Venogram
Clinical narrative: Violent Shaking/Fever 102-102.5/Vicegrip Thunderclap headache w/pressure pushing downward to clavicle/Chest pressure w/heart palpitations/Swollen neck & glands hard to swallow/Unable to keep eyes open -as if having a seizure./Dry heaved from midnight to 7am/Cramps throughout whole body including disfigurement of  hands/feet & charlie horses through legs/Muscle spasms all around neck/back/shoulders/Burning nerve pain in toes/hips & left knee/Drawing pain down both legs/Couldn't Stand/Sit/Lay in one position/Gastritis w/diarrhea/Unable to sleep till the following afternoon/Tinnitus louder with new chirping sound  in over 30 yrs/Dizzy and unable to balance myself. All of the above for 36 hours/Stomach/balance/headache lasted for another 5 days. Ties .feet still numb/tingling w/nerve pains/ I wake with numb hands/arms/my lymph glands above breasts and in neck still swollen/Thyroid is enlarged w/2 nodules now.Still experiencing drawing pain though neck/shoulders and upper back.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Pruritus, Rash, Urticaria
Clinical narrative: Severe delayed skin rash/hives-- itching, bruising. Beginning 12/8 and ongoing. Treating with prednisone, antihistamines, hydrocortisone creams.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Angioedema
Clinical narrative: Significant angioedema over facial area.  No chest pain, SOB, wheezing.  Treated with prednisone (20mg) for 3-5 days.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Blood lactate dehydrogenase normal, Blood lactic acid, Brain natriuretic peptide normal, C-reactive protein increased
Clinical narrative: 64 Male retired, with obesity, HTN, HLD, DM, OSA on CPAP, HFpEF, depression, Covid vaccinated with J&J in March 2021, developed cough on 10/30, tested COVID positive 11/3/21, had increased SOB at home with O2 sat 90%   COVID Pneumonia/acute respiratory failure - treated with decadron and remdesivir with good response. Supplemental O2 was successfully weaned to room air.    HTN/HFpEF -  BP stable, no overt HF on exam. Continued on amlodipine, atenolol, losartan, and asa   DM - managed with a regimen of NPH, pradnial and sliding scale insulin. Will need to continue titration at home as last dose of decadron was given on day of discharge.   OSA -  continue home CPAP   Primary Procedures:  None   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  covid pneumonia
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cough, Dyspnoea, Liver function test normal
Clinical narrative: 64 Male retired, with obesity, HTN, HLD, DM, OSA on CPAP, HFpEF, depression, Covid vaccinated with J&J in March 2021, developed cough on 10/30, tested COVID positive 11/3/21, had increased SOB at home with O2 sat 90%   COVID Pneumonia/acute respiratory failure - treated with decadron and remdesivir with good response. Supplemental O2 was successfully weaned to room air.    HTN/HFpEF -  BP stable, no overt HF on exam. Continued on amlodipine, atenolol, losartan, and asa   DM - managed with a regimen of NPH, pradnial and sliding scale insulin. Will need to continue titration at home as last dose of decadron was given on day of discharge.   OSA -  continue home CPAP   Primary Procedures:  None   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  covid pneumonia
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count normal, SARS-CoV-2 test positive, Troponin normal
Clinical narrative: 64 Male retired, with obesity, HTN, HLD, DM, OSA on CPAP, HFpEF, depression, Covid vaccinated with J&J in March 2021, developed cough on 10/30, tested COVID positive 11/3/21, had increased SOB at home with O2 sat 90%   COVID Pneumonia/acute respiratory failure - treated with decadron and remdesivir with good response. Supplemental O2 was successfully weaned to room air.    HTN/HFpEF -  BP stable, no overt HF on exam. Continued on amlodipine, atenolol, losartan, and asa   DM - managed with a regimen of NPH, pradnial and sliding scale insulin. Will need to continue titration at home as last dose of decadron was given on day of discharge.   OSA -  continue home CPAP   Primary Procedures:  None   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  covid pneumonia
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Anticoagulant therapy, Blood bilirubin increased, Chest pain, Cholangiogram abnormal
Clinical narrative: Patient is a 50 y.o. male pancreatic cancer admitted 9/28/2021-10/6/2021 for abd pain and elevated bilirubin GI consulted and underwent EUS/ERCP on 9/29 - found to have stricture in neck of pancreatic duct which could not be passed, underwent IR guided PTC on 10/1, presented to OSH with pain and subsequently transferred due to coiled PTC, s/p IR replacement of PTC on 10/9.  Denies missing doses of Eliquis. Notes new CP and SOB overnight 10/11-10/12. Also should be wearing oxygen but current is not. Is getting out of bed to use the restroom but has significant fatigue and decreased mobility. Denies previous hx of VTE or bleeding problems.   50 yo male with PMH of pancreatic cancer admitted 9/28/2021-10/6/2021 for abd pain and elevated bilirubin GI consulted and underwent EUS/ERCP on 9/29 - found to have stricture in neck of pancreatic duct which could not be passed, underwent IR guided PTC on 10/1, presented to OSH with pain and subsequently transferred due to coiled PTC, s/p IR replacement of PTC on 10/9.   1. PE/DVT -9/30/21 U/S: Acute deep vein thrombus within the left popliteal vein and portions of the posterior tibial and peroneal veins. PTA Eliquis 5mg BID. (was hospitalized when diagnosed).  -10/12/21 CT C/A/P: Small bilateral lower lobe segmental and subsegmental pulmonary emboli without evidence of right heart failure.  -had been on Lovenox 70mg BID 10/9-10/11, changed to Eliquis 5mg BID -covid vaccines 9/13/2021 and 10/6/2021, i do not  lot numbers for 9/13/2021 but the lot number for the 10/6/2021 covid vaccine pfizer is EW0169   2. Pancreatic adenocarcinoma  -diagnosed 3/2021 -03/2021 EUS/MRCP: 2 cm mass or 2.3 cm mass in his pancreas -03/2021-07/2021: pt was treated w/ Folfirinox, and pt did have some mild improvement in his markers; however, pt was not able to tolerate sx (extreme fatigue, wt loss, n/v) -07/2021-current: Pt transferred care to Dr. (as it was closer). He was started on Gemzar and Abraxane (07/2021-current; last treatment was 09/14. He is on 3 weeks on weekly infusion, followed by 1 week break). When last seen, pt was told that he has not been responding well to Gemzar and Abraxane (and he had also been having very bad neuropathy associated w/ medication). - 9/28/21 CT a/p- slight increase in pancreatic head malignancy. Small peripancreatic and periportal LNs. Moderate intrahepatic and extrahepatic biliary ductal dilatation with abrupt tapering in region of pancreatic mass. Multiple small hepatic mets. -plan to start Larotrectinib as soon as available from specialty pharmacy  -will follow with Dr.    3. Obstructive jaundice  -PTC replacement 10/9   Recommendations: -Discussed CT with radiology, and although PEs could be subacute (we have no CT chest to compare it to within the last month) he endorses new CP and SOB overnight so favor failure of Eliquis.  Recommend changing to Lovenox, ok with once daily dosing of 1.5mg/kg.  -Will arrange f/u with Dr. in 3 months to discuss duration -daily CBC
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Deep vein thrombosis, Dyspnoea, Fatigue, Infusion
Clinical narrative: Patient is a 50 y.o. male pancreatic cancer admitted 9/28/2021-10/6/2021 for abd pain and elevated bilirubin GI consulted and underwent EUS/ERCP on 9/29 - found to have stricture in neck of pancreatic duct which could not be passed, underwent IR guided PTC on 10/1, presented to OSH with pain and subsequently transferred due to coiled PTC, s/p IR replacement of PTC on 10/9.  Denies missing doses of Eliquis. Notes new CP and SOB overnight 10/11-10/12. Also should be wearing oxygen but current is not. Is getting out of bed to use the restroom but has significant fatigue and decreased mobility. Denies previous hx of VTE or bleeding problems.   50 yo male with PMH of pancreatic cancer admitted 9/28/2021-10/6/2021 for abd pain and elevated bilirubin GI consulted and underwent EUS/ERCP on 9/29 - found to have stricture in neck of pancreatic duct which could not be passed, underwent IR guided PTC on 10/1, presented to OSH with pain and subsequently transferred due to coiled PTC, s/p IR replacement of PTC on 10/9.   1. PE/DVT -9/30/21 U/S: Acute deep vein thrombus within the left popliteal vein and portions of the posterior tibial and peroneal veins. PTA Eliquis 5mg BID. (was hospitalized when diagnosed).  -10/12/21 CT C/A/P: Small bilateral lower lobe segmental and subsegmental pulmonary emboli without evidence of right heart failure.  -had been on Lovenox 70mg BID 10/9-10/11, changed to Eliquis 5mg BID -covid vaccines 9/13/2021 and 10/6/2021, i do not  lot numbers for 9/13/2021 but the lot number for the 10/6/2021 covid vaccine pfizer is EW0169   2. Pancreatic adenocarcinoma  -diagnosed 3/2021 -03/2021 EUS/MRCP: 2 cm mass or 2.3 cm mass in his pancreas -03/2021-07/2021: pt was treated w/ Folfirinox, and pt did have some mild improvement in his markers; however, pt was not able to tolerate sx (extreme fatigue, wt loss, n/v) -07/2021-current: Pt transferred care to Dr. (as it was closer). He was started on Gemzar and Abraxane (07/2021-current; last treatment was 09/14. He is on 3 weeks on weekly infusion, followed by 1 week break). When last seen, pt was told that he has not been responding well to Gemzar and Abraxane (and he had also been having very bad neuropathy associated w/ medication). - 9/28/21 CT a/p- slight increase in pancreatic head malignancy. Small peripancreatic and periportal LNs. Moderate intrahepatic and extrahepatic biliary ductal dilatation with abrupt tapering in region of pancreatic mass. Multiple small hepatic mets. -plan to start Larotrectinib as soon as available from specialty pharmacy  -will follow with Dr.    3. Obstructive jaundice  -PTC replacement 10/9   Recommendations: -Discussed CT with radiology, and although PEs could be subacute (we have no CT chest to compare it to within the last month) he endorses new CP and SOB overnight so favor failure of Eliquis.  Recommend changing to Lovenox, ok with once daily dosing of 1.5mg/kg.  -Will arrange f/u with Dr. in 3 months to discuss duration -daily CBC
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Jaundice cholestatic, Metastases to liver, Mobility decreased, Pain, Pancreatic carcinoma
Clinical narrative: Patient is a 50 y.o. male pancreatic cancer admitted 9/28/2021-10/6/2021 for abd pain and elevated bilirubin GI consulted and underwent EUS/ERCP on 9/29 - found to have stricture in neck of pancreatic duct which could not be passed, underwent IR guided PTC on 10/1, presented to OSH with pain and subsequently transferred due to coiled PTC, s/p IR replacement of PTC on 10/9.  Denies missing doses of Eliquis. Notes new CP and SOB overnight 10/11-10/12. Also should be wearing oxygen but current is not. Is getting out of bed to use the restroom but has significant fatigue and decreased mobility. Denies previous hx of VTE or bleeding problems.   50 yo male with PMH of pancreatic cancer admitted 9/28/2021-10/6/2021 for abd pain and elevated bilirubin GI consulted and underwent EUS/ERCP on 9/29 - found to have stricture in neck of pancreatic duct which could not be passed, underwent IR guided PTC on 10/1, presented to OSH with pain and subsequently transferred due to coiled PTC, s/p IR replacement of PTC on 10/9.   1. PE/DVT -9/30/21 U/S: Acute deep vein thrombus within the left popliteal vein and portions of the posterior tibial and peroneal veins. PTA Eliquis 5mg BID. (was hospitalized when diagnosed).  -10/12/21 CT C/A/P: Small bilateral lower lobe segmental and subsegmental pulmonary emboli without evidence of right heart failure.  -had been on Lovenox 70mg BID 10/9-10/11, changed to Eliquis 5mg BID -covid vaccines 9/13/2021 and 10/6/2021, i do not  lot numbers for 9/13/2021 but the lot number for the 10/6/2021 covid vaccine pfizer is EW0169   2. Pancreatic adenocarcinoma  -diagnosed 3/2021 -03/2021 EUS/MRCP: 2 cm mass or 2.3 cm mass in his pancreas -03/2021-07/2021: pt was treated w/ Folfirinox, and pt did have some mild improvement in his markers; however, pt was not able to tolerate sx (extreme fatigue, wt loss, n/v) -07/2021-current: Pt transferred care to Dr. (as it was closer). He was started on Gemzar and Abraxane (07/2021-current; last treatment was 09/14. He is on 3 weeks on weekly infusion, followed by 1 week break). When last seen, pt was told that he has not been responding well to Gemzar and Abraxane (and he had also been having very bad neuropathy associated w/ medication). - 9/28/21 CT a/p- slight increase in pancreatic head malignancy. Small peripancreatic and periportal LNs. Moderate intrahepatic and extrahepatic biliary ductal dilatation with abrupt tapering in region of pancreatic mass. Multiple small hepatic mets. -plan to start Larotrectinib as soon as available from specialty pharmacy  -will follow with Dr.    3. Obstructive jaundice  -PTC replacement 10/9   Recommendations: -Discussed CT with radiology, and although PEs could be subacute (we have no CT chest to compare it to within the last month) he endorses new CP and SOB overnight so favor failure of Eliquis.  Recommend changing to Lovenox, ok with once daily dosing of 1.5mg/kg.  -Will arrange f/u with Dr. in 3 months to discuss duration -daily CBC
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Pancreatic duct stenosis, Pancreatic mass, Pulmonary embolism, Ultrasound scan abnormal
Clinical narrative: Patient is a 50 y.o. male pancreatic cancer admitted 9/28/2021-10/6/2021 for abd pain and elevated bilirubin GI consulted and underwent EUS/ERCP on 9/29 - found to have stricture in neck of pancreatic duct which could not be passed, underwent IR guided PTC on 10/1, presented to OSH with pain and subsequently transferred due to coiled PTC, s/p IR replacement of PTC on 10/9.  Denies missing doses of Eliquis. Notes new CP and SOB overnight 10/11-10/12. Also should be wearing oxygen but current is not. Is getting out of bed to use the restroom but has significant fatigue and decreased mobility. Denies previous hx of VTE or bleeding problems.   50 yo male with PMH of pancreatic cancer admitted 9/28/2021-10/6/2021 for abd pain and elevated bilirubin GI consulted and underwent EUS/ERCP on 9/29 - found to have stricture in neck of pancreatic duct which could not be passed, underwent IR guided PTC on 10/1, presented to OSH with pain and subsequently transferred due to coiled PTC, s/p IR replacement of PTC on 10/9.   1. PE/DVT -9/30/21 U/S: Acute deep vein thrombus within the left popliteal vein and portions of the posterior tibial and peroneal veins. PTA Eliquis 5mg BID. (was hospitalized when diagnosed).  -10/12/21 CT C/A/P: Small bilateral lower lobe segmental and subsegmental pulmonary emboli without evidence of right heart failure.  -had been on Lovenox 70mg BID 10/9-10/11, changed to Eliquis 5mg BID -covid vaccines 9/13/2021 and 10/6/2021, i do not  lot numbers for 9/13/2021 but the lot number for the 10/6/2021 covid vaccine pfizer is EW0169   2. Pancreatic adenocarcinoma  -diagnosed 3/2021 -03/2021 EUS/MRCP: 2 cm mass or 2.3 cm mass in his pancreas -03/2021-07/2021: pt was treated w/ Folfirinox, and pt did have some mild improvement in his markers; however, pt was not able to tolerate sx (extreme fatigue, wt loss, n/v) -07/2021-current: Pt transferred care to Dr. (as it was closer). He was started on Gemzar and Abraxane (07/2021-current; last treatment was 09/14. He is on 3 weeks on weekly infusion, followed by 1 week break). When last seen, pt was told that he has not been responding well to Gemzar and Abraxane (and he had also been having very bad neuropathy associated w/ medication). - 9/28/21 CT a/p- slight increase in pancreatic head malignancy. Small peripancreatic and periportal LNs. Moderate intrahepatic and extrahepatic biliary ductal dilatation with abrupt tapering in region of pancreatic mass. Multiple small hepatic mets. -plan to start Larotrectinib as soon as available from specialty pharmacy  -will follow with Dr.    3. Obstructive jaundice  -PTC replacement 10/9   Recommendations: -Discussed CT with radiology, and although PEs could be subacute (we have no CT chest to compare it to within the last month) he endorses new CP and SOB overnight so favor failure of Eliquis.  Recommend changing to Lovenox, ok with once daily dosing of 1.5mg/kg.  -Will arrange f/u with Dr. in 3 months to discuss duration -daily CBC
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Anal incontinence, Biopsy colon normal, Blood test normal, Colonoscopy normal, Condition aggravated
Clinical narrative: A few days after vaccine, not long after, my symptoms started with frequent loose stools and couldn't figure out why and changing my diet didn't help. I had incontinence as well and went to my doctor and she had me stop taking medications just in case and I did some blood work, and she didn't find anything wrong. I think once all those tests came back negative, I was referred to gastroenterology and they took my history and did more tests and a colonoscopy including a biopsy and everything was clear. With process of elimination, they went with a diagnosis of IBS.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Irritable bowel syndrome
Clinical narrative: A few days after vaccine, not long after, my symptoms started with frequent loose stools and couldn't figure out why and changing my diet didn't help. I had incontinence as well and went to my doctor and she had me stop taking medications just in case and I did some blood work, and she didn't find anything wrong. I think once all those tests came back negative, I was referred to gastroenterology and they took my history and did more tests and a colonoscopy including a biopsy and everything was clear. With process of elimination, they went with a diagnosis of IBS.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: pt was given a booster dose of Pfizer vaccine.  Currently boosters are only approved for 16+.  This pt is 14 years old and is not eligible for the vaccine currently.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Chills, Headache, Inflammation, Musculoskeletal chest pain
Clinical narrative: Have extreme inflammation under left armit armpit, left chest and the whole area is super tender, sore and painful. Also had severe chills, fever and splitting headache day after the shot
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Tenderness
Clinical narrative: Have extreme inflammation under left armit armpit, left chest and the whole area is super tender, sore and painful. Also had severe chills, fever and splitting headache day after the shot
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac pacemaker insertion, Echocardiogram, Electrocardiogram, Heart rate decreased
Clinical narrative: 07/2021 low heart rate detected, requiring a pacemaker
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Neuropathy peripheral, Paraesthesia
Clinical narrative: Pins and needles, vibration feeling in body especially arms, neuropathy , dizziness
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Chest pain, Swelling
Clinical narrative: Two days after receiving her first dose of the COVID 19 vaccine, she had significant swelling on the lateral side of the chest just below the right axilla. She complained of pain in her axilla before the swelling started and was given tylenol and ibuprofen for pain which did not help significantly. After the swelling started, she complained of pain in the area of both the axilla and the chest where the swelling occurred. We used both heat and ice to help it feel better and to help decrease the swelling. The swelling would go down during the night and then become quite significant by afternoon and evening for several days. It took 5-6 days before the swelling  and pain went away completely.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Flushing
Clinical narrative: Patient experienced flushing and anxiety after vaccination. Placed in a recumbent position, given water and observed 30 mins
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Fatigue, Feeling hot, Nausea, Pain in extremity
Clinical narrative: Moderna COVID-19 Vaccine EUA: very swollen arm, red, soar, hot and itchy. I felt hot for about 3 hours, then sick to my stomach for the day and very tired.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pruritus, Skin warm
Clinical narrative: Moderna COVID-19 Vaccine EUA: very swollen arm, red, soar, hot and itchy. I felt hot for about 3 hours, then sick to my stomach for the day and very tired.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Eye irritation, Head discomfort, Ophthalmological examination normal, Pyrexia
Clinical narrative: I think I had a low-grade fever, my head felt weird my right eye felt like something was in it or in the corner of my eye, I waited 3 days and then decided to go to Ophthalmology, and they did a few test on my eyes and he said everything was fine. It's kind of slowly got better.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Dermatitis, Feeling hot, Rash pruritic
Clinical narrative: I had a ring shaped rash that was itchy and hot to the touch, starting the day of the vaccine, after an hour. The rash stayed for almost two weeks.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Contusion, Muscle spasms, Myalgia, Ultrasound Doppler
Clinical narrative: Bruising. Muscle spasms. Muscle pain.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: Bruising. Muscle spasms. Muscle pain.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Flushing, Syncope, Vomiting
Clinical narrative: After receiving the vaccine the patient became flush and faint.  He was labored breathing and then proceeded to throw up.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphonia, Dyspnoea, Interchange of vaccine products
Clinical narrative: Patient came in for Booster of Pfizer. Her first 2 vaccines were Moderna. Last one given in April. Patient sts has anaphylaxis reactions to both Moderna. Patient was treated with Epi 0.3 IM sent to the ED from clinic. Patient came in today and sts her physican requested her to get the Pfizer as a booster due to her immunocompromise conditions. 10 min after booster injection patient started to c/o SOB and voiced changed to raspy. Epi 0.3mg auto inject given in R thigh. Team alert called and member taken to ED. Patient recieved relief from Epinephrine inject. No SOB Vitals stable.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Antinuclear antibody, Blood thyroid stimulating hormone, Hypoaesthesia, Magnetic resonance imaging head, Muscle contractions involuntary
Clinical narrative: numbness and tingling of hands/feet, also muscle fasciculations.  daily sx x 8 months which are slowly worsening
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Neurological examination, Paraesthesia
Clinical narrative: numbness and tingling of hands/feet, also muscle fasciculations.  daily sx x 8 months which are slowly worsening
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza like illness, Pain in extremity, Pruritus, Rash erythematous, Skin irritation
Clinical narrative: 11 days after receiving booster shot (booster was approx 7 months after second shot), began itching. Itching seemed random. No change in diet or clothing or exposure to unusual chemicals. Later found out that itching was caused by clothing irritating my skin, or pressure on the skin, or scratching the skin. Can gently scratch an unaffected area and will get red itchy lines in the same spot in 10-15 min. Itching then goes away from spot in 30-40 min but stays red and raised for awhile after. Taking Benadryl to ease itching which gives reducing itching somewhat. Welts and itching can appear anywhere - back of head itches after getting up in the morning, inside of ears itch if earbuds are used. Some spots on palms itch after doing manual work.   No reaction after first shot other than sore arm. Reaction after second shot was sore arm and flu-like symptoms starting 6 hours after and going away 24 hours after shot.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: 11 days after receiving booster shot (booster was approx 7 months after second shot), began itching. Itching seemed random. No change in diet or clothing or exposure to unusual chemicals. Later found out that itching was caused by clothing irritating my skin, or pressure on the skin, or scratching the skin. Can gently scratch an unaffected area and will get red itchy lines in the same spot in 10-15 min. Itching then goes away from spot in 30-40 min but stays red and raised for awhile after. Taking Benadryl to ease itching which gives reducing itching somewhat. Welts and itching can appear anywhere - back of head itches after getting up in the morning, inside of ears itch if earbuds are used. Some spots on palms itch after doing manual work.   No reaction after first shot other than sore arm. Reaction after second shot was sore arm and flu-like symptoms starting 6 hours after and going away 24 hours after shot.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given 0.5ml Moderna as a booster dose.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Arthralgia, Body temperature increased, Lymphadenopathy, Parosmia
Clinical narrative: 102 temperature for 36 hours, large swollen lymphnode under left arm. 1 week later, joint aches, body odor change to metallic sour smell, and excessive hair loss.