Pain is one of the most common and clinically important symptoms, reflecting disease onset, progression, and treatment response. However, pain is difficult to accurately capture and interpret from medical text, as its expression varies across languages, documentation types, and patient demographics, and is often embedded in terminology, negation, temporality, and contextual descriptions. Existing pain-related studies remain largely monolingual or limited to narrow clinical settings. In this study, we introduce PAINT, a multilingual framework for studying pain representation across medical exams and real-world clinical texts. PAINT includes nine pain-focused dataset partitions spanning English, Spanish, Portuguese, and Japanese, with clinician annotations in all four languages. We curated a structured schema covering pain relevance, pain presence, anatomical location, pain descriptors, and demographic information. To capture multilingual pain representations, we leverage large language models (LLMs) and adopt an ensemble strategy to improve performance. Ten clinicians across four languages validate the labels: the ensemble reaches macro-F1 of 0.91–1.00 on pain relevance and pain presence and 92–100% accuracy on demographics, with inter-annotator κ of 0.82–1.00. We release the WorldMedQA-Pain ensemble labels, the extraction pipeline, validation scripts, and clinician annotation sheets for publicly licensed corpora, providing a foundation for pain-centered clinical NLP and for studying pain documentation across languages and healthcare contexts.

Social media is recognized as an important source for deriving insights into public opinion dynamics and social impacts due to the vast textual data generated daily and the ‘unconstrained’ behavior of people interacting on these platforms. However, such analyses prove challenging due to the semantic shift phenomenon, where word meanings evolve over time. This paper proposes an unsupervised dynamic word embedding method to capture longitudinal semantic shifts in social media data without predefined anchor words. The method leverages word co-occurrence statistics and dynamic updating to adapt embeddings over time, addressing the challenges of data sparseness, imbalanced distributions, and synergistic semantic effects. Evaluated on a large COVID-19 Twitter dataset, the method reveals semantic evolution patterns of vaccine- and symptom-related entities across different pandemic stages, and their potential correlations with real-world statistics. Our key contributions include the dynamic embedding technique, empirical analysis of COVID-19 semantic shifts, and discussions on enhancing semantic shift modeling for computational social science research. This study enables capturing longitudinal semantic dynamics on social media to understand public discourse and collective phenomena.