Abstract:The utilization of social media in epidemic surveillance has been well established. Nonetheless, bias is often introduced when pre-defined lexicons are used to retrieve relevant corpus. This study introduces a framework aimed at curating extensive dictionaries of medical colloquialisms and Unified Medical Language System (UMLS) concepts. The framework comprises three modules: a BERT-based Named Entity Recognition (NER) model that identifies medical entities from social media content, a deep-learning powered normalization module that standardizes the extracted entities, and a semi-supervised clustering module that assigns the most probable UMLS concept to each standardized entity. We applied this framework to COVID-19-related tweets from February 1, 2020, to April 30, 2022, generating a symptom dictionary (available at https://github.com/ningkko/UMLS_colloquialism/) composed of 9,249 standardized entities mapped to 876 UMLS concepts and 38,175 colloquial expressions. This framework demonstrates encouraging potential in addressing the constraints of keyword matching information retrieval in social media-based public health research.