chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Blood immunoglobulin M, Blood potassium decreased, Blood test, COVID-19, Carcinoembryonic antigen normal
Clinical narrative: Patient sustained acute bilateral pulmonary embolus confirmed by CT angiogram with acute COVID-19 and was hospitalized on 6-7 FEB2021 at local Health clinic. Embolus apparently resolved with heparin transitioned to Eliquis, which she self-weaned off by July 2021. After she received her first dose of Moderna SARS-CoV-2 vaccine on 03DEC2021, she experienced shortness of breath and chest pain on 11DEC2021, which worsened until she presented to Local Medical Center about 2130 h on 13DEC2021. She was admitted on 13-15DEC2021 for recurrent pulmonary embolus. Consulting hematologist reported negative workups for coagulopathy and COVID-19 during Dec 2021 through Jan 2022. On 30 December 2021 the hematologist, MD recommended in writing, "Although, blood work does not reveal other etiologies for blood clot, until further notice, she should not receive subsequent doses of Covid-19 vaccine".
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiolipin antibody negative, Cell marker, Chest pain, Coagulation factor V level decreased, Coagulation test normal
Clinical narrative: Patient sustained acute bilateral pulmonary embolus confirmed by CT angiogram with acute COVID-19 and was hospitalized on 6-7 FEB2021 at local Health clinic. Embolus apparently resolved with heparin transitioned to Eliquis, which she self-weaned off by July 2021. After she received her first dose of Moderna SARS-CoV-2 vaccine on 03DEC2021, she experienced shortness of breath and chest pain on 11DEC2021, which worsened until she presented to Local Medical Center about 2130 h on 13DEC2021. She was admitted on 13-15DEC2021 for recurrent pulmonary embolus. Consulting hematologist reported negative workups for coagulopathy and COVID-19 during Dec 2021 through Jan 2022. On 30 December 2021 the hematologist, MD recommended in writing, "Although, blood work does not reveal other etiologies for blood clot, until further notice, she should not receive subsequent doses of Covid-19 vaccine".
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Gene mutation identification test, Gene mutation identification test negative, Globulins increased, Influenza A virus test negative
Clinical narrative: Patient sustained acute bilateral pulmonary embolus confirmed by CT angiogram with acute COVID-19 and was hospitalized on 6-7 FEB2021 at local Health clinic. Embolus apparently resolved with heparin transitioned to Eliquis, which she self-weaned off by July 2021. After she received her first dose of Moderna SARS-CoV-2 vaccine on 03DEC2021, she experienced shortness of breath and chest pain on 11DEC2021, which worsened until she presented to Local Medical Center about 2130 h on 13DEC2021. She was admitted on 13-15DEC2021 for recurrent pulmonary embolus. Consulting hematologist reported negative workups for coagulopathy and COVID-19 during Dec 2021 through Jan 2022. On 30 December 2021 the hematologist, MD recommended in writing, "Although, blood work does not reveal other etiologies for blood clot, until further notice, she should not receive subsequent doses of Covid-19 vaccine".
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza B virus test, International normalised ratio normal, Laboratory test normal, Lung opacity, Pericardial effusion
Clinical narrative: Patient sustained acute bilateral pulmonary embolus confirmed by CT angiogram with acute COVID-19 and was hospitalized on 6-7 FEB2021 at local Health clinic. Embolus apparently resolved with heparin transitioned to Eliquis, which she self-weaned off by July 2021. After she received her first dose of Moderna SARS-CoV-2 vaccine on 03DEC2021, she experienced shortness of breath and chest pain on 11DEC2021, which worsened until she presented to Local Medical Center about 2130 h on 13DEC2021. She was admitted on 13-15DEC2021 for recurrent pulmonary embolus. Consulting hematologist reported negative workups for coagulopathy and COVID-19 during Dec 2021 through Jan 2022. On 30 December 2021 the hematologist, MD recommended in writing, "Although, blood work does not reveal other etiologies for blood clot, until further notice, she should not receive subsequent doses of Covid-19 vaccine".
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Platelet count normal, Prohormone brain natriuretic peptide increased, Prothrombin time normal, Pulmonary artery thrombosis, Pulmonary embolism
Clinical narrative: Patient sustained acute bilateral pulmonary embolus confirmed by CT angiogram with acute COVID-19 and was hospitalized on 6-7 FEB2021 at local Health clinic. Embolus apparently resolved with heparin transitioned to Eliquis, which she self-weaned off by July 2021. After she received her first dose of Moderna SARS-CoV-2 vaccine on 03DEC2021, she experienced shortness of breath and chest pain on 11DEC2021, which worsened until she presented to Local Medical Center about 2130 h on 13DEC2021. She was admitted on 13-15DEC2021 for recurrent pulmonary embolus. Consulting hematologist reported negative workups for coagulopathy and COVID-19 during Dec 2021 through Jan 2022. On 30 December 2021 the hematologist, MD recommended in writing, "Although, blood work does not reveal other etiologies for blood clot, until further notice, she should not receive subsequent doses of Covid-19 vaccine".
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary mass, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Thrombosis, Troponin I increased
Clinical narrative: Patient sustained acute bilateral pulmonary embolus confirmed by CT angiogram with acute COVID-19 and was hospitalized on 6-7 FEB2021 at local Health clinic. Embolus apparently resolved with heparin transitioned to Eliquis, which she self-weaned off by July 2021. After she received her first dose of Moderna SARS-CoV-2 vaccine on 03DEC2021, she experienced shortness of breath and chest pain on 11DEC2021, which worsened until she presented to Local Medical Center about 2130 h on 13DEC2021. She was admitted on 13-15DEC2021 for recurrent pulmonary embolus. Consulting hematologist reported negative workups for coagulopathy and COVID-19 during Dec 2021 through Jan 2022. On 30 December 2021 the hematologist, MD recommended in writing, "Although, blood work does not reveal other etiologies for blood clot, until further notice, she should not receive subsequent doses of Covid-19 vaccine".
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin T normal, Ultrasound Doppler normal
Clinical narrative: Patient sustained acute bilateral pulmonary embolus confirmed by CT angiogram with acute COVID-19 and was hospitalized on 6-7 FEB2021 at local Health clinic. Embolus apparently resolved with heparin transitioned to Eliquis, which she self-weaned off by July 2021. After she received her first dose of Moderna SARS-CoV-2 vaccine on 03DEC2021, she experienced shortness of breath and chest pain on 11DEC2021, which worsened until she presented to Local Medical Center about 2130 h on 13DEC2021. She was admitted on 13-15DEC2021 for recurrent pulmonary embolus. Consulting hematologist reported negative workups for coagulopathy and COVID-19 during Dec 2021 through Jan 2022. On 30 December 2021 the hematologist, MD recommended in writing, "Although, blood work does not reveal other etiologies for blood clot, until further notice, she should not receive subsequent doses of Covid-19 vaccine".
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Headache, SARS-CoV-2 test positive
Clinical narrative: I had severe fatigue and headache that lasted for about 5 days. On Jan 10th, I tested positive for COVID-19.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Activated partial thromboplastin time, Acute kidney injury, Acute respiratory failure, Alanine aminotransferase increased, Albumin globulin ratio decreased
Clinical narrative: 1/2/22 Short of breath.  This started around Christmas.  It is gradually worsening.  Coughing.  Had a negative at home Covid test.  The coughing is severe.  Shortness of breath is moderate to severe.  Gradually worsening.  Productive at times.  He has no chest pain pressure or tightness.  No pain with taking a breath.  No personal or family history of clots or dissection or heart disease.  No abdominal pain.  No back pain.  No swelling or pain in the arms or the legs.  No trauma.  No headaches or neck pain.  No fevers. Review of Systems  Constitutional: Positive for activity change, appetite change, chills and fatigue. Negative for fever.  HENT: Positive for congestion.  Review of Systems   Negative for nosebleeds, neck pain and neck stiffness.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Negative for abdominal pain, diarrhea, nausea and vomiting.  Genitourinary: Negative for difficulty urinating and dysuria.  Musculoskeletal: Negative for back pain and gait problem.  Skin: Negative for rash.  Neurological: Negative for dizziness, tingling and headaches.  Hematological: Does not bruise/bleed easily.  Psychiatric/Behavioral: Negative for agitation.  1/24/22  REASON FOR HOSPITALIZATION COVID-19 pneumonia causing hypoxemia acute respiratory failure     FINAL DIAGNOSES 1.  Acute respiratory failure with hypoxemia secondary to COVID-19 pneumonia and pulmonary embolus 2. large pulmonary emboli and bilateral lower DVTs 3.  Bacteremia--causing severe sepsis 4.  A. fib with RVR 5.  History of hypertension 6.  Acute kidney injury  7.  Severe sepsis with organ failure kidney and respiratory 74yo gentleman with a PMH of HTN, HLD, GERD, and arthritis who was admitted on 1/3 for acute respiratory failure wit hypoxia 2/2 PE and pneumonia..  Patient was intubated on 1/9/2022. Continue Decadron and remdesivir, baricitinib (start date 1/7).  Completed Unasyn and azithromycin.  Patient started displaying leukocytosis had positive blood cultures on 1/18/2022 was started restarted on cefepime and switched to Unasyn and now on Zosyn ID was consulted.  Patient had his central line replaced on 1/20/2022.  Patient's oxygen requirements increased to 85%.  He is showing kidney failure with his creatinine elevated this morning further at 2.59.  Family and patient's wife have decided to make him comfort care only once all family has arrived.  The following morning family had all catheter to stated decided on terminal extubation patient was extubated and passed peacefully On 1/24/2022 at 11:25 AM
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angiogram pulmonary abnormal, Aspartate aminotransferase increased, Atrial fibrillation, Bacteraemia, Blood albumin decreased
Clinical narrative: 1/2/22 Short of breath.  This started around Christmas.  It is gradually worsening.  Coughing.  Had a negative at home Covid test.  The coughing is severe.  Shortness of breath is moderate to severe.  Gradually worsening.  Productive at times.  He has no chest pain pressure or tightness.  No pain with taking a breath.  No personal or family history of clots or dissection or heart disease.  No abdominal pain.  No back pain.  No swelling or pain in the arms or the legs.  No trauma.  No headaches or neck pain.  No fevers. Review of Systems  Constitutional: Positive for activity change, appetite change, chills and fatigue. Negative for fever.  HENT: Positive for congestion.  Review of Systems   Negative for nosebleeds, neck pain and neck stiffness.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Negative for abdominal pain, diarrhea, nausea and vomiting.  Genitourinary: Negative for difficulty urinating and dysuria.  Musculoskeletal: Negative for back pain and gait problem.  Skin: Negative for rash.  Neurological: Negative for dizziness, tingling and headaches.  Hematological: Does not bruise/bleed easily.  Psychiatric/Behavioral: Negative for agitation.  1/24/22  REASON FOR HOSPITALIZATION COVID-19 pneumonia causing hypoxemia acute respiratory failure     FINAL DIAGNOSES 1.  Acute respiratory failure with hypoxemia secondary to COVID-19 pneumonia and pulmonary embolus 2. large pulmonary emboli and bilateral lower DVTs 3.  Bacteremia--causing severe sepsis 4.  A. fib with RVR 5.  History of hypertension 6.  Acute kidney injury  7.  Severe sepsis with organ failure kidney and respiratory 74yo gentleman with a PMH of HTN, HLD, GERD, and arthritis who was admitted on 1/3 for acute respiratory failure wit hypoxia 2/2 PE and pneumonia..  Patient was intubated on 1/9/2022. Continue Decadron and remdesivir, baricitinib (start date 1/7).  Completed Unasyn and azithromycin.  Patient started displaying leukocytosis had positive blood cultures on 1/18/2022 was started restarted on cefepime and switched to Unasyn and now on Zosyn ID was consulted.  Patient had his central line replaced on 1/20/2022.  Patient's oxygen requirements increased to 85%.  He is showing kidney failure with his creatinine elevated this morning further at 2.59.  Family and patient's wife have decided to make him comfort care only once all family has arrived.  The following morning family had all catheter to stated decided on terminal extubation patient was extubated and passed peacefully On 1/24/2022 at 11:25 AM
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood creatinine increased, Blood culture positive, Blood gases abnormal, Blood glucose normal, Blood lactic acid
Clinical narrative: 1/2/22 Short of breath.  This started around Christmas.  It is gradually worsening.  Coughing.  Had a negative at home Covid test.  The coughing is severe.  Shortness of breath is moderate to severe.  Gradually worsening.  Productive at times.  He has no chest pain pressure or tightness.  No pain with taking a breath.  No personal or family history of clots or dissection or heart disease.  No abdominal pain.  No back pain.  No swelling or pain in the arms or the legs.  No trauma.  No headaches or neck pain.  No fevers. Review of Systems  Constitutional: Positive for activity change, appetite change, chills and fatigue. Negative for fever.  HENT: Positive for congestion.  Review of Systems   Negative for nosebleeds, neck pain and neck stiffness.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Negative for abdominal pain, diarrhea, nausea and vomiting.  Genitourinary: Negative for difficulty urinating and dysuria.  Musculoskeletal: Negative for back pain and gait problem.  Skin: Negative for rash.  Neurological: Negative for dizziness, tingling and headaches.  Hematological: Does not bruise/bleed easily.  Psychiatric/Behavioral: Negative for agitation.  1/24/22  REASON FOR HOSPITALIZATION COVID-19 pneumonia causing hypoxemia acute respiratory failure     FINAL DIAGNOSES 1.  Acute respiratory failure with hypoxemia secondary to COVID-19 pneumonia and pulmonary embolus 2. large pulmonary emboli and bilateral lower DVTs 3.  Bacteremia--causing severe sepsis 4.  A. fib with RVR 5.  History of hypertension 6.  Acute kidney injury  7.  Severe sepsis with organ failure kidney and respiratory 74yo gentleman with a PMH of HTN, HLD, GERD, and arthritis who was admitted on 1/3 for acute respiratory failure wit hypoxia 2/2 PE and pneumonia..  Patient was intubated on 1/9/2022. Continue Decadron and remdesivir, baricitinib (start date 1/7).  Completed Unasyn and azithromycin.  Patient started displaying leukocytosis had positive blood cultures on 1/18/2022 was started restarted on cefepime and switched to Unasyn and now on Zosyn ID was consulted.  Patient had his central line replaced on 1/20/2022.  Patient's oxygen requirements increased to 85%.  He is showing kidney failure with his creatinine elevated this morning further at 2.59.  Family and patient's wife have decided to make him comfort care only once all family has arrived.  The following morning family had all catheter to stated decided on terminal extubation patient was extubated and passed peacefully On 1/24/2022 at 11:25 AM
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood pH increased, Blood sodium decreased, Brain natriuretic peptide increased, COVID-19 pneumonia, Central venous catheterisation
Clinical narrative: 1/2/22 Short of breath.  This started around Christmas.  It is gradually worsening.  Coughing.  Had a negative at home Covid test.  The coughing is severe.  Shortness of breath is moderate to severe.  Gradually worsening.  Productive at times.  He has no chest pain pressure or tightness.  No pain with taking a breath.  No personal or family history of clots or dissection or heart disease.  No abdominal pain.  No back pain.  No swelling or pain in the arms or the legs.  No trauma.  No headaches or neck pain.  No fevers. Review of Systems  Constitutional: Positive for activity change, appetite change, chills and fatigue. Negative for fever.  HENT: Positive for congestion.  Review of Systems   Negative for nosebleeds, neck pain and neck stiffness.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Negative for abdominal pain, diarrhea, nausea and vomiting.  Genitourinary: Negative for difficulty urinating and dysuria.  Musculoskeletal: Negative for back pain and gait problem.  Skin: Negative for rash.  Neurological: Negative for dizziness, tingling and headaches.  Hematological: Does not bruise/bleed easily.  Psychiatric/Behavioral: Negative for agitation.  1/24/22  REASON FOR HOSPITALIZATION COVID-19 pneumonia causing hypoxemia acute respiratory failure     FINAL DIAGNOSES 1.  Acute respiratory failure with hypoxemia secondary to COVID-19 pneumonia and pulmonary embolus 2. large pulmonary emboli and bilateral lower DVTs 3.  Bacteremia--causing severe sepsis 4.  A. fib with RVR 5.  History of hypertension 6.  Acute kidney injury  7.  Severe sepsis with organ failure kidney and respiratory 74yo gentleman with a PMH of HTN, HLD, GERD, and arthritis who was admitted on 1/3 for acute respiratory failure wit hypoxia 2/2 PE and pneumonia..  Patient was intubated on 1/9/2022. Continue Decadron and remdesivir, baricitinib (start date 1/7).  Completed Unasyn and azithromycin.  Patient started displaying leukocytosis had positive blood cultures on 1/18/2022 was started restarted on cefepime and switched to Unasyn and now on Zosyn ID was consulted.  Patient had his central line replaced on 1/20/2022.  Patient's oxygen requirements increased to 85%.  He is showing kidney failure with his creatinine elevated this morning further at 2.59.  Family and patient's wife have decided to make him comfort care only once all family has arrived.  The following morning family had all catheter to stated decided on terminal extubation patient was extubated and passed peacefully On 1/24/2022 at 11:25 AM
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray abnormal, Chills, Cough, Death, Decreased activity
Clinical narrative: 1/2/22 Short of breath.  This started around Christmas.  It is gradually worsening.  Coughing.  Had a negative at home Covid test.  The coughing is severe.  Shortness of breath is moderate to severe.  Gradually worsening.  Productive at times.  He has no chest pain pressure or tightness.  No pain with taking a breath.  No personal or family history of clots or dissection or heart disease.  No abdominal pain.  No back pain.  No swelling or pain in the arms or the legs.  No trauma.  No headaches or neck pain.  No fevers. Review of Systems  Constitutional: Positive for activity change, appetite change, chills and fatigue. Negative for fever.  HENT: Positive for congestion.  Review of Systems   Negative for nosebleeds, neck pain and neck stiffness.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Negative for abdominal pain, diarrhea, nausea and vomiting.  Genitourinary: Negative for difficulty urinating and dysuria.  Musculoskeletal: Negative for back pain and gait problem.  Skin: Negative for rash.  Neurological: Negative for dizziness, tingling and headaches.  Hematological: Does not bruise/bleed easily.  Psychiatric/Behavioral: Negative for agitation.  1/24/22  REASON FOR HOSPITALIZATION COVID-19 pneumonia causing hypoxemia acute respiratory failure     FINAL DIAGNOSES 1.  Acute respiratory failure with hypoxemia secondary to COVID-19 pneumonia and pulmonary embolus 2. large pulmonary emboli and bilateral lower DVTs 3.  Bacteremia--causing severe sepsis 4.  A. fib with RVR 5.  History of hypertension 6.  Acute kidney injury  7.  Severe sepsis with organ failure kidney and respiratory 74yo gentleman with a PMH of HTN, HLD, GERD, and arthritis who was admitted on 1/3 for acute respiratory failure wit hypoxia 2/2 PE and pneumonia..  Patient was intubated on 1/9/2022. Continue Decadron and remdesivir, baricitinib (start date 1/7).  Completed Unasyn and azithromycin.  Patient started displaying leukocytosis had positive blood cultures on 1/18/2022 was started restarted on cefepime and switched to Unasyn and now on Zosyn ID was consulted.  Patient had his central line replaced on 1/20/2022.  Patient's oxygen requirements increased to 85%.  He is showing kidney failure with his creatinine elevated this morning further at 2.59.  Family and patient's wife have decided to make him comfort care only once all family has arrived.  The following morning family had all catheter to stated decided on terminal extubation patient was extubated and passed peacefully On 1/24/2022 at 11:25 AM
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Decreased appetite, Deep vein thrombosis, Differential white blood cell count abnormal, Dyspnoea, Endotracheal intubation
Clinical narrative: 1/2/22 Short of breath.  This started around Christmas.  It is gradually worsening.  Coughing.  Had a negative at home Covid test.  The coughing is severe.  Shortness of breath is moderate to severe.  Gradually worsening.  Productive at times.  He has no chest pain pressure or tightness.  No pain with taking a breath.  No personal or family history of clots or dissection or heart disease.  No abdominal pain.  No back pain.  No swelling or pain in the arms or the legs.  No trauma.  No headaches or neck pain.  No fevers. Review of Systems  Constitutional: Positive for activity change, appetite change, chills and fatigue. Negative for fever.  HENT: Positive for congestion.  Review of Systems   Negative for nosebleeds, neck pain and neck stiffness.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Negative for abdominal pain, diarrhea, nausea and vomiting.  Genitourinary: Negative for difficulty urinating and dysuria.  Musculoskeletal: Negative for back pain and gait problem.  Skin: Negative for rash.  Neurological: Negative for dizziness, tingling and headaches.  Hematological: Does not bruise/bleed easily.  Psychiatric/Behavioral: Negative for agitation.  1/24/22  REASON FOR HOSPITALIZATION COVID-19 pneumonia causing hypoxemia acute respiratory failure     FINAL DIAGNOSES 1.  Acute respiratory failure with hypoxemia secondary to COVID-19 pneumonia and pulmonary embolus 2. large pulmonary emboli and bilateral lower DVTs 3.  Bacteremia--causing severe sepsis 4.  A. fib with RVR 5.  History of hypertension 6.  Acute kidney injury  7.  Severe sepsis with organ failure kidney and respiratory 74yo gentleman with a PMH of HTN, HLD, GERD, and arthritis who was admitted on 1/3 for acute respiratory failure wit hypoxia 2/2 PE and pneumonia..  Patient was intubated on 1/9/2022. Continue Decadron and remdesivir, baricitinib (start date 1/7).  Completed Unasyn and azithromycin.  Patient started displaying leukocytosis had positive blood cultures on 1/18/2022 was started restarted on cefepime and switched to Unasyn and now on Zosyn ID was consulted.  Patient had his central line replaced on 1/20/2022.  Patient's oxygen requirements increased to 85%.  He is showing kidney failure with his creatinine elevated this morning further at 2.59.  Family and patient's wife have decided to make him comfort care only once all family has arrived.  The following morning family had all catheter to stated decided on terminal extubation patient was extubated and passed peacefully On 1/24/2022 at 11:25 AM
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Full blood count abnormal, Haematocrit decreased, Haemoglobin decreased, Hypoxia
Clinical narrative: 1/2/22 Short of breath.  This started around Christmas.  It is gradually worsening.  Coughing.  Had a negative at home Covid test.  The coughing is severe.  Shortness of breath is moderate to severe.  Gradually worsening.  Productive at times.  He has no chest pain pressure or tightness.  No pain with taking a breath.  No personal or family history of clots or dissection or heart disease.  No abdominal pain.  No back pain.  No swelling or pain in the arms or the legs.  No trauma.  No headaches or neck pain.  No fevers. Review of Systems  Constitutional: Positive for activity change, appetite change, chills and fatigue. Negative for fever.  HENT: Positive for congestion.  Review of Systems   Negative for nosebleeds, neck pain and neck stiffness.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Negative for abdominal pain, diarrhea, nausea and vomiting.  Genitourinary: Negative for difficulty urinating and dysuria.  Musculoskeletal: Negative for back pain and gait problem.  Skin: Negative for rash.  Neurological: Negative for dizziness, tingling and headaches.  Hematological: Does not bruise/bleed easily.  Psychiatric/Behavioral: Negative for agitation.  1/24/22  REASON FOR HOSPITALIZATION COVID-19 pneumonia causing hypoxemia acute respiratory failure     FINAL DIAGNOSES 1.  Acute respiratory failure with hypoxemia secondary to COVID-19 pneumonia and pulmonary embolus 2. large pulmonary emboli and bilateral lower DVTs 3.  Bacteremia--causing severe sepsis 4.  A. fib with RVR 5.  History of hypertension 6.  Acute kidney injury  7.  Severe sepsis with organ failure kidney and respiratory 74yo gentleman with a PMH of HTN, HLD, GERD, and arthritis who was admitted on 1/3 for acute respiratory failure wit hypoxia 2/2 PE and pneumonia..  Patient was intubated on 1/9/2022. Continue Decadron and remdesivir, baricitinib (start date 1/7).  Completed Unasyn and azithromycin.  Patient started displaying leukocytosis had positive blood cultures on 1/18/2022 was started restarted on cefepime and switched to Unasyn and now on Zosyn ID was consulted.  Patient had his central line replaced on 1/20/2022.  Patient's oxygen requirements increased to 85%.  He is showing kidney failure with his creatinine elevated this morning further at 2.59.  Family and patient's wife have decided to make him comfort care only once all family has arrived.  The following morning family had all catheter to stated decided on terminal extubation patient was extubated and passed peacefully On 1/24/2022 at 11:25 AM
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Immature granulocyte count, Influenza virus test, Leukocytosis, Lung consolidation, Lung disorder
Clinical narrative: 1/2/22 Short of breath.  This started around Christmas.  It is gradually worsening.  Coughing.  Had a negative at home Covid test.  The coughing is severe.  Shortness of breath is moderate to severe.  Gradually worsening.  Productive at times.  He has no chest pain pressure or tightness.  No pain with taking a breath.  No personal or family history of clots or dissection or heart disease.  No abdominal pain.  No back pain.  No swelling or pain in the arms or the legs.  No trauma.  No headaches or neck pain.  No fevers. Review of Systems  Constitutional: Positive for activity change, appetite change, chills and fatigue. Negative for fever.  HENT: Positive for congestion.  Review of Systems   Negative for nosebleeds, neck pain and neck stiffness.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Negative for abdominal pain, diarrhea, nausea and vomiting.  Genitourinary: Negative for difficulty urinating and dysuria.  Musculoskeletal: Negative for back pain and gait problem.  Skin: Negative for rash.  Neurological: Negative for dizziness, tingling and headaches.  Hematological: Does not bruise/bleed easily.  Psychiatric/Behavioral: Negative for agitation.  1/24/22  REASON FOR HOSPITALIZATION COVID-19 pneumonia causing hypoxemia acute respiratory failure     FINAL DIAGNOSES 1.  Acute respiratory failure with hypoxemia secondary to COVID-19 pneumonia and pulmonary embolus 2. large pulmonary emboli and bilateral lower DVTs 3.  Bacteremia--causing severe sepsis 4.  A. fib with RVR 5.  History of hypertension 6.  Acute kidney injury  7.  Severe sepsis with organ failure kidney and respiratory 74yo gentleman with a PMH of HTN, HLD, GERD, and arthritis who was admitted on 1/3 for acute respiratory failure wit hypoxia 2/2 PE and pneumonia..  Patient was intubated on 1/9/2022. Continue Decadron and remdesivir, baricitinib (start date 1/7).  Completed Unasyn and azithromycin.  Patient started displaying leukocytosis had positive blood cultures on 1/18/2022 was started restarted on cefepime and switched to Unasyn and now on Zosyn ID was consulted.  Patient had his central line replaced on 1/20/2022.  Patient's oxygen requirements increased to 85%.  He is showing kidney failure with his creatinine elevated this morning further at 2.59.  Family and patient's wife have decided to make him comfort care only once all family has arrived.  The following morning family had all catheter to stated decided on terminal extubation patient was extubated and passed peacefully On 1/24/2022 at 11:25 AM
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lung opacity, Lymphocyte count decreased, Lymphocyte percentage decreased, Metabolic function test abnormal, Neutrophil count increased
Clinical narrative: 1/2/22 Short of breath.  This started around Christmas.  It is gradually worsening.  Coughing.  Had a negative at home Covid test.  The coughing is severe.  Shortness of breath is moderate to severe.  Gradually worsening.  Productive at times.  He has no chest pain pressure or tightness.  No pain with taking a breath.  No personal or family history of clots or dissection or heart disease.  No abdominal pain.  No back pain.  No swelling or pain in the arms or the legs.  No trauma.  No headaches or neck pain.  No fevers. Review of Systems  Constitutional: Positive for activity change, appetite change, chills and fatigue. Negative for fever.  HENT: Positive for congestion.  Review of Systems   Negative for nosebleeds, neck pain and neck stiffness.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Negative for abdominal pain, diarrhea, nausea and vomiting.  Genitourinary: Negative for difficulty urinating and dysuria.  Musculoskeletal: Negative for back pain and gait problem.  Skin: Negative for rash.  Neurological: Negative for dizziness, tingling and headaches.  Hematological: Does not bruise/bleed easily.  Psychiatric/Behavioral: Negative for agitation.  1/24/22  REASON FOR HOSPITALIZATION COVID-19 pneumonia causing hypoxemia acute respiratory failure     FINAL DIAGNOSES 1.  Acute respiratory failure with hypoxemia secondary to COVID-19 pneumonia and pulmonary embolus 2. large pulmonary emboli and bilateral lower DVTs 3.  Bacteremia--causing severe sepsis 4.  A. fib with RVR 5.  History of hypertension 6.  Acute kidney injury  7.  Severe sepsis with organ failure kidney and respiratory 74yo gentleman with a PMH of HTN, HLD, GERD, and arthritis who was admitted on 1/3 for acute respiratory failure wit hypoxia 2/2 PE and pneumonia..  Patient was intubated on 1/9/2022. Continue Decadron and remdesivir, baricitinib (start date 1/7).  Completed Unasyn and azithromycin.  Patient started displaying leukocytosis had positive blood cultures on 1/18/2022 was started restarted on cefepime and switched to Unasyn and now on Zosyn ID was consulted.  Patient had his central line replaced on 1/20/2022.  Patient's oxygen requirements increased to 85%.  He is showing kidney failure with his creatinine elevated this morning further at 2.59.  Family and patient's wife have decided to make him comfort care only once all family has arrived.  The following morning family had all catheter to stated decided on terminal extubation patient was extubated and passed peacefully On 1/24/2022 at 11:25 AM
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Neutrophil percentage increased, Organ failure, Oxygen saturation decreased, PO2 decreased, Pleural effusion
Clinical narrative: 1/2/22 Short of breath.  This started around Christmas.  It is gradually worsening.  Coughing.  Had a negative at home Covid test.  The coughing is severe.  Shortness of breath is moderate to severe.  Gradually worsening.  Productive at times.  He has no chest pain pressure or tightness.  No pain with taking a breath.  No personal or family history of clots or dissection or heart disease.  No abdominal pain.  No back pain.  No swelling or pain in the arms or the legs.  No trauma.  No headaches or neck pain.  No fevers. Review of Systems  Constitutional: Positive for activity change, appetite change, chills and fatigue. Negative for fever.  HENT: Positive for congestion.  Review of Systems   Negative for nosebleeds, neck pain and neck stiffness.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Negative for abdominal pain, diarrhea, nausea and vomiting.  Genitourinary: Negative for difficulty urinating and dysuria.  Musculoskeletal: Negative for back pain and gait problem.  Skin: Negative for rash.  Neurological: Negative for dizziness, tingling and headaches.  Hematological: Does not bruise/bleed easily.  Psychiatric/Behavioral: Negative for agitation.  1/24/22  REASON FOR HOSPITALIZATION COVID-19 pneumonia causing hypoxemia acute respiratory failure     FINAL DIAGNOSES 1.  Acute respiratory failure with hypoxemia secondary to COVID-19 pneumonia and pulmonary embolus 2. large pulmonary emboli and bilateral lower DVTs 3.  Bacteremia--causing severe sepsis 4.  A. fib with RVR 5.  History of hypertension 6.  Acute kidney injury  7.  Severe sepsis with organ failure kidney and respiratory 74yo gentleman with a PMH of HTN, HLD, GERD, and arthritis who was admitted on 1/3 for acute respiratory failure wit hypoxia 2/2 PE and pneumonia..  Patient was intubated on 1/9/2022. Continue Decadron and remdesivir, baricitinib (start date 1/7).  Completed Unasyn and azithromycin.  Patient started displaying leukocytosis had positive blood cultures on 1/18/2022 was started restarted on cefepime and switched to Unasyn and now on Zosyn ID was consulted.  Patient had his central line replaced on 1/20/2022.  Patient's oxygen requirements increased to 85%.  He is showing kidney failure with his creatinine elevated this morning further at 2.59.  Family and patient's wife have decided to make him comfort care only once all family has arrived.  The following morning family had all catheter to stated decided on terminal extubation patient was extubated and passed peacefully On 1/24/2022 at 11:25 AM
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Productive cough, Pulmonary embolism, Red blood cell count decreased, Renal failure, Respiratory failure
Clinical narrative: 1/2/22 Short of breath.  This started around Christmas.  It is gradually worsening.  Coughing.  Had a negative at home Covid test.  The coughing is severe.  Shortness of breath is moderate to severe.  Gradually worsening.  Productive at times.  He has no chest pain pressure or tightness.  No pain with taking a breath.  No personal or family history of clots or dissection or heart disease.  No abdominal pain.  No back pain.  No swelling or pain in the arms or the legs.  No trauma.  No headaches or neck pain.  No fevers. Review of Systems  Constitutional: Positive for activity change, appetite change, chills and fatigue. Negative for fever.  HENT: Positive for congestion.  Review of Systems   Negative for nosebleeds, neck pain and neck stiffness.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Negative for abdominal pain, diarrhea, nausea and vomiting.  Genitourinary: Negative for difficulty urinating and dysuria.  Musculoskeletal: Negative for back pain and gait problem.  Skin: Negative for rash.  Neurological: Negative for dizziness, tingling and headaches.  Hematological: Does not bruise/bleed easily.  Psychiatric/Behavioral: Negative for agitation.  1/24/22  REASON FOR HOSPITALIZATION COVID-19 pneumonia causing hypoxemia acute respiratory failure     FINAL DIAGNOSES 1.  Acute respiratory failure with hypoxemia secondary to COVID-19 pneumonia and pulmonary embolus 2. large pulmonary emboli and bilateral lower DVTs 3.  Bacteremia--causing severe sepsis 4.  A. fib with RVR 5.  History of hypertension 6.  Acute kidney injury  7.  Severe sepsis with organ failure kidney and respiratory 74yo gentleman with a PMH of HTN, HLD, GERD, and arthritis who was admitted on 1/3 for acute respiratory failure wit hypoxia 2/2 PE and pneumonia..  Patient was intubated on 1/9/2022. Continue Decadron and remdesivir, baricitinib (start date 1/7).  Completed Unasyn and azithromycin.  Patient started displaying leukocytosis had positive blood cultures on 1/18/2022 was started restarted on cefepime and switched to Unasyn and now on Zosyn ID was consulted.  Patient had his central line replaced on 1/20/2022.  Patient's oxygen requirements increased to 85%.  He is showing kidney failure with his creatinine elevated this morning further at 2.59.  Family and patient's wife have decided to make him comfort care only once all family has arrived.  The following morning family had all catheter to stated decided on terminal extubation patient was extubated and passed peacefully On 1/24/2022 at 11:25 AM
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Respiratory syncytial virus test, Respiratory tract congestion, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Sepsis
Clinical narrative: 1/2/22 Short of breath.  This started around Christmas.  It is gradually worsening.  Coughing.  Had a negative at home Covid test.  The coughing is severe.  Shortness of breath is moderate to severe.  Gradually worsening.  Productive at times.  He has no chest pain pressure or tightness.  No pain with taking a breath.  No personal or family history of clots or dissection or heart disease.  No abdominal pain.  No back pain.  No swelling or pain in the arms or the legs.  No trauma.  No headaches or neck pain.  No fevers. Review of Systems  Constitutional: Positive for activity change, appetite change, chills and fatigue. Negative for fever.  HENT: Positive for congestion.  Review of Systems   Negative for nosebleeds, neck pain and neck stiffness.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Negative for abdominal pain, diarrhea, nausea and vomiting.  Genitourinary: Negative for difficulty urinating and dysuria.  Musculoskeletal: Negative for back pain and gait problem.  Skin: Negative for rash.  Neurological: Negative for dizziness, tingling and headaches.  Hematological: Does not bruise/bleed easily.  Psychiatric/Behavioral: Negative for agitation.  1/24/22  REASON FOR HOSPITALIZATION COVID-19 pneumonia causing hypoxemia acute respiratory failure     FINAL DIAGNOSES 1.  Acute respiratory failure with hypoxemia secondary to COVID-19 pneumonia and pulmonary embolus 2. large pulmonary emboli and bilateral lower DVTs 3.  Bacteremia--causing severe sepsis 4.  A. fib with RVR 5.  History of hypertension 6.  Acute kidney injury  7.  Severe sepsis with organ failure kidney and respiratory 74yo gentleman with a PMH of HTN, HLD, GERD, and arthritis who was admitted on 1/3 for acute respiratory failure wit hypoxia 2/2 PE and pneumonia..  Patient was intubated on 1/9/2022. Continue Decadron and remdesivir, baricitinib (start date 1/7).  Completed Unasyn and azithromycin.  Patient started displaying leukocytosis had positive blood cultures on 1/18/2022 was started restarted on cefepime and switched to Unasyn and now on Zosyn ID was consulted.  Patient had his central line replaced on 1/20/2022.  Patient's oxygen requirements increased to 85%.  He is showing kidney failure with his creatinine elevated this morning further at 2.59.  Family and patient's wife have decided to make him comfort care only once all family has arrived.  The following morning family had all catheter to stated decided on terminal extubation patient was extubated and passed peacefully On 1/24/2022 at 11:25 AM
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Troponin increased, Viral test, White blood cell count increased
Clinical narrative: 1/2/22 Short of breath.  This started around Christmas.  It is gradually worsening.  Coughing.  Had a negative at home Covid test.  The coughing is severe.  Shortness of breath is moderate to severe.  Gradually worsening.  Productive at times.  He has no chest pain pressure or tightness.  No pain with taking a breath.  No personal or family history of clots or dissection or heart disease.  No abdominal pain.  No back pain.  No swelling or pain in the arms or the legs.  No trauma.  No headaches or neck pain.  No fevers. Review of Systems  Constitutional: Positive for activity change, appetite change, chills and fatigue. Negative for fever.  HENT: Positive for congestion.  Review of Systems   Negative for nosebleeds, neck pain and neck stiffness.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Negative for abdominal pain, diarrhea, nausea and vomiting.  Genitourinary: Negative for difficulty urinating and dysuria.  Musculoskeletal: Negative for back pain and gait problem.  Skin: Negative for rash.  Neurological: Negative for dizziness, tingling and headaches.  Hematological: Does not bruise/bleed easily.  Psychiatric/Behavioral: Negative for agitation.  1/24/22  REASON FOR HOSPITALIZATION COVID-19 pneumonia causing hypoxemia acute respiratory failure     FINAL DIAGNOSES 1.  Acute respiratory failure with hypoxemia secondary to COVID-19 pneumonia and pulmonary embolus 2. large pulmonary emboli and bilateral lower DVTs 3.  Bacteremia--causing severe sepsis 4.  A. fib with RVR 5.  History of hypertension 6.  Acute kidney injury  7.  Severe sepsis with organ failure kidney and respiratory 74yo gentleman with a PMH of HTN, HLD, GERD, and arthritis who was admitted on 1/3 for acute respiratory failure wit hypoxia 2/2 PE and pneumonia..  Patient was intubated on 1/9/2022. Continue Decadron and remdesivir, baricitinib (start date 1/7).  Completed Unasyn and azithromycin.  Patient started displaying leukocytosis had positive blood cultures on 1/18/2022 was started restarted on cefepime and switched to Unasyn and now on Zosyn ID was consulted.  Patient had his central line replaced on 1/20/2022.  Patient's oxygen requirements increased to 85%.  He is showing kidney failure with his creatinine elevated this morning further at 2.59.  Family and patient's wife have decided to make him comfort care only once all family has arrived.  The following morning family had all catheter to stated decided on terminal extubation patient was extubated and passed peacefully On 1/24/2022 at 11:25 AM
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Throat irritation, Urticaria, White blood cell count increased
Clinical narrative: Two weeks after my vaccine in the evening I broke out in hives and a rash on my legs and back. My throat got scratchy so I took Benadryl and it continued for the remainder of the day. The rash continued and I used over the counter ointments but that didn't work. January 28th I went to the doctor and she referred me to a allergist. They checked for autoimmune and everything came back normal. The doctor did say that my white blood cell count was up and he prescribed me prednisone for 10 days and Allegra twice a day. This issue is still on going and I have a follow up appointment on 4/5/21.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored in the freezer instead of the temperature range indicated on the package (2-25 degrees C).  Vaccine was administered to this patient while not knowing it was stored improperly.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored in the freezer instead of the temperature range indicated on the package (2-25 degrees C).  Vaccine was administered to this patient while not knowing it was stored improperly.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored in the freezer instead of the temperature range indicated on the package (2-25 degrees C).  Vaccine was administered to this patient while not knowing it was stored improperly.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: PATIENT STATES ARM WAS VERY PAINFUL FOR FIRST 1 - 2 DAYS, NOW STILL PAINFUL AND CAN'T RAISE ARM ABOVE WAIST ALMOST 4 WEEKS POST-DOSE
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Disorientation, Dizziness, Feeling abnormal, Headache
Clinical narrative: 10 minutes after receiving vaccination: Symptom: Heart palpitations  Duration: 5 seconds   2 hours post inoculation: Symptom: mild lethargy, mild dizziness, and mildly disoriented  Duration: ongoing 12 hours post inoculation: Symptom: moderate lethargy and mental fogginess. Mild body aches, mild headache, mild joint pain.  Duration: ongoing
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Pain, Palpitations
Clinical narrative: 10 minutes after receiving vaccination: Symptom: Heart palpitations  Duration: 5 seconds   2 hours post inoculation: Symptom: mild lethargy, mild dizziness, and mildly disoriented  Duration: ongoing 12 hours post inoculation: Symptom: moderate lethargy and mental fogginess. Mild body aches, mild headache, mild joint pain.  Duration: ongoing
Age: 1.0
Sex: M
Vaccine: HEPA, PNC13
Symptoms: Product storage error
Clinical narrative: Vaccine administered was exposed to a low temperature and not supported for administration. Patient has not reported any reactions. Revaccination plan to be initiated.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Tinnitus
Clinical narrative: Providers note: Headache. Patient also reports that 2 days after 2nd covid 19 vaccination noted headache and tinnitus. Frontal headache and b/l tinnitus. Initially attributed to covid 19 vaccination side effects, but has been nearly a month now and still having headaches occurring daily. Worse when "has time to think about it". Less noticeable when working on L+D floors. States that she will take excedrin which resolves headache. +b/l high pitched tone. Not pulsatile.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray, Drainage, Lower respiratory tract infection, Productive cough, Pyrexia
Clinical narrative: Wet cough in chest that occurred for several days. Sinus drainage with cough. Low grade fever that never exceeded 100.  After 4 or 5 days went to Urgent Care. Had evaluation and chest X-Ray.