chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood urea normal, C-reactive protein increased, COVID-19, COVID-19 pneumonia, Carbon dioxide increased
Clinical narrative: 67/f pt with chronic HBV,  HTN, pre-DM, HLD, cervical spinal stenosis, vaccinated with Moderna 2/16 & 3/18, no booster, exposure to family member who was covid +ve, recent diagnosis of  with COVID-19 disease on 12/11 outside hospital, who p/t ED on 12/15 with covid PNEUMONIA  with severe sepsis (elevated lactate, tachypnea). Had acute hypoxic respiratory failure noted on home oximetry.    Severe sepsis due to COVID-19 infection with acute hypoxic respiratory failure:  Symptom onset on 12/8. COVID positive on 12/11. Needs isolation 20 days from onset of symptoms per ID. -Decadron 6mg daily, 3 more days left as of today. Discharged on PO decadron.  Completed 5 days of Remdesivir, completed on 12/19. -Pepcid given for GI prophylaxis - Lovenox 40mg SQ given daily for dvt ppx   Passed road test on 12/18. DC held on 12/18 d/t dizziness which is chronic (takes PRN meclizine), on 12/19 reported coughing and saying she could not eat, even though it's documented that she was eating 100%. Had abdominal pain from coughing, tylenol increased to 1 G TID, lactulose added. Updated daughter that covid will take a long time and she has no indication for hospital stay. Road test results from 12/18- "ambulate 35 feet roomair, pre; 96% during 94% resting 96%  no sob, tolerate well , ambulate again over 100feet  94-96 % pre, during, post,1014 pt. Having dizziness bp 122/54 hr60 sats 96% given ,notice  Intense coughing without face mask even enough mask at bedside, re -guide to patient"   HTN: Continued Amlodipine   Cervical spinal stenosis: Continue Gabapentin and Baclofen daily which she takes.    Insomnia: Given Melatonin 3 mg and Trazodone 25 mg at nights.    Discharge Disposition:  Home health.    Condition on Discharge: stable   Medications, instructions, follow up information: See patient Discharge Instructions/AVS.   Subjective: Ongoing cough with associated urine incontinence. Was told that recovery will be slow but her symptoms should improve.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Coagulation test, Cough, Dizziness, Eosinophil percentage, Exposure to SARS-CoV-2
Clinical narrative: 67/f pt with chronic HBV,  HTN, pre-DM, HLD, cervical spinal stenosis, vaccinated with Moderna 2/16 & 3/18, no booster, exposure to family member who was covid +ve, recent diagnosis of  with COVID-19 disease on 12/11 outside hospital, who p/t ED on 12/15 with covid PNEUMONIA  with severe sepsis (elevated lactate, tachypnea). Had acute hypoxic respiratory failure noted on home oximetry.    Severe sepsis due to COVID-19 infection with acute hypoxic respiratory failure:  Symptom onset on 12/8. COVID positive on 12/11. Needs isolation 20 days from onset of symptoms per ID. -Decadron 6mg daily, 3 more days left as of today. Discharged on PO decadron.  Completed 5 days of Remdesivir, completed on 12/19. -Pepcid given for GI prophylaxis - Lovenox 40mg SQ given daily for dvt ppx   Passed road test on 12/18. DC held on 12/18 d/t dizziness which is chronic (takes PRN meclizine), on 12/19 reported coughing and saying she could not eat, even though it's documented that she was eating 100%. Had abdominal pain from coughing, tylenol increased to 1 G TID, lactulose added. Updated daughter that covid will take a long time and she has no indication for hospital stay. Road test results from 12/18- "ambulate 35 feet roomair, pre; 96% during 94% resting 96%  no sob, tolerate well , ambulate again over 100feet  94-96 % pre, during, post,1014 pt. Having dizziness bp 122/54 hr60 sats 96% given ,notice  Intense coughing without face mask even enough mask at bedside, re -guide to patient"   HTN: Continued Amlodipine   Cervical spinal stenosis: Continue Gabapentin and Baclofen daily which she takes.    Insomnia: Given Melatonin 3 mg and Trazodone 25 mg at nights.    Discharge Disposition:  Home health.    Condition on Discharge: stable   Medications, instructions, follow up information: See patient Discharge Instructions/AVS.   Subjective: Ongoing cough with associated urine incontinence. Was told that recovery will be slow but her symptoms should improve.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Feeding disorder, Full blood count, Glycosylated haemoglobin increased, Haematocrit normal, Haemoglobin normal
Clinical narrative: 67/f pt with chronic HBV,  HTN, pre-DM, HLD, cervical spinal stenosis, vaccinated with Moderna 2/16 & 3/18, no booster, exposure to family member who was covid +ve, recent diagnosis of  with COVID-19 disease on 12/11 outside hospital, who p/t ED on 12/15 with covid PNEUMONIA  with severe sepsis (elevated lactate, tachypnea). Had acute hypoxic respiratory failure noted on home oximetry.    Severe sepsis due to COVID-19 infection with acute hypoxic respiratory failure:  Symptom onset on 12/8. COVID positive on 12/11. Needs isolation 20 days from onset of symptoms per ID. -Decadron 6mg daily, 3 more days left as of today. Discharged on PO decadron.  Completed 5 days of Remdesivir, completed on 12/19. -Pepcid given for GI prophylaxis - Lovenox 40mg SQ given daily for dvt ppx   Passed road test on 12/18. DC held on 12/18 d/t dizziness which is chronic (takes PRN meclizine), on 12/19 reported coughing and saying she could not eat, even though it's documented that she was eating 100%. Had abdominal pain from coughing, tylenol increased to 1 G TID, lactulose added. Updated daughter that covid will take a long time and she has no indication for hospital stay. Road test results from 12/18- "ambulate 35 feet roomair, pre; 96% during 94% resting 96%  no sob, tolerate well , ambulate again over 100feet  94-96 % pre, during, post,1014 pt. Having dizziness bp 122/54 hr60 sats 96% given ,notice  Intense coughing without face mask even enough mask at bedside, re -guide to patient"   HTN: Continued Amlodipine   Cervical spinal stenosis: Continue Gabapentin and Baclofen daily which she takes.    Insomnia: Given Melatonin 3 mg and Trazodone 25 mg at nights.    Discharge Disposition:  Home health.    Condition on Discharge: stable   Medications, instructions, follow up information: See patient Discharge Instructions/AVS.   Subjective: Ongoing cough with associated urine incontinence. Was told that recovery will be slow but her symptoms should improve.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: High density lipoprotein decreased, Inappropriate schedule of product administration, Insomnia, International normalised ratio normal, Lipase normal
Clinical narrative: 67/f pt with chronic HBV,  HTN, pre-DM, HLD, cervical spinal stenosis, vaccinated with Moderna 2/16 & 3/18, no booster, exposure to family member who was covid +ve, recent diagnosis of  with COVID-19 disease on 12/11 outside hospital, who p/t ED on 12/15 with covid PNEUMONIA  with severe sepsis (elevated lactate, tachypnea). Had acute hypoxic respiratory failure noted on home oximetry.    Severe sepsis due to COVID-19 infection with acute hypoxic respiratory failure:  Symptom onset on 12/8. COVID positive on 12/11. Needs isolation 20 days from onset of symptoms per ID. -Decadron 6mg daily, 3 more days left as of today. Discharged on PO decadron.  Completed 5 days of Remdesivir, completed on 12/19. -Pepcid given for GI prophylaxis - Lovenox 40mg SQ given daily for dvt ppx   Passed road test on 12/18. DC held on 12/18 d/t dizziness which is chronic (takes PRN meclizine), on 12/19 reported coughing and saying she could not eat, even though it's documented that she was eating 100%. Had abdominal pain from coughing, tylenol increased to 1 G TID, lactulose added. Updated daughter that covid will take a long time and she has no indication for hospital stay. Road test results from 12/18- "ambulate 35 feet roomair, pre; 96% during 94% resting 96%  no sob, tolerate well , ambulate again over 100feet  94-96 % pre, during, post,1014 pt. Having dizziness bp 122/54 hr60 sats 96% given ,notice  Intense coughing without face mask even enough mask at bedside, re -guide to patient"   HTN: Continued Amlodipine   Cervical spinal stenosis: Continue Gabapentin and Baclofen daily which she takes.    Insomnia: Given Melatonin 3 mg and Trazodone 25 mg at nights.    Discharge Disposition:  Home health.    Condition on Discharge: stable   Medications, instructions, follow up information: See patient Discharge Instructions/AVS.   Subjective: Ongoing cough with associated urine incontinence. Was told that recovery will be slow but her symptoms should improve.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Liver function test, Low density lipoprotein normal, Lymphocyte percentage decreased, Mean cell volume normal, Monocyte percentage
Clinical narrative: 67/f pt with chronic HBV,  HTN, pre-DM, HLD, cervical spinal stenosis, vaccinated with Moderna 2/16 & 3/18, no booster, exposure to family member who was covid +ve, recent diagnosis of  with COVID-19 disease on 12/11 outside hospital, who p/t ED on 12/15 with covid PNEUMONIA  with severe sepsis (elevated lactate, tachypnea). Had acute hypoxic respiratory failure noted on home oximetry.    Severe sepsis due to COVID-19 infection with acute hypoxic respiratory failure:  Symptom onset on 12/8. COVID positive on 12/11. Needs isolation 20 days from onset of symptoms per ID. -Decadron 6mg daily, 3 more days left as of today. Discharged on PO decadron.  Completed 5 days of Remdesivir, completed on 12/19. -Pepcid given for GI prophylaxis - Lovenox 40mg SQ given daily for dvt ppx   Passed road test on 12/18. DC held on 12/18 d/t dizziness which is chronic (takes PRN meclizine), on 12/19 reported coughing and saying she could not eat, even though it's documented that she was eating 100%. Had abdominal pain from coughing, tylenol increased to 1 G TID, lactulose added. Updated daughter that covid will take a long time and she has no indication for hospital stay. Road test results from 12/18- "ambulate 35 feet roomair, pre; 96% during 94% resting 96%  no sob, tolerate well , ambulate again over 100feet  94-96 % pre, during, post,1014 pt. Having dizziness bp 122/54 hr60 sats 96% given ,notice  Intense coughing without face mask even enough mask at bedside, re -guide to patient"   HTN: Continued Amlodipine   Cervical spinal stenosis: Continue Gabapentin and Baclofen daily which she takes.    Insomnia: Given Melatonin 3 mg and Trazodone 25 mg at nights.    Discharge Disposition:  Home health.    Condition on Discharge: stable   Medications, instructions, follow up information: See patient Discharge Instructions/AVS.   Subjective: Ongoing cough with associated urine incontinence. Was told that recovery will be slow but her symptoms should improve.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Neutrophil percentage increased, Platelet count normal, Prothrombin time normal, Sepsis, Tachypnoea
Clinical narrative: 67/f pt with chronic HBV,  HTN, pre-DM, HLD, cervical spinal stenosis, vaccinated with Moderna 2/16 & 3/18, no booster, exposure to family member who was covid +ve, recent diagnosis of  with COVID-19 disease on 12/11 outside hospital, who p/t ED on 12/15 with covid PNEUMONIA  with severe sepsis (elevated lactate, tachypnea). Had acute hypoxic respiratory failure noted on home oximetry.    Severe sepsis due to COVID-19 infection with acute hypoxic respiratory failure:  Symptom onset on 12/8. COVID positive on 12/11. Needs isolation 20 days from onset of symptoms per ID. -Decadron 6mg daily, 3 more days left as of today. Discharged on PO decadron.  Completed 5 days of Remdesivir, completed on 12/19. -Pepcid given for GI prophylaxis - Lovenox 40mg SQ given daily for dvt ppx   Passed road test on 12/18. DC held on 12/18 d/t dizziness which is chronic (takes PRN meclizine), on 12/19 reported coughing and saying she could not eat, even though it's documented that she was eating 100%. Had abdominal pain from coughing, tylenol increased to 1 G TID, lactulose added. Updated daughter that covid will take a long time and she has no indication for hospital stay. Road test results from 12/18- "ambulate 35 feet roomair, pre; 96% during 94% resting 96%  no sob, tolerate well , ambulate again over 100feet  94-96 % pre, during, post,1014 pt. Having dizziness bp 122/54 hr60 sats 96% given ,notice  Intense coughing without face mask even enough mask at bedside, re -guide to patient"   HTN: Continued Amlodipine   Cervical spinal stenosis: Continue Gabapentin and Baclofen daily which she takes.    Insomnia: Given Melatonin 3 mg and Trazodone 25 mg at nights.    Discharge Disposition:  Home health.    Condition on Discharge: stable   Medications, instructions, follow up information: See patient Discharge Instructions/AVS.   Subjective: Ongoing cough with associated urine incontinence. Was told that recovery will be slow but her symptoms should improve.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary incontinence, White blood cell count normal
Clinical narrative: 67/f pt with chronic HBV,  HTN, pre-DM, HLD, cervical spinal stenosis, vaccinated with Moderna 2/16 & 3/18, no booster, exposure to family member who was covid +ve, recent diagnosis of  with COVID-19 disease on 12/11 outside hospital, who p/t ED on 12/15 with covid PNEUMONIA  with severe sepsis (elevated lactate, tachypnea). Had acute hypoxic respiratory failure noted on home oximetry.    Severe sepsis due to COVID-19 infection with acute hypoxic respiratory failure:  Symptom onset on 12/8. COVID positive on 12/11. Needs isolation 20 days from onset of symptoms per ID. -Decadron 6mg daily, 3 more days left as of today. Discharged on PO decadron.  Completed 5 days of Remdesivir, completed on 12/19. -Pepcid given for GI prophylaxis - Lovenox 40mg SQ given daily for dvt ppx   Passed road test on 12/18. DC held on 12/18 d/t dizziness which is chronic (takes PRN meclizine), on 12/19 reported coughing and saying she could not eat, even though it's documented that she was eating 100%. Had abdominal pain from coughing, tylenol increased to 1 G TID, lactulose added. Updated daughter that covid will take a long time and she has no indication for hospital stay. Road test results from 12/18- "ambulate 35 feet roomair, pre; 96% during 94% resting 96%  no sob, tolerate well , ambulate again over 100feet  94-96 % pre, during, post,1014 pt. Having dizziness bp 122/54 hr60 sats 96% given ,notice  Intense coughing without face mask even enough mask at bedside, re -guide to patient"   HTN: Continued Amlodipine   Cervical spinal stenosis: Continue Gabapentin and Baclofen daily which she takes.    Insomnia: Given Melatonin 3 mg and Trazodone 25 mg at nights.    Discharge Disposition:  Home health.    Condition on Discharge: stable   Medications, instructions, follow up information: See patient Discharge Instructions/AVS.   Subjective: Ongoing cough with associated urine incontinence. Was told that recovery will be slow but her symptoms should improve.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Pneumonia aspiration
Clinical narrative: Recurrent aspiration pneumonia. ED visit and hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Client was given pediatric Pfizer in error as client was 14 years old. Mom was notified that child was too old the day before clinic and was cancelled but mom brought child and showed previous confirmation so child was vaccinated in error.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Diarrhoea, Fatigue, Nausea, Urinary tract infection
Clinical narrative: Patient is fully vaccinate and booted on 10/2/2021.  COVID + on 12/10/2021. ED visit on 12/10/2021.  75-year-old female past medical history of symptomatic anemia and GI bleed presenting with chief complaint of nausea, diarrhea, fatigue. She describes a watery diarrhea over the last 4 days. She began feeling nauseous this morning prompting her visit. She says that overall she is feeling more fatigued than normal. She denies shortness of breath or pallor. Denies any abdominal pain. Denies chest pain or shortness of breath. Patient does admit to a new onset cough that started yesterday evening. She describes it is dry and hacking. Denies fever or chills. BP 133/83  | Pulse 109  | Temp 99.1 °F (37.3 °C) (Oral)  | Resp 17  | Ht 172.7 cm (5' 8")  | Wt 64.4 kg (142 lb)  | SpO2 95%  | BMI 21.59 kg/m² She was given follow-up instructions for monoclonal antibody therapy and sent home with a prescription for Bactrim for UTI.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Injection site urticaria, Urticaria
Clinical narrative: Pt received 1st  dose pediatric Pfizer COVID vaccine left deltoid. Mother and sibiling present.   @ 1515 mother noted hives on left shoulder, arm, and face post vaccination. No wheezing or shortness of breath noted. No facial or tongue swelling noted. Denies chest pain. SPO2 99% and HR 84 noted.  notified. Assessed by MD and RN @ 1521. VS 89/52, HR 93.    Benadryl 12.5 MG PO administered @  1525. Continue to monitor for worsening hives or anaphylaxis. Okay to discharge home after observation per MD.   Hx Peanut allergy.    @ 1533 V/S HR 84, 100% RA. Decrease in hives and redness noted. No worsening rash noted. Denies shortness of breath.    @ 1553 BP 85/65, HR 82, 100% RA. Pt ambulated out of clinic with stable gait/balance @ 1554 with parent and sibling.    Due to allergic reaction or adverse side effect, advised parent to consult PCP regarding 2nd dose vaccination. Parent verbally agreed with intent to comply.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal distension, Asthenia, COVID-19, Fatigue, SARS-CoV-2 test positive
Clinical narrative: Weakness, fatigue, abdominal distension
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Acinetobacter test positive, Death, Encephalopathy, Hypoglycaemia, Hypotension
Clinical narrative: Pt died on 1/12/22 due to recurrent bouts of sepsis. He developed hypoglycemia, hypotension and encephalopathy and became unresponsive. Pt required pressors.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Pseudomonas test positive, Sepsis, Unresponsive to stimuli
Clinical narrative: Pt died on 1/12/22 due to recurrent bouts of sepsis. He developed hypoglycemia, hypotension and encephalopathy and became unresponsive. Pt required pressors.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Jaundice cholestatic
Clinical narrative: Obstructive jaundice - ED visit and hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Decreased appetite, Diarrhoea, Dyspnoea
Clinical narrative: Pt is COVID + from 10 days prior. Continues with fatigue, shortness of breath, weakness, decreased appetite, diarrhea,
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, SARS-CoV-2 test positive
Clinical narrative: Pt is COVID + from 10 days prior. Continues with fatigue, shortness of breath, weakness, decreased appetite, diarrhea,
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: WAS ACCIDENTALLY GIVEN A BOOSTER DOES OF 0.25ML INSTEAD OF A FULL SECOND DOSE OF 0.5ML.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Antibody test positive, Autoimmune disorder, Laboratory test abnormal, Myasthenia gravis
Clinical narrative: Autoimmune disease date of onset after the second vaccine and became extremely severe following booster shot in October 2021.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Sepsis, Septic shock
Clinical narrative: Severe sepsis with septic shock - ED visit and hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Headache, Pain in extremity, Sensory disturbance, Throat tightness
Clinical narrative: 15 mins after injection I started to experience difficulty breathing, my  throat was closing, and I had a major buzzing sensation in my torso.  30 mins after injection started to experience a severe headache.      Fortunately, I  took a Benadryl  tablet at about 20 minutes after injection.    Breathing improved but buzzing and headache continued for 9 hours.  Sore arm continued for 3 days.      I called the Nurses Station at the Hospital and reported Benadryl tablet in the afternoon.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy lung, Papillary thyroid cancer, Pulmonary mass, Thoracic operation, Thyroid cancer metastatic
Clinical narrative: Right lung nodule s/p video-assisted thoracic surgery for a wedge resection of a right lower lobe nodule; pathology revealed metastatic papillary thyroid carcinoma. Hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Syncope
Clinical narrative: I took the booster then, few minutes later  I Fainted  unconscious for several minutes
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Laboratory test, Myalgia, Spinal disorder, X-ray
Clinical narrative: Admitted to emergency room with extreme pain in muscles around spine and unable to support weight on lega.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Blood test, Chest discomfort, Dizziness, Fatigue
Clinical narrative: Tachycardia & sinus rhythm fatigue light headed chest tightness
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus rhythm, Tachycardia
Clinical narrative: Tachycardia & sinus rhythm fatigue light headed chest tightness
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Chest X-ray normal, Condition aggravated, Costochondritis, Electrocardiogram normal
Clinical narrative: Costochondritis, recurring ( developed same day as 2nd shot and lasted 4 months), this time more severe sharp chest wall pain ribs and sternum, 2 weeks after booster. ,Continuous, does not subside, to date, no easing of pain.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal chest pain
Clinical narrative: Costochondritis, recurring ( developed same day as 2nd shot and lasted 4 months), this time more severe sharp chest wall pain ribs and sternum, 2 weeks after booster. ,Continuous, does not subside, to date, no easing of pain.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated for COVID-19 tested positive for COVID-19.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pyrexia
Clinical narrative: fever, headache and fatigue.  rested and it subsided
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Urticaria
Clinical narrative: I am unsure if this is related, but this patient developed severe hives that have lasted at least a week. She received her Moderna booster, and within two weeks, began to hive.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: Asymptomatic
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Asthenia, Azotaemia, Blood calcium increased
Clinical narrative: Acute Renal Failure, Azotemia, Elevated calcium level, Weakness - ED visit to hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Syncope, Vomiting
Clinical narrative: COVID-19 Moderna 1st dose was given to patient around 4pm. During her 15 minute observation period. I noticed the patient leaned back into her chair and went over to see if she was feeling ok. She said she was feeling light headed like she was going to faint. I called my partner over to look over patient while I went to get water and a floor mat. When I returned patient had vomited and medical professional reported she fainted for 5 seconds and woke back up. Pharm tech called for an ambulance and had patient checked out. She left on her own around 430-5pm She said she felt fine.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated for COVID-19 tested positive for COVID-19.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Malaise, Pain in extremity, Pyrexia
Clinical narrative: fever, malaise and headache, sore arm
Age: 7.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: Pediatric patient given pediatric Pfizer COVID-19 vaccine 0.2mL without diluent. Patient and mother stayed for 15-minute observation time. No adverse reaction reported during 15-minute wait time. The mother was aware of administration error after vaccine was given.
Age: 7.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Overdose
Clinical narrative: Pediatric patient given pediatric Pfizer COVID-19 vaccine 0.2mL without diluent. Patient and mother stayed for 15-minute observation time. No adverse reaction reported during 15-minute wait time. The mother was aware of administration error after vaccine was given.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Vascular pseudoaneurysm
Clinical narrative: Pseudoaneurysm of femoral artery. Hospital Admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy, Oedema peripheral, Tenderness
Clinical narrative: Swelling and tenderness in right armpit/lymph nodes first observed on Jan 15, 2022. Swelling and tenderness have slowly been subsiding but are still present on Jan 19, 2022.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dyspepsia, Nausea, Pain, SARS-CoV-2 test positive
Clinical narrative: Oct. 31 CoVid test (positive) Note: She ate 3 premade pumpkin pie slices(lactose intolerant) Nov. 25 Complained of heartburn and nausea, later vomited repeatedly and was in much pain(8 of 10). Stabilized and decided instead of going to ER or Urgent Treatment Clinic,  got advise from an on phone physician. Suggested to  stay home and take fluids and regular "as needed" medicines. 11/27 new occurrence of a little diarrhea and still had nausea.  11/29 Nausea still going on but went to school. Seemed to recover at or after 11/30. Complained that throat started tickling again 12/30 CoVid test(positive) Was called by care to follow up and that was after sending a message through medical site.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation, Vomiting
Clinical narrative: Oct. 31 CoVid test (positive) Note: She ate 3 premade pumpkin pie slices(lactose intolerant) Nov. 25 Complained of heartburn and nausea, later vomited repeatedly and was in much pain(8 of 10). Stabilized and decided instead of going to ER or Urgent Treatment Clinic,  got advise from an on phone physician. Suggested to  stay home and take fluids and regular "as needed" medicines. 11/27 new occurrence of a little diarrhea and still had nausea.  11/29 Nausea still going on but went to school. Seemed to recover at or after 11/30. Complained that throat started tickling again 12/30 CoVid test(positive) Was called by care to follow up and that was after sending a message through medical site.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Pharyngeal swelling, Swelling face
Clinical narrative: Throat and facial swelling hours later
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Fatigue, Headache, Nasal congestion, Oropharyngeal pain
Clinical narrative: Headache, fatigue, nasal congestion, sore throat, cough
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test
Clinical narrative: Headache, fatigue, nasal congestion, sore throat, cough
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Computerised tomogram, Fatigue, Oesophagogastroduodenoscopy, Pain in extremity
Clinical narrative: After getting the vaccine, I ran a low grade fever, felt fatigue, and my arm was sore. After catching COVID, I had a fever and difficulty breathing even at rest. I was super tired, and I had a cough. I really had a hard time breathing, and I ended up going to the ER and being off of work. I was  put on steroids and nebulizer medications. After 1 month of getting COVID I have swollen lymph nodes and pain in my ear, neck, and throat on the right side. It is painful and worse when I bend over. My lymph nodes are still swollen, and I still have pain in my ear, neck, and throat. The pain is still there but just not as much.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: After getting the vaccine, I ran a low grade fever, felt fatigue, and my arm was sore. After catching COVID, I had a fever and difficulty breathing even at rest. I was super tired, and I had a cough. I really had a hard time breathing, and I ended up going to the ER and being off of work. I was  put on steroids and nebulizer medications. After 1 month of getting COVID I have swollen lymph nodes and pain in my ear, neck, and throat on the right side. It is painful and worse when I bend over. My lymph nodes are still swollen, and I still have pain in my ear, neck, and throat. The pain is still there but just not as much.
Age: 11.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Parents reported child's DOB, actual DOB   Child rec'd a Pfizer adult (.3cc, purple top) when he was 11 years old.
Age: 11.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: Parents reported child's DOB, actual DOB   Child rec'd a Pfizer adult (.3cc, purple top) when he was 11 years old.
Age: 4.0
Sex: M
Vaccine: MMR
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient did not show symptoms of an adverse reaction. The MMR vaccines expired on 01/08/2022 and the vaccine was administered  to the patient on 01/18/2022, so it was 10 days expired.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Acne cystic, Anxiety, Blood pressure decreased, Burning sensation, Clumsiness
Clinical narrative: Symptoms Within 3 minutes of having the vaccination I slumped over and couldn?t move. Was having difficulties breathing, blood pressure dropped, eyesight became intermittent with kaleidoscope images and could not move my upper body. My body had a hot sensation and flushing. Had a huge appetite for the next 2 days. For the next few weeks I had a headache that wouldn?t go away no matter what I took, I was extremely tired and fatigued.  Over the next few months I had strange symptoms : Pelvic Floor issues, burning sensations down the left side of my body, severe anxiety, foggy brain, cystic acne, hives and clumsiness.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Fatigue, Feeling abnormal, Flushing
Clinical narrative: Symptoms Within 3 minutes of having the vaccination I slumped over and couldn?t move. Was having difficulties breathing, blood pressure dropped, eyesight became intermittent with kaleidoscope images and could not move my upper body. My body had a hot sensation and flushing. Had a huge appetite for the next 2 days. For the next few weeks I had a headache that wouldn?t go away no matter what I took, I was extremely tired and fatigued.  Over the next few months I had strange symptoms : Pelvic Floor issues, burning sensations down the left side of my body, severe anxiety, foggy brain, cystic acne, hives and clumsiness.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Increased appetite, Mobility decreased, Pelvic floor dysfunction, Urticaria
Clinical narrative: Symptoms Within 3 minutes of having the vaccination I slumped over and couldn?t move. Was having difficulties breathing, blood pressure dropped, eyesight became intermittent with kaleidoscope images and could not move my upper body. My body had a hot sensation and flushing. Had a huge appetite for the next 2 days. For the next few weeks I had a headache that wouldn?t go away no matter what I took, I was extremely tired and fatigued.  Over the next few months I had strange symptoms : Pelvic Floor issues, burning sensations down the left side of my body, severe anxiety, foggy brain, cystic acne, hives and clumsiness.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Migraine, Photophobia
Clinical narrative: Migraine Tylenol extra strength 500 mg (migraine became worse). Advil 200 mg (mild relief) (resting with hob slightly elevated:30 degrees) Sensitivity to light (darkened room, turned off all monitors and slept with heating pad x9 hours) Sore muscle at left arm injection site and area around it(cold pack for 40 minutes on 1 hour off for 3 days)
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient received the 5-11 year old dosing of Pfizer instead of the intended 12 & up vaccine.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Dizziness, Fatigue, Full blood count
Clinical narrative: Chest pressure, chest pain, dizziness, fatigue.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test
Clinical narrative: Chest pressure, chest pain, dizziness, fatigue.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling, Urticaria
Clinical narrative: Pt developed urticaria, swelling, three days after vaccine.  Unclear that related to vaccine. Etiology unclear.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Atrial fibrillation, Cough, Dizziness, Fatigue
Clinical narrative: Generalized weakness and fatigue. Dry cough and nausea. Light headedness Troponins elevated, pt in afib with rvr and pleural effusion
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza virus test, Nausea, Pleural effusion, Respiratory syncytial virus test, SARS-CoV-2 test
Clinical narrative: Generalized weakness and fatigue. Dry cough and nausea. Light headedness Troponins elevated, pt in afib with rvr and pleural effusion
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin increased
Clinical narrative: Generalized weakness and fatigue. Dry cough and nausea. Light headedness Troponins elevated, pt in afib with rvr and pleural effusion
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Intermenstrual bleeding, Menstrual disorder
Clinical narrative: My menstrual cycle in December was 10 days long, which is very unusual for me (I'm pretty consistently at 5-6 days, no more, no less). I also had very random spotting at other times of the month in both December and January.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Musculoskeletal discomfort
Clinical narrative: Patient states that he has had shoulder problems ever since his vaccine was injected in December.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: PEDIATRIC PATIENT WAS GIVEN PEDICATRIC PFIZER COVID 19 VACCINE  0.2ML WITH OUT DILUENT.  PT AND MOTHER STAYED FOR 15 MINUTE OBSERVATION TIME NO ADVERSE REACTION REPORTED DURNING 15 MINUTE WAIT TIME.
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Two days after receiving the vaccination, the patient stated that the injection site was red, warm to the touch and tender. She drew a circle around the injection site to see if the redness was expanding, and said that the redness did spread (no time frame was given). She stated that she had reached out to her PCP who had been unresponsive up until the time that the patient was contacted by lab. As of 1/19/22 she stated that the redness is mostly gone but there is still some heat at the injection site, and she is continuing to wait for a response from her PCP.
Age: 16.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Received  moderna vaccine at the age of 16 years old
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Product preparation error
Clinical narrative: Patient was given 0.3 ml of undiluted Pfizer vaccine. Patient was in observation for 15 minutes per protocol and was not observed to have any undue affects.   Patient contacted that day, but was not responding to phone calls, so voice message was left to have her call the pharmacy. She returned the phone call in the morning and was informed of the error. I asked how she was feeling, her response was that she was suffering from a severe headache and that the error obviously was the cause of that symptom.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Hypoxia
Clinical narrative: Patient fully vaccinated (Moderna) and boosted (received Moderna booster on 10/20/21), admitted to the hospital on 1/6/2022 with COVID-19 and associated hypoxia. Patient expired on 1/12/2022.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated for COVID-19 tested positive for COVID-19.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram thorax, Pulmonary embolism
Clinical narrative: Left Lower Lobe Pulmonary Embolism
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation error
Clinical narrative: PEDIATRIC PATIENT WAS GIVEN PEDICATRIC PFIZER COVID 19 VACCINE  0.2ML WITH OUT DILUENT.  PT AND MOTHER STAYED FOR 15 MINUTE OBSERVATION TIME NO ADVERSE REACTION REPORTED DURNING 15 MINUTE WAIT TIME.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Headache, Musculoskeletal discomfort, Palpitations
Clinical narrative: 12/21/21 -12/24/21 : Headache  12/27/21-1/10/2022: racing heartbeat, pulsating neck, out of breath with normal activity, tightness in lungs, fatigue
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Hyperhidrosis, SARS-CoV-2 test
Clinical narrative: shortness of beath with cough, diaphoresis
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was administered 1 day after beyond use date. Pfizer corporation has been contacted for stability study. Patient may be vaccinated again pending Pfizer and clinical pharmacist decision.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Parents reported child's DOB as "2008", actual DOB is "2009". Based on info parents provided, child rec'd Pfizer Adult (0.3cc, purple top) instead of Pfizer Pediatric (PEDS) (orange cap), no adverse events reported by parents.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Emotional disorder, Exposure during pregnancy, Hormone level abnormal, Memory impairment, Pyrexia
Clinical narrative: First dose had to stay for a while itchy rash got fever for both high for alot of days, since then have had alot psychological things happen like unable to talk normal, hormones embalancer
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic, Speech disorder
Clinical narrative: First dose had to stay for a while itchy rash got fever for both high for alot of days, since then have had alot psychological things happen like unable to talk normal, hormones embalancer
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic, Skin discolouration, Skin lesion
Clinical narrative: About 1-2 weeks after vaccination, itchy skin lesions started to appear on my lower back and legs. Itching subsided after dermatologist prescribed topical creme. But the marks still remain as dark spots all over lower back
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Given Moderna Booster Shot. About a day after I received the booster shot, my left armpit lymph nodes had become swollen and painful. I am currently letting the swelling go down naturally, and will get medical treatment if it doesn't recover.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time, Acute myocardial infarction, Alanine aminotransferase normal, Antimicrobial susceptibility test sensitive, Aspartate aminotransferase normal
Clinical narrative: 76/F pt with obesity (current BMI 33), DM, diabetic CKD (baseline creatinine 1.01-1.07), HTN, HLD, asthma, fully vaccinated for COVID including booster, was in USOH until diagnosed with COVID on 12/21. She was having dysuria for 2 days prior, had a TAV as she started having fever and vomiting x 1. On AM of admit she woke up with shaking chills, and dyspnea -> called EMS and came to ED where she was noted to be hypoxic to 90% and hence was placed on 2 L of O2. She was given LR due to UTI + COVID. ROS on admit positive for back pain, and nausea. She lives with her family at home, independent for ADL's, daughter and grand daughter both had tested + for covid (12/20 and 12/17 respectively), her husband is negative. Vitals on arrival T-101.4, 84, 23, 96-99 % on 2 L, BP 115/56. Labs notable for cr of 1.28 (bl 1.0-1.07, GFR in CKD 3a range), elevated lactate at 2.0 (improved to 1.5 with LR total of 500 cc), CRP of 10.3, Covid positive, WBC normal on admit but with bandemia, d-dimer 1.71, UA was positive and CXR negative for focal infiltrates or congestion. She met criteria for severe sepsis on admit.        UTI with pyelonephritis Keflex given in ED, changed to Ceftriaxone on admit.  2/2 blood cx's growing E Coli. Urine cx also  with E.Coli (sensitive to cefazolin, no prior positive urine cx's in the system) - Continue Ctx per d/w ID through today, will change to Cipro at discharge to complete 14 day course.      Covid positive status. Brief hypoxia to 90% on RA on arrival. Brief dry cough per history.  Was started on dexamethasone (received total of 2 doses 12/25 and 12/26). Had brief hypoxia of 90% in ED (while febrile), since then recovered. Currently on RA saturating 98%. Also has negative CXR. - Stopped steroids per d/w ID, given she has active bacteremia and underlying DM.  - Not given Remdesivir d/t elevated creatinine. Also hypoxia was brief.  Enhanced isolation to continue for total of 10 days through 1/1/22, considered mild infection. D/W Dr./ID.  - CRP up from 10.3->13.8 but could be from bacterial infection.  - LFT's are normal. D-dimer 1.71->1.55.   Elevated troponin No EKG changes.  Likely type 2 MI in the setting of severe sepsis.  PTA ASA/statin continued. Telemetry monitoring for now Troponin peaked at 0.40 (0.08-> 0.40-> 0.21). Pt had no exertional symptoms prior to getting sick, hence no out pt ischemia w/u recommended per Dr./Cardiology.    Mild persistent asthma On Wixela and prn Albuterol.   DM2 with CKD stage 3A. Glipizide and Metformin on hold NPH (7 units BID new) with SSI started on admit.  Current FS values in 200-300's, from steroid use in the setting of DM.  Last A1C was 7.2 in 10/2021 (prior was 10.3 in 01/2021).  - Increased NPH to 10 U BID AC for elevated blood sugars while here. - Resume home regimen on discharge.   HTN/HLD On PTA Amlodipine and statin. ACEi held on admission d/t rise in creatinine.  Reason for Hospital Admission (Admitting Diagnosis):  SOB and UTI
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Bacteraemia, Bacterial infection, Bacterial test positive, Bandaemia
Clinical narrative: 76/F pt with obesity (current BMI 33), DM, diabetic CKD (baseline creatinine 1.01-1.07), HTN, HLD, asthma, fully vaccinated for COVID including booster, was in USOH until diagnosed with COVID on 12/21. She was having dysuria for 2 days prior, had a TAV as she started having fever and vomiting x 1. On AM of admit she woke up with shaking chills, and dyspnea -> called EMS and came to ED where she was noted to be hypoxic to 90% and hence was placed on 2 L of O2. She was given LR due to UTI + COVID. ROS on admit positive for back pain, and nausea. She lives with her family at home, independent for ADL's, daughter and grand daughter both had tested + for covid (12/20 and 12/17 respectively), her husband is negative. Vitals on arrival T-101.4, 84, 23, 96-99 % on 2 L, BP 115/56. Labs notable for cr of 1.28 (bl 1.0-1.07, GFR in CKD 3a range), elevated lactate at 2.0 (improved to 1.5 with LR total of 500 cc), CRP of 10.3, Covid positive, WBC normal on admit but with bandemia, d-dimer 1.71, UA was positive and CXR negative for focal infiltrates or congestion. She met criteria for severe sepsis on admit.        UTI with pyelonephritis Keflex given in ED, changed to Ceftriaxone on admit.  2/2 blood cx's growing E Coli. Urine cx also  with E.Coli (sensitive to cefazolin, no prior positive urine cx's in the system) - Continue Ctx per d/w ID through today, will change to Cipro at discharge to complete 14 day course.      Covid positive status. Brief hypoxia to 90% on RA on arrival. Brief dry cough per history.  Was started on dexamethasone (received total of 2 doses 12/25 and 12/26). Had brief hypoxia of 90% in ED (while febrile), since then recovered. Currently on RA saturating 98%. Also has negative CXR. - Stopped steroids per d/w ID, given she has active bacteremia and underlying DM.  - Not given Remdesivir d/t elevated creatinine. Also hypoxia was brief.  Enhanced isolation to continue for total of 10 days through 1/1/22, considered mild infection. D/W Dr./ID.  - CRP up from 10.3->13.8 but could be from bacterial infection.  - LFT's are normal. D-dimer 1.71->1.55.   Elevated troponin No EKG changes.  Likely type 2 MI in the setting of severe sepsis.  PTA ASA/statin continued. Telemetry monitoring for now Troponin peaked at 0.40 (0.08-> 0.40-> 0.21). Pt had no exertional symptoms prior to getting sick, hence no out pt ischemia w/u recommended per Dr./Cardiology.    Mild persistent asthma On Wixela and prn Albuterol.   DM2 with CKD stage 3A. Glipizide and Metformin on hold NPH (7 units BID new) with SSI started on admit.  Current FS values in 200-300's, from steroid use in the setting of DM.  Last A1C was 7.2 in 10/2021 (prior was 10.3 in 01/2021).  - Increased NPH to 10 U BID AC for elevated blood sugars while here. - Resume home regimen on discharge.   HTN/HLD On PTA Amlodipine and statin. ACEi held on admission d/t rise in creatinine.  Reason for Hospital Admission (Admitting Diagnosis):  SOB and UTI
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Bilirubin urine, Blood alkaline phosphatase normal, Blood bilirubin increased, Blood chloride decreased, Blood creatinine increased
Clinical narrative: 76/F pt with obesity (current BMI 33), DM, diabetic CKD (baseline creatinine 1.01-1.07), HTN, HLD, asthma, fully vaccinated for COVID including booster, was in USOH until diagnosed with COVID on 12/21. She was having dysuria for 2 days prior, had a TAV as she started having fever and vomiting x 1. On AM of admit she woke up with shaking chills, and dyspnea -> called EMS and came to ED where she was noted to be hypoxic to 90% and hence was placed on 2 L of O2. She was given LR due to UTI + COVID. ROS on admit positive for back pain, and nausea. She lives with her family at home, independent for ADL's, daughter and grand daughter both had tested + for covid (12/20 and 12/17 respectively), her husband is negative. Vitals on arrival T-101.4, 84, 23, 96-99 % on 2 L, BP 115/56. Labs notable for cr of 1.28 (bl 1.0-1.07, GFR in CKD 3a range), elevated lactate at 2.0 (improved to 1.5 with LR total of 500 cc), CRP of 10.3, Covid positive, WBC normal on admit but with bandemia, d-dimer 1.71, UA was positive and CXR negative for focal infiltrates or congestion. She met criteria for severe sepsis on admit.        UTI with pyelonephritis Keflex given in ED, changed to Ceftriaxone on admit.  2/2 blood cx's growing E Coli. Urine cx also  with E.Coli (sensitive to cefazolin, no prior positive urine cx's in the system) - Continue Ctx per d/w ID through today, will change to Cipro at discharge to complete 14 day course.      Covid positive status. Brief hypoxia to 90% on RA on arrival. Brief dry cough per history.  Was started on dexamethasone (received total of 2 doses 12/25 and 12/26). Had brief hypoxia of 90% in ED (while febrile), since then recovered. Currently on RA saturating 98%. Also has negative CXR. - Stopped steroids per d/w ID, given she has active bacteremia and underlying DM.  - Not given Remdesivir d/t elevated creatinine. Also hypoxia was brief.  Enhanced isolation to continue for total of 10 days through 1/1/22, considered mild infection. D/W Dr./ID.  - CRP up from 10.3->13.8 but could be from bacterial infection.  - LFT's are normal. D-dimer 1.71->1.55.   Elevated troponin No EKG changes.  Likely type 2 MI in the setting of severe sepsis.  PTA ASA/statin continued. Telemetry monitoring for now Troponin peaked at 0.40 (0.08-> 0.40-> 0.21). Pt had no exertional symptoms prior to getting sick, hence no out pt ischemia w/u recommended per Dr./Cardiology.    Mild persistent asthma On Wixela and prn Albuterol.   DM2 with CKD stage 3A. Glipizide and Metformin on hold NPH (7 units BID new) with SSI started on admit.  Current FS values in 200-300's, from steroid use in the setting of DM.  Last A1C was 7.2 in 10/2021 (prior was 10.3 in 01/2021).  - Increased NPH to 10 U BID AC for elevated blood sugars while here. - Resume home regimen on discharge.   HTN/HLD On PTA Amlodipine and statin. ACEi held on admission d/t rise in creatinine.  Reason for Hospital Admission (Admitting Diagnosis):  SOB and UTI