chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Malaise, Mechanical ventilation, Nausea, Nitrite urine present
Clinical narrative: Bronchopneumonia, Cough. SOB, FEVER, ABD PAIN, NAUSEA, VOMITING AND DIARRHEA  ED to Hosp-Admission Current 8/27/2021 - present (5 days) Hospital Acute respiratory failure with hypoxia (HCC  Patient presents with ? Shortness of Breath      is an 75 y.o. female.   HPI: Patient is a 75-year-old female with a history of morbid obesity/hypertension/OSA who presents to the ER with complaints of worsening shortness of breath.  History goes that patient was well until approximately 6 days ago when she began feeling ill.  At the time she was experiencing cough, shortness of breath, as well as dyspnea on exertion with reduced exercise tolerance.  She was evaluated at the urgent care on 8/25 where plain chest x-ray was performed which showed no evidence of infiltrate.     She was started on azithromycin and COVID-19 test was ordered.   Recommendations was made for her to get OTC medications for symptom relief.  She was called on 8/27 and informed that she had COVID-19.  During all this her symptoms did not get any better with progressively worsening symptoms with body aches and pains, progressively worsening shortness of breath, cough, and fatigue.  Due to worsening symptoms 911 call was made prior to arrival to the ER.  EMTs found patient to to be dyspneic with pulse ox reading of 80% on room air requiring supportive oxygen of up to 6 L/min prior to transport.  She was transported to the ER where she was started on noninvasive mechanical ventilation.     Upon arrival she was tachypneic, with visible work of breathing.  She was afebrile.  Her labs were nonacute on hematology, chemistries showed magnesium of 1.6, BNP of 101, with elevated AST of 69.  Her UA showed hazy urine, positive for leukocyte esterase and nitrites, she also has proteinuria with hematuria pyuria and bacteriuria.  Plain chest imaging showed chronic lung changes.  Patient is being admitted for further management.   Of note patient lives with her son who was recently hospitalized with COVID-19 pneumonia.   Review of Systems  Constitutional: Positive for activity change, appetite change and fatigue.  HENT: Positive for congestion, postnasal drip and rhinorrhea.   Eyes: Negative.   Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Negative.   Gastrointestinal: Positive for diarrhea and nausea.  Endocrine: Negative.   Genitourinary: Negative.   Musculoskeletal: Negative.   Skin: Negative.   Allergic/Immunologic: Negative.   Neurological: Positive for dizziness, weakness, light-headedness and headaches.  Hematological: Negative.   Psychiatric/Behavioral: Negative.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pneumonia, Proteinuria, Pyrexia, Pyuria
Clinical narrative: Bronchopneumonia, Cough. SOB, FEVER, ABD PAIN, NAUSEA, VOMITING AND DIARRHEA  ED to Hosp-Admission Current 8/27/2021 - present (5 days) Hospital Acute respiratory failure with hypoxia (HCC  Patient presents with ? Shortness of Breath      is an 75 y.o. female.   HPI: Patient is a 75-year-old female with a history of morbid obesity/hypertension/OSA who presents to the ER with complaints of worsening shortness of breath.  History goes that patient was well until approximately 6 days ago when she began feeling ill.  At the time she was experiencing cough, shortness of breath, as well as dyspnea on exertion with reduced exercise tolerance.  She was evaluated at the urgent care on 8/25 where plain chest x-ray was performed which showed no evidence of infiltrate.     She was started on azithromycin and COVID-19 test was ordered.   Recommendations was made for her to get OTC medications for symptom relief.  She was called on 8/27 and informed that she had COVID-19.  During all this her symptoms did not get any better with progressively worsening symptoms with body aches and pains, progressively worsening shortness of breath, cough, and fatigue.  Due to worsening symptoms 911 call was made prior to arrival to the ER.  EMTs found patient to to be dyspneic with pulse ox reading of 80% on room air requiring supportive oxygen of up to 6 L/min prior to transport.  She was transported to the ER where she was started on noninvasive mechanical ventilation.     Upon arrival she was tachypneic, with visible work of breathing.  She was afebrile.  Her labs were nonacute on hematology, chemistries showed magnesium of 1.6, BNP of 101, with elevated AST of 69.  Her UA showed hazy urine, positive for leukocyte esterase and nitrites, she also has proteinuria with hematuria pyuria and bacteriuria.  Plain chest imaging showed chronic lung changes.  Patient is being admitted for further management.   Of note patient lives with her son who was recently hospitalized with COVID-19 pneumonia.   Review of Systems  Constitutional: Positive for activity change, appetite change and fatigue.  HENT: Positive for congestion, postnasal drip and rhinorrhea.   Eyes: Negative.   Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Negative.   Gastrointestinal: Positive for diarrhea and nausea.  Endocrine: Negative.   Genitourinary: Negative.   Musculoskeletal: Negative.   Skin: Negative.   Allergic/Immunologic: Negative.   Neurological: Positive for dizziness, weakness, light-headedness and headaches.  Hematological: Negative.   Psychiatric/Behavioral: Negative.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive, Tachypnoea, Upper-airway cough syndrome
Clinical narrative: Bronchopneumonia, Cough. SOB, FEVER, ABD PAIN, NAUSEA, VOMITING AND DIARRHEA  ED to Hosp-Admission Current 8/27/2021 - present (5 days) Hospital Acute respiratory failure with hypoxia (HCC  Patient presents with ? Shortness of Breath      is an 75 y.o. female.   HPI: Patient is a 75-year-old female with a history of morbid obesity/hypertension/OSA who presents to the ER with complaints of worsening shortness of breath.  History goes that patient was well until approximately 6 days ago when she began feeling ill.  At the time she was experiencing cough, shortness of breath, as well as dyspnea on exertion with reduced exercise tolerance.  She was evaluated at the urgent care on 8/25 where plain chest x-ray was performed which showed no evidence of infiltrate.     She was started on azithromycin and COVID-19 test was ordered.   Recommendations was made for her to get OTC medications for symptom relief.  She was called on 8/27 and informed that she had COVID-19.  During all this her symptoms did not get any better with progressively worsening symptoms with body aches and pains, progressively worsening shortness of breath, cough, and fatigue.  Due to worsening symptoms 911 call was made prior to arrival to the ER.  EMTs found patient to to be dyspneic with pulse ox reading of 80% on room air requiring supportive oxygen of up to 6 L/min prior to transport.  She was transported to the ER where she was started on noninvasive mechanical ventilation.     Upon arrival she was tachypneic, with visible work of breathing.  She was afebrile.  Her labs were nonacute on hematology, chemistries showed magnesium of 1.6, BNP of 101, with elevated AST of 69.  Her UA showed hazy urine, positive for leukocyte esterase and nitrites, she also has proteinuria with hematuria pyuria and bacteriuria.  Plain chest imaging showed chronic lung changes.  Patient is being admitted for further management.   Of note patient lives with her son who was recently hospitalized with COVID-19 pneumonia.   Review of Systems  Constitutional: Positive for activity change, appetite change and fatigue.  HENT: Positive for congestion, postnasal drip and rhinorrhea.   Eyes: Negative.   Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Negative.   Gastrointestinal: Positive for diarrhea and nausea.  Endocrine: Negative.   Genitourinary: Negative.   Musculoskeletal: Negative.   Skin: Negative.   Allergic/Immunologic: Negative.   Neurological: Positive for dizziness, weakness, light-headedness and headaches.  Hematological: Negative.   Psychiatric/Behavioral: Negative.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Urine abnormality, Urine leukocyte esterase positive, Vomiting
Clinical narrative: Bronchopneumonia, Cough. SOB, FEVER, ABD PAIN, NAUSEA, VOMITING AND DIARRHEA  ED to Hosp-Admission Current 8/27/2021 - present (5 days) Hospital Acute respiratory failure with hypoxia (HCC  Patient presents with ? Shortness of Breath      is an 75 y.o. female.   HPI: Patient is a 75-year-old female with a history of morbid obesity/hypertension/OSA who presents to the ER with complaints of worsening shortness of breath.  History goes that patient was well until approximately 6 days ago when she began feeling ill.  At the time she was experiencing cough, shortness of breath, as well as dyspnea on exertion with reduced exercise tolerance.  She was evaluated at the urgent care on 8/25 where plain chest x-ray was performed which showed no evidence of infiltrate.     She was started on azithromycin and COVID-19 test was ordered.   Recommendations was made for her to get OTC medications for symptom relief.  She was called on 8/27 and informed that she had COVID-19.  During all this her symptoms did not get any better with progressively worsening symptoms with body aches and pains, progressively worsening shortness of breath, cough, and fatigue.  Due to worsening symptoms 911 call was made prior to arrival to the ER.  EMTs found patient to to be dyspneic with pulse ox reading of 80% on room air requiring supportive oxygen of up to 6 L/min prior to transport.  She was transported to the ER where she was started on noninvasive mechanical ventilation.     Upon arrival she was tachypneic, with visible work of breathing.  She was afebrile.  Her labs were nonacute on hematology, chemistries showed magnesium of 1.6, BNP of 101, with elevated AST of 69.  Her UA showed hazy urine, positive for leukocyte esterase and nitrites, she also has proteinuria with hematuria pyuria and bacteriuria.  Plain chest imaging showed chronic lung changes.  Patient is being admitted for further management.   Of note patient lives with her son who was recently hospitalized with COVID-19 pneumonia.   Review of Systems  Constitutional: Positive for activity change, appetite change and fatigue.  HENT: Positive for congestion, postnasal drip and rhinorrhea.   Eyes: Negative.   Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Negative.   Gastrointestinal: Positive for diarrhea and nausea.  Endocrine: Negative.   Genitourinary: Negative.   Musculoskeletal: Negative.   Skin: Negative.   Allergic/Immunologic: Negative.   Neurological: Positive for dizziness, weakness, light-headedness and headaches.  Hematological: Negative.   Psychiatric/Behavioral: Negative.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Blepharospasm, Eye pain, Ocular hyperaemia
Clinical narrative: Localized pain, significant and sudden strong redness in right eye and behind eye, with regular spasms, lasted about a week, acute for maybe 4 days
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine deemed expired after vaccine was administered.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Herpes zoster, Pain, Rash
Clinical narrative: next day after being vaccinated, I had pain all over my body with joint pain. 2 days after getting the vaccine, i had to go to urgent care as i developped a rash on my right shoulder in the front and back. I was told it is Shingles and prescribed Valtrex. I still feel the shingles today and rashes are almost all gone.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardiac stress test abnormal, Electrocardiogram, Ischaemia
Clinical narrative: New onset atrial fibrillation, began at approximately 1:45pm of the 14th of May 2021,  Was first seen by a nurse who called EMTs to transport to emergency hospital.  Was admitted to hospital critical care room at approximately 7pm same day.  Remained in Afib until approximately 3:30am on the 15th.  Treatment included a course of eliquis at 10 mg, along with IV administration of Cardizem (unsure of dosage.)
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Dark circles under eyes, Eye swelling
Clinical narrative: Swelling and dark circles under eyes (similar to a black eye).
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Migraine, Photophobia, Rash, Urticaria
Clinical narrative: 1) 1st vax 8/9/2021. Approximately 18 hours later developed severe migraine-like headache which last approximately 24 hours and slowly dissipated.  2) 2nd vax 8/30/20201. Approximately 12 hours later developed severe migraine-like headache with light sensitivity.  Approximately 24 hours after vax, joint pain in wrists and ankles. Additionally, hive-like rash on back and wrists.  Taking acetaminophen.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Immediate post-injection reaction, Nausea, Pain in extremity
Clinical narrative: I had a sore arm within moments of receiving the shot. Later in the night I got chills and fever. Now I have a cough, nausea and feel like I have COVID again.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: I had a sore arm within moments of receiving the shot. Later in the night I got chills and fever. Now I have a cough, nausea and feel like I have COVID again.
Age: 23.0
Sex: F
Vaccine: FLUA4
Symptoms: Lymphadenopathy, Pain, Tenderness
Clinical narrative: Swollen lymph node in axillary area of the left side of the body. Significantly visible. Tender to the touch. Sore. Started ~12 hours after vaccine. Still swollen and tender 24-48 hours after. No other major symptoms to report.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Skin depigmentation, Vitiligo
Clinical narrative: My 2nd dose of the Pfizer vaccine was administered on February 2nd, 2021. By mid March, I began to notice bizarre depigmented patches of skin first appeared on the dorsum of my hands.  Never before in my life have I had any skin-related issues, or have I seen anything like this. I scheduled a dermatologist appointment within just a few weeks but was not able to be seen until May 6th. He confirmed the diagnosis of vitiligo. I was later seen by Dr. who also confirmed the diagnosis, and the disease is worsening and has now spread to my forearms, lower legs, and face. She commented that due to the timing of the vaccine administration just 6 weeks prior, that I should submit a VAERS report as it is extremely abnormal to be diagnosed with vitiligo this late in life, and with the timing of the vaccine it makes sense that it could be related.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalization due to COVID-19 Reported per Moderna COVID-19 Vaccine EUA
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis, Burning sensation, C-reactive protein, Pain, Paraesthesia
Clinical narrative: Extreme arthritis flare. Pain, tingling , burning. So severe I was unable to sleep
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Rheumatoid factor negative, Sleep disorder, Ultrasound Doppler normal, X-ray
Clinical narrative: Extreme arthritis flare. Pain, tingling , burning. So severe I was unable to sleep
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested COVID POSITIVE 8/30/21
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Balance disorder, Chest X-ray, Computerised tomogram head
Clinical narrative: 8/26, Generalized itching, hives, knots in face and neck, skin burning 8/27  Continued itching, headache, tinnitus 8/28 Syncope, weakness, headache, dizziness, loss of balance, tinnitus, joint pain As of today's date 9/1, continued tinnitus, joint pain, weakness, headache
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Laboratory test, Nodule, Pruritus
Clinical narrative: 8/26, Generalized itching, hives, knots in face and neck, skin burning 8/27  Continued itching, headache, tinnitus 8/28 Syncope, weakness, headache, dizziness, loss of balance, tinnitus, joint pain As of today's date 9/1, continued tinnitus, joint pain, weakness, headache
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Skin burning sensation, Syncope, Tinnitus, Urticaria
Clinical narrative: 8/26, Generalized itching, hives, knots in face and neck, skin burning 8/27  Continued itching, headache, tinnitus 8/28 Syncope, weakness, headache, dizziness, loss of balance, tinnitus, joint pain As of today's date 9/1, continued tinnitus, joint pain, weakness, headache
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Pain
Clinical narrative: Body aches, chills, slight headache. Takes Ibuprofen.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain in extremity, Pyrexia
Clinical narrative: Chills, fever, fatigue and sore arm
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Fatigue, Headache, Injection site pain, Lymphadenopathy
Clinical narrative: Fatigue- Started 6 hours post-vaccine, subsided 24 hours post-vaccine Headache- Started 6 hours post-vaccine, subsided 36 hours post-vaccine Injection site pain- Started 12 hours post-vaccine, still ongoing Severe muscle pain- Started 12 hours post-vaccine, subsided 36 hours post-vaccine Severe joint pain, including spinal pain- Started 12 hours post-vaccine, subsided 36 hours post-vaccine Lymphadenopathy- Started 18 hours post-vaccine, left underarm, swollen to baseball size and painful to touch and movement. Still ongoing
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Myalgia, Pain, Pain of skin, Spinal pain
Clinical narrative: Fatigue- Started 6 hours post-vaccine, subsided 24 hours post-vaccine Headache- Started 6 hours post-vaccine, subsided 36 hours post-vaccine Injection site pain- Started 12 hours post-vaccine, still ongoing Severe muscle pain- Started 12 hours post-vaccine, subsided 36 hours post-vaccine Severe joint pain, including spinal pain- Started 12 hours post-vaccine, subsided 36 hours post-vaccine Lymphadenopathy- Started 18 hours post-vaccine, left underarm, swollen to baseball size and painful to touch and movement. Still ongoing
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Fatigue, Headache, Lymph node pain, Lymphadenopathy
Clinical narrative: Fatigue- Started 6 hours post-vaccine, subsided 24 hours post-vaccine Headache- Started 6 hours post-vaccine, subsided 36 hours post-vaccine Injection site pain- Started 12 hours post-vaccine, still ongoing Severe muscle pain- Started 12 hours post-vaccine, subsided 36 hours post-vaccine Severe joint pain, including spinal pain- Started 12 hours post-vaccine, subsided 36 hours post-vaccine Lymphadenopathy- Started 18 hours post-vaccine, left underarm, swollen to baseball size and painful to touch and movement. Still ongoing
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Myalgia, Spinal pain, Vaccination site pain
Clinical narrative: Fatigue- Started 6 hours post-vaccine, subsided 24 hours post-vaccine Headache- Started 6 hours post-vaccine, subsided 36 hours post-vaccine Injection site pain- Started 12 hours post-vaccine, still ongoing Severe muscle pain- Started 12 hours post-vaccine, subsided 36 hours post-vaccine Severe joint pain, including spinal pain- Started 12 hours post-vaccine, subsided 36 hours post-vaccine Lymphadenopathy- Started 18 hours post-vaccine, left underarm, swollen to baseball size and painful to touch and movement. Still ongoing
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest pain, Dermatitis, Erythema, Fatigue
Clinical narrative: On day two of receiving shot number 2, my whole body became very achy, as well as a slight headache. I felt very sore, achy and tired for a full day. The next afternoon I discovered a red , inflamed  patch of shingles on right side of my chest.  Then,on August 31, 2021, I again had severe aches, pains across my chest , shoulders,  into my muscles and joints for 2 days now.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Herpes zoster, Myalgia, Pain
Clinical narrative: On day two of receiving shot number 2, my whole body became very achy, as well as a slight headache. I felt very sore, achy and tired for a full day. The next afternoon I discovered a red , inflamed  patch of shingles on right side of my chest.  Then,on August 31, 2021, I again had severe aches, pains across my chest , shoulders,  into my muscles and joints for 2 days now.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Adenovirus test, Ageusia, Anosmia, Blood lactic acid increased, Body temperature increased
Clinical narrative: ED to Hosp-Admission; 8/29/2021 - present (3 days); Hospital  Sepsis due to COVID-19; Patient presents with Cough, Diarrhea; Patient is a 85 y.o. male with PMH listed who presents from home complaining of feeling ill since Tuesday 8/24.  He states that his worst symptom has been severe fatigue.  Also admits to nausea/poor appetite, loss of taste and smell, diarrhea, and dry cough.  No CP, not particularly SOB.  He has not vomited, but he's wanted to.  The only elevated temp that he knows of was on Friday, 100.3F.  He was found to be hypoxic in the ER.  Heart is racing. Plan: Admit to IMCU for continuing care of sepsis due to COVID-19.  Respiratory symptoms are fairly mild, but he is hypoxic.  Start Decadron and remdesivir, titrate O2 as needed.  Given that he has been vaccinated, should not progress to ICU-level care.  Need for IMCU at this point is primarily due to elevated HR and mild elevation of trop/lactate.  Cont to trend these levels. Check procalc to rule out a bacterial co-infection. Cardizem gtt for Afib/RVR, continue IV fluids for another day (likely a little dehydrated due to diarrhea).  Hold home BP meds and Lasix. Diet as tolerated, antiemetics as needed.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Bordetella test negative, COVID-19, Cardiomegaly, Chest X-ray, Chlamydia test negative
Clinical narrative: ED to Hosp-Admission; 8/29/2021 - present (3 days); Hospital  Sepsis due to COVID-19; Patient presents with Cough, Diarrhea; Patient is a 85 y.o. male with PMH listed who presents from home complaining of feeling ill since Tuesday 8/24.  He states that his worst symptom has been severe fatigue.  Also admits to nausea/poor appetite, loss of taste and smell, diarrhea, and dry cough.  No CP, not particularly SOB.  He has not vomited, but he's wanted to.  The only elevated temp that he knows of was on Friday, 100.3F.  He was found to be hypoxic in the ER.  Heart is racing. Plan: Admit to IMCU for continuing care of sepsis due to COVID-19.  Respiratory symptoms are fairly mild, but he is hypoxic.  Start Decadron and remdesivir, titrate O2 as needed.  Given that he has been vaccinated, should not progress to ICU-level care.  Need for IMCU at this point is primarily due to elevated HR and mild elevation of trop/lactate.  Cont to trend these levels. Check procalc to rule out a bacterial co-infection. Cardizem gtt for Afib/RVR, continue IV fluids for another day (likely a little dehydrated due to diarrhea).  Hold home BP meds and Lasix. Diet as tolerated, antiemetics as needed.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram abnormal, Computerised tomogram thorax, Coronavirus test negative, Cough, Decreased appetite
Clinical narrative: ED to Hosp-Admission; 8/29/2021 - present (3 days); Hospital  Sepsis due to COVID-19; Patient presents with Cough, Diarrhea; Patient is a 85 y.o. male with PMH listed who presents from home complaining of feeling ill since Tuesday 8/24.  He states that his worst symptom has been severe fatigue.  Also admits to nausea/poor appetite, loss of taste and smell, diarrhea, and dry cough.  No CP, not particularly SOB.  He has not vomited, but he's wanted to.  The only elevated temp that he knows of was on Friday, 100.3F.  He was found to be hypoxic in the ER.  Heart is racing. Plan: Admit to IMCU for continuing care of sepsis due to COVID-19.  Respiratory symptoms are fairly mild, but he is hypoxic.  Start Decadron and remdesivir, titrate O2 as needed.  Given that he has been vaccinated, should not progress to ICU-level care.  Need for IMCU at this point is primarily due to elevated HR and mild elevation of trop/lactate.  Cont to trend these levels. Check procalc to rule out a bacterial co-infection. Cardizem gtt for Afib/RVR, continue IV fluids for another day (likely a little dehydrated due to diarrhea).  Hold home BP meds and Lasix. Diet as tolerated, antiemetics as needed.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Dehydration, Diarrhoea, Electrocardiogram, Enterovirus test negative, Fatigue
Clinical narrative: ED to Hosp-Admission; 8/29/2021 - present (3 days); Hospital  Sepsis due to COVID-19; Patient presents with Cough, Diarrhea; Patient is a 85 y.o. male with PMH listed who presents from home complaining of feeling ill since Tuesday 8/24.  He states that his worst symptom has been severe fatigue.  Also admits to nausea/poor appetite, loss of taste and smell, diarrhea, and dry cough.  No CP, not particularly SOB.  He has not vomited, but he's wanted to.  The only elevated temp that he knows of was on Friday, 100.3F.  He was found to be hypoxic in the ER.  Heart is racing. Plan: Admit to IMCU for continuing care of sepsis due to COVID-19.  Respiratory symptoms are fairly mild, but he is hypoxic.  Start Decadron and remdesivir, titrate O2 as needed.  Given that he has been vaccinated, should not progress to ICU-level care.  Need for IMCU at this point is primarily due to elevated HR and mild elevation of trop/lactate.  Cont to trend these levels. Check procalc to rule out a bacterial co-infection. Cardizem gtt for Afib/RVR, continue IV fluids for another day (likely a little dehydrated due to diarrhea).  Hold home BP meds and Lasix. Diet as tolerated, antiemetics as needed.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Glucose tolerance test, Heart rate increased, Human metapneumovirus test, Human rhinovirus test, Hypoxia
Clinical narrative: ED to Hosp-Admission; 8/29/2021 - present (3 days); Hospital  Sepsis due to COVID-19; Patient presents with Cough, Diarrhea; Patient is a 85 y.o. male with PMH listed who presents from home complaining of feeling ill since Tuesday 8/24.  He states that his worst symptom has been severe fatigue.  Also admits to nausea/poor appetite, loss of taste and smell, diarrhea, and dry cough.  No CP, not particularly SOB.  He has not vomited, but he's wanted to.  The only elevated temp that he knows of was on Friday, 100.3F.  He was found to be hypoxic in the ER.  Heart is racing. Plan: Admit to IMCU for continuing care of sepsis due to COVID-19.  Respiratory symptoms are fairly mild, but he is hypoxic.  Start Decadron and remdesivir, titrate O2 as needed.  Given that he has been vaccinated, should not progress to ICU-level care.  Need for IMCU at this point is primarily due to elevated HR and mild elevation of trop/lactate.  Cont to trend these levels. Check procalc to rule out a bacterial co-infection. Cardizem gtt for Afib/RVR, continue IV fluids for another day (likely a little dehydrated due to diarrhea).  Hold home BP meds and Lasix. Diet as tolerated, antiemetics as needed.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza A virus test negative, Influenza B virus test, Intensive care, Lung opacity, Malaise
Clinical narrative: ED to Hosp-Admission; 8/29/2021 - present (3 days); Hospital  Sepsis due to COVID-19; Patient presents with Cough, Diarrhea; Patient is a 85 y.o. male with PMH listed who presents from home complaining of feeling ill since Tuesday 8/24.  He states that his worst symptom has been severe fatigue.  Also admits to nausea/poor appetite, loss of taste and smell, diarrhea, and dry cough.  No CP, not particularly SOB.  He has not vomited, but he's wanted to.  The only elevated temp that he knows of was on Friday, 100.3F.  He was found to be hypoxic in the ER.  Heart is racing. Plan: Admit to IMCU for continuing care of sepsis due to COVID-19.  Respiratory symptoms are fairly mild, but he is hypoxic.  Start Decadron and remdesivir, titrate O2 as needed.  Given that he has been vaccinated, should not progress to ICU-level care.  Need for IMCU at this point is primarily due to elevated HR and mild elevation of trop/lactate.  Cont to trend these levels. Check procalc to rule out a bacterial co-infection. Cardizem gtt for Afib/RVR, continue IV fluids for another day (likely a little dehydrated due to diarrhea).  Hold home BP meds and Lasix. Diet as tolerated, antiemetics as needed.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Mycoplasma test negative, Nausea, Palpitations, Pleural effusion, Procalcitonin
Clinical narrative: ED to Hosp-Admission; 8/29/2021 - present (3 days); Hospital  Sepsis due to COVID-19; Patient presents with Cough, Diarrhea; Patient is a 85 y.o. male with PMH listed who presents from home complaining of feeling ill since Tuesday 8/24.  He states that his worst symptom has been severe fatigue.  Also admits to nausea/poor appetite, loss of taste and smell, diarrhea, and dry cough.  No CP, not particularly SOB.  He has not vomited, but he's wanted to.  The only elevated temp that he knows of was on Friday, 100.3F.  He was found to be hypoxic in the ER.  Heart is racing. Plan: Admit to IMCU for continuing care of sepsis due to COVID-19.  Respiratory symptoms are fairly mild, but he is hypoxic.  Start Decadron and remdesivir, titrate O2 as needed.  Given that he has been vaccinated, should not progress to ICU-level care.  Need for IMCU at this point is primarily due to elevated HR and mild elevation of trop/lactate.  Cont to trend these levels. Check procalc to rule out a bacterial co-infection. Cardizem gtt for Afib/RVR, continue IV fluids for another day (likely a little dehydrated due to diarrhea).  Hold home BP meds and Lasix. Diet as tolerated, antiemetics as needed.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test negative, Respiratory viral panel, SARS-CoV-2 test positive, Scan with contrast abnormal, Sepsis
Clinical narrative: ED to Hosp-Admission; 8/29/2021 - present (3 days); Hospital  Sepsis due to COVID-19; Patient presents with Cough, Diarrhea; Patient is a 85 y.o. male with PMH listed who presents from home complaining of feeling ill since Tuesday 8/24.  He states that his worst symptom has been severe fatigue.  Also admits to nausea/poor appetite, loss of taste and smell, diarrhea, and dry cough.  No CP, not particularly SOB.  He has not vomited, but he's wanted to.  The only elevated temp that he knows of was on Friday, 100.3F.  He was found to be hypoxic in the ER.  Heart is racing. Plan: Admit to IMCU for continuing care of sepsis due to COVID-19.  Respiratory symptoms are fairly mild, but he is hypoxic.  Start Decadron and remdesivir, titrate O2 as needed.  Given that he has been vaccinated, should not progress to ICU-level care.  Need for IMCU at this point is primarily due to elevated HR and mild elevation of trop/lactate.  Cont to trend these levels. Check procalc to rule out a bacterial co-infection. Cardizem gtt for Afib/RVR, continue IV fluids for another day (likely a little dehydrated due to diarrhea).  Hold home BP meds and Lasix. Diet as tolerated, antiemetics as needed.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin increased
Clinical narrative: ED to Hosp-Admission; 8/29/2021 - present (3 days); Hospital  Sepsis due to COVID-19; Patient presents with Cough, Diarrhea; Patient is a 85 y.o. male with PMH listed who presents from home complaining of feeling ill since Tuesday 8/24.  He states that his worst symptom has been severe fatigue.  Also admits to nausea/poor appetite, loss of taste and smell, diarrhea, and dry cough.  No CP, not particularly SOB.  He has not vomited, but he's wanted to.  The only elevated temp that he knows of was on Friday, 100.3F.  He was found to be hypoxic in the ER.  Heart is racing. Plan: Admit to IMCU for continuing care of sepsis due to COVID-19.  Respiratory symptoms are fairly mild, but he is hypoxic.  Start Decadron and remdesivir, titrate O2 as needed.  Given that he has been vaccinated, should not progress to ICU-level care.  Need for IMCU at this point is primarily due to elevated HR and mild elevation of trop/lactate.  Cont to trend these levels. Check procalc to rule out a bacterial co-infection. Cardizem gtt for Afib/RVR, continue IV fluids for another day (likely a little dehydrated due to diarrhea).  Hold home BP meds and Lasix. Diet as tolerated, antiemetics as needed.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Chest pain, Cold sweat, Decreased appetite, Feeling hot
Clinical narrative: Neuromuscular symptoms (poor balance, difficulty walking, tremors) increased within hour after shot.  Took Tylenol and vitamin C per pharmacist instruction.  Rested.  By 4 hours later, took another Tylenol for stiff neck, headache, closed sinuses, injection site pain.  By next morning (8/20/2021), symptoms remained with addition of fever, body aches, cold sweats, slight chest pain, inappetence.  Fever broke on 8/21/2021, but took the whole day to recoup.  Noticed on 8/22/2021 arm still hurts, raised red rash, itchy, hot.  Took a couple of days to go away, but neuromuscular problems remain heightened.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Headache, Injection site pain, Musculoskeletal stiffness, Neuromyopathy
Clinical narrative: Neuromuscular symptoms (poor balance, difficulty walking, tremors) increased within hour after shot.  Took Tylenol and vitamin C per pharmacist instruction.  Rested.  By 4 hours later, took another Tylenol for stiff neck, headache, closed sinuses, injection site pain.  By next morning (8/20/2021), symptoms remained with addition of fever, body aches, cold sweats, slight chest pain, inappetence.  Fever broke on 8/21/2021, but took the whole day to recoup.  Noticed on 8/22/2021 arm still hurts, raised red rash, itchy, hot.  Took a couple of days to go away, but neuromuscular problems remain heightened.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pruritus, Pyrexia, Rash erythematous
Clinical narrative: Neuromuscular symptoms (poor balance, difficulty walking, tremors) increased within hour after shot.  Took Tylenol and vitamin C per pharmacist instruction.  Rested.  By 4 hours later, took another Tylenol for stiff neck, headache, closed sinuses, injection site pain.  By next morning (8/20/2021), symptoms remained with addition of fever, body aches, cold sweats, slight chest pain, inappetence.  Fever broke on 8/21/2021, but took the whole day to recoup.  Noticed on 8/22/2021 arm still hurts, raised red rash, itchy, hot.  Took a couple of days to go away, but neuromuscular problems remain heightened.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Rash papular, Sinus disorder, Tremor
Clinical narrative: Neuromuscular symptoms (poor balance, difficulty walking, tremors) increased within hour after shot.  Took Tylenol and vitamin C per pharmacist instruction.  Rested.  By 4 hours later, took another Tylenol for stiff neck, headache, closed sinuses, injection site pain.  By next morning (8/20/2021), symptoms remained with addition of fever, body aches, cold sweats, slight chest pain, inappetence.  Fever broke on 8/21/2021, but took the whole day to recoup.  Noticed on 8/22/2021 arm still hurts, raised red rash, itchy, hot.  Took a couple of days to go away, but neuromuscular problems remain heightened.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Laboratory test, Ocular discomfort, Pain in extremity, Tremor
Clinical narrative: Pain and numbness of the left arm, Pressure under the left eye. Random tremors. tremors last about 15 mins. Blurry vision
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: Pain and numbness of the left arm, Pressure under the left eye. Random tremors. tremors last about 15 mins. Blurry vision
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt hospitalized and diagnosed with COVID-19 infection
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hypertension
Clinical narrative: My arm wasn't even really sore. I felt tired for about 24 hours. I have developed high blood pressure which I have never had problems within the past. I went in for cataract surgery and my blood pressure was extremely high. They said it was stroke level. I have been placed on some medicine for high blood pressure.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Mammogram normal, Nipple pain, Scab, Ultrasound breast normal
Clinical narrative: My right nipple started to become very tender where I could not have any clothing touching it. Then it started to get crusty and red.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: EE HAD COVID-19 PFIZER VACCINE  Dose 1 date: 12/23/2020      Dose 2 date: 01/13/2021. TESTED POSITIVE TO COVID 8/30/21
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Hospitalization due to COVID-19 Reported per Pfizer COVID-19 Vaccine EUA
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Blepharospasm, Hypoaesthesia, Paraesthesia, Vertigo
Clinical narrative: Severe vertigo-1week Right eye  twitch-1 month Diffuse numbness and tingling remains to date
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: Chest pains started around 6:45pm while my son was doing his homework.  He said he laid on the floor in his bedroom for awhile till he has called to walk the dog.  He came downstairs and mentioned he was having chest pains.  He said he didn't tell me because he didn't want to bother me.  I had him stay near me the rest of the evening.  He said laying on his stomach on the floor felt best.  He eventually moved to the couch and sat upright leaning forward since that is what I read that he should do.  After a few hours, he said the pains where subsiding.  In the morning, he said he had no pain and hasn't had the pains since.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine deemed expired after vaccine was administered.
Age: 24.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Catheterisation cardiac normal, Chest pain, Chills, Echocardiogram normal, Fatigue
Clinical narrative: Following 2nd dose of COVID vaccine on 8/27, patient had low-grade fever, body aches, chills, and fatigue.  Starting 8/30 in the morning, he began having burning chest pain, described as being like he "just ran a long time in cold weather".   He came to the hospital and was noted to have elevated troponins (8/30 0931 = 0.891, 8/30 1230 = 1.123, 8/30 1531 = 1.932, 8/31 0352 = 3.363).  An echo was also completed and was unremarkable.  He was admitted to the hospital with suspected myocarditis.  Further cardiac workup was done and patient had a cardiac cath on 8/31 which showed normal coronary angiography.
Age: 24.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myocarditis, Pain, Pyrexia, Troponin increased
Clinical narrative: Following 2nd dose of COVID vaccine on 8/27, patient had low-grade fever, body aches, chills, and fatigue.  Starting 8/30 in the morning, he began having burning chest pain, described as being like he "just ran a long time in cold weather".   He came to the hospital and was noted to have elevated troponins (8/30 0931 = 0.891, 8/30 1230 = 1.123, 8/30 1531 = 1.932, 8/31 0352 = 3.363).  An echo was also completed and was unremarkable.  He was admitted to the hospital with suspected myocarditis.  Further cardiac workup was done and patient had a cardiac cath on 8/31 which showed normal coronary angiography.
Age: 24.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myocarditis
Clinical narrative: Following 2nd dose of COVID vaccine on 8/27, patient had low-grade fever, body aches, chills, and fatigue.  Starting 8/30 in the morning, he began having burning chest pain, described as being like he "just ran a long time in cold weather".   He came to the hospital and was noted to have elevated troponins (8/30 0931 = 0.891, 8/30 1230 = 1.123, 8/30 1531 = 1.932, 8/31 0352 = 3.363).  An echo was also completed and was unremarkable.  He was admitted to the hospital with suspected myocarditis.  Further cardiac workup was done and patient had a cardiac cath on 8/31 which showed normal coronary angiography.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Fatigue, Gait disturbance, Headache
Clinical narrative: Within a couple hours I started breaking out in a rash that turned into hives and throat was closing. All my joints are swollen, headache, pain in my chest, nausea, muscles ache, can't hardly walk, short winded. That doesn't go away. I can't function and very fatigued.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Joint swelling, Loss of personal independence in daily activities, Myalgia, Nausea, Pharyngeal swelling
Clinical narrative: Within a couple hours I started breaking out in a rash that turned into hives and throat was closing. All my joints are swollen, headache, pain in my chest, nausea, muscles ache, can't hardly walk, short winded. That doesn't go away. I can't function and very fatigued.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Within a couple hours I started breaking out in a rash that turned into hives and throat was closing. All my joints are swollen, headache, pain in my chest, nausea, muscles ache, can't hardly walk, short winded. That doesn't go away. I can't function and very fatigued.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Intermenstrual bleeding
Clinical narrative: Break through menstrual bleeding for 3 days.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Adenovirus test, Bordetella test negative, COVID-19, Chlamydia test negative
Clinical narrative: ED to Hosp-Admission Current  8/26/2021 - present (6 days) Patient presents with ? Shortness of Breath     1. COVID-19 infection.  Patient is severely hypoxic and currently on high flow oxygen at 6 L, 50% FiO2.  Patient is fully vaccinated for COVID-19.  Will obtain ABG on admission due to her mental status changes.  I did discuss about treatment options with the patient as well as her family over the phone.  We will start patient on IV Decadron x10 days, remdesivir and plasma.  We will consult infectious disease due to her rapid progression of respiratory decline.  I have also discussed this patient with the pulmonary team.  Will try proning position.  Consent obtained and given to the bedside RN in the emergency department.  Will obtain D-dimer and trend inflammatory markers.   2. History of COPD with acute exacerbation.  Patient is on steroids.  Scheduled DuoNeb as well as as needed DuoNeb therapy.  Continue home inhalers.   3. History of stroke.  Continue patient on Plavix and atorvastatin.   4. Hypertension.  Continue patient on Coreg.   5. AKI on CKD stage III.  We will hold oral diuretics.  AKI likely prerenal etiology.   6. Hyperlipidemia.  Continue patient on atorvastatin.   7. GERD.  Continue patient on Protonix daily.   Disposition: Pending clinical improvement.  Patient will need OT/PT evaluation for safe hospital discharge.   Total critical care time spent 50 minutes (2:00 pm to 2:50 pm) coordinating patient's care with ED team, ICU team as well as speaking with pulmonary team.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chronic kidney disease, Condition aggravated, Coronavirus test negative, Dyspnoea, Enterovirus test negative
Clinical narrative: ED to Hosp-Admission Current  8/26/2021 - present (6 days) Patient presents with ? Shortness of Breath     1. COVID-19 infection.  Patient is severely hypoxic and currently on high flow oxygen at 6 L, 50% FiO2.  Patient is fully vaccinated for COVID-19.  Will obtain ABG on admission due to her mental status changes.  I did discuss about treatment options with the patient as well as her family over the phone.  We will start patient on IV Decadron x10 days, remdesivir and plasma.  We will consult infectious disease due to her rapid progression of respiratory decline.  I have also discussed this patient with the pulmonary team.  Will try proning position.  Consent obtained and given to the bedside RN in the emergency department.  Will obtain D-dimer and trend inflammatory markers.   2. History of COPD with acute exacerbation.  Patient is on steroids.  Scheduled DuoNeb as well as as needed DuoNeb therapy.  Continue home inhalers.   3. History of stroke.  Continue patient on Plavix and atorvastatin.   4. Hypertension.  Continue patient on Coreg.   5. AKI on CKD stage III.  We will hold oral diuretics.  AKI likely prerenal etiology.   6. Hyperlipidemia.  Continue patient on atorvastatin.   7. GERD.  Continue patient on Protonix daily.   Disposition: Pending clinical improvement.  Patient will need OT/PT evaluation for safe hospital discharge.   Total critical care time spent 50 minutes (2:00 pm to 2:50 pm) coordinating patient's care with ED team, ICU team as well as speaking with pulmonary team.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Gastrooesophageal reflux disease, Human metapneumovirus test, Human rhinovirus test, Hyperlipidaemia, Hypertension
Clinical narrative: ED to Hosp-Admission Current  8/26/2021 - present (6 days) Patient presents with ? Shortness of Breath     1. COVID-19 infection.  Patient is severely hypoxic and currently on high flow oxygen at 6 L, 50% FiO2.  Patient is fully vaccinated for COVID-19.  Will obtain ABG on admission due to her mental status changes.  I did discuss about treatment options with the patient as well as her family over the phone.  We will start patient on IV Decadron x10 days, remdesivir and plasma.  We will consult infectious disease due to her rapid progression of respiratory decline.  I have also discussed this patient with the pulmonary team.  Will try proning position.  Consent obtained and given to the bedside RN in the emergency department.  Will obtain D-dimer and trend inflammatory markers.   2. History of COPD with acute exacerbation.  Patient is on steroids.  Scheduled DuoNeb as well as as needed DuoNeb therapy.  Continue home inhalers.   3. History of stroke.  Continue patient on Plavix and atorvastatin.   4. Hypertension.  Continue patient on Coreg.   5. AKI on CKD stage III.  We will hold oral diuretics.  AKI likely prerenal etiology.   6. Hyperlipidemia.  Continue patient on atorvastatin.   7. GERD.  Continue patient on Protonix daily.   Disposition: Pending clinical improvement.  Patient will need OT/PT evaluation for safe hospital discharge.   Total critical care time spent 50 minutes (2:00 pm to 2:50 pm) coordinating patient's care with ED team, ICU team as well as speaking with pulmonary team.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Influenza A virus test negative, Influenza B virus test, Influenza virus test negative, Mental status changes
Clinical narrative: ED to Hosp-Admission Current  8/26/2021 - present (6 days) Patient presents with ? Shortness of Breath     1. COVID-19 infection.  Patient is severely hypoxic and currently on high flow oxygen at 6 L, 50% FiO2.  Patient is fully vaccinated for COVID-19.  Will obtain ABG on admission due to her mental status changes.  I did discuss about treatment options with the patient as well as her family over the phone.  We will start patient on IV Decadron x10 days, remdesivir and plasma.  We will consult infectious disease due to her rapid progression of respiratory decline.  I have also discussed this patient with the pulmonary team.  Will try proning position.  Consent obtained and given to the bedside RN in the emergency department.  Will obtain D-dimer and trend inflammatory markers.   2. History of COPD with acute exacerbation.  Patient is on steroids.  Scheduled DuoNeb as well as as needed DuoNeb therapy.  Continue home inhalers.   3. History of stroke.  Continue patient on Plavix and atorvastatin.   4. Hypertension.  Continue patient on Coreg.   5. AKI on CKD stage III.  We will hold oral diuretics.  AKI likely prerenal etiology.   6. Hyperlipidemia.  Continue patient on atorvastatin.   7. GERD.  Continue patient on Protonix daily.   Disposition: Pending clinical improvement.  Patient will need OT/PT evaluation for safe hospital discharge.   Total critical care time spent 50 minutes (2:00 pm to 2:50 pm) coordinating patient's care with ED team, ICU team as well as speaking with pulmonary team.