chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, Dyspnoea, Endotracheal intubation, General physical health deterioration
Clinical narrative: 1/18/22 pt had a positive COVID test; 2/8 - 2/17/22 pt in hospital for COVID; dc'd to home on O2; 2/21/22 pt to ED with worsening SOB; transferred to another hospital; developed worsening respiratory failure; Vapotherm dependent; pneumothorax; CT placed; CT became dislodged and pt's respiratory status worsened; CT reinserted and pt transferred to another hospital; arrived on Vapotherm; eventually required intubation; pt okay with short time frame for intubation; does not want CPR or tracheostomy; placed on steroids; condition worsened; pt transitioned to comfort measures; was extubated and passed away in the hospital
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumothorax, Respiratory disorder, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: 1/18/22 pt had a positive COVID test; 2/8 - 2/17/22 pt in hospital for COVID; dc'd to home on O2; 2/21/22 pt to ED with worsening SOB; transferred to another hospital; developed worsening respiratory failure; Vapotherm dependent; pneumothorax; CT placed; CT became dislodged and pt's respiratory status worsened; CT reinserted and pt transferred to another hospital; arrived on Vapotherm; eventually required intubation; pt okay with short time frame for intubation; does not want CPR or tracheostomy; placed on steroids; condition worsened; pt transitioned to comfort measures; was extubated and passed away in the hospital
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use-date.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Fatigue, Myalgia
Clinical narrative: Muscle aches, cough, shortness of breath, and fatigue.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Muscle aches, cough, shortness of breath, and fatigue.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use-date.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Dose administered beyond-use-date.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use-date.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Admitted to hospital with positive COVID PCR 8/31/22.  Has received 3 doses of vaccine.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Admitted to hospital with positive COVID PCR 8/31/22.  Has received 3 doses of vaccine.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Hypertension, Productive cough
Clinical narrative: I received my second Moderna booster for COVID-19 on 6/6/2022. On about 7/8/2022 or 7/9/2022, I began to have a mild cough and runny nose. I then developed a headache and had trouble clearing my throat on about 7/11/2022 or 7/12/2022. It felt more like a sinus issue than anything. I didn't suspect that I had COVID-19, but at my granddaughter's behest, I took a home test on the night of 7/11/2022 and got a positive result. On 7/12/2022, I went to an urgent care clinic. I underwent another rapid test there and got another positive result. My vital signs were checked, and my BP was 193/92, which was unusual for me, as my BP is usually in the normal range. Aside from the high blood pressure, though, my vital signs were normal. I was visiting some relatives at this time, and my sister called her doctor, who prescribed me PAXLOVID, prednisone, and Z-PAK. The doctor also instructed me to take plenty of vitamin C, MUCINEX, and OTC PEPCID. I followed the doctor's orders. The symptoms never worsened, and if my granddaughter hadn't suggested that I take a home test for COVID-19, I wouldn't have, because I didn't suspect that I had it. By and large, my symptoms remained mild, though I did have to blow my nose a lot. I took two more home tests on 7/16/2022 and 7/17/2022, and the results were negative. At the time of this writing, I continue to have a productive cough. I also sometimes have difficulty clearing my throat.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive, Throat clearing
Clinical narrative: I received my second Moderna booster for COVID-19 on 6/6/2022. On about 7/8/2022 or 7/9/2022, I began to have a mild cough and runny nose. I then developed a headache and had trouble clearing my throat on about 7/11/2022 or 7/12/2022. It felt more like a sinus issue than anything. I didn't suspect that I had COVID-19, but at my granddaughter's behest, I took a home test on the night of 7/11/2022 and got a positive result. On 7/12/2022, I went to an urgent care clinic. I underwent another rapid test there and got another positive result. My vital signs were checked, and my BP was 193/92, which was unusual for me, as my BP is usually in the normal range. Aside from the high blood pressure, though, my vital signs were normal. I was visiting some relatives at this time, and my sister called her doctor, who prescribed me PAXLOVID, prednisone, and Z-PAK. The doctor also instructed me to take plenty of vitamin C, MUCINEX, and OTC PEPCID. I followed the doctor's orders. The symptoms never worsened, and if my granddaughter hadn't suggested that I take a home test for COVID-19, I wouldn't have, because I didn't suspect that I had it. By and large, my symptoms remained mild, though I did have to blow my nose a lot. I took two more home tests on 7/16/2022 and 7/17/2022, and the results were negative. At the time of this writing, I continue to have a productive cough. I also sometimes have difficulty clearing my throat.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date.
Age: 94.0
Sex: M
Vaccine: COVID19
Symptoms: Abnormal behaviour, Acute kidney injury, Bladder cancer, Bladder mass, COVID-19
Clinical narrative: Patient ID: Patient 94 y.o.    Admit Date:  7/19/2022   Discharge Date:   7/25/2022   Discharge Diagnosis:  Principal Problem:   Subcapital fracture of femur, right, closed, initial encounter Active Problems:   Late onset Alzheimer's disease with behavioral disturbance   Acute renal failure with acute tubular necrosis superimposed on stage 3a chronic kidney disease   History of deep venous thrombosis (DVT) of distal vein of left lower extremity   Bladder mass   COVID-19 virus infection   Pelvic lymphadenopathy   Invasive carcinoma of urinary bladder     Hospital Course:  94 year old male resident of a nursing home was admitted for right hip fracture which was surgically repaired. He also ha Covid-19 infection and advancing bladder cancer. Family decided not to pursue further with treatment of the cancer. He also has acute renal failure. Family made him DNR and later comfort care after hip fracture was surgically repaired. He is lethargic and not in distress. He will be transferred back to the NH today in comfort care status.     Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 99.5 °F (37.5 °C) Heart Rate (Monitor): 65 Pulse: 72 BP: 137/90 Respirations: 16 SpO2: 96 % O2 Flow Rate (l/min): 2 l/min General Appearance: lethargic  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: irregular rate and rhythm Abdomen: soft, non-tender Skin: No rashes or lesions  Extremities: no edema Neuro: disoriented   Consults:  IP CONSULT TO ORTHOPEDIC IP CONSULT TO UROLOGY IP CONSULT TO NEPHROLOGY IP CONSULT TO SOCIAL WORK IP CONSULT TO SUPPORTIVE CARE SERVICES IP CONSULT TO SOCIAL WORK IP CONSULT TO SUPPORTIVE CARE SERVICES IP CONSULT TO SUPPORTIVE CARE SERVICES   Significant Diagnostic Studies:   CT head, BLE venous US, VQ scan   Operations: Right hip hemiarthroplasty   Disposition:  SNF   Discharge Condition:  Poor
Age: 94.0
Sex: M
Vaccine: COVID19
Symptoms: Chronic kidney disease, Computerised tomogram head, Dementia Alzheimer's type, Femur fracture, Fracture treatment
Clinical narrative: Patient ID: Patient 94 y.o.    Admit Date:  7/19/2022   Discharge Date:   7/25/2022   Discharge Diagnosis:  Principal Problem:   Subcapital fracture of femur, right, closed, initial encounter Active Problems:   Late onset Alzheimer's disease with behavioral disturbance   Acute renal failure with acute tubular necrosis superimposed on stage 3a chronic kidney disease   History of deep venous thrombosis (DVT) of distal vein of left lower extremity   Bladder mass   COVID-19 virus infection   Pelvic lymphadenopathy   Invasive carcinoma of urinary bladder     Hospital Course:  94 year old male resident of a nursing home was admitted for right hip fracture which was surgically repaired. He also ha Covid-19 infection and advancing bladder cancer. Family decided not to pursue further with treatment of the cancer. He also has acute renal failure. Family made him DNR and later comfort care after hip fracture was surgically repaired. He is lethargic and not in distress. He will be transferred back to the NH today in comfort care status.     Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 99.5 °F (37.5 °C) Heart Rate (Monitor): 65 Pulse: 72 BP: 137/90 Respirations: 16 SpO2: 96 % O2 Flow Rate (l/min): 2 l/min General Appearance: lethargic  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: irregular rate and rhythm Abdomen: soft, non-tender Skin: No rashes or lesions  Extremities: no edema Neuro: disoriented   Consults:  IP CONSULT TO ORTHOPEDIC IP CONSULT TO UROLOGY IP CONSULT TO NEPHROLOGY IP CONSULT TO SOCIAL WORK IP CONSULT TO SUPPORTIVE CARE SERVICES IP CONSULT TO SOCIAL WORK IP CONSULT TO SUPPORTIVE CARE SERVICES IP CONSULT TO SUPPORTIVE CARE SERVICES   Significant Diagnostic Studies:   CT head, BLE venous US, VQ scan   Operations: Right hip hemiarthroplasty   Disposition:  SNF   Discharge Condition:  Poor
Age: 94.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate irregular, Hip arthroplasty, Hip fracture, Lethargy, Lymphadenopathy
Clinical narrative: Patient ID: Patient 94 y.o.    Admit Date:  7/19/2022   Discharge Date:   7/25/2022   Discharge Diagnosis:  Principal Problem:   Subcapital fracture of femur, right, closed, initial encounter Active Problems:   Late onset Alzheimer's disease with behavioral disturbance   Acute renal failure with acute tubular necrosis superimposed on stage 3a chronic kidney disease   History of deep venous thrombosis (DVT) of distal vein of left lower extremity   Bladder mass   COVID-19 virus infection   Pelvic lymphadenopathy   Invasive carcinoma of urinary bladder     Hospital Course:  94 year old male resident of a nursing home was admitted for right hip fracture which was surgically repaired. He also ha Covid-19 infection and advancing bladder cancer. Family decided not to pursue further with treatment of the cancer. He also has acute renal failure. Family made him DNR and later comfort care after hip fracture was surgically repaired. He is lethargic and not in distress. He will be transferred back to the NH today in comfort care status.     Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 99.5 °F (37.5 °C) Heart Rate (Monitor): 65 Pulse: 72 BP: 137/90 Respirations: 16 SpO2: 96 % O2 Flow Rate (l/min): 2 l/min General Appearance: lethargic  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: irregular rate and rhythm Abdomen: soft, non-tender Skin: No rashes or lesions  Extremities: no edema Neuro: disoriented   Consults:  IP CONSULT TO ORTHOPEDIC IP CONSULT TO UROLOGY IP CONSULT TO NEPHROLOGY IP CONSULT TO SOCIAL WORK IP CONSULT TO SUPPORTIVE CARE SERVICES IP CONSULT TO SOCIAL WORK IP CONSULT TO SUPPORTIVE CARE SERVICES IP CONSULT TO SUPPORTIVE CARE SERVICES   Significant Diagnostic Studies:   CT head, BLE venous US, VQ scan   Operations: Right hip hemiarthroplasty   Disposition:  SNF   Discharge Condition:  Poor
Age: 94.0
Sex: M
Vaccine: COVID19
Symptoms: Renal tubular necrosis, Ultrasound Doppler, Ventilation/perfusion scan
Clinical narrative: Patient ID: Patient 94 y.o.    Admit Date:  7/19/2022   Discharge Date:   7/25/2022   Discharge Diagnosis:  Principal Problem:   Subcapital fracture of femur, right, closed, initial encounter Active Problems:   Late onset Alzheimer's disease with behavioral disturbance   Acute renal failure with acute tubular necrosis superimposed on stage 3a chronic kidney disease   History of deep venous thrombosis (DVT) of distal vein of left lower extremity   Bladder mass   COVID-19 virus infection   Pelvic lymphadenopathy   Invasive carcinoma of urinary bladder     Hospital Course:  94 year old male resident of a nursing home was admitted for right hip fracture which was surgically repaired. He also ha Covid-19 infection and advancing bladder cancer. Family decided not to pursue further with treatment of the cancer. He also has acute renal failure. Family made him DNR and later comfort care after hip fracture was surgically repaired. He is lethargic and not in distress. He will be transferred back to the NH today in comfort care status.     Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 99.5 °F (37.5 °C) Heart Rate (Monitor): 65 Pulse: 72 BP: 137/90 Respirations: 16 SpO2: 96 % O2 Flow Rate (l/min): 2 l/min General Appearance: lethargic  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: irregular rate and rhythm Abdomen: soft, non-tender Skin: No rashes or lesions  Extremities: no edema Neuro: disoriented   Consults:  IP CONSULT TO ORTHOPEDIC IP CONSULT TO UROLOGY IP CONSULT TO NEPHROLOGY IP CONSULT TO SOCIAL WORK IP CONSULT TO SUPPORTIVE CARE SERVICES IP CONSULT TO SOCIAL WORK IP CONSULT TO SUPPORTIVE CARE SERVICES IP CONSULT TO SUPPORTIVE CARE SERVICES   Significant Diagnostic Studies:   CT head, BLE venous US, VQ scan   Operations: Right hip hemiarthroplasty   Disposition:  SNF   Discharge Condition:  Poor
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Oropharyngeal pain, Pyrexia
Clinical narrative: Fever, sore throat,  and cough.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Antiplatelet therapy, Atrial fibrillation, Blood potassium decreased, COVID-19
Clinical narrative: HPI AND HOSPITAL COURSE   History of Present Illness:  As per admission H&P, "Pt is a 75 y.o. female who was brought in by her daughter due to development of confusion. She was diagnosed with UTI and left distal radius fracture on 7/9 and given oral ABX from the ER. She stopped taking the ABX on 7/13. Confusion started a few days ago and has worsened. She still has UTI. K 2.6, CO2 19. Procalcitonin 0.42. She has been admitted."   Hospital Course: Pt, is a 75 y.o. female who presented with confusion.  He was managed for the following:   * Acute metabolic encephalopathy  Acute metabolic encephalopathy - improved. Due to UTI, she improved with treatment, stable at baseline.     Acute UTI - E.coli on urine culture.  Changed to macrobid based on sensitivity, complete 5 day course.     Paroxysmal A fib - continue eliquis, betapace.  Seen by cardiology, no change.     COVID-19 infection - on room air, no hypoxia.  No indication for steroids.     Diarrhea - resolved. C diff negative.     CAD - continue plavix.    Left wrist fracture - increased pain, and c/o left thumb feeling numb.  Obtained repeat xrays and evaluated by ortho, she was cleared for discharge home with outpatient follow-up.             Physical Exam on the Date of Discharge: Blood pressure (!) 181/51, pulse 58, temperature 98.6 °F (37 °C), temperature source Oral, resp. rate 16, height 5' 4" (162.6 cm), weight 54.4 kg (120 lb), SpO2 97 %. General - NAD, appears stated age  HEENT - EOMI, PER, MMM, oropharynx clear Chest - lungs clear bilaterally, no w/r/r, normal effort Heart - RRR, NS1S2, no m/r/g Abdomen - Soft, non-tender, non-distended, +BS,  Extremities - left wrist in brace Psych - AAOx3, affect appropriate Skin - no rash, dry   Discharge Condition: imroved   Disposition: home
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Carbon dioxide decreased, Clostridium test negative, Confusional state, Coronary artery disease, Culture urine positive
Clinical narrative: HPI AND HOSPITAL COURSE   History of Present Illness:  As per admission H&P, "Pt is a 75 y.o. female who was brought in by her daughter due to development of confusion. She was diagnosed with UTI and left distal radius fracture on 7/9 and given oral ABX from the ER. She stopped taking the ABX on 7/13. Confusion started a few days ago and has worsened. She still has UTI. K 2.6, CO2 19. Procalcitonin 0.42. She has been admitted."   Hospital Course: Pt, is a 75 y.o. female who presented with confusion.  He was managed for the following:   * Acute metabolic encephalopathy  Acute metabolic encephalopathy - improved. Due to UTI, she improved with treatment, stable at baseline.     Acute UTI - E.coli on urine culture.  Changed to macrobid based on sensitivity, complete 5 day course.     Paroxysmal A fib - continue eliquis, betapace.  Seen by cardiology, no change.     COVID-19 infection - on room air, no hypoxia.  No indication for steroids.     Diarrhea - resolved. C diff negative.     CAD - continue plavix.    Left wrist fracture - increased pain, and c/o left thumb feeling numb.  Obtained repeat xrays and evaluated by ortho, she was cleared for discharge home with outpatient follow-up.             Physical Exam on the Date of Discharge: Blood pressure (!) 181/51, pulse 58, temperature 98.6 °F (37 °C), temperature source Oral, resp. rate 16, height 5' 4" (162.6 cm), weight 54.4 kg (120 lb), SpO2 97 %. General - NAD, appears stated age  HEENT - EOMI, PER, MMM, oropharynx clear Chest - lungs clear bilaterally, no w/r/r, normal effort Heart - RRR, NS1S2, no m/r/g Abdomen - Soft, non-tender, non-distended, +BS,  Extremities - left wrist in brace Psych - AAOx3, affect appropriate Skin - no rash, dry   Discharge Condition: imroved   Disposition: home
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Escherichia test positive, Hypertension, Hypoaesthesia, Hypokalaemia
Clinical narrative: HPI AND HOSPITAL COURSE   History of Present Illness:  As per admission H&P, "Pt is a 75 y.o. female who was brought in by her daughter due to development of confusion. She was diagnosed with UTI and left distal radius fracture on 7/9 and given oral ABX from the ER. She stopped taking the ABX on 7/13. Confusion started a few days ago and has worsened. She still has UTI. K 2.6, CO2 19. Procalcitonin 0.42. She has been admitted."   Hospital Course: Pt, is a 75 y.o. female who presented with confusion.  He was managed for the following:   * Acute metabolic encephalopathy  Acute metabolic encephalopathy - improved. Due to UTI, she improved with treatment, stable at baseline.     Acute UTI - E.coli on urine culture.  Changed to macrobid based on sensitivity, complete 5 day course.     Paroxysmal A fib - continue eliquis, betapace.  Seen by cardiology, no change.     COVID-19 infection - on room air, no hypoxia.  No indication for steroids.     Diarrhea - resolved. C diff negative.     CAD - continue plavix.    Left wrist fracture - increased pain, and c/o left thumb feeling numb.  Obtained repeat xrays and evaluated by ortho, she was cleared for discharge home with outpatient follow-up.             Physical Exam on the Date of Discharge: Blood pressure (!) 181/51, pulse 58, temperature 98.6 °F (37 °C), temperature source Oral, resp. rate 16, height 5' 4" (162.6 cm), weight 54.4 kg (120 lb), SpO2 97 %. General - NAD, appears stated age  HEENT - EOMI, PER, MMM, oropharynx clear Chest - lungs clear bilaterally, no w/r/r, normal effort Heart - RRR, NS1S2, no m/r/g Abdomen - Soft, non-tender, non-distended, +BS,  Extremities - left wrist in brace Psych - AAOx3, affect appropriate Skin - no rash, dry   Discharge Condition: imroved   Disposition: home
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic encephalopathy, Pain, Procalcitonin, Radius fracture, SARS-CoV-2 test positive
Clinical narrative: HPI AND HOSPITAL COURSE   History of Present Illness:  As per admission H&P, "Pt is a 75 y.o. female who was brought in by her daughter due to development of confusion. She was diagnosed with UTI and left distal radius fracture on 7/9 and given oral ABX from the ER. She stopped taking the ABX on 7/13. Confusion started a few days ago and has worsened. She still has UTI. K 2.6, CO2 19. Procalcitonin 0.42. She has been admitted."   Hospital Course: Pt, is a 75 y.o. female who presented with confusion.  He was managed for the following:   * Acute metabolic encephalopathy  Acute metabolic encephalopathy - improved. Due to UTI, she improved with treatment, stable at baseline.     Acute UTI - E.coli on urine culture.  Changed to macrobid based on sensitivity, complete 5 day course.     Paroxysmal A fib - continue eliquis, betapace.  Seen by cardiology, no change.     COVID-19 infection - on room air, no hypoxia.  No indication for steroids.     Diarrhea - resolved. C diff negative.     CAD - continue plavix.    Left wrist fracture - increased pain, and c/o left thumb feeling numb.  Obtained repeat xrays and evaluated by ortho, she was cleared for discharge home with outpatient follow-up.             Physical Exam on the Date of Discharge: Blood pressure (!) 181/51, pulse 58, temperature 98.6 °F (37 °C), temperature source Oral, resp. rate 16, height 5' 4" (162.6 cm), weight 54.4 kg (120 lb), SpO2 97 %. General - NAD, appears stated age  HEENT - EOMI, PER, MMM, oropharynx clear Chest - lungs clear bilaterally, no w/r/r, normal effort Heart - RRR, NS1S2, no m/r/g Abdomen - Soft, non-tender, non-distended, +BS,  Extremities - left wrist in brace Psych - AAOx3, affect appropriate Skin - no rash, dry   Discharge Condition: imroved   Disposition: home
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection, Wrist fracture, X-ray
Clinical narrative: HPI AND HOSPITAL COURSE   History of Present Illness:  As per admission H&P, "Pt is a 75 y.o. female who was brought in by her daughter due to development of confusion. She was diagnosed with UTI and left distal radius fracture on 7/9 and given oral ABX from the ER. She stopped taking the ABX on 7/13. Confusion started a few days ago and has worsened. She still has UTI. K 2.6, CO2 19. Procalcitonin 0.42. She has been admitted."   Hospital Course: Pt, is a 75 y.o. female who presented with confusion.  He was managed for the following:   * Acute metabolic encephalopathy  Acute metabolic encephalopathy - improved. Due to UTI, she improved with treatment, stable at baseline.     Acute UTI - E.coli on urine culture.  Changed to macrobid based on sensitivity, complete 5 day course.     Paroxysmal A fib - continue eliquis, betapace.  Seen by cardiology, no change.     COVID-19 infection - on room air, no hypoxia.  No indication for steroids.     Diarrhea - resolved. C diff negative.     CAD - continue plavix.    Left wrist fracture - increased pain, and c/o left thumb feeling numb.  Obtained repeat xrays and evaluated by ortho, she was cleared for discharge home with outpatient follow-up.             Physical Exam on the Date of Discharge: Blood pressure (!) 181/51, pulse 58, temperature 98.6 °F (37 °C), temperature source Oral, resp. rate 16, height 5' 4" (162.6 cm), weight 54.4 kg (120 lb), SpO2 97 %. General - NAD, appears stated age  HEENT - EOMI, PER, MMM, oropharynx clear Chest - lungs clear bilaterally, no w/r/r, normal effort Heart - RRR, NS1S2, no m/r/g Abdomen - Soft, non-tender, non-distended, +BS,  Extremities - left wrist in brace Psych - AAOx3, affect appropriate Skin - no rash, dry   Discharge Condition: imroved   Disposition: home
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use-date.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Flank pain, Haematuria
Clinical narrative: fatigue, flank pain, hematuria
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use-date.
Age: 42.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Urticaria
Clinical narrative: Redness, swelling, welt at injection site that appeared about 24 hours after injection. Welt is hot to touch and itchy and painful.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Atrial fibrillation, COVID-19, Cardiac ablation, Chest pain
Clinical narrative: Age: 70 y.o.  Admit Date: 7/20/2022 10:06 PM Discharge Date:  7/23/2022  Admitting Physician:  Discharge Physician: Medical Doctor   Discharge Diagnosis: Principal Problem:   NSTEMI (non-ST elevated myocardial infarction) Active Problems:   COVID-19   PAF (paroxysmal atrial fibrillation)       HPI: Patient "is a 70 y.o. female with a history of ablation 2 days ago for atrial fibrillation and also with complaints of intermittent palpitations since the procedure. Associated chest pain. Not sure what makes symptoms better or worse. Denies any shortness of breath, abdominal pain, nausea, vomiting, fever or any other concerning symptoms. Tested positive for covid.  Labs revealed troponin 0.5. admitted for further evaluation."   Hospital Course:  The patient was admitted to the hospital and was evaluated and treated per below.      * NSTEMI (non-ST elevated myocardial infarction) o NSTEMI. Appears to be type 2 due to A fib RVR. No chest pain. Trop peaked at 0.51, cardiology following. No ischemic workup planned. o PAF with RVR: continued to have palpitations s/p ablation. Continued Amiodarone drip. She went back in sinus rhythm. Transition to by mouth amiodarone per cardiology/cleared for discharge for follow-up of patient.   o Covid 19: new.  Supplements.  Repeat with rapid test is negative. Follow-up outpatient. Continue supplements as ordered. Ambulatory care manager referral given.          Physical Exam on the Date of Discharge: Stable and improved       Consults:   IP CONSULT TO CARDIOLOGY IP CONSULT TO SOCIAL WORK   Significant Diagnostic Studies:    labs, radiology, and cardiac graphics: per chart.     Disposition:  home   Discharge Condition:  good
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Palpitations, SARS-CoV-2 test positive, Sinus rhythm, Troponin
Clinical narrative: Age: 70 y.o.  Admit Date: 7/20/2022 10:06 PM Discharge Date:  7/23/2022  Admitting Physician:  Discharge Physician: Medical Doctor   Discharge Diagnosis: Principal Problem:   NSTEMI (non-ST elevated myocardial infarction) Active Problems:   COVID-19   PAF (paroxysmal atrial fibrillation)       HPI: Patient "is a 70 y.o. female with a history of ablation 2 days ago for atrial fibrillation and also with complaints of intermittent palpitations since the procedure. Associated chest pain. Not sure what makes symptoms better or worse. Denies any shortness of breath, abdominal pain, nausea, vomiting, fever or any other concerning symptoms. Tested positive for covid.  Labs revealed troponin 0.5. admitted for further evaluation."   Hospital Course:  The patient was admitted to the hospital and was evaluated and treated per below.      * NSTEMI (non-ST elevated myocardial infarction) o NSTEMI. Appears to be type 2 due to A fib RVR. No chest pain. Trop peaked at 0.51, cardiology following. No ischemic workup planned. o PAF with RVR: continued to have palpitations s/p ablation. Continued Amiodarone drip. She went back in sinus rhythm. Transition to by mouth amiodarone per cardiology/cleared for discharge for follow-up of patient.   o Covid 19: new.  Supplements.  Repeat with rapid test is negative. Follow-up outpatient. Continue supplements as ordered. Ambulatory care manager referral given.          Physical Exam on the Date of Discharge: Stable and improved       Consults:   IP CONSULT TO CARDIOLOGY IP CONSULT TO SOCIAL WORK   Significant Diagnostic Studies:    labs, radiology, and cardiac graphics: per chart.     Disposition:  home   Discharge Condition:  good
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19, COVID-19 pneumonia, Cough
Clinical narrative: MRN:  Name:  Age: 93 y.o. Birthday:   Admit Date: 7/20/2022 11:44 AM Discharge Date:  7/24/2022 Unit:  Admitting Physician:  Discharge Physician:  MD   Discharge Diagnosis: Principal Problem:   COVID-19 Active Problems:   Hypothyroid   Hypoxia       HPI AND HOSPITAL COURSE   History of Present Illness:  As per admission H&P, "patient is a 93 y.o. female resident of SNF. Onset of low O2 sat there, they have had COVID outbreak thus tested regularly for COVID and O2 sats monitor. Apparently caused by COVID infection, it was +. coughign some with this, not that short of breath. Better with O2 supplementation, nothing makes it worse. No fever, no vomiting. "   Hospital Course: Patient is a 93 y.o. female who presented with hypoxia, COVID positive.  She was managed for the following:   * COVID-19 Acute Hypoxic Respiratory Failure - due to COVID-19 Pneumonia.  patient was admitted from her SNF after found to have hypoxia and COVID positive.  She was started on remdesivir and steroids, treated for 5 day course. She improved, was weaned to 2L NC.  She felt improved, was discharged back to her SNF.  Will taper steroids since still requiring oxygen.    HTN - continue home meds.     Hypothyroidism - continue synthroid.             Physical Exam on the Date of Discharge: Blood pressure 139/60, pulse 69, temperature 98 °F (36.7 °C), temperature source Oral, resp. rate 16, height 5' 4" (162.6 cm), weight 49.9 kg (110 lb), SpO2 96 %. General - NAD, appears stated age, frail elderly female HEENT - EOMI, PER, MMM, oropharynx clear Chest - lungs clear bilaterally, no w/r/r, normal effort Heart - RRR, NS1S2, no m/r/g Abdomen - Soft, non-tender, non-distended, +BS,  Extremities - warm, no edema Psych - AAOx3, affect appropriate Skin - no rash, dry   Discharge Condition: improved   Disposition: SNF
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Hypertension, Hypothyroidism, Hypoxia, Oxygen saturation decreased
Clinical narrative: MRN:  Name:  Age: 93 y.o. Birthday:   Admit Date: 7/20/2022 11:44 AM Discharge Date:  7/24/2022 Unit:  Admitting Physician:  Discharge Physician:  MD   Discharge Diagnosis: Principal Problem:   COVID-19 Active Problems:   Hypothyroid   Hypoxia       HPI AND HOSPITAL COURSE   History of Present Illness:  As per admission H&P, "patient is a 93 y.o. female resident of SNF. Onset of low O2 sat there, they have had COVID outbreak thus tested regularly for COVID and O2 sats monitor. Apparently caused by COVID infection, it was +. coughign some with this, not that short of breath. Better with O2 supplementation, nothing makes it worse. No fever, no vomiting. "   Hospital Course: Patient is a 93 y.o. female who presented with hypoxia, COVID positive.  She was managed for the following:   * COVID-19 Acute Hypoxic Respiratory Failure - due to COVID-19 Pneumonia.  patient was admitted from her SNF after found to have hypoxia and COVID positive.  She was started on remdesivir and steroids, treated for 5 day course. She improved, was weaned to 2L NC.  She felt improved, was discharged back to her SNF.  Will taper steroids since still requiring oxygen.    HTN - continue home meds.     Hypothyroidism - continue synthroid.             Physical Exam on the Date of Discharge: Blood pressure 139/60, pulse 69, temperature 98 °F (36.7 °C), temperature source Oral, resp. rate 16, height 5' 4" (162.6 cm), weight 49.9 kg (110 lb), SpO2 96 %. General - NAD, appears stated age, frail elderly female HEENT - EOMI, PER, MMM, oropharynx clear Chest - lungs clear bilaterally, no w/r/r, normal effort Heart - RRR, NS1S2, no m/r/g Abdomen - Soft, non-tender, non-distended, +BS,  Extremities - warm, no edema Psych - AAOx3, affect appropriate Skin - no rash, dry   Discharge Condition: improved   Disposition: SNF
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: MRN:  Name:  Age: 93 y.o. Birthday:   Admit Date: 7/20/2022 11:44 AM Discharge Date:  7/24/2022 Unit:  Admitting Physician:  Discharge Physician:  MD   Discharge Diagnosis: Principal Problem:   COVID-19 Active Problems:   Hypothyroid   Hypoxia       HPI AND HOSPITAL COURSE   History of Present Illness:  As per admission H&P, "patient is a 93 y.o. female resident of SNF. Onset of low O2 sat there, they have had COVID outbreak thus tested regularly for COVID and O2 sats monitor. Apparently caused by COVID infection, it was +. coughign some with this, not that short of breath. Better with O2 supplementation, nothing makes it worse. No fever, no vomiting. "   Hospital Course: Patient is a 93 y.o. female who presented with hypoxia, COVID positive.  She was managed for the following:   * COVID-19 Acute Hypoxic Respiratory Failure - due to COVID-19 Pneumonia.  patient was admitted from her SNF after found to have hypoxia and COVID positive.  She was started on remdesivir and steroids, treated for 5 day course. She improved, was weaned to 2L NC.  She felt improved, was discharged back to her SNF.  Will taper steroids since still requiring oxygen.    HTN - continue home meds.     Hypothyroidism - continue synthroid.             Physical Exam on the Date of Discharge: Blood pressure 139/60, pulse 69, temperature 98 °F (36.7 °C), temperature source Oral, resp. rate 16, height 5' 4" (162.6 cm), weight 49.9 kg (110 lb), SpO2 96 %. General - NAD, appears stated age, frail elderly female HEENT - EOMI, PER, MMM, oropharynx clear Chest - lungs clear bilaterally, no w/r/r, normal effort Heart - RRR, NS1S2, no m/r/g Abdomen - Soft, non-tender, non-distended, +BS,  Extremities - warm, no edema Psych - AAOx3, affect appropriate Skin - no rash, dry   Discharge Condition: improved   Disposition: SNF
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use-date.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Computerised tomogram head abnormal, Magnetic resonance imaging, Sensory loss
Clinical narrative: I had a stroke two months after vaccine. My right arm lost feeling and I called 911. Had CT and MRI testing done. The CT showed that I'd had a stroke. I was hospitalized for 2 days. Was prescribed Amlodipine.  I started going to Occupational Therapy. Having another MRI done as a checkup in October 2022.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache
Clinical narrative: Fatigue and headaches.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Acute respiratory failure, COVID-19, COVID-19 pneumonia, Diarrhoea
Clinical narrative: MRN:  Name: Patient Age: 48 y.o. Birthday:   Admit Date: 7/20/2022  5:34 PM Discharge Date:  7/22/2022 Unit:  Admitting Physician: Dr.  Discharge Physician: MD   Discharge Diagnosis: Principal Problem:   COVID-19 Active Problems:   Acute respiratory failure with hypoxia       HPI AND HOSPITAL COURSE   History of Present Illness:  As per admission H&P, "The patient is a 48 y.o. female who tested positive for covid on 7/17/22 presented with complaints of worsening shortness of breath, malaise, dizziness, diarrhea, abdominal pain, fever for the past few days. Not sure what makes symptoms better or worse. Denies any chest pain or any other concerning symptoms. Was found to be hypoxic in the ER. Admitted for further evaluation."   Hospital Course: The patient is a 48 y.o. female who presented with shortness of breath.  She was managed for the following:   * COVID-19 Acute Hypoxic Respiratory Failure due to COVID-19 Pneumonia -  Patient presented with shortness of breath, found to be COVID-19 positive.  Patient initially required supplemental oxygen 2L.  Pt was treated with remdesivir and decadron and improved.  Patient was weaned to room air and remained stable.  She felt improved and wished to go home. Discharged home in stable condition. Will taper steroids on discharge due to history of reported COPD.             Physical Exam on the Date of Discharge: Blood pressure (!) 132/92, pulse 61, temperature 97.6 °F (36.4 °C), temperature source Oral, resp. rate 18, height 5' 8" (172.7 cm), weight 92.5 kg (204 lb), last menstrual period 06/21/2009, SpO2 98 %. General - NAD, appears stated age  HEENT - EOMI, PER, MMM, oropharynx clear Chest - lungs clear bilaterally,  Heart - RRR,  Abdomen - Soft, non-tender,  Extremities - warm,  Psych - AAOx3, affect appropriate Skin - no rash   Discharge Condition: improved   Disposition: home
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Hypoxia, Malaise, Pyrexia
Clinical narrative: MRN:  Name: Patient Age: 48 y.o. Birthday:   Admit Date: 7/20/2022  5:34 PM Discharge Date:  7/22/2022 Unit:  Admitting Physician: Dr.  Discharge Physician: MD   Discharge Diagnosis: Principal Problem:   COVID-19 Active Problems:   Acute respiratory failure with hypoxia       HPI AND HOSPITAL COURSE   History of Present Illness:  As per admission H&P, "The patient is a 48 y.o. female who tested positive for covid on 7/17/22 presented with complaints of worsening shortness of breath, malaise, dizziness, diarrhea, abdominal pain, fever for the past few days. Not sure what makes symptoms better or worse. Denies any chest pain or any other concerning symptoms. Was found to be hypoxic in the ER. Admitted for further evaluation."   Hospital Course: The patient is a 48 y.o. female who presented with shortness of breath.  She was managed for the following:   * COVID-19 Acute Hypoxic Respiratory Failure due to COVID-19 Pneumonia -  Patient presented with shortness of breath, found to be COVID-19 positive.  Patient initially required supplemental oxygen 2L.  Pt was treated with remdesivir and decadron and improved.  Patient was weaned to room air and remained stable.  She felt improved and wished to go home. Discharged home in stable condition. Will taper steroids on discharge due to history of reported COPD.             Physical Exam on the Date of Discharge: Blood pressure (!) 132/92, pulse 61, temperature 97.6 °F (36.4 °C), temperature source Oral, resp. rate 18, height 5' 8" (172.7 cm), weight 92.5 kg (204 lb), last menstrual period 06/21/2009, SpO2 98 %. General - NAD, appears stated age  HEENT - EOMI, PER, MMM, oropharynx clear Chest - lungs clear bilaterally,  Heart - RRR,  Abdomen - Soft, non-tender,  Extremities - warm,  Psych - AAOx3, affect appropriate Skin - no rash   Discharge Condition: improved   Disposition: home
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: MRN:  Name: Patient Age: 48 y.o. Birthday:   Admit Date: 7/20/2022  5:34 PM Discharge Date:  7/22/2022 Unit:  Admitting Physician: Dr.  Discharge Physician: MD   Discharge Diagnosis: Principal Problem:   COVID-19 Active Problems:   Acute respiratory failure with hypoxia       HPI AND HOSPITAL COURSE   History of Present Illness:  As per admission H&P, "The patient is a 48 y.o. female who tested positive for covid on 7/17/22 presented with complaints of worsening shortness of breath, malaise, dizziness, diarrhea, abdominal pain, fever for the past few days. Not sure what makes symptoms better or worse. Denies any chest pain or any other concerning symptoms. Was found to be hypoxic in the ER. Admitted for further evaluation."   Hospital Course: The patient is a 48 y.o. female who presented with shortness of breath.  She was managed for the following:   * COVID-19 Acute Hypoxic Respiratory Failure due to COVID-19 Pneumonia -  Patient presented with shortness of breath, found to be COVID-19 positive.  Patient initially required supplemental oxygen 2L.  Pt was treated with remdesivir and decadron and improved.  Patient was weaned to room air and remained stable.  She felt improved and wished to go home. Discharged home in stable condition. Will taper steroids on discharge due to history of reported COPD.             Physical Exam on the Date of Discharge: Blood pressure (!) 132/92, pulse 61, temperature 97.6 °F (36.4 °C), temperature source Oral, resp. rate 18, height 5' 8" (172.7 cm), weight 92.5 kg (204 lb), last menstrual period 06/21/2009, SpO2 98 %. General - NAD, appears stated age  HEENT - EOMI, PER, MMM, oropharynx clear Chest - lungs clear bilaterally,  Heart - RRR,  Abdomen - Soft, non-tender,  Extremities - warm,  Psych - AAOx3, affect appropriate Skin - no rash   Discharge Condition: improved   Disposition: home
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Asthenia, Atrial fibrillation, COVID-19, COVID-19 pneumonia
Clinical narrative: to ER with  syncope and found in the floor, generalized weakness, h/o neck mass she had declined intervention for in the past.  found to be + covid .  Admitted  7-22-22  dehydration,  weakness, hypotension.  Developed afib RVR, hematemesis( not a surgical candidate due to comorbidities), acute kidney injury,    Covid pneumonia.   Treated with rocephin, doxy, remdesivir and also decadron.   Had reduced  cardiac EF.   Patient was DNR status and expired 8-3-22
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Dehydration, Ejection fraction decreased, Haematemesis, Hypotension
Clinical narrative: to ER with  syncope and found in the floor, generalized weakness, h/o neck mass she had declined intervention for in the past.  found to be + covid .  Admitted  7-22-22  dehydration,  weakness, hypotension.  Developed afib RVR, hematemesis( not a surgical candidate due to comorbidities), acute kidney injury,    Covid pneumonia.   Treated with rocephin, doxy, remdesivir and also decadron.   Had reduced  cardiac EF.   Patient was DNR status and expired 8-3-22
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Syncope
Clinical narrative: to ER with  syncope and found in the floor, generalized weakness, h/o neck mass she had declined intervention for in the past.  found to be + covid .  Admitted  7-22-22  dehydration,  weakness, hypotension.  Developed afib RVR, hematemesis( not a surgical candidate due to comorbidities), acute kidney injury,    Covid pneumonia.   Treated with rocephin, doxy, remdesivir and also decadron.   Had reduced  cardiac EF.   Patient was DNR status and expired 8-3-22
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use-date.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Asthenia, Blood test, Blood thyroid stimulating hormone, Computerised tomogram normal
Clinical narrative: It stated with a mild headache and neck pain but after a week it saw sever and my jaw starting hurting. Though I had toothache, went to doctor, was told everything was fine and wasn't sure what was leading to pain. Made an appointment with my physician. My appointment was in 2 weeks, through this two weeks I was told by family and friends that my voice has changed, and I was loosing lots of hair, sweating very easily (especially night sweat. It was now March and I had lost 11 pounds, I was fatigue and didn't have energy to do any activities. During my visit, told my doctor all my symptoms, did my vitals, all was within the normal range and she ordered for me to get blood works done. Which I did, which I was waiting for my blood works and to hear back from my doctor. The next day I couldn't move with ease, if I moved fast, or run up/down the stairs, I run out of breath and felt nauseas and dizzy. I felt my heart racing really fast, that I could hear it. I checked my BP and HR, my HR was in 140s. I immediately emailed my Dr. and after looking through my lab results she referred me to an endocrinologist. We found that my thyroid was over acting. I was given Propranolol to control my symptoms. But as I waited for my next appointment with the Endocrinologist, my symptoms resolved, was asked to do another thyroid labs and CT scan. CT scan was normal, my thyroid was now almost in normal range (without even starting any medications).
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysphonia, Dyspnoea, Fatigue, Headache
Clinical narrative: It stated with a mild headache and neck pain but after a week it saw sever and my jaw starting hurting. Though I had toothache, went to doctor, was told everything was fine and wasn't sure what was leading to pain. Made an appointment with my physician. My appointment was in 2 weeks, through this two weeks I was told by family and friends that my voice has changed, and I was loosing lots of hair, sweating very easily (especially night sweat. It was now March and I had lost 11 pounds, I was fatigue and didn't have energy to do any activities. During my visit, told my doctor all my symptoms, did my vitals, all was within the normal range and she ordered for me to get blood works done. Which I did, which I was waiting for my blood works and to hear back from my doctor. The next day I couldn't move with ease, if I moved fast, or run up/down the stairs, I run out of breath and felt nauseas and dizzy. I felt my heart racing really fast, that I could hear it. I checked my BP and HR, my HR was in 140s. I immediately emailed my Dr. and after looking through my lab results she referred me to an endocrinologist. We found that my thyroid was over acting. I was given Propranolol to control my symptoms. But as I waited for my next appointment with the Endocrinologist, my symptoms resolved, was asked to do another thyroid labs and CT scan. CT scan was normal, my thyroid was now almost in normal range (without even starting any medications).
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Hyperthyroidism, Laboratory test abnormal, Mobility decreased, Nausea
Clinical narrative: It stated with a mild headache and neck pain but after a week it saw sever and my jaw starting hurting. Though I had toothache, went to doctor, was told everything was fine and wasn't sure what was leading to pain. Made an appointment with my physician. My appointment was in 2 weeks, through this two weeks I was told by family and friends that my voice has changed, and I was loosing lots of hair, sweating very easily (especially night sweat. It was now March and I had lost 11 pounds, I was fatigue and didn't have energy to do any activities. During my visit, told my doctor all my symptoms, did my vitals, all was within the normal range and she ordered for me to get blood works done. Which I did, which I was waiting for my blood works and to hear back from my doctor. The next day I couldn't move with ease, if I moved fast, or run up/down the stairs, I run out of breath and felt nauseas and dizzy. I felt my heart racing really fast, that I could hear it. I checked my BP and HR, my HR was in 140s. I immediately emailed my Dr. and after looking through my lab results she referred me to an endocrinologist. We found that my thyroid was over acting. I was given Propranolol to control my symptoms. But as I waited for my next appointment with the Endocrinologist, my symptoms resolved, was asked to do another thyroid labs and CT scan. CT scan was normal, my thyroid was now almost in normal range (without even starting any medications).