chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Oedema peripheral, PCO2 increased, Pericardial effusion, Pleural effusion, Pneumonia
Clinical narrative: Admitted currently with pending pre-admit to continuing care. The patient is a 75 y.o. female who presents today   Patient has past history heart failure with preserved ejection fraction, hypertension, hyperlipidemia obstructive sleep apnea, diabetes mellitus type 2, paroxysmal atrial fibrillation on oral anticoagulation, CKD 3, chronic obstructive pulmonary disease.  Patient uses CPAP and home oxygen at night per spouse.  Echocardiogram 07/21/2021 LVEF 70%.  Limited study, small pericardial effusion.   Patient's breathing and coughing has been getting progressively worse of the last couple of days.  Patient denies fever, chills, chest pain.  Patient was brought in by EMS and found to have recurrent large right pleural effusion.  She had severe hypoxia w/oxygen sats reportedly in the 70's and arrive to ER on Bipap.  Patient reports compliance with her medication including her diuretics.  Patient's spouse manages patient's medication at home.  Patient uses salt and reports she is staying w/in her fluid restrictions but spouse disagrees.  Patient reports she has been too weak to stand on the scale and uses furniture to balance her when she ambulates.  Patient's cough is productive at times.  Patient denies pleuritic chest pain.  Patient is on Eliquis for PAFIB and she is also on plavix which her last doses were 1/18.  Patient denies hemoptysis, melena or hematochezia.  Patient reports stable or improved bilateral LE edema.  Patient denies dysphagia.  Patients last dose of lantus was evening 1/18.  Potassium 5.6, creatinine 1.44, bicarbonate 32, chloride 94, alkaline phosphatase 229, NT BNP 2459, glucose 362. Patient's pCO2 63 with a pH 7.37.  COVID 19 was detected.  Per chart review patient had a positive SARS-CoV-2 on 12/14 at another hospital.   Information is obtained from patient is limited historian and is on bipap. Spouse at bedside
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Positive airway pressure therapy, Productive cough, Respiratory syncytial virus test negative, SARS-CoV-2 test positive, Scan with contrast abnormal
Clinical narrative: Admitted currently with pending pre-admit to continuing care. The patient is a 75 y.o. female who presents today   Patient has past history heart failure with preserved ejection fraction, hypertension, hyperlipidemia obstructive sleep apnea, diabetes mellitus type 2, paroxysmal atrial fibrillation on oral anticoagulation, CKD 3, chronic obstructive pulmonary disease.  Patient uses CPAP and home oxygen at night per spouse.  Echocardiogram 07/21/2021 LVEF 70%.  Limited study, small pericardial effusion.   Patient's breathing and coughing has been getting progressively worse of the last couple of days.  Patient denies fever, chills, chest pain.  Patient was brought in by EMS and found to have recurrent large right pleural effusion.  She had severe hypoxia w/oxygen sats reportedly in the 70's and arrive to ER on Bipap.  Patient reports compliance with her medication including her diuretics.  Patient's spouse manages patient's medication at home.  Patient uses salt and reports she is staying w/in her fluid restrictions but spouse disagrees.  Patient reports she has been too weak to stand on the scale and uses furniture to balance her when she ambulates.  Patient's cough is productive at times.  Patient denies pleuritic chest pain.  Patient is on Eliquis for PAFIB and she is also on plavix which her last doses were 1/18.  Patient denies hemoptysis, melena or hematochezia.  Patient reports stable or improved bilateral LE edema.  Patient denies dysphagia.  Patients last dose of lantus was evening 1/18.  Potassium 5.6, creatinine 1.44, bicarbonate 32, chloride 94, alkaline phosphatase 229, NT BNP 2459, glucose 362. Patient's pCO2 63 with a pH 7.37.  COVID 19 was detected.  Per chart review patient had a positive SARS-CoV-2 on 12/14 at another hospital.   Information is obtained from patient is limited historian and is on bipap. Spouse at bedside
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: covid-19 illness
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Endometrial thickening, SARS-CoV-2 test positive, Ultrasound scan abnormal, Vaginal haemorrhage
Clinical narrative: received booster on 12/30/2022. Exposure to SARS-COV-2 Jan 2-3th 2022. Symptom onset Jan 3 including vaginal bleeding which worsened.  Transvaginal ultrasound 1/26 abnormal with endometrial thickening. Scheduled for a endometrial biopsy 2/3/22
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: covid-19 illness
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase increased, Rhabdomyolysis
Clinical narrative: Rhabdomyolsis
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Hospitalization for Covid 19 infection
Age: 62.0
Sex: M
Vaccine: FLU4
Symptoms: Tinnitus
Clinical narrative: Tinnitus onset began month following Moderna booster vaccination. Sound in ears is constant and burdensome.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Computerised tomogram thorax abnormal, Dyspnoea, Flank pain, Laboratory test
Clinical narrative: Started having sharp pain in right flank area and shortness of breath on 11-28-2021. Went to doctor on 11-30-2022,  CT done on 11-30-022 which showed bilateral pulmonary emboli. Admitted to Medical Center overnight. Discharge on 12-1-2021 with Eliquis. Takes Eliquis 5mg twice daily now. No longer on birth control pills.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary embolism
Clinical narrative: Started having sharp pain in right flank area and shortness of breath on 11-28-2021. Went to doctor on 11-30-2022,  CT done on 11-30-022 which showed bilateral pulmonary emboli. Admitted to Medical Center overnight. Discharge on 12-1-2021 with Eliquis. Takes Eliquis 5mg twice daily now. No longer on birth control pills.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: COVID-19 hospitalization
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Axillary pain, Back pain, Chills, Fatigue, Headache
Clinical narrative: 1/28/2022: Strated to experience chills, shaking, severe headache, and body aches 1/29/2022: Nausea, severe low back pain, severe headache, and fatigue 1/30/2022: sever headache, neck pain, back pain, swollen and painful armpit (right arm)
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Nausea, Neck pain, Oedema peripheral, Pain, Tremor
Clinical narrative: 1/28/2022: Strated to experience chills, shaking, severe headache, and body aches 1/29/2022: Nausea, severe low back pain, severe headache, and fatigue 1/30/2022: sever headache, neck pain, back pain, swollen and painful armpit (right arm)
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Anion gap, Aspartate aminotransferase normal, Basophil percentage, Blood albumin decreased
Clinical narrative: Discharged. This is a 73 y.o. year old patient who was admitted on 1/24/2022 with PMH of recently diagnosed AML on treatment with cycle 1 of Vidaza/venetoclax, COPD, HTN, HLD, and hypothyroidism who presented to the ED after discovering low oxygen saturation at her office appointment.  Patient was known to be positive for COVID, having tested positive on 1/21.  She had also noted weight gain of 11 pounds with swelling in bilateral legs. Patient was placed on oxygen and started of a 10-day course of dexamethasone and 5-day course of remdesivir.  BNP was elevated at 1659 with negative troponins and bilateral LE dopplers negative for DVT.  Patient was started on PRN lasix with good urine output.  Patient was noted on telemetry to have a bundle branch block, which was confirmed on EKG.  Cardiology was consulted and started patient on lasix 20mg BID with plans for outpatient stress test.  Limited echo on 1/26 showed an EF of 65% with mild-moderate mitral regurgitation.  On 1/28, patient was noted to have an asymptomatic 5-beat run of non-sustained V-tach. Cardiology was notified and started patient on metoprolol with plans for a 14-day ziopatch at discharge.   Patient experienced good diuresis with above lasix and was able to be weaned down to 1-2L per NC.  Patient was still desaturating to the 80s without oxygen, and thus home oxygen arranged per respiratory. PT/OT followed during stay, and home services were recommended. Patient accepted to organization.   Prior to discharge today, patient doing well on 1L NC and has completed 5 days of remdesivir. Care discussed with doctor and patient deemed stable for discharge. Patient and daughter are agreeable - she is feeling overall improved with no new or worsening ROS. Home oxygen and services arranged. Ziopatch to be placed at discharge and cardiology follow-up arranged. Daily weights and diet/fluid restrictions discussed.  All new medications discussed in detail with patient and her daughter.  Patient will plan to follow up in our office as below.  Patient's discharge medication plan were discussed as per below and new prescriptions were sent to patient's requested pharmacy prior to discharge as per generated list below.  Patient is aware to call our office should further questions or concerns arise following this discharge.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Blood alkaline phosphatase normal, Blood bicarbonate increased, Blood bilirubin normal, Blood calcium decreased, Blood chloride normal
Clinical narrative: Discharged. This is a 73 y.o. year old patient who was admitted on 1/24/2022 with PMH of recently diagnosed AML on treatment with cycle 1 of Vidaza/venetoclax, COPD, HTN, HLD, and hypothyroidism who presented to the ED after discovering low oxygen saturation at her office appointment.  Patient was known to be positive for COVID, having tested positive on 1/21.  She had also noted weight gain of 11 pounds with swelling in bilateral legs. Patient was placed on oxygen and started of a 10-day course of dexamethasone and 5-day course of remdesivir.  BNP was elevated at 1659 with negative troponins and bilateral LE dopplers negative for DVT.  Patient was started on PRN lasix with good urine output.  Patient was noted on telemetry to have a bundle branch block, which was confirmed on EKG.  Cardiology was consulted and started patient on lasix 20mg BID with plans for outpatient stress test.  Limited echo on 1/26 showed an EF of 65% with mild-moderate mitral regurgitation.  On 1/28, patient was noted to have an asymptomatic 5-beat run of non-sustained V-tach. Cardiology was notified and started patient on metoprolol with plans for a 14-day ziopatch at discharge.   Patient experienced good diuresis with above lasix and was able to be weaned down to 1-2L per NC.  Patient was still desaturating to the 80s without oxygen, and thus home oxygen arranged per respiratory. PT/OT followed during stay, and home services were recommended. Patient accepted to organization.   Prior to discharge today, patient doing well on 1L NC and has completed 5 days of remdesivir. Care discussed with doctor and patient deemed stable for discharge. Patient and daughter are agreeable - she is feeling overall improved with no new or worsening ROS. Home oxygen and services arranged. Ziopatch to be placed at discharge and cardiology follow-up arranged. Daily weights and diet/fluid restrictions discussed.  All new medications discussed in detail with patient and her daughter.  Patient will plan to follow up in our office as below.  Patient's discharge medication plan were discussed as per below and new prescriptions were sent to patient's requested pharmacy prior to discharge as per generated list below.  Patient is aware to call our office should further questions or concerns arise following this discharge.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatinine normal, Blood glucose normal, Blood magnesium normal, Blood phosphorus normal, Blood potassium normal
Clinical narrative: Discharged. This is a 73 y.o. year old patient who was admitted on 1/24/2022 with PMH of recently diagnosed AML on treatment with cycle 1 of Vidaza/venetoclax, COPD, HTN, HLD, and hypothyroidism who presented to the ED after discovering low oxygen saturation at her office appointment.  Patient was known to be positive for COVID, having tested positive on 1/21.  She had also noted weight gain of 11 pounds with swelling in bilateral legs. Patient was placed on oxygen and started of a 10-day course of dexamethasone and 5-day course of remdesivir.  BNP was elevated at 1659 with negative troponins and bilateral LE dopplers negative for DVT.  Patient was started on PRN lasix with good urine output.  Patient was noted on telemetry to have a bundle branch block, which was confirmed on EKG.  Cardiology was consulted and started patient on lasix 20mg BID with plans for outpatient stress test.  Limited echo on 1/26 showed an EF of 65% with mild-moderate mitral regurgitation.  On 1/28, patient was noted to have an asymptomatic 5-beat run of non-sustained V-tach. Cardiology was notified and started patient on metoprolol with plans for a 14-day ziopatch at discharge.   Patient experienced good diuresis with above lasix and was able to be weaned down to 1-2L per NC.  Patient was still desaturating to the 80s without oxygen, and thus home oxygen arranged per respiratory. PT/OT followed during stay, and home services were recommended. Patient accepted to organization.   Prior to discharge today, patient doing well on 1L NC and has completed 5 days of remdesivir. Care discussed with doctor and patient deemed stable for discharge. Patient and daughter are agreeable - she is feeling overall improved with no new or worsening ROS. Home oxygen and services arranged. Ziopatch to be placed at discharge and cardiology follow-up arranged. Daily weights and diet/fluid restrictions discussed.  All new medications discussed in detail with patient and her daughter.  Patient will plan to follow up in our office as below.  Patient's discharge medication plan were discussed as per below and new prescriptions were sent to patient's requested pharmacy prior to discharge as per generated list below.  Patient is aware to call our office should further questions or concerns arise following this discharge.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Blood sodium normal, Blood urea normal, Brain natriuretic peptide increased, Bundle branch block, COVID-19
Clinical narrative: Discharged. This is a 73 y.o. year old patient who was admitted on 1/24/2022 with PMH of recently diagnosed AML on treatment with cycle 1 of Vidaza/venetoclax, COPD, HTN, HLD, and hypothyroidism who presented to the ED after discovering low oxygen saturation at her office appointment.  Patient was known to be positive for COVID, having tested positive on 1/21.  She had also noted weight gain of 11 pounds with swelling in bilateral legs. Patient was placed on oxygen and started of a 10-day course of dexamethasone and 5-day course of remdesivir.  BNP was elevated at 1659 with negative troponins and bilateral LE dopplers negative for DVT.  Patient was started on PRN lasix with good urine output.  Patient was noted on telemetry to have a bundle branch block, which was confirmed on EKG.  Cardiology was consulted and started patient on lasix 20mg BID with plans for outpatient stress test.  Limited echo on 1/26 showed an EF of 65% with mild-moderate mitral regurgitation.  On 1/28, patient was noted to have an asymptomatic 5-beat run of non-sustained V-tach. Cardiology was notified and started patient on metoprolol with plans for a 14-day ziopatch at discharge.   Patient experienced good diuresis with above lasix and was able to be weaned down to 1-2L per NC.  Patient was still desaturating to the 80s without oxygen, and thus home oxygen arranged per respiratory. PT/OT followed during stay, and home services were recommended. Patient accepted to organization.   Prior to discharge today, patient doing well on 1L NC and has completed 5 days of remdesivir. Care discussed with doctor and patient deemed stable for discharge. Patient and daughter are agreeable - she is feeling overall improved with no new or worsening ROS. Home oxygen and services arranged. Ziopatch to be placed at discharge and cardiology follow-up arranged. Daily weights and diet/fluid restrictions discussed.  All new medications discussed in detail with patient and her daughter.  Patient will plan to follow up in our office as below.  Patient's discharge medication plan were discussed as per below and new prescriptions were sent to patient's requested pharmacy prior to discharge as per generated list below.  Patient is aware to call our office should further questions or concerns arise following this discharge.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac telemetry abnormal, Central venous catheterisation, Chest X-ray abnormal, Cough, Creatinine renal clearance decreased
Clinical narrative: Discharged. This is a 73 y.o. year old patient who was admitted on 1/24/2022 with PMH of recently diagnosed AML on treatment with cycle 1 of Vidaza/venetoclax, COPD, HTN, HLD, and hypothyroidism who presented to the ED after discovering low oxygen saturation at her office appointment.  Patient was known to be positive for COVID, having tested positive on 1/21.  She had also noted weight gain of 11 pounds with swelling in bilateral legs. Patient was placed on oxygen and started of a 10-day course of dexamethasone and 5-day course of remdesivir.  BNP was elevated at 1659 with negative troponins and bilateral LE dopplers negative for DVT.  Patient was started on PRN lasix with good urine output.  Patient was noted on telemetry to have a bundle branch block, which was confirmed on EKG.  Cardiology was consulted and started patient on lasix 20mg BID with plans for outpatient stress test.  Limited echo on 1/26 showed an EF of 65% with mild-moderate mitral regurgitation.  On 1/28, patient was noted to have an asymptomatic 5-beat run of non-sustained V-tach. Cardiology was notified and started patient on metoprolol with plans for a 14-day ziopatch at discharge.   Patient experienced good diuresis with above lasix and was able to be weaned down to 1-2L per NC.  Patient was still desaturating to the 80s without oxygen, and thus home oxygen arranged per respiratory. PT/OT followed during stay, and home services were recommended. Patient accepted to organization.   Prior to discharge today, patient doing well on 1L NC and has completed 5 days of remdesivir. Care discussed with doctor and patient deemed stable for discharge. Patient and daughter are agreeable - she is feeling overall improved with no new or worsening ROS. Home oxygen and services arranged. Ziopatch to be placed at discharge and cardiology follow-up arranged. Daily weights and diet/fluid restrictions discussed.  All new medications discussed in detail with patient and her daughter.  Patient will plan to follow up in our office as below.  Patient's discharge medication plan were discussed as per below and new prescriptions were sent to patient's requested pharmacy prior to discharge as per generated list below.  Patient is aware to call our office should further questions or concerns arise following this discharge.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Differential white blood cell count abnormal, Echocardiogram abnormal, Ejection fraction normal, Electrocardiogram abnormal, Eosinophil percentage decreased
Clinical narrative: Discharged. This is a 73 y.o. year old patient who was admitted on 1/24/2022 with PMH of recently diagnosed AML on treatment with cycle 1 of Vidaza/venetoclax, COPD, HTN, HLD, and hypothyroidism who presented to the ED after discovering low oxygen saturation at her office appointment.  Patient was known to be positive for COVID, having tested positive on 1/21.  She had also noted weight gain of 11 pounds with swelling in bilateral legs. Patient was placed on oxygen and started of a 10-day course of dexamethasone and 5-day course of remdesivir.  BNP was elevated at 1659 with negative troponins and bilateral LE dopplers negative for DVT.  Patient was started on PRN lasix with good urine output.  Patient was noted on telemetry to have a bundle branch block, which was confirmed on EKG.  Cardiology was consulted and started patient on lasix 20mg BID with plans for outpatient stress test.  Limited echo on 1/26 showed an EF of 65% with mild-moderate mitral regurgitation.  On 1/28, patient was noted to have an asymptomatic 5-beat run of non-sustained V-tach. Cardiology was notified and started patient on metoprolol with plans for a 14-day ziopatch at discharge.   Patient experienced good diuresis with above lasix and was able to be weaned down to 1-2L per NC.  Patient was still desaturating to the 80s without oxygen, and thus home oxygen arranged per respiratory. PT/OT followed during stay, and home services were recommended. Patient accepted to organization.   Prior to discharge today, patient doing well on 1L NC and has completed 5 days of remdesivir. Care discussed with doctor and patient deemed stable for discharge. Patient and daughter are agreeable - she is feeling overall improved with no new or worsening ROS. Home oxygen and services arranged. Ziopatch to be placed at discharge and cardiology follow-up arranged. Daily weights and diet/fluid restrictions discussed.  All new medications discussed in detail with patient and her daughter.  Patient will plan to follow up in our office as below.  Patient's discharge medication plan were discussed as per below and new prescriptions were sent to patient's requested pharmacy prior to discharge as per generated list below.  Patient is aware to call our office should further questions or concerns arise following this discharge.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count abnormal, Glomerular filtration rate decreased, Haematocrit decreased, Haemoglobin decreased, Lung disorder
Clinical narrative: Discharged. This is a 73 y.o. year old patient who was admitted on 1/24/2022 with PMH of recently diagnosed AML on treatment with cycle 1 of Vidaza/venetoclax, COPD, HTN, HLD, and hypothyroidism who presented to the ED after discovering low oxygen saturation at her office appointment.  Patient was known to be positive for COVID, having tested positive on 1/21.  She had also noted weight gain of 11 pounds with swelling in bilateral legs. Patient was placed on oxygen and started of a 10-day course of dexamethasone and 5-day course of remdesivir.  BNP was elevated at 1659 with negative troponins and bilateral LE dopplers negative for DVT.  Patient was started on PRN lasix with good urine output.  Patient was noted on telemetry to have a bundle branch block, which was confirmed on EKG.  Cardiology was consulted and started patient on lasix 20mg BID with plans for outpatient stress test.  Limited echo on 1/26 showed an EF of 65% with mild-moderate mitral regurgitation.  On 1/28, patient was noted to have an asymptomatic 5-beat run of non-sustained V-tach. Cardiology was notified and started patient on metoprolol with plans for a 14-day ziopatch at discharge.   Patient experienced good diuresis with above lasix and was able to be weaned down to 1-2L per NC.  Patient was still desaturating to the 80s without oxygen, and thus home oxygen arranged per respiratory. PT/OT followed during stay, and home services were recommended. Patient accepted to organization.   Prior to discharge today, patient doing well on 1L NC and has completed 5 days of remdesivir. Care discussed with doctor and patient deemed stable for discharge. Patient and daughter are agreeable - she is feeling overall improved with no new or worsening ROS. Home oxygen and services arranged. Ziopatch to be placed at discharge and cardiology follow-up arranged. Daily weights and diet/fluid restrictions discussed.  All new medications discussed in detail with patient and her daughter.  Patient will plan to follow up in our office as below.  Patient's discharge medication plan were discussed as per below and new prescriptions were sent to patient's requested pharmacy prior to discharge as per generated list below.  Patient is aware to call our office should further questions or concerns arise following this discharge.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphocyte percentage increased, Mean cell haemoglobin concentration normal, Mean cell haemoglobin increased, Mean cell volume increased, Mean platelet volume increased
Clinical narrative: Discharged. This is a 73 y.o. year old patient who was admitted on 1/24/2022 with PMH of recently diagnosed AML on treatment with cycle 1 of Vidaza/venetoclax, COPD, HTN, HLD, and hypothyroidism who presented to the ED after discovering low oxygen saturation at her office appointment.  Patient was known to be positive for COVID, having tested positive on 1/21.  She had also noted weight gain of 11 pounds with swelling in bilateral legs. Patient was placed on oxygen and started of a 10-day course of dexamethasone and 5-day course of remdesivir.  BNP was elevated at 1659 with negative troponins and bilateral LE dopplers negative for DVT.  Patient was started on PRN lasix with good urine output.  Patient was noted on telemetry to have a bundle branch block, which was confirmed on EKG.  Cardiology was consulted and started patient on lasix 20mg BID with plans for outpatient stress test.  Limited echo on 1/26 showed an EF of 65% with mild-moderate mitral regurgitation.  On 1/28, patient was noted to have an asymptomatic 5-beat run of non-sustained V-tach. Cardiology was notified and started patient on metoprolol with plans for a 14-day ziopatch at discharge.   Patient experienced good diuresis with above lasix and was able to be weaned down to 1-2L per NC.  Patient was still desaturating to the 80s without oxygen, and thus home oxygen arranged per respiratory. PT/OT followed during stay, and home services were recommended. Patient accepted to organization.   Prior to discharge today, patient doing well on 1L NC and has completed 5 days of remdesivir. Care discussed with doctor and patient deemed stable for discharge. Patient and daughter are agreeable - she is feeling overall improved with no new or worsening ROS. Home oxygen and services arranged. Ziopatch to be placed at discharge and cardiology follow-up arranged. Daily weights and diet/fluid restrictions discussed.  All new medications discussed in detail with patient and her daughter.  Patient will plan to follow up in our office as below.  Patient's discharge medication plan were discussed as per below and new prescriptions were sent to patient's requested pharmacy prior to discharge as per generated list below.  Patient is aware to call our office should further questions or concerns arise following this discharge.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Mitral valve incompetence, Monocyte percentage, Neutrophil count decreased, Neutrophil percentage decreased, Oedema peripheral
Clinical narrative: Discharged. This is a 73 y.o. year old patient who was admitted on 1/24/2022 with PMH of recently diagnosed AML on treatment with cycle 1 of Vidaza/venetoclax, COPD, HTN, HLD, and hypothyroidism who presented to the ED after discovering low oxygen saturation at her office appointment.  Patient was known to be positive for COVID, having tested positive on 1/21.  She had also noted weight gain of 11 pounds with swelling in bilateral legs. Patient was placed on oxygen and started of a 10-day course of dexamethasone and 5-day course of remdesivir.  BNP was elevated at 1659 with negative troponins and bilateral LE dopplers negative for DVT.  Patient was started on PRN lasix with good urine output.  Patient was noted on telemetry to have a bundle branch block, which was confirmed on EKG.  Cardiology was consulted and started patient on lasix 20mg BID with plans for outpatient stress test.  Limited echo on 1/26 showed an EF of 65% with mild-moderate mitral regurgitation.  On 1/28, patient was noted to have an asymptomatic 5-beat run of non-sustained V-tach. Cardiology was notified and started patient on metoprolol with plans for a 14-day ziopatch at discharge.   Patient experienced good diuresis with above lasix and was able to be weaned down to 1-2L per NC.  Patient was still desaturating to the 80s without oxygen, and thus home oxygen arranged per respiratory. PT/OT followed during stay, and home services were recommended. Patient accepted to organization.   Prior to discharge today, patient doing well on 1L NC and has completed 5 days of remdesivir. Care discussed with doctor and patient deemed stable for discharge. Patient and daughter are agreeable - she is feeling overall improved with no new or worsening ROS. Home oxygen and services arranged. Ziopatch to be placed at discharge and cardiology follow-up arranged. Daily weights and diet/fluid restrictions discussed.  All new medications discussed in detail with patient and her daughter.  Patient will plan to follow up in our office as below.  Patient's discharge medication plan were discussed as per below and new prescriptions were sent to patient's requested pharmacy prior to discharge as per generated list below.  Patient is aware to call our office should further questions or concerns arise following this discharge.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, Peripheral swelling, Platelet count normal, Polyuria, Protein total decreased
Clinical narrative: Discharged. This is a 73 y.o. year old patient who was admitted on 1/24/2022 with PMH of recently diagnosed AML on treatment with cycle 1 of Vidaza/venetoclax, COPD, HTN, HLD, and hypothyroidism who presented to the ED after discovering low oxygen saturation at her office appointment.  Patient was known to be positive for COVID, having tested positive on 1/21.  She had also noted weight gain of 11 pounds with swelling in bilateral legs. Patient was placed on oxygen and started of a 10-day course of dexamethasone and 5-day course of remdesivir.  BNP was elevated at 1659 with negative troponins and bilateral LE dopplers negative for DVT.  Patient was started on PRN lasix with good urine output.  Patient was noted on telemetry to have a bundle branch block, which was confirmed on EKG.  Cardiology was consulted and started patient on lasix 20mg BID with plans for outpatient stress test.  Limited echo on 1/26 showed an EF of 65% with mild-moderate mitral regurgitation.  On 1/28, patient was noted to have an asymptomatic 5-beat run of non-sustained V-tach. Cardiology was notified and started patient on metoprolol with plans for a 14-day ziopatch at discharge.   Patient experienced good diuresis with above lasix and was able to be weaned down to 1-2L per NC.  Patient was still desaturating to the 80s without oxygen, and thus home oxygen arranged per respiratory. PT/OT followed during stay, and home services were recommended. Patient accepted to organization.   Prior to discharge today, patient doing well on 1L NC and has completed 5 days of remdesivir. Care discussed with doctor and patient deemed stable for discharge. Patient and daughter are agreeable - she is feeling overall improved with no new or worsening ROS. Home oxygen and services arranged. Ziopatch to be placed at discharge and cardiology follow-up arranged. Daily weights and diet/fluid restrictions discussed.  All new medications discussed in detail with patient and her daughter.  Patient will plan to follow up in our office as below.  Patient's discharge medication plan were discussed as per below and new prescriptions were sent to patient's requested pharmacy prior to discharge as per generated list below.  Patient is aware to call our office should further questions or concerns arise following this discharge.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Pulse waveform abnormal, Red blood cell count decreased, Red blood cell morphology normal, Red blood cell nucleated morphology present, Red cell distribution width increased
Clinical narrative: Discharged. This is a 73 y.o. year old patient who was admitted on 1/24/2022 with PMH of recently diagnosed AML on treatment with cycle 1 of Vidaza/venetoclax, COPD, HTN, HLD, and hypothyroidism who presented to the ED after discovering low oxygen saturation at her office appointment.  Patient was known to be positive for COVID, having tested positive on 1/21.  She had also noted weight gain of 11 pounds with swelling in bilateral legs. Patient was placed on oxygen and started of a 10-day course of dexamethasone and 5-day course of remdesivir.  BNP was elevated at 1659 with negative troponins and bilateral LE dopplers negative for DVT.  Patient was started on PRN lasix with good urine output.  Patient was noted on telemetry to have a bundle branch block, which was confirmed on EKG.  Cardiology was consulted and started patient on lasix 20mg BID with plans for outpatient stress test.  Limited echo on 1/26 showed an EF of 65% with mild-moderate mitral regurgitation.  On 1/28, patient was noted to have an asymptomatic 5-beat run of non-sustained V-tach. Cardiology was notified and started patient on metoprolol with plans for a 14-day ziopatch at discharge.   Patient experienced good diuresis with above lasix and was able to be weaned down to 1-2L per NC.  Patient was still desaturating to the 80s without oxygen, and thus home oxygen arranged per respiratory. PT/OT followed during stay, and home services were recommended. Patient accepted to organization.   Prior to discharge today, patient doing well on 1L NC and has completed 5 days of remdesivir. Care discussed with doctor and patient deemed stable for discharge. Patient and daughter are agreeable - she is feeling overall improved with no new or worsening ROS. Home oxygen and services arranged. Ziopatch to be placed at discharge and cardiology follow-up arranged. Daily weights and diet/fluid restrictions discussed.  All new medications discussed in detail with patient and her daughter.  Patient will plan to follow up in our office as below.  Patient's discharge medication plan were discussed as per below and new prescriptions were sent to patient's requested pharmacy prior to discharge as per generated list below.  Patient is aware to call our office should further questions or concerns arise following this discharge.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Troponin normal, Ultrasound Doppler abnormal, Urine output, Ventricular tachycardia
Clinical narrative: Discharged. This is a 73 y.o. year old patient who was admitted on 1/24/2022 with PMH of recently diagnosed AML on treatment with cycle 1 of Vidaza/venetoclax, COPD, HTN, HLD, and hypothyroidism who presented to the ED after discovering low oxygen saturation at her office appointment.  Patient was known to be positive for COVID, having tested positive on 1/21.  She had also noted weight gain of 11 pounds with swelling in bilateral legs. Patient was placed on oxygen and started of a 10-day course of dexamethasone and 5-day course of remdesivir.  BNP was elevated at 1659 with negative troponins and bilateral LE dopplers negative for DVT.  Patient was started on PRN lasix with good urine output.  Patient was noted on telemetry to have a bundle branch block, which was confirmed on EKG.  Cardiology was consulted and started patient on lasix 20mg BID with plans for outpatient stress test.  Limited echo on 1/26 showed an EF of 65% with mild-moderate mitral regurgitation.  On 1/28, patient was noted to have an asymptomatic 5-beat run of non-sustained V-tach. Cardiology was notified and started patient on metoprolol with plans for a 14-day ziopatch at discharge.   Patient experienced good diuresis with above lasix and was able to be weaned down to 1-2L per NC.  Patient was still desaturating to the 80s without oxygen, and thus home oxygen arranged per respiratory. PT/OT followed during stay, and home services were recommended. Patient accepted to organization.   Prior to discharge today, patient doing well on 1L NC and has completed 5 days of remdesivir. Care discussed with doctor and patient deemed stable for discharge. Patient and daughter are agreeable - she is feeling overall improved with no new or worsening ROS. Home oxygen and services arranged. Ziopatch to be placed at discharge and cardiology follow-up arranged. Daily weights and diet/fluid restrictions discussed.  All new medications discussed in detail with patient and her daughter.  Patient will plan to follow up in our office as below.  Patient's discharge medication plan were discussed as per below and new prescriptions were sent to patient's requested pharmacy prior to discharge as per generated list below.  Patient is aware to call our office should further questions or concerns arise following this discharge.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Weight increased, White blood cell count decreased
Clinical narrative: Discharged. This is a 73 y.o. year old patient who was admitted on 1/24/2022 with PMH of recently diagnosed AML on treatment with cycle 1 of Vidaza/venetoclax, COPD, HTN, HLD, and hypothyroidism who presented to the ED after discovering low oxygen saturation at her office appointment.  Patient was known to be positive for COVID, having tested positive on 1/21.  She had also noted weight gain of 11 pounds with swelling in bilateral legs. Patient was placed on oxygen and started of a 10-day course of dexamethasone and 5-day course of remdesivir.  BNP was elevated at 1659 with negative troponins and bilateral LE dopplers negative for DVT.  Patient was started on PRN lasix with good urine output.  Patient was noted on telemetry to have a bundle branch block, which was confirmed on EKG.  Cardiology was consulted and started patient on lasix 20mg BID with plans for outpatient stress test.  Limited echo on 1/26 showed an EF of 65% with mild-moderate mitral regurgitation.  On 1/28, patient was noted to have an asymptomatic 5-beat run of non-sustained V-tach. Cardiology was notified and started patient on metoprolol with plans for a 14-day ziopatch at discharge.   Patient experienced good diuresis with above lasix and was able to be weaned down to 1-2L per NC.  Patient was still desaturating to the 80s without oxygen, and thus home oxygen arranged per respiratory. PT/OT followed during stay, and home services were recommended. Patient accepted to organization.   Prior to discharge today, patient doing well on 1L NC and has completed 5 days of remdesivir. Care discussed with doctor and patient deemed stable for discharge. Patient and daughter are agreeable - she is feeling overall improved with no new or worsening ROS. Home oxygen and services arranged. Ziopatch to be placed at discharge and cardiology follow-up arranged. Daily weights and diet/fluid restrictions discussed.  All new medications discussed in detail with patient and her daughter.  Patient will plan to follow up in our office as below.  Patient's discharge medication plan were discussed as per below and new prescriptions were sent to patient's requested pharmacy prior to discharge as per generated list below.  Patient is aware to call our office should further questions or concerns arise following this discharge.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse event - Pharmacist was working through a busy Covid-19 booster clinic, and did not notice the birthdate of the patient until vaccine was already administered - pt only 17 when Moderna is indicated for 18 years old and older. Only Pfizer should have been used, but none was available during this clinic - pharmacist should have notified pt at time of interaction.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient is 12 years old . Received the Pfizer 5-11 0.2ml
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, Diarrhoea, Faeces discoloured, Gastrointestinal haemorrhage
Clinical narrative: Patient is fully vaccinated.  Tested + for COVID 1/4/2022.  Hospialized for GI bleed on 1/2/2022.63-year-old male who woke up with abdominal pain yesterday morning and had an episode of black diarrhea.  He stated that he has had 5 episodes of black diarrhea and 3 episodes of black hematemesis as well prior to arriving to the hospital. His hemoglobin and hematocrit on December 20 was 14.8/14.5.  On this admission, his hemoglobin and hematocrit was found to be 10.9/31.8, a 4 g drop in less than 2 weeks.He was given 2 units of PRBCs, and was evaluated by gastroenterology. he was deemed stable for discharge home, and was counseled to follow-up with GI outpatient in the next 1-2 weeks.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Haematemesis, Haematocrit decreased, Haemoglobin decreased, Packed red blood cell transfusion, SARS-CoV-2 test positive
Clinical narrative: Patient is fully vaccinated.  Tested + for COVID 1/4/2022.  Hospialized for GI bleed on 1/2/2022.63-year-old male who woke up with abdominal pain yesterday morning and had an episode of black diarrhea.  He stated that he has had 5 episodes of black diarrhea and 3 episodes of black hematemesis as well prior to arriving to the hospital. His hemoglobin and hematocrit on December 20 was 14.8/14.5.  On this admission, his hemoglobin and hematocrit was found to be 10.9/31.8, a 4 g drop in less than 2 weeks.He was given 2 units of PRBCs, and was evaluated by gastroenterology. he was deemed stable for discharge home, and was counseled to follow-up with GI outpatient in the next 1-2 weeks.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Blister, Fatigue, Nausea, Pain, Pyrexia
Clinical narrative: duration of 1 week: Nausea, vomiting, fever, severe fatigue, aches duration of several weeks: development of painful blisters on toes that started within several days of vaccination and come and go for several weeks at a time still to this day
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: duration of 1 week: Nausea, vomiting, fever, severe fatigue, aches duration of several weeks: development of painful blisters on toes that started within several days of vaccination and come and go for several weeks at a time still to this day
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: covid-19 illness
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Bordetella test positive, COVID-19, Pertussis
Clinical narrative: COVID-19 hospitalization; also positive for pertussis.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Abnormal dreams, Asthenia, Blood test, Bradycardia, Cardiac stress test
Clinical narrative: Nearly immediate dizziness, weakness, fatigue.  Fever started to rise 1 hour later, to 104.6° by 9PM, then to (verified) 107.8° by 8AM the next day, and over 108° by 10:00am (digital thermometer stopped reading temps, and blinked "HIGH") - high fever accompanied by muscle spasms, fever dreams/illusions, inability to walk, semi-consciousness.  Ice bath administered and at 10:40AM temp dropped suddenly to 100° over a 20 minute period. Heavy brain fog, fatigue, weakness, shortness of breath continued over the next 2 weeks.  Brain fog and heart palpitations followed, leading up to Primary Care Doctor visit, and then Emergency Room check in for possible heart attack on January 7, 2022 at Hospital, .  No evidence of a heart attack, but continued Bradicardia and Wide QRS Sinus Rhythm exist to present.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Depressed level of consciousness, Dizziness, Dyspnoea, Echocardiogram, Electrocardiogram QRS complex prolonged
Clinical narrative: Nearly immediate dizziness, weakness, fatigue.  Fever started to rise 1 hour later, to 104.6° by 9PM, then to (verified) 107.8° by 8AM the next day, and over 108° by 10:00am (digital thermometer stopped reading temps, and blinked "HIGH") - high fever accompanied by muscle spasms, fever dreams/illusions, inability to walk, semi-consciousness.  Ice bath administered and at 10:40AM temp dropped suddenly to 100° over a 20 minute period. Heavy brain fog, fatigue, weakness, shortness of breath continued over the next 2 weeks.  Brain fog and heart palpitations followed, leading up to Primary Care Doctor visit, and then Emergency Room check in for possible heart attack on January 7, 2022 at Hospital, .  No evidence of a heart attack, but continued Bradicardia and Wide QRS Sinus Rhythm exist to present.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Fatigue, Feeling abnormal, Gait inability, Hyperpyrexia
Clinical narrative: Nearly immediate dizziness, weakness, fatigue.  Fever started to rise 1 hour later, to 104.6° by 9PM, then to (verified) 107.8° by 8AM the next day, and over 108° by 10:00am (digital thermometer stopped reading temps, and blinked "HIGH") - high fever accompanied by muscle spasms, fever dreams/illusions, inability to walk, semi-consciousness.  Ice bath administered and at 10:40AM temp dropped suddenly to 100° over a 20 minute period. Heavy brain fog, fatigue, weakness, shortness of breath continued over the next 2 weeks.  Brain fog and heart palpitations followed, leading up to Primary Care Doctor visit, and then Emergency Room check in for possible heart attack on January 7, 2022 at Hospital, .  No evidence of a heart attack, but continued Bradicardia and Wide QRS Sinus Rhythm exist to present.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Illusion, Immediate post-injection reaction, Muscle spasms, Palpitations, Pyrexia
Clinical narrative: Nearly immediate dizziness, weakness, fatigue.  Fever started to rise 1 hour later, to 104.6° by 9PM, then to (verified) 107.8° by 8AM the next day, and over 108° by 10:00am (digital thermometer stopped reading temps, and blinked "HIGH") - high fever accompanied by muscle spasms, fever dreams/illusions, inability to walk, semi-consciousness.  Ice bath administered and at 10:40AM temp dropped suddenly to 100° over a 20 minute period. Heavy brain fog, fatigue, weakness, shortness of breath continued over the next 2 weeks.  Brain fog and heart palpitations followed, leading up to Primary Care Doctor visit, and then Emergency Room check in for possible heart attack on January 7, 2022 at Hospital, .  No evidence of a heart attack, but continued Bradicardia and Wide QRS Sinus Rhythm exist to present.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Sinus rhythm, X-ray
Clinical narrative: Nearly immediate dizziness, weakness, fatigue.  Fever started to rise 1 hour later, to 104.6° by 9PM, then to (verified) 107.8° by 8AM the next day, and over 108° by 10:00am (digital thermometer stopped reading temps, and blinked "HIGH") - high fever accompanied by muscle spasms, fever dreams/illusions, inability to walk, semi-consciousness.  Ice bath administered and at 10:40AM temp dropped suddenly to 100° over a 20 minute period. Heavy brain fog, fatigue, weakness, shortness of breath continued over the next 2 weeks.  Brain fog and heart palpitations followed, leading up to Primary Care Doctor visit, and then Emergency Room check in for possible heart attack on January 7, 2022 at Hospital, .  No evidence of a heart attack, but continued Bradicardia and Wide QRS Sinus Rhythm exist to present.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Angioplasty, Chest discomfort, Chest pain, Dyspnoea
Clinical narrative: January 2022- started experiencing shortness of breath, pain/ pressure on chest
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death
Clinical narrative: Death related to COIVD-19 infection
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anxiety, Arthralgia, Dyspnoea, Erythema, Joint swelling
Clinical narrative: First dose - swelling and redness around the knees. Soreness in the knee joints.  Went to  see the nurse and she wasn't sure what was causing the redness and swelling. Second dose -swelling and redness around knees again.  Soreness in knee joints. Did not go to the doctor. Booster - swelling around knees, swelling and redness on forearms, swelling and itching on back,  a treated ganglion cyst on wrist was huge and swollen.  Had difficulty breathing but could have been due to anxiety about my body swelling up all over.  Went to the emergency room and was given benedryl.  The ganglion cyst immediately went down and back to normal. Have been taking Zyrtec which seems to help.  Still have occasional soreness in the joints of my knees and right elbow.