chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer normal, Full blood count abnormal, Glomerular filtration rate decreased, Glucose urine absent, Glycosylated haemoglobin
Clinical narrative: Patient is a 70-year-old female with past medical history significant for hypertension, CKD stage 3, PE/DVT/Coumadin, diet-controlled diabetes presents to the hospital on 11/03 with complaints of cough.  Apparently her husband also was diagnosed to have COVID-19 and she has noticed increasing shortness of breath cough and weakness and hence presented to the hospital. Patient was noted to have COVID-19, home with the test, chest x-ray showed pneumonia consistent with COVID-19, she was hypoxic needing supplemental oxygen.  She was also noted to have acute kidney injury on top of her chronic kidney disease. COVID-19 pneumonia along with acute hypoxic respiratory failure:  Patient is vaccinated.  Patient was started on Decadron which she received 5 doses of and will finish 10 day course post discharge.  She was started on remdesivir which she received 3 doses of prior to discontinuation.  With supportive therapy, patient was able to be weaned down to room air prior to discharge.  She did have other associated symptoms of poor appetite, poor oral intake (also complicated by the fact that she hated hospital food), generalized weakness etc.. Physical therapy did see her in consultation and recommended subacute rehab which she declined.  She was counseled about risks of falls with home discharge.  Care management arrange home health physical therapy. Acute kidney injury resolved with IV fluid resuscitation, she was strongly encouraged to keep up with oral intake after discharge.  She had poor oral intake while in the hospital. I was not able to speak to her husband who also is admitted in the hospital with COVID-19 and did not seem be doing well as he  sounded distressed. I obtained son's phone number from patient's phone and reached out twice to leave a voice message requesting a call back if any questions. Patient is alert oriented well and is her own decision maker, she seemed insightful of her health issues.  She makes the decision about going home today with physical therapy in spite of my above counseling regarding rehab.  I went over her discharge instructions including following up with PCP in about a week to obtain follow-up labs including INR at that visit. Patient would resume all her home medications, in addition she will take dexamethasone for 5 days. On the day of discharge, patient appeared to be much more clear, which is improvement from 2 days back.  She was aware of her health issues, medications etc.. Only thing she is focusing on the day of discharge is that she wants to go home.  She declined subacute rehab.  She is somewhat irritable, confrontational and really not open for any counseling. Tried to reach out son, left a voice message saying that patient is being discharged per her request
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Haematocrit normal, Haemoglobin normal, Hostility, Hypophagia, Hypoxia
Clinical narrative: Patient is a 70-year-old female with past medical history significant for hypertension, CKD stage 3, PE/DVT/Coumadin, diet-controlled diabetes presents to the hospital on 11/03 with complaints of cough.  Apparently her husband also was diagnosed to have COVID-19 and she has noticed increasing shortness of breath cough and weakness and hence presented to the hospital. Patient was noted to have COVID-19, home with the test, chest x-ray showed pneumonia consistent with COVID-19, she was hypoxic needing supplemental oxygen.  She was also noted to have acute kidney injury on top of her chronic kidney disease. COVID-19 pneumonia along with acute hypoxic respiratory failure:  Patient is vaccinated.  Patient was started on Decadron which she received 5 doses of and will finish 10 day course post discharge.  She was started on remdesivir which she received 3 doses of prior to discontinuation.  With supportive therapy, patient was able to be weaned down to room air prior to discharge.  She did have other associated symptoms of poor appetite, poor oral intake (also complicated by the fact that she hated hospital food), generalized weakness etc.. Physical therapy did see her in consultation and recommended subacute rehab which she declined.  She was counseled about risks of falls with home discharge.  Care management arrange home health physical therapy. Acute kidney injury resolved with IV fluid resuscitation, she was strongly encouraged to keep up with oral intake after discharge.  She had poor oral intake while in the hospital. I was not able to speak to her husband who also is admitted in the hospital with COVID-19 and did not seem be doing well as he  sounded distressed. I obtained son's phone number from patient's phone and reached out twice to leave a voice message requesting a call back if any questions. Patient is alert oriented well and is her own decision maker, she seemed insightful of her health issues.  She makes the decision about going home today with physical therapy in spite of my above counseling regarding rehab.  I went over her discharge instructions including following up with PCP in about a week to obtain follow-up labs including INR at that visit. Patient would resume all her home medications, in addition she will take dexamethasone for 5 days. On the day of discharge, patient appeared to be much more clear, which is improvement from 2 days back.  She was aware of her health issues, medications etc.. Only thing she is focusing on the day of discharge is that she wants to go home.  She declined subacute rehab.  She is somewhat irritable, confrontational and really not open for any counseling. Tried to reach out son, left a voice message saying that patient is being discharged per her request
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Immature granulocyte count, International normalised ratio increased, Irritability, Lung opacity, Lymphocyte count decreased
Clinical narrative: Patient is a 70-year-old female with past medical history significant for hypertension, CKD stage 3, PE/DVT/Coumadin, diet-controlled diabetes presents to the hospital on 11/03 with complaints of cough.  Apparently her husband also was diagnosed to have COVID-19 and she has noticed increasing shortness of breath cough and weakness and hence presented to the hospital. Patient was noted to have COVID-19, home with the test, chest x-ray showed pneumonia consistent with COVID-19, she was hypoxic needing supplemental oxygen.  She was also noted to have acute kidney injury on top of her chronic kidney disease. COVID-19 pneumonia along with acute hypoxic respiratory failure:  Patient is vaccinated.  Patient was started on Decadron which she received 5 doses of and will finish 10 day course post discharge.  She was started on remdesivir which she received 3 doses of prior to discontinuation.  With supportive therapy, patient was able to be weaned down to room air prior to discharge.  She did have other associated symptoms of poor appetite, poor oral intake (also complicated by the fact that she hated hospital food), generalized weakness etc.. Physical therapy did see her in consultation and recommended subacute rehab which she declined.  She was counseled about risks of falls with home discharge.  Care management arrange home health physical therapy. Acute kidney injury resolved with IV fluid resuscitation, she was strongly encouraged to keep up with oral intake after discharge.  She had poor oral intake while in the hospital. I was not able to speak to her husband who also is admitted in the hospital with COVID-19 and did not seem be doing well as he  sounded distressed. I obtained son's phone number from patient's phone and reached out twice to leave a voice message requesting a call back if any questions. Patient is alert oriented well and is her own decision maker, she seemed insightful of her health issues.  She makes the decision about going home today with physical therapy in spite of my above counseling regarding rehab.  I went over her discharge instructions including following up with PCP in about a week to obtain follow-up labs including INR at that visit. Patient would resume all her home medications, in addition she will take dexamethasone for 5 days. On the day of discharge, patient appeared to be much more clear, which is improvement from 2 days back.  She was aware of her health issues, medications etc.. Only thing she is focusing on the day of discharge is that she wants to go home.  She declined subacute rehab.  She is somewhat irritable, confrontational and really not open for any counseling. Tried to reach out son, left a voice message saying that patient is being discharged per her request
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphocyte percentage decreased, Mean cell haemoglobin concentration normal, Mean cell haemoglobin increased, Mean cell volume increased, Mean platelet volume increased
Clinical narrative: Patient is a 70-year-old female with past medical history significant for hypertension, CKD stage 3, PE/DVT/Coumadin, diet-controlled diabetes presents to the hospital on 11/03 with complaints of cough.  Apparently her husband also was diagnosed to have COVID-19 and she has noticed increasing shortness of breath cough and weakness and hence presented to the hospital. Patient was noted to have COVID-19, home with the test, chest x-ray showed pneumonia consistent with COVID-19, she was hypoxic needing supplemental oxygen.  She was also noted to have acute kidney injury on top of her chronic kidney disease. COVID-19 pneumonia along with acute hypoxic respiratory failure:  Patient is vaccinated.  Patient was started on Decadron which she received 5 doses of and will finish 10 day course post discharge.  She was started on remdesivir which she received 3 doses of prior to discontinuation.  With supportive therapy, patient was able to be weaned down to room air prior to discharge.  She did have other associated symptoms of poor appetite, poor oral intake (also complicated by the fact that she hated hospital food), generalized weakness etc.. Physical therapy did see her in consultation and recommended subacute rehab which she declined.  She was counseled about risks of falls with home discharge.  Care management arrange home health physical therapy. Acute kidney injury resolved with IV fluid resuscitation, she was strongly encouraged to keep up with oral intake after discharge.  She had poor oral intake while in the hospital. I was not able to speak to her husband who also is admitted in the hospital with COVID-19 and did not seem be doing well as he  sounded distressed. I obtained son's phone number from patient's phone and reached out twice to leave a voice message requesting a call back if any questions. Patient is alert oriented well and is her own decision maker, she seemed insightful of her health issues.  She makes the decision about going home today with physical therapy in spite of my above counseling regarding rehab.  I went over her discharge instructions including following up with PCP in about a week to obtain follow-up labs including INR at that visit. Patient would resume all her home medications, in addition she will take dexamethasone for 5 days. On the day of discharge, patient appeared to be much more clear, which is improvement from 2 days back.  She was aware of her health issues, medications etc.. Only thing she is focusing on the day of discharge is that she wants to go home.  She declined subacute rehab.  She is somewhat irritable, confrontational and really not open for any counseling. Tried to reach out son, left a voice message saying that patient is being discharged per her request
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Monocyte count, Monocyte percentage, Neutrophil count, Neutrophil percentage increased
Clinical narrative: Patient is a 70-year-old female with past medical history significant for hypertension, CKD stage 3, PE/DVT/Coumadin, diet-controlled diabetes presents to the hospital on 11/03 with complaints of cough.  Apparently her husband also was diagnosed to have COVID-19 and she has noticed increasing shortness of breath cough and weakness and hence presented to the hospital. Patient was noted to have COVID-19, home with the test, chest x-ray showed pneumonia consistent with COVID-19, she was hypoxic needing supplemental oxygen.  She was also noted to have acute kidney injury on top of her chronic kidney disease. COVID-19 pneumonia along with acute hypoxic respiratory failure:  Patient is vaccinated.  Patient was started on Decadron which she received 5 doses of and will finish 10 day course post discharge.  She was started on remdesivir which she received 3 doses of prior to discontinuation.  With supportive therapy, patient was able to be weaned down to room air prior to discharge.  She did have other associated symptoms of poor appetite, poor oral intake (also complicated by the fact that she hated hospital food), generalized weakness etc.. Physical therapy did see her in consultation and recommended subacute rehab which she declined.  She was counseled about risks of falls with home discharge.  Care management arrange home health physical therapy. Acute kidney injury resolved with IV fluid resuscitation, she was strongly encouraged to keep up with oral intake after discharge.  She had poor oral intake while in the hospital. I was not able to speak to her husband who also is admitted in the hospital with COVID-19 and did not seem be doing well as he  sounded distressed. I obtained son's phone number from patient's phone and reached out twice to leave a voice message requesting a call back if any questions. Patient is alert oriented well and is her own decision maker, she seemed insightful of her health issues.  She makes the decision about going home today with physical therapy in spite of my above counseling regarding rehab.  I went over her discharge instructions including following up with PCP in about a week to obtain follow-up labs including INR at that visit. Patient would resume all her home medications, in addition she will take dexamethasone for 5 days. On the day of discharge, patient appeared to be much more clear, which is improvement from 2 days back.  She was aware of her health issues, medications etc.. Only thing she is focusing on the day of discharge is that she wants to go home.  She declined subacute rehab.  She is somewhat irritable, confrontational and really not open for any counseling. Tried to reach out son, left a voice message saying that patient is being discharged per her request
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Nitrite urine absent, Platelet count normal, Protein total normal, Protein urine present, Prothrombin time prolonged
Clinical narrative: Patient is a 70-year-old female with past medical history significant for hypertension, CKD stage 3, PE/DVT/Coumadin, diet-controlled diabetes presents to the hospital on 11/03 with complaints of cough.  Apparently her husband also was diagnosed to have COVID-19 and she has noticed increasing shortness of breath cough and weakness and hence presented to the hospital. Patient was noted to have COVID-19, home with the test, chest x-ray showed pneumonia consistent with COVID-19, she was hypoxic needing supplemental oxygen.  She was also noted to have acute kidney injury on top of her chronic kidney disease. COVID-19 pneumonia along with acute hypoxic respiratory failure:  Patient is vaccinated.  Patient was started on Decadron which she received 5 doses of and will finish 10 day course post discharge.  She was started on remdesivir which she received 3 doses of prior to discontinuation.  With supportive therapy, patient was able to be weaned down to room air prior to discharge.  She did have other associated symptoms of poor appetite, poor oral intake (also complicated by the fact that she hated hospital food), generalized weakness etc.. Physical therapy did see her in consultation and recommended subacute rehab which she declined.  She was counseled about risks of falls with home discharge.  Care management arrange home health physical therapy. Acute kidney injury resolved with IV fluid resuscitation, she was strongly encouraged to keep up with oral intake after discharge.  She had poor oral intake while in the hospital. I was not able to speak to her husband who also is admitted in the hospital with COVID-19 and did not seem be doing well as he  sounded distressed. I obtained son's phone number from patient's phone and reached out twice to leave a voice message requesting a call back if any questions. Patient is alert oriented well and is her own decision maker, she seemed insightful of her health issues.  She makes the decision about going home today with physical therapy in spite of my above counseling regarding rehab.  I went over her discharge instructions including following up with PCP in about a week to obtain follow-up labs including INR at that visit. Patient would resume all her home medications, in addition she will take dexamethasone for 5 days. On the day of discharge, patient appeared to be much more clear, which is improvement from 2 days back.  She was aware of her health issues, medications etc.. Only thing she is focusing on the day of discharge is that she wants to go home.  She declined subacute rehab.  She is somewhat irritable, confrontational and really not open for any counseling. Tried to reach out son, left a voice message saying that patient is being discharged per her request
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: QRS axis, Red blood cell count normal, Red blood cell nucleated morphology, Red cell distribution width normal, SARS-CoV-2 test positive
Clinical narrative: Patient is a 70-year-old female with past medical history significant for hypertension, CKD stage 3, PE/DVT/Coumadin, diet-controlled diabetes presents to the hospital on 11/03 with complaints of cough.  Apparently her husband also was diagnosed to have COVID-19 and she has noticed increasing shortness of breath cough and weakness and hence presented to the hospital. Patient was noted to have COVID-19, home with the test, chest x-ray showed pneumonia consistent with COVID-19, she was hypoxic needing supplemental oxygen.  She was also noted to have acute kidney injury on top of her chronic kidney disease. COVID-19 pneumonia along with acute hypoxic respiratory failure:  Patient is vaccinated.  Patient was started on Decadron which she received 5 doses of and will finish 10 day course post discharge.  She was started on remdesivir which she received 3 doses of prior to discontinuation.  With supportive therapy, patient was able to be weaned down to room air prior to discharge.  She did have other associated symptoms of poor appetite, poor oral intake (also complicated by the fact that she hated hospital food), generalized weakness etc.. Physical therapy did see her in consultation and recommended subacute rehab which she declined.  She was counseled about risks of falls with home discharge.  Care management arrange home health physical therapy. Acute kidney injury resolved with IV fluid resuscitation, she was strongly encouraged to keep up with oral intake after discharge.  She had poor oral intake while in the hospital. I was not able to speak to her husband who also is admitted in the hospital with COVID-19 and did not seem be doing well as he  sounded distressed. I obtained son's phone number from patient's phone and reached out twice to leave a voice message requesting a call back if any questions. Patient is alert oriented well and is her own decision maker, she seemed insightful of her health issues.  She makes the decision about going home today with physical therapy in spite of my above counseling regarding rehab.  I went over her discharge instructions including following up with PCP in about a week to obtain follow-up labs including INR at that visit. Patient would resume all her home medications, in addition she will take dexamethasone for 5 days. On the day of discharge, patient appeared to be much more clear, which is improvement from 2 days back.  She was aware of her health issues, medications etc.. Only thing she is focusing on the day of discharge is that she wants to go home.  She declined subacute rehab.  She is somewhat irritable, confrontational and really not open for any counseling. Tried to reach out son, left a voice message saying that patient is being discharged per her request
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Specific gravity urine normal, Urine abnormality, Urine ketone body present, Urine leukocyte esterase, Urobilinogen urine
Clinical narrative: Patient is a 70-year-old female with past medical history significant for hypertension, CKD stage 3, PE/DVT/Coumadin, diet-controlled diabetes presents to the hospital on 11/03 with complaints of cough.  Apparently her husband also was diagnosed to have COVID-19 and she has noticed increasing shortness of breath cough and weakness and hence presented to the hospital. Patient was noted to have COVID-19, home with the test, chest x-ray showed pneumonia consistent with COVID-19, she was hypoxic needing supplemental oxygen.  She was also noted to have acute kidney injury on top of her chronic kidney disease. COVID-19 pneumonia along with acute hypoxic respiratory failure:  Patient is vaccinated.  Patient was started on Decadron which she received 5 doses of and will finish 10 day course post discharge.  She was started on remdesivir which she received 3 doses of prior to discontinuation.  With supportive therapy, patient was able to be weaned down to room air prior to discharge.  She did have other associated symptoms of poor appetite, poor oral intake (also complicated by the fact that she hated hospital food), generalized weakness etc.. Physical therapy did see her in consultation and recommended subacute rehab which she declined.  She was counseled about risks of falls with home discharge.  Care management arrange home health physical therapy. Acute kidney injury resolved with IV fluid resuscitation, she was strongly encouraged to keep up with oral intake after discharge.  She had poor oral intake while in the hospital. I was not able to speak to her husband who also is admitted in the hospital with COVID-19 and did not seem be doing well as he  sounded distressed. I obtained son's phone number from patient's phone and reached out twice to leave a voice message requesting a call back if any questions. Patient is alert oriented well and is her own decision maker, she seemed insightful of her health issues.  She makes the decision about going home today with physical therapy in spite of my above counseling regarding rehab.  I went over her discharge instructions including following up with PCP in about a week to obtain follow-up labs including INR at that visit. Patient would resume all her home medications, in addition she will take dexamethasone for 5 days. On the day of discharge, patient appeared to be much more clear, which is improvement from 2 days back.  She was aware of her health issues, medications etc.. Only thing she is focusing on the day of discharge is that she wants to go home.  She declined subacute rehab.  She is somewhat irritable, confrontational and really not open for any counseling. Tried to reach out son, left a voice message saying that patient is being discharged per her request
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count normal, pH urine normal
Clinical narrative: Patient is a 70-year-old female with past medical history significant for hypertension, CKD stage 3, PE/DVT/Coumadin, diet-controlled diabetes presents to the hospital on 11/03 with complaints of cough.  Apparently her husband also was diagnosed to have COVID-19 and she has noticed increasing shortness of breath cough and weakness and hence presented to the hospital. Patient was noted to have COVID-19, home with the test, chest x-ray showed pneumonia consistent with COVID-19, she was hypoxic needing supplemental oxygen.  She was also noted to have acute kidney injury on top of her chronic kidney disease. COVID-19 pneumonia along with acute hypoxic respiratory failure:  Patient is vaccinated.  Patient was started on Decadron which she received 5 doses of and will finish 10 day course post discharge.  She was started on remdesivir which she received 3 doses of prior to discontinuation.  With supportive therapy, patient was able to be weaned down to room air prior to discharge.  She did have other associated symptoms of poor appetite, poor oral intake (also complicated by the fact that she hated hospital food), generalized weakness etc.. Physical therapy did see her in consultation and recommended subacute rehab which she declined.  She was counseled about risks of falls with home discharge.  Care management arrange home health physical therapy. Acute kidney injury resolved with IV fluid resuscitation, she was strongly encouraged to keep up with oral intake after discharge.  She had poor oral intake while in the hospital. I was not able to speak to her husband who also is admitted in the hospital with COVID-19 and did not seem be doing well as he  sounded distressed. I obtained son's phone number from patient's phone and reached out twice to leave a voice message requesting a call back if any questions. Patient is alert oriented well and is her own decision maker, she seemed insightful of her health issues.  She makes the decision about going home today with physical therapy in spite of my above counseling regarding rehab.  I went over her discharge instructions including following up with PCP in about a week to obtain follow-up labs including INR at that visit. Patient would resume all her home medications, in addition she will take dexamethasone for 5 days. On the day of discharge, patient appeared to be much more clear, which is improvement from 2 days back.  She was aware of her health issues, medications etc.. Only thing she is focusing on the day of discharge is that she wants to go home.  She declined subacute rehab.  She is somewhat irritable, confrontational and really not open for any counseling. Tried to reach out son, left a voice message saying that patient is being discharged per her request
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Computerised tomogram head abnormal, Ischaemic stroke, Magnetic resonance imaging abnormal, Thrombosis
Clinical narrative: STROKE
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Presyncope
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Nausea-Mild, Additional Details: Vasovagal response
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Eye swelling, Mouth swelling, Nausea, Swelling face, Swollen tongue
Clinical narrative: Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Systemic: Nausea-Mild, Additional Details: Patient called about 1 hour after her shot stating that she had some swelling of her face with no difficulty breathing. I recommended she take benadryl 25mg and call her md. 4 hours post injection, she called and stated that the swelling went down, she was feeling better and her md had recommended that with her next shot she take benadryl 25 mg in preperation. 2 days post injection, I called her and she stated that she was tired and nauseous but no longer swollen.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Additional Details: mild rash on right arm and spread to facial area , no shortness of breath. gave patient 2 benadry (12.5mg) chewable . patient was able to take the medication and was able to chew and swallow. called 911 at 12 45 am and they showd up in 5 minutes.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Hyperhidrosis, Nausea, Vomiting
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Medium, Systemic: Vomiting-Medium
Age: 8.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Dizziness, Presyncope
Clinical narrative: Approximately 3-4 minutes after receiving  his vaccinations patient became distressed watching his sister getting ready for her vaccines.  He became vaso-vagal and slid down to the floor.  He regained conciousness within 5 seconds.  Vitals were stable.  He was monitored for approximately 30 minutes after.  He became dizzy again when his sister got his shots.  He recovered within 30 minutes and went home with parents.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Catheterisation cardiac normal, Chest pain, Dyspepsia, Electrocardiogram abnormal, Hypoaesthesia
Clinical narrative: 1/9/21 FIRST COVID VACCINE (PFIZER)  SECOND VACCINE 2/1/21 (PFIZER)  BOOSTER 11/2/21 MODERMA TWO DAYS AFTER THE BOOSTER I WAS LAYING IN BED THINKING I HAD HEARTBURN MY LEFT ARM WAS KINDA NUMB SO I TOOK A SHOWER ABOUT 8:30PM THINKING IT WOULD HELP GOT DRESSED AND MY LEFT ARM AND CHEST STILL HURT LEFT ARM WAS NUMB DROVE TO HOSPITAL TO GET CHECHED EKG WAS SHOWING HEART PROBLEMS THEY DID A CATH SURGERY AND FOUND NO BLOCKAGE I TOLD THEM A JUST GOT THE BOOSTER 2 DAYS BEFORE
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: 1/9/21 FIRST COVID VACCINE (PFIZER)  SECOND VACCINE 2/1/21 (PFIZER)  BOOSTER 11/2/21 MODERMA TWO DAYS AFTER THE BOOSTER I WAS LAYING IN BED THINKING I HAD HEARTBURN MY LEFT ARM WAS KINDA NUMB SO I TOOK A SHOWER ABOUT 8:30PM THINKING IT WOULD HELP GOT DRESSED AND MY LEFT ARM AND CHEST STILL HURT LEFT ARM WAS NUMB DROVE TO HOSPITAL TO GET CHECHED EKG WAS SHOWING HEART PROBLEMS THEY DID A CATH SURGERY AND FOUND NO BLOCKAGE I TOLD THEM A JUST GOT THE BOOSTER 2 DAYS BEFORE
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Appendicitis, Surgery
Clinical narrative: Acute appendicitis requires surgery
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Injection site erythema, Injection site pain, Pain
Clinical narrative: Dizziness, chills, achy started next day.  Redness and tenderness around injection site started Two days following injection
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccine positive rechallenge
Clinical narrative: Dizziness, chills, achy started next day.  Redness and tenderness around injection site started Two days following injection
Age: 60.0
Sex: M
Vaccine: FLU4
Symptoms: Chest X-ray abnormal, Chronic obstructive pulmonary disease, Condition aggravated, Dyspnoea, Pain in extremity
Clinical narrative: Patient reported that he developed symptoms within 24 hours of vaccination. Symptoms included productive cough, shortness of breath, gagging, "questionable" pneumonia (per chest xray). Patient had arm pain for 3 weeks. He was seen at urgent care clinic after vaccination (unknown timeframe) and was prescribed albuterol, tessalon perles, steroid, and zithromax for COPD exacerbation. He followed up with primary care on 11/02/2021 where chest xray was ordered. No additional medication/treatment was given.
Age: 60.0
Sex: M
Vaccine: FLU4
Symptoms: Pneumonia, Productive cough, Retching
Clinical narrative: Patient reported that he developed symptoms within 24 hours of vaccination. Symptoms included productive cough, shortness of breath, gagging, "questionable" pneumonia (per chest xray). Patient had arm pain for 3 weeks. He was seen at urgent care clinic after vaccination (unknown timeframe) and was prescribed albuterol, tessalon perles, steroid, and zithromax for COPD exacerbation. He followed up with primary care on 11/02/2021 where chest xray was ordered. No additional medication/treatment was given.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Asthenia, COVID-19, Diarrhoea, Fatigue
Clinical narrative: CHIEF COMPLAINT:   pt c/o general weakness and diarhrea for last week. denies any fever.   HISTORY OF PRESENT ILLNESS:     89-year-old female with history of hypertension, normally able to fully care for self, comes to the ER for evaluation of generalized weakness, diarrhea nausea vomiting and fatigue.  No history of renal injury in her lifetime.  Patient has been vaccinated against COVID-19.  Mild abdominal pain.  Patient says that she has felt so weak at home due to the diarrhea that she has been unable to do that today.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, SARS-CoV-2 test positive, Vomiting
Clinical narrative: CHIEF COMPLAINT:   pt c/o general weakness and diarhrea for last week. denies any fever.   HISTORY OF PRESENT ILLNESS:     89-year-old female with history of hypertension, normally able to fully care for self, comes to the ER for evaluation of generalized weakness, diarrhea nausea vomiting and fatigue.  No history of renal injury in her lifetime.  Patient has been vaccinated against COVID-19.  Mild abdominal pain.  Patient says that she has felt so weak at home due to the diarrhea that she has been unable to do that today.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: Client reported feeling faint and nauseated. Cold compress applied and ammonia salts. Vitals stable B/P92/60; HR 56; RR 20; alert and oriented times 4.  Home with parent
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Angiogram pulmonary abnormal, Anion gap normal, Aspartate aminotransferase normal, Atelectasis
Clinical narrative: Patient is a 79 y.o. male who presents today with worsening shortness of breath and cough.  The patient has a pertinent medical history of chronic obstructive pulmonary disease on 3 L nasal cannula baseline per patient, systolic and diastolic heart failure with EF 54% in Dec 2020, coronary artery disease, PAD, hypertension, and hyperlipidemia.  The patient states his symptoms started roughly 3-4 days ago that included shortness of breath on exertion and cough.  The symptoms progressively have gotten worse over these previous days so he presented to the ER.  He was febrile in the ER and a code sepsis was started and he was given a 1000 mL fluid bolus.  He was requiring BiPAP support 12/6 100%. He subsequently tested positive for COVID so code sepsis was stopped.  Chest x-ray shows interstitial opacities at the lung bases.  Procalcitonin was 0.24.  He was vaccinated for COVID with Pfizer on 05/27/2021 and 06/17/2021.   The patient was admitted to the hospitalist team for further medical management.  He endorses fever, shortness of breath, cough.  He denies sputum production, nausea, vomiting, diarrhea, dizziness, lightheadedness, headaches, chest pain.  The plan will be to start dexamethasone and remdesivir for COVID pneumonia.  Will obtain a D-dimer at this time and can consider CTA of the chest if elevated.  Given her normal WBC and procalcitonin I have low suspicion for concurrent bacterial pneumonia.  He he is currently on BiPAP 12/6 at 35% with plan to wean to high-flow nasal cannula with assistance from respiratory therapy.  Given heart failure history and large fluid bolus in the ER, patient may need intravenous Lasix for hypervolemia and significant bilateral lower extremity edema.  I updated the patient on the plan of care and all questions and concerns were addressed
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Bacterial test negative, Basophil count normal, Basophil percentage, Bilirubin urine
Clinical narrative: Patient is a 79 y.o. male who presents today with worsening shortness of breath and cough.  The patient has a pertinent medical history of chronic obstructive pulmonary disease on 3 L nasal cannula baseline per patient, systolic and diastolic heart failure with EF 54% in Dec 2020, coronary artery disease, PAD, hypertension, and hyperlipidemia.  The patient states his symptoms started roughly 3-4 days ago that included shortness of breath on exertion and cough.  The symptoms progressively have gotten worse over these previous days so he presented to the ER.  He was febrile in the ER and a code sepsis was started and he was given a 1000 mL fluid bolus.  He was requiring BiPAP support 12/6 100%. He subsequently tested positive for COVID so code sepsis was stopped.  Chest x-ray shows interstitial opacities at the lung bases.  Procalcitonin was 0.24.  He was vaccinated for COVID with Pfizer on 05/27/2021 and 06/17/2021.   The patient was admitted to the hospitalist team for further medical management.  He endorses fever, shortness of breath, cough.  He denies sputum production, nausea, vomiting, diarrhea, dizziness, lightheadedness, headaches, chest pain.  The plan will be to start dexamethasone and remdesivir for COVID pneumonia.  Will obtain a D-dimer at this time and can consider CTA of the chest if elevated.  Given her normal WBC and procalcitonin I have low suspicion for concurrent bacterial pneumonia.  He he is currently on BiPAP 12/6 at 35% with plan to wean to high-flow nasal cannula with assistance from respiratory therapy.  Given heart failure history and large fluid bolus in the ER, patient may need intravenous Lasix for hypervolemia and significant bilateral lower extremity edema.  I updated the patient on the plan of care and all questions and concerns were addressed
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Blood albumin decreased, Blood alkaline phosphatase normal, Blood bicarbonate increased, Blood bilirubin normal, Blood calcium decreased
Clinical narrative: Patient is a 79 y.o. male who presents today with worsening shortness of breath and cough.  The patient has a pertinent medical history of chronic obstructive pulmonary disease on 3 L nasal cannula baseline per patient, systolic and diastolic heart failure with EF 54% in Dec 2020, coronary artery disease, PAD, hypertension, and hyperlipidemia.  The patient states his symptoms started roughly 3-4 days ago that included shortness of breath on exertion and cough.  The symptoms progressively have gotten worse over these previous days so he presented to the ER.  He was febrile in the ER and a code sepsis was started and he was given a 1000 mL fluid bolus.  He was requiring BiPAP support 12/6 100%. He subsequently tested positive for COVID so code sepsis was stopped.  Chest x-ray shows interstitial opacities at the lung bases.  Procalcitonin was 0.24.  He was vaccinated for COVID with Pfizer on 05/27/2021 and 06/17/2021.   The patient was admitted to the hospitalist team for further medical management.  He endorses fever, shortness of breath, cough.  He denies sputum production, nausea, vomiting, diarrhea, dizziness, lightheadedness, headaches, chest pain.  The plan will be to start dexamethasone and remdesivir for COVID pneumonia.  Will obtain a D-dimer at this time and can consider CTA of the chest if elevated.  Given her normal WBC and procalcitonin I have low suspicion for concurrent bacterial pneumonia.  He he is currently on BiPAP 12/6 at 35% with plan to wean to high-flow nasal cannula with assistance from respiratory therapy.  Given heart failure history and large fluid bolus in the ER, patient may need intravenous Lasix for hypervolemia and significant bilateral lower extremity edema.  I updated the patient on the plan of care and all questions and concerns were addressed
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Blood chloride decreased, Blood creatinine normal, Blood culture negative, Blood glucose increased, Blood magnesium increased
Clinical narrative: Patient is a 79 y.o. male who presents today with worsening shortness of breath and cough.  The patient has a pertinent medical history of chronic obstructive pulmonary disease on 3 L nasal cannula baseline per patient, systolic and diastolic heart failure with EF 54% in Dec 2020, coronary artery disease, PAD, hypertension, and hyperlipidemia.  The patient states his symptoms started roughly 3-4 days ago that included shortness of breath on exertion and cough.  The symptoms progressively have gotten worse over these previous days so he presented to the ER.  He was febrile in the ER and a code sepsis was started and he was given a 1000 mL fluid bolus.  He was requiring BiPAP support 12/6 100%. He subsequently tested positive for COVID so code sepsis was stopped.  Chest x-ray shows interstitial opacities at the lung bases.  Procalcitonin was 0.24.  He was vaccinated for COVID with Pfizer on 05/27/2021 and 06/17/2021.   The patient was admitted to the hospitalist team for further medical management.  He endorses fever, shortness of breath, cough.  He denies sputum production, nausea, vomiting, diarrhea, dizziness, lightheadedness, headaches, chest pain.  The plan will be to start dexamethasone and remdesivir for COVID pneumonia.  Will obtain a D-dimer at this time and can consider CTA of the chest if elevated.  Given her normal WBC and procalcitonin I have low suspicion for concurrent bacterial pneumonia.  He he is currently on BiPAP 12/6 at 35% with plan to wean to high-flow nasal cannula with assistance from respiratory therapy.  Given heart failure history and large fluid bolus in the ER, patient may need intravenous Lasix for hypervolemia and significant bilateral lower extremity edema.  I updated the patient on the plan of care and all questions and concerns were addressed
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Blood potassium normal, Blood sodium decreased, Blood urea increased, Blood urine present, Bronchiectasis
Clinical narrative: Patient is a 79 y.o. male who presents today with worsening shortness of breath and cough.  The patient has a pertinent medical history of chronic obstructive pulmonary disease on 3 L nasal cannula baseline per patient, systolic and diastolic heart failure with EF 54% in Dec 2020, coronary artery disease, PAD, hypertension, and hyperlipidemia.  The patient states his symptoms started roughly 3-4 days ago that included shortness of breath on exertion and cough.  The symptoms progressively have gotten worse over these previous days so he presented to the ER.  He was febrile in the ER and a code sepsis was started and he was given a 1000 mL fluid bolus.  He was requiring BiPAP support 12/6 100%. He subsequently tested positive for COVID so code sepsis was stopped.  Chest x-ray shows interstitial opacities at the lung bases.  Procalcitonin was 0.24.  He was vaccinated for COVID with Pfizer on 05/27/2021 and 06/17/2021.   The patient was admitted to the hospitalist team for further medical management.  He endorses fever, shortness of breath, cough.  He denies sputum production, nausea, vomiting, diarrhea, dizziness, lightheadedness, headaches, chest pain.  The plan will be to start dexamethasone and remdesivir for COVID pneumonia.  Will obtain a D-dimer at this time and can consider CTA of the chest if elevated.  Given her normal WBC and procalcitonin I have low suspicion for concurrent bacterial pneumonia.  He he is currently on BiPAP 12/6 at 35% with plan to wean to high-flow nasal cannula with assistance from respiratory therapy.  Given heart failure history and large fluid bolus in the ER, patient may need intravenous Lasix for hypervolemia and significant bilateral lower extremity edema.  I updated the patient on the plan of care and all questions and concerns were addressed
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Bronchiolitis, Bundle branch block right, C-reactive protein increased, COVID-19, COVID-19 pneumonia
Clinical narrative: Patient is a 79 y.o. male who presents today with worsening shortness of breath and cough.  The patient has a pertinent medical history of chronic obstructive pulmonary disease on 3 L nasal cannula baseline per patient, systolic and diastolic heart failure with EF 54% in Dec 2020, coronary artery disease, PAD, hypertension, and hyperlipidemia.  The patient states his symptoms started roughly 3-4 days ago that included shortness of breath on exertion and cough.  The symptoms progressively have gotten worse over these previous days so he presented to the ER.  He was febrile in the ER and a code sepsis was started and he was given a 1000 mL fluid bolus.  He was requiring BiPAP support 12/6 100%. He subsequently tested positive for COVID so code sepsis was stopped.  Chest x-ray shows interstitial opacities at the lung bases.  Procalcitonin was 0.24.  He was vaccinated for COVID with Pfizer on 05/27/2021 and 06/17/2021.   The patient was admitted to the hospitalist team for further medical management.  He endorses fever, shortness of breath, cough.  He denies sputum production, nausea, vomiting, diarrhea, dizziness, lightheadedness, headaches, chest pain.  The plan will be to start dexamethasone and remdesivir for COVID pneumonia.  Will obtain a D-dimer at this time and can consider CTA of the chest if elevated.  Given her normal WBC and procalcitonin I have low suspicion for concurrent bacterial pneumonia.  He he is currently on BiPAP 12/6 at 35% with plan to wean to high-flow nasal cannula with assistance from respiratory therapy.  Given heart failure history and large fluid bolus in the ER, patient may need intravenous Lasix for hypervolemia and significant bilateral lower extremity edema.  I updated the patient on the plan of care and all questions and concerns were addressed
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac telemetry, Cardiomegaly, Chest X-ray abnormal, Cough, Differential white blood cell count abnormal
Clinical narrative: Patient is a 79 y.o. male who presents today with worsening shortness of breath and cough.  The patient has a pertinent medical history of chronic obstructive pulmonary disease on 3 L nasal cannula baseline per patient, systolic and diastolic heart failure with EF 54% in Dec 2020, coronary artery disease, PAD, hypertension, and hyperlipidemia.  The patient states his symptoms started roughly 3-4 days ago that included shortness of breath on exertion and cough.  The symptoms progressively have gotten worse over these previous days so he presented to the ER.  He was febrile in the ER and a code sepsis was started and he was given a 1000 mL fluid bolus.  He was requiring BiPAP support 12/6 100%. He subsequently tested positive for COVID so code sepsis was stopped.  Chest x-ray shows interstitial opacities at the lung bases.  Procalcitonin was 0.24.  He was vaccinated for COVID with Pfizer on 05/27/2021 and 06/17/2021.   The patient was admitted to the hospitalist team for further medical management.  He endorses fever, shortness of breath, cough.  He denies sputum production, nausea, vomiting, diarrhea, dizziness, lightheadedness, headaches, chest pain.  The plan will be to start dexamethasone and remdesivir for COVID pneumonia.  Will obtain a D-dimer at this time and can consider CTA of the chest if elevated.  Given her normal WBC and procalcitonin I have low suspicion for concurrent bacterial pneumonia.  He he is currently on BiPAP 12/6 at 35% with plan to wean to high-flow nasal cannula with assistance from respiratory therapy.  Given heart failure history and large fluid bolus in the ER, patient may need intravenous Lasix for hypervolemia and significant bilateral lower extremity edema.  I updated the patient on the plan of care and all questions and concerns were addressed