chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody positive, Laboratory test, Myasthenia gravis, Neuropathy peripheral, Polyarthritis
Clinical narrative: Developed polyarthritis and peripheral neuropathy symptoms within a month after her vaccinations.  Developed myasthenia gravis symptoms this past week.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Pt got only 1 dose of Pfizer on 7/19/21 and she came into our pharmacy and request Janssen vaccine to be given to her. Pt didn't want Pfizer any more and the dose was 338 days ago so I gave her a dose of Janssen as per her requested. So far pt had not report any reaction with Janssen ( @7:33pm). I just want to document i had given Janssen.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Decreased appetite, Fatigue, Gait disturbance, Joint swelling
Clinical narrative: Swollen and painful ankles, knees, and hands, making it difficult to walk. Extreme fatigue, loss of appetite, heart palpitations
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Palpitations
Clinical narrative: Swollen and painful ankles, knees, and hands, making it difficult to walk. Extreme fatigue, loss of appetite, heart palpitations
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Product preparation issue, Pyrexia
Clinical narrative: technician gave vaccine to the patient without mixing with nacl patient  is having fever and rm pain started at  night
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Injection site pain, Wrong product administered
Clinical narrative: Vaccine administering error: At our COVID vaccination clinic, patient was accidentally given Moderna COVID vaccine (18 and up) 0.3 ml instead of 0.25ml as the 2nd COVID vaccine booster.  Patient was contacted the same day and notified this vaccine administering error. Then patient was contacted again the next day to follow up. Patient did not have any other signs or symptoms except pain in the injection site.
Age: 68.0
Sex: F
Vaccine: UNK, UNK, UNK, UNK, UNK
Symptoms: Asthenia, COVID-19, Catheterisation cardiac, Chest pain, Cough
Clinical narrative: Mild pain at injection site. Felt very tired and weak. Slight body aches like when coming down with the flu.   Then ended up with Covid on  May 19, 2022 that was the mildest head cold I ever had. No sore throat but some swelling of soft pallet and some itching. Very mild cough occasionally, and felt very tired and a little weak. Lasting only about 4-5 days. But on May 29, 2022 I began having chest pains once or twice a day with a burning ache running down my left arm. Saw my cardiologist and he has scheduled a cardiac cath for me on June 24, 2022.
Age: 68.0
Sex: F
Vaccine: UNK, UNK, UNK, UNK, UNK
Symptoms: Extra dose administered, Fatigue, Influenza like illness, Injection site pain, Nasopharyngitis
Clinical narrative: Mild pain at injection site. Felt very tired and weak. Slight body aches like when coming down with the flu.   Then ended up with Covid on  May 19, 2022 that was the mildest head cold I ever had. No sore throat but some swelling of soft pallet and some itching. Very mild cough occasionally, and felt very tired and a little weak. Lasting only about 4-5 days. But on May 29, 2022 I began having chest pains once or twice a day with a burning ache running down my left arm. Saw my cardiologist and he has scheduled a cardiac cath for me on June 24, 2022.
Age: 68.0
Sex: F
Vaccine: UNK, UNK, UNK, UNK, UNK
Symptoms: Pain, Pain in extremity, Pruritus, Swelling
Clinical narrative: Mild pain at injection site. Felt very tired and weak. Slight body aches like when coming down with the flu.   Then ended up with Covid on  May 19, 2022 that was the mildest head cold I ever had. No sore throat but some swelling of soft pallet and some itching. Very mild cough occasionally, and felt very tired and a little weak. Lasting only about 4-5 days. But on May 29, 2022 I began having chest pains once or twice a day with a burning ache running down my left arm. Saw my cardiologist and he has scheduled a cardiac cath for me on June 24, 2022.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Dizziness, Gait disturbance, Vertigo
Clinical narrative: Vertigo, dizziness, unsteady walking-admission to hospital and given medication-released next morning with prescription
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Dysstasia, Fall, Fatigue, Influenza like illness
Clinical narrative: Patient got her vaccine.  The day  after she got a temperature of 101 and flu like symptoms for 1.5 days (had with previous shots in this series).  The second day she felt draggy, just not well.  The 3rd day the patient got vertigo.  She was out in her yard gardening, and it was so severe that when she bent over to turn on a faucet, she fell down in the yard.   She got her vaccine on a Thursday and went to see her physician the following Tuesday due to continued vertigo.  Her physician told her it would just have to run it's course.  She is still having vertigo and when she closes her eyes feels like she can't stand.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Vertigo
Clinical narrative: Patient got her vaccine.  The day  after she got a temperature of 101 and flu like symptoms for 1.5 days (had with previous shots in this series).  The second day she felt draggy, just not well.  The 3rd day the patient got vertigo.  She was out in her yard gardening, and it was so severe that when she bent over to turn on a faucet, she fell down in the yard.   She got her vaccine on a Thursday and went to see her physician the following Tuesday due to continued vertigo.  Her physician told her it would just have to run it's course.  She is still having vertigo and when she closes her eyes feels like she can't stand.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea
Clinical narrative: Explosive diarrhea for hours and hours, coating the walls of my bathroom unfortunately. I thought I was finished, but after 3hrs of constant pooping I pooped even more.   I chugged two bottles of Pepto Bismal and had 4 anti-poop pills. Didn't help much
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspepsia, Illness, Impaired gastric emptying, Nausea, Vagus nerve disorder
Clinical narrative: On day 9 after the vaccine, my daughter experienced extreme naseau, vomiting and an illness that we first thought must have been food poisoning. Over time, the symptoms wer diagnosed to be gastroparesis and damage to her vagus nerve. She continues to suffer from flair ups and her life has been greatly comprised due to her inability to eat and digest food normally as she did before her shot.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: On day 9 after the vaccine, my daughter experienced extreme naseau, vomiting and an illness that we first thought must have been food poisoning. Over time, the symptoms wer diagnosed to be gastroparesis and damage to her vagus nerve. She continues to suffer from flair ups and her life has been greatly comprised due to her inability to eat and digest food normally as she did before her shot.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Allodynia, Anaemia, Aphasia, Brain injury, Computerised tomogram head
Clinical narrative: non intractable headaches, lymphadenopathy, expressive disorder d/t brain damage, liver disease, fatty liver, liver encephalopathy, anemia, aphasia, Alodynia
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Computerised tomogram spine, Dysphemia, Electrocardiogram, Electroencephalogram, Gait disturbance
Clinical narrative: non intractable headaches, lymphadenopathy, expressive disorder d/t brain damage, liver disease, fatty liver, liver encephalopathy, anemia, aphasia, Alodynia
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Headache, Hepatic encephalopathy, Hepatic steatosis, Herpes zoster, Hyperaesthesia
Clinical narrative: non intractable headaches, lymphadenopathy, expressive disorder d/t brain damage, liver disease, fatty liver, liver encephalopathy, anemia, aphasia, Alodynia
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Laboratory test, Language disorder, Liver disorder, Lymphadenopathy, Magnetic resonance imaging head
Clinical narrative: non intractable headaches, lymphadenopathy, expressive disorder d/t brain damage, liver disease, fatty liver, liver encephalopathy, anemia, aphasia, Alodynia
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Magnetic resonance imaging neck, Magnetic resonance imaging thoracic, Spinal osteoarthritis, Tremor
Clinical narrative: non intractable headaches, lymphadenopathy, expressive disorder d/t brain damage, liver disease, fatty liver, liver encephalopathy, anemia, aphasia, Alodynia
Age: 15.0
Sex: F
Vaccine: UNK
Symptoms: Incorrect dose administered
Clinical narrative: The PT was given lessor dose of covid vaccine. Administered was the .2cc VS .3cc for their age
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: patient received a second dose of pfizer covid vaccine and post vaccination  pt was told to be seated for 15-20 minutes to monitor for any possible adverse side-effects. After the observation period pt walked around the store and as she was heading out the store her finger started to itch. She immediately returned to the pharmacy to notify the pharmacist and by then the itch had subsided and she was feeling fine.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: The PT was administered a lessor dose of pfizer covid vaccine. .2cc VS .3cc given IM LT deltoid
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Haematochezia
Clinical narrative: Patient called our pharmacy and explained to us that the day following his vaccine and reported that he had blood in his stool that gradually got better over a few days but was concerned since it was the day after his vaccine.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Culture urine, Headache, Henoch-Schonlein purpura, Laboratory test
Clinical narrative: A week or 2 after her 2nd dose of the vaccine, she presented with a petechial rash all over body. She has abd pain and headache. After seeing 3 doctors we got the diagnoses of HSP.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Petechiae, Rash
Clinical narrative: A week or 2 after her 2nd dose of the vaccine, she presented with a petechial rash all over body. She has abd pain and headache. After seeing 3 doctors we got the diagnoses of HSP.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Decreased appetite, Extra dose administered, Headache, Heart rate irregular
Clinical narrative: Received 2nd booster on 6/20/22 at 1 PM. At 4:30 PM I felt my heart beating very hard. I took a Resting Heart Rate reading of 71 which for my age is average.  I noticed in the evening the heart was still beating hard. When I went to bed is when I felt the palpitations and fluctuations. They were quite strong - felt like they were in my throat. Kept me up all night and I was very worried. Considered going to ER. Along with heart issue was a very severe headache which had me worried perhaps my blood pressure as rising??   When I got out of bed around 7 AM on 6/21/22 the palpitations were still there.  Since I was up and about I didn't feel them as much. Had no appetite, still had incredible headache. About 1:30 the palpitations were much weaker . By 6:00 PM I could confidently say the palpitations were gone. Still had head ache and forced myself to eat. Food made headache feel better. By 9 PM I went to bed and no headache and no palpitations.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal discomfort, Palpitations, Sleep disorder
Clinical narrative: Received 2nd booster on 6/20/22 at 1 PM. At 4:30 PM I felt my heart beating very hard. I took a Resting Heart Rate reading of 71 which for my age is average.  I noticed in the evening the heart was still beating hard. When I went to bed is when I felt the palpitations and fluctuations. They were quite strong - felt like they were in my throat. Kept me up all night and I was very worried. Considered going to ER. Along with heart issue was a very severe headache which had me worried perhaps my blood pressure as rising??   When I got out of bed around 7 AM on 6/21/22 the palpitations were still there.  Since I was up and about I didn't feel them as much. Had no appetite, still had incredible headache. About 1:30 the palpitations were much weaker . By 6:00 PM I could confidently say the palpitations were gone. Still had head ache and forced myself to eat. Food made headache feel better. By 9 PM I went to bed and no headache and no palpitations.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Vaccine given undiluted. No adverse reactions reported.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Joint swelling, Peripheral swelling
Clinical narrative: Patient stated that she thought her arm near the elbow looked swollen shortly after the vaccine was administered. I visually inspected the arm and did not see any swelling. I asked her if she felt any symptoms of pain/inflammation or irritation in the area, and she said she did not. I asked her to wait a little bit longer to monitor, and after that she said she felt fine and left after about 25 minutes of monitoring.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Chronic full body hives starting a few week after booster.  Still suffering with no long term solution. Zyrtec makes it go away but only if taken every day.  It's going on 7 Months with zero sign of slowing down.  Every month I try to go off of it and fail.  No change in diet, medication or other possible allergens.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Appendicectomy, Appendicitis, Computerised tomogram abdomen abnormal, Full blood count normal
Clinical narrative: COVID vaccine given at noon Abdominal pain started around 3:30pm Nausea and vomiting around 530/6p Went to ED due to unrelenting pain around 9p Diagnosed with appendicitis and went to surgery for appendectomy before 8am the next day
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test normal, Lipase normal, Liver function test normal, Nausea, Vomiting
Clinical narrative: COVID vaccine given at noon Abdominal pain started around 3:30pm Nausea and vomiting around 530/6p Went to ED due to unrelenting pain around 9p Diagnosed with appendicitis and went to surgery for appendectomy before 8am the next day
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count increased
Clinical narrative: COVID vaccine given at noon Abdominal pain started around 3:30pm Nausea and vomiting around 530/6p Went to ED due to unrelenting pain around 9p Diagnosed with appendicitis and went to surgery for appendectomy before 8am the next day
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea, Intermenstrual bleeding, Menstruation delayed, Pregnancy test urine negative
Clinical narrative: Since receiving the second dose of Moderna COVID-19 vaccine on September 24, 2021, my menstrual cycle has been non-existent. I have had only 4 brief days of light spotting on January 16 - 19, 2022. My menstrual cycle was normal in the beginning of September 2021 (Sept. 7 - Sept 14). I noticed on October 6, 2021 that my menstrual cycle was late and at-home urine pregnancy tests were negative. From that point until the 4 days in January 2022, I had not had a cycle nor spotting. To this day I have not had a menstrual cycle.  I saw my OB-GYN APRN ( APRN) on Tuesday, June 14, 2022 and reported my adverse effects and concerns. She decided to discontinue my metformin and prescribed norethindrone 0.35mg to hopefully promote menstruation.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: 17-hydroxyprogesterone, Alopecia, Amenorrhoea, Blood follicle stimulating hormone, Blood prolactin
Clinical narrative: The spotting started on July 5 2021. Irregular period since then. Had to take the progesterone pills for ten days because of amenorrhea. She took the pills in April 2022.. Now she is skipping her period again. The hair loss started in May 2022.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Blood testosterone, Intermenstrual bleeding, Menstruation irregular
Clinical narrative: The spotting started on July 5 2021. Irregular period since then. Had to take the progesterone pills for ten days because of amenorrhea. She took the pills in April 2022.. Now she is skipping her period again. The hair loss started in May 2022.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dizziness, Headache, Hypertension
Clinical narrative: Daily intermittent dizziness. I have also gone from having maybe 1 headache every 6 months prior to vaccination to 3-4 headaches a week. My blood pressure has always been on the low side of normal but after vaccination is now high
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Gastrointestinal pain, Headache, Myalgia, Nausea
Clinical narrative: Headache, tiredness, nausea, intestinal cramping,, muscle aches
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Drug hypersensitivity, Food allergy
Clinical narrative: After the date of application of the vaccine, I took an ibuprofen pill, which was the first reaction of knowing that she had anaphylaxis, later, I took an ADVIL pill, which gave me the same reaction, which before the vaccination was never present. The 2 times I took those medications and went to the Emergency Room in which I was administered epinephrine. I couldn't or had no help knowing what caused me to become allergic to these medications, yet on 6/20/22 I went to the Emergency Room again for shrimp. The truth is that this time it was something more serious to the point of paying attention and asking for help for my condition, which I really know was after I had been given the vaccine.
Age: 1.25
Sex: M
Vaccine: PPV
Symptoms: Wrong product administered
Clinical narrative: Wrong vaccine given to patient
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Cellulitis, Erythema, Skin warm
Clinical narrative: Red, hot, swelling to area started evening - tx with Rx for cellulitis
Age: 28.0
Sex: F
Vaccine: TDAP
Symptoms: Visual impairment
Clinical narrative: and decreased vision lateral
Sex: F
Vaccine: HEP, HEPA, HPV9, MENB
Symptoms: Expired product administered
Clinical narrative: I unintentionally administered a Hepatitis A vaccine that expired on 6/18/22.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Coronary artery bypass, SARS-CoV-2 test, Wound infection
Clinical narrative: Pt. "S/P CABG in April" and presented at another hospital for sternal wound infection; sent to on 05/24/2021.
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19, FLUA4
Symptoms: Alanine aminotransferase normal, Anion gap, Appetite disorder, Arthralgia, Aspartate aminotransferase normal
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 5/24/2022 Discharge Date: May 25, 2022  PRESENTING PROBLEM: Atrial fibrillation with RVR [I48.91] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: Pt. is an 85 year old female with PMH of HTN, permanent afib on eliquis, COPD baseline 2L nocturnal requirement. Pt. presented to the ED with SOB and admitted to the hospital. Labs show COVID positive for which she reports her husband at home had a known COVID infection. Upon presentation she was also found to by tachycardic with EKG showing A-fib. IV cardizem was given and HR remained controlled on her home oral cardizem throughout the rest of her stay. Patient did require 2L supplemental O2 throughout her stay, but her SOB resolved with decadron. Patient has home oxygen and will continue with 2L supplemental O2 and complete a ten day course of decadron. She will follow up with her PCP outpatient. PT/OT recommended home with home PT. She is discharging in improved and stable condition.   Discharge Provider: * Primary Care Provider: MD Admission Date: 6/15/2022 Discharge Date: Jun 17, 2022 PRESENTING PROBLEM: Atrial fibrillation with rapid ventricular response [I48.91] Pneumonia of left lower lobe due to infectious organism [J18.9] Community acquired pneumonia of left lower lobe of lung [J18.9]   HOSPITAL COURSE: Patient is a 85-year-old female with medical history of COPD on 2L home O2, HTN, afib on eliquis. She came to the ER for shortness of breath.  Patient recently had a COVID infection and had to increase her home use of O2.  Normally she used 2 L at nighttime only.  However after her infection, she has required 2 L during the day and with activity.  However, patient was having some fevers some cough and some shortness of breath when she presented to the ER. Patient was noted to have a leukocytosis and infiltrate in the left lower lobe on chest x-ray.  She was treated with IV Rocephin and IV azithromycin for community-acquired pneumonia.  Patient was treated for a few days and improved significantly.  Pulmonary rehab was consulted to clarify patient's home O2 requirements.  Patient was to use 2 L of O2 at nighttime and with activity and did not require O2 at rest.  Patient was medically stable for discharge
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19, FLUA4
Symptoms: Atrial fibrillation, Blood albumin decreased, Blood alkaline phosphatase normal, Blood bicarbonate decreased, Blood bilirubin normal
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 5/24/2022 Discharge Date: May 25, 2022  PRESENTING PROBLEM: Atrial fibrillation with RVR [I48.91] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: Pt. is an 85 year old female with PMH of HTN, permanent afib on eliquis, COPD baseline 2L nocturnal requirement. Pt. presented to the ED with SOB and admitted to the hospital. Labs show COVID positive for which she reports her husband at home had a known COVID infection. Upon presentation she was also found to by tachycardic with EKG showing A-fib. IV cardizem was given and HR remained controlled on her home oral cardizem throughout the rest of her stay. Patient did require 2L supplemental O2 throughout her stay, but her SOB resolved with decadron. Patient has home oxygen and will continue with 2L supplemental O2 and complete a ten day course of decadron. She will follow up with her PCP outpatient. PT/OT recommended home with home PT. She is discharging in improved and stable condition.   Discharge Provider: * Primary Care Provider: MD Admission Date: 6/15/2022 Discharge Date: Jun 17, 2022 PRESENTING PROBLEM: Atrial fibrillation with rapid ventricular response [I48.91] Pneumonia of left lower lobe due to infectious organism [J18.9] Community acquired pneumonia of left lower lobe of lung [J18.9]   HOSPITAL COURSE: Patient is a 85-year-old female with medical history of COPD on 2L home O2, HTN, afib on eliquis. She came to the ER for shortness of breath.  Patient recently had a COVID infection and had to increase her home use of O2.  Normally she used 2 L at nighttime only.  However after her infection, she has required 2 L during the day and with activity.  However, patient was having some fevers some cough and some shortness of breath when she presented to the ER. Patient was noted to have a leukocytosis and infiltrate in the left lower lobe on chest x-ray.  She was treated with IV Rocephin and IV azithromycin for community-acquired pneumonia.  Patient was treated for a few days and improved significantly.  Pulmonary rehab was consulted to clarify patient's home O2 requirements.  Patient was to use 2 L of O2 at nighttime and with activity and did not require O2 at rest.  Patient was medically stable for discharge
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19, FLUA4
Symptoms: Blood calcium normal, Blood chloride normal, Blood creatinine normal, Blood glucose normal, Blood potassium normal
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 5/24/2022 Discharge Date: May 25, 2022  PRESENTING PROBLEM: Atrial fibrillation with RVR [I48.91] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: Pt. is an 85 year old female with PMH of HTN, permanent afib on eliquis, COPD baseline 2L nocturnal requirement. Pt. presented to the ED with SOB and admitted to the hospital. Labs show COVID positive for which she reports her husband at home had a known COVID infection. Upon presentation she was also found to by tachycardic with EKG showing A-fib. IV cardizem was given and HR remained controlled on her home oral cardizem throughout the rest of her stay. Patient did require 2L supplemental O2 throughout her stay, but her SOB resolved with decadron. Patient has home oxygen and will continue with 2L supplemental O2 and complete a ten day course of decadron. She will follow up with her PCP outpatient. PT/OT recommended home with home PT. She is discharging in improved and stable condition.   Discharge Provider: * Primary Care Provider: MD Admission Date: 6/15/2022 Discharge Date: Jun 17, 2022 PRESENTING PROBLEM: Atrial fibrillation with rapid ventricular response [I48.91] Pneumonia of left lower lobe due to infectious organism [J18.9] Community acquired pneumonia of left lower lobe of lung [J18.9]   HOSPITAL COURSE: Patient is a 85-year-old female with medical history of COPD on 2L home O2, HTN, afib on eliquis. She came to the ER for shortness of breath.  Patient recently had a COVID infection and had to increase her home use of O2.  Normally she used 2 L at nighttime only.  However after her infection, she has required 2 L during the day and with activity.  However, patient was having some fevers some cough and some shortness of breath when she presented to the ER. Patient was noted to have a leukocytosis and infiltrate in the left lower lobe on chest x-ray.  She was treated with IV Rocephin and IV azithromycin for community-acquired pneumonia.  Patient was treated for a few days and improved significantly.  Pulmonary rehab was consulted to clarify patient's home O2 requirements.  Patient was to use 2 L of O2 at nighttime and with activity and did not require O2 at rest.  Patient was medically stable for discharge
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19, FLUA4
Symptoms: Blood sodium normal, Blood urea normal, C-reactive protein increased, COVID-19, COVID-19 pneumonia
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 5/24/2022 Discharge Date: May 25, 2022  PRESENTING PROBLEM: Atrial fibrillation with RVR [I48.91] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: Pt. is an 85 year old female with PMH of HTN, permanent afib on eliquis, COPD baseline 2L nocturnal requirement. Pt. presented to the ED with SOB and admitted to the hospital. Labs show COVID positive for which she reports her husband at home had a known COVID infection. Upon presentation she was also found to by tachycardic with EKG showing A-fib. IV cardizem was given and HR remained controlled on her home oral cardizem throughout the rest of her stay. Patient did require 2L supplemental O2 throughout her stay, but her SOB resolved with decadron. Patient has home oxygen and will continue with 2L supplemental O2 and complete a ten day course of decadron. She will follow up with her PCP outpatient. PT/OT recommended home with home PT. She is discharging in improved and stable condition.   Discharge Provider: * Primary Care Provider: MD Admission Date: 6/15/2022 Discharge Date: Jun 17, 2022 PRESENTING PROBLEM: Atrial fibrillation with rapid ventricular response [I48.91] Pneumonia of left lower lobe due to infectious organism [J18.9] Community acquired pneumonia of left lower lobe of lung [J18.9]   HOSPITAL COURSE: Patient is a 85-year-old female with medical history of COPD on 2L home O2, HTN, afib on eliquis. She came to the ER for shortness of breath.  Patient recently had a COVID infection and had to increase her home use of O2.  Normally she used 2 L at nighttime only.  However after her infection, she has required 2 L during the day and with activity.  However, patient was having some fevers some cough and some shortness of breath when she presented to the ER. Patient was noted to have a leukocytosis and infiltrate in the left lower lobe on chest x-ray.  She was treated with IV Rocephin and IV azithromycin for community-acquired pneumonia.  Patient was treated for a few days and improved significantly.  Pulmonary rehab was consulted to clarify patient's home O2 requirements.  Patient was to use 2 L of O2 at nighttime and with activity and did not require O2 at rest.  Patient was medically stable for discharge
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19, FLUA4
Symptoms: Carbon dioxide normal, Chest X-ray abnormal, Cough, Creatinine renal clearance decreased, Dyspnoea
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 5/24/2022 Discharge Date: May 25, 2022  PRESENTING PROBLEM: Atrial fibrillation with RVR [I48.91] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: Pt. is an 85 year old female with PMH of HTN, permanent afib on eliquis, COPD baseline 2L nocturnal requirement. Pt. presented to the ED with SOB and admitted to the hospital. Labs show COVID positive for which she reports her husband at home had a known COVID infection. Upon presentation she was also found to by tachycardic with EKG showing A-fib. IV cardizem was given and HR remained controlled on her home oral cardizem throughout the rest of her stay. Patient did require 2L supplemental O2 throughout her stay, but her SOB resolved with decadron. Patient has home oxygen and will continue with 2L supplemental O2 and complete a ten day course of decadron. She will follow up with her PCP outpatient. PT/OT recommended home with home PT. She is discharging in improved and stable condition.   Discharge Provider: * Primary Care Provider: MD Admission Date: 6/15/2022 Discharge Date: Jun 17, 2022 PRESENTING PROBLEM: Atrial fibrillation with rapid ventricular response [I48.91] Pneumonia of left lower lobe due to infectious organism [J18.9] Community acquired pneumonia of left lower lobe of lung [J18.9]   HOSPITAL COURSE: Patient is a 85-year-old female with medical history of COPD on 2L home O2, HTN, afib on eliquis. She came to the ER for shortness of breath.  Patient recently had a COVID infection and had to increase her home use of O2.  Normally she used 2 L at nighttime only.  However after her infection, she has required 2 L during the day and with activity.  However, patient was having some fevers some cough and some shortness of breath when she presented to the ER. Patient was noted to have a leukocytosis and infiltrate in the left lower lobe on chest x-ray.  She was treated with IV Rocephin and IV azithromycin for community-acquired pneumonia.  Patient was treated for a few days and improved significantly.  Pulmonary rehab was consulted to clarify patient's home O2 requirements.  Patient was to use 2 L of O2 at nighttime and with activity and did not require O2 at rest.  Patient was medically stable for discharge
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19, FLUA4
Symptoms: Electrocardiogram abnormal, Exposure to SARS-CoV-2, Fatigue, Glomerular filtration rate normal, Headache
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 5/24/2022 Discharge Date: May 25, 2022  PRESENTING PROBLEM: Atrial fibrillation with RVR [I48.91] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: Pt. is an 85 year old female with PMH of HTN, permanent afib on eliquis, COPD baseline 2L nocturnal requirement. Pt. presented to the ED with SOB and admitted to the hospital. Labs show COVID positive for which she reports her husband at home had a known COVID infection. Upon presentation she was also found to by tachycardic with EKG showing A-fib. IV cardizem was given and HR remained controlled on her home oral cardizem throughout the rest of her stay. Patient did require 2L supplemental O2 throughout her stay, but her SOB resolved with decadron. Patient has home oxygen and will continue with 2L supplemental O2 and complete a ten day course of decadron. She will follow up with her PCP outpatient. PT/OT recommended home with home PT. She is discharging in improved and stable condition.   Discharge Provider: * Primary Care Provider: MD Admission Date: 6/15/2022 Discharge Date: Jun 17, 2022 PRESENTING PROBLEM: Atrial fibrillation with rapid ventricular response [I48.91] Pneumonia of left lower lobe due to infectious organism [J18.9] Community acquired pneumonia of left lower lobe of lung [J18.9]   HOSPITAL COURSE: Patient is a 85-year-old female with medical history of COPD on 2L home O2, HTN, afib on eliquis. She came to the ER for shortness of breath.  Patient recently had a COVID infection and had to increase her home use of O2.  Normally she used 2 L at nighttime only.  However after her infection, she has required 2 L during the day and with activity.  However, patient was having some fevers some cough and some shortness of breath when she presented to the ER. Patient was noted to have a leukocytosis and infiltrate in the left lower lobe on chest x-ray.  She was treated with IV Rocephin and IV azithromycin for community-acquired pneumonia.  Patient was treated for a few days and improved significantly.  Pulmonary rehab was consulted to clarify patient's home O2 requirements.  Patient was to use 2 L of O2 at nighttime and with activity and did not require O2 at rest.  Patient was medically stable for discharge
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19, FLUA4
Symptoms: Loss of personal independence in daily activities, Malaise, Metabolic function test abnormal, Myalgia, Pallor
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 5/24/2022 Discharge Date: May 25, 2022  PRESENTING PROBLEM: Atrial fibrillation with RVR [I48.91] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: Pt. is an 85 year old female with PMH of HTN, permanent afib on eliquis, COPD baseline 2L nocturnal requirement. Pt. presented to the ED with SOB and admitted to the hospital. Labs show COVID positive for which she reports her husband at home had a known COVID infection. Upon presentation she was also found to by tachycardic with EKG showing A-fib. IV cardizem was given and HR remained controlled on her home oral cardizem throughout the rest of her stay. Patient did require 2L supplemental O2 throughout her stay, but her SOB resolved with decadron. Patient has home oxygen and will continue with 2L supplemental O2 and complete a ten day course of decadron. She will follow up with her PCP outpatient. PT/OT recommended home with home PT. She is discharging in improved and stable condition.   Discharge Provider: * Primary Care Provider: MD Admission Date: 6/15/2022 Discharge Date: Jun 17, 2022 PRESENTING PROBLEM: Atrial fibrillation with rapid ventricular response [I48.91] Pneumonia of left lower lobe due to infectious organism [J18.9] Community acquired pneumonia of left lower lobe of lung [J18.9]   HOSPITAL COURSE: Patient is a 85-year-old female with medical history of COPD on 2L home O2, HTN, afib on eliquis. She came to the ER for shortness of breath.  Patient recently had a COVID infection and had to increase her home use of O2.  Normally she used 2 L at nighttime only.  However after her infection, she has required 2 L during the day and with activity.  However, patient was having some fevers some cough and some shortness of breath when she presented to the ER. Patient was noted to have a leukocytosis and infiltrate in the left lower lobe on chest x-ray.  She was treated with IV Rocephin and IV azithromycin for community-acquired pneumonia.  Patient was treated for a few days and improved significantly.  Pulmonary rehab was consulted to clarify patient's home O2 requirements.  Patient was to use 2 L of O2 at nighttime and with activity and did not require O2 at rest.  Patient was medically stable for discharge
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19, FLUA4
Symptoms: Protein total normal, Respiratory failure, SARS-CoV-2 test positive, Tachycardia, Visual impairment
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 5/24/2022 Discharge Date: May 25, 2022  PRESENTING PROBLEM: Atrial fibrillation with RVR [I48.91] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: Pt. is an 85 year old female with PMH of HTN, permanent afib on eliquis, COPD baseline 2L nocturnal requirement. Pt. presented to the ED with SOB and admitted to the hospital. Labs show COVID positive for which she reports her husband at home had a known COVID infection. Upon presentation she was also found to by tachycardic with EKG showing A-fib. IV cardizem was given and HR remained controlled on her home oral cardizem throughout the rest of her stay. Patient did require 2L supplemental O2 throughout her stay, but her SOB resolved with decadron. Patient has home oxygen and will continue with 2L supplemental O2 and complete a ten day course of decadron. She will follow up with her PCP outpatient. PT/OT recommended home with home PT. She is discharging in improved and stable condition.   Discharge Provider: * Primary Care Provider: MD Admission Date: 6/15/2022 Discharge Date: Jun 17, 2022 PRESENTING PROBLEM: Atrial fibrillation with rapid ventricular response [I48.91] Pneumonia of left lower lobe due to infectious organism [J18.9] Community acquired pneumonia of left lower lobe of lung [J18.9]   HOSPITAL COURSE: Patient is a 85-year-old female with medical history of COPD on 2L home O2, HTN, afib on eliquis. She came to the ER for shortness of breath.  Patient recently had a COVID infection and had to increase her home use of O2.  Normally she used 2 L at nighttime only.  However after her infection, she has required 2 L during the day and with activity.  However, patient was having some fevers some cough and some shortness of breath when she presented to the ER. Patient was noted to have a leukocytosis and infiltrate in the left lower lobe on chest x-ray.  She was treated with IV Rocephin and IV azithromycin for community-acquired pneumonia.  Patient was treated for a few days and improved significantly.  Pulmonary rehab was consulted to clarify patient's home O2 requirements.  Patient was to use 2 L of O2 at nighttime and with activity and did not require O2 at rest.  Patient was medically stable for discharge
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19, FLUA4
Symptoms: Atrial fibrillation, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Cough
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 5/24/2022 Discharge Date: May 25, 2022  PRESENTING PROBLEM: Atrial fibrillation with RVR [I48.91] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: Pt. is an 85 year old female with PMH of HTN, permanent afib on eliquis, COPD baseline 2L nocturnal requirement. Pt. presented to the ED with SOB and admitted to the hospital. Labs show COVID positive for which she reports her husband at home had a known COVID infection. Upon presentation she was also found to by tachycardic with EKG showing A-fib. IV cardizem was given and HR remained controlled on her home oral cardizem throughout the rest of her stay. Patient did require 2L supplemental O2 throughout her stay, but her SOB resolved with decadron. Patient has home oxygen and will continue with 2L supplemental O2 and complete a ten day course of decadron. She will follow up with her PCP outpatient. PT/OT recommended home with home PT. She is discharging in improved and stable condition.   Discharge Provider: * Primary Care Provider: MD Admission Date: 6/15/2022 Discharge Date: Jun 17, 2022 PRESENTING PROBLEM: Atrial fibrillation with rapid ventricular response [I48.91] Pneumonia of left lower lobe due to infectious organism [J18.9] Community acquired pneumonia of left lower lobe of lung [J18.9]   HOSPITAL COURSE: Patient is a 85-year-old female with medical history of COPD on 2L home O2, HTN, afib on eliquis. She came to the ER for shortness of breath.  Patient recently had a COVID infection and had to increase her home use of O2.  Normally she used 2 L at nighttime only.  However after her infection, she has required 2 L during the day and with activity.  However, patient was having some fevers some cough and some shortness of breath when she presented to the ER. Patient was noted to have a leukocytosis and infiltrate in the left lower lobe on chest x-ray.  She was treated with IV Rocephin and IV azithromycin for community-acquired pneumonia.  Patient was treated for a few days and improved significantly.  Pulmonary rehab was consulted to clarify patient's home O2 requirements.  Patient was to use 2 L of O2 at nighttime and with activity and did not require O2 at rest.  Patient was medically stable for discharge
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19, FLUA4
Symptoms: Dyspnoea, Electrocardiogram abnormal, Exposure to SARS-CoV-2, Leukocytosis, Lung infiltration
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 5/24/2022 Discharge Date: May 25, 2022  PRESENTING PROBLEM: Atrial fibrillation with RVR [I48.91] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: Pt. is an 85 year old female with PMH of HTN, permanent afib on eliquis, COPD baseline 2L nocturnal requirement. Pt. presented to the ED with SOB and admitted to the hospital. Labs show COVID positive for which she reports her husband at home had a known COVID infection. Upon presentation she was also found to by tachycardic with EKG showing A-fib. IV cardizem was given and HR remained controlled on her home oral cardizem throughout the rest of her stay. Patient did require 2L supplemental O2 throughout her stay, but her SOB resolved with decadron. Patient has home oxygen and will continue with 2L supplemental O2 and complete a ten day course of decadron. She will follow up with her PCP outpatient. PT/OT recommended home with home PT. She is discharging in improved and stable condition.   Discharge Provider: * Primary Care Provider: MD Admission Date: 6/15/2022 Discharge Date: Jun 17, 2022 PRESENTING PROBLEM: Atrial fibrillation with rapid ventricular response [I48.91] Pneumonia of left lower lobe due to infectious organism [J18.9] Community acquired pneumonia of left lower lobe of lung [J18.9]   HOSPITAL COURSE: Patient is a 85-year-old female with medical history of COPD on 2L home O2, HTN, afib on eliquis. She came to the ER for shortness of breath.  Patient recently had a COVID infection and had to increase her home use of O2.  Normally she used 2 L at nighttime only.  However after her infection, she has required 2 L during the day and with activity.  However, patient was having some fevers some cough and some shortness of breath when she presented to the ER. Patient was noted to have a leukocytosis and infiltrate in the left lower lobe on chest x-ray.  She was treated with IV Rocephin and IV azithromycin for community-acquired pneumonia.  Patient was treated for a few days and improved significantly.  Pulmonary rehab was consulted to clarify patient's home O2 requirements.  Patient was to use 2 L of O2 at nighttime and with activity and did not require O2 at rest.  Patient was medically stable for discharge
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19, FLUA4
Symptoms: Pneumonia, Pyrexia, SARS-CoV-2 test positive, Tachycardia
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 5/24/2022 Discharge Date: May 25, 2022  PRESENTING PROBLEM: Atrial fibrillation with RVR [I48.91] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: Pt. is an 85 year old female with PMH of HTN, permanent afib on eliquis, COPD baseline 2L nocturnal requirement. Pt. presented to the ED with SOB and admitted to the hospital. Labs show COVID positive for which she reports her husband at home had a known COVID infection. Upon presentation she was also found to by tachycardic with EKG showing A-fib. IV cardizem was given and HR remained controlled on her home oral cardizem throughout the rest of her stay. Patient did require 2L supplemental O2 throughout her stay, but her SOB resolved with decadron. Patient has home oxygen and will continue with 2L supplemental O2 and complete a ten day course of decadron. She will follow up with her PCP outpatient. PT/OT recommended home with home PT. She is discharging in improved and stable condition.   Discharge Provider: * Primary Care Provider: MD Admission Date: 6/15/2022 Discharge Date: Jun 17, 2022 PRESENTING PROBLEM: Atrial fibrillation with rapid ventricular response [I48.91] Pneumonia of left lower lobe due to infectious organism [J18.9] Community acquired pneumonia of left lower lobe of lung [J18.9]   HOSPITAL COURSE: Patient is a 85-year-old female with medical history of COPD on 2L home O2, HTN, afib on eliquis. She came to the ER for shortness of breath.  Patient recently had a COVID infection and had to increase her home use of O2.  Normally she used 2 L at nighttime only.  However after her infection, she has required 2 L during the day and with activity.  However, patient was having some fevers some cough and some shortness of breath when she presented to the ER. Patient was noted to have a leukocytosis and infiltrate in the left lower lobe on chest x-ray.  She was treated with IV Rocephin and IV azithromycin for community-acquired pneumonia.  Patient was treated for a few days and improved significantly.  Pulmonary rehab was consulted to clarify patient's home O2 requirements.  Patient was to use 2 L of O2 at nighttime and with activity and did not require O2 at rest.  Patient was medically stable for discharge
Age: 77.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Extra dose administered, Headache, Injection site reaction, Muscle spasms, Nausea
Clinical narrative: Immediately after the 2nd Moderna booster I had severe muscle spasms starting in my R shouder rotator cull area; the spasms continued across my upper back, shoulders , neck and into my head/scalp. I almost fell down in the pharmacy area, but was able to get to a chair near the shot area, then to proceed a few steps toward the coffee area, ger a decaf coffee and rest at a table for about 10 min. I was on my lunch break from university where I was currently teaching and needed to get back to students in the painting studio - but never made it back. I was helped to my car and was able to drive about a 1/2 mile to our hospital where I was checked into Emergency. I was there having multiple tests until after 9 pm. The hospital was concerned about stroke symptoms, the continuing muscle spasms through my upper body Right side. I was discharged with medicine for the spasms, but then had to return several days later with fever, chills, nausea, headache and full-blown COVID.  I had to stay at home for two weeks, needing to have the university hire a substitute faculty member to finish the course I  teach. I also needed to hire a helper for my basic home tasks and some personal care. I am still needing weekly check-ups and physical therapy for the muscle spasms and rampant inflammation on my right side above my legs.
Age: 77.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Rash pruritic
Clinical narrative: Immediately after the 2nd Moderna booster I had severe muscle spasms starting in my R shouder rotator cull area; the spasms continued across my upper back, shoulders , neck and into my head/scalp. I almost fell down in the pharmacy area, but was able to get to a chair near the shot area, then to proceed a few steps toward the coffee area, ger a decaf coffee and rest at a table for about 10 min. I was on my lunch break from university where I was currently teaching and needed to get back to students in the painting studio - but never made it back. I was helped to my car and was able to drive about a 1/2 mile to our hospital where I was checked into Emergency. I was there having multiple tests until after 9 pm. The hospital was concerned about stroke symptoms, the continuing muscle spasms through my upper body Right side. I was discharged with medicine for the spasms, but then had to return several days later with fever, chills, nausea, headache and full-blown COVID.  I had to stay at home for two weeks, needing to have the university hire a substitute faculty member to finish the course I  teach. I also needed to hire a helper for my basic home tasks and some personal care. I am still needing weekly check-ups and physical therapy for the muscle spasms and rampant inflammation on my right side above my legs.