chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal hernia, Alanine aminotransferase normal, Albumin globulin ratio, Anion gap, Arthralgia
Clinical narrative: Principal Diagnoses:  Principal Problem:   Pressure injury of sacral region, unstageable Active Problems:   Long-term (current) use of anticoagulants   Expressive aphasia   Chronic atrial fibrillation   Sacral osteomyelitis   Essential hypertension   Type 2 diabetes mellitus with hyperglycemia, without long-term current use of insulin     Discharge Diagnosis:  Sacral wound with chronic osteomyelitis Paroxysmal atrial fibrillation Myasthenia gravis Weakness inability to care for self   Hospital Course:  82-year-old female who was admitted from the emergency room secondary to sacral wound and inability to care for self. Patient was admitted repeat CT scan was performed which showed similar to previous imaging. Patient refused any surgical intervention was seen by infectious disease initially placed on IV antibiotics but these were discontinued and changed back to oral form as patient has refused surgical intervention. Infectious disease did not want pursue long course of antibiotics as without surgical intervention this would not perform any significant benefit and also increased risk of C. difficile. Patient accepted this risk and did not want to pursue any surgical intervention. Patient unable to care for self and agreeable to rehab with social work consult
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Aspartate aminotransferase normal, Atrial fibrillation, Basophil count normal, Basophil percentage decreased, Blood albumin decreased
Clinical narrative: Principal Diagnoses:  Principal Problem:   Pressure injury of sacral region, unstageable Active Problems:   Long-term (current) use of anticoagulants   Expressive aphasia   Chronic atrial fibrillation   Sacral osteomyelitis   Essential hypertension   Type 2 diabetes mellitus with hyperglycemia, without long-term current use of insulin     Discharge Diagnosis:  Sacral wound with chronic osteomyelitis Paroxysmal atrial fibrillation Myasthenia gravis Weakness inability to care for self   Hospital Course:  82-year-old female who was admitted from the emergency room secondary to sacral wound and inability to care for self. Patient was admitted repeat CT scan was performed which showed similar to previous imaging. Patient refused any surgical intervention was seen by infectious disease initially placed on IV antibiotics but these were discontinued and changed back to oral form as patient has refused surgical intervention. Infectious disease did not want pursue long course of antibiotics as without surgical intervention this would not perform any significant benefit and also increased risk of C. difficile. Patient accepted this risk and did not want to pursue any surgical intervention. Patient unable to care for self and agreeable to rehab with social work consult
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium decreased, Blood chloride increased, Blood creatinine normal
Clinical narrative: Principal Diagnoses:  Principal Problem:   Pressure injury of sacral region, unstageable Active Problems:   Long-term (current) use of anticoagulants   Expressive aphasia   Chronic atrial fibrillation   Sacral osteomyelitis   Essential hypertension   Type 2 diabetes mellitus with hyperglycemia, without long-term current use of insulin     Discharge Diagnosis:  Sacral wound with chronic osteomyelitis Paroxysmal atrial fibrillation Myasthenia gravis Weakness inability to care for self   Hospital Course:  82-year-old female who was admitted from the emergency room secondary to sacral wound and inability to care for self. Patient was admitted repeat CT scan was performed which showed similar to previous imaging. Patient refused any surgical intervention was seen by infectious disease initially placed on IV antibiotics but these were discontinued and changed back to oral form as patient has refused surgical intervention. Infectious disease did not want pursue long course of antibiotics as without surgical intervention this would not perform any significant benefit and also increased risk of C. difficile. Patient accepted this risk and did not want to pursue any surgical intervention. Patient unable to care for self and agreeable to rehab with social work consult
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Blood osmolarity decreased, Blood potassium normal, Blood sodium normal, Blood urea normal
Clinical narrative: Principal Diagnoses:  Principal Problem:   Pressure injury of sacral region, unstageable Active Problems:   Long-term (current) use of anticoagulants   Expressive aphasia   Chronic atrial fibrillation   Sacral osteomyelitis   Essential hypertension   Type 2 diabetes mellitus with hyperglycemia, without long-term current use of insulin     Discharge Diagnosis:  Sacral wound with chronic osteomyelitis Paroxysmal atrial fibrillation Myasthenia gravis Weakness inability to care for self   Hospital Course:  82-year-old female who was admitted from the emergency room secondary to sacral wound and inability to care for self. Patient was admitted repeat CT scan was performed which showed similar to previous imaging. Patient refused any surgical intervention was seen by infectious disease initially placed on IV antibiotics but these were discontinued and changed back to oral form as patient has refused surgical intervention. Infectious disease did not want pursue long course of antibiotics as without surgical intervention this would not perform any significant benefit and also increased risk of C. difficile. Patient accepted this risk and did not want to pursue any surgical intervention. Patient unable to care for self and agreeable to rehab with social work consult
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Bone cyst, Carbon dioxide normal, Computerised tomogram abnormal, Computerised tomogram pelvis abnormal, Condition aggravated
Clinical narrative: Principal Diagnoses:  Principal Problem:   Pressure injury of sacral region, unstageable Active Problems:   Long-term (current) use of anticoagulants   Expressive aphasia   Chronic atrial fibrillation   Sacral osteomyelitis   Essential hypertension   Type 2 diabetes mellitus with hyperglycemia, without long-term current use of insulin     Discharge Diagnosis:  Sacral wound with chronic osteomyelitis Paroxysmal atrial fibrillation Myasthenia gravis Weakness inability to care for self   Hospital Course:  82-year-old female who was admitted from the emergency room secondary to sacral wound and inability to care for self. Patient was admitted repeat CT scan was performed which showed similar to previous imaging. Patient refused any surgical intervention was seen by infectious disease initially placed on IV antibiotics but these were discontinued and changed back to oral form as patient has refused surgical intervention. Infectious disease did not want pursue long course of antibiotics as without surgical intervention this would not perform any significant benefit and also increased risk of C. difficile. Patient accepted this risk and did not want to pursue any surgical intervention. Patient unable to care for self and agreeable to rehab with social work consult
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Differential white blood cell count, Eosinophil count increased, Eosinophil percentage increased, Exostosis, Full blood count
Clinical narrative: Principal Diagnoses:  Principal Problem:   Pressure injury of sacral region, unstageable Active Problems:   Long-term (current) use of anticoagulants   Expressive aphasia   Chronic atrial fibrillation   Sacral osteomyelitis   Essential hypertension   Type 2 diabetes mellitus with hyperglycemia, without long-term current use of insulin     Discharge Diagnosis:  Sacral wound with chronic osteomyelitis Paroxysmal atrial fibrillation Myasthenia gravis Weakness inability to care for self   Hospital Course:  82-year-old female who was admitted from the emergency room secondary to sacral wound and inability to care for self. Patient was admitted repeat CT scan was performed which showed similar to previous imaging. Patient refused any surgical intervention was seen by infectious disease initially placed on IV antibiotics but these were discontinued and changed back to oral form as patient has refused surgical intervention. Infectious disease did not want pursue long course of antibiotics as without surgical intervention this would not perform any significant benefit and also increased risk of C. difficile. Patient accepted this risk and did not want to pursue any surgical intervention. Patient unable to care for self and agreeable to rehab with social work consult
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Glomerular filtration rate decreased, Haematocrit decreased, Haemoglobin decreased, Impaired self-care, Laboratory test
Clinical narrative: Principal Diagnoses:  Principal Problem:   Pressure injury of sacral region, unstageable Active Problems:   Long-term (current) use of anticoagulants   Expressive aphasia   Chronic atrial fibrillation   Sacral osteomyelitis   Essential hypertension   Type 2 diabetes mellitus with hyperglycemia, without long-term current use of insulin     Discharge Diagnosis:  Sacral wound with chronic osteomyelitis Paroxysmal atrial fibrillation Myasthenia gravis Weakness inability to care for self   Hospital Course:  82-year-old female who was admitted from the emergency room secondary to sacral wound and inability to care for self. Patient was admitted repeat CT scan was performed which showed similar to previous imaging. Patient refused any surgical intervention was seen by infectious disease initially placed on IV antibiotics but these were discontinued and changed back to oral form as patient has refused surgical intervention. Infectious disease did not want pursue long course of antibiotics as without surgical intervention this would not perform any significant benefit and also increased risk of C. difficile. Patient accepted this risk and did not want to pursue any surgical intervention. Patient unable to care for self and agreeable to rehab with social work consult
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphocyte count, Lymphocyte percentage decreased, Mean cell haemoglobin concentration decreased, Mean cell haemoglobin normal, Mean cell volume normal
Clinical narrative: Principal Diagnoses:  Principal Problem:   Pressure injury of sacral region, unstageable Active Problems:   Long-term (current) use of anticoagulants   Expressive aphasia   Chronic atrial fibrillation   Sacral osteomyelitis   Essential hypertension   Type 2 diabetes mellitus with hyperglycemia, without long-term current use of insulin     Discharge Diagnosis:  Sacral wound with chronic osteomyelitis Paroxysmal atrial fibrillation Myasthenia gravis Weakness inability to care for self   Hospital Course:  82-year-old female who was admitted from the emergency room secondary to sacral wound and inability to care for self. Patient was admitted repeat CT scan was performed which showed similar to previous imaging. Patient refused any surgical intervention was seen by infectious disease initially placed on IV antibiotics but these were discontinued and changed back to oral form as patient has refused surgical intervention. Infectious disease did not want pursue long course of antibiotics as without surgical intervention this would not perform any significant benefit and also increased risk of C. difficile. Patient accepted this risk and did not want to pursue any surgical intervention. Patient unable to care for self and agreeable to rehab with social work consult
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Mean platelet volume normal, Metabolic function test abnormal, Monocyte count, Monocyte percentage, Myasthenia gravis
Clinical narrative: Principal Diagnoses:  Principal Problem:   Pressure injury of sacral region, unstageable Active Problems:   Long-term (current) use of anticoagulants   Expressive aphasia   Chronic atrial fibrillation   Sacral osteomyelitis   Essential hypertension   Type 2 diabetes mellitus with hyperglycemia, without long-term current use of insulin     Discharge Diagnosis:  Sacral wound with chronic osteomyelitis Paroxysmal atrial fibrillation Myasthenia gravis Weakness inability to care for self   Hospital Course:  82-year-old female who was admitted from the emergency room secondary to sacral wound and inability to care for self. Patient was admitted repeat CT scan was performed which showed similar to previous imaging. Patient refused any surgical intervention was seen by infectious disease initially placed on IV antibiotics but these were discontinued and changed back to oral form as patient has refused surgical intervention. Infectious disease did not want pursue long course of antibiotics as without surgical intervention this would not perform any significant benefit and also increased risk of C. difficile. Patient accepted this risk and did not want to pursue any surgical intervention. Patient unable to care for self and agreeable to rehab with social work consult
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Neutrophil count, Neutrophil percentage increased, Osteomyelitis, Platelet count normal, Protein total decreased
Clinical narrative: Principal Diagnoses:  Principal Problem:   Pressure injury of sacral region, unstageable Active Problems:   Long-term (current) use of anticoagulants   Expressive aphasia   Chronic atrial fibrillation   Sacral osteomyelitis   Essential hypertension   Type 2 diabetes mellitus with hyperglycemia, without long-term current use of insulin     Discharge Diagnosis:  Sacral wound with chronic osteomyelitis Paroxysmal atrial fibrillation Myasthenia gravis Weakness inability to care for self   Hospital Course:  82-year-old female who was admitted from the emergency room secondary to sacral wound and inability to care for self. Patient was admitted repeat CT scan was performed which showed similar to previous imaging. Patient refused any surgical intervention was seen by infectious disease initially placed on IV antibiotics but these were discontinued and changed back to oral form as patient has refused surgical intervention. Infectious disease did not want pursue long course of antibiotics as without surgical intervention this would not perform any significant benefit and also increased risk of C. difficile. Patient accepted this risk and did not want to pursue any surgical intervention. Patient unable to care for self and agreeable to rehab with social work consult
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell count decreased, Red cell distribution width increased, White blood cell count normal, Wound
Clinical narrative: Principal Diagnoses:  Principal Problem:   Pressure injury of sacral region, unstageable Active Problems:   Long-term (current) use of anticoagulants   Expressive aphasia   Chronic atrial fibrillation   Sacral osteomyelitis   Essential hypertension   Type 2 diabetes mellitus with hyperglycemia, without long-term current use of insulin     Discharge Diagnosis:  Sacral wound with chronic osteomyelitis Paroxysmal atrial fibrillation Myasthenia gravis Weakness inability to care for self   Hospital Course:  82-year-old female who was admitted from the emergency room secondary to sacral wound and inability to care for self. Patient was admitted repeat CT scan was performed which showed similar to previous imaging. Patient refused any surgical intervention was seen by infectious disease initially placed on IV antibiotics but these were discontinued and changed back to oral form as patient has refused surgical intervention. Infectious disease did not want pursue long course of antibiotics as without surgical intervention this would not perform any significant benefit and also increased risk of C. difficile. Patient accepted this risk and did not want to pursue any surgical intervention. Patient unable to care for self and agreeable to rehab with social work consult
Age: 47.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Wrong technique in product usage process
Clinical narrative: Patient asked all pre-screening questions, no contra-indications, he was vaccinated with .1ml of Jynneos intradermal on left forearm, wheal was not obtain on first try. Pt was vaccinated a second 2-inches away from initial site time wheal obtain.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Albumin globulin ratio, Anion gap, Anxiety, Aspartate aminotransferase normal
Clinical narrative: PATIENT NAME: MRN: 914982: PHYSICIAN: PT ACCOUNT NO:   CD3A: ADMIT DATE: 07/01/2022: DATE OF BIRTH:   09/11/1984: DISCHARGE DATE: 07/08/2022. The patient was admitted to COVID unit for anxiety and suicidal thoughts. She was brought in by staff .  The patient has a history of schizoaffective disorder and she was apparently left from Medical Center and then went and she had a panic attack and then she was brought here and she had reported some suicidal thoughts, but because she was COVID positive then she was admitted to medical COVID unit and she was treated there. Her COVID subsided and her symptoms got much improved.   She was followed by psychiatry and her mood improved.  I increased her Prozac to 30 milligrams and also added Zyprexa for her voices. She was no longer having any auditory or visual hallucinations or delusions.  No longer having any suicidal thoughts. Her mood improved.  She was no longer having any anxiety. She was calm, cooperative with the staff and was willing to follow up as outpatient, so treatment team decision made to discharge patient as she requested to be discharged and she was not on a hold and she felt she did really well when she can follow up as outpatient. MENTAL STATUS EXAMINATION:  The patient is alert and oriented to self, place, person and situation.  Memory is 3x3 immediate, 3x3 after 5 minutes.  Attention and concentration is good.  Judgement and insight is good. Mood is euthymic. Affect is constricted.  Thought processes are organized.  Denies current suicidal or homicidal ideation. No auditory or visual hallucinations or delusions.  Medical team also felt she was ready to be discharged, so we discharged her. DISCHARGE DIAGNOSIS:AXIS I: Schizoaffective disorder and COVID positive.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Basophil count decreased, Basophil percentage decreased, Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin normal
Clinical narrative: PATIENT NAME: MRN: 914982: PHYSICIAN: PT ACCOUNT NO:   CD3A: ADMIT DATE: 07/01/2022: DATE OF BIRTH:   09/11/1984: DISCHARGE DATE: 07/08/2022. The patient was admitted to COVID unit for anxiety and suicidal thoughts. She was brought in by staff .  The patient has a history of schizoaffective disorder and she was apparently left from Medical Center and then went and she had a panic attack and then she was brought here and she had reported some suicidal thoughts, but because she was COVID positive then she was admitted to medical COVID unit and she was treated there. Her COVID subsided and her symptoms got much improved.   She was followed by psychiatry and her mood improved.  I increased her Prozac to 30 milligrams and also added Zyprexa for her voices. She was no longer having any auditory or visual hallucinations or delusions.  No longer having any suicidal thoughts. Her mood improved.  She was no longer having any anxiety. She was calm, cooperative with the staff and was willing to follow up as outpatient, so treatment team decision made to discharge patient as she requested to be discharged and she was not on a hold and she felt she did really well when she can follow up as outpatient. MENTAL STATUS EXAMINATION:  The patient is alert and oriented to self, place, person and situation.  Memory is 3x3 immediate, 3x3 after 5 minutes.  Attention and concentration is good.  Judgement and insight is good. Mood is euthymic. Affect is constricted.  Thought processes are organized.  Denies current suicidal or homicidal ideation. No auditory or visual hallucinations or delusions.  Medical team also felt she was ready to be discharged, so we discharged her. DISCHARGE DIAGNOSIS:AXIS I: Schizoaffective disorder and COVID positive.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Blood calcium normal, Blood chloride decreased, Blood creatinine normal, Blood glucose normal, Blood osmolarity decreased
Clinical narrative: PATIENT NAME: MRN: 914982: PHYSICIAN: PT ACCOUNT NO:   CD3A: ADMIT DATE: 07/01/2022: DATE OF BIRTH:   09/11/1984: DISCHARGE DATE: 07/08/2022. The patient was admitted to COVID unit for anxiety and suicidal thoughts. She was brought in by staff .  The patient has a history of schizoaffective disorder and she was apparently left from Medical Center and then went and she had a panic attack and then she was brought here and she had reported some suicidal thoughts, but because she was COVID positive then she was admitted to medical COVID unit and she was treated there. Her COVID subsided and her symptoms got much improved.   She was followed by psychiatry and her mood improved.  I increased her Prozac to 30 milligrams and also added Zyprexa for her voices. She was no longer having any auditory or visual hallucinations or delusions.  No longer having any suicidal thoughts. Her mood improved.  She was no longer having any anxiety. She was calm, cooperative with the staff and was willing to follow up as outpatient, so treatment team decision made to discharge patient as she requested to be discharged and she was not on a hold and she felt she did really well when she can follow up as outpatient. MENTAL STATUS EXAMINATION:  The patient is alert and oriented to self, place, person and situation.  Memory is 3x3 immediate, 3x3 after 5 minutes.  Attention and concentration is good.  Judgement and insight is good. Mood is euthymic. Affect is constricted.  Thought processes are organized.  Denies current suicidal or homicidal ideation. No auditory or visual hallucinations or delusions.  Medical team also felt she was ready to be discharged, so we discharged her. DISCHARGE DIAGNOSIS:AXIS I: Schizoaffective disorder and COVID positive.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Blood potassium normal, Blood sodium decreased, Blood urea normal, Carbon dioxide normal, Differential white blood cell count
Clinical narrative: PATIENT NAME: MRN: 914982: PHYSICIAN: PT ACCOUNT NO:   CD3A: ADMIT DATE: 07/01/2022: DATE OF BIRTH:   09/11/1984: DISCHARGE DATE: 07/08/2022. The patient was admitted to COVID unit for anxiety and suicidal thoughts. She was brought in by staff .  The patient has a history of schizoaffective disorder and she was apparently left from Medical Center and then went and she had a panic attack and then she was brought here and she had reported some suicidal thoughts, but because she was COVID positive then she was admitted to medical COVID unit and she was treated there. Her COVID subsided and her symptoms got much improved.   She was followed by psychiatry and her mood improved.  I increased her Prozac to 30 milligrams and also added Zyprexa for her voices. She was no longer having any auditory or visual hallucinations or delusions.  No longer having any suicidal thoughts. Her mood improved.  She was no longer having any anxiety. She was calm, cooperative with the staff and was willing to follow up as outpatient, so treatment team decision made to discharge patient as she requested to be discharged and she was not on a hold and she felt she did really well when she can follow up as outpatient. MENTAL STATUS EXAMINATION:  The patient is alert and oriented to self, place, person and situation.  Memory is 3x3 immediate, 3x3 after 5 minutes.  Attention and concentration is good.  Judgement and insight is good. Mood is euthymic. Affect is constricted.  Thought processes are organized.  Denies current suicidal or homicidal ideation. No auditory or visual hallucinations or delusions.  Medical team also felt she was ready to be discharged, so we discharged her. DISCHARGE DIAGNOSIS:AXIS I: Schizoaffective disorder and COVID positive.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Eosinophil count, Eosinophil percentage, Glomerular filtration rate normal, Haematocrit decreased, Haemoglobin decreased
Clinical narrative: PATIENT NAME: MRN: 914982: PHYSICIAN: PT ACCOUNT NO:   CD3A: ADMIT DATE: 07/01/2022: DATE OF BIRTH:   09/11/1984: DISCHARGE DATE: 07/08/2022. The patient was admitted to COVID unit for anxiety and suicidal thoughts. She was brought in by staff .  The patient has a history of schizoaffective disorder and she was apparently left from Medical Center and then went and she had a panic attack and then she was brought here and she had reported some suicidal thoughts, but because she was COVID positive then she was admitted to medical COVID unit and she was treated there. Her COVID subsided and her symptoms got much improved.   She was followed by psychiatry and her mood improved.  I increased her Prozac to 30 milligrams and also added Zyprexa for her voices. She was no longer having any auditory or visual hallucinations or delusions.  No longer having any suicidal thoughts. Her mood improved.  She was no longer having any anxiety. She was calm, cooperative with the staff and was willing to follow up as outpatient, so treatment team decision made to discharge patient as she requested to be discharged and she was not on a hold and she felt she did really well when she can follow up as outpatient. MENTAL STATUS EXAMINATION:  The patient is alert and oriented to self, place, person and situation.  Memory is 3x3 immediate, 3x3 after 5 minutes.  Attention and concentration is good.  Judgement and insight is good. Mood is euthymic. Affect is constricted.  Thought processes are organized.  Denies current suicidal or homicidal ideation. No auditory or visual hallucinations or delusions.  Medical team also felt she was ready to be discharged, so we discharged her. DISCHARGE DIAGNOSIS:AXIS I: Schizoaffective disorder and COVID positive.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Lymphocyte count, Lymphocyte percentage, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal
Clinical narrative: PATIENT NAME: MRN: 914982: PHYSICIAN: PT ACCOUNT NO:   CD3A: ADMIT DATE: 07/01/2022: DATE OF BIRTH:   09/11/1984: DISCHARGE DATE: 07/08/2022. The patient was admitted to COVID unit for anxiety and suicidal thoughts. She was brought in by staff .  The patient has a history of schizoaffective disorder and she was apparently left from Medical Center and then went and she had a panic attack and then she was brought here and she had reported some suicidal thoughts, but because she was COVID positive then she was admitted to medical COVID unit and she was treated there. Her COVID subsided and her symptoms got much improved.   She was followed by psychiatry and her mood improved.  I increased her Prozac to 30 milligrams and also added Zyprexa for her voices. She was no longer having any auditory or visual hallucinations or delusions.  No longer having any suicidal thoughts. Her mood improved.  She was no longer having any anxiety. She was calm, cooperative with the staff and was willing to follow up as outpatient, so treatment team decision made to discharge patient as she requested to be discharged and she was not on a hold and she felt she did really well when she can follow up as outpatient. MENTAL STATUS EXAMINATION:  The patient is alert and oriented to self, place, person and situation.  Memory is 3x3 immediate, 3x3 after 5 minutes.  Attention and concentration is good.  Judgement and insight is good. Mood is euthymic. Affect is constricted.  Thought processes are organized.  Denies current suicidal or homicidal ideation. No auditory or visual hallucinations or delusions.  Medical team also felt she was ready to be discharged, so we discharged her. DISCHARGE DIAGNOSIS:AXIS I: Schizoaffective disorder and COVID positive.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Mean cell volume normal, Mean platelet volume normal, Metabolic function test, Monocyte count, Monocyte percentage
Clinical narrative: PATIENT NAME: MRN: 914982: PHYSICIAN: PT ACCOUNT NO:   CD3A: ADMIT DATE: 07/01/2022: DATE OF BIRTH:   09/11/1984: DISCHARGE DATE: 07/08/2022. The patient was admitted to COVID unit for anxiety and suicidal thoughts. She was brought in by staff .  The patient has a history of schizoaffective disorder and she was apparently left from Medical Center and then went and she had a panic attack and then she was brought here and she had reported some suicidal thoughts, but because she was COVID positive then she was admitted to medical COVID unit and she was treated there. Her COVID subsided and her symptoms got much improved.   She was followed by psychiatry and her mood improved.  I increased her Prozac to 30 milligrams and also added Zyprexa for her voices. She was no longer having any auditory or visual hallucinations or delusions.  No longer having any suicidal thoughts. Her mood improved.  She was no longer having any anxiety. She was calm, cooperative with the staff and was willing to follow up as outpatient, so treatment team decision made to discharge patient as she requested to be discharged and she was not on a hold and she felt she did really well when she can follow up as outpatient. MENTAL STATUS EXAMINATION:  The patient is alert and oriented to self, place, person and situation.  Memory is 3x3 immediate, 3x3 after 5 minutes.  Attention and concentration is good.  Judgement and insight is good. Mood is euthymic. Affect is constricted.  Thought processes are organized.  Denies current suicidal or homicidal ideation. No auditory or visual hallucinations or delusions.  Medical team also felt she was ready to be discharged, so we discharged her. DISCHARGE DIAGNOSIS:AXIS I: Schizoaffective disorder and COVID positive.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Neutrophil count, Neutrophil percentage, Platelet count normal, Pregnancy test negative, Protein total normal
Clinical narrative: PATIENT NAME: MRN: 914982: PHYSICIAN: PT ACCOUNT NO:   CD3A: ADMIT DATE: 07/01/2022: DATE OF BIRTH:   09/11/1984: DISCHARGE DATE: 07/08/2022. The patient was admitted to COVID unit for anxiety and suicidal thoughts. She was brought in by staff .  The patient has a history of schizoaffective disorder and she was apparently left from Medical Center and then went and she had a panic attack and then she was brought here and she had reported some suicidal thoughts, but because she was COVID positive then she was admitted to medical COVID unit and she was treated there. Her COVID subsided and her symptoms got much improved.   She was followed by psychiatry and her mood improved.  I increased her Prozac to 30 milligrams and also added Zyprexa for her voices. She was no longer having any auditory or visual hallucinations or delusions.  No longer having any suicidal thoughts. Her mood improved.  She was no longer having any anxiety. She was calm, cooperative with the staff and was willing to follow up as outpatient, so treatment team decision made to discharge patient as she requested to be discharged and she was not on a hold and she felt she did really well when she can follow up as outpatient. MENTAL STATUS EXAMINATION:  The patient is alert and oriented to self, place, person and situation.  Memory is 3x3 immediate, 3x3 after 5 minutes.  Attention and concentration is good.  Judgement and insight is good. Mood is euthymic. Affect is constricted.  Thought processes are organized.  Denies current suicidal or homicidal ideation. No auditory or visual hallucinations or delusions.  Medical team also felt she was ready to be discharged, so we discharged her. DISCHARGE DIAGNOSIS:AXIS I: Schizoaffective disorder and COVID positive.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell count normal, Red cell distribution width increased, SARS-CoV-2 test positive, Suicidal ideation, Toxicologic test
Clinical narrative: PATIENT NAME: MRN: 914982: PHYSICIAN: PT ACCOUNT NO:   CD3A: ADMIT DATE: 07/01/2022: DATE OF BIRTH:   09/11/1984: DISCHARGE DATE: 07/08/2022. The patient was admitted to COVID unit for anxiety and suicidal thoughts. She was brought in by staff .  The patient has a history of schizoaffective disorder and she was apparently left from Medical Center and then went and she had a panic attack and then she was brought here and she had reported some suicidal thoughts, but because she was COVID positive then she was admitted to medical COVID unit and she was treated there. Her COVID subsided and her symptoms got much improved.   She was followed by psychiatry and her mood improved.  I increased her Prozac to 30 milligrams and also added Zyprexa for her voices. She was no longer having any auditory or visual hallucinations or delusions.  No longer having any suicidal thoughts. Her mood improved.  She was no longer having any anxiety. She was calm, cooperative with the staff and was willing to follow up as outpatient, so treatment team decision made to discharge patient as she requested to be discharged and she was not on a hold and she felt she did really well when she can follow up as outpatient. MENTAL STATUS EXAMINATION:  The patient is alert and oriented to self, place, person and situation.  Memory is 3x3 immediate, 3x3 after 5 minutes.  Attention and concentration is good.  Judgement and insight is good. Mood is euthymic. Affect is constricted.  Thought processes are organized.  Denies current suicidal or homicidal ideation. No auditory or visual hallucinations or delusions.  Medical team also felt she was ready to be discharged, so we discharged her. DISCHARGE DIAGNOSIS:AXIS I: Schizoaffective disorder and COVID positive.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count increased
Clinical narrative: PATIENT NAME: MRN: 914982: PHYSICIAN: PT ACCOUNT NO:   CD3A: ADMIT DATE: 07/01/2022: DATE OF BIRTH:   09/11/1984: DISCHARGE DATE: 07/08/2022. The patient was admitted to COVID unit for anxiety and suicidal thoughts. She was brought in by staff .  The patient has a history of schizoaffective disorder and she was apparently left from Medical Center and then went and she had a panic attack and then she was brought here and she had reported some suicidal thoughts, but because she was COVID positive then she was admitted to medical COVID unit and she was treated there. Her COVID subsided and her symptoms got much improved.   She was followed by psychiatry and her mood improved.  I increased her Prozac to 30 milligrams and also added Zyprexa for her voices. She was no longer having any auditory or visual hallucinations or delusions.  No longer having any suicidal thoughts. Her mood improved.  She was no longer having any anxiety. She was calm, cooperative with the staff and was willing to follow up as outpatient, so treatment team decision made to discharge patient as she requested to be discharged and she was not on a hold and she felt she did really well when she can follow up as outpatient. MENTAL STATUS EXAMINATION:  The patient is alert and oriented to self, place, person and situation.  Memory is 3x3 immediate, 3x3 after 5 minutes.  Attention and concentration is good.  Judgement and insight is good. Mood is euthymic. Affect is constricted.  Thought processes are organized.  Denies current suicidal or homicidal ideation. No auditory or visual hallucinations or delusions.  Medical team also felt she was ready to be discharged, so we discharged her. DISCHARGE DIAGNOSIS:AXIS I: Schizoaffective disorder and COVID positive.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal behaviour, Cyst, Rash
Clinical narrative: Cystic outbreak all throughout my body, need to be biopsied, one over my heart Erratic behavior reported by family Potential heart failure due to heart condition
Age: 47.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Vaccination error
Clinical narrative: Patient was asked all pre-screening questions, no contra-indication. he was vaccinated with 0.1ml of jynneos/BN, wheal was not pbtain on first try, patient was vaccinated a second time 2 inches away from initial site a wheal was obtain.  ( this is a second report , unsure if first report went through)
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time prolonged, Acute kidney injury, Acute myocardial infarction, Acute respiratory failure, Alanine aminotransferase normal
Clinical narrative: 90 y.o.    Admit Date:  7/1/2022   Discharge Date:   7/2/2022   Discharge Diagnosis:  Principal Problem:   NSTEMI (non-ST elevated myocardial infarction) Active Problems:   Pneumonia, bacterial   Acute respiratory failure with hypoxia   Alzheimer's dementia   Hospice care patient   Elevated d-dimer   Metabolic acidosis   AKI (acute kidney injury)   CHF, acute   COVID-19 virus infection     Hospital Course:  90 year old female with hospice care was transferred here for NSTEMI. Family decidde to take her back home with hospice today. She is unresponsive.     Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 97.7 °F (36.5 °C) Heart Rate (Monitor): 102 Pulse: 99 BP: 111/51 Respirations: 16 SpO2: 90 % O2 Flow Rate (l/min): 2 l/min General Appearance: unconscious  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: regular rate and rhythm Abdomen: soft, non-tender  Skin: No rashes or lesions  Extremities: no edema   Consults:  IP CONSULT TO SUPPORTIVE CARE SERVICES   Significant Diagnostic Studies:   VQ scan, CXR   Operations: none   Disposition:  Home with hospice   Discharge Condition:  Poor
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Albumin globulin ratio, Anion gap, Aspartate aminotransferase normal, Bacterial test, Base excess
Clinical narrative: 90 y.o.    Admit Date:  7/1/2022   Discharge Date:   7/2/2022   Discharge Diagnosis:  Principal Problem:   NSTEMI (non-ST elevated myocardial infarction) Active Problems:   Pneumonia, bacterial   Acute respiratory failure with hypoxia   Alzheimer's dementia   Hospice care patient   Elevated d-dimer   Metabolic acidosis   AKI (acute kidney injury)   CHF, acute   COVID-19 virus infection     Hospital Course:  90 year old female with hospice care was transferred here for NSTEMI. Family decidde to take her back home with hospice today. She is unresponsive.     Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 97.7 °F (36.5 °C) Heart Rate (Monitor): 102 Pulse: 99 BP: 111/51 Respirations: 16 SpO2: 90 % O2 Flow Rate (l/min): 2 l/min General Appearance: unconscious  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: regular rate and rhythm Abdomen: soft, non-tender  Skin: No rashes or lesions  Extremities: no edema   Consults:  IP CONSULT TO SUPPORTIVE CARE SERVICES   Significant Diagnostic Studies:   VQ scan, CXR   Operations: none   Disposition:  Home with hospice   Discharge Condition:  Poor
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Basophil count normal, Basophil percentage, Bilirubin urine, Blood albumin decreased, Blood alkaline phosphatase normal
Clinical narrative: 90 y.o.    Admit Date:  7/1/2022   Discharge Date:   7/2/2022   Discharge Diagnosis:  Principal Problem:   NSTEMI (non-ST elevated myocardial infarction) Active Problems:   Pneumonia, bacterial   Acute respiratory failure with hypoxia   Alzheimer's dementia   Hospice care patient   Elevated d-dimer   Metabolic acidosis   AKI (acute kidney injury)   CHF, acute   COVID-19 virus infection     Hospital Course:  90 year old female with hospice care was transferred here for NSTEMI. Family decidde to take her back home with hospice today. She is unresponsive.     Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 97.7 °F (36.5 °C) Heart Rate (Monitor): 102 Pulse: 99 BP: 111/51 Respirations: 16 SpO2: 90 % O2 Flow Rate (l/min): 2 l/min General Appearance: unconscious  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: regular rate and rhythm Abdomen: soft, non-tender  Skin: No rashes or lesions  Extremities: no edema   Consults:  IP CONSULT TO SUPPORTIVE CARE SERVICES   Significant Diagnostic Studies:   VQ scan, CXR   Operations: none   Disposition:  Home with hospice   Discharge Condition:  Poor
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Blood bicarbonate decreased, Blood bilirubin normal, Blood calcium decreased, Blood chloride increased, Blood creatinine increased
Clinical narrative: 90 y.o.    Admit Date:  7/1/2022   Discharge Date:   7/2/2022   Discharge Diagnosis:  Principal Problem:   NSTEMI (non-ST elevated myocardial infarction) Active Problems:   Pneumonia, bacterial   Acute respiratory failure with hypoxia   Alzheimer's dementia   Hospice care patient   Elevated d-dimer   Metabolic acidosis   AKI (acute kidney injury)   CHF, acute   COVID-19 virus infection     Hospital Course:  90 year old female with hospice care was transferred here for NSTEMI. Family decidde to take her back home with hospice today. She is unresponsive.     Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 97.7 °F (36.5 °C) Heart Rate (Monitor): 102 Pulse: 99 BP: 111/51 Respirations: 16 SpO2: 90 % O2 Flow Rate (l/min): 2 l/min General Appearance: unconscious  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: regular rate and rhythm Abdomen: soft, non-tender  Skin: No rashes or lesions  Extremities: no edema   Consults:  IP CONSULT TO SUPPORTIVE CARE SERVICES   Significant Diagnostic Studies:   VQ scan, CXR   Operations: none   Disposition:  Home with hospice   Discharge Condition:  Poor
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Blood culture negative, Blood gases, Blood glucose decreased, Blood lactic acid normal, Blood osmolarity increased
Clinical narrative: 90 y.o.    Admit Date:  7/1/2022   Discharge Date:   7/2/2022   Discharge Diagnosis:  Principal Problem:   NSTEMI (non-ST elevated myocardial infarction) Active Problems:   Pneumonia, bacterial   Acute respiratory failure with hypoxia   Alzheimer's dementia   Hospice care patient   Elevated d-dimer   Metabolic acidosis   AKI (acute kidney injury)   CHF, acute   COVID-19 virus infection     Hospital Course:  90 year old female with hospice care was transferred here for NSTEMI. Family decidde to take her back home with hospice today. She is unresponsive.     Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 97.7 °F (36.5 °C) Heart Rate (Monitor): 102 Pulse: 99 BP: 111/51 Respirations: 16 SpO2: 90 % O2 Flow Rate (l/min): 2 l/min General Appearance: unconscious  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: regular rate and rhythm Abdomen: soft, non-tender  Skin: No rashes or lesions  Extremities: no edema   Consults:  IP CONSULT TO SUPPORTIVE CARE SERVICES   Significant Diagnostic Studies:   VQ scan, CXR   Operations: none   Disposition:  Home with hospice   Discharge Condition:  Poor
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Blood potassium decreased, Blood sodium normal, Blood urea increased, Blood urea nitrogen/creatinine ratio, Blood urine absent
Clinical narrative: 90 y.o.    Admit Date:  7/1/2022   Discharge Date:   7/2/2022   Discharge Diagnosis:  Principal Problem:   NSTEMI (non-ST elevated myocardial infarction) Active Problems:   Pneumonia, bacterial   Acute respiratory failure with hypoxia   Alzheimer's dementia   Hospice care patient   Elevated d-dimer   Metabolic acidosis   AKI (acute kidney injury)   CHF, acute   COVID-19 virus infection     Hospital Course:  90 year old female with hospice care was transferred here for NSTEMI. Family decidde to take her back home with hospice today. She is unresponsive.     Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 97.7 °F (36.5 °C) Heart Rate (Monitor): 102 Pulse: 99 BP: 111/51 Respirations: 16 SpO2: 90 % O2 Flow Rate (l/min): 2 l/min General Appearance: unconscious  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: regular rate and rhythm Abdomen: soft, non-tender  Skin: No rashes or lesions  Extremities: no edema   Consults:  IP CONSULT TO SUPPORTIVE CARE SERVICES   Significant Diagnostic Studies:   VQ scan, CXR   Operations: none   Disposition:  Home with hospice   Discharge Condition:  Poor
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Brain natriuretic peptide increased, COVID-19, Carbon dioxide, Cardiac failure congestive, Chest X-ray abnormal
Clinical narrative: 90 y.o.    Admit Date:  7/1/2022   Discharge Date:   7/2/2022   Discharge Diagnosis:  Principal Problem:   NSTEMI (non-ST elevated myocardial infarction) Active Problems:   Pneumonia, bacterial   Acute respiratory failure with hypoxia   Alzheimer's dementia   Hospice care patient   Elevated d-dimer   Metabolic acidosis   AKI (acute kidney injury)   CHF, acute   COVID-19 virus infection     Hospital Course:  90 year old female with hospice care was transferred here for NSTEMI. Family decidde to take her back home with hospice today. She is unresponsive.     Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 97.7 °F (36.5 °C) Heart Rate (Monitor): 102 Pulse: 99 BP: 111/51 Respirations: 16 SpO2: 90 % O2 Flow Rate (l/min): 2 l/min General Appearance: unconscious  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: regular rate and rhythm Abdomen: soft, non-tender  Skin: No rashes or lesions  Extremities: no edema   Consults:  IP CONSULT TO SUPPORTIVE CARE SERVICES   Significant Diagnostic Studies:   VQ scan, CXR   Operations: none   Disposition:  Home with hospice   Discharge Condition:  Poor
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Culture urine negative, Dementia Alzheimer's type, Differential white blood cell count, Electrocardiogram QT prolonged, Electrocardiogram T wave abnormal
Clinical narrative: 90 y.o.    Admit Date:  7/1/2022   Discharge Date:   7/2/2022   Discharge Diagnosis:  Principal Problem:   NSTEMI (non-ST elevated myocardial infarction) Active Problems:   Pneumonia, bacterial   Acute respiratory failure with hypoxia   Alzheimer's dementia   Hospice care patient   Elevated d-dimer   Metabolic acidosis   AKI (acute kidney injury)   CHF, acute   COVID-19 virus infection     Hospital Course:  90 year old female with hospice care was transferred here for NSTEMI. Family decidde to take her back home with hospice today. She is unresponsive.     Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 97.7 °F (36.5 °C) Heart Rate (Monitor): 102 Pulse: 99 BP: 111/51 Respirations: 16 SpO2: 90 % O2 Flow Rate (l/min): 2 l/min General Appearance: unconscious  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: regular rate and rhythm Abdomen: soft, non-tender  Skin: No rashes or lesions  Extremities: no edema   Consults:  IP CONSULT TO SUPPORTIVE CARE SERVICES   Significant Diagnostic Studies:   VQ scan, CXR   Operations: none   Disposition:  Home with hospice   Discharge Condition:  Poor
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Eosinophil count decreased, Eosinophil percentage increased, Fibrin D dimer increased, Full blood count
Clinical narrative: 90 y.o.    Admit Date:  7/1/2022   Discharge Date:   7/2/2022   Discharge Diagnosis:  Principal Problem:   NSTEMI (non-ST elevated myocardial infarction) Active Problems:   Pneumonia, bacterial   Acute respiratory failure with hypoxia   Alzheimer's dementia   Hospice care patient   Elevated d-dimer   Metabolic acidosis   AKI (acute kidney injury)   CHF, acute   COVID-19 virus infection     Hospital Course:  90 year old female with hospice care was transferred here for NSTEMI. Family decidde to take her back home with hospice today. She is unresponsive.     Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 97.7 °F (36.5 °C) Heart Rate (Monitor): 102 Pulse: 99 BP: 111/51 Respirations: 16 SpO2: 90 % O2 Flow Rate (l/min): 2 l/min General Appearance: unconscious  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: regular rate and rhythm Abdomen: soft, non-tender  Skin: No rashes or lesions  Extremities: no edema   Consults:  IP CONSULT TO SUPPORTIVE CARE SERVICES   Significant Diagnostic Studies:   VQ scan, CXR   Operations: none   Disposition:  Home with hospice   Discharge Condition:  Poor