chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Glomerular filtration rate normal, Influenza virus test negative, International normalised ratio increased, Lung infiltration, Protein total
Clinical narrative: cough, shortness of breath.  Patient is a 70 year old male with PMH of HLD, CLL diagnosed in 2015 in remission for 5 years and Covid 19 diagnosed on 2/12/22. At the time patient had c/o loss of appetite, dry cough, congestion, and lack of energy. Patient receive monoclonal antibodies on 2/14/22. Patient reports that he has had the same continued symptoms since his diagnosis. Patient is vaccinated with Moderna, 2nd shot June 2021. Today his daughter, who is a nurse, told him "it is time to be checked out". Patient denies nausea, vomiting, diarrhea, and chest pain.   In the ED, Na 126, Cl 92, GFR 60, anion gap 19, trop <0.03, PT 14/inr 1.29. DDimer 407. K, AST, and total protein hemolyzed. Rapid flu and Covid negative. CXR shows shows bilateral infiltrates, (-)effusion, (-)pneumothorax, (-)cardiomegaly. CTA of the chest shows diffuse bilateral infiltrates, no evidence of pulmonary embolism. EKG shows SR @84bpm, Nonspecific ST-T wave changes, no STEMI. Patient received Zithromax and Rocephin
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Prothrombin time prolonged, Respiratory tract congestion, SARS-CoV-2 antibody test, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: cough, shortness of breath.  Patient is a 70 year old male with PMH of HLD, CLL diagnosed in 2015 in remission for 5 years and Covid 19 diagnosed on 2/12/22. At the time patient had c/o loss of appetite, dry cough, congestion, and lack of energy. Patient receive monoclonal antibodies on 2/14/22. Patient reports that he has had the same continued symptoms since his diagnosis. Patient is vaccinated with Moderna, 2nd shot June 2021. Today his daughter, who is a nurse, told him "it is time to be checked out". Patient denies nausea, vomiting, diarrhea, and chest pain.   In the ED, Na 126, Cl 92, GFR 60, anion gap 19, trop <0.03, PT 14/inr 1.29. DDimer 407. K, AST, and total protein hemolyzed. Rapid flu and Covid negative. CXR shows shows bilateral infiltrates, (-)effusion, (-)pneumothorax, (-)cardiomegaly. CTA of the chest shows diffuse bilateral infiltrates, no evidence of pulmonary embolism. EKG shows SR @84bpm, Nonspecific ST-T wave changes, no STEMI. Patient received Zithromax and Rocephin
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin
Clinical narrative: cough, shortness of breath.  Patient is a 70 year old male with PMH of HLD, CLL diagnosed in 2015 in remission for 5 years and Covid 19 diagnosed on 2/12/22. At the time patient had c/o loss of appetite, dry cough, congestion, and lack of energy. Patient receive monoclonal antibodies on 2/14/22. Patient reports that he has had the same continued symptoms since his diagnosis. Patient is vaccinated with Moderna, 2nd shot June 2021. Today his daughter, who is a nurse, told him "it is time to be checked out". Patient denies nausea, vomiting, diarrhea, and chest pain.   In the ED, Na 126, Cl 92, GFR 60, anion gap 19, trop <0.03, PT 14/inr 1.29. DDimer 407. K, AST, and total protein hemolyzed. Rapid flu and Covid negative. CXR shows shows bilateral infiltrates, (-)effusion, (-)pneumothorax, (-)cardiomegaly. CTA of the chest shows diffuse bilateral infiltrates, no evidence of pulmonary embolism. EKG shows SR @84bpm, Nonspecific ST-T wave changes, no STEMI. Patient received Zithromax and Rocephin
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Laboratory test normal, Myalgia
Clinical narrative: Approximately 2 to 3 weeks after receiving my COVID-19 Pfizer I began having joint pain in my shoulders, elbows, knees, digits, toe joints. I experiences muscle pain in my quads, biceps, calf area and upper back muscles. I have visited my primary care doctor and she has referred my to the rheumatologist for further evaluation on 3/9/2022.
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Asthenia, Chest X-ray normal, Computerised tomogram head normal, Decreased appetite, Dizziness
Clinical narrative: Left arm soreness: 3/2/2022 only (minor event) Muscular Weakness, lack of energy starting 3/4/2022 thru present 3/6/2022: Feeling nauseous, light headed; ; loss of appetite (had high BP meds at 9am), Feeling dizzy at 10am went from standing to sitting then became unconscious and fell to the floor.  A doctor at the scene revived me after 10 minutes. Dr could not get a pulse initially. EMT's took me to hospital where I got IV and anti nausea meds and 2 stitches for laceration on top of head. Walked successfully on my own. Released at 3pm. thru 3/8/2022: I feel occasional light headness and lack of energy. (I'm 90% recovered)
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Fall, Loss of consciousness, Muscular weakness, Nausea, Neurological examination normal
Clinical narrative: Left arm soreness: 3/2/2022 only (minor event) Muscular Weakness, lack of energy starting 3/4/2022 thru present 3/6/2022: Feeling nauseous, light headed; ; loss of appetite (had high BP meds at 9am), Feeling dizzy at 10am went from standing to sitting then became unconscious and fell to the floor.  A doctor at the scene revived me after 10 minutes. Dr could not get a pulse initially. EMT's took me to hospital where I got IV and anti nausea meds and 2 stitches for laceration on top of head. Walked successfully on my own. Released at 3pm. thru 3/8/2022: I feel occasional light headness and lack of energy. (I'm 90% recovered)
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain in extremity, Pulse absent, Skin laceration, Suture insertion
Clinical narrative: Left arm soreness: 3/2/2022 only (minor event) Muscular Weakness, lack of energy starting 3/4/2022 thru present 3/6/2022: Feeling nauseous, light headed; ; loss of appetite (had high BP meds at 9am), Feeling dizzy at 10am went from standing to sitting then became unconscious and fell to the floor.  A doctor at the scene revived me after 10 minutes. Dr could not get a pulse initially. EMT's took me to hospital where I got IV and anti nausea meds and 2 stitches for laceration on top of head. Walked successfully on my own. Released at 3pm. thru 3/8/2022: I feel occasional light headness and lack of energy. (I'm 90% recovered)
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Blood iron decreased, Blood test abnormal, Chronic kidney disease, Infusion
Clinical narrative: It wasn't a specific event, I went to the doctor for my annual physical checkup. she did bloodwork and said my iron was low. She had me take a more specific blood test and sent me for iron infusion and referred me to a hematologist. The hematologist said that I had anemia due to chronic kidney disease.  I have a colonoscopy scheduled for next week to see if I have bleeding in the colon.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: vaccinated pt admitted with covid infection
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Gastrostomy, General physical health deterioration, Hypotension
Clinical narrative: pt brought to ED with fevers; states tested positive day before for COVID: hypoxic; placed on NRB mask; hypotensive; hx of sepsis and sacral decubitus wound; PEG feedings; given steroids, ABX, remdesivir; pt's condition worsened; he was made DNR, and he passed away in the hospital
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: pt brought to ED with fevers; states tested positive day before for COVID: hypoxic; placed on NRB mask; hypotensive; hx of sepsis and sacral decubitus wound; PEG feedings; given steroids, ABX, remdesivir; pt's condition worsened; he was made DNR, and he passed away in the hospital
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Incorrect dose administered
Clinical narrative: The patient was given a booster at the wrong interval and dosage. He received a Janssen vaccine on 1/6/22. A dose of Moderna at 0.5mL  was given as a booster on 1/27/2022..
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Alopecia areata, Condition aggravated, Pain of skin, Skin irritation
Clinical narrative: My alopecia areata had been under control for several years prior to my COVID vaccination.  Within a few weeks of receiving the second dose, my hair started falling out very quickly.  I've now lost 50% of the hair on my head and I have painful sores all over my scalp.  There is no way to know if my hair will ever come back.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Herpes zoster, Rash, Rash vesicular, Scar
Clinical narrative: Within a day of the shot I started to develop a burning sensation on the right side of my body.  Within 2 days of the initial vaccine I developed a rash on my right leg.  It became more painful and developed blisters by 3/13/2021.  I had burning on the inside of my leg and on the right side of my body but no other area of breakout.  I was out of town, but cut my trip early to go to a physician.   I went to the doctor on Tuesday, March 16th, the diagnosis of Shingles was confirmed at the time.  No medication was given as it was already outside of the acceptable "window" for treatment.  I used topical treatment, I continue to have scarring to this date.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Breath sounds abnormal, Death, General physical health deterioration, Pain, Productive cough
Clinical narrative: PMH: 97.7 temp, shortness of breath at rest, incontinence, bedbound, bowel incontinence, dysphagia, COVID O2 saturation 86% on 2L, BP 94/46;  pt condition began to decline afternoon of 10/06; family requested hospice consult; pt given morphine concentrate 20mg/ml for pain or repiratory distress; pt declined all meals and O2 on 10/06; occaisional wet cough diminished lung sounds; pt passed away evening of 10/08
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory distress
Clinical narrative: PMH: 97.7 temp, shortness of breath at rest, incontinence, bedbound, bowel incontinence, dysphagia, COVID O2 saturation 86% on 2L, BP 94/46;  pt condition began to decline afternoon of 10/06; family requested hospice consult; pt given morphine concentrate 20mg/ml for pain or repiratory distress; pt declined all meals and O2 on 10/06; occaisional wet cough diminished lung sounds; pt passed away evening of 10/08
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cerebrovascular accident, Dysarthria, Facial paralysis, Hemiparesis
Clinical narrative: Chief Complaint Patient presents with ? STROKE     Patient arrives via EMS from home, and woke up to left sided weakness, facial droop and slurred speech. last known well 2300 last night. POC 131. Per EMS patient was given baby ASA from family at home.     HPI 82-year-old female with medical history significant for breast cancer in 90 and 15, lung cancer in 15, ovarian cancer in 88, HTN, DM type II, nephrolithiasis; presents the ED via EMS from home with left-sided weakness and facial droop.  Patient last known well is 2300 on 1/26/2022.  Patient states she woke up this morning and was unable to move her left side.     Review of Systems  Constitutional: Denies fever or chills Head: Denies trauma ENT:      Eyes: Denies visual changes      Ears: Denies hearing loss      Nose: Denies rhinorrhea or congestion Throat: Denies sore throat, hoarseness, or swollen neck Respiratory: Denies cough or shortness of breath Cardiovascular: Denies chest pain, palpitations, or LE edema Gastrointestinal: Denies nausea, vomiting, diarrhea, or abdominal pain Genitourinary: Denies dysuria or urinary frequency changes Musculoskeletal: Denies malaise, myalgia, or pain Neurological: Denies Headache.  Admits to left-sided paralysis Skin: Denies rashes
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza A virus test negative, Influenza B virus test, Movement disorder, Respiratory syncytial virus test negative, SARS-CoV-2 test positive
Clinical narrative: Chief Complaint Patient presents with ? STROKE     Patient arrives via EMS from home, and woke up to left sided weakness, facial droop and slurred speech. last known well 2300 last night. POC 131. Per EMS patient was given baby ASA from family at home.     HPI 82-year-old female with medical history significant for breast cancer in 90 and 15, lung cancer in 15, ovarian cancer in 88, HTN, DM type II, nephrolithiasis; presents the ED via EMS from home with left-sided weakness and facial droop.  Patient last known well is 2300 on 1/26/2022.  Patient states she woke up this morning and was unable to move her left side.     Review of Systems  Constitutional: Denies fever or chills Head: Denies trauma ENT:      Eyes: Denies visual changes      Ears: Denies hearing loss      Nose: Denies rhinorrhea or congestion Throat: Denies sore throat, hoarseness, or swollen neck Respiratory: Denies cough or shortness of breath Cardiovascular: Denies chest pain, palpitations, or LE edema Gastrointestinal: Denies nausea, vomiting, diarrhea, or abdominal pain Genitourinary: Denies dysuria or urinary frequency changes Musculoskeletal: Denies malaise, myalgia, or pain Neurological: Denies Headache.  Admits to left-sided paralysis Skin: Denies rashes
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dysuria, Fungal infection, Pelvic pain, Suprapubic pain, Urine analysis abnormal
Clinical narrative: Patient presents for second time in about 24 hours with pelvic pain.    Patient states pain is "way worse" today, 10/10 (although she is not in outward discomfort" and states pain feels like it is "up in there" (suprapubic) and is worse when she urinates. UA was negative for signs of bacterial infection yesterday, although there was significant fungal contamination vs load and patient was given a one-time treatment of fluconazole. ED visit within 6 weeks of receiving the COVID vaccine.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Fall, Rhabdomyolysis, SARS-CoV-2 test positive
Clinical narrative: 69 year old vaccinated male was admitted for generalized weakness, rhabdomyolysis from a fall. He alos had UTI. He testted (+) for Covid-19 infection but did not require treatment.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Urinary tract infection
Clinical narrative: 69 year old vaccinated male was admitted for generalized weakness, rhabdomyolysis from a fall. He alos had UTI. He testted (+) for Covid-19 infection but did not require treatment.
Age: 42.0
Sex: M
Vaccine: HEP
Symptoms: Expired product administered
Clinical narrative: vaccine expired 02/07/2022 observed patient for 30+ minutes with no signs or symptoms of adverse reactions spoke with vaccine technician with GlaxoSmithKline and was advised vaccine still good for 30 days after expiration date. Informed patient the same and emailed all paperwork given form GlaxoSmithKline and the CDC. Advised patient to call if experiencing any adverse symptoms.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Behaviour disorder, Mental disorder
Clinical narrative: Behavioral health/mental health admission within 6 weeks of receiving the COVID vaccine.
Age: 72.0
Sex: M
Vaccine: PPV
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Large swollen painful area at injection site
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Appendiceal abscess, Appendicitis perforated, Biliary catheter insertion, Computerised tomogram abdomen abnormal
Clinical narrative: Patient admitted with abdominal pelvic pain - CT scan of the abdomen and pelvis revealed perforated appendicitis with 7 cm abscess. She was admitted to the hospital for further management. She was started on IV Flagyl and ceftriaxone at the time of admission. Patient underwent guided percutaneous drainage catheter placement. 70 ml of sanguinopurulent fluid was aspirated and pain improved and her leukocytosis resolved. ED visit and hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Leukocytosis, Pelvic pain
Clinical narrative: Patient admitted with abdominal pelvic pain - CT scan of the abdomen and pelvis revealed perforated appendicitis with 7 cm abscess. She was admitted to the hospital for further management. She was started on IV Flagyl and ceftriaxone at the time of admission. Patient underwent guided percutaneous drainage catheter placement. 70 ml of sanguinopurulent fluid was aspirated and pain improved and her leukocytosis resolved. ED visit and hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Asthenia, COVID-19, Death, Decreased appetite
Clinical narrative: pt brought to ED with increase in weakness, N/V, anorexia;  had a positive COVID test on 9/8/21; admitted 10/26/21 with AKI; transitioned to in-hospital hospice care with comfort focused care; pt's condition worsened and she died in the hospital; per death certificate, hx of COVID infection listed as a contributing factor to death
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: General physical health deterioration, Nausea, SARS-CoV-2 test positive, Vomiting
Clinical narrative: pt brought to ED with increase in weakness, N/V, anorexia;  had a positive COVID test on 9/8/21; admitted 10/26/21 with AKI; transitioned to in-hospital hospice care with comfort focused care; pt's condition worsened and she died in the hospital; per death certificate, hx of COVID infection listed as a contributing factor to death
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Condition aggravated, Decreased appetite, Disorientation, Influenza A virus test negative
Clinical narrative: Chief Complaint: Patient presents with Altered Mental Status per EMS, pt coming from nursing care facility for AMS, pt is A&Ox1-2 at this time, pt is not eating and lethargic. HPI. Patient is a 64-year-old female presenting to our ED via EMS from her ECF with chief complaint of altered mental status.  Patient has a past medical history significant for multiple myeloma in remission, CHF with preserved ejection fraction, CKD, seizure disorder on Keppra, hypertension, hyperlipidemia, CVA.  Patient has a mentation baseline of A&Ox2 per EMS report.  Patient was recently admitted to hospital for unknown etiology. Review of Systems. Review of systems is limited due to patient's dementia, developmental delay, altered mental status and/or inability to communicate.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza B virus test, Lethargy, Mental status changes, Respiratory syncytial virus test negative, SARS-CoV-2 test positive
Clinical narrative: Chief Complaint: Patient presents with Altered Mental Status per EMS, pt coming from nursing care facility for AMS, pt is A&Ox1-2 at this time, pt is not eating and lethargic. HPI. Patient is a 64-year-old female presenting to our ED via EMS from her ECF with chief complaint of altered mental status.  Patient has a past medical history significant for multiple myeloma in remission, CHF with preserved ejection fraction, CKD, seizure disorder on Keppra, hypertension, hyperlipidemia, CVA.  Patient has a mentation baseline of A&Ox2 per EMS report.  Patient was recently admitted to hospital for unknown etiology. Review of Systems. Review of systems is limited due to patient's dementia, developmental delay, altered mental status and/or inability to communicate.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Blood potassium decreased, C-reactive protein increased, Computerised tomogram abdomen abnormal, Flank pain, Hypokalaemia
Clinical narrative: Patient presented to ED o for evaluation of R flank pain and fever in the setting of known UTI. She has been on po Ciprofloxacin as OP but due to worsening symptoms, came into ED for evaluation. Found to have low grade fever, CRP 13.6, hypokalemia 3.0 and CT AP concerning for findings seen with acute pyelonephritis. She was started on empiric IVFs for GNR sepsis, IV Ceftriaxone 1 gm and admitted for further treatment. She received total of IV Ceftriaxone 3 doses and was feeling much better. ED visit and hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Sepsis, Urinary tract infection
Clinical narrative: Patient presented to ED o for evaluation of R flank pain and fever in the setting of known UTI. She has been on po Ciprofloxacin as OP but due to worsening symptoms, came into ED for evaluation. Found to have low grade fever, CRP 13.6, hypokalemia 3.0 and CT AP concerning for findings seen with acute pyelonephritis. She was started on empiric IVFs for GNR sepsis, IV Ceftriaxone 1 gm and admitted for further treatment. She received total of IV Ceftriaxone 3 doses and was feeling much better. ED visit and hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 57.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Headache, Malaise, Nausea, Pyrexia
Clinical narrative: Patient reported he had a reaction to the second shingles vaccination within a few hours of receiving the shot. He ended up with a hive like rash on his torso (front and back) that was itchy. That evening he began to feel unwell, with a headache, fever, chills and later feelings of nausea which lasted for the next 24 hours.
Age: 57.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash, Rash pruritic
Clinical narrative: Patient reported he had a reaction to the second shingles vaccination within a few hours of receiving the shot. He ended up with a hive like rash on his torso (front and back) that was itchy. That evening he began to feel unwell, with a headache, fever, chills and later feelings of nausea which lasted for the next 24 hours.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site erythema, Injection site nodule, Injection site pain, Injection site warmth
Clinical narrative: Major bruising occurred at site of injection one day after vaccination with a "tough knot" that formed beneath the skin. Patient applied ice for a day on Sunday. Slight pain but nothing major for the patient. Also developed the more typical reaction referred to as "covid arm" with the red stripe a few inches below site of injection, warm to the touch. More concerned about redness which I let her know is relatively normal and will go away but to keep an eye on the bruising as it was significant. If no better (or worse) over the next two days schedule a doctor's appt and follow up with us
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Atrial fibrillation, COVID-19, Fibrin D dimer increased, SARS-CoV-2 test positive
Clinical narrative: 88 year old vaccinated male resident was admitted for a fib with RVR. He also tested (+) for Covid-19. He was treated with Remdesivir. Rate became controlled. D dimer is elevated but he is already on NOAC. He will be transferred back to the nursing home today.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Arthralgia, Blood immunoglobulin A, Blood thyroid stimulating hormone decreased, Blood urine present
Clinical narrative: Henoch Schonlein purpura with associated bilateral purpuric rash on lower legs, bilateral knee arthralgia with associated algic gait, bruising of gums, swollen eyes, abdominal pain with appetite loss
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein increased, Culture urine positive, Decreased appetite, Eye swelling, Full blood count
Clinical narrative: Henoch Schonlein purpura with associated bilateral purpuric rash on lower legs, bilateral knee arthralgia with associated algic gait, bruising of gums, swollen eyes, abdominal pain with appetite loss
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Gait disturbance, Henoch-Schonlein purpura, International normalised ratio normal, Klebsiella test positive, Laboratory test
Clinical narrative: Henoch Schonlein purpura with associated bilateral purpuric rash on lower legs, bilateral knee arthralgia with associated algic gait, bruising of gums, swollen eyes, abdominal pain with appetite loss
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Oral contusion, Platelet count increased, Protein urine present, Purpura, Red blood cell sedimentation rate normal
Clinical narrative: Henoch Schonlein purpura with associated bilateral purpuric rash on lower legs, bilateral knee arthralgia with associated algic gait, bruising of gums, swollen eyes, abdominal pain with appetite loss
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cells urine positive, Thyroxine free decreased, Ultrasound scan normal, Urinary occult blood positive, Urine abnormality
Clinical narrative: Henoch Schonlein purpura with associated bilateral purpuric rash on lower legs, bilateral knee arthralgia with associated algic gait, bruising of gums, swollen eyes, abdominal pain with appetite loss
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Urine ketone body present, Urine leukocyte esterase positive, White blood cells urine positive
Clinical narrative: Henoch Schonlein purpura with associated bilateral purpuric rash on lower legs, bilateral knee arthralgia with associated algic gait, bruising of gums, swollen eyes, abdominal pain with appetite loss
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood albumin decreased, Blood bicarbonate normal, Blood chloride normal, Blood creatinine increased
Clinical narrative: Attending Physician:  DO;*     Date of Admission:  1/27/2022   Chief Complaint:  Cough, Loose stools, Vomiting    Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 71y.o. female past medical history significant for permanent atrial fibrillation (pacemaker in place and on Coumadin), essential hypertension, type 2 diabetes mellitus, breast cancer s/p left mastectomy and in remission, hypothyroidism, CKD stage III. Patient presented to the ED today with complaints of cough, loose stools and vomiting. Patient stated since this past weekend (approximately 5 days ago) she's been having coughing, sneezing, nausea and vomiting, and diarrhea. Patient stated that her diarrhea was occurring more than 5 times a day, nonbloody. She states she's also been having a headache for which she is taking Tylenol at night to help her sleep, but states that her headache has not went away. Patient also stated that she has had some shortness of breath, more so with exertion. She also notes that she has had decrease in appetite. Patient was informed she tested positive for COVID 19 in the ED. She stated she was babysitting children this past weekend and wonders if she could have gotten it from them. She stated she has had Pfizer vaccine x2 (last dose in march 2021) but has not received booster. During the time of my encounter patient states she is still having a headache, denied shortness of breath, chest pain, abdominal pain. Patient states that she has not had an episode of nausea or vomiting since receiving Zofran in the ED.    ED Course - Vitals on admission: BP 116/37, HR 112, RR 20, SPO2 92%, temp 97.3 - EKG: Atrial fibrillation with RVR, rate 112 BPM Labs - CBC w diff: WBC 3.2, Hgb 11.9, platelets 154 - BMP: Sodium 141, potassium 4.1, chloride 106, bicarbonate 23, glucose 199, BUN 21, creatinine 1.27 - Magnesium 1.3 - Troponin negative ×2, ×1 pending - HFP: Albumin 3.1, otherwise remaining values wnl Imaging - CXR: Multifocal airspace disease concerning for pneumonia Meds given - Patient given 2 g mag sulfate, Zofran ×2, normal saline bolus 500 mL
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Blood magnesium normal, Blood potassium normal, Blood sodium normal, Blood urea increased
Clinical narrative: Attending Physician:  DO;*     Date of Admission:  1/27/2022   Chief Complaint:  Cough, Loose stools, Vomiting    Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 71y.o. female past medical history significant for permanent atrial fibrillation (pacemaker in place and on Coumadin), essential hypertension, type 2 diabetes mellitus, breast cancer s/p left mastectomy and in remission, hypothyroidism, CKD stage III. Patient presented to the ED today with complaints of cough, loose stools and vomiting. Patient stated since this past weekend (approximately 5 days ago) she's been having coughing, sneezing, nausea and vomiting, and diarrhea. Patient stated that her diarrhea was occurring more than 5 times a day, nonbloody. She states she's also been having a headache for which she is taking Tylenol at night to help her sleep, but states that her headache has not went away. Patient also stated that she has had some shortness of breath, more so with exertion. She also notes that she has had decrease in appetite. Patient was informed she tested positive for COVID 19 in the ED. She stated she was babysitting children this past weekend and wonders if she could have gotten it from them. She stated she has had Pfizer vaccine x2 (last dose in march 2021) but has not received booster. During the time of my encounter patient states she is still having a headache, denied shortness of breath, chest pain, abdominal pain. Patient states that she has not had an episode of nausea or vomiting since receiving Zofran in the ED.    ED Course - Vitals on admission: BP 116/37, HR 112, RR 20, SPO2 92%, temp 97.3 - EKG: Atrial fibrillation with RVR, rate 112 BPM Labs - CBC w diff: WBC 3.2, Hgb 11.9, platelets 154 - BMP: Sodium 141, potassium 4.1, chloride 106, bicarbonate 23, glucose 199, BUN 21, creatinine 1.27 - Magnesium 1.3 - Troponin negative ×2, ×1 pending - HFP: Albumin 3.1, otherwise remaining values wnl Imaging - CXR: Multifocal airspace disease concerning for pneumonia Meds given - Patient given 2 g mag sulfate, Zofran ×2, normal saline bolus 500 mL
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Cough, Decreased appetite, Diarrhoea
Clinical narrative: Attending Physician:  DO;*     Date of Admission:  1/27/2022   Chief Complaint:  Cough, Loose stools, Vomiting    Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 71y.o. female past medical history significant for permanent atrial fibrillation (pacemaker in place and on Coumadin), essential hypertension, type 2 diabetes mellitus, breast cancer s/p left mastectomy and in remission, hypothyroidism, CKD stage III. Patient presented to the ED today with complaints of cough, loose stools and vomiting. Patient stated since this past weekend (approximately 5 days ago) she's been having coughing, sneezing, nausea and vomiting, and diarrhea. Patient stated that her diarrhea was occurring more than 5 times a day, nonbloody. She states she's also been having a headache for which she is taking Tylenol at night to help her sleep, but states that her headache has not went away. Patient also stated that she has had some shortness of breath, more so with exertion. She also notes that she has had decrease in appetite. Patient was informed she tested positive for COVID 19 in the ED. She stated she was babysitting children this past weekend and wonders if she could have gotten it from them. She stated she has had Pfizer vaccine x2 (last dose in march 2021) but has not received booster. During the time of my encounter patient states she is still having a headache, denied shortness of breath, chest pain, abdominal pain. Patient states that she has not had an episode of nausea or vomiting since receiving Zofran in the ED.    ED Course - Vitals on admission: BP 116/37, HR 112, RR 20, SPO2 92%, temp 97.3 - EKG: Atrial fibrillation with RVR, rate 112 BPM Labs - CBC w diff: WBC 3.2, Hgb 11.9, platelets 154 - BMP: Sodium 141, potassium 4.1, chloride 106, bicarbonate 23, glucose 199, BUN 21, creatinine 1.27 - Magnesium 1.3 - Troponin negative ×2, ×1 pending - HFP: Albumin 3.1, otherwise remaining values wnl Imaging - CXR: Multifocal airspace disease concerning for pneumonia Meds given - Patient given 2 g mag sulfate, Zofran ×2, normal saline bolus 500 mL
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Differential white blood cell count, Dyspnoea, Dyspnoea exertional, Electrocardiogram abnormal, Full blood count
Clinical narrative: Attending Physician:  DO;*     Date of Admission:  1/27/2022   Chief Complaint:  Cough, Loose stools, Vomiting    Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 71y.o. female past medical history significant for permanent atrial fibrillation (pacemaker in place and on Coumadin), essential hypertension, type 2 diabetes mellitus, breast cancer s/p left mastectomy and in remission, hypothyroidism, CKD stage III. Patient presented to the ED today with complaints of cough, loose stools and vomiting. Patient stated since this past weekend (approximately 5 days ago) she's been having coughing, sneezing, nausea and vomiting, and diarrhea. Patient stated that her diarrhea was occurring more than 5 times a day, nonbloody. She states she's also been having a headache for which she is taking Tylenol at night to help her sleep, but states that her headache has not went away. Patient also stated that she has had some shortness of breath, more so with exertion. She also notes that she has had decrease in appetite. Patient was informed she tested positive for COVID 19 in the ED. She stated she was babysitting children this past weekend and wonders if she could have gotten it from them. She stated she has had Pfizer vaccine x2 (last dose in march 2021) but has not received booster. During the time of my encounter patient states she is still having a headache, denied shortness of breath, chest pain, abdominal pain. Patient states that she has not had an episode of nausea or vomiting since receiving Zofran in the ED.    ED Course - Vitals on admission: BP 116/37, HR 112, RR 20, SPO2 92%, temp 97.3 - EKG: Atrial fibrillation with RVR, rate 112 BPM Labs - CBC w diff: WBC 3.2, Hgb 11.9, platelets 154 - BMP: Sodium 141, potassium 4.1, chloride 106, bicarbonate 23, glucose 199, BUN 21, creatinine 1.27 - Magnesium 1.3 - Troponin negative ×2, ×1 pending - HFP: Albumin 3.1, otherwise remaining values wnl Imaging - CXR: Multifocal airspace disease concerning for pneumonia Meds given - Patient given 2 g mag sulfate, Zofran ×2, normal saline bolus 500 mL
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Headache, Influenza A virus test negative, Influenza B virus test, Insomnia
Clinical narrative: Attending Physician:  DO;*     Date of Admission:  1/27/2022   Chief Complaint:  Cough, Loose stools, Vomiting    Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 71y.o. female past medical history significant for permanent atrial fibrillation (pacemaker in place and on Coumadin), essential hypertension, type 2 diabetes mellitus, breast cancer s/p left mastectomy and in remission, hypothyroidism, CKD stage III. Patient presented to the ED today with complaints of cough, loose stools and vomiting. Patient stated since this past weekend (approximately 5 days ago) she's been having coughing, sneezing, nausea and vomiting, and diarrhea. Patient stated that her diarrhea was occurring more than 5 times a day, nonbloody. She states she's also been having a headache for which she is taking Tylenol at night to help her sleep, but states that her headache has not went away. Patient also stated that she has had some shortness of breath, more so with exertion. She also notes that she has had decrease in appetite. Patient was informed she tested positive for COVID 19 in the ED. She stated she was babysitting children this past weekend and wonders if she could have gotten it from them. She stated she has had Pfizer vaccine x2 (last dose in march 2021) but has not received booster. During the time of my encounter patient states she is still having a headache, denied shortness of breath, chest pain, abdominal pain. Patient states that she has not had an episode of nausea or vomiting since receiving Zofran in the ED.    ED Course - Vitals on admission: BP 116/37, HR 112, RR 20, SPO2 92%, temp 97.3 - EKG: Atrial fibrillation with RVR, rate 112 BPM Labs - CBC w diff: WBC 3.2, Hgb 11.9, platelets 154 - BMP: Sodium 141, potassium 4.1, chloride 106, bicarbonate 23, glucose 199, BUN 21, creatinine 1.27 - Magnesium 1.3 - Troponin negative ×2, ×1 pending - HFP: Albumin 3.1, otherwise remaining values wnl Imaging - CXR: Multifocal airspace disease concerning for pneumonia Meds given - Patient given 2 g mag sulfate, Zofran ×2, normal saline bolus 500 mL
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Liver function test, Lung disorder, Nausea, Platelet count normal, Respiratory syncytial virus test negative
Clinical narrative: Attending Physician:  DO;*     Date of Admission:  1/27/2022   Chief Complaint:  Cough, Loose stools, Vomiting    Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 71y.o. female past medical history significant for permanent atrial fibrillation (pacemaker in place and on Coumadin), essential hypertension, type 2 diabetes mellitus, breast cancer s/p left mastectomy and in remission, hypothyroidism, CKD stage III. Patient presented to the ED today with complaints of cough, loose stools and vomiting. Patient stated since this past weekend (approximately 5 days ago) she's been having coughing, sneezing, nausea and vomiting, and diarrhea. Patient stated that her diarrhea was occurring more than 5 times a day, nonbloody. She states she's also been having a headache for which she is taking Tylenol at night to help her sleep, but states that her headache has not went away. Patient also stated that she has had some shortness of breath, more so with exertion. She also notes that she has had decrease in appetite. Patient was informed she tested positive for COVID 19 in the ED. She stated she was babysitting children this past weekend and wonders if she could have gotten it from them. She stated she has had Pfizer vaccine x2 (last dose in march 2021) but has not received booster. During the time of my encounter patient states she is still having a headache, denied shortness of breath, chest pain, abdominal pain. Patient states that she has not had an episode of nausea or vomiting since receiving Zofran in the ED.    ED Course - Vitals on admission: BP 116/37, HR 112, RR 20, SPO2 92%, temp 97.3 - EKG: Atrial fibrillation with RVR, rate 112 BPM Labs - CBC w diff: WBC 3.2, Hgb 11.9, platelets 154 - BMP: Sodium 141, potassium 4.1, chloride 106, bicarbonate 23, glucose 199, BUN 21, creatinine 1.27 - Magnesium 1.3 - Troponin negative ×2, ×1 pending - HFP: Albumin 3.1, otherwise remaining values wnl Imaging - CXR: Multifocal airspace disease concerning for pneumonia Meds given - Patient given 2 g mag sulfate, Zofran ×2, normal saline bolus 500 mL
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sneezing, Troponin normal, Vomiting, White blood cell count decreased
Clinical narrative: Attending Physician:  DO;*     Date of Admission:  1/27/2022   Chief Complaint:  Cough, Loose stools, Vomiting    Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 71y.o. female past medical history significant for permanent atrial fibrillation (pacemaker in place and on Coumadin), essential hypertension, type 2 diabetes mellitus, breast cancer s/p left mastectomy and in remission, hypothyroidism, CKD stage III. Patient presented to the ED today with complaints of cough, loose stools and vomiting. Patient stated since this past weekend (approximately 5 days ago) she's been having coughing, sneezing, nausea and vomiting, and diarrhea. Patient stated that her diarrhea was occurring more than 5 times a day, nonbloody. She states she's also been having a headache for which she is taking Tylenol at night to help her sleep, but states that her headache has not went away. Patient also stated that she has had some shortness of breath, more so with exertion. She also notes that she has had decrease in appetite. Patient was informed she tested positive for COVID 19 in the ED. She stated she was babysitting children this past weekend and wonders if she could have gotten it from them. She stated she has had Pfizer vaccine x2 (last dose in march 2021) but has not received booster. During the time of my encounter patient states she is still having a headache, denied shortness of breath, chest pain, abdominal pain. Patient states that she has not had an episode of nausea or vomiting since receiving Zofran in the ED.    ED Course - Vitals on admission: BP 116/37, HR 112, RR 20, SPO2 92%, temp 97.3 - EKG: Atrial fibrillation with RVR, rate 112 BPM Labs - CBC w diff: WBC 3.2, Hgb 11.9, platelets 154 - BMP: Sodium 141, potassium 4.1, chloride 106, bicarbonate 23, glucose 199, BUN 21, creatinine 1.27 - Magnesium 1.3 - Troponin negative ×2, ×1 pending - HFP: Albumin 3.1, otherwise remaining values wnl Imaging - CXR: Multifocal airspace disease concerning for pneumonia Meds given - Patient given 2 g mag sulfate, Zofran ×2, normal saline bolus 500 mL
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Migraine
Clinical narrative: Continuous migraine for 4 days and counting
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Fatigue, Headache, Myalgia, Respiratory tract congestion
Clinical narrative: Mild cough, congestion, fatigue, severe headache and muscle aches
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Condition aggravated, Diarrhoea, Dyspnoea, Dyspnoea exertional
Clinical narrative: Pt had SOB for the past week. He recently had the stomach flu 2 weeks prior (he and family tested negative for COVID-19). He had fever, vomiting NBNB, diarrhea for several days which then improved. He however did not improve all the way to his baseline and started to feel short of breath with exertion moving around the house. He was unable to lie down flat and had to sleep semi-upright. He was seen by his PCP and prescribed prednisone and azithromycin on 3/1. He did not improve and came to town for his covid booster shot and decided to come in to the EC.  He states noncompliant with lovenox because he left it at home and did not expect to stay in town for more than 24 hrs. Patient is on O2 at home and has been having increased need 4L-- >5L. Patient also states he feels his "afib is all over the place." Patient also states rue arm pain. In ED, went into Afrib with RVR.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Gastroenteritis viral, Pain in extremity, Pyrexia, SARS-CoV-2 test negative, Vomiting
Clinical narrative: Pt had SOB for the past week. He recently had the stomach flu 2 weeks prior (he and family tested negative for COVID-19). He had fever, vomiting NBNB, diarrhea for several days which then improved. He however did not improve all the way to his baseline and started to feel short of breath with exertion moving around the house. He was unable to lie down flat and had to sleep semi-upright. He was seen by his PCP and prescribed prednisone and azithromycin on 3/1. He did not improve and came to town for his covid booster shot and decided to come in to the EC.  He states noncompliant with lovenox because he left it at home and did not expect to stay in town for more than 24 hrs. Patient is on O2 at home and has been having increased need 4L-- >5L. Patient also states he feels his "afib is all over the place." Patient also states rue arm pain. In ED, went into Afrib with RVR.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: per death certificate pt died at home with COVID 19 listed as a condition contributing to death; pt was in hospice ( Medical Center - Hospice) pt had a positive COVID test recorded on 8/23/21; ordering facility (Privacy).
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Interchange of vaccine products, Memory impairment, Tremor
Clinical narrative: 02/16/2021 Vaccination. Shortly thereafter started to experience tremors in my head and my hands. I went down for appt. They did a bunch of tests but couldn't say it was from the vaccine, wouldn't say it wasn't. I didn't have this before the vaccine. Also, my memory, it affected it a lot. Still experiencing symptoms. 1st vaccination 01/18/2021 Moderna. Booster 12/27/2021 Pfizer/pharmacy.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Rehab admit date: 07/16/21 HX: dementia, urinary incontinence, pacemaker, and hypothyroidism. 09/26/2021 COVID-19 positive; patient passed away at facility 10/08/2021.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Anaemia macrocytic, Aspartate aminotransferase normal, Blood alkaline phosphatase increased, Blood bicarbonate increased
Clinical narrative: Attending Physician: Date of Admission: 1/28/2022Chief Complaint: Brown Emesis;Source of Information: Patient and Available medical record. History of Present Illness:  This is a 75y.o. female with a past medical history of HTN, HLD, PH, HFpEF, aortic stenosis, CVA, DM II, ESRD on HD (MWF) who presented for brown colored emesis and was found to be hypoxic to 87% on room air when EMS arrived to evaluate her. Once arriving to our facility she had resolution of her emesis and nausea but still reports some diarrhea. She denies any melena or hematochezia.  She went to dialysis today and had her usually amount of fluid removed 1.5L she reports. Dr. is her nephrologist. She also endorses some dyspnea, and a chronic cough but denies any chest pain, palpitations, sputum production, or fevers at home. She denies any sore throat, dysgeusia, rhinorrhea, or nasal congestion. She has no sick contacts and is unable to clarify when her symptoms began. ED Course: BP 150/62, HR 67, RR 20, SpO2 94%, Temp 99.5F Labs: Macrocytic Hypochromic Anemia Hgb 9.9 (baseline Hgb 9) MCV 102. Relative lymphopenia- lymphocyte 0.8. Hypochloremia Cl 96, Ca corrects to normal range at 8.8, Metabolic Alkalosis - HCO3 30. ALP 174 with normal AST/ALT and Bilis. COVID POSITIVE. CXR: Reticular and generalized hazy opacities scattered throughout the lungs suspicious for multifocal infectious process. The patient was started on decadron 6mg QD x10 days and was given protonix 40mg IV and zofran 4mg x1 dose in the ED before being admitted for hypoxemic respiratory failure 2/2 COVID-19 and emesis. Nephrology consulted for HD while patient is inpatient.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Blood bilirubin normal, Blood calcium decreased, Blood chloride decreased, COVID-19, Chest X-ray abnormal
Clinical narrative: Attending Physician: Date of Admission: 1/28/2022Chief Complaint: Brown Emesis;Source of Information: Patient and Available medical record. History of Present Illness:  This is a 75y.o. female with a past medical history of HTN, HLD, PH, HFpEF, aortic stenosis, CVA, DM II, ESRD on HD (MWF) who presented for brown colored emesis and was found to be hypoxic to 87% on room air when EMS arrived to evaluate her. Once arriving to our facility she had resolution of her emesis and nausea but still reports some diarrhea. She denies any melena or hematochezia.  She went to dialysis today and had her usually amount of fluid removed 1.5L she reports. Dr. is her nephrologist. She also endorses some dyspnea, and a chronic cough but denies any chest pain, palpitations, sputum production, or fevers at home. She denies any sore throat, dysgeusia, rhinorrhea, or nasal congestion. She has no sick contacts and is unable to clarify when her symptoms began. ED Course: BP 150/62, HR 67, RR 20, SpO2 94%, Temp 99.5F Labs: Macrocytic Hypochromic Anemia Hgb 9.9 (baseline Hgb 9) MCV 102. Relative lymphopenia- lymphocyte 0.8. Hypochloremia Cl 96, Ca corrects to normal range at 8.8, Metabolic Alkalosis - HCO3 30. ALP 174 with normal AST/ALT and Bilis. COVID POSITIVE. CXR: Reticular and generalized hazy opacities scattered throughout the lungs suspicious for multifocal infectious process. The patient was started on decadron 6mg QD x10 days and was given protonix 40mg IV and zofran 4mg x1 dose in the ED before being admitted for hypoxemic respiratory failure 2/2 COVID-19 and emesis. Nephrology consulted for HD while patient is inpatient.