chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Conjunctivitis, Eye irritation, Fatigue, Malaise, Nasopharyngitis
Clinical narrative: Dose administered on April 26 by Pharmacy at clinic. First symptoms of Covid appeared on April 29. I thought it was a cold with runny nose, post-nasal drip, fatigue, no fever. Runny nose lingered for several weeks. Not sure when conjunctivitis symptoms first appeared because complicated by fact that I'd had eyelid surgery on April 6. Eye lids were swollen and eyes irritated from drops and ointments having to apply several times daily. Conjunctivitis diagnosed at Immediate Care - and antibiotic eye drops began on May 20. Infection resolved by May 23 when I saw my eyelid surgeon for 6-week post-op visit. She took me off antibiotics and now on 3x daily eye drops, Refresh PM eye ointment in pm and Lumify in am. Irritation subsiding, but not yet fully resolved (see #20 below).
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, Swelling of eyelid, Upper-airway cough syndrome
Clinical narrative: Dose administered on April 26 by Pharmacy at clinic. First symptoms of Covid appeared on April 29. I thought it was a cold with runny nose, post-nasal drip, fatigue, no fever. Runny nose lingered for several weeks. Not sure when conjunctivitis symptoms first appeared because complicated by fact that I'd had eyelid surgery on April 6. Eye lids were swollen and eyes irritated from drops and ointments having to apply several times daily. Conjunctivitis diagnosed at Immediate Care - and antibiotic eye drops began on May 20. Infection resolved by May 23 when I saw my eyelid surgeon for 6-week post-op visit. She took me off antibiotics and now on 3x daily eye drops, Refresh PM eye ointment in pm and Lumify in am. Irritation subsiding, but not yet fully resolved (see #20 below).
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRE VACCINATION
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINATION
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Herpes zoster, Myelitis, Pain, Pruritus
Clinical narrative: Myelitis for 1 week, then shingles on left torso.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Injection site abscess, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 05/27/22: patient noticed red and swollen at injection site .  05/28/22: she had difficulty lifting her arm while at work, increased pain and swelling  05/29/22: patient came to pharmacy to show the pharmacist (myself). Deltoid region of left arm was extremely red, swollen and hot to the touch. I referred her to be seen at either ER dept. or urgent care. She was seen at urgent care and diagnosed as abscess (L02.91)  and was prescribed Bactrim  and mupirocin ointment
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: 05/27/22: patient noticed red and swollen at injection site .  05/28/22: she had difficulty lifting her arm while at work, increased pain and swelling  05/29/22: patient came to pharmacy to show the pharmacist (myself). Deltoid region of left arm was extremely red, swollen and hot to the touch. I referred her to be seen at either ER dept. or urgent care. She was seen at urgent care and diagnosed as abscess (L02.91)  and was prescribed Bactrim  and mupirocin ointment
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Apathy, Asthenia, Depression, Fatigue, Impaired work ability
Clinical narrative: Exhausted,  no energy, unable to work, depressed feeling with NO motivation for 2 days. Better today.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Alopecia areata, Biopsy skin abnormal, Blood test normal, Full blood count normal
Clinical narrative: I experienced hair loss following the Pfizer Covid series, including two shots and two boosters, which I had beginning in January 2021 and ending in early April 2022. The hair loss began in winter 2021-2022 and became serious following the 2nd booster. I am now mostly bald and diagnosed with alopecia areata.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound abdomen normal
Clinical narrative: I experienced hair loss following the Pfizer Covid series, including two shots and two boosters, which I had beginning in January 2021 and ending in early April 2022. The hair loss began in winter 2021-2022 and became serious following the 2nd booster. I am now mostly bald and diagnosed with alopecia areata.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Immunisation reaction, Injection site bruising, Injection site erythema, Injection site pain
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Additional Details: Patient has what is believed to be "COVID-arm" based on her symptoms and its appearance.  She has been using an anti-inflammatory and antihistamine to bring down the swelling and itching.  The arm had a red,itchy rash and there was some bruising.  Patient said it was also warm to touch.  She said it was more of a nuisance.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site swelling, Rash erythematous, Rash pruritic, Skin warm
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Additional Details: Patient has what is believed to be "COVID-arm" based on her symptoms and its appearance.  She has been using an anti-inflammatory and antihistamine to bring down the swelling and itching.  The arm had a red,itchy rash and there was some bruising.  Patient said it was also warm to touch.  She said it was more of a nuisance.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, X-ray limb abnormal
Clinical narrative: Woke up the morning after my shot with my left middle finger hurting really bad. Went to Dr. Took a medrol dose pack, didn't help, took exray. Went on to hand Dr. Discovered arthritis in all of my fingers. Put me on celebrex. That pain is still there but it still hurts. Took my 2nd booster on Friday 5/13/22. Woke up the next morning and my same left middle finger was killing me for about 2 days
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chest pain, Dyspnoea, Dyspnoea exertional
Clinical narrative: Rashes, itching, dermatographia, chest pain, shortness of breath, joint pain, generalized weakness, headaches, brain fog, joint pain , edema on all body, forgot the things, names Still after 4 months  suffering from itching, rashes, dermatographia, headaches, weakness, shortness of breath with exertion, edema on skin, persisting along with some memory issues.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Generalised oedema, Headache, Mechanical urticaria, Memory impairment
Clinical narrative: Rashes, itching, dermatographia, chest pain, shortness of breath, joint pain, generalized weakness, headaches, brain fog, joint pain , edema on all body, forgot the things, names Still after 4 months  suffering from itching, rashes, dermatographia, headaches, weakness, shortness of breath with exertion, edema on skin, persisting along with some memory issues.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Rashes, itching, dermatographia, chest pain, shortness of breath, joint pain, generalized weakness, headaches, brain fog, joint pain , edema on all body, forgot the things, names Still after 4 months  suffering from itching, rashes, dermatographia, headaches, weakness, shortness of breath with exertion, edema on skin, persisting along with some memory issues.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Acinetobacter test, Alanine aminotransferase normal, Anion gap, Aspartate aminotransferase normal, Asthenia
Clinical narrative: This is a 91-year-old female who presented to emergency room with complaints of weakness and fatigue.  She was admitted on 514 and discharged on 517 and got down had a UTI and dehydration and confusion.  She had a painful rash on her chest she has multiple sclerosis and is bedbound and has multiple bedsores and was followed by wound care.  Her white blood cell count was elevated at 12.8 CT chest abdomen and pelvis was done which showed bilateral lower lung atelectasis and small left-sided pleural effusion and COVID test was negative urinalysis was negative sed rate was high  She was on antibiotic for 10 days and ran out and has had diarrhea for 3 days.  Ever since she fell a couple months ago she has not been able to transfer to a chair and has been completely bedridden.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Atelectasis, Bacterial test negative, Basophil count increased, Basophil percentage, Bedridden
Clinical narrative: This is a 91-year-old female who presented to emergency room with complaints of weakness and fatigue.  She was admitted on 514 and discharged on 517 and got down had a UTI and dehydration and confusion.  She had a painful rash on her chest she has multiple sclerosis and is bedbound and has multiple bedsores and was followed by wound care.  Her white blood cell count was elevated at 12.8 CT chest abdomen and pelvis was done which showed bilateral lower lung atelectasis and small left-sided pleural effusion and COVID test was negative urinalysis was negative sed rate was high  She was on antibiotic for 10 days and ran out and has had diarrhea for 3 days.  Ever since she fell a couple months ago she has not been able to transfer to a chair and has been completely bedridden.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Blood albumin decreased, Blood alkaline phosphatase normal, Blood bilirubin decreased, Blood calcium decreased, Blood chloride normal
Clinical narrative: This is a 91-year-old female who presented to emergency room with complaints of weakness and fatigue.  She was admitted on 514 and discharged on 517 and got down had a UTI and dehydration and confusion.  She had a painful rash on her chest she has multiple sclerosis and is bedbound and has multiple bedsores and was followed by wound care.  Her white blood cell count was elevated at 12.8 CT chest abdomen and pelvis was done which showed bilateral lower lung atelectasis and small left-sided pleural effusion and COVID test was negative urinalysis was negative sed rate was high  She was on antibiotic for 10 days and ran out and has had diarrhea for 3 days.  Ever since she fell a couple months ago she has not been able to transfer to a chair and has been completely bedridden.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatinine normal, Blood glucose normal, Blood magnesium, Blood potassium normal, Blood sodium normal
Clinical narrative: This is a 91-year-old female who presented to emergency room with complaints of weakness and fatigue.  She was admitted on 514 and discharged on 517 and got down had a UTI and dehydration and confusion.  She had a painful rash on her chest she has multiple sclerosis and is bedbound and has multiple bedsores and was followed by wound care.  Her white blood cell count was elevated at 12.8 CT chest abdomen and pelvis was done which showed bilateral lower lung atelectasis and small left-sided pleural effusion and COVID test was negative urinalysis was negative sed rate was high  She was on antibiotic for 10 days and ran out and has had diarrhea for 3 days.  Ever since she fell a couple months ago she has not been able to transfer to a chair and has been completely bedridden.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Blood urea normal, Candida test negative, Carbon dioxide decreased, Computerised tomogram abdomen, Computerised tomogram thorax abnormal
Clinical narrative: This is a 91-year-old female who presented to emergency room with complaints of weakness and fatigue.  She was admitted on 514 and discharged on 517 and got down had a UTI and dehydration and confusion.  She had a painful rash on her chest she has multiple sclerosis and is bedbound and has multiple bedsores and was followed by wound care.  Her white blood cell count was elevated at 12.8 CT chest abdomen and pelvis was done which showed bilateral lower lung atelectasis and small left-sided pleural effusion and COVID test was negative urinalysis was negative sed rate was high  She was on antibiotic for 10 days and ran out and has had diarrhea for 3 days.  Ever since she fell a couple months ago she has not been able to transfer to a chair and has been completely bedridden.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Creatinine renal clearance decreased, Cryptococcus test, Decubitus ulcer, Dehydration
Clinical narrative: This is a 91-year-old female who presented to emergency room with complaints of weakness and fatigue.  She was admitted on 514 and discharged on 517 and got down had a UTI and dehydration and confusion.  She had a painful rash on her chest she has multiple sclerosis and is bedbound and has multiple bedsores and was followed by wound care.  Her white blood cell count was elevated at 12.8 CT chest abdomen and pelvis was done which showed bilateral lower lung atelectasis and small left-sided pleural effusion and COVID test was negative urinalysis was negative sed rate was high  She was on antibiotic for 10 days and ran out and has had diarrhea for 3 days.  Ever since she fell a couple months ago she has not been able to transfer to a chair and has been completely bedridden.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Enterococcus test, Eosinophil count normal, Eosinophil percentage, Escherichia test negative
Clinical narrative: This is a 91-year-old female who presented to emergency room with complaints of weakness and fatigue.  She was admitted on 514 and discharged on 517 and got down had a UTI and dehydration and confusion.  She had a painful rash on her chest she has multiple sclerosis and is bedbound and has multiple bedsores and was followed by wound care.  Her white blood cell count was elevated at 12.8 CT chest abdomen and pelvis was done which showed bilateral lower lung atelectasis and small left-sided pleural effusion and COVID test was negative urinalysis was negative sed rate was high  She was on antibiotic for 10 days and ran out and has had diarrhea for 3 days.  Ever since she fell a couple months ago she has not been able to transfer to a chair and has been completely bedridden.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Fatigue, Gene mutation identification test positive, Glomerular filtration rate normal, Haematocrit decreased
Clinical narrative: This is a 91-year-old female who presented to emergency room with complaints of weakness and fatigue.  She was admitted on 514 and discharged on 517 and got down had a UTI and dehydration and confusion.  She had a painful rash on her chest she has multiple sclerosis and is bedbound and has multiple bedsores and was followed by wound care.  Her white blood cell count was elevated at 12.8 CT chest abdomen and pelvis was done which showed bilateral lower lung atelectasis and small left-sided pleural effusion and COVID test was negative urinalysis was negative sed rate was high  She was on antibiotic for 10 days and ran out and has had diarrhea for 3 days.  Ever since she fell a couple months ago she has not been able to transfer to a chair and has been completely bedridden.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Haemophilus test, Klebsiella test, Listeria test, Lymphocyte count
Clinical narrative: This is a 91-year-old female who presented to emergency room with complaints of weakness and fatigue.  She was admitted on 514 and discharged on 517 and got down had a UTI and dehydration and confusion.  She had a painful rash on her chest she has multiple sclerosis and is bedbound and has multiple bedsores and was followed by wound care.  Her white blood cell count was elevated at 12.8 CT chest abdomen and pelvis was done which showed bilateral lower lung atelectasis and small left-sided pleural effusion and COVID test was negative urinalysis was negative sed rate was high  She was on antibiotic for 10 days and ran out and has had diarrhea for 3 days.  Ever since she fell a couple months ago she has not been able to transfer to a chair and has been completely bedridden.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphocyte percentage decreased, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume increased, Mean platelet volume normal
Clinical narrative: This is a 91-year-old female who presented to emergency room with complaints of weakness and fatigue.  She was admitted on 514 and discharged on 517 and got down had a UTI and dehydration and confusion.  She had a painful rash on her chest she has multiple sclerosis and is bedbound and has multiple bedsores and was followed by wound care.  Her white blood cell count was elevated at 12.8 CT chest abdomen and pelvis was done which showed bilateral lower lung atelectasis and small left-sided pleural effusion and COVID test was negative urinalysis was negative sed rate was high  She was on antibiotic for 10 days and ran out and has had diarrhea for 3 days.  Ever since she fell a couple months ago she has not been able to transfer to a chair and has been completely bedridden.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Monocyte count increased, Monocyte percentage, Multiple sclerosis, Neisseria test negative
Clinical narrative: This is a 91-year-old female who presented to emergency room with complaints of weakness and fatigue.  She was admitted on 514 and discharged on 517 and got down had a UTI and dehydration and confusion.  She had a painful rash on her chest she has multiple sclerosis and is bedbound and has multiple bedsores and was followed by wound care.  Her white blood cell count was elevated at 12.8 CT chest abdomen and pelvis was done which showed bilateral lower lung atelectasis and small left-sided pleural effusion and COVID test was negative urinalysis was negative sed rate was high  She was on antibiotic for 10 days and ran out and has had diarrhea for 3 days.  Ever since she fell a couple months ago she has not been able to transfer to a chair and has been completely bedridden.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Neutrophil count increased, Neutrophil percentage increased, Pathology test, Platelet count normal, Pleural effusion
Clinical narrative: This is a 91-year-old female who presented to emergency room with complaints of weakness and fatigue.  She was admitted on 514 and discharged on 517 and got down had a UTI and dehydration and confusion.  She had a painful rash on her chest she has multiple sclerosis and is bedbound and has multiple bedsores and was followed by wound care.  Her white blood cell count was elevated at 12.8 CT chest abdomen and pelvis was done which showed bilateral lower lung atelectasis and small left-sided pleural effusion and COVID test was negative urinalysis was negative sed rate was high  She was on antibiotic for 10 days and ran out and has had diarrhea for 3 days.  Ever since she fell a couple months ago she has not been able to transfer to a chair and has been completely bedridden.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Protein total decreased, Pseudomonas test, Rash, Red blood cell count decreased, Red blood cell sedimentation rate increased
Clinical narrative: This is a 91-year-old female who presented to emergency room with complaints of weakness and fatigue.  She was admitted on 514 and discharged on 517 and got down had a UTI and dehydration and confusion.  She had a painful rash on her chest she has multiple sclerosis and is bedbound and has multiple bedsores and was followed by wound care.  Her white blood cell count was elevated at 12.8 CT chest abdomen and pelvis was done which showed bilateral lower lung atelectasis and small left-sided pleural effusion and COVID test was negative urinalysis was negative sed rate was high  She was on antibiotic for 10 days and ran out and has had diarrhea for 3 days.  Ever since she fell a couple months ago she has not been able to transfer to a chair and has been completely bedridden.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Red cell distribution width increased, SARS-CoV-2 test negative, Salmonella test negative, Staphylococcus test negative, Staphylococcus test positive
Clinical narrative: This is a 91-year-old female who presented to emergency room with complaints of weakness and fatigue.  She was admitted on 514 and discharged on 517 and got down had a UTI and dehydration and confusion.  She had a painful rash on her chest she has multiple sclerosis and is bedbound and has multiple bedsores and was followed by wound care.  Her white blood cell count was elevated at 12.8 CT chest abdomen and pelvis was done which showed bilateral lower lung atelectasis and small left-sided pleural effusion and COVID test was negative urinalysis was negative sed rate was high  She was on antibiotic for 10 days and ran out and has had diarrhea for 3 days.  Ever since she fell a couple months ago she has not been able to transfer to a chair and has been completely bedridden.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection, Urine analysis normal, White blood cell count increased, Wound treatment
Clinical narrative: This is a 91-year-old female who presented to emergency room with complaints of weakness and fatigue.  She was admitted on 514 and discharged on 517 and got down had a UTI and dehydration and confusion.  She had a painful rash on her chest she has multiple sclerosis and is bedbound and has multiple bedsores and was followed by wound care.  Her white blood cell count was elevated at 12.8 CT chest abdomen and pelvis was done which showed bilateral lower lung atelectasis and small left-sided pleural effusion and COVID test was negative urinalysis was negative sed rate was high  She was on antibiotic for 10 days and ran out and has had diarrhea for 3 days.  Ever since she fell a couple months ago she has not been able to transfer to a chair and has been completely bedridden.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time shortened, Alanine aminotransferase normal, Angiogram abnormal, Angiogram pulmonary normal, Anion gap
Clinical narrative: Patient is a 85-year-old male with a past medical history of rectal bleed/melena, rectal biopsy revealing malignant mass, macrocytic anemia, CAD, history of seizures, history of CVA who presented to Hospital on 5/17/2022 from nursing home with complaints of shortness of breath.  Reported fever of 101 Fahrenheit, on 2 L nasal cannula and no supplemental O2 at baseline.  Upper extremity edema bilaterally, lower extremity edema bilaterally.  No abdominal pain.  No reports of bloody stools.  No reports of nausea or vomiting.  Denies any tobacco use.  Denies any alcohol use.  Reports history of pacemaker.  Allergies and medications have been reviewed and reconciled.  Family history has been reviewed.   ER course: T-max 101.1.  Tachycardic up to 102.  Tachypneic up to 28.  Blood pressures are on the lower end of normal with most recent pressure of 108/62.  Labs significant for leukocytosis of 27,300.  Hemoglobin 8.5, repeat of 8.0.  D-dimer 963.  Potassium 3.3 and then 2.9, this has been replaced.  Creatinine 1.36 with GFR 47.  LFTs unremarkable.  Troponin 169 and subsequent level was 166.  Lactate 1.6 and then 1.4.  ABG unremarkable.  Urinalysis with some yeast, large leukocyte esterase, 51-100 WBCs, trace hemoglobin.  Blood type is O+ with indirect Coombs negative.  COVID antigen negative.  Chest x-ray with significant left pleural effusion and associated air opacities.  CTA chest negative for pulmonary embolism, bilateral pleural effusions, subcutaneous edema, 2.2 cm gallstone within the gallbladder but no evidence of acute cholecystitis, 2.1 cm right thyroid lobe dominant nodule.   Of note patient was recently admitted to hospital from 5/4/2022 until 5/9/2022.  At that time he was admitted for rectal bleeding with melena.  No family history of colorectal cancer was reported.  Biopsy of rectal mass revealed malignancy.  EGD on 5/5/2022 with flexible sigmoidoscopy revealed hiatal hernia, esophageal stricture, status post dilatation, duodenal diverticulum.  Gastroenterology at that time was recommending endoscopic ultrasound for staging as well as referral to colorectal surgery. Last set of labs on 5/7/2022 showed a hemoglobin of 7.5 with hematocrit of 23.7%.  White blood cell count of 12,000.  MCV of 101.2.  BMP with GFR in the mid 40s.  LFTs were unremarkable.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Aspartate aminotransferase normal, Bacterial test, Base excess decreased, Basophil count decreased, Basophil percentage
Clinical narrative: Patient is a 85-year-old male with a past medical history of rectal bleed/melena, rectal biopsy revealing malignant mass, macrocytic anemia, CAD, history of seizures, history of CVA who presented to Hospital on 5/17/2022 from nursing home with complaints of shortness of breath.  Reported fever of 101 Fahrenheit, on 2 L nasal cannula and no supplemental O2 at baseline.  Upper extremity edema bilaterally, lower extremity edema bilaterally.  No abdominal pain.  No reports of bloody stools.  No reports of nausea or vomiting.  Denies any tobacco use.  Denies any alcohol use.  Reports history of pacemaker.  Allergies and medications have been reviewed and reconciled.  Family history has been reviewed.   ER course: T-max 101.1.  Tachycardic up to 102.  Tachypneic up to 28.  Blood pressures are on the lower end of normal with most recent pressure of 108/62.  Labs significant for leukocytosis of 27,300.  Hemoglobin 8.5, repeat of 8.0.  D-dimer 963.  Potassium 3.3 and then 2.9, this has been replaced.  Creatinine 1.36 with GFR 47.  LFTs unremarkable.  Troponin 169 and subsequent level was 166.  Lactate 1.6 and then 1.4.  ABG unremarkable.  Urinalysis with some yeast, large leukocyte esterase, 51-100 WBCs, trace hemoglobin.  Blood type is O+ with indirect Coombs negative.  COVID antigen negative.  Chest x-ray with significant left pleural effusion and associated air opacities.  CTA chest negative for pulmonary embolism, bilateral pleural effusions, subcutaneous edema, 2.2 cm gallstone within the gallbladder but no evidence of acute cholecystitis, 2.1 cm right thyroid lobe dominant nodule.   Of note patient was recently admitted to hospital from 5/4/2022 until 5/9/2022.  At that time he was admitted for rectal bleeding with melena.  No family history of colorectal cancer was reported.  Biopsy of rectal mass revealed malignancy.  EGD on 5/5/2022 with flexible sigmoidoscopy revealed hiatal hernia, esophageal stricture, status post dilatation, duodenal diverticulum.  Gastroenterology at that time was recommending endoscopic ultrasound for staging as well as referral to colorectal surgery. Last set of labs on 5/7/2022 showed a hemoglobin of 7.5 with hematocrit of 23.7%.  White blood cell count of 12,000.  MCV of 101.2.  BMP with GFR in the mid 40s.  LFTs were unremarkable.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Bilirubin urine, Biopsy rectum abnormal, Blood albumin decreased, Blood alkaline phosphatase normal, Blood bicarbonate decreased
Clinical narrative: Patient is a 85-year-old male with a past medical history of rectal bleed/melena, rectal biopsy revealing malignant mass, macrocytic anemia, CAD, history of seizures, history of CVA who presented to Hospital on 5/17/2022 from nursing home with complaints of shortness of breath.  Reported fever of 101 Fahrenheit, on 2 L nasal cannula and no supplemental O2 at baseline.  Upper extremity edema bilaterally, lower extremity edema bilaterally.  No abdominal pain.  No reports of bloody stools.  No reports of nausea or vomiting.  Denies any tobacco use.  Denies any alcohol use.  Reports history of pacemaker.  Allergies and medications have been reviewed and reconciled.  Family history has been reviewed.   ER course: T-max 101.1.  Tachycardic up to 102.  Tachypneic up to 28.  Blood pressures are on the lower end of normal with most recent pressure of 108/62.  Labs significant for leukocytosis of 27,300.  Hemoglobin 8.5, repeat of 8.0.  D-dimer 963.  Potassium 3.3 and then 2.9, this has been replaced.  Creatinine 1.36 with GFR 47.  LFTs unremarkable.  Troponin 169 and subsequent level was 166.  Lactate 1.6 and then 1.4.  ABG unremarkable.  Urinalysis with some yeast, large leukocyte esterase, 51-100 WBCs, trace hemoglobin.  Blood type is O+ with indirect Coombs negative.  COVID antigen negative.  Chest x-ray with significant left pleural effusion and associated air opacities.  CTA chest negative for pulmonary embolism, bilateral pleural effusions, subcutaneous edema, 2.2 cm gallstone within the gallbladder but no evidence of acute cholecystitis, 2.1 cm right thyroid lobe dominant nodule.   Of note patient was recently admitted to hospital from 5/4/2022 until 5/9/2022.  At that time he was admitted for rectal bleeding with melena.  No family history of colorectal cancer was reported.  Biopsy of rectal mass revealed malignancy.  EGD on 5/5/2022 with flexible sigmoidoscopy revealed hiatal hernia, esophageal stricture, status post dilatation, duodenal diverticulum.  Gastroenterology at that time was recommending endoscopic ultrasound for staging as well as referral to colorectal surgery. Last set of labs on 5/7/2022 showed a hemoglobin of 7.5 with hematocrit of 23.7%.  White blood cell count of 12,000.  MCV of 101.2.  BMP with GFR in the mid 40s.  LFTs were unremarkable.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Blood bilirubin normal, Blood calcium decreased, Blood chloride increased, Blood creatinine increased, Blood gases normal
Clinical narrative: Patient is a 85-year-old male with a past medical history of rectal bleed/melena, rectal biopsy revealing malignant mass, macrocytic anemia, CAD, history of seizures, history of CVA who presented to Hospital on 5/17/2022 from nursing home with complaints of shortness of breath.  Reported fever of 101 Fahrenheit, on 2 L nasal cannula and no supplemental O2 at baseline.  Upper extremity edema bilaterally, lower extremity edema bilaterally.  No abdominal pain.  No reports of bloody stools.  No reports of nausea or vomiting.  Denies any tobacco use.  Denies any alcohol use.  Reports history of pacemaker.  Allergies and medications have been reviewed and reconciled.  Family history has been reviewed.   ER course: T-max 101.1.  Tachycardic up to 102.  Tachypneic up to 28.  Blood pressures are on the lower end of normal with most recent pressure of 108/62.  Labs significant for leukocytosis of 27,300.  Hemoglobin 8.5, repeat of 8.0.  D-dimer 963.  Potassium 3.3 and then 2.9, this has been replaced.  Creatinine 1.36 with GFR 47.  LFTs unremarkable.  Troponin 169 and subsequent level was 166.  Lactate 1.6 and then 1.4.  ABG unremarkable.  Urinalysis with some yeast, large leukocyte esterase, 51-100 WBCs, trace hemoglobin.  Blood type is O+ with indirect Coombs negative.  COVID antigen negative.  Chest x-ray with significant left pleural effusion and associated air opacities.  CTA chest negative for pulmonary embolism, bilateral pleural effusions, subcutaneous edema, 2.2 cm gallstone within the gallbladder but no evidence of acute cholecystitis, 2.1 cm right thyroid lobe dominant nodule.   Of note patient was recently admitted to hospital from 5/4/2022 until 5/9/2022.  At that time he was admitted for rectal bleeding with melena.  No family history of colorectal cancer was reported.  Biopsy of rectal mass revealed malignancy.  EGD on 5/5/2022 with flexible sigmoidoscopy revealed hiatal hernia, esophageal stricture, status post dilatation, duodenal diverticulum.  Gastroenterology at that time was recommending endoscopic ultrasound for staging as well as referral to colorectal surgery. Last set of labs on 5/7/2022 showed a hemoglobin of 7.5 with hematocrit of 23.7%.  White blood cell count of 12,000.  MCV of 101.2.  BMP with GFR in the mid 40s.  LFTs were unremarkable.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Blood lactic acid, Blood magnesium normal, Blood pH normal, Blood potassium decreased
Clinical narrative: Patient is a 85-year-old male with a past medical history of rectal bleed/melena, rectal biopsy revealing malignant mass, macrocytic anemia, CAD, history of seizures, history of CVA who presented to Hospital on 5/17/2022 from nursing home with complaints of shortness of breath.  Reported fever of 101 Fahrenheit, on 2 L nasal cannula and no supplemental O2 at baseline.  Upper extremity edema bilaterally, lower extremity edema bilaterally.  No abdominal pain.  No reports of bloody stools.  No reports of nausea or vomiting.  Denies any tobacco use.  Denies any alcohol use.  Reports history of pacemaker.  Allergies and medications have been reviewed and reconciled.  Family history has been reviewed.   ER course: T-max 101.1.  Tachycardic up to 102.  Tachypneic up to 28.  Blood pressures are on the lower end of normal with most recent pressure of 108/62.  Labs significant for leukocytosis of 27,300.  Hemoglobin 8.5, repeat of 8.0.  D-dimer 963.  Potassium 3.3 and then 2.9, this has been replaced.  Creatinine 1.36 with GFR 47.  LFTs unremarkable.  Troponin 169 and subsequent level was 166.  Lactate 1.6 and then 1.4.  ABG unremarkable.  Urinalysis with some yeast, large leukocyte esterase, 51-100 WBCs, trace hemoglobin.  Blood type is O+ with indirect Coombs negative.  COVID antigen negative.  Chest x-ray with significant left pleural effusion and associated air opacities.  CTA chest negative for pulmonary embolism, bilateral pleural effusions, subcutaneous edema, 2.2 cm gallstone within the gallbladder but no evidence of acute cholecystitis, 2.1 cm right thyroid lobe dominant nodule.   Of note patient was recently admitted to hospital from 5/4/2022 until 5/9/2022.  At that time he was admitted for rectal bleeding with melena.  No family history of colorectal cancer was reported.  Biopsy of rectal mass revealed malignancy.  EGD on 5/5/2022 with flexible sigmoidoscopy revealed hiatal hernia, esophageal stricture, status post dilatation, duodenal diverticulum.  Gastroenterology at that time was recommending endoscopic ultrasound for staging as well as referral to colorectal surgery. Last set of labs on 5/7/2022 showed a hemoglobin of 7.5 with hematocrit of 23.7%.  White blood cell count of 12,000.  MCV of 101.2.  BMP with GFR in the mid 40s.  LFTs were unremarkable.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Blood sodium normal, Blood thyroid stimulating hormone normal, Blood urea normal, Brain natriuretic peptide increased, COVID-19
Clinical narrative: Patient is a 85-year-old male with a past medical history of rectal bleed/melena, rectal biopsy revealing malignant mass, macrocytic anemia, CAD, history of seizures, history of CVA who presented to Hospital on 5/17/2022 from nursing home with complaints of shortness of breath.  Reported fever of 101 Fahrenheit, on 2 L nasal cannula and no supplemental O2 at baseline.  Upper extremity edema bilaterally, lower extremity edema bilaterally.  No abdominal pain.  No reports of bloody stools.  No reports of nausea or vomiting.  Denies any tobacco use.  Denies any alcohol use.  Reports history of pacemaker.  Allergies and medications have been reviewed and reconciled.  Family history has been reviewed.   ER course: T-max 101.1.  Tachycardic up to 102.  Tachypneic up to 28.  Blood pressures are on the lower end of normal with most recent pressure of 108/62.  Labs significant for leukocytosis of 27,300.  Hemoglobin 8.5, repeat of 8.0.  D-dimer 963.  Potassium 3.3 and then 2.9, this has been replaced.  Creatinine 1.36 with GFR 47.  LFTs unremarkable.  Troponin 169 and subsequent level was 166.  Lactate 1.6 and then 1.4.  ABG unremarkable.  Urinalysis with some yeast, large leukocyte esterase, 51-100 WBCs, trace hemoglobin.  Blood type is O+ with indirect Coombs negative.  COVID antigen negative.  Chest x-ray with significant left pleural effusion and associated air opacities.  CTA chest negative for pulmonary embolism, bilateral pleural effusions, subcutaneous edema, 2.2 cm gallstone within the gallbladder but no evidence of acute cholecystitis, 2.1 cm right thyroid lobe dominant nodule.   Of note patient was recently admitted to hospital from 5/4/2022 until 5/9/2022.  At that time he was admitted for rectal bleeding with melena.  No family history of colorectal cancer was reported.  Biopsy of rectal mass revealed malignancy.  EGD on 5/5/2022 with flexible sigmoidoscopy revealed hiatal hernia, esophageal stricture, status post dilatation, duodenal diverticulum.  Gastroenterology at that time was recommending endoscopic ultrasound for staging as well as referral to colorectal surgery. Last set of labs on 5/7/2022 showed a hemoglobin of 7.5 with hematocrit of 23.7%.  White blood cell count of 12,000.  MCV of 101.2.  BMP with GFR in the mid 40s.  LFTs were unremarkable.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Carbon dioxide decreased, Chest X-ray abnormal, Cholelithiasis, Chromaturia, Coombs indirect test
Clinical narrative: Patient is a 85-year-old male with a past medical history of rectal bleed/melena, rectal biopsy revealing malignant mass, macrocytic anemia, CAD, history of seizures, history of CVA who presented to Hospital on 5/17/2022 from nursing home with complaints of shortness of breath.  Reported fever of 101 Fahrenheit, on 2 L nasal cannula and no supplemental O2 at baseline.  Upper extremity edema bilaterally, lower extremity edema bilaterally.  No abdominal pain.  No reports of bloody stools.  No reports of nausea or vomiting.  Denies any tobacco use.  Denies any alcohol use.  Reports history of pacemaker.  Allergies and medications have been reviewed and reconciled.  Family history has been reviewed.   ER course: T-max 101.1.  Tachycardic up to 102.  Tachypneic up to 28.  Blood pressures are on the lower end of normal with most recent pressure of 108/62.  Labs significant for leukocytosis of 27,300.  Hemoglobin 8.5, repeat of 8.0.  D-dimer 963.  Potassium 3.3 and then 2.9, this has been replaced.  Creatinine 1.36 with GFR 47.  LFTs unremarkable.  Troponin 169 and subsequent level was 166.  Lactate 1.6 and then 1.4.  ABG unremarkable.  Urinalysis with some yeast, large leukocyte esterase, 51-100 WBCs, trace hemoglobin.  Blood type is O+ with indirect Coombs negative.  COVID antigen negative.  Chest x-ray with significant left pleural effusion and associated air opacities.  CTA chest negative for pulmonary embolism, bilateral pleural effusions, subcutaneous edema, 2.2 cm gallstone within the gallbladder but no evidence of acute cholecystitis, 2.1 cm right thyroid lobe dominant nodule.   Of note patient was recently admitted to hospital from 5/4/2022 until 5/9/2022.  At that time he was admitted for rectal bleeding with melena.  No family history of colorectal cancer was reported.  Biopsy of rectal mass revealed malignancy.  EGD on 5/5/2022 with flexible sigmoidoscopy revealed hiatal hernia, esophageal stricture, status post dilatation, duodenal diverticulum.  Gastroenterology at that time was recommending endoscopic ultrasound for staging as well as referral to colorectal surgery. Last set of labs on 5/7/2022 showed a hemoglobin of 7.5 with hematocrit of 23.7%.  White blood cell count of 12,000.  MCV of 101.2.  BMP with GFR in the mid 40s.  LFTs were unremarkable.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Coombs indirect test negative, Creatinine renal clearance decreased, Diverticulum intestinal, Dyspnoea, Eosinophil count decreased
Clinical narrative: Patient is a 85-year-old male with a past medical history of rectal bleed/melena, rectal biopsy revealing malignant mass, macrocytic anemia, CAD, history of seizures, history of CVA who presented to Hospital on 5/17/2022 from nursing home with complaints of shortness of breath.  Reported fever of 101 Fahrenheit, on 2 L nasal cannula and no supplemental O2 at baseline.  Upper extremity edema bilaterally, lower extremity edema bilaterally.  No abdominal pain.  No reports of bloody stools.  No reports of nausea or vomiting.  Denies any tobacco use.  Denies any alcohol use.  Reports history of pacemaker.  Allergies and medications have been reviewed and reconciled.  Family history has been reviewed.   ER course: T-max 101.1.  Tachycardic up to 102.  Tachypneic up to 28.  Blood pressures are on the lower end of normal with most recent pressure of 108/62.  Labs significant for leukocytosis of 27,300.  Hemoglobin 8.5, repeat of 8.0.  D-dimer 963.  Potassium 3.3 and then 2.9, this has been replaced.  Creatinine 1.36 with GFR 47.  LFTs unremarkable.  Troponin 169 and subsequent level was 166.  Lactate 1.6 and then 1.4.  ABG unremarkable.  Urinalysis with some yeast, large leukocyte esterase, 51-100 WBCs, trace hemoglobin.  Blood type is O+ with indirect Coombs negative.  COVID antigen negative.  Chest x-ray with significant left pleural effusion and associated air opacities.  CTA chest negative for pulmonary embolism, bilateral pleural effusions, subcutaneous edema, 2.2 cm gallstone within the gallbladder but no evidence of acute cholecystitis, 2.1 cm right thyroid lobe dominant nodule.   Of note patient was recently admitted to hospital from 5/4/2022 until 5/9/2022.  At that time he was admitted for rectal bleeding with melena.  No family history of colorectal cancer was reported.  Biopsy of rectal mass revealed malignancy.  EGD on 5/5/2022 with flexible sigmoidoscopy revealed hiatal hernia, esophageal stricture, status post dilatation, duodenal diverticulum.  Gastroenterology at that time was recommending endoscopic ultrasound for staging as well as referral to colorectal surgery. Last set of labs on 5/7/2022 showed a hemoglobin of 7.5 with hematocrit of 23.7%.  White blood cell count of 12,000.  MCV of 101.2.  BMP with GFR in the mid 40s.  LFTs were unremarkable.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Eosinophil percentage decreased, Fibrin D dimer, Fibrin D dimer increased, Glomerular filtration rate decreased, Glucose urine absent
Clinical narrative: Patient is a 85-year-old male with a past medical history of rectal bleed/melena, rectal biopsy revealing malignant mass, macrocytic anemia, CAD, history of seizures, history of CVA who presented to Hospital on 5/17/2022 from nursing home with complaints of shortness of breath.  Reported fever of 101 Fahrenheit, on 2 L nasal cannula and no supplemental O2 at baseline.  Upper extremity edema bilaterally, lower extremity edema bilaterally.  No abdominal pain.  No reports of bloody stools.  No reports of nausea or vomiting.  Denies any tobacco use.  Denies any alcohol use.  Reports history of pacemaker.  Allergies and medications have been reviewed and reconciled.  Family history has been reviewed.   ER course: T-max 101.1.  Tachycardic up to 102.  Tachypneic up to 28.  Blood pressures are on the lower end of normal with most recent pressure of 108/62.  Labs significant for leukocytosis of 27,300.  Hemoglobin 8.5, repeat of 8.0.  D-dimer 963.  Potassium 3.3 and then 2.9, this has been replaced.  Creatinine 1.36 with GFR 47.  LFTs unremarkable.  Troponin 169 and subsequent level was 166.  Lactate 1.6 and then 1.4.  ABG unremarkable.  Urinalysis with some yeast, large leukocyte esterase, 51-100 WBCs, trace hemoglobin.  Blood type is O+ with indirect Coombs negative.  COVID antigen negative.  Chest x-ray with significant left pleural effusion and associated air opacities.  CTA chest negative for pulmonary embolism, bilateral pleural effusions, subcutaneous edema, 2.2 cm gallstone within the gallbladder but no evidence of acute cholecystitis, 2.1 cm right thyroid lobe dominant nodule.   Of note patient was recently admitted to hospital from 5/4/2022 until 5/9/2022.  At that time he was admitted for rectal bleeding with melena.  No family history of colorectal cancer was reported.  Biopsy of rectal mass revealed malignancy.  EGD on 5/5/2022 with flexible sigmoidoscopy revealed hiatal hernia, esophageal stricture, status post dilatation, duodenal diverticulum.  Gastroenterology at that time was recommending endoscopic ultrasound for staging as well as referral to colorectal surgery. Last set of labs on 5/7/2022 showed a hemoglobin of 7.5 with hematocrit of 23.7%.  White blood cell count of 12,000.  MCV of 101.2.  BMP with GFR in the mid 40s.  LFTs were unremarkable.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Haematocrit decreased, Haemoglobin decreased, Haemoglobin urine, Haemoglobin urine present, Hiatus hernia
Clinical narrative: Patient is a 85-year-old male with a past medical history of rectal bleed/melena, rectal biopsy revealing malignant mass, macrocytic anemia, CAD, history of seizures, history of CVA who presented to Hospital on 5/17/2022 from nursing home with complaints of shortness of breath.  Reported fever of 101 Fahrenheit, on 2 L nasal cannula and no supplemental O2 at baseline.  Upper extremity edema bilaterally, lower extremity edema bilaterally.  No abdominal pain.  No reports of bloody stools.  No reports of nausea or vomiting.  Denies any tobacco use.  Denies any alcohol use.  Reports history of pacemaker.  Allergies and medications have been reviewed and reconciled.  Family history has been reviewed.   ER course: T-max 101.1.  Tachycardic up to 102.  Tachypneic up to 28.  Blood pressures are on the lower end of normal with most recent pressure of 108/62.  Labs significant for leukocytosis of 27,300.  Hemoglobin 8.5, repeat of 8.0.  D-dimer 963.  Potassium 3.3 and then 2.9, this has been replaced.  Creatinine 1.36 with GFR 47.  LFTs unremarkable.  Troponin 169 and subsequent level was 166.  Lactate 1.6 and then 1.4.  ABG unremarkable.  Urinalysis with some yeast, large leukocyte esterase, 51-100 WBCs, trace hemoglobin.  Blood type is O+ with indirect Coombs negative.  COVID antigen negative.  Chest x-ray with significant left pleural effusion and associated air opacities.  CTA chest negative for pulmonary embolism, bilateral pleural effusions, subcutaneous edema, 2.2 cm gallstone within the gallbladder but no evidence of acute cholecystitis, 2.1 cm right thyroid lobe dominant nodule.   Of note patient was recently admitted to hospital from 5/4/2022 until 5/9/2022.  At that time he was admitted for rectal bleeding with melena.  No family history of colorectal cancer was reported.  Biopsy of rectal mass revealed malignancy.  EGD on 5/5/2022 with flexible sigmoidoscopy revealed hiatal hernia, esophageal stricture, status post dilatation, duodenal diverticulum.  Gastroenterology at that time was recommending endoscopic ultrasound for staging as well as referral to colorectal surgery. Last set of labs on 5/7/2022 showed a hemoglobin of 7.5 with hematocrit of 23.7%.  White blood cell count of 12,000.  MCV of 101.2.  BMP with GFR in the mid 40s.  LFTs were unremarkable.