chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 26.0
Sex: U
Vaccine: COVID19
Symptoms: Optic neuritis
Clinical narrative: To start I've got Multiple Sclerosis. Optic neuritis is a common event that can happen with this disease. However upon talking with with a new friend who works for the company, I was advised to report the event. I completed my first round on April 30, 2021 and my second round of Covid-19 vaccine on May 21, 2021. On July 6th I lost vision almost completely in my left eye. My neurologist deemed it to be optic neuritis and admitted me to the hospital for 5 days of IV 1g Solu Medrol each day. I did not begin to regain my vision until August 16. This event caused me to lose my full time employment as I was not able to complete my detailed work as a dental hygienist. I received my Booster on Dec 7, 2021 and have not tested positive to covid yet. Even though my live in husband currently is testing positive regardless of his 2 doses of Pfizer, his booster was scheduled. Is no rescheduled for a safe time.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: I was injected with a booster of the Pfizer COVID-19 vaccine on Friday 1/28/2022 at 4:00 CST. The next morning I felt soreness and tenderness in my lymph nodes in my left arm pit. Pain has been mild to moderate depending on the activity I engage it. Today 1/30/2022 the swelling seems greater and still sore and tender.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Blood pressure increased, Chest pain, Condition aggravated, Dyspnoea
Clinical narrative: Within days of receiving Pfizer COVID-19 booster on December 20, 2021 m, my blood pressure - which had been previously high to hypertensive stage 1, increased rapidly resulting in arm radiating pain and pain in back of neck, upper back and chest, breathlessness, and extreme fatigue even after initial booster symptoms abated. Purchased upper arm cuff blood pressure device on 12/31 and BP was 194/110 BPM 69; was treated at ER and placed on low dose medication- 5 mg amlodipine but was not controlled - clinicians throughout weekend via telemedicine increased to 10 mg amlodipine, added losartan and increased eventually up to 100 mg losartan; nonetheless had to return to ER Monday because 5 am reading 191/104 BPM 64. After seeing cardiologist also prescribed Hydrochlorothiazide 12.5 mg. Significant diet changes made (less than 2000 mg sodium, no caffeine, dash diet) and BP (particularly diastolic) continues to read at least once a day stage 1 and stage 2 hypertensive even after nearly month on three new medications
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hypertension, Neck pain, Pain, Pain in extremity
Clinical narrative: Within days of receiving Pfizer COVID-19 booster on December 20, 2021 m, my blood pressure - which had been previously high to hypertensive stage 1, increased rapidly resulting in arm radiating pain and pain in back of neck, upper back and chest, breathlessness, and extreme fatigue even after initial booster symptoms abated. Purchased upper arm cuff blood pressure device on 12/31 and BP was 194/110 BPM 69; was treated at ER and placed on low dose medication- 5 mg amlodipine but was not controlled - clinicians throughout weekend via telemedicine increased to 10 mg amlodipine, added losartan and increased eventually up to 100 mg losartan; nonetheless had to return to ER Monday because 5 am reading 191/104 BPM 64. After seeing cardiologist also prescribed Hydrochlorothiazide 12.5 mg. Significant diet changes made (less than 2000 mg sodium, no caffeine, dash diet) and BP (particularly diastolic) continues to read at least once a day stage 1 and stage 2 hypertensive even after nearly month on three new medications
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Ear discomfort, Pyrexia, Respiratory tract congestion, Tympanic membrane perforation
Clinical narrative: perforated eardrum. Rec'd Moderna booster on Dec 19, 2021. Developed fever and congestion by Dec 21. Congestion worsened and ear perforated on 12/23. Still having fullness in both ears after two courses of antibiotics and steroids. Currently using nasal spray and Sudafed decongestant.
Sex: F
Vaccine: COVID19
Symptoms: Pericarditis
Clinical narrative: Patient reports pericarditis after a third Pfizer COVID vaccine with ENBREL
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: I developed continuous tinnitus from the 3rd/booster dose of covid vaccine. I've had continuous tinnitus for over a month now. I've been covid free this entire pandemic. The Moderna lot was 067F21A and was administered on 12/08/2021.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Feeling abnormal, Interchange of vaccine products, Throat tightness
Clinical narrative: Tight throat/ abd pain 97.7 temp 3.5 hours later - 50mg benadryl given  felt worse pt went to UC elsewhere , gave 0.3 epi before leaving. AMA signed
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: L. arm erythema, warmth and firmness at site of injection - started immediately after vaccination. Advised watchful waiting - patient already on Prednisone and antihistamines - Keflex prescribed for worsening.
Age: 19.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood test, Chest X-ray, Electrocardiogram, Headache, Pyrexia
Clinical narrative: Headache , Fever 103 F , tachycardia
Age: 19.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Tachycardia
Clinical narrative: Headache , Fever 103 F , tachycardia
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Lethargy, Somnolence
Clinical narrative: 5 year old male with past medical with intermittent syncope (similar to today's event) presented for  second Pfizer vaccine. Evaluated two months ago in ED, discharged with recommendation to have patient evaluated by neurology. Evaluation has not taken place yet. Patient received initial vaccine on 1/10/22 without incident of note patient has not had similar episodes related to receiving vaccines.  Today, about 7:35pm received second vaccine In series. Initially child responded without incident Upon arriving for observation approximately one minute. No seizure activity noted. Patient easily aroused but groggy. NONE today. Previously had EKG performed in ER related to similar event.  Vital signs: BP=100/80, apical rate = 100, respiration easy, even, and unlabored, color rapidly return to normal. Patient remained lethargic for ten minutes. Slowly returned to normal upon standing and steady on feet. Color remained stable. Heart rate and respirations stable. After 15 minutes, child continued to be lethargic and fell  asleep. Parents reported 8-8:30pm is his bedtime. Discussed the lack of previous evaluation for similar events.  Discussed with the father via interpreter concerns for repeated syncopal episodes without being evaluated. Encouraged parents to have child transported to hospital for evaluation. Paramedics called. Arrived and evaluated patient. At 8:29pm, BP=116/93, HR=120, Blood glucose = 90. Dr notified. Discussed case and agrees with decision to have a child evaluated at the ER. Child became more responsive as parents tried to change his shirt but continued to be concerned regarding lack of previous evaluation of similar events. Patient left accompanied by mother and paramedics.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test, Cardiac monitoring, Chest X-ray, Chest discomfort
Clinical narrative: Left Chest pain/discomfort worse with activity Onset approximately 10:10 am 1/23/2021. This has continued. It became worse on Monday, 1/25/2012 which prompted a visit to local urgent care.Chest pain/discomfort has been coming and going. Irregular heartbeats have been occurring more frequently since 1/23/2021. Treatment has included rest, acupuncture, and self massage. The pain has not gotten as bad as it had on 1/25/2021 but does persist and is better with treatment.   Cervical Lymphadenopathy: Bouts of this have been occurring 2-4 times each day since the vaccination. It is less intense as time goes on.   Severe fatigue. Onset 1/23/2021. Worst on 1/25/21. It is preventing me from working and doing activities of daily living. Rest is the most effective treatment. Acupuncture helps also. It is slowly improving. On Monday 1/25/2021, it was at its worst. I could hardly walk fifty feet and had to do so very slowly. I could not pick up my handbag because I was so weak. I had to stop working. By Friday, 1/29/2021, I was able to walk a bit more easily. I was able to see 3 clients at work. I usually see 9. On Saturday, 1/30/2021, I was able to load and unload my dishwasher. I had not been able to do that since the vaccination. It took well over 4 weeks before I returned to full time work. The lymphadenopathy slowly resolved over 2-3 months. Heart palpitations and left chest discomfort continued with much less frequency and intensity until August 2021. In August 2021, there was an uptick in left chest pain. I was fully assessed and improved using conservative treatment for GERD. I elevated the head of my bed and stopped eating after 8pm. Over the course of 2 months the chest discomfort eased. In early February 2021, I had a urinary tract infection which responded to Nitrofurantoin in about 4 days. Another urinary tract infection occurred in July 2021 which also responded to Nitrofurantoin in about 4 days. Having a urinary tract infection is very unusual for me. Prior to these, my last urinary tract infection was over 10 years ago. I had crystals in my urine in March and April 2021. It was treated with diet and hydration. In June 2021, I had an episode of rectal bleeding that was self limitting. I had a colonoscopy in July 2021 to rule out pathology in the colon post the rectal bleeding. My colon was irritated by the procedure and produced excessive mucous for about 1 month. Treatment was dietary changes and use of Pro Butyrate. I responded well. I had no problems with the first colonoscopy that I had about 4 years prior. In November 2021, I had onset of tingling in right foot, right leg, right labia and around my anus. I had some physical therapy, acupuncture and chiropractic care. All are helpful. The chiropractic is having the most positive benefit. The tingling is slowly improving and I am still being treated for it.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Colonoscopy, Computerised tomogram abdomen, Computerised tomogram pelvis, Culture
Clinical narrative: Left Chest pain/discomfort worse with activity Onset approximately 10:10 am 1/23/2021. This has continued. It became worse on Monday, 1/25/2012 which prompted a visit to local urgent care.Chest pain/discomfort has been coming and going. Irregular heartbeats have been occurring more frequently since 1/23/2021. Treatment has included rest, acupuncture, and self massage. The pain has not gotten as bad as it had on 1/25/2021 but does persist and is better with treatment.   Cervical Lymphadenopathy: Bouts of this have been occurring 2-4 times each day since the vaccination. It is less intense as time goes on.   Severe fatigue. Onset 1/23/2021. Worst on 1/25/21. It is preventing me from working and doing activities of daily living. Rest is the most effective treatment. Acupuncture helps also. It is slowly improving. On Monday 1/25/2021, it was at its worst. I could hardly walk fifty feet and had to do so very slowly. I could not pick up my handbag because I was so weak. I had to stop working. By Friday, 1/29/2021, I was able to walk a bit more easily. I was able to see 3 clients at work. I usually see 9. On Saturday, 1/30/2021, I was able to load and unload my dishwasher. I had not been able to do that since the vaccination. It took well over 4 weeks before I returned to full time work. The lymphadenopathy slowly resolved over 2-3 months. Heart palpitations and left chest discomfort continued with much less frequency and intensity until August 2021. In August 2021, there was an uptick in left chest pain. I was fully assessed and improved using conservative treatment for GERD. I elevated the head of my bed and stopped eating after 8pm. Over the course of 2 months the chest discomfort eased. In early February 2021, I had a urinary tract infection which responded to Nitrofurantoin in about 4 days. Another urinary tract infection occurred in July 2021 which also responded to Nitrofurantoin in about 4 days. Having a urinary tract infection is very unusual for me. Prior to these, my last urinary tract infection was over 10 years ago. I had crystals in my urine in March and April 2021. It was treated with diet and hydration. In June 2021, I had an episode of rectal bleeding that was self limitting. I had a colonoscopy in July 2021 to rule out pathology in the colon post the rectal bleeding. My colon was irritated by the procedure and produced excessive mucous for about 1 month. Treatment was dietary changes and use of Pro Butyrate. I responded well. I had no problems with the first colonoscopy that I had about 4 years prior. In November 2021, I had onset of tingling in right foot, right leg, right labia and around my anus. I had some physical therapy, acupuncture and chiropractic care. All are helpful. The chiropractic is having the most positive benefit. The tingling is slowly improving and I am still being treated for it.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram, Electrocardiogram, Exercise electrocardiogram, Fatigue, Gait disturbance
Clinical narrative: Left Chest pain/discomfort worse with activity Onset approximately 10:10 am 1/23/2021. This has continued. It became worse on Monday, 1/25/2012 which prompted a visit to local urgent care.Chest pain/discomfort has been coming and going. Irregular heartbeats have been occurring more frequently since 1/23/2021. Treatment has included rest, acupuncture, and self massage. The pain has not gotten as bad as it had on 1/25/2021 but does persist and is better with treatment.   Cervical Lymphadenopathy: Bouts of this have been occurring 2-4 times each day since the vaccination. It is less intense as time goes on.   Severe fatigue. Onset 1/23/2021. Worst on 1/25/21. It is preventing me from working and doing activities of daily living. Rest is the most effective treatment. Acupuncture helps also. It is slowly improving. On Monday 1/25/2021, it was at its worst. I could hardly walk fifty feet and had to do so very slowly. I could not pick up my handbag because I was so weak. I had to stop working. By Friday, 1/29/2021, I was able to walk a bit more easily. I was able to see 3 clients at work. I usually see 9. On Saturday, 1/30/2021, I was able to load and unload my dishwasher. I had not been able to do that since the vaccination. It took well over 4 weeks before I returned to full time work. The lymphadenopathy slowly resolved over 2-3 months. Heart palpitations and left chest discomfort continued with much less frequency and intensity until August 2021. In August 2021, there was an uptick in left chest pain. I was fully assessed and improved using conservative treatment for GERD. I elevated the head of my bed and stopped eating after 8pm. Over the course of 2 months the chest discomfort eased. In early February 2021, I had a urinary tract infection which responded to Nitrofurantoin in about 4 days. Another urinary tract infection occurred in July 2021 which also responded to Nitrofurantoin in about 4 days. Having a urinary tract infection is very unusual for me. Prior to these, my last urinary tract infection was over 10 years ago. I had crystals in my urine in March and April 2021. It was treated with diet and hydration. In June 2021, I had an episode of rectal bleeding that was self limitting. I had a colonoscopy in July 2021 to rule out pathology in the colon post the rectal bleeding. My colon was irritated by the procedure and produced excessive mucous for about 1 month. Treatment was dietary changes and use of Pro Butyrate. I responded well. I had no problems with the first colonoscopy that I had about 4 years prior. In November 2021, I had onset of tingling in right foot, right leg, right labia and around my anus. I had some physical therapy, acupuncture and chiropractic care. All are helpful. The chiropractic is having the most positive benefit. The tingling is slowly improving and I am still being treated for it.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate irregular, Impaired work ability, Laboratory test, Loss of personal independence in daily activities, Lymphadenopathy
Clinical narrative: Left Chest pain/discomfort worse with activity Onset approximately 10:10 am 1/23/2021. This has continued. It became worse on Monday, 1/25/2012 which prompted a visit to local urgent care.Chest pain/discomfort has been coming and going. Irregular heartbeats have been occurring more frequently since 1/23/2021. Treatment has included rest, acupuncture, and self massage. The pain has not gotten as bad as it had on 1/25/2021 but does persist and is better with treatment.   Cervical Lymphadenopathy: Bouts of this have been occurring 2-4 times each day since the vaccination. It is less intense as time goes on.   Severe fatigue. Onset 1/23/2021. Worst on 1/25/21. It is preventing me from working and doing activities of daily living. Rest is the most effective treatment. Acupuncture helps also. It is slowly improving. On Monday 1/25/2021, it was at its worst. I could hardly walk fifty feet and had to do so very slowly. I could not pick up my handbag because I was so weak. I had to stop working. By Friday, 1/29/2021, I was able to walk a bit more easily. I was able to see 3 clients at work. I usually see 9. On Saturday, 1/30/2021, I was able to load and unload my dishwasher. I had not been able to do that since the vaccination. It took well over 4 weeks before I returned to full time work. The lymphadenopathy slowly resolved over 2-3 months. Heart palpitations and left chest discomfort continued with much less frequency and intensity until August 2021. In August 2021, there was an uptick in left chest pain. I was fully assessed and improved using conservative treatment for GERD. I elevated the head of my bed and stopped eating after 8pm. Over the course of 2 months the chest discomfort eased. In early February 2021, I had a urinary tract infection which responded to Nitrofurantoin in about 4 days. Another urinary tract infection occurred in July 2021 which also responded to Nitrofurantoin in about 4 days. Having a urinary tract infection is very unusual for me. Prior to these, my last urinary tract infection was over 10 years ago. I had crystals in my urine in March and April 2021. It was treated with diet and hydration. In June 2021, I had an episode of rectal bleeding that was self limitting. I had a colonoscopy in July 2021 to rule out pathology in the colon post the rectal bleeding. My colon was irritated by the procedure and produced excessive mucous for about 1 month. Treatment was dietary changes and use of Pro Butyrate. I responded well. I had no problems with the first colonoscopy that I had about 4 years prior. In November 2021, I had onset of tingling in right foot, right leg, right labia and around my anus. I had some physical therapy, acupuncture and chiropractic care. All are helpful. The chiropractic is having the most positive benefit. The tingling is slowly improving and I am still being treated for it.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Palpitations, Paraesthesia, Rectal haemorrhage, Troponin I
Clinical narrative: Left Chest pain/discomfort worse with activity Onset approximately 10:10 am 1/23/2021. This has continued. It became worse on Monday, 1/25/2012 which prompted a visit to local urgent care.Chest pain/discomfort has been coming and going. Irregular heartbeats have been occurring more frequently since 1/23/2021. Treatment has included rest, acupuncture, and self massage. The pain has not gotten as bad as it had on 1/25/2021 but does persist and is better with treatment.   Cervical Lymphadenopathy: Bouts of this have been occurring 2-4 times each day since the vaccination. It is less intense as time goes on.   Severe fatigue. Onset 1/23/2021. Worst on 1/25/21. It is preventing me from working and doing activities of daily living. Rest is the most effective treatment. Acupuncture helps also. It is slowly improving. On Monday 1/25/2021, it was at its worst. I could hardly walk fifty feet and had to do so very slowly. I could not pick up my handbag because I was so weak. I had to stop working. By Friday, 1/29/2021, I was able to walk a bit more easily. I was able to see 3 clients at work. I usually see 9. On Saturday, 1/30/2021, I was able to load and unload my dishwasher. I had not been able to do that since the vaccination. It took well over 4 weeks before I returned to full time work. The lymphadenopathy slowly resolved over 2-3 months. Heart palpitations and left chest discomfort continued with much less frequency and intensity until August 2021. In August 2021, there was an uptick in left chest pain. I was fully assessed and improved using conservative treatment for GERD. I elevated the head of my bed and stopped eating after 8pm. Over the course of 2 months the chest discomfort eased. In early February 2021, I had a urinary tract infection which responded to Nitrofurantoin in about 4 days. Another urinary tract infection occurred in July 2021 which also responded to Nitrofurantoin in about 4 days. Having a urinary tract infection is very unusual for me. Prior to these, my last urinary tract infection was over 10 years ago. I had crystals in my urine in March and April 2021. It was treated with diet and hydration. In June 2021, I had an episode of rectal bleeding that was self limitting. I had a colonoscopy in July 2021 to rule out pathology in the colon post the rectal bleeding. My colon was irritated by the procedure and produced excessive mucous for about 1 month. Treatment was dietary changes and use of Pro Butyrate. I responded well. I had no problems with the first colonoscopy that I had about 4 years prior. In November 2021, I had onset of tingling in right foot, right leg, right labia and around my anus. I had some physical therapy, acupuncture and chiropractic care. All are helpful. The chiropractic is having the most positive benefit. The tingling is slowly improving and I am still being treated for it.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan, Ultrasound scan vagina, Urinary tract infection, Urine analysis
Clinical narrative: Left Chest pain/discomfort worse with activity Onset approximately 10:10 am 1/23/2021. This has continued. It became worse on Monday, 1/25/2012 which prompted a visit to local urgent care.Chest pain/discomfort has been coming and going. Irregular heartbeats have been occurring more frequently since 1/23/2021. Treatment has included rest, acupuncture, and self massage. The pain has not gotten as bad as it had on 1/25/2021 but does persist and is better with treatment.   Cervical Lymphadenopathy: Bouts of this have been occurring 2-4 times each day since the vaccination. It is less intense as time goes on.   Severe fatigue. Onset 1/23/2021. Worst on 1/25/21. It is preventing me from working and doing activities of daily living. Rest is the most effective treatment. Acupuncture helps also. It is slowly improving. On Monday 1/25/2021, it was at its worst. I could hardly walk fifty feet and had to do so very slowly. I could not pick up my handbag because I was so weak. I had to stop working. By Friday, 1/29/2021, I was able to walk a bit more easily. I was able to see 3 clients at work. I usually see 9. On Saturday, 1/30/2021, I was able to load and unload my dishwasher. I had not been able to do that since the vaccination. It took well over 4 weeks before I returned to full time work. The lymphadenopathy slowly resolved over 2-3 months. Heart palpitations and left chest discomfort continued with much less frequency and intensity until August 2021. In August 2021, there was an uptick in left chest pain. I was fully assessed and improved using conservative treatment for GERD. I elevated the head of my bed and stopped eating after 8pm. Over the course of 2 months the chest discomfort eased. In early February 2021, I had a urinary tract infection which responded to Nitrofurantoin in about 4 days. Another urinary tract infection occurred in July 2021 which also responded to Nitrofurantoin in about 4 days. Having a urinary tract infection is very unusual for me. Prior to these, my last urinary tract infection was over 10 years ago. I had crystals in my urine in March and April 2021. It was treated with diet and hydration. In June 2021, I had an episode of rectal bleeding that was self limitting. I had a colonoscopy in July 2021 to rule out pathology in the colon post the rectal bleeding. My colon was irritated by the procedure and produced excessive mucous for about 1 month. Treatment was dietary changes and use of Pro Butyrate. I responded well. I had no problems with the first colonoscopy that I had about 4 years prior. In November 2021, I had onset of tingling in right foot, right leg, right labia and around my anus. I had some physical therapy, acupuncture and chiropractic care. All are helpful. The chiropractic is having the most positive benefit. The tingling is slowly improving and I am still being treated for it.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Seizure
Clinical narrative: Seizure/went unconscious
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Cardiac imaging procedure, Heart rate increased, Ventricular extrasystoles
Clinical narrative: I've been diagnose with Premature Ventricular Contraction and high heart rate.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Immune thrombocytopenia, Platelet count decreased, Thrombocytopenia
Clinical narrative: Severe thrombocytopenia consistent with immune thrombocytopenic purpura
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiovascular evaluation, Catheterisation cardiac, Chest discomfort, Electrocardiogram abnormal, Laboratory test
Clinical narrative: developed chest discomfort, tachycardia , tremors and muscle aches in the legs.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain in extremity, Tachycardia, Tremor
Clinical narrative: developed chest discomfort, tachycardia , tremors and muscle aches in the legs.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Blood electrolytes normal, COVID-19, Chest X-ray normal, Computerised tomogram head normal
Clinical narrative: Patient is a 73 years old male who came to ED after a fall and missed his scheduled dialysis today. He has history of ESRD on Monday, Wednesday, Friday, Crohn's disease, GERD, neuropathy, GERD, anxiety. According to patient he felt wobbly earlier today, landed on his left side and his head against the bed, unclear if he had lost consciousness or not. After he recovered himself, he came to ED because he had missed his scheduled dialysis. Patient complains of mild head injury on top of his head, abrasive injury on his left arm, reports mild aches and pains, denied any obvious headache or dizziness, nausea, vomiting, or visual disturbance. Patient reports he is able to perform ADLs independently, wishes to go home soon after his dialysis. He was tested positive incidentally for COVID, currently asymptomatic stable in room air without distress, checks x-ray unremarkable. Patient readmitted under observation for hemodialysis tomorrow, plan to discharge him afterwards. DISCHARGE: Patient is a 73 years old male who came to ED after a fall at missed his scheduled dialysis today. He has history of ESRD on Monday, Wednesday, Friday, Crohn's disease, GERD, neuropathy, GERD, anxiety. According to patient he felt wobbly earlier today, landed on his left side and his head against the bed, unclear if he had lost consciousness or not. After he recovered himself, he came to ED because he had missed his scheduled dialysis. Patient complains of mild head injury on top of his head, abrasive injury on his left arm, reports mild aches and pains, denied any obvious headache or dizziness, nausea, vomiting, or visual disturbances. In the ED patient's vital signs were stable, electrolytes were unremarkable, incidental COVID positive asymptomatic. A imaging study of his chest, left elbow, left shoulder, CT head, cervical spine, chest and abdomen were on remarkable for acute fracture or trauma, injuries. Nephrology has been consulted as patient has missed his scheduled hemodialysis due to fall at home. Patient's fall suspected due to his home medication use which he takes Norco 10 mg PRN, lorazepam 2 mg PRN, zolpidem at nighttime PRN. I have decreased Norco to 5 mg, stopped lorazepam and zolpidem and switched with melatonin and trazodone PRN. For his chronic diarrhea, I placed short course loperamide, phenylephrine, miconazole powder. Patient did not require any intervention for his dizziness and COVID as he has been stable in room air. Patient actually had COVID course in October 2021 in local Hospital. Next day on 01/29 patient received his hemodialysis in the morning, remains stable, and was discharged back home. Recommend to stop Zolpidem & use tramadol and/or melatonin (prescribed) for sleep - please discuss with PCP for resuming zolpidem. For his left rib pain I have provided lidocaine patch also sent to pharmacy for outpatient therapy. Prescribe short course of loperamide for his chronic diarrhea.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Dizziness, Fall, Gait disturbance, Haemodialysis
Clinical narrative: Patient is a 73 years old male who came to ED after a fall and missed his scheduled dialysis today. He has history of ESRD on Monday, Wednesday, Friday, Crohn's disease, GERD, neuropathy, GERD, anxiety. According to patient he felt wobbly earlier today, landed on his left side and his head against the bed, unclear if he had lost consciousness or not. After he recovered himself, he came to ED because he had missed his scheduled dialysis. Patient complains of mild head injury on top of his head, abrasive injury on his left arm, reports mild aches and pains, denied any obvious headache or dizziness, nausea, vomiting, or visual disturbance. Patient reports he is able to perform ADLs independently, wishes to go home soon after his dialysis. He was tested positive incidentally for COVID, currently asymptomatic stable in room air without distress, checks x-ray unremarkable. Patient readmitted under observation for hemodialysis tomorrow, plan to discharge him afterwards. DISCHARGE: Patient is a 73 years old male who came to ED after a fall at missed his scheduled dialysis today. He has history of ESRD on Monday, Wednesday, Friday, Crohn's disease, GERD, neuropathy, GERD, anxiety. According to patient he felt wobbly earlier today, landed on his left side and his head against the bed, unclear if he had lost consciousness or not. After he recovered himself, he came to ED because he had missed his scheduled dialysis. Patient complains of mild head injury on top of his head, abrasive injury on his left arm, reports mild aches and pains, denied any obvious headache or dizziness, nausea, vomiting, or visual disturbances. In the ED patient's vital signs were stable, electrolytes were unremarkable, incidental COVID positive asymptomatic. A imaging study of his chest, left elbow, left shoulder, CT head, cervical spine, chest and abdomen were on remarkable for acute fracture or trauma, injuries. Nephrology has been consulted as patient has missed his scheduled hemodialysis due to fall at home. Patient's fall suspected due to his home medication use which he takes Norco 10 mg PRN, lorazepam 2 mg PRN, zolpidem at nighttime PRN. I have decreased Norco to 5 mg, stopped lorazepam and zolpidem and switched with melatonin and trazodone PRN. For his chronic diarrhea, I placed short course loperamide, phenylephrine, miconazole powder. Patient did not require any intervention for his dizziness and COVID as he has been stable in room air. Patient actually had COVID course in October 2021 in local Hospital. Next day on 01/29 patient received his hemodialysis in the morning, remains stable, and was discharged back home. Recommend to stop Zolpidem & use tramadol and/or melatonin (prescribed) for sleep - please discuss with PCP for resuming zolpidem. For his left rib pain I have provided lidocaine patch also sent to pharmacy for outpatient therapy. Prescribe short course of loperamide for his chronic diarrhea.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Head injury, Imaging procedure, Injury, Musculoskeletal chest pain, Pain
Clinical narrative: Patient is a 73 years old male who came to ED after a fall and missed his scheduled dialysis today. He has history of ESRD on Monday, Wednesday, Friday, Crohn's disease, GERD, neuropathy, GERD, anxiety. According to patient he felt wobbly earlier today, landed on his left side and his head against the bed, unclear if he had lost consciousness or not. After he recovered himself, he came to ED because he had missed his scheduled dialysis. Patient complains of mild head injury on top of his head, abrasive injury on his left arm, reports mild aches and pains, denied any obvious headache or dizziness, nausea, vomiting, or visual disturbance. Patient reports he is able to perform ADLs independently, wishes to go home soon after his dialysis. He was tested positive incidentally for COVID, currently asymptomatic stable in room air without distress, checks x-ray unremarkable. Patient readmitted under observation for hemodialysis tomorrow, plan to discharge him afterwards. DISCHARGE: Patient is a 73 years old male who came to ED after a fall at missed his scheduled dialysis today. He has history of ESRD on Monday, Wednesday, Friday, Crohn's disease, GERD, neuropathy, GERD, anxiety. According to patient he felt wobbly earlier today, landed on his left side and his head against the bed, unclear if he had lost consciousness or not. After he recovered himself, he came to ED because he had missed his scheduled dialysis. Patient complains of mild head injury on top of his head, abrasive injury on his left arm, reports mild aches and pains, denied any obvious headache or dizziness, nausea, vomiting, or visual disturbances. In the ED patient's vital signs were stable, electrolytes were unremarkable, incidental COVID positive asymptomatic. A imaging study of his chest, left elbow, left shoulder, CT head, cervical spine, chest and abdomen were on remarkable for acute fracture or trauma, injuries. Nephrology has been consulted as patient has missed his scheduled hemodialysis due to fall at home. Patient's fall suspected due to his home medication use which he takes Norco 10 mg PRN, lorazepam 2 mg PRN, zolpidem at nighttime PRN. I have decreased Norco to 5 mg, stopped lorazepam and zolpidem and switched with melatonin and trazodone PRN. For his chronic diarrhea, I placed short course loperamide, phenylephrine, miconazole powder. Patient did not require any intervention for his dizziness and COVID as he has been stable in room air. Patient actually had COVID course in October 2021 in local Hospital. Next day on 01/29 patient received his hemodialysis in the morning, remains stable, and was discharged back home. Recommend to stop Zolpidem & use tramadol and/or melatonin (prescribed) for sleep - please discuss with PCP for resuming zolpidem. For his left rib pain I have provided lidocaine patch also sent to pharmacy for outpatient therapy. Prescribe short course of loperamide for his chronic diarrhea.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Skin abrasion
Clinical narrative: Patient is a 73 years old male who came to ED after a fall and missed his scheduled dialysis today. He has history of ESRD on Monday, Wednesday, Friday, Crohn's disease, GERD, neuropathy, GERD, anxiety. According to patient he felt wobbly earlier today, landed on his left side and his head against the bed, unclear if he had lost consciousness or not. After he recovered himself, he came to ED because he had missed his scheduled dialysis. Patient complains of mild head injury on top of his head, abrasive injury on his left arm, reports mild aches and pains, denied any obvious headache or dizziness, nausea, vomiting, or visual disturbance. Patient reports he is able to perform ADLs independently, wishes to go home soon after his dialysis. He was tested positive incidentally for COVID, currently asymptomatic stable in room air without distress, checks x-ray unremarkable. Patient readmitted under observation for hemodialysis tomorrow, plan to discharge him afterwards. DISCHARGE: Patient is a 73 years old male who came to ED after a fall at missed his scheduled dialysis today. He has history of ESRD on Monday, Wednesday, Friday, Crohn's disease, GERD, neuropathy, GERD, anxiety. According to patient he felt wobbly earlier today, landed on his left side and his head against the bed, unclear if he had lost consciousness or not. After he recovered himself, he came to ED because he had missed his scheduled dialysis. Patient complains of mild head injury on top of his head, abrasive injury on his left arm, reports mild aches and pains, denied any obvious headache or dizziness, nausea, vomiting, or visual disturbances. In the ED patient's vital signs were stable, electrolytes were unremarkable, incidental COVID positive asymptomatic. A imaging study of his chest, left elbow, left shoulder, CT head, cervical spine, chest and abdomen were on remarkable for acute fracture or trauma, injuries. Nephrology has been consulted as patient has missed his scheduled hemodialysis due to fall at home. Patient's fall suspected due to his home medication use which he takes Norco 10 mg PRN, lorazepam 2 mg PRN, zolpidem at nighttime PRN. I have decreased Norco to 5 mg, stopped lorazepam and zolpidem and switched with melatonin and trazodone PRN. For his chronic diarrhea, I placed short course loperamide, phenylephrine, miconazole powder. Patient did not require any intervention for his dizziness and COVID as he has been stable in room air. Patient actually had COVID course in October 2021 in local Hospital. Next day on 01/29 patient received his hemodialysis in the morning, remains stable, and was discharged back home. Recommend to stop Zolpidem & use tramadol and/or melatonin (prescribed) for sleep - please discuss with PCP for resuming zolpidem. For his left rib pain I have provided lidocaine patch also sent to pharmacy for outpatient therapy. Prescribe short course of loperamide for his chronic diarrhea.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, COVID-19, COVID-19 pneumonia, Coagulopathy
Clinical narrative: pt to hospital, positive for COVID, COVID pneumonia, AHRF; treated with "COVID bundle meds"; pt required intubation due to airway obstruction related to large volume posterior aspect epistaxis; pt had to have internal maxillary embolization; continued to bleed; suspected disorder of coagulation related to COVID pneumonia; pt was transfused; AKI occurred; coagulopathy continued to progress despite treatments; pt's condition worsened; transitioned to comfort care and passed away in the hosp
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Embolism arterial, Endotracheal intubation, Epistaxis, Haemorrhage
Clinical narrative: pt to hospital, positive for COVID, COVID pneumonia, AHRF; treated with "COVID bundle meds"; pt required intubation due to airway obstruction related to large volume posterior aspect epistaxis; pt had to have internal maxillary embolization; continued to bleed; suspected disorder of coagulation related to COVID pneumonia; pt was transfused; AKI occurred; coagulopathy continued to progress despite treatments; pt's condition worsened; transitioned to comfort care and passed away in the hosp
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Obstructive airways disorder, SARS-CoV-2 test positive, Transfusion
Clinical narrative: pt to hospital, positive for COVID, COVID pneumonia, AHRF; treated with "COVID bundle meds"; pt required intubation due to airway obstruction related to large volume posterior aspect epistaxis; pt had to have internal maxillary embolization; continued to bleed; suspected disorder of coagulation related to COVID pneumonia; pt was transfused; AKI occurred; coagulopathy continued to progress despite treatments; pt's condition worsened; transitioned to comfort care and passed away in the hosp
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Asthenia, COVID-19, Cardiac arrest, Death
Clinical narrative: pt to ED with c/o increasing weakness, SOB, productive cough, nausea, decrease in po intake over past 10 days when was diagnosed positive for COVID; wheezing; bronchodilators and steroids given; found to be hyponatremic; transferred to ICU; significant O2 desaturations on maximum Optiflow settings +15L NRB; treated with remdesivir, dexamethasone, baricitinib; hospitalization complicated by bilateral PEs requiring Lovenox; pt later required intubation with mechanical ventilation; experienced hypotensive episode and suffered PEA arrest; ROSC achieved with CPR; again experienced hypotension with cardiac arrest; unable to obtain ROSC and pt died in the hosp
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Endotracheal intubation, Hyponatraemia, Hypophagia, Hypotension
Clinical narrative: pt to ED with c/o increasing weakness, SOB, productive cough, nausea, decrease in po intake over past 10 days when was diagnosed positive for COVID; wheezing; bronchodilators and steroids given; found to be hyponatremic; transferred to ICU; significant O2 desaturations on maximum Optiflow settings +15L NRB; treated with remdesivir, dexamethasone, baricitinib; hospitalization complicated by bilateral PEs requiring Lovenox; pt later required intubation with mechanical ventilation; experienced hypotensive episode and suffered PEA arrest; ROSC achieved with CPR; again experienced hypotension with cardiac arrest; unable to obtain ROSC and pt died in the hosp
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, Mechanical ventilation, Nausea, Oxygen saturation decreased, Productive cough
Clinical narrative: pt to ED with c/o increasing weakness, SOB, productive cough, nausea, decrease in po intake over past 10 days when was diagnosed positive for COVID; wheezing; bronchodilators and steroids given; found to be hyponatremic; transferred to ICU; significant O2 desaturations on maximum Optiflow settings +15L NRB; treated with remdesivir, dexamethasone, baricitinib; hospitalization complicated by bilateral PEs requiring Lovenox; pt later required intubation with mechanical ventilation; experienced hypotensive episode and suffered PEA arrest; ROSC achieved with CPR; again experienced hypotension with cardiac arrest; unable to obtain ROSC and pt died in the hosp
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Pulseless electrical activity, Resuscitation, SARS-CoV-2 test positive, Wheezing
Clinical narrative: pt to ED with c/o increasing weakness, SOB, productive cough, nausea, decrease in po intake over past 10 days when was diagnosed positive for COVID; wheezing; bronchodilators and steroids given; found to be hyponatremic; transferred to ICU; significant O2 desaturations on maximum Optiflow settings +15L NRB; treated with remdesivir, dexamethasone, baricitinib; hospitalization complicated by bilateral PEs requiring Lovenox; pt later required intubation with mechanical ventilation; experienced hypotensive episode and suffered PEA arrest; ROSC achieved with CPR; again experienced hypotension with cardiac arrest; unable to obtain ROSC and pt died in the hosp
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient expired 1/31/2022.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Confusional state, Death, Dyspnoea
Clinical narrative: pt brought to ED from SNF after being diagnosed positive for COVID 4 days prior; c/o SOB and more confused than normal; has taken antibiotic and prednisone since COVID diagnosis; came to hospital with 3 L O2 via NC; DNR/DNI; found to have pulmonary edema and acute respiratory failure; treated with dexamethasone, redesivir, baricitinib; poor prognosis; maxed out on Vapotherm with O2 sats in the 80s%; transitioned to comfort care and died shortly afterwards in the hosp
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary oedema, SARS-CoV-2 test positive
Clinical narrative: pt brought to ED from SNF after being diagnosed positive for COVID 4 days prior; c/o SOB and more confused than normal; has taken antibiotic and prednisone since COVID diagnosis; came to hospital with 3 L O2 via NC; DNR/DNI; found to have pulmonary edema and acute respiratory failure; treated with dexamethasone, redesivir, baricitinib; poor prognosis; maxed out on Vapotherm with O2 sats in the 80s%; transitioned to comfort care and died shortly afterwards in the hosp
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cardiac imaging procedure abnormal, Cardiac stress test abnormal, Chest pain, Ejection fraction decreased, Electrocardiogram T wave inversion
Clinical narrative: Patient received moderna vaccines on 12/30/20, 1/26/21, and lastly the booster on 11/5/21. Patient presented to Hospital on 11/8/21 with chest pain 3 days after receiving the moderna booster. EKG had some T wave inversions, troponin was 400. Patient was found to have myopericarditis on cardiac MRI. Patient was appropriately treated with colchicine and ibuprofen with outpatient cardiology follow up.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Left ventricular dilatation, Left ventricular dysfunction, Magnetic resonance imaging heart, Myocardial oedema, Myocarditis
Clinical narrative: Patient received moderna vaccines on 12/30/20, 1/26/21, and lastly the booster on 11/5/21. Patient presented to Hospital on 11/8/21 with chest pain 3 days after receiving the moderna booster. EKG had some T wave inversions, troponin was 400. Patient was found to have myopericarditis on cardiac MRI. Patient was appropriately treated with colchicine and ibuprofen with outpatient cardiology follow up.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pericardial fibrosis, Right ventricular dysfunction, Right ventricular ejection fraction decreased, Troponin, Ventricular hypokinesia
Clinical narrative: Patient received moderna vaccines on 12/30/20, 1/26/21, and lastly the booster on 11/5/21. Patient presented to Hospital on 11/8/21 with chest pain 3 days after receiving the moderna booster. EKG had some T wave inversions, troponin was 400. Patient was found to have myopericarditis on cardiac MRI. Patient was appropriately treated with colchicine and ibuprofen with outpatient cardiology follow up.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Viral myocarditis
Clinical narrative: Patient received moderna vaccines on 12/30/20, 1/26/21, and lastly the booster on 11/5/21. Patient presented to Hospital on 11/8/21 with chest pain 3 days after receiving the moderna booster. EKG had some T wave inversions, troponin was 400. Patient was found to have myopericarditis on cardiac MRI. Patient was appropriately treated with colchicine and ibuprofen with outpatient cardiology follow up.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, General physical health deterioration, Hypoxia, Mental status changes
Clinical narrative: PMH:  heart failure, HTN, CKD, DM, CAD, chronic anemia; EMS brought pt to ED from SNF with hypoxia, altered mental status and fever; diagnosed earlier in week with COVID; O2 sats at 88% on RA; given O2, antibiotics, dexamethasone, baricitinib, and IV diuresis; O2 requirements increased; pt's condition deteriorated; family placed pt on comfort measures and he passed away in the hospital
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Polyuria, Pyrexia
Clinical narrative: PMH:  heart failure, HTN, CKD, DM, CAD, chronic anemia; EMS brought pt to ED from SNF with hypoxia, altered mental status and fever; diagnosed earlier in week with COVID; O2 sats at 88% on RA; given O2, antibiotics, dexamethasone, baricitinib, and IV diuresis; O2 requirements increased; pt's condition deteriorated; family placed pt on comfort measures and he passed away in the hospital