chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mitral valve incompetence, Pancytopenia, Physical deconditioning, Platelet transfusion, Pleural effusion
Clinical narrative: 7/20--currently admitted 84y.o. female with a PMH significant for atrial fibrillation, metastatic ovarian cancer on chemotherapy, pulmonary hypertension, HFpEF, who was recently hospitalized for COVID pneumonia 7/20, who presents with shortness of breath, weakness. During previous admission, patient was treated with loading dose of remdesivir, her oxygen saturations remained appropriate, and she was discharged. Patient's respiratory status began to deteriorate and she became progressively more weak with watery diarrhea and fever at home. Given her worsening respiratory status, her daughter-in-law and son felt as if they could no longer care for her appropriately, and brought her to the hospital to be evaluated. In the ED, lab work was notable for elevated troponin, elevated inflammatory markers, and pancytopenia. CXR was obtained. EKG with normal sinus rhythm with some ST-T wave depressions in leads II, III, to aVF. She was then admitted to the Medicine team for further evaluation and management of shortness of breath and weakness. Remdesivir and antibiotics 5 day courses were completed. CTA confirmed subsegmental pulmonary embolism in the right posterior lower lobe. Patient was transfused 1 unit of platelets followed by IV heparin initiation. 2D echo was notable for EF 40%, mild mitral and tricuspid regurgitation, multiple wall motion abnormalities, and left pleural effusion. Coreg 3.125 mg BID was started. Sotalol was switched to amiodarone given reduced EF. On 07/27, patient had new onset left sided abdominal pain with significant decrease in Hgb and BP secondary to retroperitoneal bleed confirmed by CTA.  IV heparin was immediately discontinued. 1 L bolus and 500 mL bolus were given as well as 2 units PRBCs. Interventional radiology embolized bilateral lumbar arteries. Hemoglobin stabilized around 7.5. Patient was initiated on Lovenox. Hematology is recommending that she be maintained on subcutaneous Lovenox 40 mg upon discharge for prophylaxis. Patient with persistent urinary retention while admitted and was thought to be associated with her mirabegron which was discontinued. She continued to have urinary retention and a foley was placed on 8/1 and urology was consulted for their recommendations. A bilateral lower extremity doppler was ordered to determine if patient needs an IVC filter. PT/OT recommend patient be discharged to SAR when medically stable. Patient has been non ambulatory while admitted secondary to deconditioning after being diagnosed with COVID.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pulmonary embolism, Pyrexia, Red blood cell transfusion, Respiratory disorder, Retroperitoneal haemorrhage
Clinical narrative: 7/20--currently admitted 84y.o. female with a PMH significant for atrial fibrillation, metastatic ovarian cancer on chemotherapy, pulmonary hypertension, HFpEF, who was recently hospitalized for COVID pneumonia 7/20, who presents with shortness of breath, weakness. During previous admission, patient was treated with loading dose of remdesivir, her oxygen saturations remained appropriate, and she was discharged. Patient's respiratory status began to deteriorate and she became progressively more weak with watery diarrhea and fever at home. Given her worsening respiratory status, her daughter-in-law and son felt as if they could no longer care for her appropriately, and brought her to the hospital to be evaluated. In the ED, lab work was notable for elevated troponin, elevated inflammatory markers, and pancytopenia. CXR was obtained. EKG with normal sinus rhythm with some ST-T wave depressions in leads II, III, to aVF. She was then admitted to the Medicine team for further evaluation and management of shortness of breath and weakness. Remdesivir and antibiotics 5 day courses were completed. CTA confirmed subsegmental pulmonary embolism in the right posterior lower lobe. Patient was transfused 1 unit of platelets followed by IV heparin initiation. 2D echo was notable for EF 40%, mild mitral and tricuspid regurgitation, multiple wall motion abnormalities, and left pleural effusion. Coreg 3.125 mg BID was started. Sotalol was switched to amiodarone given reduced EF. On 07/27, patient had new onset left sided abdominal pain with significant decrease in Hgb and BP secondary to retroperitoneal bleed confirmed by CTA.  IV heparin was immediately discontinued. 1 L bolus and 500 mL bolus were given as well as 2 units PRBCs. Interventional radiology embolized bilateral lumbar arteries. Hemoglobin stabilized around 7.5. Patient was initiated on Lovenox. Hematology is recommending that she be maintained on subcutaneous Lovenox 40 mg upon discharge for prophylaxis. Patient with persistent urinary retention while admitted and was thought to be associated with her mirabegron which was discontinued. She continued to have urinary retention and a foley was placed on 8/1 and urology was consulted for their recommendations. A bilateral lower extremity doppler was ordered to determine if patient needs an IVC filter. PT/OT recommend patient be discharged to SAR when medically stable. Patient has been non ambulatory while admitted secondary to deconditioning after being diagnosed with COVID.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tricuspid valve incompetence, Troponin increased, Urinary retention, Wall motion score index abnormal
Clinical narrative: 7/20--currently admitted 84y.o. female with a PMH significant for atrial fibrillation, metastatic ovarian cancer on chemotherapy, pulmonary hypertension, HFpEF, who was recently hospitalized for COVID pneumonia 7/20, who presents with shortness of breath, weakness. During previous admission, patient was treated with loading dose of remdesivir, her oxygen saturations remained appropriate, and she was discharged. Patient's respiratory status began to deteriorate and she became progressively more weak with watery diarrhea and fever at home. Given her worsening respiratory status, her daughter-in-law and son felt as if they could no longer care for her appropriately, and brought her to the hospital to be evaluated. In the ED, lab work was notable for elevated troponin, elevated inflammatory markers, and pancytopenia. CXR was obtained. EKG with normal sinus rhythm with some ST-T wave depressions in leads II, III, to aVF. She was then admitted to the Medicine team for further evaluation and management of shortness of breath and weakness. Remdesivir and antibiotics 5 day courses were completed. CTA confirmed subsegmental pulmonary embolism in the right posterior lower lobe. Patient was transfused 1 unit of platelets followed by IV heparin initiation. 2D echo was notable for EF 40%, mild mitral and tricuspid regurgitation, multiple wall motion abnormalities, and left pleural effusion. Coreg 3.125 mg BID was started. Sotalol was switched to amiodarone given reduced EF. On 07/27, patient had new onset left sided abdominal pain with significant decrease in Hgb and BP secondary to retroperitoneal bleed confirmed by CTA.  IV heparin was immediately discontinued. 1 L bolus and 500 mL bolus were given as well as 2 units PRBCs. Interventional radiology embolized bilateral lumbar arteries. Hemoglobin stabilized around 7.5. Patient was initiated on Lovenox. Hematology is recommending that she be maintained on subcutaneous Lovenox 40 mg upon discharge for prophylaxis. Patient with persistent urinary retention while admitted and was thought to be associated with her mirabegron which was discontinued. She continued to have urinary retention and a foley was placed on 8/1 and urology was consulted for their recommendations. A bilateral lower extremity doppler was ordered to determine if patient needs an IVC filter. PT/OT recommend patient be discharged to SAR when medically stable. Patient has been non ambulatory while admitted secondary to deconditioning after being diagnosed with COVID.
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient diagnosed with COVID despite completing COVID vaccine series. Not all vaccine information available from patient.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Hyporesponsive to stimuli, Mental status changes, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 7/19--presently admitted 65y.o. female with past medical history oligodendroglioma s/p chemoradiation with residual right hemiparesis, dementia, cognitive impairment, nonverbal at baseline, hypertension, hypothyroidism, depression, anxiety presenting for altered mental status and fever. Patient is nonverbal at baseline, history obtained from available notes as well as her son at bedside. Discussed her care at length with him. She has been in skilled care facility since May. Family and staff found her difficult to awaken on 7/18. She was minimally responsive. Found to be febrile at that time. No other observed symptoms. At presentation, she tested positive for COVID-19.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Somnolence
Clinical narrative: 7/19--presently admitted 65y.o. female with past medical history oligodendroglioma s/p chemoradiation with residual right hemiparesis, dementia, cognitive impairment, nonverbal at baseline, hypertension, hypothyroidism, depression, anxiety presenting for altered mental status and fever. Patient is nonverbal at baseline, history obtained from available notes as well as her son at bedside. Discussed her care at length with him. She has been in skilled care facility since May. Family and staff found her difficult to awaken on 7/18. She was minimally responsive. Found to be febrile at that time. No other observed symptoms. At presentation, she tested positive for COVID-19.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Acute myocardial infarction, Angiogram pulmonary abnormal, Arthralgia, Back pain, Blood creatinine normal
Clinical narrative: 8/2--8/4 78 yo female w/ hx of recent COVID, HTN, HLP, PVD, Carotid artery dz, GERD, H pylori, asthma,hypothyroidism who presented to BHS-RO ED secondary to CP.  Recent hospitalization for COVID and NSTEMI. 2D echo w/ EF 60%, no WMA, small pericardial effusion w/o compromise. Completed hep gtt x 48h. Recommended OP ischemic work up. Pt overall did well and was discharged home. Pt w/ intermittent L sided burning chest pain w/ radiation to her back and shoulder over the past 1.5 weeks. Chest pain did get worse therefore she came to BHS-RO ED for further evaluation. Upon arrival to ED, 159/95, HR 93, afebrile, no hypoxia. No leukocytosis, Hgb 12.4, plts 157k. Lytes/renal function WNL. Cr 0.95. Trops WNL, BNP 43. COVID remains positive. CTA PE w/o thrombus , 3-vessel dz noted. Noted Extensive vascular calcifications and complete occlusion of the proximal left subclavian artery with a patent shunt through left carotid artery. Pt admitted for further care with cardio consult. Stress MPI done - no ischemia. Pt feeling well and agreeable for DC on 8/4. Pt notes she cannot tolerate statin. Pt was feeling well on day of discharge and medically stable for discharge. Pt was present during discharge planning and agreeable to plan.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Brain natriuretic peptide normal, COVID-19, Cardiac stress test normal, Chest pain, Coronary artery disease
Clinical narrative: 8/2--8/4 78 yo female w/ hx of recent COVID, HTN, HLP, PVD, Carotid artery dz, GERD, H pylori, asthma,hypothyroidism who presented to BHS-RO ED secondary to CP.  Recent hospitalization for COVID and NSTEMI. 2D echo w/ EF 60%, no WMA, small pericardial effusion w/o compromise. Completed hep gtt x 48h. Recommended OP ischemic work up. Pt overall did well and was discharged home. Pt w/ intermittent L sided burning chest pain w/ radiation to her back and shoulder over the past 1.5 weeks. Chest pain did get worse therefore she came to BHS-RO ED for further evaluation. Upon arrival to ED, 159/95, HR 93, afebrile, no hypoxia. No leukocytosis, Hgb 12.4, plts 157k. Lytes/renal function WNL. Cr 0.95. Trops WNL, BNP 43. COVID remains positive. CTA PE w/o thrombus , 3-vessel dz noted. Noted Extensive vascular calcifications and complete occlusion of the proximal left subclavian artery with a patent shunt through left carotid artery. Pt admitted for further care with cardio consult. Stress MPI done - no ischemia. Pt feeling well and agreeable for DC on 8/4. Pt notes she cannot tolerate statin. Pt was feeling well on day of discharge and medically stable for discharge. Pt was present during discharge planning and agreeable to plan.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Echocardiogram abnormal, Ejection fraction, Haemoglobin normal, Pain, Pericardial effusion
Clinical narrative: 8/2--8/4 78 yo female w/ hx of recent COVID, HTN, HLP, PVD, Carotid artery dz, GERD, H pylori, asthma,hypothyroidism who presented to BHS-RO ED secondary to CP.  Recent hospitalization for COVID and NSTEMI. 2D echo w/ EF 60%, no WMA, small pericardial effusion w/o compromise. Completed hep gtt x 48h. Recommended OP ischemic work up. Pt overall did well and was discharged home. Pt w/ intermittent L sided burning chest pain w/ radiation to her back and shoulder over the past 1.5 weeks. Chest pain did get worse therefore she came to BHS-RO ED for further evaluation. Upon arrival to ED, 159/95, HR 93, afebrile, no hypoxia. No leukocytosis, Hgb 12.4, plts 157k. Lytes/renal function WNL. Cr 0.95. Trops WNL, BNP 43. COVID remains positive. CTA PE w/o thrombus , 3-vessel dz noted. Noted Extensive vascular calcifications and complete occlusion of the proximal left subclavian artery with a patent shunt through left carotid artery. Pt admitted for further care with cardio consult. Stress MPI done - no ischemia. Pt feeling well and agreeable for DC on 8/4. Pt notes she cannot tolerate statin. Pt was feeling well on day of discharge and medically stable for discharge. Pt was present during discharge planning and agreeable to plan.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Platelet count normal, Renal function test normal, SARS-CoV-2 test positive, Scan myocardial perfusion, Subclavian artery occlusion
Clinical narrative: 8/2--8/4 78 yo female w/ hx of recent COVID, HTN, HLP, PVD, Carotid artery dz, GERD, H pylori, asthma,hypothyroidism who presented to BHS-RO ED secondary to CP.  Recent hospitalization for COVID and NSTEMI. 2D echo w/ EF 60%, no WMA, small pericardial effusion w/o compromise. Completed hep gtt x 48h. Recommended OP ischemic work up. Pt overall did well and was discharged home. Pt w/ intermittent L sided burning chest pain w/ radiation to her back and shoulder over the past 1.5 weeks. Chest pain did get worse therefore she came to BHS-RO ED for further evaluation. Upon arrival to ED, 159/95, HR 93, afebrile, no hypoxia. No leukocytosis, Hgb 12.4, plts 157k. Lytes/renal function WNL. Cr 0.95. Trops WNL, BNP 43. COVID remains positive. CTA PE w/o thrombus , 3-vessel dz noted. Noted Extensive vascular calcifications and complete occlusion of the proximal left subclavian artery with a patent shunt through left carotid artery. Pt admitted for further care with cardio consult. Stress MPI done - no ischemia. Pt feeling well and agreeable for DC on 8/4. Pt notes she cannot tolerate statin. Pt was feeling well on day of discharge and medically stable for discharge. Pt was present during discharge planning and agreeable to plan.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Troponin normal, Urine electrolytes normal, Vascular calcification
Clinical narrative: 8/2--8/4 78 yo female w/ hx of recent COVID, HTN, HLP, PVD, Carotid artery dz, GERD, H pylori, asthma,hypothyroidism who presented to BHS-RO ED secondary to CP.  Recent hospitalization for COVID and NSTEMI. 2D echo w/ EF 60%, no WMA, small pericardial effusion w/o compromise. Completed hep gtt x 48h. Recommended OP ischemic work up. Pt overall did well and was discharged home. Pt w/ intermittent L sided burning chest pain w/ radiation to her back and shoulder over the past 1.5 weeks. Chest pain did get worse therefore she came to BHS-RO ED for further evaluation. Upon arrival to ED, 159/95, HR 93, afebrile, no hypoxia. No leukocytosis, Hgb 12.4, plts 157k. Lytes/renal function WNL. Cr 0.95. Trops WNL, BNP 43. COVID remains positive. CTA PE w/o thrombus , 3-vessel dz noted. Noted Extensive vascular calcifications and complete occlusion of the proximal left subclavian artery with a patent shunt through left carotid artery. Pt admitted for further care with cardio consult. Stress MPI done - no ischemia. Pt feeling well and agreeable for DC on 8/4. Pt notes she cannot tolerate statin. Pt was feeling well on day of discharge and medically stable for discharge. Pt was present during discharge planning and agreeable to plan.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Blood electrolytes normal, Brain natriuretic peptide normal, COVID-19, Chest pain, Echocardiogram abnormal
Clinical narrative: 8/2--8/4 78 yo female w/ hx of recent COVID, HTN, HLP, PVD, Carotid artery dz, GERD, H pylori, asthma,hypothyroidism who presented to BHS-RO ED secondary to CP.  Recent hospitalization for COVID and NSTEMI. 2D echo w/ EF 60%, no WMA, small pericardial effusion w/o compromise. Completed hep gtt x 48h. Recommended OP ischemic work up. Pt overall did well and was discharged home. Pt w/ intermittent L sided burning chest pain w/ radiation to her back and shoulder over the past 1.5 weeks. Chest pain did get worse therefore she came to BHS-RO ED for further evaluation. Upon arrival to ED, 159/95, HR 93, afebrile, no hypoxia. No leukocytosis, Hgb 12.4, plts 157k. Lytes/renal function WNL. Cr 0.95. Trops WNL, BNP 43. COVID remains positive. CTA PE w/o thrombus , 3-vessel dz noted. Noted Extensive vascular calcifications and complete occlusion of the proximal left subclavian artery with a patent shunt through left carotid artery. Pt admitted for further care with cardio consult. Stress MPI done - no ischemia. Pt feeling well and agreeable for DC on 8/4. Pt notes she cannot tolerate statin. Pt was feeling well on day of discharge and medically stable for discharge. Pt was present during discharge planning and agreeable to plan.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Ejection fraction normal, Haemoglobin normal, Pain, Pericardial effusion, Platelet count normal
Clinical narrative: 8/2--8/4 78 yo female w/ hx of recent COVID, HTN, HLP, PVD, Carotid artery dz, GERD, H pylori, asthma,hypothyroidism who presented to BHS-RO ED secondary to CP.  Recent hospitalization for COVID and NSTEMI. 2D echo w/ EF 60%, no WMA, small pericardial effusion w/o compromise. Completed hep gtt x 48h. Recommended OP ischemic work up. Pt overall did well and was discharged home. Pt w/ intermittent L sided burning chest pain w/ radiation to her back and shoulder over the past 1.5 weeks. Chest pain did get worse therefore she came to BHS-RO ED for further evaluation. Upon arrival to ED, 159/95, HR 93, afebrile, no hypoxia. No leukocytosis, Hgb 12.4, plts 157k. Lytes/renal function WNL. Cr 0.95. Trops WNL, BNP 43. COVID remains positive. CTA PE w/o thrombus , 3-vessel dz noted. Noted Extensive vascular calcifications and complete occlusion of the proximal left subclavian artery with a patent shunt through left carotid artery. Pt admitted for further care with cardio consult. Stress MPI done - no ischemia. Pt feeling well and agreeable for DC on 8/4. Pt notes she cannot tolerate statin. Pt was feeling well on day of discharge and medically stable for discharge. Pt was present during discharge planning and agreeable to plan.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Renal function test normal, SARS-CoV-2 test positive, Scan myocardial perfusion, Troponin normal, Vascular calcification
Clinical narrative: 8/2--8/4 78 yo female w/ hx of recent COVID, HTN, HLP, PVD, Carotid artery dz, GERD, H pylori, asthma,hypothyroidism who presented to BHS-RO ED secondary to CP.  Recent hospitalization for COVID and NSTEMI. 2D echo w/ EF 60%, no WMA, small pericardial effusion w/o compromise. Completed hep gtt x 48h. Recommended OP ischemic work up. Pt overall did well and was discharged home. Pt w/ intermittent L sided burning chest pain w/ radiation to her back and shoulder over the past 1.5 weeks. Chest pain did get worse therefore she came to BHS-RO ED for further evaluation. Upon arrival to ED, 159/95, HR 93, afebrile, no hypoxia. No leukocytosis, Hgb 12.4, plts 157k. Lytes/renal function WNL. Cr 0.95. Trops WNL, BNP 43. COVID remains positive. CTA PE w/o thrombus , 3-vessel dz noted. Noted Extensive vascular calcifications and complete occlusion of the proximal left subclavian artery with a patent shunt through left carotid artery. Pt admitted for further care with cardio consult. Stress MPI done - no ischemia. Pt feeling well and agreeable for DC on 8/4. Pt notes she cannot tolerate statin. Pt was feeling well on day of discharge and medically stable for discharge. Pt was present during discharge planning and agreeable to plan.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Vascular stent occlusion
Clinical narrative: 8/2--8/4 78 yo female w/ hx of recent COVID, HTN, HLP, PVD, Carotid artery dz, GERD, H pylori, asthma,hypothyroidism who presented to BHS-RO ED secondary to CP.  Recent hospitalization for COVID and NSTEMI. 2D echo w/ EF 60%, no WMA, small pericardial effusion w/o compromise. Completed hep gtt x 48h. Recommended OP ischemic work up. Pt overall did well and was discharged home. Pt w/ intermittent L sided burning chest pain w/ radiation to her back and shoulder over the past 1.5 weeks. Chest pain did get worse therefore she came to BHS-RO ED for further evaluation. Upon arrival to ED, 159/95, HR 93, afebrile, no hypoxia. No leukocytosis, Hgb 12.4, plts 157k. Lytes/renal function WNL. Cr 0.95. Trops WNL, BNP 43. COVID remains positive. CTA PE w/o thrombus , 3-vessel dz noted. Noted Extensive vascular calcifications and complete occlusion of the proximal left subclavian artery with a patent shunt through left carotid artery. Pt admitted for further care with cardio consult. Stress MPI done - no ischemia. Pt feeling well and agreeable for DC on 8/4. Pt notes she cannot tolerate statin. Pt was feeling well on day of discharge and medically stable for discharge. Pt was present during discharge planning and agreeable to plan.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, COVID-19, Dizziness, Dyspnoea exertional, Echocardiogram
Clinical narrative: 7/20--7/20 87y.o. female with a PMH of persistent Afib (on eliquis), CAD s/p stents, HFpEF (EF 45%), DM type 2, HLD, and ischemic cardiomyopathy s/p ICD who presents s/p syncopal episode this morning. LOC lasted "a few seconds" per her daughter. + head trauma on eliquis. Patient was at a HCF for TEE. Prior to the TEE, she got up to the bathroom and synopsized. She has been experiencing lightheadedness upon standing and with ambulation since Sunday. Also admits to SOB on exertion which has been ongoing since May. Denies current lightheadedness, palpitations, chest pain, dyspnea, orthopnea, weight gain, or diaphoresis. Pt had COVID in May 2022. Subsequently, she was diagnosed with persistent Afib. Had a negative COVID test at an urgent care on Monday. Incidentally found to be COVID positive while in the ED. Vaccinated with Pfizer x2. Denies fevers, chills, headache, cough, abdominal pain, nausea, vomiting, diarrhea, hematuria, dysuria, or hematochezia. Received message that pt wants to leave AMA because she refuses to be admitted to COVID floor. Spoke again with pt and her daughter at bedside regarding possible consequences of leaving AMA. Pt verbalized her understanding. Pt cleared by cardiology for discharge. Pt to decrease lasix to the following dose: Lasix 40mg q AM and 20mg qhs. D/c hydralazine.
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Head injury, Injury, Loss of consciousness, SARS-CoV-2 test positive, Syncope
Clinical narrative: 7/20--7/20 87y.o. female with a PMH of persistent Afib (on eliquis), CAD s/p stents, HFpEF (EF 45%), DM type 2, HLD, and ischemic cardiomyopathy s/p ICD who presents s/p syncopal episode this morning. LOC lasted "a few seconds" per her daughter. + head trauma on eliquis. Patient was at a HCF for TEE. Prior to the TEE, she got up to the bathroom and synopsized. She has been experiencing lightheadedness upon standing and with ambulation since Sunday. Also admits to SOB on exertion which has been ongoing since May. Denies current lightheadedness, palpitations, chest pain, dyspnea, orthopnea, weight gain, or diaphoresis. Pt had COVID in May 2022. Subsequently, she was diagnosed with persistent Afib. Had a negative COVID test at an urgent care on Monday. Incidentally found to be COVID positive while in the ED. Vaccinated with Pfizer x2. Denies fevers, chills, headache, cough, abdominal pain, nausea, vomiting, diarrhea, hematuria, dysuria, or hematochezia. Received message that pt wants to leave AMA because she refuses to be admitted to COVID floor. Spoke again with pt and her daughter at bedside regarding possible consequences of leaving AMA. Pt verbalized her understanding. Pt cleared by cardiology for discharge. Pt to decrease lasix to the following dose: Lasix 40mg q AM and 20mg qhs. D/c hydralazine.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Agitation, Asymptomatic COVID-19, Death of relative, Mania, SARS-CoV-2 test positive
Clinical narrative: 7/31--presently admitted 57y.o. female known to me as an outpatient who has been struggling ever since her husband and her dog died recently.  Patient became very agitated and manic.  Was potential danger to herself and was admitted on a locked inpatient psychiatric unit for protection of self. 8/1 Tested positive for COVID on 7/31/2022. Previously tested positive for COVID 2-3 weeks ago on a home test. Currently asymptomatic. It has been more than 10 days since the initial positive. COVID isolation precautions have been discontinued.
Age: 13.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Intentional self-injury, SARS-CoV-2 test positive, Skin laceration, Suicidal ideation
Clinical narrative: 7/22--7/23 14-year-old female presents with suicidal ideation.  Patient has been on escitalopram for approximately 2 years. She has history of anxiety and depression. She has followed with a child psychiatrist.  He has prescribed her 20 mg Lexapro which she takes daily. Patient does show us left arm lacerations she self-inflicted earlier today.  She denies other self-harm today.  She did tell her parents she had plans of cutting herself and dying.Patient is engaged in OP psychiatry and is compliant with medications. Patient is currently denying any SI, intent or plan. Mother reports she will follow up with psychiatry and therapy. Pt discharged home with resources provided for therapy.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Bradycardia, COVID-19, Delirium, Mental status changes, SARS-CoV-2 test positive
Clinical narrative: 7/15-7/20 85y.o. female presenting with altered mental status. She has known advanced Alzheimer's disease, and was found to be COVID-positive upon presentation. She did not have any indication of viral pneumonia or hypoxia and thus did not require any COVID directed treatments. She was managed supportively, given IV hydration. Of note, she did have asymptomatic bradycardia as demonstrated on TMS. She was recommended for eventual 2D echocardiogram once cleared from COVID isolation. Patient's mental status improved, however not completely back to previous baseline. There was an element of suspected delirium. Determined that she would be best served at home. She was otherwise medically stable.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Transcranial magnetic stimulation
Clinical narrative: 7/15-7/20 85y.o. female presenting with altered mental status. She has known advanced Alzheimer's disease, and was found to be COVID-positive upon presentation. She did not have any indication of viral pneumonia or hypoxia and thus did not require any COVID directed treatments. She was managed supportively, given IV hydration. Of note, she did have asymptomatic bradycardia as demonstrated on TMS. She was recommended for eventual 2D echocardiogram once cleared from COVID isolation. Patient's mental status improved, however not completely back to previous baseline. There was an element of suspected delirium. Determined that she would be best served at home. She was otherwise medically stable.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Delivery, Foetal hypokinesia, Labour induction, Maternal exposure before pregnancy
Clinical narrative: 8/1--8/2 30y.o. G5P3013 at 39w3d who presents to triage for IOL from office for decreased fetal movement and FHR of 100-110. Pt denies regular contractions. No bleeding or LOF. No headache, blurred vision or epigastric pain. Pt feels baby move it has just been decreased over the past few days. Pt states she has lost 3 pounds in the past 2 weeks. SVD healthy baby. Mother and baby discharged.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Weight decreased
Clinical narrative: 8/1--8/2 30y.o. G5P3013 at 39w3d who presents to triage for IOL from office for decreased fetal movement and FHR of 100-110. Pt denies regular contractions. No bleeding or LOF. No headache, blurred vision or epigastric pain. Pt feels baby move it has just been decreased over the past few days. Pt states she has lost 3 pounds in the past 2 weeks. SVD healthy baby. Mother and baby discharged.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: I had no symptoms at all after the first dose. Only mild pain in my arm.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Fatigue, Oropharyngeal pain
Clinical narrative: fatigue, sore throat, cough
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Death, General physical health deterioration, Lethargy
Clinical narrative: 2/7/22 pt admitted to hospital in respiratory failure due to COVID pneumonia; positive COVID test on 1/28/22; limited medical records received; O2 supplementation; pt became more lethargic; condition worsened; transitioned to comfort care; hospice where he expired
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: 2/7/22 pt admitted to hospital in respiratory failure due to COVID pneumonia; positive COVID test on 1/28/22; limited medical records received; O2 supplementation; pt became more lethargic; condition worsened; transitioned to comfort care; hospice where he expired
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Oropharyngeal pain, Pain
Clinical narrative: Symptoms: Congestion, cough, sore throat, fever 101 F,  body aches, fatigue. Fever lasted three days. Other symptoms lasted several days except for congestion, cough and fatigue which lasted several weeks.  First tested positive for covid on 6/27/2022 using at-home test kit provided by government.  Tested positive for covid every few days until first negative test on 7/10/2022. Second negative test on 7/11/2022. Contacted personal physician by phone and email who prescribed Paxlovid five day course because of pre-existing condition. Also used over-the-counter medicines to treat including ibuprofen and Mucinex-D. Note: Received original Pfizer covid vaccine on 4/22/21 and 5/13/21. First Pfizer booster on 12/14/2021. Second Pfizer booster on 4/27/2022.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Symptoms: Congestion, cough, sore throat, fever 101 F,  body aches, fatigue. Fever lasted three days. Other symptoms lasted several days except for congestion, cough and fatigue which lasted several weeks.  First tested positive for covid on 6/27/2022 using at-home test kit provided by government.  Tested positive for covid every few days until first negative test on 7/10/2022. Second negative test on 7/11/2022. Contacted personal physician by phone and email who prescribed Paxlovid five day course because of pre-existing condition. Also used over-the-counter medicines to treat including ibuprofen and Mucinex-D. Note: Received original Pfizer covid vaccine on 4/22/21 and 5/13/21. First Pfizer booster on 12/14/2021. Second Pfizer booster on 4/27/2022.
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood pressure increased, No reaction on previous exposure to drug, Sleep disorder
Clinical narrative: Patient woke up the night of the vaccine with symptoms of high BP. Patient's BP rose to 222/111 mmHg, therefore treated with clonidine. Patient did not have previous side effects to the other three shots. Patient believes pheochromocytoma to be the reason behind the reaction.
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood pressure measurement, Hypertensive crisis
Clinical narrative: Patient woke up the night of the vaccine with symptoms of high BP. Patient's BP rose to 222/111 mmHg, therefore treated with clonidine. Patient did not have previous side effects to the other three shots. Patient believes pheochromocytoma to be the reason behind the reaction.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Extra dose administered, No adverse event
Clinical narrative: No adverse reaction. Resident received additional dose of booster d/t no documentation from clinic on administration into database of dose given on 4/6/22 while at clinic appointment. Resident when asked wanted to get an additional booster. Facility medical record showed  resident received one booster in facility on 11/10/21. Then was dx with covid on 4/22/22 so resident was not set up for booster clinic. Clinic did not upload in database that vaccination was given on 4/6/22 while resident was there for clinic appt. So it appeared resident could have additional booster. Booster was administered and it was then found out the resident had a previous booster on 4/6/22 at clinic appt. Resident had no ill or adverse side effects.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Blood iron decreased, Blood test abnormal, Dehydration, Diarrhoea, Faecal calprotectin increased
Clinical narrative: I was hospitalized because I was feeling really sick, I was dehydrated. I got iron, fluids, they switched my medication from STELARA to ENTYVIO, 35mg of prednisone. And since then, I have had 5 more iron infusions and multiple doses of ENTYVIO. And I had blood work a week ago and things are not improving. They up'd my iron and shorten my ENTYVIO from every 8 weeks to every 4 weeks. I have still fatigue, diarrhea, dehydration. I have unnormal kidney levels. A new doctor is my gastro doctor.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Malaise, Mineral supplementation, Renal impairment, Stool analysis abnormal
Clinical narrative: I was hospitalized because I was feeling really sick, I was dehydrated. I got iron, fluids, they switched my medication from STELARA to ENTYVIO, 35mg of prednisone. And since then, I have had 5 more iron infusions and multiple doses of ENTYVIO. And I had blood work a week ago and things are not improving. They up'd my iron and shorten my ENTYVIO from every 8 weeks to every 4 weeks. I have still fatigue, diarrhea, dehydration. I have unnormal kidney levels. A new doctor is my gastro doctor.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Error: Wrong dose of vaccine - Too low.
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given a 0.25ml dose of Moderna
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site erythema, Injection site pruritus, Injection site swelling, Pruritus
Clinical narrative: Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Itch Generalized-Mild, Additional Details: Large swollen bump that is a little red. patient complains about itching but not pain
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Itch Generalized-Mild, Additional Details: Large swollen bump that is a little red. patient complains about itching but not pain
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Nasal congestion, Oropharyngeal pain, Productive cough, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: Began with a sore throat, followed by chest and nasal congestion, runny nose, coughing up phlegm. Was traveling via motorcycle on vacation. After a couple days, got a Covid test as I was worried that because I'd been traveling and in contact with random people across the country, that I contracted it. Went to an Urgent Care office, and they performed a rapid test. Results were negative, so I continued on with my trip. Continued to have a runny nose and a cough for the next week, but the cough and occasional phlegm continues even today.  When I returned home on 7/27, I took a home test and it was also negative.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Began with a sore throat, followed by chest and nasal congestion, runny nose, coughing up phlegm. Was traveling via motorcycle on vacation. After a couple days, got a Covid test as I was worried that because I'd been traveling and in contact with random people across the country, that I contracted it. Went to an Urgent Care office, and they performed a rapid test. Results were negative, so I continued on with my trip. Continued to have a runny nose and a cough for the next week, but the cough and occasional phlegm continues even today.  When I returned home on 7/27, I took a home test and it was also negative.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Asthenia, Dizziness, Fall, Fatigue, Flushing
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Medium, Systemic: Nausea-Medium, Systemic: Vomiting-Medium, Additional Details: Patient was being administered first dose of menactra and second dose of Tdap.  Walked around after getting vaccines.  Then started to fall mom caught him.  Patient fainted for less than 10 seconds.  Remained flushed, pale, weak.  Nurse brought NP.  Ice packs applied, water given, vitals monitored and EMS activated.  EMS arrived patient still alert and oriented still weak and feeling dizzy.  Patient transported to ER via ambulance with mom.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Hyperhidrosis, Hypotension, Lethargy, Nausea, Pallor
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Medium, Systemic: Nausea-Medium, Systemic: Vomiting-Medium, Additional Details: Patient was being administered first dose of menactra and second dose of Tdap.  Walked around after getting vaccines.  Then started to fall mom caught him.  Patient fainted for less than 10 seconds.  Remained flushed, pale, weak.  Nurse brought NP.  Ice packs applied, water given, vitals monitored and EMS activated.  EMS arrived patient still alert and oriented still weak and feeling dizzy.  Patient transported to ER via ambulance with mom.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Syncope, Unresponsive to stimuli, Vomiting
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Medium, Systemic: Nausea-Medium, Systemic: Vomiting-Medium, Additional Details: Patient was being administered first dose of menactra and second dose of Tdap.  Walked around after getting vaccines.  Then started to fall mom caught him.  Patient fainted for less than 10 seconds.  Remained flushed, pale, weak.  Nurse brought NP.  Ice packs applied, water given, vitals monitored and EMS activated.  EMS arrived patient still alert and oriented still weak and feeling dizzy.  Patient transported to ER via ambulance with mom.
Sex: M
Vaccine: UNK
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient diagnosed with COVID after completing vaccine series. Patient unable to provide vaccine information.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Headache, Malaise, Oropharyngeal pain, Pain
Clinical narrative: I started getting symptoms of a sore in my mouth and a sore throat. I tested negative that night. So the next morning, I went to work then 3 hours later, I almost didn't make it home, I was so sick. I went to an urgent care and had a positive rapid COVID-19 test. I was prescribed PAXLOVID by my PCP. I had extreme chest congestion, fever, body aches, and headaches. The PAXLOVID did help. My symptoms are still ongoing. I had a fever for 3 days and now that is gone.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive, Stomatitis
Clinical narrative: I started getting symptoms of a sore in my mouth and a sore throat. I tested negative that night. So the next morning, I went to work then 3 hours later, I almost didn't make it home, I was so sick. I went to an urgent care and had a positive rapid COVID-19 test. I was prescribed PAXLOVID by my PCP. I had extreme chest congestion, fever, body aches, and headaches. The PAXLOVID did help. My symptoms are still ongoing. I had a fever for 3 days and now that is gone.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchitis, COVID-19, Chest X-ray normal, Fatigue, Oropharyngeal pain
Clinical narrative: On June 4th, I thought I was getting a sore throat. On the June 5th, I woke up with an extreme sore throat, runny nose and chest congestion. I self medicated with fexofenadine, guaifenesin, COLD-EEZE with zinc. It took a while for the symptoms to go away. The symptoms lasted a while and I was extremely tired for more than 3 weeks. I completed a home test on June 5th and it was negative. I then went to a drive thru and completed a COVID-19 PCR test and was positive. On July 5th, I came down with acute bronchitis which were the same symptoms with chest congestion. So I went to a pharmacy clinic and was prescribed 3 medications. I was given prednisone, benzonatate 200 mg caps and an albuterol inhaler. It took a long time for my symptoms to improve so I had a chest x-ray on July 26. The x-ray was normal and by that time things were improving. I currently feel that I have completely recovered. I am still tired but not like I was before.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary congestion, Rhinorrhoea, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: On June 4th, I thought I was getting a sore throat. On the June 5th, I woke up with an extreme sore throat, runny nose and chest congestion. I self medicated with fexofenadine, guaifenesin, COLD-EEZE with zinc. It took a while for the symptoms to go away. The symptoms lasted a while and I was extremely tired for more than 3 weeks. I completed a home test on June 5th and it was negative. I then went to a drive thru and completed a COVID-19 PCR test and was positive. On July 5th, I came down with acute bronchitis which were the same symptoms with chest congestion. So I went to a pharmacy clinic and was prescribed 3 medications. I was given prednisone, benzonatate 200 mg caps and an albuterol inhaler. It took a long time for my symptoms to improve so I had a chest x-ray on July 26. The x-ray was normal and by that time things were improving. I currently feel that I have completely recovered. I am still tired but not like I was before.
Age: 40.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Injection site bruising, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: from the day after the injection, a 3 by 1 inch bruise formed around the injection site on left arm. it is hot to the touch, the tissue under the bruise feels hard/callous, and is painful when touched. bruise and other symptoms persist until 7 days (today) after the vaccination
Age: 14.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Headache, Visual impairment
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Head pain, trouble seeing-Severe, Additional Details: Patient was responsive during the event. Mom requested we call 911. Patient did not exhibit any allergy symptoms. Pulse normal
Age: 14.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood pressure systolic decreased, Cardiac stress test abnormal, Dizziness, Fatigue, Headache
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Head pain, trouble seeing-Severe, Additional Details: Patient was responsive during the event. Mom requested we call 911. Patient did not exhibit any allergy symptoms. Pulse normal
Age: 14.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Heart rate increased, Malaise, Orthostatic hypotension, Postural orthostatic tachycardia syndrome
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Head pain, trouble seeing-Severe, Additional Details: Patient was responsive during the event. Mom requested we call 911. Patient did not exhibit any allergy symptoms. Pulse normal
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19, Confusional state, Death
Clinical narrative: 1/26/22 pt admitted to hosp with AMS and weakness; planned to dc to SNF on 1/31/22, but was found to be COVID positive; given dexamethasone, remdesivir; O2 supplementation; dc'd to SNF on 2/10/22; back to ED on 3/5/22 with increased confusion and urinary incontinence x 2 days; on baseline of O2 3 LPM via NC; increased O2 to 6 LPM via NC; admitted with acute bilateral pneumonia, acute respiratory failure; given IV fluids and ABX; condition worsened; placed on BiPAP; pt pulling BiPAP off requiring restraints; family made pt a DNR and then transitioed to comfort care; pt expired in the hospital
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: General physical health deterioration, Intentional medical device removal by patient, Mental status changes, Pneumonia, Positive airway pressure therapy
Clinical narrative: 1/26/22 pt admitted to hosp with AMS and weakness; planned to dc to SNF on 1/31/22, but was found to be COVID positive; given dexamethasone, remdesivir; O2 supplementation; dc'd to SNF on 2/10/22; back to ED on 3/5/22 with increased confusion and urinary incontinence x 2 days; on baseline of O2 3 LPM via NC; increased O2 to 6 LPM via NC; admitted with acute bilateral pneumonia, acute respiratory failure; given IV fluids and ABX; condition worsened; placed on BiPAP; pt pulling BiPAP off requiring restraints; family made pt a DNR and then transitioed to comfort care; pt expired in the hospital
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Urinary incontinence
Clinical narrative: 1/26/22 pt admitted to hosp with AMS and weakness; planned to dc to SNF on 1/31/22, but was found to be COVID positive; given dexamethasone, remdesivir; O2 supplementation; dc'd to SNF on 2/10/22; back to ED on 3/5/22 with increased confusion and urinary incontinence x 2 days; on baseline of O2 3 LPM via NC; increased O2 to 6 LPM via NC; admitted with acute bilateral pneumonia, acute respiratory failure; given IV fluids and ABX; condition worsened; placed on BiPAP; pt pulling BiPAP off requiring restraints; family made pt a DNR and then transitioed to comfort care; pt expired in the hospital