chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Neck pain, Neuralgia, Pain in extremity, Secretion discharge
Clinical narrative: Pain at injection site, sore arm -- 10/4 and beyond Difficulty managing secretions while sleeping, a lot of coughing on first 10/5 while in bed Flare in joint symptoms. Persisitent neck nerve pain. Hand stiffness. Flare in wrist pain.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Off label use
Clinical narrative: Vaccine expired in refrigerator on 9/25/21, but vaccine was administered on 9/26/21 (vaccine is stable undiluted in the refrigerator on-label for a duration of 31 days, 9/25/21 would have been the 31st day). Vaccine had not been pulled from the refrigerator the day that it expired on 9/25/21, hence accidental continued use by another pharmacist on 9/26/21. Pfizer med info reported that, based on physical stability data, there is an extended excursion time of +1 day for a total stable undiluted refrigerated time of 32 days, but to still file reports due to off-label use.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Flushing, Heart rate increased, Somnolence
Clinical narrative: 15min after injection flush face and rapid heartbeat and drowsy.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Death within 7 days of vaccination
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Please verify dose, typical MFG recommendation for 1-2 years old is 75-80mg/dose (this is 128mg/dose). Thank you!
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Thrombosis, Ultrasound Doppler abnormal
Clinical narrative: Deep Vein Thrombosis, with blood clots identified in lower left leg
Age: 4.0
Sex: M
Vaccine: FLU4
Symptoms: Generalised tonic-clonic seizure, Immediate post-injection reaction
Clinical narrative: Immediately after administration of the flu shot, patient developed full tonic clinic seizure lasting 10 minutes. Recovered well.  Call neurology and told to dc home with return precautions and outpatient follow up.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Menstruation irregular, Muscle spasms, Nausea, Pain
Clinical narrative: Extreme fatigue  Caused period to begin weeks early. Extreme clots. Cramps similar to labor cramps. Extremely painful, nausea
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Thrombosis
Clinical narrative: Extreme fatigue  Caused period to begin weeks early. Extreme clots. Cramps similar to labor cramps. Extremely painful, nausea
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Weight decreased
Clinical narrative: Diarrhea for several weeks, extending beyond the second dose. Weight loss.
Age: 33.0
Sex: F
Vaccine: UNK
Symptoms: Loss of personal independence in daily activities, Menstrual disorder, Myalgia, Vaginal haemorrhage
Clinical narrative: Changes to menstrual cycle. Breakthrough bleeding when not on my period.  Severe muscle pain that prevented activities of daily living on day after injection
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine expired in refrigerator on 9/25/21, but vaccine was administered on 9/26/21 (vaccine is stable undiluted in the refrigerator on-label for a duration of 31 days, 9/25/21 would have been the 31st day). Vaccine had not been pulled from the refrigerator the day that it expired on 9/25/21, hence accidental continued use by another pharmacist on 9/26/21. Pfizer med info reported that, based on physical stability data, there is an extended excursion time of +1 day for a total stable undiluted refrigerated time of 32 days, but to still file reports due to off-label use.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Musculoskeletal chest pain, Pain, Pain of skin
Clinical narrative: Chest pain, heart palpitations, lightheaded lasted a few hours. Then soreness in the chest, ribs still having palpitations 24  hours later. Now adding body aches and pains and skin tenderness.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Chest pain, heart palpitations, lightheaded lasted a few hours. Then soreness in the chest, ribs still having palpitations 24  hours later. Now adding body aches and pains and skin tenderness.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Pharyngeal paraesthesia
Clinical narrative: Tingling in left side of face and throat
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Pharyngeal swelling, Swollen tongue
Clinical narrative: 10 minutes after Pfizer Covid vaccine, patient  developed tongue & throat swelling.
Age: 59.0
Sex: M
Vaccine: FLU4
Symptoms: Chest X-ray, Chills, Dyspnoea, Full blood count, Metabolic function test
Clinical narrative: Approximately 30 minutes after vaccine developed Tachycardia, Tachypnea, Fever, Chills, dyspnea, Wheezing
Age: 59.0
Sex: M
Vaccine: FLU4
Symptoms: Pyrexia, Tachycardia, Tachypnoea, Wheezing
Clinical narrative: Approximately 30 minutes after vaccine developed Tachycardia, Tachypnea, Fever, Chills, dyspnea, Wheezing
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram normal, Full blood count, Metabolic function test, Urticaria
Clinical narrative: hives diffuse within 24hrs of vaccine. Required tx with Benadryl. Then chest pain required ER visit. EKG normal. Pain resolved.
Sex: U
Vaccine: FLUR4
Symptoms: Rash erythematous
Clinical narrative: I received the Flublock Quad 2021-2022 (PF) 180 mcg (45mcgx4)/0.5ml IM dose yesterday in my left arm. Within an hour I had a rash begin that continued to expand over the next 12 hours. It has started to fade in color from deep red to lighter pink almost 24 hours later. I have had the flu shot annually for at least 20 years and never had this side effect before. The only other time I had a rash post vaccination was after my 2 covid vaccinations earlier this year, also given in the left arm.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Blood smear test abnormal, Red blood cell rouleaux formation present, Rouleaux formation
Clinical narrative: [mRNA COVID-19 vaccines] use for COVID-19 under Emergency Use Authorization (EAU):[Product name] use mRNA vaccine COVID-19 under Emergency Use Authorization (EAU): RBC rouleaux formation in several patients Several patients with RBC rouleaux formation in peripheral blood smears after receiving mRNA COVID-19 vaccines. Because I have not been able to speak with a live person at FDA to ask if this occurrence is already known to the FDA, I am writing the information in this FDA website form. Please contact me as soon as possible. Thanks.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Blood test, Pulmonary embolism
Clinical narrative: having bilateral ankle cramping and a weird smell in his nose. (pin to top)
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Aortic dilatation, Blood test, Computerised tomogram, Echocardiogram, Muscle spasms
Clinical narrative: having bilateral ankle cramping and a weird smell in his nose. (pin to top)
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Parosmia, Pulmonary embolism
Clinical narrative: having bilateral ankle cramping and a weird smell in his nose. (pin to top)
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Aortic disorder, Blood test, Computerised tomogram, Condition aggravated, Echocardiogram
Clinical narrative: having bilateral ankle cramping and a weird smell in his nose. (pin to top)
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Muscle spasms, Product odour abnormal, Pulmonary embolism
Clinical narrative: having bilateral ankle cramping and a weird smell in his nose. (pin to top)
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Muscle spasms, Parosmia
Clinical narrative: having bilateral ankle cramping and a weird smell in his nose. (pin to top)
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Atelectasis, Bacterial test, Blood lactic acid increased, Brain natriuretic peptide increased
Clinical narrative: FATIGUE, COUGH, SHORTNESS OF BREATH
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Cough, Dyspnoea, Enterococcus test, Escherichia test positive
Clinical narrative: FATIGUE, COUGH, SHORTNESS OF BREATH
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoxia, SARS-CoV-2 test positive, Scar, Urine analysis, Urine leukocyte esterase positive
Clinical narrative: FATIGUE, COUGH, SHORTNESS OF BREATH
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Fatigue, SARS-CoV-2 test positive
Clinical narrative: FATIGUE, COUGH, SHORTNESS OF BREATH
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood test normal, Burning sensation, Cardiac imaging procedure normal, Chest pain, Disturbance in attention
Clinical narrative: 3 weeks after the second covid shot I started getting abnormal heart beats with heavy palpitations. As weeks progressed symptoms changed. I started getting chest pain, stinging and burning senstations throughout my body. Leg pain and numbness in my legs, arms, and hands. As months progressed I started getting burning sensations in my head, with weird neurological headaches. I also wasn't able to swallow at times and my mouth would get dry. I would also get brain fog and hard to focus at times. I would get dissy if I turned and focused. Almost 6 months in and I'm still not recovered. I still have heart palpitations, and abnormal heart beats. Weird headaches and burning sensations througout my body with chest pain at times.
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dizziness, Dry mouth, Dysphagia, Echocardiogram normal, Electrocardiogram normal
Clinical narrative: 3 weeks after the second covid shot I started getting abnormal heart beats with heavy palpitations. As weeks progressed symptoms changed. I started getting chest pain, stinging and burning senstations throughout my body. Leg pain and numbness in my legs, arms, and hands. As months progressed I started getting burning sensations in my head, with weird neurological headaches. I also wasn't able to swallow at times and my mouth would get dry. I would also get brain fog and hard to focus at times. I would get dissy if I turned and focused. Almost 6 months in and I'm still not recovered. I still have heart palpitations, and abnormal heart beats. Weird headaches and burning sensations througout my body with chest pain at times.
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Feeling abnormal, Headache, Heart rate abnormal, Hypoaesthesia, Magnetic resonance imaging head normal
Clinical narrative: 3 weeks after the second covid shot I started getting abnormal heart beats with heavy palpitations. As weeks progressed symptoms changed. I started getting chest pain, stinging and burning senstations throughout my body. Leg pain and numbness in my legs, arms, and hands. As months progressed I started getting burning sensations in my head, with weird neurological headaches. I also wasn't able to swallow at times and my mouth would get dry. I would also get brain fog and hard to focus at times. I would get dissy if I turned and focused. Almost 6 months in and I'm still not recovered. I still have heart palpitations, and abnormal heart beats. Weird headaches and burning sensations througout my body with chest pain at times.
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Magnetic resonance imaging heart, Magnetic resonance imaging spinal normal, Neurological examination normal, Pain, Pain in extremity
Clinical narrative: 3 weeks after the second covid shot I started getting abnormal heart beats with heavy palpitations. As weeks progressed symptoms changed. I started getting chest pain, stinging and burning senstations throughout my body. Leg pain and numbness in my legs, arms, and hands. As months progressed I started getting burning sensations in my head, with weird neurological headaches. I also wasn't able to swallow at times and my mouth would get dry. I would also get brain fog and hard to focus at times. I would get dissy if I turned and focused. Almost 6 months in and I'm still not recovered. I still have heart palpitations, and abnormal heart beats. Weird headaches and burning sensations througout my body with chest pain at times.
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Palpitations
Clinical narrative: 3 weeks after the second covid shot I started getting abnormal heart beats with heavy palpitations. As weeks progressed symptoms changed. I started getting chest pain, stinging and burning senstations throughout my body. Leg pain and numbness in my legs, arms, and hands. As months progressed I started getting burning sensations in my head, with weird neurological headaches. I also wasn't able to swallow at times and my mouth would get dry. I would also get brain fog and hard to focus at times. I would get dissy if I turned and focused. Almost 6 months in and I'm still not recovered. I still have heart palpitations, and abnormal heart beats. Weird headaches and burning sensations througout my body with chest pain at times.
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Arrhythmia, Blood test, Burning sensation, Cardiac disorder, Carditis
Clinical narrative: 3 weeks after the second covid shot I started getting abnormal heart beats with heavy palpitations. As weeks progressed symptoms changed. I started getting chest pain, stinging and burning senstations throughout my body. Leg pain and numbness in my legs, arms, and hands. As months progressed I started getting burning sensations in my head, with weird neurological headaches. I also wasn't able to swallow at times and my mouth would get dry. I would also get brain fog and hard to focus at times. I would get dissy if I turned and focused. Almost 6 months in and I'm still not recovered. I still have heart palpitations, and abnormal heart beats. Weird headaches and burning sensations througout my body with chest pain at times.
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Electrocardiogram, Heart rate increased, Heart rate irregular, Hypoaesthesia, Neurological symptom
Clinical narrative: 3 weeks after the second covid shot I started getting abnormal heart beats with heavy palpitations. As weeks progressed symptoms changed. I started getting chest pain, stinging and burning senstations throughout my body. Leg pain and numbness in my legs, arms, and hands. As months progressed I started getting burning sensations in my head, with weird neurological headaches. I also wasn't able to swallow at times and my mouth would get dry. I would also get brain fog and hard to focus at times. I would get dissy if I turned and focused. Almost 6 months in and I'm still not recovered. I still have heart palpitations, and abnormal heart beats. Weird headaches and burning sensations througout my body with chest pain at times.
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain, Pain in extremity, Sensory disturbance
Clinical narrative: 3 weeks after the second covid shot I started getting abnormal heart beats with heavy palpitations. As weeks progressed symptoms changed. I started getting chest pain, stinging and burning senstations throughout my body. Leg pain and numbness in my legs, arms, and hands. As months progressed I started getting burning sensations in my head, with weird neurological headaches. I also wasn't able to swallow at times and my mouth would get dry. I would also get brain fog and hard to focus at times. I would get dissy if I turned and focused. Almost 6 months in and I'm still not recovered. I still have heart palpitations, and abnormal heart beats. Weird headaches and burning sensations througout my body with chest pain at times.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient is a 73 y.o. male with past medical history significant for benign prostatic hypertrophy, chronic kidney disease, bladder stones, chronic prostatitis presenting with a fall.  The patient fell yesterday while going up stairs.  The family heard the noise  but did not to see him falling.  He does not remember the circumstances of the fall.  Offer the fall he was noticed to have a skin tear on the left forearm.  After the fall he did complain of fever to his family. He was taken to the local emergency room where he had brain imaging performed which showed bilateral subarachnoid hemorrhage and he was transferred to the emergency department at Medical Center.    * (Principal) Subarachnoid hemorrhage   Traumatic SAH s/p fall Nsg consulted, no acute interventions Stable on repeat CTH  COVID-19  Positive Covid testing Repeat test positive as well Continue Isolation precautions Monitor Oxygen requirements Currently on RA   Cardiovascular:     Rate and Rhythm: Normal rate and regular rhythm.     Pulses: Normal pulses.     Heart sounds: Normal heart sounds.  Pulmonary:     Effort: Pulmonary effort is normal.     Breath sounds: Normal breath sounds.    On discharge:  Subarachnoid hemorrhage Traumatic SAH s/p fall Nsg consulted, no acute interventions Scan 8/3 demonstrates improvement   Intracerebral hemorrhage Multifocal right frontal and parietal IPH after fall  No acute intervention Appears improved on 8/3 scan   (Principal) Vertebral artery dissection  Appears improved on 8/3 CTA head/neck -Continue asa 81 mg  Ileus  RESOLVED: Traumatic hemorrhage of right cerebrum        COVID-19  Positive Covid testing Repeat test positive as well Continue Isolation precautions Currently on RA  Discharge Disposition/Condition  Disposition: Rehab facility Condition: Stable (s/sx potential problems absent or manageable)
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Angiogram cerebral abnormal, Breath sounds normal, COVID-19, Computerised tomogram head abnormal, Fall
Clinical narrative: Patient is a 73 y.o. male with past medical history significant for benign prostatic hypertrophy, chronic kidney disease, bladder stones, chronic prostatitis presenting with a fall.  The patient fell yesterday while going up stairs.  The family heard the noise  but did not to see him falling.  He does not remember the circumstances of the fall.  Offer the fall he was noticed to have a skin tear on the left forearm.  After the fall he did complain of fever to his family. He was taken to the local emergency room where he had brain imaging performed which showed bilateral subarachnoid hemorrhage and he was transferred to the emergency department at Medical Center.    * (Principal) Subarachnoid hemorrhage   Traumatic SAH s/p fall Nsg consulted, no acute interventions Stable on repeat CTH  COVID-19  Positive Covid testing Repeat test positive as well Continue Isolation precautions Monitor Oxygen requirements Currently on RA   Cardiovascular:     Rate and Rhythm: Normal rate and regular rhythm.     Pulses: Normal pulses.     Heart sounds: Normal heart sounds.  Pulmonary:     Effort: Pulmonary effort is normal.     Breath sounds: Normal breath sounds.    On discharge:  Subarachnoid hemorrhage Traumatic SAH s/p fall Nsg consulted, no acute interventions Scan 8/3 demonstrates improvement   Intracerebral hemorrhage Multifocal right frontal and parietal IPH after fall  No acute intervention Appears improved on 8/3 scan   (Principal) Vertebral artery dissection  Appears improved on 8/3 CTA head/neck -Continue asa 81 mg  Ileus  RESOLVED: Traumatic hemorrhage of right cerebrum        COVID-19  Positive Covid testing Repeat test positive as well Continue Isolation precautions Currently on RA  Discharge Disposition/Condition  Disposition: Rehab facility Condition: Stable (s/sx potential problems absent or manageable)
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Heart sounds normal, Memory impairment, Pyrexia, SARS-CoV-2 test positive, Skin laceration
Clinical narrative: Patient is a 73 y.o. male with past medical history significant for benign prostatic hypertrophy, chronic kidney disease, bladder stones, chronic prostatitis presenting with a fall.  The patient fell yesterday while going up stairs.  The family heard the noise  but did not to see him falling.  He does not remember the circumstances of the fall.  Offer the fall he was noticed to have a skin tear on the left forearm.  After the fall he did complain of fever to his family. He was taken to the local emergency room where he had brain imaging performed which showed bilateral subarachnoid hemorrhage and he was transferred to the emergency department at Medical Center.    * (Principal) Subarachnoid hemorrhage   Traumatic SAH s/p fall Nsg consulted, no acute interventions Stable on repeat CTH  COVID-19  Positive Covid testing Repeat test positive as well Continue Isolation precautions Monitor Oxygen requirements Currently on RA   Cardiovascular:     Rate and Rhythm: Normal rate and regular rhythm.     Pulses: Normal pulses.     Heart sounds: Normal heart sounds.  Pulmonary:     Effort: Pulmonary effort is normal.     Breath sounds: Normal breath sounds.    On discharge:  Subarachnoid hemorrhage Traumatic SAH s/p fall Nsg consulted, no acute interventions Scan 8/3 demonstrates improvement   Intracerebral hemorrhage Multifocal right frontal and parietal IPH after fall  No acute intervention Appears improved on 8/3 scan   (Principal) Vertebral artery dissection  Appears improved on 8/3 CTA head/neck -Continue asa 81 mg  Ileus  RESOLVED: Traumatic hemorrhage of right cerebrum        COVID-19  Positive Covid testing Repeat test positive as well Continue Isolation precautions Currently on RA  Discharge Disposition/Condition  Disposition: Rehab facility Condition: Stable (s/sx potential problems absent or manageable)
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Subarachnoid haemorrhage, Vertebral artery dissection
Clinical narrative: Patient is a 73 y.o. male with past medical history significant for benign prostatic hypertrophy, chronic kidney disease, bladder stones, chronic prostatitis presenting with a fall.  The patient fell yesterday while going up stairs.  The family heard the noise  but did not to see him falling.  He does not remember the circumstances of the fall.  Offer the fall he was noticed to have a skin tear on the left forearm.  After the fall he did complain of fever to his family. He was taken to the local emergency room where he had brain imaging performed which showed bilateral subarachnoid hemorrhage and he was transferred to the emergency department at Medical Center.    * (Principal) Subarachnoid hemorrhage   Traumatic SAH s/p fall Nsg consulted, no acute interventions Stable on repeat CTH  COVID-19  Positive Covid testing Repeat test positive as well Continue Isolation precautions Monitor Oxygen requirements Currently on RA   Cardiovascular:     Rate and Rhythm: Normal rate and regular rhythm.     Pulses: Normal pulses.     Heart sounds: Normal heart sounds.  Pulmonary:     Effort: Pulmonary effort is normal.     Breath sounds: Normal breath sounds.    On discharge:  Subarachnoid hemorrhage Traumatic SAH s/p fall Nsg consulted, no acute interventions Scan 8/3 demonstrates improvement   Intracerebral hemorrhage Multifocal right frontal and parietal IPH after fall  No acute intervention Appears improved on 8/3 scan   (Principal) Vertebral artery dissection  Appears improved on 8/3 CTA head/neck -Continue asa 81 mg  Ileus  RESOLVED: Traumatic hemorrhage of right cerebrum        COVID-19  Positive Covid testing Repeat test positive as well Continue Isolation precautions Currently on RA  Discharge Disposition/Condition  Disposition: Rehab facility Condition: Stable (s/sx potential problems absent or manageable)
Age: 21.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: I got extremely light-headed/dizzy, and fainted within 2 minutes of getting the shot, proceeded to hit my head and get a concussion.
Age: 21.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Concussion, Dizziness, Head injury, Syncope
Clinical narrative: I got extremely light-headed/dizzy, and fainted within 2 minutes of getting the shot, proceeded to hit my head and get a concussion.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute psychosis, Acute respiratory failure, Amnesia, COVID-19, COVID-19 pneumonia
Clinical narrative: Patient is a 57 y.o. male  with past medical history most significant for diabetes who presents to ED for shortness of breath. Patient reports she is getting exposed to someone who tested positive for COVID 2 weeks ago.  Since the exposure, patient has had constitutional symptoms in form of fevers chills and poor by mouth intake.  Of late, he has developed shortness of breath and cough with cough producing a yellow color sputum which continued to worsen prompting the hospital visit.  He has not had any concurrent GI symptoms.   Constitutional: Positive for activity change, chills, fatigue and fever.  Eyes: Negative.   Respiratory: Positive for cough and shortness of breath. Negative for wheezing.    Hypoxic respiratory failure 2/2 COVID PNA Symptom onset 13-14 days ago. NO signs of CHF. Troponin x 2 -ve -Start dexamethasone 6mg qday + remdesivir per protocol -Consider descalating antibiotics based on Procalcitonin. Currently on Azithromycin.  -ID for delta variant testing, vaccination failure  -Self Proning advised -Incentive spirometry  Discharge summary:  Chief Concern, Brief History of Present Illness, and Hospital Course 57 y.o. male  with past medical history most significant for diabetes admitted for symptomatic COVID.    # Acute hypoxic respiratory failure 2/2 SARS-COV 2 viral PNA; improved - continue dexamethasone x 10 days - Completed remdesevir - State Lab to ID if it is delta variant. Turnaround time is approx. 10 days. - Janssen Vaccine 1 dose taken on 04/07  PLAN: O2 weaned off and ambulatory pulse ox noted and doing well. Plan to discharge to home to resume prior regimen and to follow with PCP regarding his diabetes and cognitive decline.   Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray abnormal, Chills, Dyspnoea, Encephalitis, Exposure to SARS-CoV-2
Clinical narrative: Patient is a 57 y.o. male  with past medical history most significant for diabetes who presents to ED for shortness of breath. Patient reports she is getting exposed to someone who tested positive for COVID 2 weeks ago.  Since the exposure, patient has had constitutional symptoms in form of fevers chills and poor by mouth intake.  Of late, he has developed shortness of breath and cough with cough producing a yellow color sputum which continued to worsen prompting the hospital visit.  He has not had any concurrent GI symptoms.   Constitutional: Positive for activity change, chills, fatigue and fever.  Eyes: Negative.   Respiratory: Positive for cough and shortness of breath. Negative for wheezing.    Hypoxic respiratory failure 2/2 COVID PNA Symptom onset 13-14 days ago. NO signs of CHF. Troponin x 2 -ve -Start dexamethasone 6mg qday + remdesivir per protocol -Consider descalating antibiotics based on Procalcitonin. Currently on Azithromycin.  -ID for delta variant testing, vaccination failure  -Self Proning advised -Incentive spirometry  Discharge summary:  Chief Concern, Brief History of Present Illness, and Hospital Course 57 y.o. male  with past medical history most significant for diabetes admitted for symptomatic COVID.    # Acute hypoxic respiratory failure 2/2 SARS-COV 2 viral PNA; improved - continue dexamethasone x 10 days - Completed remdesevir - State Lab to ID if it is delta variant. Turnaround time is approx. 10 days. - Janssen Vaccine 1 dose taken on 04/07  PLAN: O2 weaned off and ambulatory pulse ox noted and doing well. Plan to discharge to home to resume prior regimen and to follow with PCP regarding his diabetes and cognitive decline.   Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Hypophagia, Infection, Lung disorder, Magnetic resonance imaging head normal
Clinical narrative: Patient is a 57 y.o. male  with past medical history most significant for diabetes who presents to ED for shortness of breath. Patient reports she is getting exposed to someone who tested positive for COVID 2 weeks ago.  Since the exposure, patient has had constitutional symptoms in form of fevers chills and poor by mouth intake.  Of late, he has developed shortness of breath and cough with cough producing a yellow color sputum which continued to worsen prompting the hospital visit.  He has not had any concurrent GI symptoms.   Constitutional: Positive for activity change, chills, fatigue and fever.  Eyes: Negative.   Respiratory: Positive for cough and shortness of breath. Negative for wheezing.    Hypoxic respiratory failure 2/2 COVID PNA Symptom onset 13-14 days ago. NO signs of CHF. Troponin x 2 -ve -Start dexamethasone 6mg qday + remdesivir per protocol -Consider descalating antibiotics based on Procalcitonin. Currently on Azithromycin.  -ID for delta variant testing, vaccination failure  -Self Proning advised -Incentive spirometry  Discharge summary:  Chief Concern, Brief History of Present Illness, and Hospital Course 57 y.o. male  with past medical history most significant for diabetes admitted for symptomatic COVID.    # Acute hypoxic respiratory failure 2/2 SARS-COV 2 viral PNA; improved - continue dexamethasone x 10 days - Completed remdesevir - State Lab to ID if it is delta variant. Turnaround time is approx. 10 days. - Janssen Vaccine 1 dose taken on 04/07  PLAN: O2 weaned off and ambulatory pulse ox noted and doing well. Plan to discharge to home to resume prior regimen and to follow with PCP regarding his diabetes and cognitive decline.   Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myalgia, Productive cough, Pyrexia, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Patient is a 57 y.o. male  with past medical history most significant for diabetes who presents to ED for shortness of breath. Patient reports she is getting exposed to someone who tested positive for COVID 2 weeks ago.  Since the exposure, patient has had constitutional symptoms in form of fevers chills and poor by mouth intake.  Of late, he has developed shortness of breath and cough with cough producing a yellow color sputum which continued to worsen prompting the hospital visit.  He has not had any concurrent GI symptoms.   Constitutional: Positive for activity change, chills, fatigue and fever.  Eyes: Negative.   Respiratory: Positive for cough and shortness of breath. Negative for wheezing.    Hypoxic respiratory failure 2/2 COVID PNA Symptom onset 13-14 days ago. NO signs of CHF. Troponin x 2 -ve -Start dexamethasone 6mg qday + remdesivir per protocol -Consider descalating antibiotics based on Procalcitonin. Currently on Azithromycin.  -ID for delta variant testing, vaccination failure  -Self Proning advised -Incentive spirometry  Discharge summary:  Chief Concern, Brief History of Present Illness, and Hospital Course 57 y.o. male  with past medical history most significant for diabetes admitted for symptomatic COVID.    # Acute hypoxic respiratory failure 2/2 SARS-COV 2 viral PNA; improved - continue dexamethasone x 10 days - Completed remdesevir - State Lab to ID if it is delta variant. Turnaround time is approx. 10 days. - Janssen Vaccine 1 dose taken on 04/07  PLAN: O2 weaned off and ambulatory pulse ox noted and doing well. Plan to discharge to home to resume prior regimen and to follow with PCP regarding his diabetes and cognitive decline.   Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Scan with contrast normal, Sputum discoloured
Clinical narrative: Patient is a 57 y.o. male  with past medical history most significant for diabetes who presents to ED for shortness of breath. Patient reports she is getting exposed to someone who tested positive for COVID 2 weeks ago.  Since the exposure, patient has had constitutional symptoms in form of fevers chills and poor by mouth intake.  Of late, he has developed shortness of breath and cough with cough producing a yellow color sputum which continued to worsen prompting the hospital visit.  He has not had any concurrent GI symptoms.   Constitutional: Positive for activity change, chills, fatigue and fever.  Eyes: Negative.   Respiratory: Positive for cough and shortness of breath. Negative for wheezing.    Hypoxic respiratory failure 2/2 COVID PNA Symptom onset 13-14 days ago. NO signs of CHF. Troponin x 2 -ve -Start dexamethasone 6mg qday + remdesivir per protocol -Consider descalating antibiotics based on Procalcitonin. Currently on Azithromycin.  -ID for delta variant testing, vaccination failure  -Self Proning advised -Incentive spirometry  Discharge summary:  Chief Concern, Brief History of Present Illness, and Hospital Course 57 y.o. male  with past medical history most significant for diabetes admitted for symptomatic COVID.    # Acute hypoxic respiratory failure 2/2 SARS-COV 2 viral PNA; improved - continue dexamethasone x 10 days - Completed remdesevir - State Lab to ID if it is delta variant. Turnaround time is approx. 10 days. - Janssen Vaccine 1 dose taken on 04/07  PLAN: O2 weaned off and ambulatory pulse ox noted and doing well. Plan to discharge to home to resume prior regimen and to follow with PCP regarding his diabetes and cognitive decline.   Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Chills, Cognitive disorder
Clinical narrative: Patient is a 57 y.o. male  with past medical history most significant for diabetes who presents to ED for shortness of breath. Patient reports she is getting exposed to someone who tested positive for COVID 2 weeks ago.  Since the exposure, patient has had constitutional symptoms in form of fevers chills and poor by mouth intake.  Of late, he has developed shortness of breath and cough with cough producing a yellow color sputum which continued to worsen prompting the hospital visit.  He has not had any concurrent GI symptoms.   Constitutional: Positive for activity change, chills, fatigue and fever.  Eyes: Negative.   Respiratory: Positive for cough and shortness of breath. Negative for wheezing.    Hypoxic respiratory failure 2/2 COVID PNA Symptom onset 13-14 days ago. NO signs of CHF. Troponin x 2 -ve -Start dexamethasone 6mg qday + remdesivir per protocol -Consider descalating antibiotics based on Procalcitonin. Currently on Azithromycin.  -ID for delta variant testing, vaccination failure  -Self Proning advised -Incentive spirometry  Discharge summary:  Chief Concern, Brief History of Present Illness, and Hospital Course 57 y.o. male  with past medical history most significant for diabetes admitted for symptomatic COVID.    # Acute hypoxic respiratory failure 2/2 SARS-COV 2 viral PNA; improved - continue dexamethasone x 10 days - Completed remdesevir - State Lab to ID if it is delta variant. Turnaround time is approx. 10 days. - Janssen Vaccine 1 dose taken on 04/07  PLAN: O2 weaned off and ambulatory pulse ox noted and doing well. Plan to discharge to home to resume prior regimen and to follow with PCP regarding his diabetes and cognitive decline.   Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Exposure to SARS-CoV-2, Fatigue, Hypophagia, Laboratory test
Clinical narrative: Patient is a 57 y.o. male  with past medical history most significant for diabetes who presents to ED for shortness of breath. Patient reports she is getting exposed to someone who tested positive for COVID 2 weeks ago.  Since the exposure, patient has had constitutional symptoms in form of fevers chills and poor by mouth intake.  Of late, he has developed shortness of breath and cough with cough producing a yellow color sputum which continued to worsen prompting the hospital visit.  He has not had any concurrent GI symptoms.   Constitutional: Positive for activity change, chills, fatigue and fever.  Eyes: Negative.   Respiratory: Positive for cough and shortness of breath. Negative for wheezing.    Hypoxic respiratory failure 2/2 COVID PNA Symptom onset 13-14 days ago. NO signs of CHF. Troponin x 2 -ve -Start dexamethasone 6mg qday + remdesivir per protocol -Consider descalating antibiotics based on Procalcitonin. Currently on Azithromycin.  -ID for delta variant testing, vaccination failure  -Self Proning advised -Incentive spirometry  Discharge summary:  Chief Concern, Brief History of Present Illness, and Hospital Course 57 y.o. male  with past medical history most significant for diabetes admitted for symptomatic COVID.    # Acute hypoxic respiratory failure 2/2 SARS-COV 2 viral PNA; improved - continue dexamethasone x 10 days - Completed remdesevir - State Lab to ID if it is delta variant. Turnaround time is approx. 10 days. - Janssen Vaccine 1 dose taken on 04/07  PLAN: O2 weaned off and ambulatory pulse ox noted and doing well. Plan to discharge to home to resume prior regimen and to follow with PCP regarding his diabetes and cognitive decline.   Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Procalcitonin, Productive cough, Pyrexia, SARS-CoV-2 test positive, Sputum discoloured
Clinical narrative: Patient is a 57 y.o. male  with past medical history most significant for diabetes who presents to ED for shortness of breath. Patient reports she is getting exposed to someone who tested positive for COVID 2 weeks ago.  Since the exposure, patient has had constitutional symptoms in form of fevers chills and poor by mouth intake.  Of late, he has developed shortness of breath and cough with cough producing a yellow color sputum which continued to worsen prompting the hospital visit.  He has not had any concurrent GI symptoms.   Constitutional: Positive for activity change, chills, fatigue and fever.  Eyes: Negative.   Respiratory: Positive for cough and shortness of breath. Negative for wheezing.    Hypoxic respiratory failure 2/2 COVID PNA Symptom onset 13-14 days ago. NO signs of CHF. Troponin x 2 -ve -Start dexamethasone 6mg qday + remdesivir per protocol -Consider descalating antibiotics based on Procalcitonin. Currently on Azithromycin.  -ID for delta variant testing, vaccination failure  -Self Proning advised -Incentive spirometry  Discharge summary:  Chief Concern, Brief History of Present Illness, and Hospital Course 57 y.o. male  with past medical history most significant for diabetes admitted for symptomatic COVID.    # Acute hypoxic respiratory failure 2/2 SARS-COV 2 viral PNA; improved - continue dexamethasone x 10 days - Completed remdesevir - State Lab to ID if it is delta variant. Turnaround time is approx. 10 days. - Janssen Vaccine 1 dose taken on 04/07  PLAN: O2 weaned off and ambulatory pulse ox noted and doing well. Plan to discharge to home to resume prior regimen and to follow with PCP regarding his diabetes and cognitive decline.   Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Troponin, Vaccination failure
Clinical narrative: Patient is a 57 y.o. male  with past medical history most significant for diabetes who presents to ED for shortness of breath. Patient reports she is getting exposed to someone who tested positive for COVID 2 weeks ago.  Since the exposure, patient has had constitutional symptoms in form of fevers chills and poor by mouth intake.  Of late, he has developed shortness of breath and cough with cough producing a yellow color sputum which continued to worsen prompting the hospital visit.  He has not had any concurrent GI symptoms.   Constitutional: Positive for activity change, chills, fatigue and fever.  Eyes: Negative.   Respiratory: Positive for cough and shortness of breath. Negative for wheezing.    Hypoxic respiratory failure 2/2 COVID PNA Symptom onset 13-14 days ago. NO signs of CHF. Troponin x 2 -ve -Start dexamethasone 6mg qday + remdesivir per protocol -Consider descalating antibiotics based on Procalcitonin. Currently on Azithromycin.  -ID for delta variant testing, vaccination failure  -Self Proning advised -Incentive spirometry  Discharge summary:  Chief Concern, Brief History of Present Illness, and Hospital Course 57 y.o. male  with past medical history most significant for diabetes admitted for symptomatic COVID.    # Acute hypoxic respiratory failure 2/2 SARS-COV 2 viral PNA; improved - continue dexamethasone x 10 days - Completed remdesevir - State Lab to ID if it is delta variant. Turnaround time is approx. 10 days. - Janssen Vaccine 1 dose taken on 04/07  PLAN: O2 weaned off and ambulatory pulse ox noted and doing well. Plan to discharge to home to resume prior regimen and to follow with PCP regarding his diabetes and cognitive decline.   Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute left ventricular failure, Acute respiratory failure, Asthenia, Death, Dyspnoea
Clinical narrative: The patient presented with severe fatigue and weakness which began 2 days after receiving her third COVID-19 booster shot. She had reduced oral intake over the preceding 1 to 2 days before admission. She did not report chest pain or chest pressure or shortness of breath. She had an elevated troponin level greater than 90 with EKG changes consistent with diffuse anterior wall ischemia. She also had acute renal insufficiency. She was hemodynamically stable and was not experiencing chest pain. Her echocardiogram showed wall motion abnormalities consistent with stress cardiomyopathy or takotsubo syndrome. She was admitted to the intensive care unit and treated with intravenous fluid as well as intravenous unfractionated heparin and Plavix. She developed paroxysmal rapid atrial fibrillation and was treated with amiodarone and subsequently converted to sinus rhythm. She developed hypotension and was treated with low-dose phenylephrine. She remained stable and was transferred out of intensive care to telemetry and was treated with Eliquis and bisoprolol and amiodarone. She was showing signs of improvement but then took a turn for the worse with the development of respiratory failure. She was treated with intravenous Lasix and nitroglycerin paste. A repeat echocardiogram showed no new changes. Her chest x-ray showed worsening infiltrates which were multi focal as well as leukocytosis. Hospital-acquired pneumonia was suspected. At this point the patient's family opted to transition her to full comfort measures only and stopped all medications.  The patient subsequently passed away on comfort measures with family at the bedside on September 12, 2021.
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram, Extra dose administered, Stress cardiomyopathy
Clinical narrative: The patient presented with severe fatigue and weakness which began 2 days after receiving her third COVID-19 booster shot. She had reduced oral intake over the preceding 1 to 2 days before admission. She did not report chest pain or chest pressure or shortness of breath. She had an elevated troponin level greater than 90 with EKG changes consistent with diffuse anterior wall ischemia. She also had acute renal insufficiency. She was hemodynamically stable and was not experiencing chest pain. Her echocardiogram showed wall motion abnormalities consistent with stress cardiomyopathy or takotsubo syndrome. She was admitted to the intensive care unit and treated with intravenous fluid as well as intravenous unfractionated heparin and Plavix. She developed paroxysmal rapid atrial fibrillation and was treated with amiodarone and subsequently converted to sinus rhythm. She developed hypotension and was treated with low-dose phenylephrine. She remained stable and was transferred out of intensive care to telemetry and was treated with Eliquis and bisoprolol and amiodarone. She was showing signs of improvement but then took a turn for the worse with the development of respiratory failure. She was treated with intravenous Lasix and nitroglycerin paste. A repeat echocardiogram showed no new changes. Her chest x-ray showed worsening infiltrates which were multi focal as well as leukocytosis. Hospital-acquired pneumonia was suspected. At this point the patient's family opted to transition her to full comfort measures only and stopped all medications.  The patient subsequently passed away on comfort measures with family at the bedside on September 12, 2021.
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Anticoagulant therapy, Asthenia, Atrial fibrillation, Brain natriuretic peptide increased
Clinical narrative: The patient presented with severe fatigue and weakness which began 2 days after receiving her third COVID-19 booster shot. She had reduced oral intake over the preceding 1 to 2 days before admission. She did not report chest pain or chest pressure or shortness of breath. She had an elevated troponin level greater than 90 with EKG changes consistent with diffuse anterior wall ischemia. She also had acute renal insufficiency. She was hemodynamically stable and was not experiencing chest pain. Her echocardiogram showed wall motion abnormalities consistent with stress cardiomyopathy or takotsubo syndrome. She was admitted to the intensive care unit and treated with intravenous fluid as well as intravenous unfractionated heparin and Plavix. She developed paroxysmal rapid atrial fibrillation and was treated with amiodarone and subsequently converted to sinus rhythm. She developed hypotension and was treated with low-dose phenylephrine. She remained stable and was transferred out of intensive care to telemetry and was treated with Eliquis and bisoprolol and amiodarone. She was showing signs of improvement but then took a turn for the worse with the development of respiratory failure. She was treated with intravenous Lasix and nitroglycerin paste. A repeat echocardiogram showed no new changes. Her chest x-ray showed worsening infiltrates which were multi focal as well as leukocytosis. Hospital-acquired pneumonia was suspected. At this point the patient's family opted to transition her to full comfort measures only and stopped all medications.  The patient subsequently passed away on comfort measures with family at the bedside on September 12, 2021.