chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: Arthropathy, Body temperature increased, COVID-19, Eye pain, Feeling abnormal
Clinical narrative: When I first noticed the symptoms, it was a running nose and I thought it was dust or allergies. Then I started to not feel like myself. I started to get a sore throat and I thought right away I should test myself and I took a test after supper. I tested myself and noticed, I was positive. I went to bed and when I got up my wife called urgent care.  They did a PCR test. Then we went home, by the time I got home I started to feel worse, my joints, arms, skin and a really bad headache started, I also started shaking and I felt very cold. My temp at home was 100.5. That day I just kind of sat around, I calmed down from the shakes after a while. I slept mostly and the headache was bad, and my eyes were hurting. My nose and throat did get better. Going to bed was rough because I was so cold and still a little shaky. As days went on it did get better and better. And today I feel a bit more normal. I still have a little headache and body aches.
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: Feeling cold, Headache, Nasal disorder, Oropharyngeal pain, Pain
Clinical narrative: When I first noticed the symptoms, it was a running nose and I thought it was dust or allergies. Then I started to not feel like myself. I started to get a sore throat and I thought right away I should test myself and I took a test after supper. I tested myself and noticed, I was positive. I went to bed and when I got up my wife called urgent care.  They did a PCR test. Then we went home, by the time I got home I started to feel worse, my joints, arms, skin and a really bad headache started, I also started shaking and I felt very cold. My temp at home was 100.5. That day I just kind of sat around, I calmed down from the shakes after a while. I slept mostly and the headache was bad, and my eyes were hurting. My nose and throat did get better. Going to bed was rough because I was so cold and still a little shaky. As days went on it did get better and better. And today I feel a bit more normal. I still have a little headache and body aches.
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive, Skin disorder, Tremor
Clinical narrative: When I first noticed the symptoms, it was a running nose and I thought it was dust or allergies. Then I started to not feel like myself. I started to get a sore throat and I thought right away I should test myself and I took a test after supper. I tested myself and noticed, I was positive. I went to bed and when I got up my wife called urgent care.  They did a PCR test. Then we went home, by the time I got home I started to feel worse, my joints, arms, skin and a really bad headache started, I also started shaking and I felt very cold. My temp at home was 100.5. That day I just kind of sat around, I calmed down from the shakes after a while. I slept mostly and the headache was bad, and my eyes were hurting. My nose and throat did get better. Going to bed was rough because I was so cold and still a little shaky. As days went on it did get better and better. And today I feel a bit more normal. I still have a little headache and body aches.
Age: 92.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against then tested positive for COVID-19 and hospitalized
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Influenza virus test negative, Respiratory syncytial virus test negative, Respiratory tract infection, SARS-CoV-2 test negative, Sinusitis
Clinical narrative: I developed a respiratory infection on 10/15/2022 that lasted approximately fifteen days, I was tested for RSV, Influenza and COVID-19 all tests were negative. Around November 11/17/2022,  I then developed a sinus infection treated with Amoxicillin.  Since my sinus infection continued I was then treated  or currently being treated with Doxycycline for a day  now or as of the date of the report.
Age: 28.0
Sex: F
Vaccine: HPV9
Symptoms: Exposure during pregnancy, No adverse event, Wrong product administered
Clinical narrative: No additional AE reported; a dose of GARDASIL 9 was administered to a pregnant patient in error instead of lu vaccine on 12-DEC-2022; a dose of GARDASIL 9 was administered to a pregnant patient in error instead of lu vaccine on 12-DEC-2022; This pregnancy prospective spontaneous report was received from a healthcare business professional and refers to a 16-weeks-pregnant, 28-year-old female patient. Number of fetus was defaulted to 1. Last menstrual period (LMP) was estimated as 25-AUG-2022, date of delivery was estimated as 01-JUN-2023. At the reporting time, pregnancy outcome was pending, fetal outcome was unknown. The patient's medical history included gastric bypass. The patient's concurrent conditions included diabetes. The patient's concomitant medications included iron tablet. The patient's drug reactions/allergies were unknown by a reporter.  On 12-DEC-2022, the patient was vaccinated in error with a dose of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) in pre-filled syringe, injection, lot #: W002963, expiration date: 06-OCT-2024 (strength, site and route of administration were not provided) for prophylaxis instead of influenza vaccine (reported as flu vaccine) (exact dose, strength, formulation site and route of administration were not provided, lot #, expiration date and indication were not provided) (maternal exposure during pregnancy; wrong product administered). The patient had not experienced any symptoms. It was unknown whether any treatment was given to the patient. No additional adverse event reported.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19, Cardiac disorder, Cholelithiasis
Clinical narrative: Patient is a 68 y.o. male with a PMHx of uncontrolled T2DM, hypothyroidism, dyslipidemia and obesity who presented for a chief complaint of generalized weakness and altered mentation. Acute evaluation positive for COVID diagnosis with concurrent volume overload, noting 3+ pitting edema during examination. Thus, diuresis was initiated with gradual reduction in swelling and satisfactory urine output by daily monitoring. The onset of COVID symptoms within a 1 week period warranted further intervention by way of Infectious Disease management, to regulate Remdesivir and Tocilizumab dosing. Pt's hospitalization was complicated by a slow reduction in oxygen requirements despite diuretic management, suspected secondary to fluid retention in the setting of suspected cardiac contribution, as well as active pulmonary infection from a viral nidus. Echocardiogram ruled out any acute, left-sided dysfunction. Continued evaluated was able to demonstrate an improvement in strength by PT and OT evaluations. Once improving substantially enough to maintain his SpO2 off of supportive therapy, Pt was determined appropriate for hospital discharge with close outpatient follow-up. Recommendations for close outpatient follow-up were discussed as listed, as well as the importance of continued medication management.    Discharge diagnoses   Acute respiratory failure with hypoxia - improving  Acute COVID infection  Volume overload, present on arrival - improving  Pulmonary artery dilatation of 3.2 cm, present on arrival  Generalized weakness - improved Acute metabolic encephalopathy - resolved  Elevated transaminase levels, present on arrival - improving  Cholelithiasis  NAFLD Normocytic anemia, present on arrival    Chronic Problems:   Diabetes mellitus type 2 with non-proliferative diabetic retinopathy Hypothyroidism  Dyslipidemia  Obesity Class III
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Diuretic therapy, Echocardiogram normal, Fluid retention, Hypervolaemia, Malaise
Clinical narrative: Patient is a 68 y.o. male with a PMHx of uncontrolled T2DM, hypothyroidism, dyslipidemia and obesity who presented for a chief complaint of generalized weakness and altered mentation. Acute evaluation positive for COVID diagnosis with concurrent volume overload, noting 3+ pitting edema during examination. Thus, diuresis was initiated with gradual reduction in swelling and satisfactory urine output by daily monitoring. The onset of COVID symptoms within a 1 week period warranted further intervention by way of Infectious Disease management, to regulate Remdesivir and Tocilizumab dosing. Pt's hospitalization was complicated by a slow reduction in oxygen requirements despite diuretic management, suspected secondary to fluid retention in the setting of suspected cardiac contribution, as well as active pulmonary infection from a viral nidus. Echocardiogram ruled out any acute, left-sided dysfunction. Continued evaluated was able to demonstrate an improvement in strength by PT and OT evaluations. Once improving substantially enough to maintain his SpO2 off of supportive therapy, Pt was determined appropriate for hospital discharge with close outpatient follow-up. Recommendations for close outpatient follow-up were discussed as listed, as well as the importance of continued medication management.    Discharge diagnoses   Acute respiratory failure with hypoxia - improving  Acute COVID infection  Volume overload, present on arrival - improving  Pulmonary artery dilatation of 3.2 cm, present on arrival  Generalized weakness - improved Acute metabolic encephalopathy - resolved  Elevated transaminase levels, present on arrival - improving  Cholelithiasis  NAFLD Normocytic anemia, present on arrival    Chronic Problems:   Diabetes mellitus type 2 with non-proliferative diabetic retinopathy Hypothyroidism  Dyslipidemia  Obesity Class III
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Mental status changes, Metabolic encephalopathy, Non-alcoholic fatty liver, Normocytic anaemia, Oedema
Clinical narrative: Patient is a 68 y.o. male with a PMHx of uncontrolled T2DM, hypothyroidism, dyslipidemia and obesity who presented for a chief complaint of generalized weakness and altered mentation. Acute evaluation positive for COVID diagnosis with concurrent volume overload, noting 3+ pitting edema during examination. Thus, diuresis was initiated with gradual reduction in swelling and satisfactory urine output by daily monitoring. The onset of COVID symptoms within a 1 week period warranted further intervention by way of Infectious Disease management, to regulate Remdesivir and Tocilizumab dosing. Pt's hospitalization was complicated by a slow reduction in oxygen requirements despite diuretic management, suspected secondary to fluid retention in the setting of suspected cardiac contribution, as well as active pulmonary infection from a viral nidus. Echocardiogram ruled out any acute, left-sided dysfunction. Continued evaluated was able to demonstrate an improvement in strength by PT and OT evaluations. Once improving substantially enough to maintain his SpO2 off of supportive therapy, Pt was determined appropriate for hospital discharge with close outpatient follow-up. Recommendations for close outpatient follow-up were discussed as listed, as well as the importance of continued medication management.    Discharge diagnoses   Acute respiratory failure with hypoxia - improving  Acute COVID infection  Volume overload, present on arrival - improving  Pulmonary artery dilatation of 3.2 cm, present on arrival  Generalized weakness - improved Acute metabolic encephalopathy - resolved  Elevated transaminase levels, present on arrival - improving  Cholelithiasis  NAFLD Normocytic anemia, present on arrival    Chronic Problems:   Diabetes mellitus type 2 with non-proliferative diabetic retinopathy Hypothyroidism  Dyslipidemia  Obesity Class III
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Pulmonary artery dilatation, SARS-CoV-2 test positive, Swelling, Transaminases increased
Clinical narrative: Patient is a 68 y.o. male with a PMHx of uncontrolled T2DM, hypothyroidism, dyslipidemia and obesity who presented for a chief complaint of generalized weakness and altered mentation. Acute evaluation positive for COVID diagnosis with concurrent volume overload, noting 3+ pitting edema during examination. Thus, diuresis was initiated with gradual reduction in swelling and satisfactory urine output by daily monitoring. The onset of COVID symptoms within a 1 week period warranted further intervention by way of Infectious Disease management, to regulate Remdesivir and Tocilizumab dosing. Pt's hospitalization was complicated by a slow reduction in oxygen requirements despite diuretic management, suspected secondary to fluid retention in the setting of suspected cardiac contribution, as well as active pulmonary infection from a viral nidus. Echocardiogram ruled out any acute, left-sided dysfunction. Continued evaluated was able to demonstrate an improvement in strength by PT and OT evaluations. Once improving substantially enough to maintain his SpO2 off of supportive therapy, Pt was determined appropriate for hospital discharge with close outpatient follow-up. Recommendations for close outpatient follow-up were discussed as listed, as well as the importance of continued medication management.    Discharge diagnoses   Acute respiratory failure with hypoxia - improving  Acute COVID infection  Volume overload, present on arrival - improving  Pulmonary artery dilatation of 3.2 cm, present on arrival  Generalized weakness - improved Acute metabolic encephalopathy - resolved  Elevated transaminase levels, present on arrival - improving  Cholelithiasis  NAFLD Normocytic anemia, present on arrival    Chronic Problems:   Diabetes mellitus type 2 with non-proliferative diabetic retinopathy Hypothyroidism  Dyslipidemia  Obesity Class III
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Urine output, Viral infection
Clinical narrative: Patient is a 68 y.o. male with a PMHx of uncontrolled T2DM, hypothyroidism, dyslipidemia and obesity who presented for a chief complaint of generalized weakness and altered mentation. Acute evaluation positive for COVID diagnosis with concurrent volume overload, noting 3+ pitting edema during examination. Thus, diuresis was initiated with gradual reduction in swelling and satisfactory urine output by daily monitoring. The onset of COVID symptoms within a 1 week period warranted further intervention by way of Infectious Disease management, to regulate Remdesivir and Tocilizumab dosing. Pt's hospitalization was complicated by a slow reduction in oxygen requirements despite diuretic management, suspected secondary to fluid retention in the setting of suspected cardiac contribution, as well as active pulmonary infection from a viral nidus. Echocardiogram ruled out any acute, left-sided dysfunction. Continued evaluated was able to demonstrate an improvement in strength by PT and OT evaluations. Once improving substantially enough to maintain his SpO2 off of supportive therapy, Pt was determined appropriate for hospital discharge with close outpatient follow-up. Recommendations for close outpatient follow-up were discussed as listed, as well as the importance of continued medication management.    Discharge diagnoses   Acute respiratory failure with hypoxia - improving  Acute COVID infection  Volume overload, present on arrival - improving  Pulmonary artery dilatation of 3.2 cm, present on arrival  Generalized weakness - improved Acute metabolic encephalopathy - resolved  Elevated transaminase levels, present on arrival - improving  Cholelithiasis  NAFLD Normocytic anemia, present on arrival    Chronic Problems:   Diabetes mellitus type 2 with non-proliferative diabetic retinopathy Hypothyroidism  Dyslipidemia  Obesity Class III
Age: 26.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Half dose given
Age: 30.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Half dose given
Age: 41.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Half dose given
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, Blood pressure increased, COVID-19, Chronic obstructive pulmonary disease
Clinical narrative: Patient is a 74 y.o. male patient of DO pmh copd, htn, schizophrenia who presents to ED with increasing shortness of breath and cough.   Acute respiratory failure with hypoxia Pneumonia of right lower lobe due to infectious organism Acute exacerbation of COPD On presentation?hypoxic to 80%, tachypneic with respiratory rate to 26  WBC 13.79 CT PA with mild tree-in-bud nodules in the right middle and right lower lobes which may be infectious or inflammatory. Continue with dexamethasone, scheduled inhaler, omnicef and zithromax  On 1 L of oxygen.  To wean to RA Wean oxygen as tolerated, encourage incentive spirometry WBC up to 16 < 10, today, down to 13 Patient feels better, SOB improved so will DC home once fully weaned off oxygen. Patient advised to follow-up with his PCP.   Covid-19 Date of onset of symptoms: 11/16/22 Symptoms present on admission: shortness of breath, cough Date of covid positive test: 11/18/2 Vaccination status: fully vaccinated per patient and received 4 total vaccinations Imaging: ct as above Oxygen requirements on admission: 3 to 4LNC Current oxygen requirements: 1 L Medical therapy: dexamethasone started 11/28/2022.   S/p Paxlovid therapy for 5 days Consultants following: None Special isolation DC'd   Essential hypertension  BP elevated 140's to 170's Continue lisinopril 40 mg p.o. daily Hydrochlorothiazide 12.5 mg p.o daily increased to 25 mg daily BP better controlled   Schizophrenia On invega q28 days, continue depakote and loxapine   Family Contact Information    Code Status: Full Code   Quality Measures ? DVT Prophylaxis: Lovenox ? Foley Catheter: Absent   Disposition ? Discharge Location: Home ? Estimated Discharge Date: 12/2/2022 ? Outpatient Testing: None
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Cough, Dyspnoea, Hypoxia, Malaise
Clinical narrative: Patient is a 74 y.o. male patient of DO pmh copd, htn, schizophrenia who presents to ED with increasing shortness of breath and cough.   Acute respiratory failure with hypoxia Pneumonia of right lower lobe due to infectious organism Acute exacerbation of COPD On presentation?hypoxic to 80%, tachypneic with respiratory rate to 26  WBC 13.79 CT PA with mild tree-in-bud nodules in the right middle and right lower lobes which may be infectious or inflammatory. Continue with dexamethasone, scheduled inhaler, omnicef and zithromax  On 1 L of oxygen.  To wean to RA Wean oxygen as tolerated, encourage incentive spirometry WBC up to 16 < 10, today, down to 13 Patient feels better, SOB improved so will DC home once fully weaned off oxygen. Patient advised to follow-up with his PCP.   Covid-19 Date of onset of symptoms: 11/16/22 Symptoms present on admission: shortness of breath, cough Date of covid positive test: 11/18/2 Vaccination status: fully vaccinated per patient and received 4 total vaccinations Imaging: ct as above Oxygen requirements on admission: 3 to 4LNC Current oxygen requirements: 1 L Medical therapy: dexamethasone started 11/28/2022.   S/p Paxlovid therapy for 5 days Consultants following: None Special isolation DC'd   Essential hypertension  BP elevated 140's to 170's Continue lisinopril 40 mg p.o. daily Hydrochlorothiazide 12.5 mg p.o daily increased to 25 mg daily BP better controlled   Schizophrenia On invega q28 days, continue depakote and loxapine   Family Contact Information    Code Status: Full Code   Quality Measures ? DVT Prophylaxis: Lovenox ? Foley Catheter: Absent   Disposition ? Discharge Location: Home ? Estimated Discharge Date: 12/2/2022 ? Outpatient Testing: None
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Pulmonary mass, SARS-CoV-2 test positive, Tachypnoea, White blood cell count increased
Clinical narrative: Patient is a 74 y.o. male patient of DO pmh copd, htn, schizophrenia who presents to ED with increasing shortness of breath and cough.   Acute respiratory failure with hypoxia Pneumonia of right lower lobe due to infectious organism Acute exacerbation of COPD On presentation?hypoxic to 80%, tachypneic with respiratory rate to 26  WBC 13.79 CT PA with mild tree-in-bud nodules in the right middle and right lower lobes which may be infectious or inflammatory. Continue with dexamethasone, scheduled inhaler, omnicef and zithromax  On 1 L of oxygen.  To wean to RA Wean oxygen as tolerated, encourage incentive spirometry WBC up to 16 < 10, today, down to 13 Patient feels better, SOB improved so will DC home once fully weaned off oxygen. Patient advised to follow-up with his PCP.   Covid-19 Date of onset of symptoms: 11/16/22 Symptoms present on admission: shortness of breath, cough Date of covid positive test: 11/18/2 Vaccination status: fully vaccinated per patient and received 4 total vaccinations Imaging: ct as above Oxygen requirements on admission: 3 to 4LNC Current oxygen requirements: 1 L Medical therapy: dexamethasone started 11/28/2022.   S/p Paxlovid therapy for 5 days Consultants following: None Special isolation DC'd   Essential hypertension  BP elevated 140's to 170's Continue lisinopril 40 mg p.o. daily Hydrochlorothiazide 12.5 mg p.o daily increased to 25 mg daily BP better controlled   Schizophrenia On invega q28 days, continue depakote and loxapine   Family Contact Information    Code Status: Full Code   Quality Measures ? DVT Prophylaxis: Lovenox ? Foley Catheter: Absent   Disposition ? Discharge Location: Home ? Estimated Discharge Date: 12/2/2022 ? Outpatient Testing: None
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Nasopharyngitis, SARS-CoV-2 test positive
Clinical narrative: The day before I tested positive, I was having symptoms like I had a head cold. I tested positive on COVID-19 via the at home test. I then reached out to my doctor, and I was put on Paxlovid. I started recovering and within three days I was better.  I dealt with it for about a total of 4 days.  Day 7 I did test negative.
Age: 49.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Half dose given
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests normal, Disturbance in attention, Tinnitus
Clinical narrative: Initiation of consistent, bilateral tinnitus, beginning three days following vaccination.  Tinnitus has continued, increasing in intensity since 1/5/22.  Tinnitus has interfered with ability to concentrate and work, resulting in canceled freelance contracts/client relationships and loss of work.  Hearing test was completed by audiologist, with no signs of hearing loss.
Age: 23.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Half dose given
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Aortic dilatation, Benign prostatic hyperplasia, Bladder catheterisation, Bladder dilatation
Clinical narrative: Hospital Course:  Patient is a 75 y.o. male patient of MD with history of BPH, who presented to Hospital with constipation and dysuria. See hospital course below.      Discharge Diagnoses:     Sepsis-Resolved possibly due to COVID vs UTI Was on Vanc/cefepime UC negative. BC NGTD. IV antibiotics stopped.  Given IV fluids.  Leukocytosis improved.    AKI due to obstructive uropathy, POA: Urinary retention, POA: BPH with lower urinary tract symptoms: CT abd/pelvis with marked distention of the urinary bladder, likely chronic BUN 38/Cr 1.54 compared to 18/1 at baseline. Creat 2.3 today. Nephrology consult appreciated. Renal functions improved and back to baseline.    Urology saw the pt and inserted foley as the staff was not able to initially.  Repeat US showed resolution of hydronephrosis.  Started Doxazosin avoid tamsulosin due to Hx sulfa allergy.   Per Urology he will likely need an outlet procedure in the near future due to this significant retention episode with renal insult & massive prostatomegaly on imaging.   Pt has Appt with Urology on Friday   V-Tach Noted bursts of V-Tach. Replace K maintain above 4 Mag checked and 2.2. Cardiology consulted. Apprecaite recommendations.  Pt started on BB. ECHO done showed    1. Left ventricular systolic function is normal with an ejection fraction by Biplane Method of Discs of 67 %.   2. Right ventricular size and systolic function are normal.   3. The left ventricular diastolic function is normal.   4. There is mild tricuspid valve regurgitation.   5. There is pulmonary hypertension, estimated right ventricle systolic pressure is 52 mmHg.   6. The proximal ascending aorta is dilated measuring 4.2 cm with an index of 2.0 cm/m2.  Continues to have SVTs. Monitor today and replace K and Mag.    SPECT in the outpatient setting.  If negative, then pursue cardiac MRI as an outpatient. Per cardiology.  Follow further cardiology recommendations.    Cardiology saw the pt and stable for discharge with out pt follow up.    Constipation, POA: Bowel regimen- and now resolved   Covid-19 Virus Positive, POA: Date of onset of symptoms: 12/06/22 Symptoms present on admission: dysuria and constipation with sepsis on presentation to the ED Date of covid positive test: 12/06/22 Vaccination status: vaccinated Imaging: CT abd/pelvis w/o evidence of acute airspace disease in the lung bases Oxygen requirements on admission: room air Current oxygen requirements: room air Medical therapy: not indicated Consultants following: none Anticipated special isolation end date: 12/12/2022 Currently asymptomatic. No indication for therapy.    Left 4th finger Dupuytren's disease: S/p left 4th finger palmar fasciectomy 12/2/2022 Pathology report of palmar fibromatosis.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine increased, Blood culture negative, Blood urea increased, COVID-19, Computerised tomogram abdomen abnormal
Clinical narrative: Hospital Course:  Patient is a 75 y.o. male patient of MD with history of BPH, who presented to Hospital with constipation and dysuria. See hospital course below.      Discharge Diagnoses:     Sepsis-Resolved possibly due to COVID vs UTI Was on Vanc/cefepime UC negative. BC NGTD. IV antibiotics stopped.  Given IV fluids.  Leukocytosis improved.    AKI due to obstructive uropathy, POA: Urinary retention, POA: BPH with lower urinary tract symptoms: CT abd/pelvis with marked distention of the urinary bladder, likely chronic BUN 38/Cr 1.54 compared to 18/1 at baseline. Creat 2.3 today. Nephrology consult appreciated. Renal functions improved and back to baseline.    Urology saw the pt and inserted foley as the staff was not able to initially.  Repeat US showed resolution of hydronephrosis.  Started Doxazosin avoid tamsulosin due to Hx sulfa allergy.   Per Urology he will likely need an outlet procedure in the near future due to this significant retention episode with renal insult & massive prostatomegaly on imaging.   Pt has Appt with Urology on Friday   V-Tach Noted bursts of V-Tach. Replace K maintain above 4 Mag checked and 2.2. Cardiology consulted. Apprecaite recommendations.  Pt started on BB. ECHO done showed    1. Left ventricular systolic function is normal with an ejection fraction by Biplane Method of Discs of 67 %.   2. Right ventricular size and systolic function are normal.   3. The left ventricular diastolic function is normal.   4. There is mild tricuspid valve regurgitation.   5. There is pulmonary hypertension, estimated right ventricle systolic pressure is 52 mmHg.   6. The proximal ascending aorta is dilated measuring 4.2 cm with an index of 2.0 cm/m2.  Continues to have SVTs. Monitor today and replace K and Mag.    SPECT in the outpatient setting.  If negative, then pursue cardiac MRI as an outpatient. Per cardiology.  Follow further cardiology recommendations.    Cardiology saw the pt and stable for discharge with out pt follow up.    Constipation, POA: Bowel regimen- and now resolved   Covid-19 Virus Positive, POA: Date of onset of symptoms: 12/06/22 Symptoms present on admission: dysuria and constipation with sepsis on presentation to the ED Date of covid positive test: 12/06/22 Vaccination status: vaccinated Imaging: CT abd/pelvis w/o evidence of acute airspace disease in the lung bases Oxygen requirements on admission: room air Current oxygen requirements: room air Medical therapy: not indicated Consultants following: none Anticipated special isolation end date: 12/12/2022 Currently asymptomatic. No indication for therapy.    Left 4th finger Dupuytren's disease: S/p left 4th finger palmar fasciectomy 12/2/2022 Pathology report of palmar fibromatosis.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Constipation, Culture urine negative, Dupuytren's contracture, Dysuria
Clinical narrative: Hospital Course:  Patient is a 75 y.o. male patient of MD with history of BPH, who presented to Hospital with constipation and dysuria. See hospital course below.      Discharge Diagnoses:     Sepsis-Resolved possibly due to COVID vs UTI Was on Vanc/cefepime UC negative. BC NGTD. IV antibiotics stopped.  Given IV fluids.  Leukocytosis improved.    AKI due to obstructive uropathy, POA: Urinary retention, POA: BPH with lower urinary tract symptoms: CT abd/pelvis with marked distention of the urinary bladder, likely chronic BUN 38/Cr 1.54 compared to 18/1 at baseline. Creat 2.3 today. Nephrology consult appreciated. Renal functions improved and back to baseline.    Urology saw the pt and inserted foley as the staff was not able to initially.  Repeat US showed resolution of hydronephrosis.  Started Doxazosin avoid tamsulosin due to Hx sulfa allergy.   Per Urology he will likely need an outlet procedure in the near future due to this significant retention episode with renal insult & massive prostatomegaly on imaging.   Pt has Appt with Urology on Friday   V-Tach Noted bursts of V-Tach. Replace K maintain above 4 Mag checked and 2.2. Cardiology consulted. Apprecaite recommendations.  Pt started on BB. ECHO done showed    1. Left ventricular systolic function is normal with an ejection fraction by Biplane Method of Discs of 67 %.   2. Right ventricular size and systolic function are normal.   3. The left ventricular diastolic function is normal.   4. There is mild tricuspid valve regurgitation.   5. There is pulmonary hypertension, estimated right ventricle systolic pressure is 52 mmHg.   6. The proximal ascending aorta is dilated measuring 4.2 cm with an index of 2.0 cm/m2.  Continues to have SVTs. Monitor today and replace K and Mag.    SPECT in the outpatient setting.  If negative, then pursue cardiac MRI as an outpatient. Per cardiology.  Follow further cardiology recommendations.    Cardiology saw the pt and stable for discharge with out pt follow up.    Constipation, POA: Bowel regimen- and now resolved   Covid-19 Virus Positive, POA: Date of onset of symptoms: 12/06/22 Symptoms present on admission: dysuria and constipation with sepsis on presentation to the ED Date of covid positive test: 12/06/22 Vaccination status: vaccinated Imaging: CT abd/pelvis w/o evidence of acute airspace disease in the lung bases Oxygen requirements on admission: room air Current oxygen requirements: room air Medical therapy: not indicated Consultants following: none Anticipated special isolation end date: 12/12/2022 Currently asymptomatic. No indication for therapy.    Left 4th finger Dupuytren's disease: S/p left 4th finger palmar fasciectomy 12/2/2022 Pathology report of palmar fibromatosis.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram abnormal, Ejection fraction normal, Fasciectomy, Hydronephrosis, Imaging procedure abnormal
Clinical narrative: Hospital Course:  Patient is a 75 y.o. male patient of MD with history of BPH, who presented to Hospital with constipation and dysuria. See hospital course below.      Discharge Diagnoses:     Sepsis-Resolved possibly due to COVID vs UTI Was on Vanc/cefepime UC negative. BC NGTD. IV antibiotics stopped.  Given IV fluids.  Leukocytosis improved.    AKI due to obstructive uropathy, POA: Urinary retention, POA: BPH with lower urinary tract symptoms: CT abd/pelvis with marked distention of the urinary bladder, likely chronic BUN 38/Cr 1.54 compared to 18/1 at baseline. Creat 2.3 today. Nephrology consult appreciated. Renal functions improved and back to baseline.    Urology saw the pt and inserted foley as the staff was not able to initially.  Repeat US showed resolution of hydronephrosis.  Started Doxazosin avoid tamsulosin due to Hx sulfa allergy.   Per Urology he will likely need an outlet procedure in the near future due to this significant retention episode with renal insult & massive prostatomegaly on imaging.   Pt has Appt with Urology on Friday   V-Tach Noted bursts of V-Tach. Replace K maintain above 4 Mag checked and 2.2. Cardiology consulted. Apprecaite recommendations.  Pt started on BB. ECHO done showed    1. Left ventricular systolic function is normal with an ejection fraction by Biplane Method of Discs of 67 %.   2. Right ventricular size and systolic function are normal.   3. The left ventricular diastolic function is normal.   4. There is mild tricuspid valve regurgitation.   5. There is pulmonary hypertension, estimated right ventricle systolic pressure is 52 mmHg.   6. The proximal ascending aorta is dilated measuring 4.2 cm with an index of 2.0 cm/m2.  Continues to have SVTs. Monitor today and replace K and Mag.    SPECT in the outpatient setting.  If negative, then pursue cardiac MRI as an outpatient. Per cardiology.  Follow further cardiology recommendations.    Cardiology saw the pt and stable for discharge with out pt follow up.    Constipation, POA: Bowel regimen- and now resolved   Covid-19 Virus Positive, POA: Date of onset of symptoms: 12/06/22 Symptoms present on admission: dysuria and constipation with sepsis on presentation to the ED Date of covid positive test: 12/06/22 Vaccination status: vaccinated Imaging: CT abd/pelvis w/o evidence of acute airspace disease in the lung bases Oxygen requirements on admission: room air Current oxygen requirements: room air Medical therapy: not indicated Consultants following: none Anticipated special isolation end date: 12/12/2022 Currently asymptomatic. No indication for therapy.    Left 4th finger Dupuytren's disease: S/p left 4th finger palmar fasciectomy 12/2/2022 Pathology report of palmar fibromatosis.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Leukocytosis, Lower urinary tract symptoms, Malaise, Pathology test, Prostatomegaly
Clinical narrative: Hospital Course:  Patient is a 75 y.o. male patient of MD with history of BPH, who presented to Hospital with constipation and dysuria. See hospital course below.      Discharge Diagnoses:     Sepsis-Resolved possibly due to COVID vs UTI Was on Vanc/cefepime UC negative. BC NGTD. IV antibiotics stopped.  Given IV fluids.  Leukocytosis improved.    AKI due to obstructive uropathy, POA: Urinary retention, POA: BPH with lower urinary tract symptoms: CT abd/pelvis with marked distention of the urinary bladder, likely chronic BUN 38/Cr 1.54 compared to 18/1 at baseline. Creat 2.3 today. Nephrology consult appreciated. Renal functions improved and back to baseline.    Urology saw the pt and inserted foley as the staff was not able to initially.  Repeat US showed resolution of hydronephrosis.  Started Doxazosin avoid tamsulosin due to Hx sulfa allergy.   Per Urology he will likely need an outlet procedure in the near future due to this significant retention episode with renal insult & massive prostatomegaly on imaging.   Pt has Appt with Urology on Friday   V-Tach Noted bursts of V-Tach. Replace K maintain above 4 Mag checked and 2.2. Cardiology consulted. Apprecaite recommendations.  Pt started on BB. ECHO done showed    1. Left ventricular systolic function is normal with an ejection fraction by Biplane Method of Discs of 67 %.   2. Right ventricular size and systolic function are normal.   3. The left ventricular diastolic function is normal.   4. There is mild tricuspid valve regurgitation.   5. There is pulmonary hypertension, estimated right ventricle systolic pressure is 52 mmHg.   6. The proximal ascending aorta is dilated measuring 4.2 cm with an index of 2.0 cm/m2.  Continues to have SVTs. Monitor today and replace K and Mag.    SPECT in the outpatient setting.  If negative, then pursue cardiac MRI as an outpatient. Per cardiology.  Follow further cardiology recommendations.    Cardiology saw the pt and stable for discharge with out pt follow up.    Constipation, POA: Bowel regimen- and now resolved   Covid-19 Virus Positive, POA: Date of onset of symptoms: 12/06/22 Symptoms present on admission: dysuria and constipation with sepsis on presentation to the ED Date of covid positive test: 12/06/22 Vaccination status: vaccinated Imaging: CT abd/pelvis w/o evidence of acute airspace disease in the lung bases Oxygen requirements on admission: room air Current oxygen requirements: room air Medical therapy: not indicated Consultants following: none Anticipated special isolation end date: 12/12/2022 Currently asymptomatic. No indication for therapy.    Left 4th finger Dupuytren's disease: S/p left 4th finger palmar fasciectomy 12/2/2022 Pathology report of palmar fibromatosis.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary hypertension, Renal impairment, Right ventricular systolic pressure, SARS-CoV-2 test positive, Sepsis
Clinical narrative: Hospital Course:  Patient is a 75 y.o. male patient of MD with history of BPH, who presented to Hospital with constipation and dysuria. See hospital course below.      Discharge Diagnoses:     Sepsis-Resolved possibly due to COVID vs UTI Was on Vanc/cefepime UC negative. BC NGTD. IV antibiotics stopped.  Given IV fluids.  Leukocytosis improved.    AKI due to obstructive uropathy, POA: Urinary retention, POA: BPH with lower urinary tract symptoms: CT abd/pelvis with marked distention of the urinary bladder, likely chronic BUN 38/Cr 1.54 compared to 18/1 at baseline. Creat 2.3 today. Nephrology consult appreciated. Renal functions improved and back to baseline.    Urology saw the pt and inserted foley as the staff was not able to initially.  Repeat US showed resolution of hydronephrosis.  Started Doxazosin avoid tamsulosin due to Hx sulfa allergy.   Per Urology he will likely need an outlet procedure in the near future due to this significant retention episode with renal insult & massive prostatomegaly on imaging.   Pt has Appt with Urology on Friday   V-Tach Noted bursts of V-Tach. Replace K maintain above 4 Mag checked and 2.2. Cardiology consulted. Apprecaite recommendations.  Pt started on BB. ECHO done showed    1. Left ventricular systolic function is normal with an ejection fraction by Biplane Method of Discs of 67 %.   2. Right ventricular size and systolic function are normal.   3. The left ventricular diastolic function is normal.   4. There is mild tricuspid valve regurgitation.   5. There is pulmonary hypertension, estimated right ventricle systolic pressure is 52 mmHg.   6. The proximal ascending aorta is dilated measuring 4.2 cm with an index of 2.0 cm/m2.  Continues to have SVTs. Monitor today and replace K and Mag.    SPECT in the outpatient setting.  If negative, then pursue cardiac MRI as an outpatient. Per cardiology.  Follow further cardiology recommendations.    Cardiology saw the pt and stable for discharge with out pt follow up.    Constipation, POA: Bowel regimen- and now resolved   Covid-19 Virus Positive, POA: Date of onset of symptoms: 12/06/22 Symptoms present on admission: dysuria and constipation with sepsis on presentation to the ED Date of covid positive test: 12/06/22 Vaccination status: vaccinated Imaging: CT abd/pelvis w/o evidence of acute airspace disease in the lung bases Oxygen requirements on admission: room air Current oxygen requirements: room air Medical therapy: not indicated Consultants following: none Anticipated special isolation end date: 12/12/2022 Currently asymptomatic. No indication for therapy.    Left 4th finger Dupuytren's disease: S/p left 4th finger palmar fasciectomy 12/2/2022 Pathology report of palmar fibromatosis.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Supraventricular tachycardia, Tricuspid valve incompetence, Ultrasound scan normal, Urinary retention, Urinary tract infection
Clinical narrative: Hospital Course:  Patient is a 75 y.o. male patient of MD with history of BPH, who presented to Hospital with constipation and dysuria. See hospital course below.      Discharge Diagnoses:     Sepsis-Resolved possibly due to COVID vs UTI Was on Vanc/cefepime UC negative. BC NGTD. IV antibiotics stopped.  Given IV fluids.  Leukocytosis improved.    AKI due to obstructive uropathy, POA: Urinary retention, POA: BPH with lower urinary tract symptoms: CT abd/pelvis with marked distention of the urinary bladder, likely chronic BUN 38/Cr 1.54 compared to 18/1 at baseline. Creat 2.3 today. Nephrology consult appreciated. Renal functions improved and back to baseline.    Urology saw the pt and inserted foley as the staff was not able to initially.  Repeat US showed resolution of hydronephrosis.  Started Doxazosin avoid tamsulosin due to Hx sulfa allergy.   Per Urology he will likely need an outlet procedure in the near future due to this significant retention episode with renal insult & massive prostatomegaly on imaging.   Pt has Appt with Urology on Friday   V-Tach Noted bursts of V-Tach. Replace K maintain above 4 Mag checked and 2.2. Cardiology consulted. Apprecaite recommendations.  Pt started on BB. ECHO done showed    1. Left ventricular systolic function is normal with an ejection fraction by Biplane Method of Discs of 67 %.   2. Right ventricular size and systolic function are normal.   3. The left ventricular diastolic function is normal.   4. There is mild tricuspid valve regurgitation.   5. There is pulmonary hypertension, estimated right ventricle systolic pressure is 52 mmHg.   6. The proximal ascending aorta is dilated measuring 4.2 cm with an index of 2.0 cm/m2.  Continues to have SVTs. Monitor today and replace K and Mag.    SPECT in the outpatient setting.  If negative, then pursue cardiac MRI as an outpatient. Per cardiology.  Follow further cardiology recommendations.    Cardiology saw the pt and stable for discharge with out pt follow up.    Constipation, POA: Bowel regimen- and now resolved   Covid-19 Virus Positive, POA: Date of onset of symptoms: 12/06/22 Symptoms present on admission: dysuria and constipation with sepsis on presentation to the ED Date of covid positive test: 12/06/22 Vaccination status: vaccinated Imaging: CT abd/pelvis w/o evidence of acute airspace disease in the lung bases Oxygen requirements on admission: room air Current oxygen requirements: room air Medical therapy: not indicated Consultants following: none Anticipated special isolation end date: 12/12/2022 Currently asymptomatic. No indication for therapy.    Left 4th finger Dupuytren's disease: S/p left 4th finger palmar fasciectomy 12/2/2022 Pathology report of palmar fibromatosis.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Urinary tract obstruction, Ventricular tachycardia
Clinical narrative: Hospital Course:  Patient is a 75 y.o. male patient of MD with history of BPH, who presented to Hospital with constipation and dysuria. See hospital course below.      Discharge Diagnoses:     Sepsis-Resolved possibly due to COVID vs UTI Was on Vanc/cefepime UC negative. BC NGTD. IV antibiotics stopped.  Given IV fluids.  Leukocytosis improved.    AKI due to obstructive uropathy, POA: Urinary retention, POA: BPH with lower urinary tract symptoms: CT abd/pelvis with marked distention of the urinary bladder, likely chronic BUN 38/Cr 1.54 compared to 18/1 at baseline. Creat 2.3 today. Nephrology consult appreciated. Renal functions improved and back to baseline.    Urology saw the pt and inserted foley as the staff was not able to initially.  Repeat US showed resolution of hydronephrosis.  Started Doxazosin avoid tamsulosin due to Hx sulfa allergy.   Per Urology he will likely need an outlet procedure in the near future due to this significant retention episode with renal insult & massive prostatomegaly on imaging.   Pt has Appt with Urology on Friday   V-Tach Noted bursts of V-Tach. Replace K maintain above 4 Mag checked and 2.2. Cardiology consulted. Apprecaite recommendations.  Pt started on BB. ECHO done showed    1. Left ventricular systolic function is normal with an ejection fraction by Biplane Method of Discs of 67 %.   2. Right ventricular size and systolic function are normal.   3. The left ventricular diastolic function is normal.   4. There is mild tricuspid valve regurgitation.   5. There is pulmonary hypertension, estimated right ventricle systolic pressure is 52 mmHg.   6. The proximal ascending aorta is dilated measuring 4.2 cm with an index of 2.0 cm/m2.  Continues to have SVTs. Monitor today and replace K and Mag.    SPECT in the outpatient setting.  If negative, then pursue cardiac MRI as an outpatient. Per cardiology.  Follow further cardiology recommendations.    Cardiology saw the pt and stable for discharge with out pt follow up.    Constipation, POA: Bowel regimen- and now resolved   Covid-19 Virus Positive, POA: Date of onset of symptoms: 12/06/22 Symptoms present on admission: dysuria and constipation with sepsis on presentation to the ED Date of covid positive test: 12/06/22 Vaccination status: vaccinated Imaging: CT abd/pelvis w/o evidence of acute airspace disease in the lung bases Oxygen requirements on admission: room air Current oxygen requirements: room air Medical therapy: not indicated Consultants following: none Anticipated special isolation end date: 12/12/2022 Currently asymptomatic. No indication for therapy.    Left 4th finger Dupuytren's disease: S/p left 4th finger palmar fasciectomy 12/2/2022 Pathology report of palmar fibromatosis.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Inadvertent administration past the 30-day Use by Date of the Moderna vaccine. No Symptoms to report as no adverse event was reported.
Age: 6.0
Sex: M
Vaccine: COVID19-2
Symptoms: Anxiety, Confusional state, Crying, Fall, Head injury
Clinical narrative: 6 yo patient, his brother and mom all came for covid vaccines. 6 yo vaccine was completed (he was worked up over it, had anxiety and screamed/cried). He was finished and watching his mom receive her vaccine. Right after the moms vaccine was finished, the patient took 2 steps towards his mom, then fell backwards (we think he passed out), hitting his head on the pharmacy door very hard. We immediately opened the door and had him lay down, his face was pale and his eyes unfocused, looked like he passed out. He came to a few seconds later, was confused about what happened and started to cry. We called code white immediately. We got him a water and a push pop and it seemed to perk him back up. The mom sat with him in the booth for a while to make sure he was ok. I counseled her on signs/symptoms to watch for a concussion as this was my main concern after he hit his head. I told her to follow up with his PCP on this as well. I think the main factor was either he was so worked up about getting a vaccine he then crashed (adrenaline) after it was done or he possibly was needle squeamish and watching his mom receive a shot affected him.
Age: 6.0
Sex: M
Vaccine: COVID19-2
Symptoms: Loss of consciousness, Pallor, Screaming, Vision blurred
Clinical narrative: 6 yo patient, his brother and mom all came for covid vaccines. 6 yo vaccine was completed (he was worked up over it, had anxiety and screamed/cried). He was finished and watching his mom receive her vaccine. Right after the moms vaccine was finished, the patient took 2 steps towards his mom, then fell backwards (we think he passed out), hitting his head on the pharmacy door very hard. We immediately opened the door and had him lay down, his face was pale and his eyes unfocused, looked like he passed out. He came to a few seconds later, was confused about what happened and started to cry. We called code white immediately. We got him a water and a push pop and it seemed to perk him back up. The mom sat with him in the booth for a while to make sure he was ok. I counseled her on signs/symptoms to watch for a concussion as this was my main concern after he hit his head. I told her to follow up with his PCP on this as well. I think the main factor was either he was so worked up about getting a vaccine he then crashed (adrenaline) after it was done or he possibly was needle squeamish and watching his mom receive a shot affected him.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, Cough, Dyspnoea
Clinical narrative: Pt has a PMH of MI, CAD s/p CABG, and CKD stage 3. He presented to the ED with a complaint of weakness. Pt has developed shortness of breath and coughing. He was found to be COVID positive and admitted with COVID-19 pneumonia.