chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Fatigue, Hypoxia, Intensive care
Clinical narrative: COVID + 10/25/22 - Vaccination status - moderna x3 Discharge Summary  HOSPITALIST                                              Discharge Information: Discharge Provider:  MD  Primary Care Provider :     Procedures to be scheduled by PCP: None   Results/Procedures requiring PCP followup: None   Admission Date: 10/25/2022 Discharge Date: 10/30/2022   Admitting Diagnoses: Acute hypoxemic respiratory failure due to COVID-19    Details of Hospital Stay PRESENTING PROBLEM:  Acute hypoxemic respiratory failure due to COVID-19 [U07.1, J96.01] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: Patient is a 85 y.o. male  who presents to hospital with shortness of breath.  Patient attended a wedding 10 days ago where multiple people became sick, including his wife.  He began to feel ill 3 days ago, with fatigue and cough.  Symptoms gradually worsened and this morning he had a pulse ox of "50%" at home according to his wife.  EMS was called and the patient brought to the ED.  He required a NRB mask to maintain adequate sats in the ED.  CT showed no signs of PE but bilateral ground glass and tree in bud opacities.  COVID testing was positive.  Because of his severe hypoxemia he was referred to the hospital and transferred to hospital for further evaluation and care.   Patient was admitted to the critical care unit and treated with steroids remdesivir and empiric antibiotics to cover community-acquired pneumonia.  He was managed with high-flow nasal cannula oxygen which was gradually weaned.  He continued to have significant weakness hypoxia and shortness of breath.  He underwent aggressive respiratory hygiene, physical occupational therapy.  Gradually his symptoms did improve.  He was weaned back down to his normal 2 L nasal cannula.  He improved with physical therapy and was felt that he did not need subacute rehab.  He completed a 5 day course of remdesivir and antibiotics.  He is discharged in stable condition on dexamethasone for 3 more days.  Home care will be arranged for him and he will follow up with primary care provider within the next week.  He is instructed to continue to self isolate for 2 more days which will be 10 days from symptom onset.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Lung opacity, Malaise, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: COVID + 10/25/22 - Vaccination status - moderna x3 Discharge Summary  HOSPITALIST                                              Discharge Information: Discharge Provider:  MD  Primary Care Provider :     Procedures to be scheduled by PCP: None   Results/Procedures requiring PCP followup: None   Admission Date: 10/25/2022 Discharge Date: 10/30/2022   Admitting Diagnoses: Acute hypoxemic respiratory failure due to COVID-19    Details of Hospital Stay PRESENTING PROBLEM:  Acute hypoxemic respiratory failure due to COVID-19 [U07.1, J96.01] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: Patient is a 85 y.o. male  who presents to hospital with shortness of breath.  Patient attended a wedding 10 days ago where multiple people became sick, including his wife.  He began to feel ill 3 days ago, with fatigue and cough.  Symptoms gradually worsened and this morning he had a pulse ox of "50%" at home according to his wife.  EMS was called and the patient brought to the ED.  He required a NRB mask to maintain adequate sats in the ED.  CT showed no signs of PE but bilateral ground glass and tree in bud opacities.  COVID testing was positive.  Because of his severe hypoxemia he was referred to the hospital and transferred to hospital for further evaluation and care.   Patient was admitted to the critical care unit and treated with steroids remdesivir and empiric antibiotics to cover community-acquired pneumonia.  He was managed with high-flow nasal cannula oxygen which was gradually weaned.  He continued to have significant weakness hypoxia and shortness of breath.  He underwent aggressive respiratory hygiene, physical occupational therapy.  Gradually his symptoms did improve.  He was weaned back down to his normal 2 L nasal cannula.  He improved with physical therapy and was felt that he did not need subacute rehab.  He completed a 5 day course of remdesivir and antibiotics.  He is discharged in stable condition on dexamethasone for 3 more days.  Home care will be arranged for him and he will follow up with primary care provider within the next week.  He is instructed to continue to self isolate for 2 more days which will be 10 days from symptom onset.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23).
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Body temperature increased, Ear pain, Feeling abnormal, Injection site pain, Oral discomfort
Clinical narrative: Six hours foloowing the booster the injection site was painful.  Fouteen hours after shot, I felt as though I had been crushed by an elephant!  By10:00 a.m. (the day after the shot) I had a temp of 101.1.  Took ibuprofen  the rest of day... temp lowered to 98.4 and slept well that night.  Next day felt on the mend and pain was lessend with temp ~ 97.7.  As I write this, I have an earache (left) and the roof of my mouth feels burnt... temp 98.1.  Currently taking 200mg ibuprofen every two hours for the shooting pain in the ear.
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain
Clinical narrative: Six hours foloowing the booster the injection site was painful.  Fouteen hours after shot, I felt as though I had been crushed by an elephant!  By10:00 a.m. (the day after the shot) I had a temp of 101.1.  Took ibuprofen  the rest of day... temp lowered to 98.4 and slept well that night.  Next day felt on the mend and pain was lessend with temp ~ 97.7.  As I write this, I have an earache (left) and the roof of my mouth feels burnt... temp 98.1.  Currently taking 200mg ibuprofen every two hours for the shooting pain in the ear.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: dose 1 3/9/21  Moderna  023M320A dose 2 4/8/21  Moderna 047A21A
Age: 20.0
Sex: F
Vaccine: HPV9
Symptoms: Extra dose administered
Clinical narrative: on 10/28/2022 I had the above patient on the injection schedule for an HPV vaccine injection.  When prepping her chart - it was documented that she had her last injection on 6/10/22 and the immunizations were not reconciled.  When I reconciled them,  I found that she had completed her series of HPV injections as follow:  4/5/13, 12/7/12, 10/5/12.  When the patient arrived, I reviewed her immunization history and reassured her that her receiving an additional HPV vaccine in June will not harm her and that she has completed the series.
Age: 52.0
Sex: F
Vaccine: COVID19-2
Symptoms: Lymph node pain, Rash
Clinical narrative: Rash on administered arm, sore lymph node on underarm
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Influenza like illness, Myalgia, Pyrexia
Clinical narrative: I had flu-like symptoms, a fever, chills, headache, muscle pain, and sinus congestion. I didn't take any treatment. I just rested and focused on hydration.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus congestion
Clinical narrative: I had flu-like symptoms, a fever, chills, headache, muscle pain, and sinus congestion. I didn't take any treatment. I just rested and focused on hydration.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE GIVEN 6 DAYS AFTER USE BY DATE
Age: 34.0
Sex: F
Vaccine: UNK
Symptoms: Exposure during pregnancy, No adverse event, Wrong product administered
Clinical narrative: Pregnant patient was ordered routine TDaP vaccine during pregnancy.  new RN, orienting with existing clinical coordinator inadvertently administered Gardasil-9 vaccine.  MD made patient aware.  No immediate concerns at this time.
Age: 43.0
Sex: M
Vaccine: FLU4
Symptoms: Incorrect product formulation administered
Clinical narrative: CLIENT WAS GIVEN THE WRONG FORMULATION OF INFLUENZA VACCINE.  CLIENT WAS GIVEN THE FLUZONE HIGH-DOSE QUADRIVALENT AND SHOULD HAVE BEEN GIVEN THE FLULAVAL QUADRIVALENT.
Age: 68.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Cough, Fatigue, Pyrexia, Rhinorrhoea
Clinical narrative: Fever, chills, runny nose, cough, fatigue
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Hypoxia
Clinical narrative: COVID+ 10/24/22.  Vaccination status - Moderna x3 BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider:  MD Admission Date: 10/24/2022 Discharge Date: Oct 29, 2022   Active Hospital Problems   Diagnosis Date Noted POA ? Pseudomonal pneumonia   10/29/2022 Yes ? Acute on chronic respiratory failure   10/24/2022 Yes ? COVID-19 10/21/2022 Yes  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute on chronic respiratory failure   [J96.20] Acute on chronic respiratory failure with hypoxemia   [J96.21] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: Patient is a 77 yo male with PMHx of chronic respiratory failure on 4 liters continuously at baseline, group 3 pulmonary HTN, chronic diastolic heart failure, CAD, CKD stage 3a and OSA. He presented to the ED after being found to have hypoxia at outpatient Remdesivir infusion appointment. He had developed symptoms of COVID-19 about 5 days prior to presentation.    In the ED he was noted to be hypoxic on his normal 4 liters of oxygen, requiring titration to 6 liters. CXR was obtained which demonstrated mild patchy airspace disease of both mid to lower lungs. He was given IV Decadron and Duo-Neb with admission to the medicine service for acute on chronic hypoxic respiratory failure secondary to COVID-19 PNA.   # Acute on Chronic Hypoxic Respiratory Failure Secondary to COVID-19 PNA # Superimposed Bacterial PNA Secondary to Pseudomonas He was initially treated with Decadron (10/24-10/27) and Remdesivir but oxygen requirements failed to improve significantly. Therefore he was switched to IV Solu-Medrol (10/27-10/29). Sputum culture grew Pseudomonas and was started on Cefepime during hospitalization. He completed 2 days of Cefepime prior to discharge. Oxygen requirements improved and was able to wean down to baseline 4 liters of oxygen at rest. During his hospitalization, he was also placed on pharmacological VTE prophylaxis. It was recommended patient stay to monitor stability once transitioned back to oral steroids, but patient requested discharge which was not unreasonable. He was discharged on 5 days of Ciprofloxacin to complete treatment for pseudomonas and 60 mg of Prednisone to decrease by 10 mg every 3 days. Pulmonary rehab evaluated patient and recommended increasing oxygen upto 6 liters with activity   Patient was discharged home in stable condition and discharge instructions provided
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Lung disorder, Pneumonia bacterial, Pneumonia pseudomonal, Pseudomonas test positive, Sputum culture positive
Clinical narrative: COVID+ 10/24/22.  Vaccination status - Moderna x3 BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider:  MD Admission Date: 10/24/2022 Discharge Date: Oct 29, 2022   Active Hospital Problems   Diagnosis Date Noted POA ? Pseudomonal pneumonia   10/29/2022 Yes ? Acute on chronic respiratory failure   10/24/2022 Yes ? COVID-19 10/21/2022 Yes  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute on chronic respiratory failure   [J96.20] Acute on chronic respiratory failure with hypoxemia   [J96.21] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: Patient is a 77 yo male with PMHx of chronic respiratory failure on 4 liters continuously at baseline, group 3 pulmonary HTN, chronic diastolic heart failure, CAD, CKD stage 3a and OSA. He presented to the ED after being found to have hypoxia at outpatient Remdesivir infusion appointment. He had developed symptoms of COVID-19 about 5 days prior to presentation.    In the ED he was noted to be hypoxic on his normal 4 liters of oxygen, requiring titration to 6 liters. CXR was obtained which demonstrated mild patchy airspace disease of both mid to lower lungs. He was given IV Decadron and Duo-Neb with admission to the medicine service for acute on chronic hypoxic respiratory failure secondary to COVID-19 PNA.   # Acute on Chronic Hypoxic Respiratory Failure Secondary to COVID-19 PNA # Superimposed Bacterial PNA Secondary to Pseudomonas He was initially treated with Decadron (10/24-10/27) and Remdesivir but oxygen requirements failed to improve significantly. Therefore he was switched to IV Solu-Medrol (10/27-10/29). Sputum culture grew Pseudomonas and was started on Cefepime during hospitalization. He completed 2 days of Cefepime prior to discharge. Oxygen requirements improved and was able to wean down to baseline 4 liters of oxygen at rest. During his hospitalization, he was also placed on pharmacological VTE prophylaxis. It was recommended patient stay to monitor stability once transitioned back to oral steroids, but patient requested discharge which was not unreasonable. He was discharged on 5 days of Ciprofloxacin to complete treatment for pseudomonas and 60 mg of Prednisone to decrease by 10 mg every 3 days. Pulmonary rehab evaluated patient and recommended increasing oxygen upto 6 liters with activity   Patient was discharged home in stable condition and discharge instructions provided
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE GIVEN 10 DAYS  (10/14/22) AFTER USE BY DATE (10/4/22)
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Moderna 4/23/21, 5/21/21. Positive on 10/29/22
Age: 28.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dizziness, Fatigue, Feeling abnormal, Pyrexia, Visual impairment
Clinical narrative: day after shot (Oct 18) had low grade fever and fatigue, which resolved within 2 days on Oct 20. On Oct 23, I woke up with intense fatigue, brain fog and lightheadedness. It has now been 9 days and I still am having this affects along with disoriented vision.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Migraine, Vaccine breakthrough infection
Clinical narrative: I had a breakthrough case of Covid started getting migraines and had a lingering cough as well.
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19-2
Symptoms: Acute respiratory failure, COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Pt arrived with shortness of breath. Pt has a PMH of complete heart block with pacemaker placement and bladder cancer status post resection and neobladder. Pt is COVID positive with acute respiratory failure.
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Headache, Influenza, Influenza A virus test positive, Influenza B virus test, Pain
Clinical narrative: Headache, Body Aches, Shakiness, Fever - Symptoms started same day - 4 days
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Pyrexia, Respiratory syncytial virus test negative, SARS-CoV-2 test negative, Tremor
Clinical narrative: Headache, Body Aches, Shakiness, Fever - Symptoms started same day - 4 days
Age: 12.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Gave vial that was open on the 27th  at 2:00pm to the patient on the 28th at 9:20am. Patient was fine after the 15 minute observation, no reaction.
Age: 80.0
Sex: M
Vaccine: COVID19-2
Symptoms: Cough, Dyspnoea, Respiratory tract congestion
Clinical narrative: Patient came in to get his Covid Booster vaccine. He left the building at least once and went home to get his phone prior to getting vaccine.  He also was very hard of hearing and requested that we turn off the TV because he could not hear.  He got vaccine and was in the room with nurse for a few minutes than was instructed to stay in lobby until his 15 minutes were up. We are not sure if he stayed the full 15 minutes, because he told us he was on call and needed to leave.  He was gone maybe 15-30 minutes when he returned stating he was congestion and was having a hard time breathing.  He stated he had gone to check on an A/C unit in a basement when this started feeling bad. He was brought to our Covid/Flu injection room.  I placed the O2 sat monitor on his warm finger, sat's were between 94-97 on room air.  His pulse was 94-100, respiratory rate was 12-14, no distress, he did several times start coughing when asked about coughing.  His BP was 127/91. He was not showing any signs or distress or other issues.  He stated that he was feeling better as he was coming back to unit.  As we spoke, we found out he had not had much to drink today and gave him a bottle of water.  He stayed for about 20 minutes and then said he was doing better and he needed to go.  Reviewed with him normal and abnormal reactions to covid vaccine, he stated his understanding.
Age: 63.0
Sex: M
Vaccine: PNC20
Symptoms: Incorrect route of product administration, No adverse event
Clinical narrative: Patient took immunization by oral route. No side effects to be reported at this time.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Atrial fibrillation, Atrial flutter, COVID-19, Cough
Clinical narrative: Chief Complaint: COVID-positive/generalized weakness/shortness of breath Additional Medical History:  Patient is an 85-year-old male with a history of coronary artery disease with prior MI, congestive heart failure, atrial fibrillation, hypertension, COPD (normally requires 4 L of oxygen 24 hours a day), prior stroke, seizures and anxiety.  Patient tested positive for COVID 9 days ago.  He tested positive after other family members tested positive and he developed some upper respiratory type symptoms.  I saw this patient 6 days ago in the emergency room for some generalized fatigue and worsening cough with shortness of breath.  He had a full work-up at that time and was on Paxlovid.  He felt better and was ultimately discharged home on steroids.  Patient states he did really well for couple of days however over the last 3 to 4 days has continued to become weaker and weaker and feel more short of breath with a worsening cough.  Patient states he is having a very difficult time getting around his house and normally would be able to do so without any difficulty.  He lives at home with his wife.  He has also required increased oxygen at 6 L up from his normal 4 L.  Patient states every time he attempts to get up or walk around his oxygen saturations fall into the high 80s.  He denies any associated chest pain.  Denies fever or chills.  His main complaint at this time is weakness.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea, Dyspnoea exertional, Fatigue, Fibrin D dimer increased, Hypoxia
Clinical narrative: Chief Complaint: COVID-positive/generalized weakness/shortness of breath Additional Medical History:  Patient is an 85-year-old male with a history of coronary artery disease with prior MI, congestive heart failure, atrial fibrillation, hypertension, COPD (normally requires 4 L of oxygen 24 hours a day), prior stroke, seizures and anxiety.  Patient tested positive for COVID 9 days ago.  He tested positive after other family members tested positive and he developed some upper respiratory type symptoms.  I saw this patient 6 days ago in the emergency room for some generalized fatigue and worsening cough with shortness of breath.  He had a full work-up at that time and was on Paxlovid.  He felt better and was ultimately discharged home on steroids.  Patient states he did really well for couple of days however over the last 3 to 4 days has continued to become weaker and weaker and feel more short of breath with a worsening cough.  Patient states he is having a very difficult time getting around his house and normally would be able to do so without any difficulty.  He lives at home with his wife.  He has also required increased oxygen at 6 L up from his normal 4 L.  Patient states every time he attempts to get up or walk around his oxygen saturations fall into the high 80s.  He denies any associated chest pain.  Denies fever or chills.  His main complaint at this time is weakness.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Laboratory test, Mobility decreased, Oxygen saturation decreased, Respiratory symptom, SARS-CoV-2 test positive
Clinical narrative: Chief Complaint: COVID-positive/generalized weakness/shortness of breath Additional Medical History:  Patient is an 85-year-old male with a history of coronary artery disease with prior MI, congestive heart failure, atrial fibrillation, hypertension, COPD (normally requires 4 L of oxygen 24 hours a day), prior stroke, seizures and anxiety.  Patient tested positive for COVID 9 days ago.  He tested positive after other family members tested positive and he developed some upper respiratory type symptoms.  I saw this patient 6 days ago in the emergency room for some generalized fatigue and worsening cough with shortness of breath.  He had a full work-up at that time and was on Paxlovid.  He felt better and was ultimately discharged home on steroids.  Patient states he did really well for couple of days however over the last 3 to 4 days has continued to become weaker and weaker and feel more short of breath with a worsening cough.  Patient states he is having a very difficult time getting around his house and normally would be able to do so without any difficulty.  He lives at home with his wife.  He has also required increased oxygen at 6 L up from his normal 4 L.  Patient states every time he attempts to get up or walk around his oxygen saturations fall into the high 80s.  He denies any associated chest pain.  Denies fever or chills.  His main complaint at this time is weakness.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Tachycardia
Clinical narrative: Chief Complaint: COVID-positive/generalized weakness/shortness of breath Additional Medical History:  Patient is an 85-year-old male with a history of coronary artery disease with prior MI, congestive heart failure, atrial fibrillation, hypertension, COPD (normally requires 4 L of oxygen 24 hours a day), prior stroke, seizures and anxiety.  Patient tested positive for COVID 9 days ago.  He tested positive after other family members tested positive and he developed some upper respiratory type symptoms.  I saw this patient 6 days ago in the emergency room for some generalized fatigue and worsening cough with shortness of breath.  He had a full work-up at that time and was on Paxlovid.  He felt better and was ultimately discharged home on steroids.  Patient states he did really well for couple of days however over the last 3 to 4 days has continued to become weaker and weaker and feel more short of breath with a worsening cough.  Patient states he is having a very difficult time getting around his house and normally would be able to do so without any difficulty.  He lives at home with his wife.  He has also required increased oxygen at 6 L up from his normal 4 L.  Patient states every time he attempts to get up or walk around his oxygen saturations fall into the high 80s.  He denies any associated chest pain.  Denies fever or chills.  His main complaint at this time is weakness.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, Laboratory test, SARS-CoV-2 test positive
Clinical narrative: PATIENT TESTED + FOR COVID 2/2022 AND PASSED 2-24-22. I HAVE NO OTHER INFORMATION OTHER THAN SHE WAS RESIDENT OF LOCAL HEALTH AND REHAB AND HAD A LAB + FOR COVID 2-19-22.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Macular degeneration, Retinal function test abnormal, Visual impairment
Clinical narrative: I have received several the several vaccinations, all with Moderna: 2/7/21, 3/2/21, 10/3/21, 4/23/22 (and just recently 10/22/22). In July 2022 I began having visual disturbance in my left eye which has turned out to be macular degeneration. I never had eye problems before. I want to report this in case there might be some relationship to the vaccinations I received.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: The vaccine was administered after the cut-off time on the delivery slip. No symptoms or signs of adverse event reported at the time by the patient.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Confusional state, Cough, Dyskinesia
Clinical narrative: Vaccination status - pfizer x3, moderna x1 BRIEF OVERVIEW: Discharge Provider:  MD Primary Care Provider:  DO Admission Date: 10/12/2022 Discharge Date: Oct 29, 2022   Active Hospital Problems   Diagnosis Date Noted POA ? Multiple comorbid conditions 10/24/2022 Unknown ? Goals of care, counseling/discussion 10/24/2022 Unknown ? Late onset Alzheimer's dementia without behavioral disturbance   01/04/2022 Yes DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxia  [J96.01] Urinary tract infection associated with indwelling urethral catheter, initial encounter  [T83.511A, N39.0]   HOSPITAL COURSE: Patient is a 89 y.o. male with PMH of metastatic prostate cancer and urinary retention with chronic Foley catheter for which he follows with Urology, CKD3, Alzheimer's dementia, CIPD, and NIDDM2 who presented for altered mental status.  He recently had a court appointed guardian.  Patient was reportedly diagnosed with COVID-19.  He was having intermittent high fevers, lethargy, hallucinations, confusion, and cough.  This was likely the source of patient's encephalopathy.  After admission and with IV fluids, patient's mentation quickly improved back to baseline.   Of note, guardian recently became patient's guardian about a week prior to admission due to concerns with the management of his care. He was recently moved from Place to apartment complex which reportedly has 24 hour care.  Guardian is very concerned that he is unsafe living living here in that they are not actually able to provide the amount of care that he needs.  She has called for emergency hearing to get him moved back to place.   Patient's clinical condition slowly decline.  Patient was needing assistance than initially thought.  Patient was also jerky movements for which was consulted due to concern for seizures.  Seizures were ruled out.  Palliative Care was consulted for goals of care discussion. Hospice was consulted for informational visit. Guardian of patient made decision to discharge patient with hospice. Pt will be discharged back to facility under hospice care.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Encephalopathy, General physical health deterioration, Hallucination, Lethargy, Mental status changes
Clinical narrative: Vaccination status - pfizer x3, moderna x1 BRIEF OVERVIEW: Discharge Provider:  MD Primary Care Provider:  DO Admission Date: 10/12/2022 Discharge Date: Oct 29, 2022   Active Hospital Problems   Diagnosis Date Noted POA ? Multiple comorbid conditions 10/24/2022 Unknown ? Goals of care, counseling/discussion 10/24/2022 Unknown ? Late onset Alzheimer's dementia without behavioral disturbance   01/04/2022 Yes DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxia  [J96.01] Urinary tract infection associated with indwelling urethral catheter, initial encounter  [T83.511A, N39.0]   HOSPITAL COURSE: Patient is a 89 y.o. male with PMH of metastatic prostate cancer and urinary retention with chronic Foley catheter for which he follows with Urology, CKD3, Alzheimer's dementia, CIPD, and NIDDM2 who presented for altered mental status.  He recently had a court appointed guardian.  Patient was reportedly diagnosed with COVID-19.  He was having intermittent high fevers, lethargy, hallucinations, confusion, and cough.  This was likely the source of patient's encephalopathy.  After admission and with IV fluids, patient's mentation quickly improved back to baseline.   Of note, guardian recently became patient's guardian about a week prior to admission due to concerns with the management of his care. He was recently moved from Place to apartment complex which reportedly has 24 hour care.  Guardian is very concerned that he is unsafe living living here in that they are not actually able to provide the amount of care that he needs.  She has called for emergency hearing to get him moved back to place.   Patient's clinical condition slowly decline.  Patient was needing assistance than initially thought.  Patient was also jerky movements for which was consulted due to concern for seizures.  Seizures were ruled out.  Palliative Care was consulted for goals of care discussion. Hospice was consulted for informational visit. Guardian of patient made decision to discharge patient with hospice. Pt will be discharged back to facility under hospice care.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Urinary tract infection
Clinical narrative: Vaccination status - pfizer x3, moderna x1 BRIEF OVERVIEW: Discharge Provider:  MD Primary Care Provider:  DO Admission Date: 10/12/2022 Discharge Date: Oct 29, 2022   Active Hospital Problems   Diagnosis Date Noted POA ? Multiple comorbid conditions 10/24/2022 Unknown ? Goals of care, counseling/discussion 10/24/2022 Unknown ? Late onset Alzheimer's dementia without behavioral disturbance   01/04/2022 Yes DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxia  [J96.01] Urinary tract infection associated with indwelling urethral catheter, initial encounter  [T83.511A, N39.0]   HOSPITAL COURSE: Patient is a 89 y.o. male with PMH of metastatic prostate cancer and urinary retention with chronic Foley catheter for which he follows with Urology, CKD3, Alzheimer's dementia, CIPD, and NIDDM2 who presented for altered mental status.  He recently had a court appointed guardian.  Patient was reportedly diagnosed with COVID-19.  He was having intermittent high fevers, lethargy, hallucinations, confusion, and cough.  This was likely the source of patient's encephalopathy.  After admission and with IV fluids, patient's mentation quickly improved back to baseline.   Of note, guardian recently became patient's guardian about a week prior to admission due to concerns with the management of his care. He was recently moved from Place to apartment complex which reportedly has 24 hour care.  Guardian is very concerned that he is unsafe living living here in that they are not actually able to provide the amount of care that he needs.  She has called for emergency hearing to get him moved back to place.   Patient's clinical condition slowly decline.  Patient was needing assistance than initially thought.  Patient was also jerky movements for which was consulted due to concern for seizures.  Seizures were ruled out.  Palliative Care was consulted for goals of care discussion. Hospice was consulted for informational visit. Guardian of patient made decision to discharge patient with hospice. Pt will be discharged back to facility under hospice care.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Brain natriuretic peptide, Bronchial secretion retention, Bronchitis, C-reactive protein, COVID-19
Clinical narrative: Progressive hypoxia with significant sputum production over weeks, with worsening progression 1 week PTA. History of HFpEF and feels legs are swollen but Chest xray shows stable unchanged right pleural effusion & BNP unchanged from previous. There is opacification of right lower lobe possibly due to mucus impaction & majority of right lower lobe is collapsed. Patchy nodular ground glass infiltrates throughout left upper lobe. Stable on 1LNC on admission, does not use O2 at home. Suspect combination of acute covid infection with bronchitis, mucus plugging (bronchiectasis? Aspiration? Unclear etiology), and potentially a component of CHF but this is less likely a significant contributor.  - Oxygen available, titrate to maintain SPO2 89 - 94% - See covid, CHF, & dysphagia for additional management   Infection due to 2019 novel coronavirus Symptom Onset Unclear, most likely 10/24/2022 but insidious - Oxygen: continue current support with O2 Device: Nasal cannula 1LPM, titrate to keep SpO2 between 89 - 94% - Labs: Daily COVID labs ordered x4 days (CBC, BMP, D-dimer, CRP).  Continue to trend after 4 days as needed.  - Breathing treatments: combivent inhaler four times a day scheduled;  - COVID-Focused Medications: Remdesivir, plan for 5 day course - Antitussive medications available
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure congestive, Chest X-ray abnormal, Dysphagia, Fibrin D dimer, Full blood count
Clinical narrative: Progressive hypoxia with significant sputum production over weeks, with worsening progression 1 week PTA. History of HFpEF and feels legs are swollen but Chest xray shows stable unchanged right pleural effusion & BNP unchanged from previous. There is opacification of right lower lobe possibly due to mucus impaction & majority of right lower lobe is collapsed. Patchy nodular ground glass infiltrates throughout left upper lobe. Stable on 1LNC on admission, does not use O2 at home. Suspect combination of acute covid infection with bronchitis, mucus plugging (bronchiectasis? Aspiration? Unclear etiology), and potentially a component of CHF but this is less likely a significant contributor.  - Oxygen available, titrate to maintain SPO2 89 - 94% - See covid, CHF, & dysphagia for additional management   Infection due to 2019 novel coronavirus Symptom Onset Unclear, most likely 10/24/2022 but insidious - Oxygen: continue current support with O2 Device: Nasal cannula 1LPM, titrate to keep SpO2 between 89 - 94% - Labs: Daily COVID labs ordered x4 days (CBC, BMP, D-dimer, CRP).  Continue to trend after 4 days as needed.  - Breathing treatments: combivent inhaler four times a day scheduled;  - COVID-Focused Medications: Remdesivir, plan for 5 day course - Antitussive medications available
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Lung infiltration, Lung opacity, Metabolic function test, Peripheral swelling
Clinical narrative: Progressive hypoxia with significant sputum production over weeks, with worsening progression 1 week PTA. History of HFpEF and feels legs are swollen but Chest xray shows stable unchanged right pleural effusion & BNP unchanged from previous. There is opacification of right lower lobe possibly due to mucus impaction & majority of right lower lobe is collapsed. Patchy nodular ground glass infiltrates throughout left upper lobe. Stable on 1LNC on admission, does not use O2 at home. Suspect combination of acute covid infection with bronchitis, mucus plugging (bronchiectasis? Aspiration? Unclear etiology), and potentially a component of CHF but this is less likely a significant contributor.  - Oxygen available, titrate to maintain SPO2 89 - 94% - See covid, CHF, & dysphagia for additional management   Infection due to 2019 novel coronavirus Symptom Onset Unclear, most likely 10/24/2022 but insidious - Oxygen: continue current support with O2 Device: Nasal cannula 1LPM, titrate to keep SpO2 between 89 - 94% - Labs: Daily COVID labs ordered x4 days (CBC, BMP, D-dimer, CRP).  Continue to trend after 4 days as needed.  - Breathing treatments: combivent inhaler four times a day scheduled;  - COVID-Focused Medications: Remdesivir, plan for 5 day course - Antitussive medications available
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Pleural effusion, Pneumothorax, SARS-CoV-2 test, Sputum increased
Clinical narrative: Progressive hypoxia with significant sputum production over weeks, with worsening progression 1 week PTA. History of HFpEF and feels legs are swollen but Chest xray shows stable unchanged right pleural effusion & BNP unchanged from previous. There is opacification of right lower lobe possibly due to mucus impaction & majority of right lower lobe is collapsed. Patchy nodular ground glass infiltrates throughout left upper lobe. Stable on 1LNC on admission, does not use O2 at home. Suspect combination of acute covid infection with bronchitis, mucus plugging (bronchiectasis? Aspiration? Unclear etiology), and potentially a component of CHF but this is less likely a significant contributor.  - Oxygen available, titrate to maintain SPO2 89 - 94% - See covid, CHF, & dysphagia for additional management   Infection due to 2019 novel coronavirus Symptom Onset Unclear, most likely 10/24/2022 but insidious - Oxygen: continue current support with O2 Device: Nasal cannula 1LPM, titrate to keep SpO2 between 89 - 94% - Labs: Daily COVID labs ordered x4 days (CBC, BMP, D-dimer, CRP).  Continue to trend after 4 days as needed.  - Breathing treatments: combivent inhaler four times a day scheduled;  - COVID-Focused Medications: Remdesivir, plan for 5 day course - Antitussive medications available
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Anticoagulant therapy, Blood thyroid stimulating hormone normal, Brain natriuretic peptide increased, Computerised tomogram thorax abnormal, Dyspnoea
Clinical narrative: Shortness of breath shortly after vaccination.  Found to have extensive pulmonary embolism on CTPE a week after vaccination. Patient has no other risk factors. Started on heparin drip on admission. Discharged with DOAC. Will follow up with hematology and oncology outpatient for hypercoagulable workup
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Protein C, Protein S normal, Pulmonary embolism, SARS-CoV-2 test negative, Troponin
Clinical narrative: Shortness of breath shortly after vaccination.  Found to have extensive pulmonary embolism on CTPE a week after vaccination. Patient has no other risk factors. Started on heparin drip on admission. Discharged with DOAC. Will follow up with hematology and oncology outpatient for hypercoagulable workup
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Bronchiectasis, COVID-19, Chest X-ray normal, Computerised tomogram thorax abnormal
Clinical narrative: I woke up with a sore throat and stuffy head. The next morning, on September 13, I tested myself using an at home test kit and was positive. I called my doctor and the nurse practitioner called in a prescription of PAXLOVID. She asked me to monitor blood pressure and oxygen level. I was ordered a cough syrup and told to take MUCINEX. I started the PAXLOVID that evening. I started to feel better the next day. I felt better day after day. I still had a stuffy nose and a mild cough. The stuffy nose turned into a sinus infection. I had a severe headache 2 days after stopping PAXLOVID. I was still coughing and had a lot of postnasal drip. The sinus infection cleared but my cough did not. I continued to test positive until day 17. I was having shortness of breath and a pain across my back. She did a chest X-ray which was negative, but she heard crackles in my lungs. She placed me on a different antibiotic for another 10 days. I am still having shortness of breath and pain. I saw my cardiologist on October 14, 2022, and he ordered an Echocardiogram and a stress test that I am having on Friday. I did see my asthma doctor and he sent me for a pulmonary CT on the October 28, 2022.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Echocardiogram abnormal, Electrocardiogram normal, Head discomfort
Clinical narrative: I woke up with a sore throat and stuffy head. The next morning, on September 13, I tested myself using an at home test kit and was positive. I called my doctor and the nurse practitioner called in a prescription of PAXLOVID. She asked me to monitor blood pressure and oxygen level. I was ordered a cough syrup and told to take MUCINEX. I started the PAXLOVID that evening. I started to feel better the next day. I felt better day after day. I still had a stuffy nose and a mild cough. The stuffy nose turned into a sinus infection. I had a severe headache 2 days after stopping PAXLOVID. I was still coughing and had a lot of postnasal drip. The sinus infection cleared but my cough did not. I continued to test positive until day 17. I was having shortness of breath and a pain across my back. She did a chest X-ray which was negative, but she heard crackles in my lungs. She placed me on a different antibiotic for another 10 days. I am still having shortness of breath and pain. I saw my cardiologist on October 14, 2022, and he ordered an Echocardiogram and a stress test that I am having on Friday. I did see my asthma doctor and he sent me for a pulmonary CT on the October 28, 2022.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Heart valve incompetence, Influenza virus test negative, Nasal congestion, Oropharyngeal pain
Clinical narrative: I woke up with a sore throat and stuffy head. The next morning, on September 13, I tested myself using an at home test kit and was positive. I called my doctor and the nurse practitioner called in a prescription of PAXLOVID. She asked me to monitor blood pressure and oxygen level. I was ordered a cough syrup and told to take MUCINEX. I started the PAXLOVID that evening. I started to feel better the next day. I felt better day after day. I still had a stuffy nose and a mild cough. The stuffy nose turned into a sinus infection. I had a severe headache 2 days after stopping PAXLOVID. I was still coughing and had a lot of postnasal drip. The sinus infection cleared but my cough did not. I continued to test positive until day 17. I was having shortness of breath and a pain across my back. She did a chest X-ray which was negative, but she heard crackles in my lungs. She placed me on a different antibiotic for another 10 days. I am still having shortness of breath and pain. I saw my cardiologist on October 14, 2022, and he ordered an Echocardiogram and a stress test that I am having on Friday. I did see my asthma doctor and he sent me for a pulmonary CT on the October 28, 2022.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Rales, SARS-CoV-2 test positive, Sinusitis, Upper-airway cough syndrome
Clinical narrative: I woke up with a sore throat and stuffy head. The next morning, on September 13, I tested myself using an at home test kit and was positive. I called my doctor and the nurse practitioner called in a prescription of PAXLOVID. She asked me to monitor blood pressure and oxygen level. I was ordered a cough syrup and told to take MUCINEX. I started the PAXLOVID that evening. I started to feel better the next day. I felt better day after day. I still had a stuffy nose and a mild cough. The stuffy nose turned into a sinus infection. I had a severe headache 2 days after stopping PAXLOVID. I was still coughing and had a lot of postnasal drip. The sinus infection cleared but my cough did not. I continued to test positive until day 17. I was having shortness of breath and a pain across my back. She did a chest X-ray which was negative, but she heard crackles in my lungs. She placed me on a different antibiotic for another 10 days. I am still having shortness of breath and pain. I saw my cardiologist on October 14, 2022, and he ordered an Echocardiogram and a stress test that I am having on Friday. I did see my asthma doctor and he sent me for a pulmonary CT on the October 28, 2022.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Hemiparesis, SARS-CoV-2 test positive
Clinical narrative: 09/06/22 presents to ED for "L sided weakness". PMHx of "CAD (stents to LAD), CML (on hydrea), hx of ascending aortic aneurysm, CVA, HLP, HTN, previous hx of colon CA s/p partial colectomy, PAF (on eliquis)"
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Haematoma, Haemodialysis, Hydronephrosis, Renal abscess
Clinical narrative: Pt admitted for right renal abscess versus hematoma with hydronephrosis. Was incidentally found to be COVID-19 positive due to requiring inpatient hemodialysis. Pt is asymptomatic at this time.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Pt admitted for right renal abscess versus hematoma with hydronephrosis. Was incidentally found to be COVID-19 positive due to requiring inpatient hemodialysis. Pt is asymptomatic at this time.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine administered after the cut-off time (6:00am). No adverse events, symptoms or any evolution have been reported by the patient after administration of the vaccine so far.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE WAS GIVEN 22 DAYS(10/26/22)  AFTER USE BY DATE(10/4/22)
Age: 78.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Chills, Insomnia, Pain
Clinical narrative: Client states that she woke up on Saturday 10-29-22  morning with chills, no fever, and severe achiness all over her body and this did not stop until later on Sunday 10-30-22.  No treatment was necessary.  She took OTC medications
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine administered after cut-off time (6:00am) No adverse events reported per patient.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Electromyogram, Paraesthesia, Small fibre neuropathy
Clinical narrative: Shortly after receiving my 2nd COVID shot on 2/22/21, (first was 1/21/21) I started to experience constant pins and needles in my right foot/calf.  Since that time, it has progressed to  my whole body.  I had my first booster 11/1/21, and my second 10/3/22.  I have seen a neurologist at local Hospital who diagnosed me with Small Fiber Neuropathy.  They have tried courses of pain medications, to no avail.  It?s not pain - it?s constant pins and needles.  They are scheduling me for a skin biopsy.  I had an EMG and CT scan.  I am convinced it is related to the vaccine, although I understand research is in its early stages.
Age: 36.0
Sex: F
Vaccine: FLU4
Symptoms: Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: Rash/red raised bumps starting on inside forearm, moved to upper arm, legs, thighs, feet, hands, breast - itchy but mostly at nighttime
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: Pt admitted to hospital with COVID-19
Age: 31.0
Sex: F
Vaccine: COVID19-2
Symptoms: Allergy test positive, Anxiety, Breast feeding, Depression, Dyspnoea
Clinical narrative: I just started feeling very tired, like I would fall asleep while driving. After a few days of this I started with deep depression and anxiety. I couldn't breathe properly and started waking up in the middle of the night which  I don't normally do. Then I started having very intrusive thoughts that I don't feel like are mine. I have an active H-Pylori infection I'm working with an allergist to treat and just stared antibiotic. I am breast feeding also. I started having antihiatic reactions in August which I never had and then had a food allergy test.  I had COVI-19 in May and my heart rate was really high and it took 3 weeks for it to get back to normal. Then after COVID I had another virus and a zpack. The COVID-19 symptoms I had were a dry cough and a faucet of a runny nose. The cough lasted a few days and runny nose for a few weeks. For a few days I had a severe fever and body aches that I managed with Tylenol.
Age: 31.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fatigue, Impaired driving ability, Intrusive thoughts, Sleep disorder
Clinical narrative: I just started feeling very tired, like I would fall asleep while driving. After a few days of this I started with deep depression and anxiety. I couldn't breathe properly and started waking up in the middle of the night which  I don't normally do. Then I started having very intrusive thoughts that I don't feel like are mine. I have an active H-Pylori infection I'm working with an allergist to treat and just stared antibiotic. I am breast feeding also. I started having antihiatic reactions in August which I never had and then had a food allergy test.  I had COVI-19 in May and my heart rate was really high and it took 3 weeks for it to get back to normal. Then after COVID I had another virus and a zpack. The COVID-19 symptoms I had were a dry cough and a faucet of a runny nose. The cough lasted a few days and runny nose for a few weeks. For a few days I had a severe fever and body aches that I managed with Tylenol.