chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Gait disturbance, Limb discomfort, Mobility decreased, Tremor
Clinical narrative: Entire thing lasted 13 hours. Started with chills at 12:30 am that provoked high tremors thru my body. Not unusual if I get cold. But later in the morning, I had trouble walking, this was new. I "furniture" walked to the couch, later I could not get off the couch. I crawled to the bathroom. Later I tried boosting myself into be by pulling on the blankets at the end of my bed. My legs would not engage, (I was kneeling). I tries to position my legs in a bent  position so I could rise up. My arms had problems moving my legs..so heavy. I did get myself back into bed after 15 minutes of attempting. I slept till 1pm. When I woke up I felt better. My walking was better. Still off but I felt safer. I took a walker I had in a closet out and used sparing the rest of the day. Built up the height of the couch cushion to make it easy for me to get up and down. The next day I was fine. Crazy!! Funny, I received a full dose for my 3rd shot, again Moderna. I was prepared this time. I had the walker out, couch built up, and lots of warm clothes. Happy to report nothing happened. I often wonder, I went swimming after getting the 2nd vaccine. If I had depleted all my energy and that's why I had so much trouble. I didn't go swimming before or after the 3rd vaccine.
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Cardiomegaly, Chest X-ray abnormal, Cough
Clinical narrative: Pt is fully vaccinated. + COVID test on 12/15/2021.  Hosptialized on 12/15/2021.80-year-old male with a past medical history of hypertension, atrial fibrillation who presented to the emergency department with complaint of dry cough and worsening exertional dyspnea. CXR: Cardiomegaly, no acute pulmonary process. Assessnent:  COVID 19 viral infection.  Acute hypoxic respiratory failure.  Treatment:  supplemental oxygen, decadron, remdesivir.Discharged
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea exertional, SARS-CoV-2 test positive
Clinical narrative: Pt is fully vaccinated. + COVID test on 12/15/2021.  Hosptialized on 12/15/2021.80-year-old male with a past medical history of hypertension, atrial fibrillation who presented to the emergency department with complaint of dry cough and worsening exertional dyspnea. CXR: Cardiomegaly, no acute pulmonary process. Assessnent:  COVID 19 viral infection.  Acute hypoxic respiratory failure.  Treatment:  supplemental oxygen, decadron, remdesivir.Discharged
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Chills, Dizziness, Loss of consciousness, Pain
Clinical narrative: I recieved my vaccine yesterday afternoon and have been having severe chills for hours. my body feels like it?s on fire and my toes & fingers are so cold. i?m starting to not sure if this is normal my whole body hurts and i?ve passed out twice. my heart rate is feels like it keeps racing and it wakes me up.   I?m still not feeling good but i think my fever has went down some. I just got really dizzy and passed out after getting up to go to the bathroom and my heart rate laying in bed was consistently in the 140s or so for a few hours. I have a cardiology appointment today so I figured i?ll just see what they say
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Peripheral coldness, Sleep disorder
Clinical narrative: I recieved my vaccine yesterday afternoon and have been having severe chills for hours. my body feels like it?s on fire and my toes & fingers are so cold. i?m starting to not sure if this is normal my whole body hurts and i?ve passed out twice. my heart rate is feels like it keeps racing and it wakes me up.   I?m still not feeling good but i think my fever has went down some. I just got really dizzy and passed out after getting up to go to the bathroom and my heart rate laying in bed was consistently in the 140s or so for a few hours. I have a cardiology appointment today so I figured i?ll just see what they say
Age: 17.0
Sex: M
Vaccine: HEPA, MENB, MNQ
Symptoms: Anaphylactic reaction
Clinical narrative: Anaphylactic reaction requiring pt to go to ED
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, COVID-19, SARS-CoV-2 test positive
Clinical narrative: HOSPITALIZATION WITH ATRIAL FIBRILLATION, TESTED + FOR COVID-19
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Autoimmune hepatitis, Balance disorder, Biopsy liver abnormal
Clinical narrative: Pt complained of light headedness, poor balance, diffuse and pain and clay colored stools.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Blood bilirubin increased, Dizziness, Faeces discoloured, Pain
Clinical narrative: Pt complained of light headedness, poor balance, diffuse and pain and clay colored stools.
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Patient fully vaccinated with moderna. Tested positive for covid 19 on 11/29/2021. Patient admitted to a local Medical Center on 12/11/2021. Patient expired on 01/14/2022 while still hospitalized.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary pain
Clinical narrative: Soreness under armpit, seems to be lymph node soreness. Do not feel a swollen bump though.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Fatigue, Injected limb mobility decreased, Injection site swelling, Nausea, Pain in extremity
Clinical narrative: Pt. states that after receiving the 1st dose of Prevnar 23 01/20/2022, started experiencing symptoms 01/21/2022 of fatigue, pain in the Left arm, swelling at the injection site, nausea, blurred vision, and difficulty using Left arm. No noted Primary visit/communications. Pt. still continuing to experience symptoms.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Vision blurred
Clinical narrative: Pt. states that after receiving the 1st dose of Prevnar 23 01/20/2022, started experiencing symptoms 01/21/2022 of fatigue, pain in the Left arm, swelling at the injection site, nausea, blurred vision, and difficulty using Left arm. No noted Primary visit/communications. Pt. still continuing to experience symptoms.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Fatigue, Heavy menstrual bleeding, Intermenstrual bleeding, Menopause
Clinical narrative: I was in full menopause. After the vaccines I started my period. It was very painful and produced black sludgy clots.  My period lasted about 10 days which is very unusual. My past typical cycle lasted 2 days and very lite. Now I'm having breakthrough bleeding and feel very tired and restless.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular, Restlessness, Thrombosis
Clinical narrative: I was in full menopause. After the vaccines I started my period. It was very painful and produced black sludgy clots.  My period lasted about 10 days which is very unusual. My past typical cycle lasted 2 days and very lite. Now I'm having breakthrough bleeding and feel very tired and restless.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Exposure to SARS-CoV-2, Lymphadenopathy, Oropharyngeal pain, SARS-CoV-2 test negative
Clinical narrative: When I got my vaccine, I waited the 15 minutes before leaving, and as soon as I walked out the building I could taste this metal taste in my mouth. That symptom lasted for almost a month. I went about my day and I kind of noticed that as the day went on my throat was scratchy so I started taking Emergen-C because I thought I was getting a cold. I took a Covid home test because I thought I could be getting Covid, but it was negative. My glands were swollen and my throat was sore but I had no fever and it was lingering for a day or two and then it was fine and then it would just come back. I was exposed to Covid on New Years Eve and I took another covid test and it was negative. The sore throat subsided last week. This is the most reaction I've had with all three of my vaccines. I'm getting a physical in 2 weeks and she will see if my glands are still swollen.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: When I got my vaccine, I waited the 15 minutes before leaving, and as soon as I walked out the building I could taste this metal taste in my mouth. That symptom lasted for almost a month. I went about my day and I kind of noticed that as the day went on my throat was scratchy so I started taking Emergen-C because I thought I was getting a cold. I took a Covid home test because I thought I could be getting Covid, but it was negative. My glands were swollen and my throat was sore but I had no fever and it was lingering for a day or two and then it was fine and then it would just come back. I was exposed to Covid on New Years Eve and I took another covid test and it was negative. The sore throat subsided last week. This is the most reaction I've had with all three of my vaccines. I'm getting a physical in 2 weeks and she will see if my glands are still swollen.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cough, Exposure to SARS-CoV-2, Headache, Nasal congestion, Oropharyngeal pain
Clinical narrative: nasal congestion, cough, exposure, headache, slight sore throat.  starting 1/13/22
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pyrexia
Clinical narrative: Body aches and fever.  Resolved in a day and a half.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: BOOSTER GIVEN BEFORE 5 MONTHS AFTER THE SECOND DOSE
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Alopecia, Erythema, Injection site erythema, Injection site mass, Injection site pruritus
Clinical narrative: Pain, redness,extreme itchiness 2nd toe right foot.  I do not remember exact date of occurrence.  Redness remains.  Small area of redness also on 4th toe of right foot.  Remains.    Hair loss/thinning.  Was noticeable by April 2021.  I attempted to report this in May or June, but see that attempt failed.  Itchiness of left arm surrounding area where vaccine was given remains itchy and lumpy.  This area had previously been red, etc., from elbow to almost shoulder.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Pruritus
Clinical narrative: Pain, redness,extreme itchiness 2nd toe right foot.  I do not remember exact date of occurrence.  Redness remains.  Small area of redness also on 4th toe of right foot.  Remains.    Hair loss/thinning.  Was noticeable by April 2021.  I attempted to report this in May or June, but see that attempt failed.  Itchiness of left arm surrounding area where vaccine was given remains itchy and lumpy.  This area had previously been red, etc., from elbow to almost shoulder.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: none
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test normal, Rash, Urticaria
Clinical narrative: RASH, HIVES BEGAN 2 DAYS AFTER, HAVE SPREAD TO ENTIRE BODY (BACK, ARMS, NECK, LEGS, CHEST, STOMACH)
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Headache, Paralysis
Clinical narrative: Headache, lower body paralyzed for 8 hrs very week and tierd
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Malaise, Pain in extremity
Clinical narrative: I received my booster vaccine and unlike my previous vaccines my arm was sore within hours of receiving the shot, my entire arm remains sore for several days. The other adverse event I experienced was the overall feeling of malaise and fatigue that lasted more than 24 hours. I did not experience this with my first two doses of the moderna covid-19 vaccine. I had a sore arm for a day or two, had mild fatigue and headache the next day. I received my booster on a Sunday and today is Friday and I'm finally starting to feel like myself again.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Concussion, Dizziness, Fall, Flushing, Influenza virus test negative
Clinical narrative: Patient was dizzy, flushed; fell down stairs, sustained mild concussion. At 8 p.m. had a fever of 103.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Patient was dizzy, flushed; fell down stairs, sustained mild concussion. At 8 p.m. had a fever of 103.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Heart rate increased, Injection site pain, Lymph node pain, Lymphadenopathy
Clinical narrative: 06:00 on 1/20/22, dizzy and lightheaded with sitting to standing, body aches all over. 13:30 heart rate 150-160 at rest, palpitations. Increased heart rate of 122-150 lasted 3-4 hours. 06:00 on 1/21/22 new symptoms noted. Injection site is sore. Swollen, tender lymph node in left armpit. All symptoms from 1/20 had resolved by 1/21. MD contacted and states to monitor the lymph node. If continues past 7 days, contact MD.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Palpitations
Clinical narrative: 06:00 on 1/20/22, dizzy and lightheaded with sitting to standing, body aches all over. 13:30 heart rate 150-160 at rest, palpitations. Increased heart rate of 122-150 lasted 3-4 hours. 06:00 on 1/21/22 new symptoms noted. Injection site is sore. Swollen, tender lymph node in left armpit. All symptoms from 1/20 had resolved by 1/21. MD contacted and states to monitor the lymph node. If continues past 7 days, contact MD.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Diarrhoea, Dizziness, Dyspnoea, Headache
Clinical narrative: Chest pain shortness of breath  headache nausea diarrhea dizziness
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Chest pain shortness of breath  headache nausea diarrhea dizziness
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Cardiac operation, Electrocardiogram, Myocardial infarction, X-ray
Clinical narrative: I had a heart attack on 04/25/21. I had open heart surgery on 04/26/21. I was hospitalized at local Hospital for ten days.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive test and symptoms
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Atrial fibrillation, Blood creatinine increased, COVID-19, Cardioversion
Clinical narrative: Patient is fully vaccinated.  + covid test on 12/25/2021.  Hospitalized for SOB. 67 year old male with history of persistent atrial fibrillation, HFrEF s/p ICD placement, and hyperthyroidism 2/2 amiodarone off medication, presented 12/15/21 due to dyspnea since 12/14. Patient underwent cardioversion 12/9/21 for symptomatic atrial fibrillation, and has felt fatigued since. Over the past week, he has become profoundly fatigued with exertion, with persistent dry cough with congestion. Denies chest pain and palpitations. No abdominal distension, non-adherence with medications, excess salt intake, nocturia, diarrhea, vomiting, syncope. Patient started on Sotalol 40 mg BID. Blood pressure 138/99, pulse 79, temperature 97.9 °F (36.6 °C), temperature source Oral, resp. rate 20, height 175.3 cm (5' 9"), weight 92.5 kg (204 lb), SpO2 97 %. Treatment:  continue elequis, IV diuresis, fluid restriction. Cr 1.5-2.  stable oxygen saturation on RAEF 25%.  Discharged
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Cough, Dyspnoea, Fatigue, Fluid intake restriction
Clinical narrative: Patient is fully vaccinated.  + covid test on 12/25/2021.  Hospitalized for SOB. 67 year old male with history of persistent atrial fibrillation, HFrEF s/p ICD placement, and hyperthyroidism 2/2 amiodarone off medication, presented 12/15/21 due to dyspnea since 12/14. Patient underwent cardioversion 12/9/21 for symptomatic atrial fibrillation, and has felt fatigued since. Over the past week, he has become profoundly fatigued with exertion, with persistent dry cough with congestion. Denies chest pain and palpitations. No abdominal distension, non-adherence with medications, excess salt intake, nocturia, diarrhea, vomiting, syncope. Patient started on Sotalol 40 mg BID. Blood pressure 138/99, pulse 79, temperature 97.9 °F (36.6 °C), temperature source Oral, resp. rate 20, height 175.3 cm (5' 9"), weight 92.5 kg (204 lb), SpO2 97 %. Treatment:  continue elequis, IV diuresis, fluid restriction. Cr 1.5-2.  stable oxygen saturation on RAEF 25%.  Discharged
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Polyuria, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Patient is fully vaccinated.  + covid test on 12/25/2021.  Hospitalized for SOB. 67 year old male with history of persistent atrial fibrillation, HFrEF s/p ICD placement, and hyperthyroidism 2/2 amiodarone off medication, presented 12/15/21 due to dyspnea since 12/14. Patient underwent cardioversion 12/9/21 for symptomatic atrial fibrillation, and has felt fatigued since. Over the past week, he has become profoundly fatigued with exertion, with persistent dry cough with congestion. Denies chest pain and palpitations. No abdominal distension, non-adherence with medications, excess salt intake, nocturia, diarrhea, vomiting, syncope. Patient started on Sotalol 40 mg BID. Blood pressure 138/99, pulse 79, temperature 97.9 °F (36.6 °C), temperature source Oral, resp. rate 20, height 175.3 cm (5' 9"), weight 92.5 kg (204 lb), SpO2 97 %. Treatment:  continue elequis, IV diuresis, fluid restriction. Cr 1.5-2.  stable oxygen saturation on RAEF 25%.  Discharged
Age: 9.0
Sex: F
Vaccine: IPV
Symptoms: No adverse event
Clinical narrative: There was not a adverse reaction.  The doctor pulled out a 11th dose and administered it, not realizing it was an eleventh dose from the vial. The individual is fine and has not exhibited any adverse reactions what so ever.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Electrocardiogram, Heart rate increased
Clinical narrative: Atrial fibrillation and fast hearbeat detected on EKG on January 7.  Cardiology nurse said it could be related to vaccine.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient came in with mom for booster dose of Pfizer. They scheduled the appt online and it was no caught at time of vaccination that she was not yet at the 5 month mark after last dose for booster. Her last dose was 09/20/21.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: patient was given Pfizer 5-11 year old dose   0.2ml
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Acoustic stimulation tests, Deafness unilateral, Ear discomfort, Exposure during pregnancy
Clinical narrative: On December 17, I received my first Pfizer vaccine at the local Hospital. About two hours after the shot, I started with a terrible headache. The headache lasted about three days. On the third day I had a telehealth visit and the Doctor told me that he thought that I had a sinus infection and prescribed antibiotics for 5 days. Later that day I also had a miscarriage. I saw my GYN that week who confirmed my miscarriage. I finished the antibiotics on Dec 25. On December 26 felt like I had just got off plane, my ears felt clogged and I had a hard time hearing. On Dec 27 I called my primary physician told them everything that happened and they prescribed a steroid pack. The feeling did not go away and got worse in my opinion. On Jan 10 went to ENT explained the above and they scheduled a hearing test. I received hearing test on Jan 12, which showed a dramatic loss of hearing in my right ear. That same day I received a steroid shot in my ear. To date the hearing fluctuates. The doctor believes a virus attacked nerve in ear. On Jan 26 I will receive another hearing test and another steroid injection.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypoacusis
Clinical narrative: On December 17, I received my first Pfizer vaccine at the local Hospital. About two hours after the shot, I started with a terrible headache. The headache lasted about three days. On the third day I had a telehealth visit and the Doctor told me that he thought that I had a sinus infection and prescribed antibiotics for 5 days. Later that day I also had a miscarriage. I saw my GYN that week who confirmed my miscarriage. I finished the antibiotics on Dec 25. On December 26 felt like I had just got off plane, my ears felt clogged and I had a hard time hearing. On Dec 27 I called my primary physician told them everything that happened and they prescribed a steroid pack. The feeling did not go away and got worse in my opinion. On Jan 10 went to ENT explained the above and they scheduled a hearing test. I received hearing test on Jan 12, which showed a dramatic loss of hearing in my right ear. That same day I received a steroid shot in my ear. To date the hearing fluctuates. The doctor believes a virus attacked nerve in ear. On Jan 26 I will receive another hearing test and another steroid injection.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Anion gap, Aspartate aminotransferase normal, Basophil count, Basophil percentage decreased
Clinical narrative: Patient discharged. The patient is an 80-year-old lady who presented to the hospital with chief complaint of diarrhea and dry heaving with hyponatremia.  She initially presented in early january and required admission to the intensive care unit with initiation of 3% normal saline.  She was discharged on 13th of January however since that time she had continued to have nausea and diarrhea and new onset shortness of breath.  She presented back to ER with concerns about recurrence of hyponatremia.  She was found to be COVID positive and was noted to desaturate to 87% room air and started on 1 L per nasal cannula.  X-ray chest showed the possible overlying pneumonia and hilar lymphadenopathy.She had an elevated procalcitonin and was started on antibiotics for community-acquired pneumonia and dexamethasone. She refused Remdisvir. She was subsequently transferred to hospital.  The patient was then noted to be hypoxic and was started on supplemental oxygen.  She was also continued on dexamethasone however she once again declined remdesivir.  The patient continued to improve and was subsequently off oxygen on day 3. The patient's imaging studies were reviewed x-ray showed evidence of hilar lymphadenopathy.  On going back on her CT scan from August of 2021 she had multiple nodules up to the size of 1.5 cm in the right lower zone.  I asked the patient if she had any follow-up down on that apparently she had gone to a pulmonologist and never followed up again.  I therefore spoke with the patient's primary care physician and updated him about the findings and the necessary follow-up.  The patient was also informed about these findings and the need to follow-up.  The patient was also found to have hyponatremia that is chronic and could be related to these findings.  She has been on sodium chloride tablets which were continued.  Workup confirmed the diagnosis of SIADH with an elevated urine sodium elevated urine osmolality and low serum osmolality.  The patient otherwise did well and was off oxygen and did well with room air and was subsequently discharged home.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Blood albumin normal, Blood alkaline phosphatase normal, Blood bicarbonate normal, Blood bilirubin normal, Blood calcium normal
Clinical narrative: Patient discharged. The patient is an 80-year-old lady who presented to the hospital with chief complaint of diarrhea and dry heaving with hyponatremia.  She initially presented in early january and required admission to the intensive care unit with initiation of 3% normal saline.  She was discharged on 13th of January however since that time she had continued to have nausea and diarrhea and new onset shortness of breath.  She presented back to ER with concerns about recurrence of hyponatremia.  She was found to be COVID positive and was noted to desaturate to 87% room air and started on 1 L per nasal cannula.  X-ray chest showed the possible overlying pneumonia and hilar lymphadenopathy.She had an elevated procalcitonin and was started on antibiotics for community-acquired pneumonia and dexamethasone. She refused Remdisvir. She was subsequently transferred to hospital.  The patient was then noted to be hypoxic and was started on supplemental oxygen.  She was also continued on dexamethasone however she once again declined remdesivir.  The patient continued to improve and was subsequently off oxygen on day 3. The patient's imaging studies were reviewed x-ray showed evidence of hilar lymphadenopathy.  On going back on her CT scan from August of 2021 she had multiple nodules up to the size of 1.5 cm in the right lower zone.  I asked the patient if she had any follow-up down on that apparently she had gone to a pulmonologist and never followed up again.  I therefore spoke with the patient's primary care physician and updated him about the findings and the necessary follow-up.  The patient was also informed about these findings and the need to follow-up.  The patient was also found to have hyponatremia that is chronic and could be related to these findings.  She has been on sodium chloride tablets which were continued.  Workup confirmed the diagnosis of SIADH with an elevated urine sodium elevated urine osmolality and low serum osmolality.  The patient otherwise did well and was off oxygen and did well with room air and was subsequently discharged home.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Blood chloride normal, Blood creatinine normal, Blood culture, Blood glucose normal, Blood lactic acid
Clinical narrative: Patient discharged. The patient is an 80-year-old lady who presented to the hospital with chief complaint of diarrhea and dry heaving with hyponatremia.  She initially presented in early january and required admission to the intensive care unit with initiation of 3% normal saline.  She was discharged on 13th of January however since that time she had continued to have nausea and diarrhea and new onset shortness of breath.  She presented back to ER with concerns about recurrence of hyponatremia.  She was found to be COVID positive and was noted to desaturate to 87% room air and started on 1 L per nasal cannula.  X-ray chest showed the possible overlying pneumonia and hilar lymphadenopathy.She had an elevated procalcitonin and was started on antibiotics for community-acquired pneumonia and dexamethasone. She refused Remdisvir. She was subsequently transferred to hospital.  The patient was then noted to be hypoxic and was started on supplemental oxygen.  She was also continued on dexamethasone however she once again declined remdesivir.  The patient continued to improve and was subsequently off oxygen on day 3. The patient's imaging studies were reviewed x-ray showed evidence of hilar lymphadenopathy.  On going back on her CT scan from August of 2021 she had multiple nodules up to the size of 1.5 cm in the right lower zone.  I asked the patient if she had any follow-up down on that apparently she had gone to a pulmonologist and never followed up again.  I therefore spoke with the patient's primary care physician and updated him about the findings and the necessary follow-up.  The patient was also informed about these findings and the need to follow-up.  The patient was also found to have hyponatremia that is chronic and could be related to these findings.  She has been on sodium chloride tablets which were continued.  Workup confirmed the diagnosis of SIADH with an elevated urine sodium elevated urine osmolality and low serum osmolality.  The patient otherwise did well and was off oxygen and did well with room air and was subsequently discharged home.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Blood magnesium normal, Blood osmolarity decreased, Blood phosphorus, Blood potassium normal, Blood sodium decreased
Clinical narrative: Patient discharged. The patient is an 80-year-old lady who presented to the hospital with chief complaint of diarrhea and dry heaving with hyponatremia.  She initially presented in early january and required admission to the intensive care unit with initiation of 3% normal saline.  She was discharged on 13th of January however since that time she had continued to have nausea and diarrhea and new onset shortness of breath.  She presented back to ER with concerns about recurrence of hyponatremia.  She was found to be COVID positive and was noted to desaturate to 87% room air and started on 1 L per nasal cannula.  X-ray chest showed the possible overlying pneumonia and hilar lymphadenopathy.She had an elevated procalcitonin and was started on antibiotics for community-acquired pneumonia and dexamethasone. She refused Remdisvir. She was subsequently transferred to hospital.  The patient was then noted to be hypoxic and was started on supplemental oxygen.  She was also continued on dexamethasone however she once again declined remdesivir.  The patient continued to improve and was subsequently off oxygen on day 3. The patient's imaging studies were reviewed x-ray showed evidence of hilar lymphadenopathy.  On going back on her CT scan from August of 2021 she had multiple nodules up to the size of 1.5 cm in the right lower zone.  I asked the patient if she had any follow-up down on that apparently she had gone to a pulmonologist and never followed up again.  I therefore spoke with the patient's primary care physician and updated him about the findings and the necessary follow-up.  The patient was also informed about these findings and the need to follow-up.  The patient was also found to have hyponatremia that is chronic and could be related to these findings.  She has been on sodium chloride tablets which were continued.  Workup confirmed the diagnosis of SIADH with an elevated urine sodium elevated urine osmolality and low serum osmolality.  The patient otherwise did well and was off oxygen and did well with room air and was subsequently discharged home.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Blood urea decreased, COVID-19, Cardiomegaly, Chest X-ray abnormal, Computerised tomogram abnormal
Clinical narrative: Patient discharged. The patient is an 80-year-old lady who presented to the hospital with chief complaint of diarrhea and dry heaving with hyponatremia.  She initially presented in early january and required admission to the intensive care unit with initiation of 3% normal saline.  She was discharged on 13th of January however since that time she had continued to have nausea and diarrhea and new onset shortness of breath.  She presented back to ER with concerns about recurrence of hyponatremia.  She was found to be COVID positive and was noted to desaturate to 87% room air and started on 1 L per nasal cannula.  X-ray chest showed the possible overlying pneumonia and hilar lymphadenopathy.She had an elevated procalcitonin and was started on antibiotics for community-acquired pneumonia and dexamethasone. She refused Remdisvir. She was subsequently transferred to hospital.  The patient was then noted to be hypoxic and was started on supplemental oxygen.  She was also continued on dexamethasone however she once again declined remdesivir.  The patient continued to improve and was subsequently off oxygen on day 3. The patient's imaging studies were reviewed x-ray showed evidence of hilar lymphadenopathy.  On going back on her CT scan from August of 2021 she had multiple nodules up to the size of 1.5 cm in the right lower zone.  I asked the patient if she had any follow-up down on that apparently she had gone to a pulmonologist and never followed up again.  I therefore spoke with the patient's primary care physician and updated him about the findings and the necessary follow-up.  The patient was also informed about these findings and the need to follow-up.  The patient was also found to have hyponatremia that is chronic and could be related to these findings.  She has been on sodium chloride tablets which were continued.  Workup confirmed the diagnosis of SIADH with an elevated urine sodium elevated urine osmolality and low serum osmolality.  The patient otherwise did well and was off oxygen and did well with room air and was subsequently discharged home.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Creatinine renal clearance, Diarrhoea, Differential white blood cell count abnormal, Dyspnoea, Eosinophil count
Clinical narrative: Patient discharged. The patient is an 80-year-old lady who presented to the hospital with chief complaint of diarrhea and dry heaving with hyponatremia.  She initially presented in early january and required admission to the intensive care unit with initiation of 3% normal saline.  She was discharged on 13th of January however since that time she had continued to have nausea and diarrhea and new onset shortness of breath.  She presented back to ER with concerns about recurrence of hyponatremia.  She was found to be COVID positive and was noted to desaturate to 87% room air and started on 1 L per nasal cannula.  X-ray chest showed the possible overlying pneumonia and hilar lymphadenopathy.She had an elevated procalcitonin and was started on antibiotics for community-acquired pneumonia and dexamethasone. She refused Remdisvir. She was subsequently transferred to hospital.  The patient was then noted to be hypoxic and was started on supplemental oxygen.  She was also continued on dexamethasone however she once again declined remdesivir.  The patient continued to improve and was subsequently off oxygen on day 3. The patient's imaging studies were reviewed x-ray showed evidence of hilar lymphadenopathy.  On going back on her CT scan from August of 2021 she had multiple nodules up to the size of 1.5 cm in the right lower zone.  I asked the patient if she had any follow-up down on that apparently she had gone to a pulmonologist and never followed up again.  I therefore spoke with the patient's primary care physician and updated him about the findings and the necessary follow-up.  The patient was also informed about these findings and the need to follow-up.  The patient was also found to have hyponatremia that is chronic and could be related to these findings.  She has been on sodium chloride tablets which were continued.  Workup confirmed the diagnosis of SIADH with an elevated urine sodium elevated urine osmolality and low serum osmolality.  The patient otherwise did well and was off oxygen and did well with room air and was subsequently discharged home.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Eosinophil percentage, Full blood count abnormal, Glomerular filtration rate normal, Haematocrit decreased, Haemoglobin decreased
Clinical narrative: Patient discharged. The patient is an 80-year-old lady who presented to the hospital with chief complaint of diarrhea and dry heaving with hyponatremia.  She initially presented in early january and required admission to the intensive care unit with initiation of 3% normal saline.  She was discharged on 13th of January however since that time she had continued to have nausea and diarrhea and new onset shortness of breath.  She presented back to ER with concerns about recurrence of hyponatremia.  She was found to be COVID positive and was noted to desaturate to 87% room air and started on 1 L per nasal cannula.  X-ray chest showed the possible overlying pneumonia and hilar lymphadenopathy.She had an elevated procalcitonin and was started on antibiotics for community-acquired pneumonia and dexamethasone. She refused Remdisvir. She was subsequently transferred to hospital.  The patient was then noted to be hypoxic and was started on supplemental oxygen.  She was also continued on dexamethasone however she once again declined remdesivir.  The patient continued to improve and was subsequently off oxygen on day 3. The patient's imaging studies were reviewed x-ray showed evidence of hilar lymphadenopathy.  On going back on her CT scan from August of 2021 she had multiple nodules up to the size of 1.5 cm in the right lower zone.  I asked the patient if she had any follow-up down on that apparently she had gone to a pulmonologist and never followed up again.  I therefore spoke with the patient's primary care physician and updated him about the findings and the necessary follow-up.  The patient was also informed about these findings and the need to follow-up.  The patient was also found to have hyponatremia that is chronic and could be related to these findings.  She has been on sodium chloride tablets which were continued.  Workup confirmed the diagnosis of SIADH with an elevated urine sodium elevated urine osmolality and low serum osmolality.  The patient otherwise did well and was off oxygen and did well with room air and was subsequently discharged home.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Hilar lymphadenopathy, Hyponatraemia, Hypoxia, Immature granulocyte count, Intensive care
Clinical narrative: Patient discharged. The patient is an 80-year-old lady who presented to the hospital with chief complaint of diarrhea and dry heaving with hyponatremia.  She initially presented in early january and required admission to the intensive care unit with initiation of 3% normal saline.  She was discharged on 13th of January however since that time she had continued to have nausea and diarrhea and new onset shortness of breath.  She presented back to ER with concerns about recurrence of hyponatremia.  She was found to be COVID positive and was noted to desaturate to 87% room air and started on 1 L per nasal cannula.  X-ray chest showed the possible overlying pneumonia and hilar lymphadenopathy.She had an elevated procalcitonin and was started on antibiotics for community-acquired pneumonia and dexamethasone. She refused Remdisvir. She was subsequently transferred to hospital.  The patient was then noted to be hypoxic and was started on supplemental oxygen.  She was also continued on dexamethasone however she once again declined remdesivir.  The patient continued to improve and was subsequently off oxygen on day 3. The patient's imaging studies were reviewed x-ray showed evidence of hilar lymphadenopathy.  On going back on her CT scan from August of 2021 she had multiple nodules up to the size of 1.5 cm in the right lower zone.  I asked the patient if she had any follow-up down on that apparently she had gone to a pulmonologist and never followed up again.  I therefore spoke with the patient's primary care physician and updated him about the findings and the necessary follow-up.  The patient was also informed about these findings and the need to follow-up.  The patient was also found to have hyponatremia that is chronic and could be related to these findings.  She has been on sodium chloride tablets which were continued.  Workup confirmed the diagnosis of SIADH with an elevated urine sodium elevated urine osmolality and low serum osmolality.  The patient otherwise did well and was off oxygen and did well with room air and was subsequently discharged home.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Lymphocyte count decreased, Lymphocyte percentage decreased, Mean cell haemoglobin concentration normal, Mean cell haemoglobin increased
Clinical narrative: Patient discharged. The patient is an 80-year-old lady who presented to the hospital with chief complaint of diarrhea and dry heaving with hyponatremia.  She initially presented in early january and required admission to the intensive care unit with initiation of 3% normal saline.  She was discharged on 13th of January however since that time she had continued to have nausea and diarrhea and new onset shortness of breath.  She presented back to ER with concerns about recurrence of hyponatremia.  She was found to be COVID positive and was noted to desaturate to 87% room air and started on 1 L per nasal cannula.  X-ray chest showed the possible overlying pneumonia and hilar lymphadenopathy.She had an elevated procalcitonin and was started on antibiotics for community-acquired pneumonia and dexamethasone. She refused Remdisvir. She was subsequently transferred to hospital.  The patient was then noted to be hypoxic and was started on supplemental oxygen.  She was also continued on dexamethasone however she once again declined remdesivir.  The patient continued to improve and was subsequently off oxygen on day 3. The patient's imaging studies were reviewed x-ray showed evidence of hilar lymphadenopathy.  On going back on her CT scan from August of 2021 she had multiple nodules up to the size of 1.5 cm in the right lower zone.  I asked the patient if she had any follow-up down on that apparently she had gone to a pulmonologist and never followed up again.  I therefore spoke with the patient's primary care physician and updated him about the findings and the necessary follow-up.  The patient was also informed about these findings and the need to follow-up.  The patient was also found to have hyponatremia that is chronic and could be related to these findings.  She has been on sodium chloride tablets which were continued.  Workup confirmed the diagnosis of SIADH with an elevated urine sodium elevated urine osmolality and low serum osmolality.  The patient otherwise did well and was off oxygen and did well with room air and was subsequently discharged home.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Mean cell volume increased, Mean platelet volume normal, Metabolic function test abnormal, Monocyte count increased, Monocyte percentage increased
Clinical narrative: Patient discharged. The patient is an 80-year-old lady who presented to the hospital with chief complaint of diarrhea and dry heaving with hyponatremia.  She initially presented in early january and required admission to the intensive care unit with initiation of 3% normal saline.  She was discharged on 13th of January however since that time she had continued to have nausea and diarrhea and new onset shortness of breath.  She presented back to ER with concerns about recurrence of hyponatremia.  She was found to be COVID positive and was noted to desaturate to 87% room air and started on 1 L per nasal cannula.  X-ray chest showed the possible overlying pneumonia and hilar lymphadenopathy.She had an elevated procalcitonin and was started on antibiotics for community-acquired pneumonia and dexamethasone. She refused Remdisvir. She was subsequently transferred to hospital.  The patient was then noted to be hypoxic and was started on supplemental oxygen.  She was also continued on dexamethasone however she once again declined remdesivir.  The patient continued to improve and was subsequently off oxygen on day 3. The patient's imaging studies were reviewed x-ray showed evidence of hilar lymphadenopathy.  On going back on her CT scan from August of 2021 she had multiple nodules up to the size of 1.5 cm in the right lower zone.  I asked the patient if she had any follow-up down on that apparently she had gone to a pulmonologist and never followed up again.  I therefore spoke with the patient's primary care physician and updated him about the findings and the necessary follow-up.  The patient was also informed about these findings and the need to follow-up.  The patient was also found to have hyponatremia that is chronic and could be related to these findings.  She has been on sodium chloride tablets which were continued.  Workup confirmed the diagnosis of SIADH with an elevated urine sodium elevated urine osmolality and low serum osmolality.  The patient otherwise did well and was off oxygen and did well with room air and was subsequently discharged home.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Neutrophil count, Neutrophil percentage increased, Nodule, Nucleated red cells
Clinical narrative: Patient discharged. The patient is an 80-year-old lady who presented to the hospital with chief complaint of diarrhea and dry heaving with hyponatremia.  She initially presented in early january and required admission to the intensive care unit with initiation of 3% normal saline.  She was discharged on 13th of January however since that time she had continued to have nausea and diarrhea and new onset shortness of breath.  She presented back to ER with concerns about recurrence of hyponatremia.  She was found to be COVID positive and was noted to desaturate to 87% room air and started on 1 L per nasal cannula.  X-ray chest showed the possible overlying pneumonia and hilar lymphadenopathy.She had an elevated procalcitonin and was started on antibiotics for community-acquired pneumonia and dexamethasone. She refused Remdisvir. She was subsequently transferred to hospital.  The patient was then noted to be hypoxic and was started on supplemental oxygen.  She was also continued on dexamethasone however she once again declined remdesivir.  The patient continued to improve and was subsequently off oxygen on day 3. The patient's imaging studies were reviewed x-ray showed evidence of hilar lymphadenopathy.  On going back on her CT scan from August of 2021 she had multiple nodules up to the size of 1.5 cm in the right lower zone.  I asked the patient if she had any follow-up down on that apparently she had gone to a pulmonologist and never followed up again.  I therefore spoke with the patient's primary care physician and updated him about the findings and the necessary follow-up.  The patient was also informed about these findings and the need to follow-up.  The patient was also found to have hyponatremia that is chronic and could be related to these findings.  She has been on sodium chloride tablets which were continued.  Workup confirmed the diagnosis of SIADH with an elevated urine sodium elevated urine osmolality and low serum osmolality.  The patient otherwise did well and was off oxygen and did well with room air and was subsequently discharged home.