chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Night sweats, Pain in jaw, Palpitations, Thyroxine increased
Clinical narrative: It stated with a mild headache and neck pain but after a week it saw sever and my jaw starting hurting. Though I had toothache, went to doctor, was told everything was fine and wasn't sure what was leading to pain. Made an appointment with my physician. My appointment was in 2 weeks, through this two weeks I was told by family and friends that my voice has changed, and I was loosing lots of hair, sweating very easily (especially night sweat. It was now March and I had lost 11 pounds, I was fatigue and didn't have energy to do any activities. During my visit, told my doctor all my symptoms, did my vitals, all was within the normal range and she ordered for me to get blood works done. Which I did, which I was waiting for my blood works and to hear back from my doctor. The next day I couldn't move with ease, if I moved fast, or run up/down the stairs, I run out of breath and felt nauseas and dizzy. I felt my heart racing really fast, that I could hear it. I checked my BP and HR, my HR was in 140s. I immediately emailed my Dr. and after looking through my lab results she referred me to an endocrinologist. We found that my thyroid was over acting. I was given Propranolol to control my symptoms. But as I waited for my next appointment with the Endocrinologist, my symptoms resolved, was asked to do another thyroid labs and CT scan. CT scan was normal, my thyroid was now almost in normal range (without even starting any medications).
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Toothache, Tri-iodothyronine increased, Weight decreased
Clinical narrative: It stated with a mild headache and neck pain but after a week it saw sever and my jaw starting hurting. Though I had toothache, went to doctor, was told everything was fine and wasn't sure what was leading to pain. Made an appointment with my physician. My appointment was in 2 weeks, through this two weeks I was told by family and friends that my voice has changed, and I was loosing lots of hair, sweating very easily (especially night sweat. It was now March and I had lost 11 pounds, I was fatigue and didn't have energy to do any activities. During my visit, told my doctor all my symptoms, did my vitals, all was within the normal range and she ordered for me to get blood works done. Which I did, which I was waiting for my blood works and to hear back from my doctor. The next day I couldn't move with ease, if I moved fast, or run up/down the stairs, I run out of breath and felt nauseas and dizzy. I felt my heart racing really fast, that I could hear it. I checked my BP and HR, my HR was in 140s. I immediately emailed my Dr. and after looking through my lab results she referred me to an endocrinologist. We found that my thyroid was over acting. I was given Propranolol to control my symptoms. But as I waited for my next appointment with the Endocrinologist, my symptoms resolved, was asked to do another thyroid labs and CT scan. CT scan was normal, my thyroid was now almost in normal range (without even starting any medications).
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Diarrhoea, Dyspnoea, Fatigue
Clinical narrative: COVID positive. Symptoms include: muscle aches, cough, shortness of breath, nausea or vomiting, fatigue, and diarrhea.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Nausea, SARS-CoV-2 test positive, Vomiting
Clinical narrative: COVID positive. Symptoms include: muscle aches, cough, shortness of breath, nausea or vomiting, fatigue, and diarrhea.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Blood culture negative, COVID-19, COVID-19 pneumonia, Computerised tomogram head, Confusional state
Clinical narrative: Patient ID: Patient 93 y.o.    Admit Date:  7/21/2022   Discharge Date:   7/28/2022   Discharge Diagnosis:  Principal Problem:   Acute metabolic encephalopathy Active Problems:   Dementia   Sepsis   Pneumonia due to COVID-19 virus   H/O: CVA (cerebrovascular accident)   Acute UTI Elevated troponin   Hospital Course:  93 year old female with advanced dementia from NH was admitted for worsening encephalopathy. She tested (+) for Covid-19 infection on admission. She was given Remdesivir and steroids for 5 days. Cardiology saw her for elevated troponins and was determined to be from sepsis and hypoxia. TTE was done and showed LVEF 55-60%. She had sepsis symptoms from UTI and treated initially with IV antibiotics. Urine culture grew E coli with resistance to Quinolones. Blood cultures were (-). She has been on Augmentin since 7/25. She has been tolerating PEG feeding. She was initially hypoxic but has been on RA for the past few days. She will be transferred back to the NH today in stable condition. Follow up with Primary Care Doctor in 5-7 days. Total discharge time >30 minutes.   Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 97.6 °F (36.4 °C) Heart Rate (Monitor): 78 Pulse: 73 BP: 123/56 Respirations: 18 SpO2: 92 % O2 Flow Rate (l/min): 0 l/min General Appearance: no distress  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: regular rate and rhythm Abdomen: soft, non-tender  Skin: No rashes or lesions  Extremities: no edema Neuro: awake but confused   Consults:  IP CONSULT TO SEPSIS NURSE NAVIGATOR IP CONSULT TO SEPSIS NURSE NAVIGATOR IP CONSULT TO CARDIOLOGY IP CONSULT TO SOCIAL WORK IP CONSULT TO INFECTIOUS DISEASES IP CONSULT TO DIETARY   Significant Diagnostic Studies:   TTE, CT head   Operations: none   Disposition:  SNF   Discharge Condition:  Fair
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Culture urine positive, Dementia, Echocardiogram, Ejection fraction normal, Escherichia test positive
Clinical narrative: Patient ID: Patient 93 y.o.    Admit Date:  7/21/2022   Discharge Date:   7/28/2022   Discharge Diagnosis:  Principal Problem:   Acute metabolic encephalopathy Active Problems:   Dementia   Sepsis   Pneumonia due to COVID-19 virus   H/O: CVA (cerebrovascular accident)   Acute UTI Elevated troponin   Hospital Course:  93 year old female with advanced dementia from NH was admitted for worsening encephalopathy. She tested (+) for Covid-19 infection on admission. She was given Remdesivir and steroids for 5 days. Cardiology saw her for elevated troponins and was determined to be from sepsis and hypoxia. TTE was done and showed LVEF 55-60%. She had sepsis symptoms from UTI and treated initially with IV antibiotics. Urine culture grew E coli with resistance to Quinolones. Blood cultures were (-). She has been on Augmentin since 7/25. She has been tolerating PEG feeding. She was initially hypoxic but has been on RA for the past few days. She will be transferred back to the NH today in stable condition. Follow up with Primary Care Doctor in 5-7 days. Total discharge time >30 minutes.   Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 97.6 °F (36.4 °C) Heart Rate (Monitor): 78 Pulse: 73 BP: 123/56 Respirations: 18 SpO2: 92 % O2 Flow Rate (l/min): 0 l/min General Appearance: no distress  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: regular rate and rhythm Abdomen: soft, non-tender  Skin: No rashes or lesions  Extremities: no edema Neuro: awake but confused   Consults:  IP CONSULT TO SEPSIS NURSE NAVIGATOR IP CONSULT TO SEPSIS NURSE NAVIGATOR IP CONSULT TO CARDIOLOGY IP CONSULT TO SOCIAL WORK IP CONSULT TO INFECTIOUS DISEASES IP CONSULT TO DIETARY   Significant Diagnostic Studies:   TTE, CT head   Operations: none   Disposition:  SNF   Discharge Condition:  Fair
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Gastrostomy, Hypoxia, Metabolic encephalopathy, SARS-CoV-2 test positive, Sepsis
Clinical narrative: Patient ID: Patient 93 y.o.    Admit Date:  7/21/2022   Discharge Date:   7/28/2022   Discharge Diagnosis:  Principal Problem:   Acute metabolic encephalopathy Active Problems:   Dementia   Sepsis   Pneumonia due to COVID-19 virus   H/O: CVA (cerebrovascular accident)   Acute UTI Elevated troponin   Hospital Course:  93 year old female with advanced dementia from NH was admitted for worsening encephalopathy. She tested (+) for Covid-19 infection on admission. She was given Remdesivir and steroids for 5 days. Cardiology saw her for elevated troponins and was determined to be from sepsis and hypoxia. TTE was done and showed LVEF 55-60%. She had sepsis symptoms from UTI and treated initially with IV antibiotics. Urine culture grew E coli with resistance to Quinolones. Blood cultures were (-). She has been on Augmentin since 7/25. She has been tolerating PEG feeding. She was initially hypoxic but has been on RA for the past few days. She will be transferred back to the NH today in stable condition. Follow up with Primary Care Doctor in 5-7 days. Total discharge time >30 minutes.   Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 97.6 °F (36.4 °C) Heart Rate (Monitor): 78 Pulse: 73 BP: 123/56 Respirations: 18 SpO2: 92 % O2 Flow Rate (l/min): 0 l/min General Appearance: no distress  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: regular rate and rhythm Abdomen: soft, non-tender  Skin: No rashes or lesions  Extremities: no edema Neuro: awake but confused   Consults:  IP CONSULT TO SEPSIS NURSE NAVIGATOR IP CONSULT TO SEPSIS NURSE NAVIGATOR IP CONSULT TO CARDIOLOGY IP CONSULT TO SOCIAL WORK IP CONSULT TO INFECTIOUS DISEASES IP CONSULT TO DIETARY   Significant Diagnostic Studies:   TTE, CT head   Operations: none   Disposition:  SNF   Discharge Condition:  Fair
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin increased
Clinical narrative: Patient ID: Patient 93 y.o.    Admit Date:  7/21/2022   Discharge Date:   7/28/2022   Discharge Diagnosis:  Principal Problem:   Acute metabolic encephalopathy Active Problems:   Dementia   Sepsis   Pneumonia due to COVID-19 virus   H/O: CVA (cerebrovascular accident)   Acute UTI Elevated troponin   Hospital Course:  93 year old female with advanced dementia from NH was admitted for worsening encephalopathy. She tested (+) for Covid-19 infection on admission. She was given Remdesivir and steroids for 5 days. Cardiology saw her for elevated troponins and was determined to be from sepsis and hypoxia. TTE was done and showed LVEF 55-60%. She had sepsis symptoms from UTI and treated initially with IV antibiotics. Urine culture grew E coli with resistance to Quinolones. Blood cultures were (-). She has been on Augmentin since 7/25. She has been tolerating PEG feeding. She was initially hypoxic but has been on RA for the past few days. She will be transferred back to the NH today in stable condition. Follow up with Primary Care Doctor in 5-7 days. Total discharge time >30 minutes.   Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 97.6 °F (36.4 °C) Heart Rate (Monitor): 78 Pulse: 73 BP: 123/56 Respirations: 18 SpO2: 92 % O2 Flow Rate (l/min): 0 l/min General Appearance: no distress  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: regular rate and rhythm Abdomen: soft, non-tender  Skin: No rashes or lesions  Extremities: no edema Neuro: awake but confused   Consults:  IP CONSULT TO SEPSIS NURSE NAVIGATOR IP CONSULT TO SEPSIS NURSE NAVIGATOR IP CONSULT TO CARDIOLOGY IP CONSULT TO SOCIAL WORK IP CONSULT TO INFECTIOUS DISEASES IP CONSULT TO DIETARY   Significant Diagnostic Studies:   TTE, CT head   Operations: none   Disposition:  SNF   Discharge Condition:  Fair
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Cough, Decreased appetite, Dyspnoea, Fatigue
Clinical narrative: Activity change, appetite change, fatigue, fever, cough, SOB, chest pain and myalgia.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia
Clinical narrative: Activity change, appetite change, fatigue, fever, cough, SOB, chest pain and myalgia.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use-date.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Oropharyngeal pain
Clinical narrative: Activity change, appetite change and sore throat.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: dose administered beyond-use-date.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Dose administered beyond-use-date.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Biopsy heart, Brain natriuretic peptide increased, Cardiac sarcoidosis, Chest X-ray
Clinical narrative: INFLAMMATION that lead to the following DIAGNOSES: Diastolic Dysfunction, Parotitis, Cardiac Sarcoidosis, Pulmonary Inflammation,  SYMPTONS: Dizziness, faster heart rate, chest discomfort, pulse visible in neck, fluid overload, swelling in ankles/legs/feet, nasal congestion, pains (especially upper torso, mid back and neck TREATMENT: Mycophenolate 1000 mg 2/day, Metoprolol, Lasix OUTCOME(S): To be determined.  PET Scan will be repeated in six month. Regular monitoring ongoing.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Computerised tomogram thorax, Diastolic dysfunction, Dizziness, Echocardiogram
Clinical narrative: INFLAMMATION that lead to the following DIAGNOSES: Diastolic Dysfunction, Parotitis, Cardiac Sarcoidosis, Pulmonary Inflammation,  SYMPTONS: Dizziness, faster heart rate, chest discomfort, pulse visible in neck, fluid overload, swelling in ankles/legs/feet, nasal congestion, pains (especially upper torso, mid back and neck TREATMENT: Mycophenolate 1000 mg 2/day, Metoprolol, Lasix OUTCOME(S): To be determined.  PET Scan will be repeated in six month. Regular monitoring ongoing.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Electrocardiogram ambulatory, Heart rate increased, Hypervolaemia, Inflammation
Clinical narrative: INFLAMMATION that lead to the following DIAGNOSES: Diastolic Dysfunction, Parotitis, Cardiac Sarcoidosis, Pulmonary Inflammation,  SYMPTONS: Dizziness, faster heart rate, chest discomfort, pulse visible in neck, fluid overload, swelling in ankles/legs/feet, nasal congestion, pains (especially upper torso, mid back and neck TREATMENT: Mycophenolate 1000 mg 2/day, Metoprolol, Lasix OUTCOME(S): To be determined.  PET Scan will be repeated in six month. Regular monitoring ongoing.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Joint swelling, Laboratory test, Nasal congestion, Neck pain, Pain
Clinical narrative: INFLAMMATION that lead to the following DIAGNOSES: Diastolic Dysfunction, Parotitis, Cardiac Sarcoidosis, Pulmonary Inflammation,  SYMPTONS: Dizziness, faster heart rate, chest discomfort, pulse visible in neck, fluid overload, swelling in ankles/legs/feet, nasal congestion, pains (especially upper torso, mid back and neck TREATMENT: Mycophenolate 1000 mg 2/day, Metoprolol, Lasix OUTCOME(S): To be determined.  PET Scan will be repeated in six month. Regular monitoring ongoing.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Parotitis, Peripheral swelling, Pneumonitis, Positron emission tomogram
Clinical narrative: INFLAMMATION that lead to the following DIAGNOSES: Diastolic Dysfunction, Parotitis, Cardiac Sarcoidosis, Pulmonary Inflammation,  SYMPTONS: Dizziness, faster heart rate, chest discomfort, pulse visible in neck, fluid overload, swelling in ankles/legs/feet, nasal congestion, pains (especially upper torso, mid back and neck TREATMENT: Mycophenolate 1000 mg 2/day, Metoprolol, Lasix OUTCOME(S): To be determined.  PET Scan will be repeated in six month. Regular monitoring ongoing.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Chest X-ray, Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: 65 y.o.    Admit Date:  7/21/2022   Discharge Date:   7/25/2022   Discharge Diagnosis:  Principal Problem:   Acute hypoxemic respiratory failure due to COVID-19 Active Problems:   COVID-19   COPD (chronic obstructive pulmonary disease)   DM (diabetes mellitus), type 2 with renal complications     Hospital Course:  65 year old vaccinated female was admitted for hypoxic respiratory failure from Covid-19 infection. She has underlying COPD which made the condition worse. She was treated with Remdesivir and Decadron. Antibiotic was given for empiric therapy. She improved and was sent home today in stable condition. Patient educated on appropriate level of care post-discharge. Follow up with Primary Care Doctor in 5-7 days.   Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 98.1 °F (36.7 °C) Heart Rate (Monitor): 103 Pulse: 69 BP: 152/84 Respirations: 18 SpO2: 99 % O2 Flow Rate (l/min): 2 l/min General Appearance: no distress  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: regular rate and rhythm Abdomen: soft, non-tender  Skin: No rashes or lesions  Extremities: full ROM Neuro: alert, normal strength and tone    Consults:  CONSULT TO SOCIAL WORK   Significant Diagnostic Studies:   CXR   Operations: none   Disposition:  Home    Discharge Condition:  Fair
Age: 34.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Abdominal discomfort, Electrocardiogram, Hypotension
Clinical narrative: After the vaccine was administered patient became visibly distressed during the 15 minute observation period. Vital signs show hypotension BP 70/44, HR 51 and SPO2 Sat 100%. Vaccination area management notified, clinic rapid response team was called upon, and patient was taken to the PAA area of the clinic for an evaluation.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Pain in extremity, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: I had chills and pain in both thighs in addition I had a fever as well. The next day I had a slight headache and a fever.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Hypoxia, SARS-CoV-2 test positive
Clinical narrative: Patient up to date on COVID vaccinations who admitted to hospital with complications of COVID including hypoxia.  Provider d/c note:  "Stable COVID-19 infection in a fully vaccinated individual. Initially hypoxic needing O2 by nasal canula, but by discharge, hypoxia had completely resolved. Received Remdesivir x 3 doses. Will complete 10 day course of Decadron."
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Arthritis, COVID-19, Chest X-ray normal, Computerised tomogram spine
Clinical narrative: Admit Date:  7/21/2022   Discharge Date:  7/27/2022    Principal Dx/ Final Dx: COVID-19   Relevant Inpt Dx: Principal Problem:   COVID-19 Active Problems:   Type 2 diabetes mellitus with kidney complication, without long-term current use of insulin   Numbness in both legs   HTN (hypertension)   PAD (peripheral artery disease)       Follow-up Recommendations: #1 please take medication as prescribed #2 please keep follow-up appointments   HPI: As per Doctor's Note:  "(the patient) is a 89 y.o. male with a history below who presented from a nursing home with the complaints of shortness of breath, bilateral lower extremity numbness. Not sure if the numbness is acute or chronic. Tells me that the numbness comes and goes. Poor historian. No family at bedside. Denies any shortness of breath on 2 L nasal cannula. Tested positive for covid 19.  Imaging revealed bilateral chronic DVT in the lower extremities with PAD. Denies any chest pain, abdominal pain, nausea, vomiting, fever or any other concerning symptoms. Admitted for further evaluation."   Hospital Course:   Patient presented with shortness of breath and bilateral lower extremity numbness. He was found to have Covid 19 but chest x-ray was negative for pneumonia.. Because of hypoxia he was started on Decadron and Remdecivir. Gradually his symptoms improved and he was weaned off the oxygen very quickly. Remdecivir and dexamethasone was stopped early because of significant improvement in his symptoms. He developed acute kidney injury during his inpatient stay which improved with fluid hydration.   During his hospital stay he was evaluated by neurology and vascular surgery for his bilateral lower extremity numbness. CT lumbar spine was done and his lower extremity numbness was attributed to spinal arthritis. Neurology recommended outpatient follow-up for neuropathy workup. He was cleared by vascular surgery without the need for any intervention at this time. With improved symptoms he wanted to go home. He was recommended to follow-up with the neurology, vascular surgery, and PCP as an outpatient.     Unresolved issues requiring follow up (w/ labs or studies): None
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Deep vein thrombosis, Dyspnoea, Hypoaesthesia, Hypoxia
Clinical narrative: Admit Date:  7/21/2022   Discharge Date:  7/27/2022    Principal Dx/ Final Dx: COVID-19   Relevant Inpt Dx: Principal Problem:   COVID-19 Active Problems:   Type 2 diabetes mellitus with kidney complication, without long-term current use of insulin   Numbness in both legs   HTN (hypertension)   PAD (peripheral artery disease)       Follow-up Recommendations: #1 please take medication as prescribed #2 please keep follow-up appointments   HPI: As per Doctor's Note:  "(the patient) is a 89 y.o. male with a history below who presented from a nursing home with the complaints of shortness of breath, bilateral lower extremity numbness. Not sure if the numbness is acute or chronic. Tells me that the numbness comes and goes. Poor historian. No family at bedside. Denies any shortness of breath on 2 L nasal cannula. Tested positive for covid 19.  Imaging revealed bilateral chronic DVT in the lower extremities with PAD. Denies any chest pain, abdominal pain, nausea, vomiting, fever or any other concerning symptoms. Admitted for further evaluation."   Hospital Course:   Patient presented with shortness of breath and bilateral lower extremity numbness. He was found to have Covid 19 but chest x-ray was negative for pneumonia.. Because of hypoxia he was started on Decadron and Remdecivir. Gradually his symptoms improved and he was weaned off the oxygen very quickly. Remdecivir and dexamethasone was stopped early because of significant improvement in his symptoms. He developed acute kidney injury during his inpatient stay which improved with fluid hydration.   During his hospital stay he was evaluated by neurology and vascular surgery for his bilateral lower extremity numbness. CT lumbar spine was done and his lower extremity numbness was attributed to spinal arthritis. Neurology recommended outpatient follow-up for neuropathy workup. He was cleared by vascular surgery without the need for any intervention at this time. With improved symptoms he wanted to go home. He was recommended to follow-up with the neurology, vascular surgery, and PCP as an outpatient.     Unresolved issues requiring follow up (w/ labs or studies): None
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Imaging procedure abnormal, SARS-CoV-2 test positive
Clinical narrative: Admit Date:  7/21/2022   Discharge Date:  7/27/2022    Principal Dx/ Final Dx: COVID-19   Relevant Inpt Dx: Principal Problem:   COVID-19 Active Problems:   Type 2 diabetes mellitus with kidney complication, without long-term current use of insulin   Numbness in both legs   HTN (hypertension)   PAD (peripheral artery disease)       Follow-up Recommendations: #1 please take medication as prescribed #2 please keep follow-up appointments   HPI: As per Doctor's Note:  "(the patient) is a 89 y.o. male with a history below who presented from a nursing home with the complaints of shortness of breath, bilateral lower extremity numbness. Not sure if the numbness is acute or chronic. Tells me that the numbness comes and goes. Poor historian. No family at bedside. Denies any shortness of breath on 2 L nasal cannula. Tested positive for covid 19.  Imaging revealed bilateral chronic DVT in the lower extremities with PAD. Denies any chest pain, abdominal pain, nausea, vomiting, fever or any other concerning symptoms. Admitted for further evaluation."   Hospital Course:   Patient presented with shortness of breath and bilateral lower extremity numbness. He was found to have Covid 19 but chest x-ray was negative for pneumonia.. Because of hypoxia he was started on Decadron and Remdecivir. Gradually his symptoms improved and he was weaned off the oxygen very quickly. Remdecivir and dexamethasone was stopped early because of significant improvement in his symptoms. He developed acute kidney injury during his inpatient stay which improved with fluid hydration.   During his hospital stay he was evaluated by neurology and vascular surgery for his bilateral lower extremity numbness. CT lumbar spine was done and his lower extremity numbness was attributed to spinal arthritis. Neurology recommended outpatient follow-up for neuropathy workup. He was cleared by vascular surgery without the need for any intervention at this time. With improved symptoms he wanted to go home. He was recommended to follow-up with the neurology, vascular surgery, and PCP as an outpatient.     Unresolved issues requiring follow up (w/ labs or studies): None
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: Admit Date:  7/21/2022   Discharge Date:  7/27/2022    Principal Dx/ Final Dx: COVID-19   Relevant Inpt Dx: Principal Problem:   COVID-19 Active Problems:   Type 2 diabetes mellitus with kidney complication, without long-term current use of insulin   Numbness in both legs   HTN (hypertension)   PAD (peripheral artery disease)       Follow-up Recommendations: #1 please take medication as prescribed #2 please keep follow-up appointments   HPI: As per Doctor's Note:  "(the patient) is a 89 y.o. male with a history below who presented from a nursing home with the complaints of shortness of breath, bilateral lower extremity numbness. Not sure if the numbness is acute or chronic. Tells me that the numbness comes and goes. Poor historian. No family at bedside. Denies any shortness of breath on 2 L nasal cannula. Tested positive for covid 19.  Imaging revealed bilateral chronic DVT in the lower extremities with PAD. Denies any chest pain, abdominal pain, nausea, vomiting, fever or any other concerning symptoms. Admitted for further evaluation."   Hospital Course:   Patient presented with shortness of breath and bilateral lower extremity numbness. He was found to have Covid 19 but chest x-ray was negative for pneumonia.. Because of hypoxia he was started on Decadron and Remdecivir. Gradually his symptoms improved and he was weaned off the oxygen very quickly. Remdecivir and dexamethasone was stopped early because of significant improvement in his symptoms. He developed acute kidney injury during his inpatient stay which improved with fluid hydration.   During his hospital stay he was evaluated by neurology and vascular surgery for his bilateral lower extremity numbness. CT lumbar spine was done and his lower extremity numbness was attributed to spinal arthritis. Neurology recommended outpatient follow-up for neuropathy workup. He was cleared by vascular surgery without the need for any intervention at this time. With improved symptoms he wanted to go home. He was recommended to follow-up with the neurology, vascular surgery, and PCP as an outpatient.     Unresolved issues requiring follow up (w/ labs or studies): None
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Cough, Dyspnoea, Myalgia
Clinical narrative: congestion, cough, chest tightness, SOB, chest pain, nausea, vomiting, myalgias
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Respiratory tract congestion, Vomiting
Clinical narrative: congestion, cough, chest tightness, SOB, chest pain, nausea, vomiting, myalgias
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Anticoagulation drug level above therapeutic, COVID-19, Chemotherapy, Clostridium test
Clinical narrative: 67 y.o.   Admit Date:  7/21/2022   Discharge Date:  7/28/2022    Principal Dx/ Final Dx: Chemotherapy induced diarrhea   Relevant Inpt Dx: Principal Problem:   Chemotherapy induced diarrhea Active Problems:   Type 2 diabetes mellitus with hyperglycemia, without long-term current use of insulin   History of pulmonary embolism       Follow-up Recommendations: #1 please take medication as prescribed #2 please keep follow-up appointments   HPI: As per Dr Note:  "Patient is a 67 y.o. male with a history of diarrhea on immunotherapy for metastatic melanoma with complaints of worsening diarrhea since he stopped steroids. Patient was discharged on by mouth steroids on July 8, 2022.  Complains of multiple episodes of watery diarrhea. Oncology recommended admission for stool studies and possible steroids if the stool studies are negative. Not sure what makes symptoms better or worse. Denies any fever, chills, shortness of breath, abdominal pain or any other concerning symptoms. Admitted for further evaluation."   Hospital Course:   Patient presented with acute diarrhea. Infectious etiology was ruled out with negative C. difficile, ova/parasite, and stool cultures. Patient was seen by oncology and diarrhea was attributed to immunotherapy for malignant melanoma. Patient was started on oral prednisone and gradually his diarrhea improved. With improved symptoms he wanted to go home. He was recommended follow-up with oncology early next week for further adjustment of his prednisone dose. During his hospital stay he was also treated with Remdecivir for COVID-19 infection. On admission he was found to have supratherapeutic INR. Was given vitamin K which later on required Lovenox bridging until Coumadin dose was adjusted with pharmacy's help. At discharge pharmacy recommended 3.75 mg Coumadin dose daily until follow-up INR next week.     Unresolved issues requiring follow up (w/ labs or studies): None
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Culture stool negative, Diarrhoea, Parasite stool test negative, Post procedural diarrhoea
Clinical narrative: 67 y.o.   Admit Date:  7/21/2022   Discharge Date:  7/28/2022    Principal Dx/ Final Dx: Chemotherapy induced diarrhea   Relevant Inpt Dx: Principal Problem:   Chemotherapy induced diarrhea Active Problems:   Type 2 diabetes mellitus with hyperglycemia, without long-term current use of insulin   History of pulmonary embolism       Follow-up Recommendations: #1 please take medication as prescribed #2 please keep follow-up appointments   HPI: As per Dr Note:  "Patient is a 67 y.o. male with a history of diarrhea on immunotherapy for metastatic melanoma with complaints of worsening diarrhea since he stopped steroids. Patient was discharged on by mouth steroids on July 8, 2022.  Complains of multiple episodes of watery diarrhea. Oncology recommended admission for stool studies and possible steroids if the stool studies are negative. Not sure what makes symptoms better or worse. Denies any fever, chills, shortness of breath, abdominal pain or any other concerning symptoms. Admitted for further evaluation."   Hospital Course:   Patient presented with acute diarrhea. Infectious etiology was ruled out with negative C. difficile, ova/parasite, and stool cultures. Patient was seen by oncology and diarrhea was attributed to immunotherapy for malignant melanoma. Patient was started on oral prednisone and gradually his diarrhea improved. With improved symptoms he wanted to go home. He was recommended follow-up with oncology early next week for further adjustment of his prednisone dose. During his hospital stay he was also treated with Remdecivir for COVID-19 infection. On admission he was found to have supratherapeutic INR. Was given vitamin K which later on required Lovenox bridging until Coumadin dose was adjusted with pharmacy's help. At discharge pharmacy recommended 3.75 mg Coumadin dose daily until follow-up INR next week.     Unresolved issues requiring follow up (w/ labs or studies): None
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Glassy eyes, Hyperhidrosis, Hypotension, Unresponsive to stimuli
Clinical narrative: Patient received Novavax vaccine around 11:05am. He was waiting in the waiting area for 15 minutes when about 5 minutes into receiving the vaccine his eyes became glossy. His wife alerted us to his condition. I went out to investigate and noticed that his eyes were glossy. I asked him a couple of questions and he did not respond. I called 911 and the paramedics were dispatched. He then became sweaty all over. The paramedics arrived and checked out his vitals. He was alert when they arrived and his blood pressure was low. All other vitals were ok. The paramedics left. We filled out an incident report and the patient left on his own accord with his wife.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Fine motor skill dysfunction, Injection site pain, Muscular weakness, Pain in extremity
Clinical narrative: The pain started in the left shoulder and migrated to my back and left forearm.  Progressive weakness in my arm and left hand that has increased to the point that I can no longer pick up small objects.  I have lost all fine motor control in my left hand.  This pain and weakness increased markedly after I received my booster of Pfizer Covid vaccine on December 1, 2021.  The pain and weakness persist to this day.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Fatigue, Headache, Hyperhidrosis
Clinical narrative: chills, diaphoresis, fatigue, fever, congestion, cough, headaches
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion
Clinical narrative: chills, diaphoresis, fatigue, fever, congestion, cough, headaches
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Dyspnoea, Hypoxia
Clinical narrative: Patient came to ED with shortness of breath.  Admitted to hospital with Covid pneumonia and hypoxia.  Treated with remdesivir.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchitis, COVID-19, Culture throat, Pneumonia, SARS-CoV-2 test
Clinical narrative: I started with a round of bronchitis right before receiving my fourth dose. After receiving my fourth dose, about three weeks later, I got bronchitis again. About 4 weeks later I got bronchitis again, pneumonia and then COVID-19. I have been on antibiotic treatments.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Dose administered
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Hyperhidrosis
Clinical narrative: chills, diaphoresis, cough
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: THIS IS A REPORT OF FAILURE OF PAXLOVID TO CURE COVID-19 IN THE GIVEN 5 DAYS DOSEAGE! Positive test 8/19. Started 8/20/22. Testing started to be fainter. Some symptoms REOCCURED on 08/26/22 and continues full positive 0n 08/31/22!!! Paxlovid control number GE6419 exp. date: 04/23 Supplier #621 RX: 6738595. Doctor notified several times of results. DID NOT respond.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Facial paralysis
Clinical narrative: Diagnosed with Bell's Palsy due to Facial paralysis
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Death, Dyspnoea, Endotracheal intubation
Clinical narrative: pt admitted to hospital with SOB; pneumonia; positive for COVID; septic shock and sepsis; AHRF; transferred to ICU; pt's condition worsened requiring intubation; ABX given; condition continued to deteriorate; transitioned to in-patient hospice care where she passed away
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: General physical health deterioration, Intensive care, Pneumonia, SARS-CoV-2 test positive, Sepsis
Clinical narrative: pt admitted to hospital with SOB; pneumonia; positive for COVID; septic shock and sepsis; AHRF; transferred to ICU; pt's condition worsened requiring intubation; ABX given; condition continued to deteriorate; transitioned to in-patient hospice care where she passed away
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Septic shock
Clinical narrative: pt admitted to hospital with SOB; pneumonia; positive for COVID; septic shock and sepsis; AHRF; transferred to ICU; pt's condition worsened requiring intubation; ABX given; condition continued to deteriorate; transitioned to in-patient hospice care where she passed away
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation error
Clinical narrative: Patient received 0.2mL of undiluted Pfizer pediatric (5-11yrs) COVID vaccine. No adverse reaction noted. Pt was kept extra x30min in observation. Parent informed of dosing administration error and given VIS, sx to observe for, when to seek emergency attention, and VAERS information sheet in case of later reaction.
Age: 4.0
Sex: F
Vaccine: COVID19, FLU4, MMRV
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: COVID -19 Pfizer Vaccine 3mcg/0.2ml Diluted  with 1.2 ml of 0.9% sodium Chloride in stead of 2.2ml by mistake. Pt was given dose on 0.2ml. Pt mother made aware of error.
Age: 20.0
Sex: M
Vaccine: UNK
Symptoms: Hyperhidrosis, Immediate post-injection reaction, Pallor
Clinical narrative: Immediately after administration, client became pale and sweaty and had laid down on the floor.  Did not become unresponsive and felt better after 20 minutes.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Limb injury, Pain, Paraesthesia
Clinical narrative: Site: Pain at Injection Site-Severe, Systemic: Pain at deltoid spread to forearm-Severe, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy skin, Cutaneous lymphoma, Lymphoproliferative disorder, Skin lesion, Skin neoplasm excision
Clinical narrative: Developed skin lesion on scalp DX Primary Cutaneous CD4+ small/medium T Cell Lymphoproliferative disorder, a cutaneous Lymphoma
Age: 56.0
Sex: M
Vaccine: PPV
Symptoms: Injection site pain, Pyrexia
Clinical narrative: Site: Pain at Injection Site-Severe, Systemic: Fever-Medium, Additional Details: Patient taking Ibuprofen for fever and pain
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Patient came in with redness on injection arm that looked raised. Area was warm to the touch and spread from previous day. Patient also stated she maybe running a fever.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Bladder outlet obstruction, Bladder scan, COVID-19, COVID-19 pneumonia, Chronic obstructive pulmonary disease
Clinical narrative: Patient with COVID vaccinations who admitted with hypoxia and complications of COVID.  Provider d/c note:  "Patient is a 73-year-old male with a past medical history Myofibrillar myopathy type 1-type of muscular dystrophy, history of abnormal stress test 2003 who presents with cough, shortness of breath.  Diagnosed with COVID pneumonia, monitor for signs of superimposed bacterial pneumonia, hold antibiotics at this time.  Sputum culture shows normal oral flora..  Continue dexamethasone x 10 days.  Patient is no longer hypoxic so remdesivir stopped, consider restarting if patient becomes hypoxic again.   CT urogram negative for hydronephrosis but shows some chronic outlet obstruction.  Start Flomax, bladder scans.  Chronic obstructive pulmonary disease changes also noted.  Elevated transaminases, possibly secondary to remdesivir?  Improving.  Consider outpatient CMP."  Discharged to acute rehab unit for physical therapy"
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cough, Dyspnoea, Hypoxia, SARS-CoV-2 test positive, Sputum culture
Clinical narrative: Patient with COVID vaccinations who admitted with hypoxia and complications of COVID.  Provider d/c note:  "Patient is a 73-year-old male with a past medical history Myofibrillar myopathy type 1-type of muscular dystrophy, history of abnormal stress test 2003 who presents with cough, shortness of breath.  Diagnosed with COVID pneumonia, monitor for signs of superimposed bacterial pneumonia, hold antibiotics at this time.  Sputum culture shows normal oral flora..  Continue dexamethasone x 10 days.  Patient is no longer hypoxic so remdesivir stopped, consider restarting if patient becomes hypoxic again.   CT urogram negative for hydronephrosis but shows some chronic outlet obstruction.  Start Flomax, bladder scans.  Chronic obstructive pulmonary disease changes also noted.  Elevated transaminases, possibly secondary to remdesivir?  Improving.  Consider outpatient CMP."  Discharged to acute rehab unit for physical therapy"
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Transaminases increased, Urogram abnormal
Clinical narrative: Patient with COVID vaccinations who admitted with hypoxia and complications of COVID.  Provider d/c note:  "Patient is a 73-year-old male with a past medical history Myofibrillar myopathy type 1-type of muscular dystrophy, history of abnormal stress test 2003 who presents with cough, shortness of breath.  Diagnosed with COVID pneumonia, monitor for signs of superimposed bacterial pneumonia, hold antibiotics at this time.  Sputum culture shows normal oral flora..  Continue dexamethasone x 10 days.  Patient is no longer hypoxic so remdesivir stopped, consider restarting if patient becomes hypoxic again.   CT urogram negative for hydronephrosis but shows some chronic outlet obstruction.  Start Flomax, bladder scans.  Chronic obstructive pulmonary disease changes also noted.  Elevated transaminases, possibly secondary to remdesivir?  Improving.  Consider outpatient CMP."  Discharged to acute rehab unit for physical therapy"
Age: 2.0
Sex: F
Vaccine: HEP
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Pt. has due for HIB vaccine, she was given a HEP B vaccine. Pt. mother was notified immediately after. Pt. is still due for HIB. No adverse affects reported from mother.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Death, Dyspnoea, General physical health deterioration
Clinical narrative: 2/3/22 pt had a positive COVID test; was admitted to hospital with COVID pneumonia; took 2 days of Remdesivir, then stopped due to spike in LFT; given dexamethasone; dc'd to home on 2/11/22 with O2 via NC; 2/17/22 pt to ED for worsening SOB and AMS; positive for COVID still; O2 saturation 50%; placed on BiPAP; sent to PCU; worsening condition; worsening renal function; family transitioned pt to comfort care; he passed away in the hospital
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Liver function test increased, Mental status changes, Positive airway pressure therapy, Renal impairment, SARS-CoV-2 test positive
Clinical narrative: 2/3/22 pt had a positive COVID test; was admitted to hospital with COVID pneumonia; took 2 days of Remdesivir, then stopped due to spike in LFT; given dexamethasone; dc'd to home on 2/11/22 with O2 via NC; 2/17/22 pt to ED for worsening SOB and AMS; positive for COVID still; O2 saturation 50%; placed on BiPAP; sent to PCU; worsening condition; worsening renal function; family transitioned pt to comfort care; he passed away in the hospital
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Diarrhoea, Dyspnoea, Nausea
Clinical narrative: Patient came to the ED with dyspnea, nausea, and diarrhea.  Patient admitted to hospital with Covid.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Asymptomatic COVID-19, Cerebrovascular accident, SARS-CoV-2 test positive
Clinical narrative: Patient admitted for stroke, incidental COVID-19 discovered. Asymptomatic. Provider's discharge note "acute thalamic stroke. Plan for 21 days of ASA and Plavix, then Plavix monotherapy thereafter. Incidental COVID-19+, asymptomatic (tested positive 7/22/2022). She and family declined additional services at this time. She will discharge for ongoing care post-hospitalization."
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Symptoms included fever, coughing, sinus congestion, and headache on August 14.  Tested positive for Covid with at home test on August 15.  Went to family physician on August 15 who prescribed Paxlovid.  Symptoms gradually got better over the next 5 days.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Sinus congestion
Clinical narrative: Symptoms included fever, coughing, sinus congestion, and headache on August 14.  Tested positive for Covid with at home test on August 15.  Went to family physician on August 15 who prescribed Paxlovid.  Symptoms gradually got better over the next 5 days.
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Confusional state, Dementia, Liver function test increased, Metabolic encephalopathy
Clinical narrative: To ED with confusion. Acute metabolic encephalopathy with underlying dementia.  COVID-19 (+)Treated with Remdesivir x 2 doses. Stopped due to elevated LFTs. Stable on room air without dyspnea.
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: To ED with confusion. Acute metabolic encephalopathy with underlying dementia.  COVID-19 (+)Treated with Remdesivir x 2 doses. Stopped due to elevated LFTs. Stable on room air without dyspnea.
Age: 34.0
Sex: F
Vaccine: UNK
Symptoms: Erythema, Pain, Skin warm
Clinical narrative: Red welt that is growing, warm, and painful. Majority of inner forearm is pink.  Two days post and borders are expanding.
Age: 36.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Incorrect route of product administration, Urticaria
Clinical narrative: Vaccinator was unable to obtain a wheal with the first attempt at vaccination.  On the 2nd attempt vaccinator obtained a wheal.  Second attempt was 2 inches away from the 1st stick on the same arm.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Eczema, Fungal infection, Skin exfoliation
Clinical narrative: skin peeling in palm and thumb of right hand
Age: 18.0
Sex: F
Vaccine: MENB
Symptoms: Chest X-ray normal, Dyspnoea, Pain, Palpitations, Pyrexia
Clinical narrative: Body aches, fevers, SOB and Palpations
Age: 47.0
Sex: M
Vaccine: UNK
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth, Urticaria
Clinical narrative: Deep red welt at vaccination site. Redness expands from site and cover majority of inner forearm. Arm is itchy and warm.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cardio-respiratory arrest, Cardioversion, Chest X-ray abnormal
Clinical narrative: MODERNA COVID VACCINE #3 GIVEN 8/23/21, LOT #003B21A; 2/4 - 2/15/22 pt in hospital and treated for COVID pneumonia; dc'd home with 4L O2 via NC; 2/19/22 pt to ED; still positive for COVID; requiring 7L O2 via NC with O2 saturation 80%; eventually placed on Vapotherm; CXR showed multifocal pneumonia; ABX, Albuterol, Vitamins C & D, zinc, steroids; transferred to ICU; eventually requiring intubation; multiorganism pneumonia; ABX and antifungals given; developed shock, treated with vasopressors; renal function worsened requiring CRRT; condition worsened more; pt lost pulse; code called; CPR, shocks, medications with improvement; pt passed away in the hospital
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Endotracheal intubation, General physical health deterioration, Haemofiltration, Intensive care
Clinical narrative: MODERNA COVID VACCINE #3 GIVEN 8/23/21, LOT #003B21A; 2/4 - 2/15/22 pt in hospital and treated for COVID pneumonia; dc'd home with 4L O2 via NC; 2/19/22 pt to ED; still positive for COVID; requiring 7L O2 via NC with O2 saturation 80%; eventually placed on Vapotherm; CXR showed multifocal pneumonia; ABX, Albuterol, Vitamins C & D, zinc, steroids; transferred to ICU; eventually requiring intubation; multiorganism pneumonia; ABX and antifungals given; developed shock, treated with vasopressors; renal function worsened requiring CRRT; condition worsened more; pt lost pulse; code called; CPR, shocks, medications with improvement; pt passed away in the hospital