chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Chest pain, Dizziness, Headache, Heart rate increased
Clinical narrative: Received vaccine at 5:20pm on Wednesday 10/27/21 and got a headache that night. On 10/28/21 at 11am i had to leave work as I felt dizzy, fever, headache, body aches, and fast heart rate. Friday 10/29/21 i woke up about 6am with complete numbness of my lips and my right foot was in severe pain.  Sunday 10/31/21 my heart rate and palpatations were extremely high. Monday 11/1/21 high heart rate and palapatations continued. Tuesday 11/2/21 left work at 3pm to go to Urgent care as I had severe chest pain. When checking in my pulse was elevated and my blood pressure after 3 tries was still high with the lowest at 173/106. Was given high blood pressure medication which I have never received prior as my blood pressure has always been low
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Impaired work ability, Pain, Pain in extremity, Palpitations
Clinical narrative: Received vaccine at 5:20pm on Wednesday 10/27/21 and got a headache that night. On 10/28/21 at 11am i had to leave work as I felt dizzy, fever, headache, body aches, and fast heart rate. Friday 10/29/21 i woke up about 6am with complete numbness of my lips and my right foot was in severe pain.  Sunday 10/31/21 my heart rate and palpatations were extremely high. Monday 11/1/21 high heart rate and palapatations continued. Tuesday 11/2/21 left work at 3pm to go to Urgent care as I had severe chest pain. When checking in my pulse was elevated and my blood pressure after 3 tries was still high with the lowest at 173/106. Was given high blood pressure medication which I have never received prior as my blood pressure has always been low
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Received vaccine at 5:20pm on Wednesday 10/27/21 and got a headache that night. On 10/28/21 at 11am i had to leave work as I felt dizzy, fever, headache, body aches, and fast heart rate. Friday 10/29/21 i woke up about 6am with complete numbness of my lips and my right foot was in severe pain.  Sunday 10/31/21 my heart rate and palpatations were extremely high. Monday 11/1/21 high heart rate and palapatations continued. Tuesday 11/2/21 left work at 3pm to go to Urgent care as I had severe chest pain. When checking in my pulse was elevated and my blood pressure after 3 tries was still high with the lowest at 173/106. Was given high blood pressure medication which I have never received prior as my blood pressure has always been low
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vial 10/24 administered 10/26
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Headache, Heart rate increased, Insomnia
Clinical narrative: Pt. states that after receiving the 1st dose of J&J 10/16/2021, started experiencing symptoms immediately of headache (continuous), loss of sleep (due to headaches), shortness of breath, fatigue, and increased heart rate. Pre-Surgery appt. *Hysterectomy scheduled for 11/16/2021, mentioned headaches with no recommendations.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Blood test normal, Diarrhoea, Headache, Motion sickness
Clinical narrative: Most of my symptoms was gastrointestinal. I had motion sickness/car sickness. I had diarrhea, vomiting, and stomach cramping. I had a headache and sensitive to light. My body was sore all over. These symptoms lasted until now. I went to see more than one doctor about this. They did blood work, pregnancy test, and PCP exam, all came back normal.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Photophobia, Pregnancy test, Vomiting
Clinical narrative: Most of my symptoms was gastrointestinal. I had motion sickness/car sickness. I had diarrhea, vomiting, and stomach cramping. I had a headache and sensitive to light. My body was sore all over. These symptoms lasted until now. I went to see more than one doctor about this. They did blood work, pregnancy test, and PCP exam, all came back normal.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site rash, Rash
Clinical narrative: WIDESPREAD RASH THAT STARTED AT INJECTION SITE THEN  SPREAD TO BOTH ARMS THEN OVER ENTIRE BODY OVER A PERIOD OF 4 DAYS ALONG WITH EXCESSIVE FATIGUE. TOOK IBUPROFEN AND ZYRTEC AND OATMEAL BATHS UNTIL IT RESOLVED ON 11/2/2021.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Arthralgia, Back pain, Chills, Cough, Exposure to SARS-CoV-2
Clinical narrative: The patient presents with URI symptoms for Yesterday after getting his booster shot.        Symptoms include headache, cough, runny nose, chills, shoulder. neck and back pain. starting on 11/2/21. Received Moderna booster on 11/2/21. Wife recently tested positive for COVID (last week)
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Headache, Neck pain, Rhinorrhoea, Upper respiratory tract infection
Clinical narrative: The patient presents with URI symptoms for Yesterday after getting his booster shot.        Symptoms include headache, cough, runny nose, chills, shoulder. neck and back pain. starting on 11/2/21. Received Moderna booster on 11/2/21. Wife recently tested positive for COVID (last week)
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Chest pain, Glossodynia, Heart rate increased, Lymphoedema
Clinical narrative: Unexplained abdominal pain to the left of belly button after both injections that lasted 24 hours. Lymphedema in left arm post second shot that lasted 24 hours. Elevated heart rate and palpitations starting 10/09/2021 and resolved 10/24/2021. Chest pain that started 10/12/2021 and resolved 10/28/2021. Oral sores on tongue and gums started 10/21/2021 and still unresolved.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Stomatitis, Stress echocardiogram, Supraventricular tachycardia
Clinical narrative: Unexplained abdominal pain to the left of belly button after both injections that lasted 24 hours. Lymphedema in left arm post second shot that lasted 24 hours. Elevated heart rate and palpitations starting 10/09/2021 and resolved 10/24/2021. Chest pain that started 10/12/2021 and resolved 10/28/2021. Oral sores on tongue and gums started 10/21/2021 and still unresolved.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Tremor, Vomiting
Clinical narrative: 14-16 hours after the shot with severe chills, jackets on, and heated blanket. the shakes, headache, vomiting, and it didn't hit until the 14-15th hour. I saw a doctor and I wanted to make sure if it was part of the COVID-19 shot. I was in bed for the first shot for 2 weeks. I was really sick and nauseous. COVID-19 positive in April 2020, Coma for 5 months from 4/26/2020 - 08/2020. Coded 3 times during coma and was in hospice 3 times.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: "Double" dose of booster was administered to patient
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Hyperhidrosis, Vaccine positive rechallenge, Vomiting
Clinical narrative: I had sweats, chills, and vomiting straight for 17 hrs. .. With 2nd shot, same thing chills, sweats,  and  vomited 13 hrs. Was on prednisone 2.5 weeks. But not on the day of vaccination.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Pt administered full dose of booster shot (0.5 ml) in left deltoid. No adverse event occurred during observation, pt exited clinic without reaction
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Covid-19 heterologous booster given 25 days before due date.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Patient developed full body hives more than 24 hours out from vaccination but has kept them for almost a week at this point.  Has been on 2 rounds of Prednisone burst and Benadryl and Hydrocortisone.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Dermatomyositis, Rash
Clinical narrative: Rash from scalp to hips. Dermatomyositis
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Choking, Cough, Illness, Impaired work ability
Clinical narrative: The day after my second injection I began having extreme mucus in my nose and into my lungs.  Today is 11-3-21 and I'm still having the issue.  I have been working with Kaiser, prescribed antibiotics, inhalers, steroids, nasal spray, seen by a pulmonary specialist, allergist, blood panels done and all tests are coming back normal.  Still have a horrible cough with congestion.  Extreme amounts of mucus that I chock on it.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Lung disorder, Mucosal discolouration, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: The day after my second injection I began having extreme mucus in my nose and into my lungs.  Today is 11-3-21 and I'm still having the issue.  I have been working with Kaiser, prescribed antibiotics, inhalers, steroids, nasal spray, seen by a pulmonary specialist, allergist, blood panels done and all tests are coming back normal.  Still have a horrible cough with congestion.  Extreme amounts of mucus that I chock on it.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: expired vial 10/24 - administered on 10/26
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Heart rate increased
Clinical narrative: Rapid Heartrate and Atrial Fibriliation for 2+ hours on several occasions.  Prescribed Pradaxa blood thinner and metoprolol to regulate heart beat.  Taken off metoprolol five days later because heart rate was too low.  Will have an Echo Cardigram next week and appointment with the EP cardiologist for either an ablation or pace maker.
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Cold sweat, Dizziness, Dysstasia, Fatigue
Clinical narrative: Approximately 5 minutes after shot felt a tingly sensation up the left side of my neck and had a headache. Headache lasted approximately 1 hour but neck tingling persisted. In the evening, was tired and felt nauseous after eating. Overnight, had chills and was achey. In the morning, had trouble standing, I felt like I had low blood pressure and was dizzy. I ate a banana, bagel, and water and felt better. Left house for an appointment in which I got clamy and had tunnel vision.  I laid down my head and was brought candy. Feeling poor, I came home to rest and am very tired. Headache on left side, chills, fever of 100 degrees Fahrenheit.
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Feeling abnormal, Headache, Hypotension, Nausea, Pain
Clinical narrative: Approximately 5 minutes after shot felt a tingly sensation up the left side of my neck and had a headache. Headache lasted approximately 1 hour but neck tingling persisted. In the evening, was tired and felt nauseous after eating. Overnight, had chills and was achey. In the morning, had trouble standing, I felt like I had low blood pressure and was dizzy. I ate a banana, bagel, and water and felt better. Left house for an appointment in which I got clamy and had tunnel vision.  I laid down my head and was brought candy. Feeling poor, I came home to rest and am very tired. Headache on left side, chills, fever of 100 degrees Fahrenheit.
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Paraesthesia, Pyrexia, Tunnel vision
Clinical narrative: Approximately 5 minutes after shot felt a tingly sensation up the left side of my neck and had a headache. Headache lasted approximately 1 hour but neck tingling persisted. In the evening, was tired and felt nauseous after eating. Overnight, had chills and was achey. In the morning, had trouble standing, I felt like I had low blood pressure and was dizzy. I ate a banana, bagel, and water and felt better. Left house for an appointment in which I got clamy and had tunnel vision.  I laid down my head and was brought candy. Feeling poor, I came home to rest and am very tired. Headache on left side, chills, fever of 100 degrees Fahrenheit.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Pt was given 0.5ml of Moderna vaccine rather than 0.25
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Coma, Headache, Nausea
Clinical narrative: 14-16 hours after the shot with severe chills, jackets on, and heated blanket. The shakes, headache, vomiting, and it didn't hit until the 14-15th hour. I saw a doctor and I wanted to make sure if it was part of the COVID-19 shot. I was in bed for the first shot for 2 weeks. I was really sick and nauseous. Symptoms lasted about two weeks. This time it was a few days less. COVID-19 positive in April 2020, Coma for 5 months from 4/26/2020 - 08/2020. Coded 3 times during coma and was in hospice 3 times.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Tremor, Vomiting
Clinical narrative: 14-16 hours after the shot with severe chills, jackets on, and heated blanket. The shakes, headache, vomiting, and it didn't hit until the 14-15th hour. I saw a doctor and I wanted to make sure if it was part of the COVID-19 shot. I was in bed for the first shot for 2 weeks. I was really sick and nauseous. Symptoms lasted about two weeks. This time it was a few days less. COVID-19 positive in April 2020, Coma for 5 months from 4/26/2020 - 08/2020. Coded 3 times during coma and was in hospice 3 times.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: "Double" booster dose administered to patient
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse drug reaction, Angiogram normal, Anxiety, Chest X-ray normal, Chills
Clinical narrative: Patient notes that on 9/3 she had an anxiety attack with racing heart and nausea/vomiting. Three days prior to this one of her distant cousins had passed away from COVID and left a child behind that is similar to the age of her child. On 9/17 she had her 1st COVID vaccine (moderna) at a pharmacy. On 9/21 she had a racing heart beat and N/V that lasted for hours. The next day when she woke up she was better, but tired. She had her 2nd COVID vaccine on 10/15 and the next day she had chills and not feeling well. She went to her friend's house and then she headed home and as she was driving she felt terrible. She look at her smart watch and her HR was in the 190s. She slurred her words talking with her daughter. She pulled over and her husband came and took her to the local ER. She was told she had SVT and she was given diltiazem drip and her HR went down to 100-120, but never normal. She had a negative troponin, normal CXR, and negative CTA as her D-dimer was elevated. She was transferred to a local Hospital. She was told by cardiology that she was having a side effect from the COVID vaccine. The patient was put ton propranolol 120 mg daily and told to follow up with cardiology in 7-10 days. The patient has an appointment with cardiology, Dr., today at 4 pm.        She states that she feels fine and hasn't had any more episodes of tachycardia. She is only taking 60 mg of the propranolol as 120 mg made her feel bad.         Pt presents for transition of care management.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dysarthria, Fatigue, Feeling abnormal, Fibrin D dimer increased, Heart rate abnormal
Clinical narrative: Patient notes that on 9/3 she had an anxiety attack with racing heart and nausea/vomiting. Three days prior to this one of her distant cousins had passed away from COVID and left a child behind that is similar to the age of her child. On 9/17 she had her 1st COVID vaccine (moderna) at a pharmacy. On 9/21 she had a racing heart beat and N/V that lasted for hours. The next day when she woke up she was better, but tired. She had her 2nd COVID vaccine on 10/15 and the next day she had chills and not feeling well. She went to her friend's house and then she headed home and as she was driving she felt terrible. She look at her smart watch and her HR was in the 190s. She slurred her words talking with her daughter. She pulled over and her husband came and took her to the local ER. She was told she had SVT and she was given diltiazem drip and her HR went down to 100-120, but never normal. She had a negative troponin, normal CXR, and negative CTA as her D-dimer was elevated. She was transferred to a local Hospital. She was told by cardiology that she was having a side effect from the COVID vaccine. The patient was put ton propranolol 120 mg daily and told to follow up with cardiology in 7-10 days. The patient has an appointment with cardiology, Dr., today at 4 pm.        She states that she feels fine and hasn't had any more episodes of tachycardia. She is only taking 60 mg of the propranolol as 120 mg made her feel bad.         Pt presents for transition of care management.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired driving ability, Malaise, Nausea, Palpitations, Supraventricular tachycardia
Clinical narrative: Patient notes that on 9/3 she had an anxiety attack with racing heart and nausea/vomiting. Three days prior to this one of her distant cousins had passed away from COVID and left a child behind that is similar to the age of her child. On 9/17 she had her 1st COVID vaccine (moderna) at a pharmacy. On 9/21 she had a racing heart beat and N/V that lasted for hours. The next day when she woke up she was better, but tired. She had her 2nd COVID vaccine on 10/15 and the next day she had chills and not feeling well. She went to her friend's house and then she headed home and as she was driving she felt terrible. She look at her smart watch and her HR was in the 190s. She slurred her words talking with her daughter. She pulled over and her husband came and took her to the local ER. She was told she had SVT and she was given diltiazem drip and her HR went down to 100-120, but never normal. She had a negative troponin, normal CXR, and negative CTA as her D-dimer was elevated. She was transferred to a local Hospital. She was told by cardiology that she was having a side effect from the COVID vaccine. The patient was put ton propranolol 120 mg daily and told to follow up with cardiology in 7-10 days. The patient has an appointment with cardiology, Dr., today at 4 pm.        She states that she feels fine and hasn't had any more episodes of tachycardia. She is only taking 60 mg of the propranolol as 120 mg made her feel bad.         Pt presents for transition of care management.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin normal, Vomiting
Clinical narrative: Patient notes that on 9/3 she had an anxiety attack with racing heart and nausea/vomiting. Three days prior to this one of her distant cousins had passed away from COVID and left a child behind that is similar to the age of her child. On 9/17 she had her 1st COVID vaccine (moderna) at a pharmacy. On 9/21 she had a racing heart beat and N/V that lasted for hours. The next day when she woke up she was better, but tired. She had her 2nd COVID vaccine on 10/15 and the next day she had chills and not feeling well. She went to her friend's house and then she headed home and as she was driving she felt terrible. She look at her smart watch and her HR was in the 190s. She slurred her words talking with her daughter. She pulled over and her husband came and took her to the local ER. She was told she had SVT and she was given diltiazem drip and her HR went down to 100-120, but never normal. She had a negative troponin, normal CXR, and negative CTA as her D-dimer was elevated. She was transferred to a local Hospital. She was told by cardiology that she was having a side effect from the COVID vaccine. The patient was put ton propranolol 120 mg daily and told to follow up with cardiology in 7-10 days. The patient has an appointment with cardiology, Dr., today at 4 pm.        She states that she feels fine and hasn't had any more episodes of tachycardia. She is only taking 60 mg of the propranolol as 120 mg made her feel bad.         Pt presents for transition of care management.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, Dyspnoea, Endotracheal intubation, Pneumonia bacterial
Clinical narrative: pt received COVID vaccine on 8/26/21; presented to ED on 9/11/21 with SOB; diagnosed positive for COVID; placed on 100% BiPAP and eventually required intubation, proning and paralytics; developed a tension pneumothorax and bacterial pneumonia, septic shock; condition worsened; pt placed on comfort measures and she expired in the hospital
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumothorax, Positive airway pressure therapy, SARS-CoV-2 test positive, Septic shock
Clinical narrative: pt received COVID vaccine on 8/26/21; presented to ED on 9/11/21 with SOB; diagnosed positive for COVID; placed on 100% BiPAP and eventually required intubation, proning and paralytics; developed a tension pneumothorax and bacterial pneumonia, septic shock; condition worsened; pt placed on comfort measures and she expired in the hospital
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Anion gap decreased, Anticoagulant therapy, Asymptomatic COVID-19, Blood albumin decreased, Blood bilirubin increased
Clinical narrative: On 10/23/21 patient presented to ER. Patient is an 80-year-old male presents emergency department for further evaluation treatment of increasing shortness of breath.  Patient was diagnosed with COVID-19 8 days prior on 10/15/21.  Patient states that over the last 4-5 days he has noticed increasing shortness of breath as well as increasing cough.  Patient denies any headache, vision changes, fever, chills, sore throat, difficulty swallowing, chest pain, heart palpitations, nausea vomiting diarrhea, abdominal pain, constipation, difficulty urinating, painful urination, increased urinary frequency, blood in his urine, patient denies any new numbness or tingling in his extremities.  Patient denies any new edema in his extremities.  Patient denies any recent travel.  Patient states that when he tested positive for the virus he did not have any symptoms.  Patient is completely fully vaccinated with Moderna back in Feburary-March.  Patient has a significant medical history of hypertension.  Hyperlipidemia.  Obesity.  Abdominal aortic aneurysm.   ED course-single-view portable chest x-ray shows bilateral infiltrates.  CMP significant for chloride elevated 109. Anion gap decreased 9.5.  BUN creatinine ratio elevated 21. Albumin decreased 3.2.  Total bilirubin elevated 1.8.  Glucose elevated 209. Troponin within normal limits.  BNP within normal limits.  CBC significant for white blood cells elevated at 14.16.  Absolute neutrophils elevated 11.8. During admission he received oxygen, remdesivir, dexamethasone, ceftriaxone and doxycycline. CT negative for pulmonary embolism. Hospital course was prolonged due to type of the disease but overall progressed and improved. He has finished 5 days course of remdesivir.  He is still on a Decadron for total 10 days duration. On the day of discharge he is feeling very comfortable at rest.  On 2 L nasal cannula On exertion he does require 7 L but does not show any signs of any distress. He is feeling functional and will be able to manage at home Exam on the day of discharge Skin turgor good Lungs no rales rhonchi crepitation Heart regular rhythm Extremity no edema.   Due to slightly increase hypercoagulability risk:  COVID, he is given Lovenox for next 10 days at home as his activity will increase He is instructed to come to emergency for any acute sudden major changes. Discharged on 10/29/21
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Blood chloride increased, Blood glucose increased, Blood urea nitrogen/creatinine ratio increased, Brain natriuretic peptide normal, COVID-19
Clinical narrative: On 10/23/21 patient presented to ER. Patient is an 80-year-old male presents emergency department for further evaluation treatment of increasing shortness of breath.  Patient was diagnosed with COVID-19 8 days prior on 10/15/21.  Patient states that over the last 4-5 days he has noticed increasing shortness of breath as well as increasing cough.  Patient denies any headache, vision changes, fever, chills, sore throat, difficulty swallowing, chest pain, heart palpitations, nausea vomiting diarrhea, abdominal pain, constipation, difficulty urinating, painful urination, increased urinary frequency, blood in his urine, patient denies any new numbness or tingling in his extremities.  Patient denies any new edema in his extremities.  Patient denies any recent travel.  Patient states that when he tested positive for the virus he did not have any symptoms.  Patient is completely fully vaccinated with Moderna back in Feburary-March.  Patient has a significant medical history of hypertension.  Hyperlipidemia.  Obesity.  Abdominal aortic aneurysm.   ED course-single-view portable chest x-ray shows bilateral infiltrates.  CMP significant for chloride elevated 109. Anion gap decreased 9.5.  BUN creatinine ratio elevated 21. Albumin decreased 3.2.  Total bilirubin elevated 1.8.  Glucose elevated 209. Troponin within normal limits.  BNP within normal limits.  CBC significant for white blood cells elevated at 14.16.  Absolute neutrophils elevated 11.8. During admission he received oxygen, remdesivir, dexamethasone, ceftriaxone and doxycycline. CT negative for pulmonary embolism. Hospital course was prolonged due to type of the disease but overall progressed and improved. He has finished 5 days course of remdesivir.  He is still on a Decadron for total 10 days duration. On the day of discharge he is feeling very comfortable at rest.  On 2 L nasal cannula On exertion he does require 7 L but does not show any signs of any distress. He is feeling functional and will be able to manage at home Exam on the day of discharge Skin turgor good Lungs no rales rhonchi crepitation Heart regular rhythm Extremity no edema.   Due to slightly increase hypercoagulability risk:  COVID, he is given Lovenox for next 10 days at home as his activity will increase He is instructed to come to emergency for any acute sudden major changes. Discharged on 10/29/21
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Computerised tomogram thorax normal, Cough, Dyspnoea, Full blood count abnormal
Clinical narrative: On 10/23/21 patient presented to ER. Patient is an 80-year-old male presents emergency department for further evaluation treatment of increasing shortness of breath.  Patient was diagnosed with COVID-19 8 days prior on 10/15/21.  Patient states that over the last 4-5 days he has noticed increasing shortness of breath as well as increasing cough.  Patient denies any headache, vision changes, fever, chills, sore throat, difficulty swallowing, chest pain, heart palpitations, nausea vomiting diarrhea, abdominal pain, constipation, difficulty urinating, painful urination, increased urinary frequency, blood in his urine, patient denies any new numbness or tingling in his extremities.  Patient denies any new edema in his extremities.  Patient denies any recent travel.  Patient states that when he tested positive for the virus he did not have any symptoms.  Patient is completely fully vaccinated with Moderna back in Feburary-March.  Patient has a significant medical history of hypertension.  Hyperlipidemia.  Obesity.  Abdominal aortic aneurysm.   ED course-single-view portable chest x-ray shows bilateral infiltrates.  CMP significant for chloride elevated 109. Anion gap decreased 9.5.  BUN creatinine ratio elevated 21. Albumin decreased 3.2.  Total bilirubin elevated 1.8.  Glucose elevated 209. Troponin within normal limits.  BNP within normal limits.  CBC significant for white blood cells elevated at 14.16.  Absolute neutrophils elevated 11.8. During admission he received oxygen, remdesivir, dexamethasone, ceftriaxone and doxycycline. CT negative for pulmonary embolism. Hospital course was prolonged due to type of the disease but overall progressed and improved. He has finished 5 days course of remdesivir.  He is still on a Decadron for total 10 days duration. On the day of discharge he is feeling very comfortable at rest.  On 2 L nasal cannula On exertion he does require 7 L but does not show any signs of any distress. He is feeling functional and will be able to manage at home Exam on the day of discharge Skin turgor good Lungs no rales rhonchi crepitation Heart regular rhythm Extremity no edema.   Due to slightly increase hypercoagulability risk:  COVID, he is given Lovenox for next 10 days at home as his activity will increase He is instructed to come to emergency for any acute sudden major changes. Discharged on 10/29/21
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Lung infiltration, Metabolic function test, Neutrophil count increased, SARS-CoV-2 test positive, Troponin normal
Clinical narrative: On 10/23/21 patient presented to ER. Patient is an 80-year-old male presents emergency department for further evaluation treatment of increasing shortness of breath.  Patient was diagnosed with COVID-19 8 days prior on 10/15/21.  Patient states that over the last 4-5 days he has noticed increasing shortness of breath as well as increasing cough.  Patient denies any headache, vision changes, fever, chills, sore throat, difficulty swallowing, chest pain, heart palpitations, nausea vomiting diarrhea, abdominal pain, constipation, difficulty urinating, painful urination, increased urinary frequency, blood in his urine, patient denies any new numbness or tingling in his extremities.  Patient denies any new edema in his extremities.  Patient denies any recent travel.  Patient states that when he tested positive for the virus he did not have any symptoms.  Patient is completely fully vaccinated with Moderna back in Feburary-March.  Patient has a significant medical history of hypertension.  Hyperlipidemia.  Obesity.  Abdominal aortic aneurysm.   ED course-single-view portable chest x-ray shows bilateral infiltrates.  CMP significant for chloride elevated 109. Anion gap decreased 9.5.  BUN creatinine ratio elevated 21. Albumin decreased 3.2.  Total bilirubin elevated 1.8.  Glucose elevated 209. Troponin within normal limits.  BNP within normal limits.  CBC significant for white blood cells elevated at 14.16.  Absolute neutrophils elevated 11.8. During admission he received oxygen, remdesivir, dexamethasone, ceftriaxone and doxycycline. CT negative for pulmonary embolism. Hospital course was prolonged due to type of the disease but overall progressed and improved. He has finished 5 days course of remdesivir.  He is still on a Decadron for total 10 days duration. On the day of discharge he is feeling very comfortable at rest.  On 2 L nasal cannula On exertion he does require 7 L but does not show any signs of any distress. He is feeling functional and will be able to manage at home Exam on the day of discharge Skin turgor good Lungs no rales rhonchi crepitation Heart regular rhythm Extremity no edema.   Due to slightly increase hypercoagulability risk:  COVID, he is given Lovenox for next 10 days at home as his activity will increase He is instructed to come to emergency for any acute sudden major changes. Discharged on 10/29/21
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count increased
Clinical narrative: On 10/23/21 patient presented to ER. Patient is an 80-year-old male presents emergency department for further evaluation treatment of increasing shortness of breath.  Patient was diagnosed with COVID-19 8 days prior on 10/15/21.  Patient states that over the last 4-5 days he has noticed increasing shortness of breath as well as increasing cough.  Patient denies any headache, vision changes, fever, chills, sore throat, difficulty swallowing, chest pain, heart palpitations, nausea vomiting diarrhea, abdominal pain, constipation, difficulty urinating, painful urination, increased urinary frequency, blood in his urine, patient denies any new numbness or tingling in his extremities.  Patient denies any new edema in his extremities.  Patient denies any recent travel.  Patient states that when he tested positive for the virus he did not have any symptoms.  Patient is completely fully vaccinated with Moderna back in Feburary-March.  Patient has a significant medical history of hypertension.  Hyperlipidemia.  Obesity.  Abdominal aortic aneurysm.   ED course-single-view portable chest x-ray shows bilateral infiltrates.  CMP significant for chloride elevated 109. Anion gap decreased 9.5.  BUN creatinine ratio elevated 21. Albumin decreased 3.2.  Total bilirubin elevated 1.8.  Glucose elevated 209. Troponin within normal limits.  BNP within normal limits.  CBC significant for white blood cells elevated at 14.16.  Absolute neutrophils elevated 11.8. During admission he received oxygen, remdesivir, dexamethasone, ceftriaxone and doxycycline. CT negative for pulmonary embolism. Hospital course was prolonged due to type of the disease but overall progressed and improved. He has finished 5 days course of remdesivir.  He is still on a Decadron for total 10 days duration. On the day of discharge he is feeling very comfortable at rest.  On 2 L nasal cannula On exertion he does require 7 L but does not show any signs of any distress. He is feeling functional and will be able to manage at home Exam on the day of discharge Skin turgor good Lungs no rales rhonchi crepitation Heart regular rhythm Extremity no edema.   Due to slightly increase hypercoagulability risk:  COVID, he is given Lovenox for next 10 days at home as his activity will increase He is instructed to come to emergency for any acute sudden major changes. Discharged on 10/29/21
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Acute sinusitis, Adenovirus test, Aortic dilatation, Asthenia, Atelectasis
Clinical narrative: 10/18/2021 Cough, Spitting up mucus, Diarrhea  10/19/2021 Pulmonary emphysema, unspecified emphysema type, Atrial flutter, unspecified type, Low oxygen saturation, Non-intractable vomiting with nausea, unspecified vomiting type,  Acute recurrent maxillary sinusitis,  Cough in adult, Exposure to COVID-19 virus ED to Hosp-Admission Discharged  10/24/2021 - 10/30/2021 (6 days)  Hospital  - Hospital Problems          POA    * (Principal) Generalized weakness Yes         Anemia Yes         Cardiac pacemaker in situ Yes         Chronic congestive heart failure Yes         Chronic foot ulcer Yes         COPD (chronic obstructive pulmonary disease)  Yes         Essential hypertension Yes         Type II diabetes mellitus with peripheral circulatory disorder Yes         Subtherapeutic international normalized ratio (INR) Yes          Presenting Problem/History of Present Illness/Reason for Admission Generalized weakness [R53.1] Profound fatigue [R53.83] COVID-19 virus infection [U07.1]   Patient is an 75 y.o. male with past medical history of atrial fibrillation, CHF, cardiac pacemaker, chronic anticoagulation, diabetes mellitus, unhealing wound to left heel, CKD, COPD, hypertension, recent covid-19 infection (10/19), who presented to the ED with complaint of intermittent cough, chest pressure with cough, overwhelming fatigue, poor appetite and nausea. Patient states that his Covid symptoms started 16 days ago, him and his wife both tested positive on the 19th.   Patient is afebrile on arrival with oxygen saturation of 96% on room air, B/P 126/60.  Pertinent ED work up includes laboratory studies that shows WBC 4.5, H&H 11.0/33.3 (which appears to be his baseline labs) platelet 136, BNP 474, lactate 1.0 Respiratory viral panel positive for Covid. EKG A/V paced, no ectopy, no acute ST-T wave elevation or depression, similar to prior. CTA of chest shows mild COVID-19 pneumonia, Moderate to severe cardiomegaly with marked dilation of the right and left atrium, no pulmonary emboli.  Patient referred to hospitalist service for admission.    Hospital Course   Patient admitted for generalized weakness, functional decline due to COVID-19 infection, patient CRP minimally elevated, no oxygen requirement, patient respiratory status did not change during hospitalization, so patient was not a candidate for steroids or remdesivir.  Regarding left heel wound patient was seen and evaluated by wound care, dressing was changed daily, according recommendations.  Patient had slight bump in creatinine, which improved after holding Lasix and starting on Flomax, due to bradycardia his metoprolol was decreased to 25 mg. Patient will discharged to Facility in stable condition.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial flutter, Atrial pressure increased, Blood creatinine increased, Blood lactic acid, Bordetella test negative
Clinical narrative: 10/18/2021 Cough, Spitting up mucus, Diarrhea  10/19/2021 Pulmonary emphysema, unspecified emphysema type, Atrial flutter, unspecified type, Low oxygen saturation, Non-intractable vomiting with nausea, unspecified vomiting type,  Acute recurrent maxillary sinusitis,  Cough in adult, Exposure to COVID-19 virus ED to Hosp-Admission Discharged  10/24/2021 - 10/30/2021 (6 days)  Hospital  - Hospital Problems          POA    * (Principal) Generalized weakness Yes         Anemia Yes         Cardiac pacemaker in situ Yes         Chronic congestive heart failure Yes         Chronic foot ulcer Yes         COPD (chronic obstructive pulmonary disease)  Yes         Essential hypertension Yes         Type II diabetes mellitus with peripheral circulatory disorder Yes         Subtherapeutic international normalized ratio (INR) Yes          Presenting Problem/History of Present Illness/Reason for Admission Generalized weakness [R53.1] Profound fatigue [R53.83] COVID-19 virus infection [U07.1]   Patient is an 75 y.o. male with past medical history of atrial fibrillation, CHF, cardiac pacemaker, chronic anticoagulation, diabetes mellitus, unhealing wound to left heel, CKD, COPD, hypertension, recent covid-19 infection (10/19), who presented to the ED with complaint of intermittent cough, chest pressure with cough, overwhelming fatigue, poor appetite and nausea. Patient states that his Covid symptoms started 16 days ago, him and his wife both tested positive on the 19th.   Patient is afebrile on arrival with oxygen saturation of 96% on room air, B/P 126/60.  Pertinent ED work up includes laboratory studies that shows WBC 4.5, H&H 11.0/33.3 (which appears to be his baseline labs) platelet 136, BNP 474, lactate 1.0 Respiratory viral panel positive for Covid. EKG A/V paced, no ectopy, no acute ST-T wave elevation or depression, similar to prior. CTA of chest shows mild COVID-19 pneumonia, Moderate to severe cardiomegaly with marked dilation of the right and left atrium, no pulmonary emboli.  Patient referred to hospitalist service for admission.    Hospital Course   Patient admitted for generalized weakness, functional decline due to COVID-19 infection, patient CRP minimally elevated, no oxygen requirement, patient respiratory status did not change during hospitalization, so patient was not a candidate for steroids or remdesivir.  Regarding left heel wound patient was seen and evaluated by wound care, dressing was changed daily, according recommendations.  Patient had slight bump in creatinine, which improved after holding Lasix and starting on Flomax, due to bradycardia his metoprolol was decreased to 25 mg. Patient will discharged to Facility in stable condition.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Bradycardia, Brain natriuretic peptide increased, C-reactive protein increased, COVID-19, COVID-19 pneumonia
Clinical narrative: 10/18/2021 Cough, Spitting up mucus, Diarrhea  10/19/2021 Pulmonary emphysema, unspecified emphysema type, Atrial flutter, unspecified type, Low oxygen saturation, Non-intractable vomiting with nausea, unspecified vomiting type,  Acute recurrent maxillary sinusitis,  Cough in adult, Exposure to COVID-19 virus ED to Hosp-Admission Discharged  10/24/2021 - 10/30/2021 (6 days)  Hospital  - Hospital Problems          POA    * (Principal) Generalized weakness Yes         Anemia Yes         Cardiac pacemaker in situ Yes         Chronic congestive heart failure Yes         Chronic foot ulcer Yes         COPD (chronic obstructive pulmonary disease)  Yes         Essential hypertension Yes         Type II diabetes mellitus with peripheral circulatory disorder Yes         Subtherapeutic international normalized ratio (INR) Yes          Presenting Problem/History of Present Illness/Reason for Admission Generalized weakness [R53.1] Profound fatigue [R53.83] COVID-19 virus infection [U07.1]   Patient is an 75 y.o. male with past medical history of atrial fibrillation, CHF, cardiac pacemaker, chronic anticoagulation, diabetes mellitus, unhealing wound to left heel, CKD, COPD, hypertension, recent covid-19 infection (10/19), who presented to the ED with complaint of intermittent cough, chest pressure with cough, overwhelming fatigue, poor appetite and nausea. Patient states that his Covid symptoms started 16 days ago, him and his wife both tested positive on the 19th.   Patient is afebrile on arrival with oxygen saturation of 96% on room air, B/P 126/60.  Pertinent ED work up includes laboratory studies that shows WBC 4.5, H&H 11.0/33.3 (which appears to be his baseline labs) platelet 136, BNP 474, lactate 1.0 Respiratory viral panel positive for Covid. EKG A/V paced, no ectopy, no acute ST-T wave elevation or depression, similar to prior. CTA of chest shows mild COVID-19 pneumonia, Moderate to severe cardiomegaly with marked dilation of the right and left atrium, no pulmonary emboli.  Patient referred to hospitalist service for admission.    Hospital Course   Patient admitted for generalized weakness, functional decline due to COVID-19 infection, patient CRP minimally elevated, no oxygen requirement, patient respiratory status did not change during hospitalization, so patient was not a candidate for steroids or remdesivir.  Regarding left heel wound patient was seen and evaluated by wound care, dressing was changed daily, according recommendations.  Patient had slight bump in creatinine, which improved after holding Lasix and starting on Flomax, due to bradycardia his metoprolol was decreased to 25 mg. Patient will discharged to Facility in stable condition.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiomegaly, Chest discomfort, Chlamydia test negative, Computerised tomogram thorax, Condition aggravated
Clinical narrative: 10/18/2021 Cough, Spitting up mucus, Diarrhea  10/19/2021 Pulmonary emphysema, unspecified emphysema type, Atrial flutter, unspecified type, Low oxygen saturation, Non-intractable vomiting with nausea, unspecified vomiting type,  Acute recurrent maxillary sinusitis,  Cough in adult, Exposure to COVID-19 virus ED to Hosp-Admission Discharged  10/24/2021 - 10/30/2021 (6 days)  Hospital  - Hospital Problems          POA    * (Principal) Generalized weakness Yes         Anemia Yes         Cardiac pacemaker in situ Yes         Chronic congestive heart failure Yes         Chronic foot ulcer Yes         COPD (chronic obstructive pulmonary disease)  Yes         Essential hypertension Yes         Type II diabetes mellitus with peripheral circulatory disorder Yes         Subtherapeutic international normalized ratio (INR) Yes          Presenting Problem/History of Present Illness/Reason for Admission Generalized weakness [R53.1] Profound fatigue [R53.83] COVID-19 virus infection [U07.1]   Patient is an 75 y.o. male with past medical history of atrial fibrillation, CHF, cardiac pacemaker, chronic anticoagulation, diabetes mellitus, unhealing wound to left heel, CKD, COPD, hypertension, recent covid-19 infection (10/19), who presented to the ED with complaint of intermittent cough, chest pressure with cough, overwhelming fatigue, poor appetite and nausea. Patient states that his Covid symptoms started 16 days ago, him and his wife both tested positive on the 19th.   Patient is afebrile on arrival with oxygen saturation of 96% on room air, B/P 126/60.  Pertinent ED work up includes laboratory studies that shows WBC 4.5, H&H 11.0/33.3 (which appears to be his baseline labs) platelet 136, BNP 474, lactate 1.0 Respiratory viral panel positive for Covid. EKG A/V paced, no ectopy, no acute ST-T wave elevation or depression, similar to prior. CTA of chest shows mild COVID-19 pneumonia, Moderate to severe cardiomegaly with marked dilation of the right and left atrium, no pulmonary emboli.  Patient referred to hospitalist service for admission.    Hospital Course   Patient admitted for generalized weakness, functional decline due to COVID-19 infection, patient CRP minimally elevated, no oxygen requirement, patient respiratory status did not change during hospitalization, so patient was not a candidate for steroids or remdesivir.  Regarding left heel wound patient was seen and evaluated by wound care, dressing was changed daily, according recommendations.  Patient had slight bump in creatinine, which improved after holding Lasix and starting on Flomax, due to bradycardia his metoprolol was decreased to 25 mg. Patient will discharged to Facility in stable condition.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Coronavirus test negative, Cough, Decreased appetite, Diarrhoea, Dilatation atrial
Clinical narrative: 10/18/2021 Cough, Spitting up mucus, Diarrhea  10/19/2021 Pulmonary emphysema, unspecified emphysema type, Atrial flutter, unspecified type, Low oxygen saturation, Non-intractable vomiting with nausea, unspecified vomiting type,  Acute recurrent maxillary sinusitis,  Cough in adult, Exposure to COVID-19 virus ED to Hosp-Admission Discharged  10/24/2021 - 10/30/2021 (6 days)  Hospital  - Hospital Problems          POA    * (Principal) Generalized weakness Yes         Anemia Yes         Cardiac pacemaker in situ Yes         Chronic congestive heart failure Yes         Chronic foot ulcer Yes         COPD (chronic obstructive pulmonary disease)  Yes         Essential hypertension Yes         Type II diabetes mellitus with peripheral circulatory disorder Yes         Subtherapeutic international normalized ratio (INR) Yes          Presenting Problem/History of Present Illness/Reason for Admission Generalized weakness [R53.1] Profound fatigue [R53.83] COVID-19 virus infection [U07.1]   Patient is an 75 y.o. male with past medical history of atrial fibrillation, CHF, cardiac pacemaker, chronic anticoagulation, diabetes mellitus, unhealing wound to left heel, CKD, COPD, hypertension, recent covid-19 infection (10/19), who presented to the ED with complaint of intermittent cough, chest pressure with cough, overwhelming fatigue, poor appetite and nausea. Patient states that his Covid symptoms started 16 days ago, him and his wife both tested positive on the 19th.   Patient is afebrile on arrival with oxygen saturation of 96% on room air, B/P 126/60.  Pertinent ED work up includes laboratory studies that shows WBC 4.5, H&H 11.0/33.3 (which appears to be his baseline labs) platelet 136, BNP 474, lactate 1.0 Respiratory viral panel positive for Covid. EKG A/V paced, no ectopy, no acute ST-T wave elevation or depression, similar to prior. CTA of chest shows mild COVID-19 pneumonia, Moderate to severe cardiomegaly with marked dilation of the right and left atrium, no pulmonary emboli.  Patient referred to hospitalist service for admission.    Hospital Course   Patient admitted for generalized weakness, functional decline due to COVID-19 infection, patient CRP minimally elevated, no oxygen requirement, patient respiratory status did not change during hospitalization, so patient was not a candidate for steroids or remdesivir.  Regarding left heel wound patient was seen and evaluated by wound care, dressing was changed daily, according recommendations.  Patient had slight bump in creatinine, which improved after holding Lasix and starting on Flomax, due to bradycardia his metoprolol was decreased to 25 mg. Patient will discharged to Facility in stable condition.