chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19-2
Symptoms: Electrocardiogram abnormal, Electroencephalogram, Magnetic resonance imaging head abnormal, Metamorphopsia, Myocardial infarction
Clinical narrative: Bivalent shot given on 9/27/2022. Suffered TIA on 10/14/2022 with Vision blurred and distorted, dizzy, confused, short term memory loss. Seen at Hospital the night of 10/14/2022 for Stroke protocol. EEG, MR without contrast. Seen by Dr on 11/21/2022 with slight light headed and short term memory loss. Vision appears to have returned to normal. MRI, EEG, Labs performed and reviewed by Dr. MRI impression: Moderate to severe chronic microvascular ischemic disease with small chronic infarct in the left thalamus. No preferential hippocampal volume loss. Symptoms of short term memory loss persists.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19-2
Symptoms: Thalamic infarction, Transient ischaemic attack, Vision blurred
Clinical narrative: Bivalent shot given on 9/27/2022. Suffered TIA on 10/14/2022 with Vision blurred and distorted, dizzy, confused, short term memory loss. Seen at Hospital the night of 10/14/2022 for Stroke protocol. EEG, MR without contrast. Seen by Dr on 11/21/2022 with slight light headed and short term memory loss. Vision appears to have returned to normal. MRI, EEG, Labs performed and reviewed by Dr. MRI impression: Moderate to severe chronic microvascular ischemic disease with small chronic infarct in the left thalamus. No preferential hippocampal volume loss. Symptoms of short term memory loss persists.
Age: 40.0
Sex: F
Vaccine: COVID19-2
Symptoms: Migraine, Pain
Clinical narrative: Very severe migraine headache as well as body ache
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Acne, Discomfort, Hypersensitivity, Injection site hypersensitivity, Injection site pain
Clinical narrative: Patient had pain at the injection site for three days. Starting on 9/13/2021, he had his first allergic reaction. A rash (red pimples beneath the skin) started on his ankles and wrists. The rash was itchy and scratching led to small scabs. The rash then spread to the area between his abdomen and knees. It then spread to his upper chest. Most of the rash was gone by 9/28/2021 (15 days). The second allergic reaction occurred at the injection site. On approximately 9/17/2021 he had a reoccurrence of a pain at the injection site. He described it as a "joint like pain." It was painful enough that it made sleeping on his right side uncomfortable. This pain lasted until 10/11/2021 (25 days). No treatment.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash pruritic, Scab, Sleep disorder
Clinical narrative: Patient had pain at the injection site for three days. Starting on 9/13/2021, he had his first allergic reaction. A rash (red pimples beneath the skin) started on his ankles and wrists. The rash was itchy and scratching led to small scabs. The rash then spread to the area between his abdomen and knees. It then spread to his upper chest. Most of the rash was gone by 9/28/2021 (15 days). The second allergic reaction occurred at the injection site. On approximately 9/17/2021 he had a reoccurrence of a pain at the injection site. He described it as a "joint like pain." It was painful enough that it made sleeping on his right side uncomfortable. This pain lasted until 10/11/2021 (25 days). No treatment.
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: No adverse event
Clinical narrative: Narrative: After first dose of Zoster vaccine, patient experienced redness around injection site with no systemic symptoms reported. The patient received the second dose in the vaccine series with no issues.
Age: 46.0
Sex: F
Vaccine: DTAP
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19-2
Symptoms: Alanine aminotransferase normal, Anion gap, Aspartate aminotransferase normal, Asthenia, Atrioventricular block first degree
Clinical narrative: Narrative:  12/28/22 - Pt brought to triage with c/o confusion, weakness, pt. states he has been sick with sore throat, ear pain, diarrhea, family states he tested + Covid with home test. Pt currently hypotensive with HR 40-50s SBP 89. 1L LR stated as ordered. HPI: He was at home this morning and began to feel very lightheaded and dizzy. He did not have a syncopal episode. He denied nausea vomiting chest pain shortness of breath. 2 days ago he developed a cough had a fever at home with an earache and sore throat. He had a positive home Covid test. He denied having a headache but he did report change in taste. He has been fully vaccinated. MEDICAL DECISION MAKING (MDM): Hypotension bradycardia due to cardiac effects of COVID-19. Pt given 1L LR fluid. His BP was 121/81 and HR improved to 53. Sats remained 92 - 97%. Repeat EKG showed sinus bradycardia with a rate of 53 and a first-degree AV block. DIAGNOSIS: Primary Diagnosis: Hypotension Secondary diagnoses: Bradycardia 3) COVID-19 upper respiratory infection Pt admitted to SDU on 12/28/22. Pt treated with remdesivir while inpatient and discharged 12/30/22.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19-2
Symptoms: Basophil count normal, Basophil percentage, Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin
Clinical narrative: Narrative:  12/28/22 - Pt brought to triage with c/o confusion, weakness, pt. states he has been sick with sore throat, ear pain, diarrhea, family states he tested + Covid with home test. Pt currently hypotensive with HR 40-50s SBP 89. 1L LR stated as ordered. HPI: He was at home this morning and began to feel very lightheaded and dizzy. He did not have a syncopal episode. He denied nausea vomiting chest pain shortness of breath. 2 days ago he developed a cough had a fever at home with an earache and sore throat. He had a positive home Covid test. He denied having a headache but he did report change in taste. He has been fully vaccinated. MEDICAL DECISION MAKING (MDM): Hypotension bradycardia due to cardiac effects of COVID-19. Pt given 1L LR fluid. His BP was 121/81 and HR improved to 53. Sats remained 92 - 97%. Repeat EKG showed sinus bradycardia with a rate of 53 and a first-degree AV block. DIAGNOSIS: Primary Diagnosis: Hypotension Secondary diagnoses: Bradycardia 3) COVID-19 upper respiratory infection Pt admitted to SDU on 12/28/22. Pt treated with remdesivir while inpatient and discharged 12/30/22.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19-2
Symptoms: Blood calcium normal, Blood chloride normal, Blood creatinine normal, Blood glucose normal, Blood lactic acid
Clinical narrative: Narrative:  12/28/22 - Pt brought to triage with c/o confusion, weakness, pt. states he has been sick with sore throat, ear pain, diarrhea, family states he tested + Covid with home test. Pt currently hypotensive with HR 40-50s SBP 89. 1L LR stated as ordered. HPI: He was at home this morning and began to feel very lightheaded and dizzy. He did not have a syncopal episode. He denied nausea vomiting chest pain shortness of breath. 2 days ago he developed a cough had a fever at home with an earache and sore throat. He had a positive home Covid test. He denied having a headache but he did report change in taste. He has been fully vaccinated. MEDICAL DECISION MAKING (MDM): Hypotension bradycardia due to cardiac effects of COVID-19. Pt given 1L LR fluid. His BP was 121/81 and HR improved to 53. Sats remained 92 - 97%. Repeat EKG showed sinus bradycardia with a rate of 53 and a first-degree AV block. DIAGNOSIS: Primary Diagnosis: Hypotension Secondary diagnoses: Bradycardia 3) COVID-19 upper respiratory infection Pt admitted to SDU on 12/28/22. Pt treated with remdesivir while inpatient and discharged 12/30/22.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19-2
Symptoms: Blood magnesium normal, Blood potassium normal, Blood sodium decreased, Blood urea increased, Bradycardia
Clinical narrative: Narrative:  12/28/22 - Pt brought to triage with c/o confusion, weakness, pt. states he has been sick with sore throat, ear pain, diarrhea, family states he tested + Covid with home test. Pt currently hypotensive with HR 40-50s SBP 89. 1L LR stated as ordered. HPI: He was at home this morning and began to feel very lightheaded and dizzy. He did not have a syncopal episode. He denied nausea vomiting chest pain shortness of breath. 2 days ago he developed a cough had a fever at home with an earache and sore throat. He had a positive home Covid test. He denied having a headache but he did report change in taste. He has been fully vaccinated. MEDICAL DECISION MAKING (MDM): Hypotension bradycardia due to cardiac effects of COVID-19. Pt given 1L LR fluid. His BP was 121/81 and HR improved to 53. Sats remained 92 - 97%. Repeat EKG showed sinus bradycardia with a rate of 53 and a first-degree AV block. DIAGNOSIS: Primary Diagnosis: Hypotension Secondary diagnoses: Bradycardia 3) COVID-19 upper respiratory infection Pt admitted to SDU on 12/28/22. Pt treated with remdesivir while inpatient and discharged 12/30/22.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19-2
Symptoms: COVID-19, Carbon dioxide normal, Cardiac disorder, Confusional state, Cough
Clinical narrative: Narrative:  12/28/22 - Pt brought to triage with c/o confusion, weakness, pt. states he has been sick with sore throat, ear pain, diarrhea, family states he tested + Covid with home test. Pt currently hypotensive with HR 40-50s SBP 89. 1L LR stated as ordered. HPI: He was at home this morning and began to feel very lightheaded and dizzy. He did not have a syncopal episode. He denied nausea vomiting chest pain shortness of breath. 2 days ago he developed a cough had a fever at home with an earache and sore throat. He had a positive home Covid test. He denied having a headache but he did report change in taste. He has been fully vaccinated. MEDICAL DECISION MAKING (MDM): Hypotension bradycardia due to cardiac effects of COVID-19. Pt given 1L LR fluid. His BP was 121/81 and HR improved to 53. Sats remained 92 - 97%. Repeat EKG showed sinus bradycardia with a rate of 53 and a first-degree AV block. DIAGNOSIS: Primary Diagnosis: Hypotension Secondary diagnoses: Bradycardia 3) COVID-19 upper respiratory infection Pt admitted to SDU on 12/28/22. Pt treated with remdesivir while inpatient and discharged 12/30/22.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19-2
Symptoms: Diarrhoea, Dizziness, Ear pain, Electrocardiogram abnormal, Eosinophil count decreased
Clinical narrative: Narrative:  12/28/22 - Pt brought to triage with c/o confusion, weakness, pt. states he has been sick with sore throat, ear pain, diarrhea, family states he tested + Covid with home test. Pt currently hypotensive with HR 40-50s SBP 89. 1L LR stated as ordered. HPI: He was at home this morning and began to feel very lightheaded and dizzy. He did not have a syncopal episode. He denied nausea vomiting chest pain shortness of breath. 2 days ago he developed a cough had a fever at home with an earache and sore throat. He had a positive home Covid test. He denied having a headache but he did report change in taste. He has been fully vaccinated. MEDICAL DECISION MAKING (MDM): Hypotension bradycardia due to cardiac effects of COVID-19. Pt given 1L LR fluid. His BP was 121/81 and HR improved to 53. Sats remained 92 - 97%. Repeat EKG showed sinus bradycardia with a rate of 53 and a first-degree AV block. DIAGNOSIS: Primary Diagnosis: Hypotension Secondary diagnoses: Bradycardia 3) COVID-19 upper respiratory infection Pt admitted to SDU on 12/28/22. Pt treated with remdesivir while inpatient and discharged 12/30/22.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19-2
Symptoms: Eosinophil percentage decreased, Glomerular filtration rate normal, Granulocyte count, Granulocyte percentage, Haematocrit normal
Clinical narrative: Narrative:  12/28/22 - Pt brought to triage with c/o confusion, weakness, pt. states he has been sick with sore throat, ear pain, diarrhea, family states he tested + Covid with home test. Pt currently hypotensive with HR 40-50s SBP 89. 1L LR stated as ordered. HPI: He was at home this morning and began to feel very lightheaded and dizzy. He did not have a syncopal episode. He denied nausea vomiting chest pain shortness of breath. 2 days ago he developed a cough had a fever at home with an earache and sore throat. He had a positive home Covid test. He denied having a headache but he did report change in taste. He has been fully vaccinated. MEDICAL DECISION MAKING (MDM): Hypotension bradycardia due to cardiac effects of COVID-19. Pt given 1L LR fluid. His BP was 121/81 and HR improved to 53. Sats remained 92 - 97%. Repeat EKG showed sinus bradycardia with a rate of 53 and a first-degree AV block. DIAGNOSIS: Primary Diagnosis: Hypotension Secondary diagnoses: Bradycardia 3) COVID-19 upper respiratory infection Pt admitted to SDU on 12/28/22. Pt treated with remdesivir while inpatient and discharged 12/30/22.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19-2
Symptoms: Haemoglobin normal, Hypotension, Immunisation reaction, Influenza A virus test negative, Influenza B virus test
Clinical narrative: Narrative:  12/28/22 - Pt brought to triage with c/o confusion, weakness, pt. states he has been sick with sore throat, ear pain, diarrhea, family states he tested + Covid with home test. Pt currently hypotensive with HR 40-50s SBP 89. 1L LR stated as ordered. HPI: He was at home this morning and began to feel very lightheaded and dizzy. He did not have a syncopal episode. He denied nausea vomiting chest pain shortness of breath. 2 days ago he developed a cough had a fever at home with an earache and sore throat. He had a positive home Covid test. He denied having a headache but he did report change in taste. He has been fully vaccinated. MEDICAL DECISION MAKING (MDM): Hypotension bradycardia due to cardiac effects of COVID-19. Pt given 1L LR fluid. His BP was 121/81 and HR improved to 53. Sats remained 92 - 97%. Repeat EKG showed sinus bradycardia with a rate of 53 and a first-degree AV block. DIAGNOSIS: Primary Diagnosis: Hypotension Secondary diagnoses: Bradycardia 3) COVID-19 upper respiratory infection Pt admitted to SDU on 12/28/22. Pt treated with remdesivir while inpatient and discharged 12/30/22.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19-2
Symptoms: Laboratory test, Lymphocyte count normal, Lymphocyte percentage, Malaise, Mean cell haemoglobin concentration normal
Clinical narrative: Narrative:  12/28/22 - Pt brought to triage with c/o confusion, weakness, pt. states he has been sick with sore throat, ear pain, diarrhea, family states he tested + Covid with home test. Pt currently hypotensive with HR 40-50s SBP 89. 1L LR stated as ordered. HPI: He was at home this morning and began to feel very lightheaded and dizzy. He did not have a syncopal episode. He denied nausea vomiting chest pain shortness of breath. 2 days ago he developed a cough had a fever at home with an earache and sore throat. He had a positive home Covid test. He denied having a headache but he did report change in taste. He has been fully vaccinated. MEDICAL DECISION MAKING (MDM): Hypotension bradycardia due to cardiac effects of COVID-19. Pt given 1L LR fluid. His BP was 121/81 and HR improved to 53. Sats remained 92 - 97%. Repeat EKG showed sinus bradycardia with a rate of 53 and a first-degree AV block. DIAGNOSIS: Primary Diagnosis: Hypotension Secondary diagnoses: Bradycardia 3) COVID-19 upper respiratory infection Pt admitted to SDU on 12/28/22. Pt treated with remdesivir while inpatient and discharged 12/30/22.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19-2
Symptoms: Mean cell haemoglobin normal, Mean cell volume normal, Mean platelet volume decreased, Monocyte count increased, Monocyte percentage increased
Clinical narrative: Narrative:  12/28/22 - Pt brought to triage with c/o confusion, weakness, pt. states he has been sick with sore throat, ear pain, diarrhea, family states he tested + Covid with home test. Pt currently hypotensive with HR 40-50s SBP 89. 1L LR stated as ordered. HPI: He was at home this morning and began to feel very lightheaded and dizzy. He did not have a syncopal episode. He denied nausea vomiting chest pain shortness of breath. 2 days ago he developed a cough had a fever at home with an earache and sore throat. He had a positive home Covid test. He denied having a headache but he did report change in taste. He has been fully vaccinated. MEDICAL DECISION MAKING (MDM): Hypotension bradycardia due to cardiac effects of COVID-19. Pt given 1L LR fluid. His BP was 121/81 and HR improved to 53. Sats remained 92 - 97%. Repeat EKG showed sinus bradycardia with a rate of 53 and a first-degree AV block. DIAGNOSIS: Primary Diagnosis: Hypotension Secondary diagnoses: Bradycardia 3) COVID-19 upper respiratory infection Pt admitted to SDU on 12/28/22. Pt treated with remdesivir while inpatient and discharged 12/30/22.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19-2
Symptoms: Oropharyngeal pain, Platelet count normal, Procalcitonin, Protein total normal, Pyrexia
Clinical narrative: Narrative:  12/28/22 - Pt brought to triage with c/o confusion, weakness, pt. states he has been sick with sore throat, ear pain, diarrhea, family states he tested + Covid with home test. Pt currently hypotensive with HR 40-50s SBP 89. 1L LR stated as ordered. HPI: He was at home this morning and began to feel very lightheaded and dizzy. He did not have a syncopal episode. He denied nausea vomiting chest pain shortness of breath. 2 days ago he developed a cough had a fever at home with an earache and sore throat. He had a positive home Covid test. He denied having a headache but he did report change in taste. He has been fully vaccinated. MEDICAL DECISION MAKING (MDM): Hypotension bradycardia due to cardiac effects of COVID-19. Pt given 1L LR fluid. His BP was 121/81 and HR improved to 53. Sats remained 92 - 97%. Repeat EKG showed sinus bradycardia with a rate of 53 and a first-degree AV block. DIAGNOSIS: Primary Diagnosis: Hypotension Secondary diagnoses: Bradycardia 3) COVID-19 upper respiratory infection Pt admitted to SDU on 12/28/22. Pt treated with remdesivir while inpatient and discharged 12/30/22.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19-2
Symptoms: Red blood cell count normal, Red cell distribution width normal, Respiratory syncytial virus test negative, SARS-CoV-2 test positive, Sinus bradycardia
Clinical narrative: Narrative:  12/28/22 - Pt brought to triage with c/o confusion, weakness, pt. states he has been sick with sore throat, ear pain, diarrhea, family states he tested + Covid with home test. Pt currently hypotensive with HR 40-50s SBP 89. 1L LR stated as ordered. HPI: He was at home this morning and began to feel very lightheaded and dizzy. He did not have a syncopal episode. He denied nausea vomiting chest pain shortness of breath. 2 days ago he developed a cough had a fever at home with an earache and sore throat. He had a positive home Covid test. He denied having a headache but he did report change in taste. He has been fully vaccinated. MEDICAL DECISION MAKING (MDM): Hypotension bradycardia due to cardiac effects of COVID-19. Pt given 1L LR fluid. His BP was 121/81 and HR improved to 53. Sats remained 92 - 97%. Repeat EKG showed sinus bradycardia with a rate of 53 and a first-degree AV block. DIAGNOSIS: Primary Diagnosis: Hypotension Secondary diagnoses: Bradycardia 3) COVID-19 upper respiratory infection Pt admitted to SDU on 12/28/22. Pt treated with remdesivir while inpatient and discharged 12/30/22.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19-2
Symptoms: Taste disorder, Troponin I normal, Upper respiratory tract infection, White blood cell count increased
Clinical narrative: Narrative:  12/28/22 - Pt brought to triage with c/o confusion, weakness, pt. states he has been sick with sore throat, ear pain, diarrhea, family states he tested + Covid with home test. Pt currently hypotensive with HR 40-50s SBP 89. 1L LR stated as ordered. HPI: He was at home this morning and began to feel very lightheaded and dizzy. He did not have a syncopal episode. He denied nausea vomiting chest pain shortness of breath. 2 days ago he developed a cough had a fever at home with an earache and sore throat. He had a positive home Covid test. He denied having a headache but he did report change in taste. He has been fully vaccinated. MEDICAL DECISION MAKING (MDM): Hypotension bradycardia due to cardiac effects of COVID-19. Pt given 1L LR fluid. His BP was 121/81 and HR improved to 53. Sats remained 92 - 97%. Repeat EKG showed sinus bradycardia with a rate of 53 and a first-degree AV block. DIAGNOSIS: Primary Diagnosis: Hypotension Secondary diagnoses: Bradycardia 3) COVID-19 upper respiratory infection Pt admitted to SDU on 12/28/22. Pt treated with remdesivir while inpatient and discharged 12/30/22.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Anion gap, Asthenia, Basophil count decreased, Basophil percentage
Clinical narrative: Narrative: 12/31/22 - Pt presented to ED stating he was diagnosed with COVID on 12/24. Pt c/o of continued coughing and fever since diagnosis. He is complaining of non productive cough, sore throat, fever (101F yesterday), sinus/nasal congestion, sneezing, fatigue, weakness, diarrhea (X 2), nausea (yesterday), vomiting X 1, decrease appetite and changes with smell. No associated changes in taste, sweats, chills, CP, abdominal pain. Admits to chronic shortness of breath. Patient was dx with COVID on 12/24/22. Pt admitted to hospital 12/31/22 with primary diagnosis of COVID Pneumonitis and ESRD. (discharged on 1/5/2023) (It was noted Pt was diagnosed with COVID and started outpatient on molnuparvir with no improvement. He continued to have fever, but denied chills. He was evaluated by ED and medical services were contacted for further evaluation and treatment.) HOUSPITAL COURSE: Pt admitted to the floor. dx bilat bibasilar covid pneumonitis. pt had been on po outpt tx. start on remdesivir, and oxygen. steroids not given due to hx of allergy. cont chronic meds. pt with steady improvement over 72 hours and off oxygen. chief issue was weakness. PT consulted- no rehab or home needs noted. pt cont to improve and deemed stable for d/c to home on 1/5/23. wife was updated by phone with progress. Pt discharged 1/5/23 with principal diagnosis of acute hypoxic respiratory failure due to bilat covid pneumonia.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Blood calcium decreased, Blood chloride decreased, Blood creatinine increased, Blood glucose normal, Blood potassium normal
Clinical narrative: Narrative: 12/31/22 - Pt presented to ED stating he was diagnosed with COVID on 12/24. Pt c/o of continued coughing and fever since diagnosis. He is complaining of non productive cough, sore throat, fever (101F yesterday), sinus/nasal congestion, sneezing, fatigue, weakness, diarrhea (X 2), nausea (yesterday), vomiting X 1, decrease appetite and changes with smell. No associated changes in taste, sweats, chills, CP, abdominal pain. Admits to chronic shortness of breath. Patient was dx with COVID on 12/24/22. Pt admitted to hospital 12/31/22 with primary diagnosis of COVID Pneumonitis and ESRD. (discharged on 1/5/2023) (It was noted Pt was diagnosed with COVID and started outpatient on molnuparvir with no improvement. He continued to have fever, but denied chills. He was evaluated by ED and medical services were contacted for further evaluation and treatment.) HOUSPITAL COURSE: Pt admitted to the floor. dx bilat bibasilar covid pneumonitis. pt had been on po outpt tx. start on remdesivir, and oxygen. steroids not given due to hx of allergy. cont chronic meds. pt with steady improvement over 72 hours and off oxygen. chief issue was weakness. PT consulted- no rehab or home needs noted. pt cont to improve and deemed stable for d/c to home on 1/5/23. wife was updated by phone with progress. Pt discharged 1/5/23 with principal diagnosis of acute hypoxic respiratory failure due to bilat covid pneumonia.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Blood sodium normal, Blood urea normal, Breath sounds abnormal, COVID-19, COVID-19 pneumonia
Clinical narrative: Narrative: 12/31/22 - Pt presented to ED stating he was diagnosed with COVID on 12/24. Pt c/o of continued coughing and fever since diagnosis. He is complaining of non productive cough, sore throat, fever (101F yesterday), sinus/nasal congestion, sneezing, fatigue, weakness, diarrhea (X 2), nausea (yesterday), vomiting X 1, decrease appetite and changes with smell. No associated changes in taste, sweats, chills, CP, abdominal pain. Admits to chronic shortness of breath. Patient was dx with COVID on 12/24/22. Pt admitted to hospital 12/31/22 with primary diagnosis of COVID Pneumonitis and ESRD. (discharged on 1/5/2023) (It was noted Pt was diagnosed with COVID and started outpatient on molnuparvir with no improvement. He continued to have fever, but denied chills. He was evaluated by ED and medical services were contacted for further evaluation and treatment.) HOUSPITAL COURSE: Pt admitted to the floor. dx bilat bibasilar covid pneumonitis. pt had been on po outpt tx. start on remdesivir, and oxygen. steroids not given due to hx of allergy. cont chronic meds. pt with steady improvement over 72 hours and off oxygen. chief issue was weakness. PT consulted- no rehab or home needs noted. pt cont to improve and deemed stable for d/c to home on 1/5/23. wife was updated by phone with progress. Pt discharged 1/5/23 with principal diagnosis of acute hypoxic respiratory failure due to bilat covid pneumonia.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Carbon dioxide normal, Cough, Decreased appetite, Diarrhoea, Dyspnoea
Clinical narrative: Narrative: 12/31/22 - Pt presented to ED stating he was diagnosed with COVID on 12/24. Pt c/o of continued coughing and fever since diagnosis. He is complaining of non productive cough, sore throat, fever (101F yesterday), sinus/nasal congestion, sneezing, fatigue, weakness, diarrhea (X 2), nausea (yesterday), vomiting X 1, decrease appetite and changes with smell. No associated changes in taste, sweats, chills, CP, abdominal pain. Admits to chronic shortness of breath. Patient was dx with COVID on 12/24/22. Pt admitted to hospital 12/31/22 with primary diagnosis of COVID Pneumonitis and ESRD. (discharged on 1/5/2023) (It was noted Pt was diagnosed with COVID and started outpatient on molnuparvir with no improvement. He continued to have fever, but denied chills. He was evaluated by ED and medical services were contacted for further evaluation and treatment.) HOUSPITAL COURSE: Pt admitted to the floor. dx bilat bibasilar covid pneumonitis. pt had been on po outpt tx. start on remdesivir, and oxygen. steroids not given due to hx of allergy. cont chronic meds. pt with steady improvement over 72 hours and off oxygen. chief issue was weakness. PT consulted- no rehab or home needs noted. pt cont to improve and deemed stable for d/c to home on 1/5/23. wife was updated by phone with progress. Pt discharged 1/5/23 with principal diagnosis of acute hypoxic respiratory failure due to bilat covid pneumonia.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: End stage renal disease, Eosinophil count decreased, Eosinophil percentage decreased, Fatigue, Glomerular filtration rate decreased
Clinical narrative: Narrative: 12/31/22 - Pt presented to ED stating he was diagnosed with COVID on 12/24. Pt c/o of continued coughing and fever since diagnosis. He is complaining of non productive cough, sore throat, fever (101F yesterday), sinus/nasal congestion, sneezing, fatigue, weakness, diarrhea (X 2), nausea (yesterday), vomiting X 1, decrease appetite and changes with smell. No associated changes in taste, sweats, chills, CP, abdominal pain. Admits to chronic shortness of breath. Patient was dx with COVID on 12/24/22. Pt admitted to hospital 12/31/22 with primary diagnosis of COVID Pneumonitis and ESRD. (discharged on 1/5/2023) (It was noted Pt was diagnosed with COVID and started outpatient on molnuparvir with no improvement. He continued to have fever, but denied chills. He was evaluated by ED and medical services were contacted for further evaluation and treatment.) HOUSPITAL COURSE: Pt admitted to the floor. dx bilat bibasilar covid pneumonitis. pt had been on po outpt tx. start on remdesivir, and oxygen. steroids not given due to hx of allergy. cont chronic meds. pt with steady improvement over 72 hours and off oxygen. chief issue was weakness. PT consulted- no rehab or home needs noted. pt cont to improve and deemed stable for d/c to home on 1/5/23. wife was updated by phone with progress. Pt discharged 1/5/23 with principal diagnosis of acute hypoxic respiratory failure due to bilat covid pneumonia.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Granulocyte count, Granulocyte percentage, Haematocrit decreased, Haemoglobin decreased, Laboratory test
Clinical narrative: Narrative: 12/31/22 - Pt presented to ED stating he was diagnosed with COVID on 12/24. Pt c/o of continued coughing and fever since diagnosis. He is complaining of non productive cough, sore throat, fever (101F yesterday), sinus/nasal congestion, sneezing, fatigue, weakness, diarrhea (X 2), nausea (yesterday), vomiting X 1, decrease appetite and changes with smell. No associated changes in taste, sweats, chills, CP, abdominal pain. Admits to chronic shortness of breath. Patient was dx with COVID on 12/24/22. Pt admitted to hospital 12/31/22 with primary diagnosis of COVID Pneumonitis and ESRD. (discharged on 1/5/2023) (It was noted Pt was diagnosed with COVID and started outpatient on molnuparvir with no improvement. He continued to have fever, but denied chills. He was evaluated by ED and medical services were contacted for further evaluation and treatment.) HOUSPITAL COURSE: Pt admitted to the floor. dx bilat bibasilar covid pneumonitis. pt had been on po outpt tx. start on remdesivir, and oxygen. steroids not given due to hx of allergy. cont chronic meds. pt with steady improvement over 72 hours and off oxygen. chief issue was weakness. PT consulted- no rehab or home needs noted. pt cont to improve and deemed stable for d/c to home on 1/5/23. wife was updated by phone with progress. Pt discharged 1/5/23 with principal diagnosis of acute hypoxic respiratory failure due to bilat covid pneumonia.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphocyte count decreased, Lymphocyte percentage decreased, Mean cell haemoglobin concentration normal, Mean cell haemoglobin increased, Mean cell volume increased
Clinical narrative: Narrative: 12/31/22 - Pt presented to ED stating he was diagnosed with COVID on 12/24. Pt c/o of continued coughing and fever since diagnosis. He is complaining of non productive cough, sore throat, fever (101F yesterday), sinus/nasal congestion, sneezing, fatigue, weakness, diarrhea (X 2), nausea (yesterday), vomiting X 1, decrease appetite and changes with smell. No associated changes in taste, sweats, chills, CP, abdominal pain. Admits to chronic shortness of breath. Patient was dx with COVID on 12/24/22. Pt admitted to hospital 12/31/22 with primary diagnosis of COVID Pneumonitis and ESRD. (discharged on 1/5/2023) (It was noted Pt was diagnosed with COVID and started outpatient on molnuparvir with no improvement. He continued to have fever, but denied chills. He was evaluated by ED and medical services were contacted for further evaluation and treatment.) HOUSPITAL COURSE: Pt admitted to the floor. dx bilat bibasilar covid pneumonitis. pt had been on po outpt tx. start on remdesivir, and oxygen. steroids not given due to hx of allergy. cont chronic meds. pt with steady improvement over 72 hours and off oxygen. chief issue was weakness. PT consulted- no rehab or home needs noted. pt cont to improve and deemed stable for d/c to home on 1/5/23. wife was updated by phone with progress. Pt discharged 1/5/23 with principal diagnosis of acute hypoxic respiratory failure due to bilat covid pneumonia.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Mean platelet volume normal, Monocyte count increased, Monocyte percentage increased, Nasal congestion, Nausea
Clinical narrative: Narrative: 12/31/22 - Pt presented to ED stating he was diagnosed with COVID on 12/24. Pt c/o of continued coughing and fever since diagnosis. He is complaining of non productive cough, sore throat, fever (101F yesterday), sinus/nasal congestion, sneezing, fatigue, weakness, diarrhea (X 2), nausea (yesterday), vomiting X 1, decrease appetite and changes with smell. No associated changes in taste, sweats, chills, CP, abdominal pain. Admits to chronic shortness of breath. Patient was dx with COVID on 12/24/22. Pt admitted to hospital 12/31/22 with primary diagnosis of COVID Pneumonitis and ESRD. (discharged on 1/5/2023) (It was noted Pt was diagnosed with COVID and started outpatient on molnuparvir with no improvement. He continued to have fever, but denied chills. He was evaluated by ED and medical services were contacted for further evaluation and treatment.) HOUSPITAL COURSE: Pt admitted to the floor. dx bilat bibasilar covid pneumonitis. pt had been on po outpt tx. start on remdesivir, and oxygen. steroids not given due to hx of allergy. cont chronic meds. pt with steady improvement over 72 hours and off oxygen. chief issue was weakness. PT consulted- no rehab or home needs noted. pt cont to improve and deemed stable for d/c to home on 1/5/23. wife was updated by phone with progress. Pt discharged 1/5/23 with principal diagnosis of acute hypoxic respiratory failure due to bilat covid pneumonia.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Parosmia, Platelet count decreased, Pneumonia, Pyrexia
Clinical narrative: Narrative: 12/31/22 - Pt presented to ED stating he was diagnosed with COVID on 12/24. Pt c/o of continued coughing and fever since diagnosis. He is complaining of non productive cough, sore throat, fever (101F yesterday), sinus/nasal congestion, sneezing, fatigue, weakness, diarrhea (X 2), nausea (yesterday), vomiting X 1, decrease appetite and changes with smell. No associated changes in taste, sweats, chills, CP, abdominal pain. Admits to chronic shortness of breath. Patient was dx with COVID on 12/24/22. Pt admitted to hospital 12/31/22 with primary diagnosis of COVID Pneumonitis and ESRD. (discharged on 1/5/2023) (It was noted Pt was diagnosed with COVID and started outpatient on molnuparvir with no improvement. He continued to have fever, but denied chills. He was evaluated by ED and medical services were contacted for further evaluation and treatment.) HOUSPITAL COURSE: Pt admitted to the floor. dx bilat bibasilar covid pneumonitis. pt had been on po outpt tx. start on remdesivir, and oxygen. steroids not given due to hx of allergy. cont chronic meds. pt with steady improvement over 72 hours and off oxygen. chief issue was weakness. PT consulted- no rehab or home needs noted. pt cont to improve and deemed stable for d/c to home on 1/5/23. wife was updated by phone with progress. Pt discharged 1/5/23 with principal diagnosis of acute hypoxic respiratory failure due to bilat covid pneumonia.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Rales, Red blood cell count decreased, Red cell distribution width increased, SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: Narrative: 12/31/22 - Pt presented to ED stating he was diagnosed with COVID on 12/24. Pt c/o of continued coughing and fever since diagnosis. He is complaining of non productive cough, sore throat, fever (101F yesterday), sinus/nasal congestion, sneezing, fatigue, weakness, diarrhea (X 2), nausea (yesterday), vomiting X 1, decrease appetite and changes with smell. No associated changes in taste, sweats, chills, CP, abdominal pain. Admits to chronic shortness of breath. Patient was dx with COVID on 12/24/22. Pt admitted to hospital 12/31/22 with primary diagnosis of COVID Pneumonitis and ESRD. (discharged on 1/5/2023) (It was noted Pt was diagnosed with COVID and started outpatient on molnuparvir with no improvement. He continued to have fever, but denied chills. He was evaluated by ED and medical services were contacted for further evaluation and treatment.) HOUSPITAL COURSE: Pt admitted to the floor. dx bilat bibasilar covid pneumonitis. pt had been on po outpt tx. start on remdesivir, and oxygen. steroids not given due to hx of allergy. cont chronic meds. pt with steady improvement over 72 hours and off oxygen. chief issue was weakness. PT consulted- no rehab or home needs noted. pt cont to improve and deemed stable for d/c to home on 1/5/23. wife was updated by phone with progress. Pt discharged 1/5/23 with principal diagnosis of acute hypoxic respiratory failure due to bilat covid pneumonia.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Sneezing, Vomiting, White blood cell count normal
Clinical narrative: Narrative: 12/31/22 - Pt presented to ED stating he was diagnosed with COVID on 12/24. Pt c/o of continued coughing and fever since diagnosis. He is complaining of non productive cough, sore throat, fever (101F yesterday), sinus/nasal congestion, sneezing, fatigue, weakness, diarrhea (X 2), nausea (yesterday), vomiting X 1, decrease appetite and changes with smell. No associated changes in taste, sweats, chills, CP, abdominal pain. Admits to chronic shortness of breath. Patient was dx with COVID on 12/24/22. Pt admitted to hospital 12/31/22 with primary diagnosis of COVID Pneumonitis and ESRD. (discharged on 1/5/2023) (It was noted Pt was diagnosed with COVID and started outpatient on molnuparvir with no improvement. He continued to have fever, but denied chills. He was evaluated by ED and medical services were contacted for further evaluation and treatment.) HOUSPITAL COURSE: Pt admitted to the floor. dx bilat bibasilar covid pneumonitis. pt had been on po outpt tx. start on remdesivir, and oxygen. steroids not given due to hx of allergy. cont chronic meds. pt with steady improvement over 72 hours and off oxygen. chief issue was weakness. PT consulted- no rehab or home needs noted. pt cont to improve and deemed stable for d/c to home on 1/5/23. wife was updated by phone with progress. Pt discharged 1/5/23 with principal diagnosis of acute hypoxic respiratory failure due to bilat covid pneumonia.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Abnormal behaviour, Acute respiratory failure, Aggression, Angiogram pulmonary abnormal, Asthenia
Clinical narrative: Narrative: 12/24/2022 - Pt presented to ED with increased SOB after taking CBD gummies (stopped 3 days ago), wife reports pt seems off . Pt moving slowly, SOB with exertion - currently on oxygen 3L/min via nasal cannula at home. HPI: Patient presents to the ER via EMS for several day history of increasing shortness of breath and weakness. Patient states his sats were dropping into the 60s. Patient is on home O2 for history of lung cancer and a right-sided lobectomy as well as COPD. He reports that his normal chronic cough. Patient states he is extremely short of breath when he tries to ambulate. He denies any new chest pain, nausea or vomiting, abdominal pain or any other medical concerns. He also has an extensive cardiac history as well. MEDICAL DECISION MAKING (MDM): Patient with shortness of breath and especially a drop in sats when off his oxygen. Will initiate a cardiac work-up as well as chest x-ray. Patient history of COPD will give some steroids and nebulizers as well. Differential diagnosis includes, but not limited to, COPD, pneumonia, Covid, flu, ACS, PE, reoccurrence of lung CA. ER course-patient continued to drop his sats and became a little bit more confused/combative during his stay. He refused a blood gas. ICU MD was consulted and is currently here at 2300 to see the patient. Pt admitted to hospital 12/24/22 at 23:56 with principal diagnosis = acute on chronic hypercarbic respiratory failure secondary to COVID pneumonia. Pt hospital stay 12/24 - 12/30/22. ADDITIONAL DIAGNOSES: Chronic systolic congestive heart failure Chronic obstructive pulmonary disease exacerbation COVID viral pneumonia HOSPITAL COURSE: Pt required admission to MICU, subsequently patient was emergently intubated for airway control (in setting of acute hypoxic hypercarbic respiratory failure). PaCO2 on admission was 156. CT head obtained and found negative for intracranial bleed/swelling or abnormality. S/p cxr suggestive of bilateral infiltrates - covid vs pulm edema. Elevated D-dimer. ABG ordered in ED but pt refused, later obtained after intubation. Profound hypotension continued and required the initiation of levophed drip for control. Other related interventions initiated; Abtx (initiated with IV Ceftriazone & IV Zithromax -> then Vanc added), ABG pH 7.0, screening labs & imaging, central line placed, blood and sputum culture, NGT plcmt, tube feed, foley, dexamethasone, oral baricitinib started after CTA Chest confirmed negative PE/+ diffuse right upper lobe infiltrate, blood transfusion, and specialty consults (i.e. ID, Pulm, etc). S/p blood cultures - 1 set on 12/24, 1 set on 12/25, and 2 sets on 12/27 (results + Staphylococcus capitis from bld culture set obtained on 12/25)and C&S induced sputum was negative. Patient has been weaned off all drips, extubated on 2-3LNC, foley removed and medically cleared for transfer to medical-surgical unit. Pt discharged on 12/30/2022.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Bladder catheter removal, Bladder catheterisation, Blood culture positive, Blood gases, Blood pH decreased
Clinical narrative: Narrative: 12/24/2022 - Pt presented to ED with increased SOB after taking CBD gummies (stopped 3 days ago), wife reports pt seems off . Pt moving slowly, SOB with exertion - currently on oxygen 3L/min via nasal cannula at home. HPI: Patient presents to the ER via EMS for several day history of increasing shortness of breath and weakness. Patient states his sats were dropping into the 60s. Patient is on home O2 for history of lung cancer and a right-sided lobectomy as well as COPD. He reports that his normal chronic cough. Patient states he is extremely short of breath when he tries to ambulate. He denies any new chest pain, nausea or vomiting, abdominal pain or any other medical concerns. He also has an extensive cardiac history as well. MEDICAL DECISION MAKING (MDM): Patient with shortness of breath and especially a drop in sats when off his oxygen. Will initiate a cardiac work-up as well as chest x-ray. Patient history of COPD will give some steroids and nebulizers as well. Differential diagnosis includes, but not limited to, COPD, pneumonia, Covid, flu, ACS, PE, reoccurrence of lung CA. ER course-patient continued to drop his sats and became a little bit more confused/combative during his stay. He refused a blood gas. ICU MD was consulted and is currently here at 2300 to see the patient. Pt admitted to hospital 12/24/22 at 23:56 with principal diagnosis = acute on chronic hypercarbic respiratory failure secondary to COVID pneumonia. Pt hospital stay 12/24 - 12/30/22. ADDITIONAL DIAGNOSES: Chronic systolic congestive heart failure Chronic obstructive pulmonary disease exacerbation COVID viral pneumonia HOSPITAL COURSE: Pt required admission to MICU, subsequently patient was emergently intubated for airway control (in setting of acute hypoxic hypercarbic respiratory failure). PaCO2 on admission was 156. CT head obtained and found negative for intracranial bleed/swelling or abnormality. S/p cxr suggestive of bilateral infiltrates - covid vs pulm edema. Elevated D-dimer. ABG ordered in ED but pt refused, later obtained after intubation. Profound hypotension continued and required the initiation of levophed drip for control. Other related interventions initiated; Abtx (initiated with IV Ceftriazone & IV Zithromax -> then Vanc added), ABG pH 7.0, screening labs & imaging, central line placed, blood and sputum culture, NGT plcmt, tube feed, foley, dexamethasone, oral baricitinib started after CTA Chest confirmed negative PE/+ diffuse right upper lobe infiltrate, blood transfusion, and specialty consults (i.e. ID, Pulm, etc). S/p blood cultures - 1 set on 12/24, 1 set on 12/25, and 2 sets on 12/27 (results + Staphylococcus capitis from bld culture set obtained on 12/25)and C&S induced sputum was negative. Patient has been weaned off all drips, extubated on 2-3LNC, foley removed and medically cleared for transfer to medical-surgical unit. Pt discharged on 12/30/2022.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Bradykinesia, COVID-19, COVID-19 pneumonia, Cardiac failure congestive, Central venous catheterisation
Clinical narrative: Narrative: 12/24/2022 - Pt presented to ED with increased SOB after taking CBD gummies (stopped 3 days ago), wife reports pt seems off . Pt moving slowly, SOB with exertion - currently on oxygen 3L/min via nasal cannula at home. HPI: Patient presents to the ER via EMS for several day history of increasing shortness of breath and weakness. Patient states his sats were dropping into the 60s. Patient is on home O2 for history of lung cancer and a right-sided lobectomy as well as COPD. He reports that his normal chronic cough. Patient states he is extremely short of breath when he tries to ambulate. He denies any new chest pain, nausea or vomiting, abdominal pain or any other medical concerns. He also has an extensive cardiac history as well. MEDICAL DECISION MAKING (MDM): Patient with shortness of breath and especially a drop in sats when off his oxygen. Will initiate a cardiac work-up as well as chest x-ray. Patient history of COPD will give some steroids and nebulizers as well. Differential diagnosis includes, but not limited to, COPD, pneumonia, Covid, flu, ACS, PE, reoccurrence of lung CA. ER course-patient continued to drop his sats and became a little bit more confused/combative during his stay. He refused a blood gas. ICU MD was consulted and is currently here at 2300 to see the patient. Pt admitted to hospital 12/24/22 at 23:56 with principal diagnosis = acute on chronic hypercarbic respiratory failure secondary to COVID pneumonia. Pt hospital stay 12/24 - 12/30/22. ADDITIONAL DIAGNOSES: Chronic systolic congestive heart failure Chronic obstructive pulmonary disease exacerbation COVID viral pneumonia HOSPITAL COURSE: Pt required admission to MICU, subsequently patient was emergently intubated for airway control (in setting of acute hypoxic hypercarbic respiratory failure). PaCO2 on admission was 156. CT head obtained and found negative for intracranial bleed/swelling or abnormality. S/p cxr suggestive of bilateral infiltrates - covid vs pulm edema. Elevated D-dimer. ABG ordered in ED but pt refused, later obtained after intubation. Profound hypotension continued and required the initiation of levophed drip for control. Other related interventions initiated; Abtx (initiated with IV Ceftriazone & IV Zithromax -> then Vanc added), ABG pH 7.0, screening labs & imaging, central line placed, blood and sputum culture, NGT plcmt, tube feed, foley, dexamethasone, oral baricitinib started after CTA Chest confirmed negative PE/+ diffuse right upper lobe infiltrate, blood transfusion, and specialty consults (i.e. ID, Pulm, etc). S/p blood cultures - 1 set on 12/24, 1 set on 12/25, and 2 sets on 12/27 (results + Staphylococcus capitis from bld culture set obtained on 12/25)and C&S induced sputum was negative. Patient has been weaned off all drips, extubated on 2-3LNC, foley removed and medically cleared for transfer to medical-surgical unit. Pt discharged on 12/30/2022.