chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 38.0
Sex: F
Vaccine: FLU4, TD
Symptoms: Asthenia, Exposure during pregnancy, Eyelid function disorder, Facial paresis, Gait disturbance
Clinical narrative: 38 year old female with no relevant past medical history, currently pregnant G2P0 38 week of gestation came in to the ED complaining of 1 week history of lower extremity weakness. Described as ascending progressive weakness of the lower extremities associated with feet numbness, tingling as well as bilateral hand tingling and left-sided facial weakness for the last three days. She endorses being vaccinated for Influenza, Tetanus and after vaccination had 3 days of self-limited flu-like symptoms. She denies fever, chills, headache, dizziness, visual loss, syncope, SOB, chest pain, palpitations, cough, dysuria, hematuria, abdominal pain, diarrhea, vomiting or any other symptom. 38-year-old right-handed woman with past medical history as listed below who presented to the emergency room complaining of 2-day history of left-sided facial weakness.  She states symptoms came on suddenly.  And she noted that she was having difficulty closing her left eye and smiling on the left side.  She also endorses over the last few days increasing tingling in her feet which is affecting her walking.  She is having trouble ambulating and generally feels weak.  She has also noted some paresthesias in her hands.  She mentions that about 2 weeks ago she had a mild viral syndrome although recovered well.  She has had no recent diarrhea, fevers, or chills.  She denies any radicular pain from her cervical neck region or lumbar region into her hands or feet.  There has been no dysarthria, loss of vision, weakness in her upper extremities, fasciculations, bowel or bladder incontinence, or saddle anesthesia.  She denies any significant breathing difficulties. Patient receiving IVIG with plans to transfer to another hospital for higher level OB care later
Age: 38.0
Sex: F
Vaccine: FLU4, TD
Symptoms: Hypoaesthesia, Immunoglobulin therapy, Influenza like illness, Muscular weakness, Paraesthesia
Clinical narrative: 38 year old female with no relevant past medical history, currently pregnant G2P0 38 week of gestation came in to the ED complaining of 1 week history of lower extremity weakness. Described as ascending progressive weakness of the lower extremities associated with feet numbness, tingling as well as bilateral hand tingling and left-sided facial weakness for the last three days. She endorses being vaccinated for Influenza, Tetanus and after vaccination had 3 days of self-limited flu-like symptoms. She denies fever, chills, headache, dizziness, visual loss, syncope, SOB, chest pain, palpitations, cough, dysuria, hematuria, abdominal pain, diarrhea, vomiting or any other symptom. 38-year-old right-handed woman with past medical history as listed below who presented to the emergency room complaining of 2-day history of left-sided facial weakness.  She states symptoms came on suddenly.  And she noted that she was having difficulty closing her left eye and smiling on the left side.  She also endorses over the last few days increasing tingling in her feet which is affecting her walking.  She is having trouble ambulating and generally feels weak.  She has also noted some paresthesias in her hands.  She mentions that about 2 weeks ago she had a mild viral syndrome although recovered well.  She has had no recent diarrhea, fevers, or chills.  She denies any radicular pain from her cervical neck region or lumbar region into her hands or feet.  There has been no dysarthria, loss of vision, weakness in her upper extremities, fasciculations, bowel or bladder incontinence, or saddle anesthesia.  She denies any significant breathing difficulties. Patient receiving IVIG with plans to transfer to another hospital for higher level OB care later
Age: 38.0
Sex: F
Vaccine: FLU4, TD
Symptoms: Viral infection
Clinical narrative: 38 year old female with no relevant past medical history, currently pregnant G2P0 38 week of gestation came in to the ED complaining of 1 week history of lower extremity weakness. Described as ascending progressive weakness of the lower extremities associated with feet numbness, tingling as well as bilateral hand tingling and left-sided facial weakness for the last three days. She endorses being vaccinated for Influenza, Tetanus and after vaccination had 3 days of self-limited flu-like symptoms. She denies fever, chills, headache, dizziness, visual loss, syncope, SOB, chest pain, palpitations, cough, dysuria, hematuria, abdominal pain, diarrhea, vomiting or any other symptom. 38-year-old right-handed woman with past medical history as listed below who presented to the emergency room complaining of 2-day history of left-sided facial weakness.  She states symptoms came on suddenly.  And she noted that she was having difficulty closing her left eye and smiling on the left side.  She also endorses over the last few days increasing tingling in her feet which is affecting her walking.  She is having trouble ambulating and generally feels weak.  She has also noted some paresthesias in her hands.  She mentions that about 2 weeks ago she had a mild viral syndrome although recovered well.  She has had no recent diarrhea, fevers, or chills.  She denies any radicular pain from her cervical neck region or lumbar region into her hands or feet.  There has been no dysarthria, loss of vision, weakness in her upper extremities, fasciculations, bowel or bladder incontinence, or saddle anesthesia.  She denies any significant breathing difficulties. Patient receiving IVIG with plans to transfer to another hospital for higher level OB care later
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: pt experienced swelling under armpit all the way over to chest; pt given prednisone
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site erythema, Injection site warmth
Clinical narrative: Within 10 minutes of receiving the vaccine, patient's left area at the site was red and warm to touch, no inflammation, redness then moved to across both shoulder blades and on to the right arm and down halfway.  Benadryl oral tab administered per orders, within 10 min of Benadryl being taken, redness was starting to subside with no further reactions noted. Patient stayed at clinic for another 20 minutes with no further reactions noted.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient did not report any side effects after given the Pfizer adult vaccine on 11/13/2021. Patient is fine per care giver grandmother.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Pain in extremity, Peripheral swelling, Ultrasound Doppler abnormal
Clinical narrative: Blood clot in calf which began 2 days after my Moderna booster. It was officially found to be DVT with Doppler ultrasound on 11/9/21. I fractured my tibial plateau on 9/29/21 and have been non weight bearing on the affected leg since the accident. No illness, but I fractured my tibial plateau on 09/29/2021. I have had limited mobility (crutches and non weight bearing). I was on a dose of Xarelto, 10mg, one time daily for 30 days which ended on 11/2/21. On 11/6/21 I began experiencing pain in my calf and swelling. On 11/9/21 an ultrasound was completed showing DVT in my calf. I was put back on Xarelto 15mg, twice daily. I have no idea if this is even related to the vaccine booster but I was told to report it.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse event, Chest discomfort, Diarrhoea, Discomfort, Dizziness
Clinical narrative: The adverse events experienced by this include; general pressure, chest, back, arm pain, diarrhea, and dizziness. These adverse effect occurred the night of the shot and resolved the next day (10/14/2021) at around 1pm.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: The adverse events experienced by this include; general pressure, chest, back, arm pain, diarrhea, and dizziness. These adverse effect occurred the night of the shot and resolved the next day (10/14/2021) at around 1pm.
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Epiglottitis
Clinical narrative: Hospitalization for epiglotitis
Age: 83.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Erythema, Eye pruritus, Ocular hyperaemia, Peripheral swelling, Pruritus
Clinical narrative: Patient has experienced right hand swelling, as well as redness and itching on neck, face and around the eyes.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Headache, Pain, Paranasal sinus discomfort
Clinical narrative: Suffered from COVID-19 symptoms with negative test.  Headache, sinus pressure, body aches, loss of taste and smell.  Husband and children tested positive. Certain it was COVID
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Suspected COVID-19
Clinical narrative: Suffered from COVID-19 symptoms with negative test.  Headache, sinus pressure, body aches, loss of taste and smell.  Husband and children tested positive. Certain it was COVID
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Aphasia, Carotid artery thrombosis, Cerebrovascular accident, Chest X-ray
Clinical narrative: Patient Received Pfizer mRNA COVID-19 vaccine August 20, 2021.  No issues immediately.  She describes feeling of sensation of spasm at her left leg Tuesday September 14, 2021 with no sequela.  On September 17 she experienced spasms at her left leg again followed by complete paralysis of her left side, aphasia.  Admitted to the hospital from 9/17/2022 and diagnosed with multifocal right MCA strokes in the setting of right carotid mural thrombosis.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head, Hemiplegia, Magnetic resonance imaging abdominal, Magnetic resonance imaging head, Magnetic resonance imaging neck
Clinical narrative: Patient Received Pfizer mRNA COVID-19 vaccine August 20, 2021.  No issues immediately.  She describes feeling of sensation of spasm at her left leg Tuesday September 14, 2021 with no sequela.  On September 17 she experienced spasms at her left leg again followed by complete paralysis of her left side, aphasia.  Admitted to the hospital from 9/17/2022 and diagnosed with multifocal right MCA strokes in the setting of right carotid mural thrombosis.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms
Clinical narrative: Patient Received Pfizer mRNA COVID-19 vaccine August 20, 2021.  No issues immediately.  She describes feeling of sensation of spasm at her left leg Tuesday September 14, 2021 with no sequela.  On September 17 she experienced spasms at her left leg again followed by complete paralysis of her left side, aphasia.  Admitted to the hospital from 9/17/2022 and diagnosed with multifocal right MCA strokes in the setting of right carotid mural thrombosis.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fall, Head injury, Skin laceration
Clinical narrative: Patient fall s/p COVID vaccine administration. Patient reported dizziness, no LOC, fell from standing striking head. Laceration to left upper forehead, sent to Urgent Care for sutures/closure.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstruation irregular
Clinical narrative: Mid cycle period, heavy bleeding & clotting
Age: 63.0
Sex: M
Vaccine: UNK
Symptoms: Blood glucose decreased, Cold sweat, Dizziness, Feeling hot
Clinical narrative: Pt presents to clinic for flu vaccine. Following vaccine at approx 2 pm pt reports clamminess, "hot" and dizzy. BP 135/73 P51 O2 99% T 96.9 . Dr. assessed pt, ordered glucose check. BS 52 mg/dl. Pt alert and oriented. Recheck of BS was 48 mg/dl. Pt reports only had coffee today. Pt given fruit juice and cereal bar. BS recheck @2:22 82 mg/dl.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Delivery, Exposure during pregnancy, Vaccine breakthrough infection
Clinical narrative: Fully vaccined, vaccine breakthrough 11/10/21, mild symptoms Admitted 11/14 to deliver a full term baby girl vaginally.     Baby girl 39 w gestation, 3.09 kg.   Not needing NICU care.
Age: 50.0
Sex: F
Vaccine: FLU4
Symptoms: Bell's palsy, Computerised tomogram, Facial paralysis, Laboratory test, Magnetic resonance imaging
Clinical narrative: Sudden onset left sided facial paralysis started in the a.m. of 11/7/21. No previous illness, no diabetes, no lyme  disease (negative titer); Previous reaction to flu vaccine, hives; Dx: Bells Palsy
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Child was given the Adult Pfizer but dosage 0.2ml  instead of the child Pfizer. No signs or symptoms noted at this time.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Atypical pneumonia, C-reactive protein increased, COVID-19, Chest X-ray abnormal, Computerised tomogram thorax
Clinical narrative: Pt tested positive for COVID on 11/2/21, and was hospitalized with acute onset of SOB on 11/3/21. In the ER he was found to be hypoxic with chest x-ray indicating atypical or viral pneumonia. I did extend his remdesivir to a 10 day regimen. Started on dexamethasone.  Started on ceftriaxone and azithromycin for a total 5 day course of antibiotics for secondary bacterial pneumonia. Found to have leukocytosis and elevated procalcitonin
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Dyspnoea, Fibrin D dimer, Hypoxia, Leukocytosis
Clinical narrative: Pt tested positive for COVID on 11/2/21, and was hospitalized with acute onset of SOB on 11/3/21. In the ER he was found to be hypoxic with chest x-ray indicating atypical or viral pneumonia. I did extend his remdesivir to a 10 day regimen. Started on dexamethasone.  Started on ceftriaxone and azithromycin for a total 5 day course of antibiotics for secondary bacterial pneumonia. Found to have leukocytosis and elevated procalcitonin
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia bacterial, Pneumonia viral, Procalcitonin increased, SARS-CoV-2 test positive, Ultrasound Doppler abnormal
Clinical narrative: Pt tested positive for COVID on 11/2/21, and was hospitalized with acute onset of SOB on 11/3/21. In the ER he was found to be hypoxic with chest x-ray indicating atypical or viral pneumonia. I did extend his remdesivir to a 10 day regimen. Started on dexamethasone.  Started on ceftriaxone and azithromycin for a total 5 day course of antibiotics for secondary bacterial pneumonia. Found to have leukocytosis and elevated procalcitonin
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Chest pain, Decreased appetite, Malaise, Vomiting
Clinical narrative: Patient's mother states that he started to feel sick Friday night, approx. 5hours after vaccine was administered with vomiting 3x, decreased appetite, abdominal pain, chest pain started after vomiting. Mom reports pt. is still c/o chest pain intermittent since Friday. Denies any other medical symptoms. Patient was evaluated today 11/15/2021. Vitals: Temp 98.8, BP:90/60, HR: 80 , RR: 18,  PO: 97% ra , WT:118lbs. Pt is alert, no distress, hydrated, cooperative. Physical exam with in normal limits. Pt referred to ER for further evaluation for Myocarditis.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dyspnoea, Fatigue, Headache
Clinical narrative: Headache, body aches, fatigue, sharp pain in joints (elbows and knees), chills and shortness ofbreath
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Headache, body aches, fatigue, sharp pain in joints (elbows and knees), chills and shortness ofbreath
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Acute respiratory failure, Angiogram pulmonary abnormal, Atelectasis, COVID-19
Clinical narrative: Family Medicine Encounter for screening laboratory testing for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)  Dx Cough ? Sore Throat ? Nasal Congestion ? Nausea  10/29/2021 COVID 19 MAB Infusion   ED to Hosp-Admission  Discharged 11/2/2021 - 11/4/2021 (2 days)   Last attending ? Treatment team Acute hypoxemic respiratory failure due to COVID-19 (CMS/HCC) Hospital Problems           POA  Hypertension Yes    Diabetes mellitus (CMS/HCC) Yes        Paroxysmal atrial fibrillation (CMS/HCC) Yes    Pneumonia due to COVID-19 virus Yes      HPI: The patient is an 78 y.o. female.    There is no known COVID-19 infection diagnosed last week.  Her husband was in the hospital last week with COVID-19.  She received monoclonal antibody infusion on Friday.  She is fully vaccinated.  However last 24 hours she started running fevers, she started feeling more ill, she started to feel like her heart was racing and she knows she has atrial fibrillation.  Came emergency room for evaluation.  Emergency room was noted to be hypoxic 87% on room air.  She was sinus tachycardia consistent with her lung disease.  Chest x-ray consistent with Covid pneumonia.  She was referred for inpatient management of her Covid infection.   Hospital Course:   78-year-old female with history of A. fib diabetes mellitus hypertension presented with shortness of H&P done admitting hospitalist for details.  Patient was a COVID-19 vaccinated was diagnosed having Covid recently, received multiple antibiotics outpatient basis came with worsening shortness of breath patient was also hypoxic requiring oxygen, patient received dexamethasone and remdesivir, shortness of breath gradually improved oxygen patient normalized, patient on room air since yesterday.  Patient was discharged on p.o. dexamethasone for five more days.  ED  Discharged 11/13/2021 (3 hours)  Treatment team Palpitations  History of COVID-19   Anticoagulated   Atrial fibrillation with RVR (CMS/HCC)    The patient is a 78 y.o. female presenting to the ED with chief complaint of increased heart rate and palpitations, patient recently in the hospital couple weeks ago for Covid pneumonia, has been doing well, over the past week has been having some abdominal discomfort with nausea.  Today she had increased heart rate and palpitations.  Has a history of atrial fibrillation is on Eliquis.  Denies any chest pain or shortness of breath.   Prehospital EKG 120 atrial fibrillation   Patient right now feels back to baseline, heart rate on arrival 50-60 No complaints of chest pain or abdominal pain, no recent other illness, symptoms moderate, nothing else makes it better or worse, no other relieving or mitigating factors
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Cardiomegaly, Chest X-ray abnormal, Cholecystectomy, Computerised tomogram abdomen abnormal
Clinical narrative: Family Medicine Encounter for screening laboratory testing for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)  Dx Cough ? Sore Throat ? Nasal Congestion ? Nausea  10/29/2021 COVID 19 MAB Infusion   ED to Hosp-Admission  Discharged 11/2/2021 - 11/4/2021 (2 days)   Last attending ? Treatment team Acute hypoxemic respiratory failure due to COVID-19 (CMS/HCC) Hospital Problems           POA  Hypertension Yes    Diabetes mellitus (CMS/HCC) Yes        Paroxysmal atrial fibrillation (CMS/HCC) Yes    Pneumonia due to COVID-19 virus Yes      HPI: The patient is an 78 y.o. female.    There is no known COVID-19 infection diagnosed last week.  Her husband was in the hospital last week with COVID-19.  She received monoclonal antibody infusion on Friday.  She is fully vaccinated.  However last 24 hours she started running fevers, she started feeling more ill, she started to feel like her heart was racing and she knows she has atrial fibrillation.  Came emergency room for evaluation.  Emergency room was noted to be hypoxic 87% on room air.  She was sinus tachycardia consistent with her lung disease.  Chest x-ray consistent with Covid pneumonia.  She was referred for inpatient management of her Covid infection.   Hospital Course:   78-year-old female with history of A. fib diabetes mellitus hypertension presented with shortness of H&P done admitting hospitalist for details.  Patient was a COVID-19 vaccinated was diagnosed having Covid recently, received multiple antibiotics outpatient basis came with worsening shortness of breath patient was also hypoxic requiring oxygen, patient received dexamethasone and remdesivir, shortness of breath gradually improved oxygen patient normalized, patient on room air since yesterday.  Patient was discharged on p.o. dexamethasone for five more days.  ED  Discharged 11/13/2021 (3 hours)  Treatment team Palpitations  History of COVID-19   Anticoagulated   Atrial fibrillation with RVR (CMS/HCC)    The patient is a 78 y.o. female presenting to the ED with chief complaint of increased heart rate and palpitations, patient recently in the hospital couple weeks ago for Covid pneumonia, has been doing well, over the past week has been having some abdominal discomfort with nausea.  Today she had increased heart rate and palpitations.  Has a history of atrial fibrillation is on Eliquis.  Denies any chest pain or shortness of breath.   Prehospital EKG 120 atrial fibrillation   Patient right now feels back to baseline, heart rate on arrival 50-60 No complaints of chest pain or abdominal pain, no recent other illness, symptoms moderate, nothing else makes it better or worse, no other relieving or mitigating factors
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram thorax, Condition aggravated, Cough, Dyspnoea, Electrocardiogram abnormal
Clinical narrative: Family Medicine Encounter for screening laboratory testing for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)  Dx Cough ? Sore Throat ? Nasal Congestion ? Nausea  10/29/2021 COVID 19 MAB Infusion   ED to Hosp-Admission  Discharged 11/2/2021 - 11/4/2021 (2 days)   Last attending ? Treatment team Acute hypoxemic respiratory failure due to COVID-19 (CMS/HCC) Hospital Problems           POA  Hypertension Yes    Diabetes mellitus (CMS/HCC) Yes        Paroxysmal atrial fibrillation (CMS/HCC) Yes    Pneumonia due to COVID-19 virus Yes      HPI: The patient is an 78 y.o. female.    There is no known COVID-19 infection diagnosed last week.  Her husband was in the hospital last week with COVID-19.  She received monoclonal antibody infusion on Friday.  She is fully vaccinated.  However last 24 hours she started running fevers, she started feeling more ill, she started to feel like her heart was racing and she knows she has atrial fibrillation.  Came emergency room for evaluation.  Emergency room was noted to be hypoxic 87% on room air.  She was sinus tachycardia consistent with her lung disease.  Chest x-ray consistent with Covid pneumonia.  She was referred for inpatient management of her Covid infection.   Hospital Course:   78-year-old female with history of A. fib diabetes mellitus hypertension presented with shortness of H&P done admitting hospitalist for details.  Patient was a COVID-19 vaccinated was diagnosed having Covid recently, received multiple antibiotics outpatient basis came with worsening shortness of breath patient was also hypoxic requiring oxygen, patient received dexamethasone and remdesivir, shortness of breath gradually improved oxygen patient normalized, patient on room air since yesterday.  Patient was discharged on p.o. dexamethasone for five more days.  ED  Discharged 11/13/2021 (3 hours)  Treatment team Palpitations  History of COVID-19   Anticoagulated   Atrial fibrillation with RVR (CMS/HCC)    The patient is a 78 y.o. female presenting to the ED with chief complaint of increased heart rate and palpitations, patient recently in the hospital couple weeks ago for Covid pneumonia, has been doing well, over the past week has been having some abdominal discomfort with nausea.  Today she had increased heart rate and palpitations.  Has a history of atrial fibrillation is on Eliquis.  Denies any chest pain or shortness of breath.   Prehospital EKG 120 atrial fibrillation   Patient right now feels back to baseline, heart rate on arrival 50-60 No complaints of chest pain or abdominal pain, no recent other illness, symptoms moderate, nothing else makes it better or worse, no other relieving or mitigating factors
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Facet joint syndrome, Heart rate increased, Hiatus hernia, Intervertebral disc space narrowing, Lung disorder
Clinical narrative: Family Medicine Encounter for screening laboratory testing for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)  Dx Cough ? Sore Throat ? Nasal Congestion ? Nausea  10/29/2021 COVID 19 MAB Infusion   ED to Hosp-Admission  Discharged 11/2/2021 - 11/4/2021 (2 days)   Last attending ? Treatment team Acute hypoxemic respiratory failure due to COVID-19 (CMS/HCC) Hospital Problems           POA  Hypertension Yes    Diabetes mellitus (CMS/HCC) Yes        Paroxysmal atrial fibrillation (CMS/HCC) Yes    Pneumonia due to COVID-19 virus Yes      HPI: The patient is an 78 y.o. female.    There is no known COVID-19 infection diagnosed last week.  Her husband was in the hospital last week with COVID-19.  She received monoclonal antibody infusion on Friday.  She is fully vaccinated.  However last 24 hours she started running fevers, she started feeling more ill, she started to feel like her heart was racing and she knows she has atrial fibrillation.  Came emergency room for evaluation.  Emergency room was noted to be hypoxic 87% on room air.  She was sinus tachycardia consistent with her lung disease.  Chest x-ray consistent with Covid pneumonia.  She was referred for inpatient management of her Covid infection.   Hospital Course:   78-year-old female with history of A. fib diabetes mellitus hypertension presented with shortness of H&P done admitting hospitalist for details.  Patient was a COVID-19 vaccinated was diagnosed having Covid recently, received multiple antibiotics outpatient basis came with worsening shortness of breath patient was also hypoxic requiring oxygen, patient received dexamethasone and remdesivir, shortness of breath gradually improved oxygen patient normalized, patient on room air since yesterday.  Patient was discharged on p.o. dexamethasone for five more days.  ED  Discharged 11/13/2021 (3 hours)  Treatment team Palpitations  History of COVID-19   Anticoagulated   Atrial fibrillation with RVR (CMS/HCC)    The patient is a 78 y.o. female presenting to the ED with chief complaint of increased heart rate and palpitations, patient recently in the hospital couple weeks ago for Covid pneumonia, has been doing well, over the past week has been having some abdominal discomfort with nausea.  Today she had increased heart rate and palpitations.  Has a history of atrial fibrillation is on Eliquis.  Denies any chest pain or shortness of breath.   Prehospital EKG 120 atrial fibrillation   Patient right now feels back to baseline, heart rate on arrival 50-60 No complaints of chest pain or abdominal pain, no recent other illness, symptoms moderate, nothing else makes it better or worse, no other relieving or mitigating factors
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Lung infiltration, Malaise, Myelopathy, Nasal congestion, Nausea
Clinical narrative: Family Medicine Encounter for screening laboratory testing for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)  Dx Cough ? Sore Throat ? Nasal Congestion ? Nausea  10/29/2021 COVID 19 MAB Infusion   ED to Hosp-Admission  Discharged 11/2/2021 - 11/4/2021 (2 days)   Last attending ? Treatment team Acute hypoxemic respiratory failure due to COVID-19 (CMS/HCC) Hospital Problems           POA  Hypertension Yes    Diabetes mellitus (CMS/HCC) Yes        Paroxysmal atrial fibrillation (CMS/HCC) Yes    Pneumonia due to COVID-19 virus Yes      HPI: The patient is an 78 y.o. female.    There is no known COVID-19 infection diagnosed last week.  Her husband was in the hospital last week with COVID-19.  She received monoclonal antibody infusion on Friday.  She is fully vaccinated.  However last 24 hours she started running fevers, she started feeling more ill, she started to feel like her heart was racing and she knows she has atrial fibrillation.  Came emergency room for evaluation.  Emergency room was noted to be hypoxic 87% on room air.  She was sinus tachycardia consistent with her lung disease.  Chest x-ray consistent with Covid pneumonia.  She was referred for inpatient management of her Covid infection.   Hospital Course:   78-year-old female with history of A. fib diabetes mellitus hypertension presented with shortness of H&P done admitting hospitalist for details.  Patient was a COVID-19 vaccinated was diagnosed having Covid recently, received multiple antibiotics outpatient basis came with worsening shortness of breath patient was also hypoxic requiring oxygen, patient received dexamethasone and remdesivir, shortness of breath gradually improved oxygen patient normalized, patient on room air since yesterday.  Patient was discharged on p.o. dexamethasone for five more days.  ED  Discharged 11/13/2021 (3 hours)  Treatment team Palpitations  History of COVID-19   Anticoagulated   Atrial fibrillation with RVR (CMS/HCC)    The patient is a 78 y.o. female presenting to the ED with chief complaint of increased heart rate and palpitations, patient recently in the hospital couple weeks ago for Covid pneumonia, has been doing well, over the past week has been having some abdominal discomfort with nausea.  Today she had increased heart rate and palpitations.  Has a history of atrial fibrillation is on Eliquis.  Denies any chest pain or shortness of breath.   Prehospital EKG 120 atrial fibrillation   Patient right now feels back to baseline, heart rate on arrival 50-60 No complaints of chest pain or abdominal pain, no recent other illness, symptoms moderate, nothing else makes it better or worse, no other relieving or mitigating factors
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Palpitations, Pancreatic atrophy, Pancreatic duct dilatation, Pulmonary mass
Clinical narrative: Family Medicine Encounter for screening laboratory testing for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)  Dx Cough ? Sore Throat ? Nasal Congestion ? Nausea  10/29/2021 COVID 19 MAB Infusion   ED to Hosp-Admission  Discharged 11/2/2021 - 11/4/2021 (2 days)   Last attending ? Treatment team Acute hypoxemic respiratory failure due to COVID-19 (CMS/HCC) Hospital Problems           POA  Hypertension Yes    Diabetes mellitus (CMS/HCC) Yes        Paroxysmal atrial fibrillation (CMS/HCC) Yes    Pneumonia due to COVID-19 virus Yes      HPI: The patient is an 78 y.o. female.    There is no known COVID-19 infection diagnosed last week.  Her husband was in the hospital last week with COVID-19.  She received monoclonal antibody infusion on Friday.  She is fully vaccinated.  However last 24 hours she started running fevers, she started feeling more ill, she started to feel like her heart was racing and she knows she has atrial fibrillation.  Came emergency room for evaluation.  Emergency room was noted to be hypoxic 87% on room air.  She was sinus tachycardia consistent with her lung disease.  Chest x-ray consistent with Covid pneumonia.  She was referred for inpatient management of her Covid infection.   Hospital Course:   78-year-old female with history of A. fib diabetes mellitus hypertension presented with shortness of H&P done admitting hospitalist for details.  Patient was a COVID-19 vaccinated was diagnosed having Covid recently, received multiple antibiotics outpatient basis came with worsening shortness of breath patient was also hypoxic requiring oxygen, patient received dexamethasone and remdesivir, shortness of breath gradually improved oxygen patient normalized, patient on room air since yesterday.  Patient was discharged on p.o. dexamethasone for five more days.  ED  Discharged 11/13/2021 (3 hours)  Treatment team Palpitations  History of COVID-19   Anticoagulated   Atrial fibrillation with RVR (CMS/HCC)    The patient is a 78 y.o. female presenting to the ED with chief complaint of increased heart rate and palpitations, patient recently in the hospital couple weeks ago for Covid pneumonia, has been doing well, over the past week has been having some abdominal discomfort with nausea.  Today she had increased heart rate and palpitations.  Has a history of atrial fibrillation is on Eliquis.  Denies any chest pain or shortness of breath.   Prehospital EKG 120 atrial fibrillation   Patient right now feels back to baseline, heart rate on arrival 50-60 No complaints of chest pain or abdominal pain, no recent other illness, symptoms moderate, nothing else makes it better or worse, no other relieving or mitigating factors
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Scan with contrast abnormal, Sepsis, Severe acute respiratory syndrome
Clinical narrative: Family Medicine Encounter for screening laboratory testing for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)  Dx Cough ? Sore Throat ? Nasal Congestion ? Nausea  10/29/2021 COVID 19 MAB Infusion   ED to Hosp-Admission  Discharged 11/2/2021 - 11/4/2021 (2 days)   Last attending ? Treatment team Acute hypoxemic respiratory failure due to COVID-19 (CMS/HCC) Hospital Problems           POA  Hypertension Yes    Diabetes mellitus (CMS/HCC) Yes        Paroxysmal atrial fibrillation (CMS/HCC) Yes    Pneumonia due to COVID-19 virus Yes      HPI: The patient is an 78 y.o. female.    There is no known COVID-19 infection diagnosed last week.  Her husband was in the hospital last week with COVID-19.  She received monoclonal antibody infusion on Friday.  She is fully vaccinated.  However last 24 hours she started running fevers, she started feeling more ill, she started to feel like her heart was racing and she knows she has atrial fibrillation.  Came emergency room for evaluation.  Emergency room was noted to be hypoxic 87% on room air.  She was sinus tachycardia consistent with her lung disease.  Chest x-ray consistent with Covid pneumonia.  She was referred for inpatient management of her Covid infection.   Hospital Course:   78-year-old female with history of A. fib diabetes mellitus hypertension presented with shortness of H&P done admitting hospitalist for details.  Patient was a COVID-19 vaccinated was diagnosed having Covid recently, received multiple antibiotics outpatient basis came with worsening shortness of breath patient was also hypoxic requiring oxygen, patient received dexamethasone and remdesivir, shortness of breath gradually improved oxygen patient normalized, patient on room air since yesterday.  Patient was discharged on p.o. dexamethasone for five more days.  ED  Discharged 11/13/2021 (3 hours)  Treatment team Palpitations  History of COVID-19   Anticoagulated   Atrial fibrillation with RVR (CMS/HCC)    The patient is a 78 y.o. female presenting to the ED with chief complaint of increased heart rate and palpitations, patient recently in the hospital couple weeks ago for Covid pneumonia, has been doing well, over the past week has been having some abdominal discomfort with nausea.  Today she had increased heart rate and palpitations.  Has a history of atrial fibrillation is on Eliquis.  Denies any chest pain or shortness of breath.   Prehospital EKG 120 atrial fibrillation   Patient right now feels back to baseline, heart rate on arrival 50-60 No complaints of chest pain or abdominal pain, no recent other illness, symptoms moderate, nothing else makes it better or worse, no other relieving or mitigating factors
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus tachycardia, Spondylolisthesis, Vena cava filter insertion, Vertebral wedging
Clinical narrative: Family Medicine Encounter for screening laboratory testing for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)  Dx Cough ? Sore Throat ? Nasal Congestion ? Nausea  10/29/2021 COVID 19 MAB Infusion   ED to Hosp-Admission  Discharged 11/2/2021 - 11/4/2021 (2 days)   Last attending ? Treatment team Acute hypoxemic respiratory failure due to COVID-19 (CMS/HCC) Hospital Problems           POA  Hypertension Yes    Diabetes mellitus (CMS/HCC) Yes        Paroxysmal atrial fibrillation (CMS/HCC) Yes    Pneumonia due to COVID-19 virus Yes      HPI: The patient is an 78 y.o. female.    There is no known COVID-19 infection diagnosed last week.  Her husband was in the hospital last week with COVID-19.  She received monoclonal antibody infusion on Friday.  She is fully vaccinated.  However last 24 hours she started running fevers, she started feeling more ill, she started to feel like her heart was racing and she knows she has atrial fibrillation.  Came emergency room for evaluation.  Emergency room was noted to be hypoxic 87% on room air.  She was sinus tachycardia consistent with her lung disease.  Chest x-ray consistent with Covid pneumonia.  She was referred for inpatient management of her Covid infection.   Hospital Course:   78-year-old female with history of A. fib diabetes mellitus hypertension presented with shortness of H&P done admitting hospitalist for details.  Patient was a COVID-19 vaccinated was diagnosed having Covid recently, received multiple antibiotics outpatient basis came with worsening shortness of breath patient was also hypoxic requiring oxygen, patient received dexamethasone and remdesivir, shortness of breath gradually improved oxygen patient normalized, patient on room air since yesterday.  Patient was discharged on p.o. dexamethasone for five more days.  ED  Discharged 11/13/2021 (3 hours)  Treatment team Palpitations  History of COVID-19   Anticoagulated   Atrial fibrillation with RVR (CMS/HCC)    The patient is a 78 y.o. female presenting to the ED with chief complaint of increased heart rate and palpitations, patient recently in the hospital couple weeks ago for Covid pneumonia, has been doing well, over the past week has been having some abdominal discomfort with nausea.  Today she had increased heart rate and palpitations.  Has a history of atrial fibrillation is on Eliquis.  Denies any chest pain or shortness of breath.   Prehospital EKG 120 atrial fibrillation   Patient right now feels back to baseline, heart rate on arrival 50-60 No complaints of chest pain or abdominal pain, no recent other illness, symptoms moderate, nothing else makes it better or worse, no other relieving or mitigating factors
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Diarrhoea, Headache, Lip swelling, Menstruation irregular
Clinical narrative: Headache, gastrointestinal distress (diarrhea); swollen lips and eyelids; period started 2 weeks early
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling of eyelid
Clinical narrative: Headache, gastrointestinal distress (diarrhea); swollen lips and eyelids; period started 2 weeks early
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Aphonia, Blood test, Chest X-ray, Computerised tomogram, Heart rate increased
Clinical narrative: Puffy eyes, elevated heart rate and lost about 40lbs. Also lost his voice to where it became a whisper. Has been to various dr appts and nobody can tell him whats wrong.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Periorbital swelling, Weight decreased
Clinical narrative: Puffy eyes, elevated heart rate and lost about 40lbs. Also lost his voice to where it became a whisper. Has been to various dr appts and nobody can tell him whats wrong.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site hypoaesthesia, Injection site warmth, Joint range of motion decreased
Clinical narrative: Loss of use, numbness, redness, heat to right arm
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Diarrhoea, Fatigue, Pyrexia
Clinical narrative: Admitted from Hospital - symptomatic with cough, fever, fatigue,  and diarrhea
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient hospitalized after testing  positive for COVID and being fully vaccinated
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris, Dizziness, Dyspnoea, Heart rate irregular
Clinical narrative: episodic acute heart pain, erratic pulse, lightheadedness, shortness of breath - symptoms would subside with rest - no treatment.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Adenovirus test, Angiogram pulmonary normal, Asthenia, Bordetella test negative, COVID-19
Clinical narrative: ED to Hosp-Admission  Discharged 10/26/2021 - 10/28/2021 (2 days)   Sepsis  Acute cystitis without hematuria Mechanical fall COVID-19 infection Type 2 diabetes mellitus Essential hypertension Mixed hyperlipidemia Hypothyroidism Depression with anxiety Overactive bladder Chronic back pain Presenting Problem/History of Present Illness/Reason for Admission Per admission H&P: "The patient is an 77 y.o. female, with history of type 2 diabetes, recurrent UTIs, history of septic shock 2020 due to UTI, essential hypertension, hyperlipidemia, hypothyroidism, ambulatory dysfunction due to back pain, spinal stenosis of lumbar region with multiple lumbar surgeries, CKD stage II, presents to the ED via son after having two nonsyncopal falls at home due to weakness and lightheadedness.  She denies striking her head. Patient notes she had similar symptoms a year ago when she was admitted to the ICU due to septic shock, UTI and bacteremia. She had both initial Covid vaccines as well as a booster without any known sick contacts. In the emergency department, she was found to be Covid positive with abnormal UA, however CTA chest was negative for PE or any other acute changes."   Hospital Course Patient was admitted and started on Rocephin for her presenting UTI along with dexamethasone for her presenting COVID-19 virus infection. With 48 hours of treatment she returned to her baseline level of health. She was evaluated by PT and OT who cleared her for home. She is being discharged in stable condition with VNA.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chlamydia test negative, Coronavirus test negative, Cystitis, Dizziness
Clinical narrative: ED to Hosp-Admission  Discharged 10/26/2021 - 10/28/2021 (2 days)   Sepsis  Acute cystitis without hematuria Mechanical fall COVID-19 infection Type 2 diabetes mellitus Essential hypertension Mixed hyperlipidemia Hypothyroidism Depression with anxiety Overactive bladder Chronic back pain Presenting Problem/History of Present Illness/Reason for Admission Per admission H&P: "The patient is an 77 y.o. female, with history of type 2 diabetes, recurrent UTIs, history of septic shock 2020 due to UTI, essential hypertension, hyperlipidemia, hypothyroidism, ambulatory dysfunction due to back pain, spinal stenosis of lumbar region with multiple lumbar surgeries, CKD stage II, presents to the ED via son after having two nonsyncopal falls at home due to weakness and lightheadedness.  She denies striking her head. Patient notes she had similar symptoms a year ago when she was admitted to the ICU due to septic shock, UTI and bacteremia. She had both initial Covid vaccines as well as a booster without any known sick contacts. In the emergency department, she was found to be Covid positive with abnormal UA, however CTA chest was negative for PE or any other acute changes."   Hospital Course Patient was admitted and started on Rocephin for her presenting UTI along with dexamethasone for her presenting COVID-19 virus infection. With 48 hours of treatment she returned to her baseline level of health. She was evaluated by PT and OT who cleared her for home. She is being discharged in stable condition with VNA.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Enterovirus test negative, Fall, Haemophilus test, Human metapneumovirus test, Human rhinovirus test
Clinical narrative: ED to Hosp-Admission  Discharged 10/26/2021 - 10/28/2021 (2 days)   Sepsis  Acute cystitis without hematuria Mechanical fall COVID-19 infection Type 2 diabetes mellitus Essential hypertension Mixed hyperlipidemia Hypothyroidism Depression with anxiety Overactive bladder Chronic back pain Presenting Problem/History of Present Illness/Reason for Admission Per admission H&P: "The patient is an 77 y.o. female, with history of type 2 diabetes, recurrent UTIs, history of septic shock 2020 due to UTI, essential hypertension, hyperlipidemia, hypothyroidism, ambulatory dysfunction due to back pain, spinal stenosis of lumbar region with multiple lumbar surgeries, CKD stage II, presents to the ED via son after having two nonsyncopal falls at home due to weakness and lightheadedness.  She denies striking her head. Patient notes she had similar symptoms a year ago when she was admitted to the ICU due to septic shock, UTI and bacteremia. She had both initial Covid vaccines as well as a booster without any known sick contacts. In the emergency department, she was found to be Covid positive with abnormal UA, however CTA chest was negative for PE or any other acute changes."   Hospital Course Patient was admitted and started on Rocephin for her presenting UTI along with dexamethasone for her presenting COVID-19 virus infection. With 48 hours of treatment she returned to her baseline level of health. She was evaluated by PT and OT who cleared her for home. She is being discharged in stable condition with VNA.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza A virus test negative, Influenza B virus test, Mycoplasma test negative, Respiratory syncytial virus test negative, SARS-CoV-2 test positive
Clinical narrative: ED to Hosp-Admission  Discharged 10/26/2021 - 10/28/2021 (2 days)   Sepsis  Acute cystitis without hematuria Mechanical fall COVID-19 infection Type 2 diabetes mellitus Essential hypertension Mixed hyperlipidemia Hypothyroidism Depression with anxiety Overactive bladder Chronic back pain Presenting Problem/History of Present Illness/Reason for Admission Per admission H&P: "The patient is an 77 y.o. female, with history of type 2 diabetes, recurrent UTIs, history of septic shock 2020 due to UTI, essential hypertension, hyperlipidemia, hypothyroidism, ambulatory dysfunction due to back pain, spinal stenosis of lumbar region with multiple lumbar surgeries, CKD stage II, presents to the ED via son after having two nonsyncopal falls at home due to weakness and lightheadedness.  She denies striking her head. Patient notes she had similar symptoms a year ago when she was admitted to the ICU due to septic shock, UTI and bacteremia. She had both initial Covid vaccines as well as a booster without any known sick contacts. In the emergency department, she was found to be Covid positive with abnormal UA, however CTA chest was negative for PE or any other acute changes."   Hospital Course Patient was admitted and started on Rocephin for her presenting UTI along with dexamethasone for her presenting COVID-19 virus infection. With 48 hours of treatment she returned to her baseline level of health. She was evaluated by PT and OT who cleared her for home. She is being discharged in stable condition with VNA.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Scan with contrast normal, Sepsis, Urinary tract infection, Urine analysis abnormal
Clinical narrative: ED to Hosp-Admission  Discharged 10/26/2021 - 10/28/2021 (2 days)   Sepsis  Acute cystitis without hematuria Mechanical fall COVID-19 infection Type 2 diabetes mellitus Essential hypertension Mixed hyperlipidemia Hypothyroidism Depression with anxiety Overactive bladder Chronic back pain Presenting Problem/History of Present Illness/Reason for Admission Per admission H&P: "The patient is an 77 y.o. female, with history of type 2 diabetes, recurrent UTIs, history of septic shock 2020 due to UTI, essential hypertension, hyperlipidemia, hypothyroidism, ambulatory dysfunction due to back pain, spinal stenosis of lumbar region with multiple lumbar surgeries, CKD stage II, presents to the ED via son after having two nonsyncopal falls at home due to weakness and lightheadedness.  She denies striking her head. Patient notes she had similar symptoms a year ago when she was admitted to the ICU due to septic shock, UTI and bacteremia. She had both initial Covid vaccines as well as a booster without any known sick contacts. In the emergency department, she was found to be Covid positive with abnormal UA, however CTA chest was negative for PE or any other acute changes."   Hospital Course Patient was admitted and started on Rocephin for her presenting UTI along with dexamethasone for her presenting COVID-19 virus infection. With 48 hours of treatment she returned to her baseline level of health. She was evaluated by PT and OT who cleared her for home. She is being discharged in stable condition with VNA.