chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Back pain, COVID-19, Cough
Clinical narrative: Narrative:  COVID infections following completion of COVID vaccine series 01/06/21 COVID vaccine dose #1 01/29/21 COVID vaccine dose #2 03/28/21 Pt presents to ED reporting right sided lower back/flank pain x2-3 days, pleuritic chest pain, and concerns of UTI; on exam, pt appears to have early shingles rash but denies ever having chicken pox; discharged with ketorolac, valacyclovir, and naproxen 03/30/21 Pt reports no shingles rash but continuing pain that is tender to palpation and worse with movement; zoster IgG is positive 04/06/21 Pt presents to clinic and reports continued sharp back pain; rx given for tylenol #3 07/29/21 Pt reports cough, diarrhea, runny nose, sore throat, and close exposure to known or suspected COVID positive person; COVID POSITIVE 07/30/21 Pt reports body aches, mild cough, runny nose; rx given for benzonatate, ascorbic acid 07/31/21 Pt reports mild cough, fatigue, diarrhea, muscle pain, runny nose 08/01/21 Pt reports loss of taste or smell 08/02/21 Pt reports continued diarrhea; advised to hold miralax and colace 08/03/21 Pt reports cough nearly resolved, fatigue 08/05/21 Pt reports worsening diarrhea and abdominal symptoms; advised to come in for evaluation; meets CDC criteria for resolution of COVID
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Exposure to SARS-CoV-2, Fatigue, Flank pain, Gastrointestinal disorder
Clinical narrative: Narrative:  COVID infections following completion of COVID vaccine series 01/06/21 COVID vaccine dose #1 01/29/21 COVID vaccine dose #2 03/28/21 Pt presents to ED reporting right sided lower back/flank pain x2-3 days, pleuritic chest pain, and concerns of UTI; on exam, pt appears to have early shingles rash but denies ever having chicken pox; discharged with ketorolac, valacyclovir, and naproxen 03/30/21 Pt reports no shingles rash but continuing pain that is tender to palpation and worse with movement; zoster IgG is positive 04/06/21 Pt presents to clinic and reports continued sharp back pain; rx given for tylenol #3 07/29/21 Pt reports cough, diarrhea, runny nose, sore throat, and close exposure to known or suspected COVID positive person; COVID POSITIVE 07/30/21 Pt reports body aches, mild cough, runny nose; rx given for benzonatate, ascorbic acid 07/31/21 Pt reports mild cough, fatigue, diarrhea, muscle pain, runny nose 08/01/21 Pt reports loss of taste or smell 08/02/21 Pt reports continued diarrhea; advised to hold miralax and colace 08/03/21 Pt reports cough nearly resolved, fatigue 08/05/21 Pt reports worsening diarrhea and abdominal symptoms; advised to come in for evaluation; meets CDC criteria for resolution of COVID
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster, Myalgia, Oropharyngeal pain, Pain, Pleuritic pain
Clinical narrative: Narrative:  COVID infections following completion of COVID vaccine series 01/06/21 COVID vaccine dose #1 01/29/21 COVID vaccine dose #2 03/28/21 Pt presents to ED reporting right sided lower back/flank pain x2-3 days, pleuritic chest pain, and concerns of UTI; on exam, pt appears to have early shingles rash but denies ever having chicken pox; discharged with ketorolac, valacyclovir, and naproxen 03/30/21 Pt reports no shingles rash but continuing pain that is tender to palpation and worse with movement; zoster IgG is positive 04/06/21 Pt presents to clinic and reports continued sharp back pain; rx given for tylenol #3 07/29/21 Pt reports cough, diarrhea, runny nose, sore throat, and close exposure to known or suspected COVID positive person; COVID POSITIVE 07/30/21 Pt reports body aches, mild cough, runny nose; rx given for benzonatate, ascorbic acid 07/31/21 Pt reports mild cough, fatigue, diarrhea, muscle pain, runny nose 08/01/21 Pt reports loss of taste or smell 08/02/21 Pt reports continued diarrhea; advised to hold miralax and colace 08/03/21 Pt reports cough nearly resolved, fatigue 08/05/21 Pt reports worsening diarrhea and abdominal symptoms; advised to come in for evaluation; meets CDC criteria for resolution of COVID
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test, SARS-CoV-2 test positive, Tenderness, Varicella virus test positive
Clinical narrative: Narrative:  COVID infections following completion of COVID vaccine series 01/06/21 COVID vaccine dose #1 01/29/21 COVID vaccine dose #2 03/28/21 Pt presents to ED reporting right sided lower back/flank pain x2-3 days, pleuritic chest pain, and concerns of UTI; on exam, pt appears to have early shingles rash but denies ever having chicken pox; discharged with ketorolac, valacyclovir, and naproxen 03/30/21 Pt reports no shingles rash but continuing pain that is tender to palpation and worse with movement; zoster IgG is positive 04/06/21 Pt presents to clinic and reports continued sharp back pain; rx given for tylenol #3 07/29/21 Pt reports cough, diarrhea, runny nose, sore throat, and close exposure to known or suspected COVID positive person; COVID POSITIVE 07/30/21 Pt reports body aches, mild cough, runny nose; rx given for benzonatate, ascorbic acid 07/31/21 Pt reports mild cough, fatigue, diarrhea, muscle pain, runny nose 08/01/21 Pt reports loss of taste or smell 08/02/21 Pt reports continued diarrhea; advised to hold miralax and colace 08/03/21 Pt reports cough nearly resolved, fatigue 08/05/21 Pt reports worsening diarrhea and abdominal symptoms; advised to come in for evaluation; meets CDC criteria for resolution of COVID
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Gait inability, Loss of personal independence in daily activities, Musculoskeletal stiffness
Clinical narrative: Myalgia, Arthralgia,  fatigue after injection for approximately 2 days Narrative:  01/12/2021 - 01/15/2021 fatigue noted. ~01/15/2021 unable to ambulate for the next 3 to 4 days. Chronically, having pain in the joints, stiffness now dx w/RA, followed by Rheum and PCP. Effecting her ADLs and IADLs. Currently in physical therapy.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Rheumatoid arthritis
Clinical narrative: Myalgia, Arthralgia,  fatigue after injection for approximately 2 days Narrative:  01/12/2021 - 01/15/2021 fatigue noted. ~01/15/2021 unable to ambulate for the next 3 to 4 days. Chronically, having pain in the joints, stiffness now dx w/RA, followed by Rheum and PCP. Effecting her ADLs and IADLs. Currently in physical therapy.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Neoplasm malignant
Clinical narrative: Narrative:  81yo M with stage IV cancer - multiple new cancer diagnoses on 6/29/21 died at home on 8/6/2021 in community care home health care. Pt had received covid vaccinations on 2/6/21 & 2/27/21 from non-agency hospital. Death appears not related to vaccinations.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Influenza like illness, Pyrexia
Clinical narrative: Headache, Fever chills flu like symptoms Narrative:
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Death, Motor dysfunction, Vascular dementia, Visual impairment
Clinical narrative: Narrative:  71yo male pt died on 8/5/2021 at community hospital. Pt resided in medicl foster care. Pt with Right CVA with left sided visual and motor deficits with vascular dementia. Pt with Problem List: CVA Probable Major Vascular Neurocognitive Disorder Alcohol Use Disorder Tobacco Use Disorder Insomnia pseudo meningocele s/p repair duodenal ulcers GERD rhinitis HTN, Diastolic heart failure with impaired relaxation Hypotensive with tachycardia rebound vs mild dehydration Malnutrition, constipation DJD, lumbar laminectomy Pt had received covid vaccinations on 3/18/21 & 4/22/21. It appears vaccinations are unrelated to pt's death. No information available about pt's hospitalization leading up to his death since occurred at community hospital.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Chills, Cognitive disorder, Confusional state, Disorganised speech
Clinical narrative: BlurredVision, Confusion, Dizziness, Headache, Myalgia, Arthralgia, Fever, body aches, chills, nerve pain, unsteady gate, edema of hands & feet, jumbled speech, jumbled speech & difficulty recognizing objects, knot on right arm and arm pit Narrative:  On 11/27- Headache, body ache and chills, and nerve pain. 11/28- Headache , body aches and chills, night sweats, unable to pronunciation words, object recognition, jumbled speech, hand and feet swelling, knot on right arm, knot under right arm pit, fatigued, poor concentration, confused, forgetful, unsteady gait.. 11/29- headache, body aches, knot on right arm and arm pit, fatigued, forgetful, unsteady gait. 11/30- headache, fatigued, poor concentration, 12/1-(headache, body aches, fatigued). Mental clarity improving, no confusion, no chills, speech clear.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Disturbance in attention, Dizziness, Dysarthria, Fatigue, Gait disturbance
Clinical narrative: BlurredVision, Confusion, Dizziness, Headache, Myalgia, Arthralgia, Fever, body aches, chills, nerve pain, unsteady gate, edema of hands & feet, jumbled speech, jumbled speech & difficulty recognizing objects, knot on right arm and arm pit Narrative:  On 11/27- Headache, body ache and chills, and nerve pain. 11/28- Headache , body aches and chills, night sweats, unable to pronunciation words, object recognition, jumbled speech, hand and feet swelling, knot on right arm, knot under right arm pit, fatigued, poor concentration, confused, forgetful, unsteady gait.. 11/29- headache, body aches, knot on right arm and arm pit, fatigued, forgetful, unsteady gait. 11/30- headache, fatigued, poor concentration, 12/1-(headache, body aches, fatigued). Mental clarity improving, no confusion, no chills, speech clear.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Memory impairment, Mental impairment, Myalgia, Neuralgia
Clinical narrative: BlurredVision, Confusion, Dizziness, Headache, Myalgia, Arthralgia, Fever, body aches, chills, nerve pain, unsteady gate, edema of hands & feet, jumbled speech, jumbled speech & difficulty recognizing objects, knot on right arm and arm pit Narrative:  On 11/27- Headache, body ache and chills, and nerve pain. 11/28- Headache , body aches and chills, night sweats, unable to pronunciation words, object recognition, jumbled speech, hand and feet swelling, knot on right arm, knot under right arm pit, fatigued, poor concentration, confused, forgetful, unsteady gait.. 11/29- headache, body aches, knot on right arm and arm pit, fatigued, forgetful, unsteady gait. 11/30- headache, fatigued, poor concentration, 12/1-(headache, body aches, fatigued). Mental clarity improving, no confusion, no chills, speech clear.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Night sweats, Nodule, Oedema peripheral, Pain, Peripheral swelling
Clinical narrative: BlurredVision, Confusion, Dizziness, Headache, Myalgia, Arthralgia, Fever, body aches, chills, nerve pain, unsteady gate, edema of hands & feet, jumbled speech, jumbled speech & difficulty recognizing objects, knot on right arm and arm pit Narrative:  On 11/27- Headache, body ache and chills, and nerve pain. 11/28- Headache , body aches and chills, night sweats, unable to pronunciation words, object recognition, jumbled speech, hand and feet swelling, knot on right arm, knot under right arm pit, fatigued, poor concentration, confused, forgetful, unsteady gait.. 11/29- headache, body aches, knot on right arm and arm pit, fatigued, forgetful, unsteady gait. 11/30- headache, fatigued, poor concentration, 12/1-(headache, body aches, fatigued). Mental clarity improving, no confusion, no chills, speech clear.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Vision blurred
Clinical narrative: BlurredVision, Confusion, Dizziness, Headache, Myalgia, Arthralgia, Fever, body aches, chills, nerve pain, unsteady gate, edema of hands & feet, jumbled speech, jumbled speech & difficulty recognizing objects, knot on right arm and arm pit Narrative:  On 11/27- Headache, body ache and chills, and nerve pain. 11/28- Headache , body aches and chills, night sweats, unable to pronunciation words, object recognition, jumbled speech, hand and feet swelling, knot on right arm, knot under right arm pit, fatigued, poor concentration, confused, forgetful, unsteady gait.. 11/29- headache, body aches, knot on right arm and arm pit, fatigued, forgetful, unsteady gait. 11/30- headache, fatigued, poor concentration, 12/1-(headache, body aches, fatigued). Mental clarity improving, no confusion, no chills, speech clear.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: Narrative: COVID infections following completion of COVID vaccine series 03/22/21 COVID vaccine dose #1 07/23/21 Pt reports no symptoms; pre-op COVID swab performed - COVID POSITIVE 07/29/21 Pt remains asymptomatic, reports will isolate until 8/1 08/05/21 Pt rescheduled for COVID swab on 8/10
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Asthenia, Cardiac arrest, Condition aggravated, Death
Clinical narrative: Narrative:  83 yo male with PMHx of esophageal cancer (SCC) with extension to larynx s/p IMRT and chemotherapy, CHF, OSA, HTN, HLD, DM, h/o depression, h/o migraines, CKD stage 3a, Non-ischemic Cardiomyopathy with decreased ejection fraction, hypertriglyceridemia, BPH, and prosthetic left eye. Patient was previously receiving Hospice care. Per medical record patient passed away inpatient at MC. Death was caused by respiratory and cardiac arrest related to esophageal SCC and debility plus related acute renal failure. Vaccines do not seem to be related to event.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Oesophageal squamous cell carcinoma, Respiratory arrest
Clinical narrative: Narrative:  83 yo male with PMHx of esophageal cancer (SCC) with extension to larynx s/p IMRT and chemotherapy, CHF, OSA, HTN, HLD, DM, h/o depression, h/o migraines, CKD stage 3a, Non-ischemic Cardiomyopathy with decreased ejection fraction, hypertriglyceridemia, BPH, and prosthetic left eye. Patient was previously receiving Hospice care. Per medical record patient passed away inpatient at MC. Death was caused by respiratory and cardiac arrest related to esophageal SCC and debility plus related acute renal failure. Vaccines do not seem to be related to event.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenopia, COVID-19, Dizziness, Exposure to SARS-CoV-2, Headache
Clinical narrative: Narrative:  COVID infections following completion of COVID vaccine series 03/02/21 COVID vaccine dose #1 03/23/21 COVID vaccine dose #2 07/23/21 Pt reports close exposure to more than 3 people but is asymptomatic; COVID positive 07/25/21 Pt reports headache, denies any other symptoms 07/31/21 Pt reports headache, lightheadedness, muscle pain in legs/feet, tired eyes 08/03/21 Pt reports headache resolved and muscle pain has resolved; clinically resolved
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Pain in extremity, SARS-CoV-2 test positive
Clinical narrative: Narrative:  COVID infections following completion of COVID vaccine series 03/02/21 COVID vaccine dose #1 03/23/21 COVID vaccine dose #2 07/23/21 Pt reports close exposure to more than 3 people but is asymptomatic; COVID positive 07/25/21 Pt reports headache, denies any other symptoms 07/31/21 Pt reports headache, lightheadedness, muscle pain in legs/feet, tired eyes 08/03/21 Pt reports headache resolved and muscle pain has resolved; clinically resolved
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Diarrhoea, Dyspnoea
Clinical narrative: Narrative:  COVID infections following completion of COVID vaccine series 03/12/21 COVID vaccine dose #1 04/02/21 COVID vaccine dose #2 07/23/21 Pt reports cough, headache, runny nose, and close exposure to illness; tested and sent home; COVID POSITIVE 07/24/21 Pt reports diarrhea, fatigue, muscle pain, chills; rx given for acetaminophen, DM/guaifenesin, loperamide 07/25/21 Pt reports low grade fever temp 99.1 07/28/21 Pt reports dry cough increasing in frequency, continuous fatigue, constant headache, occasional nausea, and generalize muscle pain; remains stable 07/29/21 Pt reports shortness of breath 07/30/21 Pt reports occasional coughing, vomiting, but is stable 08/01/21 Pt reports pain when taking deep breath 08/03/21 Pt reports decreased coughing, easier breathing 08/04/21 Pt reports nausea 08/05/21 Pt reports fatigue but is improving; isolation end
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Exposure to communicable disease, Fatigue, Headache, Myalgia, Nausea
Clinical narrative: Narrative:  COVID infections following completion of COVID vaccine series 03/12/21 COVID vaccine dose #1 04/02/21 COVID vaccine dose #2 07/23/21 Pt reports cough, headache, runny nose, and close exposure to illness; tested and sent home; COVID POSITIVE 07/24/21 Pt reports diarrhea, fatigue, muscle pain, chills; rx given for acetaminophen, DM/guaifenesin, loperamide 07/25/21 Pt reports low grade fever temp 99.1 07/28/21 Pt reports dry cough increasing in frequency, continuous fatigue, constant headache, occasional nausea, and generalize muscle pain; remains stable 07/29/21 Pt reports shortness of breath 07/30/21 Pt reports occasional coughing, vomiting, but is stable 08/01/21 Pt reports pain when taking deep breath 08/03/21 Pt reports decreased coughing, easier breathing 08/04/21 Pt reports nausea 08/05/21 Pt reports fatigue but is improving; isolation end
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Painful respiration, Rhinorrhoea, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Narrative:  COVID infections following completion of COVID vaccine series 03/12/21 COVID vaccine dose #1 04/02/21 COVID vaccine dose #2 07/23/21 Pt reports cough, headache, runny nose, and close exposure to illness; tested and sent home; COVID POSITIVE 07/24/21 Pt reports diarrhea, fatigue, muscle pain, chills; rx given for acetaminophen, DM/guaifenesin, loperamide 07/25/21 Pt reports low grade fever temp 99.1 07/28/21 Pt reports dry cough increasing in frequency, continuous fatigue, constant headache, occasional nausea, and generalize muscle pain; remains stable 07/29/21 Pt reports shortness of breath 07/30/21 Pt reports occasional coughing, vomiting, but is stable 08/01/21 Pt reports pain when taking deep breath 08/03/21 Pt reports decreased coughing, easier breathing 08/04/21 Pt reports nausea 08/05/21 Pt reports fatigue but is improving; isolation end
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  Pt was a 76yr male died Wednesday, July 28, 2021 at hospital. PMH includes Aortic valve replacement, pacemaker placement, CHF, Atrial Fibrillation, Obstructive Sleep Apnea, COPD - never smoked, agent orange exposure, Depression, HLD, HTN, BPH s/p TURP, Chronic pain syndrome, Degenerative disc disease in the spine L4-5 fusion, Osteoarthrosis, s/p hip replacement, Trigeminal neuralgia, Osteoporosis. Vaccines are likely not related to death.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Chills, Cough
Clinical narrative: Narrative:  COVID infections following completion of COVID vaccine series 02/20/21 COVID vaccine dose #1 03/15/2021 COVID vaccine dose #2 07/23/21 Pt reports cough, fatigue, runny nose, watery eyes, sore throat; COVID POSITIVE 07/24/21 Pt reports chills, headache, loss of taste/smell, muscle pain; rx given for acetaminophen, throat lozenge, DM/guaifenesin 07/25/21 Pt reports mild headache and continued symptoms; is stable 07/26/21 Pt reports nasal and chest congestion, fatigue, but is improving 07/27/21 Pt reports mild, infrequent productive cough, fatigue, mild chest congestion and shortness of breath 07/28/21 Pt reports shortness of breath with activity 07/30/21 Pt reports fatigue, loss of taste/smell, muscle pain, and improving cough 07/31/21 Pt reports fatigue, runny nose; met CDC guidelines for stopping isolation 08/03/21 Pt presents to annual visit reporting mild chest congestion, cough, but feels much better; rx given for DM/guiafenesin
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Dyspnoea exertional, Fatigue, Headache, Lacrimation increased
Clinical narrative: Narrative:  COVID infections following completion of COVID vaccine series 02/20/21 COVID vaccine dose #1 03/15/2021 COVID vaccine dose #2 07/23/21 Pt reports cough, fatigue, runny nose, watery eyes, sore throat; COVID POSITIVE 07/24/21 Pt reports chills, headache, loss of taste/smell, muscle pain; rx given for acetaminophen, throat lozenge, DM/guaifenesin 07/25/21 Pt reports mild headache and continued symptoms; is stable 07/26/21 Pt reports nasal and chest congestion, fatigue, but is improving 07/27/21 Pt reports mild, infrequent productive cough, fatigue, mild chest congestion and shortness of breath 07/28/21 Pt reports shortness of breath with activity 07/30/21 Pt reports fatigue, loss of taste/smell, muscle pain, and improving cough 07/31/21 Pt reports fatigue, runny nose; met CDC guidelines for stopping isolation 08/03/21 Pt presents to annual visit reporting mild chest congestion, cough, but feels much better; rx given for DM/guiafenesin
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Myalgia, Nasal congestion, Oropharyngeal pain, Productive cough
Clinical narrative: Narrative:  COVID infections following completion of COVID vaccine series 02/20/21 COVID vaccine dose #1 03/15/2021 COVID vaccine dose #2 07/23/21 Pt reports cough, fatigue, runny nose, watery eyes, sore throat; COVID POSITIVE 07/24/21 Pt reports chills, headache, loss of taste/smell, muscle pain; rx given for acetaminophen, throat lozenge, DM/guaifenesin 07/25/21 Pt reports mild headache and continued symptoms; is stable 07/26/21 Pt reports nasal and chest congestion, fatigue, but is improving 07/27/21 Pt reports mild, infrequent productive cough, fatigue, mild chest congestion and shortness of breath 07/28/21 Pt reports shortness of breath with activity 07/30/21 Pt reports fatigue, loss of taste/smell, muscle pain, and improving cough 07/31/21 Pt reports fatigue, runny nose; met CDC guidelines for stopping isolation 08/03/21 Pt presents to annual visit reporting mild chest congestion, cough, but feels much better; rx given for DM/guiafenesin
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Narrative:  COVID infections following completion of COVID vaccine series 02/20/21 COVID vaccine dose #1 03/15/2021 COVID vaccine dose #2 07/23/21 Pt reports cough, fatigue, runny nose, watery eyes, sore throat; COVID POSITIVE 07/24/21 Pt reports chills, headache, loss of taste/smell, muscle pain; rx given for acetaminophen, throat lozenge, DM/guaifenesin 07/25/21 Pt reports mild headache and continued symptoms; is stable 07/26/21 Pt reports nasal and chest congestion, fatigue, but is improving 07/27/21 Pt reports mild, infrequent productive cough, fatigue, mild chest congestion and shortness of breath 07/28/21 Pt reports shortness of breath with activity 07/30/21 Pt reports fatigue, loss of taste/smell, muscle pain, and improving cough 07/31/21 Pt reports fatigue, runny nose; met CDC guidelines for stopping isolation 08/03/21 Pt presents to annual visit reporting mild chest congestion, cough, but feels much better; rx given for DM/guiafenesin
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Lung infiltration, Respiratory syncytial virus test positive, SARS-CoV-2 antibody test
Clinical narrative: Narrative:
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Narrative:
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Dysarthria, Headache, Hyperlipidaemia, Hypoaesthesia
Clinical narrative: Narrative: PRINICIPAL DIAGNOSIS (Reason for admission after study): 1). Typical Migraines characterized by headache, visual impairment, paresthesia of the right face and hand 2). COVID-19 w/Viral Pneumonia 3). Neutropenia 4). Possible TIA 5). Hyperlipidemia the patient is a 40 y/o male with a PMH of CAD and sarcoidosis who presented to ED complaining of neurological changes. The patient states that when he woke up this morning he noted blurry vision, right-sided facial numbness, confusion, and slurred speech. He states that when he went to work he had difficulty spelling and speaking. The patient states that his last known normal was at approximately 12:30AM this morning. He denies overt weakness, ataxia, and coordination difficulties. He states he has been vaccinated against COVID-19. Upon arrival in the ED the patient was found to be COVID-19 positive. CTA of head and neck showed No significant cervical or intracranial vascular disease and biapical parenchymal opacities concerning for pneumonia. WBC was 2.7. presented with blurry vision, right-sided facial numbness, confusion, and slurred speech after waking up. His head/neck CTA was unremarkable except for lungs, apical opacities c/w pneumonia. He is COVID-19 (+) which he is asymptomatic after getting his COVID vaccination. He was seen by Neurology today and he feels his symptoms are c/w Typical Migraines. He admits to being back to baseline except for slight slurred speech. He will be d/c'ed home with home quarantine x 10 days per guidelines. ASSESSMENT/RECOMMENDATIONS: Patient had one of his typical migraines characterized by headache, visual impairment, paresthesia of the right face and hand; all of the symptoms have resolved at this stage. He takes Topiramate 100 mg prn for acute headache, which can cause transient difficulty with attention/focusing, and for word finding. TIA would be less likely for the given presentation. Discussed at length with him. He has been advised against taking Topiramate on prn basis, the medicine is for migraine prophylaxis, either he should take it daily or avoid using it. If he decides to take it every day, then it should be started at 25 mg qhs and gradually increased to 100 mg daily over the span of few weeks. ASSESSMENT/PLAN: COVID-19 Pneumonia Neutropenia - Imaging showed biapical parenchymal opacities concerning for pneumonia - The patient does not require supplemental oxygen - Discussed risks and benefits of convalescent plasma and remdesivir; the patient declines both of these therapies - COVID severity is currently mild; consider dexamethasone if condition worsens - Albuterol PRN Possible TIA Possible neurologic sequalea of viral infection - CTA of head and neck showed no significant cervical or intracranial vascular disease Hx of sarcoidosis Hx of CAD Hx of systolic heart failure last ECHO, 5/1/19-EF 30-35%, -pacemaker placement - Continue atorvastatin 40mg daily - Continue sotalol 40mg BID Hyperlipidemia: -Chol/LDL 200/128 - Restart Atorvastatin 40mg qhs, possible noncompliant
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Low density lipoprotein normal, Lung opacity, Migraine, Nervous system disorder, Neutropenia
Clinical narrative: Narrative: PRINICIPAL DIAGNOSIS (Reason for admission after study): 1). Typical Migraines characterized by headache, visual impairment, paresthesia of the right face and hand 2). COVID-19 w/Viral Pneumonia 3). Neutropenia 4). Possible TIA 5). Hyperlipidemia the patient is a 40 y/o male with a PMH of CAD and sarcoidosis who presented to ED complaining of neurological changes. The patient states that when he woke up this morning he noted blurry vision, right-sided facial numbness, confusion, and slurred speech. He states that when he went to work he had difficulty spelling and speaking. The patient states that his last known normal was at approximately 12:30AM this morning. He denies overt weakness, ataxia, and coordination difficulties. He states he has been vaccinated against COVID-19. Upon arrival in the ED the patient was found to be COVID-19 positive. CTA of head and neck showed No significant cervical or intracranial vascular disease and biapical parenchymal opacities concerning for pneumonia. WBC was 2.7. presented with blurry vision, right-sided facial numbness, confusion, and slurred speech after waking up. His head/neck CTA was unremarkable except for lungs, apical opacities c/w pneumonia. He is COVID-19 (+) which he is asymptomatic after getting his COVID vaccination. He was seen by Neurology today and he feels his symptoms are c/w Typical Migraines. He admits to being back to baseline except for slight slurred speech. He will be d/c'ed home with home quarantine x 10 days per guidelines. ASSESSMENT/RECOMMENDATIONS: Patient had one of his typical migraines characterized by headache, visual impairment, paresthesia of the right face and hand; all of the symptoms have resolved at this stage. He takes Topiramate 100 mg prn for acute headache, which can cause transient difficulty with attention/focusing, and for word finding. TIA would be less likely for the given presentation. Discussed at length with him. He has been advised against taking Topiramate on prn basis, the medicine is for migraine prophylaxis, either he should take it daily or avoid using it. If he decides to take it every day, then it should be started at 25 mg qhs and gradually increased to 100 mg daily over the span of few weeks. ASSESSMENT/PLAN: COVID-19 Pneumonia Neutropenia - Imaging showed biapical parenchymal opacities concerning for pneumonia - The patient does not require supplemental oxygen - Discussed risks and benefits of convalescent plasma and remdesivir; the patient declines both of these therapies - COVID severity is currently mild; consider dexamethasone if condition worsens - Albuterol PRN Possible TIA Possible neurologic sequalea of viral infection - CTA of head and neck showed no significant cervical or intracranial vascular disease Hx of sarcoidosis Hx of CAD Hx of systolic heart failure last ECHO, 5/1/19-EF 30-35%, -pacemaker placement - Continue atorvastatin 40mg daily - Continue sotalol 40mg BID Hyperlipidemia: -Chol/LDL 200/128 - Restart Atorvastatin 40mg qhs, possible noncompliant
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Pneumonia viral, SARS-CoV-2 test positive, Vision blurred, Visual impairment
Clinical narrative: Narrative: PRINICIPAL DIAGNOSIS (Reason for admission after study): 1). Typical Migraines characterized by headache, visual impairment, paresthesia of the right face and hand 2). COVID-19 w/Viral Pneumonia 3). Neutropenia 4). Possible TIA 5). Hyperlipidemia the patient is a 40 y/o male with a PMH of CAD and sarcoidosis who presented to ED complaining of neurological changes. The patient states that when he woke up this morning he noted blurry vision, right-sided facial numbness, confusion, and slurred speech. He states that when he went to work he had difficulty spelling and speaking. The patient states that his last known normal was at approximately 12:30AM this morning. He denies overt weakness, ataxia, and coordination difficulties. He states he has been vaccinated against COVID-19. Upon arrival in the ED the patient was found to be COVID-19 positive. CTA of head and neck showed No significant cervical or intracranial vascular disease and biapical parenchymal opacities concerning for pneumonia. WBC was 2.7. presented with blurry vision, right-sided facial numbness, confusion, and slurred speech after waking up. His head/neck CTA was unremarkable except for lungs, apical opacities c/w pneumonia. He is COVID-19 (+) which he is asymptomatic after getting his COVID vaccination. He was seen by Neurology today and he feels his symptoms are c/w Typical Migraines. He admits to being back to baseline except for slight slurred speech. He will be d/c'ed home with home quarantine x 10 days per guidelines. ASSESSMENT/RECOMMENDATIONS: Patient had one of his typical migraines characterized by headache, visual impairment, paresthesia of the right face and hand; all of the symptoms have resolved at this stage. He takes Topiramate 100 mg prn for acute headache, which can cause transient difficulty with attention/focusing, and for word finding. TIA would be less likely for the given presentation. Discussed at length with him. He has been advised against taking Topiramate on prn basis, the medicine is for migraine prophylaxis, either he should take it daily or avoid using it. If he decides to take it every day, then it should be started at 25 mg qhs and gradually increased to 100 mg daily over the span of few weeks. ASSESSMENT/PLAN: COVID-19 Pneumonia Neutropenia - Imaging showed biapical parenchymal opacities concerning for pneumonia - The patient does not require supplemental oxygen - Discussed risks and benefits of convalescent plasma and remdesivir; the patient declines both of these therapies - COVID severity is currently mild; consider dexamethasone if condition worsens - Albuterol PRN Possible TIA Possible neurologic sequalea of viral infection - CTA of head and neck showed no significant cervical or intracranial vascular disease Hx of sarcoidosis Hx of CAD Hx of systolic heart failure last ECHO, 5/1/19-EF 30-35%, -pacemaker placement - Continue atorvastatin 40mg daily - Continue sotalol 40mg BID Hyperlipidemia: -Chol/LDL 200/128 - Restart Atorvastatin 40mg qhs, possible noncompliant
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count decreased
Clinical narrative: Narrative: PRINICIPAL DIAGNOSIS (Reason for admission after study): 1). Typical Migraines characterized by headache, visual impairment, paresthesia of the right face and hand 2). COVID-19 w/Viral Pneumonia 3). Neutropenia 4). Possible TIA 5). Hyperlipidemia the patient is a 40 y/o male with a PMH of CAD and sarcoidosis who presented to ED complaining of neurological changes. The patient states that when he woke up this morning he noted blurry vision, right-sided facial numbness, confusion, and slurred speech. He states that when he went to work he had difficulty spelling and speaking. The patient states that his last known normal was at approximately 12:30AM this morning. He denies overt weakness, ataxia, and coordination difficulties. He states he has been vaccinated against COVID-19. Upon arrival in the ED the patient was found to be COVID-19 positive. CTA of head and neck showed No significant cervical or intracranial vascular disease and biapical parenchymal opacities concerning for pneumonia. WBC was 2.7. presented with blurry vision, right-sided facial numbness, confusion, and slurred speech after waking up. His head/neck CTA was unremarkable except for lungs, apical opacities c/w pneumonia. He is COVID-19 (+) which he is asymptomatic after getting his COVID vaccination. He was seen by Neurology today and he feels his symptoms are c/w Typical Migraines. He admits to being back to baseline except for slight slurred speech. He will be d/c'ed home with home quarantine x 10 days per guidelines. ASSESSMENT/RECOMMENDATIONS: Patient had one of his typical migraines characterized by headache, visual impairment, paresthesia of the right face and hand; all of the symptoms have resolved at this stage. He takes Topiramate 100 mg prn for acute headache, which can cause transient difficulty with attention/focusing, and for word finding. TIA would be less likely for the given presentation. Discussed at length with him. He has been advised against taking Topiramate on prn basis, the medicine is for migraine prophylaxis, either he should take it daily or avoid using it. If he decides to take it every day, then it should be started at 25 mg qhs and gradually increased to 100 mg daily over the span of few weeks. ASSESSMENT/PLAN: COVID-19 Pneumonia Neutropenia - Imaging showed biapical parenchymal opacities concerning for pneumonia - The patient does not require supplemental oxygen - Discussed risks and benefits of convalescent plasma and remdesivir; the patient declines both of these therapies - COVID severity is currently mild; consider dexamethasone if condition worsens - Albuterol PRN Possible TIA Possible neurologic sequalea of viral infection - CTA of head and neck showed no significant cervical or intracranial vascular disease Hx of sarcoidosis Hx of CAD Hx of systolic heart failure last ECHO, 5/1/19-EF 30-35%, -pacemaker placement - Continue atorvastatin 40mg daily - Continue sotalol 40mg BID Hyperlipidemia: -Chol/LDL 200/128 - Restart Atorvastatin 40mg qhs, possible noncompliant
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Headache, Malaise
Clinical narrative: Narrative:  COVID infections following completion of COVID vaccine series 01/2/21 COVID vaccine dose #1 02/18/21 COVID vaccine dose #2 07/20/21 Pt feels unwell 07/22/21 Onset of cough which progressed to fatigue 07/23/21 Pt progressed to fatigue coughing and congestion 07/24/21 Pt reports worsening symptoms, headache, and myalgia malaise 07/25/21 Pt reports headache, muscle pain, sore throat; COVID POSITIVE 07/26/21 Pt reports improved symptoms but continues to have fatigue, headache, coughing; rx given for benzonatate, cholecalciferol, zinc, ascorbic acid 07/27/21 Pt reports runny nose, muscle pain, improving dry cough, resolved headache 07/26/21 Pt reports improving each day, good appetite, no fever, intermittent headache 07/30/21 Pt reports productive cough with difficulty in expectorating, sinus headache 07/31/21 Pt denies symptoms, meets CDC criteria for resolution
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Oropharyngeal pain, Productive cough, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: Narrative:  COVID infections following completion of COVID vaccine series 01/2/21 COVID vaccine dose #1 02/18/21 COVID vaccine dose #2 07/20/21 Pt feels unwell 07/22/21 Onset of cough which progressed to fatigue 07/23/21 Pt progressed to fatigue coughing and congestion 07/24/21 Pt reports worsening symptoms, headache, and myalgia malaise 07/25/21 Pt reports headache, muscle pain, sore throat; COVID POSITIVE 07/26/21 Pt reports improved symptoms but continues to have fatigue, headache, coughing; rx given for benzonatate, cholecalciferol, zinc, ascorbic acid 07/27/21 Pt reports runny nose, muscle pain, improving dry cough, resolved headache 07/26/21 Pt reports improving each day, good appetite, no fever, intermittent headache 07/30/21 Pt reports productive cough with difficulty in expectorating, sinus headache 07/31/21 Pt denies symptoms, meets CDC criteria for resolution
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sinus headache
Clinical narrative: Narrative:  COVID infections following completion of COVID vaccine series 01/2/21 COVID vaccine dose #1 02/18/21 COVID vaccine dose #2 07/20/21 Pt feels unwell 07/22/21 Onset of cough which progressed to fatigue 07/23/21 Pt progressed to fatigue coughing and congestion 07/24/21 Pt reports worsening symptoms, headache, and myalgia malaise 07/25/21 Pt reports headache, muscle pain, sore throat; COVID POSITIVE 07/26/21 Pt reports improved symptoms but continues to have fatigue, headache, coughing; rx given for benzonatate, cholecalciferol, zinc, ascorbic acid 07/27/21 Pt reports runny nose, muscle pain, improving dry cough, resolved headache 07/26/21 Pt reports improving each day, good appetite, no fever, intermittent headache 07/30/21 Pt reports productive cough with difficulty in expectorating, sinus headache 07/31/21 Pt denies symptoms, meets CDC criteria for resolution
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Chest X-ray normal, Chills
Clinical narrative: Narrative:  COVID infections following completion of COVID vaccine series 01/21/21 COVID vaccine dose #1 02/10/21 COVID vaccine dose #2 03/02/21 Preop COVID test - COVID NEGAVTIVE 07/25/21 Pt reports general body aches, headaches, chills, fever (temp 100.3), diarrhea, mild dry cough, and decreased appetite x2 days; CXR wnl; COVID POSITIVE; treated with NS, ibuprofen and discharged home with rx for albuterol, DM/guaifenesin, vitamin C, vitamin D, acetaminophen, ibuprofen, zinc 07/26/21 Pt reports cough that keeps him up at night and continued muscle pain; rx given for melatonin, benzonatate 07/28/21 Pt reports worsening and very painful headaches; advised to go to ED but adamantly refused 07/29/21 Pt reports headache is improving, loss of taste/smell 08/03/21 Pt reports cough is nearly resolved and is improving; met CDC criteria for resolution
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Decreased appetite, Diarrhoea, Headache, Myalgia
Clinical narrative: Narrative:  COVID infections following completion of COVID vaccine series 01/21/21 COVID vaccine dose #1 02/10/21 COVID vaccine dose #2 03/02/21 Preop COVID test - COVID NEGAVTIVE 07/25/21 Pt reports general body aches, headaches, chills, fever (temp 100.3), diarrhea, mild dry cough, and decreased appetite x2 days; CXR wnl; COVID POSITIVE; treated with NS, ibuprofen and discharged home with rx for albuterol, DM/guaifenesin, vitamin C, vitamin D, acetaminophen, ibuprofen, zinc 07/26/21 Pt reports cough that keeps him up at night and continued muscle pain; rx given for melatonin, benzonatate 07/28/21 Pt reports worsening and very painful headaches; advised to go to ED but adamantly refused 07/29/21 Pt reports headache is improving, loss of taste/smell 08/03/21 Pt reports cough is nearly resolved and is improving; met CDC criteria for resolution
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test positive, Sleep disorder, White blood cell count normal
Clinical narrative: Narrative:  COVID infections following completion of COVID vaccine series 01/21/21 COVID vaccine dose #1 02/10/21 COVID vaccine dose #2 03/02/21 Preop COVID test - COVID NEGAVTIVE 07/25/21 Pt reports general body aches, headaches, chills, fever (temp 100.3), diarrhea, mild dry cough, and decreased appetite x2 days; CXR wnl; COVID POSITIVE; treated with NS, ibuprofen and discharged home with rx for albuterol, DM/guaifenesin, vitamin C, vitamin D, acetaminophen, ibuprofen, zinc 07/26/21 Pt reports cough that keeps him up at night and continued muscle pain; rx given for melatonin, benzonatate 07/28/21 Pt reports worsening and very painful headaches; advised to go to ED but adamantly refused 07/29/21 Pt reports headache is improving, loss of taste/smell 08/03/21 Pt reports cough is nearly resolved and is improving; met CDC criteria for resolution
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Death, Delirium, Intensive care
Clinical narrative: Narrative:  COVID infections following completion of COVID vaccine series 01/06/21 COVID vaccine dose #1 02/03/21 COVID vaccine dose #2 07/23/21 Son notified care team that pt contracted COVID last Friday (07/16) and passed away on Wednesday (07/21) at hospital; son noted mom had runny nose last Monday and by Friday she had a fever; wife and pt were then tested and positive for COVID; son reports pt did not have initial symptoms but by Wednesday night, the pt was delirious; EMS found pt unresponsive and hypoxemic in respiratory failure and transported to ED; admitted to ICU and treated with mechanical ventilation, cardizem, Neo-synephrine, Propofol, Zithromax, Rocephin, Decadron, Lovenox, Amidate, Pepcid, Remdesivir, Anectine
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Lung opacity, Mechanical ventilation, Pyrexia, Respiratory failure, Respiratory viral panel
Clinical narrative: Narrative:  COVID infections following completion of COVID vaccine series 01/06/21 COVID vaccine dose #1 02/03/21 COVID vaccine dose #2 07/23/21 Son notified care team that pt contracted COVID last Friday (07/16) and passed away on Wednesday (07/21) at hospital; son noted mom had runny nose last Monday and by Friday she had a fever; wife and pt were then tested and positive for COVID; son reports pt did not have initial symptoms but by Wednesday night, the pt was delirious; EMS found pt unresponsive and hypoxemic in respiratory failure and transported to ED; admitted to ICU and treated with mechanical ventilation, cardizem, Neo-synephrine, Propofol, Zithromax, Rocephin, Decadron, Lovenox, Amidate, Pepcid, Remdesivir, Anectine
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive, Unresponsive to stimuli
Clinical narrative: Narrative:  COVID infections following completion of COVID vaccine series 01/06/21 COVID vaccine dose #1 02/03/21 COVID vaccine dose #2 07/23/21 Son notified care team that pt contracted COVID last Friday (07/16) and passed away on Wednesday (07/21) at hospital; son noted mom had runny nose last Monday and by Friday she had a fever; wife and pt were then tested and positive for COVID; son reports pt did not have initial symptoms but by Wednesday night, the pt was delirious; EMS found pt unresponsive and hypoxemic in respiratory failure and transported to ED; admitted to ICU and treated with mechanical ventilation, cardizem, Neo-synephrine, Propofol, Zithromax, Rocephin, Decadron, Lovenox, Amidate, Pepcid, Remdesivir, Anectine
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Atrial flutter, Balance disorder, C-reactive protein increased, COVID-19
Clinical narrative: Narrative: COVID infections following completion of COVID vaccine series 02/19/21 COVID vaccine dose #1 03/12/21 COVID vaccine dose #2 05/04/21 Pt presents to care team reporting feeling unbalanced; MD recommends referral to audiology and avoid excessive use of ETOH 08/01/21 Pt brought to ER by EMS due to near syncope, AF with RVR, and HR fluctuating from 80s to 140s; reports occasional dry cough but mainly asymptomatic; EKG atrial flutter, CT head wnl, CXT suggestive of obstructive lung disease but no infiltrate identified; COVID POSITIVE; admitted inpatient and treated with metoprolol succinate, pravastatin, rivaroxaban, diltiazem 08/02/21 Pt reports feeling well and denies any complaints; discharged home and instructed to increase metroprolol succinate to 100 mg twice daily 08/04/21 Pt reports feeling well but continues to have slight cough, no fever 08/06/21 Pt reports no symptoms and opts out of daily calls
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Computerised tomogram head normal, Cough, Electrocardiogram abnormal, Fibrin D dimer normal
Clinical narrative: Narrative: COVID infections following completion of COVID vaccine series 02/19/21 COVID vaccine dose #1 03/12/21 COVID vaccine dose #2 05/04/21 Pt presents to care team reporting feeling unbalanced; MD recommends referral to audiology and avoid excessive use of ETOH 08/01/21 Pt brought to ER by EMS due to near syncope, AF with RVR, and HR fluctuating from 80s to 140s; reports occasional dry cough but mainly asymptomatic; EKG atrial flutter, CT head wnl, CXT suggestive of obstructive lung disease but no infiltrate identified; COVID POSITIVE; admitted inpatient and treated with metoprolol succinate, pravastatin, rivaroxaban, diltiazem 08/02/21 Pt reports feeling well and denies any complaints; discharged home and instructed to increase metroprolol succinate to 100 mg twice daily 08/04/21 Pt reports feeling well but continues to have slight cough, no fever 08/06/21 Pt reports no symptoms and opts out of daily calls
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate abnormal, Lung disorder, Presyncope, Procalcitonin normal, Red blood cell sedimentation rate increased
Clinical narrative: Narrative: COVID infections following completion of COVID vaccine series 02/19/21 COVID vaccine dose #1 03/12/21 COVID vaccine dose #2 05/04/21 Pt presents to care team reporting feeling unbalanced; MD recommends referral to audiology and avoid excessive use of ETOH 08/01/21 Pt brought to ER by EMS due to near syncope, AF with RVR, and HR fluctuating from 80s to 140s; reports occasional dry cough but mainly asymptomatic; EKG atrial flutter, CT head wnl, CXT suggestive of obstructive lung disease but no infiltrate identified; COVID POSITIVE; admitted inpatient and treated with metoprolol succinate, pravastatin, rivaroxaban, diltiazem 08/02/21 Pt reports feeling well and denies any complaints; discharged home and instructed to increase metroprolol succinate to 100 mg twice daily 08/04/21 Pt reports feeling well but continues to have slight cough, no fever 08/06/21 Pt reports no symptoms and opts out of daily calls