chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dry skin, Erythema, Fatigue, Feeling abnormal, Headache
Clinical narrative: I didn't really notice anything other than fatigue for the first couple weeks and had a headache for 3 days and I suffer from migraines so I was scared about that. Fatigue. Wasn't sure if it was relation to the vaccine, but didn't have real big issues. Just a little tenderness in the arm and fatigue for a couple days. This was what I experienced for the first vaccine. For the booster, soreness, no headache. Little fatigue. Then within a month, I felt like I was hit by a truck and wiped out. Thought I had COVID but didn't have symptoms. No COVID. I had the circle on the arm starting and I wasn't sure what it was. Dry itchy spot and it got to the size of a nickel and then it wasn't too red but the perimeter was more red than the center. It seemed to dissipate, and I used moisturizer. Didn't look like a hive. The fatigue was just relentless and getting worse. I went to the doctor about my fatigue, and I noted I could barely stay awake. It wasn't even 5:30 one night and I was falling asleep at the dinner table while talking to husband. I told the doctor about all of this and I noted the spot on my face and he said it looks maybe like ringworm. And that can be caught anywhere. And I noticed it was on multiple locations and even on my husband. He prescribed Clobetasol Propionate 0.05% cream and hasn't done anything. Now I have a permanent ring on my face, and I have one on my ear and it's itchy. And the one on my wrist has dissipated, also noted another one on my neck. If it's anywhere else I don't know. Haven't noticed it anywhere else. I can't remember other locations. Constant fatigue, dragging. If I don't move or talk, and I just sit, I'm falling asleep. I don't know and I can't rule out the vaccine. Can't figure out the cause.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza virus test negative, Pruritus, SARS-CoV-2 test negative, Somnolence, Tenderness
Clinical narrative: I didn't really notice anything other than fatigue for the first couple weeks and had a headache for 3 days and I suffer from migraines so I was scared about that. Fatigue. Wasn't sure if it was relation to the vaccine, but didn't have real big issues. Just a little tenderness in the arm and fatigue for a couple days. This was what I experienced for the first vaccine. For the booster, soreness, no headache. Little fatigue. Then within a month, I felt like I was hit by a truck and wiped out. Thought I had COVID but didn't have symptoms. No COVID. I had the circle on the arm starting and I wasn't sure what it was. Dry itchy spot and it got to the size of a nickel and then it wasn't too red but the perimeter was more red than the center. It seemed to dissipate, and I used moisturizer. Didn't look like a hive. The fatigue was just relentless and getting worse. I went to the doctor about my fatigue, and I noted I could barely stay awake. It wasn't even 5:30 one night and I was falling asleep at the dinner table while talking to husband. I told the doctor about all of this and I noted the spot on my face and he said it looks maybe like ringworm. And that can be caught anywhere. And I noticed it was on multiple locations and even on my husband. He prescribed Clobetasol Propionate 0.05% cream and hasn't done anything. Now I have a permanent ring on my face, and I have one on my ear and it's itchy. And the one on my wrist has dissipated, also noted another one on my neck. If it's anywhere else I don't know. Haven't noticed it anywhere else. I can't remember other locations. Constant fatigue, dragging. If I don't move or talk, and I just sit, I'm falling asleep. I don't know and I can't rule out the vaccine. Can't figure out the cause.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Tinea infection
Clinical narrative: I didn't really notice anything other than fatigue for the first couple weeks and had a headache for 3 days and I suffer from migraines so I was scared about that. Fatigue. Wasn't sure if it was relation to the vaccine, but didn't have real big issues. Just a little tenderness in the arm and fatigue for a couple days. This was what I experienced for the first vaccine. For the booster, soreness, no headache. Little fatigue. Then within a month, I felt like I was hit by a truck and wiped out. Thought I had COVID but didn't have symptoms. No COVID. I had the circle on the arm starting and I wasn't sure what it was. Dry itchy spot and it got to the size of a nickel and then it wasn't too red but the perimeter was more red than the center. It seemed to dissipate, and I used moisturizer. Didn't look like a hive. The fatigue was just relentless and getting worse. I went to the doctor about my fatigue, and I noted I could barely stay awake. It wasn't even 5:30 one night and I was falling asleep at the dinner table while talking to husband. I told the doctor about all of this and I noted the spot on my face and he said it looks maybe like ringworm. And that can be caught anywhere. And I noticed it was on multiple locations and even on my husband. He prescribed Clobetasol Propionate 0.05% cream and hasn't done anything. Now I have a permanent ring on my face, and I have one on my ear and it's itchy. And the one on my wrist has dissipated, also noted another one on my neck. If it's anywhere else I don't know. Haven't noticed it anywhere else. I can't remember other locations. Constant fatigue, dragging. If I don't move or talk, and I just sit, I'm falling asleep. I don't know and I can't rule out the vaccine. Can't figure out the cause.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Adverse event, Incorrect product formulation administered
Clinical narrative: The patient was given 0.3 ml of undiluted Pfizer vaccine. Explained to patient what had happened as soon as realized.  Patient waited in clinic for 30 minutes following the injection without any adverse side effects.  Patient left accompanied by a friend.   Spoke with patient by phone 02/17/22 at 3:45 pm.  Patient chuckling, says he feels fine and states "I feel just like I always do."
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: BREAKTHROUGH COVID INFECTION
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, C-reactive protein increased, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Case completed primary 2 dose Covid series in February 2021, then was hospitalized for  Covid in August 2021 and died of it in September 2021. Following first hospitalization 8/28/21 to 9/1/21: * Pneumonia due to COVID-19 virus Assessment & Plan The patient is vaccinated but risk factors for severe covid infection include obesity, sleep apnea, lymphoma with immunosuppression medication use, and asthma. Symptoms started 8/20. Tested positive for covid-19 on 8/24. Presented to the ED on 8/29 with worsening dyspnea, cough. CXR with patchy infiltrates. CRP 11-- >7.4.  - Last fever: 8/28 - Continue dexamethasone 6mg daily upon discharge for a total 10 day course - Finished 5 day course of remdesivir today - Frequent ambulation, IS, and self-proning encouraged - Using CPAP Acute respiratory failure with hypoxia (HCC) Assessment & Plan Secondary to covid-19 infection. Treating as noted elsewhere. Still needing 2-3L, arranged for home  Following Second hospitalization from 9/9/21 until death 9/11/21: The patient is a 71-year-old woman who presented to the hospital after being found down with acute hypoxemic respiratory failure secondary to Covid pneumonia. Her past medical history is remarkable for B-cell lymphoma with pulmonary amyloidosis. She initially experienced very slight improvement with aggressive medical therapies including noninvasive positive pressure ventilation, high-dose steroids, and antibiotics. Her oxygenation remains very tenuous. Her condition worsened. In accordance with her wishes, intubation and mechanical ventilation was not considered. As her oxygenation continued to worsen, her family was called. Her daughter was present at her bedside. As it became apparent that the patient was not going to recover from her hypoxemic respiratory failure, she was transitioned to comfort measures only in accordance with her wishes as previously expressed to her treatment team.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Death, Dyspnoea, Lung infiltration, Positive airway pressure therapy
Clinical narrative: Case completed primary 2 dose Covid series in February 2021, then was hospitalized for  Covid in August 2021 and died of it in September 2021. Following first hospitalization 8/28/21 to 9/1/21: * Pneumonia due to COVID-19 virus Assessment & Plan The patient is vaccinated but risk factors for severe covid infection include obesity, sleep apnea, lymphoma with immunosuppression medication use, and asthma. Symptoms started 8/20. Tested positive for covid-19 on 8/24. Presented to the ED on 8/29 with worsening dyspnea, cough. CXR with patchy infiltrates. CRP 11-- >7.4.  - Last fever: 8/28 - Continue dexamethasone 6mg daily upon discharge for a total 10 day course - Finished 5 day course of remdesivir today - Frequent ambulation, IS, and self-proning encouraged - Using CPAP Acute respiratory failure with hypoxia (HCC) Assessment & Plan Secondary to covid-19 infection. Treating as noted elsewhere. Still needing 2-3L, arranged for home  Following Second hospitalization from 9/9/21 until death 9/11/21: The patient is a 71-year-old woman who presented to the hospital after being found down with acute hypoxemic respiratory failure secondary to Covid pneumonia. Her past medical history is remarkable for B-cell lymphoma with pulmonary amyloidosis. She initially experienced very slight improvement with aggressive medical therapies including noninvasive positive pressure ventilation, high-dose steroids, and antibiotics. Her oxygenation remains very tenuous. Her condition worsened. In accordance with her wishes, intubation and mechanical ventilation was not considered. As her oxygenation continued to worsen, her family was called. Her daughter was present at her bedside. As it became apparent that the patient was not going to recover from her hypoxemic respiratory failure, she was transitioned to comfort measures only in accordance with her wishes as previously expressed to her treatment team.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Case completed primary 2 dose Covid series in February 2021, then was hospitalized for  Covid in August 2021 and died of it in September 2021. Following first hospitalization 8/28/21 to 9/1/21: * Pneumonia due to COVID-19 virus Assessment & Plan The patient is vaccinated but risk factors for severe covid infection include obesity, sleep apnea, lymphoma with immunosuppression medication use, and asthma. Symptoms started 8/20. Tested positive for covid-19 on 8/24. Presented to the ED on 8/29 with worsening dyspnea, cough. CXR with patchy infiltrates. CRP 11-- >7.4.  - Last fever: 8/28 - Continue dexamethasone 6mg daily upon discharge for a total 10 day course - Finished 5 day course of remdesivir today - Frequent ambulation, IS, and self-proning encouraged - Using CPAP Acute respiratory failure with hypoxia (HCC) Assessment & Plan Secondary to covid-19 infection. Treating as noted elsewhere. Still needing 2-3L, arranged for home  Following Second hospitalization from 9/9/21 until death 9/11/21: The patient is a 71-year-old woman who presented to the hospital after being found down with acute hypoxemic respiratory failure secondary to Covid pneumonia. Her past medical history is remarkable for B-cell lymphoma with pulmonary amyloidosis. She initially experienced very slight improvement with aggressive medical therapies including noninvasive positive pressure ventilation, high-dose steroids, and antibiotics. Her oxygenation remains very tenuous. Her condition worsened. In accordance with her wishes, intubation and mechanical ventilation was not considered. As her oxygenation continued to worsen, her family was called. Her daughter was present at her bedside. As it became apparent that the patient was not going to recover from her hypoxemic respiratory failure, she was transitioned to comfort measures only in accordance with her wishes as previously expressed to her treatment team.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site induration, Injection site mass
Clinical narrative: Patient reported a large, hard lump near bicep of vaccination arm that occurred the day following vaccination.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: BREAKTHROUGH COVID INFECTION
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Albumin globulin ratio decreased, Angiogram pulmonary abnormal, Anion gap, Aspartate aminotransferase increased
Clinical narrative: 1/22/22  62 yr/o female who presents with complaint of shortness of air, chest wall and rib pain for the past week.  She was diagnosed with COVID one week ago.  She has PMH that includes asthma and PA.  Shortness of breath has worsened during this time. 1/22/22 History of Present Illness: Patient is a 62 yr/o with PMH significant for asthma who was tested positive for COVID-19 almost a week ago although the patient did receive the 2 doses of the vaccine, she was feeling overall okay however for the last 3 days her shortness of breath been getting worse patient did not require any oxygen supplement when she was tested positive neither when she came in yesterday to the ED her chest x-ray was clear however patient on exam clearly has some wheezing.  She does not use nebulizer or inhalers at home Review of Systems: General: Denies any weight change, fatigue, weakness, fever, chills, or night sweats. Denies any consumption of raw or undercooked meats or foods, change in water source, travel, or missed routine medications. Skin: Denies any skin, hair, or nail changes. Denies any rashes or sores Neuro: denies headache, dizziness, syncope, falls or trauma, changes in vision, hearing, or taste, focal weakness, numbness, paresthesias, fainting or seizures   Sinus: Denies any sinus pressure, rhinorrhea, epistaxis,  Cardio: Denies chest pain, or palpations, dyspnea on exertion, orthopnea, paroxysmal nocturnal dyspnea, or edema Pulmonary: Positive for shortness of breath GI: Denies change in appetite, denies nausea, vomiting, hematemesis, diarrhea, constipation, hematochezia, abdominal pain GU: Denies frequency, hesitancy, urgency, polyuria, dysuria, hematuria, nocturia, incontinence   Endocrine: Denies heat or cold intolerances, polyphagia, polydipsia, polyuria Psyc: Denies anxiety or depression 1/23/22 Brief History and Hospital Course: 62 yr/o with PMH significant for asthma who was tested positive for COVID-19 almost a week ago although the patient did receive the 2 doses of the vaccine, she was feeling overall okay however for the last 3 days her shortness of breath been getting worse patient did not require any oxygen supplement when she was tested positive neither when she came in yesterday to the ED her chest x-ray was clear however patient on exam clearly has some wheezing. Patient was admitted and started on scheduled bronchodilators along with Solu-Medrol IV due to her recent diagnosis with COVID and increased risk of thrombosis with that D-dimer was checked which was positive and CT of the chest was done however was negative for PE but positive for bibasilar pneumonia consistent with COVID.  This morning patient feeling better, she will be provided with nebulizer machine along with tapered dose of prednisone and antitussives, patient was counseled to continue her isolation at home.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Basophil count decreased, Basophil percentage decreased, Bilirubin urine, Blood albumin normal, Blood alkaline phosphatase increased
Clinical narrative: 1/22/22  62 yr/o female who presents with complaint of shortness of air, chest wall and rib pain for the past week.  She was diagnosed with COVID one week ago.  She has PMH that includes asthma and PA.  Shortness of breath has worsened during this time. 1/22/22 History of Present Illness: Patient is a 62 yr/o with PMH significant for asthma who was tested positive for COVID-19 almost a week ago although the patient did receive the 2 doses of the vaccine, she was feeling overall okay however for the last 3 days her shortness of breath been getting worse patient did not require any oxygen supplement when she was tested positive neither when she came in yesterday to the ED her chest x-ray was clear however patient on exam clearly has some wheezing.  She does not use nebulizer or inhalers at home Review of Systems: General: Denies any weight change, fatigue, weakness, fever, chills, or night sweats. Denies any consumption of raw or undercooked meats or foods, change in water source, travel, or missed routine medications. Skin: Denies any skin, hair, or nail changes. Denies any rashes or sores Neuro: denies headache, dizziness, syncope, falls or trauma, changes in vision, hearing, or taste, focal weakness, numbness, paresthesias, fainting or seizures   Sinus: Denies any sinus pressure, rhinorrhea, epistaxis,  Cardio: Denies chest pain, or palpations, dyspnea on exertion, orthopnea, paroxysmal nocturnal dyspnea, or edema Pulmonary: Positive for shortness of breath GI: Denies change in appetite, denies nausea, vomiting, hematemesis, diarrhea, constipation, hematochezia, abdominal pain GU: Denies frequency, hesitancy, urgency, polyuria, dysuria, hematuria, nocturia, incontinence   Endocrine: Denies heat or cold intolerances, polyphagia, polydipsia, polyuria Psyc: Denies anxiety or depression 1/23/22 Brief History and Hospital Course: 62 yr/o with PMH significant for asthma who was tested positive for COVID-19 almost a week ago although the patient did receive the 2 doses of the vaccine, she was feeling overall okay however for the last 3 days her shortness of breath been getting worse patient did not require any oxygen supplement when she was tested positive neither when she came in yesterday to the ED her chest x-ray was clear however patient on exam clearly has some wheezing. Patient was admitted and started on scheduled bronchodilators along with Solu-Medrol IV due to her recent diagnosis with COVID and increased risk of thrombosis with that D-dimer was checked which was positive and CT of the chest was done however was negative for PE but positive for bibasilar pneumonia consistent with COVID.  This morning patient feeling better, she will be provided with nebulizer machine along with tapered dose of prednisone and antitussives, patient was counseled to continue her isolation at home.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Blood bilirubin normal, Blood calcium normal, Blood chloride increased, Blood creatinine normal, Blood glucose increased
Clinical narrative: 1/22/22  62 yr/o female who presents with complaint of shortness of air, chest wall and rib pain for the past week.  She was diagnosed with COVID one week ago.  She has PMH that includes asthma and PA.  Shortness of breath has worsened during this time. 1/22/22 History of Present Illness: Patient is a 62 yr/o with PMH significant for asthma who was tested positive for COVID-19 almost a week ago although the patient did receive the 2 doses of the vaccine, she was feeling overall okay however for the last 3 days her shortness of breath been getting worse patient did not require any oxygen supplement when she was tested positive neither when she came in yesterday to the ED her chest x-ray was clear however patient on exam clearly has some wheezing.  She does not use nebulizer or inhalers at home Review of Systems: General: Denies any weight change, fatigue, weakness, fever, chills, or night sweats. Denies any consumption of raw or undercooked meats or foods, change in water source, travel, or missed routine medications. Skin: Denies any skin, hair, or nail changes. Denies any rashes or sores Neuro: denies headache, dizziness, syncope, falls or trauma, changes in vision, hearing, or taste, focal weakness, numbness, paresthesias, fainting or seizures   Sinus: Denies any sinus pressure, rhinorrhea, epistaxis,  Cardio: Denies chest pain, or palpations, dyspnea on exertion, orthopnea, paroxysmal nocturnal dyspnea, or edema Pulmonary: Positive for shortness of breath GI: Denies change in appetite, denies nausea, vomiting, hematemesis, diarrhea, constipation, hematochezia, abdominal pain GU: Denies frequency, hesitancy, urgency, polyuria, dysuria, hematuria, nocturia, incontinence   Endocrine: Denies heat or cold intolerances, polyphagia, polydipsia, polyuria Psyc: Denies anxiety or depression 1/23/22 Brief History and Hospital Course: 62 yr/o with PMH significant for asthma who was tested positive for COVID-19 almost a week ago although the patient did receive the 2 doses of the vaccine, she was feeling overall okay however for the last 3 days her shortness of breath been getting worse patient did not require any oxygen supplement when she was tested positive neither when she came in yesterday to the ED her chest x-ray was clear however patient on exam clearly has some wheezing. Patient was admitted and started on scheduled bronchodilators along with Solu-Medrol IV due to her recent diagnosis with COVID and increased risk of thrombosis with that D-dimer was checked which was positive and CT of the chest was done however was negative for PE but positive for bibasilar pneumonia consistent with COVID.  This morning patient feeling better, she will be provided with nebulizer machine along with tapered dose of prednisone and antitussives, patient was counseled to continue her isolation at home.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Blood potassium normal, Blood sodium normal, Blood urea nitrogen/creatinine ratio, Blood urea normal, COVID-19
Clinical narrative: 1/22/22  62 yr/o female who presents with complaint of shortness of air, chest wall and rib pain for the past week.  She was diagnosed with COVID one week ago.  She has PMH that includes asthma and PA.  Shortness of breath has worsened during this time. 1/22/22 History of Present Illness: Patient is a 62 yr/o with PMH significant for asthma who was tested positive for COVID-19 almost a week ago although the patient did receive the 2 doses of the vaccine, she was feeling overall okay however for the last 3 days her shortness of breath been getting worse patient did not require any oxygen supplement when she was tested positive neither when she came in yesterday to the ED her chest x-ray was clear however patient on exam clearly has some wheezing.  She does not use nebulizer or inhalers at home Review of Systems: General: Denies any weight change, fatigue, weakness, fever, chills, or night sweats. Denies any consumption of raw or undercooked meats or foods, change in water source, travel, or missed routine medications. Skin: Denies any skin, hair, or nail changes. Denies any rashes or sores Neuro: denies headache, dizziness, syncope, falls or trauma, changes in vision, hearing, or taste, focal weakness, numbness, paresthesias, fainting or seizures   Sinus: Denies any sinus pressure, rhinorrhea, epistaxis,  Cardio: Denies chest pain, or palpations, dyspnea on exertion, orthopnea, paroxysmal nocturnal dyspnea, or edema Pulmonary: Positive for shortness of breath GI: Denies change in appetite, denies nausea, vomiting, hematemesis, diarrhea, constipation, hematochezia, abdominal pain GU: Denies frequency, hesitancy, urgency, polyuria, dysuria, hematuria, nocturia, incontinence   Endocrine: Denies heat or cold intolerances, polyphagia, polydipsia, polyuria Psyc: Denies anxiety or depression 1/23/22 Brief History and Hospital Course: 62 yr/o with PMH significant for asthma who was tested positive for COVID-19 almost a week ago although the patient did receive the 2 doses of the vaccine, she was feeling overall okay however for the last 3 days her shortness of breath been getting worse patient did not require any oxygen supplement when she was tested positive neither when she came in yesterday to the ED her chest x-ray was clear however patient on exam clearly has some wheezing. Patient was admitted and started on scheduled bronchodilators along with Solu-Medrol IV due to her recent diagnosis with COVID and increased risk of thrombosis with that D-dimer was checked which was positive and CT of the chest was done however was negative for PE but positive for bibasilar pneumonia consistent with COVID.  This morning patient feeling better, she will be provided with nebulizer machine along with tapered dose of prednisone and antitussives, patient was counseled to continue her isolation at home.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Carbon dioxide normal, Chest X-ray normal, Chromaturia, Culture urine, Differential white blood cell count
Clinical narrative: 1/22/22  62 yr/o female who presents with complaint of shortness of air, chest wall and rib pain for the past week.  She was diagnosed with COVID one week ago.  She has PMH that includes asthma and PA.  Shortness of breath has worsened during this time. 1/22/22 History of Present Illness: Patient is a 62 yr/o with PMH significant for asthma who was tested positive for COVID-19 almost a week ago although the patient did receive the 2 doses of the vaccine, she was feeling overall okay however for the last 3 days her shortness of breath been getting worse patient did not require any oxygen supplement when she was tested positive neither when she came in yesterday to the ED her chest x-ray was clear however patient on exam clearly has some wheezing.  She does not use nebulizer or inhalers at home Review of Systems: General: Denies any weight change, fatigue, weakness, fever, chills, or night sweats. Denies any consumption of raw or undercooked meats or foods, change in water source, travel, or missed routine medications. Skin: Denies any skin, hair, or nail changes. Denies any rashes or sores Neuro: denies headache, dizziness, syncope, falls or trauma, changes in vision, hearing, or taste, focal weakness, numbness, paresthesias, fainting or seizures   Sinus: Denies any sinus pressure, rhinorrhea, epistaxis,  Cardio: Denies chest pain, or palpations, dyspnea on exertion, orthopnea, paroxysmal nocturnal dyspnea, or edema Pulmonary: Positive for shortness of breath GI: Denies change in appetite, denies nausea, vomiting, hematemesis, diarrhea, constipation, hematochezia, abdominal pain GU: Denies frequency, hesitancy, urgency, polyuria, dysuria, hematuria, nocturia, incontinence   Endocrine: Denies heat or cold intolerances, polyphagia, polydipsia, polyuria Psyc: Denies anxiety or depression 1/23/22 Brief History and Hospital Course: 62 yr/o with PMH significant for asthma who was tested positive for COVID-19 almost a week ago although the patient did receive the 2 doses of the vaccine, she was feeling overall okay however for the last 3 days her shortness of breath been getting worse patient did not require any oxygen supplement when she was tested positive neither when she came in yesterday to the ED her chest x-ray was clear however patient on exam clearly has some wheezing. Patient was admitted and started on scheduled bronchodilators along with Solu-Medrol IV due to her recent diagnosis with COVID and increased risk of thrombosis with that D-dimer was checked which was positive and CT of the chest was done however was negative for PE but positive for bibasilar pneumonia consistent with COVID.  This morning patient feeling better, she will be provided with nebulizer machine along with tapered dose of prednisone and antitussives, patient was counseled to continue her isolation at home.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Eosinophil count normal, Eosinophil percentage increased, Fibrin D dimer increased, Full blood count
Clinical narrative: 1/22/22  62 yr/o female who presents with complaint of shortness of air, chest wall and rib pain for the past week.  She was diagnosed with COVID one week ago.  She has PMH that includes asthma and PA.  Shortness of breath has worsened during this time. 1/22/22 History of Present Illness: Patient is a 62 yr/o with PMH significant for asthma who was tested positive for COVID-19 almost a week ago although the patient did receive the 2 doses of the vaccine, she was feeling overall okay however for the last 3 days her shortness of breath been getting worse patient did not require any oxygen supplement when she was tested positive neither when she came in yesterday to the ED her chest x-ray was clear however patient on exam clearly has some wheezing.  She does not use nebulizer or inhalers at home Review of Systems: General: Denies any weight change, fatigue, weakness, fever, chills, or night sweats. Denies any consumption of raw or undercooked meats or foods, change in water source, travel, or missed routine medications. Skin: Denies any skin, hair, or nail changes. Denies any rashes or sores Neuro: denies headache, dizziness, syncope, falls or trauma, changes in vision, hearing, or taste, focal weakness, numbness, paresthesias, fainting or seizures   Sinus: Denies any sinus pressure, rhinorrhea, epistaxis,  Cardio: Denies chest pain, or palpations, dyspnea on exertion, orthopnea, paroxysmal nocturnal dyspnea, or edema Pulmonary: Positive for shortness of breath GI: Denies change in appetite, denies nausea, vomiting, hematemesis, diarrhea, constipation, hematochezia, abdominal pain GU: Denies frequency, hesitancy, urgency, polyuria, dysuria, hematuria, nocturia, incontinence   Endocrine: Denies heat or cold intolerances, polyphagia, polydipsia, polyuria Psyc: Denies anxiety or depression 1/23/22 Brief History and Hospital Course: 62 yr/o with PMH significant for asthma who was tested positive for COVID-19 almost a week ago although the patient did receive the 2 doses of the vaccine, she was feeling overall okay however for the last 3 days her shortness of breath been getting worse patient did not require any oxygen supplement when she was tested positive neither when she came in yesterday to the ED her chest x-ray was clear however patient on exam clearly has some wheezing. Patient was admitted and started on scheduled bronchodilators along with Solu-Medrol IV due to her recent diagnosis with COVID and increased risk of thrombosis with that D-dimer was checked which was positive and CT of the chest was done however was negative for PE but positive for bibasilar pneumonia consistent with COVID.  This morning patient feeling better, she will be provided with nebulizer machine along with tapered dose of prednisone and antitussives, patient was counseled to continue her isolation at home.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Globulins increased, Glomerular filtration rate normal, Glucose urine absent, Granulocyte percentage, Haematocrit normal
Clinical narrative: 1/22/22  62 yr/o female who presents with complaint of shortness of air, chest wall and rib pain for the past week.  She was diagnosed with COVID one week ago.  She has PMH that includes asthma and PA.  Shortness of breath has worsened during this time. 1/22/22 History of Present Illness: Patient is a 62 yr/o with PMH significant for asthma who was tested positive for COVID-19 almost a week ago although the patient did receive the 2 doses of the vaccine, she was feeling overall okay however for the last 3 days her shortness of breath been getting worse patient did not require any oxygen supplement when she was tested positive neither when she came in yesterday to the ED her chest x-ray was clear however patient on exam clearly has some wheezing.  She does not use nebulizer or inhalers at home Review of Systems: General: Denies any weight change, fatigue, weakness, fever, chills, or night sweats. Denies any consumption of raw or undercooked meats or foods, change in water source, travel, or missed routine medications. Skin: Denies any skin, hair, or nail changes. Denies any rashes or sores Neuro: denies headache, dizziness, syncope, falls or trauma, changes in vision, hearing, or taste, focal weakness, numbness, paresthesias, fainting or seizures   Sinus: Denies any sinus pressure, rhinorrhea, epistaxis,  Cardio: Denies chest pain, or palpations, dyspnea on exertion, orthopnea, paroxysmal nocturnal dyspnea, or edema Pulmonary: Positive for shortness of breath GI: Denies change in appetite, denies nausea, vomiting, hematemesis, diarrhea, constipation, hematochezia, abdominal pain GU: Denies frequency, hesitancy, urgency, polyuria, dysuria, hematuria, nocturia, incontinence   Endocrine: Denies heat or cold intolerances, polyphagia, polydipsia, polyuria Psyc: Denies anxiety or depression 1/23/22 Brief History and Hospital Course: 62 yr/o with PMH significant for asthma who was tested positive for COVID-19 almost a week ago although the patient did receive the 2 doses of the vaccine, she was feeling overall okay however for the last 3 days her shortness of breath been getting worse patient did not require any oxygen supplement when she was tested positive neither when she came in yesterday to the ED her chest x-ray was clear however patient on exam clearly has some wheezing. Patient was admitted and started on scheduled bronchodilators along with Solu-Medrol IV due to her recent diagnosis with COVID and increased risk of thrombosis with that D-dimer was checked which was positive and CT of the chest was done however was negative for PE but positive for bibasilar pneumonia consistent with COVID.  This morning patient feeling better, she will be provided with nebulizer machine along with tapered dose of prednisone and antitussives, patient was counseled to continue her isolation at home.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin normal, Immature granulocyte count, Lipase normal, Lung consolidation, Lung infiltration
Clinical narrative: 1/22/22  62 yr/o female who presents with complaint of shortness of air, chest wall and rib pain for the past week.  She was diagnosed with COVID one week ago.  She has PMH that includes asthma and PA.  Shortness of breath has worsened during this time. 1/22/22 History of Present Illness: Patient is a 62 yr/o with PMH significant for asthma who was tested positive for COVID-19 almost a week ago although the patient did receive the 2 doses of the vaccine, she was feeling overall okay however for the last 3 days her shortness of breath been getting worse patient did not require any oxygen supplement when she was tested positive neither when she came in yesterday to the ED her chest x-ray was clear however patient on exam clearly has some wheezing.  She does not use nebulizer or inhalers at home Review of Systems: General: Denies any weight change, fatigue, weakness, fever, chills, or night sweats. Denies any consumption of raw or undercooked meats or foods, change in water source, travel, or missed routine medications. Skin: Denies any skin, hair, or nail changes. Denies any rashes or sores Neuro: denies headache, dizziness, syncope, falls or trauma, changes in vision, hearing, or taste, focal weakness, numbness, paresthesias, fainting or seizures   Sinus: Denies any sinus pressure, rhinorrhea, epistaxis,  Cardio: Denies chest pain, or palpations, dyspnea on exertion, orthopnea, paroxysmal nocturnal dyspnea, or edema Pulmonary: Positive for shortness of breath GI: Denies change in appetite, denies nausea, vomiting, hematemesis, diarrhea, constipation, hematochezia, abdominal pain GU: Denies frequency, hesitancy, urgency, polyuria, dysuria, hematuria, nocturia, incontinence   Endocrine: Denies heat or cold intolerances, polyphagia, polydipsia, polyuria Psyc: Denies anxiety or depression 1/23/22 Brief History and Hospital Course: 62 yr/o with PMH significant for asthma who was tested positive for COVID-19 almost a week ago although the patient did receive the 2 doses of the vaccine, she was feeling overall okay however for the last 3 days her shortness of breath been getting worse patient did not require any oxygen supplement when she was tested positive neither when she came in yesterday to the ED her chest x-ray was clear however patient on exam clearly has some wheezing. Patient was admitted and started on scheduled bronchodilators along with Solu-Medrol IV due to her recent diagnosis with COVID and increased risk of thrombosis with that D-dimer was checked which was positive and CT of the chest was done however was negative for PE but positive for bibasilar pneumonia consistent with COVID.  This morning patient feeling better, she will be provided with nebulizer machine along with tapered dose of prednisone and antitussives, patient was counseled to continue her isolation at home.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Lung opacity, Lymphocyte count, Lymphocyte percentage, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal
Clinical narrative: 1/22/22  62 yr/o female who presents with complaint of shortness of air, chest wall and rib pain for the past week.  She was diagnosed with COVID one week ago.  She has PMH that includes asthma and PA.  Shortness of breath has worsened during this time. 1/22/22 History of Present Illness: Patient is a 62 yr/o with PMH significant for asthma who was tested positive for COVID-19 almost a week ago although the patient did receive the 2 doses of the vaccine, she was feeling overall okay however for the last 3 days her shortness of breath been getting worse patient did not require any oxygen supplement when she was tested positive neither when she came in yesterday to the ED her chest x-ray was clear however patient on exam clearly has some wheezing.  She does not use nebulizer or inhalers at home Review of Systems: General: Denies any weight change, fatigue, weakness, fever, chills, or night sweats. Denies any consumption of raw or undercooked meats or foods, change in water source, travel, or missed routine medications. Skin: Denies any skin, hair, or nail changes. Denies any rashes or sores Neuro: denies headache, dizziness, syncope, falls or trauma, changes in vision, hearing, or taste, focal weakness, numbness, paresthesias, fainting or seizures   Sinus: Denies any sinus pressure, rhinorrhea, epistaxis,  Cardio: Denies chest pain, or palpations, dyspnea on exertion, orthopnea, paroxysmal nocturnal dyspnea, or edema Pulmonary: Positive for shortness of breath GI: Denies change in appetite, denies nausea, vomiting, hematemesis, diarrhea, constipation, hematochezia, abdominal pain GU: Denies frequency, hesitancy, urgency, polyuria, dysuria, hematuria, nocturia, incontinence   Endocrine: Denies heat or cold intolerances, polyphagia, polydipsia, polyuria Psyc: Denies anxiety or depression 1/23/22 Brief History and Hospital Course: 62 yr/o with PMH significant for asthma who was tested positive for COVID-19 almost a week ago although the patient did receive the 2 doses of the vaccine, she was feeling overall okay however for the last 3 days her shortness of breath been getting worse patient did not require any oxygen supplement when she was tested positive neither when she came in yesterday to the ED her chest x-ray was clear however patient on exam clearly has some wheezing. Patient was admitted and started on scheduled bronchodilators along with Solu-Medrol IV due to her recent diagnosis with COVID and increased risk of thrombosis with that D-dimer was checked which was positive and CT of the chest was done however was negative for PE but positive for bibasilar pneumonia consistent with COVID.  This morning patient feeling better, she will be provided with nebulizer machine along with tapered dose of prednisone and antitussives, patient was counseled to continue her isolation at home.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Mean cell volume normal, Mean platelet volume increased, Metabolic function test, Monocyte count, Monocyte percentage
Clinical narrative: 1/22/22  62 yr/o female who presents with complaint of shortness of air, chest wall and rib pain for the past week.  She was diagnosed with COVID one week ago.  She has PMH that includes asthma and PA.  Shortness of breath has worsened during this time. 1/22/22 History of Present Illness: Patient is a 62 yr/o with PMH significant for asthma who was tested positive for COVID-19 almost a week ago although the patient did receive the 2 doses of the vaccine, she was feeling overall okay however for the last 3 days her shortness of breath been getting worse patient did not require any oxygen supplement when she was tested positive neither when she came in yesterday to the ED her chest x-ray was clear however patient on exam clearly has some wheezing.  She does not use nebulizer or inhalers at home Review of Systems: General: Denies any weight change, fatigue, weakness, fever, chills, or night sweats. Denies any consumption of raw or undercooked meats or foods, change in water source, travel, or missed routine medications. Skin: Denies any skin, hair, or nail changes. Denies any rashes or sores Neuro: denies headache, dizziness, syncope, falls or trauma, changes in vision, hearing, or taste, focal weakness, numbness, paresthesias, fainting or seizures   Sinus: Denies any sinus pressure, rhinorrhea, epistaxis,  Cardio: Denies chest pain, or palpations, dyspnea on exertion, orthopnea, paroxysmal nocturnal dyspnea, or edema Pulmonary: Positive for shortness of breath GI: Denies change in appetite, denies nausea, vomiting, hematemesis, diarrhea, constipation, hematochezia, abdominal pain GU: Denies frequency, hesitancy, urgency, polyuria, dysuria, hematuria, nocturia, incontinence   Endocrine: Denies heat or cold intolerances, polyphagia, polydipsia, polyuria Psyc: Denies anxiety or depression 1/23/22 Brief History and Hospital Course: 62 yr/o with PMH significant for asthma who was tested positive for COVID-19 almost a week ago although the patient did receive the 2 doses of the vaccine, she was feeling overall okay however for the last 3 days her shortness of breath been getting worse patient did not require any oxygen supplement when she was tested positive neither when she came in yesterday to the ED her chest x-ray was clear however patient on exam clearly has some wheezing. Patient was admitted and started on scheduled bronchodilators along with Solu-Medrol IV due to her recent diagnosis with COVID and increased risk of thrombosis with that D-dimer was checked which was positive and CT of the chest was done however was negative for PE but positive for bibasilar pneumonia consistent with COVID.  This morning patient feeling better, she will be provided with nebulizer machine along with tapered dose of prednisone and antitussives, patient was counseled to continue her isolation at home.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal chest pain, Neutrophil count, Neutrophil percentage, Nitrite urine absent, Platelet count normal
Clinical narrative: 1/22/22  62 yr/o female who presents with complaint of shortness of air, chest wall and rib pain for the past week.  She was diagnosed with COVID one week ago.  She has PMH that includes asthma and PA.  Shortness of breath has worsened during this time. 1/22/22 History of Present Illness: Patient is a 62 yr/o with PMH significant for asthma who was tested positive for COVID-19 almost a week ago although the patient did receive the 2 doses of the vaccine, she was feeling overall okay however for the last 3 days her shortness of breath been getting worse patient did not require any oxygen supplement when she was tested positive neither when she came in yesterday to the ED her chest x-ray was clear however patient on exam clearly has some wheezing.  She does not use nebulizer or inhalers at home Review of Systems: General: Denies any weight change, fatigue, weakness, fever, chills, or night sweats. Denies any consumption of raw or undercooked meats or foods, change in water source, travel, or missed routine medications. Skin: Denies any skin, hair, or nail changes. Denies any rashes or sores Neuro: denies headache, dizziness, syncope, falls or trauma, changes in vision, hearing, or taste, focal weakness, numbness, paresthesias, fainting or seizures   Sinus: Denies any sinus pressure, rhinorrhea, epistaxis,  Cardio: Denies chest pain, or palpations, dyspnea on exertion, orthopnea, paroxysmal nocturnal dyspnea, or edema Pulmonary: Positive for shortness of breath GI: Denies change in appetite, denies nausea, vomiting, hematemesis, diarrhea, constipation, hematochezia, abdominal pain GU: Denies frequency, hesitancy, urgency, polyuria, dysuria, hematuria, nocturia, incontinence   Endocrine: Denies heat or cold intolerances, polyphagia, polydipsia, polyuria Psyc: Denies anxiety or depression 1/23/22 Brief History and Hospital Course: 62 yr/o with PMH significant for asthma who was tested positive for COVID-19 almost a week ago although the patient did receive the 2 doses of the vaccine, she was feeling overall okay however for the last 3 days her shortness of breath been getting worse patient did not require any oxygen supplement when she was tested positive neither when she came in yesterday to the ED her chest x-ray was clear however patient on exam clearly has some wheezing. Patient was admitted and started on scheduled bronchodilators along with Solu-Medrol IV due to her recent diagnosis with COVID and increased risk of thrombosis with that D-dimer was checked which was positive and CT of the chest was done however was negative for PE but positive for bibasilar pneumonia consistent with COVID.  This morning patient feeling better, she will be provided with nebulizer machine along with tapered dose of prednisone and antitussives, patient was counseled to continue her isolation at home.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Procalcitonin, Protein total normal, Protein urine absent, Red blood cell count normal
Clinical narrative: 1/22/22  62 yr/o female who presents with complaint of shortness of air, chest wall and rib pain for the past week.  She was diagnosed with COVID one week ago.  She has PMH that includes asthma and PA.  Shortness of breath has worsened during this time. 1/22/22 History of Present Illness: Patient is a 62 yr/o with PMH significant for asthma who was tested positive for COVID-19 almost a week ago although the patient did receive the 2 doses of the vaccine, she was feeling overall okay however for the last 3 days her shortness of breath been getting worse patient did not require any oxygen supplement when she was tested positive neither when she came in yesterday to the ED her chest x-ray was clear however patient on exam clearly has some wheezing.  She does not use nebulizer or inhalers at home Review of Systems: General: Denies any weight change, fatigue, weakness, fever, chills, or night sweats. Denies any consumption of raw or undercooked meats or foods, change in water source, travel, or missed routine medications. Skin: Denies any skin, hair, or nail changes. Denies any rashes or sores Neuro: denies headache, dizziness, syncope, falls or trauma, changes in vision, hearing, or taste, focal weakness, numbness, paresthesias, fainting or seizures   Sinus: Denies any sinus pressure, rhinorrhea, epistaxis,  Cardio: Denies chest pain, or palpations, dyspnea on exertion, orthopnea, paroxysmal nocturnal dyspnea, or edema Pulmonary: Positive for shortness of breath GI: Denies change in appetite, denies nausea, vomiting, hematemesis, diarrhea, constipation, hematochezia, abdominal pain GU: Denies frequency, hesitancy, urgency, polyuria, dysuria, hematuria, nocturia, incontinence   Endocrine: Denies heat or cold intolerances, polyphagia, polydipsia, polyuria Psyc: Denies anxiety or depression 1/23/22 Brief History and Hospital Course: 62 yr/o with PMH significant for asthma who was tested positive for COVID-19 almost a week ago although the patient did receive the 2 doses of the vaccine, she was feeling overall okay however for the last 3 days her shortness of breath been getting worse patient did not require any oxygen supplement when she was tested positive neither when she came in yesterday to the ED her chest x-ray was clear however patient on exam clearly has some wheezing. Patient was admitted and started on scheduled bronchodilators along with Solu-Medrol IV due to her recent diagnosis with COVID and increased risk of thrombosis with that D-dimer was checked which was positive and CT of the chest was done however was negative for PE but positive for bibasilar pneumonia consistent with COVID.  This morning patient feeling better, she will be provided with nebulizer machine along with tapered dose of prednisone and antitussives, patient was counseled to continue her isolation at home.