chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: Patient contracted COVID-19 after being vaccinated and was seen in ED.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Rash
Clinical narrative: Reported joint pain and rash on her legs.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: None - N/a
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Contracted COVID-19 post vaccination.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Cough, Fatigue, Gastrointestinal disorder, Headache
Clinical narrative: Received my vaccination on July 5th and I was scheduled for my infusion on July 6th.  I receive infusions of Simponi Aria  for my RA.  I called my rheumatologist to see if it was safe for me to get the infusion directly after the vaccine and I was advised that it was fine.    I woke up on Tuesday, July 6th and I had a slight sore throat and headache but it wasn?t significant so I went for my infusion.  By Tuesday evening my symptoms were worsening.   On Wednesday I had more symptoms, and actually felt like I had Covid-19 again.  Sore throat, runny nose, body aches, low fever, stomach issues, and very fatigued.  I even developed a little cough.  So on the 14th of July, I got a COVID test.  As the aforementioned symptoms start to subside, I developed a rash on my arms and neck, itchy palms and feet as well.  I thought it was hives but nothing I did got rid of the rash and itching.  Called my primary physician on the 19th of July I believe.  He prescribed some medication that did not help the problem.  I am still dealing with the rash and itching today.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Infusion, Malaise, Oropharyngeal pain, Pain, Pruritus
Clinical narrative: Received my vaccination on July 5th and I was scheduled for my infusion on July 6th.  I receive infusions of Simponi Aria  for my RA.  I called my rheumatologist to see if it was safe for me to get the infusion directly after the vaccine and I was advised that it was fine.    I woke up on Tuesday, July 6th and I had a slight sore throat and headache but it wasn?t significant so I went for my infusion.  By Tuesday evening my symptoms were worsening.   On Wednesday I had more symptoms, and actually felt like I had Covid-19 again.  Sore throat, runny nose, body aches, low fever, stomach issues, and very fatigued.  I even developed a little cough.  So on the 14th of July, I got a COVID test.  As the aforementioned symptoms start to subside, I developed a rash on my arms and neck, itchy palms and feet as well.  I thought it was hives but nothing I did got rid of the rash and itching.  Called my primary physician on the 19th of July I believe.  He prescribed some medication that did not help the problem.  I am still dealing with the rash and itching today.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash, Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: Received my vaccination on July 5th and I was scheduled for my infusion on July 6th.  I receive infusions of Simponi Aria  for my RA.  I called my rheumatologist to see if it was safe for me to get the infusion directly after the vaccine and I was advised that it was fine.    I woke up on Tuesday, July 6th and I had a slight sore throat and headache but it wasn?t significant so I went for my infusion.  By Tuesday evening my symptoms were worsening.   On Wednesday I had more symptoms, and actually felt like I had Covid-19 again.  Sore throat, runny nose, body aches, low fever, stomach issues, and very fatigued.  I even developed a little cough.  So on the 14th of July, I got a COVID test.  As the aforementioned symptoms start to subside, I developed a rash on my arms and neck, itchy palms and feet as well.  I thought it was hives but nothing I did got rid of the rash and itching.  Called my primary physician on the 19th of July I believe.  He prescribed some medication that did not help the problem.  I am still dealing with the rash and itching today.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Migraine, Paraesthesia
Clinical narrative: 3 days after vaccination, I experienced extreme migraine for over 36 hours. I also had numbness and tingling in my arm and face for about 20 minutes.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient received 2 doses of Pfizer covid vaccine. She then received the Moderna vaccine for 3rd dose
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Syncope
Clinical narrative: Woke up 3:30am with severe fatigue and chills.  Fainted while trying to get medication.  Mother woke up from sleep when she heard patient hit a wall while fainting.  Called 24hr nurse hotline.  They recommended being seen by a doctor.  We were able to get water, ibuprofen and Tylenol in her by 4:00am and waited 30-40 minutes.  The medication lessened symptoms so we chose not to seek further treatment.  Staying on both Tylenol and ibuprofen kept symptoms at bay for the next 36 hours.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Caught COVID after being vaccinated.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea
Clinical narrative: Patient reported to emergency room on 4/30/21 with complaints of shortness of breath and chest tightness. Onset approx 1 week prior but symptoms worsened 2 days prior.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Gait inability, Inflammation, Movement disorder, Polyarthritis
Clinical narrative: Arthritis in joints. Rolling joint pain and inflammation all over the body. So bad I can?t walk or move.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Vaccinated then came down with COVID.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Blood pressure decreased, Hyperhidrosis, Immediate post-injection reaction, Joint lock
Clinical narrative: IMMEDIATELY AFTER GIVING THE VACCINE, PATIENT SAID HE IS NOT FEELING WELL, TURNED PALE AND PASSED OUT, HIS ARMS LOCKED, HE START SHAKING AND HIS HEAD TUNRED ON THE SIDE. HE LOST CONSCIOUSNESS.  AFTER FEW SECONDS HE RECOVERED, BUT WAS VERY PALE AND  HE WAS SWEATING. 911 WAS CALLED AND PARAMEDICS CAME.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Malaise, Pallor, Posture abnormal, Tremor
Clinical narrative: IMMEDIATELY AFTER GIVING THE VACCINE, PATIENT SAID HE IS NOT FEELING WELL, TURNED PALE AND PASSED OUT, HIS ARMS LOCKED, HE START SHAKING AND HIS HEAD TUNRED ON THE SIDE. HE LOST CONSCIOUSNESS.  AFTER FEW SECONDS HE RECOVERED, BUT WAS VERY PALE AND  HE WAS SWEATING. 911 WAS CALLED AND PARAMEDICS CAME.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Peripheral swelling, Skin mass
Clinical narrative: Patient states she had swelling in arm for a few weeks and now has a lump under the skin on injection arm
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Incomplete course of vaccination
Clinical narrative: Received vaccine within 5-10 minutes shortness of breath, tightness of chest, labored breathing. Primarily in the diaphragm area. Chest wall symptoms bilaterally. Currently still getting worked up for that. Physician put me on a prednisone taper to reduce inflammation. I was evaluated yesterday and they said with everything taken into account and if my chest wall improves to my comfort level she will have me get a CAT scan of the chest next week. I have not ever in my life had chest wall stiffness like this. I was advised due to the circumstances do not get the 2nd dose.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Infection, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID case.  Tested positive on 8/17/2021 via PCR test.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash on legs this morning after getting shot yesterday at 10:30 am.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Fever, chills,  body aches
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Feeling cold, Hypoaesthesia, Injection site induration, Injection site inflammation
Clinical narrative: What is known as Covid Arm. Current and active pain and inflammation at injection site.  "Tight, hard skin" similar to a bee sting. Hot around area. No treatment. Numbness from top of shoulder to just below the elbow. Since it has started, I have had fast internal "blasts of cold" almost like a cold chill but much slower from head to toe. Extreme sensitivity to temperature, not just my arm, but my body as a whole.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site warmth, Sensory disturbance, Skin reaction
Clinical narrative: What is known as Covid Arm. Current and active pain and inflammation at injection site.  "Tight, hard skin" similar to a bee sting. Hot around area. No treatment. Numbness from top of shoulder to just below the elbow. Since it has started, I have had fast internal "blasts of cold" almost like a cold chill but much slower from head to toe. Extreme sensitivity to temperature, not just my arm, but my body as a whole.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Headache, Oropharyngeal pain, Pain
Clinical narrative: Extreme fatigue, body aches, headache, coughing, sore throat, tickle in throat, postnasal draining/ runny nose, slight vertigo (the first shot was worse), fever (highest was 99.9 then took Advil. A lot of these symptoms are the same as my possible Sjogren's and my daily low-grade fevers, it's just that these are worse.  The body aches and fatigue was present when I awoke shortly before 7 am, by about 3 pm the sore/ticklish throat and coughing started along with the postnasal drip/runny nose. The headache started at around 6 pm. It is now Wednesday, and everything is still going on.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rhinorrhoea, Throat irritation, Upper-airway cough syndrome, Vertigo
Clinical narrative: Extreme fatigue, body aches, headache, coughing, sore throat, tickle in throat, postnasal draining/ runny nose, slight vertigo (the first shot was worse), fever (highest was 99.9 then took Advil. A lot of these symptoms are the same as my possible Sjogren's and my daily low-grade fevers, it's just that these are worse.  The body aches and fatigue was present when I awoke shortly before 7 am, by about 3 pm the sore/ticklish throat and coughing started along with the postnasal drip/runny nose. The headache started at around 6 pm. It is now Wednesday, and everything is still going on.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood pressure abnormal, Blood test, Chest X-ray, Dysphagia, Electrocardiogram
Clinical narrative: Severe neurological reaction including face, arms and legs tingling and  numbness, fast heartrate, difficulty speaking/swallowing, elevated blood pressure, feeling of needing to jump out of skin.  This occurred on 7/30 (date of vaccine) within hours and multiple times following.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Feeling abnormal, Heart rate increased, Hypoaesthesia, Paraesthesia, Speech disorder
Clinical narrative: Severe neurological reaction including face, arms and legs tingling and  numbness, fast heartrate, difficulty speaking/swallowing, elevated blood pressure, feeling of needing to jump out of skin.  This occurred on 7/30 (date of vaccine) within hours and multiple times following.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal discomfort, Blood pressure increased, Blood pressure measurement, Diplopia, Dysphagia
Clinical narrative: Severe neurological reaction including face, arms and legs tingling and  numbness, fast heartrate, difficulty speaking/swallowing, elevated blood pressure, feeling of needing to jump out of skin.  This occurred on 7/30 (date of vaccine) within hours and multiple times following.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Feeling abnormal, Hypoaesthesia, Palpitations, Paraesthesia, SARS-CoV-2 test
Clinical narrative: Severe neurological reaction including face, arms and legs tingling and  numbness, fast heartrate, difficulty speaking/swallowing, elevated blood pressure, feeling of needing to jump out of skin.  This occurred on 7/30 (date of vaccine) within hours and multiple times following.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Speech disorder
Clinical narrative: Severe neurological reaction including face, arms and legs tingling and  numbness, fast heartrate, difficulty speaking/swallowing, elevated blood pressure, feeling of needing to jump out of skin.  This occurred on 7/30 (date of vaccine) within hours and multiple times following.
Age: 39.0
Sex: M
Vaccine: UNK
Symptoms: Ageusia, Anosmia, Palpitations
Clinical narrative: Heart Palpatations, Loss of Taste and Smell all still current
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient was vaccinated with the COVID-19 vaccine on 1/20/21 and 2/10/21, so was fully vaccinated when he tested positive for COVID on 8/17/21.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Uterine haemorrhage
Clinical narrative: Abnormal uterine bleeding. I take my OCP continuously and on time daily and never have periods or break through bleeding. I have been on OCP form 19 years and taking continuously for 10 with no issues until 8/16/21. I am having a full blown heavy period for now 3 days where I am bleeding through tampons within 4-6 hours.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Arthritis, Injection site discolouration, Injection site pain, Injection site swelling, Pain
Clinical narrative: Pain, swelling, discoloration and achiness in  injection site. Feels like arthritis. Feels like it's cracking is the best way to describe it
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Death, Intensive care
Clinical narrative: Patient admitted to hospital on 8/10 with acute respiratory failure. Symptoms started 8/4. Respiratory status worsened and transferred to ICU on 8/15. Patient passed away on  8/17/21.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: pt had tested positive for covid vaccinations
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Patient came to the pharmacy for her 2nd COVID Pfizer dose and marked YES on question #5 section B which led to an inquiry in which we discovered that she experienced a widespread body rash (not just localized to the injection site) roughly 4 days after the vaccination; no difficulty breathing/shortness of breath. Patient has notified her PCP of reaction.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: Patient received the COVID-19 vaccine on 2/18/21 and 3/17/21, so was fully vaccinated when she tested positive for COVID-19 on 8/15/21.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Vertigo
Clinical narrative: Dizzyness, clouded mind, vertigo
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Computerised tomogram normal, Confusional state, Dizziness, Electrocardiogram normal
Clinical narrative: I am experiencing dizziness and confusion at times.  It has been constant for over a month and is worse when I look up to the left or lay down.
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Rash
Clinical narrative: Was seen at ER on 8/17/2021 16:39. Patient is 11-year-old who presents with an allergic reaction. He just received his HPV, TDAP, MENINGITIS vaccine and he broke out in a rash primarily on his face. Denies any throat, tongue, or mouth swelling. No difficulty breathing, no wheezing, no nausea, or vomiting.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Dyspnoea, Electrocardiogram normal, Palpitations, SARS-CoV-2 test negative
Clinical narrative: Began with Palpitations.  A week later progressed into chest heaviness and shortness of breath.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: The patient called on 8/17/21 and said that night or the next morning she had a left swollen lymph node in her neck and that it had stayed swollen since 8/10/21. She said she had no other symptoms. She was concerned it may be due to the vaccine. I recommended that she be checked by her PCP or a walk in office.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Ear pain, Headache
Clinical narrative: headache, ear pain, dizziness
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Chills, Dizziness, Fatigue, Hypersomnia
Clinical narrative: Chills fatigue sleeping 12 hours  10 days later complete loss of balance and severe dizziness
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Back pain, COVID-19, Mental status changes, SARS-CoV-2 test positive
Clinical narrative: LOWER BACK PAIN AND AMS
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram abnormal, Myocarditis
Clinical narrative: Severe chest pains, was diagnosed with Myocarditis by healthcare provider.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Gynaecological examination, Heavy menstrual bleeding, Muscle spasms, Pelvic pain
Clinical narrative: Extreme sudden onset of clotted uterine bleeding. Clots were fist size and coming every fifteen minutes along with pelvic cramping. Pads/tampons were useless and overflowing. Bleeding continued from 3:30am until about 10pm when the Tranexamic Acid finally helped slow it. abnormal heavy bleeding persisted for three days after the extreme bout.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Thrombosis, Urine analysis, Uterine haemorrhage
Clinical narrative: Extreme sudden onset of clotted uterine bleeding. Clots were fist size and coming every fifteen minutes along with pelvic cramping. Pads/tampons were useless and overflowing. Bleeding continued from 3:30am until about 10pm when the Tranexamic Acid finally helped slow it. abnormal heavy bleeding persisted for three days after the extreme bout.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, COVID-19, Cough, Oropharyngeal pain, Respiratory tract congestion
Clinical narrative: cough, congestion, sore throat and loss of taste
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: cough, congestion, sore throat and loss of taste
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Borrelia test negative, Confusional state, Dizziness, Fatigue, Feeling abnormal
Clinical narrative: On March 15, 2021, you can down mild virial like symptoms, you became fatigue, and started having mild dizziness, mild confusion, ringing in both ears, right ear was worse than the left and my neck glandes were swollen, at that point I schedule in person visit with my doctor. My doctor visit was on Tuesday, March 23, 2021, at 9am, they took a look at my neck glandes and ears, my eardrums fine and it looked like a viral infection, so they ran a blood panel results showed a little elevated liver enzyme. They did not order a covid-19 test. I had a follow up appointment on or around May 6th, 2021. They did more blood work to see if my liver enzymes went down, which they did and then they ran a Lyme dieses test, hepatitis test. Mononucleosis test, all came back negative. My fatigueless and brain fog continued.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Hepatic enzyme increased, Hepatitis viral test negative, Lymphadenopathy, Mononucleosis heterophile test negative, Tinnitus
Clinical narrative: On March 15, 2021, you can down mild virial like symptoms, you became fatigue, and started having mild dizziness, mild confusion, ringing in both ears, right ear was worse than the left and my neck glandes were swollen, at that point I schedule in person visit with my doctor. My doctor visit was on Tuesday, March 23, 2021, at 9am, they took a look at my neck glandes and ears, my eardrums fine and it looked like a viral infection, so they ran a blood panel results showed a little elevated liver enzyme. They did not order a covid-19 test. I had a follow up appointment on or around May 6th, 2021. They did more blood work to see if my liver enzymes went down, which they did and then they ran a Lyme dieses test, hepatitis test. Mononucleosis test, all came back negative. My fatigueless and brain fog continued.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Viral infection
Clinical narrative: On March 15, 2021, you can down mild virial like symptoms, you became fatigue, and started having mild dizziness, mild confusion, ringing in both ears, right ear was worse than the left and my neck glandes were swollen, at that point I schedule in person visit with my doctor. My doctor visit was on Tuesday, March 23, 2021, at 9am, they took a look at my neck glandes and ears, my eardrums fine and it looked like a viral infection, so they ran a blood panel results showed a little elevated liver enzyme. They did not order a covid-19 test. I had a follow up appointment on or around May 6th, 2021. They did more blood work to see if my liver enzymes went down, which they did and then they ran a Lyme dieses test, hepatitis test. Mononucleosis test, all came back negative. My fatigueless and brain fog continued.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Thrombophlebitis superficial
Clinical narrative: Onset of right foot pain on 8/11/21,  Diagnosed with blood clot dorsum right foot.  "superficial" .  Has not started treatment at this time.  Meds awaiting at pharmacy
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, Product administered to patient of inappropriate age
Clinical narrative: Patient was given Moderna vaccine while an inpatient facility () .  Immunization record came through  clinic, it was Data from outside sources need reconciliation. Moderna vaccine was administered 6/16/21. This patient is not of age to receive the Moderna vaccine.  Pfizer was given as the second dose on 8/17/20.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Insomnia, Migraine, Nausea
Clinical narrative: I am having migraine headaches, sweating, nausea, trouble sleeping
Age: 11.0
Sex: M
Vaccine: DTAPIPV, HPV9, MNQ
Symptoms: No adverse event, Wrong product administered
Clinical narrative: I gave Kinrix (Dtap-polio) instead of intended Tdap to an 11 year old. I noticed my error right away and told the mother immediately while still in the room.  The child had no adverse symptoms when the mother called back a few hours later.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, SARS-CoV-2 test
Clinical narrative: Dizziness Shortness of Breath
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID positive >14 days post vaccine series.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood lactate dehydrogenase, C-reactive protein, COVID-19, Differential white blood cell count, Echocardiogram
Clinical narrative: COVID positive >14 days post vaccine series.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Electrocardiogram, Fibrin D dimer, Full blood count, Heart rate irregular, International normalised ratio
Clinical narrative: COVID positive >14 days post vaccine series.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Laboratory test, Malaise, Metabolic function test, Palpitations, Procalcitonin
Clinical narrative: COVID positive >14 days post vaccine series.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Prothrombin level, Serum ferritin, Troponin I, Urine analysis
Clinical narrative: COVID positive >14 days post vaccine series.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Asthenia, COVID-19, Dyspnoea
Clinical narrative: Breakthrough Covid. Patient Developed symptoms of Covid starting August 6th (12 days of progressive symptoms) despite getting Covid Vaccination (2 doses, one in March and one in April).  She developed loss of taste and smell, bodyaches, nausea, nasal congestion, general weakness, shortness of breath. Respiratory panel positive for SARS-CoV-2.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Nausea, Pain, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough Covid. Patient Developed symptoms of Covid starting August 6th (12 days of progressive symptoms) despite getting Covid Vaccination (2 doses, one in March and one in April).  She developed loss of taste and smell, bodyaches, nausea, nasal congestion, general weakness, shortness of breath. Respiratory panel positive for SARS-CoV-2.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Endoscopy upper gastrointestinal tract, Nausea, Ultrasound scan
Clinical narrative: Nausea - upper endoscopy; ultrasound; blood work
Age: 1.17
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Feeling abnormal, Vomiting
Clinical narrative: Starting throwing up morning after threw mouth and nose and very fussy.  It has happened one other time and I contacted the nurse in office last time and they said it was not related to vaccine although now it has happened again.
Age: 64.0
Sex: F
Vaccine: COVID19, FLUA3, COVID19
Symptoms: Dizziness, Headache, Inappropriate schedule of product administration, Interchange of vaccine products, Pyrexia
Clinical narrative: Fever headache dizzy after being given Medurna shot instead of seasonal flu shot afteralready Pfizer shots 4.5 months ago. Also was given flu shot
Age: 64.0
Sex: F
Vaccine: COVID19, FLUA3, COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Fever headache dizzy after being given Medurna shot instead of seasonal flu shot afteralready Pfizer shots 4.5 months ago. Also was given flu shot
Age: 64.0
Sex: F
Vaccine: COVID19, FLUA3, COVID19
Symptoms: Dizziness, Headache, Inappropriate schedule of product administration, Interchange of vaccine products, Pyrexia
Clinical narrative: Error: Wrong Vaccine Formulation  (ex. different manufact. initial and booster)-
Age: 64.0
Sex: F
Vaccine: COVID19, FLUA3, COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation  (ex. different manufact. initial and booster)-
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Cough, Dyspnoea, Headache
Clinical narrative: Cough  Shortness of Breath  Muscle or body aches  Headache  New loss of taste or smell
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, SARS-CoV-2 test
Clinical narrative: Cough  Shortness of Breath  Muscle or body aches  Headache  New loss of taste or smell
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: fever up to 101.6F, body aches, headaches, chills.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: Swelling above upper lip
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive covid test
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain
Clinical narrative: Pain injection area, tiredness, physical exhaustion.
Age: 36.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Blood test, Magnetic resonance imaging
Clinical narrative: None stated.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blindness unilateral, Dizziness, Fatigue, Migraine
Clinical narrative: blurred vision, dizziness, blindness in right eye, eye dr said pt needs to see a neurologist, migraines, fatigue,  muscle spasms through whole body, whole body weakness, nausea, vomiting's , pcp prescribed physical therapy
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Nausea, Vision blurred, Vomiting
Clinical narrative: blurred vision, dizziness, blindness in right eye, eye dr said pt needs to see a neurologist, migraines, fatigue,  muscle spasms through whole body, whole body weakness, nausea, vomiting's , pcp prescribed physical therapy
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient had a syncopal episode after receiving the J&J vaccine. Patient stated before getting vaccinated that she passes out with shots and blood draws. Did ok right after the vaccine but few minutes later she had a syncopal episode for less than a minute and came back to. Laid her down in exam room 8 and checked vital was 125/83. Stayed in the room with her and did start to feel better was given a cool towel and a juice to drink. Patient was slowly moved to a sitting position and was able to ambulate after 20 minutes.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Feeling hot, Nausea, Pruritus, Vomiting
Clinical narrative: Complain of nausea, then emesis X 2, described hands as "hot" and red in color, then redness spread to both wrist area, then developed itching of hands/wrists, then developed itching across chest and back.
Age: 48.0
Sex: F
Vaccine: FLU4
Symptoms: Cartilage injury, Magnetic resonance imaging, Shoulder injury related to vaccine administration, X-ray
Clinical narrative: Shoulder injury related to vaccine administration.  As time has conditined, the cartilage has completely disolved, i.e. there is no longer cartilage remaining int he left shoulder.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arrhythmia, Cardiac failure, Chest pain, Computerised tomogram thorax abnormal, Dyspnoea
Clinical narrative: 3  days after my 2nd shot I was in the ER with chest pains and trouble breathing. The ER performed an ecg and it was abnormal. Other the next month I had a heart echo, heart mri and heart CT scan. Diagnosed heart failure, myocarditis, dangerous arrhythmia. Have been wearing a life vest for nearly 3 months. Constantly tired.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram abnormal, Electrocardiogram abnormal, Fatigue, Magnetic resonance imaging heart, Myocarditis
Clinical narrative: 3  days after my 2nd shot I was in the ER with chest pains and trouble breathing. The ER performed an ecg and it was abnormal. Other the next month I had a heart echo, heart mri and heart CT scan. Diagnosed heart failure, myocarditis, dangerous arrhythmia. Have been wearing a life vest for nearly 3 months. Constantly tired.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise
Clinical narrative: Pt admitted to the Hospital for COVID 19 symptoms post vaccination.
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Fatigue, Pain, SARS-CoV-2 test positive
Clinical narrative: A WEEK AGO STARTED FEELING TIRED, BODY ACHES, WEAKNES
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Arteriosclerosis, Arteriosclerosis coronary artery, Atypical mycobacterial infection
Clinical narrative: Flu Symptoms   Clinical Support 8/6/2021 Urgent Care Medication Infusion  Reason for Visit Progress Notes (Registered Nurse) ? ? Encounter Date: 8/6/2021 ? ? Signed    1300 Patient arrived for MAB infusion. SOB after walking to exam room. Pulse ox 88% on RA. Encourged to cough and deep breathe. Move pulse ox to another finger.    1305 pulse ox 85% RA patient states he is SOB.    1308 O2 2L NC applied   1311 Pulse ox 90% on 2L NC   1314 Pulse ox 90-91% on 2L. Less labored breathing. Patient states he is fine if he is just sitting but becomes SOB with any exertion.    1319 Asked patient to lean forward to listen to lungs, started coughing and pulse ox dropped to 89%.    1323 Patient stated he noticed significant labor breathing after showering this am that did resolve after resting. He then became SOB anytime he was out of his chair moving about.    1332 Pulse ox 91%. Patient states he is starting to feel a little better. Removed O2 to see if patient can maintain pulse ox of 90% or better. Explain to patient that if pulse ox drops we will not be able to administer the medication. Patient verbalized understanding.    1338 Pulse ox dropped to 89% on RA. O2 @ 2L NC reapplied.    1345 Pulse ox up to 92-93% on 2L NC. Dicussed the need for the ED. Patient would does not want to go by ambulance. His wife is at home and he has the car.    Patient declined ambulance. Removed O2. Patient discharged and instructed to go to ED.    1356 Report given to ED  ED to Hosp-Admission Discharged 8/6/2021 - 8/17/2021 (11 days) Hospital 1.  Acute hypoxic respiratory failure present on admission secondary to COVID-19 pneumonia in a morbidly obese patient.  I will start him on O2 protocol nebulization treatments. 2.  COVID-19 pneumonia chest x-ray reviewed we will start the patient on remdesivir IV steroids nebulization treatment O2 protocol. 3.  Diarrhea with severe dehydration dry oral mucosa we will start him on normal saline at 100 mL/h diarrhea most likely from COVID-19 GI symptoms. 4.  Acute on chronic renal injury present on admission underlying CKD stage III.  Secondary to diarrhea and poor oral intake I will hold lisinopril and Lasix.  We will start him on normal saline at 100 mL/h repeat BMP in the morning. 5.  Hypertension benign fairly controlled we will keep a close eye on his blood pressure we will continue the Coreg but will hold lisinopril because of acute on chronic renal injury and dehydration. 6.  Morbid obesity with body mass index 50.92 patient's counseling done in detail. 7.  DVT prophylaxis moderate risk subcutaneous heparin bilateral compression devices. 8.  Advanced care planning discussion he is full code.   Patient will be admitted to intermediate care under hospitalist service medical management was discussed with the patient and his wife in detail at the bedside.   Chief Complaint Patient presents with ? Hypoxia
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cardiomegaly, Chest X-ray abnormal, Chest pain
Clinical narrative: Flu Symptoms   Clinical Support 8/6/2021 Urgent Care Medication Infusion  Reason for Visit Progress Notes (Registered Nurse) ? ? Encounter Date: 8/6/2021 ? ? Signed    1300 Patient arrived for MAB infusion. SOB after walking to exam room. Pulse ox 88% on RA. Encourged to cough and deep breathe. Move pulse ox to another finger.    1305 pulse ox 85% RA patient states he is SOB.    1308 O2 2L NC applied   1311 Pulse ox 90% on 2L NC   1314 Pulse ox 90-91% on 2L. Less labored breathing. Patient states he is fine if he is just sitting but becomes SOB with any exertion.    1319 Asked patient to lean forward to listen to lungs, started coughing and pulse ox dropped to 89%.    1323 Patient stated he noticed significant labor breathing after showering this am that did resolve after resting. He then became SOB anytime he was out of his chair moving about.    1332 Pulse ox 91%. Patient states he is starting to feel a little better. Removed O2 to see if patient can maintain pulse ox of 90% or better. Explain to patient that if pulse ox drops we will not be able to administer the medication. Patient verbalized understanding.    1338 Pulse ox dropped to 89% on RA. O2 @ 2L NC reapplied.    1345 Pulse ox up to 92-93% on 2L NC. Dicussed the need for the ED. Patient would does not want to go by ambulance. His wife is at home and he has the car.    Patient declined ambulance. Removed O2. Patient discharged and instructed to go to ED.    1356 Report given to ED  ED to Hosp-Admission Discharged 8/6/2021 - 8/17/2021 (11 days) Hospital 1.  Acute hypoxic respiratory failure present on admission secondary to COVID-19 pneumonia in a morbidly obese patient.  I will start him on O2 protocol nebulization treatments. 2.  COVID-19 pneumonia chest x-ray reviewed we will start the patient on remdesivir IV steroids nebulization treatment O2 protocol. 3.  Diarrhea with severe dehydration dry oral mucosa we will start him on normal saline at 100 mL/h diarrhea most likely from COVID-19 GI symptoms. 4.  Acute on chronic renal injury present on admission underlying CKD stage III.  Secondary to diarrhea and poor oral intake I will hold lisinopril and Lasix.  We will start him on normal saline at 100 mL/h repeat BMP in the morning. 5.  Hypertension benign fairly controlled we will keep a close eye on his blood pressure we will continue the Coreg but will hold lisinopril because of acute on chronic renal injury and dehydration. 6.  Morbid obesity with body mass index 50.92 patient's counseling done in detail. 7.  DVT prophylaxis moderate risk subcutaneous heparin bilateral compression devices. 8.  Advanced care planning discussion he is full code.   Patient will be admitted to intermediate care under hospitalist service medical management was discussed with the patient and his wife in detail at the bedside.   Chief Complaint Patient presents with ? Hypoxia
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Chronic kidney disease, Computerised tomogram, Computerised tomogram thorax abnormal, Cough, Dehydration
Clinical narrative: Flu Symptoms   Clinical Support 8/6/2021 Urgent Care Medication Infusion  Reason for Visit Progress Notes (Registered Nurse) ? ? Encounter Date: 8/6/2021 ? ? Signed    1300 Patient arrived for MAB infusion. SOB after walking to exam room. Pulse ox 88% on RA. Encourged to cough and deep breathe. Move pulse ox to another finger.    1305 pulse ox 85% RA patient states he is SOB.    1308 O2 2L NC applied   1311 Pulse ox 90% on 2L NC   1314 Pulse ox 90-91% on 2L. Less labored breathing. Patient states he is fine if he is just sitting but becomes SOB with any exertion.    1319 Asked patient to lean forward to listen to lungs, started coughing and pulse ox dropped to 89%.    1323 Patient stated he noticed significant labor breathing after showering this am that did resolve after resting. He then became SOB anytime he was out of his chair moving about.    1332 Pulse ox 91%. Patient states he is starting to feel a little better. Removed O2 to see if patient can maintain pulse ox of 90% or better. Explain to patient that if pulse ox drops we will not be able to administer the medication. Patient verbalized understanding.    1338 Pulse ox dropped to 89% on RA. O2 @ 2L NC reapplied.    1345 Pulse ox up to 92-93% on 2L NC. Dicussed the need for the ED. Patient would does not want to go by ambulance. His wife is at home and he has the car.    Patient declined ambulance. Removed O2. Patient discharged and instructed to go to ED.    1356 Report given to ED  ED to Hosp-Admission Discharged 8/6/2021 - 8/17/2021 (11 days) Hospital 1.  Acute hypoxic respiratory failure present on admission secondary to COVID-19 pneumonia in a morbidly obese patient.  I will start him on O2 protocol nebulization treatments. 2.  COVID-19 pneumonia chest x-ray reviewed we will start the patient on remdesivir IV steroids nebulization treatment O2 protocol. 3.  Diarrhea with severe dehydration dry oral mucosa we will start him on normal saline at 100 mL/h diarrhea most likely from COVID-19 GI symptoms. 4.  Acute on chronic renal injury present on admission underlying CKD stage III.  Secondary to diarrhea and poor oral intake I will hold lisinopril and Lasix.  We will start him on normal saline at 100 mL/h repeat BMP in the morning. 5.  Hypertension benign fairly controlled we will keep a close eye on his blood pressure we will continue the Coreg but will hold lisinopril because of acute on chronic renal injury and dehydration. 6.  Morbid obesity with body mass index 50.92 patient's counseling done in detail. 7.  DVT prophylaxis moderate risk subcutaneous heparin bilateral compression devices. 8.  Advanced care planning discussion he is full code.   Patient will be admitted to intermediate care under hospitalist service medical management was discussed with the patient and his wife in detail at the bedside.   Chief Complaint Patient presents with ? Hypoxia
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Dyspnoea, Gastrointestinal disorder, Granuloma, Hypophagia
Clinical narrative: Flu Symptoms   Clinical Support 8/6/2021 Urgent Care Medication Infusion  Reason for Visit Progress Notes (Registered Nurse) ? ? Encounter Date: 8/6/2021 ? ? Signed    1300 Patient arrived for MAB infusion. SOB after walking to exam room. Pulse ox 88% on RA. Encourged to cough and deep breathe. Move pulse ox to another finger.    1305 pulse ox 85% RA patient states he is SOB.    1308 O2 2L NC applied   1311 Pulse ox 90% on 2L NC   1314 Pulse ox 90-91% on 2L. Less labored breathing. Patient states he is fine if he is just sitting but becomes SOB with any exertion.    1319 Asked patient to lean forward to listen to lungs, started coughing and pulse ox dropped to 89%.    1323 Patient stated he noticed significant labor breathing after showering this am that did resolve after resting. He then became SOB anytime he was out of his chair moving about.    1332 Pulse ox 91%. Patient states he is starting to feel a little better. Removed O2 to see if patient can maintain pulse ox of 90% or better. Explain to patient that if pulse ox drops we will not be able to administer the medication. Patient verbalized understanding.    1338 Pulse ox dropped to 89% on RA. O2 @ 2L NC reapplied.    1345 Pulse ox up to 92-93% on 2L NC. Dicussed the need for the ED. Patient would does not want to go by ambulance. His wife is at home and he has the car.    Patient declined ambulance. Removed O2. Patient discharged and instructed to go to ED.    1356 Report given to ED  ED to Hosp-Admission Discharged 8/6/2021 - 8/17/2021 (11 days) Hospital 1.  Acute hypoxic respiratory failure present on admission secondary to COVID-19 pneumonia in a morbidly obese patient.  I will start him on O2 protocol nebulization treatments. 2.  COVID-19 pneumonia chest x-ray reviewed we will start the patient on remdesivir IV steroids nebulization treatment O2 protocol. 3.  Diarrhea with severe dehydration dry oral mucosa we will start him on normal saline at 100 mL/h diarrhea most likely from COVID-19 GI symptoms. 4.  Acute on chronic renal injury present on admission underlying CKD stage III.  Secondary to diarrhea and poor oral intake I will hold lisinopril and Lasix.  We will start him on normal saline at 100 mL/h repeat BMP in the morning. 5.  Hypertension benign fairly controlled we will keep a close eye on his blood pressure we will continue the Coreg but will hold lisinopril because of acute on chronic renal injury and dehydration. 6.  Morbid obesity with body mass index 50.92 patient's counseling done in detail. 7.  DVT prophylaxis moderate risk subcutaneous heparin bilateral compression devices. 8.  Advanced care planning discussion he is full code.   Patient will be admitted to intermediate care under hospitalist service medical management was discussed with the patient and his wife in detail at the bedside.   Chief Complaint Patient presents with ? Hypoxia
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Infection, Inflammation, Influenza, Infusion, Lung opacity
Clinical narrative: Flu Symptoms   Clinical Support 8/6/2021 Urgent Care Medication Infusion  Reason for Visit Progress Notes (Registered Nurse) ? ? Encounter Date: 8/6/2021 ? ? Signed    1300 Patient arrived for MAB infusion. SOB after walking to exam room. Pulse ox 88% on RA. Encourged to cough and deep breathe. Move pulse ox to another finger.    1305 pulse ox 85% RA patient states he is SOB.    1308 O2 2L NC applied   1311 Pulse ox 90% on 2L NC   1314 Pulse ox 90-91% on 2L. Less labored breathing. Patient states he is fine if he is just sitting but becomes SOB with any exertion.    1319 Asked patient to lean forward to listen to lungs, started coughing and pulse ox dropped to 89%.    1323 Patient stated he noticed significant labor breathing after showering this am that did resolve after resting. He then became SOB anytime he was out of his chair moving about.    1332 Pulse ox 91%. Patient states he is starting to feel a little better. Removed O2 to see if patient can maintain pulse ox of 90% or better. Explain to patient that if pulse ox drops we will not be able to administer the medication. Patient verbalized understanding.    1338 Pulse ox dropped to 89% on RA. O2 @ 2L NC reapplied.    1345 Pulse ox up to 92-93% on 2L NC. Dicussed the need for the ED. Patient would does not want to go by ambulance. His wife is at home and he has the car.    Patient declined ambulance. Removed O2. Patient discharged and instructed to go to ED.    1356 Report given to ED  ED to Hosp-Admission Discharged 8/6/2021 - 8/17/2021 (11 days) Hospital 1.  Acute hypoxic respiratory failure present on admission secondary to COVID-19 pneumonia in a morbidly obese patient.  I will start him on O2 protocol nebulization treatments. 2.  COVID-19 pneumonia chest x-ray reviewed we will start the patient on remdesivir IV steroids nebulization treatment O2 protocol. 3.  Diarrhea with severe dehydration dry oral mucosa we will start him on normal saline at 100 mL/h diarrhea most likely from COVID-19 GI symptoms. 4.  Acute on chronic renal injury present on admission underlying CKD stage III.  Secondary to diarrhea and poor oral intake I will hold lisinopril and Lasix.  We will start him on normal saline at 100 mL/h repeat BMP in the morning. 5.  Hypertension benign fairly controlled we will keep a close eye on his blood pressure we will continue the Coreg but will hold lisinopril because of acute on chronic renal injury and dehydration. 6.  Morbid obesity with body mass index 50.92 patient's counseling done in detail. 7.  DVT prophylaxis moderate risk subcutaneous heparin bilateral compression devices. 8.  Advanced care planning discussion he is full code.   Patient will be admitted to intermediate care under hospitalist service medical management was discussed with the patient and his wife in detail at the bedside.   Chief Complaint Patient presents with ? Hypoxia
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Mitral valve calcification, Mucosal dryness, Obesity, Oxygen saturation decreased, Pyrexia
Clinical narrative: Flu Symptoms   Clinical Support 8/6/2021 Urgent Care Medication Infusion  Reason for Visit Progress Notes (Registered Nurse) ? ? Encounter Date: 8/6/2021 ? ? Signed    1300 Patient arrived for MAB infusion. SOB after walking to exam room. Pulse ox 88% on RA. Encourged to cough and deep breathe. Move pulse ox to another finger.    1305 pulse ox 85% RA patient states he is SOB.    1308 O2 2L NC applied   1311 Pulse ox 90% on 2L NC   1314 Pulse ox 90-91% on 2L. Less labored breathing. Patient states he is fine if he is just sitting but becomes SOB with any exertion.    1319 Asked patient to lean forward to listen to lungs, started coughing and pulse ox dropped to 89%.    1323 Patient stated he noticed significant labor breathing after showering this am that did resolve after resting. He then became SOB anytime he was out of his chair moving about.    1332 Pulse ox 91%. Patient states he is starting to feel a little better. Removed O2 to see if patient can maintain pulse ox of 90% or better. Explain to patient that if pulse ox drops we will not be able to administer the medication. Patient verbalized understanding.    1338 Pulse ox dropped to 89% on RA. O2 @ 2L NC reapplied.    1345 Pulse ox up to 92-93% on 2L NC. Dicussed the need for the ED. Patient would does not want to go by ambulance. His wife is at home and he has the car.    Patient declined ambulance. Removed O2. Patient discharged and instructed to go to ED.    1356 Report given to ED  ED to Hosp-Admission Discharged 8/6/2021 - 8/17/2021 (11 days) Hospital 1.  Acute hypoxic respiratory failure present on admission secondary to COVID-19 pneumonia in a morbidly obese patient.  I will start him on O2 protocol nebulization treatments. 2.  COVID-19 pneumonia chest x-ray reviewed we will start the patient on remdesivir IV steroids nebulization treatment O2 protocol. 3.  Diarrhea with severe dehydration dry oral mucosa we will start him on normal saline at 100 mL/h diarrhea most likely from COVID-19 GI symptoms. 4.  Acute on chronic renal injury present on admission underlying CKD stage III.  Secondary to diarrhea and poor oral intake I will hold lisinopril and Lasix.  We will start him on normal saline at 100 mL/h repeat BMP in the morning. 5.  Hypertension benign fairly controlled we will keep a close eye on his blood pressure we will continue the Coreg but will hold lisinopril because of acute on chronic renal injury and dehydration. 6.  Morbid obesity with body mass index 50.92 patient's counseling done in detail. 7.  DVT prophylaxis moderate risk subcutaneous heparin bilateral compression devices. 8.  Advanced care planning discussion he is full code.   Patient will be admitted to intermediate care under hospitalist service medical management was discussed with the patient and his wife in detail at the bedside.   Chief Complaint Patient presents with ? Hypoxia