chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Epistaxis, Hypersensitivity, Rhinorrhoea
Clinical narrative: nose bleed - not a major gush, just when I blew my nose due to allergies/chronic runny nose, I saw blood in the tissue - lasted about 2 days
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis, Rhinorrhoea
Clinical narrative: nose bleed - not a major gush, just when I blew my nose due to allergies/chronic runny nose, I saw blood in the tissue - lasted about 2 days
Age: 32.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given bivalent, but had not had the primary series of pfizer or any covid vaccine.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Blood glucose increased, Blood pressure systolic decreased, COVID-19, Culture
Clinical narrative: Patient is a 75-year-old gentleman with history of HFrEF, CAD status post CABG, diabetes, who presented to Hospital for nausea, vomiting, hyperglycemia, and fatigue.  He is found to be hypotensive upon arrival, requiring 3 L of cannula, and also tested positive for COVID-19.     Acute respiratory failure with hypoxia....resolved COVID-19 infection Presents with hypoxia, not on O2 at baseline.  Exact etiology possibly volume overload in the setting of holding home Lasix, however COVID is likely playing a role. Patient has no overt respiratory distress  Patient was given IV Lasix on arrival to the ED with drop in blood pressure, would avoid further diuresis for now Required 3 L upon arrival, now weaned to room air Started on daily steroids, on hold per pulmonary.  Remdesivir was discussed with patient and family at bedside.  After discussing risk/benefits with him at bedside, they preferred to hold off on initiating this therapy  Appreciate pulmonary input.  Aggressive pulmonary hygiene with incentive spirometry and early ambulation as tolerated Stable to Dc home Ambulating fine and saturating well on RA   Hypotension..... Resolved Volume status unclear on arrival.  Systolic dropping to the 70s here in the ED.  Patient did receive a dose of Lasix on arrival for perceived volume overload with hypoxia.  Given Vanco and Zosyn  in the ED, culture data so far unrevealing   Nausea and vomiting.... Resolved Hyperglycemia Fatigue Possibly a result of COVID-19 and other acute issues described above. Supportive care, treatment as described above   HFrEF Coronary disease status post CABG PAF History of VT Resume appropriate home medications.  No clear signs or symptoms to suggest ACS at this time. Continue to follow volume status and for any worsening symptoms Appreciate cardiology input, continue to hold Entresto and Toprol for now, resumed Toprol 03/27, BP stable and tolerating BB so far Continue current medications pe rcardiology   Type 2 diabetes, requiring long-term insulin use Patient confirms that he takes 35 units of basal insulin in the mornings, along with short acting throughout the day. Blood glucose remains elevated.  Was receiving 35 units of insulin Uptitrated insulin to 45 units and change insulin sliding scale to resistant 03/27 Monitor, blood glucose stable   CKD stage III Continue long-term monitoring in the outpatient setting.  Baseline around 1.6-2.0 Stable at baseline
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Hyperglycaemia, Hypervolaemia, Hypotension, Hypoxia
Clinical narrative: Patient is a 75-year-old gentleman with history of HFrEF, CAD status post CABG, diabetes, who presented to Hospital for nausea, vomiting, hyperglycemia, and fatigue.  He is found to be hypotensive upon arrival, requiring 3 L of cannula, and also tested positive for COVID-19.     Acute respiratory failure with hypoxia....resolved COVID-19 infection Presents with hypoxia, not on O2 at baseline.  Exact etiology possibly volume overload in the setting of holding home Lasix, however COVID is likely playing a role. Patient has no overt respiratory distress  Patient was given IV Lasix on arrival to the ED with drop in blood pressure, would avoid further diuresis for now Required 3 L upon arrival, now weaned to room air Started on daily steroids, on hold per pulmonary.  Remdesivir was discussed with patient and family at bedside.  After discussing risk/benefits with him at bedside, they preferred to hold off on initiating this therapy  Appreciate pulmonary input.  Aggressive pulmonary hygiene with incentive spirometry and early ambulation as tolerated Stable to Dc home Ambulating fine and saturating well on RA   Hypotension..... Resolved Volume status unclear on arrival.  Systolic dropping to the 70s here in the ED.  Patient did receive a dose of Lasix on arrival for perceived volume overload with hypoxia.  Given Vanco and Zosyn  in the ED, culture data so far unrevealing   Nausea and vomiting.... Resolved Hyperglycemia Fatigue Possibly a result of COVID-19 and other acute issues described above. Supportive care, treatment as described above   HFrEF Coronary disease status post CABG PAF History of VT Resume appropriate home medications.  No clear signs or symptoms to suggest ACS at this time. Continue to follow volume status and for any worsening symptoms Appreciate cardiology input, continue to hold Entresto and Toprol for now, resumed Toprol 03/27, BP stable and tolerating BB so far Continue current medications pe rcardiology   Type 2 diabetes, requiring long-term insulin use Patient confirms that he takes 35 units of basal insulin in the mornings, along with short acting throughout the day. Blood glucose remains elevated.  Was receiving 35 units of insulin Uptitrated insulin to 45 units and change insulin sliding scale to resistant 03/27 Monitor, blood glucose stable   CKD stage III Continue long-term monitoring in the outpatient setting.  Baseline around 1.6-2.0 Stable at baseline
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Incentive spirometry, Nausea, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Patient is a 75-year-old gentleman with history of HFrEF, CAD status post CABG, diabetes, who presented to Hospital for nausea, vomiting, hyperglycemia, and fatigue.  He is found to be hypotensive upon arrival, requiring 3 L of cannula, and also tested positive for COVID-19.     Acute respiratory failure with hypoxia....resolved COVID-19 infection Presents with hypoxia, not on O2 at baseline.  Exact etiology possibly volume overload in the setting of holding home Lasix, however COVID is likely playing a role. Patient has no overt respiratory distress  Patient was given IV Lasix on arrival to the ED with drop in blood pressure, would avoid further diuresis for now Required 3 L upon arrival, now weaned to room air Started on daily steroids, on hold per pulmonary.  Remdesivir was discussed with patient and family at bedside.  After discussing risk/benefits with him at bedside, they preferred to hold off on initiating this therapy  Appreciate pulmonary input.  Aggressive pulmonary hygiene with incentive spirometry and early ambulation as tolerated Stable to Dc home Ambulating fine and saturating well on RA   Hypotension..... Resolved Volume status unclear on arrival.  Systolic dropping to the 70s here in the ED.  Patient did receive a dose of Lasix on arrival for perceived volume overload with hypoxia.  Given Vanco and Zosyn  in the ED, culture data so far unrevealing   Nausea and vomiting.... Resolved Hyperglycemia Fatigue Possibly a result of COVID-19 and other acute issues described above. Supportive care, treatment as described above   HFrEF Coronary disease status post CABG PAF History of VT Resume appropriate home medications.  No clear signs or symptoms to suggest ACS at this time. Continue to follow volume status and for any worsening symptoms Appreciate cardiology input, continue to hold Entresto and Toprol for now, resumed Toprol 03/27, BP stable and tolerating BB so far Continue current medications pe rcardiology   Type 2 diabetes, requiring long-term insulin use Patient confirms that he takes 35 units of basal insulin in the mornings, along with short acting throughout the day. Blood glucose remains elevated.  Was receiving 35 units of insulin Uptitrated insulin to 45 units and change insulin sliding scale to resistant 03/27 Monitor, blood glucose stable   CKD stage III Continue long-term monitoring in the outpatient setting.  Baseline around 1.6-2.0 Stable at baseline
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Epistaxis, Rhinorrhoea
Clinical narrative: nose bleed - not a major gush, just when I blew my nose due to allergies/chronic runny nose, I saw blood in the tissue - lasted about 2 days
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Abnormal uterine bleeding, Acute respiratory failure, Anxiety, Atrial fibrillation, Coagulopathy
Clinical narrative: D68.9 ABNL UTERINE BLEEDING DUE TO COAGULOPATHY 2/19/2022 HX OF CARDIOVERSION I26.99 ACUTE PULMONARY EMBOLISM 2/23/2022 HX OF CARDIOVERSION J96.00 ACUTE RESPIRATORY FAILURE 1/11/2022 HX OF CARDIOVERSION J96.21 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 2/23/2022 HX OF CARDIOVERSION J96.91 HYPOXEMIC RESPIRATORY FAILURE, UNSPECIFIED ACUITY 2/23/2022 HX OF CARDIOVERSION D68.9 ABNL UTERINE BLEEDING DUE TO COAGULOPATHY 2/19/2022 ATRIAL FIBRILLATION, UNSPECIFIED I26.99 ACUTE PULMONARY EMBOLISM 2/23/2022 ATRIAL FIBRILLATION, UNSPECIFIED J96.00 ACUTE RESPIRATORY FAILURE 1/11/2022 ATRIAL FIBRILLATION, UNSPECIFIED J96.21 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 2/23/2022 ATRIAL FIBRILLATION, UNSPECIFIED J96.91 HYPOXEMIC RESPIRATORY FAILURE, UNSPECIFIED ACUITY 2/23/2022 ATRIAL FIBRILLATION, UNSPECIFIED D68.9 ABNL UTERINE BLEEDING DUE TO COAGULOPATHY 2/19/2022 UNSPECIFIED ANXIETY I26.99 ACUTE PULMONARY EMBOLISM 2/23/2022 UNSPECIFIED ANXIETY J96.00 ACUTE RESPIRATORY FAILURE 1/11/2022 UNSPECIFIED ANXIETY J96.21 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 2/23/2022 UNSPECIFIED ANXIETY J96.91 HYPOXEMIC RESPIRATORY FAILURE, UNSPECIFIED ACUITY 2/23/2022 UNSPECIFIED ANXIETY D68.9 ABNL UTERINE BLEEDING DUE TO COAGULOPATHY 2/19/2022 ACUTE RESPIRATORY FAILURE I26.99 ACUTE PULMONARY EMBOLISM 2/23/2022 ACUTE RESPIRATORY FAILURE J96.00 ACUTE RESPIRATORY FAILURE 1/11/2022 ACUTE RESPIRATORY FAILURE J96.21 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 2/23/2022 ACUTE RESPIRATORY FAILURE J96.91 HYPOXEMIC RESPIRATORY FAILURE, UNSPECIFIED ACUITY 2/23/2022 ACUTE RESPIRATORY FAILURE
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary embolism, Respiratory failure
Clinical narrative: D68.9 ABNL UTERINE BLEEDING DUE TO COAGULOPATHY 2/19/2022 HX OF CARDIOVERSION I26.99 ACUTE PULMONARY EMBOLISM 2/23/2022 HX OF CARDIOVERSION J96.00 ACUTE RESPIRATORY FAILURE 1/11/2022 HX OF CARDIOVERSION J96.21 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 2/23/2022 HX OF CARDIOVERSION J96.91 HYPOXEMIC RESPIRATORY FAILURE, UNSPECIFIED ACUITY 2/23/2022 HX OF CARDIOVERSION D68.9 ABNL UTERINE BLEEDING DUE TO COAGULOPATHY 2/19/2022 ATRIAL FIBRILLATION, UNSPECIFIED I26.99 ACUTE PULMONARY EMBOLISM 2/23/2022 ATRIAL FIBRILLATION, UNSPECIFIED J96.00 ACUTE RESPIRATORY FAILURE 1/11/2022 ATRIAL FIBRILLATION, UNSPECIFIED J96.21 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 2/23/2022 ATRIAL FIBRILLATION, UNSPECIFIED J96.91 HYPOXEMIC RESPIRATORY FAILURE, UNSPECIFIED ACUITY 2/23/2022 ATRIAL FIBRILLATION, UNSPECIFIED D68.9 ABNL UTERINE BLEEDING DUE TO COAGULOPATHY 2/19/2022 UNSPECIFIED ANXIETY I26.99 ACUTE PULMONARY EMBOLISM 2/23/2022 UNSPECIFIED ANXIETY J96.00 ACUTE RESPIRATORY FAILURE 1/11/2022 UNSPECIFIED ANXIETY J96.21 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 2/23/2022 UNSPECIFIED ANXIETY J96.91 HYPOXEMIC RESPIRATORY FAILURE, UNSPECIFIED ACUITY 2/23/2022 UNSPECIFIED ANXIETY D68.9 ABNL UTERINE BLEEDING DUE TO COAGULOPATHY 2/19/2022 ACUTE RESPIRATORY FAILURE I26.99 ACUTE PULMONARY EMBOLISM 2/23/2022 ACUTE RESPIRATORY FAILURE J96.00 ACUTE RESPIRATORY FAILURE 1/11/2022 ACUTE RESPIRATORY FAILURE J96.21 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 2/23/2022 ACUTE RESPIRATORY FAILURE J96.91 HYPOXEMIC RESPIRATORY FAILURE, UNSPECIFIED ACUITY 2/23/2022 ACUTE RESPIRATORY FAILURE
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram cerebral abnormal, Brain operation, Computerised tomogram head abnormal, Dyspnoea, Headache
Clinical narrative: On November 09, 2022, I had a severe headache. On November 12, 2023, I went to a walk-in clinic. From there, I was referred to a local hospital. I received a CAT scan and a CAT scan with contrasting dye. I was informed I had a brain aneurism. They were going to medevac me to another location, but I spoke with a doctor back home and chose to fly back home instead. On December 5, 2022, I was admitted to the hospital and had an angiogram. It showed the aneurism was leaking. On December 06, 2022, I had brain surgery to correct the aneurism. I spent five days in ICU. I returned home on December 12, 2022. I spent 6 weeks on Plavix and had extreme difficulty breathing the entire six weeks. On January 18, 2023, I revisited the doctor. He took me off Plavix. Two days later, I returned to normal breathing and normal activities. I've been good ever since.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Intensive care, Intracranial aneurysm, Loss of personal independence in daily activities, Lumbar puncture normal, Scan with contrast abnormal
Clinical narrative: On November 09, 2022, I had a severe headache. On November 12, 2023, I went to a walk-in clinic. From there, I was referred to a local hospital. I received a CAT scan and a CAT scan with contrasting dye. I was informed I had a brain aneurism. They were going to medevac me to another location, but I spoke with a doctor back home and chose to fly back home instead. On December 5, 2022, I was admitted to the hospital and had an angiogram. It showed the aneurism was leaking. On December 06, 2022, I had brain surgery to correct the aneurism. I spent five days in ICU. I returned home on December 12, 2022. I spent 6 weeks on Plavix and had extreme difficulty breathing the entire six weeks. On January 18, 2023, I revisited the doctor. He took me off Plavix. Two days later, I returned to normal breathing and normal activities. I've been good ever since.
Age: 85.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abdominal pain, Breast prosthesis removal, COVID-19, Headache, Oropharyngeal pain
Clinical narrative: When I had COVID-19, I had a sore throat, headache, phlegm in the throat. I had had surgery on 2/1/2023 to have my breast implants removed. The doctor decided that because of my age, recent surgery, and atrial fibrillation, I was a candidate to take Paxlovid. I began taking Paxlovid on around 2/5/2023. I had abdominal pain, but I don't know if that was caused by the Paxlovid or the COVID-19. I used an online service whose name I don't recall  to receive my prescription. I tested negative for COVID-19 on a home antigen test on about 2/11/2023.
Age: 85.0
Sex: F
Vaccine: COVID19-2
Symptoms: Productive cough, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: When I had COVID-19, I had a sore throat, headache, phlegm in the throat. I had had surgery on 2/1/2023 to have my breast implants removed. The doctor decided that because of my age, recent surgery, and atrial fibrillation, I was a candidate to take Paxlovid. I began taking Paxlovid on around 2/5/2023. I had abdominal pain, but I don't know if that was caused by the Paxlovid or the COVID-19. I used an online service whose name I don't recall  to receive my prescription. I tested negative for COVID-19 on a home antigen test on about 2/11/2023.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Adjustment disorder with depressed mood, Chronic respiratory failure, Hypoxia, Metabolic encephalopathy, Pneumonia
Clinical narrative: Moderna vaccine was administered - reported by patient  J96.11 CHRONIC HYPOXEMIC RESPIRATORY FAILURE 2/11/2022 PNEUMONIA R09.02 HYPOXIA 12/20/2021 PNEUMONIA J96.11 CHRONIC HYPOXEMIC RESPIRATORY FAILURE 2/11/2022 METABOLIC ENCEPHALOPATHY R09.02 HYPOXIA 12/20/2021 METABOLIC ENCEPHALOPATHY J96.11 CHRONIC HYPOXEMIC RESPIRATORY FAILURE 2/11/2022 ADJUSTMENT DISORDER W DEPRESSED MOOD R09.02 HYPOXIA 12/20/2021 ADJUSTMENT DISORDER W DEPRESSED MOOD
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory failure
Clinical narrative: Moderna vaccine was administered - reported by patient  J96.11 CHRONIC HYPOXEMIC RESPIRATORY FAILURE 2/11/2022 PNEUMONIA R09.02 HYPOXIA 12/20/2021 PNEUMONIA J96.11 CHRONIC HYPOXEMIC RESPIRATORY FAILURE 2/11/2022 METABOLIC ENCEPHALOPATHY R09.02 HYPOXIA 12/20/2021 METABOLIC ENCEPHALOPATHY J96.11 CHRONIC HYPOXEMIC RESPIRATORY FAILURE 2/11/2022 ADJUSTMENT DISORDER W DEPRESSED MOOD R09.02 HYPOXIA 12/20/2021 ADJUSTMENT DISORDER W DEPRESSED MOOD
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Asthenia, Chills, Dizziness, Fatigue
Clinical narrative: Extreme muscle pain, headache, stomach pain, chills to the point of teeth chattering, weakness/fatigue, lightheaded From 10 pm until next day 2pm
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Myalgia
Clinical narrative: Extreme muscle pain, headache, stomach pain, chills to the point of teeth chattering, weakness/fatigue, lightheaded From 10 pm until next day 2pm
Age: 62.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: COVID-19, Fatigue, Headache, Malaise, Nasal congestion
Clinical narrative: My COVID-19 symptoms started on 03/29/2023 in the afternoon. I had fatigue, headaches, and nasal congestions. On the 03/30/2023 before going to work I tested myself and it was positive. I did a telehealth with my doctor who then prescribed me PAXLOVID for 5 days. On 04/05/2023 I tested negative. As of today I still have fatigue, runny nose and sinus/nasal symptoms but I tested negative.
Age: 62.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: SARS-CoV-2 test positive
Clinical narrative: My COVID-19 symptoms started on 03/29/2023 in the afternoon. I had fatigue, headaches, and nasal congestions. On the 03/30/2023 before going to work I tested myself and it was positive. I did a telehealth with my doctor who then prescribed me PAXLOVID for 5 days. On 04/05/2023 I tested negative. As of today I still have fatigue, runny nose and sinus/nasal symptoms but I tested negative.
Age: 55.0
Sex: M
Vaccine: COVID19, FLUC4
Symptoms: Cough, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative
Clinical narrative: It started with a cough, sore throat, a little fever, congestion, and really bad wheezing.
Age: 55.0
Sex: M
Vaccine: COVID19, FLUC4
Symptoms: Wheezing
Clinical narrative: It started with a cough, sore throat, a little fever, congestion, and really bad wheezing.
Age: 49.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Blood pressure increased, Blood test normal, Condition aggravated
Clinical narrative: I was at a regular doctor visit we noticed that my blood pressure was elevated. We increased my Losartan and tried Nifedipine and then removed Nifedipine. I am now on Metoprolol. I am currently waiting to see if this medication will lower my blood pressure.
Age: 7.0
Sex: M
Vaccine: DTAP
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Pt had no adverse reaction
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Pt was administered injection of Pfizer, 2nd dose.  The vaccine was not diluted prior to administration of vaccine.  Pt was administered 0.2 ml. When reported pt was notified and lives at the Children's Home.  Nurse was contacted at Children's Home and discussed issue and was recommended to monitor pt closely and take to ER if any changes in status.  On chart review pt was not taken to ER or Urgent Care to this date (04/14/2023.
Age: 93.0
Sex: F
Vaccine: COVID19-2
Symptoms: Anxiety, Asthenia, Atrial fibrillation, Atrophy, Blood potassium
Clinical narrative: 94-year-old female from a nursing home normally A&O x4 and active, who has had altered mental status x2 days, poor p.o. intake and fever.   History is limited due to mental status.  History is gathered from chart review.  Patient has been in rehab following a femur fracture in late December.     In the ED she was noted to have a temperature of 101.7 and a heart rate in the 120s.  Has not been hypotensive or hypoxic.  She received a liter of fluids. Chest x-ray did not have any infiltrate.  CT of the head showed atrophy but no acute findings.  She has a chronic stable anemia.  Renal functions are normal.  No increased work of breathing and normal pulse oximetry.   Clinical Summary Patient did not require supplemental oxygen with her covid infection.  Patient improved with scheduled acetaminophen and patient is essentially back at baseline although weak.  Patient did not start on paxlovid as she is unable to swallow, but it was decided that with her improvement without it, she will not start therapy.  Family noted that patient was not taking her nightly percocet for pain and does not seem to be in pain and due to bad dreams at night, percocet will be discontinued on discharge and it was recommended that patient takes acetaminophen q6hr PRN for pain, and scheduled short term if needed.  Patient's potassium was replaced for hypokalemia and c diff was negative for her diarrhea.  Patient will be discharged back to the nursing home to continue quarantine.   Discharge diagnosis COVID-19 Encephalopathy Diarrhea Hypokalemia Anxiety A-fib Hypertension HLD Hypothyroidism Chronic hyponatremia Metabolic Encephalopathy Sepsis due to Covid 19, POA Severe malnutrition with cachexia POA
Age: 93.0
Sex: F
Vaccine: COVID19-2
Symptoms: Body temperature increased, COVID-19, Cachexia, Chest X-ray normal, Clostridium test negative
Clinical narrative: 94-year-old female from a nursing home normally A&O x4 and active, who has had altered mental status x2 days, poor p.o. intake and fever.   History is limited due to mental status.  History is gathered from chart review.  Patient has been in rehab following a femur fracture in late December.     In the ED she was noted to have a temperature of 101.7 and a heart rate in the 120s.  Has not been hypotensive or hypoxic.  She received a liter of fluids. Chest x-ray did not have any infiltrate.  CT of the head showed atrophy but no acute findings.  She has a chronic stable anemia.  Renal functions are normal.  No increased work of breathing and normal pulse oximetry.   Clinical Summary Patient did not require supplemental oxygen with her covid infection.  Patient improved with scheduled acetaminophen and patient is essentially back at baseline although weak.  Patient did not start on paxlovid as she is unable to swallow, but it was decided that with her improvement without it, she will not start therapy.  Family noted that patient was not taking her nightly percocet for pain and does not seem to be in pain and due to bad dreams at night, percocet will be discontinued on discharge and it was recommended that patient takes acetaminophen q6hr PRN for pain, and scheduled short term if needed.  Patient's potassium was replaced for hypokalemia and c diff was negative for her diarrhea.  Patient will be discharged back to the nursing home to continue quarantine.   Discharge diagnosis COVID-19 Encephalopathy Diarrhea Hypokalemia Anxiety A-fib Hypertension HLD Hypothyroidism Chronic hyponatremia Metabolic Encephalopathy Sepsis due to Covid 19, POA Severe malnutrition with cachexia POA
Age: 93.0
Sex: F
Vaccine: COVID19-2
Symptoms: Computerised tomogram head abnormal, Diarrhoea, Dysphagia, Encephalopathy, Femur fracture
Clinical narrative: 94-year-old female from a nursing home normally A&O x4 and active, who has had altered mental status x2 days, poor p.o. intake and fever.   History is limited due to mental status.  History is gathered from chart review.  Patient has been in rehab following a femur fracture in late December.     In the ED she was noted to have a temperature of 101.7 and a heart rate in the 120s.  Has not been hypotensive or hypoxic.  She received a liter of fluids. Chest x-ray did not have any infiltrate.  CT of the head showed atrophy but no acute findings.  She has a chronic stable anemia.  Renal functions are normal.  No increased work of breathing and normal pulse oximetry.   Clinical Summary Patient did not require supplemental oxygen with her covid infection.  Patient improved with scheduled acetaminophen and patient is essentially back at baseline although weak.  Patient did not start on paxlovid as she is unable to swallow, but it was decided that with her improvement without it, she will not start therapy.  Family noted that patient was not taking her nightly percocet for pain and does not seem to be in pain and due to bad dreams at night, percocet will be discontinued on discharge and it was recommended that patient takes acetaminophen q6hr PRN for pain, and scheduled short term if needed.  Patient's potassium was replaced for hypokalemia and c diff was negative for her diarrhea.  Patient will be discharged back to the nursing home to continue quarantine.   Discharge diagnosis COVID-19 Encephalopathy Diarrhea Hypokalemia Anxiety A-fib Hypertension HLD Hypothyroidism Chronic hyponatremia Metabolic Encephalopathy Sepsis due to Covid 19, POA Severe malnutrition with cachexia POA
Age: 93.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hyperlipidaemia, Hypertension, Hypokalaemia, Hyponatraemia, Hypophagia
Clinical narrative: 94-year-old female from a nursing home normally A&O x4 and active, who has had altered mental status x2 days, poor p.o. intake and fever.   History is limited due to mental status.  History is gathered from chart review.  Patient has been in rehab following a femur fracture in late December.     In the ED she was noted to have a temperature of 101.7 and a heart rate in the 120s.  Has not been hypotensive or hypoxic.  She received a liter of fluids. Chest x-ray did not have any infiltrate.  CT of the head showed atrophy but no acute findings.  She has a chronic stable anemia.  Renal functions are normal.  No increased work of breathing and normal pulse oximetry.   Clinical Summary Patient did not require supplemental oxygen with her covid infection.  Patient improved with scheduled acetaminophen and patient is essentially back at baseline although weak.  Patient did not start on paxlovid as she is unable to swallow, but it was decided that with her improvement without it, she will not start therapy.  Family noted that patient was not taking her nightly percocet for pain and does not seem to be in pain and due to bad dreams at night, percocet will be discontinued on discharge and it was recommended that patient takes acetaminophen q6hr PRN for pain, and scheduled short term if needed.  Patient's potassium was replaced for hypokalemia and c diff was negative for her diarrhea.  Patient will be discharged back to the nursing home to continue quarantine.   Discharge diagnosis COVID-19 Encephalopathy Diarrhea Hypokalemia Anxiety A-fib Hypertension HLD Hypothyroidism Chronic hyponatremia Metabolic Encephalopathy Sepsis due to Covid 19, POA Severe malnutrition with cachexia POA
Age: 93.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypothyroidism, Malnutrition, Mental status changes, Metabolic encephalopathy, Nightmare
Clinical narrative: 94-year-old female from a nursing home normally A&O x4 and active, who has had altered mental status x2 days, poor p.o. intake and fever.   History is limited due to mental status.  History is gathered from chart review.  Patient has been in rehab following a femur fracture in late December.     In the ED she was noted to have a temperature of 101.7 and a heart rate in the 120s.  Has not been hypotensive or hypoxic.  She received a liter of fluids. Chest x-ray did not have any infiltrate.  CT of the head showed atrophy but no acute findings.  She has a chronic stable anemia.  Renal functions are normal.  No increased work of breathing and normal pulse oximetry.   Clinical Summary Patient did not require supplemental oxygen with her covid infection.  Patient improved with scheduled acetaminophen and patient is essentially back at baseline although weak.  Patient did not start on paxlovid as she is unable to swallow, but it was decided that with her improvement without it, she will not start therapy.  Family noted that patient was not taking her nightly percocet for pain and does not seem to be in pain and due to bad dreams at night, percocet will be discontinued on discharge and it was recommended that patient takes acetaminophen q6hr PRN for pain, and scheduled short term if needed.  Patient's potassium was replaced for hypokalemia and c diff was negative for her diarrhea.  Patient will be discharged back to the nursing home to continue quarantine.   Discharge diagnosis COVID-19 Encephalopathy Diarrhea Hypokalemia Anxiety A-fib Hypertension HLD Hypothyroidism Chronic hyponatremia Metabolic Encephalopathy Sepsis due to Covid 19, POA Severe malnutrition with cachexia POA
Age: 93.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia, Renal function test normal, Sepsis
Clinical narrative: 94-year-old female from a nursing home normally A&O x4 and active, who has had altered mental status x2 days, poor p.o. intake and fever.   History is limited due to mental status.  History is gathered from chart review.  Patient has been in rehab following a femur fracture in late December.     In the ED she was noted to have a temperature of 101.7 and a heart rate in the 120s.  Has not been hypotensive or hypoxic.  She received a liter of fluids. Chest x-ray did not have any infiltrate.  CT of the head showed atrophy but no acute findings.  She has a chronic stable anemia.  Renal functions are normal.  No increased work of breathing and normal pulse oximetry.   Clinical Summary Patient did not require supplemental oxygen with her covid infection.  Patient improved with scheduled acetaminophen and patient is essentially back at baseline although weak.  Patient did not start on paxlovid as she is unable to swallow, but it was decided that with her improvement without it, she will not start therapy.  Family noted that patient was not taking her nightly percocet for pain and does not seem to be in pain and due to bad dreams at night, percocet will be discontinued on discharge and it was recommended that patient takes acetaminophen q6hr PRN for pain, and scheduled short term if needed.  Patient's potassium was replaced for hypokalemia and c diff was negative for her diarrhea.  Patient will be discharged back to the nursing home to continue quarantine.   Discharge diagnosis COVID-19 Encephalopathy Diarrhea Hypokalemia Anxiety A-fib Hypertension HLD Hypothyroidism Chronic hyponatremia Metabolic Encephalopathy Sepsis due to Covid 19, POA Severe malnutrition with cachexia POA
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19, COVID-19 pneumonia, Cardiac failure acute
Clinical narrative: On 4/1/2023, patient presented to the emergency department via ambulance in severe respiratory distress. Patient was placed on BiPAP which improved his respiratory status; He was also given an albuterol nebulized treatment and IV Solu-Medrol. Patient had been ill over the past week with cough, congestion, fatigue and weakness; He was given a COVID-19 NAA test which resulted positive; His chest x-ray showed pneumonia with interstitial opacities in RUL/RLL. Patient had also fallen and hit his head prior to arrival, so a CT head was done which was unremarkable. His heart failure was treated with IV Lasix; He was started on Decadron and remdesivir to treat the COVID infection, and IV antibiotics to treat bacterial pneumonia.  Patient was diagnosed with acute hypoxic respiratory failure, COVID-19 pneumonia, severe sepsis, bacterial pneumonia, acute on chronic diastolic heart failure, leukopenia in the setting of recent chemotherapy, and metastatic adenocarcinoma of left lung. He was admitted to ICU at the hospital for further evaluation and treatment. His condition progressively worsened, and he developed encephalopathy. Patient was placed on hospice care and died on 4/8/2023 at the hospital. His death abstract listed immediate cause of death as Severe Sepsis due to or as a consequence of Bacterial Pneumonia, and COVID-19 Pneumonia.  Submitter does not have access to further medical information on this case. If more information is needed, please contact the admitting hospital
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Chemotherapy, Chest X-ray abnormal, Computerised tomogram head normal, Condition aggravated, Cough
Clinical narrative: On 4/1/2023, patient presented to the emergency department via ambulance in severe respiratory distress. Patient was placed on BiPAP which improved his respiratory status; He was also given an albuterol nebulized treatment and IV Solu-Medrol. Patient had been ill over the past week with cough, congestion, fatigue and weakness; He was given a COVID-19 NAA test which resulted positive; His chest x-ray showed pneumonia with interstitial opacities in RUL/RLL. Patient had also fallen and hit his head prior to arrival, so a CT head was done which was unremarkable. His heart failure was treated with IV Lasix; He was started on Decadron and remdesivir to treat the COVID infection, and IV antibiotics to treat bacterial pneumonia.  Patient was diagnosed with acute hypoxic respiratory failure, COVID-19 pneumonia, severe sepsis, bacterial pneumonia, acute on chronic diastolic heart failure, leukopenia in the setting of recent chemotherapy, and metastatic adenocarcinoma of left lung. He was admitted to ICU at the hospital for further evaluation and treatment. His condition progressively worsened, and he developed encephalopathy. Patient was placed on hospice care and died on 4/8/2023 at the hospital. His death abstract listed immediate cause of death as Severe Sepsis due to or as a consequence of Bacterial Pneumonia, and COVID-19 Pneumonia.  Submitter does not have access to further medical information on this case. If more information is needed, please contact the admitting hospital
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Encephalopathy, Fall, Fatigue, Head injury
Clinical narrative: On 4/1/2023, patient presented to the emergency department via ambulance in severe respiratory distress. Patient was placed on BiPAP which improved his respiratory status; He was also given an albuterol nebulized treatment and IV Solu-Medrol. Patient had been ill over the past week with cough, congestion, fatigue and weakness; He was given a COVID-19 NAA test which resulted positive; His chest x-ray showed pneumonia with interstitial opacities in RUL/RLL. Patient had also fallen and hit his head prior to arrival, so a CT head was done which was unremarkable. His heart failure was treated with IV Lasix; He was started on Decadron and remdesivir to treat the COVID infection, and IV antibiotics to treat bacterial pneumonia.  Patient was diagnosed with acute hypoxic respiratory failure, COVID-19 pneumonia, severe sepsis, bacterial pneumonia, acute on chronic diastolic heart failure, leukopenia in the setting of recent chemotherapy, and metastatic adenocarcinoma of left lung. He was admitted to ICU at the hospital for further evaluation and treatment. His condition progressively worsened, and he developed encephalopathy. Patient was placed on hospice care and died on 4/8/2023 at the hospital. His death abstract listed immediate cause of death as Severe Sepsis due to or as a consequence of Bacterial Pneumonia, and COVID-19 Pneumonia.  Submitter does not have access to further medical information on this case. If more information is needed, please contact the admitting hospital
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, Left ventricular failure, Leukopenia, Lung opacity, Malaise
Clinical narrative: On 4/1/2023, patient presented to the emergency department via ambulance in severe respiratory distress. Patient was placed on BiPAP which improved his respiratory status; He was also given an albuterol nebulized treatment and IV Solu-Medrol. Patient had been ill over the past week with cough, congestion, fatigue and weakness; He was given a COVID-19 NAA test which resulted positive; His chest x-ray showed pneumonia with interstitial opacities in RUL/RLL. Patient had also fallen and hit his head prior to arrival, so a CT head was done which was unremarkable. His heart failure was treated with IV Lasix; He was started on Decadron and remdesivir to treat the COVID infection, and IV antibiotics to treat bacterial pneumonia.  Patient was diagnosed with acute hypoxic respiratory failure, COVID-19 pneumonia, severe sepsis, bacterial pneumonia, acute on chronic diastolic heart failure, leukopenia in the setting of recent chemotherapy, and metastatic adenocarcinoma of left lung. He was admitted to ICU at the hospital for further evaluation and treatment. His condition progressively worsened, and he developed encephalopathy. Patient was placed on hospice care and died on 4/8/2023 at the hospital. His death abstract listed immediate cause of death as Severe Sepsis due to or as a consequence of Bacterial Pneumonia, and COVID-19 Pneumonia.  Submitter does not have access to further medical information on this case. If more information is needed, please contact the admitting hospital
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Pneumonia bacterial, Positive airway pressure therapy, Respiratory distress, Respiratory tract congestion
Clinical narrative: On 4/1/2023, patient presented to the emergency department via ambulance in severe respiratory distress. Patient was placed on BiPAP which improved his respiratory status; He was also given an albuterol nebulized treatment and IV Solu-Medrol. Patient had been ill over the past week with cough, congestion, fatigue and weakness; He was given a COVID-19 NAA test which resulted positive; His chest x-ray showed pneumonia with interstitial opacities in RUL/RLL. Patient had also fallen and hit his head prior to arrival, so a CT head was done which was unremarkable. His heart failure was treated with IV Lasix; He was started on Decadron and remdesivir to treat the COVID infection, and IV antibiotics to treat bacterial pneumonia.  Patient was diagnosed with acute hypoxic respiratory failure, COVID-19 pneumonia, severe sepsis, bacterial pneumonia, acute on chronic diastolic heart failure, leukopenia in the setting of recent chemotherapy, and metastatic adenocarcinoma of left lung. He was admitted to ICU at the hospital for further evaluation and treatment. His condition progressively worsened, and he developed encephalopathy. Patient was placed on hospice care and died on 4/8/2023 at the hospital. His death abstract listed immediate cause of death as Severe Sepsis due to or as a consequence of Bacterial Pneumonia, and COVID-19 Pneumonia.  Submitter does not have access to further medical information on this case. If more information is needed, please contact the admitting hospital
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sepsis
Clinical narrative: On 4/1/2023, patient presented to the emergency department via ambulance in severe respiratory distress. Patient was placed on BiPAP which improved his respiratory status; He was also given an albuterol nebulized treatment and IV Solu-Medrol. Patient had been ill over the past week with cough, congestion, fatigue and weakness; He was given a COVID-19 NAA test which resulted positive; His chest x-ray showed pneumonia with interstitial opacities in RUL/RLL. Patient had also fallen and hit his head prior to arrival, so a CT head was done which was unremarkable. His heart failure was treated with IV Lasix; He was started on Decadron and remdesivir to treat the COVID infection, and IV antibiotics to treat bacterial pneumonia.  Patient was diagnosed with acute hypoxic respiratory failure, COVID-19 pneumonia, severe sepsis, bacterial pneumonia, acute on chronic diastolic heart failure, leukopenia in the setting of recent chemotherapy, and metastatic adenocarcinoma of left lung. He was admitted to ICU at the hospital for further evaluation and treatment. His condition progressively worsened, and he developed encephalopathy. Patient was placed on hospice care and died on 4/8/2023 at the hospital. His death abstract listed immediate cause of death as Severe Sepsis due to or as a consequence of Bacterial Pneumonia, and COVID-19 Pneumonia.  Submitter does not have access to further medical information on this case. If more information is needed, please contact the admitting hospital
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Aortic aneurysm, Respiratory failure
Clinical narrative: J96.00 ACUTE RESPIRATORY FAILURE 9/10/2021 AORTIC ANEURYSM, UNSPECIFIED SITE J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 9/2/2021 AORTIC ANEURYSM, UNSPECIFIED SITE J96.02 ACUTE HYPERCAPNIC RESPIRATORY FAILURE 9/11/2021 AORTIC ANEURYSM, UNSPECIFIED SITE
Age: 15.0
Sex: M
Vaccine: COVID19-2
Symptoms: Wrong product administered
Clinical narrative: wrong medication administered
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Dizziness, Lethargy, Nasopharyngitis
Clinical narrative: I developed a cold, runny nose, cough. My symptoms lasted 5 to 6 weeks. I took a COVID-19 antigen test on 01/03/2023 and it was positive. I phoned my doctor and they gave me PAXLOVID. I took the PAXLOVID for five days. I have recovered from my symptoms some what, but still feel lethargic at times. I still have dizziness that comes and goes.
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I developed a cold, runny nose, cough. My symptoms lasted 5 to 6 weeks. I took a COVID-19 antigen test on 01/03/2023 and it was positive. I phoned my doctor and they gave me PAXLOVID. I took the PAXLOVID for five days. I have recovered from my symptoms some what, but still feel lethargic at times. I still have dizziness that comes and goes.
Age: 2.0
Sex: F
Vaccine: PNC13
Symptoms: Decreased appetite, Gait disturbance, Injection site erythema, Injection site nodule, Injection site swelling
Clinical narrative: Swollen leg: started at 8pm Swollen injection site: started at 8pm Red injection site: started at 8pm Decreased sleep: started at 8pm Irritability: started at 8pm Decreased appetite: started at 8pm Can barely walk on leg: started at 8pm 100 Fever: started at 8pm Knot in muscle where injection is: started at 8pm  All symptoms are ongoing 20 hours later
Age: 2.0
Sex: F
Vaccine: PNC13
Symptoms: Insomnia, Irritability, Peripheral swelling
Clinical narrative: Swollen leg: started at 8pm Swollen injection site: started at 8pm Red injection site: started at 8pm Decreased sleep: started at 8pm Irritability: started at 8pm Decreased appetite: started at 8pm Can barely walk on leg: started at 8pm 100 Fever: started at 8pm Knot in muscle where injection is: started at 8pm  All symptoms are ongoing 20 hours later
Age: 67.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Bronchitis, COVID-19, Chest X-ray abnormal, Chest pain, Chills
Clinical narrative: I had a sore throat and later that day I had chills and sweats and I have a cough that comes once in a while. I had a fever 102.0 . The second week my chest got really sore and I went to the ER. The doctors gave me a antibiotic IV drip. I have bronchitis now. They gave me and inhaler. They gave me Paxlovid.
Age: 67.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Cough, Hyperhidrosis, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I had a sore throat and later that day I had chills and sweats and I have a cough that comes once in a while. I had a fever 102.0 . The second week my chest got really sore and I went to the ER. The doctors gave me a antibiotic IV drip. I have bronchitis now. They gave me and inhaler. They gave me Paxlovid.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Auditory disorder, Cardiomyopathy, Hypoxia
Clinical narrative: Moderna vaccine was administered outside of clinic - reported by patient   ACUTE HYPOXEMIC RESPIRATORY FAILURE 4/4/2022 HEARING PROBLEM  HYPOXIA 4/12/2022 HEARING PROBLEM  ACUTE HYPOXEMIC RESPIRATORY FAILURE 4/4/2022 CARDIOMYOPATHY, UNSPECIFIED  HYPOXIA 4/12/2022 CARDIOMYOPATHY, UNSPECIFIED
Age: 5.0
Sex: M
Vaccine: MMRV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Rash macular
Clinical narrative: Good morning, Thank you for making the kids check up fun and easy yesterday! Pt. received a few shots and is having a reaction to one of them. Last night before bed we noticed that the injection site was surrounded by big, raised, red blotches. It was sore to the touch and he said it felt like it was burning. I saw on the paperwork that a rash may occur with the MMR/Varicella vaccine, so we decided to see how it was this morning. Today it has turned into one large,  bigger red blotch, that is still painful to the touch. I do have pictures from last night and now today if that helps. I'm wondering if I need to take him in or if there is anything I can do at home? He's never had a reaction before so I'm curious what our next steps should be. Thank you!  Sincerely
Age: 44.0
Sex: F
Vaccine: COVID19-2
Symptoms: Herpes zoster, Rash, SARS-CoV-2 test negative
Clinical narrative: On 03/12/2023 I had a painful rash on my left side of my face.  I went to the urgent care then I called my doctor and schedule an appointment on the same day. At the urgent care they diagnosed me as having Shingles. They  prescribe me Valacyclovir for 7 days 3 times a day. I was also prescribe Gabapentin, and Prednisone. The anti viral helped to stopped the rash from spreading.
Age: 49.0
Sex: F
Vaccine: COVID19-2
Symptoms: Muscle swelling
Clinical narrative: SWELLING ON TRAPEZIUS BETWEEN NECK AND SHOULDER. NO RASH OR PAIN, JUST "GEL-LIKE" SWELLING.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rash
Clinical narrative: I started having symptoms on January 02, 2023 I experienced rash on my legs, stomach, and my back, not sure what my diagnosis is or will be I still have to visit my physician for more information on my symptoms
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Hypotension, Pulmonary embolism, Stomach mass
Clinical narrative: I26.99 ACUTE PULMONARY EMBOLISM 4/13/2022 ACUTE DVT OF RIGHT PERONEAL VEIN I82.451 ACUTE DVT OF RIGHT PERONEAL VEIN 4/13/2022 ACUTE DVT OF RIGHT PERONEAL VEIN I95.9 HYPOTENSION 4/7/2022 ACUTE DVT OF RIGHT PERONEAL VEIN I26.99 ACUTE PULMONARY EMBOLISM 4/13/2022 GASTRIC MASS I82.451 ACUTE DVT OF RIGHT PERONEAL VEIN 4/13/2022 GASTRIC MASS I95.9 HYPOTENSION 4/7/2022 GASTRIC MASS
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Hypoxia, Pulmonary embolism
Clinical narrative: I26.99 ACUTE PULMONARY EMBOLISM 11/14/2021 ACUTE PULMONARY EMBOLISM J96.00 ACUTE RESPIRATORY FAILURE 11/11/2021 ACUTE PULMONARY EMBOLISM R09.02 HYPOXIA 11/10/2021 ACUTE PULMONARY EMBOLISM
Age: 46.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Pain in extremity, Peripheral swelling, Vein disorder
Clinical narrative: Patient reported having pain in the right arm, right wrist and right hand.  She complains of swelling in the vein in her right wrist,  and swelling in her right hand.  She showed me the swelling in her vein and right hand.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Coronary artery disease, Hypotension, Metastases to bone, Neoplasm malignant
Clinical narrative: I95.9 HYPOTENSION 9/26/2022 CAD (CORONARY ARTERY DISEASE) WO ANGINA J96.00 ACUTE RESPIRATORY FAILURE 9/26/2022 CAD (CORONARY ARTERY DISEASE) WO ANGINA I95.9 HYPOTENSION 9/26/2022 CANCER METASTATIC TO BONE J96.00 ACUTE RESPIRATORY FAILURE 9/26/2022 CANCER METASTATIC TO BONE
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Choking sensation, Increased viscosity of upper respiratory secretion, Nasal disorder, Pharyngeal disorder, Productive cough
Clinical narrative: In around December 2022, I began coughing up a large amount of mucus every day. This symptom has persisted and continues to this day. I went to my PCP on 3/20/2023. He determined that I had cobblestone throat and nasal passages. He said that my lungs and my ears were clear, however. He prescribed me pantoprazole. He also recommended OTC Claritin and Flonase. He instructed me to take all three medications for 30 days. Sometimes, I feel like there's been an improvement, but sometimes I cough up phlegm until I want to choke. The mucus I cough up now is thick, but usually clear, though it does sometimes have a yellowish tinge.