chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 51.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I started feeling ill on Monday, 1/31.  Mostly a little tired and sore throat.  It got worse on Tuesday and included a headache and congestion.  I took a COVID test on Wednesday and started coughing; I got a positive COVID result the next day.  I did not see a doctor, but I talked to a Telemed doctor who prescribed some cough medicine.  I felt better by Saturday.  I realize this might not be an adverse reaction to the COVID vaccine, but when I researched whether getting the COVID vax along with the flu could cause flu-like symptoms with a positive COVID test and it said there was no significant data to suggest any issues with taking both vaccines at same time.  So I felt it was important for me to report my case so that it can be considered among the rest of the data.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Goitre, Thyroid mass, Ultrasound thyroid
Clinical narrative: I have a swollen mass on my thyroid. I currently getting treatment, I got an ultrasound.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Nausea, Pain, Tinnitus, Vomiting
Clinical narrative: Constant dull ringing in right ear 2 days after injection. Vomiting and nausea day after injection. Chills and aches for two days after injection.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Delivery, Exposure during pregnancy, Postpartum haemorrhage, Premature delivery, Premature labour
Clinical narrative: [pregnant with mono-di twins during vaccination; had 1-2 subchorionic hemorrhages from around 6-16 weeks gestation ] 1 sac/water broke on 14-JUN-2021 and was hospitalized; delivered twins vaginally (twins were around 3 lbs each) at 28.5 weeks gestation on 02-JUL-2021 due to labor starting; post-partum bleed on 03-JUL-2021 while still in hospital requiring D/C after placenta was confirmed; post-partum bleed about 2 weeks after birth requiring a hospitalization and a uterine artery embolization; post-partum bleed about 4-6 weeks after birth requiring a hospitalization and another uterine artery embolization; twins are healthy - the one whose sac broke has periventricular leukomalacia but clinically doing well and both were released from the NICU at 42-43 weeks gestation
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Premature rupture of membranes, Retained placenta or membranes, Subchorionic haemorrhage, Twin pregnancy, Uterine artery embolisation
Clinical narrative: [pregnant with mono-di twins during vaccination; had 1-2 subchorionic hemorrhages from around 6-16 weeks gestation ] 1 sac/water broke on 14-JUN-2021 and was hospitalized; delivered twins vaginally (twins were around 3 lbs each) at 28.5 weeks gestation on 02-JUL-2021 due to labor starting; post-partum bleed on 03-JUL-2021 while still in hospital requiring D/C after placenta was confirmed; post-partum bleed about 2 weeks after birth requiring a hospitalization and a uterine artery embolization; post-partum bleed about 4-6 weeks after birth requiring a hospitalization and another uterine artery embolization; twins are healthy - the one whose sac broke has periventricular leukomalacia but clinically doing well and both were released from the NICU at 42-43 weeks gestation
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Uterine dilation and curettage
Clinical narrative: [pregnant with mono-di twins during vaccination; had 1-2 subchorionic hemorrhages from around 6-16 weeks gestation ] 1 sac/water broke on 14-JUN-2021 and was hospitalized; delivered twins vaginally (twins were around 3 lbs each) at 28.5 weeks gestation on 02-JUL-2021 due to labor starting; post-partum bleed on 03-JUL-2021 while still in hospital requiring D/C after placenta was confirmed; post-partum bleed about 2 weeks after birth requiring a hospitalization and a uterine artery embolization; post-partum bleed about 4-6 weeks after birth requiring a hospitalization and another uterine artery embolization; twins are healthy - the one whose sac broke has periventricular leukomalacia but clinically doing well and both were released from the NICU at 42-43 weeks gestation
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No adverse advent.
Age: 56.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Allodynia, Anxiety, Back pain, Borrelia test negative, Burning sensation
Clinical narrative: Alodynia began in back of thighs with severe dysuria.  Alodynia progressed to constant burning and aching involving both lower extremities symmetrically then up to the umbilicus level.  Then right inferior ribs. No rash or UTI.   Autonomic symptoms included sphincter dysfuction, sexual dysfunction and heat intolerance.   Low back pain.  Anxiety as pain was extreme .  MRI showed enhancement of conus and thoracolumbar nerve root ganglia.  Spinal tap elevated WBC, protein.   MS panel, Lyme, etc all neg.  Metabolic profile negative. Neurology Dx Transverse Myelitis.
Age: 56.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: CSF protein increased, CSF white blood cell count increased, Dysuria, Full blood count, Laboratory test normal
Clinical narrative: Alodynia began in back of thighs with severe dysuria.  Alodynia progressed to constant burning and aching involving both lower extremities symmetrically then up to the umbilicus level.  Then right inferior ribs. No rash or UTI.   Autonomic symptoms included sphincter dysfuction, sexual dysfunction and heat intolerance.   Low back pain.  Anxiety as pain was extreme .  MRI showed enhancement of conus and thoracolumbar nerve root ganglia.  Spinal tap elevated WBC, protein.   MS panel, Lyme, etc all neg.  Metabolic profile negative. Neurology Dx Transverse Myelitis.
Age: 56.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Lumbar puncture abnormal, Magnetic resonance imaging spinal abnormal, Metabolic function test normal, Myelitis transverse, Pain in extremity
Clinical narrative: Alodynia began in back of thighs with severe dysuria.  Alodynia progressed to constant burning and aching involving both lower extremities symmetrically then up to the umbilicus level.  Then right inferior ribs. No rash or UTI.   Autonomic symptoms included sphincter dysfuction, sexual dysfunction and heat intolerance.   Low back pain.  Anxiety as pain was extreme .  MRI showed enhancement of conus and thoracolumbar nerve root ganglia.  Spinal tap elevated WBC, protein.   MS panel, Lyme, etc all neg.  Metabolic profile negative. Neurology Dx Transverse Myelitis.
Age: 56.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Sexual dysfunction, Sphincter of Oddi dysfunction, Temperature intolerance, Thyroid function test, Urine analysis
Clinical narrative: Alodynia began in back of thighs with severe dysuria.  Alodynia progressed to constant burning and aching involving both lower extremities symmetrically then up to the umbilicus level.  Then right inferior ribs. No rash or UTI.   Autonomic symptoms included sphincter dysfuction, sexual dysfunction and heat intolerance.   Low back pain.  Anxiety as pain was extreme .  MRI showed enhancement of conus and thoracolumbar nerve root ganglia.  Spinal tap elevated WBC, protein.   MS panel, Lyme, etc all neg.  Metabolic profile negative. Neurology Dx Transverse Myelitis.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after 2nd vaccine; breakthrough case
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Rash, Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: Skin Rashes or hives developed on arm first and then all over body. Rashes appear in groups as large red swollen patches on skin and then disappear after a few hours. Rashes are itchy and create a burning sensation.  Health care provider prescribed Benadryl and Prednisone 20mg. Rashes still persist on 3rd day after appearing.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Skin Rashes or hives developed on arm first and then all over body. Rashes appear in groups as large red swollen patches on skin and then disappear after a few hours. Rashes are itchy and create a burning sensation.  Health care provider prescribed Benadryl and Prednisone 20mg. Rashes still persist on 3rd day after appearing.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, Chest discomfort, Cough, Fibrin D dimer normal
Clinical narrative: Patient is fully vaccinated and boosted 1/17/2022.  A 48-year-old male patient presented secondary to chest pressure. Positive for cough.  He states he started feeling after being diagnosed with COVID on last Tuesday.  The patient otherwise denies any fevers, chills, nausea, vomiting or diarrhea, CXR: no acute process. Negative troponins.  Negative D-dimer. Discharged home.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin normal
Clinical narrative: Patient is fully vaccinated and boosted 1/17/2022.  A 48-year-old male patient presented secondary to chest pressure. Positive for cough.  He states he started feeling after being diagnosed with COVID on last Tuesday.  The patient otherwise denies any fevers, chills, nausea, vomiting or diarrhea, CXR: no acute process. Negative troponins.  Negative D-dimer. Discharged home.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Covid vaccine given one day past use by date, (73 days) in the refrigerator.  No symptoms, physician notified parent and discussed options.  Will not revaccinate at this time.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation error
Clinical narrative: Vaccine was given undiluted. No adverse effects reported by patient/mother
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: No adverse event
Clinical narrative: No adverse advent.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: No adverse advent.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Aortic aneurysm, COVID-19, Cardiac aneurysm, Cough, Death
Clinical narrative: was hospitalized from 8/30/21 - 9/8/21 for COVID; positive test on 8/30/21; had fever, cough, and increasing SOB; treated with steroids, bronchodilators, DVT prophylaxis; was dc'd to home where (per death certificate) she died; Causes of death:  recent GI bleeding, ESRD, inoperable large cardiac and aortic aneurysms, recent COVID illness
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, End stage renal disease, Gastrointestinal haemorrhage, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: was hospitalized from 8/30/21 - 9/8/21 for COVID; positive test on 8/30/21; had fever, cough, and increasing SOB; treated with steroids, bronchodilators, DVT prophylaxis; was dc'd to home where (per death certificate) she died; Causes of death:  recent GI bleeding, ESRD, inoperable large cardiac and aortic aneurysms, recent COVID illness
Age: 60.0
Sex: F
Vaccine: UNK, COVID19
Symptoms: COVID-19 pneumonia
Clinical narrative: patient admitted for COVID PNA
Age: 60.0
Sex: F
Vaccine: UNK, COVID19
Symptoms: Alanine aminotransferase normal, Albumin globulin ratio normal, Angiogram pulmonary abnormal, Anion gap, Arthralgia
Clinical narrative: patient admitted for COVID PNA
Age: 60.0
Sex: F
Vaccine: UNK, COVID19
Symptoms: Aspartate aminotransferase normal, Asthenia, Basophil count decreased, Basophil percentage, Blood albumin normal
Clinical narrative: patient admitted for COVID PNA
Age: 60.0
Sex: F
Vaccine: UNK, COVID19
Symptoms: Blood alkaline phosphatase increased, Blood bilirubin normal, Blood calcium normal, Blood chloride increased, Blood creatinine normal
Clinical narrative: patient admitted for COVID PNA
Age: 60.0
Sex: F
Vaccine: UNK, COVID19
Symptoms: Blood glucose increased, Blood potassium decreased, Blood sodium normal, Blood urea nitrogen/creatinine ratio, Blood urea normal
Clinical narrative: patient admitted for COVID PNA
Age: 60.0
Sex: F
Vaccine: UNK, COVID19
Symptoms: Brain natriuretic peptide normal, COVID-19, COVID-19 pneumonia, Carbon dioxide normal, Chest X-ray abnormal
Clinical narrative: patient admitted for COVID PNA
Age: 60.0
Sex: F
Vaccine: UNK, COVID19
Symptoms: Chills, Confusional state, Continuous glucose monitoring, Cough, Differential white blood cell count
Clinical narrative: patient admitted for COVID PNA
Age: 60.0
Sex: F
Vaccine: UNK, COVID19
Symptoms: Disorientation, Dyspnoea, Eosinophil count decreased, Eosinophil percentage, Exposure to SARS-CoV-2
Clinical narrative: patient admitted for COVID PNA
Age: 60.0
Sex: F
Vaccine: UNK, COVID19
Symptoms: Fatigue, Full blood count, General physical condition abnormal, Globulin, Glomerular filtration rate normal
Clinical narrative: patient admitted for COVID PNA
Age: 60.0
Sex: F
Vaccine: UNK, COVID19
Symptoms: Granulocyte percentage, Haematocrit decreased, Haemoglobin decreased, Headache, Hyperlipidaemia
Clinical narrative: patient admitted for COVID PNA
Age: 60.0
Sex: F
Vaccine: UNK, COVID19
Symptoms: Hypertension, Hyponatraemia, Hypoxia, Immature granulocyte count, Lethargy
Clinical narrative: patient admitted for COVID PNA
Age: 60.0
Sex: F
Vaccine: UNK, COVID19
Symptoms: Lung infiltration, Lymphocyte count normal, Lymphocyte percentage decreased, Malaise, Mean cell haemoglobin concentration normal
Clinical narrative: patient admitted for COVID PNA
Age: 60.0
Sex: F
Vaccine: UNK, COVID19
Symptoms: Mean cell haemoglobin decreased, Mean cell volume decreased, Mean platelet volume increased, Memory impairment, Metabolic function test
Clinical narrative: patient admitted for COVID PNA
Age: 60.0
Sex: F
Vaccine: UNK, COVID19
Symptoms: Monocyte count normal, Monocyte percentage increased, Neutrophil count normal, Neutrophil percentage, Organising pneumonia
Clinical narrative: patient admitted for COVID PNA
Age: 60.0
Sex: F
Vaccine: UNK, COVID19
Symptoms: Pain, Platelet count normal, Productive cough, Protein total normal, Pyrexia
Clinical narrative: patient admitted for COVID PNA
Age: 60.0
Sex: F
Vaccine: UNK, COVID19
Symptoms: Red blood cell count normal, Red cell distribution width normal, SARS-CoV-2 test positive, Troponin normal, White blood cell count increased
Clinical narrative: patient admitted for COVID PNA
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: This patient was given and adult dose of the Pfizer vaccine 0.3ml. The patient was 10 years old at time of administration. The on duty Nurse missed verifying the age of the child 'patient" before she administered. The child's dose should have been 0.2ml. The Nurse is no longer employed at this facility.  This event has been reported to our safety team, the mother was contacted and the child was ok and did not have any adverse effect from this vaccine dose. She has since received second dose and was also fine after this administration. Officially I am reporting that the incorrect dose was given to a child without any adverse reaction.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No adverse advent.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Magnetic resonance imaging abnormal, Pancreatic cyst, Uveitis
Clinical narrative: Two instances of uvitus, one requiring medical attention and medication. Had discomfort in her stomach and had an abdominal MRI which resulted in finding multiple pancreatic cysts. She's not sure if it's related.
Age: 71.0
Sex: M
Vaccine: UNK
Symptoms: Abdominal pain upper, Chills, Dizziness, Fatigue, Headache
Clinical narrative: Dose number one September 21, 2021 - Sore arm for two days. Dose number two February 6, 2022 - Fever 101 degrees, shivering, body shaking when exposed to slightly colder temperature, muscle pain, tiredness, headache, stomach pain, nausea, dizziness,  sensitive skin, blurry vision. Unable to do regular activities.
Age: 71.0
Sex: M
Vaccine: UNK
Symptoms: Loss of personal independence in daily activities, Myalgia, Nausea, Pyrexia, Sensitive skin
Clinical narrative: Dose number one September 21, 2021 - Sore arm for two days. Dose number two February 6, 2022 - Fever 101 degrees, shivering, body shaking when exposed to slightly colder temperature, muscle pain, tiredness, headache, stomach pain, nausea, dizziness,  sensitive skin, blurry vision. Unable to do regular activities.
Age: 71.0
Sex: M
Vaccine: UNK
Symptoms: Temperature intolerance, Tremor, Vision blurred
Clinical narrative: Dose number one September 21, 2021 - Sore arm for two days. Dose number two February 6, 2022 - Fever 101 degrees, shivering, body shaking when exposed to slightly colder temperature, muscle pain, tiredness, headache, stomach pain, nausea, dizziness,  sensitive skin, blurry vision. Unable to do regular activities.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, Blood test, Eye pain, Eye swelling
Clinical narrative: She got her booster shot, her arm swelled up like it usually does, like a baseball that hurt like crazy for 2 days and then went away.  Then she didn't get sick until after the 29th.   She went to the doctor and was put on a Z-pak to calm the inflammation in her body.  Then she got so bad a week after that, then her pain medicine doctor gave her Prednisone to help her get around as she could not get out of bed due to the pain.  This helped her get up and moving around.  Her head hurt, her eyeballs hurt, her stomach, all her joints hurt, which was the same reaction she got from the 2nd vaccine.  She had to call her eye doctor as her eye was swelling up, She has something floating in her eye, gold her the gel from behind her eye released and she has to go back every 2 weeks to keep checking for tears, and there was nothing they could do.  They felt that the floater could go away, but it has not.  Her head has been hurting her like crazy and her eye is starting to shut every  morning.    She talked to her pain specialists who told her that because her immune system was so low that perhaps it was attacking her body and had the adverse reaction.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Illness, Inflammation, Pain, Peripheral swelling
Clinical narrative: She got her booster shot, her arm swelled up like it usually does, like a baseball that hurt like crazy for 2 days and then went away.  Then she didn't get sick until after the 29th.   She went to the doctor and was put on a Z-pak to calm the inflammation in her body.  Then she got so bad a week after that, then her pain medicine doctor gave her Prednisone to help her get around as she could not get out of bed due to the pain.  This helped her get up and moving around.  Her head hurt, her eyeballs hurt, her stomach, all her joints hurt, which was the same reaction she got from the 2nd vaccine.  She had to call her eye doctor as her eye was swelling up, She has something floating in her eye, gold her the gel from behind her eye released and she has to go back every 2 weeks to keep checking for tears, and there was nothing they could do.  They felt that the floater could go away, but it has not.  Her head has been hurting her like crazy and her eye is starting to shut every  morning.    She talked to her pain specialists who told her that because her immune system was so low that perhaps it was attacking her body and had the adverse reaction.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Vitreous floaters
Clinical narrative: She got her booster shot, her arm swelled up like it usually does, like a baseball that hurt like crazy for 2 days and then went away.  Then she didn't get sick until after the 29th.   She went to the doctor and was put on a Z-pak to calm the inflammation in her body.  Then she got so bad a week after that, then her pain medicine doctor gave her Prednisone to help her get around as she could not get out of bed due to the pain.  This helped her get up and moving around.  Her head hurt, her eyeballs hurt, her stomach, all her joints hurt, which was the same reaction she got from the 2nd vaccine.  She had to call her eye doctor as her eye was swelling up, She has something floating in her eye, gold her the gel from behind her eye released and she has to go back every 2 weeks to keep checking for tears, and there was nothing they could do.  They felt that the floater could go away, but it has not.  Her head has been hurting her like crazy and her eye is starting to shut every  morning.    She talked to her pain specialists who told her that because her immune system was so low that perhaps it was attacking her body and had the adverse reaction.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle tightness, Throat tightness, Urticaria
Clinical narrative: Urticaria rash  on 1/24/22 in armpit region 10 days after vaccination.  11-12 days after vaccination urticaria spread to waist. Patient began Benadryl twice daily. 13 days after vaccination urticaria became severe with enlarged bumpy welts on waist and covering all of groin area, arms, upper thighs, and right palm. Patient went to PCP who prescribed Zyrtec (x1 daily), Pepcid (x2 daily), and Pregnisone course (patient declined). Patient began prescription course of prescribed antihistamines and was advised to continue Benadryl as needed. 14 days after vaccination the anti-histamines provided minor relief from symptoms. Urticaria spread to forehead, eyelids (puffy), and neck. 15 days after vaccination patient experienced tightness in throat and neck. Patient continues to experience flare ups all over randomly which subside quickly. As of today 2/8, the urticaria  continues. Patient is only taking zyrtec x1 daily.
Age: 23.0
Sex: U
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19
Clinical narrative: Asymptomatic
Age: 1.08
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Rash vesicular
Clinical narrative: varicella rash
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Alanine aminotransferase normal, Albumin globulin ratio, Allen's test, Angiogram pulmonary abnormal
Clinical narrative: 1/26/22-66 yr/o male with no significant past medical history presenting for evaluation of respiratory distress. Patient states he has been feeling increasingly unwell for approximately 1 week. He notes increasing dyspnea. Associated with a productive cough. He does have sharp pain in the center of his chest. Does not radiate. He notes body aches as well. He has been exposed to Covid. He is vaccinated for Covid. EMS reports room air sats in the seventies. Improved to the mid eighties on a nonrebreather Review of Systems  Constitutional: Negative for chills and fever.  HENT: Negative for congestion, ear pain and sore throat.   Eyes: Negative for discharge.  Respiratory: Positive for cough and shortness of breath. Neg  Review of Systems, Respiratory: Positive for cough and shortness of breath. Negative for wheezing. Cardiovascular: Positive for chest pain. Negative for palpitations. Gastrointestinal: Negative for abdominal pain, constipation, nausea and vomiting. Endocrine: Negative for polydipsia. Genitourinary: Negative for dysuria and urgency. Musculoskeletal: Positive for myalgias. Negative for back pain and neck pain. Skin: Negative for rash. Neurological: Positive for headaches. Negative for dizziness, seizures and weakness. Hematological: Does not bruise/bleed easily. All other systems reviewed and are negative. Plan: 1.  Acute respiratory failure-Placed on BiPAP.  Admitted to ICU. CT of chest noted above. Therapeutic Lovenox, IV antibiotics and Decadron initiated in ED.  Pending Covid test.  Pulmonary consulted for further evaluation.  Contact precautions per protocol. 2.  Elevated troponin-EKG without ischemic changes.  Continue to monitor on telemetry. 3.   Hypokalemia-replace per potassium protocol. 4.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anion gap, Anticoagulant therapy, Aortic dilatation, Aortic valve calcification, Aspartate aminotransferase normal
Clinical narrative: 1/26/22-66 yr/o male with no significant past medical history presenting for evaluation of respiratory distress. Patient states he has been feeling increasingly unwell for approximately 1 week. He notes increasing dyspnea. Associated with a productive cough. He does have sharp pain in the center of his chest. Does not radiate. He notes body aches as well. He has been exposed to Covid. He is vaccinated for Covid. EMS reports room air sats in the seventies. Improved to the mid eighties on a nonrebreather Review of Systems  Constitutional: Negative for chills and fever.  HENT: Negative for congestion, ear pain and sore throat.   Eyes: Negative for discharge.  Respiratory: Positive for cough and shortness of breath. Neg  Review of Systems, Respiratory: Positive for cough and shortness of breath. Negative for wheezing. Cardiovascular: Positive for chest pain. Negative for palpitations. Gastrointestinal: Negative for abdominal pain, constipation, nausea and vomiting. Endocrine: Negative for polydipsia. Genitourinary: Negative for dysuria and urgency. Musculoskeletal: Positive for myalgias. Negative for back pain and neck pain. Skin: Negative for rash. Neurological: Positive for headaches. Negative for dizziness, seizures and weakness. Hematological: Does not bruise/bleed easily. All other systems reviewed and are negative. Plan: 1.  Acute respiratory failure-Placed on BiPAP.  Admitted to ICU. CT of chest noted above. Therapeutic Lovenox, IV antibiotics and Decadron initiated in ED.  Pending Covid test.  Pulmonary consulted for further evaluation.  Contact precautions per protocol. 2.  Elevated troponin-EKG without ischemic changes.  Continue to monitor on telemetry. 3.   Hypokalemia-replace per potassium protocol. 4.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Base excess, Basophil count increased, Basophil percentage, Blood albumin decreased, Blood alkaline phosphatase normal
Clinical narrative: 1/26/22-66 yr/o male with no significant past medical history presenting for evaluation of respiratory distress. Patient states he has been feeling increasingly unwell for approximately 1 week. He notes increasing dyspnea. Associated with a productive cough. He does have sharp pain in the center of his chest. Does not radiate. He notes body aches as well. He has been exposed to Covid. He is vaccinated for Covid. EMS reports room air sats in the seventies. Improved to the mid eighties on a nonrebreather Review of Systems  Constitutional: Negative for chills and fever.  HENT: Negative for congestion, ear pain and sore throat.   Eyes: Negative for discharge.  Respiratory: Positive for cough and shortness of breath. Neg  Review of Systems, Respiratory: Positive for cough and shortness of breath. Negative for wheezing. Cardiovascular: Positive for chest pain. Negative for palpitations. Gastrointestinal: Negative for abdominal pain, constipation, nausea and vomiting. Endocrine: Negative for polydipsia. Genitourinary: Negative for dysuria and urgency. Musculoskeletal: Positive for myalgias. Negative for back pain and neck pain. Skin: Negative for rash. Neurological: Positive for headaches. Negative for dizziness, seizures and weakness. Hematological: Does not bruise/bleed easily. All other systems reviewed and are negative. Plan: 1.  Acute respiratory failure-Placed on BiPAP.  Admitted to ICU. CT of chest noted above. Therapeutic Lovenox, IV antibiotics and Decadron initiated in ED.  Pending Covid test.  Pulmonary consulted for further evaluation.  Contact precautions per protocol. 2.  Elevated troponin-EKG without ischemic changes.  Continue to monitor on telemetry. 3.   Hypokalemia-replace per potassium protocol. 4.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood bicarbonate increased, Blood bilirubin normal, Blood calcium decreased, Blood chloride decreased, Blood creatinine normal
Clinical narrative: 1/26/22-66 yr/o male with no significant past medical history presenting for evaluation of respiratory distress. Patient states he has been feeling increasingly unwell for approximately 1 week. He notes increasing dyspnea. Associated with a productive cough. He does have sharp pain in the center of his chest. Does not radiate. He notes body aches as well. He has been exposed to Covid. He is vaccinated for Covid. EMS reports room air sats in the seventies. Improved to the mid eighties on a nonrebreather Review of Systems  Constitutional: Negative for chills and fever.  HENT: Negative for congestion, ear pain and sore throat.   Eyes: Negative for discharge.  Respiratory: Positive for cough and shortness of breath. Neg  Review of Systems, Respiratory: Positive for cough and shortness of breath. Negative for wheezing. Cardiovascular: Positive for chest pain. Negative for palpitations. Gastrointestinal: Negative for abdominal pain, constipation, nausea and vomiting. Endocrine: Negative for polydipsia. Genitourinary: Negative for dysuria and urgency. Musculoskeletal: Positive for myalgias. Negative for back pain and neck pain. Skin: Negative for rash. Neurological: Positive for headaches. Negative for dizziness, seizures and weakness. Hematological: Does not bruise/bleed easily. All other systems reviewed and are negative. Plan: 1.  Acute respiratory failure-Placed on BiPAP.  Admitted to ICU. CT of chest noted above. Therapeutic Lovenox, IV antibiotics and Decadron initiated in ED.  Pending Covid test.  Pulmonary consulted for further evaluation.  Contact precautions per protocol. 2.  Elevated troponin-EKG without ischemic changes.  Continue to monitor on telemetry. 3.   Hypokalemia-replace per potassium protocol. 4.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood gases, Blood glucose normal, Blood lactic acid, Blood magnesium normal, Blood pH increased
Clinical narrative: 1/26/22-66 yr/o male with no significant past medical history presenting for evaluation of respiratory distress. Patient states he has been feeling increasingly unwell for approximately 1 week. He notes increasing dyspnea. Associated with a productive cough. He does have sharp pain in the center of his chest. Does not radiate. He notes body aches as well. He has been exposed to Covid. He is vaccinated for Covid. EMS reports room air sats in the seventies. Improved to the mid eighties on a nonrebreather Review of Systems  Constitutional: Negative for chills and fever.  HENT: Negative for congestion, ear pain and sore throat.   Eyes: Negative for discharge.  Respiratory: Positive for cough and shortness of breath. Neg  Review of Systems, Respiratory: Positive for cough and shortness of breath. Negative for wheezing. Cardiovascular: Positive for chest pain. Negative for palpitations. Gastrointestinal: Negative for abdominal pain, constipation, nausea and vomiting. Endocrine: Negative for polydipsia. Genitourinary: Negative for dysuria and urgency. Musculoskeletal: Positive for myalgias. Negative for back pain and neck pain. Skin: Negative for rash. Neurological: Positive for headaches. Negative for dizziness, seizures and weakness. Hematological: Does not bruise/bleed easily. All other systems reviewed and are negative. Plan: 1.  Acute respiratory failure-Placed on BiPAP.  Admitted to ICU. CT of chest noted above. Therapeutic Lovenox, IV antibiotics and Decadron initiated in ED.  Pending Covid test.  Pulmonary consulted for further evaluation.  Contact precautions per protocol. 2.  Elevated troponin-EKG without ischemic changes.  Continue to monitor on telemetry. 3.   Hypokalemia-replace per potassium protocol. 4.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood potassium decreased, Blood sodium decreased, Blood urea decreased, Blood urea nitrogen/creatinine ratio, Brain natriuretic peptide
Clinical narrative: 1/26/22-66 yr/o male with no significant past medical history presenting for evaluation of respiratory distress. Patient states he has been feeling increasingly unwell for approximately 1 week. He notes increasing dyspnea. Associated with a productive cough. He does have sharp pain in the center of his chest. Does not radiate. He notes body aches as well. He has been exposed to Covid. He is vaccinated for Covid. EMS reports room air sats in the seventies. Improved to the mid eighties on a nonrebreather Review of Systems  Constitutional: Negative for chills and fever.  HENT: Negative for congestion, ear pain and sore throat.   Eyes: Negative for discharge.  Respiratory: Positive for cough and shortness of breath. Neg  Review of Systems, Respiratory: Positive for cough and shortness of breath. Negative for wheezing. Cardiovascular: Positive for chest pain. Negative for palpitations. Gastrointestinal: Negative for abdominal pain, constipation, nausea and vomiting. Endocrine: Negative for polydipsia. Genitourinary: Negative for dysuria and urgency. Musculoskeletal: Positive for myalgias. Negative for back pain and neck pain. Skin: Negative for rash. Neurological: Positive for headaches. Negative for dizziness, seizures and weakness. Hematological: Does not bruise/bleed easily. All other systems reviewed and are negative. Plan: 1.  Acute respiratory failure-Placed on BiPAP.  Admitted to ICU. CT of chest noted above. Therapeutic Lovenox, IV antibiotics and Decadron initiated in ED.  Pending Covid test.  Pulmonary consulted for further evaluation.  Contact precautions per protocol. 2.  Elevated troponin-EKG without ischemic changes.  Continue to monitor on telemetry. 3.   Hypokalemia-replace per potassium protocol. 4.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Carbon dioxide decreased, Carbon dioxide normal, Cardiac telemetry
Clinical narrative: 1/26/22-66 yr/o male with no significant past medical history presenting for evaluation of respiratory distress. Patient states he has been feeling increasingly unwell for approximately 1 week. He notes increasing dyspnea. Associated with a productive cough. He does have sharp pain in the center of his chest. Does not radiate. He notes body aches as well. He has been exposed to Covid. He is vaccinated for Covid. EMS reports room air sats in the seventies. Improved to the mid eighties on a nonrebreather Review of Systems  Constitutional: Negative for chills and fever.  HENT: Negative for congestion, ear pain and sore throat.   Eyes: Negative for discharge.  Respiratory: Positive for cough and shortness of breath. Neg  Review of Systems, Respiratory: Positive for cough and shortness of breath. Negative for wheezing. Cardiovascular: Positive for chest pain. Negative for palpitations. Gastrointestinal: Negative for abdominal pain, constipation, nausea and vomiting. Endocrine: Negative for polydipsia. Genitourinary: Negative for dysuria and urgency. Musculoskeletal: Positive for myalgias. Negative for back pain and neck pain. Skin: Negative for rash. Neurological: Positive for headaches. Negative for dizziness, seizures and weakness. Hematological: Does not bruise/bleed easily. All other systems reviewed and are negative. Plan: 1.  Acute respiratory failure-Placed on BiPAP.  Admitted to ICU. CT of chest noted above. Therapeutic Lovenox, IV antibiotics and Decadron initiated in ED.  Pending Covid test.  Pulmonary consulted for further evaluation.  Contact precautions per protocol. 2.  Elevated troponin-EKG without ischemic changes.  Continue to monitor on telemetry. 3.   Hypokalemia-replace per potassium protocol. 4.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray abnormal, Chest pain, Computerised tomogram thorax, Cough, Differential white blood cell count
Clinical narrative: 1/26/22-66 yr/o male with no significant past medical history presenting for evaluation of respiratory distress. Patient states he has been feeling increasingly unwell for approximately 1 week. He notes increasing dyspnea. Associated with a productive cough. He does have sharp pain in the center of his chest. Does not radiate. He notes body aches as well. He has been exposed to Covid. He is vaccinated for Covid. EMS reports room air sats in the seventies. Improved to the mid eighties on a nonrebreather Review of Systems  Constitutional: Negative for chills and fever.  HENT: Negative for congestion, ear pain and sore throat.   Eyes: Negative for discharge.  Respiratory: Positive for cough and shortness of breath. Neg  Review of Systems, Respiratory: Positive for cough and shortness of breath. Negative for wheezing. Cardiovascular: Positive for chest pain. Negative for palpitations. Gastrointestinal: Negative for abdominal pain, constipation, nausea and vomiting. Endocrine: Negative for polydipsia. Genitourinary: Negative for dysuria and urgency. Musculoskeletal: Positive for myalgias. Negative for back pain and neck pain. Skin: Negative for rash. Neurological: Positive for headaches. Negative for dizziness, seizures and weakness. Hematological: Does not bruise/bleed easily. All other systems reviewed and are negative. Plan: 1.  Acute respiratory failure-Placed on BiPAP.  Admitted to ICU. CT of chest noted above. Therapeutic Lovenox, IV antibiotics and Decadron initiated in ED.  Pending Covid test.  Pulmonary consulted for further evaluation.  Contact precautions per protocol. 2.  Elevated troponin-EKG without ischemic changes.  Continue to monitor on telemetry. 3.   Hypokalemia-replace per potassium protocol. 4.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Echocardiogram, Echocardiogram normal, Electrocardiogram normal, Eosinophil count
Clinical narrative: 1/26/22-66 yr/o male with no significant past medical history presenting for evaluation of respiratory distress. Patient states he has been feeling increasingly unwell for approximately 1 week. He notes increasing dyspnea. Associated with a productive cough. He does have sharp pain in the center of his chest. Does not radiate. He notes body aches as well. He has been exposed to Covid. He is vaccinated for Covid. EMS reports room air sats in the seventies. Improved to the mid eighties on a nonrebreather Review of Systems  Constitutional: Negative for chills and fever.  HENT: Negative for congestion, ear pain and sore throat.   Eyes: Negative for discharge.  Respiratory: Positive for cough and shortness of breath. Neg  Review of Systems, Respiratory: Positive for cough and shortness of breath. Negative for wheezing. Cardiovascular: Positive for chest pain. Negative for palpitations. Gastrointestinal: Negative for abdominal pain, constipation, nausea and vomiting. Endocrine: Negative for polydipsia. Genitourinary: Negative for dysuria and urgency. Musculoskeletal: Positive for myalgias. Negative for back pain and neck pain. Skin: Negative for rash. Neurological: Positive for headaches. Negative for dizziness, seizures and weakness. Hematological: Does not bruise/bleed easily. All other systems reviewed and are negative. Plan: 1.  Acute respiratory failure-Placed on BiPAP.  Admitted to ICU. CT of chest noted above. Therapeutic Lovenox, IV antibiotics and Decadron initiated in ED.  Pending Covid test.  Pulmonary consulted for further evaluation.  Contact precautions per protocol. 2.  Elevated troponin-EKG without ischemic changes.  Continue to monitor on telemetry. 3.   Hypokalemia-replace per potassium protocol. 4.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Eosinophil percentage, Exposure to SARS-CoV-2, Fraction of inspired oxygen, Full blood count, Globulins increased
Clinical narrative: 1/26/22-66 yr/o male with no significant past medical history presenting for evaluation of respiratory distress. Patient states he has been feeling increasingly unwell for approximately 1 week. He notes increasing dyspnea. Associated with a productive cough. He does have sharp pain in the center of his chest. Does not radiate. He notes body aches as well. He has been exposed to Covid. He is vaccinated for Covid. EMS reports room air sats in the seventies. Improved to the mid eighties on a nonrebreather Review of Systems  Constitutional: Negative for chills and fever.  HENT: Negative for congestion, ear pain and sore throat.   Eyes: Negative for discharge.  Respiratory: Positive for cough and shortness of breath. Neg  Review of Systems, Respiratory: Positive for cough and shortness of breath. Negative for wheezing. Cardiovascular: Positive for chest pain. Negative for palpitations. Gastrointestinal: Negative for abdominal pain, constipation, nausea and vomiting. Endocrine: Negative for polydipsia. Genitourinary: Negative for dysuria and urgency. Musculoskeletal: Positive for myalgias. Negative for back pain and neck pain. Skin: Negative for rash. Neurological: Positive for headaches. Negative for dizziness, seizures and weakness. Hematological: Does not bruise/bleed easily. All other systems reviewed and are negative. Plan: 1.  Acute respiratory failure-Placed on BiPAP.  Admitted to ICU. CT of chest noted above. Therapeutic Lovenox, IV antibiotics and Decadron initiated in ED.  Pending Covid test.  Pulmonary consulted for further evaluation.  Contact precautions per protocol. 2.  Elevated troponin-EKG without ischemic changes.  Continue to monitor on telemetry. 3.   Hypokalemia-replace per potassium protocol. 4.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Glomerular filtration rate, Granulocyte percentage, Haematocrit normal, Haemoglobin normal, Headache
Clinical narrative: 1/26/22-66 yr/o male with no significant past medical history presenting for evaluation of respiratory distress. Patient states he has been feeling increasingly unwell for approximately 1 week. He notes increasing dyspnea. Associated with a productive cough. He does have sharp pain in the center of his chest. Does not radiate. He notes body aches as well. He has been exposed to Covid. He is vaccinated for Covid. EMS reports room air sats in the seventies. Improved to the mid eighties on a nonrebreather Review of Systems  Constitutional: Negative for chills and fever.  HENT: Negative for congestion, ear pain and sore throat.   Eyes: Negative for discharge.  Respiratory: Positive for cough and shortness of breath. Neg  Review of Systems, Respiratory: Positive for cough and shortness of breath. Negative for wheezing. Cardiovascular: Positive for chest pain. Negative for palpitations. Gastrointestinal: Negative for abdominal pain, constipation, nausea and vomiting. Endocrine: Negative for polydipsia. Genitourinary: Negative for dysuria and urgency. Musculoskeletal: Positive for myalgias. Negative for back pain and neck pain. Skin: Negative for rash. Neurological: Positive for headaches. Negative for dizziness, seizures and weakness. Hematological: Does not bruise/bleed easily. All other systems reviewed and are negative. Plan: 1.  Acute respiratory failure-Placed on BiPAP.  Admitted to ICU. CT of chest noted above. Therapeutic Lovenox, IV antibiotics and Decadron initiated in ED.  Pending Covid test.  Pulmonary consulted for further evaluation.  Contact precautions per protocol. 2.  Elevated troponin-EKG without ischemic changes.  Continue to monitor on telemetry. 3.   Hypokalemia-replace per potassium protocol. 4.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypokalaemia, Immature granulocyte count, Intensive care, Left ventricular hypertrophy, Lung consolidation
Clinical narrative: 1/26/22-66 yr/o male with no significant past medical history presenting for evaluation of respiratory distress. Patient states he has been feeling increasingly unwell for approximately 1 week. He notes increasing dyspnea. Associated with a productive cough. He does have sharp pain in the center of his chest. Does not radiate. He notes body aches as well. He has been exposed to Covid. He is vaccinated for Covid. EMS reports room air sats in the seventies. Improved to the mid eighties on a nonrebreather Review of Systems  Constitutional: Negative for chills and fever.  HENT: Negative for congestion, ear pain and sore throat.   Eyes: Negative for discharge.  Respiratory: Positive for cough and shortness of breath. Neg  Review of Systems, Respiratory: Positive for cough and shortness of breath. Negative for wheezing. Cardiovascular: Positive for chest pain. Negative for palpitations. Gastrointestinal: Negative for abdominal pain, constipation, nausea and vomiting. Endocrine: Negative for polydipsia. Genitourinary: Negative for dysuria and urgency. Musculoskeletal: Positive for myalgias. Negative for back pain and neck pain. Skin: Negative for rash. Neurological: Positive for headaches. Negative for dizziness, seizures and weakness. Hematological: Does not bruise/bleed easily. All other systems reviewed and are negative. Plan: 1.  Acute respiratory failure-Placed on BiPAP.  Admitted to ICU. CT of chest noted above. Therapeutic Lovenox, IV antibiotics and Decadron initiated in ED.  Pending Covid test.  Pulmonary consulted for further evaluation.  Contact precautions per protocol. 2.  Elevated troponin-EKG without ischemic changes.  Continue to monitor on telemetry. 3.   Hypokalemia-replace per potassium protocol. 4.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lung infiltration, Lung opacity, Lymphocyte count increased, Lymphocyte percentage decreased, Malaise
Clinical narrative: 1/26/22-66 yr/o male with no significant past medical history presenting for evaluation of respiratory distress. Patient states he has been feeling increasingly unwell for approximately 1 week. He notes increasing dyspnea. Associated with a productive cough. He does have sharp pain in the center of his chest. Does not radiate. He notes body aches as well. He has been exposed to Covid. He is vaccinated for Covid. EMS reports room air sats in the seventies. Improved to the mid eighties on a nonrebreather Review of Systems  Constitutional: Negative for chills and fever.  HENT: Negative for congestion, ear pain and sore throat.   Eyes: Negative for discharge.  Respiratory: Positive for cough and shortness of breath. Neg  Review of Systems, Respiratory: Positive for cough and shortness of breath. Negative for wheezing. Cardiovascular: Positive for chest pain. Negative for palpitations. Gastrointestinal: Negative for abdominal pain, constipation, nausea and vomiting. Endocrine: Negative for polydipsia. Genitourinary: Negative for dysuria and urgency. Musculoskeletal: Positive for myalgias. Negative for back pain and neck pain. Skin: Negative for rash. Neurological: Positive for headaches. Negative for dizziness, seizures and weakness. Hematological: Does not bruise/bleed easily. All other systems reviewed and are negative. Plan: 1.  Acute respiratory failure-Placed on BiPAP.  Admitted to ICU. CT of chest noted above. Therapeutic Lovenox, IV antibiotics and Decadron initiated in ED.  Pending Covid test.  Pulmonary consulted for further evaluation.  Contact precautions per protocol. 2.  Elevated troponin-EKG without ischemic changes.  Continue to monitor on telemetry. 3.   Hypokalemia-replace per potassium protocol. 4.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Mean cell haemoglobin concentration normal, Mean cell haemoglobin increased, Mean cell volume normal, Mean platelet volume normal, Metabolic function test
Clinical narrative: 1/26/22-66 yr/o male with no significant past medical history presenting for evaluation of respiratory distress. Patient states he has been feeling increasingly unwell for approximately 1 week. He notes increasing dyspnea. Associated with a productive cough. He does have sharp pain in the center of his chest. Does not radiate. He notes body aches as well. He has been exposed to Covid. He is vaccinated for Covid. EMS reports room air sats in the seventies. Improved to the mid eighties on a nonrebreather Review of Systems  Constitutional: Negative for chills and fever.  HENT: Negative for congestion, ear pain and sore throat.   Eyes: Negative for discharge.  Respiratory: Positive for cough and shortness of breath. Neg  Review of Systems, Respiratory: Positive for cough and shortness of breath. Negative for wheezing. Cardiovascular: Positive for chest pain. Negative for palpitations. Gastrointestinal: Negative for abdominal pain, constipation, nausea and vomiting. Endocrine: Negative for polydipsia. Genitourinary: Negative for dysuria and urgency. Musculoskeletal: Positive for myalgias. Negative for back pain and neck pain. Skin: Negative for rash. Neurological: Positive for headaches. Negative for dizziness, seizures and weakness. Hematological: Does not bruise/bleed easily. All other systems reviewed and are negative. Plan: 1.  Acute respiratory failure-Placed on BiPAP.  Admitted to ICU. CT of chest noted above. Therapeutic Lovenox, IV antibiotics and Decadron initiated in ED.  Pending Covid test.  Pulmonary consulted for further evaluation.  Contact precautions per protocol. 2.  Elevated troponin-EKG without ischemic changes.  Continue to monitor on telemetry. 3.   Hypokalemia-replace per potassium protocol. 4.