chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, SARS-CoV-2 test positive
Clinical narrative: Husband (patient) just tested positive for COVID; This spontaneous case was reported by a consumer and describes the occurrence of SARS-COV-2 TEST POSITIVE (Husband (patient) just tested positive for COVID) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination.     No Medical History information was reported.    On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 07-Jan-2022, the patient experienced SARS-COV-2 TEST POSITIVE (Husband (patient) just tested positive for COVID). At the time of the report, SARS-COV-2 TEST POSITIVE (Husband (patient) just tested positive for COVID) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 07-Jan-2022, SARS-CoV-2 test: positive (Positive) Positive.     The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.       Concomitant drugs were not reported. Treatment medications were not provided.  It was reported that reporter is not sure if patient received Moderna vaccine.  Company Comment: This spontaneous case concerns a male patient, of unknown age, with no medical history reported, who experienced the unexpected, non-serious AESI of SARS-CoV-2 test positive after administration of an unspecified dose of the Moderna mRNA-1273 vaccine. The patient tested positive for COVID-19 on 07Jan2022. No further details were provided. The benefit-risk relationship of the Moderna mRNA-1273 vaccine is not affected by this report.   This case was linked to MOD-2022-445551, MOD-2022-445636 (Patient Link).; Sender's Comments: This spontaneous case concerns a male patient, of unknown age, with no medical history reported, who experienced the unexpected, non-serious AESI of SARS-CoV-2 test positive after administration of an unspecified dose of the Moderna mRNA-1273 vaccine. The patient tested positive for COVID-19 on 07Jan2022. No further details were provided. The benefit-risk relationship of the Moderna mRNA-1273 vaccine is not affected by this report.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Death; This spontaneous case was reported by a consumer and describes the occurrence of DEATH (Death) in a 36-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination.     No Medical History information was reported.    On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. Death occurred on an unknown date The cause of death was not reported. It is unknown if an autopsy was performed.            No concomitant medication and treatment medications were reported.  The patient was in good physical shape and worked out regularly in a gym.  Company comment:  This case concerns a 36-year-old male patient with no medical history provided, who died after he had received the mRNA-1273 vaccine (serious unexpected event of Death). The cause of death remained unknown at the time of this report and it is also unknown whether an autopsy was performed. The dose of the vaccine was not disclosed and temporal relationship between Death and vaccination remained unknown since no dates were provided. As per source document, it was stated that the patient had been in good physical shape. Limited information precludes a meaningful medical assessment. The re-challenge is not applicable, having in mind that the patient died. The benefit-risk relationship of the mRNA-1273 vaccine is not affected by this report.   This case was linked to MOD-2022-445819, MOD-2022-445817 (Patient Link).; Sender's Comments: This case concerns a 36-year-old male patient with no medical history provided, who died after he had received the mRNA-1273 vaccine (serious unexpected event of Death). The cause of death remained unknown at the time of this report and it is also unknown whether an autopsy was performed. The dose of the vaccine was not disclosed and temporal relationship between Death and vaccination remained unknown since no dates were provided. As per source document, it was stated that the patient had been in good physical shape. Limited information precludes a meaningful medical assessment. The re-challenge is not applicable, having in mind that the patient died. The benefit-risk relationship of the mRNA-1273 vaccine is not affected by this report.; Reported Cause(s) of Death: Unknown cause of death
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Died; This spontaneous case was reported by a consumer and describes the occurrence of DEATH (Died) in a 17-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 immunisation.     No Medical History information was reported.    On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. Death occurred on an unknown date The cause of death was not reported. It is unknown if an autopsy was performed.            Relevant concomitant medications were not reported. No treatment medication was provided.  Company comment: This case concerns a 17-year-old female patient with no medical history provided, who died due to unspecified reason (serious unexpected event of Death) after receiving the mRNA-1273 vaccine. The dose of the vaccine was not provided. Furthermore, the temporal relationship between vaccination and death remained unknown, since the date of vaccination and date of death were not disclosed. It was also unknown whether the autopsy was performed. Limited information precludes a meaningful medical assessment. The rechallenge is not applicable as the patient died. The benefit-risk relationship of the mRNA-1273 vaccine is not affected by this report.   This case was linked to MOD-2022-447283, MOD-2022-447300, MOD-2022-447299 (Patient Link).; Sender's Comments: This case concerns a 17-year-old female patient with no medical history provided, who died due to unspecified reason (serious unexpected event of Death) after receiving the mRNA-1273 vaccine. The dose of the vaccine was not provided. Furthermore, the temporal relationship between vaccination and death remained unknown, since the date of vaccination and date of death were not disclosed. It was also unknown whether the autopsy was performed. Limited information precludes a meaningful medical assessment. The rechallenge is not applicable as the patient died. The benefit-risk relationship of the mRNA-1273 vaccine is not affected by this report.; Reported Cause(s) of Death: Unknown cause of death
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Abdominal pain upper, Body temperature, Diarrhoea, Feeling abnormal
Clinical narrative: joints began to swell; severe stomach and abdominal cramps; abdominal cramps; diarrhea; low grade fever; nausea; vomiting; feeling bad; achy/aching all over; This spontaneous case was reported by a consumer and describes the occurrence of FEELING ABNORMAL (feeling bad), JOINT SWELLING (joints began to swell), ABDOMINAL PAIN UPPER (severe stomach and abdominal cramps), ABDOMINAL PAIN (abdominal cramps) and DIARRHOEA (diarrhea) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 032H21A, 030B21A and 012A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.   On 10-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 07-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 27-Dec-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 27-Dec-2021, the patient experienced FEELING ABNORMAL (feeling bad) and MYALGIA (achy/aching all over). On 28-Dec-2021, the patient experienced JOINT SWELLING (joints began to swell), ABDOMINAL PAIN UPPER (severe stomach and abdominal cramps), ABDOMINAL PAIN (abdominal cramps), DIARRHOEA (diarrhea), PYREXIA (low grade fever), NAUSEA (nausea) and VOMITING (vomiting). The patient was treated with IBUPROFEN for Adverse event, at an unspecified dose and frequency. In January 2022, FEELING ABNORMAL (feeling bad), JOINT SWELLING (joints began to swell), ABDOMINAL PAIN UPPER (severe stomach and abdominal cramps), ABDOMINAL PAIN (abdominal cramps), DIARRHOEA (diarrhea), MYALGIA (achy/aching all over), PYREXIA (low grade fever), NAUSEA (nausea) and VOMITING (vomiting) had resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 28-Dec-2021, Body temperature: high (High) low grade fever.         No concomitant medications were reported.  On 27 Dec 2021 after vaccination within 3-4 hours patient  started feeling bad and achy. All these events lasted for a week.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Joint swelling, Myalgia, Nausea, Pyrexia, Vomiting
Clinical narrative: joints began to swell; severe stomach and abdominal cramps; abdominal cramps; diarrhea; low grade fever; nausea; vomiting; feeling bad; achy/aching all over; This spontaneous case was reported by a consumer and describes the occurrence of FEELING ABNORMAL (feeling bad), JOINT SWELLING (joints began to swell), ABDOMINAL PAIN UPPER (severe stomach and abdominal cramps), ABDOMINAL PAIN (abdominal cramps) and DIARRHOEA (diarrhea) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 032H21A, 030B21A and 012A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.   On 10-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 07-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 27-Dec-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 27-Dec-2021, the patient experienced FEELING ABNORMAL (feeling bad) and MYALGIA (achy/aching all over). On 28-Dec-2021, the patient experienced JOINT SWELLING (joints began to swell), ABDOMINAL PAIN UPPER (severe stomach and abdominal cramps), ABDOMINAL PAIN (abdominal cramps), DIARRHOEA (diarrhea), PYREXIA (low grade fever), NAUSEA (nausea) and VOMITING (vomiting). The patient was treated with IBUPROFEN for Adverse event, at an unspecified dose and frequency. In January 2022, FEELING ABNORMAL (feeling bad), JOINT SWELLING (joints began to swell), ABDOMINAL PAIN UPPER (severe stomach and abdominal cramps), ABDOMINAL PAIN (abdominal cramps), DIARRHOEA (diarrhea), MYALGIA (achy/aching all over), PYREXIA (low grade fever), NAUSEA (nausea) and VOMITING (vomiting) had resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 28-Dec-2021, Body temperature: high (High) low grade fever.         No concomitant medications were reported.  On 27 Dec 2021 after vaccination within 3-4 hours patient  started feeling bad and achy. All these events lasted for a week.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Accidental overdose
Clinical narrative: Patient receive 1ml of vaccine instead of 0.5ml as first dose; This spontaneous case was reported by a physician and describes the occurrence of ACCIDENTAL OVERDOSE (Patient receive 1ml of vaccine instead of 0.5ml as first dose) in a 46-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination.     No Medical History information was reported.    On 13-Jan-2022, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 13-Jan-2022, the patient experienced ACCIDENTAL OVERDOSE (Patient receive 1ml of vaccine instead of 0.5ml as first dose). On 13-Jan-2022, ACCIDENTAL OVERDOSE (Patient receive 1ml of vaccine instead of 0.5ml as first dose) had resolved.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   No concomitant products were reported.  No treatment information was reported.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: All patients received Expired Moderna COVID-19 vaccine from a vial that was stored in the refrigerator beyond 30 days; This spontaneous case was reported by a pharmacist and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (All patients received Expired Moderna COVID-19 vaccine from a vial that was stored in the refrigerator beyond 30 days) in a 56-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 027H21B) for COVID-19 vaccination.     No Medical History information was reported.    On 30-Dec-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 30-Dec-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (All patients received Expired Moderna COVID-19 vaccine from a vial that was stored in the refrigerator beyond 30 days). On 30-Dec-2021, EXPIRED PRODUCT ADMINISTERED (All patients received Expired Moderna COVID-19 vaccine from a vial that was stored in the refrigerator beyond 30 days) had resolved. Not Provided      For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   No Concomitant medications were reported. No Treatment medications were reported.
Sex: U
Vaccine: FLUX
Symptoms: Illness
Clinical narrative: sick; Initial information received on 10-Jan-2022 regarding an unsolicited valid Social Media non-serious case received from consumer/non-hcp.  This case involves Adult of an unknown gender patient who experienced sick ,while receiving vaccine INFLUENZA VACCINE.  The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided.   On an unknown date, the patient received a  dose of suspect INFLUENZA VACCINE produced by unknown manufacturer (dose, formulation, lot number not reported via unknown route in unknown administration site) as prophylactic vaccination.  On an unknown date. the patient developed a non-serious event "sick" (illness) (unknown latency) following the administration of INFLUENZA VACCINE.  It was reported"Flu shot made me so sick and the booster covid shot has made everyone in my family sick and you people do nothing you should be ashamed of themselves! Paid by the state and government to help kill people."  Action taken with INFLUENZA VACCINE (INFLUENZA VACCINE) was not applicable.  It was not reported if the patient received a corrective treatment for the event (sick).  At time of reporting, the outcome was Unknown for the event sick.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Electrocardiogram, Fibrin D dimer increased, Pain
Clinical narrative: Patient fully vaccinated.  COVID + on 11/28/2021.  ED visit on 11/28/2021. 52-year-old male presents complaining of cough, congestion, and body aches that began approximately 4 days ago. The patient's wife is having similar symptoms. He denies any fevers or chills. Denies any nausea or vomiting.He denies any shortness of breath. Patient has a history of tachycardia at baseline, evaluated by cardio. BP 149/80  | Pulse 108  | Temp 98.4 °F (36.9 °C) (Oral)  | Resp 22  | Ht 182.9 cm (6')  | Wt 113 kg (250 lb)  | SpO2 99%  | BMI 33.91 kg/m²  EKG Final interpretation: sinus tachycardia, no signs of ischemia and no infarction. d-dimer the patient but it was elevated (507). CTA ordered. No evidence of PE. Patient does have right-sided consolidation.He was given steroids. He'll be referred to Dr clinic for infusion. Discharged.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive, Sinus tachycardia
Clinical narrative: Patient fully vaccinated.  COVID + on 11/28/2021.  ED visit on 11/28/2021. 52-year-old male presents complaining of cough, congestion, and body aches that began approximately 4 days ago. The patient's wife is having similar symptoms. He denies any fevers or chills. Denies any nausea or vomiting.He denies any shortness of breath. Patient has a history of tachycardia at baseline, evaluated by cardio. BP 149/80  | Pulse 108  | Temp 98.4 °F (36.9 °C) (Oral)  | Resp 22  | Ht 182.9 cm (6')  | Wt 113 kg (250 lb)  | SpO2 99%  | BMI 33.91 kg/m²  EKG Final interpretation: sinus tachycardia, no signs of ischemia and no infarction. d-dimer the patient but it was elevated (507). CTA ordered. No evidence of PE. Patient does have right-sided consolidation.He was given steroids. He'll be referred to Dr clinic for infusion. Discharged.
Age: 34.0
Sex: M
Vaccine: COVID19, PPV
Symptoms: Chest X-ray, Chills, Electrocardiogram, Laboratory test, Leukocytosis
Clinical narrative: Rigor, leukocytosis, fever, local reaction, generalized muscle pain.
Age: 34.0
Sex: M
Vaccine: COVID19, PPV
Symptoms: Local reaction, Myalgia, Pulmonary function test, Pyrexia
Clinical narrative: Rigor, leukocytosis, fever, local reaction, generalized muscle pain.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Lymphadenopathy, Pyrexia
Clinical narrative: Sunday  1/16/2022: fever and shivers  Monday 1/17/2022:  swollen underarm lump
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: hives on torso and back,  bilateral hands, bilateral Lower extremity , history of dermal fillers in december 2021
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Joint swelling, Swelling face, Urticaria
Clinical narrative: The night I got my booster shot I noticed a huge hive on my shoulder then woke up the next morning with them all over both my arms as well as my wrists being swollen. I went to an urgent care and they told me I was having an allergic reaction and to take Claritin. It?s been  almost two week since I?ve gotten my shot now and I still am getting HUGE hives all over my body. They line my butt and backs of my legs with huge welts above both my knees almost everytime now. The most recent incident is happening now, my forehead is swollen from hives as well as the rest of my body. The hives usually go away after a few hours if I take the Claritin but they still come back eventually.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Myalgia, Nausea
Clinical narrative: Patient fully vaccinated.  COVID + on 11/28/2021.  ED visit on 11/28/2021. Patient is a 61-year-old female, history of arthritis, hypothyroidism presented with fatigue, myalgias, and cough for the past 2 days. Nausea decreased oral intake. Denies any focal chest pain or shortness of breath. BP 112/64  | Pulse 74  | Temp 98.6 °F (37 °C) (Oral)  | Resp 18  | Ht 162.6 cm (5' 4")  | Wt 72.6 kg (160 lb)  | SpO2 99%  | BMI 27.46 kg/m² Symptoms collectively mild. Vital signs normal, chest x-ray clear. Recommend continuing supportive care at home, monitor and oxygen via pulse oximetry and close return precautions as symptoms worsen. Told to follow-up with her PCP in 2-3 days.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient fully vaccinated.  COVID + on 11/28/2021.  ED visit on 11/28/2021. Patient is a 61-year-old female, history of arthritis, hypothyroidism presented with fatigue, myalgias, and cough for the past 2 days. Nausea decreased oral intake. Denies any focal chest pain or shortness of breath. BP 112/64  | Pulse 74  | Temp 98.6 °F (37 °C) (Oral)  | Resp 18  | Ht 162.6 cm (5' 4")  | Wt 72.6 kg (160 lb)  | SpO2 99%  | BMI 27.46 kg/m² Symptoms collectively mild. Vital signs normal, chest x-ray clear. Recommend continuing supportive care at home, monitor and oxygen via pulse oximetry and close return precautions as symptoms worsen. Told to follow-up with her PCP in 2-3 days.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue
Clinical narrative: extreme fatigue for 24 hours
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Anticoagulant therapy, COVID-19, COVID-19 pneumonia, Cardiac failure congestive
Clinical narrative: atient is fully vaccinate.  COVID + on 11/28/2021.  Hospitalized for 5 days starting on 11/28/2021. Admission dx:  shortness of breath, hypoxia, NSTEMI, pneumonia due to COVID. CHF.  Patient given Remdesivir and steroids with lovenox with improved symptoms;  Oxygen was weaned and discharged.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hypoxia, SARS-CoV-2 test positive
Clinical narrative: atient is fully vaccinate.  COVID + on 11/28/2021.  Hospitalized for 5 days starting on 11/28/2021. Admission dx:  shortness of breath, hypoxia, NSTEMI, pneumonia due to COVID. CHF.  Patient given Remdesivir and steroids with lovenox with improved symptoms;  Oxygen was weaned and discharged.
Age: 43.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Fatigue, Nausea, Pain
Clinical narrative: Nausea, body aches, tiredness
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Pain in extremity, Pyrexia
Clinical narrative: High fever, Headache, joint aches, sore arm
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough
Clinical narrative: Patient is fully vaccinated and boosted on 9/1/2021.  COVID + test on 11/26/2021.  ED visit on 11/29/2021. 74-year-old female history of chronic leukemia. Patient is covid + since 3 days ago. Her symptoms started 5 days ago. She states that her only symptom is persistent nonproductive cough. She is being treated with Mucinex, albuterol inhaler, Tessalon capsules by her PCP. She states that she is concerned that there may be something else going on so she wanted to come to the emergency department. She is not hypoxic on arrival. She is on room air. Denies any fevers, chest pain, nausea, vomiting, diarrhea, body aches, or extremity swelling, history of PE or DVT. BP 148/64  | Pulse 98  | Temp 98.3 °F (36.8 °C) (Oral)  | Resp 16  | LMP  (LMP Unknown)  | SpO2 93% There is no signs of serious bacterial infection, sepsis, meningitis.  The patient is encouraged to use antipyretics, drink plenty of fluids and rest.  She is instructed to follow up with their doctor or outpatient clinic is not improving.  If she has any concerns regarding their condition, or if she feels that they are getting worse, she is to return to the emergency department
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: developed bilateral hip pain with no prior hip pain/injuries.  Continues at this time
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dizziness, Gait disturbance, Laboratory test abnormal, Leukocytosis
Clinical narrative: Patient is fully vaccinated. Presented to the ED on 11/29/2021.  27-year-old female with history of anxiety, bipolar, seizures presents to the ED due to lightheadedness, dizziness, abnormal gait with left-sided decreased sensation and paresthesias. Stroke code activation. Last known normal 3 AM. Denies fall, loc, blood thinner use. Patient states feels as a room is spinning, lightheaded as well. Patient also states that while walking seems to favor one side veering off to one direction. Patient denies any chest pain, shortness breath, fever, chills, nausea, vomiting, headache, change in vision, abdominal pain, constipation, diarrhea, urinary symptoms. Patient has been eating and drinking normally. Patient has no history of stroke.BP 101/73  | Pulse 84  | Temp 98.4 °F (36.9 °C) (Oral)  | Resp 12  | Ht 165.1 cm (5' 5")  | Wt 79.4 kg (175 lb)  | SpO2 97%  | BMI 29.12 kg/m² CT showing no acute process. Vital signs unremarkable. Lab work shows slight leukocytosis but may be reactive, patient is afebrile. Patient given Antivert and 1 L bolus. Upon reassessment patient is resting comfortably in bed, states lightheadedness and dizziness has improved tremendously but still having a left-sided paresthesias and decreased sensation.Patient also told me during this time that she has a positive on 11/17 for COVID 19. Patient continuing to have left-sided sensation loss discussed need to admit patient for further workup with neurology and patient initially agreed. Patient later states that she no longer wants to be admitted but wants to follow-up with her doctor outpatient. Patient was informed of all risks continued to state that she is going to leave. Patient left AGAINST MEDICAL ADVICE.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, SARS-CoV-2 test positive, Sensory loss, Vertigo
Clinical narrative: Patient is fully vaccinated. Presented to the ED on 11/29/2021.  27-year-old female with history of anxiety, bipolar, seizures presents to the ED due to lightheadedness, dizziness, abnormal gait with left-sided decreased sensation and paresthesias. Stroke code activation. Last known normal 3 AM. Denies fall, loc, blood thinner use. Patient states feels as a room is spinning, lightheaded as well. Patient also states that while walking seems to favor one side veering off to one direction. Patient denies any chest pain, shortness breath, fever, chills, nausea, vomiting, headache, change in vision, abdominal pain, constipation, diarrhea, urinary symptoms. Patient has been eating and drinking normally. Patient has no history of stroke.BP 101/73  | Pulse 84  | Temp 98.4 °F (36.9 °C) (Oral)  | Resp 12  | Ht 165.1 cm (5' 5")  | Wt 79.4 kg (175 lb)  | SpO2 97%  | BMI 29.12 kg/m² CT showing no acute process. Vital signs unremarkable. Lab work shows slight leukocytosis but may be reactive, patient is afebrile. Patient given Antivert and 1 L bolus. Upon reassessment patient is resting comfortably in bed, states lightheadedness and dizziness has improved tremendously but still having a left-sided paresthesias and decreased sensation.Patient also told me during this time that she has a positive on 11/17 for COVID 19. Patient continuing to have left-sided sensation loss discussed need to admit patient for further workup with neurology and patient initially agreed. Patient later states that she no longer wants to be admitted but wants to follow-up with her doctor outpatient. Patient was informed of all risks continued to state that she is going to leave. Patient left AGAINST MEDICAL ADVICE.
Age: 25.0
Sex: F
Vaccine: COVID19, HPV9
Symptoms: Heart rate irregular
Clinical narrative: Inconvenient heart beats, while laying on sofa a feeling of flicker beats but I thought it would be muscles and as there were no pain I did not called my doctor, for less than a minute But generally good state so no doctor or emergency call
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pyrexia, Rash, Swelling
Clinical narrative: Lymph nodes swollen in left arm pit (hard to put arm all the way down, size of egg) fever 101.3 F., rash entire upper arm, left side of chest swollen/fluid.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Atelectasis, COVID-19, Chest X-ray abnormal, Cough, Dyspnoea
Clinical narrative: Patient is fully vaccinated. The patient was diagnosed with COVID recently after she was travelled to another state.  Hospitalized on 11/30/2021 for 3 days.  57-year-old female without significant past medical history, who presented to the hospital complaining of shortness of breath, fatigue, sore throat, cough, some nausea. Hypoxemia requiring supplemental oxygen. In emergency room, EKG was reviewed.  Chest x-ray showed questionable congestion and mild basilar atelectasis.  Due to her presentation, the patient was admitted to the hospital and she was started on appropriate treatment with steroid and correct lytes per protocol.  The patient showed improvement in presentation. Discharged home in stable condition.  Follow up with the primary care physician within 1 week of discharge for evaluation.  Medication list was adjusted and updated.  Upon discharge, the patient had no respiratory distress.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Fatigue, Hypoxia, Nausea, Oropharyngeal pain
Clinical narrative: Patient is fully vaccinated. The patient was diagnosed with COVID recently after she was travelled to another state.  Hospitalized on 11/30/2021 for 3 days.  57-year-old female without significant past medical history, who presented to the hospital complaining of shortness of breath, fatigue, sore throat, cough, some nausea. Hypoxemia requiring supplemental oxygen. In emergency room, EKG was reviewed.  Chest x-ray showed questionable congestion and mild basilar atelectasis.  Due to her presentation, the patient was admitted to the hospital and she was started on appropriate treatment with steroid and correct lytes per protocol.  The patient showed improvement in presentation. Discharged home in stable condition.  Follow up with the primary care physician within 1 week of discharge for evaluation.  Medication list was adjusted and updated.  Upon discharge, the patient had no respiratory distress.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Cyanosis, Eye movement disorder, Fall, Heart rate decreased, Hypopnoea
Clinical narrative: Passed out, eyes rolling, fell to floor, blue lips, shallow breathing, slowing pulse rate
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Passed out, eyes rolling, fell to floor, blue lips, shallow breathing, slowing pulse rate
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding
Clinical narrative: Heavy menstrual bleeding started 2 days after the booster shot on 12/5/2021. Still continuing as of this date (1/17/2022).
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Chest X-ray normal, Cough, Dyspnoea
Clinical narrative: Patient is fully vaccinated and booster given on 10/27/2021.  Admitted on 12/2/2021 for SOB.  A 59-year-old female patient presented to the ED after testing positive for COVID-19 on 11/17.  She states that she has been checking her pulse ox at home and saturation went down to 88% while walking.  Her doctor then advised her to go to the hospital for evaluation.  The patient denies any fever, chest pain, abdominal pain, nausea, vomiting, or diarrhea, though she admits to having some shortness of breath and cough.  The patient does have a past medical history for GERD and overactive bladder.  Otherwise, no symptoms. Acute Hypoxic Respiratory Failure. CXR negative No indications for antiobiotics; anti-viral therapy or steroids  Currently on room air.  Discharged to home.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, SARS-CoV-2 test positive
Clinical narrative: Patient is fully vaccinated and booster given on 10/27/2021.  Admitted on 12/2/2021 for SOB.  A 59-year-old female patient presented to the ED after testing positive for COVID-19 on 11/17.  She states that she has been checking her pulse ox at home and saturation went down to 88% while walking.  Her doctor then advised her to go to the hospital for evaluation.  The patient denies any fever, chest pain, abdominal pain, nausea, vomiting, or diarrhea, though she admits to having some shortness of breath and cough.  The patient does have a past medical history for GERD and overactive bladder.  Otherwise, no symptoms. Acute Hypoxic Respiratory Failure. CXR negative No indications for antiobiotics; anti-viral therapy or steroids  Currently on room air.  Discharged to home.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Myalgia, Nausea, Vomiting
Clinical narrative: I take levothyroxine and prenatal vitamins for nursing my newborn. The first vaccine I felt no side effects. The second dose and the booster, afterwards I was flu-ish for a day. I was nauseous, vomiting with muscle aches.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dysphagia, Oropharyngeal pain, Rash pruritic
Clinical narrative: Pt visited PCP on 1/14/22 complaining of sore throat, difficulty swallowing, dry cough and itchy rash on the chest and neck started yesterday, she received a booster vaccine the day before, has been using prednisone and albuterol. Pt instructed to continue prednisone and albuterol, start Zyrtec and Benadryl at night, symptomatic treatment and follow-up with problems
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Foot fracture
Clinical narrative: I broke my toe banging on a table two days after my vaccination
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Back pain, Chest X-ray, Chest pain, Dyspnoea
Clinical narrative: Severe palpitations with left sided chest and back pain. Body weakness; fever; muscle pain; lethargy. Began less than 24 hours after receiving my booster. The symptoms lasted about 5 days. Now I find that I am short of breath on exertion. Exercising is more labored. I don't feel like I fully recovered from the booster shot.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Lethargy, Myalgia, Palpitations, Pyrexia
Clinical narrative: Severe palpitations with left sided chest and back pain. Body weakness; fever; muscle pain; lethargy. Began less than 24 hours after receiving my booster. The symptoms lasted about 5 days. Now I find that I am short of breath on exertion. Exercising is more labored. I don't feel like I fully recovered from the booster shot.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Pyrexia
Clinical narrative: Fever and extreme fatigue
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Dyspnoea, Hypoxia
Clinical narrative: Patient is fully vaccinated. COVID + on 12/2/2021. Hospitalized on 12/2/2021. Admitting dx: shortness of breath, hypoxia, dyspnea, COVID 19. Patient is a known case of high blood pressure hyperlipidemia and diabetes who presented to the hospital with acute respiratory failure related to COVID pneumonia. Patient is status post been treated with IV steroid and IV remdesivir patient condition improved. Breo inhaler daily and albuterol nebulizer. Patient continue Lovenox subQ b.i.d..   Patient will continue Levaquin daily. Patient weaned off from high-flow oxygen to nasal cannula plan for the patient have home O2 eval with discharge home. Discharged to home.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient is fully vaccinated. COVID + on 12/2/2021. Hospitalized on 12/2/2021. Admitting dx: shortness of breath, hypoxia, dyspnea, COVID 19. Patient is a known case of high blood pressure hyperlipidemia and diabetes who presented to the hospital with acute respiratory failure related to COVID pneumonia. Patient is status post been treated with IV steroid and IV remdesivir patient condition improved. Breo inhaler daily and albuterol nebulizer. Patient continue Lovenox subQ b.i.d..   Patient will continue Levaquin daily. Patient weaned off from high-flow oxygen to nasal cannula plan for the patient have home O2 eval with discharge home. Discharged to home.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient admitted with acute respiratory failure due to COVID-19.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling jittery, Hypoaesthesia, Paraesthesia
Clinical narrative: Left hand/finger numbess tingling, radiating to upper arm. Jittery Feeling that will not go away
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Condition aggravated
Clinical narrative: Pt presented to ED On 1/15/21 reporting worsening asthma symptoms with no relief from home treatments and feels the worsening of symptoms to be related to the Moderna vaccine. Pt now reports allergy to Moderna vaccine but did receive J&J vaccine in June 2021.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Cough, Dyspnoea, Fatigue
Clinical narrative: Chest pain, fatigue, cough and shortness of breath. Pt. was diagnosed with COVID 2 weeks prior to arrival to hospital.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza virus test, Respiratory syncytial virus test, SARS-CoV-2 test positive
Clinical narrative: Chest pain, fatigue, cough and shortness of breath. Pt. was diagnosed with COVID 2 weeks prior to arrival to hospital.
Age: 94.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Death, General physical health deterioration
Clinical narrative: Patient is fully vaccinated. COVID + on 12/5/2021.  Patient hospitalized for 15 days starting 12/2/2021.  Patient is a known case of high blood pressure coronary artery disease who presented to the hospital acute respiratory failure related to COVID pneumonia. Treated with IV steroids and IV remdesivir.  The patient condition continued to deteriorate.  Family opted for the patient to be transitioned to hospice care and comfort care and patient started on IV morphine drip and IV Ativan and patient expired.
Age: 94.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient is fully vaccinated. COVID + on 12/5/2021.  Patient hospitalized for 15 days starting 12/2/2021.  Patient is a known case of high blood pressure coronary artery disease who presented to the hospital acute respiratory failure related to COVID pneumonia. Treated with IV steroids and IV remdesivir.  The patient condition continued to deteriorate.  Family opted for the patient to be transitioned to hospice care and comfort care and patient started on IV morphine drip and IV Ativan and patient expired.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lymphadenopathy, Pain
Clinical narrative: Achiness, headache, swollen left armpit
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Eczema, Pruritus, Rash, Rash pustular
Clinical narrative: rash small bumps on legs and arms. itchy.  pus filled when scratched. took benadryl. dry patches from rash still present.  eczema like.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, COVID-19, Chest discomfort
Clinical narrative: Patient is fully vaccinated. Diagnosed with Covid on Saturday (11/27/2021) was being evaluated for monoclonal antibody treatment and she told them she had bilateral upper back pain and some mild chest tightness and they told her to go to the ER to be evaluated prior to them clearing her for the therapy.  She has a pulse ox at home and has never dropped below 94%.BP 128/69  | Pulse 68  | Temp 98.2 °F (36.8 °C) (Oral)  | Resp 18  | SpO2 100% Medications: ketorolac (TORADOL) injection 15 mg and potassium chloride. Pt stable and discharged.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Balance disorder, Condition aggravated, Gait disturbance, Neuropathy peripheral
Clinical narrative: 6-7 hours after 2nd injection neuropathy much more severe - trouble walking and had to hold husbands hand to walk dog; trouble buttoning shirts. This continued for several days. Unsteady into June. I have adjusted, walking ok and buttoning, but not where I was pre-2nd vaccine. Neuropathy above ankles
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose, Blood test, Computerised tomogram head, Generalised tonic-clonic seizure, Human chorionic gonadotropin negative
Clinical narrative: Patient with a generalized tonic clonic seizure while asleep approximately 18 hours after 2nd dose of Moderna COVID vaccination.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Fall
Clinical narrative: Pt noted increased weakness and has had increased falls since receiving the booster.  tolerated 1st and 2nd doses well.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal abscess, Abdominal pain, Condition aggravated, Diverticulitis, Hypoxia
Clinical narrative: Pt has been in hospital since 12/23/21 with abdominal pain and abdominal abcess, sepsis d/t diverticulitis. Was a rapid response call on 1/13/2022 for respiratory distress, hypoxia requiring high flow oxygen.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory distress, SARS-CoV-2 test, Sepsis
Clinical narrative: Pt has been in hospital since 12/23/21 with abdominal pain and abdominal abcess, sepsis d/t diverticulitis. Was a rapid response call on 1/13/2022 for respiratory distress, hypoxia requiring high flow oxygen.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Lymph node pain, Lymphadenopathy, Menstrual disorder
Clinical narrative: Started a very early period (less than 14 days after my last one) that is very heavy. Very abnormal for me. Lymph node under my right arm was also very sore and swollen for a week.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Decreased appetite, Lethargy, Oropharyngeal pain
Clinical narrative: 58 y/o M, PMHx of DM, alcohol abuse, substance use, HTN, bipolar disease, who presents after he was found to be lethargic by his son. Patient endorses that his reason for being at the hospital is a cough and sore throat. Endorses dry cough for the past few days. Denies chest pain, SOB, fevers, chills. Denies sick contacts. COVID vaccinated in April and May 2021, did not receive booster. Regarding his diabetes, patient reports that he takes his insulin as prescribed (however, patient has had multiple admissions for similar presentation and medication compliance is questionable). Reports decreased appetite.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 58 y/o M, PMHx of DM, alcohol abuse, substance use, HTN, bipolar disease, who presents after he was found to be lethargic by his son. Patient endorses that his reason for being at the hospital is a cough and sore throat. Endorses dry cough for the past few days. Denies chest pain, SOB, fevers, chills. Denies sick contacts. COVID vaccinated in April and May 2021, did not receive booster. Regarding his diabetes, patient reports that he takes his insulin as prescribed (however, patient has had multiple admissions for similar presentation and medication compliance is questionable). Reports decreased appetite.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, COVID-19, Decreased appetite, Hypokalaemia, Laboratory test abnormal
Clinical narrative: 80 yr old with recently diagnosed AML on chemotherapy admitted with worsening nausea/vomiting/anorexia for 2-3 days. She denies fevers/chills/ other GI symptoms. She is currently PUI and in isolation. Labs significant for hypokalemia and leukopenia with mild anemia.  tested positive for COVID-19 infectoin
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Leukopenia, Nausea, SARS-CoV-2 antibody test, SARS-CoV-2 test positive, Vomiting
Clinical narrative: 80 yr old with recently diagnosed AML on chemotherapy admitted with worsening nausea/vomiting/anorexia for 2-3 days. She denies fevers/chills/ other GI symptoms. She is currently PUI and in isolation. Labs significant for hypokalemia and leukopenia with mild anemia.  tested positive for COVID-19 infectoin
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient expired 1/12/22.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dysuria, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Pt reports dysuria and difficulty urinating for 4-5 days. Couldn't void yesterday. No fever at home, but had low grade temp in ER. Denies grossly bloody urine. Urine was cloudy.   Pt dx with COVID on 12/27/21. States some lingering cough, but mild.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Urine abnormality
Clinical narrative: Pt reports dysuria and difficulty urinating for 4-5 days. Couldn't void yesterday. No fever at home, but had low grade temp in ER. Denies grossly bloody urine. Urine was cloudy.   Pt dx with COVID on 12/27/21. States some lingering cough, but mild.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray normal, Culture stool, Diarrhoea
Clinical narrative: 85 yr old female with pmh of trans aortic valve replacement TAVR, hypertension, hyperlipidemia, benign prostatic hypertrophy, persistent atrial fibrillation. Right-sided CVA,coronary artery disease, mitral stenosis with moderate mitral regurgitation presented to er c/o one weak of nausea , vomiting diarrhea wit progressive increase in weakness to the extent that he could not get up on his own today so came to er . he tsted postive for covid and negative for flu . stool for c diff is pending . cxr is negative
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza virus test negative, Nausea, SARS-CoV-2 test positive, Vomiting
Clinical narrative: 85 yr old female with pmh of trans aortic valve replacement TAVR, hypertension, hyperlipidemia, benign prostatic hypertrophy, persistent atrial fibrillation. Right-sided CVA,coronary artery disease, mitral stenosis with moderate mitral regurgitation presented to er c/o one weak of nausea , vomiting diarrhea wit progressive increase in weakness to the extent that he could not get up on his own today so came to er . he tsted postive for covid and negative for flu . stool for c diff is pending . cxr is negative
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Blindness, Cerebrovascular accident, Cognitive disorder
Clinical narrative: double stroke, blindness both eyes, cognitive problems
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Anticoagulant therapy, COVID-19, Ischaemia
Clinical narrative: Hospitalized with NSTEMI and COVID received remdesivir and steroid, aspirin, and plavix for ischemia.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, Hypotension, SARS-CoV-2 antibody test, SARS-CoV-2 test negative
Clinical narrative: 89F with history of recent COVID infection treated at another hospital presenting with abdominal pain, hypotension. Pt was started on IV fluids, levophed and zosyn.Poor historian
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 89F with history of recent COVID infection treated at another hospital presenting with abdominal pain, hypotension. Pt was started on IV fluids, levophed and zosyn.Poor historian
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site inflammation, Lymphadenitis
Clinical narrative: inflammation of lymph node under armpit near injection site
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Chest pain, Computerised tomogram abnormal, Dysphagia
Clinical narrative: Pt. states that after receiving the 1st dose of J&J 07/27/2021, started experiencing symptoms 07/27/2021 (8hrs after) possible throat swelling (difficulty swallowing) lasting estimated 2hrs before subsiding. Started experiencing symptoms 12/30/2021 of shortness of breath with chest pain and rapid heart-beat. Emergency Room visit 12/30/2021 resulting in Blood Work, Chest X-Ray, and Cat-Scan, located a blood-clot in the Left Lung Lobe. Recommendations of Follow-Up with Primary and treatment of Long-Term Blood Thinners.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Heart rate increased, Pulmonary thrombosis
Clinical narrative: Pt. states that after receiving the 1st dose of J&J 07/27/2021, started experiencing symptoms 07/27/2021 (8hrs after) possible throat swelling (difficulty swallowing) lasting estimated 2hrs before subsiding. Started experiencing symptoms 12/30/2021 of shortness of breath with chest pain and rapid heart-beat. Emergency Room visit 12/30/2021 resulting in Blood Work, Chest X-Ray, and Cat-Scan, located a blood-clot in the Left Lung Lobe. Recommendations of Follow-Up with Primary and treatment of Long-Term Blood Thinners.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Depression, Magnetic resonance imaging normal, Neurological symptom
Clinical narrative: Starting in June became depressed, signs of cerebral palsy.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood lactate dehydrogenase increased, C-reactive protein increased, COVID-19
Clinical narrative: 87-year-old male with a PMH significant for AFib on warfarin, HTN, HLD, GERD, vaccinated x2 with Moderna who was diagnosed with covid-19 on Monday 1/10 at PCPs office. Confirmed with PCP, got molecular test, no prescriptions as outpatient. He reports experiencing tiredness and cough, very mild SOB with activity. Today, his O2 sat at home was reportedly 90-91%, he called his PCP and was advised to come to the ER for admission. In the ER, his O2 sat on arrival was 92% on RA, O2 sat during assessment 96-97% while talking. CXR negative for cardiopulmonary disease. Lab significant for transaminases AST 337/ALT 363, CRP mildly elevated, LDH 343, INR 4.18, troponins negative. Covid AG still pending collection.  He was admitted to medical for an Infectious Disease evaluation.