chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 33.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Bivalent booster given when he was supposed to get regular Pfizer dose. Patient had 1 Pfizer dose prior to today.
Age: 62.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Cough, Malaise, Oropharyngeal pain, Rhinorrhoea
Clinical narrative: I started feeling mild symptoms about 12/11/2022 I had a runny nose, sinus congestion, sore throat and coughing.
Age: 62.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: I started feeling mild symptoms about 12/11/2022 I had a runny nose, sinus congestion, sore throat and coughing.
Age: 110.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Incorrect product formulation administered, No adverse event, Product administration error
Clinical narrative: Reporting a vaccine administration error: 193 people were given Moderna monovalent vaccine (lot numbers above) as a booster dose instead of Moderna bivalent vaccine in a series of vaccine community outreach events from 11/3/22 through 12/15/22 by a mobile vaccine team.  There were 11 locations where this happened.  No adverse events resulted that we are aware of.  The patients have all received letters and a phone call to inform them.  Patients can schedule for a bivalent booster 2 months from the monovalent booster.  Age range was 17 - 92 years old.  (the DOB above is a dummy date so that I could fill out the rest of the form).
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Started having shortness of breath; Took a home COVID-19 test and it was positive. Rested until I felt better.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: The day after the booster my arm started to go numb excluding my hand too
Age: 59.0
Sex: M
Vaccine: COVID19-2
Symptoms: Immediate post-injection reaction, Injection site haemorrhage, Pain in extremity
Clinical narrative: I was given the shot and instantly, my arm started bleeding. He asked me if I have had this happen to me before, and I told him that I had never experience a reaction to any shot. The next day, arm started hurting.
Age: 86.0
Sex: M
Vaccine: COVID19-2
Symptoms: Delirium, Hallucination
Clinical narrative: Patient's wife reported that a few hours after receiving the vaccination the patient began to experience hallucinations and delirium that lasted for many hours.  Patient was not oriented to Time and Place. Patient woke up this morning feeling okay again
Age: 74.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Fatigue, Headache, Malaise
Clinical narrative: It started out with extreme fatigue, nasal congestion, deep cough, headache, and sore throat. I tested positive for COVID-19 at home. I talked to my doctor on the phone, and she prescribed me PAXLOVID. I start to feel better and then I get sick again.
Age: 74.0
Sex: M
Vaccine: COVID19-2
Symptoms: Nasal congestion, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: It started out with extreme fatigue, nasal congestion, deep cough, headache, and sore throat. I tested positive for COVID-19 at home. I talked to my doctor on the phone, and she prescribed me PAXLOVID. I start to feel better and then I get sick again.
Age: 1.33
Sex: M
Vaccine: FLU4, HIBV, VARCEL
Symptoms: No adverse event
Clinical narrative: patient reports no symptoms
Age: 62.0
Sex: F
Vaccine: PPV
Symptoms: Mucosal haemorrhage, Pyrexia
Clinical narrative: Patient reports fever lasting for one day, and blood in mucus.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Fatigue, Post-acute COVID-19 syndrome, SARS-CoV-2 test positive
Clinical narrative: Developed a cough and was really fatigued; Took a home COVID-19 test and it was positive; Called doctor and was prescribed PAXLOVID, but had an allergic reaction; Rested and took extra vitamins. Didn't retest for COVID-19; Doctor believes she may have Long COVID.
Age: 5.0
Sex: M
Vaccine: FLU4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient has been fine
Age: 8.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pain in extremity, Pruritus, Urticaria
Clinical narrative: Hives/large welts on both forearms, pain and itching on arms
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Asthenia, Decreased appetite, Fatigue, Nausea, Pain
Clinical narrative: Patient feeling fatigue/ diffuse body aches/ weak and nausea/ vomiting and less appetite and symptoms have been persistent
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Vomiting
Clinical narrative: Patient feeling fatigue/ diffuse body aches/ weak and nausea/ vomiting and less appetite and symptoms have been persistent
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: I had very mild symptoms such as a sore throat and a cough. I also did isolation.
Age: 5.0
Sex: F
Vaccine: COVID19-2
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Child started Pfizer 6M-4Y Primary Series.  Received 1st dose of Pfizer 6M-4Y monovalent (maroon cap) COVID-19 on 9/19 & 2nd dose Pfizer 6M-4Y monovalent (maroon cap) COVID-19 vaccine on 10/18.   Child turned 5 y/o on 10/24/22. Scheduled in error as additional dose on Pfizer 5-11 Booster scheduler.   Patient received Covid Vaccine - PFIZER BIVALENT BOOSTER for ages 5-11 years of age on 12/28.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy, Endoscopy normal, Vomiting
Clinical narrative: Day after vax vomiting continue 10 weeks one day per week; through course of treatment endoscopy; 12-14 weeks after vax subsided. Endoscopy showed no problems.
Age: 2.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient received a Covid Bivalent vaccine, pt. already had 3 doses of primary vaccine.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pain, Ultrasound scan
Clinical narrative: cervical lymphadenopathy, right greater than left Visit to emergency room, ultrasound of neck done treatment - pain control (ibuprofen), pediatrician follow up, repeat ultrasound in 1 week
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dizziness, Electrocardiogram, Headache, Magnetic resonance imaging, Nausea
Clinical narrative: Awoke with vertigo.  Symptoms: dizziness, nausea, headache.   Saw PCP, was diagnosed with vestibular neuronitis.  Received short course of Meclizine to help with dizziness.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Vertigo, Vestibular neuronitis
Clinical narrative: Awoke with vertigo.  Symptoms: dizziness, nausea, headache.   Saw PCP, was diagnosed with vestibular neuronitis.  Received short course of Meclizine to help with dizziness.
Age: 79.0
Sex: F
Vaccine: COVID19-2
Symptoms: Decreased appetite, Dialysis, Diarrhoea, Hypophagia, Hypotension
Clinical narrative: Patient received vaccine on 12/7/2022.  On 12/8/2022, patient developed nausea and anorexia. Vital signs reported at that time: T 97.8 P 73 R 17 BP 130/78  Pox 98%. Elevated temperature T101.2,  BP 144/78 , one episode of diarrhea reported prior to dialysis. Tylenol, Imodium  administered. Nausea resolved. Patient later attended dialysis where fever and hypotension were reported, BP 80/54, bolus administered without improvement. Patient subsequently transferred to the hospital. Patient admitted to the hospital for 4 days. Hospitalization attributed to depleted volume status due to poor PO intake.
Age: 79.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypovolaemia, Nausea, Pyrexia
Clinical narrative: Patient received vaccine on 12/7/2022.  On 12/8/2022, patient developed nausea and anorexia. Vital signs reported at that time: T 97.8 P 73 R 17 BP 130/78  Pox 98%. Elevated temperature T101.2,  BP 144/78 , one episode of diarrhea reported prior to dialysis. Tylenol, Imodium  administered. Nausea resolved. Patient later attended dialysis where fever and hypotension were reported, BP 80/54, bolus administered without improvement. Patient subsequently transferred to the hospital. Patient admitted to the hospital for 4 days. Hospitalization attributed to depleted volume status due to poor PO intake.
Age: 0.5
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Dec 16 around 3:00 began running low grade fever. Over the next couple days it got up to 102.5 without meds. Spoke with PCP and was told to keep an eye on him and give him TYLENOL to keep him comfortable. Fever resolved on it's own by 12/20/2022. Received pneumococcal, MMR, and Varicella vaccines on 12/08 and we were told it could possibly cause rash and fever.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Given past 30 day fridge use by date
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Swelling, redness, and pain at the injection site
Age: 29.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: he gave a booster dose to patient instead of the 1st COVID vaccine.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Bradykinesia, COVID-19, Cough, Fatigue
Clinical narrative: 12/7/22  My husband had tested positive for COVID 3 days previously and I tested and I was negative.  I woke up that morning feeling fine.  I started slowing down later in the afternoon. By the evening, I had slowed down a lot. I tested positive with a home COVID test.  I had a low grade temperature. 12/8/22 I was in bed not moving much. My temperature got up to 99.6. My head was filled up, I had a dull headache from the pressure, very sleepy and sometimes my nose was completely stuffed, blocked. I had a dry cough, kind of a tickle.  Then my nose would run constantly.  I felt very out of it and unable to think very well. I also had sneezing.   I began taking Paxlovid on 12/8/22.  On 12/10/22 my symptoms had slowed down, but I did not have any energy.  12/12/22 through 12/17/22 I was feeling better, still had some weariness. On 12/18/22, the symptoms started to return. I had a low grade fever again, full head, stuffy and runny nose, headache and sleepiness.  On 12/19/22 I had temperature up to 100, scratchy throat, achy head and very tired. On 12/20/22 my fever was down, other symptoms were better, but I still felt very tired. 12/21/22, I had a phlegmy cough. I started taking Benzonatate and Tussin. Continued to have very low energy and did another test on 12/23/22 and it was positive for COVID. 12/26/22 and 12/27/22 , I tested negative. I am still sneezing, head stopped up a little and am limited with my activities.  I still have not recovered.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Head discomfort, Headache, Loss of personal independence in daily activities, Malaise, Mobility decreased
Clinical narrative: 12/7/22  My husband had tested positive for COVID 3 days previously and I tested and I was negative.  I woke up that morning feeling fine.  I started slowing down later in the afternoon. By the evening, I had slowed down a lot. I tested positive with a home COVID test.  I had a low grade temperature. 12/8/22 I was in bed not moving much. My temperature got up to 99.6. My head was filled up, I had a dull headache from the pressure, very sleepy and sometimes my nose was completely stuffed, blocked. I had a dry cough, kind of a tickle.  Then my nose would run constantly.  I felt very out of it and unable to think very well. I also had sneezing.   I began taking Paxlovid on 12/8/22.  On 12/10/22 my symptoms had slowed down, but I did not have any energy.  12/12/22 through 12/17/22 I was feeling better, still had some weariness. On 12/18/22, the symptoms started to return. I had a low grade fever again, full head, stuffy and runny nose, headache and sleepiness.  On 12/19/22 I had temperature up to 100, scratchy throat, achy head and very tired. On 12/20/22 my fever was down, other symptoms were better, but I still felt very tired. 12/21/22, I had a phlegmy cough. I started taking Benzonatate and Tussin. Continued to have very low energy and did another test on 12/23/22 and it was positive for COVID. 12/26/22 and 12/27/22 , I tested negative. I am still sneezing, head stopped up a little and am limited with my activities.  I still have not recovered.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Nasal congestion, Productive cough, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: 12/7/22  My husband had tested positive for COVID 3 days previously and I tested and I was negative.  I woke up that morning feeling fine.  I started slowing down later in the afternoon. By the evening, I had slowed down a lot. I tested positive with a home COVID test.  I had a low grade temperature. 12/8/22 I was in bed not moving much. My temperature got up to 99.6. My head was filled up, I had a dull headache from the pressure, very sleepy and sometimes my nose was completely stuffed, blocked. I had a dry cough, kind of a tickle.  Then my nose would run constantly.  I felt very out of it and unable to think very well. I also had sneezing.   I began taking Paxlovid on 12/8/22.  On 12/10/22 my symptoms had slowed down, but I did not have any energy.  12/12/22 through 12/17/22 I was feeling better, still had some weariness. On 12/18/22, the symptoms started to return. I had a low grade fever again, full head, stuffy and runny nose, headache and sleepiness.  On 12/19/22 I had temperature up to 100, scratchy throat, achy head and very tired. On 12/20/22 my fever was down, other symptoms were better, but I still felt very tired. 12/21/22, I had a phlegmy cough. I started taking Benzonatate and Tussin. Continued to have very low energy and did another test on 12/23/22 and it was positive for COVID. 12/26/22 and 12/27/22 , I tested negative. I am still sneezing, head stopped up a little and am limited with my activities.  I still have not recovered.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Sneezing, Somnolence, Thinking abnormal, Throat irritation
Clinical narrative: 12/7/22  My husband had tested positive for COVID 3 days previously and I tested and I was negative.  I woke up that morning feeling fine.  I started slowing down later in the afternoon. By the evening, I had slowed down a lot. I tested positive with a home COVID test.  I had a low grade temperature. 12/8/22 I was in bed not moving much. My temperature got up to 99.6. My head was filled up, I had a dull headache from the pressure, very sleepy and sometimes my nose was completely stuffed, blocked. I had a dry cough, kind of a tickle.  Then my nose would run constantly.  I felt very out of it and unable to think very well. I also had sneezing.   I began taking Paxlovid on 12/8/22.  On 12/10/22 my symptoms had slowed down, but I did not have any energy.  12/12/22 through 12/17/22 I was feeling better, still had some weariness. On 12/18/22, the symptoms started to return. I had a low grade fever again, full head, stuffy and runny nose, headache and sleepiness.  On 12/19/22 I had temperature up to 100, scratchy throat, achy head and very tired. On 12/20/22 my fever was down, other symptoms were better, but I still felt very tired. 12/21/22, I had a phlegmy cough. I started taking Benzonatate and Tussin. Continued to have very low energy and did another test on 12/23/22 and it was positive for COVID. 12/26/22 and 12/27/22 , I tested negative. I am still sneezing, head stopped up a little and am limited with my activities.  I still have not recovered.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against then tested positive for COVID-19
Age: 7.0
Sex: F
Vaccine: TDAP
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Father was to receive the Tdap and daughter was to receive Typhoid.  Daughter has same first name as father's middle name, and both have same last name.  Nurse unfortunately administered Tdap to daughter.
Age: 37.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: COVID-19, Headache, Nasopharyngitis, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I was having a headache starting on Christmas and it lasted until Tuesday evening. During that time frame I did end up with a fever but the highest it went was 100.6 and it responded to medication. I was also having some cold symptoms. I did a take a COVID-19 home test on Monday and that was positive. I called my doctor on Tuesday because the headache has lasted that long. By Wednesday they offered me the antiviral for my COVID-19, but I declined as I was doing better. On the same day I got my Moderna Bivalent COVID-19 vaccine I also got a flu shot but I do not have the information on that. At this point I am feeling better and only have a little postnasal drip and cold like symptoms.
Age: 37.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Upper-airway cough syndrome
Clinical narrative: I was having a headache starting on Christmas and it lasted until Tuesday evening. During that time frame I did end up with a fever but the highest it went was 100.6 and it responded to medication. I was also having some cold symptoms. I did a take a COVID-19 home test on Monday and that was positive. I called my doctor on Tuesday because the headache has lasted that long. By Wednesday they offered me the antiviral for my COVID-19, but I declined as I was doing better. On the same day I got my Moderna Bivalent COVID-19 vaccine I also got a flu shot but I do not have the information on that. At this point I am feeling better and only have a little postnasal drip and cold like symptoms.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Given past 30 day fridge use by date
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Candida infection, Fatigue, SARS-CoV-2 test negative
Clinical narrative: I lost my sense of taste and was very fatigued, a month later I contacted my doctor. I took a COVID-19 test and it was negative. I was put on medication for Thrush and have an upcoming appt with an EMT to do a culture. As far as we know it didn't have anything to do with COVID-19.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Given past 30 day fridge use by date
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Ageusia, Angiogram pulmonary abnormal, COVID-19, COVID-19 pneumonia
Clinical narrative: The patient is a 84 y.o. male with a history of CVA, CAD, Atrial fibrillation, Hypertension, Hyperlipidemia, Hypothyroidism, BPH, transferred from facility with COVID-19 pneumonia and found to have high O2 requirements requiring HHFNC. He completed 10 days of steroids, 5 days of remdesivir and CAP antibiotics while admitted. He was able to be weaned to safe levels of O2 for home discharge and was discharged home with home health on 12/4.    Acute hypoxic respiratory failure COVID-19 pneumonia Date of onset of symptoms: 11/12/2022 Symptoms present on admission: Cough, dyspnea, loss of taste Date of covid positive test: 11/19/2022 Vaccination status: vaccinated x3 (did not receive 2022 booster) Imaging: CTPA (11/19) diffuse scattered areas of groundglass opacities bilateral lungs, no PE Oxygen requirements on admission: HHFNC 60L Current oxygen requirements: 3L NC Medical therapy: remdesivir (done), ceftriaxone/azithromycin (done), dexamethasone (end 11/30) S/p IV lasix during admission -- > switched to lasix 40 PO daily -- will give for 10 days on discharge Special isolation ended: 11/30/2022 Home O2 eval 12/3 -- requires 3-5L NC continuously Will need to f/u with PCP and consider pulmonary referral if still requiring high levels of O2   Paroxysmal Atrial fibrillation NSR on admission Continue home metoprolol succinate 50mg daily Continue Eliquis   Essential hypertension Continue Toprol   Hyperlipidemia Continue simvastatin   Hypothyroidism Continue Synthroid   BPH Continue Flomax and finasteride
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Lung opacity, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: The patient is a 84 y.o. male with a history of CVA, CAD, Atrial fibrillation, Hypertension, Hyperlipidemia, Hypothyroidism, BPH, transferred from facility with COVID-19 pneumonia and found to have high O2 requirements requiring HHFNC. He completed 10 days of steroids, 5 days of remdesivir and CAP antibiotics while admitted. He was able to be weaned to safe levels of O2 for home discharge and was discharged home with home health on 12/4.    Acute hypoxic respiratory failure COVID-19 pneumonia Date of onset of symptoms: 11/12/2022 Symptoms present on admission: Cough, dyspnea, loss of taste Date of covid positive test: 11/19/2022 Vaccination status: vaccinated x3 (did not receive 2022 booster) Imaging: CTPA (11/19) diffuse scattered areas of groundglass opacities bilateral lungs, no PE Oxygen requirements on admission: HHFNC 60L Current oxygen requirements: 3L NC Medical therapy: remdesivir (done), ceftriaxone/azithromycin (done), dexamethasone (end 11/30) S/p IV lasix during admission -- > switched to lasix 40 PO daily -- will give for 10 days on discharge Special isolation ended: 11/30/2022 Home O2 eval 12/3 -- requires 3-5L NC continuously Will need to f/u with PCP and consider pulmonary referral if still requiring high levels of O2   Paroxysmal Atrial fibrillation NSR on admission Continue home metoprolol succinate 50mg daily Continue Eliquis   Essential hypertension Continue Toprol   Hyperlipidemia Continue simvastatin   Hypothyroidism Continue Synthroid   BPH Continue Flomax and finasteride
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Sinus rhythm
Clinical narrative: The patient is a 84 y.o. male with a history of CVA, CAD, Atrial fibrillation, Hypertension, Hyperlipidemia, Hypothyroidism, BPH, transferred from facility with COVID-19 pneumonia and found to have high O2 requirements requiring HHFNC. He completed 10 days of steroids, 5 days of remdesivir and CAP antibiotics while admitted. He was able to be weaned to safe levels of O2 for home discharge and was discharged home with home health on 12/4.    Acute hypoxic respiratory failure COVID-19 pneumonia Date of onset of symptoms: 11/12/2022 Symptoms present on admission: Cough, dyspnea, loss of taste Date of covid positive test: 11/19/2022 Vaccination status: vaccinated x3 (did not receive 2022 booster) Imaging: CTPA (11/19) diffuse scattered areas of groundglass opacities bilateral lungs, no PE Oxygen requirements on admission: HHFNC 60L Current oxygen requirements: 3L NC Medical therapy: remdesivir (done), ceftriaxone/azithromycin (done), dexamethasone (end 11/30) S/p IV lasix during admission -- > switched to lasix 40 PO daily -- will give for 10 days on discharge Special isolation ended: 11/30/2022 Home O2 eval 12/3 -- requires 3-5L NC continuously Will need to f/u with PCP and consider pulmonary referral if still requiring high levels of O2   Paroxysmal Atrial fibrillation NSR on admission Continue home metoprolol succinate 50mg daily Continue Eliquis   Essential hypertension Continue Toprol   Hyperlipidemia Continue simvastatin   Hypothyroidism Continue Synthroid   BPH Continue Flomax and finasteride
Age: 75.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Chills, Cough, Exposure to SARS-CoV-2, Fatigue
Clinical narrative: 12/12/2022, I woke up with a headache and achy. I had chills during the night. The worst thing was the dry cough. My husband was COVID-19 positive. I had fatigue. I did a COVID-19 home test and it immediately came up positive. I called the doctor's office and she prescribed MUCINEX. She prescribed PAXLOVID and I started that on Tuesday.
Age: 75.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Headache, Pain, SARS-CoV-2 test positive
Clinical narrative: 12/12/2022, I woke up with a headache and achy. I had chills during the night. The worst thing was the dry cough. My husband was COVID-19 positive. I had fatigue. I did a COVID-19 home test and it immediately came up positive. I called the doctor's office and she prescribed MUCINEX. She prescribed PAXLOVID and I started that on Tuesday.
Age: 1.17
Sex: M
Vaccine: COVID19
Symptoms: Aortic aneurysm, Biopsy bone marrow normal, Blood test abnormal, Computerised tomogram thorax abnormal, Coronary artery aneurysm
Clinical narrative: Went into PCP on for a rash on 09/16. 09/22 went into PCP for ear infection. 09/28 tested positive for Flu. 10/01 began having extremely high fever and blue lips and extremities. 10/05 went into PCP and he was admitted to hospital for observation. Atypical Kawasaki disease with giant coronary aneurism. Hypertension and medium small cell vasculitis. He received 3 blood transfusions and two courses of IVIG. Multiple MRI, CT scan, bone marrow biopsy, multiple echocardiograms, and multiple blood tests. Continues blood pressure monitoring and 5 lead EKG. Have regular appointments and they have noted that his aortic aneurisms have enlarged but the physicians say it is expected with his condition. Have had two subsequent trips to the ER for blood pressure he was discharged home once and kept overnight once. His current meds are carvedilol, LOVENOX, co-trimoxazole, amlodipine, PEPCID, lisinopril, prednisolone, aspirin, CYTOXAN once monthly. Do not know what has caused all of these issues.
Age: 1.17
Sex: M
Vaccine: COVID19
Symptoms: Cyanosis, Ear infection, Echocardiogram abnormal, Electrocardiogram, Full blood count
Clinical narrative: Went into PCP on for a rash on 09/16. 09/22 went into PCP for ear infection. 09/28 tested positive for Flu. 10/01 began having extremely high fever and blue lips and extremities. 10/05 went into PCP and he was admitted to hospital for observation. Atypical Kawasaki disease with giant coronary aneurism. Hypertension and medium small cell vasculitis. He received 3 blood transfusions and two courses of IVIG. Multiple MRI, CT scan, bone marrow biopsy, multiple echocardiograms, and multiple blood tests. Continues blood pressure monitoring and 5 lead EKG. Have regular appointments and they have noted that his aortic aneurisms have enlarged but the physicians say it is expected with his condition. Have had two subsequent trips to the ER for blood pressure he was discharged home once and kept overnight once. His current meds are carvedilol, LOVENOX, co-trimoxazole, amlodipine, PEPCID, lisinopril, prednisolone, aspirin, CYTOXAN once monthly. Do not know what has caused all of these issues.
Age: 1.17
Sex: M
Vaccine: COVID19
Symptoms: Haematocrit, Hypertension, Immunoglobulin therapy, Inflammatory marker increased, Influenza virus test positive
Clinical narrative: Went into PCP on for a rash on 09/16. 09/22 went into PCP for ear infection. 09/28 tested positive for Flu. 10/01 began having extremely high fever and blue lips and extremities. 10/05 went into PCP and he was admitted to hospital for observation. Atypical Kawasaki disease with giant coronary aneurism. Hypertension and medium small cell vasculitis. He received 3 blood transfusions and two courses of IVIG. Multiple MRI, CT scan, bone marrow biopsy, multiple echocardiograms, and multiple blood tests. Continues blood pressure monitoring and 5 lead EKG. Have regular appointments and they have noted that his aortic aneurisms have enlarged but the physicians say it is expected with his condition. Have had two subsequent trips to the ER for blood pressure he was discharged home once and kept overnight once. His current meds are carvedilol, LOVENOX, co-trimoxazole, amlodipine, PEPCID, lisinopril, prednisolone, aspirin, CYTOXAN once monthly. Do not know what has caused all of these issues.
Age: 1.17
Sex: M
Vaccine: COVID19
Symptoms: Kawasaki's disease, Liver function test, Magnetic resonance imaging abnormal, Pyrexia, Rash
Clinical narrative: Went into PCP on for a rash on 09/16. 09/22 went into PCP for ear infection. 09/28 tested positive for Flu. 10/01 began having extremely high fever and blue lips and extremities. 10/05 went into PCP and he was admitted to hospital for observation. Atypical Kawasaki disease with giant coronary aneurism. Hypertension and medium small cell vasculitis. He received 3 blood transfusions and two courses of IVIG. Multiple MRI, CT scan, bone marrow biopsy, multiple echocardiograms, and multiple blood tests. Continues blood pressure monitoring and 5 lead EKG. Have regular appointments and they have noted that his aortic aneurisms have enlarged but the physicians say it is expected with his condition. Have had two subsequent trips to the ER for blood pressure he was discharged home once and kept overnight once. His current meds are carvedilol, LOVENOX, co-trimoxazole, amlodipine, PEPCID, lisinopril, prednisolone, aspirin, CYTOXAN once monthly. Do not know what has caused all of these issues.
Age: 1.17
Sex: M
Vaccine: COVID19
Symptoms: Renal function test, Transfusion, Vasculitis
Clinical narrative: Went into PCP on for a rash on 09/16. 09/22 went into PCP for ear infection. 09/28 tested positive for Flu. 10/01 began having extremely high fever and blue lips and extremities. 10/05 went into PCP and he was admitted to hospital for observation. Atypical Kawasaki disease with giant coronary aneurism. Hypertension and medium small cell vasculitis. He received 3 blood transfusions and two courses of IVIG. Multiple MRI, CT scan, bone marrow biopsy, multiple echocardiograms, and multiple blood tests. Continues blood pressure monitoring and 5 lead EKG. Have regular appointments and they have noted that his aortic aneurisms have enlarged but the physicians say it is expected with his condition. Have had two subsequent trips to the ER for blood pressure he was discharged home once and kept overnight once. His current meds are carvedilol, LOVENOX, co-trimoxazole, amlodipine, PEPCID, lisinopril, prednisolone, aspirin, CYTOXAN once monthly. Do not know what has caused all of these issues.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Given past 30 day fridge use by date
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Angiogram pulmonary abnormal, Atelectasis, Blood creatinine increased
Clinical narrative: Patient is a 58 y.o. male with a history of pancreatic cancer, IDDM2, seizure disorder, recent hospital admit 11/27/22-12/1/22 for planned surgery (s/p exploratory laparotomy, partial hepatectomy, CCY and omental flap on 11/28/22) by Dr. (surgical onc.) who re-presented to hospital 12/4/2022 with congestion, dyspnea, dry cough, fevers/chills, lethargy, and hypoxia after recent diagnosis of COVID-19 on 12/3/22.    1. COVID-19: Presented as above. Symptom onset ~12/1/22, tested positive on 12/3/22, vaccinated and boosted x 1. CTPA 12/4/22 negative for PE, stable b/l pulmonary nodules, mild bibasilar atelectasis. Supportive care, symptom control, Decadron and Remdesivir initiated 12/5/22. Clinically improved.discharged on decadron till 12/13/2022. 2. Acute Hypoxic Respiratory Failure: In setting of COVID-19. SpO2 85-90% on RA at home with improvement on 2L NC. Improved to RA on 12/6/22. 3. SIRS: Met criteria with HR and RR elevated, though afebrile/WBC and lactate WNL. In setting of COVID-19 and respiratory failure. Blood cultures x 2 negative to date .  4. AKI: Baseline Cr ~1.0, admit Cr 1.48. Suspect pre-renal due to hypovolemia. Avoid nephrotoxic medications as able. Held home ACEi. Resolved. Lisinopril resumed in low dose on discharge. 5. Diarrhea: Watery and malodorous, recently given Ancef peri-op last admit. Held bowel regimen. Stool PCR 12/4 neg. Resolved. 6. Elevated Troponin: Admit troponin 43-41. No anginal symptoms on admit. EKG non-ischemic, similar to prior. Suspect due to demand/decreased renal clearance. No further workup at this time.  7. Pancreatic Adenocarcinoma: Known hx, follows with Dr. (Surgical Onc) and Dr. (Med Onc). On FOLFIRINOX as outpatient. CT C/A/P 11/17/22 with stable findings. S/p exploratory laparotomy, partial hepatectomy, CCY and omental flap on 11/28/22. Continued post-op pain control. Surgical oncology followed  8. IDDM2: Known hx, A1c 8.7% in 11/2022. Follows with Dr. (endocrinology). Home meds resumed on discharge. 9. HTN: Known hx, controlled on admit. Held home ACEi due to AKI, low dose resumed on discharge. 10. Chronic Anemia: Baseline Hgb ~11, admit Hgb 11.2, normocytic. Stable since recent surgery. No evidence of acute blood loss.  11. Seizure Disorder: Known hx, no acute issues. Continued Depakote.  12. Hypothyroidism: Known hx, continued home Synthroid.  13. BPH: Known hx, continued home Flomax.  14. Obesity with OSA: Body mass index is 35.87 kg/m². Non-compliant with CPAP, encourage use as able
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Blood culture negative, Blood lactic acid normal, COVID-19, Chills, Cholecystectomy
Clinical narrative: Patient is a 58 y.o. male with a history of pancreatic cancer, IDDM2, seizure disorder, recent hospital admit 11/27/22-12/1/22 for planned surgery (s/p exploratory laparotomy, partial hepatectomy, CCY and omental flap on 11/28/22) by Dr. (surgical onc.) who re-presented to hospital 12/4/2022 with congestion, dyspnea, dry cough, fevers/chills, lethargy, and hypoxia after recent diagnosis of COVID-19 on 12/3/22.    1. COVID-19: Presented as above. Symptom onset ~12/1/22, tested positive on 12/3/22, vaccinated and boosted x 1. CTPA 12/4/22 negative for PE, stable b/l pulmonary nodules, mild bibasilar atelectasis. Supportive care, symptom control, Decadron and Remdesivir initiated 12/5/22. Clinically improved.discharged on decadron till 12/13/2022. 2. Acute Hypoxic Respiratory Failure: In setting of COVID-19. SpO2 85-90% on RA at home with improvement on 2L NC. Improved to RA on 12/6/22. 3. SIRS: Met criteria with HR and RR elevated, though afebrile/WBC and lactate WNL. In setting of COVID-19 and respiratory failure. Blood cultures x 2 negative to date .  4. AKI: Baseline Cr ~1.0, admit Cr 1.48. Suspect pre-renal due to hypovolemia. Avoid nephrotoxic medications as able. Held home ACEi. Resolved. Lisinopril resumed in low dose on discharge. 5. Diarrhea: Watery and malodorous, recently given Ancef peri-op last admit. Held bowel regimen. Stool PCR 12/4 neg. Resolved. 6. Elevated Troponin: Admit troponin 43-41. No anginal symptoms on admit. EKG non-ischemic, similar to prior. Suspect due to demand/decreased renal clearance. No further workup at this time.  7. Pancreatic Adenocarcinoma: Known hx, follows with Dr. (Surgical Onc) and Dr. (Med Onc). On FOLFIRINOX as outpatient. CT C/A/P 11/17/22 with stable findings. S/p exploratory laparotomy, partial hepatectomy, CCY and omental flap on 11/28/22. Continued post-op pain control. Surgical oncology followed  8. IDDM2: Known hx, A1c 8.7% in 11/2022. Follows with Dr. (endocrinology). Home meds resumed on discharge. 9. HTN: Known hx, controlled on admit. Held home ACEi due to AKI, low dose resumed on discharge. 10. Chronic Anemia: Baseline Hgb ~11, admit Hgb 11.2, normocytic. Stable since recent surgery. No evidence of acute blood loss.  11. Seizure Disorder: Known hx, no acute issues. Continued Depakote.  12. Hypothyroidism: Known hx, continued home Synthroid.  13. BPH: Known hx, continued home Flomax.  14. Obesity with OSA: Body mass index is 35.87 kg/m². Non-compliant with CPAP, encourage use as able
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen, Computerised tomogram thorax, Condition aggravated, Cough, Diarrhoea
Clinical narrative: Patient is a 58 y.o. male with a history of pancreatic cancer, IDDM2, seizure disorder, recent hospital admit 11/27/22-12/1/22 for planned surgery (s/p exploratory laparotomy, partial hepatectomy, CCY and omental flap on 11/28/22) by Dr. (surgical onc.) who re-presented to hospital 12/4/2022 with congestion, dyspnea, dry cough, fevers/chills, lethargy, and hypoxia after recent diagnosis of COVID-19 on 12/3/22.    1. COVID-19: Presented as above. Symptom onset ~12/1/22, tested positive on 12/3/22, vaccinated and boosted x 1. CTPA 12/4/22 negative for PE, stable b/l pulmonary nodules, mild bibasilar atelectasis. Supportive care, symptom control, Decadron and Remdesivir initiated 12/5/22. Clinically improved.discharged on decadron till 12/13/2022. 2. Acute Hypoxic Respiratory Failure: In setting of COVID-19. SpO2 85-90% on RA at home with improvement on 2L NC. Improved to RA on 12/6/22. 3. SIRS: Met criteria with HR and RR elevated, though afebrile/WBC and lactate WNL. In setting of COVID-19 and respiratory failure. Blood cultures x 2 negative to date .  4. AKI: Baseline Cr ~1.0, admit Cr 1.48. Suspect pre-renal due to hypovolemia. Avoid nephrotoxic medications as able. Held home ACEi. Resolved. Lisinopril resumed in low dose on discharge. 5. Diarrhea: Watery and malodorous, recently given Ancef peri-op last admit. Held bowel regimen. Stool PCR 12/4 neg. Resolved. 6. Elevated Troponin: Admit troponin 43-41. No anginal symptoms on admit. EKG non-ischemic, similar to prior. Suspect due to demand/decreased renal clearance. No further workup at this time.  7. Pancreatic Adenocarcinoma: Known hx, follows with Dr. (Surgical Onc) and Dr. (Med Onc). On FOLFIRINOX as outpatient. CT C/A/P 11/17/22 with stable findings. S/p exploratory laparotomy, partial hepatectomy, CCY and omental flap on 11/28/22. Continued post-op pain control. Surgical oncology followed  8. IDDM2: Known hx, A1c 8.7% in 11/2022. Follows with Dr. (endocrinology). Home meds resumed on discharge. 9. HTN: Known hx, controlled on admit. Held home ACEi due to AKI, low dose resumed on discharge. 10. Chronic Anemia: Baseline Hgb ~11, admit Hgb 11.2, normocytic. Stable since recent surgery. No evidence of acute blood loss.  11. Seizure Disorder: Known hx, no acute issues. Continued Depakote.  12. Hypothyroidism: Known hx, continued home Synthroid.  13. BPH: Known hx, continued home Flomax.  14. Obesity with OSA: Body mass index is 35.87 kg/m². Non-compliant with CPAP, encourage use as able
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram normal, Explorative laparotomy, Glycosylated haemoglobin increased, Haemoglobin decreased
Clinical narrative: Patient is a 58 y.o. male with a history of pancreatic cancer, IDDM2, seizure disorder, recent hospital admit 11/27/22-12/1/22 for planned surgery (s/p exploratory laparotomy, partial hepatectomy, CCY and omental flap on 11/28/22) by Dr. (surgical onc.) who re-presented to hospital 12/4/2022 with congestion, dyspnea, dry cough, fevers/chills, lethargy, and hypoxia after recent diagnosis of COVID-19 on 12/3/22.    1. COVID-19: Presented as above. Symptom onset ~12/1/22, tested positive on 12/3/22, vaccinated and boosted x 1. CTPA 12/4/22 negative for PE, stable b/l pulmonary nodules, mild bibasilar atelectasis. Supportive care, symptom control, Decadron and Remdesivir initiated 12/5/22. Clinically improved.discharged on decadron till 12/13/2022. 2. Acute Hypoxic Respiratory Failure: In setting of COVID-19. SpO2 85-90% on RA at home with improvement on 2L NC. Improved to RA on 12/6/22. 3. SIRS: Met criteria with HR and RR elevated, though afebrile/WBC and lactate WNL. In setting of COVID-19 and respiratory failure. Blood cultures x 2 negative to date .  4. AKI: Baseline Cr ~1.0, admit Cr 1.48. Suspect pre-renal due to hypovolemia. Avoid nephrotoxic medications as able. Held home ACEi. Resolved. Lisinopril resumed in low dose on discharge. 5. Diarrhea: Watery and malodorous, recently given Ancef peri-op last admit. Held bowel regimen. Stool PCR 12/4 neg. Resolved. 6. Elevated Troponin: Admit troponin 43-41. No anginal symptoms on admit. EKG non-ischemic, similar to prior. Suspect due to demand/decreased renal clearance. No further workup at this time.  7. Pancreatic Adenocarcinoma: Known hx, follows with Dr. (Surgical Onc) and Dr. (Med Onc). On FOLFIRINOX as outpatient. CT C/A/P 11/17/22 with stable findings. S/p exploratory laparotomy, partial hepatectomy, CCY and omental flap on 11/28/22. Continued post-op pain control. Surgical oncology followed  8. IDDM2: Known hx, A1c 8.7% in 11/2022. Follows with Dr. (endocrinology). Home meds resumed on discharge. 9. HTN: Known hx, controlled on admit. Held home ACEi due to AKI, low dose resumed on discharge. 10. Chronic Anemia: Baseline Hgb ~11, admit Hgb 11.2, normocytic. Stable since recent surgery. No evidence of acute blood loss.  11. Seizure Disorder: Known hx, no acute issues. Continued Depakote.  12. Hypothyroidism: Known hx, continued home Synthroid.  13. BPH: Known hx, continued home Flomax.  14. Obesity with OSA: Body mass index is 35.87 kg/m². Non-compliant with CPAP, encourage use as able
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Hepatectomy, Hypertension, Hypovolaemia, Hypoxia
Clinical narrative: Patient is a 58 y.o. male with a history of pancreatic cancer, IDDM2, seizure disorder, recent hospital admit 11/27/22-12/1/22 for planned surgery (s/p exploratory laparotomy, partial hepatectomy, CCY and omental flap on 11/28/22) by Dr. (surgical onc.) who re-presented to hospital 12/4/2022 with congestion, dyspnea, dry cough, fevers/chills, lethargy, and hypoxia after recent diagnosis of COVID-19 on 12/3/22.    1. COVID-19: Presented as above. Symptom onset ~12/1/22, tested positive on 12/3/22, vaccinated and boosted x 1. CTPA 12/4/22 negative for PE, stable b/l pulmonary nodules, mild bibasilar atelectasis. Supportive care, symptom control, Decadron and Remdesivir initiated 12/5/22. Clinically improved.discharged on decadron till 12/13/2022. 2. Acute Hypoxic Respiratory Failure: In setting of COVID-19. SpO2 85-90% on RA at home with improvement on 2L NC. Improved to RA on 12/6/22. 3. SIRS: Met criteria with HR and RR elevated, though afebrile/WBC and lactate WNL. In setting of COVID-19 and respiratory failure. Blood cultures x 2 negative to date .  4. AKI: Baseline Cr ~1.0, admit Cr 1.48. Suspect pre-renal due to hypovolemia. Avoid nephrotoxic medications as able. Held home ACEi. Resolved. Lisinopril resumed in low dose on discharge. 5. Diarrhea: Watery and malodorous, recently given Ancef peri-op last admit. Held bowel regimen. Stool PCR 12/4 neg. Resolved. 6. Elevated Troponin: Admit troponin 43-41. No anginal symptoms on admit. EKG non-ischemic, similar to prior. Suspect due to demand/decreased renal clearance. No further workup at this time.  7. Pancreatic Adenocarcinoma: Known hx, follows with Dr. (Surgical Onc) and Dr. (Med Onc). On FOLFIRINOX as outpatient. CT C/A/P 11/17/22 with stable findings. S/p exploratory laparotomy, partial hepatectomy, CCY and omental flap on 11/28/22. Continued post-op pain control. Surgical oncology followed  8. IDDM2: Known hx, A1c 8.7% in 11/2022. Follows with Dr. (endocrinology). Home meds resumed on discharge. 9. HTN: Known hx, controlled on admit. Held home ACEi due to AKI, low dose resumed on discharge. 10. Chronic Anemia: Baseline Hgb ~11, admit Hgb 11.2, normocytic. Stable since recent surgery. No evidence of acute blood loss.  11. Seizure Disorder: Known hx, no acute issues. Continued Depakote.  12. Hypothyroidism: Known hx, continued home Synthroid.  13. BPH: Known hx, continued home Flomax.  14. Obesity with OSA: Body mass index is 35.87 kg/m². Non-compliant with CPAP, encourage use as able
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Lethargy, Normocytic anaemia, Omentoplasty, Procedural pain, Pulmonary mass
Clinical narrative: Patient is a 58 y.o. male with a history of pancreatic cancer, IDDM2, seizure disorder, recent hospital admit 11/27/22-12/1/22 for planned surgery (s/p exploratory laparotomy, partial hepatectomy, CCY and omental flap on 11/28/22) by Dr. (surgical onc.) who re-presented to hospital 12/4/2022 with congestion, dyspnea, dry cough, fevers/chills, lethargy, and hypoxia after recent diagnosis of COVID-19 on 12/3/22.    1. COVID-19: Presented as above. Symptom onset ~12/1/22, tested positive on 12/3/22, vaccinated and boosted x 1. CTPA 12/4/22 negative for PE, stable b/l pulmonary nodules, mild bibasilar atelectasis. Supportive care, symptom control, Decadron and Remdesivir initiated 12/5/22. Clinically improved.discharged on decadron till 12/13/2022. 2. Acute Hypoxic Respiratory Failure: In setting of COVID-19. SpO2 85-90% on RA at home with improvement on 2L NC. Improved to RA on 12/6/22. 3. SIRS: Met criteria with HR and RR elevated, though afebrile/WBC and lactate WNL. In setting of COVID-19 and respiratory failure. Blood cultures x 2 negative to date .  4. AKI: Baseline Cr ~1.0, admit Cr 1.48. Suspect pre-renal due to hypovolemia. Avoid nephrotoxic medications as able. Held home ACEi. Resolved. Lisinopril resumed in low dose on discharge. 5. Diarrhea: Watery and malodorous, recently given Ancef peri-op last admit. Held bowel regimen. Stool PCR 12/4 neg. Resolved. 6. Elevated Troponin: Admit troponin 43-41. No anginal symptoms on admit. EKG non-ischemic, similar to prior. Suspect due to demand/decreased renal clearance. No further workup at this time.  7. Pancreatic Adenocarcinoma: Known hx, follows with Dr. (Surgical Onc) and Dr. (Med Onc). On FOLFIRINOX as outpatient. CT C/A/P 11/17/22 with stable findings. S/p exploratory laparotomy, partial hepatectomy, CCY and omental flap on 11/28/22. Continued post-op pain control. Surgical oncology followed  8. IDDM2: Known hx, A1c 8.7% in 11/2022. Follows with Dr. (endocrinology). Home meds resumed on discharge. 9. HTN: Known hx, controlled on admit. Held home ACEi due to AKI, low dose resumed on discharge. 10. Chronic Anemia: Baseline Hgb ~11, admit Hgb 11.2, normocytic. Stable since recent surgery. No evidence of acute blood loss.  11. Seizure Disorder: Known hx, no acute issues. Continued Depakote.  12. Hypothyroidism: Known hx, continued home Synthroid.  13. BPH: Known hx, continued home Flomax.  14. Obesity with OSA: Body mass index is 35.87 kg/m². Non-compliant with CPAP, encourage use as able
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Renal function test abnormal, Respiratory rate increased, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Patient is a 58 y.o. male with a history of pancreatic cancer, IDDM2, seizure disorder, recent hospital admit 11/27/22-12/1/22 for planned surgery (s/p exploratory laparotomy, partial hepatectomy, CCY and omental flap on 11/28/22) by Dr. (surgical onc.) who re-presented to hospital 12/4/2022 with congestion, dyspnea, dry cough, fevers/chills, lethargy, and hypoxia after recent diagnosis of COVID-19 on 12/3/22.    1. COVID-19: Presented as above. Symptom onset ~12/1/22, tested positive on 12/3/22, vaccinated and boosted x 1. CTPA 12/4/22 negative for PE, stable b/l pulmonary nodules, mild bibasilar atelectasis. Supportive care, symptom control, Decadron and Remdesivir initiated 12/5/22. Clinically improved.discharged on decadron till 12/13/2022. 2. Acute Hypoxic Respiratory Failure: In setting of COVID-19. SpO2 85-90% on RA at home with improvement on 2L NC. Improved to RA on 12/6/22. 3. SIRS: Met criteria with HR and RR elevated, though afebrile/WBC and lactate WNL. In setting of COVID-19 and respiratory failure. Blood cultures x 2 negative to date .  4. AKI: Baseline Cr ~1.0, admit Cr 1.48. Suspect pre-renal due to hypovolemia. Avoid nephrotoxic medications as able. Held home ACEi. Resolved. Lisinopril resumed in low dose on discharge. 5. Diarrhea: Watery and malodorous, recently given Ancef peri-op last admit. Held bowel regimen. Stool PCR 12/4 neg. Resolved. 6. Elevated Troponin: Admit troponin 43-41. No anginal symptoms on admit. EKG non-ischemic, similar to prior. Suspect due to demand/decreased renal clearance. No further workup at this time.  7. Pancreatic Adenocarcinoma: Known hx, follows with Dr. (Surgical Onc) and Dr. (Med Onc). On FOLFIRINOX as outpatient. CT C/A/P 11/17/22 with stable findings. S/p exploratory laparotomy, partial hepatectomy, CCY and omental flap on 11/28/22. Continued post-op pain control. Surgical oncology followed  8. IDDM2: Known hx, A1c 8.7% in 11/2022. Follows with Dr. (endocrinology). Home meds resumed on discharge. 9. HTN: Known hx, controlled on admit. Held home ACEi due to AKI, low dose resumed on discharge. 10. Chronic Anemia: Baseline Hgb ~11, admit Hgb 11.2, normocytic. Stable since recent surgery. No evidence of acute blood loss.  11. Seizure Disorder: Known hx, no acute issues. Continued Depakote.  12. Hypothyroidism: Known hx, continued home Synthroid.  13. BPH: Known hx, continued home Flomax.  14. Obesity with OSA: Body mass index is 35.87 kg/m². Non-compliant with CPAP, encourage use as able