chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 22.0
Sex: M
Vaccine: ANTH, FLU(H1N1), SMALL, TYP, ANTH, FLU(H1N1), SMALL, TYP
Symptoms: Body temperature increased, Brain scan normal, C-reactive protein increased, CSF test normal, Chest X-ray abnormal
Clinical narrative: 22 y/o male who collapsed after a prolonged high intensity exercise run wearing about 30-40 lbs of gear on field run for > 1 hour; felt "unwell" at the end of 4 mile run; walked around about 1 1/2 laps and then collapsed. Does not recall any events following collapse until about 8 days later while hospitalized. Pt felt well prior to run - "near 100%". Reports he was well hydrated. When patient transported by ambulance, he experienced an altered mental status (initially unresponsive, then agitated, combative) and his temperature was 109 degrees F, rectally, which was confirmed at ER as >107 degrees F, rectally. Efforts to cool and sedate (received ATIVAN and HALDOL --> intubated). Temp down to 103 degrees F --> transferred to another Hospital. Temp down to 101 on admission; given additional fentanyl and versed for agitation. Hemodynamically stable with HRs 80-90 and SBP 100-20s; O2 stats > 97%. Loose green stools. HOSPITAL COURSE: Agitated, febrile to 102 rectally despite cooling blanket, fan and ice packs. Given Librium d/t concern for DTs with ETOH intake of about 30 beers/week (last ETOH intake around 3/14/2010); given VERSED as needed for agitation. Concern for cerebral edema (per CT with concern for herniation; episode in scanner where he was unresponsive, sluggish small pupils, heart rate in 30s, requiring resuscitation -->MICU). Given Mannitol with improvement. F/u MRI w/o evidence of elevated ICP. Received coverage for infections (doxy, vancomycin, ceftriaxzone, and acyclovir). After consultation with CDC and VHC, VIG (X1) administered IV (6000 units per kg) and pat also received IV methylprednisolone. Over hospital course, temperature returned to normal after several days, LFTS improved and mental status improved to near baseline. By 24 March, patient was extubated. He was following commands and answering questions, but no recall of previous 7 days. He was discharged on 28 March 2010. 13 April, Follow up visit, problems with motor skills (difficulty using fork and pen) and continues to report memory lapses ( -- > repair MRI and Neurology follow-up appt). 26 April, Follow Up, problems with mild memory lapses with forgetting what he is doing and at time how to do simple things such as tie his shoes. Problems falling asleep with sleep initiation taking anywhere from 2-3 hours. Also, admits to increased mood swings but he admits to being under some pressure from all this going on.
Age: 22.0
Sex: M
Vaccine: ANTH, FLU(H1N1), SMALL, TYP, ANTH, FLU(H1N1), SMALL, TYP
Symptoms: Complement factor C3 decreased, Complement factor C4 decreased, Computerised tomogram abnormal, Culture throat negative, Culture urine negative
Clinical narrative: 22 y/o male who collapsed after a prolonged high intensity exercise run wearing about 30-40 lbs of gear on field run for > 1 hour; felt "unwell" at the end of 4 mile run; walked around about 1 1/2 laps and then collapsed. Does not recall any events following collapse until about 8 days later while hospitalized. Pt felt well prior to run - "near 100%". Reports he was well hydrated. When patient transported by ambulance, he experienced an altered mental status (initially unresponsive, then agitated, combative) and his temperature was 109 degrees F, rectally, which was confirmed at ER as >107 degrees F, rectally. Efforts to cool and sedate (received ATIVAN and HALDOL --> intubated). Temp down to 103 degrees F --> transferred to another Hospital. Temp down to 101 on admission; given additional fentanyl and versed for agitation. Hemodynamically stable with HRs 80-90 and SBP 100-20s; O2 stats > 97%. Loose green stools. HOSPITAL COURSE: Agitated, febrile to 102 rectally despite cooling blanket, fan and ice packs. Given Librium d/t concern for DTs with ETOH intake of about 30 beers/week (last ETOH intake around 3/14/2010); given VERSED as needed for agitation. Concern for cerebral edema (per CT with concern for herniation; episode in scanner where he was unresponsive, sluggish small pupils, heart rate in 30s, requiring resuscitation -->MICU). Given Mannitol with improvement. F/u MRI w/o evidence of elevated ICP. Received coverage for infections (doxy, vancomycin, ceftriaxzone, and acyclovir). After consultation with CDC and VHC, VIG (X1) administered IV (6000 units per kg) and pat also received IV methylprednisolone. Over hospital course, temperature returned to normal after several days, LFTS improved and mental status improved to near baseline. By 24 March, patient was extubated. He was following commands and answering questions, but no recall of previous 7 days. He was discharged on 28 March 2010. 13 April, Follow up visit, problems with motor skills (difficulty using fork and pen) and continues to report memory lapses ( -- > repair MRI and Neurology follow-up appt). 26 April, Follow Up, problems with mild memory lapses with forgetting what he is doing and at time how to do simple things such as tie his shoes. Problems falling asleep with sleep initiation taking anywhere from 2-3 hours. Also, admits to increased mood swings but he admits to being under some pressure from all this going on.
Age: 22.0
Sex: M
Vaccine: ANTH, FLU(H1N1), SMALL, TYP, ANTH, FLU(H1N1), SMALL, TYP
Symptoms: Cytomegalovirus test negative, Diarrhoea, Drug screen negative, Echocardiogram, Echocardiogram abnormal
Clinical narrative: 22 y/o male who collapsed after a prolonged high intensity exercise run wearing about 30-40 lbs of gear on field run for > 1 hour; felt "unwell" at the end of 4 mile run; walked around about 1 1/2 laps and then collapsed. Does not recall any events following collapse until about 8 days later while hospitalized. Pt felt well prior to run - "near 100%". Reports he was well hydrated. When patient transported by ambulance, he experienced an altered mental status (initially unresponsive, then agitated, combative) and his temperature was 109 degrees F, rectally, which was confirmed at ER as >107 degrees F, rectally. Efforts to cool and sedate (received ATIVAN and HALDOL --> intubated). Temp down to 103 degrees F --> transferred to another Hospital. Temp down to 101 on admission; given additional fentanyl and versed for agitation. Hemodynamically stable with HRs 80-90 and SBP 100-20s; O2 stats > 97%. Loose green stools. HOSPITAL COURSE: Agitated, febrile to 102 rectally despite cooling blanket, fan and ice packs. Given Librium d/t concern for DTs with ETOH intake of about 30 beers/week (last ETOH intake around 3/14/2010); given VERSED as needed for agitation. Concern for cerebral edema (per CT with concern for herniation; episode in scanner where he was unresponsive, sluggish small pupils, heart rate in 30s, requiring resuscitation -->MICU). Given Mannitol with improvement. F/u MRI w/o evidence of elevated ICP. Received coverage for infections (doxy, vancomycin, ceftriaxzone, and acyclovir). After consultation with CDC and VHC, VIG (X1) administered IV (6000 units per kg) and pat also received IV methylprednisolone. Over hospital course, temperature returned to normal after several days, LFTS improved and mental status improved to near baseline. By 24 March, patient was extubated. He was following commands and answering questions, but no recall of previous 7 days. He was discharged on 28 March 2010. 13 April, Follow up visit, problems with motor skills (difficulty using fork and pen) and continues to report memory lapses ( -- > repair MRI and Neurology follow-up appt). 26 April, Follow Up, problems with mild memory lapses with forgetting what he is doing and at time how to do simple things such as tie his shoes. Problems falling asleep with sleep initiation taking anywhere from 2-3 hours. Also, admits to increased mood swings but he admits to being under some pressure from all this going on.
Age: 22.0
Sex: M
Vaccine: ANTH, FLU(H1N1), SMALL, TYP, ANTH, FLU(H1N1), SMALL, TYP
Symptoms: Ehrlichia test, Electroencephalogram abnormal, Endotracheal intubation, Epstein-Barr virus test positive, Faeces discoloured
Clinical narrative: 22 y/o male who collapsed after a prolonged high intensity exercise run wearing about 30-40 lbs of gear on field run for > 1 hour; felt "unwell" at the end of 4 mile run; walked around about 1 1/2 laps and then collapsed. Does not recall any events following collapse until about 8 days later while hospitalized. Pt felt well prior to run - "near 100%". Reports he was well hydrated. When patient transported by ambulance, he experienced an altered mental status (initially unresponsive, then agitated, combative) and his temperature was 109 degrees F, rectally, which was confirmed at ER as >107 degrees F, rectally. Efforts to cool and sedate (received ATIVAN and HALDOL --> intubated). Temp down to 103 degrees F --> transferred to another Hospital. Temp down to 101 on admission; given additional fentanyl and versed for agitation. Hemodynamically stable with HRs 80-90 and SBP 100-20s; O2 stats > 97%. Loose green stools. HOSPITAL COURSE: Agitated, febrile to 102 rectally despite cooling blanket, fan and ice packs. Given Librium d/t concern for DTs with ETOH intake of about 30 beers/week (last ETOH intake around 3/14/2010); given VERSED as needed for agitation. Concern for cerebral edema (per CT with concern for herniation; episode in scanner where he was unresponsive, sluggish small pupils, heart rate in 30s, requiring resuscitation -->MICU). Given Mannitol with improvement. F/u MRI w/o evidence of elevated ICP. Received coverage for infections (doxy, vancomycin, ceftriaxzone, and acyclovir). After consultation with CDC and VHC, VIG (X1) administered IV (6000 units per kg) and pat also received IV methylprednisolone. Over hospital course, temperature returned to normal after several days, LFTS improved and mental status improved to near baseline. By 24 March, patient was extubated. He was following commands and answering questions, but no recall of previous 7 days. He was discharged on 28 March 2010. 13 April, Follow up visit, problems with motor skills (difficulty using fork and pen) and continues to report memory lapses ( -- > repair MRI and Neurology follow-up appt). 26 April, Follow Up, problems with mild memory lapses with forgetting what he is doing and at time how to do simple things such as tie his shoes. Problems falling asleep with sleep initiation taking anywhere from 2-3 hours. Also, admits to increased mood swings but he admits to being under some pressure from all this going on.
Age: 22.0
Sex: M
Vaccine: ANTH, FLU(H1N1), SMALL, TYP, ANTH, FLU(H1N1), SMALL, TYP
Symptoms: Free thyroxine index normal, Gamma-glutamyltransferase increased, HIV test negative, Heart rate decreased, Hepatitis A antibody negative
Clinical narrative: 22 y/o male who collapsed after a prolonged high intensity exercise run wearing about 30-40 lbs of gear on field run for > 1 hour; felt "unwell" at the end of 4 mile run; walked around about 1 1/2 laps and then collapsed. Does not recall any events following collapse until about 8 days later while hospitalized. Pt felt well prior to run - "near 100%". Reports he was well hydrated. When patient transported by ambulance, he experienced an altered mental status (initially unresponsive, then agitated, combative) and his temperature was 109 degrees F, rectally, which was confirmed at ER as >107 degrees F, rectally. Efforts to cool and sedate (received ATIVAN and HALDOL --> intubated). Temp down to 103 degrees F --> transferred to another Hospital. Temp down to 101 on admission; given additional fentanyl and versed for agitation. Hemodynamically stable with HRs 80-90 and SBP 100-20s; O2 stats > 97%. Loose green stools. HOSPITAL COURSE: Agitated, febrile to 102 rectally despite cooling blanket, fan and ice packs. Given Librium d/t concern for DTs with ETOH intake of about 30 beers/week (last ETOH intake around 3/14/2010); given VERSED as needed for agitation. Concern for cerebral edema (per CT with concern for herniation; episode in scanner where he was unresponsive, sluggish small pupils, heart rate in 30s, requiring resuscitation -->MICU). Given Mannitol with improvement. F/u MRI w/o evidence of elevated ICP. Received coverage for infections (doxy, vancomycin, ceftriaxzone, and acyclovir). After consultation with CDC and VHC, VIG (X1) administered IV (6000 units per kg) and pat also received IV methylprednisolone. Over hospital course, temperature returned to normal after several days, LFTS improved and mental status improved to near baseline. By 24 March, patient was extubated. He was following commands and answering questions, but no recall of previous 7 days. He was discharged on 28 March 2010. 13 April, Follow up visit, problems with motor skills (difficulty using fork and pen) and continues to report memory lapses ( -- > repair MRI and Neurology follow-up appt). 26 April, Follow Up, problems with mild memory lapses with forgetting what he is doing and at time how to do simple things such as tie his shoes. Problems falling asleep with sleep initiation taking anywhere from 2-3 hours. Also, admits to increased mood swings but he admits to being under some pressure from all this going on.
Age: 22.0
Sex: M
Vaccine: ANTH, FLU(H1N1), SMALL, TYP, ANTH, FLU(H1N1), SMALL, TYP
Symptoms: Hepatitis B surface antigen negative, Hepatitis B test negative, Hepatitis C test negative, Herpes simplex serology negative, Infection
Clinical narrative: 22 y/o male who collapsed after a prolonged high intensity exercise run wearing about 30-40 lbs of gear on field run for > 1 hour; felt "unwell" at the end of 4 mile run; walked around about 1 1/2 laps and then collapsed. Does not recall any events following collapse until about 8 days later while hospitalized. Pt felt well prior to run - "near 100%". Reports he was well hydrated. When patient transported by ambulance, he experienced an altered mental status (initially unresponsive, then agitated, combative) and his temperature was 109 degrees F, rectally, which was confirmed at ER as >107 degrees F, rectally. Efforts to cool and sedate (received ATIVAN and HALDOL --> intubated). Temp down to 103 degrees F --> transferred to another Hospital. Temp down to 101 on admission; given additional fentanyl and versed for agitation. Hemodynamically stable with HRs 80-90 and SBP 100-20s; O2 stats > 97%. Loose green stools. HOSPITAL COURSE: Agitated, febrile to 102 rectally despite cooling blanket, fan and ice packs. Given Librium d/t concern for DTs with ETOH intake of about 30 beers/week (last ETOH intake around 3/14/2010); given VERSED as needed for agitation. Concern for cerebral edema (per CT with concern for herniation; episode in scanner where he was unresponsive, sluggish small pupils, heart rate in 30s, requiring resuscitation -->MICU). Given Mannitol with improvement. F/u MRI w/o evidence of elevated ICP. Received coverage for infections (doxy, vancomycin, ceftriaxzone, and acyclovir). After consultation with CDC and VHC, VIG (X1) administered IV (6000 units per kg) and pat also received IV methylprednisolone. Over hospital course, temperature returned to normal after several days, LFTS improved and mental status improved to near baseline. By 24 March, patient was extubated. He was following commands and answering questions, but no recall of previous 7 days. He was discharged on 28 March 2010. 13 April, Follow up visit, problems with motor skills (difficulty using fork and pen) and continues to report memory lapses ( -- > repair MRI and Neurology follow-up appt). 26 April, Follow Up, problems with mild memory lapses with forgetting what he is doing and at time how to do simple things such as tie his shoes. Problems falling asleep with sleep initiation taking anywhere from 2-3 hours. Also, admits to increased mood swings but he admits to being under some pressure from all this going on.
Age: 22.0
Sex: M
Vaccine: ANTH, FLU(H1N1), SMALL, TYP, ANTH, FLU(H1N1), SMALL, TYP
Symptoms: Initial insomnia, International normalised ratio increased, Intracranial pressure increased, Laboratory test, Lumbar puncture normal
Clinical narrative: 22 y/o male who collapsed after a prolonged high intensity exercise run wearing about 30-40 lbs of gear on field run for > 1 hour; felt "unwell" at the end of 4 mile run; walked around about 1 1/2 laps and then collapsed. Does not recall any events following collapse until about 8 days later while hospitalized. Pt felt well prior to run - "near 100%". Reports he was well hydrated. When patient transported by ambulance, he experienced an altered mental status (initially unresponsive, then agitated, combative) and his temperature was 109 degrees F, rectally, which was confirmed at ER as >107 degrees F, rectally. Efforts to cool and sedate (received ATIVAN and HALDOL --> intubated). Temp down to 103 degrees F --> transferred to another Hospital. Temp down to 101 on admission; given additional fentanyl and versed for agitation. Hemodynamically stable with HRs 80-90 and SBP 100-20s; O2 stats > 97%. Loose green stools. HOSPITAL COURSE: Agitated, febrile to 102 rectally despite cooling blanket, fan and ice packs. Given Librium d/t concern for DTs with ETOH intake of about 30 beers/week (last ETOH intake around 3/14/2010); given VERSED as needed for agitation. Concern for cerebral edema (per CT with concern for herniation; episode in scanner where he was unresponsive, sluggish small pupils, heart rate in 30s, requiring resuscitation -->MICU). Given Mannitol with improvement. F/u MRI w/o evidence of elevated ICP. Received coverage for infections (doxy, vancomycin, ceftriaxzone, and acyclovir). After consultation with CDC and VHC, VIG (X1) administered IV (6000 units per kg) and pat also received IV methylprednisolone. Over hospital course, temperature returned to normal after several days, LFTS improved and mental status improved to near baseline. By 24 March, patient was extubated. He was following commands and answering questions, but no recall of previous 7 days. He was discharged on 28 March 2010. 13 April, Follow up visit, problems with motor skills (difficulty using fork and pen) and continues to report memory lapses ( -- > repair MRI and Neurology follow-up appt). 26 April, Follow Up, problems with mild memory lapses with forgetting what he is doing and at time how to do simple things such as tie his shoes. Problems falling asleep with sleep initiation taking anywhere from 2-3 hours. Also, admits to increased mood swings but he admits to being under some pressure from all this going on.
Age: 22.0
Sex: M
Vaccine: ANTH, FLU(H1N1), SMALL, TYP, ANTH, FLU(H1N1), SMALL, TYP
Symptoms: Malaise, Memory impairment, Mental status changes, Miosis, Mood swings
Clinical narrative: 22 y/o male who collapsed after a prolonged high intensity exercise run wearing about 30-40 lbs of gear on field run for > 1 hour; felt "unwell" at the end of 4 mile run; walked around about 1 1/2 laps and then collapsed. Does not recall any events following collapse until about 8 days later while hospitalized. Pt felt well prior to run - "near 100%". Reports he was well hydrated. When patient transported by ambulance, he experienced an altered mental status (initially unresponsive, then agitated, combative) and his temperature was 109 degrees F, rectally, which was confirmed at ER as >107 degrees F, rectally. Efforts to cool and sedate (received ATIVAN and HALDOL --> intubated). Temp down to 103 degrees F --> transferred to another Hospital. Temp down to 101 on admission; given additional fentanyl and versed for agitation. Hemodynamically stable with HRs 80-90 and SBP 100-20s; O2 stats > 97%. Loose green stools. HOSPITAL COURSE: Agitated, febrile to 102 rectally despite cooling blanket, fan and ice packs. Given Librium d/t concern for DTs with ETOH intake of about 30 beers/week (last ETOH intake around 3/14/2010); given VERSED as needed for agitation. Concern for cerebral edema (per CT with concern for herniation; episode in scanner where he was unresponsive, sluggish small pupils, heart rate in 30s, requiring resuscitation -->MICU). Given Mannitol with improvement. F/u MRI w/o evidence of elevated ICP. Received coverage for infections (doxy, vancomycin, ceftriaxzone, and acyclovir). After consultation with CDC and VHC, VIG (X1) administered IV (6000 units per kg) and pat also received IV methylprednisolone. Over hospital course, temperature returned to normal after several days, LFTS improved and mental status improved to near baseline. By 24 March, patient was extubated. He was following commands and answering questions, but no recall of previous 7 days. He was discharged on 28 March 2010. 13 April, Follow up visit, problems with motor skills (difficulty using fork and pen) and continues to report memory lapses ( -- > repair MRI and Neurology follow-up appt). 26 April, Follow Up, problems with mild memory lapses with forgetting what he is doing and at time how to do simple things such as tie his shoes. Problems falling asleep with sleep initiation taking anywhere from 2-3 hours. Also, admits to increased mood swings but he admits to being under some pressure from all this going on.
Age: 22.0
Sex: M
Vaccine: ANTH, FLU(H1N1), SMALL, TYP, ANTH, FLU(H1N1), SMALL, TYP
Symptoms: Motor dysfunction, Nuclear magnetic resonance imaging brain normal, Platelet count decreased, Polymerase chain reaction, Protein total normal
Clinical narrative: 22 y/o male who collapsed after a prolonged high intensity exercise run wearing about 30-40 lbs of gear on field run for > 1 hour; felt "unwell" at the end of 4 mile run; walked around about 1 1/2 laps and then collapsed. Does not recall any events following collapse until about 8 days later while hospitalized. Pt felt well prior to run - "near 100%". Reports he was well hydrated. When patient transported by ambulance, he experienced an altered mental status (initially unresponsive, then agitated, combative) and his temperature was 109 degrees F, rectally, which was confirmed at ER as >107 degrees F, rectally. Efforts to cool and sedate (received ATIVAN and HALDOL --> intubated). Temp down to 103 degrees F --> transferred to another Hospital. Temp down to 101 on admission; given additional fentanyl and versed for agitation. Hemodynamically stable with HRs 80-90 and SBP 100-20s; O2 stats > 97%. Loose green stools. HOSPITAL COURSE: Agitated, febrile to 102 rectally despite cooling blanket, fan and ice packs. Given Librium d/t concern for DTs with ETOH intake of about 30 beers/week (last ETOH intake around 3/14/2010); given VERSED as needed for agitation. Concern for cerebral edema (per CT with concern for herniation; episode in scanner where he was unresponsive, sluggish small pupils, heart rate in 30s, requiring resuscitation -->MICU). Given Mannitol with improvement. F/u MRI w/o evidence of elevated ICP. Received coverage for infections (doxy, vancomycin, ceftriaxzone, and acyclovir). After consultation with CDC and VHC, VIG (X1) administered IV (6000 units per kg) and pat also received IV methylprednisolone. Over hospital course, temperature returned to normal after several days, LFTS improved and mental status improved to near baseline. By 24 March, patient was extubated. He was following commands and answering questions, but no recall of previous 7 days. He was discharged on 28 March 2010. 13 April, Follow up visit, problems with motor skills (difficulty using fork and pen) and continues to report memory lapses ( -- > repair MRI and Neurology follow-up appt). 26 April, Follow Up, problems with mild memory lapses with forgetting what he is doing and at time how to do simple things such as tie his shoes. Problems falling asleep with sleep initiation taking anywhere from 2-3 hours. Also, admits to increased mood swings but he admits to being under some pressure from all this going on.
Age: 22.0
Sex: M
Vaccine: ANTH, FLU(H1N1), SMALL, TYP, ANTH, FLU(H1N1), SMALL, TYP
Symptoms: Red blood cell sedimentation rate normal, Resuscitation, Rheumatoid factor negative, Serum ferritin increased, Smooth muscle antibody
Clinical narrative: 22 y/o male who collapsed after a prolonged high intensity exercise run wearing about 30-40 lbs of gear on field run for > 1 hour; felt "unwell" at the end of 4 mile run; walked around about 1 1/2 laps and then collapsed. Does not recall any events following collapse until about 8 days later while hospitalized. Pt felt well prior to run - "near 100%". Reports he was well hydrated. When patient transported by ambulance, he experienced an altered mental status (initially unresponsive, then agitated, combative) and his temperature was 109 degrees F, rectally, which was confirmed at ER as >107 degrees F, rectally. Efforts to cool and sedate (received ATIVAN and HALDOL --> intubated). Temp down to 103 degrees F --> transferred to another Hospital. Temp down to 101 on admission; given additional fentanyl and versed for agitation. Hemodynamically stable with HRs 80-90 and SBP 100-20s; O2 stats > 97%. Loose green stools. HOSPITAL COURSE: Agitated, febrile to 102 rectally despite cooling blanket, fan and ice packs. Given Librium d/t concern for DTs with ETOH intake of about 30 beers/week (last ETOH intake around 3/14/2010); given VERSED as needed for agitation. Concern for cerebral edema (per CT with concern for herniation; episode in scanner where he was unresponsive, sluggish small pupils, heart rate in 30s, requiring resuscitation -->MICU). Given Mannitol with improvement. F/u MRI w/o evidence of elevated ICP. Received coverage for infections (doxy, vancomycin, ceftriaxzone, and acyclovir). After consultation with CDC and VHC, VIG (X1) administered IV (6000 units per kg) and pat also received IV methylprednisolone. Over hospital course, temperature returned to normal after several days, LFTS improved and mental status improved to near baseline. By 24 March, patient was extubated. He was following commands and answering questions, but no recall of previous 7 days. He was discharged on 28 March 2010. 13 April, Follow up visit, problems with motor skills (difficulty using fork and pen) and continues to report memory lapses ( -- > repair MRI and Neurology follow-up appt). 26 April, Follow Up, problems with mild memory lapses with forgetting what he is doing and at time how to do simple things such as tie his shoes. Problems falling asleep with sleep initiation taking anywhere from 2-3 hours. Also, admits to increased mood swings but he admits to being under some pressure from all this going on.
Age: 22.0
Sex: M
Vaccine: ANTH, FLU(H1N1), SMALL, TYP, ANTH, FLU(H1N1), SMALL, TYP
Symptoms: Streptococcus test negative, Syncope, Troponin, Ultrasound scan abnormal, Unresponsive to stimuli
Clinical narrative: 22 y/o male who collapsed after a prolonged high intensity exercise run wearing about 30-40 lbs of gear on field run for > 1 hour; felt "unwell" at the end of 4 mile run; walked around about 1 1/2 laps and then collapsed. Does not recall any events following collapse until about 8 days later while hospitalized. Pt felt well prior to run - "near 100%". Reports he was well hydrated. When patient transported by ambulance, he experienced an altered mental status (initially unresponsive, then agitated, combative) and his temperature was 109 degrees F, rectally, which was confirmed at ER as >107 degrees F, rectally. Efforts to cool and sedate (received ATIVAN and HALDOL --> intubated). Temp down to 103 degrees F --> transferred to another Hospital. Temp down to 101 on admission; given additional fentanyl and versed for agitation. Hemodynamically stable with HRs 80-90 and SBP 100-20s; O2 stats > 97%. Loose green stools. HOSPITAL COURSE: Agitated, febrile to 102 rectally despite cooling blanket, fan and ice packs. Given Librium d/t concern for DTs with ETOH intake of about 30 beers/week (last ETOH intake around 3/14/2010); given VERSED as needed for agitation. Concern for cerebral edema (per CT with concern for herniation; episode in scanner where he was unresponsive, sluggish small pupils, heart rate in 30s, requiring resuscitation -->MICU). Given Mannitol with improvement. F/u MRI w/o evidence of elevated ICP. Received coverage for infections (doxy, vancomycin, ceftriaxzone, and acyclovir). After consultation with CDC and VHC, VIG (X1) administered IV (6000 units per kg) and pat also received IV methylprednisolone. Over hospital course, temperature returned to normal after several days, LFTS improved and mental status improved to near baseline. By 24 March, patient was extubated. He was following commands and answering questions, but no recall of previous 7 days. He was discharged on 28 March 2010. 13 April, Follow up visit, problems with motor skills (difficulty using fork and pen) and continues to report memory lapses ( -- > repair MRI and Neurology follow-up appt). 26 April, Follow Up, problems with mild memory lapses with forgetting what he is doing and at time how to do simple things such as tie his shoes. Problems falling asleep with sleep initiation taking anywhere from 2-3 hours. Also, admits to increased mood swings but he admits to being under some pressure from all this going on.
Age: 22.0
Sex: M
Vaccine: ANTH, FLU(H1N1), SMALL, TYP, ANTH, FLU(H1N1), SMALL, TYP
Symptoms: Activities of daily living impaired, Aggression, Agitation, Alanine aminotransferase normal, Anion gap increased
Clinical narrative: 22 y/o male who collapsed after a prolonged high intensity exercise run wearing about 30-40 lbs of gear on field run for > 1 hour; felt "unwell" at the end of 4 mile run; walked around about 1 1/2 laps and then collapsed. Does not recall any events following collapse until about 8 days later while hospitalized. Pt felt well prior to run - "near 100%". Reports he was well hydrated. When patient transported by ambulance, he experienced an altered mental status (initially unresponsive, then agitated, combative) and his temperature was 109 degrees F, rectally, which was confirmed at ER as >107 degrees F, rectally. Efforts to cool and sedate (received ATIVAN and HALDOL --> intubated). Temp down to 103 degrees F --> transferred to another Hospital. Temp down to 101 on admission; given additional fentanyl and versed for agitation. Hemodynamically stable with HRs 80-90 and SBP 100-20s; O2 stats > 97%. Loose green stools. HOSPITAL COURSE: Agitated, febrile to 102 rectally despite cooling blanket, fan and ice packs. Given Librium d/t concern for DTs with ETOH intake of about 30 beers/week (last ETOH intake around 3/14/2010); given VERSED as needed for agitation. Concern for cerebral edema (per CT with concern for herniation; episode in scanner where he was unresponsive, sluggish small pupils, heart rate in 30s, requiring resuscitation -->MICU). Given Mannitol with improvement. F/u MRI w/o evidence of elevated ICP. Received coverage for infections (doxy, vancomycin, ceftriaxzone, and acyclovir). After consultation with CDC and VHC, VIG (X1) administered IV (6000 units per kg) and pat also received IV methylprednisolone. Over hospital course, temperature returned to normal after several days, LFTS improved and mental status improved to near baseline. By 24 March, patient was extubated. He was following commands and answering questions, but no recall of previous 7 days. He was discharged on 28 March 2010. 13 April, Follow up visit, problems with motor skills (difficulty using fork and pen) and continues to report memory lapses ( -- > repair MRI and Neurology follow-up appt). 26 April, Follow Up, problems with mild memory lapses with forgetting what he is doing and at time how to do simple things such as tie his shoes. Problems falling asleep with sleep initiation taking anywhere from 2-3 hours. Also, admits to increased mood swings but he admits to being under some pressure from all this going on.
Age: 22.0
Sex: M
Vaccine: ANTH, FLU(H1N1), SMALL, TYP, ANTH, FLU(H1N1), SMALL, TYP
Symptoms: Aspartate aminotransferase increased, Blood albumin normal, Blood bicarbonate decreased, Blood calcium increased, Blood chloride normal
Clinical narrative: 22 y/o male who collapsed after a prolonged high intensity exercise run wearing about 30-40 lbs of gear on field run for > 1 hour; felt "unwell" at the end of 4 mile run; walked around about 1 1/2 laps and then collapsed. Does not recall any events following collapse until about 8 days later while hospitalized. Pt felt well prior to run - "near 100%". Reports he was well hydrated. When patient transported by ambulance, he experienced an altered mental status (initially unresponsive, then agitated, combative) and his temperature was 109 degrees F, rectally, which was confirmed at ER as >107 degrees F, rectally. Efforts to cool and sedate (received ATIVAN and HALDOL --> intubated). Temp down to 103 degrees F --> transferred to another Hospital. Temp down to 101 on admission; given additional fentanyl and versed for agitation. Hemodynamically stable with HRs 80-90 and SBP 100-20s; O2 stats > 97%. Loose green stools. HOSPITAL COURSE: Agitated, febrile to 102 rectally despite cooling blanket, fan and ice packs. Given Librium d/t concern for DTs with ETOH intake of about 30 beers/week (last ETOH intake around 3/14/2010); given VERSED as needed for agitation. Concern for cerebral edema (per CT with concern for herniation; episode in scanner where he was unresponsive, sluggish small pupils, heart rate in 30s, requiring resuscitation -->MICU). Given Mannitol with improvement. F/u MRI w/o evidence of elevated ICP. Received coverage for infections (doxy, vancomycin, ceftriaxzone, and acyclovir). After consultation with CDC and VHC, VIG (X1) administered IV (6000 units per kg) and pat also received IV methylprednisolone. Over hospital course, temperature returned to normal after several days, LFTS improved and mental status improved to near baseline. By 24 March, patient was extubated. He was following commands and answering questions, but no recall of previous 7 days. He was discharged on 28 March 2010. 13 April, Follow up visit, problems with motor skills (difficulty using fork and pen) and continues to report memory lapses ( -- > repair MRI and Neurology follow-up appt). 26 April, Follow Up, problems with mild memory lapses with forgetting what he is doing and at time how to do simple things such as tie his shoes. Problems falling asleep with sleep initiation taking anywhere from 2-3 hours. Also, admits to increased mood swings but he admits to being under some pressure from all this going on.
Age: 22.0
Sex: M
Vaccine: ANTH, FLU(H1N1), SMALL, TYP, ANTH, FLU(H1N1), SMALL, TYP
Symptoms: Blood creatine phosphokinase increased, Blood creatinine normal, Blood sodium normal, Blood urea normal, Body temperature increased
Clinical narrative: 22 y/o male who collapsed after a prolonged high intensity exercise run wearing about 30-40 lbs of gear on field run for > 1 hour; felt "unwell" at the end of 4 mile run; walked around about 1 1/2 laps and then collapsed. Does not recall any events following collapse until about 8 days later while hospitalized. Pt felt well prior to run - "near 100%". Reports he was well hydrated. When patient transported by ambulance, he experienced an altered mental status (initially unresponsive, then agitated, combative) and his temperature was 109 degrees F, rectally, which was confirmed at ER as >107 degrees F, rectally. Efforts to cool and sedate (received ATIVAN and HALDOL --> intubated). Temp down to 103 degrees F --> transferred to another Hospital. Temp down to 101 on admission; given additional fentanyl and versed for agitation. Hemodynamically stable with HRs 80-90 and SBP 100-20s; O2 stats > 97%. Loose green stools. HOSPITAL COURSE: Agitated, febrile to 102 rectally despite cooling blanket, fan and ice packs. Given Librium d/t concern for DTs with ETOH intake of about 30 beers/week (last ETOH intake around 3/14/2010); given VERSED as needed for agitation. Concern for cerebral edema (per CT with concern for herniation; episode in scanner where he was unresponsive, sluggish small pupils, heart rate in 30s, requiring resuscitation -->MICU). Given Mannitol with improvement. F/u MRI w/o evidence of elevated ICP. Received coverage for infections (doxy, vancomycin, ceftriaxzone, and acyclovir). After consultation with CDC and VHC, VIG (X1) administered IV (6000 units per kg) and pat also received IV methylprednisolone. Over hospital course, temperature returned to normal after several days, LFTS improved and mental status improved to near baseline. By 24 March, patient was extubated. He was following commands and answering questions, but no recall of previous 7 days. He was discharged on 28 March 2010. 13 April, Follow up visit, problems with motor skills (difficulty using fork and pen) and continues to report memory lapses ( -- > repair MRI and Neurology follow-up appt). 26 April, Follow Up, problems with mild memory lapses with forgetting what he is doing and at time how to do simple things such as tie his shoes. Problems falling asleep with sleep initiation taking anywhere from 2-3 hours. Also, admits to increased mood swings but he admits to being under some pressure from all this going on.
Age: 22.0
Sex: M
Vaccine: ANTH, FLU(H1N1), SMALL, TYP, ANTH, FLU(H1N1), SMALL, TYP
Symptoms: Brain herniation, Brain oedema, Computerised tomogram abnormal, Diarrhoea, Drug screen negative
Clinical narrative: 22 y/o male who collapsed after a prolonged high intensity exercise run wearing about 30-40 lbs of gear on field run for > 1 hour; felt "unwell" at the end of 4 mile run; walked around about 1 1/2 laps and then collapsed. Does not recall any events following collapse until about 8 days later while hospitalized. Pt felt well prior to run - "near 100%". Reports he was well hydrated. When patient transported by ambulance, he experienced an altered mental status (initially unresponsive, then agitated, combative) and his temperature was 109 degrees F, rectally, which was confirmed at ER as >107 degrees F, rectally. Efforts to cool and sedate (received ATIVAN and HALDOL --> intubated). Temp down to 103 degrees F --> transferred to another Hospital. Temp down to 101 on admission; given additional fentanyl and versed for agitation. Hemodynamically stable with HRs 80-90 and SBP 100-20s; O2 stats > 97%. Loose green stools. HOSPITAL COURSE: Agitated, febrile to 102 rectally despite cooling blanket, fan and ice packs. Given Librium d/t concern for DTs with ETOH intake of about 30 beers/week (last ETOH intake around 3/14/2010); given VERSED as needed for agitation. Concern for cerebral edema (per CT with concern for herniation; episode in scanner where he was unresponsive, sluggish small pupils, heart rate in 30s, requiring resuscitation -->MICU). Given Mannitol with improvement. F/u MRI w/o evidence of elevated ICP. Received coverage for infections (doxy, vancomycin, ceftriaxzone, and acyclovir). After consultation with CDC and VHC, VIG (X1) administered IV (6000 units per kg) and pat also received IV methylprednisolone. Over hospital course, temperature returned to normal after several days, LFTS improved and mental status improved to near baseline. By 24 March, patient was extubated. He was following commands and answering questions, but no recall of previous 7 days. He was discharged on 28 March 2010. 13 April, Follow up visit, problems with motor skills (difficulty using fork and pen) and continues to report memory lapses ( -- > repair MRI and Neurology follow-up appt). 26 April, Follow Up, problems with mild memory lapses with forgetting what he is doing and at time how to do simple things such as tie his shoes. Problems falling asleep with sleep initiation taking anywhere from 2-3 hours. Also, admits to increased mood swings but he admits to being under some pressure from all this going on.
Age: 22.0
Sex: M
Vaccine: ANTH, FLU(H1N1), SMALL, TYP, ANTH, FLU(H1N1), SMALL, TYP
Symptoms: Endotracheal intubation, Extubation, Faeces discoloured, Immunoglobulin therapy, Intensive care
Clinical narrative: 22 y/o male who collapsed after a prolonged high intensity exercise run wearing about 30-40 lbs of gear on field run for > 1 hour; felt "unwell" at the end of 4 mile run; walked around about 1 1/2 laps and then collapsed. Does not recall any events following collapse until about 8 days later while hospitalized. Pt felt well prior to run - "near 100%". Reports he was well hydrated. When patient transported by ambulance, he experienced an altered mental status (initially unresponsive, then agitated, combative) and his temperature was 109 degrees F, rectally, which was confirmed at ER as >107 degrees F, rectally. Efforts to cool and sedate (received ATIVAN and HALDOL --> intubated). Temp down to 103 degrees F --> transferred to another Hospital. Temp down to 101 on admission; given additional fentanyl and versed for agitation. Hemodynamically stable with HRs 80-90 and SBP 100-20s; O2 stats > 97%. Loose green stools. HOSPITAL COURSE: Agitated, febrile to 102 rectally despite cooling blanket, fan and ice packs. Given Librium d/t concern for DTs with ETOH intake of about 30 beers/week (last ETOH intake around 3/14/2010); given VERSED as needed for agitation. Concern for cerebral edema (per CT with concern for herniation; episode in scanner where he was unresponsive, sluggish small pupils, heart rate in 30s, requiring resuscitation -->MICU). Given Mannitol with improvement. F/u MRI w/o evidence of elevated ICP. Received coverage for infections (doxy, vancomycin, ceftriaxzone, and acyclovir). After consultation with CDC and VHC, VIG (X1) administered IV (6000 units per kg) and pat also received IV methylprednisolone. Over hospital course, temperature returned to normal after several days, LFTS improved and mental status improved to near baseline. By 24 March, patient was extubated. He was following commands and answering questions, but no recall of previous 7 days. He was discharged on 28 March 2010. 13 April, Follow up visit, problems with motor skills (difficulty using fork and pen) and continues to report memory lapses ( -- > repair MRI and Neurology follow-up appt). 26 April, Follow Up, problems with mild memory lapses with forgetting what he is doing and at time how to do simple things such as tie his shoes. Problems falling asleep with sleep initiation taking anywhere from 2-3 hours. Also, admits to increased mood swings but he admits to being under some pressure from all this going on.
Age: 22.0
Sex: M
Vaccine: ANTH, FLU(H1N1), SMALL, TYP, ANTH, FLU(H1N1), SMALL, TYP
Symptoms: Liver function test abnormal, Malaise, Memory impairment, Mental status changes, Metabolic acidosis
Clinical narrative: 22 y/o male who collapsed after a prolonged high intensity exercise run wearing about 30-40 lbs of gear on field run for > 1 hour; felt "unwell" at the end of 4 mile run; walked around about 1 1/2 laps and then collapsed. Does not recall any events following collapse until about 8 days later while hospitalized. Pt felt well prior to run - "near 100%". Reports he was well hydrated. When patient transported by ambulance, he experienced an altered mental status (initially unresponsive, then agitated, combative) and his temperature was 109 degrees F, rectally, which was confirmed at ER as >107 degrees F, rectally. Efforts to cool and sedate (received ATIVAN and HALDOL --> intubated). Temp down to 103 degrees F --> transferred to another Hospital. Temp down to 101 on admission; given additional fentanyl and versed for agitation. Hemodynamically stable with HRs 80-90 and SBP 100-20s; O2 stats > 97%. Loose green stools. HOSPITAL COURSE: Agitated, febrile to 102 rectally despite cooling blanket, fan and ice packs. Given Librium d/t concern for DTs with ETOH intake of about 30 beers/week (last ETOH intake around 3/14/2010); given VERSED as needed for agitation. Concern for cerebral edema (per CT with concern for herniation; episode in scanner where he was unresponsive, sluggish small pupils, heart rate in 30s, requiring resuscitation -->MICU). Given Mannitol with improvement. F/u MRI w/o evidence of elevated ICP. Received coverage for infections (doxy, vancomycin, ceftriaxzone, and acyclovir). After consultation with CDC and VHC, VIG (X1) administered IV (6000 units per kg) and pat also received IV methylprednisolone. Over hospital course, temperature returned to normal after several days, LFTS improved and mental status improved to near baseline. By 24 March, patient was extubated. He was following commands and answering questions, but no recall of previous 7 days. He was discharged on 28 March 2010. 13 April, Follow up visit, problems with motor skills (difficulty using fork and pen) and continues to report memory lapses ( -- > repair MRI and Neurology follow-up appt). 26 April, Follow Up, problems with mild memory lapses with forgetting what he is doing and at time how to do simple things such as tie his shoes. Problems falling asleep with sleep initiation taking anywhere from 2-3 hours. Also, admits to increased mood swings but he admits to being under some pressure from all this going on.
Age: 22.0
Sex: M
Vaccine: ANTH, FLU(H1N1), SMALL, TYP, ANTH, FLU(H1N1), SMALL, TYP
Symptoms: Motor dysfunction, Nuclear magnetic resonance imaging brain normal, Psychomotor skills impaired, Pupillary reflex impaired, Pyrexia
Clinical narrative: 22 y/o male who collapsed after a prolonged high intensity exercise run wearing about 30-40 lbs of gear on field run for > 1 hour; felt "unwell" at the end of 4 mile run; walked around about 1 1/2 laps and then collapsed. Does not recall any events following collapse until about 8 days later while hospitalized. Pt felt well prior to run - "near 100%". Reports he was well hydrated. When patient transported by ambulance, he experienced an altered mental status (initially unresponsive, then agitated, combative) and his temperature was 109 degrees F, rectally, which was confirmed at ER as >107 degrees F, rectally. Efforts to cool and sedate (received ATIVAN and HALDOL --> intubated). Temp down to 103 degrees F --> transferred to another Hospital. Temp down to 101 on admission; given additional fentanyl and versed for agitation. Hemodynamically stable with HRs 80-90 and SBP 100-20s; O2 stats > 97%. Loose green stools. HOSPITAL COURSE: Agitated, febrile to 102 rectally despite cooling blanket, fan and ice packs. Given Librium d/t concern for DTs with ETOH intake of about 30 beers/week (last ETOH intake around 3/14/2010); given VERSED as needed for agitation. Concern for cerebral edema (per CT with concern for herniation; episode in scanner where he was unresponsive, sluggish small pupils, heart rate in 30s, requiring resuscitation -->MICU). Given Mannitol with improvement. F/u MRI w/o evidence of elevated ICP. Received coverage for infections (doxy, vancomycin, ceftriaxzone, and acyclovir). After consultation with CDC and VHC, VIG (X1) administered IV (6000 units per kg) and pat also received IV methylprednisolone. Over hospital course, temperature returned to normal after several days, LFTS improved and mental status improved to near baseline. By 24 March, patient was extubated. He was following commands and answering questions, but no recall of previous 7 days. He was discharged on 28 March 2010. 13 April, Follow up visit, problems with motor skills (difficulty using fork and pen) and continues to report memory lapses ( -- > repair MRI and Neurology follow-up appt). 26 April, Follow Up, problems with mild memory lapses with forgetting what he is doing and at time how to do simple things such as tie his shoes. Problems falling asleep with sleep initiation taking anywhere from 2-3 hours. Also, admits to increased mood swings but he admits to being under some pressure from all this going on.