chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: U
Vaccine: UNK
Symptoms: Death
Clinical narrative: None stated.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstruation irregular
Clinical narrative: Extended time between periods as well as longer period
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated, not boosted.   COVID infection breakthrough with inpatient hospital stay.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Chills, Dizziness, Fatigue, Headache
Clinical narrative: Vomiting, severe chills and shaking, headache, severe muscle aches , dizziness , fever,  sweats, lack of taste, fatigue, total duration four days . Symptoms changed daily.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Myalgia, Pyrexia, Tremor, Vomiting
Clinical narrative: Vomiting, severe chills and shaking, headache, severe muscle aches , dizziness , fever,  sweats, lack of taste, fatigue, total duration four days . Symptoms changed daily.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Asthma, Urticaria
Clinical narrative: 7yo male with long standing atopy, asthma, allergies.  Pt got first covid vax Dec 18. On Dec 30 he began to develop urticarial wheals over trunk. There were no exposures to new products, animals, etc. Treated with benadryl and zyrtec q6 hours, topical triamcinolone. Lesions resolved slowly fading into bruise like patches over the course of 4 days. Of note patient started xolair on Jan 3 for asthma and severe allergies. 2nd covid vax on Jan 15. On Jan 20, patient developed urticarial reaction on trunk and asthma flare requiring albuterol (previously not requiring albuterol for over a month). Reaction less robust than prior.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash, Vomiting
Clinical narrative: Rash all over body. Started vomiting. High fever
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Insomnia, Pyrexia
Clinical narrative: fever , chills,  insomnia
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Diabetic ketoacidosis, SARS-CoV-2 test positive
Clinical narrative: Hospitalized with diabetic keto acidosis  and incidentally positive  COVID.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia, Death, Diabetic ketoacidosis, Myocardial injury, Respiratory failure
Clinical narrative: Hospitalized with diabetic keto acidosis  and incidentally positive  COVID.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Pain in extremity, Pruritus
Clinical narrative: Weakness, itchiness, pain in limbs and fatigue.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: BodyAches, Sneezing, Runny nose, sorethroat, chills, low grade fever, nonproductive cough
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory viral panel, Rhinorrhoea, SARS-CoV-2 test negative, Sneezing
Clinical narrative: BodyAches, Sneezing, Runny nose, sorethroat, chills, low grade fever, nonproductive cough
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Itchy skin/Rashes and welts on random places on body
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Computerised tomogram head, Laboratory test
Clinical narrative: Bell's Palsy
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Anxiety, Feeling abnormal, Pain in extremity
Clinical narrative: arm soreness,  anxiety, prolonged brain foggy,  stomach upset
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site pruritus, Injection site swelling
Clinical narrative: MA administered vaccine.  About 5 mins after administration, patient complained of itching so I was asked to evaluate the patient.  No band-aid was applied to the site.  The itching was just at the administration site.  The area was swollen and bruising was noted.  Patient denied any changes in shortness of breath (has COPD), denied throat tightness, itching only at injection site.  Ice pack was applied and provider notified.  Patient was observed for an additional 15 mins (30 mins total).  At that time patient continued to deny symptoms other than itching at injection site.  Swelling did go down slightly with application of ice pack.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac arrest, Coma, Feeling abnormal, Immediate post-injection reaction, Laboratory test
Clinical narrative: I felt strange immediately and wa iui ted an extra 15 min. I was traveling went home got my things got on a plane to. By 11 that night I was in a coma, kidneys failed and had cardiac arrest. The emts brought me back but had kidney failure.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Renal failure
Clinical narrative: I felt strange immediately and wa iui ted an extra 15 min. I was traveling went home got my things got on a plane to. By 11 that night I was in a coma, kidneys failed and had cardiac arrest. The emts brought me back but had kidney failure.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Diabetic ketoacidosis
Clinical narrative: Diabetic keto acidosis  with incidental finding of COVID 19 infection
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: PATIENT CAME IN ON 01/20/22 AND STATED SHE NEEDED TO GET HER SECOND MODERNA DOSE. SHE DID NOT HAVE HER VACCINATION CARD WITH HER . ASKED HER WHICH VACCINE SHE GOT FOR THE FIRST DOSE, SHE STATED MODERNA, ASKED IF IT HAS BEEN 28 DAYS OR MORE SHE SAID YES. UPON CHECKING STATE'S RESGISTRY PT GOT PFIZER FOR HER FIRST DOSE.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Bilateral tinnitus, starting on April 2, 2021.  Consistently present since then, although spiking up and receding at times.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Odynophagia, Pruritus
Clinical narrative: Patient stated after receiving her booster shot around 15 to 20 mins after patient c/c of painful to swallow. Mild itchiness. No edema. Denies any rash, no edema of tongue,  breathing difficulty or SOB, chest pain, dizziness or any other medical symptoms.  Px was evaluated Vitals : BP: 101/66, RR 20 HR 97 Pulse ox (* at RA.)  px was anxious, but alert, oriented by 3, no acute distress.  lungs clear, HEENT:  no edema, no rash. clear.  heart : normal s1,s2, RRR. no murmur.  EMS was called. evaluated patient was in stable condition and refused to go to ED. px went home with mother. in stable condition.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Hormone level abnormal, Postmenopausal haemorrhage
Clinical narrative: Brought me out of menopause. I had not had a menstrual cycle for 14 months. 4 days after I had my first Covid-19 vaccine shot, my menstrual cycle resumed. Never did I have cramps with my cycles prior. Now that my menstrual cycle resumed after the vaccine shot, I have tremendous cramping. Large volumes of blood. Previously, my periods were very light. My hormone levels are still not balanced.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Heart rate increased, Nausea, Palpitations, Vertigo
Clinical narrative: My heart was beating very hard  and fast while laying down. I took ibuprofin and it helped but I thought you should know. My heart felt like it would explode and I was very dizzy and was experiencing intense vertigo as well. Playing a video game I turned the camera and nearly vomited.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid monitoring documentation. PT admitted 1/16/22 documented to have positive covid. PT received Moderna 03/23/21 Lot 045A21A for dose 1. Dose 2 was Moderna given on 04/20/21 Lot 038B21A.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain in extremity, Peripheral swelling, Rash erythematous, Skin warm
Clinical narrative: I have irregular tenderness at the injection site. My arm started to swell and be most painful with red swollen rash spreading from my arm to my breast and stomach. Rash was hot to the touch. Went to my PCP I was given steroid medication.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Paraesthesia, Pruritus, Rash
Clinical narrative: itching, tingling, burning left upper body, small rash on L breast
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse reaction
Clinical narrative: I only had a significant reaction to Dose 2. Not as bad for Dose 1 or Booster.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, Chills, Cough, Dyspnoea
Clinical narrative: COUGH, HA, FATIGUE, RN, CONGESTION, ST, FEVER, CHILLS, BODY ACHES, SOB, NAUSEA, ABD PAIN
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea, Oropharyngeal pain, Pain
Clinical narrative: COUGH, HA, FATIGUE, RN, CONGESTION, ST, FEVER, CHILLS, BODY ACHES, SOB, NAUSEA, ABD PAIN
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: COUGH, HA, FATIGUE, RN, CONGESTION, ST, FEVER, CHILLS, BODY ACHES, SOB, NAUSEA, ABD PAIN
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Alopecia
Clinical narrative: Severe hair loss on head and body
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Echocardiogram normal, Electrocardiogram normal, Intensive care, Myocardial necrosis marker increased
Clinical narrative: Patient had chest pain 2 days after having the COVID vaccine, was taken to ER and found to have elevated cardiac enzymes, was monitored and remained stable in Cardiac ICU, discharged home to FU with Cardiologist on 1/13/22.Myocarditis thought to be result of COVID vaccine.- Doctor. On 1/13/22 patient had the cardiologist consult in which both EKG and Echo-cardiogram were performed. Both with normal results.  According to the cardiologist his case was very mild and the diagnoses was made based on the chest pain that had resolved by the time he was admitted and troponin leak that was already down-trending by the time he came to the Cardiologist. Patient is to follow up with Cardiologist in 3 months to repeat troponin leak and NT-Pro BNP levels to confirm downtrend. No limitation on activities per Cardiologist.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Myocarditis, N-terminal prohormone brain natriuretic peptide abnormal, Troponin abnormal, Vaccination complication
Clinical narrative: Patient had chest pain 2 days after having the COVID vaccine, was taken to ER and found to have elevated cardiac enzymes, was monitored and remained stable in Cardiac ICU, discharged home to FU with Cardiologist on 1/13/22.Myocarditis thought to be result of COVID vaccine.- Doctor. On 1/13/22 patient had the cardiologist consult in which both EKG and Echo-cardiogram were performed. Both with normal results.  According to the cardiologist his case was very mild and the diagnoses was made based on the chest pain that had resolved by the time he was admitted and troponin leak that was already down-trending by the time he came to the Cardiologist. Patient is to follow up with Cardiologist in 3 months to repeat troponin leak and NT-Pro BNP levels to confirm downtrend. No limitation on activities per Cardiologist.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Appendicitis, COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalized with abdominal pain with worsening appendicitis,   COVID positive  1/8/2022  unrelated to hospitalization currently
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Pyrexia, Respiratory tract congestion
Clinical narrative: COUGH, FEVER, HA, CONGESTION
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: COUGH, FEVER, HA, CONGESTION
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Chest discomfort, Hyperhidrosis
Clinical narrative: Chest tightness with anxiety, sweating. improving symptoms when laying down or forward.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chest pain, Epistaxis, Pyrexia, Tongue disorder
Clinical narrative: Nose bleeding, chest pain, wheezing, scaled tongue, high fever 41*. These were the same symptoms when received the second dose of Moderna. Not reported previously. Severe joint pain since the first dose a year ago
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Wheezing
Clinical narrative: Nose bleeding, chest pain, wheezing, scaled tongue, high fever 41*. These were the same symptoms when received the second dose of Moderna. Not reported previously. Severe joint pain since the first dose a year ago
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swollen Lymph in armpit of the injection arm (Right)
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Myalgia, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: COUGH, FEVER, MUSCLE PAIN
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Asthenia, COVID-19, Chest X-ray abnormal, Emphysema
Clinical narrative: This is a 92 year old malewith past medical history of non-insulin dependent DM Type 2, renal calculi and bladder polyps who presented to the ED with complaints of nausea, vomiting and weakness, s/p mechanical fall. He denies any LOC or hitting his head. He reports two occastions of n/c today and subsequent weakness and fall. He was found on the ground at home by a neighbor who assisted in calling 911. A Urinalysis was suspicious for UTI. A CXR showed interstitial PNA, pulmonary edema vs pneumonitis. A CTA of the chest was neg for PE however did show a lesion in the RUL and severe emphysematic changes. (recommending PET scan) On arrival he was 90% on room air and his sats improved to 100@% on 2L n/c.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Interstitial lung disease, Lung disorder, Nausea, Pneumonitis
Clinical narrative: This is a 92 year old malewith past medical history of non-insulin dependent DM Type 2, renal calculi and bladder polyps who presented to the ED with complaints of nausea, vomiting and weakness, s/p mechanical fall. He denies any LOC or hitting his head. He reports two occastions of n/c today and subsequent weakness and fall. He was found on the ground at home by a neighbor who assisted in calling 911. A Urinalysis was suspicious for UTI. A CXR showed interstitial PNA, pulmonary edema vs pneumonitis. A CTA of the chest was neg for PE however did show a lesion in the RUL and severe emphysematic changes. (recommending PET scan) On arrival he was 90% on room air and his sats improved to 100@% on 2L n/c.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary oedema, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Urinary tract infection, Urine analysis abnormal
Clinical narrative: This is a 92 year old malewith past medical history of non-insulin dependent DM Type 2, renal calculi and bladder polyps who presented to the ED with complaints of nausea, vomiting and weakness, s/p mechanical fall. He denies any LOC or hitting his head. He reports two occastions of n/c today and subsequent weakness and fall. He was found on the ground at home by a neighbor who assisted in calling 911. A Urinalysis was suspicious for UTI. A CXR showed interstitial PNA, pulmonary edema vs pneumonitis. A CTA of the chest was neg for PE however did show a lesion in the RUL and severe emphysematic changes. (recommending PET scan) On arrival he was 90% on room air and his sats improved to 100@% on 2L n/c.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: This is a 92 year old malewith past medical history of non-insulin dependent DM Type 2, renal calculi and bladder polyps who presented to the ED with complaints of nausea, vomiting and weakness, s/p mechanical fall. He denies any LOC or hitting his head. He reports two occastions of n/c today and subsequent weakness and fall. He was found on the ground at home by a neighbor who assisted in calling 911. A Urinalysis was suspicious for UTI. A CXR showed interstitial PNA, pulmonary edema vs pneumonitis. A CTA of the chest was neg for PE however did show a lesion in the RUL and severe emphysematic changes. (recommending PET scan) On arrival he was 90% on room air and his sats improved to 100@% on 2L n/c.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Covid monitoring documentation. PT admitted 01/13/22 documented to have positive covid. PT received Moderna 2/9/21 Lot 031AM20A for dose 1. Dose 2 was Moderna given on 3/9/21 Lot 012A21A. PT received Moderna Booster on 11/9/21 Lot 022C21A. PT expired on 1/16/22 due to acute hypoxic respiratory failure secondary to COVID according to the death summary.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Death
Clinical narrative: Covid monitoring documentation. PT admitted 01/13/22 documented to have positive covid. PT received Moderna 2/9/21 Lot 031AM20A for dose 1. Dose 2 was Moderna given on 3/9/21 Lot 012A21A. PT received Moderna Booster on 11/9/21 Lot 022C21A. PT expired on 1/16/22 due to acute hypoxic respiratory failure secondary to COVID according to the death summary.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, Cough, Death, Dyspnoea
Clinical narrative: Pfizer COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 7/24/2021 and 8/15/2021. Presented to ED on 1/3/2022 with complaints of shortness of breath, progressively worse cough, and fever. Recently discharged four days prior due to GI Bleed. Admitted for acute respiratory failure with hypoxia due to HCAP/Covid. Treated w/remdesivir and BIPAP. DNR/COT upon admission. Exipred on 1/10/2022.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Gastrointestinal haemorrhage, Pneumonia, Positive airway pressure therapy, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Pfizer COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 7/24/2021 and 8/15/2021. Presented to ED on 1/3/2022 with complaints of shortness of breath, progressively worse cough, and fever. Recently discharged four days prior due to GI Bleed. Admitted for acute respiratory failure with hypoxia due to HCAP/Covid. Treated w/remdesivir and BIPAP. DNR/COT upon admission. Exipred on 1/10/2022.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: approximately 5 minutes after injection, patient became dizzy while sitting in chair and felt like she was going to pass out.   Pt was laid down on yoga mat with legs elevated.  BP and pulse monitored.  Water given to drink.  Pt states she had not eaten since breakfast.  After approximately 5 minutes.  Pt was feeling better able to sit up and drink water.   After approximately 10 min she was able to stand and leave with mother
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Vision blurred, Vomiting
Clinical narrative: Client states approximately 20 mins after receiving vaccine she became dizzy and vision was blurry. She states she vomited 7 times throughout the day. She states she was going to the DR
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, Diarrhoea, SARS-CoV-2 antibody test, SARS-CoV-2 test negative
Clinical narrative: 74-year-old male with a past medical history significant for prostate cancer, AFib on Eliquis, hypertension, hyperlipidemia who presents emergency room for evaluation of multiple abdominal symptoms. The patient reports that he has been having intermittent episodes of abdominal pain which she describes as more intermittent in generalized. He reports that he has also been having increased loose stools which she reports at times can have at least 10 per day.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 74-year-old male with a past medical history significant for prostate cancer, AFib on Eliquis, hypertension, hyperlipidemia who presents emergency room for evaluation of multiple abdominal symptoms. The patient reports that he has been having intermittent episodes of abdominal pain which she describes as more intermittent in generalized. He reports that he has also been having increased loose stools which she reports at times can have at least 10 per day.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Hypoaesthesia, Pruritus, Rash
Clinical narrative: Reported lightheadedness 1 hour after vaccine.  Then that night itching all over body felt clammy.  The next day had bumps on the face around the nose and mouth.  Then there was a rash all over of the face and neck.  The symptoms recurred from August often on until the end of December, 2021.  In addition, on the day of the vaccine the upper and lower portions of the legs felt numb for around 2 weeks.  That sensation resolved after 2 weeks.  As of January 21, 2022 she is doing okay.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Nasal congestion, SARS-CoV-2 test positive, Sneezing
Clinical narrative: COUGH, NASAL CONGESTION, SNEEZING
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Blood immunoglobulin G, Blood immunoglobulin M, Blood sodium decreased, C-reactive protein increased
Clinical narrative: Patient is a 38 year old male with PMH of MS who presents to the ED for c/o chest tightness. As per patient, he had c/o fever and sweating on 1/9/22 and took a home covid test which was positive. Patient reports daily nightly fevers of 102 since the positive test. Patient states that he would take Advil which would relieve fever by morning. Patient has had c/o cough and developed pleurtic chest pains with deep inspiration. Patient was sent for a CXR done yesterday which showed bilateral ground glass opacities. Patient denies shortness of breath, nausea, vomiting and diarrhea. Patient is double vaccinated w/ Pfizer.  In the ED, O2 saturation on RA 90%. Na 130, CRP 4.48, ferritin 356, trop <0.03, D Dimer 343. CTA of the chest reveals no evidence of PE, patchy bilateral ground glass opacities which are relatively symmetric, imaging features may be seen in Covid 19 PNA. Patient received dexamethasone.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Chest discomfort, Chest pain, Cough
Clinical narrative: Patient is a 38 year old male with PMH of MS who presents to the ED for c/o chest tightness. As per patient, he had c/o fever and sweating on 1/9/22 and took a home covid test which was positive. Patient reports daily nightly fevers of 102 since the positive test. Patient states that he would take Advil which would relieve fever by morning. Patient has had c/o cough and developed pleurtic chest pains with deep inspiration. Patient was sent for a CXR done yesterday which showed bilateral ground glass opacities. Patient denies shortness of breath, nausea, vomiting and diarrhea. Patient is double vaccinated w/ Pfizer.  In the ED, O2 saturation on RA 90%. Na 130, CRP 4.48, ferritin 356, trop <0.03, D Dimer 343. CTA of the chest reveals no evidence of PE, patchy bilateral ground glass opacities which are relatively symmetric, imaging features may be seen in Covid 19 PNA. Patient received dexamethasone.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer, Hyperhidrosis, Lung opacity, Painful respiration, Pleuritic pain
Clinical narrative: Patient is a 38 year old male with PMH of MS who presents to the ED for c/o chest tightness. As per patient, he had c/o fever and sweating on 1/9/22 and took a home covid test which was positive. Patient reports daily nightly fevers of 102 since the positive test. Patient states that he would take Advil which would relieve fever by morning. Patient has had c/o cough and developed pleurtic chest pains with deep inspiration. Patient was sent for a CXR done yesterday which showed bilateral ground glass opacities. Patient denies shortness of breath, nausea, vomiting and diarrhea. Patient is double vaccinated w/ Pfizer.  In the ED, O2 saturation on RA 90%. Na 130, CRP 4.48, ferritin 356, trop <0.03, D Dimer 343. CTA of the chest reveals no evidence of PE, patchy bilateral ground glass opacities which are relatively symmetric, imaging features may be seen in Covid 19 PNA. Patient received dexamethasone.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Serum ferritin increased, Troponin normal
Clinical narrative: Patient is a 38 year old male with PMH of MS who presents to the ED for c/o chest tightness. As per patient, he had c/o fever and sweating on 1/9/22 and took a home covid test which was positive. Patient reports daily nightly fevers of 102 since the positive test. Patient states that he would take Advil which would relieve fever by morning. Patient has had c/o cough and developed pleurtic chest pains with deep inspiration. Patient was sent for a CXR done yesterday which showed bilateral ground glass opacities. Patient denies shortness of breath, nausea, vomiting and diarrhea. Patient is double vaccinated w/ Pfizer.  In the ED, O2 saturation on RA 90%. Na 130, CRP 4.48, ferritin 356, trop <0.03, D Dimer 343. CTA of the chest reveals no evidence of PE, patchy bilateral ground glass opacities which are relatively symmetric, imaging features may be seen in Covid 19 PNA. Patient received dexamethasone.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Chills, Fatigue, Lymphadenopathy
Clinical narrative: 1/17/21 at 1:30pm- Nausea and vomitting lasting several hours 1/18/21: aching, chills, fatigue, swollen lymph nodes  1/19/21:  decreased sense of taste/smell
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Vomiting
Clinical narrative: 1/17/21 at 1:30pm- Nausea and vomitting lasting several hours 1/18/21: aching, chills, fatigue, swollen lymph nodes  1/19/21:  decreased sense of taste/smell
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Rash, Swelling, Tenderness
Clinical narrative: Rash, redness, tender, swelling and lump in R arm pit.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Scratch, Skin warm, Urticaria
Clinical narrative: Developed hives and scratch like rash all over the body. It would come and go and move. Hot to the touch and itchy. Went to the doctor and began Zyrtec. As of now have had hives for 15 days.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Full blood count, Platelet count decreased
Clinical narrative: Significant, life threatening drop of platelets in ITP patient despite months of stability on Promacta.     Covid Shot on 1/6/21. Platelets dropped to 11, 000,  on 1/13/21. Bruising noted. Doubled her dose of Promacta to 50 mg as per Dr.  1/19 - platelets down to 5,000.  Increased dose of Promacta to 75mg.  1/21 platelets trending up to 24,000.   Will continue on 75 MG on Promacta as per doctors orders but this has caused liver function issues and liver sickness at these high doses in 2021.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Hypersomnia, Lethargy, SARS-CoV-2 antibody test
Clinical narrative: Patient is a 72 year old female with PMH hypothyroid, COPD on home O2, anxiety, HTN, depression and GERD who presents to the ED for weakness and lethargy. Patient is A&O to person only. History is obtained from the record. As per the record, the patient's husband reports that the patient typically sleeps 10-12 hours but over the past few days the pateitn has been sleeping 23 out of 24 hours a day. The husband reports that her oxygen level was 88% on oxygen, he increased it and her saturation improved to 90%. The husband reports that he recently had a head cold. The patient's husband called Doctor and was told to send patient to the ED. At present, patient is arousable to verbal stimuli and denies chest pain and shortness of breath.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: Patient is a 72 year old female with PMH hypothyroid, COPD on home O2, anxiety, HTN, depression and GERD who presents to the ED for weakness and lethargy. Patient is A&O to person only. History is obtained from the record. As per the record, the patient's husband reports that the patient typically sleeps 10-12 hours but over the past few days the pateitn has been sleeping 23 out of 24 hours a day. The husband reports that her oxygen level was 88% on oxygen, he increased it and her saturation improved to 90%. The husband reports that he recently had a head cold. The patient's husband called Doctor and was told to send patient to the ED. At present, patient is arousable to verbal stimuli and denies chest pain and shortness of breath.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests normal, Ear, nose and throat examination, Magnetic resonance imaging normal, Tinnitus, Venogram
Clinical narrative: Several months after the vaccine I developed left ear tinnitus. I saw an ENT specialist who performed an MRI and MRV of my left ear canal to rule out any clot and my hearing was also performed but was within normal ranges. And so far I am still experiencing it and to date there has been no reason as to why the tinnitus even developed.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Goitre, Lymphadenopathy, Swelling, Swollen tongue
Clinical narrative: I woke up the following day after vaccine and looked like I had goiter. My neck was so swollen and under my tongue, it was hard to breathe through my mouth and my throat was like razor blades.. They did an ultrasound on my neck and said my lymph glands were swollen. I was given one injection of cortizone. It took about 5 days for me to be comfortable and about two weeks for all swelling to go down.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation, Ultrasound scan
Clinical narrative: I woke up the following day after vaccine and looked like I had goiter. My neck was so swollen and under my tongue, it was hard to breathe through my mouth and my throat was like razor blades.. They did an ultrasound on my neck and said my lymph glands were swollen. I was given one injection of cortizone. It took about 5 days for me to be comfortable and about two weeks for all swelling to go down.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Adult dose given no reaction
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Nausea, Oropharyngeal pain, Pain
Clinical narrative: SINUS PRESSURE, ST, BODY ACHES, COUGH, NAUSEA.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Paranasal sinus discomfort, SARS-CoV-2 RNA
Clinical narrative: SINUS PRESSURE, ST, BODY ACHES, COUGH, NAUSEA.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Panic attack, Vaccine positive rechallenge
Clinical narrative: Pt. states that after receiving the 1st dose of Moderna 04/04/2021, started experiencing symptoms 04/04/2021 of severe anxiety and panic attacks. No noted Primary visit/communications. Pt. still continuing to experience symptoms/ Received 2nd dose of Moderna 04/30/2021 017B21A (Experienced similar symptoms)
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, Condition aggravated, Pancreatic carcinoma metastatic, SARS-CoV-2 test positive
Clinical narrative: Recent diagnosis metastatic pancreatic CA, cam in with abdominal pain.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pt mom miss represented child age at offsite school clinic.  No way of knowing that was not the correct age at the time of  the immunization.  Incorrect date of birth was given.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash papular
Clinical narrative: Raised red rash on arms, hands, neck, chest, forehead that started about 4 hours after vaccine received. taking benedryl
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Respiration abnormal, Respiratory tract congestion, SARS-CoV-2 antibody test, SARS-CoV-2 test negative
Clinical narrative: Patient is a 76 year old male with PMH of COPD/emphysema and afib who presents to the ED. As per patient, the staff thought that he was breathing "heavy" so they administered a Covid test and the patient was positive. Patient is chronically on O2 at 3L/min and as per ED record, patient was satting 83% sent to the hospital. Patient states he was feeling congested and was started on Zithromax and Prednisone today. Patient denies feeling short of breath at present. Patient denies chest pain, nausea, vomiting and diarrhea.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient is a 76 year old male with PMH of COPD/emphysema and afib who presents to the ED. As per patient, the staff thought that he was breathing "heavy" so they administered a Covid test and the patient was positive. Patient is chronically on O2 at 3L/min and as per ED record, patient was satting 83% sent to the hospital. Patient states he was feeling congested and was started on Zithromax and Prednisone today. Patient denies feeling short of breath at present. Patient denies chest pain, nausea, vomiting and diarrhea.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dyspnoea, Panic attack
Clinical narrative: Pt. states that after receiving the 3rd dose of Phizer 01/18/2022, started experiencing symptoms 01/19/2022 of severe anxiety, panic attacks, and shortness of breath. No noted Primary visit/communications.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Pruritus, Throat irritation, Urticaria
Clinical narrative: Approximately 2 hours after leaving the pharmacy, patient was home and throat became tickly and itching. Then it became itching extensively everywhere. Her throat was so itchy she started coughing. No rash, but there was a red welt on the arm where the vaccine was received. Patient chlorpheniramine 4mg to help and that helped side effects subside. Took Wednesday evening and Thursday as well. Itchy throat and insides ears still present but not severe.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Body temperature increased, Chills, Fatigue
Clinical narrative: chills, fatigue, elevated temperature of 99.7 on day one that increased to 100.9 on day two
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive for covid.  This is second time.  Also positive in 2019 per employee
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Constipation, Dizziness, Fatigue, Feeling abnormal
Clinical narrative: Neuropathy beginning on right side of abdomen and back and slowly encompassing entire right leg and foot, as well as left foot and leg up to the shin. Additional symptoms include: nerve pain in abdomen and back, severe constipation, dizziness, poor balance, headache, blurred vision, brain fog, low flow urination, fatigue, brittle nails
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Laboratory test, Magnetic resonance imaging, Magnetic resonance imaging head, Neuralgia
Clinical narrative: Neuropathy beginning on right side of abdomen and back and slowly encompassing entire right leg and foot, as well as left foot and leg up to the shin. Additional symptoms include: nerve pain in abdomen and back, severe constipation, dizziness, poor balance, headache, blurred vision, brain fog, low flow urination, fatigue, brittle nails
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Neuropathy peripheral, Onychoclasis, Urinary tract disorder, Vision blurred
Clinical narrative: Neuropathy beginning on right side of abdomen and back and slowly encompassing entire right leg and foot, as well as left foot and leg up to the shin. Additional symptoms include: nerve pain in abdomen and back, severe constipation, dizziness, poor balance, headache, blurred vision, brain fog, low flow urination, fatigue, brittle nails
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Electrocardiogram, Electroencephalogram, Magnetic resonance imaging
Clinical narrative: Approximately 8 hours after vaccine I was having a seizure in bed. Within hour of that at the hospital. Missing some memory of the events after the seizure
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Memory impairment, Seizure
Clinical narrative: Approximately 8 hours after vaccine I was having a seizure in bed. Within hour of that at the hospital. Missing some memory of the events after the seizure
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Death, General physical health deterioration, Life support
Clinical narrative: Patient with Moderna vaccination x2 last dose 03/20/21 admitted with respiratory failure from COVID pneumonia who subsequently died.  Provider discharge summary below:  "Patient with underlying Chronic obstructive pulmonary disease and Chronic systolic heart failure (EF 40% Echo 10/2019)  despite having several vaccinations has developed Acute respiratory failure with hypoxia from Pneumonia due to COVID-19 virus,  Patient was dependent on BiPAP @ FIO2 of 100% with marginal saturations.  Was initially treated with DECADRON, REMDESIVIR but patient continued to deteriorate and patient was not tolerating the BiPAP.  Discussion held with multiple family member outside patient's room on 1/18/22 and we agreed to switch to comfort care.  Patient was started on MORPHINE drip and had been comfortable on the BiPAP./  The family later decided when to remove the life support and he passed peacefully with family at his side. "
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Positive airway pressure therapy, SARS-CoV-2 test positive, Withdrawal of life support
Clinical narrative: Patient with Moderna vaccination x2 last dose 03/20/21 admitted with respiratory failure from COVID pneumonia who subsequently died.  Provider discharge summary below:  "Patient with underlying Chronic obstructive pulmonary disease and Chronic systolic heart failure (EF 40% Echo 10/2019)  despite having several vaccinations has developed Acute respiratory failure with hypoxia from Pneumonia due to COVID-19 virus,  Patient was dependent on BiPAP @ FIO2 of 100% with marginal saturations.  Was initially treated with DECADRON, REMDESIVIR but patient continued to deteriorate and patient was not tolerating the BiPAP.  Discussion held with multiple family member outside patient's room on 1/18/22 and we agreed to switch to comfort care.  Patient was started on MORPHINE drip and had been comfortable on the BiPAP./  The family later decided when to remove the life support and he passed peacefully with family at his side. "
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Resident was in observation area. Noted to by lying across husband's lap. Resident was taken to EMS room & threw up. Given ice pack, snack & water. Afterwards voicing relief. Vitals BP 122/78, HR73, 99% RA, RR 18. At 1830 denied being lightheaded or dizzy, refused wheelchair & walked out with husband was asymptomatic
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Endoscopy, Fatigue, Headache, Nasal congestion
Clinical narrative: Severe congestion, nasal discharge, chest pain, severe headaches, fatigue for over a month.  Treated first for sinus issues, amoxicillin. Still got worse, they put on singular, got worse. Then treated with steroids, nasal sprays, additional antibiotics. All failed. Chest x-rays normal, but massive sinus swelling, inability to breathe at all through nasal passages.   ASSESSMENT AND PLAN Impression 1 left septal deviation 2 chronic sinusitis-with acute flare 3 nasal polyps Plan I have placed her on XHANCE 2 sprays twice a day and write her with samples as well as her prednisone taper. The risks and benefits of oral steroids were reviewed with her all questions were answered and plans agreed upon. I will see her back in a couple weeks make sure her symptoms have resolved. . CHIEF COMPLAINT NP SEVERE CONGESTION  HPI .....  *  Patient is a very pleasant 46-year-old female seen in consultation from Dr. for evaluation of her nasal congestion. She is been having severe nasal congestion over the last month after receiving her Covid 19 immunization. The next day she had severe nasal congestion with copious amounts of rhinorrhea and postnasal drainage. She was placed on a course of amoxicillin without improvement. She has tried using a nasal saline irrigation which caused severe pain and pressure in both of her ear as well as a severe headache. She was placed on Singulair and Flonase without improvement. Her sense of smell has been diminished but still present and she reports no loss of taste. She feels she is chronically blowing her nose with thick copious amounts of mucus production. She denies any dysphagia or odynophagia has had no hoarseness or cough. She did take a recent Covid test which was negative.  HIGH CRITICALITY ALLERGY TO PFIZER COVID VACCINE
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Rhinorrhoea, Swelling
Clinical narrative: Severe congestion, nasal discharge, chest pain, severe headaches, fatigue for over a month.  Treated first for sinus issues, amoxicillin. Still got worse, they put on singular, got worse. Then treated with steroids, nasal sprays, additional antibiotics. All failed. Chest x-rays normal, but massive sinus swelling, inability to breathe at all through nasal passages.   ASSESSMENT AND PLAN Impression 1 left septal deviation 2 chronic sinusitis-with acute flare 3 nasal polyps Plan I have placed her on XHANCE 2 sprays twice a day and write her with samples as well as her prednisone taper. The risks and benefits of oral steroids were reviewed with her all questions were answered and plans agreed upon. I will see her back in a couple weeks make sure her symptoms have resolved. . CHIEF COMPLAINT NP SEVERE CONGESTION  HPI .....  *  Patient is a very pleasant 46-year-old female seen in consultation from Dr. for evaluation of her nasal congestion. She is been having severe nasal congestion over the last month after receiving her Covid 19 immunization. The next day she had severe nasal congestion with copious amounts of rhinorrhea and postnasal drainage. She was placed on a course of amoxicillin without improvement. She has tried using a nasal saline irrigation which caused severe pain and pressure in both of her ear as well as a severe headache. She was placed on Singulair and Flonase without improvement. Her sense of smell has been diminished but still present and she reports no loss of taste. She feels she is chronically blowing her nose with thick copious amounts of mucus production. She denies any dysphagia or odynophagia has had no hoarseness or cough. She did take a recent Covid test which was negative.  HIGH CRITICALITY ALLERGY TO PFIZER COVID VACCINE
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pharyngeal swelling, Urticaria
Clinical narrative: Lymph node under left arm swelled significantly (tennis ball sized) (swelling increased over 2 days, stayed steady for 2 days, and then began decreasing. Has not yet fully subsided after 11 days)  Hives on head, neck, chest, back, and abdomen  Face & throat swelling  Hives & face/throat swelling improved after 24 hours and treatment with Benadryl.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Muscle spasms
Clinical narrative: Extremely heavy period the month after receiving third vaccination of Pfizer. 16 year old daughter has only experienced light to average periods of 3-4 days in length. This month is having an extremely heavy period, combined with bad cramps. Currently is on day 5 of her period which is still rather heavy
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatinine increased, Brain natriuretic peptide increased, COVID-19, Cardiomegaly, Cerebral calcification
Clinical narrative: Patient currently hospitalized.  This is a pleasant 78 year old female with history of angioblastic T cell lymphoma as well as CKD, diastolic heart failure, and Afib who presented to the ED today with worsening SOB. She tells me that her home lasix dose had decreased in December and she has gradually noted an increase in lower ext edema since that time. As well as a gradually weight gain and slowly increasing SOB. This past week she did develop a low grade fever and was started on oral abx as an OP for an UTI. Low grade fevers have continued and she has been more fatigued with more sleeping and her appetite has decreased in the last several days. Her Daughter is with her and she reports that today when she went to bring her to the ED, moving her around made her quite SOB. In the ED labs revealed a positive Covid-19 PCR, as well as a BNP of 59,999 and a CXR that showed mild fluid overload. Her Hgb appeared relatively stable as to what she has had in the office at 8.6 and her Kidney function actually was better with a Cre at 1.82 than what it had been previously. She is admitted for further medical management and work-up.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Computerised tomogram head abnormal, Decreased appetite, Dyspnoea, Dyspnoea exertional
Clinical narrative: Patient currently hospitalized.  This is a pleasant 78 year old female with history of angioblastic T cell lymphoma as well as CKD, diastolic heart failure, and Afib who presented to the ED today with worsening SOB. She tells me that her home lasix dose had decreased in December and she has gradually noted an increase in lower ext edema since that time. As well as a gradually weight gain and slowly increasing SOB. This past week she did develop a low grade fever and was started on oral abx as an OP for an UTI. Low grade fevers have continued and she has been more fatigued with more sleeping and her appetite has decreased in the last several days. Her Daughter is with her and she reports that today when she went to bring her to the ED, moving her around made her quite SOB. In the ED labs revealed a positive Covid-19 PCR, as well as a BNP of 59,999 and a CXR that showed mild fluid overload. Her Hgb appeared relatively stable as to what she has had in the office at 8.6 and her Kidney function actually was better with a Cre at 1.82 than what it had been previously. She is admitted for further medical management and work-up.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Haemoglobin normal, Hypervolaemia, Influenza A virus test negative, Influenza B virus test
Clinical narrative: Patient currently hospitalized.  This is a pleasant 78 year old female with history of angioblastic T cell lymphoma as well as CKD, diastolic heart failure, and Afib who presented to the ED today with worsening SOB. She tells me that her home lasix dose had decreased in December and she has gradually noted an increase in lower ext edema since that time. As well as a gradually weight gain and slowly increasing SOB. This past week she did develop a low grade fever and was started on oral abx as an OP for an UTI. Low grade fevers have continued and she has been more fatigued with more sleeping and her appetite has decreased in the last several days. Her Daughter is with her and she reports that today when she went to bring her to the ED, moving her around made her quite SOB. In the ED labs revealed a positive Covid-19 PCR, as well as a BNP of 59,999 and a CXR that showed mild fluid overload. Her Hgb appeared relatively stable as to what she has had in the office at 8.6 and her Kidney function actually was better with a Cre at 1.82 than what it had been previously. She is admitted for further medical management and work-up.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Intracranial mass, Lacunar infarction, Lung opacity, Mucosal hypertrophy, Oedema peripheral
Clinical narrative: Patient currently hospitalized.  This is a pleasant 78 year old female with history of angioblastic T cell lymphoma as well as CKD, diastolic heart failure, and Afib who presented to the ED today with worsening SOB. She tells me that her home lasix dose had decreased in December and she has gradually noted an increase in lower ext edema since that time. As well as a gradually weight gain and slowly increasing SOB. This past week she did develop a low grade fever and was started on oral abx as an OP for an UTI. Low grade fevers have continued and she has been more fatigued with more sleeping and her appetite has decreased in the last several days. Her Daughter is with her and she reports that today when she went to bring her to the ED, moving her around made her quite SOB. In the ED labs revealed a positive Covid-19 PCR, as well as a BNP of 59,999 and a CXR that showed mild fluid overload. Her Hgb appeared relatively stable as to what she has had in the office at 8.6 and her Kidney function actually was better with a Cre at 1.82 than what it had been previously. She is admitted for further medical management and work-up.