chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia viral, Procalcitonin, Prothrombin time prolonged, Pulmonary fibrosis, Pyrexia
Clinical narrative: Narrative: COVID infection following COVID vaccine series 01/05, Pfizer, dose #1 01/27, Pfizer, dose #2 08/24 pt cc: No symptoms exposure: unknown 08/24 CTA PE impression: Bilateral pneumonia. Viral pneumonia is within the differential. No pulmonary embolus. 08/24 CXR impression: Bilateral lung opacities most consistent with multifocal pneumonia including atypical/viral pneumonia. Follow-up to resolution after appropriate treatment recommended. 08/24 COVID swab, result: detected 08/2 pt admit to Medicine cc: shortness of breath & fever dx: Bilateral Pneumonia / Covid-19 (+) Acute Hypoxemic respiratory failure LOS: 5 days 08/24 PROCALCITONIN result: 0.27 08/24 DDIMER result: 11.61 08/24 ferritin result: 1295.6 08/24 LACTC ACID result: 0.83 08/24 ABG result: i-pH 7.51, i-PCO2 39.0, i-PO2 50, i-HCO3 30.9 08/24 COVID-19 ANTIGEN (BINAX) result: not detected 08/24 IRON SATURATION 21.07 08/24 FERRITIN result: 1299.7 08/24 TRANSFERRIN result: 98 08/24 IRON result: 29 08/24 TSH result: 0.489 08/24 ESR result: 30 08/25 Fibrinogen result: 749 08/25 DDIMER result: 7.05 08/26 ESR result 65 08/26 Fibrinogen result: 459 08/26 DDIMER result: 4.99 08/26 INR result: 1.35 08/26 PT result: 15.1 08/27 ESR result: 37 08/27 Fibrinogen result: 353 08/27 DDIMER result: 4.72 08/28 Fibrinogen result: 391 08/28 DDIMER result: 5.42 08/28 ESR result: 43 08/29 Fibrinogen result: 336 08/29 DDIMER result: 2.44 08/29 ESR result: 18 08/30 ESR 30 08/30 Fibrinogen result: 353 08/30 DDIMER result: 2.02 09/18 CXR result: Improved aeration of the lungs compared to the recent prior studies, but with significant persistent airspace and interstitial opacities suggestive of area of scarring and fibrosis. Persistent or recurrent pneumonia cannot be excluded. Continued attention on follow-up examination is recommended. 09/20 FERRITIN result: 205.4
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate increased, SARS-CoV-2 test positive, Serum ferritin increased, Transferrin decreased, Transferrin saturation increased
Clinical narrative: Narrative: COVID infection following COVID vaccine series 01/05, Pfizer, dose #1 01/27, Pfizer, dose #2 08/24 pt cc: No symptoms exposure: unknown 08/24 CTA PE impression: Bilateral pneumonia. Viral pneumonia is within the differential. No pulmonary embolus. 08/24 CXR impression: Bilateral lung opacities most consistent with multifocal pneumonia including atypical/viral pneumonia. Follow-up to resolution after appropriate treatment recommended. 08/24 COVID swab, result: detected 08/2 pt admit to Medicine cc: shortness of breath & fever dx: Bilateral Pneumonia / Covid-19 (+) Acute Hypoxemic respiratory failure LOS: 5 days 08/24 PROCALCITONIN result: 0.27 08/24 DDIMER result: 11.61 08/24 ferritin result: 1295.6 08/24 LACTC ACID result: 0.83 08/24 ABG result: i-pH 7.51, i-PCO2 39.0, i-PO2 50, i-HCO3 30.9 08/24 COVID-19 ANTIGEN (BINAX) result: not detected 08/24 IRON SATURATION 21.07 08/24 FERRITIN result: 1299.7 08/24 TRANSFERRIN result: 98 08/24 IRON result: 29 08/24 TSH result: 0.489 08/24 ESR result: 30 08/25 Fibrinogen result: 749 08/25 DDIMER result: 7.05 08/26 ESR result 65 08/26 Fibrinogen result: 459 08/26 DDIMER result: 4.99 08/26 INR result: 1.35 08/26 PT result: 15.1 08/27 ESR result: 37 08/27 Fibrinogen result: 353 08/27 DDIMER result: 4.72 08/28 Fibrinogen result: 391 08/28 DDIMER result: 5.42 08/28 ESR result: 43 08/29 Fibrinogen result: 336 08/29 DDIMER result: 2.44 08/29 ESR result: 18 08/30 ESR 30 08/30 Fibrinogen result: 353 08/30 DDIMER result: 2.02 09/18 CXR result: Improved aeration of the lungs compared to the recent prior studies, but with significant persistent airspace and interstitial opacities suggestive of area of scarring and fibrosis. Persistent or recurrent pneumonia cannot be excluded. Continued attention on follow-up examination is recommended. 09/20 FERRITIN result: 205.4
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Agonal respiration, Cardio-respiratory arrest, Chronic kidney disease, Chronic lymphocytic leukaemia, Death
Clinical narrative: Narrative:  83yo patient came to surgery clinic for appointment on 09/29/2021 when Patient was being transported down the hall of the plastic surgery clinic to go up to Pre-Op for anesthesia eval. when patient became unresponsive and noted to have agonal breathing when placed on exam table per 5 staff members. Unable to palpate pulse, no audible heart tones. Chest compressions started per APRN at 1500. Code team called and on arrival of Code team. ED-MD took over code. Pt died at 15:24. Per MD death report: "Death was caused by: cp arrest, cll, no remission, dm, htn, ckd, sq. cell cancer".Likely this death is not related to covid vaccines given patient's age, comorbidities, and long length of time between date of vaccines and date of death. Pt had received covid vaccines on 1/28/21 & 2/25/21.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Diabetes mellitus, Heart sounds abnormal, Hypertension, Pulse absent, Resuscitation
Clinical narrative: Narrative:  83yo patient came to surgery clinic for appointment on 09/29/2021 when Patient was being transported down the hall of the plastic surgery clinic to go up to Pre-Op for anesthesia eval. when patient became unresponsive and noted to have agonal breathing when placed on exam table per 5 staff members. Unable to palpate pulse, no audible heart tones. Chest compressions started per APRN at 1500. Code team called and on arrival of Code team. ED-MD took over code. Pt died at 15:24. Per MD death report: "Death was caused by: cp arrest, cll, no remission, dm, htn, ckd, sq. cell cancer".Likely this death is not related to covid vaccines given patient's age, comorbidities, and long length of time between date of vaccines and date of death. Pt had received covid vaccines on 1/28/21 & 2/25/21.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Squamous cell carcinoma, Unresponsive to stimuli
Clinical narrative: Narrative:  83yo patient came to surgery clinic for appointment on 09/29/2021 when Patient was being transported down the hall of the plastic surgery clinic to go up to Pre-Op for anesthesia eval. when patient became unresponsive and noted to have agonal breathing when placed on exam table per 5 staff members. Unable to palpate pulse, no audible heart tones. Chest compressions started per APRN at 1500. Code team called and on arrival of Code team. ED-MD took over code. Pt died at 15:24. Per MD death report: "Death was caused by: cp arrest, cll, no remission, dm, htn, ckd, sq. cell cancer".Likely this death is not related to covid vaccines given patient's age, comorbidities, and long length of time between date of vaccines and date of death. Pt had received covid vaccines on 1/28/21 & 2/25/21.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Death, Left ventricular failure
Clinical narrative: Narrative: 73yo male patient with newly discovered systolic heart failure & AFib on 8/16/2021 died on 8/22/2021 in his home. Pt had received covid vaccines from an unknown location . Likely this death is not related to covid vaccines given patient's age, comorbidities, and long length of time between date of vaccines and date of death.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Narrative:  Breakthrough COVID infection hospitalized Pfizer
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Narrative: Breakthrough COVID infection - Pfizer vaccine
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Narrative: Breakthrough infection hospitalized Moderna 1 dose
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Narrative: Breakthrough COVID infection hospitalized Moderna
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Narrative: Breakthrough infection hospitalized Pfizer
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Aspiration, Blood albumin decreased, Blood calcium decreased, Blood creatinine increased
Clinical narrative: Narrative: Admitted 9/16/2021, discharged 9/20/21: COVID Pneumonia despite being fully vaccinated with Moderna COVID vaccine. 73 yo M ho BPH, GERD, Osteoarthritis who presented to the Emergency Department 9/16/21 with worsening shortness of breath, cough, myalgias found to be COVID positive in the Emergency Dept. Patient reported shortness of breath, cough, headache subjective chills, myalgias, rhinorrhea and productive cough over the previous week. He also reported decreased PO intake and 6-8 episodes of watery diarrhea over this time period. He has no known sick contacts. He is fully vaccinated with Moderna COVID vaccine in Jan 13, 2021 and Feb 10, 2021. In the Emergency Department, afebrile and hemodynamically stable, satting low 90s on room air. Hgb 9.7, Hgb 11.8, 287, Na 137, K 4.5, BUN 13, Cr 1.78, Corrected Ca 8.88, LFTs wnl, Mg 1.88, alb 3.4 EKG WITH no ST elevations, trop < 0.02, BNP <100, coags wnl. COVID+. ESR 84, CRP 15.5. UA with 70 protein, no WBC, LE or nitrites. CXR with bibasilar ground glass opacities; also with evidence of cystitis and proctitis on CTAP. Given Dexamethasone 6mg as his sats dropped on walk test and admitted for COVID pneumonia and AKI. Throughout hospital stay, he remained on room air, occasionally requiring up to 2L NC for sats in the high 80%. He was started on dexamethasone 6mg PO on 9/16 for 10 day course. He will continue the remainder of the course at home upon discharge. Remdesevir was not started at admission, given AKI and minimal O2 requirement.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood magnesium normal, Blood potassium normal, Blood sodium normal, Blood urea normal, Brain natriuretic peptide normal
Clinical narrative: Narrative: Admitted 9/16/2021, discharged 9/20/21: COVID Pneumonia despite being fully vaccinated with Moderna COVID vaccine. 73 yo M ho BPH, GERD, Osteoarthritis who presented to the Emergency Department 9/16/21 with worsening shortness of breath, cough, myalgias found to be COVID positive in the Emergency Dept. Patient reported shortness of breath, cough, headache subjective chills, myalgias, rhinorrhea and productive cough over the previous week. He also reported decreased PO intake and 6-8 episodes of watery diarrhea over this time period. He has no known sick contacts. He is fully vaccinated with Moderna COVID vaccine in Jan 13, 2021 and Feb 10, 2021. In the Emergency Department, afebrile and hemodynamically stable, satting low 90s on room air. Hgb 9.7, Hgb 11.8, 287, Na 137, K 4.5, BUN 13, Cr 1.78, Corrected Ca 8.88, LFTs wnl, Mg 1.88, alb 3.4 EKG WITH no ST elevations, trop < 0.02, BNP <100, coags wnl. COVID+. ESR 84, CRP 15.5. UA with 70 protein, no WBC, LE or nitrites. CXR with bibasilar ground glass opacities; also with evidence of cystitis and proctitis on CTAP. Given Dexamethasone 6mg as his sats dropped on walk test and admitted for COVID pneumonia and AKI. Throughout hospital stay, he remained on room air, occasionally requiring up to 2L NC for sats in the high 80%. He was started on dexamethasone 6mg PO on 9/16 for 10 day course. He will continue the remainder of the course at home upon discharge. Remdesevir was not started at admission, given AKI and minimal O2 requirement.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: C-reactive protein increased, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Chills
Clinical narrative: Narrative: Admitted 9/16/2021, discharged 9/20/21: COVID Pneumonia despite being fully vaccinated with Moderna COVID vaccine. 73 yo M ho BPH, GERD, Osteoarthritis who presented to the Emergency Department 9/16/21 with worsening shortness of breath, cough, myalgias found to be COVID positive in the Emergency Dept. Patient reported shortness of breath, cough, headache subjective chills, myalgias, rhinorrhea and productive cough over the previous week. He also reported decreased PO intake and 6-8 episodes of watery diarrhea over this time period. He has no known sick contacts. He is fully vaccinated with Moderna COVID vaccine in Jan 13, 2021 and Feb 10, 2021. In the Emergency Department, afebrile and hemodynamically stable, satting low 90s on room air. Hgb 9.7, Hgb 11.8, 287, Na 137, K 4.5, BUN 13, Cr 1.78, Corrected Ca 8.88, LFTs wnl, Mg 1.88, alb 3.4 EKG WITH no ST elevations, trop < 0.02, BNP <100, coags wnl. COVID+. ESR 84, CRP 15.5. UA with 70 protein, no WBC, LE or nitrites. CXR with bibasilar ground glass opacities; also with evidence of cystitis and proctitis on CTAP. Given Dexamethasone 6mg as his sats dropped on walk test and admitted for COVID pneumonia and AKI. Throughout hospital stay, he remained on room air, occasionally requiring up to 2L NC for sats in the high 80%. He was started on dexamethasone 6mg PO on 9/16 for 10 day course. He will continue the remainder of the course at home upon discharge. Remdesevir was not started at admission, given AKI and minimal O2 requirement.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Cystitis, Diarrhoea, Dyspnoea, Electrocardiogram normal
Clinical narrative: Narrative: Admitted 9/16/2021, discharged 9/20/21: COVID Pneumonia despite being fully vaccinated with Moderna COVID vaccine. 73 yo M ho BPH, GERD, Osteoarthritis who presented to the Emergency Department 9/16/21 with worsening shortness of breath, cough, myalgias found to be COVID positive in the Emergency Dept. Patient reported shortness of breath, cough, headache subjective chills, myalgias, rhinorrhea and productive cough over the previous week. He also reported decreased PO intake and 6-8 episodes of watery diarrhea over this time period. He has no known sick contacts. He is fully vaccinated with Moderna COVID vaccine in Jan 13, 2021 and Feb 10, 2021. In the Emergency Department, afebrile and hemodynamically stable, satting low 90s on room air. Hgb 9.7, Hgb 11.8, 287, Na 137, K 4.5, BUN 13, Cr 1.78, Corrected Ca 8.88, LFTs wnl, Mg 1.88, alb 3.4 EKG WITH no ST elevations, trop < 0.02, BNP <100, coags wnl. COVID+. ESR 84, CRP 15.5. UA with 70 protein, no WBC, LE or nitrites. CXR with bibasilar ground glass opacities; also with evidence of cystitis and proctitis on CTAP. Given Dexamethasone 6mg as his sats dropped on walk test and admitted for COVID pneumonia and AKI. Throughout hospital stay, he remained on room air, occasionally requiring up to 2L NC for sats in the high 80%. He was started on dexamethasone 6mg PO on 9/16 for 10 day course. He will continue the remainder of the course at home upon discharge. Remdesevir was not started at admission, given AKI and minimal O2 requirement.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Haemoglobin decreased, Headache, Hypophagia, Liver function test normal, Lung opacity
Clinical narrative: Narrative: Admitted 9/16/2021, discharged 9/20/21: COVID Pneumonia despite being fully vaccinated with Moderna COVID vaccine. 73 yo M ho BPH, GERD, Osteoarthritis who presented to the Emergency Department 9/16/21 with worsening shortness of breath, cough, myalgias found to be COVID positive in the Emergency Dept. Patient reported shortness of breath, cough, headache subjective chills, myalgias, rhinorrhea and productive cough over the previous week. He also reported decreased PO intake and 6-8 episodes of watery diarrhea over this time period. He has no known sick contacts. He is fully vaccinated with Moderna COVID vaccine in Jan 13, 2021 and Feb 10, 2021. In the Emergency Department, afebrile and hemodynamically stable, satting low 90s on room air. Hgb 9.7, Hgb 11.8, 287, Na 137, K 4.5, BUN 13, Cr 1.78, Corrected Ca 8.88, LFTs wnl, Mg 1.88, alb 3.4 EKG WITH no ST elevations, trop < 0.02, BNP <100, coags wnl. COVID+. ESR 84, CRP 15.5. UA with 70 protein, no WBC, LE or nitrites. CXR with bibasilar ground glass opacities; also with evidence of cystitis and proctitis on CTAP. Given Dexamethasone 6mg as his sats dropped on walk test and admitted for COVID pneumonia and AKI. Throughout hospital stay, he remained on room air, occasionally requiring up to 2L NC for sats in the high 80%. He was started on dexamethasone 6mg PO on 9/16 for 10 day course. He will continue the remainder of the course at home upon discharge. Remdesevir was not started at admission, given AKI and minimal O2 requirement.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myalgia, Nitrite urine absent, Oxygen saturation decreased, Pneumonia, Portogram
Clinical narrative: Narrative: Admitted 9/16/2021, discharged 9/20/21: COVID Pneumonia despite being fully vaccinated with Moderna COVID vaccine. 73 yo M ho BPH, GERD, Osteoarthritis who presented to the Emergency Department 9/16/21 with worsening shortness of breath, cough, myalgias found to be COVID positive in the Emergency Dept. Patient reported shortness of breath, cough, headache subjective chills, myalgias, rhinorrhea and productive cough over the previous week. He also reported decreased PO intake and 6-8 episodes of watery diarrhea over this time period. He has no known sick contacts. He is fully vaccinated with Moderna COVID vaccine in Jan 13, 2021 and Feb 10, 2021. In the Emergency Department, afebrile and hemodynamically stable, satting low 90s on room air. Hgb 9.7, Hgb 11.8, 287, Na 137, K 4.5, BUN 13, Cr 1.78, Corrected Ca 8.88, LFTs wnl, Mg 1.88, alb 3.4 EKG WITH no ST elevations, trop < 0.02, BNP <100, coags wnl. COVID+. ESR 84, CRP 15.5. UA with 70 protein, no WBC, LE or nitrites. CXR with bibasilar ground glass opacities; also with evidence of cystitis and proctitis on CTAP. Given Dexamethasone 6mg as his sats dropped on walk test and admitted for COVID pneumonia and AKI. Throughout hospital stay, he remained on room air, occasionally requiring up to 2L NC for sats in the high 80%. He was started on dexamethasone 6mg PO on 9/16 for 10 day course. He will continue the remainder of the course at home upon discharge. Remdesevir was not started at admission, given AKI and minimal O2 requirement.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Proctitis, Productive cough, Protein urine, Red blood cell sedimentation rate increased, Rhinorrhoea
Clinical narrative: Narrative: Admitted 9/16/2021, discharged 9/20/21: COVID Pneumonia despite being fully vaccinated with Moderna COVID vaccine. 73 yo M ho BPH, GERD, Osteoarthritis who presented to the Emergency Department 9/16/21 with worsening shortness of breath, cough, myalgias found to be COVID positive in the Emergency Dept. Patient reported shortness of breath, cough, headache subjective chills, myalgias, rhinorrhea and productive cough over the previous week. He also reported decreased PO intake and 6-8 episodes of watery diarrhea over this time period. He has no known sick contacts. He is fully vaccinated with Moderna COVID vaccine in Jan 13, 2021 and Feb 10, 2021. In the Emergency Department, afebrile and hemodynamically stable, satting low 90s on room air. Hgb 9.7, Hgb 11.8, 287, Na 137, K 4.5, BUN 13, Cr 1.78, Corrected Ca 8.88, LFTs wnl, Mg 1.88, alb 3.4 EKG WITH no ST elevations, trop < 0.02, BNP <100, coags wnl. COVID+. ESR 84, CRP 15.5. UA with 70 protein, no WBC, LE or nitrites. CXR with bibasilar ground glass opacities; also with evidence of cystitis and proctitis on CTAP. Given Dexamethasone 6mg as his sats dropped on walk test and admitted for COVID pneumonia and AKI. Throughout hospital stay, he remained on room air, occasionally requiring up to 2L NC for sats in the high 80%. He was started on dexamethasone 6mg PO on 9/16 for 10 day course. He will continue the remainder of the course at home upon discharge. Remdesevir was not started at admission, given AKI and minimal O2 requirement.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Troponin, Urine analysis, Urine leukocyte esterase, Walking distance test abnormal
Clinical narrative: Narrative: Admitted 9/16/2021, discharged 9/20/21: COVID Pneumonia despite being fully vaccinated with Moderna COVID vaccine. 73 yo M ho BPH, GERD, Osteoarthritis who presented to the Emergency Department 9/16/21 with worsening shortness of breath, cough, myalgias found to be COVID positive in the Emergency Dept. Patient reported shortness of breath, cough, headache subjective chills, myalgias, rhinorrhea and productive cough over the previous week. He also reported decreased PO intake and 6-8 episodes of watery diarrhea over this time period. He has no known sick contacts. He is fully vaccinated with Moderna COVID vaccine in Jan 13, 2021 and Feb 10, 2021. In the Emergency Department, afebrile and hemodynamically stable, satting low 90s on room air. Hgb 9.7, Hgb 11.8, 287, Na 137, K 4.5, BUN 13, Cr 1.78, Corrected Ca 8.88, LFTs wnl, Mg 1.88, alb 3.4 EKG WITH no ST elevations, trop < 0.02, BNP <100, coags wnl. COVID+. ESR 84, CRP 15.5. UA with 70 protein, no WBC, LE or nitrites. CXR with bibasilar ground glass opacities; also with evidence of cystitis and proctitis on CTAP. Given Dexamethasone 6mg as his sats dropped on walk test and admitted for COVID pneumonia and AKI. Throughout hospital stay, he remained on room air, occasionally requiring up to 2L NC for sats in the high 80%. He was started on dexamethasone 6mg PO on 9/16 for 10 day course. He will continue the remainder of the course at home upon discharge. Remdesevir was not started at admission, given AKI and minimal O2 requirement.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: White blood cells urine negative
Clinical narrative: Narrative: Admitted 9/16/2021, discharged 9/20/21: COVID Pneumonia despite being fully vaccinated with Moderna COVID vaccine. 73 yo M ho BPH, GERD, Osteoarthritis who presented to the Emergency Department 9/16/21 with worsening shortness of breath, cough, myalgias found to be COVID positive in the Emergency Dept. Patient reported shortness of breath, cough, headache subjective chills, myalgias, rhinorrhea and productive cough over the previous week. He also reported decreased PO intake and 6-8 episodes of watery diarrhea over this time period. He has no known sick contacts. He is fully vaccinated with Moderna COVID vaccine in Jan 13, 2021 and Feb 10, 2021. In the Emergency Department, afebrile and hemodynamically stable, satting low 90s on room air. Hgb 9.7, Hgb 11.8, 287, Na 137, K 4.5, BUN 13, Cr 1.78, Corrected Ca 8.88, LFTs wnl, Mg 1.88, alb 3.4 EKG WITH no ST elevations, trop < 0.02, BNP <100, coags wnl. COVID+. ESR 84, CRP 15.5. UA with 70 protein, no WBC, LE or nitrites. CXR with bibasilar ground glass opacities; also with evidence of cystitis and proctitis on CTAP. Given Dexamethasone 6mg as his sats dropped on walk test and admitted for COVID pneumonia and AKI. Throughout hospital stay, he remained on room air, occasionally requiring up to 2L NC for sats in the high 80%. He was started on dexamethasone 6mg PO on 9/16 for 10 day course. He will continue the remainder of the course at home upon discharge. Remdesevir was not started at admission, given AKI and minimal O2 requirement.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Renal impairment
Clinical narrative: Narrative: Admitted with COVID following complete vaccination with Pfizer vaccine. Patient being treated with Rocephin + Zithromax, Dexamethasone. Remdesivir is on hold at present due to reduced renal function.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time prolonged, Blood fibrinogen normal, Blood lactic acid decreased, COVID-19, COVID-19 pneumonia
Clinical narrative: Narrative:  COVID infection following COVID vaccine series 02/25 , Pfizer, dose #1 03/17, Pfizer, dose #2 08/09 pt cc: fatigue, exposure: unknown 08/17 pt admit to ED , admit to Medicine, cc: malaise, SOB, Chills dx: COVID-19 complicated with pneumonia and hypoxemia LOS: 5 days 08/16 SARS-COV-2 LINEAGE AY.25 08/16 SARS-COV-2 CLADE 21A DELTA 08/17 COVID swab, result: detected 08/17 PT result: 12.3, APTT result: 35.9, INR result 1.10, ddimer result: 0.50 08/17 LACTIC ACID result: 1.89 08/17 LEGIONELLA ANTIGEN, URINE result: negative 08/18 pt 8/24 pt symptoms continue 08/18 ESR result: 29 08/18 Fibrinogen result: 399 08/18 DDIMER result: 0.34 08/19 ESR result: 17 08/19 Fibrinogen result: 317 08/19 DDIMER result: 0.29 08/20 ESR result: 20 08/20 Fibrinogen result: 267 08/20 DDIMER result: 0.40
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Fatigue, Fibrin D dimer increased, Hypoxia
Clinical narrative: Narrative:  COVID infection following COVID vaccine series 02/25 , Pfizer, dose #1 03/17, Pfizer, dose #2 08/09 pt cc: fatigue, exposure: unknown 08/17 pt admit to ED , admit to Medicine, cc: malaise, SOB, Chills dx: COVID-19 complicated with pneumonia and hypoxemia LOS: 5 days 08/16 SARS-COV-2 LINEAGE AY.25 08/16 SARS-COV-2 CLADE 21A DELTA 08/17 COVID swab, result: detected 08/17 PT result: 12.3, APTT result: 35.9, INR result 1.10, ddimer result: 0.50 08/17 LACTIC ACID result: 1.89 08/17 LEGIONELLA ANTIGEN, URINE result: negative 08/18 pt 8/24 pt symptoms continue 08/18 ESR result: 29 08/18 Fibrinogen result: 399 08/18 DDIMER result: 0.34 08/19 ESR result: 17 08/19 Fibrinogen result: 317 08/19 DDIMER result: 0.29 08/20 ESR result: 20 08/20 Fibrinogen result: 267 08/20 DDIMER result: 0.40
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: International normalised ratio normal, Legionella test, Malaise, Prothrombin time normal, Red blood cell sedimentation rate increased
Clinical narrative: Narrative:  COVID infection following COVID vaccine series 02/25 , Pfizer, dose #1 03/17, Pfizer, dose #2 08/09 pt cc: fatigue, exposure: unknown 08/17 pt admit to ED , admit to Medicine, cc: malaise, SOB, Chills dx: COVID-19 complicated with pneumonia and hypoxemia LOS: 5 days 08/16 SARS-COV-2 LINEAGE AY.25 08/16 SARS-COV-2 CLADE 21A DELTA 08/17 COVID swab, result: detected 08/17 PT result: 12.3, APTT result: 35.9, INR result 1.10, ddimer result: 0.50 08/17 LACTIC ACID result: 1.89 08/17 LEGIONELLA ANTIGEN, URINE result: negative 08/18 pt 8/24 pt symptoms continue 08/18 ESR result: 29 08/18 Fibrinogen result: 399 08/18 DDIMER result: 0.34 08/19 ESR result: 17 08/19 Fibrinogen result: 317 08/19 DDIMER result: 0.29 08/20 ESR result: 20 08/20 Fibrinogen result: 267 08/20 DDIMER result: 0.40
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, COVID-19 pneumonia, Death, Malnutrition
Clinical narrative: Narrative:  65 yo patient with PMH: CAD, COPD, low back pain, OA, squamous cell carcinoma of lung, HLD, Schatzki's ring, SCC of tongue who was admitted on 8/31/2021 or acute hypoxic respiratory failure secondary to covid19 pneumonia, severe sepsis, AKI and malnutrition. Patient has full vaccination status (PFizer, 2/4/2021, 2/25/2021) Pt's prognosis was guarded (per note) due to poor pulmonary reserve and chemo-induced immunosuppression. Patient had worsening clinical status after a couple of days. Family opted for comfort measure on 9/3/2021 and patient passed away on 9/4/2021.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Sepsis
Clinical narrative: Narrative:  65 yo patient with PMH: CAD, COPD, low back pain, OA, squamous cell carcinoma of lung, HLD, Schatzki's ring, SCC of tongue who was admitted on 8/31/2021 or acute hypoxic respiratory failure secondary to covid19 pneumonia, severe sepsis, AKI and malnutrition. Patient has full vaccination status (PFizer, 2/4/2021, 2/25/2021) Pt's prognosis was guarded (per note) due to poor pulmonary reserve and chemo-induced immunosuppression. Patient had worsening clinical status after a couple of days. Family opted for comfort measure on 9/3/2021 and patient passed away on 9/4/2021.
Age: 94.0
Sex: M
Vaccine: COVID19
Symptoms: Acute coronary syndrome, Acute myocardial infarction, Arthralgia, COVID-19, Femur fracture
Clinical narrative: Narrative:  93 year old patient was found to have covid19 after full vaccination (Pfizer 2/12, 3/5/2021). Pt tested positive on 7/12/2021 while he was inpatient. Pt was admitted for left hip pain (left femoral hip fracture) on 7/11/2021. On 7/13, he under went left partial hip arthroplasty from the fracture and developed hypotension and AMS, he was also found to have hbg of 7.6 (drop from 7.6). Pt required 3 units of pRBCs, his course was also complicated with UTI and type 2 NSTEMI from hemorrhagic shock. Hospice care discussed with family. Pt was found to be unresponsive on 7/14/2021. Medical cause of death listed as: *Hemorrhagic shock and acute coronary syndrome or pulmonary emboli
Age: 94.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Hip arthroplasty, Hip fracture, Mental status changes, Post procedural hypotension
Clinical narrative: Narrative:  93 year old patient was found to have covid19 after full vaccination (Pfizer 2/12, 3/5/2021). Pt tested positive on 7/12/2021 while he was inpatient. Pt was admitted for left hip pain (left femoral hip fracture) on 7/11/2021. On 7/13, he under went left partial hip arthroplasty from the fracture and developed hypotension and AMS, he was also found to have hbg of 7.6 (drop from 7.6). Pt required 3 units of pRBCs, his course was also complicated with UTI and type 2 NSTEMI from hemorrhagic shock. Hospice care discussed with family. Pt was found to be unresponsive on 7/14/2021. Medical cause of death listed as: *Hemorrhagic shock and acute coronary syndrome or pulmonary emboli
Age: 94.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary embolism, Red blood cell transfusion, SARS-CoV-2 test positive, Shock haemorrhagic, Unresponsive to stimuli
Clinical narrative: Narrative:  93 year old patient was found to have covid19 after full vaccination (Pfizer 2/12, 3/5/2021). Pt tested positive on 7/12/2021 while he was inpatient. Pt was admitted for left hip pain (left femoral hip fracture) on 7/11/2021. On 7/13, he under went left partial hip arthroplasty from the fracture and developed hypotension and AMS, he was also found to have hbg of 7.6 (drop from 7.6). Pt required 3 units of pRBCs, his course was also complicated with UTI and type 2 NSTEMI from hemorrhagic shock. Hospice care discussed with family. Pt was found to be unresponsive on 7/14/2021. Medical cause of death listed as: *Hemorrhagic shock and acute coronary syndrome or pulmonary emboli
Age: 94.0
Sex: M
Vaccine: COVID19
Symptoms: Urinary tract infection
Clinical narrative: Narrative:  93 year old patient was found to have covid19 after full vaccination (Pfizer 2/12, 3/5/2021). Pt tested positive on 7/12/2021 while he was inpatient. Pt was admitted for left hip pain (left femoral hip fracture) on 7/11/2021. On 7/13, he under went left partial hip arthroplasty from the fracture and developed hypotension and AMS, he was also found to have hbg of 7.6 (drop from 7.6). Pt required 3 units of pRBCs, his course was also complicated with UTI and type 2 NSTEMI from hemorrhagic shock. Hospice care discussed with family. Pt was found to be unresponsive on 7/14/2021. Medical cause of death listed as: *Hemorrhagic shock and acute coronary syndrome or pulmonary emboli
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Anaemia, COVID-19, COVID-19 pneumonia
Clinical narrative: Narrative:  72 yo male with PMH CAD, fatigue, sleep apnea, AFib, HLP, HTN, COPD, gout, and DDD was admitted 8/22/2021 following a positive COVID19 infection for acute hypoxic respiratory failure secondary to COVID19 pneumonia, HFpEF, and GERD. Pt was intubated on 8/23/2021, completed extended course of dexamethasone, remdesivir, and barcitinib. His P/F ratio continued to decline even with vent setting adjustments and lasix. Pt developed AKI 9/5, anemia (no active source of bleeding were found on his CT scan), sepsis, and multiple organ failure secondary to COVID pna. Pt's family was called on 9/6 and opted for comfort care. Extubation occurred on 9/7, pt passed away on 9/7/2021.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure, Computerised tomogram normal, Death, Endotracheal intubation, Gastrooesophageal reflux disease
Clinical narrative: Narrative:  72 yo male with PMH CAD, fatigue, sleep apnea, AFib, HLP, HTN, COPD, gout, and DDD was admitted 8/22/2021 following a positive COVID19 infection for acute hypoxic respiratory failure secondary to COVID19 pneumonia, HFpEF, and GERD. Pt was intubated on 8/23/2021, completed extended course of dexamethasone, remdesivir, and barcitinib. His P/F ratio continued to decline even with vent setting adjustments and lasix. Pt developed AKI 9/5, anemia (no active source of bleeding were found on his CT scan), sepsis, and multiple organ failure secondary to COVID pna. Pt's family was called on 9/6 and opted for comfort care. Extubation occurred on 9/7, pt passed away on 9/7/2021.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Mechanical ventilation, Multiple organ dysfunction syndrome, PaO2/FiO2 ratio decreased, SARS-CoV-2 test positive, Sepsis
Clinical narrative: Narrative:  72 yo male with PMH CAD, fatigue, sleep apnea, AFib, HLP, HTN, COPD, gout, and DDD was admitted 8/22/2021 following a positive COVID19 infection for acute hypoxic respiratory failure secondary to COVID19 pneumonia, HFpEF, and GERD. Pt was intubated on 8/23/2021, completed extended course of dexamethasone, remdesivir, and barcitinib. His P/F ratio continued to decline even with vent setting adjustments and lasix. Pt developed AKI 9/5, anemia (no active source of bleeding were found on his CT scan), sepsis, and multiple organ failure secondary to COVID pna. Pt's family was called on 9/6 and opted for comfort care. Extubation occurred on 9/7, pt passed away on 9/7/2021.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Blood bicarbonate normal, Blood gases abnormal, Blood pH increased, Brain natriuretic peptide increased, COVID-19
Clinical narrative: Narrative: COVID infection following COVID vaccine series 07/01 Janssen, dose #1 08/17 COVID swab, result: detected 08/17 PT result: 12.6 H 08/17 INR result: 1.13 H 08/17 BNP result: 177.9 H 08/17 TROPONIN I result: 0.032 H 08/17 DDIMER result: 2.22 H 08/17 ABG i-pH 7.53, i-PCO2 28.7, i-PO2 77, i-HCO3 23.8 08/17 CXR impression: Faint opacities in the right lower lung zone. 08/18 CXR impression: No significant interval change. 08/20 pt cc: No symptoms exposure: unknown 08/20 pt admit to medicine dx: Asymptomatic Covid-19 LOS: 7 days 08/27 ESR result: 57 H 08/27 clinically resolved
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Fibrin D dimer, International normalised ratio increased, Lung opacity, PCO2 decreased
Clinical narrative: Narrative: COVID infection following COVID vaccine series 07/01 Janssen, dose #1 08/17 COVID swab, result: detected 08/17 PT result: 12.6 H 08/17 INR result: 1.13 H 08/17 BNP result: 177.9 H 08/17 TROPONIN I result: 0.032 H 08/17 DDIMER result: 2.22 H 08/17 ABG i-pH 7.53, i-PCO2 28.7, i-PO2 77, i-HCO3 23.8 08/17 CXR impression: Faint opacities in the right lower lung zone. 08/18 CXR impression: No significant interval change. 08/20 pt cc: No symptoms exposure: unknown 08/20 pt admit to medicine dx: Asymptomatic Covid-19 LOS: 7 days 08/27 ESR result: 57 H 08/27 clinically resolved
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: PO2 decreased, Prothrombin time prolonged, Red blood cell sedimentation rate increased, SARS-CoV-2 test positive, Troponin I increased
Clinical narrative: Narrative: COVID infection following COVID vaccine series 07/01 Janssen, dose #1 08/17 COVID swab, result: detected 08/17 PT result: 12.6 H 08/17 INR result: 1.13 H 08/17 BNP result: 177.9 H 08/17 TROPONIN I result: 0.032 H 08/17 DDIMER result: 2.22 H 08/17 ABG i-pH 7.53, i-PCO2 28.7, i-PO2 77, i-HCO3 23.8 08/17 CXR impression: Faint opacities in the right lower lung zone. 08/18 CXR impression: No significant interval change. 08/20 pt cc: No symptoms exposure: unknown 08/20 pt admit to medicine dx: Asymptomatic Covid-19 LOS: 7 days 08/27 ESR result: 57 H 08/27 clinically resolved
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Blood fibrinogen normal, C-reactive protein normal, COVID-19, Chest X-ray normal, Cough
Clinical narrative: Narrative: COVID infection following COVID vaccine series 03/21, Pfizer, dose #1 NON AGENCY 05/03, Pfizer, dose #2 NON AGENCY 08/16 pt cc: cough, rhinorrhea exposure: unknown 08/19 COVID swab, result: detected 08/19 SARS-COV-2 Variant Sequencing result: pending 09/28 COVID swab, result: detected 09/28 pt admit to medicine cc: hyperglycemia dx: pending LOS: undetermine, currently hospitalized 09/28 CXR impression: No active pulmonary process. 09/28 FIBRINOGEN result: 308 09/28 DDIMER result: 0.46 09/28 TROPONIN I result: <0.016 09/28 CRP result: 0.814 H
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer, Hyperglycaemia, Rhinorrhoea, SARS-CoV-2 test, SARS-CoV-2 test positive
Clinical narrative: Narrative: COVID infection following COVID vaccine series 03/21, Pfizer, dose #1 NON AGENCY 05/03, Pfizer, dose #2 NON AGENCY 08/16 pt cc: cough, rhinorrhea exposure: unknown 08/19 COVID swab, result: detected 08/19 SARS-COV-2 Variant Sequencing result: pending 09/28 COVID swab, result: detected 09/28 pt admit to medicine cc: hyperglycemia dx: pending LOS: undetermine, currently hospitalized 09/28 CXR impression: No active pulmonary process. 09/28 FIBRINOGEN result: 308 09/28 DDIMER result: 0.46 09/28 TROPONIN I result: <0.016 09/28 CRP result: 0.814 H
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin I normal
Clinical narrative: Narrative: COVID infection following COVID vaccine series 03/21, Pfizer, dose #1 NON AGENCY 05/03, Pfizer, dose #2 NON AGENCY 08/16 pt cc: cough, rhinorrhea exposure: unknown 08/19 COVID swab, result: detected 08/19 SARS-COV-2 Variant Sequencing result: pending 09/28 COVID swab, result: detected 09/28 pt admit to medicine cc: hyperglycemia dx: pending LOS: undetermine, currently hospitalized 09/28 CXR impression: No active pulmonary process. 09/28 FIBRINOGEN result: 308 09/28 DDIMER result: 0.46 09/28 TROPONIN I result: <0.016 09/28 CRP result: 0.814 H
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Acute respiratory failure, COVID-19, Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: Narrative: Hospitalization for COVID-19 (8/10-8/18) in fully vaccinated individual (non-agency hospital). Received dexamethasone and monoclonal antibody therapy. Re-admitted 9/4/21 for acute hypoxia (agency hospital). Died on 9/20/21. Principle diagnosis on discharge: acute on chronic hypoxemic respiratory failure, acute exacerbation of COPD, bacterial pneumonia, NSTEMI.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Hypoxia, Pneumonia bacterial
Clinical narrative: Narrative: Hospitalization for COVID-19 (8/10-8/18) in fully vaccinated individual (non-agency hospital). Received dexamethasone and monoclonal antibody therapy. Re-admitted 9/4/21 for acute hypoxia (agency hospital). Died on 9/20/21. Principle diagnosis on discharge: acute on chronic hypoxemic respiratory failure, acute exacerbation of COPD, bacterial pneumonia, NSTEMI.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Hepatic cirrhosis
Clinical narrative: Narrative:  69yo male pt died on 9/14/2021 at home in home hospice care due to end stage cirrhosis of liver. Pt received one covid vaccine on 3/22/2021. Pt's death is not related to vaccine.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Lung neoplasm malignant
Clinical narrative: Narrative: 75yo male in home hospice for end stage lung cancer died on 9/2/2021. Pt had received covid vaccines on 2/23/20 &3/23/21. This death is likely not related to the vaccinations due to comorbidities, age, and length of time from vaccine administration.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Death, SARS-CoV-2 test positive, Vaccination failure
Clinical narrative: Narrative:  70yo patient had received the covid vaccines on 3/30/2021 & 4/28/2021. On 8/28/21 pt went to community hospital (NON_AGENCY hospital) for chest pain & found to be covid positive with covid infection. Pt remained inpatient at hospital. Pt then died at this hospital of covid infection. Failure of covid vaccines. Pt had the following problem list: 30 Problems ST PROBLEM LAST MOD PROVIDER A Leukocytosis (SCT 111583006) (ICD-10-CM D72.829) 08/16/2021 A Hyperparathyroidism (SCT 66999008) (ICD-10-CM 07/23/2021 E21.3) A Chronic kidney disease (SCT 709044004) 07/23/2021 (ICD-10-CM N18.9) A Gout (SCT 90560007) (ICD-10-CM M10.9) 07/23/2021 A History of calculus of kidney (SCT 429025008) 07/23/2021 (ICD-10-CM N20.0) A Joint pain in left hand (SCT 1076731000119106) 07/22/2021 (ICD-10-CM M25.542) A Pain in right foot (SCT 316891000119107) 07/22/2021 (ICD-10-CM M79.671) A High risk drug monitoring status (SCT 243872007) 07/22/2021 (ICD-10-CM Z79.899) A Secondary Sjogren's syndrome (SCT 239915006) 07/22/2021 (ICD-10-CM M35.00) A Low back pain (SCT 279039007) (ICD-10-CM M54.5) 07/22/2021 A Adjustment disorder with anxious mood (SCT 02/25/2021 47372000) (ICD-10-CM F43.22) A Obstructive sleep apnea of adult (SCT 09/14/2020 1101000119103) (ICD-10-CM G47.33) A Cardiomyopathy (SCT 85898001) (ICD-10-CM I42.9) 09/12/2019 A Chronic obstructive lung disease (SCT 13645005) 10/23/2017 (ICD-10-CM J44.9) A Raynaud's phenomenon (SCT 266261006) (ICD-10-CM 08/10/2017 I73.00) A Ischemic heart disease (SCT 414545008) 11/22/2017 (ICD-10-CM I25.9) Stents x 2 A Knee pain (SCT 30989003) (ICD-10-CM M25.561) 12/01/2015 A Costal chondritis (SCT 64109004) (ICD-9-CM 02/10/2015 733.6) A Other diseases of lung (SCT 427359005) 11/22/2017 (ICD-10-CM R91.1) A (ICD-10-CM K21.9); Gastroesophageal reflux 11/22/2017 disease (SNOMED CT 235595009) A (ICD-10-CM R 91.8); Abnormal findings on 04/28/2017 A diagnostic imaging of lung (SNOMED CT 274533004) Abnl density in abd/pelvic ct scan 07/2013, f/u 3 months A Health Maintenance (ICD-9-CM 799.9) 07/06/2015 1. Tdap 08/2013 2. Pneumovax 07/2013 3. fobt neg 1/2014 4. Psa 1/2013 A (ICD-10-CM Z95.0); Cardiac pacemaker in situ 01/06/2016 (SNOMED CT 441509002) A (ICD-9-CM 301.9); Unspecified Personality 08/15/2012 Disorder A Major Depression, recurrent (SCT 66344007) 10/15/2015 (ICD-10-CM F33.9) A (ICD-9-CM 302.72); Erectile Dysfunction * 04/05/2002 (ICD-9-CM 302.72) A (ICD-10-CM E78.5); Hyperlipidemia (SNOMED CT 01/06/2016 55822004) A Arthritis, Rheumatoid (SCT 69896004) (ICD-10-CM 02/19/2016 M05.9) A Essential Hypertension (SCT 1201005) (ICD-10-CM 10/03/2016 I10.) A Chronic osteomyelitis involving multiple sites 08/30/1999 (ICD-9-CM 730.19)
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Hepatic cirrhosis, Hepatic mass, Hepatocellular carcinoma, Metastasis
Clinical narrative: Narrative:  93yo patient died at home in home hospice on 9/14/2021. Pt admitted to hospice on 9/8/21 with Terminal/Hospice Qualifying Diagnosis: Cirrhosis with liver mass likely HCC vs metastasis. Pt had received covid vaccines on 1/14/21 & 2/11/21. This death is likely not related to the vaccinations due to comorbidities, age, and length of time from vaccine administration.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Delirium, Disseminated cryptococcosis, Encephalitis, Intracranial mass
Clinical narrative: Narrative:  8/26/21: Hospice service for end of life care. HIs medical issues include newly diagnosed HIV/AIDS, currently not on therapy, recent admission for disseminated cryptococcal infection, brain mass, lung mass, Legionella pneumonia, HCAP, deconditioning, anorexia/weight loss, encephalitis/delirium.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Physical deconditioning, Pneumonia, Pneumonia legionella, Pulmonary mass, Weight decreased
Clinical narrative: Narrative:  8/26/21: Hospice service for end of life care. HIs medical issues include newly diagnosed HIV/AIDS, currently not on therapy, recent admission for disseminated cryptococcal infection, brain mass, lung mass, Legionella pneumonia, HCAP, deconditioning, anorexia/weight loss, encephalitis/delirium.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: Narrative: Patient was admitted for a severe case of COVID-19 despite receiving both vaccines in the series on 01/28/2021 and 02/26/2021.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Atelectasis, Back pain, Blood bicarbonate decreased, Blood fibrinogen normal
Clinical narrative: Narrative:  COVID infection following COVID vaccine series 02/25, Pfizer, dose #1 03/18, Pfizer, dose #2 08/01 pt cc: cough, dyspnea, malaise, wheezing, chest congestion, low backache unknown exposure: unknown 08/09 COVID swab, result: detected 08/12 SARS-COV-2 TOTAL AB SPIKE SEMI QN>2500.00 08/09 ekg sr 84, qtc 441, no acute changes 08/09 ABG i-pH 7.40, i-PCO2 30.6, i-PO2 50, i-HCO3 19.1, SpO2 84 08/09 Admit to medicine dx: Acute Hypoxic Respiratory Failure due to Covid 19 Pneumonia LOS: 8 days 08/09 BNP 12.1 08/09 LIPASE 28 08/09 CRP 10.970 08/09 PROCALCITONIN <0.05 08/09 CXR impression: The exam is limited by poor timing of the contrast bolus and respiratory motion artifact. Given these limitations, no central pulmonary embolism is visualized. -Patchy and groundglass opacities in the mid/lower lungs, most compatible with multifocal infection. Imaging features of Covid-19 pneumonia are present. Other processes such as influenza pneumonia and organizing pneumonia, as can be seen with drug toxicity and connective tissue disease, can cause a similar imaging pattern. 08/09 CXR impression: Support devices: None identified Mediastinum: Normal cardiac size. No central pulmonary vascular enlargement. Lungs and pleura: Left lower lobe infiltrate is identified. Small infiltrate versus atelectasis in the right lower lobe is seen. Clinical correlation is recommended. Bones: Unchanged 08/10 SARS-COV-2-IgG 0.07 08/10 FIBRINOGEN 491 08/10 ESR 81 08/10 DDIMER 0.24 08/18 FIBRINOGEN 212 08/18 DDIMER <0.22 08/18 ESR 44 08/31 CXR impression: No acute cardiopulmonary abnormality. Interval resolution of LEFT lower lobe pneumonia identified earlier this month.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Blood gases abnormal, Blood pH normal, Brain natriuretic peptide normal, C-reactive protein increased, COVID-19
Clinical narrative: Narrative:  COVID infection following COVID vaccine series 02/25, Pfizer, dose #1 03/18, Pfizer, dose #2 08/01 pt cc: cough, dyspnea, malaise, wheezing, chest congestion, low backache unknown exposure: unknown 08/09 COVID swab, result: detected 08/12 SARS-COV-2 TOTAL AB SPIKE SEMI QN>2500.00 08/09 ekg sr 84, qtc 441, no acute changes 08/09 ABG i-pH 7.40, i-PCO2 30.6, i-PO2 50, i-HCO3 19.1, SpO2 84 08/09 Admit to medicine dx: Acute Hypoxic Respiratory Failure due to Covid 19 Pneumonia LOS: 8 days 08/09 BNP 12.1 08/09 LIPASE 28 08/09 CRP 10.970 08/09 PROCALCITONIN <0.05 08/09 CXR impression: The exam is limited by poor timing of the contrast bolus and respiratory motion artifact. Given these limitations, no central pulmonary embolism is visualized. -Patchy and groundglass opacities in the mid/lower lungs, most compatible with multifocal infection. Imaging features of Covid-19 pneumonia are present. Other processes such as influenza pneumonia and organizing pneumonia, as can be seen with drug toxicity and connective tissue disease, can cause a similar imaging pattern. 08/09 CXR impression: Support devices: None identified Mediastinum: Normal cardiac size. No central pulmonary vascular enlargement. Lungs and pleura: Left lower lobe infiltrate is identified. Small infiltrate versus atelectasis in the right lower lobe is seen. Clinical correlation is recommended. Bones: Unchanged 08/10 SARS-COV-2-IgG 0.07 08/10 FIBRINOGEN 491 08/10 ESR 81 08/10 DDIMER 0.24 08/18 FIBRINOGEN 212 08/18 DDIMER <0.22 08/18 ESR 44 08/31 CXR impression: No acute cardiopulmonary abnormality. Interval resolution of LEFT lower lobe pneumonia identified earlier this month.