chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer increased, Hypertension, Hypoxia, Leukocytosis, Muscle strain
Clinical narrative: PAtient seen in ED and transferred for inpatient admission.  The patient is a 48-year-old gentleman was admitted to our service with concerns of hypoxia possibly related to COVID.  On presentation, the patient was noted to have persistent tachycardia and complaints of dizziness.  Given the patient's negative chest x-ray hypoxia and sinus tachycardia seemed out of proportion with his Infectious presentation.  CT of the chest was obtained given patient's history of significant PE.  CTA of the chest noted pulmonary embolism of significant size and portion including saddle pulmonary embolism with right heart strain.  A alert was sent out and the determination was made the patient will be best served to be transferred for ongoing workup and consideration of catheter directed therapy.Patient is a 48 y.o. male with h/o morbid obesity, essential HTN and PE s/p thrombectomy and IVC placement (Oct 2020)/removal (Feb 2021), transferring directly from Pennock Hospital where he was admitted on 1/2 with acute hypoxic respiratory failure initially thought secondary to COVID-19 pneumonia with later discovery of acute bilateral pulmonary embolism with saddle embolus.  He presented to the ER yesterday morning with c/o 1-week h/o dizziness in the setting of recent viral URI-type symptomatology.  These symptoms have included congestion, sinus drainage, sore throat, rhinorrhea, non-productive cough and dyspnea with exertion.  He was admitted here in Oct 2020 due to above noted prior PE and, following thrombectomy and IVC filter placement, he was discharged in stable condition on Coumadin for anticoagulation as his BMI limits other options.  It appears this anticoagulation was stopped in Jan 2021 in preparation for IVC filter retrieval in Feb 2021, and it was never restarted thereafter.  On arrival to the ER, he was found to be hypoxic and is now comfortable and maintaining appropriate SpO2 on 4L via NC.  He has been afebrile, normotensive, tachycardic and mildly tachypnic.  Initial labs suggest mild AKI with mild NAGMA, troponinemia with negative delta, elevated proBNP, elevated D-dimer, mild leukocytosis and positive COVID screen.  He was admitted to the hospitalist service at Pennock pre-CTA thorax and received COVID-directed dexamethasone and remdesivir.  Of note, aside from the large clot burden on CTA, the lungs appeared otherwise clear with no e/o pneumonia.  He was started on a heparin infusion and transfer was requested for possible repeat thrombectomy and Pulm consult here as noted by Dr.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: N-terminal prohormone brain natriuretic peptide increased, Obesity, Oropharyngeal pain, Pneumonia, Pulmonary artery thrombosis
Clinical narrative: PAtient seen in ED and transferred for inpatient admission.  The patient is a 48-year-old gentleman was admitted to our service with concerns of hypoxia possibly related to COVID.  On presentation, the patient was noted to have persistent tachycardia and complaints of dizziness.  Given the patient's negative chest x-ray hypoxia and sinus tachycardia seemed out of proportion with his Infectious presentation.  CT of the chest was obtained given patient's history of significant PE.  CTA of the chest noted pulmonary embolism of significant size and portion including saddle pulmonary embolism with right heart strain.  A alert was sent out and the determination was made the patient will be best served to be transferred for ongoing workup and consideration of catheter directed therapy.Patient is a 48 y.o. male with h/o morbid obesity, essential HTN and PE s/p thrombectomy and IVC placement (Oct 2020)/removal (Feb 2021), transferring directly from Pennock Hospital where he was admitted on 1/2 with acute hypoxic respiratory failure initially thought secondary to COVID-19 pneumonia with later discovery of acute bilateral pulmonary embolism with saddle embolus.  He presented to the ER yesterday morning with c/o 1-week h/o dizziness in the setting of recent viral URI-type symptomatology.  These symptoms have included congestion, sinus drainage, sore throat, rhinorrhea, non-productive cough and dyspnea with exertion.  He was admitted here in Oct 2020 due to above noted prior PE and, following thrombectomy and IVC filter placement, he was discharged in stable condition on Coumadin for anticoagulation as his BMI limits other options.  It appears this anticoagulation was stopped in Jan 2021 in preparation for IVC filter retrieval in Feb 2021, and it was never restarted thereafter.  On arrival to the ER, he was found to be hypoxic and is now comfortable and maintaining appropriate SpO2 on 4L via NC.  He has been afebrile, normotensive, tachycardic and mildly tachypnic.  Initial labs suggest mild AKI with mild NAGMA, troponinemia with negative delta, elevated proBNP, elevated D-dimer, mild leukocytosis and positive COVID screen.  He was admitted to the hospitalist service at Pennock pre-CTA thorax and received COVID-directed dexamethasone and remdesivir.  Of note, aside from the large clot burden on CTA, the lungs appeared otherwise clear with no e/o pneumonia.  He was started on a heparin infusion and transfer was requested for possible repeat thrombectomy and Pulm consult here as noted by Dr.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary embolism, Pulmonary valve disease, Pulse waveform abnormal, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: PAtient seen in ED and transferred for inpatient admission.  The patient is a 48-year-old gentleman was admitted to our service with concerns of hypoxia possibly related to COVID.  On presentation, the patient was noted to have persistent tachycardia and complaints of dizziness.  Given the patient's negative chest x-ray hypoxia and sinus tachycardia seemed out of proportion with his Infectious presentation.  CT of the chest was obtained given patient's history of significant PE.  CTA of the chest noted pulmonary embolism of significant size and portion including saddle pulmonary embolism with right heart strain.  A alert was sent out and the determination was made the patient will be best served to be transferred for ongoing workup and consideration of catheter directed therapy.Patient is a 48 y.o. male with h/o morbid obesity, essential HTN and PE s/p thrombectomy and IVC placement (Oct 2020)/removal (Feb 2021), transferring directly from Pennock Hospital where he was admitted on 1/2 with acute hypoxic respiratory failure initially thought secondary to COVID-19 pneumonia with later discovery of acute bilateral pulmonary embolism with saddle embolus.  He presented to the ER yesterday morning with c/o 1-week h/o dizziness in the setting of recent viral URI-type symptomatology.  These symptoms have included congestion, sinus drainage, sore throat, rhinorrhea, non-productive cough and dyspnea with exertion.  He was admitted here in Oct 2020 due to above noted prior PE and, following thrombectomy and IVC filter placement, he was discharged in stable condition on Coumadin for anticoagulation as his BMI limits other options.  It appears this anticoagulation was stopped in Jan 2021 in preparation for IVC filter retrieval in Feb 2021, and it was never restarted thereafter.  On arrival to the ER, he was found to be hypoxic and is now comfortable and maintaining appropriate SpO2 on 4L via NC.  He has been afebrile, normotensive, tachycardic and mildly tachypnic.  Initial labs suggest mild AKI with mild NAGMA, troponinemia with negative delta, elevated proBNP, elevated D-dimer, mild leukocytosis and positive COVID screen.  He was admitted to the hospitalist service at Pennock pre-CTA thorax and received COVID-directed dexamethasone and remdesivir.  Of note, aside from the large clot burden on CTA, the lungs appeared otherwise clear with no e/o pneumonia.  He was started on a heparin infusion and transfer was requested for possible repeat thrombectomy and Pulm consult here as noted by Dr.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Right ventricular dilatation, SARS-CoV-2 test positive, Scan with contrast, Sedation, Sepsis
Clinical narrative: PAtient seen in ED and transferred for inpatient admission.  The patient is a 48-year-old gentleman was admitted to our service with concerns of hypoxia possibly related to COVID.  On presentation, the patient was noted to have persistent tachycardia and complaints of dizziness.  Given the patient's negative chest x-ray hypoxia and sinus tachycardia seemed out of proportion with his Infectious presentation.  CT of the chest was obtained given patient's history of significant PE.  CTA of the chest noted pulmonary embolism of significant size and portion including saddle pulmonary embolism with right heart strain.  A alert was sent out and the determination was made the patient will be best served to be transferred for ongoing workup and consideration of catheter directed therapy.Patient is a 48 y.o. male with h/o morbid obesity, essential HTN and PE s/p thrombectomy and IVC placement (Oct 2020)/removal (Feb 2021), transferring directly from Pennock Hospital where he was admitted on 1/2 with acute hypoxic respiratory failure initially thought secondary to COVID-19 pneumonia with later discovery of acute bilateral pulmonary embolism with saddle embolus.  He presented to the ER yesterday morning with c/o 1-week h/o dizziness in the setting of recent viral URI-type symptomatology.  These symptoms have included congestion, sinus drainage, sore throat, rhinorrhea, non-productive cough and dyspnea with exertion.  He was admitted here in Oct 2020 due to above noted prior PE and, following thrombectomy and IVC filter placement, he was discharged in stable condition on Coumadin for anticoagulation as his BMI limits other options.  It appears this anticoagulation was stopped in Jan 2021 in preparation for IVC filter retrieval in Feb 2021, and it was never restarted thereafter.  On arrival to the ER, he was found to be hypoxic and is now comfortable and maintaining appropriate SpO2 on 4L via NC.  He has been afebrile, normotensive, tachycardic and mildly tachypnic.  Initial labs suggest mild AKI with mild NAGMA, troponinemia with negative delta, elevated proBNP, elevated D-dimer, mild leukocytosis and positive COVID screen.  He was admitted to the hospitalist service at Pennock pre-CTA thorax and received COVID-directed dexamethasone and remdesivir.  Of note, aside from the large clot burden on CTA, the lungs appeared otherwise clear with no e/o pneumonia.  He was started on a heparin infusion and transfer was requested for possible repeat thrombectomy and Pulm consult here as noted by Dr.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Sinus operation, Sinus tachycardia, Systolic dysfunction, Tachycardia, Tachypnoea
Clinical narrative: PAtient seen in ED and transferred for inpatient admission.  The patient is a 48-year-old gentleman was admitted to our service with concerns of hypoxia possibly related to COVID.  On presentation, the patient was noted to have persistent tachycardia and complaints of dizziness.  Given the patient's negative chest x-ray hypoxia and sinus tachycardia seemed out of proportion with his Infectious presentation.  CT of the chest was obtained given patient's history of significant PE.  CTA of the chest noted pulmonary embolism of significant size and portion including saddle pulmonary embolism with right heart strain.  A alert was sent out and the determination was made the patient will be best served to be transferred for ongoing workup and consideration of catheter directed therapy.Patient is a 48 y.o. male with h/o morbid obesity, essential HTN and PE s/p thrombectomy and IVC placement (Oct 2020)/removal (Feb 2021), transferring directly from Pennock Hospital where he was admitted on 1/2 with acute hypoxic respiratory failure initially thought secondary to COVID-19 pneumonia with later discovery of acute bilateral pulmonary embolism with saddle embolus.  He presented to the ER yesterday morning with c/o 1-week h/o dizziness in the setting of recent viral URI-type symptomatology.  These symptoms have included congestion, sinus drainage, sore throat, rhinorrhea, non-productive cough and dyspnea with exertion.  He was admitted here in Oct 2020 due to above noted prior PE and, following thrombectomy and IVC filter placement, he was discharged in stable condition on Coumadin for anticoagulation as his BMI limits other options.  It appears this anticoagulation was stopped in Jan 2021 in preparation for IVC filter retrieval in Feb 2021, and it was never restarted thereafter.  On arrival to the ER, he was found to be hypoxic and is now comfortable and maintaining appropriate SpO2 on 4L via NC.  He has been afebrile, normotensive, tachycardic and mildly tachypnic.  Initial labs suggest mild AKI with mild NAGMA, troponinemia with negative delta, elevated proBNP, elevated D-dimer, mild leukocytosis and positive COVID screen.  He was admitted to the hospitalist service at Pennock pre-CTA thorax and received COVID-directed dexamethasone and remdesivir.  Of note, aside from the large clot burden on CTA, the lungs appeared otherwise clear with no e/o pneumonia.  He was started on a heparin infusion and transfer was requested for possible repeat thrombectomy and Pulm consult here as noted by Dr.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Thromboembolectomy, Tricuspid valve incompetence, Troponin, Ultrasound Doppler, Ultrasound Doppler abnormal
Clinical narrative: PAtient seen in ED and transferred for inpatient admission.  The patient is a 48-year-old gentleman was admitted to our service with concerns of hypoxia possibly related to COVID.  On presentation, the patient was noted to have persistent tachycardia and complaints of dizziness.  Given the patient's negative chest x-ray hypoxia and sinus tachycardia seemed out of proportion with his Infectious presentation.  CT of the chest was obtained given patient's history of significant PE.  CTA of the chest noted pulmonary embolism of significant size and portion including saddle pulmonary embolism with right heart strain.  A alert was sent out and the determination was made the patient will be best served to be transferred for ongoing workup and consideration of catheter directed therapy.Patient is a 48 y.o. male with h/o morbid obesity, essential HTN and PE s/p thrombectomy and IVC placement (Oct 2020)/removal (Feb 2021), transferring directly from Pennock Hospital where he was admitted on 1/2 with acute hypoxic respiratory failure initially thought secondary to COVID-19 pneumonia with later discovery of acute bilateral pulmonary embolism with saddle embolus.  He presented to the ER yesterday morning with c/o 1-week h/o dizziness in the setting of recent viral URI-type symptomatology.  These symptoms have included congestion, sinus drainage, sore throat, rhinorrhea, non-productive cough and dyspnea with exertion.  He was admitted here in Oct 2020 due to above noted prior PE and, following thrombectomy and IVC filter placement, he was discharged in stable condition on Coumadin for anticoagulation as his BMI limits other options.  It appears this anticoagulation was stopped in Jan 2021 in preparation for IVC filter retrieval in Feb 2021, and it was never restarted thereafter.  On arrival to the ER, he was found to be hypoxic and is now comfortable and maintaining appropriate SpO2 on 4L via NC.  He has been afebrile, normotensive, tachycardic and mildly tachypnic.  Initial labs suggest mild AKI with mild NAGMA, troponinemia with negative delta, elevated proBNP, elevated D-dimer, mild leukocytosis and positive COVID screen.  He was admitted to the hospitalist service at Pennock pre-CTA thorax and received COVID-directed dexamethasone and remdesivir.  Of note, aside from the large clot burden on CTA, the lungs appeared otherwise clear with no e/o pneumonia.  He was started on a heparin infusion and transfer was requested for possible repeat thrombectomy and Pulm consult here as noted by Dr.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Vena cava filter insertion, Venogram, X-ray
Clinical narrative: PAtient seen in ED and transferred for inpatient admission.  The patient is a 48-year-old gentleman was admitted to our service with concerns of hypoxia possibly related to COVID.  On presentation, the patient was noted to have persistent tachycardia and complaints of dizziness.  Given the patient's negative chest x-ray hypoxia and sinus tachycardia seemed out of proportion with his Infectious presentation.  CT of the chest was obtained given patient's history of significant PE.  CTA of the chest noted pulmonary embolism of significant size and portion including saddle pulmonary embolism with right heart strain.  A alert was sent out and the determination was made the patient will be best served to be transferred for ongoing workup and consideration of catheter directed therapy.Patient is a 48 y.o. male with h/o morbid obesity, essential HTN and PE s/p thrombectomy and IVC placement (Oct 2020)/removal (Feb 2021), transferring directly from Pennock Hospital where he was admitted on 1/2 with acute hypoxic respiratory failure initially thought secondary to COVID-19 pneumonia with later discovery of acute bilateral pulmonary embolism with saddle embolus.  He presented to the ER yesterday morning with c/o 1-week h/o dizziness in the setting of recent viral URI-type symptomatology.  These symptoms have included congestion, sinus drainage, sore throat, rhinorrhea, non-productive cough and dyspnea with exertion.  He was admitted here in Oct 2020 due to above noted prior PE and, following thrombectomy and IVC filter placement, he was discharged in stable condition on Coumadin for anticoagulation as his BMI limits other options.  It appears this anticoagulation was stopped in Jan 2021 in preparation for IVC filter retrieval in Feb 2021, and it was never restarted thereafter.  On arrival to the ER, he was found to be hypoxic and is now comfortable and maintaining appropriate SpO2 on 4L via NC.  He has been afebrile, normotensive, tachycardic and mildly tachypnic.  Initial labs suggest mild AKI with mild NAGMA, troponinemia with negative delta, elevated proBNP, elevated D-dimer, mild leukocytosis and positive COVID screen.  He was admitted to the hospitalist service at Pennock pre-CTA thorax and received COVID-directed dexamethasone and remdesivir.  Of note, aside from the large clot burden on CTA, the lungs appeared otherwise clear with no e/o pneumonia.  He was started on a heparin infusion and transfer was requested for possible repeat thrombectomy and Pulm consult here as noted by Dr.
Age: 47.0
Sex: F
Vaccine: COVID19, FLU4, TDAP
Symptoms: Incorrect dose administered
Clinical narrative: PATIENT WAS GIVEN PEDIATRIC 5-11 DOSE OF COVID BOOSTER INSTEAD OF THE ADULT PFIZER DOSE.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Heavy menstrual bleeding, Thrombosis
Clinical narrative: After having given me the first dose in August, my menstruation was delayed until December in that month I had twice the first little flow, the second time too much bleeding with extremely large blood clots, which I never used to have or a bleeding of that magnitude or such large clots, he had not had a delay of so many months.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Balance disorder, Blood pressure increased, Body temperature increased, Chest discomfort
Clinical narrative: Have not been back to work. On 12/29/2021 I went to the PCP and she believed I had Guillain Barre Syndrome, due to my symptoms that started on 12/3/2021. they were chills, back of the head pressure, the left arm and both feet, were tingling. My temperature was extremely high. I had extreme pressure in my lower back. My temperature would stay around the hundreds for weeks. It's still spiking. I had horrible head pressure. And I did have a spell of itching and no rash. I have joint pain. The chest pain elevated blood pressure and muscle cramps and weakness leg and tingling in hands and balance of equilibrium are continuing. I continue to have bouts of high blood pressure. I have tightness and heaviness during chest pain on 12/26/2021. I had been prescribed a steroid treatment. My heart rate was over 100 for three days. My PCP wants me to have a echocardiogram. I do not have insurance, so I have to wait for that procedure. The weakness in my lower legs started 12/5/2021.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Discomfort, Electrocardiogram normal, Guillain-Barre syndrome
Clinical narrative: Have not been back to work. On 12/29/2021 I went to the PCP and she believed I had Guillain Barre Syndrome, due to my symptoms that started on 12/3/2021. they were chills, back of the head pressure, the left arm and both feet, were tingling. My temperature was extremely high. I had extreme pressure in my lower back. My temperature would stay around the hundreds for weeks. It's still spiking. I had horrible head pressure. And I did have a spell of itching and no rash. I have joint pain. The chest pain elevated blood pressure and muscle cramps and weakness leg and tingling in hands and balance of equilibrium are continuing. I continue to have bouts of high blood pressure. I have tightness and heaviness during chest pain on 12/26/2021. I had been prescribed a steroid treatment. My heart rate was over 100 for three days. My PCP wants me to have a echocardiogram. I do not have insurance, so I have to wait for that procedure. The weakness in my lower legs started 12/5/2021.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Head discomfort, Impaired work ability, Muscle spasms, Muscular weakness, Paraesthesia
Clinical narrative: Have not been back to work. On 12/29/2021 I went to the PCP and she believed I had Guillain Barre Syndrome, due to my symptoms that started on 12/3/2021. they were chills, back of the head pressure, the left arm and both feet, were tingling. My temperature was extremely high. I had extreme pressure in my lower back. My temperature would stay around the hundreds for weeks. It's still spiking. I had horrible head pressure. And I did have a spell of itching and no rash. I have joint pain. The chest pain elevated blood pressure and muscle cramps and weakness leg and tingling in hands and balance of equilibrium are continuing. I continue to have bouts of high blood pressure. I have tightness and heaviness during chest pain on 12/26/2021. I had been prescribed a steroid treatment. My heart rate was over 100 for three days. My PCP wants me to have a echocardiogram. I do not have insurance, so I have to wait for that procedure. The weakness in my lower legs started 12/5/2021.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Have not been back to work. On 12/29/2021 I went to the PCP and she believed I had Guillain Barre Syndrome, due to my symptoms that started on 12/3/2021. they were chills, back of the head pressure, the left arm and both feet, were tingling. My temperature was extremely high. I had extreme pressure in my lower back. My temperature would stay around the hundreds for weeks. It's still spiking. I had horrible head pressure. And I did have a spell of itching and no rash. I have joint pain. The chest pain elevated blood pressure and muscle cramps and weakness leg and tingling in hands and balance of equilibrium are continuing. I continue to have bouts of high blood pressure. I have tightness and heaviness during chest pain on 12/26/2021. I had been prescribed a steroid treatment. My heart rate was over 100 for three days. My PCP wants me to have a echocardiogram. I do not have insurance, so I have to wait for that procedure. The weakness in my lower legs started 12/5/2021.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given 0.5ml instead of 0.25ml
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Full body hive rash not at the injection site. Below arm pits, inner thighs and continued to spread all over my body for about 6 days until I started conssitently taking Claratin in the AM and Benadryl in the PM. Still today, get little hives that pop up with brushing of the skin
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine expired on 1/2/2022 but was administered on 1/3/2022. No adverse event after vaccine
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Feeling hot, Heavy menstrual bleeding, Lymph node pain, Lymphadenopathy
Clinical narrative: I received the Pfizer booster on 10/29/21, 24 hours later my lymph nodes at the base of my skull and neck became swollen and it felt like someone had hit me in at the base of my head with a baseball bat.  I had issues regulating my temperature, one minute I was hot and the next with chills.  This last about 16 hours.  The next day my lymph node under my arm of the vaccination site became swollen and tender for about a week.  I have also noticed a huge change in my menstrual cycles after the booster.  In Nov. my cycle lasted about 3 days, my normal is around 7-9 days.  In Dec it also only last a few days but was heavy bleeding.  Now In Jan. I am over a week late which has never happened.  There is no physical way that I would be pregnant so that is not the issue.  I currently have no signs or symptoms like I normally do prior to starting my menstrual cycle.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation delayed, Menstruation irregular
Clinical narrative: I received the Pfizer booster on 10/29/21, 24 hours later my lymph nodes at the base of my skull and neck became swollen and it felt like someone had hit me in at the base of my head with a baseball bat.  I had issues regulating my temperature, one minute I was hot and the next with chills.  This last about 16 hours.  The next day my lymph node under my arm of the vaccination site became swollen and tender for about a week.  I have also noticed a huge change in my menstrual cycles after the booster.  In Nov. my cycle lasted about 3 days, my normal is around 7-9 days.  In Dec it also only last a few days but was heavy bleeding.  Now In Jan. I am over a week late which has never happened.  There is no physical way that I would be pregnant so that is not the issue.  I currently have no signs or symptoms like I normally do prior to starting my menstrual cycle.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy, Pain in extremity
Clinical narrative: Left arm pain, left lymph node swelling and pain in  left side of neck, left armpit and inside left leg
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Antinuclear antibody positive, Blood test abnormal, Dyspnoea, Gastrooesophageal reflux disease, Pruritus
Clinical narrative: Too much to type here before the session times out.  Delayed Urticaria after the booster, GERD, breathing issues, swelling, itching.  Antihistamines (Zyrtec, Benadryl), Albuterol, Pepcid, Prilosec, Steroids (prednisone, decadron),
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Swelling, Tryptase increased, Urticaria, White blood cell count increased
Clinical narrative: Too much to type here before the session times out.  Delayed Urticaria after the booster, GERD, breathing issues, swelling, itching.  Antihistamines (Zyrtec, Benadryl), Albuterol, Pepcid, Prilosec, Steroids (prednisone, decadron),
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cough, Headache, Nasal congestion, Oropharyngeal pain
Clinical narrative: NASAL CONGESTION, SORE THROAT, COUGH, HEADACHE, FEVER, CHILLS MAB TREATMENT
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: NASAL CONGESTION, SORE THROAT, COUGH, HEADACHE, FEVER, CHILLS MAB TREATMENT
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Insomnia, Myalgia, Night sweats, Pyrexia
Clinical narrative: Booster.  Started having strong muscle aches and feeling feverish - though no temperature registered around lunch time. Symptoms persisted through the day and night, giving some relief with Tylenol/Advil.  Had strong night sweats and trouble sleeping that evening. Still feeling feverish today.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Bladder catheterisation, Body temperature increased, COVID-19, Chlamydia test positive, Complication of pregnancy
Clinical narrative: ADMISSION 01042022:  25yo G2P1001 with IUP @ 37+5 wga who presented to triage secondary to decreased FM and COVID sx. Pt's temp was 100.4 and COVID test was positive. While obtaining NST pt had recurrent late decels. Despite IV hydration and position changes decels persisted. As a result, pt counseled regarding need for c/s. Discussed risks of c/s including but not limited to anesthesia, infection, bleeding with need for blood transfusion, damage to bowel, bladder - requiring an indwelling foley for a few weeks as the bladder heals, muscles, nerves, etc. Informed consent obtained. Pt has had prenatal care with Dr. Large since 18+6 wga. Pregnancy complicated by + chlam. Pt had neg TOC for chlam 8/16/21.  Please see prenatals for further details. PT AND BABY ARE INPATIENT AT THIS TIME.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Exposure during pregnancy, Foetal heart rate deceleration abnormality, Foetal hypokinesia, Foetal non-stress test abnormal, Malaise
Clinical narrative: ADMISSION 01042022:  25yo G2P1001 with IUP @ 37+5 wga who presented to triage secondary to decreased FM and COVID sx. Pt's temp was 100.4 and COVID test was positive. While obtaining NST pt had recurrent late decels. Despite IV hydration and position changes decels persisted. As a result, pt counseled regarding need for c/s. Discussed risks of c/s including but not limited to anesthesia, infection, bleeding with need for blood transfusion, damage to bowel, bladder - requiring an indwelling foley for a few weeks as the bladder heals, muscles, nerves, etc. Informed consent obtained. Pt has had prenatal care with Dr. Large since 18+6 wga. Pregnancy complicated by + chlam. Pt had neg TOC for chlam 8/16/21.  Please see prenatals for further details. PT AND BABY ARE INPATIENT AT THIS TIME.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: ADMISSION 01042022:  25yo G2P1001 with IUP @ 37+5 wga who presented to triage secondary to decreased FM and COVID sx. Pt's temp was 100.4 and COVID test was positive. While obtaining NST pt had recurrent late decels. Despite IV hydration and position changes decels persisted. As a result, pt counseled regarding need for c/s. Discussed risks of c/s including but not limited to anesthesia, infection, bleeding with need for blood transfusion, damage to bowel, bladder - requiring an indwelling foley for a few weeks as the bladder heals, muscles, nerves, etc. Informed consent obtained. Pt has had prenatal care with Dr. Large since 18+6 wga. Pregnancy complicated by + chlam. Pt had neg TOC for chlam 8/16/21.  Please see prenatals for further details. PT AND BABY ARE INPATIENT AT THIS TIME.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Body temperature increased, COVID-19, Chlamydia test positive, Complication of pregnancy, Exposure during pregnancy
Clinical narrative: ADMISSION 01042022:  25yo G2P1001 with IUP @ 37+5 wga who presented to triage secondary to decreased FM and COVID sx. Pt's temp was 100.4 and COVID test was positive. While obtaining NST pt had recurrent late decels. Despite IV hydration and position changes decels persisted. As a result, pt counseled regarding need for c/s. Discussed risks of c/s including but not limited to anesthesia, infection, bleeding with need for blood transfusion, damage to bowel, bladder - requiring an indwelling foley for a few weeks as the bladder heals, muscles, nerves, etc. Informed consent obtained. Pt has had prenatal care with Dr. Large since 18+6 wga. Pregnancy complicated by + chlam. Pt had neg TOC for chlam 8/16/21.  Please see prenatals for further details. PT AND BABY ARE INPATIENT AT THIS TIME.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Foetal heart rate deceleration abnormality, Foetal hypokinesia, Foetal non-stress test abnormal, Malaise, SARS-CoV-2 test positive
Clinical narrative: ADMISSION 01042022:  25yo G2P1001 with IUP @ 37+5 wga who presented to triage secondary to decreased FM and COVID sx. Pt's temp was 100.4 and COVID test was positive. While obtaining NST pt had recurrent late decels. Despite IV hydration and position changes decels persisted. As a result, pt counseled regarding need for c/s. Discussed risks of c/s including but not limited to anesthesia, infection, bleeding with need for blood transfusion, damage to bowel, bladder - requiring an indwelling foley for a few weeks as the bladder heals, muscles, nerves, etc. Informed consent obtained. Pt has had prenatal care with Dr. Large since 18+6 wga. Pregnancy complicated by + chlam. Pt had neg TOC for chlam 8/16/21.  Please see prenatals for further details. PT AND BABY ARE INPATIENT AT THIS TIME.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given 0.5ml instead of 0.25ml
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Blood bicarbonate increased, Blood gases, Blood glucose normal, Blood lactic acid, Blood pH decreased
Clinical narrative: Patient is a 66 yr old female with medical history significant for COPD on 2L O2 continuously, and atrial fibrillation on xarelto. She was brought in to ED by EMS due to severe SOB. On EMS arrival, she was noted to have O2 sat 80% and temp 100.3. She received duoneb and solumedrol 125mg en route, and was placed on 15L non-rebreather mask.  On arrival to ED, sat noted to be 72% on 4L with temp 100.3. She was then placed on bipap with sat up to 95%, continuous albuterol was added. Labs in ED significant for WBC 12.9 with left shift, and glucose 184 with no history of diabetes. ABG with pH 7.28, pCO2 71, pO2 120, sat 98% on bipap. Procalcitonin 0.55, LA 1.5. Pro BNP 8749. Echo 4/2021 showed EF 65-70% with moderately elevated pulmonary artery pressure. Pt has multiple family members who have tested positive for COVID, but per ER physician she tested negative yesterday, and is negative again tonight in ED. Flu is also negative. EKG shows sinus tachycardia with rate 141, QTc is prolonged at 521. CXR reveals multifocal pna. The hospitalist service was called for admission. During my exam, she was fighting the BiPAP, stating that she couldn't breathe, pulling at the mask, and stating that she needed to "get out of here". Repeat ABG done and shows pH 7.28, pCO2 69, pO2 93, HCO3 32, essentially unchanged from prior. She will likely need intubation and is a full code. Addendum: a third blood gas was done and respiratory status had worsened. She was then intubated in the ED.   PT IS INPATIENT AT THIS TIME.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Dyspnoea, Echocardiogram normal, Ejection fraction normal, Electrocardiogram QT prolonged
Clinical narrative: Patient is a 66 yr old female with medical history significant for COPD on 2L O2 continuously, and atrial fibrillation on xarelto. She was brought in to ED by EMS due to severe SOB. On EMS arrival, she was noted to have O2 sat 80% and temp 100.3. She received duoneb and solumedrol 125mg en route, and was placed on 15L non-rebreather mask.  On arrival to ED, sat noted to be 72% on 4L with temp 100.3. She was then placed on bipap with sat up to 95%, continuous albuterol was added. Labs in ED significant for WBC 12.9 with left shift, and glucose 184 with no history of diabetes. ABG with pH 7.28, pCO2 71, pO2 120, sat 98% on bipap. Procalcitonin 0.55, LA 1.5. Pro BNP 8749. Echo 4/2021 showed EF 65-70% with moderately elevated pulmonary artery pressure. Pt has multiple family members who have tested positive for COVID, but per ER physician she tested negative yesterday, and is negative again tonight in ED. Flu is also negative. EKG shows sinus tachycardia with rate 141, QTc is prolonged at 521. CXR reveals multifocal pna. The hospitalist service was called for admission. During my exam, she was fighting the BiPAP, stating that she couldn't breathe, pulling at the mask, and stating that she needed to "get out of here". Repeat ABG done and shows pH 7.28, pCO2 69, pO2 93, HCO3 32, essentially unchanged from prior. She will likely need intubation and is a full code. Addendum: a third blood gas was done and respiratory status had worsened. She was then intubated in the ED.   PT IS INPATIENT AT THIS TIME.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Endotracheal intubation, Influenza virus test negative, Laboratory test abnormal, PCO2 increased, PO2 increased
Clinical narrative: Patient is a 66 yr old female with medical history significant for COPD on 2L O2 continuously, and atrial fibrillation on xarelto. She was brought in to ED by EMS due to severe SOB. On EMS arrival, she was noted to have O2 sat 80% and temp 100.3. She received duoneb and solumedrol 125mg en route, and was placed on 15L non-rebreather mask.  On arrival to ED, sat noted to be 72% on 4L with temp 100.3. She was then placed on bipap with sat up to 95%, continuous albuterol was added. Labs in ED significant for WBC 12.9 with left shift, and glucose 184 with no history of diabetes. ABG with pH 7.28, pCO2 71, pO2 120, sat 98% on bipap. Procalcitonin 0.55, LA 1.5. Pro BNP 8749. Echo 4/2021 showed EF 65-70% with moderately elevated pulmonary artery pressure. Pt has multiple family members who have tested positive for COVID, but per ER physician she tested negative yesterday, and is negative again tonight in ED. Flu is also negative. EKG shows sinus tachycardia with rate 141, QTc is prolonged at 521. CXR reveals multifocal pna. The hospitalist service was called for admission. During my exam, she was fighting the BiPAP, stating that she couldn't breathe, pulling at the mask, and stating that she needed to "get out of here". Repeat ABG done and shows pH 7.28, pCO2 69, pO2 93, HCO3 32, essentially unchanged from prior. She will likely need intubation and is a full code. Addendum: a third blood gas was done and respiratory status had worsened. She was then intubated in the ED.   PT IS INPATIENT AT THIS TIME.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Positive airway pressure therapy, Procalcitonin, Prohormone brain natriuretic peptide increased, Pulmonary arterial pressure increased
Clinical narrative: Patient is a 66 yr old female with medical history significant for COPD on 2L O2 continuously, and atrial fibrillation on xarelto. She was brought in to ED by EMS due to severe SOB. On EMS arrival, she was noted to have O2 sat 80% and temp 100.3. She received duoneb and solumedrol 125mg en route, and was placed on 15L non-rebreather mask.  On arrival to ED, sat noted to be 72% on 4L with temp 100.3. She was then placed on bipap with sat up to 95%, continuous albuterol was added. Labs in ED significant for WBC 12.9 with left shift, and glucose 184 with no history of diabetes. ABG with pH 7.28, pCO2 71, pO2 120, sat 98% on bipap. Procalcitonin 0.55, LA 1.5. Pro BNP 8749. Echo 4/2021 showed EF 65-70% with moderately elevated pulmonary artery pressure. Pt has multiple family members who have tested positive for COVID, but per ER physician she tested negative yesterday, and is negative again tonight in ED. Flu is also negative. EKG shows sinus tachycardia with rate 141, QTc is prolonged at 521. CXR reveals multifocal pna. The hospitalist service was called for admission. During my exam, she was fighting the BiPAP, stating that she couldn't breathe, pulling at the mask, and stating that she needed to "get out of here". Repeat ABG done and shows pH 7.28, pCO2 69, pO2 93, HCO3 32, essentially unchanged from prior. She will likely need intubation and is a full code. Addendum: a third blood gas was done and respiratory status had worsened. She was then intubated in the ED.   PT IS INPATIENT AT THIS TIME.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Sinus tachycardia, White blood cell count increased
Clinical narrative: Patient is a 66 yr old female with medical history significant for COPD on 2L O2 continuously, and atrial fibrillation on xarelto. She was brought in to ED by EMS due to severe SOB. On EMS arrival, she was noted to have O2 sat 80% and temp 100.3. She received duoneb and solumedrol 125mg en route, and was placed on 15L non-rebreather mask.  On arrival to ED, sat noted to be 72% on 4L with temp 100.3. She was then placed on bipap with sat up to 95%, continuous albuterol was added. Labs in ED significant for WBC 12.9 with left shift, and glucose 184 with no history of diabetes. ABG with pH 7.28, pCO2 71, pO2 120, sat 98% on bipap. Procalcitonin 0.55, LA 1.5. Pro BNP 8749. Echo 4/2021 showed EF 65-70% with moderately elevated pulmonary artery pressure. Pt has multiple family members who have tested positive for COVID, but per ER physician she tested negative yesterday, and is negative again tonight in ED. Flu is also negative. EKG shows sinus tachycardia with rate 141, QTc is prolonged at 521. CXR reveals multifocal pna. The hospitalist service was called for admission. During my exam, she was fighting the BiPAP, stating that she couldn't breathe, pulling at the mask, and stating that she needed to "get out of here". Repeat ABG done and shows pH 7.28, pCO2 69, pO2 93, HCO3 32, essentially unchanged from prior. She will likely need intubation and is a full code. Addendum: a third blood gas was done and respiratory status had worsened. She was then intubated in the ED.   PT IS INPATIENT AT THIS TIME.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: PFIZER vaccine that was stored in pharmacy refrigerator given outside of 31 day expiration. Vaccine received at hospital on 11/19/2021. Expiration date on vial 02/2022. NDC# 59267100001
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fall, SARS-CoV-2 test positive
Clinical narrative: Pt stated that she is fully vaccinated for COVID-19. Now hospitalized after a fall at home and has tested positive for COVID upon admission.
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acquired diaphragmatic eventration, Blood alkaline phosphatase increased, Blood gases, Blood glucose normal, Blood pH normal
Clinical narrative: 61 year old man with PMH of asthma, anxiety and depression, colonic necrosis s/p resection, presents with multitude of symptoms, COVID + since Sunday. He states he started feeling poorly since Friday, initially started with sneezing, continued to worsen. No has a cough that is not productive but feels like he has chest congestion, he has a sore throat and a hoarse voice for the last two days. He states that he had a fever of about 101, also desatted to the mid 80's on home pulse ox this AM. Received multiple breathing treatments in the ED, feels better. He denies any chest pain, palpitations, no nausea, vomiting, diarrhea but has not been drinking much either, has dry mouth. He states he has had asthma for many year. years, is only on albuterol for this, has not been hospitalized for this in the past 30 years, he has never been intubated for this. He is fully vaccinated for COVID 19 but not boosted.  On presentation to the ED he had a T of 98.6, HR 113, BP 138/89. Initially satting 91% on RA, subsequently in the mid 90s on RA. CBC relatively unremarkable save for macrocytosis, chemistry with CO2 of 24, glucose 168, alk phos elevate to 151, D-Dimer elevated to 1,936, ABG on RA 7.41/42/72/94%. CXR read as no acute airspace disease with elevated left hemidiaphragm.  PT IS INPATIENT AT THIS TIME.
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Carbon dioxide normal, Chest X-ray abnormal, Cough, Dry mouth
Clinical narrative: 61 year old man with PMH of asthma, anxiety and depression, colonic necrosis s/p resection, presents with multitude of symptoms, COVID + since Sunday. He states he started feeling poorly since Friday, initially started with sneezing, continued to worsen. No has a cough that is not productive but feels like he has chest congestion, he has a sore throat and a hoarse voice for the last two days. He states that he had a fever of about 101, also desatted to the mid 80's on home pulse ox this AM. Received multiple breathing treatments in the ED, feels better. He denies any chest pain, palpitations, no nausea, vomiting, diarrhea but has not been drinking much either, has dry mouth. He states he has had asthma for many year. years, is only on albuterol for this, has not been hospitalized for this in the past 30 years, he has never been intubated for this. He is fully vaccinated for COVID 19 but not boosted.  On presentation to the ED he had a T of 98.6, HR 113, BP 138/89. Initially satting 91% on RA, subsequently in the mid 90s on RA. CBC relatively unremarkable save for macrocytosis, chemistry with CO2 of 24, glucose 168, alk phos elevate to 151, D-Dimer elevated to 1,936, ABG on RA 7.41/42/72/94%. CXR read as no acute airspace disease with elevated left hemidiaphragm.  PT IS INPATIENT AT THIS TIME.
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dysphonia, Feeling abnormal, Fibrin D dimer increased, Fluid intake reduced, Full blood count abnormal
Clinical narrative: 61 year old man with PMH of asthma, anxiety and depression, colonic necrosis s/p resection, presents with multitude of symptoms, COVID + since Sunday. He states he started feeling poorly since Friday, initially started with sneezing, continued to worsen. No has a cough that is not productive but feels like he has chest congestion, he has a sore throat and a hoarse voice for the last two days. He states that he had a fever of about 101, also desatted to the mid 80's on home pulse ox this AM. Received multiple breathing treatments in the ED, feels better. He denies any chest pain, palpitations, no nausea, vomiting, diarrhea but has not been drinking much either, has dry mouth. He states he has had asthma for many year. years, is only on albuterol for this, has not been hospitalized for this in the past 30 years, he has never been intubated for this. He is fully vaccinated for COVID 19 but not boosted.  On presentation to the ED he had a T of 98.6, HR 113, BP 138/89. Initially satting 91% on RA, subsequently in the mid 90s on RA. CBC relatively unremarkable save for macrocytosis, chemistry with CO2 of 24, glucose 168, alk phos elevate to 151, D-Dimer elevated to 1,936, ABG on RA 7.41/42/72/94%. CXR read as no acute airspace disease with elevated left hemidiaphragm.  PT IS INPATIENT AT THIS TIME.
Sex: M
Vaccine: COVID19, COVID19
Symptoms: General physical health deterioration, Lower respiratory tract congestion, Macrocytosis, Oropharyngeal pain, Oxygen saturation decreased
Clinical narrative: 61 year old man with PMH of asthma, anxiety and depression, colonic necrosis s/p resection, presents with multitude of symptoms, COVID + since Sunday. He states he started feeling poorly since Friday, initially started with sneezing, continued to worsen. No has a cough that is not productive but feels like he has chest congestion, he has a sore throat and a hoarse voice for the last two days. He states that he had a fever of about 101, also desatted to the mid 80's on home pulse ox this AM. Received multiple breathing treatments in the ED, feels better. He denies any chest pain, palpitations, no nausea, vomiting, diarrhea but has not been drinking much either, has dry mouth. He states he has had asthma for many year. years, is only on albuterol for this, has not been hospitalized for this in the past 30 years, he has never been intubated for this. He is fully vaccinated for COVID 19 but not boosted.  On presentation to the ED he had a T of 98.6, HR 113, BP 138/89. Initially satting 91% on RA, subsequently in the mid 90s on RA. CBC relatively unremarkable save for macrocytosis, chemistry with CO2 of 24, glucose 168, alk phos elevate to 151, D-Dimer elevated to 1,936, ABG on RA 7.41/42/72/94%. CXR read as no acute airspace disease with elevated left hemidiaphragm.  PT IS INPATIENT AT THIS TIME.