chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Aortic aneurysm, Atelectasis, Bilevel positive airway pressure, Blood creatinine increased, Blood glucose normal
Clinical narrative: Patient presents to the emergency department with a complaint of difficulty breathing.  He is somewhat a poor historian and unable to give full account of how long the shortness of breath has been going on was he vaccinated or not or when he tested positive.  His COVID-19 test is positive today.  He is morbidly obese with a history of diabetes, hypercholesterolemia, hypertension, and sleep apnea.  He was placed on BiPAP settings of 12/6 FiO2 60% and saturation at 100% on those settings.  CXR shows Mild cardiomegaly. Findings suggestive of multifocal pneumonia. A left pleural effusion is also suspected. CT of the Abdomen shows  Groundglass opacities with  7/27/2021 tested positive 8/2/2021: patient discharged. Patient presents to the emergency department with a complaint of difficulty breathing.  He is somewhat a poor historian and unable to give full account of how long the shortness of breath has been going on was he vaccinated or not or when he tested positive.  His COVID-19 test is positive today.  He is morbidly obese with a history of diabetes, hypercholesterolemia, hypertension, and sleep apnea.  He was placed on BiPAP settings of 12/6 FiO2 60% and saturation at 100% on those settings.  CXR shows Mild cardiomegaly. Findings suggestive of multifocal pneumonia. A left pleural effusion is also suspected. CT of the Abdomen shows  Groundglass opacities with nodular consolidation scattered throughout the lungs, as described above, consistent with a multifocal pneumonia. Small bilateral pleural effusions with bibasilar atelectasis.2.  Mild cardiomegaly. Mild fusiform aneurysm of the ascending thoracic aorta measuring 4.2 cm.3.  Minimal stranding with layering free fluid in the left paracolic gutter, which may be related to patient's volume status. While this could represent reactive free fluid related to acute diverticulitis, a moderate length segment of the descending colon in this region was excluded from the field-of-view and not well evaluated for diverticulitis. No pneumoperitoneum.4.  Mild focal residual dilation in the downstream left ureter without upstream hydronephrosis. No obstructive ureteral calculus present. A focal area of stricturing or developing ureteral neoplasm could have this appearance and a nonemergent CT urogram is recommended for further characterization.  CT of the Brain shows  No mass effect, hemorrhage or large hypodensity to suggest territorial ischemia. CT sensitivity for subtle acute ischemia is limited. Consider further evaluation with noncontrast MRI if indicated.2.  Age-related involutional changes of the brain and white matter changes of chronic microvascular ischemia.  There is no leukocytosis his hemoglobin 9.6 with a hematocrit 31.8.  MCV shows 103.6.  Glucose is 144 creatinine is 3.59.  We will admit for further evaluation and treatment.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cardiomegaly, Chest X-ray abnormal, Computerised tomogram head, Computerised tomogram thorax abnormal
Clinical narrative: Patient presents to the emergency department with a complaint of difficulty breathing.  He is somewhat a poor historian and unable to give full account of how long the shortness of breath has been going on was he vaccinated or not or when he tested positive.  His COVID-19 test is positive today.  He is morbidly obese with a history of diabetes, hypercholesterolemia, hypertension, and sleep apnea.  He was placed on BiPAP settings of 12/6 FiO2 60% and saturation at 100% on those settings.  CXR shows Mild cardiomegaly. Findings suggestive of multifocal pneumonia. A left pleural effusion is also suspected. CT of the Abdomen shows  Groundglass opacities with  7/27/2021 tested positive 8/2/2021: patient discharged. Patient presents to the emergency department with a complaint of difficulty breathing.  He is somewhat a poor historian and unable to give full account of how long the shortness of breath has been going on was he vaccinated or not or when he tested positive.  His COVID-19 test is positive today.  He is morbidly obese with a history of diabetes, hypercholesterolemia, hypertension, and sleep apnea.  He was placed on BiPAP settings of 12/6 FiO2 60% and saturation at 100% on those settings.  CXR shows Mild cardiomegaly. Findings suggestive of multifocal pneumonia. A left pleural effusion is also suspected. CT of the Abdomen shows  Groundglass opacities with nodular consolidation scattered throughout the lungs, as described above, consistent with a multifocal pneumonia. Small bilateral pleural effusions with bibasilar atelectasis.2.  Mild cardiomegaly. Mild fusiform aneurysm of the ascending thoracic aorta measuring 4.2 cm.3.  Minimal stranding with layering free fluid in the left paracolic gutter, which may be related to patient's volume status. While this could represent reactive free fluid related to acute diverticulitis, a moderate length segment of the descending colon in this region was excluded from the field-of-view and not well evaluated for diverticulitis. No pneumoperitoneum.4.  Mild focal residual dilation in the downstream left ureter without upstream hydronephrosis. No obstructive ureteral calculus present. A focal area of stricturing or developing ureteral neoplasm could have this appearance and a nonemergent CT urogram is recommended for further characterization.  CT of the Brain shows  No mass effect, hemorrhage or large hypodensity to suggest territorial ischemia. CT sensitivity for subtle acute ischemia is limited. Consider further evaluation with noncontrast MRI if indicated.2.  Age-related involutional changes of the brain and white matter changes of chronic microvascular ischemia.  There is no leukocytosis his hemoglobin 9.6 with a hematocrit 31.8.  MCV shows 103.6.  Glucose is 144 creatinine is 3.59.  We will admit for further evaluation and treatment.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Haematocrit decreased, Haemoglobin decreased, Lung consolidation, Lung opacity
Clinical narrative: Patient presents to the emergency department with a complaint of difficulty breathing.  He is somewhat a poor historian and unable to give full account of how long the shortness of breath has been going on was he vaccinated or not or when he tested positive.  His COVID-19 test is positive today.  He is morbidly obese with a history of diabetes, hypercholesterolemia, hypertension, and sleep apnea.  He was placed on BiPAP settings of 12/6 FiO2 60% and saturation at 100% on those settings.  CXR shows Mild cardiomegaly. Findings suggestive of multifocal pneumonia. A left pleural effusion is also suspected. CT of the Abdomen shows  Groundglass opacities with  7/27/2021 tested positive 8/2/2021: patient discharged. Patient presents to the emergency department with a complaint of difficulty breathing.  He is somewhat a poor historian and unable to give full account of how long the shortness of breath has been going on was he vaccinated or not or when he tested positive.  His COVID-19 test is positive today.  He is morbidly obese with a history of diabetes, hypercholesterolemia, hypertension, and sleep apnea.  He was placed on BiPAP settings of 12/6 FiO2 60% and saturation at 100% on those settings.  CXR shows Mild cardiomegaly. Findings suggestive of multifocal pneumonia. A left pleural effusion is also suspected. CT of the Abdomen shows  Groundglass opacities with nodular consolidation scattered throughout the lungs, as described above, consistent with a multifocal pneumonia. Small bilateral pleural effusions with bibasilar atelectasis.2.  Mild cardiomegaly. Mild fusiform aneurysm of the ascending thoracic aorta measuring 4.2 cm.3.  Minimal stranding with layering free fluid in the left paracolic gutter, which may be related to patient's volume status. While this could represent reactive free fluid related to acute diverticulitis, a moderate length segment of the descending colon in this region was excluded from the field-of-view and not well evaluated for diverticulitis. No pneumoperitoneum.4.  Mild focal residual dilation in the downstream left ureter without upstream hydronephrosis. No obstructive ureteral calculus present. A focal area of stricturing or developing ureteral neoplasm could have this appearance and a nonemergent CT urogram is recommended for further characterization.  CT of the Brain shows  No mass effect, hemorrhage or large hypodensity to suggest territorial ischemia. CT sensitivity for subtle acute ischemia is limited. Consider further evaluation with noncontrast MRI if indicated.2.  Age-related involutional changes of the brain and white matter changes of chronic microvascular ischemia.  There is no leukocytosis his hemoglobin 9.6 with a hematocrit 31.8.  MCV shows 103.6.  Glucose is 144 creatinine is 3.59.  We will admit for further evaluation and treatment.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Mean cell volume normal, Obesity, Pleural effusion, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Patient presents to the emergency department with a complaint of difficulty breathing.  He is somewhat a poor historian and unable to give full account of how long the shortness of breath has been going on was he vaccinated or not or when he tested positive.  His COVID-19 test is positive today.  He is morbidly obese with a history of diabetes, hypercholesterolemia, hypertension, and sleep apnea.  He was placed on BiPAP settings of 12/6 FiO2 60% and saturation at 100% on those settings.  CXR shows Mild cardiomegaly. Findings suggestive of multifocal pneumonia. A left pleural effusion is also suspected. CT of the Abdomen shows  Groundglass opacities with  7/27/2021 tested positive 8/2/2021: patient discharged. Patient presents to the emergency department with a complaint of difficulty breathing.  He is somewhat a poor historian and unable to give full account of how long the shortness of breath has been going on was he vaccinated or not or when he tested positive.  His COVID-19 test is positive today.  He is morbidly obese with a history of diabetes, hypercholesterolemia, hypertension, and sleep apnea.  He was placed on BiPAP settings of 12/6 FiO2 60% and saturation at 100% on those settings.  CXR shows Mild cardiomegaly. Findings suggestive of multifocal pneumonia. A left pleural effusion is also suspected. CT of the Abdomen shows  Groundglass opacities with nodular consolidation scattered throughout the lungs, as described above, consistent with a multifocal pneumonia. Small bilateral pleural effusions with bibasilar atelectasis.2.  Mild cardiomegaly. Mild fusiform aneurysm of the ascending thoracic aorta measuring 4.2 cm.3.  Minimal stranding with layering free fluid in the left paracolic gutter, which may be related to patient's volume status. While this could represent reactive free fluid related to acute diverticulitis, a moderate length segment of the descending colon in this region was excluded from the field-of-view and not well evaluated for diverticulitis. No pneumoperitoneum.4.  Mild focal residual dilation in the downstream left ureter without upstream hydronephrosis. No obstructive ureteral calculus present. A focal area of stricturing or developing ureteral neoplasm could have this appearance and a nonemergent CT urogram is recommended for further characterization.  CT of the Brain shows  No mass effect, hemorrhage or large hypodensity to suggest territorial ischemia. CT sensitivity for subtle acute ischemia is limited. Consider further evaluation with noncontrast MRI if indicated.2.  Age-related involutional changes of the brain and white matter changes of chronic microvascular ischemia.  There is no leukocytosis his hemoglobin 9.6 with a hematocrit 31.8.  MCV shows 103.6.  Glucose is 144 creatinine is 3.59.  We will admit for further evaluation and treatment.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Hypoxia, SARS-CoV-2 test positive
Clinical narrative: 61 Y/O male diabetic diagnosed with COVID last saturday states became progressively SOB He was hypoxic when evaluated in ER. He was placed on ventinask and now maintainig normal O2 sat. States received J&J vaccine in april. PMHX T2D, Depression, Anxiety  8/6/2021 tested positive
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest pain, Fatigue, Globulin, Hypoaesthesia
Clinical narrative: chest pain , Palpitation?  numbness in legs in short period of sitting.  fatigue
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: chest pain , Palpitation?  numbness in legs in short period of sitting.  fatigue
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray abnormal, Dyspnoea, Lung infiltration
Clinical narrative: 84 Y/O male fully vaccinated with moderna vaccine in april, states felt very weak and could not move also SOB. seen in PCP office and Dx with COVID 19. CXR showed mild infiltrates . Now on 2 lit nasal oxygen and maintaining SAT> 90 %. PMHX HTN   8/10/2021 tested positive
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Mobility decreased, SARS-CoV-2 test positive
Clinical narrative: 84 Y/O male fully vaccinated with moderna vaccine in april, states felt very weak and could not move also SOB. seen in PCP office and Dx with COVID 19. CXR showed mild infiltrates . Now on 2 lit nasal oxygen and maintaining SAT> 90 %. PMHX HTN   8/10/2021 tested positive
Age: 12.0
Sex: F
Vaccine: MNQ
Symptoms: Dizziness, Hyperhidrosis, Nausea, Pallor
Clinical narrative: Administered by MA, Patient  tolerated okay, she complained of lightheadedness and feeling nauseated. Patient was given apple juice and then patient was laid down. RN came in to room and gave pt a cold compress evaluated her. Patient was diaphoretic and pale. Symptoms improved quickly. Patient drank more apple juice waited about 5 min and then color started to come back. Patient was able to sit up and stand for a few minutes. Denied being dizzy or lightheaded. Patient grandma took patient home.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Pyrexia, Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: Well basically both my wife and I both started feeling just tired, then we got nasal discharge and a slight fever of 100 degrees. We quarantined ourselves in the house for the last two weeks basically and the interesting thing is we both got Covid tests and my wife was positive and I was negative even though we were both having the same symptoms and illness. We have both just laid around the house and rested and slept.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest pain, Condition aggravated, Discomfort, Hypertension
Clinical narrative: This is a 74-year-old female with a history of hypertension who presents to the emergency room complaining of chest pain and hypertension.  She states the chest pain is midsternal and burning in nature.  There are no relieving or instigating factors.  At its worst the discomfort is 3/10 in intensity.  She states it started after noting that her blood pressure was 190/100 prior to arrival.  She denies associated nausea, vomiting, shortness of breath or diaphoresis.  Of note patient is COVID positive but denies any shortness of breath, cough, fever or chills.  She did cieve both Pfizer vaccinations.   In the emergency room her troponin was 144.  Her blood pressure is now  8/5/2021tested positive 8/7/2021 discharged This is a 74-year-old female with a history of hypertension who presents to the emergency room complaining of chest pain and hypertension.  She states the chest pain is midsternal and burning in nature.  There are no relieving or instigating factors.  At its worst the discomfort is 3/10 in intensity.  She states it started after noting that her blood pressure was 190/100 prior to arrival.  She denies associated nausea, vomiting, shortness of breath or diaphoresis.  Of note patient is COVID positive but denies any shortness of breath, cough, fever or chills.  She did cieve both Pfizer vaccinations.   In the emergency room her troponin was 144.  Her blood pressure is now 143/67. Her oxygenation is 100% on room air.  CBC is unremarkable.  Sodium is 130 and glucose is 143.   Patient denies any fever, cough, chills, rhinorrhea, sore throat, shortness of breath, palpitations, orthopnea, paroxysmal nocturnal dyspnea, nausea, vomiting, diarrhea, constipation, hematuria, dysuria, frequency, melena, hematochezia or focal neurological complaints
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Troponin increased
Clinical narrative: This is a 74-year-old female with a history of hypertension who presents to the emergency room complaining of chest pain and hypertension.  She states the chest pain is midsternal and burning in nature.  There are no relieving or instigating factors.  At its worst the discomfort is 3/10 in intensity.  She states it started after noting that her blood pressure was 190/100 prior to arrival.  She denies associated nausea, vomiting, shortness of breath or diaphoresis.  Of note patient is COVID positive but denies any shortness of breath, cough, fever or chills.  She did cieve both Pfizer vaccinations.   In the emergency room her troponin was 144.  Her blood pressure is now  8/5/2021tested positive 8/7/2021 discharged This is a 74-year-old female with a history of hypertension who presents to the emergency room complaining of chest pain and hypertension.  She states the chest pain is midsternal and burning in nature.  There are no relieving or instigating factors.  At its worst the discomfort is 3/10 in intensity.  She states it started after noting that her blood pressure was 190/100 prior to arrival.  She denies associated nausea, vomiting, shortness of breath or diaphoresis.  Of note patient is COVID positive but denies any shortness of breath, cough, fever or chills.  She did cieve both Pfizer vaccinations.   In the emergency room her troponin was 144.  Her blood pressure is now 143/67. Her oxygenation is 100% on room air.  CBC is unremarkable.  Sodium is 130 and glucose is 143.   Patient denies any fever, cough, chills, rhinorrhea, sore throat, shortness of breath, palpitations, orthopnea, paroxysmal nocturnal dyspnea, nausea, vomiting, diarrhea, constipation, hematuria, dysuria, frequency, melena, hematochezia or focal neurological complaints
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: developed fever a day before and cough
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal discomfort, COVID-19, Dyspnoea, Nausea, SARS-CoV-2 test positive
Clinical narrative: 80-year-old male with past medical history of hypertension presents to the emergency department with worsening shortness of breath.   Patient is Spanish-speaking interview was held with translation device.  Patient tested COVID positive a few days ago and has been tolerating home remedies at but symptoms have continued to get worse prompting him to come to the emergency department.  Other family members at home are complaining flu-like symptoms.  No one else has been diagnosed COVID positive.  Also complaining of some abdominal discomfort with nausea and vomiting  8/2/2021 tested positive
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: 80-year-old male with past medical history of hypertension presents to the emergency department with worsening shortness of breath.   Patient is Spanish-speaking interview was held with translation device.  Patient tested COVID positive a few days ago and has been tolerating home remedies at but symptoms have continued to get worse prompting him to come to the emergency department.  Other family members at home are complaining flu-like symptoms.  No one else has been diagnosed COVID positive.  Also complaining of some abdominal discomfort with nausea and vomiting  8/2/2021 tested positive
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cough, Dyspnoea, Fall
Clinical narrative: 82-year-old female with past medical history of vitamin D deficiency depression, iron deficiency anemia insulin dependent diabetes mellitus peripheral neuropathy, hypertension, hyperlipidemia, recent fall presented to the emergency room on 06/23/2021  7/19/2021 tested positive 07/21/2021 patient discharged. 82-year-old female with past medical history of vitamin D deficiency depression, iron deficiency anemia insulin dependent diabetes mellitus peripheral neuropathy, hypertension, hyperlipidemia, recent fall presented to the emergency room on 06/23/2021 sustaining left-sided rib fractures, recent robotic low anterior resection of rectosigmoid polyp , pending pathology to rule out cancer presenting today with shortness of breath and cough.  Patient reports she noted slight cough last night.  This she some shortness of breath.  She has health aide who listened to her lungs and told her she had a rattle on the right side to into the emergency department.  Patient came in to get evaluated and noted to have COVID-19 pneumonia.  Patient is saturating well on room air.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Large intestine polyp, Proctectomy, Rales, Rib fracture, SARS-CoV-2 test positive
Clinical narrative: 82-year-old female with past medical history of vitamin D deficiency depression, iron deficiency anemia insulin dependent diabetes mellitus peripheral neuropathy, hypertension, hyperlipidemia, recent fall presented to the emergency room on 06/23/2021  7/19/2021 tested positive 07/21/2021 patient discharged. 82-year-old female with past medical history of vitamin D deficiency depression, iron deficiency anemia insulin dependent diabetes mellitus peripheral neuropathy, hypertension, hyperlipidemia, recent fall presented to the emergency room on 06/23/2021 sustaining left-sided rib fractures, recent robotic low anterior resection of rectosigmoid polyp , pending pathology to rule out cancer presenting today with shortness of breath and cough.  Patient reports she noted slight cough last night.  This she some shortness of breath.  She has health aide who listened to her lungs and told her she had a rattle on the right side to into the emergency department.  Patient came in to get evaluated and noted to have COVID-19 pneumonia.  Patient is saturating well on room air.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: patient's guardian provided the wrong date of birth, and imz was given to 11 year old pt. Pfizer only approved 12 and up.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Amnesia, Blindness, Blood test normal, Cough, Hyperhidrosis
Clinical narrative: Sweats, collapse, vertigo, memory loss, loss of vision, uncontrollable cough, weak muscles
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Muscular weakness, Syncope, Vaccination complication, Vertigo
Clinical narrative: Sweats, collapse, vertigo, memory loss, loss of vision, uncontrollable cough, weak muscles
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Chest pain, Laboratory test abnormal, Pyrexia
Clinical narrative: The patient presents with chest pain.  The onset was 12  hours ago.  Radiation none.  Movement none.  Associated symptoms: none.  The course/duration of symptoms is constant.  Location: Left anterior chest. The character of symptoms is sharp and stabbing.  The degree at onset was moderate.  The degree at maximum was moderate.  The degree at present is moderate.  Exacerbating factors consist of none.  The relieving factor is none.  Prior episodes: angina.  Additional history: 57-year-old female presents ED with chief complaint of chest pain.  Patient states began roughly 12 hours ago.  Located left side of chest.  Sharp in nature.  It is also stabbing.  It does not radiate.  It is made better by nothing.  It is made worse by nothing.  Denies any fevers or chills but states she was told she had a fever when she checked into the emergency department.  Denies any numbness or tingling.  Patient states she had a "heart attack in January. "  Patient states she has been seen in the hospital numerous times for chest pain but everything is been negative.  Review of records show that it was June when the patient was seen and had stents placed.  Denies any urinary symptoms.  Denies abdominal pain.  No other complaints at this time. 7/31/2021 tested positive 8/6/2021 patient discharged.
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Anion gap normal, Aortic valve stenosis, Atrial fibrillation
Clinical narrative: 87-year-old overweight male with history type 2 diabetes mellitus, COPD on chronic prednisone at home, atrial fibrillation, anticoagulation Eliquis, BPH chronic indwelling Foley catheter, hypertension, anxiety, do not resuscitate code status.   Presented to the ED with complaints of shortness of breath for the past 1 week that has been gradually worsening especially with exertion.  Endorses sick contact in his son, with home he has been living, who currently has COVID-19 pneumonia and receiving ecmo.  Of note, patient was recently discharged from hospital on 06/29/2021 for acute hypoxic respiratory failure secondary to acute on chronic CHF exacerbation as well as AKI on CKD.  07/13/2021 tested positive 7/23/2021: patient discharged. Presented to the ED with complaints of shortness of breath for the past 1 week that has been gradually worsening especially with exertion.  Endorses sick contact in his son, with home he has been living, who currently has COVID-19 pneumonia and receiving ecmo.  Of note, patient was recently discharged from hospital on 06/29/2021 for acute hypoxic respiratory failure secondary to acute on chronic CHF exacerbation as well as AKI on CKD.   - ED workup significant for hypoxia 89% on room air, bradycardia 44-52, leukocytosis 19.95, elevated BUN 56, elevated serum creatinine 2.6 (bl. 1.3-1.4), hyponatremia 128 (137 on 7/7/2021), hyperkalemia 7.3.  ABG reveals 7.35/29.3/442/16.4.  Elevated lactic acid 2.3.  Normal anion gap.  Positive COVID-19 screen.   - Chest x-ray reveals cardiomegaly as well as blunting of the costophrenic angles compatible with small pleural effusions.  No vascular congestion or findings of pneumonia. - EKG shows Atrial fibrillation with slow ventricular response, right BBB.  Non acute.   Recent TTE revealed EF 55-6%, mild concentric LVH, aortic valve sclerosis, mild LA dilation, trace tricuspid regurgitation.
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood creatinine increased, Blood gases, Blood lactic acid increased, Blood potassium increased, Blood sodium decreased
Clinical narrative: 87-year-old overweight male with history type 2 diabetes mellitus, COPD on chronic prednisone at home, atrial fibrillation, anticoagulation Eliquis, BPH chronic indwelling Foley catheter, hypertension, anxiety, do not resuscitate code status.   Presented to the ED with complaints of shortness of breath for the past 1 week that has been gradually worsening especially with exertion.  Endorses sick contact in his son, with home he has been living, who currently has COVID-19 pneumonia and receiving ecmo.  Of note, patient was recently discharged from hospital on 06/29/2021 for acute hypoxic respiratory failure secondary to acute on chronic CHF exacerbation as well as AKI on CKD.  07/13/2021 tested positive 7/23/2021: patient discharged. Presented to the ED with complaints of shortness of breath for the past 1 week that has been gradually worsening especially with exertion.  Endorses sick contact in his son, with home he has been living, who currently has COVID-19 pneumonia and receiving ecmo.  Of note, patient was recently discharged from hospital on 06/29/2021 for acute hypoxic respiratory failure secondary to acute on chronic CHF exacerbation as well as AKI on CKD.   - ED workup significant for hypoxia 89% on room air, bradycardia 44-52, leukocytosis 19.95, elevated BUN 56, elevated serum creatinine 2.6 (bl. 1.3-1.4), hyponatremia 128 (137 on 7/7/2021), hyperkalemia 7.3.  ABG reveals 7.35/29.3/442/16.4.  Elevated lactic acid 2.3.  Normal anion gap.  Positive COVID-19 screen.   - Chest x-ray reveals cardiomegaly as well as blunting of the costophrenic angles compatible with small pleural effusions.  No vascular congestion or findings of pneumonia. - EKG shows Atrial fibrillation with slow ventricular response, right BBB.  Non acute.   Recent TTE revealed EF 55-6%, mild concentric LVH, aortic valve sclerosis, mild LA dilation, trace tricuspid regurgitation.
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood urea increased, Bradycardia, Bundle branch block right, COVID-19, Cardiac failure acute
Clinical narrative: 87-year-old overweight male with history type 2 diabetes mellitus, COPD on chronic prednisone at home, atrial fibrillation, anticoagulation Eliquis, BPH chronic indwelling Foley catheter, hypertension, anxiety, do not resuscitate code status.   Presented to the ED with complaints of shortness of breath for the past 1 week that has been gradually worsening especially with exertion.  Endorses sick contact in his son, with home he has been living, who currently has COVID-19 pneumonia and receiving ecmo.  Of note, patient was recently discharged from hospital on 06/29/2021 for acute hypoxic respiratory failure secondary to acute on chronic CHF exacerbation as well as AKI on CKD.  07/13/2021 tested positive 7/23/2021: patient discharged. Presented to the ED with complaints of shortness of breath for the past 1 week that has been gradually worsening especially with exertion.  Endorses sick contact in his son, with home he has been living, who currently has COVID-19 pneumonia and receiving ecmo.  Of note, patient was recently discharged from hospital on 06/29/2021 for acute hypoxic respiratory failure secondary to acute on chronic CHF exacerbation as well as AKI on CKD.   - ED workup significant for hypoxia 89% on room air, bradycardia 44-52, leukocytosis 19.95, elevated BUN 56, elevated serum creatinine 2.6 (bl. 1.3-1.4), hyponatremia 128 (137 on 7/7/2021), hyperkalemia 7.3.  ABG reveals 7.35/29.3/442/16.4.  Elevated lactic acid 2.3.  Normal anion gap.  Positive COVID-19 screen.   - Chest x-ray reveals cardiomegaly as well as blunting of the costophrenic angles compatible with small pleural effusions.  No vascular congestion or findings of pneumonia. - EKG shows Atrial fibrillation with slow ventricular response, right BBB.  Non acute.   Recent TTE revealed EF 55-6%, mild concentric LVH, aortic valve sclerosis, mild LA dilation, trace tricuspid regurgitation.
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiomegaly, Chest X-ray abnormal, Chronic kidney disease, Condition aggravated, Coronary artery dilatation
Clinical narrative: 87-year-old overweight male with history type 2 diabetes mellitus, COPD on chronic prednisone at home, atrial fibrillation, anticoagulation Eliquis, BPH chronic indwelling Foley catheter, hypertension, anxiety, do not resuscitate code status.   Presented to the ED with complaints of shortness of breath for the past 1 week that has been gradually worsening especially with exertion.  Endorses sick contact in his son, with home he has been living, who currently has COVID-19 pneumonia and receiving ecmo.  Of note, patient was recently discharged from hospital on 06/29/2021 for acute hypoxic respiratory failure secondary to acute on chronic CHF exacerbation as well as AKI on CKD.  07/13/2021 tested positive 7/23/2021: patient discharged. Presented to the ED with complaints of shortness of breath for the past 1 week that has been gradually worsening especially with exertion.  Endorses sick contact in his son, with home he has been living, who currently has COVID-19 pneumonia and receiving ecmo.  Of note, patient was recently discharged from hospital on 06/29/2021 for acute hypoxic respiratory failure secondary to acute on chronic CHF exacerbation as well as AKI on CKD.   - ED workup significant for hypoxia 89% on room air, bradycardia 44-52, leukocytosis 19.95, elevated BUN 56, elevated serum creatinine 2.6 (bl. 1.3-1.4), hyponatremia 128 (137 on 7/7/2021), hyperkalemia 7.3.  ABG reveals 7.35/29.3/442/16.4.  Elevated lactic acid 2.3.  Normal anion gap.  Positive COVID-19 screen.   - Chest x-ray reveals cardiomegaly as well as blunting of the costophrenic angles compatible with small pleural effusions.  No vascular congestion or findings of pneumonia. - EKG shows Atrial fibrillation with slow ventricular response, right BBB.  Non acute.   Recent TTE revealed EF 55-6%, mild concentric LVH, aortic valve sclerosis, mild LA dilation, trace tricuspid regurgitation.
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Dyspnoea exertional, Echocardiogram, Ejection fraction normal, Electrocardiogram abnormal
Clinical narrative: 87-year-old overweight male with history type 2 diabetes mellitus, COPD on chronic prednisone at home, atrial fibrillation, anticoagulation Eliquis, BPH chronic indwelling Foley catheter, hypertension, anxiety, do not resuscitate code status.   Presented to the ED with complaints of shortness of breath for the past 1 week that has been gradually worsening especially with exertion.  Endorses sick contact in his son, with home he has been living, who currently has COVID-19 pneumonia and receiving ecmo.  Of note, patient was recently discharged from hospital on 06/29/2021 for acute hypoxic respiratory failure secondary to acute on chronic CHF exacerbation as well as AKI on CKD.  07/13/2021 tested positive 7/23/2021: patient discharged. Presented to the ED with complaints of shortness of breath for the past 1 week that has been gradually worsening especially with exertion.  Endorses sick contact in his son, with home he has been living, who currently has COVID-19 pneumonia and receiving ecmo.  Of note, patient was recently discharged from hospital on 06/29/2021 for acute hypoxic respiratory failure secondary to acute on chronic CHF exacerbation as well as AKI on CKD.   - ED workup significant for hypoxia 89% on room air, bradycardia 44-52, leukocytosis 19.95, elevated BUN 56, elevated serum creatinine 2.6 (bl. 1.3-1.4), hyponatremia 128 (137 on 7/7/2021), hyperkalemia 7.3.  ABG reveals 7.35/29.3/442/16.4.  Elevated lactic acid 2.3.  Normal anion gap.  Positive COVID-19 screen.   - Chest x-ray reveals cardiomegaly as well as blunting of the costophrenic angles compatible with small pleural effusions.  No vascular congestion or findings of pneumonia. - EKG shows Atrial fibrillation with slow ventricular response, right BBB.  Non acute.   Recent TTE revealed EF 55-6%, mild concentric LVH, aortic valve sclerosis, mild LA dilation, trace tricuspid regurgitation.
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hyperkalaemia, Hyponatraemia, Hypoxia, Left ventricular hypertrophy, Leukocytosis
Clinical narrative: 87-year-old overweight male with history type 2 diabetes mellitus, COPD on chronic prednisone at home, atrial fibrillation, anticoagulation Eliquis, BPH chronic indwelling Foley catheter, hypertension, anxiety, do not resuscitate code status.   Presented to the ED with complaints of shortness of breath for the past 1 week that has been gradually worsening especially with exertion.  Endorses sick contact in his son, with home he has been living, who currently has COVID-19 pneumonia and receiving ecmo.  Of note, patient was recently discharged from hospital on 06/29/2021 for acute hypoxic respiratory failure secondary to acute on chronic CHF exacerbation as well as AKI on CKD.  07/13/2021 tested positive 7/23/2021: patient discharged. Presented to the ED with complaints of shortness of breath for the past 1 week that has been gradually worsening especially with exertion.  Endorses sick contact in his son, with home he has been living, who currently has COVID-19 pneumonia and receiving ecmo.  Of note, patient was recently discharged from hospital on 06/29/2021 for acute hypoxic respiratory failure secondary to acute on chronic CHF exacerbation as well as AKI on CKD.   - ED workup significant for hypoxia 89% on room air, bradycardia 44-52, leukocytosis 19.95, elevated BUN 56, elevated serum creatinine 2.6 (bl. 1.3-1.4), hyponatremia 128 (137 on 7/7/2021), hyperkalemia 7.3.  ABG reveals 7.35/29.3/442/16.4.  Elevated lactic acid 2.3.  Normal anion gap.  Positive COVID-19 screen.   - Chest x-ray reveals cardiomegaly as well as blunting of the costophrenic angles compatible with small pleural effusions.  No vascular congestion or findings of pneumonia. - EKG shows Atrial fibrillation with slow ventricular response, right BBB.  Non acute.   Recent TTE revealed EF 55-6%, mild concentric LVH, aortic valve sclerosis, mild LA dilation, trace tricuspid regurgitation.
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Overweight, Pleural effusion, SARS-CoV-2 test positive, Tricuspid valve incompetence, White blood cell count increased
Clinical narrative: 87-year-old overweight male with history type 2 diabetes mellitus, COPD on chronic prednisone at home, atrial fibrillation, anticoagulation Eliquis, BPH chronic indwelling Foley catheter, hypertension, anxiety, do not resuscitate code status.   Presented to the ED with complaints of shortness of breath for the past 1 week that has been gradually worsening especially with exertion.  Endorses sick contact in his son, with home he has been living, who currently has COVID-19 pneumonia and receiving ecmo.  Of note, patient was recently discharged from hospital on 06/29/2021 for acute hypoxic respiratory failure secondary to acute on chronic CHF exacerbation as well as AKI on CKD.  07/13/2021 tested positive 7/23/2021: patient discharged. Presented to the ED with complaints of shortness of breath for the past 1 week that has been gradually worsening especially with exertion.  Endorses sick contact in his son, with home he has been living, who currently has COVID-19 pneumonia and receiving ecmo.  Of note, patient was recently discharged from hospital on 06/29/2021 for acute hypoxic respiratory failure secondary to acute on chronic CHF exacerbation as well as AKI on CKD.   - ED workup significant for hypoxia 89% on room air, bradycardia 44-52, leukocytosis 19.95, elevated BUN 56, elevated serum creatinine 2.6 (bl. 1.3-1.4), hyponatremia 128 (137 on 7/7/2021), hyperkalemia 7.3.  ABG reveals 7.35/29.3/442/16.4.  Elevated lactic acid 2.3.  Normal anion gap.  Positive COVID-19 screen.   - Chest x-ray reveals cardiomegaly as well as blunting of the costophrenic angles compatible with small pleural effusions.  No vascular congestion or findings of pneumonia. - EKG shows Atrial fibrillation with slow ventricular response, right BBB.  Non acute.   Recent TTE revealed EF 55-6%, mild concentric LVH, aortic valve sclerosis, mild LA dilation, trace tricuspid regurgitation.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site pain, Magnetic resonance imaging, X-ray
Clinical narrative: Severe Pain in left arm after the second dose.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bilevel positive airway pressure, COVID-19, Cough, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Cough for 2 days  Fever yesterday  Normally on 3-4 L oxygen at home  Denies history of sleep apnea  Required BiPAP in ER  COVID positive  Vaccination in May 7/10/2021: patient discharged.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Ultrasound scan, Vomiting projectile
Clinical narrative: abdominal pain with projectile vomiting over the course of 4 days
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Lip swelling, Rash, Rash pruritic
Clinical narrative: Complaint of rash on left arm and itching. BP at 4:22 was 134/76 HR 74. Benadryl elixir 50mg given 4:32 pm. BP 4:42 140/82 HR 71, itching subsiding. 4:54 complaint of left upper lip swelling, was not visible. 4:58 advised patient and mom to go to urgent care for evaluation and that Benadryl 50mg could be given every 4-6 hrs. At discharge swelling sensation was resolving. Spoke with mom on 8/12/2021 informed that patient went to urgent care but no other treatment was recommended and doctor advised not to give dose #2 of Pfizer.
Age: 90.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaemia, Asthenia, Blood chloride decreased, Blood creatinine increased, Blood glucose normal
Clinical narrative: This is an 89-year-old female patient with a known medical history of type 2 diabetes mellitus, hypertension, heart failure, Wolff-Parkinson-White on Eliquis, hard of hearing who presented to the ED after feeling nauseous, lightheaded, increasingly weak over the last couple days. She was found to be with symptomatic anemia with hemoglobin 6.9 and unknown source.  Patient states that over the last couple days she has had above symptoms as well as decreased appetite and minimal intake.  She lives at home with her husband who is COVID positive.  She does admit to mild fevers, intermittent shortness of breath especially with exertion and nonproductive cough.  She did test positive for COVID-19, does admit to receiving both of her vaccinations.  Denies any evidence of bleeding.  She does admit that she is on Eliquis for Wolff-Parkinson-White.  Last colonoscopy was roughly 2 years ago which was reportedly unremarkable.  Denies any recent NSAID use.  On presentation sodium 132, potassium 5.6, hypochloremia 92, glucose 165, creatinine 1.74, BUN 80, magnesium 2.7.  She does states that she is on some type of diuretic at home which does not recall the name, she states that she does intermittently have lower extremity edema which has improved over the last week.  Denies any diarrhea or black or bloody stools.  Denies any recent chills, chest pain, palpitations, abdominal pain, diarrhea or dysuria.  Patient will be admitted for symptomatic anemia workup as well as COVID-19.
Age: 90.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood magnesium increased, Blood potassium increased, Blood sodium decreased, Blood urea increased, COVID-19
Clinical narrative: This is an 89-year-old female patient with a known medical history of type 2 diabetes mellitus, hypertension, heart failure, Wolff-Parkinson-White on Eliquis, hard of hearing who presented to the ED after feeling nauseous, lightheaded, increasingly weak over the last couple days. She was found to be with symptomatic anemia with hemoglobin 6.9 and unknown source.  Patient states that over the last couple days she has had above symptoms as well as decreased appetite and minimal intake.  She lives at home with her husband who is COVID positive.  She does admit to mild fevers, intermittent shortness of breath especially with exertion and nonproductive cough.  She did test positive for COVID-19, does admit to receiving both of her vaccinations.  Denies any evidence of bleeding.  She does admit that she is on Eliquis for Wolff-Parkinson-White.  Last colonoscopy was roughly 2 years ago which was reportedly unremarkable.  Denies any recent NSAID use.  On presentation sodium 132, potassium 5.6, hypochloremia 92, glucose 165, creatinine 1.74, BUN 80, magnesium 2.7.  She does states that she is on some type of diuretic at home which does not recall the name, she states that she does intermittently have lower extremity edema which has improved over the last week.  Denies any diarrhea or black or bloody stools.  Denies any recent chills, chest pain, palpitations, abdominal pain, diarrhea or dysuria.  Patient will be admitted for symptomatic anemia workup as well as COVID-19.
Age: 90.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Decreased appetite, Dizziness, Dyspnoea, Dyspnoea exertional
Clinical narrative: This is an 89-year-old female patient with a known medical history of type 2 diabetes mellitus, hypertension, heart failure, Wolff-Parkinson-White on Eliquis, hard of hearing who presented to the ED after feeling nauseous, lightheaded, increasingly weak over the last couple days. She was found to be with symptomatic anemia with hemoglobin 6.9 and unknown source.  Patient states that over the last couple days she has had above symptoms as well as decreased appetite and minimal intake.  She lives at home with her husband who is COVID positive.  She does admit to mild fevers, intermittent shortness of breath especially with exertion and nonproductive cough.  She did test positive for COVID-19, does admit to receiving both of her vaccinations.  Denies any evidence of bleeding.  She does admit that she is on Eliquis for Wolff-Parkinson-White.  Last colonoscopy was roughly 2 years ago which was reportedly unremarkable.  Denies any recent NSAID use.  On presentation sodium 132, potassium 5.6, hypochloremia 92, glucose 165, creatinine 1.74, BUN 80, magnesium 2.7.  She does states that she is on some type of diuretic at home which does not recall the name, she states that she does intermittently have lower extremity edema which has improved over the last week.  Denies any diarrhea or black or bloody stools.  Denies any recent chills, chest pain, palpitations, abdominal pain, diarrhea or dysuria.  Patient will be admitted for symptomatic anemia workup as well as COVID-19.
Age: 90.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Exposure to SARS-CoV-2, Haemoglobin decreased, Hypochloraemia, Hypophagia, Nausea
Clinical narrative: This is an 89-year-old female patient with a known medical history of type 2 diabetes mellitus, hypertension, heart failure, Wolff-Parkinson-White on Eliquis, hard of hearing who presented to the ED after feeling nauseous, lightheaded, increasingly weak over the last couple days. She was found to be with symptomatic anemia with hemoglobin 6.9 and unknown source.  Patient states that over the last couple days she has had above symptoms as well as decreased appetite and minimal intake.  She lives at home with her husband who is COVID positive.  She does admit to mild fevers, intermittent shortness of breath especially with exertion and nonproductive cough.  She did test positive for COVID-19, does admit to receiving both of her vaccinations.  Denies any evidence of bleeding.  She does admit that she is on Eliquis for Wolff-Parkinson-White.  Last colonoscopy was roughly 2 years ago which was reportedly unremarkable.  Denies any recent NSAID use.  On presentation sodium 132, potassium 5.6, hypochloremia 92, glucose 165, creatinine 1.74, BUN 80, magnesium 2.7.  She does states that she is on some type of diuretic at home which does not recall the name, she states that she does intermittently have lower extremity edema which has improved over the last week.  Denies any diarrhea or black or bloody stools.  Denies any recent chills, chest pain, palpitations, abdominal pain, diarrhea or dysuria.  Patient will be admitted for symptomatic anemia workup as well as COVID-19.
Age: 90.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Oedema peripheral, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: This is an 89-year-old female patient with a known medical history of type 2 diabetes mellitus, hypertension, heart failure, Wolff-Parkinson-White on Eliquis, hard of hearing who presented to the ED after feeling nauseous, lightheaded, increasingly weak over the last couple days. She was found to be with symptomatic anemia with hemoglobin 6.9 and unknown source.  Patient states that over the last couple days she has had above symptoms as well as decreased appetite and minimal intake.  She lives at home with her husband who is COVID positive.  She does admit to mild fevers, intermittent shortness of breath especially with exertion and nonproductive cough.  She did test positive for COVID-19, does admit to receiving both of her vaccinations.  Denies any evidence of bleeding.  She does admit that she is on Eliquis for Wolff-Parkinson-White.  Last colonoscopy was roughly 2 years ago which was reportedly unremarkable.  Denies any recent NSAID use.  On presentation sodium 132, potassium 5.6, hypochloremia 92, glucose 165, creatinine 1.74, BUN 80, magnesium 2.7.  She does states that she is on some type of diuretic at home which does not recall the name, she states that she does intermittently have lower extremity edema which has improved over the last week.  Denies any diarrhea or black or bloody stools.  Denies any recent chills, chest pain, palpitations, abdominal pain, diarrhea or dysuria.  Patient will be admitted for symptomatic anemia workup as well as COVID-19.