chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Peripheral swelling, Pyrexia
Clinical narrative: I am having swelling in my foot, legs, and hands. It swells up 2 to 3 times its size. I also fever, body ache, and headache that only lasted for a day or two. The swelling in my extremities is still ongoing. I have an appointment on Feb 21st to see my doctor about this.
Age: 11.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Incorrect dose administered
Clinical narrative: On 5/16/2021 11 year old was given Pfizer .3 ml - 1st dose On 6/4/21 11 year old was given Pfizer .3 ml -2nd dose
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Inflammation, Lymph node pain, Lymphadenopathy, Muscle twitching
Clinical narrative: Swollen, painful lymph nodes down neck and into armpit (persisting - longer than 6 months) Persistent runny nose and nasal drip (continued to present day) inflamed, painful joints (continued to present day) muscle twitching in hands, feet, face (continued to present day)
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rhinorrhoea
Clinical narrative: Swollen, painful lymph nodes down neck and into armpit (persisting - longer than 6 months) Persistent runny nose and nasal drip (continued to present day) inflamed, painful joints (continued to present day) muscle twitching in hands, feet, face (continued to present day)
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Rash, Wheezing
Clinical narrative: Pt presented to ED On 5/4/21 following vaccine w/ CC of allergic reaction following vaccination for COVID-19. Patient is now complaining of worsening severe shortness of breath, rash, cough, wheezing despite using her EpiPen. She took prophylactic oral steroids pre and post vaccination along with oral antihistamines. Pt continued to have refractory reaction despite EpiPen inhaler, antihistamines, and steroids, refractory reaction. Required repeat dose of EpiPen, bronchodilators, IV Benadryl. patient eventually discharged home from ED.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Death, Subarachnoid haematoma
Clinical narrative: Spontaneous Subarachnoid Hematoma resulting in death
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Fatigue, Infection, Pain in extremity, Peripheral swelling
Clinical narrative: Complete body rash within three weeks of receiving vaccine.   Fever and fatigue.  Swelling and pain in both lower legs below the knee.  Infection of the swollen areas.  Treated on two separate occasions with antibiotics and steroids.  Remaining rash on lower legs to this day.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Rash
Clinical narrative: Complete body rash within three weeks of receiving vaccine.   Fever and fatigue.  Swelling and pain in both lower legs below the knee.  Infection of the swollen areas.  Treated on two separate occasions with antibiotics and steroids.  Remaining rash on lower legs to this day.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Cerebrovascular accident, Hypoxia, Unresponsive to stimuli, Urinary tract infection
Clinical narrative: Patient came to ED via ambulance and was admitted to hospital for CVA, Covid pneumonia, and UTI.  Patient hypoxic and unresponsive.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, Immunology test, Mobility decreased, Neuropathy peripheral, Swelling face
Clinical narrative: There was a series of adverse events. Initially I was unable to move my head. I woke up and my head was locked. I saw my doctor on December 9th. It may not be related but it is one of the things that went on since then. I started getting. There was x-ray done on February 02 related to the issue with my head. On January 23rd I saw my doctor after having several days of swelling on the right side of my face. I also had neuropathy. The doctor completed blood work at that time and I received the results on January 27th and it indicated that it was positive for IFA-immunofluorescence assay. I am seeing a rheumatologist next week.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: There was a series of adverse events. Initially I was unable to move my head. I woke up and my head was locked. I saw my doctor on December 9th. It may not be related but it is one of the things that went on since then. I started getting. There was x-ray done on February 02 related to the issue with my head. On January 23rd I saw my doctor after having several days of swelling on the right side of my face. I also had neuropathy. The doctor completed blood work at that time and I received the results on January 27th and it indicated that it was positive for IFA-immunofluorescence assay. I am seeing a rheumatologist next week.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient requested to recieve a flu vaccination but instead was given a booster dose of COVID-19
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Dyspepsia, Feeding disorder, Metamorphopsia, Periorbital swelling
Clinical narrative: My son was given Moderna and he wasnt supposed to because he is under the age of 18.  i didnt realize this until we went to get his second vaccine shot.    when they saw that he had moderna and he shouldnt have because it hasnt been approved for minors yet, they informed me that they will not give him any vaccine because of liabilities.   they asked me to talk to his pediatrician.    I did and he said lets wait.    so, when he did get his initial moderna shot,   He started complaining of indigestion and his stomach hurt.   he couldnt eat and he had stomach distention.   he looked like he was four months pregnant and he normally has a flat stomach.  he is thin.   along with that.....his face was swollen, eyes and lips looked puffy and a little distorted.    his throat wasnt swelling, so i just kept giving him benydryll and allergy meds.        this lasted a week and a half.     Because my son had this adverse reaction, We are all afraid to give him any second dose of the vaccine.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age, Swelling face
Clinical narrative: My son was given Moderna and he wasnt supposed to because he is under the age of 18.  i didnt realize this until we went to get his second vaccine shot.    when they saw that he had moderna and he shouldnt have because it hasnt been approved for minors yet, they informed me that they will not give him any vaccine because of liabilities.   they asked me to talk to his pediatrician.    I did and he said lets wait.    so, when he did get his initial moderna shot,   He started complaining of indigestion and his stomach hurt.   he couldnt eat and he had stomach distention.   he looked like he was four months pregnant and he normally has a flat stomach.  he is thin.   along with that.....his face was swollen, eyes and lips looked puffy and a little distorted.    his throat wasnt swelling, so i just kept giving him benydryll and allergy meds.        this lasted a week and a half.     Because my son had this adverse reaction, We are all afraid to give him any second dose of the vaccine.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Rash
Clinical narrative: PT RECEIVED VACCINE IN AFTERNOON, LATER THAT EVENING PT HAD FEVER OF 101 F. PT MOTHER GAVE TYLENOL AND FEVER WENT DOWN. NEXT MORNING, PT STARTED BREAKING OUT IN RASH ALL OVER BODY/FACE, MOTHER GAVE PT BENADRYL AND RASH DECREASED. NO FURTHER RASH OR FEVER SINCE INITIAL INCIDENT
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Abdominal pain upper, Alcohol use, COVID-19, Computerised tomogram abdomen normal
Clinical narrative: This is a 47y.o. male with pmh of  Hypertension  hyperlipedemia  S/p cholecystectomy 6/21 Present to ed with cc of right sided abdominal pain not associated with nausea or vomiting. When seen in ed patient c/o bout of nausea earlier but no vomiting,point towards epigastric region where the pain starts and goes towards the rt subcostal region,lipase was found to be elevated at 549 and abdominal ct was negative for any acute process. Patient also c/o being hungry and want to know if he can eat  Admits to drinking 2 to 3 times a week and takings ibuprofen on and off for pain. Patient also tested positive for covid and had vaccination and is not time for him to take the booster,no symptoms of cough,sorethroat , fever or chills. No headache or diarrhea.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Hunger, Lipase increased, Nausea, Pain, SARS-CoV-2 test positive
Clinical narrative: This is a 47y.o. male with pmh of  Hypertension  hyperlipedemia  S/p cholecystectomy 6/21 Present to ed with cc of right sided abdominal pain not associated with nausea or vomiting. When seen in ed patient c/o bout of nausea earlier but no vomiting,point towards epigastric region where the pain starts and goes towards the rt subcostal region,lipase was found to be elevated at 549 and abdominal ct was negative for any acute process. Patient also c/o being hungry and want to know if he can eat  Admits to drinking 2 to 3 times a week and takings ibuprofen on and off for pain. Patient also tested positive for covid and had vaccination and is not time for him to take the booster,no symptoms of cough,sorethroat , fever or chills. No headache or diarrhea.
Age: 39.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram normal, Magnetic resonance imaging head normal, Tinnitus
Clinical narrative: Developed tinnitus in left ear.  No hearing loss noted; no history of ear issues.  MRI and CT scan resulted in normal brain activity.  No other known causes for tinnitus per doctors.  Likely a result of the Covid vaccine.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Chills, Computerised tomogram kidney abnormal, Culture urine, Delivery
Clinical narrative: Pregnant at time of vaccination for both shot one and two. Due date 10/23/21. Had baby vaginally. Birth weight was 6 lbs 7 oz.  Side effects from first shot - sore arm. side effects from second shot - fever, chills, headache, exhaustion  - all lasted approx. 12 hours.  Had baby vaginally with only one tear and no other complications. On 10/23/21 had to go back to the ER for severe chills, fast heart-rate, fever around 101 and body aches. Diagnosed with a UTI and also had to have my stitches removed and redone. I took 10 days of antibiotics. Unfortunately,  3 months later I am still dealing with this recurrent UTI and now have been on 5 rounds of antibiotics. Found 13 kidney stones through a CT and now have a kidney doctor, infection disease doctor, and urologist. Doctors are in disagreement of whether or not the stones are causing the UTI's or this is something from pregnancy or something not related to either of those things.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Exposure during pregnancy, Fatigue, Headache, Heart rate increased, Nephrolithiasis
Clinical narrative: Pregnant at time of vaccination for both shot one and two. Due date 10/23/21. Had baby vaginally. Birth weight was 6 lbs 7 oz.  Side effects from first shot - sore arm. side effects from second shot - fever, chills, headache, exhaustion  - all lasted approx. 12 hours.  Had baby vaginally with only one tear and no other complications. On 10/23/21 had to go back to the ER for severe chills, fast heart-rate, fever around 101 and body aches. Diagnosed with a UTI and also had to have my stitches removed and redone. I took 10 days of antibiotics. Unfortunately,  3 months later I am still dealing with this recurrent UTI and now have been on 5 rounds of antibiotics. Found 13 kidney stones through a CT and now have a kidney doctor, infection disease doctor, and urologist. Doctors are in disagreement of whether or not the stones are causing the UTI's or this is something from pregnancy or something not related to either of those things.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Pyrexia, Urinary tract infection, Urine analysis
Clinical narrative: Pregnant at time of vaccination for both shot one and two. Due date 10/23/21. Had baby vaginally. Birth weight was 6 lbs 7 oz.  Side effects from first shot - sore arm. side effects from second shot - fever, chills, headache, exhaustion  - all lasted approx. 12 hours.  Had baby vaginally with only one tear and no other complications. On 10/23/21 had to go back to the ER for severe chills, fast heart-rate, fever around 101 and body aches. Diagnosed with a UTI and also had to have my stitches removed and redone. I took 10 days of antibiotics. Unfortunately,  3 months later I am still dealing with this recurrent UTI and now have been on 5 rounds of antibiotics. Found 13 kidney stones through a CT and now have a kidney doctor, infection disease doctor, and urologist. Doctors are in disagreement of whether or not the stones are causing the UTI's or this is something from pregnancy or something not related to either of those things.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Chest pain, Malaise, Pain in extremity
Clinical narrative: I began experiencing the same symptoms I had after the second vaccine I had taken a while ago. Just general sick feeling that made me have to leave work early. While I was at home I began experiencing chest/back pains as well as pain in my left arm (which was strange as I got the vaccine in my right arm) when I was laying down that didn't go away unless I sat up.  I went to the Hospital last time for this event after my second vaccine but they didn't find anything worth concern.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Fall, General physical health deterioration, Impulsive behaviour, Restlessness
Clinical narrative: RESIDENT PASSED AWAY ON 12/29/21 ON HOSPICE SERVICES WITH COMFORT MEASURES IN PLACE
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Weight decreased
Clinical narrative: RESIDENT PASSED AWAY ON 12/29/21 ON HOSPICE SERVICES WITH COMFORT MEASURES IN PLACE
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Chills, Mobility decreased, Muscle spasms
Clinical narrative: - Severe chest pain - Five hours of extreme shivering - Abnormal cramping of muscles in chest and abdomen - Unable to extend arms
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Diarrhoea, Exposure to SARS-CoV-2
Clinical narrative: /5/2022   Chief Complaint:  Chills, mental status changes and near syncope   Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 79y.o. male with past medical history of dementia, diabetes, and hypertension who presents to the ED via EMS for concern of coronavirus.  Per EMS run sheet, squad found patient over toilet coughing, with 2 other family members with him who recently tested positive for Covid.  Patient had not tested for Covid yet.  Patient is a poor historian and states that his symptoms have been chills, as well as loss of consciousness-approximately "half a dozen times".  He is unable to characterize the events leading up to his loss of consciousness or what he was doing at the time of these events.  He denies any fevers, cough, sore throat, chest pain, shortness of breath, wheezing, palpitations, abdominal pain, nausea, vomiting, constipation, weakness in arms or legs.  He endorses 1 month history of diarrhea.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza A virus test negative, Influenza B virus test, Loss of consciousness, Mental status changes, Presyncope
Clinical narrative: /5/2022   Chief Complaint:  Chills, mental status changes and near syncope   Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 79y.o. male with past medical history of dementia, diabetes, and hypertension who presents to the ED via EMS for concern of coronavirus.  Per EMS run sheet, squad found patient over toilet coughing, with 2 other family members with him who recently tested positive for Covid.  Patient had not tested for Covid yet.  Patient is a poor historian and states that his symptoms have been chills, as well as loss of consciousness-approximately "half a dozen times".  He is unable to characterize the events leading up to his loss of consciousness or what he was doing at the time of these events.  He denies any fevers, cough, sore throat, chest pain, shortness of breath, wheezing, palpitations, abdominal pain, nausea, vomiting, constipation, weakness in arms or legs.  He endorses 1 month history of diarrhea.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test negative, SARS-CoV-2 test positive
Clinical narrative: /5/2022   Chief Complaint:  Chills, mental status changes and near syncope   Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 79y.o. male with past medical history of dementia, diabetes, and hypertension who presents to the ED via EMS for concern of coronavirus.  Per EMS run sheet, squad found patient over toilet coughing, with 2 other family members with him who recently tested positive for Covid.  Patient had not tested for Covid yet.  Patient is a poor historian and states that his symptoms have been chills, as well as loss of consciousness-approximately "half a dozen times".  He is unable to characterize the events leading up to his loss of consciousness or what he was doing at the time of these events.  He denies any fevers, cough, sore throat, chest pain, shortness of breath, wheezing, palpitations, abdominal pain, nausea, vomiting, constipation, weakness in arms or legs.  He endorses 1 month history of diarrhea.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Cardiac ablation, Cough, Dyspnoea, Dyspnoea exertional
Clinical narrative: The day after his ablation (1/29/22) he started to develop a cough and increased shortness of breath as well as myalgias.  He denies any chest pain.  He does report feeling short of breath particularly with activity.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Myalgia, SARS-CoV-2 test positive
Clinical narrative: The day after his ablation (1/29/22) he started to develop a cough and increased shortness of breath as well as myalgias.  He denies any chest pain.  He does report feeling short of breath particularly with activity.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal pain, Acute respiratory failure, Alanine aminotransferase normal, Albumin globulin ratio, Angiogram
Clinical narrative: 49 yr/o female with a history of HTN, obesity, Graves' disease, asthma, T2DM, HLD, heroin abuse, hep C, MRSA, IVDU, COPD pancreatitis who presents to the emergency department complaining of abdominal pain with associated symptoms of nausea and vomiting.  She was very flat affect and not very forthcoming with information at this time.   She endorses a history of pancreatitis.  She endorses a history of IVDU, and states she last used heroin this morning. Patient stated " I just feel crappy". Limited HPI due to patients unwillingness to provide detail information.  She reported to the triage nurse that she recently tested positive for Covid 19. Pt denies headache, chest pain, shortness of breath. Review of Systems  Constitutional: Negative for chills, diaphoresis, fatigue and fever.  HENT: Negative for facial swelling.   Eyes: Negative for redness.  Respiratory: Positive for shortness of breath. Negative for cough.   Cardiovascular: Positive for chest pain. Negative for leg swelling.  Gastrointestinal: Positive for abdominal pain, nausea and vomiting. Negative for constipation and diarrhea.  Genitourinary: Negative for dysuria and flank pain.  Musculoskeletal: Negative for back pain and arthralgias.  Skin: Negative for pallor and rash.  Neurological: Negative for speech difficulty.  Hematological: Negative for adenopathy.  Psychiatric/Behavioral: Negative for confusion. The patient is not nervous/anxious.   History of Present Illness:  49 year old F with history of tobacco/substance abuse, HTN, grave's disease with severe exopthalmos, NIDDM, hep C, chronic pancreatitis. She presented to Er with complaints of abdominal pain, n/v, with recent coid + test. ER evaluation revealed wbc 10.58, BNP 7.91, troponin <0.01, BP 210/86. - CTA chest: No obvious source for the acute abdominal discomfort. The preliminary report by the VRad radiologist described "significant gastritis." However, these findings are felt to be artifactual due to suboptimal distention of the stomach, and are grossly stable when compared to multiple prior exams over the past 3 years. 2. Groundglass nodular infiltrates involving the right middle and lower lobes, indicating an atypical pneumonia. - CXR; Rounded airspace opacity in the right lower lung likely representing pneumonia or residual pneumonitis as seen on prior chest CT dated 12/12/2021   Onset: several days Location: abd pain Duration: constant Characteristics: sharp Radiation: none Alleviating factors: none Aggravating factors: none Severity: moderate Associated symptoms: n/v, headache, chest pain, soa   Patient admitted for further evaluation and treatment.  1/31/22Discharge Diagnoses:  Covid 19 pneumonia, acute resp failure with hypoxia Abdominal pain with intractable nausea and vomiting Hypertensive urgency IVDU Diabetes melliuts Grave's disease
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anion gap, Aspartate aminotransferase normal, Atypical pneumonia, Basophil count, Basophil percentage decreased
Clinical narrative: 49 yr/o female with a history of HTN, obesity, Graves' disease, asthma, T2DM, HLD, heroin abuse, hep C, MRSA, IVDU, COPD pancreatitis who presents to the emergency department complaining of abdominal pain with associated symptoms of nausea and vomiting.  She was very flat affect and not very forthcoming with information at this time.   She endorses a history of pancreatitis.  She endorses a history of IVDU, and states she last used heroin this morning. Patient stated " I just feel crappy". Limited HPI due to patients unwillingness to provide detail information.  She reported to the triage nurse that she recently tested positive for Covid 19. Pt denies headache, chest pain, shortness of breath. Review of Systems  Constitutional: Negative for chills, diaphoresis, fatigue and fever.  HENT: Negative for facial swelling.   Eyes: Negative for redness.  Respiratory: Positive for shortness of breath. Negative for cough.   Cardiovascular: Positive for chest pain. Negative for leg swelling.  Gastrointestinal: Positive for abdominal pain, nausea and vomiting. Negative for constipation and diarrhea.  Genitourinary: Negative for dysuria and flank pain.  Musculoskeletal: Negative for back pain and arthralgias.  Skin: Negative for pallor and rash.  Neurological: Negative for speech difficulty.  Hematological: Negative for adenopathy.  Psychiatric/Behavioral: Negative for confusion. The patient is not nervous/anxious.   History of Present Illness:  49 year old F with history of tobacco/substance abuse, HTN, grave's disease with severe exopthalmos, NIDDM, hep C, chronic pancreatitis. She presented to Er with complaints of abdominal pain, n/v, with recent coid + test. ER evaluation revealed wbc 10.58, BNP 7.91, troponin <0.01, BP 210/86. - CTA chest: No obvious source for the acute abdominal discomfort. The preliminary report by the VRad radiologist described "significant gastritis." However, these findings are felt to be artifactual due to suboptimal distention of the stomach, and are grossly stable when compared to multiple prior exams over the past 3 years. 2. Groundglass nodular infiltrates involving the right middle and lower lobes, indicating an atypical pneumonia. - CXR; Rounded airspace opacity in the right lower lung likely representing pneumonia or residual pneumonitis as seen on prior chest CT dated 12/12/2021   Onset: several days Location: abd pain Duration: constant Characteristics: sharp Radiation: none Alleviating factors: none Aggravating factors: none Severity: moderate Associated symptoms: n/v, headache, chest pain, soa   Patient admitted for further evaluation and treatment.  1/31/22Discharge Diagnoses:  Covid 19 pneumonia, acute resp failure with hypoxia Abdominal pain with intractable nausea and vomiting Hypertensive urgency IVDU Diabetes melliuts Grave's disease
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood albumin decreased, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium decreased, Blood chloride normal
Clinical narrative: 49 yr/o female with a history of HTN, obesity, Graves' disease, asthma, T2DM, HLD, heroin abuse, hep C, MRSA, IVDU, COPD pancreatitis who presents to the emergency department complaining of abdominal pain with associated symptoms of nausea and vomiting.  She was very flat affect and not very forthcoming with information at this time.   She endorses a history of pancreatitis.  She endorses a history of IVDU, and states she last used heroin this morning. Patient stated " I just feel crappy". Limited HPI due to patients unwillingness to provide detail information.  She reported to the triage nurse that she recently tested positive for Covid 19. Pt denies headache, chest pain, shortness of breath. Review of Systems  Constitutional: Negative for chills, diaphoresis, fatigue and fever.  HENT: Negative for facial swelling.   Eyes: Negative for redness.  Respiratory: Positive for shortness of breath. Negative for cough.   Cardiovascular: Positive for chest pain. Negative for leg swelling.  Gastrointestinal: Positive for abdominal pain, nausea and vomiting. Negative for constipation and diarrhea.  Genitourinary: Negative for dysuria and flank pain.  Musculoskeletal: Negative for back pain and arthralgias.  Skin: Negative for pallor and rash.  Neurological: Negative for speech difficulty.  Hematological: Negative for adenopathy.  Psychiatric/Behavioral: Negative for confusion. The patient is not nervous/anxious.   History of Present Illness:  49 year old F with history of tobacco/substance abuse, HTN, grave's disease with severe exopthalmos, NIDDM, hep C, chronic pancreatitis. She presented to Er with complaints of abdominal pain, n/v, with recent coid + test. ER evaluation revealed wbc 10.58, BNP 7.91, troponin <0.01, BP 210/86. - CTA chest: No obvious source for the acute abdominal discomfort. The preliminary report by the VRad radiologist described "significant gastritis." However, these findings are felt to be artifactual due to suboptimal distention of the stomach, and are grossly stable when compared to multiple prior exams over the past 3 years. 2. Groundglass nodular infiltrates involving the right middle and lower lobes, indicating an atypical pneumonia. - CXR; Rounded airspace opacity in the right lower lung likely representing pneumonia or residual pneumonitis as seen on prior chest CT dated 12/12/2021   Onset: several days Location: abd pain Duration: constant Characteristics: sharp Radiation: none Alleviating factors: none Aggravating factors: none Severity: moderate Associated symptoms: n/v, headache, chest pain, soa   Patient admitted for further evaluation and treatment.  1/31/22Discharge Diagnoses:  Covid 19 pneumonia, acute resp failure with hypoxia Abdominal pain with intractable nausea and vomiting Hypertensive urgency IVDU Diabetes melliuts Grave's disease
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood creatinine normal, Blood glucose normal, Blood lactic acid, Blood potassium normal, Blood sodium decreased
Clinical narrative: 49 yr/o female with a history of HTN, obesity, Graves' disease, asthma, T2DM, HLD, heroin abuse, hep C, MRSA, IVDU, COPD pancreatitis who presents to the emergency department complaining of abdominal pain with associated symptoms of nausea and vomiting.  She was very flat affect and not very forthcoming with information at this time.   She endorses a history of pancreatitis.  She endorses a history of IVDU, and states she last used heroin this morning. Patient stated " I just feel crappy". Limited HPI due to patients unwillingness to provide detail information.  She reported to the triage nurse that she recently tested positive for Covid 19. Pt denies headache, chest pain, shortness of breath. Review of Systems  Constitutional: Negative for chills, diaphoresis, fatigue and fever.  HENT: Negative for facial swelling.   Eyes: Negative for redness.  Respiratory: Positive for shortness of breath. Negative for cough.   Cardiovascular: Positive for chest pain. Negative for leg swelling.  Gastrointestinal: Positive for abdominal pain, nausea and vomiting. Negative for constipation and diarrhea.  Genitourinary: Negative for dysuria and flank pain.  Musculoskeletal: Negative for back pain and arthralgias.  Skin: Negative for pallor and rash.  Neurological: Negative for speech difficulty.  Hematological: Negative for adenopathy.  Psychiatric/Behavioral: Negative for confusion. The patient is not nervous/anxious.   History of Present Illness:  49 year old F with history of tobacco/substance abuse, HTN, grave's disease with severe exopthalmos, NIDDM, hep C, chronic pancreatitis. She presented to Er with complaints of abdominal pain, n/v, with recent coid + test. ER evaluation revealed wbc 10.58, BNP 7.91, troponin <0.01, BP 210/86. - CTA chest: No obvious source for the acute abdominal discomfort. The preliminary report by the VRad radiologist described "significant gastritis." However, these findings are felt to be artifactual due to suboptimal distention of the stomach, and are grossly stable when compared to multiple prior exams over the past 3 years. 2. Groundglass nodular infiltrates involving the right middle and lower lobes, indicating an atypical pneumonia. - CXR; Rounded airspace opacity in the right lower lung likely representing pneumonia or residual pneumonitis as seen on prior chest CT dated 12/12/2021   Onset: several days Location: abd pain Duration: constant Characteristics: sharp Radiation: none Alleviating factors: none Aggravating factors: none Severity: moderate Associated symptoms: n/v, headache, chest pain, soa   Patient admitted for further evaluation and treatment.  1/31/22Discharge Diagnoses:  Covid 19 pneumonia, acute resp failure with hypoxia Abdominal pain with intractable nausea and vomiting Hypertensive urgency IVDU Diabetes melliuts Grave's disease
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood urea nitrogen/creatinine ratio, Blood urea normal, Brain natriuretic peptide, Brain natriuretic peptide normal, COVID-19
Clinical narrative: 49 yr/o female with a history of HTN, obesity, Graves' disease, asthma, T2DM, HLD, heroin abuse, hep C, MRSA, IVDU, COPD pancreatitis who presents to the emergency department complaining of abdominal pain with associated symptoms of nausea and vomiting.  She was very flat affect and not very forthcoming with information at this time.   She endorses a history of pancreatitis.  She endorses a history of IVDU, and states she last used heroin this morning. Patient stated " I just feel crappy". Limited HPI due to patients unwillingness to provide detail information.  She reported to the triage nurse that she recently tested positive for Covid 19. Pt denies headache, chest pain, shortness of breath. Review of Systems  Constitutional: Negative for chills, diaphoresis, fatigue and fever.  HENT: Negative for facial swelling.   Eyes: Negative for redness.  Respiratory: Positive for shortness of breath. Negative for cough.   Cardiovascular: Positive for chest pain. Negative for leg swelling.  Gastrointestinal: Positive for abdominal pain, nausea and vomiting. Negative for constipation and diarrhea.  Genitourinary: Negative for dysuria and flank pain.  Musculoskeletal: Negative for back pain and arthralgias.  Skin: Negative for pallor and rash.  Neurological: Negative for speech difficulty.  Hematological: Negative for adenopathy.  Psychiatric/Behavioral: Negative for confusion. The patient is not nervous/anxious.   History of Present Illness:  49 year old F with history of tobacco/substance abuse, HTN, grave's disease with severe exopthalmos, NIDDM, hep C, chronic pancreatitis. She presented to Er with complaints of abdominal pain, n/v, with recent coid + test. ER evaluation revealed wbc 10.58, BNP 7.91, troponin <0.01, BP 210/86. - CTA chest: No obvious source for the acute abdominal discomfort. The preliminary report by the VRad radiologist described "significant gastritis." However, these findings are felt to be artifactual due to suboptimal distention of the stomach, and are grossly stable when compared to multiple prior exams over the past 3 years. 2. Groundglass nodular infiltrates involving the right middle and lower lobes, indicating an atypical pneumonia. - CXR; Rounded airspace opacity in the right lower lung likely representing pneumonia or residual pneumonitis as seen on prior chest CT dated 12/12/2021   Onset: several days Location: abd pain Duration: constant Characteristics: sharp Radiation: none Alleviating factors: none Aggravating factors: none Severity: moderate Associated symptoms: n/v, headache, chest pain, soa   Patient admitted for further evaluation and treatment.  1/31/22Discharge Diagnoses:  Covid 19 pneumonia, acute resp failure with hypoxia Abdominal pain with intractable nausea and vomiting Hypertensive urgency IVDU Diabetes melliuts Grave's disease
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19 pneumonia, Carbon dioxide normal, Chest X-ray abnormal, Chest pain, Condition aggravated
Clinical narrative: 49 yr/o female with a history of HTN, obesity, Graves' disease, asthma, T2DM, HLD, heroin abuse, hep C, MRSA, IVDU, COPD pancreatitis who presents to the emergency department complaining of abdominal pain with associated symptoms of nausea and vomiting.  She was very flat affect and not very forthcoming with information at this time.   She endorses a history of pancreatitis.  She endorses a history of IVDU, and states she last used heroin this morning. Patient stated " I just feel crappy". Limited HPI due to patients unwillingness to provide detail information.  She reported to the triage nurse that she recently tested positive for Covid 19. Pt denies headache, chest pain, shortness of breath. Review of Systems  Constitutional: Negative for chills, diaphoresis, fatigue and fever.  HENT: Negative for facial swelling.   Eyes: Negative for redness.  Respiratory: Positive for shortness of breath. Negative for cough.   Cardiovascular: Positive for chest pain. Negative for leg swelling.  Gastrointestinal: Positive for abdominal pain, nausea and vomiting. Negative for constipation and diarrhea.  Genitourinary: Negative for dysuria and flank pain.  Musculoskeletal: Negative for back pain and arthralgias.  Skin: Negative for pallor and rash.  Neurological: Negative for speech difficulty.  Hematological: Negative for adenopathy.  Psychiatric/Behavioral: Negative for confusion. The patient is not nervous/anxious.   History of Present Illness:  49 year old F with history of tobacco/substance abuse, HTN, grave's disease with severe exopthalmos, NIDDM, hep C, chronic pancreatitis. She presented to Er with complaints of abdominal pain, n/v, with recent coid + test. ER evaluation revealed wbc 10.58, BNP 7.91, troponin <0.01, BP 210/86. - CTA chest: No obvious source for the acute abdominal discomfort. The preliminary report by the VRad radiologist described "significant gastritis." However, these findings are felt to be artifactual due to suboptimal distention of the stomach, and are grossly stable when compared to multiple prior exams over the past 3 years. 2. Groundglass nodular infiltrates involving the right middle and lower lobes, indicating an atypical pneumonia. - CXR; Rounded airspace opacity in the right lower lung likely representing pneumonia or residual pneumonitis as seen on prior chest CT dated 12/12/2021   Onset: several days Location: abd pain Duration: constant Characteristics: sharp Radiation: none Alleviating factors: none Aggravating factors: none Severity: moderate Associated symptoms: n/v, headache, chest pain, soa   Patient admitted for further evaluation and treatment.  1/31/22Discharge Diagnoses:  Covid 19 pneumonia, acute resp failure with hypoxia Abdominal pain with intractable nausea and vomiting Hypertensive urgency IVDU Diabetes melliuts Grave's disease
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Differential white blood cell count, Drug abuser, Dyspnoea, Eosinophil count increased, Eosinophil percentage increased
Clinical narrative: 49 yr/o female with a history of HTN, obesity, Graves' disease, asthma, T2DM, HLD, heroin abuse, hep C, MRSA, IVDU, COPD pancreatitis who presents to the emergency department complaining of abdominal pain with associated symptoms of nausea and vomiting.  She was very flat affect and not very forthcoming with information at this time.   She endorses a history of pancreatitis.  She endorses a history of IVDU, and states she last used heroin this morning. Patient stated " I just feel crappy". Limited HPI due to patients unwillingness to provide detail information.  She reported to the triage nurse that she recently tested positive for Covid 19. Pt denies headache, chest pain, shortness of breath. Review of Systems  Constitutional: Negative for chills, diaphoresis, fatigue and fever.  HENT: Negative for facial swelling.   Eyes: Negative for redness.  Respiratory: Positive for shortness of breath. Negative for cough.   Cardiovascular: Positive for chest pain. Negative for leg swelling.  Gastrointestinal: Positive for abdominal pain, nausea and vomiting. Negative for constipation and diarrhea.  Genitourinary: Negative for dysuria and flank pain.  Musculoskeletal: Negative for back pain and arthralgias.  Skin: Negative for pallor and rash.  Neurological: Negative for speech difficulty.  Hematological: Negative for adenopathy.  Psychiatric/Behavioral: Negative for confusion. The patient is not nervous/anxious.   History of Present Illness:  49 year old F with history of tobacco/substance abuse, HTN, grave's disease with severe exopthalmos, NIDDM, hep C, chronic pancreatitis. She presented to Er with complaints of abdominal pain, n/v, with recent coid + test. ER evaluation revealed wbc 10.58, BNP 7.91, troponin <0.01, BP 210/86. - CTA chest: No obvious source for the acute abdominal discomfort. The preliminary report by the VRad radiologist described "significant gastritis." However, these findings are felt to be artifactual due to suboptimal distention of the stomach, and are grossly stable when compared to multiple prior exams over the past 3 years. 2. Groundglass nodular infiltrates involving the right middle and lower lobes, indicating an atypical pneumonia. - CXR; Rounded airspace opacity in the right lower lung likely representing pneumonia or residual pneumonitis as seen on prior chest CT dated 12/12/2021   Onset: several days Location: abd pain Duration: constant Characteristics: sharp Radiation: none Alleviating factors: none Aggravating factors: none Severity: moderate Associated symptoms: n/v, headache, chest pain, soa   Patient admitted for further evaluation and treatment.  1/31/22Discharge Diagnoses:  Covid 19 pneumonia, acute resp failure with hypoxia Abdominal pain with intractable nausea and vomiting Hypertensive urgency IVDU Diabetes melliuts Grave's disease
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Feeling abnormal, Flat affect, Full blood count, Gastric dilatation, Gastritis
Clinical narrative: 49 yr/o female with a history of HTN, obesity, Graves' disease, asthma, T2DM, HLD, heroin abuse, hep C, MRSA, IVDU, COPD pancreatitis who presents to the emergency department complaining of abdominal pain with associated symptoms of nausea and vomiting.  She was very flat affect and not very forthcoming with information at this time.   She endorses a history of pancreatitis.  She endorses a history of IVDU, and states she last used heroin this morning. Patient stated " I just feel crappy". Limited HPI due to patients unwillingness to provide detail information.  She reported to the triage nurse that she recently tested positive for Covid 19. Pt denies headache, chest pain, shortness of breath. Review of Systems  Constitutional: Negative for chills, diaphoresis, fatigue and fever.  HENT: Negative for facial swelling.   Eyes: Negative for redness.  Respiratory: Positive for shortness of breath. Negative for cough.   Cardiovascular: Positive for chest pain. Negative for leg swelling.  Gastrointestinal: Positive for abdominal pain, nausea and vomiting. Negative for constipation and diarrhea.  Genitourinary: Negative for dysuria and flank pain.  Musculoskeletal: Negative for back pain and arthralgias.  Skin: Negative for pallor and rash.  Neurological: Negative for speech difficulty.  Hematological: Negative for adenopathy.  Psychiatric/Behavioral: Negative for confusion. The patient is not nervous/anxious.   History of Present Illness:  49 year old F with history of tobacco/substance abuse, HTN, grave's disease with severe exopthalmos, NIDDM, hep C, chronic pancreatitis. She presented to Er with complaints of abdominal pain, n/v, with recent coid + test. ER evaluation revealed wbc 10.58, BNP 7.91, troponin <0.01, BP 210/86. - CTA chest: No obvious source for the acute abdominal discomfort. The preliminary report by the VRad radiologist described "significant gastritis." However, these findings are felt to be artifactual due to suboptimal distention of the stomach, and are grossly stable when compared to multiple prior exams over the past 3 years. 2. Groundglass nodular infiltrates involving the right middle and lower lobes, indicating an atypical pneumonia. - CXR; Rounded airspace opacity in the right lower lung likely representing pneumonia or residual pneumonitis as seen on prior chest CT dated 12/12/2021   Onset: several days Location: abd pain Duration: constant Characteristics: sharp Radiation: none Alleviating factors: none Aggravating factors: none Severity: moderate Associated symptoms: n/v, headache, chest pain, soa   Patient admitted for further evaluation and treatment.  1/31/22Discharge Diagnoses:  Covid 19 pneumonia, acute resp failure with hypoxia Abdominal pain with intractable nausea and vomiting Hypertensive urgency IVDU Diabetes melliuts Grave's disease
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Globulins increased, Glomerular filtration rate decreased, Haematocrit decreased, Haemoglobin decreased, Hypertensive urgency
Clinical narrative: 49 yr/o female with a history of HTN, obesity, Graves' disease, asthma, T2DM, HLD, heroin abuse, hep C, MRSA, IVDU, COPD pancreatitis who presents to the emergency department complaining of abdominal pain with associated symptoms of nausea and vomiting.  She was very flat affect and not very forthcoming with information at this time.   She endorses a history of pancreatitis.  She endorses a history of IVDU, and states she last used heroin this morning. Patient stated " I just feel crappy". Limited HPI due to patients unwillingness to provide detail information.  She reported to the triage nurse that she recently tested positive for Covid 19. Pt denies headache, chest pain, shortness of breath. Review of Systems  Constitutional: Negative for chills, diaphoresis, fatigue and fever.  HENT: Negative for facial swelling.   Eyes: Negative for redness.  Respiratory: Positive for shortness of breath. Negative for cough.   Cardiovascular: Positive for chest pain. Negative for leg swelling.  Gastrointestinal: Positive for abdominal pain, nausea and vomiting. Negative for constipation and diarrhea.  Genitourinary: Negative for dysuria and flank pain.  Musculoskeletal: Negative for back pain and arthralgias.  Skin: Negative for pallor and rash.  Neurological: Negative for speech difficulty.  Hematological: Negative for adenopathy.  Psychiatric/Behavioral: Negative for confusion. The patient is not nervous/anxious.   History of Present Illness:  49 year old F with history of tobacco/substance abuse, HTN, grave's disease with severe exopthalmos, NIDDM, hep C, chronic pancreatitis. She presented to Er with complaints of abdominal pain, n/v, with recent coid + test. ER evaluation revealed wbc 10.58, BNP 7.91, troponin <0.01, BP 210/86. - CTA chest: No obvious source for the acute abdominal discomfort. The preliminary report by the VRad radiologist described "significant gastritis." However, these findings are felt to be artifactual due to suboptimal distention of the stomach, and are grossly stable when compared to multiple prior exams over the past 3 years. 2. Groundglass nodular infiltrates involving the right middle and lower lobes, indicating an atypical pneumonia. - CXR; Rounded airspace opacity in the right lower lung likely representing pneumonia or residual pneumonitis as seen on prior chest CT dated 12/12/2021   Onset: several days Location: abd pain Duration: constant Characteristics: sharp Radiation: none Alleviating factors: none Aggravating factors: none Severity: moderate Associated symptoms: n/v, headache, chest pain, soa   Patient admitted for further evaluation and treatment.  1/31/22Discharge Diagnoses:  Covid 19 pneumonia, acute resp failure with hypoxia Abdominal pain with intractable nausea and vomiting Hypertensive urgency IVDU Diabetes melliuts Grave's disease
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Immature granulocyte count, Lipase normal, Lung infiltration, Lung opacity, Lymphocyte count
Clinical narrative: 49 yr/o female with a history of HTN, obesity, Graves' disease, asthma, T2DM, HLD, heroin abuse, hep C, MRSA, IVDU, COPD pancreatitis who presents to the emergency department complaining of abdominal pain with associated symptoms of nausea and vomiting.  She was very flat affect and not very forthcoming with information at this time.   She endorses a history of pancreatitis.  She endorses a history of IVDU, and states she last used heroin this morning. Patient stated " I just feel crappy". Limited HPI due to patients unwillingness to provide detail information.  She reported to the triage nurse that she recently tested positive for Covid 19. Pt denies headache, chest pain, shortness of breath. Review of Systems  Constitutional: Negative for chills, diaphoresis, fatigue and fever.  HENT: Negative for facial swelling.   Eyes: Negative for redness.  Respiratory: Positive for shortness of breath. Negative for cough.   Cardiovascular: Positive for chest pain. Negative for leg swelling.  Gastrointestinal: Positive for abdominal pain, nausea and vomiting. Negative for constipation and diarrhea.  Genitourinary: Negative for dysuria and flank pain.  Musculoskeletal: Negative for back pain and arthralgias.  Skin: Negative for pallor and rash.  Neurological: Negative for speech difficulty.  Hematological: Negative for adenopathy.  Psychiatric/Behavioral: Negative for confusion. The patient is not nervous/anxious.   History of Present Illness:  49 year old F with history of tobacco/substance abuse, HTN, grave's disease with severe exopthalmos, NIDDM, hep C, chronic pancreatitis. She presented to Er with complaints of abdominal pain, n/v, with recent coid + test. ER evaluation revealed wbc 10.58, BNP 7.91, troponin <0.01, BP 210/86. - CTA chest: No obvious source for the acute abdominal discomfort. The preliminary report by the VRad radiologist described "significant gastritis." However, these findings are felt to be artifactual due to suboptimal distention of the stomach, and are grossly stable when compared to multiple prior exams over the past 3 years. 2. Groundglass nodular infiltrates involving the right middle and lower lobes, indicating an atypical pneumonia. - CXR; Rounded airspace opacity in the right lower lung likely representing pneumonia or residual pneumonitis as seen on prior chest CT dated 12/12/2021   Onset: several days Location: abd pain Duration: constant Characteristics: sharp Radiation: none Alleviating factors: none Aggravating factors: none Severity: moderate Associated symptoms: n/v, headache, chest pain, soa   Patient admitted for further evaluation and treatment.  1/31/22Discharge Diagnoses:  Covid 19 pneumonia, acute resp failure with hypoxia Abdominal pain with intractable nausea and vomiting Hypertensive urgency IVDU Diabetes melliuts Grave's disease