chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 69.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Atelectasis, Blood pressure systolic increased, COVID-19, Cardiac failure, Cardiac failure acute
Clinical narrative: 5/6/2023 - 5/22/2023 (16 days)  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Elevated troponin  Acute on chronic diastolic (congestive) heart failure (HCC)  Acute congestive heart failure, unspecified heart failure type (HCC)    HOSPITAL COURSE: 70-year-old woman with a history of CVA, heart failure preserved ejection fraction, hypertension, dysphagia, wheelchair-bound reported vascular dementia who presented on 05/06/2023 with poor intake over the preceding 4 days and troponin elevation in the setting of elevated systolic blood pressures after missing home medications.  She was seen by speech pathology noted to have significant dysphagia with esophageal stricture and CT neck and thorax was performed which revealed zenker's diverticulum.  GI was also consulted and recommended consultation with CTS before performing EGD, ultimately decided too high risk of perforation for EGD. Given her inability to take oral a corpak tube was placed to facilitate medications. CTS recommended outpatient follow up for endoscopic repair outpatient. They preferred cardiology optimization prior to this procedure, cardiology was consulted and obtained stress Echo which showed no evidence of ischemia. Patient did develop hypernatremia as well which improved with adjustment of free water flushes.   Family was agreeable to PEG tube.  IR was consulted and placed thison 5/15/2023   She developed hypoxia and left sided atelectasis.  She also developed a fever.  She tested positive for COVID 19 on film array.  Her husband was a sick contact.  She was started on Decadron which was discontinued after 2 days as she was not needing oxygen.  She will need to stay in the hospital for a total of 10 days in isolation which will end on the 21st of May.  She was discharge to assisted living facility stable on 5/22/2023
Age: 69.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Cardiac failure congestive, Computerised tomogram neck, Computerised tomogram thorax abnormal, Dysphagia, Exposure to SARS-CoV-2
Clinical narrative: 5/6/2023 - 5/22/2023 (16 days)  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Elevated troponin  Acute on chronic diastolic (congestive) heart failure (HCC)  Acute congestive heart failure, unspecified heart failure type (HCC)    HOSPITAL COURSE: 70-year-old woman with a history of CVA, heart failure preserved ejection fraction, hypertension, dysphagia, wheelchair-bound reported vascular dementia who presented on 05/06/2023 with poor intake over the preceding 4 days and troponin elevation in the setting of elevated systolic blood pressures after missing home medications.  She was seen by speech pathology noted to have significant dysphagia with esophageal stricture and CT neck and thorax was performed which revealed zenker's diverticulum.  GI was also consulted and recommended consultation with CTS before performing EGD, ultimately decided too high risk of perforation for EGD. Given her inability to take oral a corpak tube was placed to facilitate medications. CTS recommended outpatient follow up for endoscopic repair outpatient. They preferred cardiology optimization prior to this procedure, cardiology was consulted and obtained stress Echo which showed no evidence of ischemia. Patient did develop hypernatremia as well which improved with adjustment of free water flushes.   Family was agreeable to PEG tube.  IR was consulted and placed thison 5/15/2023   She developed hypoxia and left sided atelectasis.  She also developed a fever.  She tested positive for COVID 19 on film array.  Her husband was a sick contact.  She was started on Decadron which was discontinued after 2 days as she was not needing oxygen.  She will need to stay in the hospital for a total of 10 days in isolation which will end on the 21st of May.  She was discharge to assisted living facility stable on 5/22/2023
Age: 69.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Hypernatraemia, Hypophagia, Hypoxia, Left ventricular failure, Oesophageal stenosis
Clinical narrative: 5/6/2023 - 5/22/2023 (16 days)  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Elevated troponin  Acute on chronic diastolic (congestive) heart failure (HCC)  Acute congestive heart failure, unspecified heart failure type (HCC)    HOSPITAL COURSE: 70-year-old woman with a history of CVA, heart failure preserved ejection fraction, hypertension, dysphagia, wheelchair-bound reported vascular dementia who presented on 05/06/2023 with poor intake over the preceding 4 days and troponin elevation in the setting of elevated systolic blood pressures after missing home medications.  She was seen by speech pathology noted to have significant dysphagia with esophageal stricture and CT neck and thorax was performed which revealed zenker's diverticulum.  GI was also consulted and recommended consultation with CTS before performing EGD, ultimately decided too high risk of perforation for EGD. Given her inability to take oral a corpak tube was placed to facilitate medications. CTS recommended outpatient follow up for endoscopic repair outpatient. They preferred cardiology optimization prior to this procedure, cardiology was consulted and obtained stress Echo which showed no evidence of ischemia. Patient did develop hypernatremia as well which improved with adjustment of free water flushes.   Family was agreeable to PEG tube.  IR was consulted and placed thison 5/15/2023   She developed hypoxia and left sided atelectasis.  She also developed a fever.  She tested positive for COVID 19 on film array.  Her husband was a sick contact.  She was started on Decadron which was discontinued after 2 days as she was not needing oxygen.  She will need to stay in the hospital for a total of 10 days in isolation which will end on the 21st of May.  She was discharge to assisted living facility stable on 5/22/2023
Age: 69.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Patient isolation, Pharyngo-oesophageal diverticulum, Pyrexia, SARS-CoV-2 test positive, Stress echocardiogram normal
Clinical narrative: 5/6/2023 - 5/22/2023 (16 days)  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Elevated troponin  Acute on chronic diastolic (congestive) heart failure (HCC)  Acute congestive heart failure, unspecified heart failure type (HCC)    HOSPITAL COURSE: 70-year-old woman with a history of CVA, heart failure preserved ejection fraction, hypertension, dysphagia, wheelchair-bound reported vascular dementia who presented on 05/06/2023 with poor intake over the preceding 4 days and troponin elevation in the setting of elevated systolic blood pressures after missing home medications.  She was seen by speech pathology noted to have significant dysphagia with esophageal stricture and CT neck and thorax was performed which revealed zenker's diverticulum.  GI was also consulted and recommended consultation with CTS before performing EGD, ultimately decided too high risk of perforation for EGD. Given her inability to take oral a corpak tube was placed to facilitate medications. CTS recommended outpatient follow up for endoscopic repair outpatient. They preferred cardiology optimization prior to this procedure, cardiology was consulted and obtained stress Echo which showed no evidence of ischemia. Patient did develop hypernatremia as well which improved with adjustment of free water flushes.   Family was agreeable to PEG tube.  IR was consulted and placed thison 5/15/2023   She developed hypoxia and left sided atelectasis.  She also developed a fever.  She tested positive for COVID 19 on film array.  Her husband was a sick contact.  She was started on Decadron which was discontinued after 2 days as she was not needing oxygen.  She will need to stay in the hospital for a total of 10 days in isolation which will end on the 21st of May.  She was discharge to assisted living facility stable on 5/22/2023
Age: 69.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Troponin increased
Clinical narrative: 5/6/2023 - 5/22/2023 (16 days)  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Elevated troponin  Acute on chronic diastolic (congestive) heart failure (HCC)  Acute congestive heart failure, unspecified heart failure type (HCC)    HOSPITAL COURSE: 70-year-old woman with a history of CVA, heart failure preserved ejection fraction, hypertension, dysphagia, wheelchair-bound reported vascular dementia who presented on 05/06/2023 with poor intake over the preceding 4 days and troponin elevation in the setting of elevated systolic blood pressures after missing home medications.  She was seen by speech pathology noted to have significant dysphagia with esophageal stricture and CT neck and thorax was performed which revealed zenker's diverticulum.  GI was also consulted and recommended consultation with CTS before performing EGD, ultimately decided too high risk of perforation for EGD. Given her inability to take oral a corpak tube was placed to facilitate medications. CTS recommended outpatient follow up for endoscopic repair outpatient. They preferred cardiology optimization prior to this procedure, cardiology was consulted and obtained stress Echo which showed no evidence of ischemia. Patient did develop hypernatremia as well which improved with adjustment of free water flushes.   Family was agreeable to PEG tube.  IR was consulted and placed thison 5/15/2023   She developed hypoxia and left sided atelectasis.  She also developed a fever.  She tested positive for COVID 19 on film array.  Her husband was a sick contact.  She was started on Decadron which was discontinued after 2 days as she was not needing oxygen.  She will need to stay in the hospital for a total of 10 days in isolation which will end on the 21st of May.  She was discharge to assisted living facility stable on 5/22/2023
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute left ventricular failure, COVID-19, Chronic kidney disease, SARS-CoV-2 test positive
Clinical narrative: Hospitalization: 4/26/2023 - 5/8/2023 (12 days) Presentation to the ED: acute diastolic heart failure in the setting of CKD COVID + date: 5/1/23 Treatment: decadron  Discharge to: home.  031L20A 2/3/2021 027A21A 027A21A 051F21A 11/4/2021
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalization: 5/2/2023 - 5/7/2023 (5 days) Presentation to the ED: acute respiratory failure with hypoxia COVID + date: 5/2/23 Treatment: Remdesivir  Discharge to: home.   EL9267 2/15/2021 EW0186 5/24/2021 FJ1620 12/3/2021
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, General physical health deterioration, SARS-CoV-2 test positive
Clinical narrative: Hospitalization: 4/28/2023 - 5/11/2023 (13 days) Presentation to the ED: physical decline  COVID + date: 5/2/23 Treatment: no treatment. patient was asx.  Discharge to: SNF.  EL9267 2/15/2021 EW0173 5/11/2021 FJ1620 12/5/2021
Age: 12.0
Sex: M
Vaccine: HEP, HEPA, MMR, TDAP, VARCEL
Symptoms: Expired product administered
Clinical narrative: On 6/5/2023, RN, administered expired Hep B vaccine with expiration date of 6/3/23 to a patient. Nurse failed to check expiration date on Hep B vaccine prior to administering to the patient. There was a tag on the Hep B vaccine box stating to watch expiration date. LPN, failed to put Hep B on the expiration date calendar for the month of June. The calendar is checked each morning by her and Nursing Supervisor.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, SARS-CoV-2 test positive
Clinical narrative: Hospitalization: 5/3/2023 - 5/5/2023 (2 days) Presentation to the ED: chest pain.  COVID + date: 5/3/2023  Treatment: none. patient was asx.  Discharge to: home.   EW0175 6/2/2021 EW0175 6/24/2021 Lot numbers were recorded as the same lot number.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Embolic stroke
Clinical narrative: ACUTE STROKE DUE TO EMBOLISM OF UNSPECIFIED ARTERY
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction
Clinical narrative: ACUTE NON ST ELEVATION MI
Age: 22.0
Sex: M
Vaccine: COVID19-2
Symptoms: Cholecystectomy, Pancreatic stent placement, Pancreatitis
Clinical narrative: I did not have an adverse reaction to the vaccine. I had to go to the emergency room three times in a period of one month. I was admitted for ten days with pancreatitis. I had stents put in and then later removed. I had my gallbladder removed. As of today, I am feeling better but not 100 percent.
Age: 76.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: Asthenia, Asthma, COVID-19 pneumonia, Condition aggravated, Dementia
Clinical narrative: Admission Date: 5/13/2023 Discharge Date: 05/16/2023    HOSPITAL PROBLEMS: 1. Covid 19 Pneumonia  2. Generalized Weakness 3. Parkinsons disease with dementia 4. Pharyngeal phase dysphagia 5. Mild Intermittent asthma 6. GERD 7. Hx of prostate cancer     DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Weakness. Covid ill contact and covid Symptoms since 5/10.  See H&P from 05/14/2023 for full details.   HOSPITAL COURSE: Patient was admitted for generalized weakness secondary to COVID 19 infection.  He did have patchy consolidation in the right lung base was not started on IV antibiotics as is felt to be viral pneumonia, he was not requiring oxygen and was not started on steroids.  He was started on IV remdesivir, he received 3 days of this. No changes made to home medications.     He worked with Physical and Occupational therapy who felt he would benefit from subacute rehab, his wife stated that she felt he would do best if he returned to home, as she felt she had everything she needed to continue to care for him.  He was given a prescription for a new walker as recommended by therapy.   He did have a repeat SLP eval, it was recommended that he continue a mechanically soft diet and have 1:1 supervision while feeding, this was discussed with his wife.  He should follow-up with his PCP in about a week.
Age: 76.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: Dysphagia, Exposure to SARS-CoV-2, Gastrooesophageal reflux disease, Lung consolidation, Malaise
Clinical narrative: Admission Date: 5/13/2023 Discharge Date: 05/16/2023    HOSPITAL PROBLEMS: 1. Covid 19 Pneumonia  2. Generalized Weakness 3. Parkinsons disease with dementia 4. Pharyngeal phase dysphagia 5. Mild Intermittent asthma 6. GERD 7. Hx of prostate cancer     DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Weakness. Covid ill contact and covid Symptoms since 5/10.  See H&P from 05/14/2023 for full details.   HOSPITAL COURSE: Patient was admitted for generalized weakness secondary to COVID 19 infection.  He did have patchy consolidation in the right lung base was not started on IV antibiotics as is felt to be viral pneumonia, he was not requiring oxygen and was not started on steroids.  He was started on IV remdesivir, he received 3 days of this. No changes made to home medications.     He worked with Physical and Occupational therapy who felt he would benefit from subacute rehab, his wife stated that she felt he would do best if he returned to home, as she felt she had everything she needed to continue to care for him.  He was given a prescription for a new walker as recommended by therapy.   He did have a repeat SLP eval, it was recommended that he continue a mechanically soft diet and have 1:1 supervision while feeding, this was discussed with his wife.  He should follow-up with his PCP in about a week.
Age: 76.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: Pneumonia viral
Clinical narrative: Admission Date: 5/13/2023 Discharge Date: 05/16/2023    HOSPITAL PROBLEMS: 1. Covid 19 Pneumonia  2. Generalized Weakness 3. Parkinsons disease with dementia 4. Pharyngeal phase dysphagia 5. Mild Intermittent asthma 6. GERD 7. Hx of prostate cancer     DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Weakness. Covid ill contact and covid Symptoms since 5/10.  See H&P from 05/14/2023 for full details.   HOSPITAL COURSE: Patient was admitted for generalized weakness secondary to COVID 19 infection.  He did have patchy consolidation in the right lung base was not started on IV antibiotics as is felt to be viral pneumonia, he was not requiring oxygen and was not started on steroids.  He was started on IV remdesivir, he received 3 days of this. No changes made to home medications.     He worked with Physical and Occupational therapy who felt he would benefit from subacute rehab, his wife stated that she felt he would do best if he returned to home, as she felt she had everything she needed to continue to care for him.  He was given a prescription for a new walker as recommended by therapy.   He did have a repeat SLP eval, it was recommended that he continue a mechanically soft diet and have 1:1 supervision while feeding, this was discussed with his wife.  He should follow-up with his PCP in about a week.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Bronchitis, Chest X-ray abnormal, Cough, Upper-airway cough syndrome, Wheezing
Clinical narrative: 4/26/23 I had a dry, nonproductive cough and it would not stop. I also had a lot of wheezing. I went into coughing episodes. On 4/30/23, I went to the urgent care. I was diagnosed with bronchitis. I had a chest x-ray which they did not see pneumonia. I was prescribed AUGMENTIN and steroids. I began taking the medications that night. The symptoms continued. I had no fever. I developed a horrible postnasal drip which made the cough much worse. I went to my primary doctor who prescribed albuterol nebulizer. Gradually, the symptoms abated.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension
Clinical narrative: HYPOTENSION
Age: 69.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Akinesia, Anticoagulant therapy, Asthenia, Atrial flutter, COVID-19
Clinical narrative: 5/13/2023 - 5/19/2023 (6 days)  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Generalized weakness  Fall, initial encounter  COVID-19 virus infection COVID-19    HOSPITAL COURSE: Patient is a 70 y.o. male with a PMHx of DM type II, Depression, GERD and hx of gastric ulcers who presented to the ED due to weakness. In the ED, vitals signs and labs were stable. CXR without acute process. Resp film array resulted positive for COVID-19. He was unable to ambulate in ED therefore requested admission for placement.    On admission he remained stable from a respiratory standpoint. During admission he was noted to have SVT. This was not corrected with vagal maneuvers or adenosine. Cardiology was consulted and patient underwent TEE with cardioversion. Suspected underlying rhythm was aflutter with RVR. Eliquis was started. He was also noted to have reduced ejection fraction during procedure so limited echo was repeated before discharge. Limited echo showing EF 40% with akinesis. Cardiology recommended a repeat limited echo in 1 month, 2 week Ziopatch and he was continued on Eliquis. He was seen by PT/OT who recommended home with home health and therapies. He was discharged in medically stable condition.
Age: 69.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Cardioversion, Chest X-ray normal, Echocardiogram, Echocardiogram abnormal, Ejection fraction decreased
Clinical narrative: 5/13/2023 - 5/19/2023 (6 days)  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Generalized weakness  Fall, initial encounter  COVID-19 virus infection COVID-19    HOSPITAL COURSE: Patient is a 70 y.o. male with a PMHx of DM type II, Depression, GERD and hx of gastric ulcers who presented to the ED due to weakness. In the ED, vitals signs and labs were stable. CXR without acute process. Resp film array resulted positive for COVID-19. He was unable to ambulate in ED therefore requested admission for placement.    On admission he remained stable from a respiratory standpoint. During admission he was noted to have SVT. This was not corrected with vagal maneuvers or adenosine. Cardiology was consulted and patient underwent TEE with cardioversion. Suspected underlying rhythm was aflutter with RVR. Eliquis was started. He was also noted to have reduced ejection fraction during procedure so limited echo was repeated before discharge. Limited echo showing EF 40% with akinesis. Cardiology recommended a repeat limited echo in 1 month, 2 week Ziopatch and he was continued on Eliquis. He was seen by PT/OT who recommended home with home health and therapies. He was discharged in medically stable condition.
Age: 69.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Fall, Gait inability, Laboratory test normal, SARS-CoV-2 test positive, Supraventricular tachycardia
Clinical narrative: 5/13/2023 - 5/19/2023 (6 days)  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Generalized weakness  Fall, initial encounter  COVID-19 virus infection COVID-19    HOSPITAL COURSE: Patient is a 70 y.o. male with a PMHx of DM type II, Depression, GERD and hx of gastric ulcers who presented to the ED due to weakness. In the ED, vitals signs and labs were stable. CXR without acute process. Resp film array resulted positive for COVID-19. He was unable to ambulate in ED therefore requested admission for placement.    On admission he remained stable from a respiratory standpoint. During admission he was noted to have SVT. This was not corrected with vagal maneuvers or adenosine. Cardiology was consulted and patient underwent TEE with cardioversion. Suspected underlying rhythm was aflutter with RVR. Eliquis was started. He was also noted to have reduced ejection fraction during procedure so limited echo was repeated before discharge. Limited echo showing EF 40% with akinesis. Cardiology recommended a repeat limited echo in 1 month, 2 week Ziopatch and he was continued on Eliquis. He was seen by PT/OT who recommended home with home health and therapies. He was discharged in medically stable condition.
Age: 52.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, COVID-19, Dyspnoea, Pneumonia, Pneumonia bacterial
Clinical narrative: The patient tested positive for COVID-19 on 3/7/23 and was started on Paxlovid on 3/8/23. He was seen for shortness of breath and overall worsening symptoms at an urgent care on 3/12/23 and was noted to have O2 sats 90-91% on room air so was told to be seen in the ED.   Ultimately he was admitted 3/12/23 - 3/16/23 with discharge diagnoses including sepsis and acute hypoxic respiratory failure due to COVID-19 infection with superimposed LLL bacterial CAP. During admission, he required up to 4L O2 NC but eventually was weaned to room air and remained stable. Of note, the patient has received the primary COVID vaccine and three booster doses.
Age: 52.0
Sex: M
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive, Sepsis, Superinfection
Clinical narrative: The patient tested positive for COVID-19 on 3/7/23 and was started on Paxlovid on 3/8/23. He was seen for shortness of breath and overall worsening symptoms at an urgent care on 3/12/23 and was noted to have O2 sats 90-91% on room air so was told to be seen in the ED.   Ultimately he was admitted 3/12/23 - 3/16/23 with discharge diagnoses including sepsis and acute hypoxic respiratory failure due to COVID-19 infection with superimposed LLL bacterial CAP. During admission, he required up to 4L O2 NC but eventually was weaned to room air and remained stable. Of note, the patient has received the primary COVID vaccine and three booster doses.
Age: 4.0
Sex: M
Vaccine: UNK, UNK
Symptoms: Rash, Urticaria
Clinical narrative: patient started having hives on his face and body 10 minutes after receiving Kinrix and MMRV vaccines.  PCP notified right away, vital signs taken as below, lung sound listened, benedryl 6ml given PO. vital signs: 3:35pm: O2 99%, HR 106 3:40pm: O2 100%, HR 97 3:53PM: O2-100% 4:00PM: BP- 90/54 right 4:15PM: O2-100%, HR-104, pt left the clinic with stable condition.   patient had f/u visit with PCP on 06/04/2023.  patient took benadryl in office on 06/03/2023 and after 6 hours the rashes resolved when patient got home and never returned. patient is doing well.
Age: 1.17
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE
Age: 91.0
Sex: M
Vaccine: COVID19-2
Symptoms: Angiogram pulmonary abnormal, Anticoagulant therapy, Anxiety, Asthenia, COVID-19
Clinical narrative: 5/14/2023 - 5/21/2023 (7 days) HEART CENTER DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute pulmonary embolism, unspecified pulmonary embolism type, unspecified whether acute cor pulmonale present    HOSPITAL COURSE: Patient is a 91 y.o. male with medical history of asthma, HFreF 45-50%, HTN, hx of complete heart block s/p pacemaker, hx of duodenal ulcer and upper GI bleed, frequent falls, vitamin-D deficiency, CKD with unknown baseline and recent medical hx of hospitalization for left humerus fracture 5 months ago who presented to the ER 5/13/23 after syncopal episode at Rehabilitation Center, was found to be hypoxic and covid 19 positive with acute  b/l multifocal occlusive and nonocclusive emboli  also involving the distal left main pulmonary artery without evidence of heart strain on CTA chest. ? Patient was seen by the team however conservative management was recommended.  He received IV heparin and was transitioned to oral Eliquis ? In regards to COVID-19 infection and hypoxic respiratory failure and tracheobronchitis patient treated with steroids (Decadron 6mg, on D#6 of 10 on discharge day)  and antibiotic ( completed azithromycin inpatient), with significant improvement in respiratory status noted as of 5/16 and current on room air on discharge day.  ? In regards to cardiomyopathy with systolic heart failure and worsening ejection fraction cardiology was consulted to evaluate and give further recommendations at this time patient has been treated with IV Lasix for CHF exacerbation, then transition to home oral Lasix doses.  ? In regards to generalized debility He states he was discharged to rehab but has been unable to return to independent living due to significant generalized weakness in his legs.  He states he is mainly ambulating with a wheelchair.   ? On 5/19/2023 patient had an episode or right epistaxis, ENT consulted and found a nasal cavity evaluated, large blood clots removed, light oozing with removal of blood clots, hemostatic powder to right nare, and placed of dissolvable hemopore packing to right nare. Suggest starting  aggressive local nasal hydration with saline sprays (2 sprays to each nostril TID for 2 weeks), and apply a small dab of bacitracin ointment to front of each nostril, just inside the vestibule, and genitally pinch the nostril closed to spread the ointment against the nasal septum. Also recommended may use Afrin nasal spray for any minor bleeds , followed by external pressure to the nose.  and small amount of oozing is anticipated, however is epistaxis is uncontrolled would recommend Rhinorocket placement ? Patient also found to have a new left lung pneumonia on 5/19/2023 and was started on IV abx, however procalcitonin was negative and IV abx discontinued the following day.    ? Patient was very anxious and was started on hydroxyzine 25 mg TID   Patient medically stable to discharge to Rehabilitation Center on 5/21/23.
Age: 91.0
Sex: M
Vaccine: COVID19-2
Symptoms: Cardiac failure congestive, Cardiomyopathy, Condition aggravated, Discomfort, Ejection fraction abnormal
Clinical narrative: 5/14/2023 - 5/21/2023 (7 days) HEART CENTER DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute pulmonary embolism, unspecified pulmonary embolism type, unspecified whether acute cor pulmonale present    HOSPITAL COURSE: Patient is a 91 y.o. male with medical history of asthma, HFreF 45-50%, HTN, hx of complete heart block s/p pacemaker, hx of duodenal ulcer and upper GI bleed, frequent falls, vitamin-D deficiency, CKD with unknown baseline and recent medical hx of hospitalization for left humerus fracture 5 months ago who presented to the ER 5/13/23 after syncopal episode at Rehabilitation Center, was found to be hypoxic and covid 19 positive with acute  b/l multifocal occlusive and nonocclusive emboli  also involving the distal left main pulmonary artery without evidence of heart strain on CTA chest. ? Patient was seen by the team however conservative management was recommended.  He received IV heparin and was transitioned to oral Eliquis ? In regards to COVID-19 infection and hypoxic respiratory failure and tracheobronchitis patient treated with steroids (Decadron 6mg, on D#6 of 10 on discharge day)  and antibiotic ( completed azithromycin inpatient), with significant improvement in respiratory status noted as of 5/16 and current on room air on discharge day.  ? In regards to cardiomyopathy with systolic heart failure and worsening ejection fraction cardiology was consulted to evaluate and give further recommendations at this time patient has been treated with IV Lasix for CHF exacerbation, then transition to home oral Lasix doses.  ? In regards to generalized debility He states he was discharged to rehab but has been unable to return to independent living due to significant generalized weakness in his legs.  He states he is mainly ambulating with a wheelchair.   ? On 5/19/2023 patient had an episode or right epistaxis, ENT consulted and found a nasal cavity evaluated, large blood clots removed, light oozing with removal of blood clots, hemostatic powder to right nare, and placed of dissolvable hemopore packing to right nare. Suggest starting  aggressive local nasal hydration with saline sprays (2 sprays to each nostril TID for 2 weeks), and apply a small dab of bacitracin ointment to front of each nostril, just inside the vestibule, and genitally pinch the nostril closed to spread the ointment against the nasal septum. Also recommended may use Afrin nasal spray for any minor bleeds , followed by external pressure to the nose.  and small amount of oozing is anticipated, however is epistaxis is uncontrolled would recommend Rhinorocket placement ? Patient also found to have a new left lung pneumonia on 5/19/2023 and was started on IV abx, however procalcitonin was negative and IV abx discontinued the following day.    ? Patient was very anxious and was started on hydroxyzine 25 mg TID   Patient medically stable to discharge to Rehabilitation Center on 5/21/23.
Age: 91.0
Sex: M
Vaccine: COVID19-2
Symptoms: Epistaxis, Humerus fracture, Hypoxia, Left ventricular failure, Muscular weakness
Clinical narrative: 5/14/2023 - 5/21/2023 (7 days) HEART CENTER DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute pulmonary embolism, unspecified pulmonary embolism type, unspecified whether acute cor pulmonale present    HOSPITAL COURSE: Patient is a 91 y.o. male with medical history of asthma, HFreF 45-50%, HTN, hx of complete heart block s/p pacemaker, hx of duodenal ulcer and upper GI bleed, frequent falls, vitamin-D deficiency, CKD with unknown baseline and recent medical hx of hospitalization for left humerus fracture 5 months ago who presented to the ER 5/13/23 after syncopal episode at Rehabilitation Center, was found to be hypoxic and covid 19 positive with acute  b/l multifocal occlusive and nonocclusive emboli  also involving the distal left main pulmonary artery without evidence of heart strain on CTA chest. ? Patient was seen by the team however conservative management was recommended.  He received IV heparin and was transitioned to oral Eliquis ? In regards to COVID-19 infection and hypoxic respiratory failure and tracheobronchitis patient treated with steroids (Decadron 6mg, on D#6 of 10 on discharge day)  and antibiotic ( completed azithromycin inpatient), with significant improvement in respiratory status noted as of 5/16 and current on room air on discharge day.  ? In regards to cardiomyopathy with systolic heart failure and worsening ejection fraction cardiology was consulted to evaluate and give further recommendations at this time patient has been treated with IV Lasix for CHF exacerbation, then transition to home oral Lasix doses.  ? In regards to generalized debility He states he was discharged to rehab but has been unable to return to independent living due to significant generalized weakness in his legs.  He states he is mainly ambulating with a wheelchair.   ? On 5/19/2023 patient had an episode or right epistaxis, ENT consulted and found a nasal cavity evaluated, large blood clots removed, light oozing with removal of blood clots, hemostatic powder to right nare, and placed of dissolvable hemopore packing to right nare. Suggest starting  aggressive local nasal hydration with saline sprays (2 sprays to each nostril TID for 2 weeks), and apply a small dab of bacitracin ointment to front of each nostril, just inside the vestibule, and genitally pinch the nostril closed to spread the ointment against the nasal septum. Also recommended may use Afrin nasal spray for any minor bleeds , followed by external pressure to the nose.  and small amount of oozing is anticipated, however is epistaxis is uncontrolled would recommend Rhinorocket placement ? Patient also found to have a new left lung pneumonia on 5/19/2023 and was started on IV abx, however procalcitonin was negative and IV abx discontinued the following day.    ? Patient was very anxious and was started on hydroxyzine 25 mg TID   Patient medically stable to discharge to Rehabilitation Center on 5/21/23.
Age: 91.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pneumonia, Procalcitonin normal, Pulmonary embolism, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: 5/14/2023 - 5/21/2023 (7 days) HEART CENTER DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute pulmonary embolism, unspecified pulmonary embolism type, unspecified whether acute cor pulmonale present    HOSPITAL COURSE: Patient is a 91 y.o. male with medical history of asthma, HFreF 45-50%, HTN, hx of complete heart block s/p pacemaker, hx of duodenal ulcer and upper GI bleed, frequent falls, vitamin-D deficiency, CKD with unknown baseline and recent medical hx of hospitalization for left humerus fracture 5 months ago who presented to the ER 5/13/23 after syncopal episode at Rehabilitation Center, was found to be hypoxic and covid 19 positive with acute  b/l multifocal occlusive and nonocclusive emboli  also involving the distal left main pulmonary artery without evidence of heart strain on CTA chest. ? Patient was seen by the team however conservative management was recommended.  He received IV heparin and was transitioned to oral Eliquis ? In regards to COVID-19 infection and hypoxic respiratory failure and tracheobronchitis patient treated with steroids (Decadron 6mg, on D#6 of 10 on discharge day)  and antibiotic ( completed azithromycin inpatient), with significant improvement in respiratory status noted as of 5/16 and current on room air on discharge day.  ? In regards to cardiomyopathy with systolic heart failure and worsening ejection fraction cardiology was consulted to evaluate and give further recommendations at this time patient has been treated with IV Lasix for CHF exacerbation, then transition to home oral Lasix doses.  ? In regards to generalized debility He states he was discharged to rehab but has been unable to return to independent living due to significant generalized weakness in his legs.  He states he is mainly ambulating with a wheelchair.   ? On 5/19/2023 patient had an episode or right epistaxis, ENT consulted and found a nasal cavity evaluated, large blood clots removed, light oozing with removal of blood clots, hemostatic powder to right nare, and placed of dissolvable hemopore packing to right nare. Suggest starting  aggressive local nasal hydration with saline sprays (2 sprays to each nostril TID for 2 weeks), and apply a small dab of bacitracin ointment to front of each nostril, just inside the vestibule, and genitally pinch the nostril closed to spread the ointment against the nasal septum. Also recommended may use Afrin nasal spray for any minor bleeds , followed by external pressure to the nose.  and small amount of oozing is anticipated, however is epistaxis is uncontrolled would recommend Rhinorocket placement ? Patient also found to have a new left lung pneumonia on 5/19/2023 and was started on IV abx, however procalcitonin was negative and IV abx discontinued the following day.    ? Patient was very anxious and was started on hydroxyzine 25 mg TID   Patient medically stable to discharge to Rehabilitation Center on 5/21/23.
Age: 91.0
Sex: M
Vaccine: COVID19-2
Symptoms: Syncope, Tracheobronchitis, Wheelchair user
Clinical narrative: 5/14/2023 - 5/21/2023 (7 days) HEART CENTER DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute pulmonary embolism, unspecified pulmonary embolism type, unspecified whether acute cor pulmonale present    HOSPITAL COURSE: Patient is a 91 y.o. male with medical history of asthma, HFreF 45-50%, HTN, hx of complete heart block s/p pacemaker, hx of duodenal ulcer and upper GI bleed, frequent falls, vitamin-D deficiency, CKD with unknown baseline and recent medical hx of hospitalization for left humerus fracture 5 months ago who presented to the ER 5/13/23 after syncopal episode at Rehabilitation Center, was found to be hypoxic and covid 19 positive with acute  b/l multifocal occlusive and nonocclusive emboli  also involving the distal left main pulmonary artery without evidence of heart strain on CTA chest. ? Patient was seen by the team however conservative management was recommended.  He received IV heparin and was transitioned to oral Eliquis ? In regards to COVID-19 infection and hypoxic respiratory failure and tracheobronchitis patient treated with steroids (Decadron 6mg, on D#6 of 10 on discharge day)  and antibiotic ( completed azithromycin inpatient), with significant improvement in respiratory status noted as of 5/16 and current on room air on discharge day.  ? In regards to cardiomyopathy with systolic heart failure and worsening ejection fraction cardiology was consulted to evaluate and give further recommendations at this time patient has been treated with IV Lasix for CHF exacerbation, then transition to home oral Lasix doses.  ? In regards to generalized debility He states he was discharged to rehab but has been unable to return to independent living due to significant generalized weakness in his legs.  He states he is mainly ambulating with a wheelchair.   ? On 5/19/2023 patient had an episode or right epistaxis, ENT consulted and found a nasal cavity evaluated, large blood clots removed, light oozing with removal of blood clots, hemostatic powder to right nare, and placed of dissolvable hemopore packing to right nare. Suggest starting  aggressive local nasal hydration with saline sprays (2 sprays to each nostril TID for 2 weeks), and apply a small dab of bacitracin ointment to front of each nostril, just inside the vestibule, and genitally pinch the nostril closed to spread the ointment against the nasal septum. Also recommended may use Afrin nasal spray for any minor bleeds , followed by external pressure to the nose.  and small amount of oozing is anticipated, however is epistaxis is uncontrolled would recommend Rhinorocket placement ? Patient also found to have a new left lung pneumonia on 5/19/2023 and was started on IV abx, however procalcitonin was negative and IV abx discontinued the following day.    ? Patient was very anxious and was started on hydroxyzine 25 mg TID   Patient medically stable to discharge to Rehabilitation Center on 5/21/23.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood test normal, Chest pain, Computerised tomogram abdomen abnormal, Electrocardiogram normal, Full blood count normal
Clinical narrative: I had horrific pain right below my sternum. I went to the local urgent care, they ran EKG, that came back normal, bloodwork, that came back normal, I cannot remember if they did any other test, I was in so much pain. I was sent to the emergency room where they performed an abdominal and pelvic exam that showed that my small intestine had perforated. The surgeon was called in and I was rushed into surgery.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain, Small intestinal perforation, Surgery
Clinical narrative: I had horrific pain right below my sternum. I went to the local urgent care, they ran EKG, that came back normal, bloodwork, that came back normal, I cannot remember if they did any other test, I was in so much pain. I was sent to the emergency room where they performed an abdominal and pelvic exam that showed that my small intestine had perforated. The surgeon was called in and I was rushed into surgery.
Age: 79.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Asthenia, COVID-19, Cough, Hypoxia
Clinical narrative: The patient was brought to the ED by EMS on 3/13/23 for weakness that began that day. He additionally reported congestion, sore throat, fever, and cough. A COVID PCR test performed in the ED resulted positive. Ultimately, he was admitted 3/13/23 - 3/20/23 with discharge diagnoses of acute hypoxic respiratory failure due to COVID-19 infection and acute on chronic generalized weakness, among other discharge diagnoses. During admission his hypoxia resolved. His acute on chronic generalized weakness was presumably due to COVID-19. Of note, the patient has received the Janssen COVID vaccine and one booster dose.
Age: 79.0
Sex: M
Vaccine: COVID19-2
Symptoms: Oropharyngeal pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: The patient was brought to the ED by EMS on 3/13/23 for weakness that began that day. He additionally reported congestion, sore throat, fever, and cough. A COVID PCR test performed in the ED resulted positive. Ultimately, he was admitted 3/13/23 - 3/20/23 with discharge diagnoses of acute hypoxic respiratory failure due to COVID-19 infection and acute on chronic generalized weakness, among other discharge diagnoses. During admission his hypoxia resolved. His acute on chronic generalized weakness was presumably due to COVID-19. Of note, the patient has received the Janssen COVID vaccine and one booster dose.
Age: 87.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Anaemia, COVID-19, Chest X-ray abnormal, Dyspnoea, Hypoxia
Clinical narrative: 5/15/2023 - 5/17/2023 (2 days)  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxia  COVID    HOSPITAL COURSE: Patient is an 87 year old female with past medical history of PE on eliquis, DM2, rheumatoid arthritis on prednisone and Arava, hypertension, 2L nocturnal supplemental dependent post acute sequelae of COVID-19 October 2021, and history of breast cancer who presented from her assisted living facility with dyspnea. Patient requiring 2L NC on admission which typically is only required for her at night. COVID19 positive on admission. Labwork otherwise fairly unremarkable aside from chronic anemia. CXR with patchy basilar airspace disease. She did receive remdesivir and decadron for 2 days. Patient clinically improved, weaned to room air. Patient feeling back to baseline and discharged back to her assisted living facility with home health PT/OT/RN
Age: 87.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 5/15/2023 - 5/17/2023 (2 days)  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxia  COVID    HOSPITAL COURSE: Patient is an 87 year old female with past medical history of PE on eliquis, DM2, rheumatoid arthritis on prednisone and Arava, hypertension, 2L nocturnal supplemental dependent post acute sequelae of COVID-19 October 2021, and history of breast cancer who presented from her assisted living facility with dyspnea. Patient requiring 2L NC on admission which typically is only required for her at night. COVID19 positive on admission. Labwork otherwise fairly unremarkable aside from chronic anemia. CXR with patchy basilar airspace disease. She did receive remdesivir and decadron for 2 days. Patient clinically improved, weaned to room air. Patient feeling back to baseline and discharged back to her assisted living facility with home health PT/OT/RN
Age: 24.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac stress test, Chest X-ray, Chest pain, Echocardiogram, Full blood count
Clinical narrative: Chronic left-sided, non-cardiogenic, intractable chest pain began in July 2021 and has continued to date (05 June 2023)
Age: 24.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Metabolic function test, Pain
Clinical narrative: Chronic left-sided, non-cardiogenic, intractable chest pain began in July 2021 and has continued to date (05 June 2023)
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Chronic spontaneous urticaria, Erythema, Insomnia, Pain
Clinical narrative: About 1/28/2021, I developed itchy, painful skin with hives and redness in some places.  It is usually worse at night, and this is nearly every night. I was prescribed Allegra, Zyrtec, Claritin, and Benadryl, to take one of each spaced out each day. I have had the best luck with the Benadryl. I personally found that Solarcaine lidocaine spray is the most relieving medication topically and Benadryl cream helps some. But, there is no total relief, and I suffer from the itching nearly every day.  I lose sleep from the painful burning and itching every night. Again, I have been dealing with the hives, redness, burning, itching, and pain since 1/28/2021.  It has been about two years and four months since it started so far. In the last couple days I also have had eye swelling and ear pain and mild cellulitis in my jaw.  It is uncertain if these new symptoms are related to the hives or not.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pain of skin, Pruritus, Urticaria
Clinical narrative: About 1/28/2021, I developed itchy, painful skin with hives and redness in some places.  It is usually worse at night, and this is nearly every night. I was prescribed Allegra, Zyrtec, Claritin, and Benadryl, to take one of each spaced out each day. I have had the best luck with the Benadryl. I personally found that Solarcaine lidocaine spray is the most relieving medication topically and Benadryl cream helps some. But, there is no total relief, and I suffer from the itching nearly every day.  I lose sleep from the painful burning and itching every night. Again, I have been dealing with the hives, redness, burning, itching, and pain since 1/28/2021.  It has been about two years and four months since it started so far. In the last couple days I also have had eye swelling and ear pain and mild cellulitis in my jaw.  It is uncertain if these new symptoms are related to the hives or not.
Age: 70.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Angiogram pulmonary abnormal, Asthenia, COVID-19, Chest X-ray abnormal, Chills
Clinical narrative: 5/15/2023 - 5/18/2023 (3 days)  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: UTI (urinary tract infection)  Weakness  Acute cystitis without hematuria  Pneumonia of right upper lobe due to infectious organism  COVID-19   HOSPITAL COURSE: Patient is a 71 y.o. female with PMH of GERD, GAD, HLA b27 spondyloarthropathy and ho presents today with cc of sob. She reports she has been having sob accompanied w chills since Saturday. Has also been feleing weak and fatigued.   In ED pts VS stable. Pertinent labs include: elevated wbc count, positive UA. Chest xray showing RUL pna. CT head, C-spine were unremarkable for any sign of acute traumatic process.  COVID was positive. CTA was obtained which does show a 7 mm pulmonary nodule which is recommended to have follow-up in 6 months.    The patient was on room air throughout her stay.  No steroids or remdesivir were initiated.  Patient was treated for urinary tract infection as well as pneumonia.  On discharge she was switched to levofloxacin to complete a 5 day course for the pneumonia.  During her hospital stay the patient did report having diarrhea after antibiotic administration, however that resolved prior to discharge.  The patient was feeling much better than when she 1st came in and she was instructed follow up with her primary care doctor for further monitoring.  The patient was discharged in stable condition.