chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 51.0
Sex: M
Vaccine: COVID19-2
Symptoms: Infection, Metabolic function test, Pyrexia, Respiratory tract congestion
Clinical narrative: I had a fever of about 101 degrees Fahrenheit, congestion, a cough, fatigue, and weakness. My blood sugar was higher than normal, and I struggled to keep it down. I got in contact with my doctor who suspected I had a secondary infection. She prescribed me antibiotics, but I still didn't feel any better. It took about three weeks for me to feel normal again.
Age: 36.0
Sex: M
Vaccine: COVID19-2
Symptoms: Chills, Lymph node pain, Lymphadenopathy, Myalgia
Clinical narrative: Chills, Muscle aches, and swollen lymph node (palm size) under my left arm. Chills and muscle aches subsided after 24 hours, but lymph node is still tender and swollen to a size that is comparable to the palm of my hand.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Diarrhoea, Influenza like illness, Injection site rash, Lip swelling
Clinical narrative: Flu like symptoms, chills, diarrhea, aches.  30 hours post shot, hives and swelling in my jowl and lips and rash on injection site.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Swelling face, Urticaria
Clinical narrative: Flu like symptoms, chills, diarrhea, aches.  30 hours post shot, hives and swelling in my jowl and lips and rash on injection site.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines Pfizer 3/29/21 Lot# ER8734;  Pfizer 4/19/21 Lot# Ew0162;  Pfizer 1/2/22 Lot# FJ8757
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines mOderna 1/13/22 Lot# 028K21A;  mOderna 2/10/22 Lot#045L21A;
Age: 40.0
Sex: F
Vaccine: COVID19-2
Symptoms: Diarrhoea, Dizziness, Gastrointestinal disorder, Headache, Loss of personal independence in daily activities
Clinical narrative: I had a mole removed on 2/11/2023. On 2/13/2023, the site became infected. There was brownish discharge that increased in subsequent days. I called my doctor's PA, who prescribed me cefalexin. This didn't clear up the problem, so the doctor who removed the mole prescribed me another round of cefalexin. Altogether, I took cefalexin for ten days. I took probiotics during that period. However, a week after I finished taking the cefalexin, I developed gastrointestinal issues (nausea, headache, intermittent diarrhea, intermittent dizziness). I went to an urgent care. While I was at urgent care, I underwent a urine test, and the results were normal. They then prescribed me an anti-nausea pill, which I am still taking. At the time of this writing, I think that I am recovering. I am able to work and go about my normal activities, though the issues I've had have affected my ability to do my tasks at my normal level. I am in the midst of treatment right now.
Age: 40.0
Sex: F
Vaccine: COVID19-2
Symptoms: Mole excision, Nausea, Urine analysis normal, Wound infection
Clinical narrative: I had a mole removed on 2/11/2023. On 2/13/2023, the site became infected. There was brownish discharge that increased in subsequent days. I called my doctor's PA, who prescribed me cefalexin. This didn't clear up the problem, so the doctor who removed the mole prescribed me another round of cefalexin. Altogether, I took cefalexin for ten days. I took probiotics during that period. However, a week after I finished taking the cefalexin, I developed gastrointestinal issues (nausea, headache, intermittent diarrhea, intermittent dizziness). I went to an urgent care. While I was at urgent care, I underwent a urine test, and the results were normal. They then prescribed me an anti-nausea pill, which I am still taking. At the time of this writing, I think that I am recovering. I am able to work and go about my normal activities, though the issues I've had have affected my ability to do my tasks at my normal level. I am in the midst of treatment right now.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case submission after 3 vaccines Moderna 3/11/21 Lot# 044a@1a;  Moderna 4/8/21 Lot# 08B21A;  Moderna 11/16/2021 Lot# 069F21A;
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines  Moderna 2/7/21 Lot# 038K20A;  Moderna 3/7/21 Lot# 030A21A;  Moderna 10/27/21 Lot# 017F21A
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Pfizer 3/3/21 Lot# EN6202;  Pfizer 3/24/21 Lot# ER8732
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Cough, Myalgia, Oropharyngeal pain, Pyrexia
Clinical narrative: Tested positive COVID Infection 2-11-23. Fever, Sore Throat, Congestion, Cough, Muscle Aches. Treated with Paxlovid, Benzonatate, Cetirizine, Promethazine. Complete Recovery After  Approximately Two Weeks.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Tested positive COVID Infection 2-11-23. Fever, Sore Throat, Congestion, Cough, Muscle Aches. Treated with Paxlovid, Benzonatate, Cetirizine, Promethazine. Complete Recovery After  Approximately Two Weeks.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines Moderna 2/19/21 Lot# 015M20A;  Moderna 4/1/21 Lot# 026B21A;  Moderna 12/4/21 Lot# 034F21A;  Moderna 8/1/22 Lot# 011B22A
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Headache, Heavy menstrual bleeding, Impaired work ability, Menstruation irregular
Clinical narrative: Reaction included chronic migraines and headaches 3-4x/week for a year resulting in missed days of work. Nausea and vomiting for 2 days starting 9/23/21. Menstruation every 2 weeks for 6 months and then irregular and painful menstruation, missing periods or having prolonged heavy menstrual flow, starting 9/23/21 and continues today.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Nausea, Polymenorrhoea, Vomiting
Clinical narrative: Reaction included chronic migraines and headaches 3-4x/week for a year resulting in missed days of work. Nausea and vomiting for 2 days starting 9/23/21. Menstruation every 2 weeks for 6 months and then irregular and painful menstruation, missing periods or having prolonged heavy menstrual flow, starting 9/23/21 and continues today.
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Extra dose administered
Clinical narrative: Received a 2nd bivalent vaccine. Initial dose received 9/20/2022. Did not have a vaccine card at the time of his vaccine, reported the mobile site did not reflect his previous vaccine.  Denied experiencing any side effects after initial bivalent vaccine. Contacted at 2:09PM to notify of the administration error. Denied adverse effects at the time.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Moderna 4/21/21 Lot# 006C21A;  Moderna 5/19/21 Lot# 005C21A
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines Pfizer 3/22/21 Lot# En6207;  Pfizer 4/12/21 Lot# ER8733;  Pfizer 12/9/21 Lot# 032H21A
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines: Moderna 3/27/21 Lot# 018B21A; Moderna 4/24/21 Lot# 043B21A.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19-2
Symptoms: Unevaluable event
Clinical narrative: unable to contact case due to hospitalization
Age: 68.0
Sex: F
Vaccine: UNK
Symptoms: Blood test, Laboratory test, Loss of personal independence in daily activities, Magnetic resonance imaging, Mobility decreased
Clinical narrative: This will make four times I have wrote this statement so it will be kind of short. I am a paraplegic who had a flu vaccine and my right hand and from that day on I have not been able to transfer in or out of my chair without someone there. The pain is horrendous. I was on pain medication prior to that but it had to be increased and still does not take care of the pain in my right arm. I am limited to what I can do with my left arm because my shoulder is totally gone. I cannot lift the arm very. high . I use it for the control on  my wheelchair. There is so much more I need to say but I am not gonna write this and lose it again.
Age: 68.0
Sex: F
Vaccine: UNK
Symptoms: Nerve conduction studies, Pain, Pain in extremity
Clinical narrative: This will make four times I have wrote this statement so it will be kind of short. I am a paraplegic who had a flu vaccine and my right hand and from that day on I have not been able to transfer in or out of my chair without someone there. The pain is horrendous. I was on pain medication prior to that but it had to be increased and still does not take care of the pain in my right arm. I am limited to what I can do with my left arm because my shoulder is totally gone. I cannot lift the arm very. high . I use it for the control on  my wheelchair. There is so much more I need to say but I am not gonna write this and lose it again.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Moderna 2/4/21 Lot# 007M20A;  Moderna 4/7/21 Lot# 018B21A
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, COVID-19, Cough, Fatigue, Headache
Clinical narrative: I woke up at 1:30AM on February 8, 2023, with a terrible migraine. I took TYLENOL and went back to sleep. I had a terrible headache that entire day. The next day I still had a headache and was very fatigue. I tested for COVID-19, and it was positive. I made a telehealth visit with my physician and she prescribed me PAXLOVID. I took the first dose on February 9, 2023. I still had very low energy and my headache lasted several more days. I had flu like symptoms, a cough, and extreme tiredness. I slept a lot and continued to take TYLENOL and PAXLOVID. I felt better around February 16, 2023. I tested negative on February 17th, 2023. I quarantined for eleven days.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Influenza like illness, Middle insomnia, Migraine, SARS-CoV-2 test positive, Somnolence
Clinical narrative: I woke up at 1:30AM on February 8, 2023, with a terrible migraine. I took TYLENOL and went back to sleep. I had a terrible headache that entire day. The next day I still had a headache and was very fatigue. I tested for COVID-19, and it was positive. I made a telehealth visit with my physician and she prescribed me PAXLOVID. I took the first dose on February 9, 2023. I still had very low energy and my headache lasted several more days. I had flu like symptoms, a cough, and extreme tiredness. I slept a lot and continued to take TYLENOL and PAXLOVID. I felt better around February 16, 2023. I tested negative on February 17th, 2023. I quarantined for eleven days.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines Moderna 2/9/21 Lot# 031L20A;  Moderna 3/9/21 Lot# 032M20A;  Moderna 10/27/21 Lot# 076C21A;  Moderna 7/19/22 Lot# 013B22A;
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Anosmia, COVID-19, Chills, Feeling abnormal, Headache
Clinical narrative: My symptoms began on Sunday February 5, 2023, I began to have chills.  Within an hour I had body aches but no fever.  I got a headache and then by noon I was feeling pretty bad.  I did an antigenCOVID-19 home test, and it was positive.  My symptoms remained the same for a few days and I also lost my sense of smell.  I called the doctor on Monday night and got a prescription for Paxlovid and began taking it immediately.  The side effects from the medication were horrible.  But I could tell the COVID-19 symptoms were better.  I tested negative on day 5.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, SARS-CoV-2 test positive
Clinical narrative: My symptoms began on Sunday February 5, 2023, I began to have chills.  Within an hour I had body aches but no fever.  I got a headache and then by noon I was feeling pretty bad.  I did an antigenCOVID-19 home test, and it was positive.  My symptoms remained the same for a few days and I also lost my sense of smell.  I called the doctor on Monday night and got a prescription for Paxlovid and began taking it immediately.  The side effects from the medication were horrible.  But I could tell the COVID-19 symptoms were better.  I tested negative on day 5.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Pfizer 3/12/21 Lot# EN6207;  Pfizer 4/2/21 Lot# ER8730
Age: 12.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient was administered a Bivalent vaccine as their second dose of COVID vaccine when they should have been administered a monovalent COVID vaccine to complete the primary series. There were no adverse reactions.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines 2/25/21 Lot# 010A21A;  Moderna 3/25/21 Lot# 047A21A
Age: 38.0
Sex: M
Vaccine: HPV9
Symptoms: Erythema, Urticaria
Clinical narrative: Urticaria.  Located at thorax , legs , axilla. Redness in face.   50mg shot of Benadryl  10 mg shot of dexamethazone Pepsin  Currently resolving
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: patient received Shingrix on 2/28/23.  On 3/5/23 she started having a fever >100 F and headaches, and is still having them as of today 3/8/23.  Patient has been taking her pain meds hydrocodone/apap as usual, in addition to extra doses of Tylenol.  patient has not received medical care but is calling her doctor today.  She is testing negative for COVID
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines Moderan 5/21/21 Lot# 005C21A;  Moderna 6/18/21 Lot# 053C21A;  Moderna 12/15/21 Lot# 012H21B
Age: 20.0
Sex: F
Vaccine: HPV9
Symptoms: No adverse event, Vaccination error
Clinical narrative: PATIENT WAS ADMINISTER A GARDASIL 9 (HPV) VACCINE AT THE TIME OF HER PHYSICAL BY THE MEDICAL ASSISTANT WHICH WAS REQUESTED BY THE PROVIDER.  THE VACCINE WAS ADMINISTERED WITH NO SIDE EFFECTS OR ISSUES.   ONCE THE PATIENT HAD LEFT THE OFFICE THE ERROR WAS NOTICED BY THE MEDICAL ASSITANT AND SHE ALERTED THE VACCINE BACK-UP COORDINATOR OF HER ERROR.   PATIENT HAS NO ADVERSE REACTION OR SYMPTOMS TO THE VACCINE  VACCINE WAS ADMINISTERED AT APPROXIMATELY 10:15AM THIS MORNING ON 3/8/23
Age: 0.67
Sex: F
Vaccine: HEP
Symptoms: Incorrect dose administered
Clinical narrative: Client given adult hepatitis B vaccine instead of pediatric dose.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: Admitted to hospital on 03/06/2023 with a Stroke.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Pfizer 5/10/21 Lot# Ew0182;  Pfizer 6/4/21 Lot# EW0191
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Erythema, Immediate post-injection reaction, Injection site pain, Joint range of motion decreased, Pain in extremity
Clinical narrative: After getting the vaccine she immediately felt a stabbing pain in left shoulder. The arm was very painful and swollen and warm to the touch and she had a decrease in range of motion for the next several days. Although the swelling and redness subsided the pain has persisted to this date. On February 23, 2023 she went to orthopedic NP and she diagnosed her with tendonitis. Physical therapy was ordered to help improve movement. She will go twice a week to physical therapy.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Peripheral swelling, Skin warm, Tendonitis
Clinical narrative: After getting the vaccine she immediately felt a stabbing pain in left shoulder. The arm was very painful and swollen and warm to the touch and she had a decrease in range of motion for the next several days. Although the swelling and redness subsided the pain has persisted to this date. On February 23, 2023 she went to orthopedic NP and she diagnosed her with tendonitis. Physical therapy was ordered to help improve movement. She will go twice a week to physical therapy.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines Moderna 2/321 Lot# 038K20A;  Moderna 3/3/21 Lot# 030A21A;  Moderna 9/17/21 Lot# 052E21A;  Moderna 4/8/22 Lot# 005M21A;
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Autoimmune thyroiditis, Chest pain, Dizziness, Dry skin
Clinical narrative: Initially muscle tightness, cramping and painful tendons from wrist through shoulder.   All muscle groups.  That never completely subsided but was able to recover with massage.   A few months later, started having irregular heart beats.  Heart was racing when I was falling asleep.  Had shortness of breath, difficult to describe chest pain, dizziness, digestion issues and skin issues (dry, flaky and red).
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspepsia, Dyspnoea, Erythema, Heart rate irregular, Laboratory test abnormal
Clinical narrative: Initially muscle tightness, cramping and painful tendons from wrist through shoulder.   All muscle groups.  That never completely subsided but was able to recover with massage.   A few months later, started having irregular heart beats.  Heart was racing when I was falling asleep.  Had shortness of breath, difficult to describe chest pain, dizziness, digestion issues and skin issues (dry, flaky and red).
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Massage, Muscle spasms, Muscle tightness, Myalgia, Pain in extremity
Clinical narrative: Initially muscle tightness, cramping and painful tendons from wrist through shoulder.   All muscle groups.  That never completely subsided but was able to recover with massage.   A few months later, started having irregular heart beats.  Heart was racing when I was falling asleep.  Had shortness of breath, difficult to describe chest pain, dizziness, digestion issues and skin issues (dry, flaky and red).
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Palpitations, Skin exfoliation, Tendon pain, Thyroid disorder
Clinical narrative: Initially muscle tightness, cramping and painful tendons from wrist through shoulder.   All muscle groups.  That never completely subsided but was able to recover with massage.   A few months later, started having irregular heart beats.  Heart was racing when I was falling asleep.  Had shortness of breath, difficult to describe chest pain, dizziness, digestion issues and skin issues (dry, flaky and red).
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Colonoscopy abnormal, Condition aggravated, Crohn's disease, Diarrhoea
Clinical narrative: The first time I noticed the symptoms were on November 25 of 2021. I had severe uncontrollable diarrhea which was more fluid than anything. I had a fever of 104 and swollen legs. A week later I still had the same symptoms. The fever was not all day long, but the diarrhea and the swollen legs kept getting bigger and bigger. I went to the immediate care, and she requested a stool sample. My temperature was lox grade at about 100 but would spike at night. She insisted that I make an appointment to see my doctor immediately. She gave me 3 days of CIPRO and I saw my primary care doctor around the 3rd or 4th day after. I went in and he reviewed the report from the stool sample which indicated inflammation in stool was high in my body. I prescribed furosemide due to retaining water. By that time, I had developed open sores or ulcers on my legs. I was prescribed a stronger antibiotic. I also spoke with a gastroenterologist off the record. He did not know what it was but gave suggestions about taking IMODIUM over the counter. I was also prescribed another antibiotic. Around the end of May, my doctor sent me to an infectious disease specialist who referred me to another gastroenterologist for an endoscopy procedure on July 11, 2022. I also had a colonoscopy on the same date which confirmed the diagnosis. I was then diagnosed with Crohn's. The gastroenterologist spoke with my rheumatologist, and I was provided an infusion REMICADE to address both the Rheumatoid Arthritis symptoms and chrome symptoms. I was also placed on budesonide for 90 days. I am scheduled to have it done every 6 weeks. It's sort of helping but it's not terrific so they are considering changing it. They are running several different blood panels to see why the medicine is not helping the Crohn's symptoms. I am still getting an infusion and continuing to receive treatment. I do know that I am recovering.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Endoscopy abnormal, Inflammation, Infusion, Peripheral swelling, Pyrexia
Clinical narrative: The first time I noticed the symptoms were on November 25 of 2021. I had severe uncontrollable diarrhea which was more fluid than anything. I had a fever of 104 and swollen legs. A week later I still had the same symptoms. The fever was not all day long, but the diarrhea and the swollen legs kept getting bigger and bigger. I went to the immediate care, and she requested a stool sample. My temperature was lox grade at about 100 but would spike at night. She insisted that I make an appointment to see my doctor immediately. She gave me 3 days of CIPRO and I saw my primary care doctor around the 3rd or 4th day after. I went in and he reviewed the report from the stool sample which indicated inflammation in stool was high in my body. I prescribed furosemide due to retaining water. By that time, I had developed open sores or ulcers on my legs. I was prescribed a stronger antibiotic. I also spoke with a gastroenterologist off the record. He did not know what it was but gave suggestions about taking IMODIUM over the counter. I was also prescribed another antibiotic. Around the end of May, my doctor sent me to an infectious disease specialist who referred me to another gastroenterologist for an endoscopy procedure on July 11, 2022. I also had a colonoscopy on the same date which confirmed the diagnosis. I was then diagnosed with Crohn's. The gastroenterologist spoke with my rheumatologist, and I was provided an infusion REMICADE to address both the Rheumatoid Arthritis symptoms and chrome symptoms. I was also placed on budesonide for 90 days. I am scheduled to have it done every 6 weeks. It's sort of helping but it's not terrific so they are considering changing it. They are running several different blood panels to see why the medicine is not helping the Crohn's symptoms. I am still getting an infusion and continuing to receive treatment. I do know that I am recovering.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Rheumatoid arthritis, Stool analysis abnormal, Wound
Clinical narrative: The first time I noticed the symptoms were on November 25 of 2021. I had severe uncontrollable diarrhea which was more fluid than anything. I had a fever of 104 and swollen legs. A week later I still had the same symptoms. The fever was not all day long, but the diarrhea and the swollen legs kept getting bigger and bigger. I went to the immediate care, and she requested a stool sample. My temperature was lox grade at about 100 but would spike at night. She insisted that I make an appointment to see my doctor immediately. She gave me 3 days of CIPRO and I saw my primary care doctor around the 3rd or 4th day after. I went in and he reviewed the report from the stool sample which indicated inflammation in stool was high in my body. I prescribed furosemide due to retaining water. By that time, I had developed open sores or ulcers on my legs. I was prescribed a stronger antibiotic. I also spoke with a gastroenterologist off the record. He did not know what it was but gave suggestions about taking IMODIUM over the counter. I was also prescribed another antibiotic. Around the end of May, my doctor sent me to an infectious disease specialist who referred me to another gastroenterologist for an endoscopy procedure on July 11, 2022. I also had a colonoscopy on the same date which confirmed the diagnosis. I was then diagnosed with Crohn's. The gastroenterologist spoke with my rheumatologist, and I was provided an infusion REMICADE to address both the Rheumatoid Arthritis symptoms and chrome symptoms. I was also placed on budesonide for 90 days. I am scheduled to have it done every 6 weeks. It's sort of helping but it's not terrific so they are considering changing it. They are running several different blood panels to see why the medicine is not helping the Crohn's symptoms. I am still getting an infusion and continuing to receive treatment. I do know that I am recovering.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines Pfizer 4/30/21 Lot# Ew0172; Pfizer 5/21/21 Lot# Ew8732;  Pfizer 10/11/21 Lot# FF8841
Age: 27.0
Sex: F
Vaccine: MENB
Symptoms: Eye swelling, Feeling hot, Injection site erythema, Injection site swelling, Swelling face
Clinical narrative: STARTING  AT 5 PM ON THE DAY OF THE VACCINATION, PT WAS DRIVING HOME.  SHE STARTED TO FEEL HER THOAT WAS CLOSING, SHE COULD SWALLOW,  FACE WAS GETTING PUFFY, EYE WERE FEELING SWOLLEN BUT COULD SEE.  SHE NOTICED HER RIGHT ARM WAS FEELING HOT.  LOOKING AT IT, THE RIGHT ARM AT THE INJECTION SITE WAS SWOLLEN AS LARGE AS A GRAPEFRUIT, RAISED AND BRIGHT RED. SHE ARRIVED HOME AT 630PM AND TOOK 25MG OF BENEDRYL PO.  A T 7PM SHE WENT TO THE LOCAL ER.  SHE WAS TRIAGED ,  VS WERE NORMAL.THE TRIAGE NURSE SAID TO SIT AND IF HER S/S WORSEN TO TELL SOMEONE RIGHT AWAY.  9PM SHE FELT BETTER AND DISCHARGED HERSELF WITH THE NOWLEDGE OF THE ER STAFF.  SUNDAY THE 5TH OF MARCH, HER ARM WAS BACK TO NORMAL.
Age: 27.0
Sex: F
Vaccine: MENB
Symptoms: Throat tightness
Clinical narrative: STARTING  AT 5 PM ON THE DAY OF THE VACCINATION, PT WAS DRIVING HOME.  SHE STARTED TO FEEL HER THOAT WAS CLOSING, SHE COULD SWALLOW,  FACE WAS GETTING PUFFY, EYE WERE FEELING SWOLLEN BUT COULD SEE.  SHE NOTICED HER RIGHT ARM WAS FEELING HOT.  LOOKING AT IT, THE RIGHT ARM AT THE INJECTION SITE WAS SWOLLEN AS LARGE AS A GRAPEFRUIT, RAISED AND BRIGHT RED. SHE ARRIVED HOME AT 630PM AND TOOK 25MG OF BENEDRYL PO.  A T 7PM SHE WENT TO THE LOCAL ER.  SHE WAS TRIAGED ,  VS WERE NORMAL.THE TRIAGE NURSE SAID TO SIT AND IF HER S/S WORSEN TO TELL SOMEONE RIGHT AWAY.  9PM SHE FELT BETTER AND DISCHARGED HERSELF WITH THE NOWLEDGE OF THE ER STAFF.  SUNDAY THE 5TH OF MARCH, HER ARM WAS BACK TO NORMAL.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines Pfizer 12/29/20 Lot# El0140;  Pfizer 1/15/21 Lot# EK9231;  Pfizer 8/30/21 Lot# FC3183;  MOderna 3/30/22 Lot# 027L21A
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Moderna 3/17/21 Lot# 007B21A;  Moderna 4/14/21 Lot# 043B21A
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Moderna 3/5/21 Lot#023M20A;  Moderna 5/20/21 Lot# 040B21A
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Fatigue, Nasopharyngitis, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: My symptoms started on the January 7, 2023, but I didn't test until the 9th. I had a head cold, sore throat, and heavy fatigue for about two to three days. I never ran a fever. The symptoms went away after about five or six days, but my head cold came back after that. I started taking Paxlovid on January 10th, 2023. I tested negative on the January 25, 2023.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Pfizer 2/18/21 Lot# EL8267;  Pfizer 3/12/21 Lot# EN6200
Age: 43.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Fatigue, Oropharyngeal pain, Pain, SARS-CoV-2 test positive
Clinical narrative: I had minor body aches for a day after receiving the vaccine. On 02/23/2023, I had a sore throat. I tested positive for COVID-19 on 02/24/2023. I contacted my primary care doctor, and they did not prescribe anything for me. I took TYLENOL, ADVIL, SUDAFED, AFRIN and MUCINEX to help with my symptoms. As of today, I continue to feel fatigued.
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: Death
Clinical narrative: Patient expired 3/4/2023.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines Pfizer 4/8/21 Lot# Ew0150;  Pfizer 4/29/21 Lot# Ew0164;  Pfizer 12/29/21 Lot# FL3197
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Hyperhidrosis, Hypoaesthesia, Magnetic resonance imaging
Clinical narrative: Client reports that 3 days after he received his first primary Covid-19 vaccine, he experienced bilateral leg pain, leg weakness, leg numbness and tingling, headache, chills/fever, and sweating. Client reports that he spent multiple days in the hospital trying to figure out the cause.  Client presents with documentation from PCP with recommendation to wait on receiving 2nd dose of primary until he is further evaluated from a specialist. Patient reports the doctors told him his "white blood cells were attacking his body" per patient report.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Muscular weakness, Pain in extremity, Paraesthesia, Pyrexia, White blood cell disorder
Clinical narrative: Client reports that 3 days after he received his first primary Covid-19 vaccine, he experienced bilateral leg pain, leg weakness, leg numbness and tingling, headache, chills/fever, and sweating. Client reports that he spent multiple days in the hospital trying to figure out the cause.  Client presents with documentation from PCP with recommendation to wait on receiving 2nd dose of primary until he is further evaluated from a specialist. Patient reports the doctors told him his "white blood cells were attacking his body" per patient report.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Moderna 4/7/21 Lot# 017B21A;  Moderna 5/5/21 Lot# 040b21A
Age: 15.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Patient received above dose of Fluzone but had previously received influenza vaccine on 11/1/2022, so two doses given in the same flu season.  First dose of influenza vaccine was lot number 942386, but other details unknown
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Ammonia normal, Blood creatinine increased, Blood folate normal, Blood magnesium increased
Clinical narrative: Patient is a 65 y.o. female patient of Physician No with history of Asthma, Afib, cerebral palsy, CKD, Chronic respiratory failure, on 2L NC, HTN and seizure disorder who presented to local Hospital with AMS   Covid-19 virus infection Chronic hypoxic respiratory failure COPD Date of onset of symptoms: 2-3 days Symptoms present on admission: AMS Date of covid positive test: 02/06/23 Vaccination status: vaccinated Imaging: CXR unremarkable Oxygen requirements on admission: Chronic 2 L NC Current oxygen requirements: 2 L NC Medical therapy: not indicated Consultants following: None Anticipated special isolation end date: 02/15/23 Continue Home QVAR, Spriva, albuterol as needed   Hypernatremia--resolved Hypokalemia--resolved Na 150, K 2.4 on presentation Potassium replacement ordered in ED, Continued on admission Mag 3.3 Na 145, k 3.4 at discharge Magnesium 2.2 Continue to monitor electrolyte   Acute encephalopathy Hx of cerebral palsy Likely 2/2 infection with electrolyte imbalance (hypernatremia, hypokalemia) WBC 17.76--15.85 UA unremarkable for UTI related etiology CXR non acute TSH 1.4, ammonia 36, UDS negative and folate/B12 normal.  CT head without acute abnormality.  Continue Delirium precautions Monitor for clinical improvement   AKI on CKD stage 2-3 Baseline creatinine 1.0 Creatinine 1.31 on presentation Avoid nephrotoxic agents Treated with Gentle IVF hydration Cr 0.81 today
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Blood potassium decreased, Blood sodium increased, Blood thyroid stimulating hormone decreased, COVID-19, Chest X-ray normal
Clinical narrative: Patient is a 65 y.o. female patient of Physician No with history of Asthma, Afib, cerebral palsy, CKD, Chronic respiratory failure, on 2L NC, HTN and seizure disorder who presented to local Hospital with AMS   Covid-19 virus infection Chronic hypoxic respiratory failure COPD Date of onset of symptoms: 2-3 days Symptoms present on admission: AMS Date of covid positive test: 02/06/23 Vaccination status: vaccinated Imaging: CXR unremarkable Oxygen requirements on admission: Chronic 2 L NC Current oxygen requirements: 2 L NC Medical therapy: not indicated Consultants following: None Anticipated special isolation end date: 02/15/23 Continue Home QVAR, Spriva, albuterol as needed   Hypernatremia--resolved Hypokalemia--resolved Na 150, K 2.4 on presentation Potassium replacement ordered in ED, Continued on admission Mag 3.3 Na 145, k 3.4 at discharge Magnesium 2.2 Continue to monitor electrolyte   Acute encephalopathy Hx of cerebral palsy Likely 2/2 infection with electrolyte imbalance (hypernatremia, hypokalemia) WBC 17.76--15.85 UA unremarkable for UTI related etiology CXR non acute TSH 1.4, ammonia 36, UDS negative and folate/B12 normal.  CT head without acute abnormality.  Continue Delirium precautions Monitor for clinical improvement   AKI on CKD stage 2-3 Baseline creatinine 1.0 Creatinine 1.31 on presentation Avoid nephrotoxic agents Treated with Gentle IVF hydration Cr 0.81 today
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chronic obstructive pulmonary disease, Chronic respiratory failure, Computerised tomogram head normal, Condition aggravated, Drug screen negative
Clinical narrative: Patient is a 65 y.o. female patient of Physician No with history of Asthma, Afib, cerebral palsy, CKD, Chronic respiratory failure, on 2L NC, HTN and seizure disorder who presented to local Hospital with AMS   Covid-19 virus infection Chronic hypoxic respiratory failure COPD Date of onset of symptoms: 2-3 days Symptoms present on admission: AMS Date of covid positive test: 02/06/23 Vaccination status: vaccinated Imaging: CXR unremarkable Oxygen requirements on admission: Chronic 2 L NC Current oxygen requirements: 2 L NC Medical therapy: not indicated Consultants following: None Anticipated special isolation end date: 02/15/23 Continue Home QVAR, Spriva, albuterol as needed   Hypernatremia--resolved Hypokalemia--resolved Na 150, K 2.4 on presentation Potassium replacement ordered in ED, Continued on admission Mag 3.3 Na 145, k 3.4 at discharge Magnesium 2.2 Continue to monitor electrolyte   Acute encephalopathy Hx of cerebral palsy Likely 2/2 infection with electrolyte imbalance (hypernatremia, hypokalemia) WBC 17.76--15.85 UA unremarkable for UTI related etiology CXR non acute TSH 1.4, ammonia 36, UDS negative and folate/B12 normal.  CT head without acute abnormality.  Continue Delirium precautions Monitor for clinical improvement   AKI on CKD stage 2-3 Baseline creatinine 1.0 Creatinine 1.31 on presentation Avoid nephrotoxic agents Treated with Gentle IVF hydration Cr 0.81 today
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Electrolyte imbalance, Encephalopathy, Hypernatraemia, Hypokalaemia, Infection
Clinical narrative: Patient is a 65 y.o. female patient of Physician No with history of Asthma, Afib, cerebral palsy, CKD, Chronic respiratory failure, on 2L NC, HTN and seizure disorder who presented to local Hospital with AMS   Covid-19 virus infection Chronic hypoxic respiratory failure COPD Date of onset of symptoms: 2-3 days Symptoms present on admission: AMS Date of covid positive test: 02/06/23 Vaccination status: vaccinated Imaging: CXR unremarkable Oxygen requirements on admission: Chronic 2 L NC Current oxygen requirements: 2 L NC Medical therapy: not indicated Consultants following: None Anticipated special isolation end date: 02/15/23 Continue Home QVAR, Spriva, albuterol as needed   Hypernatremia--resolved Hypokalemia--resolved Na 150, K 2.4 on presentation Potassium replacement ordered in ED, Continued on admission Mag 3.3 Na 145, k 3.4 at discharge Magnesium 2.2 Continue to monitor electrolyte   Acute encephalopathy Hx of cerebral palsy Likely 2/2 infection with electrolyte imbalance (hypernatremia, hypokalemia) WBC 17.76--15.85 UA unremarkable for UTI related etiology CXR non acute TSH 1.4, ammonia 36, UDS negative and folate/B12 normal.  CT head without acute abnormality.  Continue Delirium precautions Monitor for clinical improvement   AKI on CKD stage 2-3 Baseline creatinine 1.0 Creatinine 1.31 on presentation Avoid nephrotoxic agents Treated with Gentle IVF hydration Cr 0.81 today
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Mental status changes, Respiratory failure, SARS-CoV-2 test positive, Urine analysis normal, Vitamin B12 normal
Clinical narrative: Patient is a 65 y.o. female patient of Physician No with history of Asthma, Afib, cerebral palsy, CKD, Chronic respiratory failure, on 2L NC, HTN and seizure disorder who presented to local Hospital with AMS   Covid-19 virus infection Chronic hypoxic respiratory failure COPD Date of onset of symptoms: 2-3 days Symptoms present on admission: AMS Date of covid positive test: 02/06/23 Vaccination status: vaccinated Imaging: CXR unremarkable Oxygen requirements on admission: Chronic 2 L NC Current oxygen requirements: 2 L NC Medical therapy: not indicated Consultants following: None Anticipated special isolation end date: 02/15/23 Continue Home QVAR, Spriva, albuterol as needed   Hypernatremia--resolved Hypokalemia--resolved Na 150, K 2.4 on presentation Potassium replacement ordered in ED, Continued on admission Mag 3.3 Na 145, k 3.4 at discharge Magnesium 2.2 Continue to monitor electrolyte   Acute encephalopathy Hx of cerebral palsy Likely 2/2 infection with electrolyte imbalance (hypernatremia, hypokalemia) WBC 17.76--15.85 UA unremarkable for UTI related etiology CXR non acute TSH 1.4, ammonia 36, UDS negative and folate/B12 normal.  CT head without acute abnormality.  Continue Delirium precautions Monitor for clinical improvement   AKI on CKD stage 2-3 Baseline creatinine 1.0 Creatinine 1.31 on presentation Avoid nephrotoxic agents Treated with Gentle IVF hydration Cr 0.81 today
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count increased
Clinical narrative: Patient is a 65 y.o. female patient of Physician No with history of Asthma, Afib, cerebral palsy, CKD, Chronic respiratory failure, on 2L NC, HTN and seizure disorder who presented to local Hospital with AMS   Covid-19 virus infection Chronic hypoxic respiratory failure COPD Date of onset of symptoms: 2-3 days Symptoms present on admission: AMS Date of covid positive test: 02/06/23 Vaccination status: vaccinated Imaging: CXR unremarkable Oxygen requirements on admission: Chronic 2 L NC Current oxygen requirements: 2 L NC Medical therapy: not indicated Consultants following: None Anticipated special isolation end date: 02/15/23 Continue Home QVAR, Spriva, albuterol as needed   Hypernatremia--resolved Hypokalemia--resolved Na 150, K 2.4 on presentation Potassium replacement ordered in ED, Continued on admission Mag 3.3 Na 145, k 3.4 at discharge Magnesium 2.2 Continue to monitor electrolyte   Acute encephalopathy Hx of cerebral palsy Likely 2/2 infection with electrolyte imbalance (hypernatremia, hypokalemia) WBC 17.76--15.85 UA unremarkable for UTI related etiology CXR non acute TSH 1.4, ammonia 36, UDS negative and folate/B12 normal.  CT head without acute abnormality.  Continue Delirium precautions Monitor for clinical improvement   AKI on CKD stage 2-3 Baseline creatinine 1.0 Creatinine 1.31 on presentation Avoid nephrotoxic agents Treated with Gentle IVF hydration Cr 0.81 today
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray, Cough, Pain
Clinical narrative: Presented to ED on 3/7/23 from independent living with report of positive test at facility. Sx of fever, body aches, weakness, and minimal cough. Was told by living facility that she would need to be in the hospital for 10 days. Admitted on evening of 3/7/23, due to weakness and provider felt not suitable to return in the evening.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Presented to ED on 3/7/23 from independent living with report of positive test at facility. Sx of fever, body aches, weakness, and minimal cough. Was told by living facility that she would need to be in the hospital for 10 days. Admitted on evening of 3/7/23, due to weakness and provider felt not suitable to return in the evening.
Age: 0.17
Sex: M
Vaccine: UNK, UNK, UNK, UNK
Symptoms: Expired product administered
Clinical narrative: Pediarix vaccine expired 3/5/2023. Dose given 3/8/2023..
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines Pfizer 3/4/21 Lot# EN6206;  Pfizer 3/25/21 Lot# ER2613;  Pfizer 11/9/21 Lot# EW0172
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Gait disturbance, Headache, Impaired work ability
Clinical narrative: Heavy Night Sweats, - Continues every night Chills, - Not as bad now Swollen Knee, - Still swollen and hard to walk or work Joint Pain at hip, knee and ankle, - Hard to walk with hip pain Headache, - mainly at night   tat nigh
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Joint swelling, Night sweats
Clinical narrative: Heavy Night Sweats, - Continues every night Chills, - Not as bad now Swollen Knee, - Still swollen and hard to walk or work Joint Pain at hip, knee and ankle, - Hard to walk with hip pain Headache, - mainly at night   tat nigh
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Blood glucose normal, COVID-19, Cardiac failure
Clinical narrative: Patient is a 58 y.o. female patient of, MD with history of cardiomyopathy, CKD stage IV, anemia, HTN, CVA, and hypercholesterolemia presented to Hospital with shortness of breath.   Acute hypoxic respiratory failure Covid-19 Virus Infection P/w SOB, SpO2 83% per EMS requiring 3L NC Date of onset of symptoms: 2 days prior to admission Symptoms present on admission: fever, shortness of breath, nonproductive cough Date of covid positive test: 2/9/23 Vaccination status: vaccinated x3 (last in Dec 2021) Imaging: CXR shows patchy multifocal opacities, cardiomegaly, and small left pleural effusion Oxygen requirements on admission: 3L Current oxygen requirements: RA Medical therapy: steroids. Unable to use Remdesivir due to CKD Consultants following: None Anticipated special isolation end date: tentatively 2/19      Hypoxia completely resolved, currently on room air, did not qualify for home O2.  We will continue 10 days of dexamethasone after discharge.   Chronic HFrEF Echo with EF 40-45%, mild-mod MR.  She has no evidence of decompensation Cardiology was consulted and signed off now Continue home medications Due to AKI, I will liberalize her fluid intake Hold diuretics for next 24 hours    Elevated Troponin  In the setting of chronic kidney disease Troponin is down trending, no history of chest pain Echo stable from previous imaging Cardiology evaluated and signed off  Hyperglycemia without Dx of DM BG 192 on BMP
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac failure chronic, Cardiomegaly, Chest X-ray abnormal, Cough, Diuretic therapy
Clinical narrative: Patient is a 58 y.o. female patient of, MD with history of cardiomyopathy, CKD stage IV, anemia, HTN, CVA, and hypercholesterolemia presented to Hospital with shortness of breath.   Acute hypoxic respiratory failure Covid-19 Virus Infection P/w SOB, SpO2 83% per EMS requiring 3L NC Date of onset of symptoms: 2 days prior to admission Symptoms present on admission: fever, shortness of breath, nonproductive cough Date of covid positive test: 2/9/23 Vaccination status: vaccinated x3 (last in Dec 2021) Imaging: CXR shows patchy multifocal opacities, cardiomegaly, and small left pleural effusion Oxygen requirements on admission: 3L Current oxygen requirements: RA Medical therapy: steroids. Unable to use Remdesivir due to CKD Consultants following: None Anticipated special isolation end date: tentatively 2/19      Hypoxia completely resolved, currently on room air, did not qualify for home O2.  We will continue 10 days of dexamethasone after discharge.   Chronic HFrEF Echo with EF 40-45%, mild-mod MR.  She has no evidence of decompensation Cardiology was consulted and signed off now Continue home medications Due to AKI, I will liberalize her fluid intake Hold diuretics for next 24 hours    Elevated Troponin  In the setting of chronic kidney disease Troponin is down trending, no history of chest pain Echo stable from previous imaging Cardiology evaluated and signed off  Hyperglycemia without Dx of DM BG 192 on BMP
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram abnormal, Ejection fraction decreased, Hyperglycaemia, Hypoxia
Clinical narrative: Patient is a 58 y.o. female patient of, MD with history of cardiomyopathy, CKD stage IV, anemia, HTN, CVA, and hypercholesterolemia presented to Hospital with shortness of breath.   Acute hypoxic respiratory failure Covid-19 Virus Infection P/w SOB, SpO2 83% per EMS requiring 3L NC Date of onset of symptoms: 2 days prior to admission Symptoms present on admission: fever, shortness of breath, nonproductive cough Date of covid positive test: 2/9/23 Vaccination status: vaccinated x3 (last in Dec 2021) Imaging: CXR shows patchy multifocal opacities, cardiomegaly, and small left pleural effusion Oxygen requirements on admission: 3L Current oxygen requirements: RA Medical therapy: steroids. Unable to use Remdesivir due to CKD Consultants following: None Anticipated special isolation end date: tentatively 2/19      Hypoxia completely resolved, currently on room air, did not qualify for home O2.  We will continue 10 days of dexamethasone after discharge.   Chronic HFrEF Echo with EF 40-45%, mild-mod MR.  She has no evidence of decompensation Cardiology was consulted and signed off now Continue home medications Due to AKI, I will liberalize her fluid intake Hold diuretics for next 24 hours    Elevated Troponin  In the setting of chronic kidney disease Troponin is down trending, no history of chest pain Echo stable from previous imaging Cardiology evaluated and signed off  Hyperglycemia without Dx of DM BG 192 on BMP