chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Blood lactic acid, Blood thyroid stimulating hormone increased, COVID-19, Chest X-ray, Cognitive disorder
Clinical narrative: Clinical Summary Patient is a 95 y.o. female with a history of cognitive impairment, HTN, HLD, hypothyroidism, iron deficiency anemia, chronic pain syndrome who presented to the  local ED from her PCP's office with several weeks of fatigue, nausea, poor appetite, memory loss. Patient found to be COVID-19 positive. Patient was transferred to a hospital 11/2/2022 for further evaluation/treatment. Patient did not require O2 and remained stable except for nausea. Discharged home per patient preference with rec to follow up with PCP.   1. COVID-19: Presented as above. Symptom onset 2 weeks PTA with worsening 7 days PTA, positive test 11/2/22.  Vaccinated with Pfizer x2. Stable on room air. CXR at hospital non-acute. Supportive care, pulmonary hygiene. No indication for Decadron, Remdesivir on admit. Monitored pulse ox, remained on RA.  2. Acute Encephalopathy on chronic cognitive impairment: Patient on aricept for memory issues prior to admission per PCP. At baseline lives alone and manages most of her needs on her own, daughter visits frequently. Some baseline forgetfulness. Negative: UA, Calcium, Flu, Troponin, VBG, Chem, WBC. Abnormal: TSH (see below). Suspect infectious and metabolic due to COVID on chronic memory issues. Supportive care with return to baseline.   3. Generalized weakness/debility: Reported on admission, likely in the setting of viral infection as above. Supportive care. PT/OT/CM consulted. 4. Lactic acidosis: Admit lactate 2.5 at hospital, likely due to above. S/p 1L NS bolus at hospital. BP stable on admit. 5. Chronic iron and B12 deficiency anemia: Admit Hgb 11.7, improved from 10.3 10/10/22. No evidence of acute blood loss, asymptomatic. Continued home B12 and iron supplementation. Monitored, consider transfusion for Hgb <7.   6. HTN: Per history. Uncontrolled at hospital. Continued home CCB. Monitored and titrated as needed.  7. Hypothyroidism: Per history. TSH 26, free T4 0.8 (10/10/22), continued home synthroid. 8. Anxiety/depression: Per history. Resumed home meds.   9. Chronic pain syndrome: With opiate dependence by history. Reviewed report and patient is getting consistent fills of Tramadol 50mg (#60, 30d supply) with last fill 10/26/22. Continued on admission.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Decreased appetite, Encephalopathy, Fatigue, Haemoglobin decreased
Clinical narrative: Clinical Summary Patient is a 95 y.o. female with a history of cognitive impairment, HTN, HLD, hypothyroidism, iron deficiency anemia, chronic pain syndrome who presented to the  local ED from her PCP's office with several weeks of fatigue, nausea, poor appetite, memory loss. Patient found to be COVID-19 positive. Patient was transferred to a hospital 11/2/2022 for further evaluation/treatment. Patient did not require O2 and remained stable except for nausea. Discharged home per patient preference with rec to follow up with PCP.   1. COVID-19: Presented as above. Symptom onset 2 weeks PTA with worsening 7 days PTA, positive test 11/2/22.  Vaccinated with Pfizer x2. Stable on room air. CXR at hospital non-acute. Supportive care, pulmonary hygiene. No indication for Decadron, Remdesivir on admit. Monitored pulse ox, remained on RA.  2. Acute Encephalopathy on chronic cognitive impairment: Patient on aricept for memory issues prior to admission per PCP. At baseline lives alone and manages most of her needs on her own, daughter visits frequently. Some baseline forgetfulness. Negative: UA, Calcium, Flu, Troponin, VBG, Chem, WBC. Abnormal: TSH (see below). Suspect infectious and metabolic due to COVID on chronic memory issues. Supportive care with return to baseline.   3. Generalized weakness/debility: Reported on admission, likely in the setting of viral infection as above. Supportive care. PT/OT/CM consulted. 4. Lactic acidosis: Admit lactate 2.5 at hospital, likely due to above. S/p 1L NS bolus at hospital. BP stable on admit. 5. Chronic iron and B12 deficiency anemia: Admit Hgb 11.7, improved from 10.3 10/10/22. No evidence of acute blood loss, asymptomatic. Continued home B12 and iron supplementation. Monitored, consider transfusion for Hgb <7.   6. HTN: Per history. Uncontrolled at hospital. Continued home CCB. Monitored and titrated as needed.  7. Hypothyroidism: Per history. TSH 26, free T4 0.8 (10/10/22), continued home synthroid. 8. Anxiety/depression: Per history. Resumed home meds.   9. Chronic pain syndrome: With opiate dependence by history. Reviewed report and patient is getting consistent fills of Tramadol 50mg (#60, 30d supply) with last fill 10/26/22. Continued on admission.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Influenza virus test negative, Iron deficiency anaemia, Laboratory test normal, Lactic acidosis
Clinical narrative: Clinical Summary Patient is a 95 y.o. female with a history of cognitive impairment, HTN, HLD, hypothyroidism, iron deficiency anemia, chronic pain syndrome who presented to the  local ED from her PCP's office with several weeks of fatigue, nausea, poor appetite, memory loss. Patient found to be COVID-19 positive. Patient was transferred to a hospital 11/2/2022 for further evaluation/treatment. Patient did not require O2 and remained stable except for nausea. Discharged home per patient preference with rec to follow up with PCP.   1. COVID-19: Presented as above. Symptom onset 2 weeks PTA with worsening 7 days PTA, positive test 11/2/22.  Vaccinated with Pfizer x2. Stable on room air. CXR at hospital non-acute. Supportive care, pulmonary hygiene. No indication for Decadron, Remdesivir on admit. Monitored pulse ox, remained on RA.  2. Acute Encephalopathy on chronic cognitive impairment: Patient on aricept for memory issues prior to admission per PCP. At baseline lives alone and manages most of her needs on her own, daughter visits frequently. Some baseline forgetfulness. Negative: UA, Calcium, Flu, Troponin, VBG, Chem, WBC. Abnormal: TSH (see below). Suspect infectious and metabolic due to COVID on chronic memory issues. Supportive care with return to baseline.   3. Generalized weakness/debility: Reported on admission, likely in the setting of viral infection as above. Supportive care. PT/OT/CM consulted. 4. Lactic acidosis: Admit lactate 2.5 at hospital, likely due to above. S/p 1L NS bolus at hospital. BP stable on admit. 5. Chronic iron and B12 deficiency anemia: Admit Hgb 11.7, improved from 10.3 10/10/22. No evidence of acute blood loss, asymptomatic. Continued home B12 and iron supplementation. Monitored, consider transfusion for Hgb <7.   6. HTN: Per history. Uncontrolled at hospital. Continued home CCB. Monitored and titrated as needed.  7. Hypothyroidism: Per history. TSH 26, free T4 0.8 (10/10/22), continued home synthroid. 8. Anxiety/depression: Per history. Resumed home meds.   9. Chronic pain syndrome: With opiate dependence by history. Reviewed report and patient is getting consistent fills of Tramadol 50mg (#60, 30d supply) with last fill 10/26/22. Continued on admission.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Memory impairment, Metabolic disorder, Nausea, SARS-CoV-2 test positive
Clinical narrative: Clinical Summary Patient is a 95 y.o. female with a history of cognitive impairment, HTN, HLD, hypothyroidism, iron deficiency anemia, chronic pain syndrome who presented to the  local ED from her PCP's office with several weeks of fatigue, nausea, poor appetite, memory loss. Patient found to be COVID-19 positive. Patient was transferred to a hospital 11/2/2022 for further evaluation/treatment. Patient did not require O2 and remained stable except for nausea. Discharged home per patient preference with rec to follow up with PCP.   1. COVID-19: Presented as above. Symptom onset 2 weeks PTA with worsening 7 days PTA, positive test 11/2/22.  Vaccinated with Pfizer x2. Stable on room air. CXR at hospital non-acute. Supportive care, pulmonary hygiene. No indication for Decadron, Remdesivir on admit. Monitored pulse ox, remained on RA.  2. Acute Encephalopathy on chronic cognitive impairment: Patient on aricept for memory issues prior to admission per PCP. At baseline lives alone and manages most of her needs on her own, daughter visits frequently. Some baseline forgetfulness. Negative: UA, Calcium, Flu, Troponin, VBG, Chem, WBC. Abnormal: TSH (see below). Suspect infectious and metabolic due to COVID on chronic memory issues. Supportive care with return to baseline.   3. Generalized weakness/debility: Reported on admission, likely in the setting of viral infection as above. Supportive care. PT/OT/CM consulted. 4. Lactic acidosis: Admit lactate 2.5 at hospital, likely due to above. S/p 1L NS bolus at hospital. BP stable on admit. 5. Chronic iron and B12 deficiency anemia: Admit Hgb 11.7, improved from 10.3 10/10/22. No evidence of acute blood loss, asymptomatic. Continued home B12 and iron supplementation. Monitored, consider transfusion for Hgb <7.   6. HTN: Per history. Uncontrolled at hospital. Continued home CCB. Monitored and titrated as needed.  7. Hypothyroidism: Per history. TSH 26, free T4 0.8 (10/10/22), continued home synthroid. 8. Anxiety/depression: Per history. Resumed home meds.   9. Chronic pain syndrome: With opiate dependence by history. Reviewed report and patient is getting consistent fills of Tramadol 50mg (#60, 30d supply) with last fill 10/26/22. Continued on admission.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Thyroxine free normal, Troponin normal, Urine analysis normal, Viral infection, White blood cell count normal
Clinical narrative: Clinical Summary Patient is a 95 y.o. female with a history of cognitive impairment, HTN, HLD, hypothyroidism, iron deficiency anemia, chronic pain syndrome who presented to the  local ED from her PCP's office with several weeks of fatigue, nausea, poor appetite, memory loss. Patient found to be COVID-19 positive. Patient was transferred to a hospital 11/2/2022 for further evaluation/treatment. Patient did not require O2 and remained stable except for nausea. Discharged home per patient preference with rec to follow up with PCP.   1. COVID-19: Presented as above. Symptom onset 2 weeks PTA with worsening 7 days PTA, positive test 11/2/22.  Vaccinated with Pfizer x2. Stable on room air. CXR at hospital non-acute. Supportive care, pulmonary hygiene. No indication for Decadron, Remdesivir on admit. Monitored pulse ox, remained on RA.  2. Acute Encephalopathy on chronic cognitive impairment: Patient on aricept for memory issues prior to admission per PCP. At baseline lives alone and manages most of her needs on her own, daughter visits frequently. Some baseline forgetfulness. Negative: UA, Calcium, Flu, Troponin, VBG, Chem, WBC. Abnormal: TSH (see below). Suspect infectious and metabolic due to COVID on chronic memory issues. Supportive care with return to baseline.   3. Generalized weakness/debility: Reported on admission, likely in the setting of viral infection as above. Supportive care. PT/OT/CM consulted. 4. Lactic acidosis: Admit lactate 2.5 at hospital, likely due to above. S/p 1L NS bolus at hospital. BP stable on admit. 5. Chronic iron and B12 deficiency anemia: Admit Hgb 11.7, improved from 10.3 10/10/22. No evidence of acute blood loss, asymptomatic. Continued home B12 and iron supplementation. Monitored, consider transfusion for Hgb <7.   6. HTN: Per history. Uncontrolled at hospital. Continued home CCB. Monitored and titrated as needed.  7. Hypothyroidism: Per history. TSH 26, free T4 0.8 (10/10/22), continued home synthroid. 8. Anxiety/depression: Per history. Resumed home meds.   9. Chronic pain syndrome: With opiate dependence by history. Reviewed report and patient is getting consistent fills of Tramadol 50mg (#60, 30d supply) with last fill 10/26/22. Continued on admission.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Computerised tomogram normal, Facial paralysis, Hypoaesthesia, Lacrimation increased
Clinical narrative: Had left drooping of my lips, also had tingling numbness on the left of my face. And my left eye was very watery; Called Dr. she told me  to go to the ER to make sure I wasn't having a stroke; Given a CT scan, results were normal; ER gave me prednisone, and NEURONTIN for the pain. My Dr. diagnosed me with Belles Palsy. Currently under Dr.'s care.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Paraesthesia
Clinical narrative: Had left drooping of my lips, also had tingling numbness on the left of my face. And my left eye was very watery; Called Dr. she told me  to go to the ER to make sure I wasn't having a stroke; Given a CT scan, results were normal; ER gave me prednisone, and NEURONTIN for the pain. My Dr. diagnosed me with Belles Palsy. Currently under Dr.'s care.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, COVID-19, Chills, Coagulation factor V level normal, Compression garment application
Clinical narrative: I had a fever that lasted for about 3 days until I went on PAXLOVID. I had headaches, chills, and some slight coughing. The symptoms dissipated after 5 days. On October 8, I drove 13 hours and didn't get out much. Less than a week after testing positive for COVID-19. I had some foot pain later that week. I noticed scarring or inflammation on my right foot on a vein. Shortly after that, I started having pain in my left calf. Superficial clot on the right foot and a DVT in the left calf a week later. This was all diagnosed by the clinic on October 27. This was roughly 20 days after that drive. I'm fairly certain I got it on my first road trip after I was no longer testing positive. I was taking baby aspirin and using compression socks because I've had DVTs in the past. The healthcare providers are relating it to the COVID-19 infection itself. They're treating the clots with ELIQUIS/blood thinners. The recommended treatment is 6 months.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Deep vein thrombosis, Headache, Inflammation, Laboratory test
Clinical narrative: I had a fever that lasted for about 3 days until I went on PAXLOVID. I had headaches, chills, and some slight coughing. The symptoms dissipated after 5 days. On October 8, I drove 13 hours and didn't get out much. Less than a week after testing positive for COVID-19. I had some foot pain later that week. I noticed scarring or inflammation on my right foot on a vein. Shortly after that, I started having pain in my left calf. Superficial clot on the right foot and a DVT in the left calf a week later. This was all diagnosed by the clinic on October 27. This was roughly 20 days after that drive. I'm fairly certain I got it on my first road trip after I was no longer testing positive. I was taking baby aspirin and using compression socks because I've had DVTs in the past. The healthcare providers are relating it to the COVID-19 infection itself. They're treating the clots with ELIQUIS/blood thinners. The recommended treatment is 6 months.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, SARS-CoV-2 test positive, Scar, Superficial vein thrombosis
Clinical narrative: I had a fever that lasted for about 3 days until I went on PAXLOVID. I had headaches, chills, and some slight coughing. The symptoms dissipated after 5 days. On October 8, I drove 13 hours and didn't get out much. Less than a week after testing positive for COVID-19. I had some foot pain later that week. I noticed scarring or inflammation on my right foot on a vein. Shortly after that, I started having pain in my left calf. Superficial clot on the right foot and a DVT in the left calf a week later. This was all diagnosed by the clinic on October 27. This was roughly 20 days after that drive. I'm fairly certain I got it on my first road trip after I was no longer testing positive. I was taking baby aspirin and using compression socks because I've had DVTs in the past. The healthcare providers are relating it to the COVID-19 infection itself. They're treating the clots with ELIQUIS/blood thinners. The recommended treatment is 6 months.
Age: 61.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: patient received a .25ml dose when they should've received a .5ml dose.  I've worked with our health department and will be contacting the patient to inform them and encourage another .5ml dose 8 weeks after the .25ml dose was given.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy to vaccine, Immunisation reaction, Injection site bruising, Injection site mass, Injection site pain
Clinical narrative: large, sore, tender lump for 3 weeks at the injection site, Started on 4/27/22 through 5/18/22. Bruised, itchy, warm to the touch, hives.  time took its course, along with Benadryl, Ibuprofen and Tylenol for pain and ice. Advised my personal doctor and had local County Health took a look at it on 5/6/22 and they advised me to file a vaers report because this wasn't a normal reaction. That I have an allergy/side effect to it
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site urticaria, Injection site warmth
Clinical narrative: large, sore, tender lump for 3 weeks at the injection site, Started on 4/27/22 through 5/18/22. Bruised, itchy, warm to the touch, hives.  time took its course, along with Benadryl, Ibuprofen and Tylenol for pain and ice. Advised my personal doctor and had local County Health took a look at it on 5/6/22 and they advised me to file a vaers report because this wasn't a normal reaction. That I have an allergy/side effect to it
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, Arrhythmia, Atelectasis, Atrial fibrillation
Clinical narrative: Patient is a 63 y.o. male patient of MD with PMH of Afib, COPD with chronic respiratory failure, CHF, Cocaine use, pulm HTN presented to the ED due to SOB.     Acute on chronic hypoxemic and hypercarbic respiratory failure- Secondary to COVID, COPD, Afib RVR On 2-3L NC at home, escalated to nasal oxymizer Lasix initiated 11/11 Transition to nasal cannula and weaned to home 3 L 11/13 Stable for home discharge   Covid-19 Virus Infection Date of onset of symptoms: 11/6 Symptoms present on admission: Cough, SOB, myalgias. Date of covid positive test: 11/9/2022 Vaccination status: vaccinated Imaging: CXR with Patchy airspace disease noted bilaterally, suspicious for multifocal pneumonia given the clinical history. CTPA with no PE, Patchy airspace disease noted within the mid to lower lung zones bilaterally, left greater than right,  suggesting atelectasis or early pneumonia. Oxygen requirements on admission: 6L Current oxygen requirements: 3 L nasal cannula Medical therapy: Completed remdesivir 11/13, continue steroids 10 days, s/p rocephin, and Zithromax  Consultants following: Pulm consulted Anticipated special isolation end date: 11/16 BC negative Discharge on 5 more days of decadron   Acute exacerbation of COPD On scheduled and prn bronchodilators Azithromycinx 5 days , decadron. Resume home symbicort, spiriva. Continue home daliresp.  Pulm consulted, Weaning oxygen to home O2   Atrial fibrillation with RVR Troponin 29, repeat 29 -due to arrhythmia On Cardizem gtt-weaned off 11/13 on Cardizem CD increased to 180 mg daily 11/13 Resume aspiriAtrial fibrillation with RVR Troponin 29, repeat 29 -due to arrhythmia On Cardizem gtt-weaned off 11/13 on Cardizem CD increased to 180 mg daily 11/13 Resume aspirin 81 mg at home and no anticoagulation, with CHA2Ds2vasc1   Hyperglycemia Presume secondary to steroids use A1c was 6 on 9/22 Blood glucose >240 Start Lantus 10 units and sliding scale/prandial insulin Do not anticipate he will need for discharge home Patient refuses despite significant education Agreeable to a regular diet as long as we can treat her hyperglycemia   Substance use disorder UDS with cocaine and fentanyl. Will reassess for willingness to discuss with addiction medicine No current symptoms of withdrawal   Pulmonary hypertension  Related to COPD, drug use and chronic respiratory failure with hypoxemia Echo 1/2022 showed TR velocity 3.66   Chronic HFpEF Not in exacerbation TTE 60% Continue monitoring on ASA, diltiazemn 81 mg at home and no anticoagulation, with CHA2Ds2vasc1
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose increased, COVID-19, Chest X-ray abnormal, Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: Patient is a 63 y.o. male patient of MD with PMH of Afib, COPD with chronic respiratory failure, CHF, Cocaine use, pulm HTN presented to the ED due to SOB.     Acute on chronic hypoxemic and hypercarbic respiratory failure- Secondary to COVID, COPD, Afib RVR On 2-3L NC at home, escalated to nasal oxymizer Lasix initiated 11/11 Transition to nasal cannula and weaned to home 3 L 11/13 Stable for home discharge   Covid-19 Virus Infection Date of onset of symptoms: 11/6 Symptoms present on admission: Cough, SOB, myalgias. Date of covid positive test: 11/9/2022 Vaccination status: vaccinated Imaging: CXR with Patchy airspace disease noted bilaterally, suspicious for multifocal pneumonia given the clinical history. CTPA with no PE, Patchy airspace disease noted within the mid to lower lung zones bilaterally, left greater than right,  suggesting atelectasis or early pneumonia. Oxygen requirements on admission: 6L Current oxygen requirements: 3 L nasal cannula Medical therapy: Completed remdesivir 11/13, continue steroids 10 days, s/p rocephin, and Zithromax  Consultants following: Pulm consulted Anticipated special isolation end date: 11/16 BC negative Discharge on 5 more days of decadron   Acute exacerbation of COPD On scheduled and prn bronchodilators Azithromycinx 5 days , decadron. Resume home symbicort, spiriva. Continue home daliresp.  Pulm consulted, Weaning oxygen to home O2   Atrial fibrillation with RVR Troponin 29, repeat 29 -due to arrhythmia On Cardizem gtt-weaned off 11/13 on Cardizem CD increased to 180 mg daily 11/13 Resume aspiriAtrial fibrillation with RVR Troponin 29, repeat 29 -due to arrhythmia On Cardizem gtt-weaned off 11/13 on Cardizem CD increased to 180 mg daily 11/13 Resume aspirin 81 mg at home and no anticoagulation, with CHA2Ds2vasc1   Hyperglycemia Presume secondary to steroids use A1c was 6 on 9/22 Blood glucose >240 Start Lantus 10 units and sliding scale/prandial insulin Do not anticipate he will need for discharge home Patient refuses despite significant education Agreeable to a regular diet as long as we can treat her hyperglycemia   Substance use disorder UDS with cocaine and fentanyl. Will reassess for willingness to discuss with addiction medicine No current symptoms of withdrawal   Pulmonary hypertension  Related to COPD, drug use and chronic respiratory failure with hypoxemia Echo 1/2022 showed TR velocity 3.66   Chronic HFpEF Not in exacerbation TTE 60% Continue monitoring on ASA, diltiazemn 81 mg at home and no anticoagulation, with CHA2Ds2vasc1
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Echocardiogram, Glycosylated haemoglobin, Hypercapnia
Clinical narrative: Patient is a 63 y.o. male patient of MD with PMH of Afib, COPD with chronic respiratory failure, CHF, Cocaine use, pulm HTN presented to the ED due to SOB.     Acute on chronic hypoxemic and hypercarbic respiratory failure- Secondary to COVID, COPD, Afib RVR On 2-3L NC at home, escalated to nasal oxymizer Lasix initiated 11/11 Transition to nasal cannula and weaned to home 3 L 11/13 Stable for home discharge   Covid-19 Virus Infection Date of onset of symptoms: 11/6 Symptoms present on admission: Cough, SOB, myalgias. Date of covid positive test: 11/9/2022 Vaccination status: vaccinated Imaging: CXR with Patchy airspace disease noted bilaterally, suspicious for multifocal pneumonia given the clinical history. CTPA with no PE, Patchy airspace disease noted within the mid to lower lung zones bilaterally, left greater than right,  suggesting atelectasis or early pneumonia. Oxygen requirements on admission: 6L Current oxygen requirements: 3 L nasal cannula Medical therapy: Completed remdesivir 11/13, continue steroids 10 days, s/p rocephin, and Zithromax  Consultants following: Pulm consulted Anticipated special isolation end date: 11/16 BC negative Discharge on 5 more days of decadron   Acute exacerbation of COPD On scheduled and prn bronchodilators Azithromycinx 5 days , decadron. Resume home symbicort, spiriva. Continue home daliresp.  Pulm consulted, Weaning oxygen to home O2   Atrial fibrillation with RVR Troponin 29, repeat 29 -due to arrhythmia On Cardizem gtt-weaned off 11/13 on Cardizem CD increased to 180 mg daily 11/13 Resume aspiriAtrial fibrillation with RVR Troponin 29, repeat 29 -due to arrhythmia On Cardizem gtt-weaned off 11/13 on Cardizem CD increased to 180 mg daily 11/13 Resume aspirin 81 mg at home and no anticoagulation, with CHA2Ds2vasc1   Hyperglycemia Presume secondary to steroids use A1c was 6 on 9/22 Blood glucose >240 Start Lantus 10 units and sliding scale/prandial insulin Do not anticipate he will need for discharge home Patient refuses despite significant education Agreeable to a regular diet as long as we can treat her hyperglycemia   Substance use disorder UDS with cocaine and fentanyl. Will reassess for willingness to discuss with addiction medicine No current symptoms of withdrawal   Pulmonary hypertension  Related to COPD, drug use and chronic respiratory failure with hypoxemia Echo 1/2022 showed TR velocity 3.66   Chronic HFpEF Not in exacerbation TTE 60% Continue monitoring on ASA, diltiazemn 81 mg at home and no anticoagulation, with CHA2Ds2vasc1
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperglycaemia, Lung disorder, Myalgia, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Patient is a 63 y.o. male patient of MD with PMH of Afib, COPD with chronic respiratory failure, CHF, Cocaine use, pulm HTN presented to the ED due to SOB.     Acute on chronic hypoxemic and hypercarbic respiratory failure- Secondary to COVID, COPD, Afib RVR On 2-3L NC at home, escalated to nasal oxymizer Lasix initiated 11/11 Transition to nasal cannula and weaned to home 3 L 11/13 Stable for home discharge   Covid-19 Virus Infection Date of onset of symptoms: 11/6 Symptoms present on admission: Cough, SOB, myalgias. Date of covid positive test: 11/9/2022 Vaccination status: vaccinated Imaging: CXR with Patchy airspace disease noted bilaterally, suspicious for multifocal pneumonia given the clinical history. CTPA with no PE, Patchy airspace disease noted within the mid to lower lung zones bilaterally, left greater than right,  suggesting atelectasis or early pneumonia. Oxygen requirements on admission: 6L Current oxygen requirements: 3 L nasal cannula Medical therapy: Completed remdesivir 11/13, continue steroids 10 days, s/p rocephin, and Zithromax  Consultants following: Pulm consulted Anticipated special isolation end date: 11/16 BC negative Discharge on 5 more days of decadron   Acute exacerbation of COPD On scheduled and prn bronchodilators Azithromycinx 5 days , decadron. Resume home symbicort, spiriva. Continue home daliresp.  Pulm consulted, Weaning oxygen to home O2   Atrial fibrillation with RVR Troponin 29, repeat 29 -due to arrhythmia On Cardizem gtt-weaned off 11/13 on Cardizem CD increased to 180 mg daily 11/13 Resume aspiriAtrial fibrillation with RVR Troponin 29, repeat 29 -due to arrhythmia On Cardizem gtt-weaned off 11/13 on Cardizem CD increased to 180 mg daily 11/13 Resume aspirin 81 mg at home and no anticoagulation, with CHA2Ds2vasc1   Hyperglycemia Presume secondary to steroids use A1c was 6 on 9/22 Blood glucose >240 Start Lantus 10 units and sliding scale/prandial insulin Do not anticipate he will need for discharge home Patient refuses despite significant education Agreeable to a regular diet as long as we can treat her hyperglycemia   Substance use disorder UDS with cocaine and fentanyl. Will reassess for willingness to discuss with addiction medicine No current symptoms of withdrawal   Pulmonary hypertension  Related to COPD, drug use and chronic respiratory failure with hypoxemia Echo 1/2022 showed TR velocity 3.66   Chronic HFpEF Not in exacerbation TTE 60% Continue monitoring on ASA, diltiazemn 81 mg at home and no anticoagulation, with CHA2Ds2vasc1
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin
Clinical narrative: Patient is a 63 y.o. male patient of MD with PMH of Afib, COPD with chronic respiratory failure, CHF, Cocaine use, pulm HTN presented to the ED due to SOB.     Acute on chronic hypoxemic and hypercarbic respiratory failure- Secondary to COVID, COPD, Afib RVR On 2-3L NC at home, escalated to nasal oxymizer Lasix initiated 11/11 Transition to nasal cannula and weaned to home 3 L 11/13 Stable for home discharge   Covid-19 Virus Infection Date of onset of symptoms: 11/6 Symptoms present on admission: Cough, SOB, myalgias. Date of covid positive test: 11/9/2022 Vaccination status: vaccinated Imaging: CXR with Patchy airspace disease noted bilaterally, suspicious for multifocal pneumonia given the clinical history. CTPA with no PE, Patchy airspace disease noted within the mid to lower lung zones bilaterally, left greater than right,  suggesting atelectasis or early pneumonia. Oxygen requirements on admission: 6L Current oxygen requirements: 3 L nasal cannula Medical therapy: Completed remdesivir 11/13, continue steroids 10 days, s/p rocephin, and Zithromax  Consultants following: Pulm consulted Anticipated special isolation end date: 11/16 BC negative Discharge on 5 more days of decadron   Acute exacerbation of COPD On scheduled and prn bronchodilators Azithromycinx 5 days , decadron. Resume home symbicort, spiriva. Continue home daliresp.  Pulm consulted, Weaning oxygen to home O2   Atrial fibrillation with RVR Troponin 29, repeat 29 -due to arrhythmia On Cardizem gtt-weaned off 11/13 on Cardizem CD increased to 180 mg daily 11/13 Resume aspiriAtrial fibrillation with RVR Troponin 29, repeat 29 -due to arrhythmia On Cardizem gtt-weaned off 11/13 on Cardizem CD increased to 180 mg daily 11/13 Resume aspirin 81 mg at home and no anticoagulation, with CHA2Ds2vasc1   Hyperglycemia Presume secondary to steroids use A1c was 6 on 9/22 Blood glucose >240 Start Lantus 10 units and sliding scale/prandial insulin Do not anticipate he will need for discharge home Patient refuses despite significant education Agreeable to a regular diet as long as we can treat her hyperglycemia   Substance use disorder UDS with cocaine and fentanyl. Will reassess for willingness to discuss with addiction medicine No current symptoms of withdrawal   Pulmonary hypertension  Related to COPD, drug use and chronic respiratory failure with hypoxemia Echo 1/2022 showed TR velocity 3.66   Chronic HFpEF Not in exacerbation TTE 60% Continue monitoring on ASA, diltiazemn 81 mg at home and no anticoagulation, with CHA2Ds2vasc1
Age: 4.0
Sex: M
Vaccine: UNK
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: There were no signs or symptoms of an adverse event, therefore no treatment was given.  The dose was given earlier than it should have been, at three weeks out from the second dose, rather than eight weeks.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pfizer COVID19 monovalent vaccine was administered instead of the bivalent vaccine
Age: 32.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Underdose
Clinical narrative: Patient who is an adult was given 0.25mL of the Moderna Bivalent COVID booster vaccine.  No adverse events were noted at the time of the administration.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Cough, Decreased appetite, Nausea, Ocular hyperaemia
Clinical narrative: patient received Covid19 dose 2 on 10/23/22 and symptoms began 10/23/22 evening. Patient had fever, high of 104F, x 3 days + body aches, stomach aches at this time  The first COVID19 dose was given 8/24, Patient ended up having a fever for 8 days following dose 1. He received COVID19 dose 1 most likely during active Covid infection. Other symptoms included: + b legs and arms achy  + jaw achy + nauseous + poor appetite + eye redness + keeping his head down + dry cough, improving - cough waking pt up at night + mild runny nose
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pain in jaw, Pyrexia, Rhinorrhoea
Clinical narrative: patient received Covid19 dose 2 on 10/23/22 and symptoms began 10/23/22 evening. Patient had fever, high of 104F, x 3 days + body aches, stomach aches at this time  The first COVID19 dose was given 8/24, Patient ended up having a fever for 8 days following dose 1. He received COVID19 dose 1 most likely during active Covid infection. Other symptoms included: + b legs and arms achy  + jaw achy + nauseous + poor appetite + eye redness + keeping his head down + dry cough, improving - cough waking pt up at night + mild runny nose
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: patient received Covid19 dose 2 on 10/23/22 and symptoms began 10/23/22 evening. Patient had fever, high of 104F, x 3 days + body aches, stomach aches at this time  The first COVID19 dose was given 8/24, Patient ended up having a fever for 8 days following dose 1. He received COVID19 dose 1 most likely during active Covid infection. Other symptoms included: + b legs and arms achy  + jaw achy + nauseous + poor appetite + eye redness + keeping his head down + dry cough, improving - cough waking pt up at night + mild runny nose
Age: 5.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Pt was to received 3rd primary dose but incorrectly received bivalent booster instead.
Age: 52.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Back pain, Blood lactic acid increased, COVID-19, Chest discomfort, Chills
Clinical narrative: I was very tired and had extreme fatigue. I had a sore throat with a painful dry cough. I had body aches. I had chills and was shivering but I was not cold. I did not have a fever until I was 4 days in. It was 101.4. I completed 2 home COVID-19 test and they were both positive. The doctor put me on PAXLOVID, and I am scheduled to take my last dose tomorrow. I still tire easily, and I have a little bit of a cough that is mildly productive. I am uncertain whether or not I have recovered. On Monday, I started feeling like a tight band around my chest and I started feeling short of breath, like I had to take a deep breath. I got a pain radiating I my back where the tightness was. I went to the ER, and they completed a COVID-19 PCR, a Flu test.
Age: 52.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Cough, Dyspnoea, Electrocardiogram normal, Fatigue, Influenza virus test negative
Clinical narrative: I was very tired and had extreme fatigue. I had a sore throat with a painful dry cough. I had body aches. I had chills and was shivering but I was not cold. I did not have a fever until I was 4 days in. It was 101.4. I completed 2 home COVID-19 test and they were both positive. The doctor put me on PAXLOVID, and I am scheduled to take my last dose tomorrow. I still tire easily, and I have a little bit of a cough that is mildly productive. I am uncertain whether or not I have recovered. On Monday, I started feeling like a tight band around my chest and I started feeling short of breath, like I had to take a deep breath. I got a pain radiating I my back where the tightness was. I went to the ER, and they completed a COVID-19 PCR, a Flu test.
Age: 52.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Metabolic function test, Muscle tightness, Oropharyngeal pain, Pain, Productive cough
Clinical narrative: I was very tired and had extreme fatigue. I had a sore throat with a painful dry cough. I had body aches. I had chills and was shivering but I was not cold. I did not have a fever until I was 4 days in. It was 101.4. I completed 2 home COVID-19 test and they were both positive. The doctor put me on PAXLOVID, and I am scheduled to take my last dose tomorrow. I still tire easily, and I have a little bit of a cough that is mildly productive. I am uncertain whether or not I have recovered. On Monday, I started feeling like a tight band around my chest and I started feeling short of breath, like I had to take a deep breath. I got a pain radiating I my back where the tightness was. I went to the ER, and they completed a COVID-19 PCR, a Flu test.
Age: 52.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I was very tired and had extreme fatigue. I had a sore throat with a painful dry cough. I had body aches. I had chills and was shivering but I was not cold. I did not have a fever until I was 4 days in. It was 101.4. I completed 2 home COVID-19 test and they were both positive. The doctor put me on PAXLOVID, and I am scheduled to take my last dose tomorrow. I still tire easily, and I have a little bit of a cough that is mildly productive. I am uncertain whether or not I have recovered. On Monday, I started feeling like a tight band around my chest and I started feeling short of breath, like I had to take a deep breath. I got a pain radiating I my back where the tightness was. I went to the ER, and they completed a COVID-19 PCR, a Flu test.
Age: 47.0
Sex: M
Vaccine: COVID19-2
Symptoms: Back pain, Chest pain, Pain in extremity
Clinical narrative: Had pain on the Left arm Sunday morning and wake up Monday with pain on my chest and sharp pain on my back.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Fatigue, Lymph node pain, Oropharyngeal pain
Clinical narrative: I had a fever of 101.5, sore throat, cough, I was exhausted, my lymph nodes were very tender. The symptoms weren't to the point where I needed to go to urgent care or the hospital.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I had a fever of 101.5, sore throat, cough, I was exhausted, my lymph nodes were very tender. The symptoms weren't to the point where I needed to go to urgent care or the hospital.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pt came in for Covid Dose 2 of the 5-11 pfizer series.  1 nurse gave me the vial to mix (both monovalent and bivalent vials were in same box in frig) and I just took her word and did not reread label.  Instead of mixing monovalent covid I  mixed and administered the bivalent dose.  Error was not realized until charting was started.  Family had left.  Forecaster does not show error, but says we need to give 2nd monovalent dose in  January 2023.
Age: 68.0
Sex: M
Vaccine: COVID19, PPV, COVID19, PPV
Symptoms: Incorrect product formulation administered
Clinical narrative: PCV-23 administered instead of PCV-20
Age: 68.0
Sex: M
Vaccine: COVID19, PPV, COVID19, PPV
Symptoms: Wrong product administered
Clinical narrative: PCV-23 administered instead of PCV-20
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Anosmia, Asthma, COVID-19, Chills
Clinical narrative: I had an absolute killer headache for about six hours, it was almost as bad as a migraine but not quite as bad. I also had a runny nose during this, but I had not really thought twice about that. The day before my husband did test positive for COVID-19 but since my headache and runny nose only lasted for about six hours, I did not think much of it. The next morning, I woke up completed drenched in sweat, I was drenched and so were my sheets. I then took a home COVID-19 test, and it was very faint, but it was showing positive. I then went into an urgent care and got a PCR test which was also positive. I ended up having a fever of 102 and was taking DAYQUIL and NYQUIL to get through. I had the body aches, chills, muscle aches, coughing, congestion, runny nose which was worse than that first day, muscle cramping, fatigue, brain fog, loss of smell, major sweating- almost like hot flashes, stomach pain, I was unable to concentrate on anything, The brain fog and concentration issues was so bad that I could not even remember conversations and would have pieces of things I could remember but it was bad and similar to when I had a concussion. Since recovering I am still having issues that I am dealing with and am meeting with my healthcare providers and working on issues which we have deemed as long COVID. I have this horrible back pain in my spine and the fatigue is still something I struggle with. I now am more asthma medications as that has gotten worse as well. I have very bad muscle cramping as well. My smell comes and goes but it is really weak when I can smell but there are many things I cannot smell at all. I also have started having menstrual spotting which I have not dealt with in over ten years. This is why I am putting that I have not recovered at this time.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Cough, Disturbance in attention, Fatigue, Feeling abnormal
Clinical narrative: I had an absolute killer headache for about six hours, it was almost as bad as a migraine but not quite as bad. I also had a runny nose during this, but I had not really thought twice about that. The day before my husband did test positive for COVID-19 but since my headache and runny nose only lasted for about six hours, I did not think much of it. The next morning, I woke up completed drenched in sweat, I was drenched and so were my sheets. I then took a home COVID-19 test, and it was very faint, but it was showing positive. I then went into an urgent care and got a PCR test which was also positive. I ended up having a fever of 102 and was taking DAYQUIL and NYQUIL to get through. I had the body aches, chills, muscle aches, coughing, congestion, runny nose which was worse than that first day, muscle cramping, fatigue, brain fog, loss of smell, major sweating- almost like hot flashes, stomach pain, I was unable to concentrate on anything, The brain fog and concentration issues was so bad that I could not even remember conversations and would have pieces of things I could remember but it was bad and similar to when I had a concussion. Since recovering I am still having issues that I am dealing with and am meeting with my healthcare providers and working on issues which we have deemed as long COVID. I have this horrible back pain in my spine and the fatigue is still something I struggle with. I now am more asthma medications as that has gotten worse as well. I have very bad muscle cramping as well. My smell comes and goes but it is really weak when I can smell but there are many things I cannot smell at all. I also have started having menstrual spotting which I have not dealt with in over ten years. This is why I am putting that I have not recovered at this time.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hot flush, Hyperhidrosis, Intermenstrual bleeding, Muscle spasms
Clinical narrative: I had an absolute killer headache for about six hours, it was almost as bad as a migraine but not quite as bad. I also had a runny nose during this, but I had not really thought twice about that. The day before my husband did test positive for COVID-19 but since my headache and runny nose only lasted for about six hours, I did not think much of it. The next morning, I woke up completed drenched in sweat, I was drenched and so were my sheets. I then took a home COVID-19 test, and it was very faint, but it was showing positive. I then went into an urgent care and got a PCR test which was also positive. I ended up having a fever of 102 and was taking DAYQUIL and NYQUIL to get through. I had the body aches, chills, muscle aches, coughing, congestion, runny nose which was worse than that first day, muscle cramping, fatigue, brain fog, loss of smell, major sweating- almost like hot flashes, stomach pain, I was unable to concentrate on anything, The brain fog and concentration issues was so bad that I could not even remember conversations and would have pieces of things I could remember but it was bad and similar to when I had a concussion. Since recovering I am still having issues that I am dealing with and am meeting with my healthcare providers and working on issues which we have deemed as long COVID. I have this horrible back pain in my spine and the fatigue is still something I struggle with. I now am more asthma medications as that has gotten worse as well. I have very bad muscle cramping as well. My smell comes and goes but it is really weak when I can smell but there are many things I cannot smell at all. I also have started having menstrual spotting which I have not dealt with in over ten years. This is why I am putting that I have not recovered at this time.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain, Pyrexia, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: I had an absolute killer headache for about six hours, it was almost as bad as a migraine but not quite as bad. I also had a runny nose during this, but I had not really thought twice about that. The day before my husband did test positive for COVID-19 but since my headache and runny nose only lasted for about six hours, I did not think much of it. The next morning, I woke up completed drenched in sweat, I was drenched and so were my sheets. I then took a home COVID-19 test, and it was very faint, but it was showing positive. I then went into an urgent care and got a PCR test which was also positive. I ended up having a fever of 102 and was taking DAYQUIL and NYQUIL to get through. I had the body aches, chills, muscle aches, coughing, congestion, runny nose which was worse than that first day, muscle cramping, fatigue, brain fog, loss of smell, major sweating- almost like hot flashes, stomach pain, I was unable to concentrate on anything, The brain fog and concentration issues was so bad that I could not even remember conversations and would have pieces of things I could remember but it was bad and similar to when I had a concussion. Since recovering I am still having issues that I am dealing with and am meeting with my healthcare providers and working on issues which we have deemed as long COVID. I have this horrible back pain in my spine and the fatigue is still something I struggle with. I now am more asthma medications as that has gotten worse as well. I have very bad muscle cramping as well. My smell comes and goes but it is really weak when I can smell but there are many things I cannot smell at all. I also have started having menstrual spotting which I have not dealt with in over ten years. This is why I am putting that I have not recovered at this time.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Spinal pain
Clinical narrative: I had an absolute killer headache for about six hours, it was almost as bad as a migraine but not quite as bad. I also had a runny nose during this, but I had not really thought twice about that. The day before my husband did test positive for COVID-19 but since my headache and runny nose only lasted for about six hours, I did not think much of it. The next morning, I woke up completed drenched in sweat, I was drenched and so were my sheets. I then took a home COVID-19 test, and it was very faint, but it was showing positive. I then went into an urgent care and got a PCR test which was also positive. I ended up having a fever of 102 and was taking DAYQUIL and NYQUIL to get through. I had the body aches, chills, muscle aches, coughing, congestion, runny nose which was worse than that first day, muscle cramping, fatigue, brain fog, loss of smell, major sweating- almost like hot flashes, stomach pain, I was unable to concentrate on anything, The brain fog and concentration issues was so bad that I could not even remember conversations and would have pieces of things I could remember but it was bad and similar to when I had a concussion. Since recovering I am still having issues that I am dealing with and am meeting with my healthcare providers and working on issues which we have deemed as long COVID. I have this horrible back pain in my spine and the fatigue is still something I struggle with. I now am more asthma medications as that has gotten worse as well. I have very bad muscle cramping as well. My smell comes and goes but it is really weak when I can smell but there are many things I cannot smell at all. I also have started having menstrual spotting which I have not dealt with in over ten years. This is why I am putting that I have not recovered at this time.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive on a home COVID-19 test on October 18, 2022; Called Dr. and was told to take extra vitamins; Took COVID-19 test 8 days later and tested negative.