chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Diarrhoea, Discoloured vomit, Dyspnoea, Haemoglobin decreased
Clinical narrative: Attending Physician: Date of Admission: 1/28/2022Chief Complaint: Brown Emesis;Source of Information: Patient and Available medical record. History of Present Illness:  This is a 75y.o. female with a past medical history of HTN, HLD, PH, HFpEF, aortic stenosis, CVA, DM II, ESRD on HD (MWF) who presented for brown colored emesis and was found to be hypoxic to 87% on room air when EMS arrived to evaluate her. Once arriving to our facility she had resolution of her emesis and nausea but still reports some diarrhea. She denies any melena or hematochezia.  She went to dialysis today and had her usually amount of fluid removed 1.5L she reports. Dr. is her nephrologist. She also endorses some dyspnea, and a chronic cough but denies any chest pain, palpitations, sputum production, or fevers at home. She denies any sore throat, dysgeusia, rhinorrhea, or nasal congestion. She has no sick contacts and is unable to clarify when her symptoms began. ED Course: BP 150/62, HR 67, RR 20, SpO2 94%, Temp 99.5F Labs: Macrocytic Hypochromic Anemia Hgb 9.9 (baseline Hgb 9) MCV 102. Relative lymphopenia- lymphocyte 0.8. Hypochloremia Cl 96, Ca corrects to normal range at 8.8, Metabolic Alkalosis - HCO3 30. ALP 174 with normal AST/ALT and Bilis. COVID POSITIVE. CXR: Reticular and generalized hazy opacities scattered throughout the lungs suspicious for multifocal infectious process. The patient was started on decadron 6mg QD x10 days and was given protonix 40mg IV and zofran 4mg x1 dose in the ED before being admitted for hypoxemic respiratory failure 2/2 COVID-19 and emesis. Nephrology consulted for HD while patient is inpatient.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Hypochloraemia, Hypochromic anaemia, Hypoxia, Influenza A virus test negative, Influenza B virus test
Clinical narrative: Attending Physician: Date of Admission: 1/28/2022Chief Complaint: Brown Emesis;Source of Information: Patient and Available medical record. History of Present Illness:  This is a 75y.o. female with a past medical history of HTN, HLD, PH, HFpEF, aortic stenosis, CVA, DM II, ESRD on HD (MWF) who presented for brown colored emesis and was found to be hypoxic to 87% on room air when EMS arrived to evaluate her. Once arriving to our facility she had resolution of her emesis and nausea but still reports some diarrhea. She denies any melena or hematochezia.  She went to dialysis today and had her usually amount of fluid removed 1.5L she reports. Dr. is her nephrologist. She also endorses some dyspnea, and a chronic cough but denies any chest pain, palpitations, sputum production, or fevers at home. She denies any sore throat, dysgeusia, rhinorrhea, or nasal congestion. She has no sick contacts and is unable to clarify when her symptoms began. ED Course: BP 150/62, HR 67, RR 20, SpO2 94%, Temp 99.5F Labs: Macrocytic Hypochromic Anemia Hgb 9.9 (baseline Hgb 9) MCV 102. Relative lymphopenia- lymphocyte 0.8. Hypochloremia Cl 96, Ca corrects to normal range at 8.8, Metabolic Alkalosis - HCO3 30. ALP 174 with normal AST/ALT and Bilis. COVID POSITIVE. CXR: Reticular and generalized hazy opacities scattered throughout the lungs suspicious for multifocal infectious process. The patient was started on decadron 6mg QD x10 days and was given protonix 40mg IV and zofran 4mg x1 dose in the ED before being admitted for hypoxemic respiratory failure 2/2 COVID-19 and emesis. Nephrology consulted for HD while patient is inpatient.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Lung opacity, Lymphocyte count decreased, Lymphopenia, Mean cell volume increased, Metabolic alkalosis
Clinical narrative: Attending Physician: Date of Admission: 1/28/2022Chief Complaint: Brown Emesis;Source of Information: Patient and Available medical record. History of Present Illness:  This is a 75y.o. female with a past medical history of HTN, HLD, PH, HFpEF, aortic stenosis, CVA, DM II, ESRD on HD (MWF) who presented for brown colored emesis and was found to be hypoxic to 87% on room air when EMS arrived to evaluate her. Once arriving to our facility she had resolution of her emesis and nausea but still reports some diarrhea. She denies any melena or hematochezia.  She went to dialysis today and had her usually amount of fluid removed 1.5L she reports. Dr. is her nephrologist. She also endorses some dyspnea, and a chronic cough but denies any chest pain, palpitations, sputum production, or fevers at home. She denies any sore throat, dysgeusia, rhinorrhea, or nasal congestion. She has no sick contacts and is unable to clarify when her symptoms began. ED Course: BP 150/62, HR 67, RR 20, SpO2 94%, Temp 99.5F Labs: Macrocytic Hypochromic Anemia Hgb 9.9 (baseline Hgb 9) MCV 102. Relative lymphopenia- lymphocyte 0.8. Hypochloremia Cl 96, Ca corrects to normal range at 8.8, Metabolic Alkalosis - HCO3 30. ALP 174 with normal AST/ALT and Bilis. COVID POSITIVE. CXR: Reticular and generalized hazy opacities scattered throughout the lungs suspicious for multifocal infectious process. The patient was started on decadron 6mg QD x10 days and was given protonix 40mg IV and zofran 4mg x1 dose in the ED before being admitted for hypoxemic respiratory failure 2/2 COVID-19 and emesis. Nephrology consulted for HD while patient is inpatient.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Respiratory failure, Respiratory syncytial virus test negative, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Attending Physician: Date of Admission: 1/28/2022Chief Complaint: Brown Emesis;Source of Information: Patient and Available medical record. History of Present Illness:  This is a 75y.o. female with a past medical history of HTN, HLD, PH, HFpEF, aortic stenosis, CVA, DM II, ESRD on HD (MWF) who presented for brown colored emesis and was found to be hypoxic to 87% on room air when EMS arrived to evaluate her. Once arriving to our facility she had resolution of her emesis and nausea but still reports some diarrhea. She denies any melena or hematochezia.  She went to dialysis today and had her usually amount of fluid removed 1.5L she reports. Dr. is her nephrologist. She also endorses some dyspnea, and a chronic cough but denies any chest pain, palpitations, sputum production, or fevers at home. She denies any sore throat, dysgeusia, rhinorrhea, or nasal congestion. She has no sick contacts and is unable to clarify when her symptoms began. ED Course: BP 150/62, HR 67, RR 20, SpO2 94%, Temp 99.5F Labs: Macrocytic Hypochromic Anemia Hgb 9.9 (baseline Hgb 9) MCV 102. Relative lymphopenia- lymphocyte 0.8. Hypochloremia Cl 96, Ca corrects to normal range at 8.8, Metabolic Alkalosis - HCO3 30. ALP 174 with normal AST/ALT and Bilis. COVID POSITIVE. CXR: Reticular and generalized hazy opacities scattered throughout the lungs suspicious for multifocal infectious process. The patient was started on decadron 6mg QD x10 days and was given protonix 40mg IV and zofran 4mg x1 dose in the ED before being admitted for hypoxemic respiratory failure 2/2 COVID-19 and emesis. Nephrology consulted for HD while patient is inpatient.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: No symptoms at this time. Received a Moderna booster when they should have received the Pfizer
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Hypoxia, Pain
Clinical narrative: Presented with SOB, cough, fever, body aches; Covid +; admitted for Covid and hypoxia (no pneumonia); tx with maxipime, Vit C, Rocephin, steroid, zinc (no supplemental O2.)
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Presented with SOB, cough, fever, body aches; Covid +; admitted for Covid and hypoxia (no pneumonia); tx with maxipime, Vit C, Rocephin, steroid, zinc (no supplemental O2.)
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Asthenia, COVID-19, COVID-19 pneumonia, Cardio-respiratory arrest
Clinical narrative: presented with DKA, weakness; ? Recently dx with Covid PTA; admitted with DKA, NSTEMI; tx with Vit C, Zinc, vanc, zosyn, doxycycline, rocephin, Remdesivir contraindicated due to renal failure and elevated LFT's; Pt intially treated for DKA and stabilized, then developed encephalopathy & hematuria, progressive SOB & hypoxia; CT showed developing Covid PNA and PE, also developed bilateral DVT, ultimately pt coded and family requested CPR to be stopped
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Deep vein thrombosis, Diabetic ketoacidosis, Dyspnoea, Encephalopathy
Clinical narrative: presented with DKA, weakness; ? Recently dx with Covid PTA; admitted with DKA, NSTEMI; tx with Vit C, Zinc, vanc, zosyn, doxycycline, rocephin, Remdesivir contraindicated due to renal failure and elevated LFT's; Pt intially treated for DKA and stabilized, then developed encephalopathy & hematuria, progressive SOB & hypoxia; CT showed developing Covid PNA and PE, also developed bilateral DVT, ultimately pt coded and family requested CPR to be stopped
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Haematuria, Hypoxia, Liver function test increased, Renal failure, Resuscitation
Clinical narrative: presented with DKA, weakness; ? Recently dx with Covid PTA; admitted with DKA, NSTEMI; tx with Vit C, Zinc, vanc, zosyn, doxycycline, rocephin, Remdesivir contraindicated due to renal failure and elevated LFT's; Pt intially treated for DKA and stabilized, then developed encephalopathy & hematuria, progressive SOB & hypoxia; CT showed developing Covid PNA and PE, also developed bilateral DVT, ultimately pt coded and family requested CPR to be stopped
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cough, Dyspnoea, Hypoxia
Clinical narrative: presented with fever, cough, SOB &  hypoxia; + Covid 8 days PTA; admitted Covid PNA; tx singulair, maxipime, steroid, remdesivir, zinc, Patient's symptoms improved significantly and was not needing oxygen
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: presented with fever, cough, SOB &  hypoxia; + Covid 8 days PTA; admitted Covid PNA; tx singulair, maxipime, steroid, remdesivir, zinc, Patient's symptoms improved significantly and was not needing oxygen
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Cardio-respiratory arrest, Chest tube insertion, Cholecystitis acute
Clinical narrative: Presented for shortness of breath & R lower extremity pain. RA sat 85%. Admit for pneumonia due to COVID-19. Developed acute respiratory insufficiency and was intubated & placed in ICU. TX: intubation, ABX, amiodarone, steroids, levophed, Vitamin K. Extubated on 10/6 & transferred out of ICU. On 10/8 patient became hypotensive, poorly responsive & Code Blue initiated. CT of chest, abdomen, pelvis revealed significant hemorrhage involving L lower abdomen, extending to L psoas muscle & retroperitoneal area. 10/25 CT chest revealed large L sided pneumothorax & chest tube placed. 11/8 CT abdomen- pelvis showed acute cholecystitis; cholecystostomy tube placed. 11/16 Transferred to acute rehab in stable condition.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Cholecystostomy, Computerised tomogram abdomen abnormal, Computerised tomogram thorax abnormal, Dyspnoea, Endotracheal intubation
Clinical narrative: Presented for shortness of breath & R lower extremity pain. RA sat 85%. Admit for pneumonia due to COVID-19. Developed acute respiratory insufficiency and was intubated & placed in ICU. TX: intubation, ABX, amiodarone, steroids, levophed, Vitamin K. Extubated on 10/6 & transferred out of ICU. On 10/8 patient became hypotensive, poorly responsive & Code Blue initiated. CT of chest, abdomen, pelvis revealed significant hemorrhage involving L lower abdomen, extending to L psoas muscle & retroperitoneal area. 10/25 CT chest revealed large L sided pneumothorax & chest tube placed. 11/8 CT abdomen- pelvis showed acute cholecystitis; cholecystostomy tube placed. 11/16 Transferred to acute rehab in stable condition.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Hyporesponsive to stimuli, Hypotension, Intensive care, Intra-abdominal haemorrhage, Pain in extremity
Clinical narrative: Presented for shortness of breath & R lower extremity pain. RA sat 85%. Admit for pneumonia due to COVID-19. Developed acute respiratory insufficiency and was intubated & placed in ICU. TX: intubation, ABX, amiodarone, steroids, levophed, Vitamin K. Extubated on 10/6 & transferred out of ICU. On 10/8 patient became hypotensive, poorly responsive & Code Blue initiated. CT of chest, abdomen, pelvis revealed significant hemorrhage involving L lower abdomen, extending to L psoas muscle & retroperitoneal area. 10/25 CT chest revealed large L sided pneumothorax & chest tube placed. 11/8 CT abdomen- pelvis showed acute cholecystitis; cholecystostomy tube placed. 11/16 Transferred to acute rehab in stable condition.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumothorax
Clinical narrative: Presented for shortness of breath & R lower extremity pain. RA sat 85%. Admit for pneumonia due to COVID-19. Developed acute respiratory insufficiency and was intubated & placed in ICU. TX: intubation, ABX, amiodarone, steroids, levophed, Vitamin K. Extubated on 10/6 & transferred out of ICU. On 10/8 patient became hypotensive, poorly responsive & Code Blue initiated. CT of chest, abdomen, pelvis revealed significant hemorrhage involving L lower abdomen, extending to L psoas muscle & retroperitoneal area. 10/25 CT chest revealed large L sided pneumothorax & chest tube placed. 11/8 CT abdomen- pelvis showed acute cholecystitis; cholecystostomy tube placed. 11/16 Transferred to acute rehab in stable condition.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Chest discomfort, Cough, Death
Clinical narrative: Presented with worsening shortness of breath and minimal cough and constant chest pressure. Being seen at the local hospital for lung transplant due to his interstitial lung disease. He is on 8 L of oxygen at home and when he arrived at the emergency department was requiring 15 L non-rebreather. Admitted with a working diagnosis of acute on chronic hypoxic respiratory failure due to COVID-19 pneumonia superimposed on interstitial lung disease awaiting lung transplant and Gram-negative pneumonia. Patient was admitted to the ICU and was eventually intubated due to worsening respiratory failure. He was on antibiotics and seen by infectious disease. TX: remdesivir, ABX, Actemra, IV steroids, trach. Developed hypotension & septic shock. Palliative care consulted due to multiple organ failure & family opted for comfort care. Expired.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Endotracheal intubation, Hypotension, Intensive care, Interstitial lung disease
Clinical narrative: Presented with worsening shortness of breath and minimal cough and constant chest pressure. Being seen at the local hospital for lung transplant due to his interstitial lung disease. He is on 8 L of oxygen at home and when he arrived at the emergency department was requiring 15 L non-rebreather. Admitted with a working diagnosis of acute on chronic hypoxic respiratory failure due to COVID-19 pneumonia superimposed on interstitial lung disease awaiting lung transplant and Gram-negative pneumonia. Patient was admitted to the ICU and was eventually intubated due to worsening respiratory failure. He was on antibiotics and seen by infectious disease. TX: remdesivir, ABX, Actemra, IV steroids, trach. Developed hypotension & septic shock. Palliative care consulted due to multiple organ failure & family opted for comfort care. Expired.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Multiple organ dysfunction syndrome, Pneumonia bacterial, Respiratory failure, Septic shock, Superinfection
Clinical narrative: Presented with worsening shortness of breath and minimal cough and constant chest pressure. Being seen at the local hospital for lung transplant due to his interstitial lung disease. He is on 8 L of oxygen at home and when he arrived at the emergency department was requiring 15 L non-rebreather. Admitted with a working diagnosis of acute on chronic hypoxic respiratory failure due to COVID-19 pneumonia superimposed on interstitial lung disease awaiting lung transplant and Gram-negative pneumonia. Patient was admitted to the ICU and was eventually intubated due to worsening respiratory failure. He was on antibiotics and seen by infectious disease. TX: remdesivir, ABX, Actemra, IV steroids, trach. Developed hypotension & septic shock. Palliative care consulted due to multiple organ failure & family opted for comfort care. Expired.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Tracheostomy
Clinical narrative: Presented with worsening shortness of breath and minimal cough and constant chest pressure. Being seen at the local hospital for lung transplant due to his interstitial lung disease. He is on 8 L of oxygen at home and when he arrived at the emergency department was requiring 15 L non-rebreather. Admitted with a working diagnosis of acute on chronic hypoxic respiratory failure due to COVID-19 pneumonia superimposed on interstitial lung disease awaiting lung transplant and Gram-negative pneumonia. Patient was admitted to the ICU and was eventually intubated due to worsening respiratory failure. He was on antibiotics and seen by infectious disease. TX: remdesivir, ABX, Actemra, IV steroids, trach. Developed hypotension & septic shock. Palliative care consulted due to multiple organ failure & family opted for comfort care. Expired.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19 pneumonia, Cough, Dyspnoea
Clinical narrative: Presents with mild cough, generalized weakness, shortness of breath x 2 weeks. Admit for acute respiratory failure with hypoxia secondary to COVID-19 pneumonia with sepsis. Tx: IV Decadron, IV Remdesivir, Baricitinib, Vit C and Zinc, O2 via NC. DC home w/O2 & steroid taper.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Sepsis
Clinical narrative: Presents with mild cough, generalized weakness, shortness of breath x 2 weeks. Admit for acute respiratory failure with hypoxia secondary to COVID-19 pneumonia with sepsis. Tx: IV Decadron, IV Remdesivir, Baricitinib, Vit C and Zinc, O2 via NC. DC home w/O2 & steroid taper.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, Confusional state, Decreased appetite
Clinical narrative: Presented with weakness, decreased appetite; Covid-19 + ED; admitted with Covid PNA; TX steroids, remdesivir, Vitamin C, Zinc, nebs, supplemental O2. Patient was admitted to the medical floor and ID consult requested from Dr. He was continued on IV Decadron and IV remdesivir. Developed confusion episodes likely from underlying dementia or Covid-19 encephalopathy. His symptoms gradually improved and discharged to home in stable condition with PO steroids.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Dementia, Encephalopathy, SARS-CoV-2 test positive
Clinical narrative: Presented with weakness, decreased appetite; Covid-19 + ED; admitted with Covid PNA; TX steroids, remdesivir, Vitamin C, Zinc, nebs, supplemental O2. Patient was admitted to the medical floor and ID consult requested from Dr. He was continued on IV Decadron and IV remdesivir. Developed confusion episodes likely from underlying dementia or Covid-19 encephalopathy. His symptoms gradually improved and discharged to home in stable condition with PO steroids.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: No symptoms at this time. Received a Moderna booster when they should have received the Pfizer
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Hyperhidrosis, Hypersensitivity, Paraesthesia oral
Clinical narrative: Allergy to COVID MRNA reported - severe - Dyspnea, tingling in mouth, chest tightness, tachycardia, sweating.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: Allergy to COVID MRNA reported - severe - Dyspnea, tingling in mouth, chest tightness, tachycardia, sweating.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Dyspnoea exertional, SARS-CoV-2 test positive
Clinical narrative: Presented with CP & exertional SOB x3 weeks; Covid + ED.; dx with Covid & PE; tx with singulair, zinc; no hypoxia; He is stable for d/c home. No intervention required
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Neuralgia, Pain, Skin irritation
Clinical narrative: I had got something on my torso that felt like a thorn stuck into my skin. I had skin irritation. I had a deep fiery nerve pain. I was diagnosed with shingles. I was prescribed Valacyclovir 1gm tablet and Methylprednisolone 4mg.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Acute kidney injury, Aphasia, COVID-19, Chest X-ray abnormal
Clinical narrative: AdmissionDate: 1/29/2022; Hospital Day: 3    Attending: DO ID Attending: DO   Date of Consultation:  1/31/2022  Time of Consultation:  2:16 PM    Reason for Consultation: Covid + 1/27   History of Present Illness: Patient is a72y.o. year old female who tested positive for COVID 1/27/22.  ( Moderna vaccine 3-4-10/2021)She noted increasing shortness of breath and chest pain and called EMS.  D Dimer >10,000. CT at BRO 1/27 reported uncomplicated sigmoid diverticulitis. Patients niece reported patient had been complaining of diffuse abdominal pain prior to presentation to Hospital.  The niece also reported recent lethargy and difficulty finding words. Patient was noted to have progressive mental status changes and concerns for protection of airway and was subsequently intubated. AKI on CKD CT/CXR with bibasilar airspace disease Neutrophilic leukocytosis Patient still meets criteria for Remdesivir. Decadron 6 mg daily. Empiric Zosyn was initiated due to concerns for possible Diverticulitis.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chronic kidney disease, Computerised tomogram abdomen abnormal, Computerised tomogram thorax abnormal, Diverticulitis
Clinical narrative: AdmissionDate: 1/29/2022; Hospital Day: 3    Attending: DO ID Attending: DO   Date of Consultation:  1/31/2022  Time of Consultation:  2:16 PM    Reason for Consultation: Covid + 1/27   History of Present Illness: Patient is a72y.o. year old female who tested positive for COVID 1/27/22.  ( Moderna vaccine 3-4-10/2021)She noted increasing shortness of breath and chest pain and called EMS.  D Dimer >10,000. CT at BRO 1/27 reported uncomplicated sigmoid diverticulitis. Patients niece reported patient had been complaining of diffuse abdominal pain prior to presentation to Hospital.  The niece also reported recent lethargy and difficulty finding words. Patient was noted to have progressive mental status changes and concerns for protection of airway and was subsequently intubated. AKI on CKD CT/CXR with bibasilar airspace disease Neutrophilic leukocytosis Patient still meets criteria for Remdesivir. Decadron 6 mg daily. Empiric Zosyn was initiated due to concerns for possible Diverticulitis.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Endotracheal intubation, Fibrin D dimer increased, Influenza A virus test negative, Influenza B virus test
Clinical narrative: AdmissionDate: 1/29/2022; Hospital Day: 3    Attending: DO ID Attending: DO   Date of Consultation:  1/31/2022  Time of Consultation:  2:16 PM    Reason for Consultation: Covid + 1/27   History of Present Illness: Patient is a72y.o. year old female who tested positive for COVID 1/27/22.  ( Moderna vaccine 3-4-10/2021)She noted increasing shortness of breath and chest pain and called EMS.  D Dimer >10,000. CT at BRO 1/27 reported uncomplicated sigmoid diverticulitis. Patients niece reported patient had been complaining of diffuse abdominal pain prior to presentation to Hospital.  The niece also reported recent lethargy and difficulty finding words. Patient was noted to have progressive mental status changes and concerns for protection of airway and was subsequently intubated. AKI on CKD CT/CXR with bibasilar airspace disease Neutrophilic leukocytosis Patient still meets criteria for Remdesivir. Decadron 6 mg daily. Empiric Zosyn was initiated due to concerns for possible Diverticulitis.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Leukocytosis, Lung disorder, Mental status changes, SARS-CoV-2 test positive
Clinical narrative: AdmissionDate: 1/29/2022; Hospital Day: 3    Attending: DO ID Attending: DO   Date of Consultation:  1/31/2022  Time of Consultation:  2:16 PM    Reason for Consultation: Covid + 1/27   History of Present Illness: Patient is a72y.o. year old female who tested positive for COVID 1/27/22.  ( Moderna vaccine 3-4-10/2021)She noted increasing shortness of breath and chest pain and called EMS.  D Dimer >10,000. CT at BRO 1/27 reported uncomplicated sigmoid diverticulitis. Patients niece reported patient had been complaining of diffuse abdominal pain prior to presentation to Hospital.  The niece also reported recent lethargy and difficulty finding words. Patient was noted to have progressive mental status changes and concerns for protection of airway and was subsequently intubated. AKI on CKD CT/CXR with bibasilar airspace disease Neutrophilic leukocytosis Patient still meets criteria for Remdesivir. Decadron 6 mg daily. Empiric Zosyn was initiated due to concerns for possible Diverticulitis.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Head discomfort, Headache, Magnetic resonance imaging, Neurological examination
Clinical narrative: Immediately following the booster, i woke up with constant noise and pressure in the back of my head. Along with occasional strong headaches that lasted for about 3 days. Excedrin relieved the condition at that time. While the headaches disappeared there was continuing sound and pressure. In addition to that, in December I noticed that if I shook my head I heard a bong like sound. Into January and February I have had at least 4 or 5 in stances of the strong headache returning and lasting a few hours. They were relieved by taking Excedrin, The headaches usually started in the morning. I went to doctor in Mid February and he sent me to a radiology place for a ct scan which nothing showed up on, I followed up with the doctor and he referred me to a neurologist. I had the initial examination a few days ago on March 02. I went to have an MRI this morning. I have a follow up appointment in 4 weeks.  The neurologist did placed me on gabapentin as well.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Immediately following the booster, i woke up with constant noise and pressure in the back of my head. Along with occasional strong headaches that lasted for about 3 days. Excedrin relieved the condition at that time. While the headaches disappeared there was continuing sound and pressure. In addition to that, in December I noticed that if I shook my head I heard a bong like sound. Into January and February I have had at least 4 or 5 in stances of the strong headache returning and lasting a few hours. They were relieved by taking Excedrin, The headaches usually started in the morning. I went to doctor in Mid February and he sent me to a radiology place for a ct scan which nothing showed up on, I followed up with the doctor and he referred me to a neurologist. I had the initial examination a few days ago on March 02. I went to have an MRI this morning. I have a follow up appointment in 4 weeks.  The neurologist did placed me on gabapentin as well.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Headache, Respiratory tract congestion
Clinical narrative: Presented with SOB, non productive cough, h/a, mild congestion x 3 days; + Covid in ED; Admitted for Covid infection; tx with steroid, remdesivir, Vit B12, singulair, zinc. Discharge Condition: Stable.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Presented with SOB, non productive cough, h/a, mild congestion x 3 days; + Covid in ED; Admitted for Covid infection; tx with steroid, remdesivir, Vit B12, singulair, zinc. Discharge Condition: Stable.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Hemiparesis, SARS-CoV-2 test positive
Clinical narrative: Presented with R side weakness; + Covid; Admit with Covid PNA; tx with maxipime, remdesivir, rocephin, Vit B12, Steroid, singulair, zinc, supplemental O2 Patient is hemodynamically stable and being discharged to home
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Blood cholesterol increased, Blood test abnormal, Cardiac monitoring, Cerebrovascular accident, Computerised tomogram head abnormal
Clinical narrative: Cryptogenic stroke. While watching tv with family, I experienced numbness in the right arm and left, I had trouble speaking, and difficulty standing and walking. My spouse rushed me to the ER were I was processed and in the hospital for nearly 2 days. I had CT scans of the head and neck, EKG, and a final MRI confirming a stroke. The physical therapists assessed me and referred to me to outpatient speech therapy. Currently undergoing care by PCP, neurologist, and cardiologist to identify a diagnosis. At this time, the cardiologist has placed a 30 day heart monitor and completed an echocardiogram with bubbles. The findings were normal and I am being referred to a new cardiologist for continued follow-up with a heart loop. The neurologist also referred me to a stroke specialist for follow-up.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram neck, Dysstasia, Echocardiogram normal, Electrocardiogram, Gait disturbance
Clinical narrative: Cryptogenic stroke. While watching tv with family, I experienced numbness in the right arm and left, I had trouble speaking, and difficulty standing and walking. My spouse rushed me to the ER were I was processed and in the hospital for nearly 2 days. I had CT scans of the head and neck, EKG, and a final MRI confirming a stroke. The physical therapists assessed me and referred to me to outpatient speech therapy. Currently undergoing care by PCP, neurologist, and cardiologist to identify a diagnosis. At this time, the cardiologist has placed a 30 day heart monitor and completed an echocardiogram with bubbles. The findings were normal and I am being referred to a new cardiologist for continued follow-up with a heart loop. The neurologist also referred me to a stroke specialist for follow-up.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Magnetic resonance imaging head abnormal, Speech disorder
Clinical narrative: Cryptogenic stroke. While watching tv with family, I experienced numbness in the right arm and left, I had trouble speaking, and difficulty standing and walking. My spouse rushed me to the ER were I was processed and in the hospital for nearly 2 days. I had CT scans of the head and neck, EKG, and a final MRI confirming a stroke. The physical therapists assessed me and referred to me to outpatient speech therapy. Currently undergoing care by PCP, neurologist, and cardiologist to identify a diagnosis. At this time, the cardiologist has placed a 30 day heart monitor and completed an echocardiogram with bubbles. The findings were normal and I am being referred to a new cardiologist for continued follow-up with a heart loop. The neurologist also referred me to a stroke specialist for follow-up.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Intensive care, Mechanical ventilation, Respiratory disorder
Clinical narrative: Was requiring high FiO2 and NIPPV support, with further worsening of the respiratory status. Was transferred to ICU. Upon d/W Dr. in ICU, family decided to proceed with only comfort care measures. NIPPV was DCed today and patient was kept comfortable. Patient was also followed by Dr., Palliative care. Patient was comfortable and passed away on 9/4/21
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Death, Depressed level of consciousness, Endotracheal intubation
Clinical narrative: pt had tested positive for COVID ON 9/24/21, was started on ABX; brought to ED on 9/28/21 for altered mental status, obtundation; decreased LOC past 3 days, unresponsive to pain with spontaneous gurgling respirations, tachypnea; emergently intubated; COVID pneumonia and sepsis; treated with dexamethasone and remdesivir; eventually was extubated and placed on BIPAP; pt's condition worsened and she was placed on comfort care measures; she passed away in the hospital the next day
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: General physical health deterioration, Mental status changes, Positive airway pressure therapy, Respiration abnormal, SARS-CoV-2 test positive
Clinical narrative: pt had tested positive for COVID ON 9/24/21, was started on ABX; brought to ED on 9/28/21 for altered mental status, obtundation; decreased LOC past 3 days, unresponsive to pain with spontaneous gurgling respirations, tachypnea; emergently intubated; COVID pneumonia and sepsis; treated with dexamethasone and remdesivir; eventually was extubated and placed on BIPAP; pt's condition worsened and she was placed on comfort care measures; she passed away in the hospital the next day
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Sepsis, Tachypnoea, Unresponsive to stimuli
Clinical narrative: pt had tested positive for COVID ON 9/24/21, was started on ABX; brought to ED on 9/28/21 for altered mental status, obtundation; decreased LOC past 3 days, unresponsive to pain with spontaneous gurgling respirations, tachypnea; emergently intubated; COVID pneumonia and sepsis; treated with dexamethasone and remdesivir; eventually was extubated and placed on BIPAP; pt's condition worsened and she was placed on comfort care measures; she passed away in the hospital the next day
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Diarrhoea, Fatigue, Pyrexia
Clinical narrative: presented with diarrhea, fatigue & fever x 8 days; + Covid x6 days; admit with Covid PNA, sepsis; tx with singulair, zinc, maxipime, remdesivir, steroid, She was given baricitinib.Her condition gradually improved again 2 L oxygen by nasal cannula. Disposition:She will be dischargedto rehab
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sepsis
Clinical narrative: presented with diarrhea, fatigue & fever x 8 days; + Covid x6 days; admit with Covid PNA, sepsis; tx with singulair, zinc, maxipime, remdesivir, steroid, She was given baricitinib.Her condition gradually improved again 2 L oxygen by nasal cannula. Disposition:She will be dischargedto rehab
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Arrhythmia, Cardiac rehabilitation therapy, Cardiac stress test, Coronary arterial stent insertion
Clinical narrative: Myocardial Infarction (STEMI) of inferior wall, emergency care, surgery and S/P drug eluting coronary stent placement, cardiac rehabilitation, arrhythmia.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Emergency care, Myocardial infarction, Surgery
Clinical narrative: Myocardial Infarction (STEMI) of inferior wall, emergency care, surgery and S/P drug eluting coronary stent placement, cardiac rehabilitation, arrhythmia.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, Fall, SARS-CoV-2 test positive
Clinical narrative: Presented with weakness/fall; Covid + in ED; admit with Covid PNA; mild symptoms; room air, remdesivir and steroids not indicated; TX with monoclonal antibody, rocephin, doxycycline, Vitamin c, Vitamin D3, Vitamin B12, zinc; room air (no supplemental O2 needed). Patient was also treated with antibiotics for COVID-19 pneumonia. Patient did not need to be on oxygen. She was on room air during this hospitalization.
Age: 99.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dysarthria, Hypersomnia, Hypophagia, Influenza A virus test negative
Clinical narrative: Altered Mental Status     Pt arrived to ED via Ems with AMS. EMS reported Pt having occasional slurred speech.      HPI   100-year-old woman with history of A. fib, hypertension presents to the emergency department by EMS for altered mental status.  According to daughter that was initially at bedside the patient is normally oriented x3.  More recently she is only oriented to self.  Her speech has become nonsensical over the past week.  According to daughter she has been sleeping more than usual and having less oral intake.  Patient lives at a nursing facility.  Daughter states that patient had Covid 1 year ago.
Age: 99.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza B virus test, Mental status changes, Respiratory syncytial virus test negative, SARS-CoV-2 test negative, Speech disorder
Clinical narrative: Altered Mental Status     Pt arrived to ED via Ems with AMS. EMS reported Pt having occasional slurred speech.      HPI   100-year-old woman with history of A. fib, hypertension presents to the emergency department by EMS for altered mental status.  According to daughter that was initially at bedside the patient is normally oriented x3.  More recently she is only oriented to self.  Her speech has become nonsensical over the past week.  According to daughter she has been sleeping more than usual and having less oral intake.  Patient lives at a nursing facility.  Daughter states that patient had Covid 1 year ago.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Biopsy skin, Blood pressure increased, COVID-19, Erythema
Clinical narrative: I started out on my upper body with red, no itching, hive looking areas that were just red areas. Then it progressed to a rash look (a raised area). On my upper body it started as red, no rash. Then a month later on my legs it started as a rash. I've taken a dose of steroid and it didn't help. The middle of April is when the leg rashes started, the raised rash areas. But for my upper body rash it went from my arms down, the red areas. When I went to the doctor they said she knew it was a drug allergy due to the pattern. She sent me to the dermatologist who put me on Metoprolol and she saw me again in May and I was still high on blood pressure so she added valsartan. And had me come back every week to monitor. By June 8th I was on a 3rd blood pressure medication, Norvasc. And got me set up with a dermatologist who did biopsy because the upper body and lower looked different. The results showed it was a drug allergy. Since then I've been back to the cardiologist and the 3 medications have controlled it. I still have the rash spreading and been on steroids for 4 times to clear this up. All it does is calm it down and doesn't go away. I'm no longer taking it because it didn't help. Now I'm on a antibiotic 2x day to hopefully clear this up. I had a high blood pressure episode and had to go the ER. In Sep. around the 15th I had COVID that started with a horrible headache and went to the hospital to get tested and it was positive. I also had weakness and was wiped out. These symptoms were very severe like 8/9 on a scale of 1-10. These symptoms lasted probably 5-6 days. And then it got a little better. My doctors are afraid for me to get another vaccine due to the severe symptoms I've had.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Hypersensitivity, Rash, Rash papular
Clinical narrative: I started out on my upper body with red, no itching, hive looking areas that were just red areas. Then it progressed to a rash look (a raised area). On my upper body it started as red, no rash. Then a month later on my legs it started as a rash. I've taken a dose of steroid and it didn't help. The middle of April is when the leg rashes started, the raised rash areas. But for my upper body rash it went from my arms down, the red areas. When I went to the doctor they said she knew it was a drug allergy due to the pattern. She sent me to the dermatologist who put me on Metoprolol and she saw me again in May and I was still high on blood pressure so she added valsartan. And had me come back every week to monitor. By June 8th I was on a 3rd blood pressure medication, Norvasc. And got me set up with a dermatologist who did biopsy because the upper body and lower looked different. The results showed it was a drug allergy. Since then I've been back to the cardiologist and the 3 medications have controlled it. I still have the rash spreading and been on steroids for 4 times to clear this up. All it does is calm it down and doesn't go away. I'm no longer taking it because it didn't help. Now I'm on a antibiotic 2x day to hopefully clear this up. I had a high blood pressure episode and had to go the ER. In Sep. around the 15th I had COVID that started with a horrible headache and went to the hospital to get tested and it was positive. I also had weakness and was wiped out. These symptoms were very severe like 8/9 on a scale of 1-10. These symptoms lasted probably 5-6 days. And then it got a little better. My doctors are afraid for me to get another vaccine due to the severe symptoms I've had.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Urticaria
Clinical narrative: I started out on my upper body with red, no itching, hive looking areas that were just red areas. Then it progressed to a rash look (a raised area). On my upper body it started as red, no rash. Then a month later on my legs it started as a rash. I've taken a dose of steroid and it didn't help. The middle of April is when the leg rashes started, the raised rash areas. But for my upper body rash it went from my arms down, the red areas. When I went to the doctor they said she knew it was a drug allergy due to the pattern. She sent me to the dermatologist who put me on Metoprolol and she saw me again in May and I was still high on blood pressure so she added valsartan. And had me come back every week to monitor. By June 8th I was on a 3rd blood pressure medication, Norvasc. And got me set up with a dermatologist who did biopsy because the upper body and lower looked different. The results showed it was a drug allergy. Since then I've been back to the cardiologist and the 3 medications have controlled it. I still have the rash spreading and been on steroids for 4 times to clear this up. All it does is calm it down and doesn't go away. I'm no longer taking it because it didn't help. Now I'm on a antibiotic 2x day to hopefully clear this up. I had a high blood pressure episode and had to go the ER. In Sep. around the 15th I had COVID that started with a horrible headache and went to the hospital to get tested and it was positive. I also had weakness and was wiped out. These symptoms were very severe like 8/9 on a scale of 1-10. These symptoms lasted probably 5-6 days. And then it got a little better. My doctors are afraid for me to get another vaccine due to the severe symptoms I've had.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Death, Dyspnoea, Endotracheal intubation
Clinical narrative: patient with history of COPD, hypertension, chronic kidney disease stage 4, coronary artery disease, hypothyroidism presented to the hospital with dyspnea for 3 days. Patient received Modernavaccine, 2 doses, 4 months ago . He is tested positive in the ED. Patient was found in acute respiratory failure with hypoxia. Started on high-flow nasal cannula. Pulmonology followed the patient. During the course of hospitalization his condition worsened and intubated on 09/17, continued on mechanical ventilation. The patient was not a candidate for remdesivir but received 1 dose of tocilizumab. Also received Rocephin for 20 days during this hospitalization.Patient's medical condition gradually worsened and died on 09/25
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: General physical health deterioration, Mechanical ventilation, SARS-CoV-2 test positive
Clinical narrative: patient with history of COPD, hypertension, chronic kidney disease stage 4, coronary artery disease, hypothyroidism presented to the hospital with dyspnea for 3 days. Patient received Modernavaccine, 2 doses, 4 months ago . He is tested positive in the ED. Patient was found in acute respiratory failure with hypoxia. Started on high-flow nasal cannula. Pulmonology followed the patient. During the course of hospitalization his condition worsened and intubated on 09/17, continued on mechanical ventilation. The patient was not a candidate for remdesivir but received 1 dose of tocilizumab. Also received Rocephin for 20 days during this hospitalization.Patient's medical condition gradually worsened and died on 09/25
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Ischaemic stroke
Clinical narrative: Acute ischemic stroke - treated and discharged. ED visit and hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 60.0
Sex: F
Vaccine: HEP
Symptoms: Incorrect dose administered, Underdose
Clinical narrative: pt. was originally given a pediatric dosage of hepatitis b. Clinic was contacted, who recommended re-vaccination with age appropriate dosage. no harm to pt.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test normal, Dizziness, Fatigue, Head discomfort
Clinical narrative: I had fatigue, headache, and pain at injection site.  Then two later, I had major fatigue, dizziness, and tired. I was serve nausea, headache, and head pressure.  I am very weak and shaky.  These symptoms have lasted for about 2 weeks.  I went to my doctor and a hospital.  The hospital did a bunch of blood work. They could not found anything wrong.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Nausea, Tremor
Clinical narrative: I had fatigue, headache, and pain at injection site.  Then two later, I had major fatigue, dizziness, and tired. I was serve nausea, headache, and head pressure.  I am very weak and shaky.  These symptoms have lasted for about 2 weeks.  I went to my doctor and a hospital.  The hospital did a bunch of blood work. They could not found anything wrong.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was given her first dose of the Covid vaccine that should have been Pfizer due to patient age but Moderna was given in error
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Dyspnoea
Clinical narrative: presented with SOB; admit with Covid PNA;tx with maxipime, remdesivir, steroid, singulair, zinc, supplemental O2;
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Rash, Rash papular, Rash pruritic, Vaccination site pruritus
Clinical narrative: About 2 weeks after 3rd dose, I began to get itchy, near vaccination site first. Noticed near my watch band bumps below the skin. Seems like they follow blood vessels up my left arm to shoulder. Always there, sometime itchier than other times, sometimes they are very itchy.. Sometimes arm feels tingley, like my arm falls asleep. Bumps on upper arm are above skin, resemble small mosquito bites.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, Fatigue, Nausea
Clinical narrative: presented with n/v x 4 days; fatigue, weakness; Covid + in ED; admit with Covid PNA; tx with Vit C,  maxipime, actemra, rocephin, Vit D3, steroid, doxycycline, suppelemental O2; HD initiated 9/3; Disposition:She will be dischargedtommorrowtohome with home health
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vomiting
Clinical narrative: presented with n/v x 4 days; fatigue, weakness; Covid + in ED; admit with Covid PNA; tx with Vit C,  maxipime, actemra, rocephin, Vit D3, steroid, doxycycline, suppelemental O2; HD initiated 9/3; Disposition:She will be dischargedtommorrowtohome with home health
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, COVID-19, COVID-19 pneumonia, Dyspnoea, Headache
Clinical narrative: Presented SOB, fever, H/A, loss of taste; Covid + in ED; admite with Covid PNA; tx with Vit C, steroid, supplemental O2
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Presented SOB, fever, H/A, loss of taste; Covid + in ED; admite with Covid PNA; tx with Vit C, steroid, supplemental O2
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Catheterisation cardiac, Dyspnoea, Echocardiogram normal, Heart rate irregular, Hypertension
Clinical narrative: Had SOB, hypotension, irregular pulse after going for a run. NSR when I went to the ER. Cardiac arrhythmia unknown, hypertension, elevated troponin level-15, normal echo and cardiac catheter.