chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia bacterial, Pseudomonas test positive, Pyrexia, SARS-CoV-2 test negative, Sputum culture positive
Clinical narrative: Narrative: An 86yo Male with PMH of Hyperlipidemia, Recurrent GI bleeding, HTN, BPH, Shoulder Pain and Anemia Per Nurse's documentation; he received Pfizer Covid-19 vaccine per policy and protocol without complication on January 12, 2021. No ADEs were reported On January 28, 2021 the patient presented to the ED with complains of General weakness Arrived in mask and remained in mask. Upon examination abnormal breath sound and oxygen sat of 90% were reported. ED Physician's documentation included the patient had syncopal episode prior to the generalized weakness, blacked out and fell down while stepping out of his bathroom. The report included patient's acknowledgement of hitting his head. the patient was started on ceftriaxone and azithromycin for PNA, hydrated with 1 L of NS for AKI, CT of head ordered given syncopal event with fall and was admitted to Head CT was reported as -ve for acute changes, O2 saturation improved w/ 2L NC but continued to have weakness, chills and fever. His condition worsened with increased oxygen requirement CXR showing significant LLL consolidation with most likely DX documented as Bacterial Pneumonia since he tested Covid -ve x 2 and got transferred to MICU. His treatment was switched to vancomycin and Zosyn. He improved and was transferred to medicine but still requiring oxygen and discharged to subacute Rehab center to gain his strength, Placed on contact Isolation for sputum MRSA and MDR Pseudomonas per Feb 8/2021 culture result The system showed this patient passed away on February 27 2021
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Staphylococcus test positive, Syncope
Clinical narrative: Narrative: An 86yo Male with PMH of Hyperlipidemia, Recurrent GI bleeding, HTN, BPH, Shoulder Pain and Anemia Per Nurse's documentation; he received Pfizer Covid-19 vaccine per policy and protocol without complication on January 12, 2021. No ADEs were reported On January 28, 2021 the patient presented to the ED with complains of General weakness Arrived in mask and remained in mask. Upon examination abnormal breath sound and oxygen sat of 90% were reported. ED Physician's documentation included the patient had syncopal episode prior to the generalized weakness, blacked out and fell down while stepping out of his bathroom. The report included patient's acknowledgement of hitting his head. the patient was started on ceftriaxone and azithromycin for PNA, hydrated with 1 L of NS for AKI, CT of head ordered given syncopal event with fall and was admitted to Head CT was reported as -ve for acute changes, O2 saturation improved w/ 2L NC but continued to have weakness, chills and fever. His condition worsened with increased oxygen requirement CXR showing significant LLL consolidation with most likely DX documented as Bacterial Pneumonia since he tested Covid -ve x 2 and got transferred to MICU. His treatment was switched to vancomycin and Zosyn. He improved and was transferred to medicine but still requiring oxygen and discharged to subacute Rehab center to gain his strength, Placed on contact Isolation for sputum MRSA and MDR Pseudomonas per Feb 8/2021 culture result The system showed this patient passed away on February 27 2021
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory distress syndrome, Acute respiratory failure, Condition aggravated, Death, Hypervolaemia
Clinical narrative: Narrative: 83M w/ PMH of ILD (not on home O2) Afib/flutter, CAD s/p CABG (4/2013 SVG-LAD), descending thoracic aortic aneurysm with dissection s/p L CVA (3/4/11) and (9/2019), vascular dementia, HTN and DM2 who was initially admitted to Facility on 3/25/21 for fall w/subacute C1 fracture transferred to ICU 3/26 for hypoxemic respiratory failure s/p emergent intubation with prolonged ICU course significant for prolonged ventilator needs 2/2 to ARDS from aspiration Klebsiella PNA and pulmonary edema, extubated to nasal cannula and stepped down to acute care ward. His course on the floor was stable for a bit but complicated by 2+ episodes of desaturations of unclear source, likely from recurrent aspiration vs. volume overload, requiring transfer to the ICU for high flow nasal cannula. While in the ICU, he had agitated delirium, refused oral medications, and ultimately required IM haloperidol to maintain safety, which helped significantly. Per 4/21/21 Palliative care note, family meeting held with the clear decision to change plan of care to comfort focused. Patient passed on 4/25/21 from hypoxic respiratory failure secondary to sequelae of aspiration pneumonia with ARDS like picture, also some contribution from volume overload. 4/25/21 Death Note lists immediate cause of death as, "Acute hypoxic respiratory failure." Report submitted because patient received a total of 3 COVID-19 Pfizer vaccinations. Two doses were received prior to Facility admission from a non facility source on 2/8/21 & 3/1/21. The 3rd COVID-19 vaccine dose was ordered by the Facility Medicine Team and administered on 4/14/21. (Of note, the 3/25/21 ED attending note and H&P Admission both note that patient "s/p COVID vaccine.") No suspected correlation between patient's passing and 3rd COVID-19 vaccination.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pneumonia aspiration, SARS-CoV-2 test negative
Clinical narrative: Narrative: 83M w/ PMH of ILD (not on home O2) Afib/flutter, CAD s/p CABG (4/2013 SVG-LAD), descending thoracic aortic aneurysm with dissection s/p L CVA (3/4/11) and (9/2019), vascular dementia, HTN and DM2 who was initially admitted to Facility on 3/25/21 for fall w/subacute C1 fracture transferred to ICU 3/26 for hypoxemic respiratory failure s/p emergent intubation with prolonged ICU course significant for prolonged ventilator needs 2/2 to ARDS from aspiration Klebsiella PNA and pulmonary edema, extubated to nasal cannula and stepped down to acute care ward. His course on the floor was stable for a bit but complicated by 2+ episodes of desaturations of unclear source, likely from recurrent aspiration vs. volume overload, requiring transfer to the ICU for high flow nasal cannula. While in the ICU, he had agitated delirium, refused oral medications, and ultimately required IM haloperidol to maintain safety, which helped significantly. Per 4/21/21 Palliative care note, family meeting held with the clear decision to change plan of care to comfort focused. Patient passed on 4/25/21 from hypoxic respiratory failure secondary to sequelae of aspiration pneumonia with ARDS like picture, also some contribution from volume overload. 4/25/21 Death Note lists immediate cause of death as, "Acute hypoxic respiratory failure." Report submitted because patient received a total of 3 COVID-19 Pfizer vaccinations. Two doses were received prior to Facility admission from a non facility source on 2/8/21 & 3/1/21. The 3rd COVID-19 vaccine dose was ordered by the Facility Medicine Team and administered on 4/14/21. (Of note, the 3/25/21 ED attending note and H&P Admission both note that patient "s/p COVID vaccine.") No suspected correlation between patient's passing and 3rd COVID-19 vaccination.
Age: 96.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  A 95yo male with PMH of Chronic Bronchitis, Glaucoma, Chronic arteriosclerosis, Chronic COPD, Benign Essential HTN, HL Hearing Loss Per nurse's documentation he received Covid-19 vaccine per policy and protocol without complication, First dose on January 22, 2021 and second dose on February 12, 2021 No ADE was reported the system showed this patient passed away on 03/14/2021
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise
Clinical narrative: Narrative: Patient received J&J vaccine. After follow up call, patient reported body malaise which resolved after patient took home advil.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Contusion, Dyspnoea, Oedema peripheral, Pyrexia
Clinical narrative: Narrative: Mild reaction reported on 5/28/21 to the 2nd Moderna COVID vaccine dose which was administered on 5/13/21. Patient reported mid-upper epigastric pain, axillary swelling on right side, bruising to index fingers and thumbs, felt more short of breath and fever up to 103.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: Narrative: COVID infection after completion of COVID vaccine series 12/31/20 COVID vaccine dose #1 01/21/21 COVID vaccine dose #2 06/09/21 Pre-procedure swab, COVID positive, no symptoms
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  An 85yo male with PMH of multiple m=Medical problems including Hyperlipidemia, Cognitive Impairment, HTN, DM II, Chronic PTSD, OSA, hyperparathyroidism due to Renal Insufficiency, Peripheral Venous Insufficiency, Full Care by Hospice He received Pfizer Covid-19 vaccine per policy and protocol and without complications. NO ADE was reported System shows the patient passed away on February 25, 2021
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain
Clinical narrative: Narrative: Patient reported headache and fatigue following his first COVID vaccine dose received 1/22/21. Also noted a burning sensation at the injection site during administration.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Narrative: Second dose Moderna was given only 7 days from first dose of  Moderna Vaccine. No reaction noted in 30 minute post monitoring period, vitals  stable, alert/oriented, no s/o immediate disfress. Alerted inpatient domiciliary  nurses on duty and domiciliary nurse manager to monitor closely. Educated  patient on risks associated and need to seek medical attention at the first sign of  anaphylaxis (shortness of breath, swelling face throat, fast heart rate, rash,  dizziness, or weakness).
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  63 YOM with hx of polysubstance abuse, atherosclerosis, atrial flutter, BPH, spinal stenosis, degenerative disc disease, hyperlipidemia, colonic polyps, hepatitis C, PE passed away at home on 6/27/21 and death was reported by deputy coroner. Pt received COVID vaccines on 5/11/21 and 6/3/21. It appears death was unrelated to vaccines.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Lung adenocarcinoma
Clinical narrative: Narrative: 75 yo with ADENOCARCINOMA LUNG treated outside facility died in hospice care (outside facility) on 11/24/2021. Pt had received covid vaccines on 2/23/2021 & 3/23/2021. This death was caused by lung cancer, not related to covid vaccines.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Photopsia, Pyrexia, Vision blurred, Visual impairment
Clinical narrative: Narrative: Patient received the 1st dose of the Moderna COVID vaccine on 3/11/21 and reported headache x 3 days with fever up to 101F. He received the 2nd dose on 4/9/21 and reported vision changes - blurry with periodic light flashes and floater in left eye. Visual changes lasted 5-6 days then resolved. Patient has known catarats.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Vitreous floaters
Clinical narrative: Narrative: Patient received the 1st dose of the Moderna COVID vaccine on 3/11/21 and reported headache x 3 days with fever up to 101F. He received the 2nd dose on 4/9/21 and reported vision changes - blurry with periodic light flashes and floater in left eye. Visual changes lasted 5-6 days then resolved. Patient has known catarats.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Dysarthria, Facial paralysis, Hypoaesthesia, Muscular weakness
Clinical narrative: Narrative: unsure if correlated but pt got covid-19 vaccine on 2/24/21, then on 3/10/21 presented to ED with Right sided facial droop, right UE weakness/numbness, and slurred speech. Admitted for CVA in region of left MCA.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  57yo male with PAST MEDICAL HISTORY: 1 hyperlipidemia 2 djd 3 tobacco abuse -- quit in 6/2014 or so/used e cigarette to quit 4 s/p left knee surgery 2000/2002 -- s/p gsw per patient report 5 ptsd sees mhc 6 pvd -- h/o vasospasm at hands has seen hand surg for injections/stellate ganglion block 7 osa/on cpap 8 left lower ext dvt 2/2019/started on dabigatran (3-6 mo of therapy), recurrent dvt left lower ext 10/19 back on doac therapy 9 essential tremor/has seen neuro, taking carbi/levodopa 10 ddd cspine Had received covid vaccines on 3/29/21 & 4/30/21. Pt died on 12/4/2021. Last note on 11/8/21 in database. No info on cause of death or issues leading up to death in database. Unable to assess if vaccines were related to this death, but likely not given length of time from vaccine administration.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Rash
Clinical narrative: Narrative: Pt administered COVID 19 vaccive (Moderna) on 6/21/21 .Patient came to the clinic today complaining of a painful rash over his left forearm area after he receive the Moderna COVID Vaccine#1 . Patient denises any shortness of breath, wheezing but complaining of pain over the entire arms with a visible rash traveling down. Pt given medrol dose pack on 6.22.21. Pt contacted on 6/23/21 and reports he was able to get a good nights sleep, pain in hand is now 3/10 and the rash is diminished. Reports he will continue to take steroid dose pack. States. "I feel much better."
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Blister
Clinical narrative: Narrative: Patient received first dose of Pfizer COVID19 vaccine on 6/4. On 6/5, presented to non facility hospital ED with " a blister under his right arm and a break-out under his chin" . Per patient, received medications in ED (unknown drug/dose) and was discharged from ED.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  A 78yo with PMH of General Weakness, abnormal findings with diagnostng imaging of urinary organs, Primary Malignant Neoplasm of Prostate, Gout HTN, Onychomycosis and Dysphagia Received Pfizer Covid - 19 vaccine per policy and protocol without complications First dose on February 22, 2021 and the second dose March 15, 2021 NO ADE reported The system showed this patient passed away April 9, 2021
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  A 72yo male with PMH of Depressive Disorder, Tobacco Use Disorder, Barret's Esophagus, Esophageal Reflux with Esophagitis, Thyroid nodule, Lumbar Spondylosis, HTN, A-fib, Adenocarcinoma of Duodenum Per Nurse's documentation, he received Pfizer Covid-19 vaccine per policy and protocol without complication First dose on February 15, 2021 and second dose on March 8 2021 No ADE was reported The patient had stage 4 Gastric Cancer The system showed he passed away on 4/4/21
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Atrial fibrillation, Dyspnoea, Electrocardiogram abnormal, Fatigue
Clinical narrative: Narrative:  77 yr old male with CLL diagnosed in 2009 (del13q14). PMH significant for Hyperlipidemia, HTN, peptic ulcer disease, COPD, and asthma. Patient reported of increased fatigue and worsening adenopathy in 08/2020. Imaging CT C/A/P 09/2020 confirmed progressive adenopathy and patient was started on ibrutinib therapy 09/18/2020. Patient was tolerating therapy well and CBC normalized indicating response to ibrutinib. Patient presented to ED 4/8/21 and subsequently admitted for SOB and fatigue for 2-3 weeks since receiving the Moderna COVID-12 vaccine 3/17/21. EKG confirmed atrial fibrillation with rapid ventricular response, treated with diltiazem and heparin drip. Upon reevaluation, heart rate was controlled and SOB resolved, patient was discharged 4/12/21 with oral diltiazem and apixaban. Ibrutinib has been on hold since 4/8/21, with lab monitoring for CLL since CBC continues to be normal and stable. Ibrutinib causes A-fib (8%). Stressors, such as illness/immunizations, may trigger atrial fibrillation and 19-21% of active COVID-19 cases developed A-fib. Incidence with Moderna vaccine has not been defined.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count normal, Laboratory test
Clinical narrative: Narrative:  77 yr old male with CLL diagnosed in 2009 (del13q14). PMH significant for Hyperlipidemia, HTN, peptic ulcer disease, COPD, and asthma. Patient reported of increased fatigue and worsening adenopathy in 08/2020. Imaging CT C/A/P 09/2020 confirmed progressive adenopathy and patient was started on ibrutinib therapy 09/18/2020. Patient was tolerating therapy well and CBC normalized indicating response to ibrutinib. Patient presented to ED 4/8/21 and subsequently admitted for SOB and fatigue for 2-3 weeks since receiving the Moderna COVID-12 vaccine 3/17/21. EKG confirmed atrial fibrillation with rapid ventricular response, treated with diltiazem and heparin drip. Upon reevaluation, heart rate was controlled and SOB resolved, patient was discharged 4/12/21 with oral diltiazem and apixaban. Ibrutinib has been on hold since 4/8/21, with lab monitoring for CLL since CBC continues to be normal and stable. Ibrutinib causes A-fib (8%). Stressors, such as illness/immunizations, may trigger atrial fibrillation and 19-21% of active COVID-19 cases developed A-fib. Incidence with Moderna vaccine has not been defined.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  64 YOM with a PMHx including T2DM, GERD, CKD3, tobacco use disorder, HTN, HLD, colonic polyps, OSA, COPD, Barrett's esophagus, and non-SCLC of LLL died at outside hospital on 6/12/21. Pt received COVID vaccines on 1/29/21 and 2/26/21. It appears death was unrelated to vaccines.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: NONE
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac arrest, Death
Clinical narrative: Narrative:  73 YOM with hx of HRN, BP, GERD, T2DM, elevated LFT, diabetic neuropathy, carpal tunnel, PTSD, ED, hypercholesterolemia, prostrate CA died at outside hospital on 6/21/21 from apparent cardiac arrest. Pt received COVID vaccine doses on 2/14/21 and 3/13/21. Death was unrelated to vaccines.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  62 YOM with hx of obesity, ex-smoker, hyperPTH s/p parathyroidectomy, t2dm, cad s/p cabg, htn copd, depression, psoriasis, MNG, osa, ckd. Pt died on 6/27/21 and death was reported to facility by daughter. Pt received COVID vaccines on 3/3/2021 and 3/31/2021. It appears death was unrelated to vaccines.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  A 67YOM with hx of Metastatic NSCLC (adeno) in 2015 s/p LUL wedge resection, recurrence in 2018 s/p SBRT, PET positive again on 7/2020 with LLL mass, with bil lung and T10 mets, with recurrent malignant pleural effusion s/p pleurex catheter placement 5/19/21. PMH also includes plasma cell leukemia (on CARfilzomib, last given 6/02/21), HCC (dx 2018, s/p RFA 8/2018, MRI 2/2020 concerning for recurrance), chronic Hep C, and chronic LBP admitted for hospice care pain and symptom control. Pt died on 6/28/21. Pt received COVID vaccinations on 2/22/21 and 3/22/21. Death unrelated to vaccinations.
Age: 97.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Narrative:  A 96yo male with PMH of Prostatic Carcinoma, Adjustment Disorder with Depressed mood, HTN, Hyperlipidemia, Chronic Low Back Pain, Arthritis, GERD, Hiatal Hernia and other Bursitis Disorder Per Nurse's documentation; He received Pfizer Covid-19 vaccine per policy and protocol without complication First dose on February 20, 2021 and the second dose on March 13, 2021 No ADE was reported Per May 4, 2021 Geriatric Telephone note, the patient passed away on April 24, 2021
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  A 73yo female with PMH of Uveitis, Osteopenia, Difficulty in walking, Adjustment Disorder, HTN, Legal Blindness, Sarcoidosis of Lung, Rhinitis, Chronic Back Pain, CKD, Primary OA Glaucoma, GERD, Hx of Gall Bladder Disease, Lumbosacral Stenosis The patient had been with Uveitis End stage Glaucoma in vision loss Rehab Per nurse's documentation; received Pfizer's Covid-19 vaccine First shot on march 17, 2021 and the second shot on February 24,2021 with complication No ADE was reported Per April 19, 2021 documentation, the patient passed away from an MI on April 11, 2021
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Critical illness, Death, Fall, Femur fracture, Hip surgery
Clinical narrative: Narrative:  A 66yo female with PMH of Anxiety, Appendectomy, Intervertebral Disc Disorder with Myelopathy, Neuroleptic Induced Acute Akathisia, Schizoaffective Disorder, Obesity, Vomiting, Other unspecified Ovarian Cyst, Hypercholesterolemia, DM II and Schizophrenia Per nurse's documentation- He received Pfizer's Covid-19 vaccine per policy and protocol without complication First dose on April 16, 2021 On April 12, 2021 the patient presented to the ER with CC of Fall, was diagnosed with right femur fracture, got admitted and had hip surgery Patient was critically ill and the system showed she passed away on April 18.2021 The system shows this patient passed away on April 18. 2021
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  A 63yo Homeless male with PMH of OA, Chronic Pain, Chronic Back Pain, Opioid Dependence, Hepatitis, Knee Pain Per Nurse's documentation he received Pfizer's Covid - 19 vaccine per policy and protocol without complication First dose on March 9, 2021 and second dose on March 30, 2021 No ADR reported The system shows this patient passed away on April 22, 2021
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  An 80yo male with PMH of Parkinson's Disease, Congestive Heart failure and Atherosclerosis of Coronary Artery without Angina Pectoris Per nurse's documentation - he received Pfizer's Covid -19 vaccine first dose on February 22, 2021 per policy and protocol , without complication No ADE was reported The system shows the patient passed away on March 19, 2021 March 22, 2021 documentation by admin officer of the day does not include the cause of death
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Narrative:  Nausea reported with covid vaccine. No additional details provided.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea
Clinical narrative: Narrative: Patient received second dose of covid vaccine. Within 15 mins of vaccine administration, patient developed SOB and dizziness. Patient was at facility and was transported via ambulance after EMS was called. No additional details of adverse event available.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Narrative:  Patient received J&J vaccine and reported headache the day of vaccination. Resolved with tylenol.
Age: 99.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  99yo male died on 06/23/2021. No information provided about his death. Pt does not receive primary care from clinic. Pt received one covid vaccine on 1/14/21 from pharmacy. Likely death is not related to the vaccination given pt's advanced age and given 6 months has pasted since he received the covid vaccine.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Narrative:  68 yo male found deceased at home by his family on 6/24/2021. Pt had received covid vaccines from pharmacy on 2/16/21 & 3/21/21. No information available on cause of pt's death. Likely vaccines not related to pt's death given death was 3 months post most recent vaccine.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Narrative:  Patient with confirmed COVID-19 after complete vaccination with Pfizer vaccine.
Age: 33.0
Sex: M
Vaccine: TDAP
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  A 72yo male with PMH of Rectal Bleeding, Tremor, Old MI, CAD, Hyperlipidemia, Empyema, Rectal Carcinoma, PVD, Impotence, DM, HTN, Chronic PTSD, Depressive Disorder, A-fib, Disorder of Teeth and Supporting Structure, Syncope and CHF Per Nurse's documentation - he received Pfizer Covid-19 vaccine on February 24, 2021 per policy and protocol without complication No ADE reported The system shows he passed away on March 10, 2021
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Alcohol abuse, Condition aggravated, Death, Hypertension, Suicidal ideation
Clinical narrative: Narrative: 63 yo female patient with the following problem list: PROBLEM LAST MOD PROVIDER Diabetes mellitus (SCT 73211009) (ICD-10-CM 08/14/2019 E11.8) Hyperbilirubinemia (SCT 14783006) (ICD-10-CM 09/15/2017 R69.) Needs follow up CT of possile obstruction Dec, 2017. Depressive disorder (SCT 35489007) (ICD-10-CM 09/02/2017 F32.9) Alcohol withdrawal-induced seizure (SCT 08/29/2017 308742005) (ICD-10-CM R69.) Autoimmune hepatitis (SCT 408335007) (ICD-10-CM 05/17/2017 K75.4) Homeless single person (SCT 160700001) 04/11/2017 (ICD-10-CM Z59.0) (ICD-10-CM Z01.20); ENCOUNTER FOR DENTAL 03/20/2017 EXAMINATION AND CLEANING WITHOUT ABNORMAL FINDINGS Heavy tobacco smoker (SCT42871000124103) 03/09/2017 (ICD-10-CM F17.200) Alcohol withdrawal syndrome (SCT 191480000) 03/06/2017 (ICD-10-CM F10.239) Adjustment disorder with mixed disturbance of 02/06/2017 emotions AND conduct (SCT 66381006) (ICD-10-CM F43.25) Alcohol dependence (SCT 66590003) (ICD-10-CM 02/06/2017 F10.99) Obstructive sleep apnea of adult (SCT 02/06/2017 1101000119103) (ICD-10-CM G47.33) Borderline personality disorder (SCT 20010003) 02/06/2017 (ICD-10-CM F60.3)  Alcohol abuse (SCT 15167005) (ICD-10-CM F10.129) 02/03/2017 Had made a call to suicide hotline on 12/16/2021. Pt was found deceased on 12/17/2021 by officer of welfare check. Coroner confirmed that the official cause of death was natural passing with HTN and chronic etoh abuse. Pt had received one J&J covid vaccine on 8/13/2021. This death is not related to covid vaccine.
Age: 94.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: 94yo male patient died on 12/20/2021. No info as to cause of death or any events leading up to pt's death in medical record. Pt died at home. Pt had received vaccines on 3/9/21 & 4/7/21. Pt's problem list below: PROBLEM LAST MOD PROVIDER Abnormal breath sounds (SCT 301273002) 07/24/2020 (ICD-10-CM R06.89) Chronic rhinitis (SCT 86094006) (ICD-10-CM 08/14/2017 J31.0) Cough (SCT 49727002)(ICD-10-CM R05.) 08/14/2017 Dizziness (SCT 404640003) (ICD-10-CM R42.) 08/14/2017 Pneumonia (SCT 233604007) (ID-10-CM J18.8) 08/14/2017 Abnormal gait (SCT 22325002 (ICD-10-CM R26.9) 03/18/2017 Laceration of hand (SCT 284549007) (ICD-10-CM 10/17/2016 S61.411S) Asthenia (SCT 13791008) (ICD-10-CM R68.89) 04/07/2016 Lower respiratory tract infection (SCT 50417007) 03/31/2015 (ICD-9-CM 519.8) Lower urinary tract symptoms (SCT 307541003) 03/31/2015 (ICD-9-CM 788.99) Idiopathic Pulmonary Fibrosis (SCT 700250006) 12/18/2017 (ICD-10-CM J84.112) Other dyspnea and respiratory abnormality (SCT 11/27/2015 60845006) (ICD-10-CM R06.09) Dyschromia (ICD-9-CM 709.00) 04/24/2014 Edema (ICD-9-CM 782.3) 04/24/2014 Thrombocytopenia (ICD-9-CM 287.5) 04/24/2014 Other specified disease of white blood cells 03/10/2017 (SCT 165509000) (ICD-10-CM D72.828) 1. Count elevated and he is being seen in hematology 2. Lab report again (ICD-9-CM 592.0); Calculus of Kidney (ICD-9-CM 10/15/2010 592.0) (ICD-9-CM 388.30); Tinnitus * (ICD-9-CM 388.30) 02/18/2010 (ICD-9-CM 715.98); Osteoarthritis involving the 04/27/2007 spine (ICD-9-CM 715.98) Sensorineural Hearing Loss (SCT 194424005) 07/24/2020 (ICD-10-CM H90.3) Diverticulosis, Colonic (ICD-9-CM 562.10) 12/10/2001 FOS 7-01 (ICD-9-CM 715.90); Osteoarthritis * (ICD-9-CM 12/10/2001 715.90) (ICD-9-CM 726.32); Epicondylitis * (ICD-9-CM 06/12/2001 726.32) Chronic rhinitis (ICD-9-CM 472.0) 06/12/2001 Other and unspecified hyperlipidemia (SCT 07/24/2020 55822004) (ICD-10-CM E78.5) Acute upper respiratory infections of 05/11/1999 unspecified site (ICD-9-CM 465.9) Chronic ischemic heart disease (ICD-9-CM 414.9) 02/23/2001 CABGx4 vessel 6-00 This death is likely not related to the vaccinations due to patient's comorbidities, advanced age, and length of time from vaccine administration.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Abnormal behaviour, Acute kidney injury, Acute respiratory failure, Asthenia, Bacteraemia
Clinical narrative: Narrative:  Patient is a 69-year old male patient Covid vaccinated (Moderna x2 02/2021) with PMH of chronic multiple sclerosis with secondary neurogenic bladder/bowel on indwelling Foley cath/wheelchair-bound On Ocrevus infusions q 6 months, chronic debility/FTT Group Home Resident, type 2 diabetes mellitus non-insulin-requiring , vitamin D deficiency admitted after transferred from group home to ED on 10/08 for change in behavior, diminished energy and poor appetite. At the ED COVID-19 (10/08/2021) detected with hypoxia requiring 6 L O2 and chest x-ray with Covid pneumonia and possible superimposed RLL secondary pneumonia or possible aspiration. #1. Acute toxic metabolic encephalopathy 2/2 multiple etiologies: Covid Pneumonia with Hypoxemia/bacteremia: resolved ,patient is back to baseline mentation - Head CT scan : Unremarkable -s/p Lumbar puncture (10/08) at ED -CSF : culture and WBC/G/S :neg #2. Acute hypoxic respiratory failure secondary to COVID Pneumonia and superimposed RLL Pneumonia possible aspiration: resolved #3.Acute COVID Pneumonia : Covid vaccinated with Moderna(02/2021) with superimposed secondary Pneumonia (RLL) possible Aspiration: resolved - on IV Remdesivir 10/08 - 10/12,IV Decadron 6 mg 10/08 - 10/18 - completed Ceftriaxone 2 gms daily 10/12 IV Zosyn 10/09 - 10/12 s/p Vancomycin x1 dose (10/08) #4. Positive blood cultures: 1 of2 positive Klebsiella pneumoniae and staph epidermidis,source unkown ?pneumonia: resolved #5. Acute kidney injury likely prerenal secondary to dehydration 2/2 poor oral intake: resolved #6. Acute electrolyte disorder: Acute hypernatremia likely secondary to dehydration: resolved #7. Type 2 diabetes mellitus non-insulin requiring: Hemoglobin A1c 9.4% (08/03/2021). -Outpatient regimen: Metformin 500mg daily -Started patient on basal and bolus insulin #8. Chronic multiple sclerosis with secondary neurogenic bladder/bowel on indwelling Foley cath s/p removal 10/30 now Condom cath -On Ocrevus/ocrelizumab infusions q 6 months #10. Chronic vitamin D and B12 deficiency -Continue cholecalciferol and cyanocobalamin #11. Buttock and sacrum decubitus wounds ,Unstageable(POA): resolved #12: Urine Cx + Klebsiella (11/06): resolved
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Bladder catheter removal, Blood culture positive, COVID-19, COVID-19 pneumonia, CSF culture negative
Clinical narrative: Narrative:  Patient is a 69-year old male patient Covid vaccinated (Moderna x2 02/2021) with PMH of chronic multiple sclerosis with secondary neurogenic bladder/bowel on indwelling Foley cath/wheelchair-bound On Ocrevus infusions q 6 months, chronic debility/FTT Group Home Resident, type 2 diabetes mellitus non-insulin-requiring , vitamin D deficiency admitted after transferred from group home to ED on 10/08 for change in behavior, diminished energy and poor appetite. At the ED COVID-19 (10/08/2021) detected with hypoxia requiring 6 L O2 and chest x-ray with Covid pneumonia and possible superimposed RLL secondary pneumonia or possible aspiration. #1. Acute toxic metabolic encephalopathy 2/2 multiple etiologies: Covid Pneumonia with Hypoxemia/bacteremia: resolved ,patient is back to baseline mentation - Head CT scan : Unremarkable -s/p Lumbar puncture (10/08) at ED -CSF : culture and WBC/G/S :neg #2. Acute hypoxic respiratory failure secondary to COVID Pneumonia and superimposed RLL Pneumonia possible aspiration: resolved #3.Acute COVID Pneumonia : Covid vaccinated with Moderna(02/2021) with superimposed secondary Pneumonia (RLL) possible Aspiration: resolved - on IV Remdesivir 10/08 - 10/12,IV Decadron 6 mg 10/08 - 10/18 - completed Ceftriaxone 2 gms daily 10/12 IV Zosyn 10/09 - 10/12 s/p Vancomycin x1 dose (10/08) #4. Positive blood cultures: 1 of2 positive Klebsiella pneumoniae and staph epidermidis,source unkown ?pneumonia: resolved #5. Acute kidney injury likely prerenal secondary to dehydration 2/2 poor oral intake: resolved #6. Acute electrolyte disorder: Acute hypernatremia likely secondary to dehydration: resolved #7. Type 2 diabetes mellitus non-insulin requiring: Hemoglobin A1c 9.4% (08/03/2021). -Outpatient regimen: Metformin 500mg daily -Started patient on basal and bolus insulin #8. Chronic multiple sclerosis with secondary neurogenic bladder/bowel on indwelling Foley cath s/p removal 10/30 now Condom cath -On Ocrevus/ocrelizumab infusions q 6 months #10. Chronic vitamin D and B12 deficiency -Continue cholecalciferol and cyanocobalamin #11. Buttock and sacrum decubitus wounds ,Unstageable(POA): resolved #12: Urine Cx + Klebsiella (11/06): resolved
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: CSF test normal, CSF white blood cell count negative, Chest X-ray abnormal, Computerised tomogram head normal, Condition aggravated
Clinical narrative: Narrative:  Patient is a 69-year old male patient Covid vaccinated (Moderna x2 02/2021) with PMH of chronic multiple sclerosis with secondary neurogenic bladder/bowel on indwelling Foley cath/wheelchair-bound On Ocrevus infusions q 6 months, chronic debility/FTT Group Home Resident, type 2 diabetes mellitus non-insulin-requiring , vitamin D deficiency admitted after transferred from group home to ED on 10/08 for change in behavior, diminished energy and poor appetite. At the ED COVID-19 (10/08/2021) detected with hypoxia requiring 6 L O2 and chest x-ray with Covid pneumonia and possible superimposed RLL secondary pneumonia or possible aspiration. #1. Acute toxic metabolic encephalopathy 2/2 multiple etiologies: Covid Pneumonia with Hypoxemia/bacteremia: resolved ,patient is back to baseline mentation - Head CT scan : Unremarkable -s/p Lumbar puncture (10/08) at ED -CSF : culture and WBC/G/S :neg #2. Acute hypoxic respiratory failure secondary to COVID Pneumonia and superimposed RLL Pneumonia possible aspiration: resolved #3.Acute COVID Pneumonia : Covid vaccinated with Moderna(02/2021) with superimposed secondary Pneumonia (RLL) possible Aspiration: resolved - on IV Remdesivir 10/08 - 10/12,IV Decadron 6 mg 10/08 - 10/18 - completed Ceftriaxone 2 gms daily 10/12 IV Zosyn 10/09 - 10/12 s/p Vancomycin x1 dose (10/08) #4. Positive blood cultures: 1 of2 positive Klebsiella pneumoniae and staph epidermidis,source unkown ?pneumonia: resolved #5. Acute kidney injury likely prerenal secondary to dehydration 2/2 poor oral intake: resolved #6. Acute electrolyte disorder: Acute hypernatremia likely secondary to dehydration: resolved #7. Type 2 diabetes mellitus non-insulin requiring: Hemoglobin A1c 9.4% (08/03/2021). -Outpatient regimen: Metformin 500mg daily -Started patient on basal and bolus insulin #8. Chronic multiple sclerosis with secondary neurogenic bladder/bowel on indwelling Foley cath s/p removal 10/30 now Condom cath -On Ocrevus/ocrelizumab infusions q 6 months #10. Chronic vitamin D and B12 deficiency -Continue cholecalciferol and cyanocobalamin #11. Buttock and sacrum decubitus wounds ,Unstageable(POA): resolved #12: Urine Cx + Klebsiella (11/06): resolved
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Condom catheter placement, Culture urine positive, Decreased appetite, Decubitus ulcer, Dehydration
Clinical narrative: Narrative:  Patient is a 69-year old male patient Covid vaccinated (Moderna x2 02/2021) with PMH of chronic multiple sclerosis with secondary neurogenic bladder/bowel on indwelling Foley cath/wheelchair-bound On Ocrevus infusions q 6 months, chronic debility/FTT Group Home Resident, type 2 diabetes mellitus non-insulin-requiring , vitamin D deficiency admitted after transferred from group home to ED on 10/08 for change in behavior, diminished energy and poor appetite. At the ED COVID-19 (10/08/2021) detected with hypoxia requiring 6 L O2 and chest x-ray with Covid pneumonia and possible superimposed RLL secondary pneumonia or possible aspiration. #1. Acute toxic metabolic encephalopathy 2/2 multiple etiologies: Covid Pneumonia with Hypoxemia/bacteremia: resolved ,patient is back to baseline mentation - Head CT scan : Unremarkable -s/p Lumbar puncture (10/08) at ED -CSF : culture and WBC/G/S :neg #2. Acute hypoxic respiratory failure secondary to COVID Pneumonia and superimposed RLL Pneumonia possible aspiration: resolved #3.Acute COVID Pneumonia : Covid vaccinated with Moderna(02/2021) with superimposed secondary Pneumonia (RLL) possible Aspiration: resolved - on IV Remdesivir 10/08 - 10/12,IV Decadron 6 mg 10/08 - 10/18 - completed Ceftriaxone 2 gms daily 10/12 IV Zosyn 10/09 - 10/12 s/p Vancomycin x1 dose (10/08) #4. Positive blood cultures: 1 of2 positive Klebsiella pneumoniae and staph epidermidis,source unkown ?pneumonia: resolved #5. Acute kidney injury likely prerenal secondary to dehydration 2/2 poor oral intake: resolved #6. Acute electrolyte disorder: Acute hypernatremia likely secondary to dehydration: resolved #7. Type 2 diabetes mellitus non-insulin requiring: Hemoglobin A1c 9.4% (08/03/2021). -Outpatient regimen: Metformin 500mg daily -Started patient on basal and bolus insulin #8. Chronic multiple sclerosis with secondary neurogenic bladder/bowel on indwelling Foley cath s/p removal 10/30 now Condom cath -On Ocrevus/ocrelizumab infusions q 6 months #10. Chronic vitamin D and B12 deficiency -Continue cholecalciferol and cyanocobalamin #11. Buttock and sacrum decubitus wounds ,Unstageable(POA): resolved #12: Urine Cx + Klebsiella (11/06): resolved
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Electrolyte imbalance, Glycosylated haemoglobin increased, Hypernatraemia, Hypophagia, Hypoxia
Clinical narrative: Narrative:  Patient is a 69-year old male patient Covid vaccinated (Moderna x2 02/2021) with PMH of chronic multiple sclerosis with secondary neurogenic bladder/bowel on indwelling Foley cath/wheelchair-bound On Ocrevus infusions q 6 months, chronic debility/FTT Group Home Resident, type 2 diabetes mellitus non-insulin-requiring , vitamin D deficiency admitted after transferred from group home to ED on 10/08 for change in behavior, diminished energy and poor appetite. At the ED COVID-19 (10/08/2021) detected with hypoxia requiring 6 L O2 and chest x-ray with Covid pneumonia and possible superimposed RLL secondary pneumonia or possible aspiration. #1. Acute toxic metabolic encephalopathy 2/2 multiple etiologies: Covid Pneumonia with Hypoxemia/bacteremia: resolved ,patient is back to baseline mentation - Head CT scan : Unremarkable -s/p Lumbar puncture (10/08) at ED -CSF : culture and WBC/G/S :neg #2. Acute hypoxic respiratory failure secondary to COVID Pneumonia and superimposed RLL Pneumonia possible aspiration: resolved #3.Acute COVID Pneumonia : Covid vaccinated with Moderna(02/2021) with superimposed secondary Pneumonia (RLL) possible Aspiration: resolved - on IV Remdesivir 10/08 - 10/12,IV Decadron 6 mg 10/08 - 10/18 - completed Ceftriaxone 2 gms daily 10/12 IV Zosyn 10/09 - 10/12 s/p Vancomycin x1 dose (10/08) #4. Positive blood cultures: 1 of2 positive Klebsiella pneumoniae and staph epidermidis,source unkown ?pneumonia: resolved #5. Acute kidney injury likely prerenal secondary to dehydration 2/2 poor oral intake: resolved #6. Acute electrolyte disorder: Acute hypernatremia likely secondary to dehydration: resolved #7. Type 2 diabetes mellitus non-insulin requiring: Hemoglobin A1c 9.4% (08/03/2021). -Outpatient regimen: Metformin 500mg daily -Started patient on basal and bolus insulin #8. Chronic multiple sclerosis with secondary neurogenic bladder/bowel on indwelling Foley cath s/p removal 10/30 now Condom cath -On Ocrevus/ocrelizumab infusions q 6 months #10. Chronic vitamin D and B12 deficiency -Continue cholecalciferol and cyanocobalamin #11. Buttock and sacrum decubitus wounds ,Unstageable(POA): resolved #12: Urine Cx + Klebsiella (11/06): resolved
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Infusion, Klebsiella test positive, Lumbar puncture normal, SARS-CoV-2 test positive, Staphylococcus test positive
Clinical narrative: Narrative:  Patient is a 69-year old male patient Covid vaccinated (Moderna x2 02/2021) with PMH of chronic multiple sclerosis with secondary neurogenic bladder/bowel on indwelling Foley cath/wheelchair-bound On Ocrevus infusions q 6 months, chronic debility/FTT Group Home Resident, type 2 diabetes mellitus non-insulin-requiring , vitamin D deficiency admitted after transferred from group home to ED on 10/08 for change in behavior, diminished energy and poor appetite. At the ED COVID-19 (10/08/2021) detected with hypoxia requiring 6 L O2 and chest x-ray with Covid pneumonia and possible superimposed RLL secondary pneumonia or possible aspiration. #1. Acute toxic metabolic encephalopathy 2/2 multiple etiologies: Covid Pneumonia with Hypoxemia/bacteremia: resolved ,patient is back to baseline mentation - Head CT scan : Unremarkable -s/p Lumbar puncture (10/08) at ED -CSF : culture and WBC/G/S :neg #2. Acute hypoxic respiratory failure secondary to COVID Pneumonia and superimposed RLL Pneumonia possible aspiration: resolved #3.Acute COVID Pneumonia : Covid vaccinated with Moderna(02/2021) with superimposed secondary Pneumonia (RLL) possible Aspiration: resolved - on IV Remdesivir 10/08 - 10/12,IV Decadron 6 mg 10/08 - 10/18 - completed Ceftriaxone 2 gms daily 10/12 IV Zosyn 10/09 - 10/12 s/p Vancomycin x1 dose (10/08) #4. Positive blood cultures: 1 of2 positive Klebsiella pneumoniae and staph epidermidis,source unkown ?pneumonia: resolved #5. Acute kidney injury likely prerenal secondary to dehydration 2/2 poor oral intake: resolved #6. Acute electrolyte disorder: Acute hypernatremia likely secondary to dehydration: resolved #7. Type 2 diabetes mellitus non-insulin requiring: Hemoglobin A1c 9.4% (08/03/2021). -Outpatient regimen: Metformin 500mg daily -Started patient on basal and bolus insulin #8. Chronic multiple sclerosis with secondary neurogenic bladder/bowel on indwelling Foley cath s/p removal 10/30 now Condom cath -On Ocrevus/ocrelizumab infusions q 6 months #10. Chronic vitamin D and B12 deficiency -Continue cholecalciferol and cyanocobalamin #11. Buttock and sacrum decubitus wounds ,Unstageable(POA): resolved #12: Urine Cx + Klebsiella (11/06): resolved
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Toxic encephalopathy, Type 2 diabetes mellitus
Clinical narrative: Narrative:  Patient is a 69-year old male patient Covid vaccinated (Moderna x2 02/2021) with PMH of chronic multiple sclerosis with secondary neurogenic bladder/bowel on indwelling Foley cath/wheelchair-bound On Ocrevus infusions q 6 months, chronic debility/FTT Group Home Resident, type 2 diabetes mellitus non-insulin-requiring , vitamin D deficiency admitted after transferred from group home to ED on 10/08 for change in behavior, diminished energy and poor appetite. At the ED COVID-19 (10/08/2021) detected with hypoxia requiring 6 L O2 and chest x-ray with Covid pneumonia and possible superimposed RLL secondary pneumonia or possible aspiration. #1. Acute toxic metabolic encephalopathy 2/2 multiple etiologies: Covid Pneumonia with Hypoxemia/bacteremia: resolved ,patient is back to baseline mentation - Head CT scan : Unremarkable -s/p Lumbar puncture (10/08) at ED -CSF : culture and WBC/G/S :neg #2. Acute hypoxic respiratory failure secondary to COVID Pneumonia and superimposed RLL Pneumonia possible aspiration: resolved #3.Acute COVID Pneumonia : Covid vaccinated with Moderna(02/2021) with superimposed secondary Pneumonia (RLL) possible Aspiration: resolved - on IV Remdesivir 10/08 - 10/12,IV Decadron 6 mg 10/08 - 10/18 - completed Ceftriaxone 2 gms daily 10/12 IV Zosyn 10/09 - 10/12 s/p Vancomycin x1 dose (10/08) #4. Positive blood cultures: 1 of2 positive Klebsiella pneumoniae and staph epidermidis,source unkown ?pneumonia: resolved #5. Acute kidney injury likely prerenal secondary to dehydration 2/2 poor oral intake: resolved #6. Acute electrolyte disorder: Acute hypernatremia likely secondary to dehydration: resolved #7. Type 2 diabetes mellitus non-insulin requiring: Hemoglobin A1c 9.4% (08/03/2021). -Outpatient regimen: Metformin 500mg daily -Started patient on basal and bolus insulin #8. Chronic multiple sclerosis with secondary neurogenic bladder/bowel on indwelling Foley cath s/p removal 10/30 now Condom cath -On Ocrevus/ocrelizumab infusions q 6 months #10. Chronic vitamin D and B12 deficiency -Continue cholecalciferol and cyanocobalamin #11. Buttock and sacrum decubitus wounds ,Unstageable(POA): resolved #12: Urine Cx + Klebsiella (11/06): resolved
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: 89 yo male patient with the following problem list: PROBLEM LAST MOD PROVIDER Acute non-ST segment elevation myocardial 02/05/2020 infarction (SCT 401314000) (ICD-10-CM R69.) 1/2020 CMH; no cardica cath. Medical mgmt Insomnia (SCT 193462001) (ICD-10-CM G47.00), 08/26/2019 Onset 00/00/2017 On elavil Squamous cell carcinoma of skin of ear (SCT 07/25/2016 403894000) (ICD-10-CM C44.229) Basosquamous carcinoma of skin (SCT 254702000) 07/25/2016 (ICD-10-CM C44.311) Hyperparathyroidism due to renal insufficiency 07/11/2016 (SCT 19034001) (ICD-10-CM N25.81) Chronic kidney disease stage 3B (SCT 700379002) 07/11/2016 (ICD-10-CM N18.3) Gastroesophageal reflux disease (SCT 235595009) 05/10/2016 (ICD-10-CM K21.9) Gastritis (SCT 4556007) (ICD-10-CM K29.70) 05/10/2016 Bilateral carotid artery stenosis (SCT 05/10/2016 293821000119107) (ICD-10-CM I65.23) Peripheral vascular disease (SCT 400047006) 05/10/2016 (ICD-10-CM I73.9) Hypertensive disorder (SCT 38341003) (ICD-10-CM 10/29/2015 I10). Hyperlipidemia (SCT 55822004) (ICD-10-CM E78.5) 10/29/2015 Hyperuricemia (SCT 35885006) (ICD-10-CM E79.0) 10/29/2015 Other disorders of bone and cartilage (ICD-9-CM 06/01/2015 733.99) (ICD-9-CM 786.05); Dyspnea * (ICD-9-CM 04/20/2009 786.05/786.09) (ICD-9-CM 701.1); Keratosis * (ICD-9-CM 701.1) 04/20/2009 (ICD-9-CM-436.); CVA (ICD-9-CM 436.) 04/20/2009 (ICD-9-CM 302.72); Male erectile disorder 02/23/2007 (ICD-9-CM 302.72/607.84) (ICD-9-CM 756.79); Gastroschisis (ICD-9-CM 02/23/2007 756.79) (ICD-9-CM 562.10); Diverticulosis * (ICD-9-CM 07/09/2004 562.10) (ICD-9-CM 433.10); CAROTID STENOSIS 04/30/2002 (ICD-9-CM 715.90); DJD * (ICD-9-CM 715.90) 04/30/2002 (ICD-9-CM 530.3); Esophageal stricture (ICD-9-CM 05/30/2001 530.3) (ICD-9-CM 564.0); Constipation 05/30/2001 Peptic ulcer of unspecified site, unspecified as 06/01/1999 acute or chronic, without mention of hemorrhage or perforation, without mention of obstruction (ICD-9-CM 533.90) Peripheral Vascular Disease, Unspecified 06/01/1999 (ICD-9-CM 443.9) Pt had received covid vaccines on 1/15/2021 & 2/28/2021. No info reported on cause of pt's death or events leading up to pt's death as pt died at home and no notes since 8/2021. This death is likely not related to the vaccinations due to patient's comorbidities, advanced age, and length of time from vaccine administration.