chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive, Serum ferritin decreased
Clinical narrative: Discharge Provider: MD Primary Care Provider: DO Admission Date: 4/24/2023 Discharge Date: 04/25/2023 Presenting Problem: CHF (congestive heart failure)  CHF (congestive heart failure)   HOSPITAL COURSE: 70 year old pt. Of Dr. with past medical history of CAD with anterior MI in 2013, ICM EF 22% s/p ICD, hypertension, hyperlipidemia, obesity. Patient reported ongoing dyspnea on exertion, arranged for outpatient R/LHC that showed elevated filling pressures and cardiogenic shock.    Patient was admitted to AHF service and placed on RDT. RHC 4/24 showed RA 11, PA 54/28/37, W 33, FCI 1.6 (wt 110.9 kg). LHC showed MVCAD (100% occluded mid LAD, known occluded prox RCA not imaged). His CAD was unchanged compared to prior angiogram in 2013, continue medical management; ASA, statin, and BB.    Of note, on admit, patient tested positive for COVID. He was asymptomatic, stable on RA, supportive care continued. He had COVID in December, this is when all his symptoms started, COVID+ this admit may be from December infection.    Iron studies on admit consistent with iron deficiency anemia (ferritin 60). Given quick discharge timing, he did not receive any IV iron, IV ferrlecit was ordered 4/25 but patient refused, he did not receive any IV iron inpatient. Also with quick discharge he would have only received one dose of IV iron, evaluate outpatient for IV iron.     GDMT; given low cardiac output (FCI of 1.6), coreg dose was reduced. Entresto was increased. Added spiro. Dr. triggered patient for outpatient LVAD evaluation.    This patient was on the Diuresis Team and was stable but remained hypervolemic at time of discharge.  Patient was diuresed with IV lasix (40mg x1 and 80mg x1) then transitioned to torsemide 60mg daily.   Estimated dry weight is <107 kg. Weight on discharge is 107.8 kg. Consider patient for Cardiomems implant
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Acute respiratory failure, Hypertension
Clinical narrative: I21.4 ACUTE NON ST ELEVATION MI 1/29/2022 HTN (HYPERTENSION) J96.00 ACUTE RESPIRATORY FAILURE 11/24/2021 HTN (HYPERTENSION) J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 11/22/2021 HTN (HYPERTENSION) I21.4 ACUTE NON ST ELEVATION MI 1/29/2022 HTN (HYPERTENSION) J96.00 ACUTE RESPIRATORY FAILURE 11/24/2021 HTN (HYPERTENSION) J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 11/22/2021 HTN (HYPERTENSION)
Age: 96.0
Sex: M
Vaccine: COVID19
Symptoms: Adult failure to thrive, Dehydration, Dysphagia, Hypoxia, Septic shock
Clinical narrative: R09.02 HYPOXEMIA 9/7/2021 FAILURE TO THRIVE SYNDROME, ADULT R09.02 HYPOXEMIA 9/7/2021 DEHYDRATION R09.02 HYPOXEMIA 9/7/2021 DYSPHAGIA R09.02 HYPOXEMIA 9/7/2021 DEHYDRATION R09.02 HYPOXEMIA 9/7/2021 SEPTIC SHOCK
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia
Clinical narrative: HYPOXIA
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus
Clinical narrative: Patient called pharmacy on 5/8/23 stating she fills "itchy" all over. Unknown when it started, but that it was after her vaccine and has been getting worse
Age: 17.0
Sex: F
Vaccine: COVID19-2
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Bivalent Pfizer covid 19 vaccine was inadvertently given early. No symptoms reported. No treatment necessary.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, Gait inability, SARS-CoV-2 test positive
Clinical narrative: Hospitalization: 4/2/2023 - 4/4/2023 (2 days) Presentation to the ED: inability to walk associated with weakness.  COVID + date: 4/2/2023 Treatment: supportive care.  Discharge to: home.   3/12/2021 002A21A 4/9/2021 046B21A 11/18/2021 065F21A
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Behaviour disorder, Deep vein thrombosis, Dementia, Pulmonary embolism
Clinical narrative: SADDLE PULMONARY EMBOLISM 3/10/2022 UNSPECIFIED DEMENTIA, UNSPECIFIED SEVERITY, W OTHER BEHAVIORAL DISTURBANCE  PULMONARY EMBOLISM, UNSPECIFIED. 1/25/2022 UNSPECIFIED DEMENTIA, UNSPECIFIED SEVERITY, W OTHER BEHAVIORAL DISTURBANCE  ACUTE DVT OF RIGHT LEG, UNSPECIFIED VEIN 3/10/2022 UNSPECIFIED DEMENTIA, UNSPECIFIED SEVERITY, W OTHER BEHAVIORAL DISTURBANCE  ACUTE DVT OF LEFT LEG, UNSPECIFIED VEIN 1/25/2022 UNSPECIFIED DEMENTIA, UNSPECIFIED SEVERITY, W OTHER BEHAVIORAL DISTURBANCE
Age: 86.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Chest X-ray normal, Condition aggravated, Hypophagia, Laboratory test normal
Clinical narrative: Admission Date: 4/24/2023 Discharge Date: Apr 26, 2023   PRESENTING PROBLEM: Syncope, unspecified syncope type   HOSPITAL COURSE: Patient, female with a past medical history of dementia paroxysmal atrial fibrillation, hypothyroidism, and essential hypertension among other comorbid conditions presented to the Hospital area department on 04/24/2023 after patient experienced an episode of syncope while at home.  The patient was slowly lowered to the ground by her husband, there was no evidence of head trauma.  Evaluation in the emergency department revealed positive orthostatic vitals but otherwise patient was hemodynamically stable.  Laboratory studies are largely unremarkable except for troponin which was 15 initially and recheck decreased to 13. COVID-19 screen was positive.  Evaluation via imaging which included chest x-ray was negative for acute process.  The patient was provided with Tylenol as well as 1 L of isotonic IV fluids in the emergency room and admitted to the hospitalist service for ongoing management and coordination.  Given the episode of syncope without clear etiology the cardiology team was consulted, evaluated the patient on 04/25/2023.  Determined there was no cardiac etiology for the patient's syncopal episode and was more likely related to the patient COVID-19 infection and related to poor oral intake. While hospitalized the patient remained hemodynamically stable, there were no further episodes of syncope and she was able to work with physical therapy. On 04/26/2023 with labs and vitals stable condition, with having been cleared by the Cardiology team, she was discharged to home instructions follow-up with her primary care physician within 7 days intermittent COVID-19 isolation to complete a total of 5 days per CDC recommendations.
Age: 86.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive, Syncope, Troponin
Clinical narrative: Admission Date: 4/24/2023 Discharge Date: Apr 26, 2023   PRESENTING PROBLEM: Syncope, unspecified syncope type   HOSPITAL COURSE: Patient, female with a past medical history of dementia paroxysmal atrial fibrillation, hypothyroidism, and essential hypertension among other comorbid conditions presented to the Hospital area department on 04/24/2023 after patient experienced an episode of syncope while at home.  The patient was slowly lowered to the ground by her husband, there was no evidence of head trauma.  Evaluation in the emergency department revealed positive orthostatic vitals but otherwise patient was hemodynamically stable.  Laboratory studies are largely unremarkable except for troponin which was 15 initially and recheck decreased to 13. COVID-19 screen was positive.  Evaluation via imaging which included chest x-ray was negative for acute process.  The patient was provided with Tylenol as well as 1 L of isotonic IV fluids in the emergency room and admitted to the hospitalist service for ongoing management and coordination.  Given the episode of syncope without clear etiology the cardiology team was consulted, evaluated the patient on 04/25/2023.  Determined there was no cardiac etiology for the patient's syncopal episode and was more likely related to the patient COVID-19 infection and related to poor oral intake. While hospitalized the patient remained hemodynamically stable, there were no further episodes of syncope and she was able to work with physical therapy. On 04/26/2023 with labs and vitals stable condition, with having been cleared by the Cardiology team, she was discharged to home instructions follow-up with her primary care physician within 7 days intermittent COVID-19 isolation to complete a total of 5 days per CDC recommendations.
Age: 0.58
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Symptom recurrence
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE 11/15/2022 -- RECURRENCE OF SAME SYMPTOMS
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Metabolic encephalopathy, Piriformis syndrome, Small intestinal obstruction
Clinical narrative: ACUTE NON ST ELEVATION MI 5/29/2022 COMPLETE SMALL BOWEL OBSTRUCTION ACUTE NON ST ELEVATION MI 5/29/2022 LEFT PIRIFORMIS SYNDROME ACUTE NON ST ELEVATION MI 5/29/2022 METABOLIC ENCEPHALOPATHY
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Asthenia, Blood pressure increased, COVID-19, Dyspnoea, Nausea
Clinical narrative: Hospitalization: 4/2/2023 - 4/5/2023 Presentation to the ED: Past two weeks of elevated blood pressures, c/o weakness, shortness of breath, nausea. COVID + date: 4/2/2023 Treatment: did not require tx. asx.  Discharge to: home.  006M20A 2/13/2021 001B21A 3/13/2021 017F21A 10/29/2021 082B22A 8/29/2022
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Hospitalization: 4/2/2023 - 4/5/2023 Presentation to the ED: Past two weeks of elevated blood pressures, c/o weakness, shortness of breath, nausea. COVID + date: 4/2/2023 Treatment: did not require tx. asx.  Discharge to: home.  006M20A 2/13/2021 001B21A 3/13/2021 017F21A 10/29/2021 082B22A 8/29/2022
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Angina unstable
Clinical narrative: UNSTABLE ANGINA.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness unilateral, Eye pain, Headache, Neck pain
Clinical narrative: In August 2022, I started having pain in my neck. I thought it would go away, so I waited to consult with my doctor. In December, I lost hearing on my left side. I was having headaches 24/7, he did not run any test or give any medication. In January I went back to the doctor to let him know I was still dealing with the headaches; he advised me to take Tylenol and Ibuprofen. I awoke one night with an excruciating pain in my eye, I went back to the doctor and told him I could not deal with this pain. I was given Azithromycin any possible infection I may have.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Cardiac failure congestive, Deep vein thrombosis, Hypoxia
Clinical narrative: I82.402 ACUTE DVT OF LEFT LEG, UNSPECIFIED VEIN 10/28/2021 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 4/15/2021 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED R09.02 HYPOXEMIA 10/28/2021 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED I82.402 ACUTE DVT OF LEFT LEG, UNSPECIFIED VEIN 10/28/2021 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 4/15/2021 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED R09.02 HYPOXEMIA 10/28/2021 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED I82.402 ACUTE DVT OF LEFT LEG, UNSPECIFIED VEIN 10/28/2021 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 4/15/2021 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED R09.02 HYPOXEMIA 10/28/2021 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Pulmonary embolism, Symptom recurrence
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE ACUTE RESPIRATORY FAILURE ACUTE PULMONARY EMBOLISM 4/11/2022 &  4/27/2022 -- RECURRENCE OF SAME SYMPTOMS
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Acute respiratory failure, Deep vein thrombosis, Pulmonary embolism, Symptom recurrence
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE ACUTE NON ST ELEVATION MI SADDLE PULMONARY EMBOLISM ACUTE DVT OF LEFT FEMORAL VEIN ACUTE HYPOXEMIC RESPIRATORY FAILURE ACUTE PULMONARY EMBOLISM 9/16/2022,  9/20/2022,  11/24/2022,  3/13/2023 -- RECURRENCE OF SAME SYMPTOMS
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Dizziness, SARS-CoV-2 test positive, Vertigo
Clinical narrative: Hospitalization: 4/6/2023 - 4/8/2023 (2 days) Presentation to the ED: vertigo and dizziness COVID + date: 4/7/2023 Treatment: none. patient was asx.  Discharge to: home.  012L20A 1/7/2021 010M20A 2/4/2021 078J21A 12/22/2021
Age: 60.0
Sex: F
Vaccine: COVID19-2, UNK
Symptoms: Arthralgia, Back pain, Muscle disorder
Clinical narrative: Muscular twinges and pain lower back and hip on right side. Orthopedic Evaluation 12/5/22 guided cortisone injection sacroiliac joint (right) 1/3/2023.  No significant improvement physical therapy 1/27/2023 through 4/28/2023.  Som improvement in muscular back pain.  Pain in hip persists
Age: 59.0
Sex: F
Vaccine: UNK
Symptoms: Magnetic resonance imaging, Pain
Clinical narrative: Pt developed sharp pain 6 months after the first Pfizer vaccine. Has went to a neurologist and did an MRI with no success. has also went to a dentist as well.
Age: 67.0
Sex: F
Vaccine: PNC20
Symptoms: Diarrhoea, Injection site inflammation, Injection site warmth, Nausea, Pruritus
Clinical narrative: Three days of nausea and diarrhea, minor itching  all over for seven days with extreme localized itching, heat and inflammation just below injection site.
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Ageusia, COVID-19, Chest X-ray normal, Chills, Cough
Clinical narrative: On 4/5/2023, I developed a sore throat. On 4/6/2023, I had body aches, chills, a headache, and likely a fever. If I had a fever, I don't know what the temperature was, as I do not have a thermometer. That morning, I had all those symptoms, plus loss of taste. I took a home antigen test and got a positive result. I called my doctor's office that afternoon to check into getting PAXLOVID. That afternoon, I had a telehealth visit with a NP from the clinic. She prescribed PAXLOVID, which I ended up not taking. I only planned to take it if my symptoms worsened over the weekend, which they did not. On 4/8/2023, the only symptom I had was a runny nose. On 4/9/2023, the only symptom I had was a cough. I isolated for five days and then wore a mask in public for five days afterwards. I had a lingering cough, which I treated with MUCINEX. On 4/25/2023, I had a routine blood pressure check at the doctor's office. While I was there, the NP heard some wheezing in the left lung. I underwent a chest X-ray, which showed normal results. I then continued taking MUCINEX every day until about 5/4/2023. Ever since then, I have been fine.
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Oropharyngeal pain, Pain, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: On 4/5/2023, I developed a sore throat. On 4/6/2023, I had body aches, chills, a headache, and likely a fever. If I had a fever, I don't know what the temperature was, as I do not have a thermometer. That morning, I had all those symptoms, plus loss of taste. I took a home antigen test and got a positive result. I called my doctor's office that afternoon to check into getting PAXLOVID. That afternoon, I had a telehealth visit with a NP from the clinic. She prescribed PAXLOVID, which I ended up not taking. I only planned to take it if my symptoms worsened over the weekend, which they did not. On 4/8/2023, the only symptom I had was a runny nose. On 4/9/2023, the only symptom I had was a cough. I isolated for five days and then wore a mask in public for five days afterwards. I had a lingering cough, which I treated with MUCINEX. On 4/25/2023, I had a routine blood pressure check at the doctor's office. While I was there, the NP heard some wheezing in the left lung. I underwent a chest X-ray, which showed normal results. I then continued taking MUCINEX every day until about 5/4/2023. Ever since then, I have been fine.
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Wheezing
Clinical narrative: On 4/5/2023, I developed a sore throat. On 4/6/2023, I had body aches, chills, a headache, and likely a fever. If I had a fever, I don't know what the temperature was, as I do not have a thermometer. That morning, I had all those symptoms, plus loss of taste. I took a home antigen test and got a positive result. I called my doctor's office that afternoon to check into getting PAXLOVID. That afternoon, I had a telehealth visit with a NP from the clinic. She prescribed PAXLOVID, which I ended up not taking. I only planned to take it if my symptoms worsened over the weekend, which they did not. On 4/8/2023, the only symptom I had was a runny nose. On 4/9/2023, the only symptom I had was a cough. I isolated for five days and then wore a mask in public for five days afterwards. I had a lingering cough, which I treated with MUCINEX. On 4/25/2023, I had a routine blood pressure check at the doctor's office. While I was there, the NP heard some wheezing in the left lung. I underwent a chest X-ray, which showed normal results. I then continued taking MUCINEX every day until about 5/4/2023. Ever since then, I have been fine.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Heart rate increased, Laboratory test
Clinical narrative: I had a fast-beating heart, SVP. I went to the emergency room, where upon arrival they ran a lot of tests. I cannot remember all of them. I do know I had an EKG. I was given medicine via an IV. I was released from the hospital once my heart rate returned to normal and told to follow up with my doctor. I have followed up with him, he has put me on medication, ran test I don't remember them, and I am going to have a procedure done.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Chronic respiratory failure, Obstructive sleep apnoea syndrome, Pulmonary embolism, Respiratory failure
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE OBSTRUCTIVE SLEEP APNEA ACUTE PULMONARY EMBOLISM CHRONIC RESPIRATORY FAILURE RESPIRATORY FAILURE, UNSPECIFIED ACUITY
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Angina pectoris, Angioedema
Clinical narrative: ANGINA, UNSPECIFIED ANGIOEDEMA, SEQUELA
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Atelectasis, Bundle branch block left, COVID-19, COVID-19 pneumonia
Clinical narrative: Discharge Provider: DO Primary Care Provider: MD Admission Date: 4/23/2023 Discharge Date: Apr 24, 2023 PRESENTING PROBLEM: COVID-19 [U07.1]   HOSPITAL COURSE:  59 y.o. female with past medical history significant for Ehlers-Danlos, OSA, mast cell activation syndrome, T2DM, HTN , Narcolepsy and Morbid obesity presents to ED with complaint of cough, fever, chills, nausea, episode of vomiting x1, diarrhea with last episode 4/22, generalized body aches and weakness, and headache since 4/17 with positive home COVID test 4/21. Pt also endorsing increased shortness of breath from baseline and aching chest pain across her chest between her clavicles. Patients husband who cares for her at home also has COVID. Pt states when she talked to her doctor over the phone on Friday, she was offered Paxlovid but declined as she thought she would get better soon but symptoms have worsened. Pt has had 4 COVID vaccinations in total with the last one being in 04/2022. Pt also has hx of COVID pneumonia in 5/2022. Denies hx of stroke, blood clots, COPD, cardiac hx.   In ED, cardiac workup performed due to complaint of chest pain and shortness of breath. Troponin 17->17. EKG with NSR and LBBB. CMP and CBC unremarkable. CXR with mild pulmonary congestion. Probable mild left-sided pleural effusion with adjacent lung atelectasis. Pt given tylenol 1000mg and 1L fluid bolus in ED. Pt placed in observation to general medicine for further management.   She was afebrile after admission. Her fatigue improved. She continued to be on room air through out stay. CM met with patient and after discussion it was noted that patient is current with home health PTA. She will continue home care services. She will continue isolation per CDC guidelines and discuss with PCP when cleared to come out of isolation.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac function test, Chest X-ray abnormal, Chest pain, Chills, Cough
Clinical narrative: Discharge Provider: DO Primary Care Provider: MD Admission Date: 4/23/2023 Discharge Date: Apr 24, 2023 PRESENTING PROBLEM: COVID-19 [U07.1]   HOSPITAL COURSE:  59 y.o. female with past medical history significant for Ehlers-Danlos, OSA, mast cell activation syndrome, T2DM, HTN , Narcolepsy and Morbid obesity presents to ED with complaint of cough, fever, chills, nausea, episode of vomiting x1, diarrhea with last episode 4/22, generalized body aches and weakness, and headache since 4/17 with positive home COVID test 4/21. Pt also endorsing increased shortness of breath from baseline and aching chest pain across her chest between her clavicles. Patients husband who cares for her at home also has COVID. Pt states when she talked to her doctor over the phone on Friday, she was offered Paxlovid but declined as she thought she would get better soon but symptoms have worsened. Pt has had 4 COVID vaccinations in total with the last one being in 04/2022. Pt also has hx of COVID pneumonia in 5/2022. Denies hx of stroke, blood clots, COPD, cardiac hx.   In ED, cardiac workup performed due to complaint of chest pain and shortness of breath. Troponin 17->17. EKG with NSR and LBBB. CMP and CBC unremarkable. CXR with mild pulmonary congestion. Probable mild left-sided pleural effusion with adjacent lung atelectasis. Pt given tylenol 1000mg and 1L fluid bolus in ED. Pt placed in observation to general medicine for further management.   She was afebrile after admission. Her fatigue improved. She continued to be on room air through out stay. CM met with patient and after discussion it was noted that patient is current with home health PTA. She will continue home care services. She will continue isolation per CDC guidelines and discuss with PCP when cleared to come out of isolation.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dyspnoea, Electrocardiogram abnormal, Fatigue, Full blood count normal
Clinical narrative: Discharge Provider: DO Primary Care Provider: MD Admission Date: 4/23/2023 Discharge Date: Apr 24, 2023 PRESENTING PROBLEM: COVID-19 [U07.1]   HOSPITAL COURSE:  59 y.o. female with past medical history significant for Ehlers-Danlos, OSA, mast cell activation syndrome, T2DM, HTN , Narcolepsy and Morbid obesity presents to ED with complaint of cough, fever, chills, nausea, episode of vomiting x1, diarrhea with last episode 4/22, generalized body aches and weakness, and headache since 4/17 with positive home COVID test 4/21. Pt also endorsing increased shortness of breath from baseline and aching chest pain across her chest between her clavicles. Patients husband who cares for her at home also has COVID. Pt states when she talked to her doctor over the phone on Friday, she was offered Paxlovid but declined as she thought she would get better soon but symptoms have worsened. Pt has had 4 COVID vaccinations in total with the last one being in 04/2022. Pt also has hx of COVID pneumonia in 5/2022. Denies hx of stroke, blood clots, COPD, cardiac hx.   In ED, cardiac workup performed due to complaint of chest pain and shortness of breath. Troponin 17->17. EKG with NSR and LBBB. CMP and CBC unremarkable. CXR with mild pulmonary congestion. Probable mild left-sided pleural effusion with adjacent lung atelectasis. Pt given tylenol 1000mg and 1L fluid bolus in ED. Pt placed in observation to general medicine for further management.   She was afebrile after admission. Her fatigue improved. She continued to be on room air through out stay. CM met with patient and after discussion it was noted that patient is current with home health PTA. She will continue home care services. She will continue isolation per CDC guidelines and discuss with PCP when cleared to come out of isolation.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Metabolic function test normal, Nausea, Pain, Pleural effusion
Clinical narrative: Discharge Provider: DO Primary Care Provider: MD Admission Date: 4/23/2023 Discharge Date: Apr 24, 2023 PRESENTING PROBLEM: COVID-19 [U07.1]   HOSPITAL COURSE:  59 y.o. female with past medical history significant for Ehlers-Danlos, OSA, mast cell activation syndrome, T2DM, HTN , Narcolepsy and Morbid obesity presents to ED with complaint of cough, fever, chills, nausea, episode of vomiting x1, diarrhea with last episode 4/22, generalized body aches and weakness, and headache since 4/17 with positive home COVID test 4/21. Pt also endorsing increased shortness of breath from baseline and aching chest pain across her chest between her clavicles. Patients husband who cares for her at home also has COVID. Pt states when she talked to her doctor over the phone on Friday, she was offered Paxlovid but declined as she thought she would get better soon but symptoms have worsened. Pt has had 4 COVID vaccinations in total with the last one being in 04/2022. Pt also has hx of COVID pneumonia in 5/2022. Denies hx of stroke, blood clots, COPD, cardiac hx.   In ED, cardiac workup performed due to complaint of chest pain and shortness of breath. Troponin 17->17. EKG with NSR and LBBB. CMP and CBC unremarkable. CXR with mild pulmonary congestion. Probable mild left-sided pleural effusion with adjacent lung atelectasis. Pt given tylenol 1000mg and 1L fluid bolus in ED. Pt placed in observation to general medicine for further management.   She was afebrile after admission. Her fatigue improved. She continued to be on room air through out stay. CM met with patient and after discussion it was noted that patient is current with home health PTA. She will continue home care services. She will continue isolation per CDC guidelines and discuss with PCP when cleared to come out of isolation.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary congestion, Pyrexia, SARS-CoV-2 test positive, Sinus rhythm, Troponin
Clinical narrative: Discharge Provider: DO Primary Care Provider: MD Admission Date: 4/23/2023 Discharge Date: Apr 24, 2023 PRESENTING PROBLEM: COVID-19 [U07.1]   HOSPITAL COURSE:  59 y.o. female with past medical history significant for Ehlers-Danlos, OSA, mast cell activation syndrome, T2DM, HTN , Narcolepsy and Morbid obesity presents to ED with complaint of cough, fever, chills, nausea, episode of vomiting x1, diarrhea with last episode 4/22, generalized body aches and weakness, and headache since 4/17 with positive home COVID test 4/21. Pt also endorsing increased shortness of breath from baseline and aching chest pain across her chest between her clavicles. Patients husband who cares for her at home also has COVID. Pt states when she talked to her doctor over the phone on Friday, she was offered Paxlovid but declined as she thought she would get better soon but symptoms have worsened. Pt has had 4 COVID vaccinations in total with the last one being in 04/2022. Pt also has hx of COVID pneumonia in 5/2022. Denies hx of stroke, blood clots, COPD, cardiac hx.   In ED, cardiac workup performed due to complaint of chest pain and shortness of breath. Troponin 17->17. EKG with NSR and LBBB. CMP and CBC unremarkable. CXR with mild pulmonary congestion. Probable mild left-sided pleural effusion with adjacent lung atelectasis. Pt given tylenol 1000mg and 1L fluid bolus in ED. Pt placed in observation to general medicine for further management.   She was afebrile after admission. Her fatigue improved. She continued to be on room air through out stay. CM met with patient and after discussion it was noted that patient is current with home health PTA. She will continue home care services. She will continue isolation per CDC guidelines and discuss with PCP when cleared to come out of isolation.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Discharge Provider: DO Primary Care Provider: MD Admission Date: 4/23/2023 Discharge Date: Apr 24, 2023 PRESENTING PROBLEM: COVID-19 [U07.1]   HOSPITAL COURSE:  59 y.o. female with past medical history significant for Ehlers-Danlos, OSA, mast cell activation syndrome, T2DM, HTN , Narcolepsy and Morbid obesity presents to ED with complaint of cough, fever, chills, nausea, episode of vomiting x1, diarrhea with last episode 4/22, generalized body aches and weakness, and headache since 4/17 with positive home COVID test 4/21. Pt also endorsing increased shortness of breath from baseline and aching chest pain across her chest between her clavicles. Patients husband who cares for her at home also has COVID. Pt states when she talked to her doctor over the phone on Friday, she was offered Paxlovid but declined as she thought she would get better soon but symptoms have worsened. Pt has had 4 COVID vaccinations in total with the last one being in 04/2022. Pt also has hx of COVID pneumonia in 5/2022. Denies hx of stroke, blood clots, COPD, cardiac hx.   In ED, cardiac workup performed due to complaint of chest pain and shortness of breath. Troponin 17->17. EKG with NSR and LBBB. CMP and CBC unremarkable. CXR with mild pulmonary congestion. Probable mild left-sided pleural effusion with adjacent lung atelectasis. Pt given tylenol 1000mg and 1L fluid bolus in ED. Pt placed in observation to general medicine for further management.   She was afebrile after admission. Her fatigue improved. She continued to be on room air through out stay. CM met with patient and after discussion it was noted that patient is current with home health PTA. She will continue home care services. She will continue isolation per CDC guidelines and discuss with PCP when cleared to come out of isolation.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Embolic stroke, Intracardiac thrombus, Symptom recurrence
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE MURAL THROMBUS OF HEART POST ACUTE MI ACUTE STROKE DUE TO EMBOLISM OF UNSPECIFIED ARTERY 7/22/2022 -- RECURRENCE OF SAME SYMPTOMS
Age: 61.0
Sex: M
Vaccine: COVID19-2
Symptoms: Heart rate irregular, Lymphocyte count increased, Palpitations
Clinical narrative: 1. palpitations, irregular heartbeat 2. very high lymphocytes
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Chronic respiratory failure, Hypoxia, Respiratory failure
Clinical narrative: J96.00 ACUTE RESPIRATORY FAILURE 2/19/2022 ACUTE HYPOXEMIC RESPIRATORY FAILURE J96.11 CHRONIC HYPOXEMIC RESPIRATORY FAILURE 3/28/2022 ACUTE HYPOXEMIC RESPIRATORY FAILURE J96.22 ACUTE ON CHRONIC HYPERCAPNIC RESPIRATORY FAILURE 2/19/2022 ACUTE HYPOXEMIC RESPIRATORY FAILURE R09.02 HYPOXIA 2/19/2022 ACUTE HYPOXEMIC RESPIRATORY FAILURE
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Anaemia, COVID-19, COVID-19 pneumonia, Condition aggravated
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 4/23/2023 Discharge Date: Apr 25, 2023  PRESENTING PROBLEM: Sepsis [A41.9]   HOSPITAL COURSE: 75 year old male with chronic urinary retention, ckd stage 3, copd, history of giant cell arteritis, history of PE, presented with complaints of sepsis from UTI and covid infection. He also had acute hypoxic respiratory failure from covid-19 pneumonia. He was started on IV remdesevir and decadron. He was also started on IV cefepime pending urine and blood cultures. Urine culture shows klebsiella so discharged on ceftin for 7 days. He weaned of oxygen to room air and respiratory status much improved.   Hyponatremia present on admission Anemia present on admission Trended labs for both. Hyponatremia resolved. Anemia may have been secondary to ckd.
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: Culture urine positive, Hyponatraemia, Klebsiella test positive, Laboratory test, Respiratory disorder
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 4/23/2023 Discharge Date: Apr 25, 2023  PRESENTING PROBLEM: Sepsis [A41.9]   HOSPITAL COURSE: 75 year old male with chronic urinary retention, ckd stage 3, copd, history of giant cell arteritis, history of PE, presented with complaints of sepsis from UTI and covid infection. He also had acute hypoxic respiratory failure from covid-19 pneumonia. He was started on IV remdesevir and decadron. He was also started on IV cefepime pending urine and blood cultures. Urine culture shows klebsiella so discharged on ceftin for 7 days. He weaned of oxygen to room air and respiratory status much improved.   Hyponatremia present on admission Anemia present on admission Trended labs for both. Hyponatremia resolved. Anemia may have been secondary to ckd.
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: Sepsis, Urinary tract infection
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 4/23/2023 Discharge Date: Apr 25, 2023  PRESENTING PROBLEM: Sepsis [A41.9]   HOSPITAL COURSE: 75 year old male with chronic urinary retention, ckd stage 3, copd, history of giant cell arteritis, history of PE, presented with complaints of sepsis from UTI and covid infection. He also had acute hypoxic respiratory failure from covid-19 pneumonia. He was started on IV remdesevir and decadron. He was also started on IV cefepime pending urine and blood cultures. Urine culture shows klebsiella so discharged on ceftin for 7 days. He weaned of oxygen to room air and respiratory status much improved.   Hyponatremia present on admission Anemia present on admission Trended labs for both. Hyponatremia resolved. Anemia may have been secondary to ckd.
Age: 61.0
Sex: F
Vaccine: UNK
Symptoms: Abdominal distension, Contusion, Dizziness, Injection site warmth, Insomnia
Clinical narrative: Explained having some dizziness and fully body aches, stomach bloated, mild temperature increase especially on injections site, unable to sleep, sore throat.  Medium sized knot on shoulder given (left deltoid).  Seems to manage with Tylenol Arthritis and Plenty of Fluids.   On oxygen regularly, feeling that it is working, but no increase in utilization.  Noticed some tiny bruises on arms after shot (not sure if related).
Age: 61.0
Sex: F
Vaccine: UNK
Symptoms: Mobility decreased, Oropharyngeal pain, Pain, Skin mass
Clinical narrative: Explained having some dizziness and fully body aches, stomach bloated, mild temperature increase especially on injections site, unable to sleep, sore throat.  Medium sized knot on shoulder given (left deltoid).  Seems to manage with Tylenol Arthritis and Plenty of Fluids.   On oxygen regularly, feeling that it is working, but no increase in utilization.  Noticed some tiny bruises on arms after shot (not sure if related).
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Cerebellar stroke, Embolic stroke, Haemothorax, Lung adenocarcinoma
Clinical narrative: ACUTE STROKE DUE TO EMBOLISM OF UNSPECIFIED ARTERY 9/19/2022 PLEURAL EFFUSION  ACUTE RESPIRATORY FAILURE 9/19/2022 PLEURAL EFFUSION  ACUTE STROKE DUE TO EMBOLISM OF UNSPECIFIED ARTERY 9/19/2022 SYNCOPE  ACUTE RESPIRATORY FAILURE 9/19/2022 SYNCOPE  ACUTE STROKE DUE TO EMBOLISM OF UNSPECIFIED ARTERY 9/19/2022 ACUTE STROKE DUE TO EMBOLISM OF BILAT CEREBELLAR ARTERIES  ACUTE RESPIRATORY FAILURE 9/19/2022 ACUTE STROKE DUE TO EMBOLISM OF BILAT CEREBELLAR ARTERIES  ACUTE STROKE DUE TO EMBOLISM OF UNSPECIFIED ARTERY 9/19/2022 ADENOCARCINOMA, RIGHT LUNG UPPER LOBE  ACUTE RESPIRATORY FAILURE 9/19/2022 ADENOCARCINOMA, RIGHT LUNG UPPER LOBE  ACUTE STROKE DUE TO EMBOLISM OF UNSPECIFIED ARTERY 9/19/2022 HEMOTHORAX  ACUTE RESPIRATORY FAILURE 9/19/2022 HEMOTHORAX
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Pleural effusion, Syncope
Clinical narrative: ACUTE STROKE DUE TO EMBOLISM OF UNSPECIFIED ARTERY 9/19/2022 PLEURAL EFFUSION  ACUTE RESPIRATORY FAILURE 9/19/2022 PLEURAL EFFUSION  ACUTE STROKE DUE TO EMBOLISM OF UNSPECIFIED ARTERY 9/19/2022 SYNCOPE  ACUTE RESPIRATORY FAILURE 9/19/2022 SYNCOPE  ACUTE STROKE DUE TO EMBOLISM OF UNSPECIFIED ARTERY 9/19/2022 ACUTE STROKE DUE TO EMBOLISM OF BILAT CEREBELLAR ARTERIES  ACUTE RESPIRATORY FAILURE 9/19/2022 ACUTE STROKE DUE TO EMBOLISM OF BILAT CEREBELLAR ARTERIES  ACUTE STROKE DUE TO EMBOLISM OF UNSPECIFIED ARTERY 9/19/2022 ADENOCARCINOMA, RIGHT LUNG UPPER LOBE  ACUTE RESPIRATORY FAILURE 9/19/2022 ADENOCARCINOMA, RIGHT LUNG UPPER LOBE  ACUTE STROKE DUE TO EMBOLISM OF UNSPECIFIED ARTERY 9/19/2022 HEMOTHORAX  ACUTE RESPIRATORY FAILURE 9/19/2022 HEMOTHORAX
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Feeling abnormal, Influenza, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I was positive for COVID-19 on 26NOV2023, I thought I had a flu but when we tested we were positive. I had stuffy head, congested and I wasn't feeling good. I don't remember all the symptoms but they were all mild just as if I had a flue.
Age: 93.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Aortic stenosis, Bundle branch block left, COVID-19, Cardiac failure acute, Cardiac failure congestive
Clinical narrative: 4/22/2023 - 5/3/2023 (11 days) HEART CENTER  CAD COVID-19 Severe aortic stenosis Combined cardiomyopathy Acute on chronic combined CHF Normocytic anemia HTN Dyslipidemia LBBB Mitral insufficiency DM type II Carotid stenosis HOSPITAL COURSE: Patient is a 93 year old with known CAD and severe aortic stenosis who had previously undergone work up for TAVR.  She had been scheduled for PCI in December however unfortunately her husband passed away and she had to cancel.  She was then scheduled for outpt PCI of the LAD 4/26/23 but presented to the local ED with chest pain and was positive for COVID-19.  She was transferred to another facility and underwent DES to LAD 4/25/23.  Pt developed worsened respiratory status on 4/26/23 requiring bipap and was treated with IV lasix for CHF and also secondary to COVID-19.  Pulmonary was consulted and started decadron.  Pt had worsening renal function 4/28/23 with early signs of shock with elevated LFTs and borderline lactic acid.  BAV was offered but family ultimately preferred comfort approach and did not want any further procedure.  Palliative was consulted.  Pt continued to decline with worsened renal function, poor oral intake, and hypotension due to cardiogenic shock/severe aortic stenosis and cardiorenal.  Hospice was consulted and ultimately decided to transfer to hospice facility.
Age: 93.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Cardiogenic shock, Cardiomyopathy, Cardiorenal syndrome, Carotid artery stenosis, Chest pain
Clinical narrative: 4/22/2023 - 5/3/2023 (11 days) HEART CENTER  CAD COVID-19 Severe aortic stenosis Combined cardiomyopathy Acute on chronic combined CHF Normocytic anemia HTN Dyslipidemia LBBB Mitral insufficiency DM type II Carotid stenosis HOSPITAL COURSE: Patient is a 93 year old with known CAD and severe aortic stenosis who had previously undergone work up for TAVR.  She had been scheduled for PCI in December however unfortunately her husband passed away and she had to cancel.  She was then scheduled for outpt PCI of the LAD 4/26/23 but presented to the local ED with chest pain and was positive for COVID-19.  She was transferred to another facility and underwent DES to LAD 4/25/23.  Pt developed worsened respiratory status on 4/26/23 requiring bipap and was treated with IV lasix for CHF and also secondary to COVID-19.  Pulmonary was consulted and started decadron.  Pt had worsening renal function 4/28/23 with early signs of shock with elevated LFTs and borderline lactic acid.  BAV was offered but family ultimately preferred comfort approach and did not want any further procedure.  Palliative was consulted.  Pt continued to decline with worsened renal function, poor oral intake, and hypotension due to cardiogenic shock/severe aortic stenosis and cardiorenal.  Hospice was consulted and ultimately decided to transfer to hospice facility.
Age: 93.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Condition aggravated, Coronary arterial stent insertion, Dyslipidaemia, General physical health deterioration, Hypertension
Clinical narrative: 4/22/2023 - 5/3/2023 (11 days) HEART CENTER  CAD COVID-19 Severe aortic stenosis Combined cardiomyopathy Acute on chronic combined CHF Normocytic anemia HTN Dyslipidemia LBBB Mitral insufficiency DM type II Carotid stenosis HOSPITAL COURSE: Patient is a 93 year old with known CAD and severe aortic stenosis who had previously undergone work up for TAVR.  She had been scheduled for PCI in December however unfortunately her husband passed away and she had to cancel.  She was then scheduled for outpt PCI of the LAD 4/26/23 but presented to the local ED with chest pain and was positive for COVID-19.  She was transferred to another facility and underwent DES to LAD 4/25/23.  Pt developed worsened respiratory status on 4/26/23 requiring bipap and was treated with IV lasix for CHF and also secondary to COVID-19.  Pulmonary was consulted and started decadron.  Pt had worsening renal function 4/28/23 with early signs of shock with elevated LFTs and borderline lactic acid.  BAV was offered but family ultimately preferred comfort approach and did not want any further procedure.  Palliative was consulted.  Pt continued to decline with worsened renal function, poor oral intake, and hypotension due to cardiogenic shock/severe aortic stenosis and cardiorenal.  Hospice was consulted and ultimately decided to transfer to hospice facility.
Age: 93.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Hypophagia, Hypotension, Left ventricular failure, Liver function test increased, Mitral valve incompetence
Clinical narrative: 4/22/2023 - 5/3/2023 (11 days) HEART CENTER  CAD COVID-19 Severe aortic stenosis Combined cardiomyopathy Acute on chronic combined CHF Normocytic anemia HTN Dyslipidemia LBBB Mitral insufficiency DM type II Carotid stenosis HOSPITAL COURSE: Patient is a 93 year old with known CAD and severe aortic stenosis who had previously undergone work up for TAVR.  She had been scheduled for PCI in December however unfortunately her husband passed away and she had to cancel.  She was then scheduled for outpt PCI of the LAD 4/26/23 but presented to the local ED with chest pain and was positive for COVID-19.  She was transferred to another facility and underwent DES to LAD 4/25/23.  Pt developed worsened respiratory status on 4/26/23 requiring bipap and was treated with IV lasix for CHF and also secondary to COVID-19.  Pulmonary was consulted and started decadron.  Pt had worsening renal function 4/28/23 with early signs of shock with elevated LFTs and borderline lactic acid.  BAV was offered but family ultimately preferred comfort approach and did not want any further procedure.  Palliative was consulted.  Pt continued to decline with worsened renal function, poor oral intake, and hypotension due to cardiogenic shock/severe aortic stenosis and cardiorenal.  Hospice was consulted and ultimately decided to transfer to hospice facility.
Age: 93.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Normocytic anaemia, Positive airway pressure therapy, Renal impairment, Respiratory distress, SARS-CoV-2 test positive
Clinical narrative: 4/22/2023 - 5/3/2023 (11 days) HEART CENTER  CAD COVID-19 Severe aortic stenosis Combined cardiomyopathy Acute on chronic combined CHF Normocytic anemia HTN Dyslipidemia LBBB Mitral insufficiency DM type II Carotid stenosis HOSPITAL COURSE: Patient is a 93 year old with known CAD and severe aortic stenosis who had previously undergone work up for TAVR.  She had been scheduled for PCI in December however unfortunately her husband passed away and she had to cancel.  She was then scheduled for outpt PCI of the LAD 4/26/23 but presented to the local ED with chest pain and was positive for COVID-19.  She was transferred to another facility and underwent DES to LAD 4/25/23.  Pt developed worsened respiratory status on 4/26/23 requiring bipap and was treated with IV lasix for CHF and also secondary to COVID-19.  Pulmonary was consulted and started decadron.  Pt had worsening renal function 4/28/23 with early signs of shock with elevated LFTs and borderline lactic acid.  BAV was offered but family ultimately preferred comfort approach and did not want any further procedure.  Palliative was consulted.  Pt continued to decline with worsened renal function, poor oral intake, and hypotension due to cardiogenic shock/severe aortic stenosis and cardiorenal.  Hospice was consulted and ultimately decided to transfer to hospice facility.
Age: 93.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Shock, Type 2 diabetes mellitus
Clinical narrative: 4/22/2023 - 5/3/2023 (11 days) HEART CENTER  CAD COVID-19 Severe aortic stenosis Combined cardiomyopathy Acute on chronic combined CHF Normocytic anemia HTN Dyslipidemia LBBB Mitral insufficiency DM type II Carotid stenosis HOSPITAL COURSE: Patient is a 93 year old with known CAD and severe aortic stenosis who had previously undergone work up for TAVR.  She had been scheduled for PCI in December however unfortunately her husband passed away and she had to cancel.  She was then scheduled for outpt PCI of the LAD 4/26/23 but presented to the local ED with chest pain and was positive for COVID-19.  She was transferred to another facility and underwent DES to LAD 4/25/23.  Pt developed worsened respiratory status on 4/26/23 requiring bipap and was treated with IV lasix for CHF and also secondary to COVID-19.  Pulmonary was consulted and started decadron.  Pt had worsening renal function 4/28/23 with early signs of shock with elevated LFTs and borderline lactic acid.  BAV was offered but family ultimately preferred comfort approach and did not want any further procedure.  Palliative was consulted.  Pt continued to decline with worsened renal function, poor oral intake, and hypotension due to cardiogenic shock/severe aortic stenosis and cardiorenal.  Hospice was consulted and ultimately decided to transfer to hospice facility.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthma, Chronic kidney disease, Glomerular filtration rate, Pulmonary hypertension
Clinical narrative: J96.21 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 5/14/2021 CKD STAGE 4 (GFR 15-29) J96.21 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 5/14/2021 PULMONARY HTN J96.21 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 5/14/2021 ASTHMA, UNSPECIFIED
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory failure
Clinical narrative: J96.21 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 5/14/2021 CKD STAGE 4 (GFR 15-29) J96.21 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 5/14/2021 PULMONARY HTN J96.21 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 5/14/2021 ASTHMA, UNSPECIFIED
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Obstructive sleep apnoea syndrome, Symptom recurrence
Clinical narrative: ADULT OBSTRUCTIVE SLEEP APNEA 3/1/2022 -- RECURRENCE OF SAME SYMPTOMS
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Adrenal insufficiency, Hypotension, Nephrogenic anaemia
Clinical narrative: CHRONIC HYPOTENSION 5/25/2021 ANEMIA DUE TO CKD CHRONIC HYPOTENSION 5/25/2021 ADRENAL INSUFFICIENCY, UNSPECIFIED
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Obstructive sleep apnoea syndrome
Clinical narrative: ADULT OBSTRUCTIVE SLEEP APNEA, SEVERE.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines Pfizer 3/5/21 Lot# EN6199;  Pfizer 3/26/21 Lot# Ep7534;  Pfizer 12/3/21 lot# EW0179;  Pfizer 8/24/22 Lot# FP7139