chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal discomfort, Acute kidney injury, Acute respiratory failure, Bladder catheterisation, COVID-19
Clinical narrative: 11/22/21 ID physician Dr.'s note: "Impression: 1. COVID 19 pneumonia in vaccinated host w/ Pfizer 1/25, 2/15 2021 - presenting 3 days into his sx; high O2 req's; s/p one dose dexamethasone in ED 11/21. 2. Acute respiratory failure - 60% on RA; placed on BIPAP, then OPTF/NRB 100%/60 lpm sats 93-95% 3. AKI on admission w/ prob dehydration, ?retention; denies urinary sx 4. Troponin leak". 11/22/21 Pulmonology physician Dr.'s note: "Assessment: Acute hypoxic respiratory failure associated with COVID 19- Bilateral COVID 19 Pneumonia-HTN-DM-Hx cholelithiasis-GER-BPH Recommendation: Decadron ,Remdesivir, Proning ,F/U inflammatory markers ,F/U oxygenation". 11/23/21 Dr.'s note H and P: "Patient is a 89 y.o. male with history as noted below who presents with groin pain and dysuria. Pt was in USOH until 1 day ago when he developed dysuria, inability to urinate.  Per chart review, he lives with his daughter who noticed that he was uncomfortable and his son brought him to the ED where a Foley catheter was placed which resolved the abdominal discomfort.  He was noted to be coughing and was mildly short of breath in the ED and was treated with BiPAP, subsequently weaned off to high flow nasal cannula.  On the floor he desaturated to 90 to 91% and was switched to a nonrebreather mask with OptiFlow.  Per his discussion with RN he wanted to kill himself 3 months ago which was notified to Dr. who recommended 1:1 sitter for safety. A rapid and PCR COVID-19 test was positive. He desaturated and his respiratory failure progressed rapidly and an ICU eval was called. He was seen lethargic, minimally responsive and on 15L oxygen by NRB and optiflow. Vitals included: temp 96.6, pusle 84, RR 40 and BP 95/52. Will obtain a CT angio chest and transfer him to the ICU for close monitoring".
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia, Chest X-ray abnormal, Cough, Dehydration, Dyspnoea
Clinical narrative: 11/22/21 ID physician Dr.'s note: "Impression: 1. COVID 19 pneumonia in vaccinated host w/ Pfizer 1/25, 2/15 2021 - presenting 3 days into his sx; high O2 req's; s/p one dose dexamethasone in ED 11/21. 2. Acute respiratory failure - 60% on RA; placed on BIPAP, then OPTF/NRB 100%/60 lpm sats 93-95% 3. AKI on admission w/ prob dehydration, ?retention; denies urinary sx 4. Troponin leak". 11/22/21 Pulmonology physician Dr.'s note: "Assessment: Acute hypoxic respiratory failure associated with COVID 19- Bilateral COVID 19 Pneumonia-HTN-DM-Hx cholelithiasis-GER-BPH Recommendation: Decadron ,Remdesivir, Proning ,F/U inflammatory markers ,F/U oxygenation". 11/23/21 Dr.'s note H and P: "Patient is a 89 y.o. male with history as noted below who presents with groin pain and dysuria. Pt was in USOH until 1 day ago when he developed dysuria, inability to urinate.  Per chart review, he lives with his daughter who noticed that he was uncomfortable and his son brought him to the ED where a Foley catheter was placed which resolved the abdominal discomfort.  He was noted to be coughing and was mildly short of breath in the ED and was treated with BiPAP, subsequently weaned off to high flow nasal cannula.  On the floor he desaturated to 90 to 91% and was switched to a nonrebreather mask with OptiFlow.  Per his discussion with RN he wanted to kill himself 3 months ago which was notified to Dr. who recommended 1:1 sitter for safety. A rapid and PCR COVID-19 test was positive. He desaturated and his respiratory failure progressed rapidly and an ICU eval was called. He was seen lethargic, minimally responsive and on 15L oxygen by NRB and optiflow. Vitals included: temp 96.6, pusle 84, RR 40 and BP 95/52. Will obtain a CT angio chest and transfer him to the ICU for close monitoring".
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dysuria, Groin pain, Hyporesponsive to stimuli, Intensive care, Lethargy
Clinical narrative: 11/22/21 ID physician Dr.'s note: "Impression: 1. COVID 19 pneumonia in vaccinated host w/ Pfizer 1/25, 2/15 2021 - presenting 3 days into his sx; high O2 req's; s/p one dose dexamethasone in ED 11/21. 2. Acute respiratory failure - 60% on RA; placed on BIPAP, then OPTF/NRB 100%/60 lpm sats 93-95% 3. AKI on admission w/ prob dehydration, ?retention; denies urinary sx 4. Troponin leak". 11/22/21 Pulmonology physician Dr.'s note: "Assessment: Acute hypoxic respiratory failure associated with COVID 19- Bilateral COVID 19 Pneumonia-HTN-DM-Hx cholelithiasis-GER-BPH Recommendation: Decadron ,Remdesivir, Proning ,F/U inflammatory markers ,F/U oxygenation". 11/23/21 Dr.'s note H and P: "Patient is a 89 y.o. male with history as noted below who presents with groin pain and dysuria. Pt was in USOH until 1 day ago when he developed dysuria, inability to urinate.  Per chart review, he lives with his daughter who noticed that he was uncomfortable and his son brought him to the ED where a Foley catheter was placed which resolved the abdominal discomfort.  He was noted to be coughing and was mildly short of breath in the ED and was treated with BiPAP, subsequently weaned off to high flow nasal cannula.  On the floor he desaturated to 90 to 91% and was switched to a nonrebreather mask with OptiFlow.  Per his discussion with RN he wanted to kill himself 3 months ago which was notified to Dr. who recommended 1:1 sitter for safety. A rapid and PCR COVID-19 test was positive. He desaturated and his respiratory failure progressed rapidly and an ICU eval was called. He was seen lethargic, minimally responsive and on 15L oxygen by NRB and optiflow. Vitals included: temp 96.6, pusle 84, RR 40 and BP 95/52. Will obtain a CT angio chest and transfer him to the ICU for close monitoring".
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Positive airway pressure therapy, SARS-CoV-2 test positive, Suicidal ideation, Urinary retention
Clinical narrative: 11/22/21 ID physician Dr.'s note: "Impression: 1. COVID 19 pneumonia in vaccinated host w/ Pfizer 1/25, 2/15 2021 - presenting 3 days into his sx; high O2 req's; s/p one dose dexamethasone in ED 11/21. 2. Acute respiratory failure - 60% on RA; placed on BIPAP, then OPTF/NRB 100%/60 lpm sats 93-95% 3. AKI on admission w/ prob dehydration, ?retention; denies urinary sx 4. Troponin leak". 11/22/21 Pulmonology physician Dr.'s note: "Assessment: Acute hypoxic respiratory failure associated with COVID 19- Bilateral COVID 19 Pneumonia-HTN-DM-Hx cholelithiasis-GER-BPH Recommendation: Decadron ,Remdesivir, Proning ,F/U inflammatory markers ,F/U oxygenation". 11/23/21 Dr.'s note H and P: "Patient is a 89 y.o. male with history as noted below who presents with groin pain and dysuria. Pt was in USOH until 1 day ago when he developed dysuria, inability to urinate.  Per chart review, he lives with his daughter who noticed that he was uncomfortable and his son brought him to the ED where a Foley catheter was placed which resolved the abdominal discomfort.  He was noted to be coughing and was mildly short of breath in the ED and was treated with BiPAP, subsequently weaned off to high flow nasal cannula.  On the floor he desaturated to 90 to 91% and was switched to a nonrebreather mask with OptiFlow.  Per his discussion with RN he wanted to kill himself 3 months ago which was notified to Dr. who recommended 1:1 sitter for safety. A rapid and PCR COVID-19 test was positive. He desaturated and his respiratory failure progressed rapidly and an ICU eval was called. He was seen lethargic, minimally responsive and on 15L oxygen by NRB and optiflow. Vitals included: temp 96.6, pusle 84, RR 40 and BP 95/52. Will obtain a CT angio chest and transfer him to the ICU for close monitoring".
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient attended the vaccine clinic and was inadvertently given a 22 mcg dose of Pfizer's COVID-19 vaccine (pediatric dose is 10 mcg). She was with her dad and completed the 15 min observation period without any unusual symptoms. I spoke to her dad via telephone about what happened and advised them to monitor her symptoms over the next 7 days. If she exhibits any unusual or persistent symptoms or they have any concerns they should reach out to the pediatrician/family doc, or go to the ED. I spoke to her dad the next day and he reported that patient was doing well.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Anosmia, SARS-CoV-2 test
Clinical narrative: Can't smell anything after 1st Pizer COVID-19 vaccine.
Age: 76.0
Sex: M
Vaccine: FLUC4
Symptoms: Balance disorder, Fall, Gait disturbance, Hypotension, Pyrexia
Clinical narrative: Vaccine given 11/17/21  1250 pm. No symptoms noted  after receiving vaccine.  No known history or reaction to Flu vaccine.  Family Care Provider,   reported in the morning of 11/18/21 that patient had a fever of 100.7 that morning, he was unsteady on his feet, he had a fall and she sent him to Hospital ED. Later in the day on 11/18/21,  FCP said patient was doing well, and that she was told it may have been a reaction to the flu vaccine. He was discharged home. In the morning of 11/19/21  FCP stated patient had a fall again that  morning, he was unsteady and she sent him back to Hospital ED.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death
Clinical narrative: The client was diagnosed with COVID-19 and was full-vaccinated.  He was hospitalized from what appears to be September 24-25, 2021.  He had co-morbid conditions (Myeloma, Kidney Failure, Diabetes, Dialysis) and passed away on September 28, 2021.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Basedow's disease, Heart rate increased
Clinical narrative: Increased HR, Graves Disease
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Loss of consciousness, Syncope
Clinical narrative: Patient experienced syncope immediately following the vaccine injection.  Patient quickly regained consciousness.  Had patient lay down for observation.  Patient was offered water and a blanket and was able to respond appropriately to questions.  Observed and spoke with patient for 15 minutes with father present.  Patient reported no dizziness or lightheadedness at the end of 15 minutes and was allowed to go home under the care of her father.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: came to the clinic tonight and was inadvertently given a 22 mcg dose of vaccine. I spoke to mom while they were at the clinic, and she did not exhibit any unusual symptoms during the 15 min observation period. I explained what happened and that she should be watched closely over the next several days. If she exhibits any unusual symptoms, she was counseled to see her family doctor, urgent care, or the ED.  Later that night I also received request at 1712 from father for a call back. I spoke to him and answered all his questions.  Father sent me a text message the next day (11/19) to report she was doing well. I answered his text and all questions.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Anti-thyroid antibody positive, Aphasia, Autoimmune thyroiditis, Cardiac murmur, Cardiovascular evaluation
Clinical narrative: First phase: 6 weeks of intense flu-like illness including rash on hands, 3 possible blot clot events (2 left leg, 1 left side of head), confusion and memory issues, reactivation of allergies previously under control, diabetes going out of control, weight gain, deconditioning leading to worsening of previously existing knee injury, eczema, vertigo, difficulty staying awake, swelling and redness at injection site lasting 16 days. Second phase: after recovery from flu-like illness, tests (see below) indicate continuing problems developed after vax (newly diagnosed with Hashimoto's Disease) and worsening of some existing problems (heart, diabetes, weight), newly diagnosed with neuro problem with Word Finding, continued difficulty staying awake (as of November 2021.)
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Confusional state, Diabetes mellitus inadequate control, Eczema, Epstein-Barr virus test positive
Clinical narrative: First phase: 6 weeks of intense flu-like illness including rash on hands, 3 possible blot clot events (2 left leg, 1 left side of head), confusion and memory issues, reactivation of allergies previously under control, diabetes going out of control, weight gain, deconditioning leading to worsening of previously existing knee injury, eczema, vertigo, difficulty staying awake, swelling and redness at injection site lasting 16 days. Second phase: after recovery from flu-like illness, tests (see below) indicate continuing problems developed after vax (newly diagnosed with Hashimoto's Disease) and worsening of some existing problems (heart, diabetes, weight), newly diagnosed with neuro problem with Word Finding, continued difficulty staying awake (as of November 2021.)
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: HIV test negative, Hypersensitivity, Influenza like illness, Injection site erythema, Injection site swelling
Clinical narrative: First phase: 6 weeks of intense flu-like illness including rash on hands, 3 possible blot clot events (2 left leg, 1 left side of head), confusion and memory issues, reactivation of allergies previously under control, diabetes going out of control, weight gain, deconditioning leading to worsening of previously existing knee injury, eczema, vertigo, difficulty staying awake, swelling and redness at injection site lasting 16 days. Second phase: after recovery from flu-like illness, tests (see below) indicate continuing problems developed after vax (newly diagnosed with Hashimoto's Disease) and worsening of some existing problems (heart, diabetes, weight), newly diagnosed with neuro problem with Word Finding, continued difficulty staying awake (as of November 2021.)
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Joint injury, Laboratory test normal, Memory impairment, Nervous system disorder, Physical deconditioning
Clinical narrative: First phase: 6 weeks of intense flu-like illness including rash on hands, 3 possible blot clot events (2 left leg, 1 left side of head), confusion and memory issues, reactivation of allergies previously under control, diabetes going out of control, weight gain, deconditioning leading to worsening of previously existing knee injury, eczema, vertigo, difficulty staying awake, swelling and redness at injection site lasting 16 days. Second phase: after recovery from flu-like illness, tests (see below) indicate continuing problems developed after vax (newly diagnosed with Hashimoto's Disease) and worsening of some existing problems (heart, diabetes, weight), newly diagnosed with neuro problem with Word Finding, continued difficulty staying awake (as of November 2021.)
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Somnolence, Vertigo, Weight increased
Clinical narrative: First phase: 6 weeks of intense flu-like illness including rash on hands, 3 possible blot clot events (2 left leg, 1 left side of head), confusion and memory issues, reactivation of allergies previously under control, diabetes going out of control, weight gain, deconditioning leading to worsening of previously existing knee injury, eczema, vertigo, difficulty staying awake, swelling and redness at injection site lasting 16 days. Second phase: after recovery from flu-like illness, tests (see below) indicate continuing problems developed after vax (newly diagnosed with Hashimoto's Disease) and worsening of some existing problems (heart, diabetes, weight), newly diagnosed with neuro problem with Word Finding, continued difficulty staying awake (as of November 2021.)
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: 10 minutes post vaccination, patient had a syncopal event. Vitals: 133/83, 66, 100%. Patient stable and released to his mother. Patient walked to exit w/RN. Declined wheelchair. Patient had steady gait and left in stable condition at 20:21.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Incorrect Pfizer vaccine given to patient. Patient was given 0.2mL dose out of the 12+ Pfizer Vaccine (Comirnaty). Patient is 7 years old and dose not qualify for this vaccine.  No reactions at this time. No treatment needed at this time. Doctor aware and has communicated to pt.'s parent the vaccine error and what to watch for.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: PATIENT RECEIVED VACCINE THAT EXPERIENCED A TEMPERATURE EXCURSION, VACCINE WAS KEPT IN THE REFRIGERATOR FOR MORE THAN 30 DAYS. NO ADVERSE REACTION REPORTED PER PATIENT INTERVIEW.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Arrhythmia, Cardiac monitoring, Ejection fraction decreased, Electrocardiogram normal, Palpitations
Clinical narrative: 35 yo woman with a remote history of B-cell ALL s/p myeloablative umbilical cord blood transplant, complicated by iron overload from blood transfusions and heart failure with reduced ejection with recovered EF to 40% and LV thrombus in the past. Now admitted with 2 months of worsening palpitations frequent PVCs. It is unclear the etiology of the worsening arrhythmias and EF.  There were no ECG changes, troponin elevation, or chest pain symptoms to suggest myocarditis or pericarditis. Patient had reduced LVEF from prior (baseline 40%) and had worsened palpitations ~3 weeks after Pfizer COVID vaccine administration
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin normal, Ventricular extrasystoles
Clinical narrative: 35 yo woman with a remote history of B-cell ALL s/p myeloablative umbilical cord blood transplant, complicated by iron overload from blood transfusions and heart failure with reduced ejection with recovered EF to 40% and LV thrombus in the past. Now admitted with 2 months of worsening palpitations frequent PVCs. It is unclear the etiology of the worsening arrhythmias and EF.  There were no ECG changes, troponin elevation, or chest pain symptoms to suggest myocarditis or pericarditis. Patient had reduced LVEF from prior (baseline 40%) and had worsened palpitations ~3 weeks after Pfizer COVID vaccine administration
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chills, Fatigue, Headache, Injected limb mobility decreased
Clinical narrative: Chills, body aches, headache, pain in my left arm where I can barely lift my arm, fatigue, upset stomach, fever. My whole body hurts. It started the morning after.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: Chills, body aches, headache, pain in my left arm where I can barely lift my arm, fatigue, upset stomach, fever. My whole body hurts. It started the morning after.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Fatigue, Feeling cold
Clinical narrative: It started out with body aches and tiredness. Within a day or two I started having severe chills, and a fever. On the fourth day it turned into cold like symptoms. I started having a cough. I have never been as cold as I was that day with chills. I could not warm up. My teeth were chattering. I had two blankets on, a jacket, a sweatshirt, and my dog next to me and I still could not warm up. I did a virtual visit with my doctor on 11/1/2021, and she scheduled the COVID-19 test that afternoon. It came back positive on 11/4/2021. They just told me to take fluids, and Aspirin to control my fever. I still have a little bit of a lingering cough, but I am pretty much recovered.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Nasopharyngitis, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: It started out with body aches and tiredness. Within a day or two I started having severe chills, and a fever. On the fourth day it turned into cold like symptoms. I started having a cough. I have never been as cold as I was that day with chills. I could not warm up. My teeth were chattering. I had two blankets on, a jacket, a sweatshirt, and my dog next to me and I still could not warm up. I did a virtual visit with my doctor on 11/1/2021, and she scheduled the COVID-19 test that afternoon. It came back positive on 11/4/2021. They just told me to take fluids, and Aspirin to control my fever. I still have a little bit of a lingering cough, but I am pretty much recovered.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Acid fast bacilli infection, Acute respiratory failure, Alanine aminotransferase increased, Anion gap decreased, Aspartate aminotransferase increased
Clinical narrative: "Hospitalized (11.16.21 -discharged 11/22/21; COVID-19 positive (11.16.21); Fully vaccinated  COVID infection Acute on chronic respiratory failure Hx COPD Patient vaccinated, with Moderna X2 Last vaccine was in March 2021 Currently on 3 L of oxygen, She is at baseline 3 to 3.5L at home  -- s/p Decadron 6 mg daily for 10 day --s/p Remdesivir course  --continue home inhalers-Trelegy  DETAILS OF HOSPITAL STAY:   Septic shock  [A41.9, R65.21] COVID-19 [U07.1] Hypoglycemic shock  [E15]   ADMISSION AND DISCHARGE DIAGNOSES:  HOSPITAL COURSE:   Shock-Resolved  - suspected hypovolemic    History of fast bacilli in BAL 10/29/2021, Aspergillus fumigatus in BAL 10/29/2021 Enterobacter cloacae complex in BAL 10/29/2021 History of Right sided Empyema 2/2 to Strep Intermedius s/p right thoracotomy and washout 10/2 Hydropneumothorax/Pneumomediastinum s/p Chest tube which was removed H/O  Right Bronchopleural fistula s.p 5.5 Zephyr valve placement per pulmonary - CT thorax:  Improved loculated hydropneumothorax, chronic consolidation/atelectasis, extensive subcu emphysema in the chest wall has improved - blood cultures NGTD - ID evaluated , home on Augmentin and Cipro x 12 additional days  --ultrasound bilateral lower extremity no evidence of a DVT - ID followup, repeat Fungitell as outpatient    COVID infection Acute on chronic respiratory failure Hx COPD Patient vaccinated, with Moderna X2 Last vaccine was in March 2021 Currently on 3 L of oxygen, She is at baseline 3 to 3.5L at home  -- s/p Decadron 6 mg daily for 10 day --s/p Remdesivir course  --continue home inhalers-Trelegy   DM2            Lab Results Component Value Date   HGBA1C 5.7 (H) 10/23/2021             Lab Results Component Value Date   GLUCOSE 126 (H) 11/21/2021  HTN     BP Readings from Last 1 Encounters: 11/21/21 121/70   Depression  Restart home medications
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Aspergillus infection, Aspiration pleural cavity, Atelectasis, Blood albumin decreased, Blood alkaline phosphatase normal
Clinical narrative: "Hospitalized (11.16.21 -discharged 11/22/21; COVID-19 positive (11.16.21); Fully vaccinated  COVID infection Acute on chronic respiratory failure Hx COPD Patient vaccinated, with Moderna X2 Last vaccine was in March 2021 Currently on 3 L of oxygen, She is at baseline 3 to 3.5L at home  -- s/p Decadron 6 mg daily for 10 day --s/p Remdesivir course  --continue home inhalers-Trelegy  DETAILS OF HOSPITAL STAY:   Septic shock  [A41.9, R65.21] COVID-19 [U07.1] Hypoglycemic shock  [E15]   ADMISSION AND DISCHARGE DIAGNOSES:  HOSPITAL COURSE:   Shock-Resolved  - suspected hypovolemic    History of fast bacilli in BAL 10/29/2021, Aspergillus fumigatus in BAL 10/29/2021 Enterobacter cloacae complex in BAL 10/29/2021 History of Right sided Empyema 2/2 to Strep Intermedius s/p right thoracotomy and washout 10/2 Hydropneumothorax/Pneumomediastinum s/p Chest tube which was removed H/O  Right Bronchopleural fistula s.p 5.5 Zephyr valve placement per pulmonary - CT thorax:  Improved loculated hydropneumothorax, chronic consolidation/atelectasis, extensive subcu emphysema in the chest wall has improved - blood cultures NGTD - ID evaluated , home on Augmentin and Cipro x 12 additional days  --ultrasound bilateral lower extremity no evidence of a DVT - ID followup, repeat Fungitell as outpatient    COVID infection Acute on chronic respiratory failure Hx COPD Patient vaccinated, with Moderna X2 Last vaccine was in March 2021 Currently on 3 L of oxygen, She is at baseline 3 to 3.5L at home  -- s/p Decadron 6 mg daily for 10 day --s/p Remdesivir course  --continue home inhalers-Trelegy   DM2            Lab Results Component Value Date   HGBA1C 5.7 (H) 10/23/2021             Lab Results Component Value Date   GLUCOSE 126 (H) 11/21/2021  HTN     BP Readings from Last 1 Encounters: 11/21/21 121/70   Depression  Restart home medications
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Blood beta-D-glucan abnormal, Blood bicarbonate increased, Blood bilirubin normal, Blood calcium normal, Blood chloride normal
Clinical narrative: "Hospitalized (11.16.21 -discharged 11/22/21; COVID-19 positive (11.16.21); Fully vaccinated  COVID infection Acute on chronic respiratory failure Hx COPD Patient vaccinated, with Moderna X2 Last vaccine was in March 2021 Currently on 3 L of oxygen, She is at baseline 3 to 3.5L at home  -- s/p Decadron 6 mg daily for 10 day --s/p Remdesivir course  --continue home inhalers-Trelegy  DETAILS OF HOSPITAL STAY:   Septic shock  [A41.9, R65.21] COVID-19 [U07.1] Hypoglycemic shock  [E15]   ADMISSION AND DISCHARGE DIAGNOSES:  HOSPITAL COURSE:   Shock-Resolved  - suspected hypovolemic    History of fast bacilli in BAL 10/29/2021, Aspergillus fumigatus in BAL 10/29/2021 Enterobacter cloacae complex in BAL 10/29/2021 History of Right sided Empyema 2/2 to Strep Intermedius s/p right thoracotomy and washout 10/2 Hydropneumothorax/Pneumomediastinum s/p Chest tube which was removed H/O  Right Bronchopleural fistula s.p 5.5 Zephyr valve placement per pulmonary - CT thorax:  Improved loculated hydropneumothorax, chronic consolidation/atelectasis, extensive subcu emphysema in the chest wall has improved - blood cultures NGTD - ID evaluated , home on Augmentin and Cipro x 12 additional days  --ultrasound bilateral lower extremity no evidence of a DVT - ID followup, repeat Fungitell as outpatient    COVID infection Acute on chronic respiratory failure Hx COPD Patient vaccinated, with Moderna X2 Last vaccine was in March 2021 Currently on 3 L of oxygen, She is at baseline 3 to 3.5L at home  -- s/p Decadron 6 mg daily for 10 day --s/p Remdesivir course  --continue home inhalers-Trelegy   DM2            Lab Results Component Value Date   HGBA1C 5.7 (H) 10/23/2021             Lab Results Component Value Date   GLUCOSE 126 (H) 11/21/2021  HTN     BP Readings from Last 1 Encounters: 11/21/21 121/70   Depression  Restart home medications
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatinine decreased, Blood culture negative, Blood glucose normal, Blood potassium normal, Blood sodium normal
Clinical narrative: "Hospitalized (11.16.21 -discharged 11/22/21; COVID-19 positive (11.16.21); Fully vaccinated  COVID infection Acute on chronic respiratory failure Hx COPD Patient vaccinated, with Moderna X2 Last vaccine was in March 2021 Currently on 3 L of oxygen, She is at baseline 3 to 3.5L at home  -- s/p Decadron 6 mg daily for 10 day --s/p Remdesivir course  --continue home inhalers-Trelegy  DETAILS OF HOSPITAL STAY:   Septic shock  [A41.9, R65.21] COVID-19 [U07.1] Hypoglycemic shock  [E15]   ADMISSION AND DISCHARGE DIAGNOSES:  HOSPITAL COURSE:   Shock-Resolved  - suspected hypovolemic    History of fast bacilli in BAL 10/29/2021, Aspergillus fumigatus in BAL 10/29/2021 Enterobacter cloacae complex in BAL 10/29/2021 History of Right sided Empyema 2/2 to Strep Intermedius s/p right thoracotomy and washout 10/2 Hydropneumothorax/Pneumomediastinum s/p Chest tube which was removed H/O  Right Bronchopleural fistula s.p 5.5 Zephyr valve placement per pulmonary - CT thorax:  Improved loculated hydropneumothorax, chronic consolidation/atelectasis, extensive subcu emphysema in the chest wall has improved - blood cultures NGTD - ID evaluated , home on Augmentin and Cipro x 12 additional days  --ultrasound bilateral lower extremity no evidence of a DVT - ID followup, repeat Fungitell as outpatient    COVID infection Acute on chronic respiratory failure Hx COPD Patient vaccinated, with Moderna X2 Last vaccine was in March 2021 Currently on 3 L of oxygen, She is at baseline 3 to 3.5L at home  -- s/p Decadron 6 mg daily for 10 day --s/p Remdesivir course  --continue home inhalers-Trelegy   DM2            Lab Results Component Value Date   HGBA1C 5.7 (H) 10/23/2021             Lab Results Component Value Date   GLUCOSE 126 (H) 11/21/2021  HTN     BP Readings from Last 1 Encounters: 11/21/21 121/70   Depression  Restart home medications
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Blood urea normal, Bronchoalveolar lavage abnormal, Bronchopleural fistula, Bronchoscopy abnormal, C-reactive protein increased
Clinical narrative: "Hospitalized (11.16.21 -discharged 11/22/21; COVID-19 positive (11.16.21); Fully vaccinated  COVID infection Acute on chronic respiratory failure Hx COPD Patient vaccinated, with Moderna X2 Last vaccine was in March 2021 Currently on 3 L of oxygen, She is at baseline 3 to 3.5L at home  -- s/p Decadron 6 mg daily for 10 day --s/p Remdesivir course  --continue home inhalers-Trelegy  DETAILS OF HOSPITAL STAY:   Septic shock  [A41.9, R65.21] COVID-19 [U07.1] Hypoglycemic shock  [E15]   ADMISSION AND DISCHARGE DIAGNOSES:  HOSPITAL COURSE:   Shock-Resolved  - suspected hypovolemic    History of fast bacilli in BAL 10/29/2021, Aspergillus fumigatus in BAL 10/29/2021 Enterobacter cloacae complex in BAL 10/29/2021 History of Right sided Empyema 2/2 to Strep Intermedius s/p right thoracotomy and washout 10/2 Hydropneumothorax/Pneumomediastinum s/p Chest tube which was removed H/O  Right Bronchopleural fistula s.p 5.5 Zephyr valve placement per pulmonary - CT thorax:  Improved loculated hydropneumothorax, chronic consolidation/atelectasis, extensive subcu emphysema in the chest wall has improved - blood cultures NGTD - ID evaluated , home on Augmentin and Cipro x 12 additional days  --ultrasound bilateral lower extremity no evidence of a DVT - ID followup, repeat Fungitell as outpatient    COVID infection Acute on chronic respiratory failure Hx COPD Patient vaccinated, with Moderna X2 Last vaccine was in March 2021 Currently on 3 L of oxygen, She is at baseline 3 to 3.5L at home  -- s/p Decadron 6 mg daily for 10 day --s/p Remdesivir course  --continue home inhalers-Trelegy   DM2            Lab Results Component Value Date   HGBA1C 5.7 (H) 10/23/2021             Lab Results Component Value Date   GLUCOSE 126 (H) 11/21/2021  HTN     BP Readings from Last 1 Encounters: 11/21/21 121/70   Depression  Restart home medications
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Chest tube insertion, Chest tube removal, Computerised tomogram thorax abnormal
Clinical narrative: "Hospitalized (11.16.21 -discharged 11/22/21; COVID-19 positive (11.16.21); Fully vaccinated  COVID infection Acute on chronic respiratory failure Hx COPD Patient vaccinated, with Moderna X2 Last vaccine was in March 2021 Currently on 3 L of oxygen, She is at baseline 3 to 3.5L at home  -- s/p Decadron 6 mg daily for 10 day --s/p Remdesivir course  --continue home inhalers-Trelegy  DETAILS OF HOSPITAL STAY:   Septic shock  [A41.9, R65.21] COVID-19 [U07.1] Hypoglycemic shock  [E15]   ADMISSION AND DISCHARGE DIAGNOSES:  HOSPITAL COURSE:   Shock-Resolved  - suspected hypovolemic    History of fast bacilli in BAL 10/29/2021, Aspergillus fumigatus in BAL 10/29/2021 Enterobacter cloacae complex in BAL 10/29/2021 History of Right sided Empyema 2/2 to Strep Intermedius s/p right thoracotomy and washout 10/2 Hydropneumothorax/Pneumomediastinum s/p Chest tube which was removed H/O  Right Bronchopleural fistula s.p 5.5 Zephyr valve placement per pulmonary - CT thorax:  Improved loculated hydropneumothorax, chronic consolidation/atelectasis, extensive subcu emphysema in the chest wall has improved - blood cultures NGTD - ID evaluated , home on Augmentin and Cipro x 12 additional days  --ultrasound bilateral lower extremity no evidence of a DVT - ID followup, repeat Fungitell as outpatient    COVID infection Acute on chronic respiratory failure Hx COPD Patient vaccinated, with Moderna X2 Last vaccine was in March 2021 Currently on 3 L of oxygen, She is at baseline 3 to 3.5L at home  -- s/p Decadron 6 mg daily for 10 day --s/p Remdesivir course  --continue home inhalers-Trelegy   DM2            Lab Results Component Value Date   HGBA1C 5.7 (H) 10/23/2021             Lab Results Component Value Date   GLUCOSE 126 (H) 11/21/2021  HTN     BP Readings from Last 1 Encounters: 11/21/21 121/70   Depression  Restart home medications
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Culture positive, Cystitis, Device dislocation, Differential white blood cell count abnormal
Clinical narrative: "Hospitalized (11.16.21 -discharged 11/22/21; COVID-19 positive (11.16.21); Fully vaccinated  COVID infection Acute on chronic respiratory failure Hx COPD Patient vaccinated, with Moderna X2 Last vaccine was in March 2021 Currently on 3 L of oxygen, She is at baseline 3 to 3.5L at home  -- s/p Decadron 6 mg daily for 10 day --s/p Remdesivir course  --continue home inhalers-Trelegy  DETAILS OF HOSPITAL STAY:   Septic shock  [A41.9, R65.21] COVID-19 [U07.1] Hypoglycemic shock  [E15]   ADMISSION AND DISCHARGE DIAGNOSES:  HOSPITAL COURSE:   Shock-Resolved  - suspected hypovolemic    History of fast bacilli in BAL 10/29/2021, Aspergillus fumigatus in BAL 10/29/2021 Enterobacter cloacae complex in BAL 10/29/2021 History of Right sided Empyema 2/2 to Strep Intermedius s/p right thoracotomy and washout 10/2 Hydropneumothorax/Pneumomediastinum s/p Chest tube which was removed H/O  Right Bronchopleural fistula s.p 5.5 Zephyr valve placement per pulmonary - CT thorax:  Improved loculated hydropneumothorax, chronic consolidation/atelectasis, extensive subcu emphysema in the chest wall has improved - blood cultures NGTD - ID evaluated , home on Augmentin and Cipro x 12 additional days  --ultrasound bilateral lower extremity no evidence of a DVT - ID followup, repeat Fungitell as outpatient    COVID infection Acute on chronic respiratory failure Hx COPD Patient vaccinated, with Moderna X2 Last vaccine was in March 2021 Currently on 3 L of oxygen, She is at baseline 3 to 3.5L at home  -- s/p Decadron 6 mg daily for 10 day --s/p Remdesivir course  --continue home inhalers-Trelegy   DM2            Lab Results Component Value Date   HGBA1C 5.7 (H) 10/23/2021             Lab Results Component Value Date   GLUCOSE 126 (H) 11/21/2021  HTN     BP Readings from Last 1 Encounters: 11/21/21 121/70   Depression  Restart home medications
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Empyema, Endobronchial valve implantation, Enterobacter test positive, Fatigue
Clinical narrative: "Hospitalized (11.16.21 -discharged 11/22/21; COVID-19 positive (11.16.21); Fully vaccinated  COVID infection Acute on chronic respiratory failure Hx COPD Patient vaccinated, with Moderna X2 Last vaccine was in March 2021 Currently on 3 L of oxygen, She is at baseline 3 to 3.5L at home  -- s/p Decadron 6 mg daily for 10 day --s/p Remdesivir course  --continue home inhalers-Trelegy  DETAILS OF HOSPITAL STAY:   Septic shock  [A41.9, R65.21] COVID-19 [U07.1] Hypoglycemic shock  [E15]   ADMISSION AND DISCHARGE DIAGNOSES:  HOSPITAL COURSE:   Shock-Resolved  - suspected hypovolemic    History of fast bacilli in BAL 10/29/2021, Aspergillus fumigatus in BAL 10/29/2021 Enterobacter cloacae complex in BAL 10/29/2021 History of Right sided Empyema 2/2 to Strep Intermedius s/p right thoracotomy and washout 10/2 Hydropneumothorax/Pneumomediastinum s/p Chest tube which was removed H/O  Right Bronchopleural fistula s.p 5.5 Zephyr valve placement per pulmonary - CT thorax:  Improved loculated hydropneumothorax, chronic consolidation/atelectasis, extensive subcu emphysema in the chest wall has improved - blood cultures NGTD - ID evaluated , home on Augmentin and Cipro x 12 additional days  --ultrasound bilateral lower extremity no evidence of a DVT - ID followup, repeat Fungitell as outpatient    COVID infection Acute on chronic respiratory failure Hx COPD Patient vaccinated, with Moderna X2 Last vaccine was in March 2021 Currently on 3 L of oxygen, She is at baseline 3 to 3.5L at home  -- s/p Decadron 6 mg daily for 10 day --s/p Remdesivir course  --continue home inhalers-Trelegy   DM2            Lab Results Component Value Date   HGBA1C 5.7 (H) 10/23/2021             Lab Results Component Value Date   GLUCOSE 126 (H) 11/21/2021  HTN     BP Readings from Last 1 Encounters: 11/21/21 121/70   Depression  Restart home medications
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count abnormal, Glomerular filtration rate normal, Glycosylated haemoglobin decreased, Haematocrit decreased, Haemoglobin decreased
Clinical narrative: "Hospitalized (11.16.21 -discharged 11/22/21; COVID-19 positive (11.16.21); Fully vaccinated  COVID infection Acute on chronic respiratory failure Hx COPD Patient vaccinated, with Moderna X2 Last vaccine was in March 2021 Currently on 3 L of oxygen, She is at baseline 3 to 3.5L at home  -- s/p Decadron 6 mg daily for 10 day --s/p Remdesivir course  --continue home inhalers-Trelegy  DETAILS OF HOSPITAL STAY:   Septic shock  [A41.9, R65.21] COVID-19 [U07.1] Hypoglycemic shock  [E15]   ADMISSION AND DISCHARGE DIAGNOSES:  HOSPITAL COURSE:   Shock-Resolved  - suspected hypovolemic    History of fast bacilli in BAL 10/29/2021, Aspergillus fumigatus in BAL 10/29/2021 Enterobacter cloacae complex in BAL 10/29/2021 History of Right sided Empyema 2/2 to Strep Intermedius s/p right thoracotomy and washout 10/2 Hydropneumothorax/Pneumomediastinum s/p Chest tube which was removed H/O  Right Bronchopleural fistula s.p 5.5 Zephyr valve placement per pulmonary - CT thorax:  Improved loculated hydropneumothorax, chronic consolidation/atelectasis, extensive subcu emphysema in the chest wall has improved - blood cultures NGTD - ID evaluated , home on Augmentin and Cipro x 12 additional days  --ultrasound bilateral lower extremity no evidence of a DVT - ID followup, repeat Fungitell as outpatient    COVID infection Acute on chronic respiratory failure Hx COPD Patient vaccinated, with Moderna X2 Last vaccine was in March 2021 Currently on 3 L of oxygen, She is at baseline 3 to 3.5L at home  -- s/p Decadron 6 mg daily for 10 day --s/p Remdesivir course  --continue home inhalers-Trelegy   DM2            Lab Results Component Value Date   HGBA1C 5.7 (H) 10/23/2021             Lab Results Component Value Date   GLUCOSE 126 (H) 11/21/2021  HTN     BP Readings from Last 1 Encounters: 11/21/21 121/70   Depression  Restart home medications
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Haemorrhage, Hypotension, Intensive care, Lung consolidation, Lung infiltration
Clinical narrative: "Hospitalized (11.16.21 -discharged 11/22/21; COVID-19 positive (11.16.21); Fully vaccinated  COVID infection Acute on chronic respiratory failure Hx COPD Patient vaccinated, with Moderna X2 Last vaccine was in March 2021 Currently on 3 L of oxygen, She is at baseline 3 to 3.5L at home  -- s/p Decadron 6 mg daily for 10 day --s/p Remdesivir course  --continue home inhalers-Trelegy  DETAILS OF HOSPITAL STAY:   Septic shock  [A41.9, R65.21] COVID-19 [U07.1] Hypoglycemic shock  [E15]   ADMISSION AND DISCHARGE DIAGNOSES:  HOSPITAL COURSE:   Shock-Resolved  - suspected hypovolemic    History of fast bacilli in BAL 10/29/2021, Aspergillus fumigatus in BAL 10/29/2021 Enterobacter cloacae complex in BAL 10/29/2021 History of Right sided Empyema 2/2 to Strep Intermedius s/p right thoracotomy and washout 10/2 Hydropneumothorax/Pneumomediastinum s/p Chest tube which was removed H/O  Right Bronchopleural fistula s.p 5.5 Zephyr valve placement per pulmonary - CT thorax:  Improved loculated hydropneumothorax, chronic consolidation/atelectasis, extensive subcu emphysema in the chest wall has improved - blood cultures NGTD - ID evaluated , home on Augmentin and Cipro x 12 additional days  --ultrasound bilateral lower extremity no evidence of a DVT - ID followup, repeat Fungitell as outpatient    COVID infection Acute on chronic respiratory failure Hx COPD Patient vaccinated, with Moderna X2 Last vaccine was in March 2021 Currently on 3 L of oxygen, She is at baseline 3 to 3.5L at home  -- s/p Decadron 6 mg daily for 10 day --s/p Remdesivir course  --continue home inhalers-Trelegy   DM2            Lab Results Component Value Date   HGBA1C 5.7 (H) 10/23/2021             Lab Results Component Value Date   GLUCOSE 126 (H) 11/21/2021  HTN     BP Readings from Last 1 Encounters: 11/21/21 121/70   Depression  Restart home medications
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Lung opacity, Mean cell haemoglobin concentration increased, Mean cell haemoglobin normal, Mean cell volume normal, Metabolic function test abnormal
Clinical narrative: "Hospitalized (11.16.21 -discharged 11/22/21; COVID-19 positive (11.16.21); Fully vaccinated  COVID infection Acute on chronic respiratory failure Hx COPD Patient vaccinated, with Moderna X2 Last vaccine was in March 2021 Currently on 3 L of oxygen, She is at baseline 3 to 3.5L at home  -- s/p Decadron 6 mg daily for 10 day --s/p Remdesivir course  --continue home inhalers-Trelegy  DETAILS OF HOSPITAL STAY:   Septic shock  [A41.9, R65.21] COVID-19 [U07.1] Hypoglycemic shock  [E15]   ADMISSION AND DISCHARGE DIAGNOSES:  HOSPITAL COURSE:   Shock-Resolved  - suspected hypovolemic    History of fast bacilli in BAL 10/29/2021, Aspergillus fumigatus in BAL 10/29/2021 Enterobacter cloacae complex in BAL 10/29/2021 History of Right sided Empyema 2/2 to Strep Intermedius s/p right thoracotomy and washout 10/2 Hydropneumothorax/Pneumomediastinum s/p Chest tube which was removed H/O  Right Bronchopleural fistula s.p 5.5 Zephyr valve placement per pulmonary - CT thorax:  Improved loculated hydropneumothorax, chronic consolidation/atelectasis, extensive subcu emphysema in the chest wall has improved - blood cultures NGTD - ID evaluated , home on Augmentin and Cipro x 12 additional days  --ultrasound bilateral lower extremity no evidence of a DVT - ID followup, repeat Fungitell as outpatient    COVID infection Acute on chronic respiratory failure Hx COPD Patient vaccinated, with Moderna X2 Last vaccine was in March 2021 Currently on 3 L of oxygen, She is at baseline 3 to 3.5L at home  -- s/p Decadron 6 mg daily for 10 day --s/p Remdesivir course  --continue home inhalers-Trelegy   DM2            Lab Results Component Value Date   HGBA1C 5.7 (H) 10/23/2021             Lab Results Component Value Date   GLUCOSE 126 (H) 11/21/2021  HTN     BP Readings from Last 1 Encounters: 11/21/21 121/70   Depression  Restart home medications
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle tightness, Nucleated red cells, Pleural decortication, Pleural effusion, Pneumomediastinum
Clinical narrative: "Hospitalized (11.16.21 -discharged 11/22/21; COVID-19 positive (11.16.21); Fully vaccinated  COVID infection Acute on chronic respiratory failure Hx COPD Patient vaccinated, with Moderna X2 Last vaccine was in March 2021 Currently on 3 L of oxygen, She is at baseline 3 to 3.5L at home  -- s/p Decadron 6 mg daily for 10 day --s/p Remdesivir course  --continue home inhalers-Trelegy  DETAILS OF HOSPITAL STAY:   Septic shock  [A41.9, R65.21] COVID-19 [U07.1] Hypoglycemic shock  [E15]   ADMISSION AND DISCHARGE DIAGNOSES:  HOSPITAL COURSE:   Shock-Resolved  - suspected hypovolemic    History of fast bacilli in BAL 10/29/2021, Aspergillus fumigatus in BAL 10/29/2021 Enterobacter cloacae complex in BAL 10/29/2021 History of Right sided Empyema 2/2 to Strep Intermedius s/p right thoracotomy and washout 10/2 Hydropneumothorax/Pneumomediastinum s/p Chest tube which was removed H/O  Right Bronchopleural fistula s.p 5.5 Zephyr valve placement per pulmonary - CT thorax:  Improved loculated hydropneumothorax, chronic consolidation/atelectasis, extensive subcu emphysema in the chest wall has improved - blood cultures NGTD - ID evaluated , home on Augmentin and Cipro x 12 additional days  --ultrasound bilateral lower extremity no evidence of a DVT - ID followup, repeat Fungitell as outpatient    COVID infection Acute on chronic respiratory failure Hx COPD Patient vaccinated, with Moderna X2 Last vaccine was in March 2021 Currently on 3 L of oxygen, She is at baseline 3 to 3.5L at home  -- s/p Decadron 6 mg daily for 10 day --s/p Remdesivir course  --continue home inhalers-Trelegy   DM2            Lab Results Component Value Date   HGBA1C 5.7 (H) 10/23/2021             Lab Results Component Value Date   GLUCOSE 126 (H) 11/21/2021  HTN     BP Readings from Last 1 Encounters: 11/21/21 121/70   Depression  Restart home medications
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Pneumothorax, Productive cough, Protein total normal, Pulmonary air leakage
Clinical narrative: "Hospitalized (11.16.21 -discharged 11/22/21; COVID-19 positive (11.16.21); Fully vaccinated  COVID infection Acute on chronic respiratory failure Hx COPD Patient vaccinated, with Moderna X2 Last vaccine was in March 2021 Currently on 3 L of oxygen, She is at baseline 3 to 3.5L at home  -- s/p Decadron 6 mg daily for 10 day --s/p Remdesivir course  --continue home inhalers-Trelegy  DETAILS OF HOSPITAL STAY:   Septic shock  [A41.9, R65.21] COVID-19 [U07.1] Hypoglycemic shock  [E15]   ADMISSION AND DISCHARGE DIAGNOSES:  HOSPITAL COURSE:   Shock-Resolved  - suspected hypovolemic    History of fast bacilli in BAL 10/29/2021, Aspergillus fumigatus in BAL 10/29/2021 Enterobacter cloacae complex in BAL 10/29/2021 History of Right sided Empyema 2/2 to Strep Intermedius s/p right thoracotomy and washout 10/2 Hydropneumothorax/Pneumomediastinum s/p Chest tube which was removed H/O  Right Bronchopleural fistula s.p 5.5 Zephyr valve placement per pulmonary - CT thorax:  Improved loculated hydropneumothorax, chronic consolidation/atelectasis, extensive subcu emphysema in the chest wall has improved - blood cultures NGTD - ID evaluated , home on Augmentin and Cipro x 12 additional days  --ultrasound bilateral lower extremity no evidence of a DVT - ID followup, repeat Fungitell as outpatient    COVID infection Acute on chronic respiratory failure Hx COPD Patient vaccinated, with Moderna X2 Last vaccine was in March 2021 Currently on 3 L of oxygen, She is at baseline 3 to 3.5L at home  -- s/p Decadron 6 mg daily for 10 day --s/p Remdesivir course  --continue home inhalers-Trelegy   DM2            Lab Results Component Value Date   HGBA1C 5.7 (H) 10/23/2021             Lab Results Component Value Date   GLUCOSE 126 (H) 11/21/2021  HTN     BP Readings from Last 1 Encounters: 11/21/21 121/70   Depression  Restart home medications
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary oedema, Pulmonary valve replacement, Red blood cell count decreased, Red cell distribution width increased, SARS-CoV-2 test positive
Clinical narrative: "Hospitalized (11.16.21 -discharged 11/22/21; COVID-19 positive (11.16.21); Fully vaccinated  COVID infection Acute on chronic respiratory failure Hx COPD Patient vaccinated, with Moderna X2 Last vaccine was in March 2021 Currently on 3 L of oxygen, She is at baseline 3 to 3.5L at home  -- s/p Decadron 6 mg daily for 10 day --s/p Remdesivir course  --continue home inhalers-Trelegy  DETAILS OF HOSPITAL STAY:   Septic shock  [A41.9, R65.21] COVID-19 [U07.1] Hypoglycemic shock  [E15]   ADMISSION AND DISCHARGE DIAGNOSES:  HOSPITAL COURSE:   Shock-Resolved  - suspected hypovolemic    History of fast bacilli in BAL 10/29/2021, Aspergillus fumigatus in BAL 10/29/2021 Enterobacter cloacae complex in BAL 10/29/2021 History of Right sided Empyema 2/2 to Strep Intermedius s/p right thoracotomy and washout 10/2 Hydropneumothorax/Pneumomediastinum s/p Chest tube which was removed H/O  Right Bronchopleural fistula s.p 5.5 Zephyr valve placement per pulmonary - CT thorax:  Improved loculated hydropneumothorax, chronic consolidation/atelectasis, extensive subcu emphysema in the chest wall has improved - blood cultures NGTD - ID evaluated , home on Augmentin and Cipro x 12 additional days  --ultrasound bilateral lower extremity no evidence of a DVT - ID followup, repeat Fungitell as outpatient    COVID infection Acute on chronic respiratory failure Hx COPD Patient vaccinated, with Moderna X2 Last vaccine was in March 2021 Currently on 3 L of oxygen, She is at baseline 3 to 3.5L at home  -- s/p Decadron 6 mg daily for 10 day --s/p Remdesivir course  --continue home inhalers-Trelegy   DM2            Lab Results Component Value Date   HGBA1C 5.7 (H) 10/23/2021             Lab Results Component Value Date   GLUCOSE 126 (H) 11/21/2021  HTN     BP Readings from Last 1 Encounters: 11/21/21 121/70   Depression  Restart home medications