chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tinnitus, Urticaria
Clinical narrative: continuous headache; right arm whelp/pain; diarrhea (two days); ringing in ears (both); hot legs (as if lower body dipped in icy hot or bengay); tight throat
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: continuous headache; right arm whelp/pain; diarrhea (two days); ringing in ears (both); hot legs (as if lower body dipped in icy hot or bengay); tight throat
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Pain, Product preparation issue, Pyrexia
Clinical narrative: Pediatric vaccine was diluted with 0.13 ml instead of 1.3 ml so the patient got a more concentrated dosage than recommended. Patient presented fever,  pain at injection site and generalized pain and tiredness that lasted  48 hours.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Pt admitted to hospital with COVID on 9/6/21 s/p 2 doses of Pfizer (1/14/21 & 3/7/21)
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Syncope, Tinnitus
Clinical narrative: Chills for 2 hours, Syncope event during chills (unknown duration), ringing in ears
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody positive, Arthralgia, Asthenia, Decreased appetite, Dyspnoea
Clinical narrative: severe fatigue started the day after the vaccine, on day 5 generalized joint pain started,  loss of strength, nausea, loss of appetite,  mental and physical fatigue, some shortness of breath this continued with possibly some mild improvement till the second vaccine was given on 2/26/2021. Same symptoms  plus also following this second covid vaccine tendon inflammation started with clear swelling redness, pain, on random places over tendons left wrist, right ankle, back of left hand, top of right foot, right jaw, right shoulder, random shooting pains over nerves and joint pain, my body seems to have aged 20 year, I wake up stiff in the morning and after an episode of sitting I feel stiff and it takes time to get going. This has been going on for the past 10 months with no improvement. Fatigue continues, loss of appetite continues, loss of strength continues, mental tiredness, exhaustion, sense of shortness of breath and palpitations .  Inflammation occurs after a minimal level of activity. My physical capacity has been reduced by 60 % . Prior to this I was a healthy person with no physical symptoms, young for my age. So it is very clear to observe the changes that have happened. I also am a physician and so am able to identify and interpret the changes in my body well.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Fatigue, General physical health deterioration, Inflammation, Mental fatigue
Clinical narrative: severe fatigue started the day after the vaccine, on day 5 generalized joint pain started,  loss of strength, nausea, loss of appetite,  mental and physical fatigue, some shortness of breath this continued with possibly some mild improvement till the second vaccine was given on 2/26/2021. Same symptoms  plus also following this second covid vaccine tendon inflammation started with clear swelling redness, pain, on random places over tendons left wrist, right ankle, back of left hand, top of right foot, right jaw, right shoulder, random shooting pains over nerves and joint pain, my body seems to have aged 20 year, I wake up stiff in the morning and after an episode of sitting I feel stiff and it takes time to get going. This has been going on for the past 10 months with no improvement. Fatigue continues, loss of appetite continues, loss of strength continues, mental tiredness, exhaustion, sense of shortness of breath and palpitations .  Inflammation occurs after a minimal level of activity. My physical capacity has been reduced by 60 % . Prior to this I was a healthy person with no physical symptoms, young for my age. So it is very clear to observe the changes that have happened. I also am a physician and so am able to identify and interpret the changes in my body well.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Nausea, Neuralgia, Pain, Pain in extremity
Clinical narrative: severe fatigue started the day after the vaccine, on day 5 generalized joint pain started,  loss of strength, nausea, loss of appetite,  mental and physical fatigue, some shortness of breath this continued with possibly some mild improvement till the second vaccine was given on 2/26/2021. Same symptoms  plus also following this second covid vaccine tendon inflammation started with clear swelling redness, pain, on random places over tendons left wrist, right ankle, back of left hand, top of right foot, right jaw, right shoulder, random shooting pains over nerves and joint pain, my body seems to have aged 20 year, I wake up stiff in the morning and after an episode of sitting I feel stiff and it takes time to get going. This has been going on for the past 10 months with no improvement. Fatigue continues, loss of appetite continues, loss of strength continues, mental tiredness, exhaustion, sense of shortness of breath and palpitations .  Inflammation occurs after a minimal level of activity. My physical capacity has been reduced by 60 % . Prior to this I was a healthy person with no physical symptoms, young for my age. So it is very clear to observe the changes that have happened. I also am a physician and so am able to identify and interpret the changes in my body well.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in jaw, Palpitations, SARS-CoV-2 test negative, Swelling
Clinical narrative: severe fatigue started the day after the vaccine, on day 5 generalized joint pain started,  loss of strength, nausea, loss of appetite,  mental and physical fatigue, some shortness of breath this continued with possibly some mild improvement till the second vaccine was given on 2/26/2021. Same symptoms  plus also following this second covid vaccine tendon inflammation started with clear swelling redness, pain, on random places over tendons left wrist, right ankle, back of left hand, top of right foot, right jaw, right shoulder, random shooting pains over nerves and joint pain, my body seems to have aged 20 year, I wake up stiff in the morning and after an episode of sitting I feel stiff and it takes time to get going. This has been going on for the past 10 months with no improvement. Fatigue continues, loss of appetite continues, loss of strength continues, mental tiredness, exhaustion, sense of shortness of breath and palpitations .  Inflammation occurs after a minimal level of activity. My physical capacity has been reduced by 60 % . Prior to this I was a healthy person with no physical symptoms, young for my age. So it is very clear to observe the changes that have happened. I also am a physician and so am able to identify and interpret the changes in my body well.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Induration, Neck pain, Pyrexia, Rash
Clinical narrative: bilateral rash 20 min after shot, R neck/headache and fever for several days, and local induration extending to axilla
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, C-reactive protein increased, COVID-19, Chest X-ray abnormal, Fibrin D dimer increased
Clinical narrative: Janssen COVID-19 Vaccine EUA: patient currently hospitalized for COVID-19 disease with acute hypoxemic respiratory failure. Receiving steroids, remdesivir, and oxygen.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Lung hypoinflation, Lung opacity, SARS-CoV-2 test positive
Clinical narrative: Janssen COVID-19 Vaccine EUA: patient currently hospitalized for COVID-19 disease with acute hypoxemic respiratory failure. Receiving steroids, remdesivir, and oxygen.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Left face numbness lack of sensation when touching consisted to right side
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pregnancy test negative, Vomiting
Clinical narrative: I couldn't stop vomiting so I went to the ER. They gave me fluids and nausea pills. I can't hold anything down and I'm in a lot of pain.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid +
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Syringe issue
Clinical narrative: Barrel on the Syringe was broken upon adminstartion of the vaccine. No vaccine was adminstered intramuscullarly. A second vaccine was then adminstered sucessfully.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time, Aggression, Ammonia, Angiotensin converting enzyme, Anti-NMDA antibody
Clinical narrative: Herpes encephalitis (Primary Dx);  Details of the Hospital Course:  Patient is a 83 y.o. male with history significant for polymyalgia rheumatica on chronic steroids 1 mg prednisone daily (dx 3 yrs ago), history of PE/DVT for which he is prescribed outpatient Eliquis (2020), benign essential tremor, hypertension prescribed outpatient valsartan, recent admission for intractable headaches. Patient lives in the independent living was brought to the hospital by EMS for reported confusion and combativeness. Patient upon arrival is unresponsive and already intubated upon my examination however per records of EMS he had a last known well time on the evening of 4/30 at about 8:00 p.m.. He reportedly is AAO x3 at baseline and completes all of his ADLs independently. When found by EMS he was having reportedly incomprehensible speech and was found lying with the head near his radiator and noted to have a right frontal hematoma.  Patient was admitted to the ICU secondary to acute encephalopathy and intubated for protection of airways. Patient was placed on empiric antibiotics for encephalitis, patient was evaluated by neurology and ID. He had an LP x2. Meningitis encephalitis workup was negative. He was continued on acyclovir for total of 14 days for viral encephalitis. His mental status slowly improved. He was noted to have her incidental renal cell mass which will need outpatient follow-up with urology. Will need close follow-up with neurology as outpatient. He had pending paraneoplastic antibody testing which was sent out to the clinic and pending on discharge.  He unfortunately had a fall with head laceration requiring sutures by general surgery. He was seen by Physical therapy and will need a skilled nursing facility. He was amenable to this.  Uncontrolled hypertension blood pressure was improved and he was started back on verapamil and valsartan  History of PE/DVT he was diagnosed with a PE in November 2020 and had previous DVT. He is asked to follow-up with hematology to discuss further anticoagulation needs. He can resume if safely under the supervision of skilled nursing facility.  He reports alcohol use which is 1 glass of wine and scotch daily. He was monitored for DTs which he did not have and low suspicion for Wernicke's encephalopathy.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Antibody test, Blood bicarbonate, Blood cortisol, Blood creatine phosphokinase, Blood culture
Clinical narrative: Herpes encephalitis (Primary Dx);  Details of the Hospital Course:  Patient is a 83 y.o. male with history significant for polymyalgia rheumatica on chronic steroids 1 mg prednisone daily (dx 3 yrs ago), history of PE/DVT for which he is prescribed outpatient Eliquis (2020), benign essential tremor, hypertension prescribed outpatient valsartan, recent admission for intractable headaches. Patient lives in the independent living was brought to the hospital by EMS for reported confusion and combativeness. Patient upon arrival is unresponsive and already intubated upon my examination however per records of EMS he had a last known well time on the evening of 4/30 at about 8:00 p.m.. He reportedly is AAO x3 at baseline and completes all of his ADLs independently. When found by EMS he was having reportedly incomprehensible speech and was found lying with the head near his radiator and noted to have a right frontal hematoma.  Patient was admitted to the ICU secondary to acute encephalopathy and intubated for protection of airways. Patient was placed on empiric antibiotics for encephalitis, patient was evaluated by neurology and ID. He had an LP x2. Meningitis encephalitis workup was negative. He was continued on acyclovir for total of 14 days for viral encephalitis. His mental status slowly improved. He was noted to have her incidental renal cell mass which will need outpatient follow-up with urology. Will need close follow-up with neurology as outpatient. He had pending paraneoplastic antibody testing which was sent out to the clinic and pending on discharge.  He unfortunately had a fall with head laceration requiring sutures by general surgery. He was seen by Physical therapy and will need a skilled nursing facility. He was amenable to this.  Uncontrolled hypertension blood pressure was improved and he was started back on verapamil and valsartan  History of PE/DVT he was diagnosed with a PE in November 2020 and had previous DVT. He is asked to follow-up with hematology to discuss further anticoagulation needs. He can resume if safely under the supervision of skilled nursing facility.  He reports alcohol use which is 1 glass of wine and scotch daily. He was monitored for DTs which he did not have and low suspicion for Wernicke's encephalopathy.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Blood ethanol, Blood gases, Blood glucose, Blood grouping, Blood lactic acid
Clinical narrative: Herpes encephalitis (Primary Dx);  Details of the Hospital Course:  Patient is a 83 y.o. male with history significant for polymyalgia rheumatica on chronic steroids 1 mg prednisone daily (dx 3 yrs ago), history of PE/DVT for which he is prescribed outpatient Eliquis (2020), benign essential tremor, hypertension prescribed outpatient valsartan, recent admission for intractable headaches. Patient lives in the independent living was brought to the hospital by EMS for reported confusion and combativeness. Patient upon arrival is unresponsive and already intubated upon my examination however per records of EMS he had a last known well time on the evening of 4/30 at about 8:00 p.m.. He reportedly is AAO x3 at baseline and completes all of his ADLs independently. When found by EMS he was having reportedly incomprehensible speech and was found lying with the head near his radiator and noted to have a right frontal hematoma.  Patient was admitted to the ICU secondary to acute encephalopathy and intubated for protection of airways. Patient was placed on empiric antibiotics for encephalitis, patient was evaluated by neurology and ID. He had an LP x2. Meningitis encephalitis workup was negative. He was continued on acyclovir for total of 14 days for viral encephalitis. His mental status slowly improved. He was noted to have her incidental renal cell mass which will need outpatient follow-up with urology. Will need close follow-up with neurology as outpatient. He had pending paraneoplastic antibody testing which was sent out to the clinic and pending on discharge.  He unfortunately had a fall with head laceration requiring sutures by general surgery. He was seen by Physical therapy and will need a skilled nursing facility. He was amenable to this.  Uncontrolled hypertension blood pressure was improved and he was started back on verapamil and valsartan  History of PE/DVT he was diagnosed with a PE in November 2020 and had previous DVT. He is asked to follow-up with hematology to discuss further anticoagulation needs. He can resume if safely under the supervision of skilled nursing facility.  He reports alcohol use which is 1 glass of wine and scotch daily. He was monitored for DTs which he did not have and low suspicion for Wernicke's encephalopathy.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Blood magnesium, Blood osmolarity, Blood pH, Blood phosphorus, Blood prolactin
Clinical narrative: Herpes encephalitis (Primary Dx);  Details of the Hospital Course:  Patient is a 83 y.o. male with history significant for polymyalgia rheumatica on chronic steroids 1 mg prednisone daily (dx 3 yrs ago), history of PE/DVT for which he is prescribed outpatient Eliquis (2020), benign essential tremor, hypertension prescribed outpatient valsartan, recent admission for intractable headaches. Patient lives in the independent living was brought to the hospital by EMS for reported confusion and combativeness. Patient upon arrival is unresponsive and already intubated upon my examination however per records of EMS he had a last known well time on the evening of 4/30 at about 8:00 p.m.. He reportedly is AAO x3 at baseline and completes all of his ADLs independently. When found by EMS he was having reportedly incomprehensible speech and was found lying with the head near his radiator and noted to have a right frontal hematoma.  Patient was admitted to the ICU secondary to acute encephalopathy and intubated for protection of airways. Patient was placed on empiric antibiotics for encephalitis, patient was evaluated by neurology and ID. He had an LP x2. Meningitis encephalitis workup was negative. He was continued on acyclovir for total of 14 days for viral encephalitis. His mental status slowly improved. He was noted to have her incidental renal cell mass which will need outpatient follow-up with urology. Will need close follow-up with neurology as outpatient. He had pending paraneoplastic antibody testing which was sent out to the clinic and pending on discharge.  He unfortunately had a fall with head laceration requiring sutures by general surgery. He was seen by Physical therapy and will need a skilled nursing facility. He was amenable to this.  Uncontrolled hypertension blood pressure was improved and he was started back on verapamil and valsartan  History of PE/DVT he was diagnosed with a PE in November 2020 and had previous DVT. He is asked to follow-up with hematology to discuss further anticoagulation needs. He can resume if safely under the supervision of skilled nursing facility.  He reports alcohol use which is 1 glass of wine and scotch daily. He was monitored for DTs which he did not have and low suspicion for Wernicke's encephalopathy.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone, Blood triglycerides, Borrelia test, C-reactive protein, CSF cell count
Clinical narrative: Herpes encephalitis (Primary Dx);  Details of the Hospital Course:  Patient is a 83 y.o. male with history significant for polymyalgia rheumatica on chronic steroids 1 mg prednisone daily (dx 3 yrs ago), history of PE/DVT for which he is prescribed outpatient Eliquis (2020), benign essential tremor, hypertension prescribed outpatient valsartan, recent admission for intractable headaches. Patient lives in the independent living was brought to the hospital by EMS for reported confusion and combativeness. Patient upon arrival is unresponsive and already intubated upon my examination however per records of EMS he had a last known well time on the evening of 4/30 at about 8:00 p.m.. He reportedly is AAO x3 at baseline and completes all of his ADLs independently. When found by EMS he was having reportedly incomprehensible speech and was found lying with the head near his radiator and noted to have a right frontal hematoma.  Patient was admitted to the ICU secondary to acute encephalopathy and intubated for protection of airways. Patient was placed on empiric antibiotics for encephalitis, patient was evaluated by neurology and ID. He had an LP x2. Meningitis encephalitis workup was negative. He was continued on acyclovir for total of 14 days for viral encephalitis. His mental status slowly improved. He was noted to have her incidental renal cell mass which will need outpatient follow-up with urology. Will need close follow-up with neurology as outpatient. He had pending paraneoplastic antibody testing which was sent out to the clinic and pending on discharge.  He unfortunately had a fall with head laceration requiring sutures by general surgery. He was seen by Physical therapy and will need a skilled nursing facility. He was amenable to this.  Uncontrolled hypertension blood pressure was improved and he was started back on verapamil and valsartan  History of PE/DVT he was diagnosed with a PE in November 2020 and had previous DVT. He is asked to follow-up with hematology to discuss further anticoagulation needs. He can resume if safely under the supervision of skilled nursing facility.  He reports alcohol use which is 1 glass of wine and scotch daily. He was monitored for DTs which he did not have and low suspicion for Wernicke's encephalopathy.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: CSF culture, CSF glucose, CSF immunoglobulin G index, CSF myelin basic protein, CSF oligoclonal band
Clinical narrative: Herpes encephalitis (Primary Dx);  Details of the Hospital Course:  Patient is a 83 y.o. male with history significant for polymyalgia rheumatica on chronic steroids 1 mg prednisone daily (dx 3 yrs ago), history of PE/DVT for which he is prescribed outpatient Eliquis (2020), benign essential tremor, hypertension prescribed outpatient valsartan, recent admission for intractable headaches. Patient lives in the independent living was brought to the hospital by EMS for reported confusion and combativeness. Patient upon arrival is unresponsive and already intubated upon my examination however per records of EMS he had a last known well time on the evening of 4/30 at about 8:00 p.m.. He reportedly is AAO x3 at baseline and completes all of his ADLs independently. When found by EMS he was having reportedly incomprehensible speech and was found lying with the head near his radiator and noted to have a right frontal hematoma.  Patient was admitted to the ICU secondary to acute encephalopathy and intubated for protection of airways. Patient was placed on empiric antibiotics for encephalitis, patient was evaluated by neurology and ID. He had an LP x2. Meningitis encephalitis workup was negative. He was continued on acyclovir for total of 14 days for viral encephalitis. His mental status slowly improved. He was noted to have her incidental renal cell mass which will need outpatient follow-up with urology. Will need close follow-up with neurology as outpatient. He had pending paraneoplastic antibody testing which was sent out to the clinic and pending on discharge.  He unfortunately had a fall with head laceration requiring sutures by general surgery. He was seen by Physical therapy and will need a skilled nursing facility. He was amenable to this.  Uncontrolled hypertension blood pressure was improved and he was started back on verapamil and valsartan  History of PE/DVT he was diagnosed with a PE in November 2020 and had previous DVT. He is asked to follow-up with hematology to discuss further anticoagulation needs. He can resume if safely under the supervision of skilled nursing facility.  He reports alcohol use which is 1 glass of wine and scotch daily. He was monitored for DTs which he did not have and low suspicion for Wernicke's encephalopathy.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: CSF protein, CSF test, CSF white blood cell differential, Carboxyhaemoglobin, Chest X-ray
Clinical narrative: Herpes encephalitis (Primary Dx);  Details of the Hospital Course:  Patient is a 83 y.o. male with history significant for polymyalgia rheumatica on chronic steroids 1 mg prednisone daily (dx 3 yrs ago), history of PE/DVT for which he is prescribed outpatient Eliquis (2020), benign essential tremor, hypertension prescribed outpatient valsartan, recent admission for intractable headaches. Patient lives in the independent living was brought to the hospital by EMS for reported confusion and combativeness. Patient upon arrival is unresponsive and already intubated upon my examination however per records of EMS he had a last known well time on the evening of 4/30 at about 8:00 p.m.. He reportedly is AAO x3 at baseline and completes all of his ADLs independently. When found by EMS he was having reportedly incomprehensible speech and was found lying with the head near his radiator and noted to have a right frontal hematoma.  Patient was admitted to the ICU secondary to acute encephalopathy and intubated for protection of airways. Patient was placed on empiric antibiotics for encephalitis, patient was evaluated by neurology and ID. He had an LP x2. Meningitis encephalitis workup was negative. He was continued on acyclovir for total of 14 days for viral encephalitis. His mental status slowly improved. He was noted to have her incidental renal cell mass which will need outpatient follow-up with urology. Will need close follow-up with neurology as outpatient. He had pending paraneoplastic antibody testing which was sent out to the clinic and pending on discharge.  He unfortunately had a fall with head laceration requiring sutures by general surgery. He was seen by Physical therapy and will need a skilled nursing facility. He was amenable to this.  Uncontrolled hypertension blood pressure was improved and he was started back on verapamil and valsartan  History of PE/DVT he was diagnosed with a PE in November 2020 and had previous DVT. He is asked to follow-up with hematology to discuss further anticoagulation needs. He can resume if safely under the supervision of skilled nursing facility.  He reports alcohol use which is 1 glass of wine and scotch daily. He was monitored for DTs which he did not have and low suspicion for Wernicke's encephalopathy.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen, Computerised tomogram head, Computerised tomogram neck, Computerised tomogram spine, Condition aggravated
Clinical narrative: Herpes encephalitis (Primary Dx);  Details of the Hospital Course:  Patient is a 83 y.o. male with history significant for polymyalgia rheumatica on chronic steroids 1 mg prednisone daily (dx 3 yrs ago), history of PE/DVT for which he is prescribed outpatient Eliquis (2020), benign essential tremor, hypertension prescribed outpatient valsartan, recent admission for intractable headaches. Patient lives in the independent living was brought to the hospital by EMS for reported confusion and combativeness. Patient upon arrival is unresponsive and already intubated upon my examination however per records of EMS he had a last known well time on the evening of 4/30 at about 8:00 p.m.. He reportedly is AAO x3 at baseline and completes all of his ADLs independently. When found by EMS he was having reportedly incomprehensible speech and was found lying with the head near his radiator and noted to have a right frontal hematoma.  Patient was admitted to the ICU secondary to acute encephalopathy and intubated for protection of airways. Patient was placed on empiric antibiotics for encephalitis, patient was evaluated by neurology and ID. He had an LP x2. Meningitis encephalitis workup was negative. He was continued on acyclovir for total of 14 days for viral encephalitis. His mental status slowly improved. He was noted to have her incidental renal cell mass which will need outpatient follow-up with urology. Will need close follow-up with neurology as outpatient. He had pending paraneoplastic antibody testing which was sent out to the clinic and pending on discharge.  He unfortunately had a fall with head laceration requiring sutures by general surgery. He was seen by Physical therapy and will need a skilled nursing facility. He was amenable to this.  Uncontrolled hypertension blood pressure was improved and he was started back on verapamil and valsartan  History of PE/DVT he was diagnosed with a PE in November 2020 and had previous DVT. He is asked to follow-up with hematology to discuss further anticoagulation needs. He can resume if safely under the supervision of skilled nursing facility.  He reports alcohol use which is 1 glass of wine and scotch daily. He was monitored for DTs which he did not have and low suspicion for Wernicke's encephalopathy.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Culture urine, Cytology, Differential white blood cell count, Drug screen
Clinical narrative: Herpes encephalitis (Primary Dx);  Details of the Hospital Course:  Patient is a 83 y.o. male with history significant for polymyalgia rheumatica on chronic steroids 1 mg prednisone daily (dx 3 yrs ago), history of PE/DVT for which he is prescribed outpatient Eliquis (2020), benign essential tremor, hypertension prescribed outpatient valsartan, recent admission for intractable headaches. Patient lives in the independent living was brought to the hospital by EMS for reported confusion and combativeness. Patient upon arrival is unresponsive and already intubated upon my examination however per records of EMS he had a last known well time on the evening of 4/30 at about 8:00 p.m.. He reportedly is AAO x3 at baseline and completes all of his ADLs independently. When found by EMS he was having reportedly incomprehensible speech and was found lying with the head near his radiator and noted to have a right frontal hematoma.  Patient was admitted to the ICU secondary to acute encephalopathy and intubated for protection of airways. Patient was placed on empiric antibiotics for encephalitis, patient was evaluated by neurology and ID. He had an LP x2. Meningitis encephalitis workup was negative. He was continued on acyclovir for total of 14 days for viral encephalitis. His mental status slowly improved. He was noted to have her incidental renal cell mass which will need outpatient follow-up with urology. Will need close follow-up with neurology as outpatient. He had pending paraneoplastic antibody testing which was sent out to the clinic and pending on discharge.  He unfortunately had a fall with head laceration requiring sutures by general surgery. He was seen by Physical therapy and will need a skilled nursing facility. He was amenable to this.  Uncontrolled hypertension blood pressure was improved and he was started back on verapamil and valsartan  History of PE/DVT he was diagnosed with a PE in November 2020 and had previous DVT. He is asked to follow-up with hematology to discuss further anticoagulation needs. He can resume if safely under the supervision of skilled nursing facility.  He reports alcohol use which is 1 glass of wine and scotch daily. He was monitored for DTs which he did not have and low suspicion for Wernicke's encephalopathy.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Dysarthria, Echocardiogram, Electroencephalogram, Encephalitis viral, Encephalopathy
Clinical narrative: Herpes encephalitis (Primary Dx);  Details of the Hospital Course:  Patient is a 83 y.o. male with history significant for polymyalgia rheumatica on chronic steroids 1 mg prednisone daily (dx 3 yrs ago), history of PE/DVT for which he is prescribed outpatient Eliquis (2020), benign essential tremor, hypertension prescribed outpatient valsartan, recent admission for intractable headaches. Patient lives in the independent living was brought to the hospital by EMS for reported confusion and combativeness. Patient upon arrival is unresponsive and already intubated upon my examination however per records of EMS he had a last known well time on the evening of 4/30 at about 8:00 p.m.. He reportedly is AAO x3 at baseline and completes all of his ADLs independently. When found by EMS he was having reportedly incomprehensible speech and was found lying with the head near his radiator and noted to have a right frontal hematoma.  Patient was admitted to the ICU secondary to acute encephalopathy and intubated for protection of airways. Patient was placed on empiric antibiotics for encephalitis, patient was evaluated by neurology and ID. He had an LP x2. Meningitis encephalitis workup was negative. He was continued on acyclovir for total of 14 days for viral encephalitis. His mental status slowly improved. He was noted to have her incidental renal cell mass which will need outpatient follow-up with urology. Will need close follow-up with neurology as outpatient. He had pending paraneoplastic antibody testing which was sent out to the clinic and pending on discharge.  He unfortunately had a fall with head laceration requiring sutures by general surgery. He was seen by Physical therapy and will need a skilled nursing facility. He was amenable to this.  Uncontrolled hypertension blood pressure was improved and he was started back on verapamil and valsartan  History of PE/DVT he was diagnosed with a PE in November 2020 and had previous DVT. He is asked to follow-up with hematology to discuss further anticoagulation needs. He can resume if safely under the supervision of skilled nursing facility.  He reports alcohol use which is 1 glass of wine and scotch daily. He was monitored for DTs which he did not have and low suspicion for Wernicke's encephalopathy.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Endotracheal intubation, Enterovirus test, Epstein-Barr virus test, Fall, Flow cytometry
Clinical narrative: Herpes encephalitis (Primary Dx);  Details of the Hospital Course:  Patient is a 83 y.o. male with history significant for polymyalgia rheumatica on chronic steroids 1 mg prednisone daily (dx 3 yrs ago), history of PE/DVT for which he is prescribed outpatient Eliquis (2020), benign essential tremor, hypertension prescribed outpatient valsartan, recent admission for intractable headaches. Patient lives in the independent living was brought to the hospital by EMS for reported confusion and combativeness. Patient upon arrival is unresponsive and already intubated upon my examination however per records of EMS he had a last known well time on the evening of 4/30 at about 8:00 p.m.. He reportedly is AAO x3 at baseline and completes all of his ADLs independently. When found by EMS he was having reportedly incomprehensible speech and was found lying with the head near his radiator and noted to have a right frontal hematoma.  Patient was admitted to the ICU secondary to acute encephalopathy and intubated for protection of airways. Patient was placed on empiric antibiotics for encephalitis, patient was evaluated by neurology and ID. He had an LP x2. Meningitis encephalitis workup was negative. He was continued on acyclovir for total of 14 days for viral encephalitis. His mental status slowly improved. He was noted to have her incidental renal cell mass which will need outpatient follow-up with urology. Will need close follow-up with neurology as outpatient. He had pending paraneoplastic antibody testing which was sent out to the clinic and pending on discharge.  He unfortunately had a fall with head laceration requiring sutures by general surgery. He was seen by Physical therapy and will need a skilled nursing facility. He was amenable to this.  Uncontrolled hypertension blood pressure was improved and he was started back on verapamil and valsartan  History of PE/DVT he was diagnosed with a PE in November 2020 and had previous DVT. He is asked to follow-up with hematology to discuss further anticoagulation needs. He can resume if safely under the supervision of skilled nursing facility.  He reports alcohol use which is 1 glass of wine and scotch daily. He was monitored for DTs which he did not have and low suspicion for Wernicke's encephalopathy.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count, Fungal test, HIV antibody, HIV antigen, Haematoma
Clinical narrative: Herpes encephalitis (Primary Dx);  Details of the Hospital Course:  Patient is a 83 y.o. male with history significant for polymyalgia rheumatica on chronic steroids 1 mg prednisone daily (dx 3 yrs ago), history of PE/DVT for which he is prescribed outpatient Eliquis (2020), benign essential tremor, hypertension prescribed outpatient valsartan, recent admission for intractable headaches. Patient lives in the independent living was brought to the hospital by EMS for reported confusion and combativeness. Patient upon arrival is unresponsive and already intubated upon my examination however per records of EMS he had a last known well time on the evening of 4/30 at about 8:00 p.m.. He reportedly is AAO x3 at baseline and completes all of his ADLs independently. When found by EMS he was having reportedly incomprehensible speech and was found lying with the head near his radiator and noted to have a right frontal hematoma.  Patient was admitted to the ICU secondary to acute encephalopathy and intubated for protection of airways. Patient was placed on empiric antibiotics for encephalitis, patient was evaluated by neurology and ID. He had an LP x2. Meningitis encephalitis workup was negative. He was continued on acyclovir for total of 14 days for viral encephalitis. His mental status slowly improved. He was noted to have her incidental renal cell mass which will need outpatient follow-up with urology. Will need close follow-up with neurology as outpatient. He had pending paraneoplastic antibody testing which was sent out to the clinic and pending on discharge.  He unfortunately had a fall with head laceration requiring sutures by general surgery. He was seen by Physical therapy and will need a skilled nursing facility. He was amenable to this.  Uncontrolled hypertension blood pressure was improved and he was started back on verapamil and valsartan  History of PE/DVT he was diagnosed with a PE in November 2020 and had previous DVT. He is asked to follow-up with hematology to discuss further anticoagulation needs. He can resume if safely under the supervision of skilled nursing facility.  He reports alcohol use which is 1 glass of wine and scotch daily. He was monitored for DTs which he did not have and low suspicion for Wernicke's encephalopathy.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Herpes simplex test, Hypertension, Influenza A virus test, Influenza B virus test
Clinical narrative: Herpes encephalitis (Primary Dx);  Details of the Hospital Course:  Patient is a 83 y.o. male with history significant for polymyalgia rheumatica on chronic steroids 1 mg prednisone daily (dx 3 yrs ago), history of PE/DVT for which he is prescribed outpatient Eliquis (2020), benign essential tremor, hypertension prescribed outpatient valsartan, recent admission for intractable headaches. Patient lives in the independent living was brought to the hospital by EMS for reported confusion and combativeness. Patient upon arrival is unresponsive and already intubated upon my examination however per records of EMS he had a last known well time on the evening of 4/30 at about 8:00 p.m.. He reportedly is AAO x3 at baseline and completes all of his ADLs independently. When found by EMS he was having reportedly incomprehensible speech and was found lying with the head near his radiator and noted to have a right frontal hematoma.  Patient was admitted to the ICU secondary to acute encephalopathy and intubated for protection of airways. Patient was placed on empiric antibiotics for encephalitis, patient was evaluated by neurology and ID. He had an LP x2. Meningitis encephalitis workup was negative. He was continued on acyclovir for total of 14 days for viral encephalitis. His mental status slowly improved. He was noted to have her incidental renal cell mass which will need outpatient follow-up with urology. Will need close follow-up with neurology as outpatient. He had pending paraneoplastic antibody testing which was sent out to the clinic and pending on discharge.  He unfortunately had a fall with head laceration requiring sutures by general surgery. He was seen by Physical therapy and will need a skilled nursing facility. He was amenable to this.  Uncontrolled hypertension blood pressure was improved and he was started back on verapamil and valsartan  History of PE/DVT he was diagnosed with a PE in November 2020 and had previous DVT. He is asked to follow-up with hematology to discuss further anticoagulation needs. He can resume if safely under the supervision of skilled nursing facility.  He reports alcohol use which is 1 glass of wine and scotch daily. He was monitored for DTs which he did not have and low suspicion for Wernicke's encephalopathy.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, International normalised ratio, Investigation, JC polyomavirus test, Laboratory test
Clinical narrative: Herpes encephalitis (Primary Dx);  Details of the Hospital Course:  Patient is a 83 y.o. male with history significant for polymyalgia rheumatica on chronic steroids 1 mg prednisone daily (dx 3 yrs ago), history of PE/DVT for which he is prescribed outpatient Eliquis (2020), benign essential tremor, hypertension prescribed outpatient valsartan, recent admission for intractable headaches. Patient lives in the independent living was brought to the hospital by EMS for reported confusion and combativeness. Patient upon arrival is unresponsive and already intubated upon my examination however per records of EMS he had a last known well time on the evening of 4/30 at about 8:00 p.m.. He reportedly is AAO x3 at baseline and completes all of his ADLs independently. When found by EMS he was having reportedly incomprehensible speech and was found lying with the head near his radiator and noted to have a right frontal hematoma.  Patient was admitted to the ICU secondary to acute encephalopathy and intubated for protection of airways. Patient was placed on empiric antibiotics for encephalitis, patient was evaluated by neurology and ID. He had an LP x2. Meningitis encephalitis workup was negative. He was continued on acyclovir for total of 14 days for viral encephalitis. His mental status slowly improved. He was noted to have her incidental renal cell mass which will need outpatient follow-up with urology. Will need close follow-up with neurology as outpatient. He had pending paraneoplastic antibody testing which was sent out to the clinic and pending on discharge.  He unfortunately had a fall with head laceration requiring sutures by general surgery. He was seen by Physical therapy and will need a skilled nursing facility. He was amenable to this.  Uncontrolled hypertension blood pressure was improved and he was started back on verapamil and valsartan  History of PE/DVT he was diagnosed with a PE in November 2020 and had previous DVT. He is asked to follow-up with hematology to discuss further anticoagulation needs. He can resume if safely under the supervision of skilled nursing facility.  He reports alcohol use which is 1 glass of wine and scotch daily. He was monitored for DTs which he did not have and low suspicion for Wernicke's encephalopathy.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Lumbar puncture, Magnetic resonance imaging head, Meningoencephalitis herpetic, Mental status changes, Metabolic function test
Clinical narrative: Herpes encephalitis (Primary Dx);  Details of the Hospital Course:  Patient is a 83 y.o. male with history significant for polymyalgia rheumatica on chronic steroids 1 mg prednisone daily (dx 3 yrs ago), history of PE/DVT for which he is prescribed outpatient Eliquis (2020), benign essential tremor, hypertension prescribed outpatient valsartan, recent admission for intractable headaches. Patient lives in the independent living was brought to the hospital by EMS for reported confusion and combativeness. Patient upon arrival is unresponsive and already intubated upon my examination however per records of EMS he had a last known well time on the evening of 4/30 at about 8:00 p.m.. He reportedly is AAO x3 at baseline and completes all of his ADLs independently. When found by EMS he was having reportedly incomprehensible speech and was found lying with the head near his radiator and noted to have a right frontal hematoma.  Patient was admitted to the ICU secondary to acute encephalopathy and intubated for protection of airways. Patient was placed on empiric antibiotics for encephalitis, patient was evaluated by neurology and ID. He had an LP x2. Meningitis encephalitis workup was negative. He was continued on acyclovir for total of 14 days for viral encephalitis. His mental status slowly improved. He was noted to have her incidental renal cell mass which will need outpatient follow-up with urology. Will need close follow-up with neurology as outpatient. He had pending paraneoplastic antibody testing which was sent out to the clinic and pending on discharge.  He unfortunately had a fall with head laceration requiring sutures by general surgery. He was seen by Physical therapy and will need a skilled nursing facility. He was amenable to this.  Uncontrolled hypertension blood pressure was improved and he was started back on verapamil and valsartan  History of PE/DVT he was diagnosed with a PE in November 2020 and had previous DVT. He is asked to follow-up with hematology to discuss further anticoagulation needs. He can resume if safely under the supervision of skilled nursing facility.  He reports alcohol use which is 1 glass of wine and scotch daily. He was monitored for DTs which he did not have and low suspicion for Wernicke's encephalopathy.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Mycobacterium test, Pathology test, Polymerase chain reaction positive, Prothrombin time, Red blood cell sedimentation rate
Clinical narrative: Herpes encephalitis (Primary Dx);  Details of the Hospital Course:  Patient is a 83 y.o. male with history significant for polymyalgia rheumatica on chronic steroids 1 mg prednisone daily (dx 3 yrs ago), history of PE/DVT for which he is prescribed outpatient Eliquis (2020), benign essential tremor, hypertension prescribed outpatient valsartan, recent admission for intractable headaches. Patient lives in the independent living was brought to the hospital by EMS for reported confusion and combativeness. Patient upon arrival is unresponsive and already intubated upon my examination however per records of EMS he had a last known well time on the evening of 4/30 at about 8:00 p.m.. He reportedly is AAO x3 at baseline and completes all of his ADLs independently. When found by EMS he was having reportedly incomprehensible speech and was found lying with the head near his radiator and noted to have a right frontal hematoma.  Patient was admitted to the ICU secondary to acute encephalopathy and intubated for protection of airways. Patient was placed on empiric antibiotics for encephalitis, patient was evaluated by neurology and ID. He had an LP x2. Meningitis encephalitis workup was negative. He was continued on acyclovir for total of 14 days for viral encephalitis. His mental status slowly improved. He was noted to have her incidental renal cell mass which will need outpatient follow-up with urology. Will need close follow-up with neurology as outpatient. He had pending paraneoplastic antibody testing which was sent out to the clinic and pending on discharge.  He unfortunately had a fall with head laceration requiring sutures by general surgery. He was seen by Physical therapy and will need a skilled nursing facility. He was amenable to this.  Uncontrolled hypertension blood pressure was improved and he was started back on verapamil and valsartan  History of PE/DVT he was diagnosed with a PE in November 2020 and had previous DVT. He is asked to follow-up with hematology to discuss further anticoagulation needs. He can resume if safely under the supervision of skilled nursing facility.  He reports alcohol use which is 1 glass of wine and scotch daily. He was monitored for DTs which he did not have and low suspicion for Wernicke's encephalopathy.