chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Blood urea increased, Bordetella test negative, COVID-19, Chest X-ray abnormal, Chlamydia test negative
Clinical narrative: ED to Hosp-Admission  to Current  10/10/2021 - present (4 days) Hospital  COVID-19 Principal problem   Plan     Chief Complaint Patient presents with ? Shortness of Breath     1. COVID 19 2. Acute hypoxemic respiratory failure 3. CKD stage 3   Plan:   Start decadron 6mg IV daily x 10 days   Start 5 day course of IV Remdisivir   Procalcitonin is normal -> no antibiotics indicated.    Check a full set of inflammatory markers including ferritin CRP LDH lactate   Gentle hydration for a short period of time for the sake of the kidneys -> but careful to aim for a more conservative fluid management approach given the COVID.    Spoke to ED physician personally and agree with admission.     History of Present Illness     Patient is an 80 y.o. female.       I personally interviewed patient, reviewed chart, and reviewed emergency room resident history and agree with it in its following entirety unless otherwise noted below.  "Patient is a 80 y.o. woman with a history of dementia, HTN, HLD, CKD stage III, hyperparathyroidism, GERD, who reports the emergency department with shortness of breath.  Patient coming from SNF via EMS, is reportedly COVID-19 positive.  This morning was found to be complaining of worsened shortness of breath, found to have room air saturations in the 70 percentile.  Placed on 1 L nasal cannula with improvement to 95%, sent to ED for evaluation and care. Patient currently reports shortness of breath, nonproductive cough. Denies any chest pain, nausea/vomiting, diarrhea, myalgias, headache.    Has received 1 dose of the Pfizer vaccine.   80 y.o. woman with a history of dementia, HTN, HLD, CKD stage III, hyperparathyroidism, GERD, who reports the ED via EMS from SNF with shortness of breath and hypoxia in the setting of COVID19 infection.  HPI as per below.  Afebrile, tachypneic in the mid 20s with an SPO2 95% on 3 L nasal cannula, hemodynamically stable.  Physical exam shows well-appearing elderly woman in NAD, heart regular no M/R/G, lungs with faint crackles in all lung fields, abdomen soft and ND/NT, mucous membranes are moist, no significant lower extremity edema.  Differential diagnosis includes likely worsening COVID-19 infection, possible superimposed bacterial pneumonia, lower concern for PE or ACS given lack of chest pain or other significant symptoms.  Will obtain CBC, CMP, lactate, Covid inflammatory markers, RVP, EKG, CXR.  Will give 6 mg Decadron IV for hypoxia in the setting of COVID-19.  Anticipate hospitalization given degree of hypoxia and new supplemental O2 requirement.   Per POLST, patient is FULL CODE."   On my bedside evaluation she is resting on 3 L nasal cannula and is relatively comfortable appearing but she is a very poor historian.  Does not note any pain or edema in her legs.  No belly or chest pain.  She does feel like she is getting enough air at this time
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Chronic kidney disease, Computerised tomogram head abnormal, Computerised tomogram neck, Computerised tomogram pelvis abnormal, Coronavirus test negative
Clinical narrative: ED to Hosp-Admission  to Current  10/10/2021 - present (4 days) Hospital  COVID-19 Principal problem   Plan     Chief Complaint Patient presents with ? Shortness of Breath     1. COVID 19 2. Acute hypoxemic respiratory failure 3. CKD stage 3   Plan:   Start decadron 6mg IV daily x 10 days   Start 5 day course of IV Remdisivir   Procalcitonin is normal -> no antibiotics indicated.    Check a full set of inflammatory markers including ferritin CRP LDH lactate   Gentle hydration for a short period of time for the sake of the kidneys -> but careful to aim for a more conservative fluid management approach given the COVID.    Spoke to ED physician personally and agree with admission.     History of Present Illness     Patient is an 80 y.o. female.       I personally interviewed patient, reviewed chart, and reviewed emergency room resident history and agree with it in its following entirety unless otherwise noted below.  "Patient is a 80 y.o. woman with a history of dementia, HTN, HLD, CKD stage III, hyperparathyroidism, GERD, who reports the emergency department with shortness of breath.  Patient coming from SNF via EMS, is reportedly COVID-19 positive.  This morning was found to be complaining of worsened shortness of breath, found to have room air saturations in the 70 percentile.  Placed on 1 L nasal cannula with improvement to 95%, sent to ED for evaluation and care. Patient currently reports shortness of breath, nonproductive cough. Denies any chest pain, nausea/vomiting, diarrhea, myalgias, headache.    Has received 1 dose of the Pfizer vaccine.   80 y.o. woman with a history of dementia, HTN, HLD, CKD stage III, hyperparathyroidism, GERD, who reports the ED via EMS from SNF with shortness of breath and hypoxia in the setting of COVID19 infection.  HPI as per below.  Afebrile, tachypneic in the mid 20s with an SPO2 95% on 3 L nasal cannula, hemodynamically stable.  Physical exam shows well-appearing elderly woman in NAD, heart regular no M/R/G, lungs with faint crackles in all lung fields, abdomen soft and ND/NT, mucous membranes are moist, no significant lower extremity edema.  Differential diagnosis includes likely worsening COVID-19 infection, possible superimposed bacterial pneumonia, lower concern for PE or ACS given lack of chest pain or other significant symptoms.  Will obtain CBC, CMP, lactate, Covid inflammatory markers, RVP, EKG, CXR.  Will give 6 mg Decadron IV for hypoxia in the setting of COVID-19.  Anticipate hospitalization given degree of hypoxia and new supplemental O2 requirement.   Per POLST, patient is FULL CODE."   On my bedside evaluation she is resting on 3 L nasal cannula and is relatively comfortable appearing but she is a very poor historian.  Does not note any pain or edema in her legs.  No belly or chest pain.  She does feel like she is getting enough air at this time
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Culture urine, Dyspnoea, Electrocardiogram ST-T change, Enterovirus test negative, Eosinophil percentage decreased
Clinical narrative: ED to Hosp-Admission  to Current  10/10/2021 - present (4 days) Hospital  COVID-19 Principal problem   Plan     Chief Complaint Patient presents with ? Shortness of Breath     1. COVID 19 2. Acute hypoxemic respiratory failure 3. CKD stage 3   Plan:   Start decadron 6mg IV daily x 10 days   Start 5 day course of IV Remdisivir   Procalcitonin is normal -> no antibiotics indicated.    Check a full set of inflammatory markers including ferritin CRP LDH lactate   Gentle hydration for a short period of time for the sake of the kidneys -> but careful to aim for a more conservative fluid management approach given the COVID.    Spoke to ED physician personally and agree with admission.     History of Present Illness     Patient is an 80 y.o. female.       I personally interviewed patient, reviewed chart, and reviewed emergency room resident history and agree with it in its following entirety unless otherwise noted below.  "Patient is a 80 y.o. woman with a history of dementia, HTN, HLD, CKD stage III, hyperparathyroidism, GERD, who reports the emergency department with shortness of breath.  Patient coming from SNF via EMS, is reportedly COVID-19 positive.  This morning was found to be complaining of worsened shortness of breath, found to have room air saturations in the 70 percentile.  Placed on 1 L nasal cannula with improvement to 95%, sent to ED for evaluation and care. Patient currently reports shortness of breath, nonproductive cough. Denies any chest pain, nausea/vomiting, diarrhea, myalgias, headache.    Has received 1 dose of the Pfizer vaccine.   80 y.o. woman with a history of dementia, HTN, HLD, CKD stage III, hyperparathyroidism, GERD, who reports the ED via EMS from SNF with shortness of breath and hypoxia in the setting of COVID19 infection.  HPI as per below.  Afebrile, tachypneic in the mid 20s with an SPO2 95% on 3 L nasal cannula, hemodynamically stable.  Physical exam shows well-appearing elderly woman in NAD, heart regular no M/R/G, lungs with faint crackles in all lung fields, abdomen soft and ND/NT, mucous membranes are moist, no significant lower extremity edema.  Differential diagnosis includes likely worsening COVID-19 infection, possible superimposed bacterial pneumonia, lower concern for PE or ACS given lack of chest pain or other significant symptoms.  Will obtain CBC, CMP, lactate, Covid inflammatory markers, RVP, EKG, CXR.  Will give 6 mg Decadron IV for hypoxia in the setting of COVID-19.  Anticipate hospitalization given degree of hypoxia and new supplemental O2 requirement.   Per POLST, patient is FULL CODE."   On my bedside evaluation she is resting on 3 L nasal cannula and is relatively comfortable appearing but she is a very poor historian.  Does not note any pain or edema in her legs.  No belly or chest pain.  She does feel like she is getting enough air at this time
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count abnormal, Haematocrit decreased, Haemoglobin decreased, Human metapneumovirus test, Human rhinovirus test
Clinical narrative: ED to Hosp-Admission  to Current  10/10/2021 - present (4 days) Hospital  COVID-19 Principal problem   Plan     Chief Complaint Patient presents with ? Shortness of Breath     1. COVID 19 2. Acute hypoxemic respiratory failure 3. CKD stage 3   Plan:   Start decadron 6mg IV daily x 10 days   Start 5 day course of IV Remdisivir   Procalcitonin is normal -> no antibiotics indicated.    Check a full set of inflammatory markers including ferritin CRP LDH lactate   Gentle hydration for a short period of time for the sake of the kidneys -> but careful to aim for a more conservative fluid management approach given the COVID.    Spoke to ED physician personally and agree with admission.     History of Present Illness     Patient is an 80 y.o. female.       I personally interviewed patient, reviewed chart, and reviewed emergency room resident history and agree with it in its following entirety unless otherwise noted below.  "Patient is a 80 y.o. woman with a history of dementia, HTN, HLD, CKD stage III, hyperparathyroidism, GERD, who reports the emergency department with shortness of breath.  Patient coming from SNF via EMS, is reportedly COVID-19 positive.  This morning was found to be complaining of worsened shortness of breath, found to have room air saturations in the 70 percentile.  Placed on 1 L nasal cannula with improvement to 95%, sent to ED for evaluation and care. Patient currently reports shortness of breath, nonproductive cough. Denies any chest pain, nausea/vomiting, diarrhea, myalgias, headache.    Has received 1 dose of the Pfizer vaccine.   80 y.o. woman with a history of dementia, HTN, HLD, CKD stage III, hyperparathyroidism, GERD, who reports the ED via EMS from SNF with shortness of breath and hypoxia in the setting of COVID19 infection.  HPI as per below.  Afebrile, tachypneic in the mid 20s with an SPO2 95% on 3 L nasal cannula, hemodynamically stable.  Physical exam shows well-appearing elderly woman in NAD, heart regular no M/R/G, lungs with faint crackles in all lung fields, abdomen soft and ND/NT, mucous membranes are moist, no significant lower extremity edema.  Differential diagnosis includes likely worsening COVID-19 infection, possible superimposed bacterial pneumonia, lower concern for PE or ACS given lack of chest pain or other significant symptoms.  Will obtain CBC, CMP, lactate, Covid inflammatory markers, RVP, EKG, CXR.  Will give 6 mg Decadron IV for hypoxia in the setting of COVID-19.  Anticipate hospitalization given degree of hypoxia and new supplemental O2 requirement.   Per POLST, patient is FULL CODE."   On my bedside evaluation she is resting on 3 L nasal cannula and is relatively comfortable appearing but she is a very poor historian.  Does not note any pain or edema in her legs.  No belly or chest pain.  She does feel like she is getting enough air at this time
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza A virus test negative, Influenza B virus test, Influenza virus test negative, Lung opacity, Lymphocyte percentage decreased
Clinical narrative: ED to Hosp-Admission  to Current  10/10/2021 - present (4 days) Hospital  COVID-19 Principal problem   Plan     Chief Complaint Patient presents with ? Shortness of Breath     1. COVID 19 2. Acute hypoxemic respiratory failure 3. CKD stage 3   Plan:   Start decadron 6mg IV daily x 10 days   Start 5 day course of IV Remdisivir   Procalcitonin is normal -> no antibiotics indicated.    Check a full set of inflammatory markers including ferritin CRP LDH lactate   Gentle hydration for a short period of time for the sake of the kidneys -> but careful to aim for a more conservative fluid management approach given the COVID.    Spoke to ED physician personally and agree with admission.     History of Present Illness     Patient is an 80 y.o. female.       I personally interviewed patient, reviewed chart, and reviewed emergency room resident history and agree with it in its following entirety unless otherwise noted below.  "Patient is a 80 y.o. woman with a history of dementia, HTN, HLD, CKD stage III, hyperparathyroidism, GERD, who reports the emergency department with shortness of breath.  Patient coming from SNF via EMS, is reportedly COVID-19 positive.  This morning was found to be complaining of worsened shortness of breath, found to have room air saturations in the 70 percentile.  Placed on 1 L nasal cannula with improvement to 95%, sent to ED for evaluation and care. Patient currently reports shortness of breath, nonproductive cough. Denies any chest pain, nausea/vomiting, diarrhea, myalgias, headache.    Has received 1 dose of the Pfizer vaccine.   80 y.o. woman with a history of dementia, HTN, HLD, CKD stage III, hyperparathyroidism, GERD, who reports the ED via EMS from SNF with shortness of breath and hypoxia in the setting of COVID19 infection.  HPI as per below.  Afebrile, tachypneic in the mid 20s with an SPO2 95% on 3 L nasal cannula, hemodynamically stable.  Physical exam shows well-appearing elderly woman in NAD, heart regular no M/R/G, lungs with faint crackles in all lung fields, abdomen soft and ND/NT, mucous membranes are moist, no significant lower extremity edema.  Differential diagnosis includes likely worsening COVID-19 infection, possible superimposed bacterial pneumonia, lower concern for PE or ACS given lack of chest pain or other significant symptoms.  Will obtain CBC, CMP, lactate, Covid inflammatory markers, RVP, EKG, CXR.  Will give 6 mg Decadron IV for hypoxia in the setting of COVID-19.  Anticipate hospitalization given degree of hypoxia and new supplemental O2 requirement.   Per POLST, patient is FULL CODE."   On my bedside evaluation she is resting on 3 L nasal cannula and is relatively comfortable appearing but she is a very poor historian.  Does not note any pain or edema in her legs.  No belly or chest pain.  She does feel like she is getting enough air at this time
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Monocyte percentage, Mycoplasma test negative, Neutrophil percentage increased, Oxygen saturation decreased, Platelet count normal
Clinical narrative: ED to Hosp-Admission  to Current  10/10/2021 - present (4 days) Hospital  COVID-19 Principal problem   Plan     Chief Complaint Patient presents with ? Shortness of Breath     1. COVID 19 2. Acute hypoxemic respiratory failure 3. CKD stage 3   Plan:   Start decadron 6mg IV daily x 10 days   Start 5 day course of IV Remdisivir   Procalcitonin is normal -> no antibiotics indicated.    Check a full set of inflammatory markers including ferritin CRP LDH lactate   Gentle hydration for a short period of time for the sake of the kidneys -> but careful to aim for a more conservative fluid management approach given the COVID.    Spoke to ED physician personally and agree with admission.     History of Present Illness     Patient is an 80 y.o. female.       I personally interviewed patient, reviewed chart, and reviewed emergency room resident history and agree with it in its following entirety unless otherwise noted below.  "Patient is a 80 y.o. woman with a history of dementia, HTN, HLD, CKD stage III, hyperparathyroidism, GERD, who reports the emergency department with shortness of breath.  Patient coming from SNF via EMS, is reportedly COVID-19 positive.  This morning was found to be complaining of worsened shortness of breath, found to have room air saturations in the 70 percentile.  Placed on 1 L nasal cannula with improvement to 95%, sent to ED for evaluation and care. Patient currently reports shortness of breath, nonproductive cough. Denies any chest pain, nausea/vomiting, diarrhea, myalgias, headache.    Has received 1 dose of the Pfizer vaccine.   80 y.o. woman with a history of dementia, HTN, HLD, CKD stage III, hyperparathyroidism, GERD, who reports the ED via EMS from SNF with shortness of breath and hypoxia in the setting of COVID19 infection.  HPI as per below.  Afebrile, tachypneic in the mid 20s with an SPO2 95% on 3 L nasal cannula, hemodynamically stable.  Physical exam shows well-appearing elderly woman in NAD, heart regular no M/R/G, lungs with faint crackles in all lung fields, abdomen soft and ND/NT, mucous membranes are moist, no significant lower extremity edema.  Differential diagnosis includes likely worsening COVID-19 infection, possible superimposed bacterial pneumonia, lower concern for PE or ACS given lack of chest pain or other significant symptoms.  Will obtain CBC, CMP, lactate, Covid inflammatory markers, RVP, EKG, CXR.  Will give 6 mg Decadron IV for hypoxia in the setting of COVID-19.  Anticipate hospitalization given degree of hypoxia and new supplemental O2 requirement.   Per POLST, patient is FULL CODE."   On my bedside evaluation she is resting on 3 L nasal cannula and is relatively comfortable appearing but she is a very poor historian.  Does not note any pain or edema in her legs.  No belly or chest pain.  She does feel like she is getting enough air at this time
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Protein total decreased, Rales, Respiratory syncytial virus test negative, SARS-CoV-2 test positive, Tachypnoea
Clinical narrative: ED to Hosp-Admission  to Current  10/10/2021 - present (4 days) Hospital  COVID-19 Principal problem   Plan     Chief Complaint Patient presents with ? Shortness of Breath     1. COVID 19 2. Acute hypoxemic respiratory failure 3. CKD stage 3   Plan:   Start decadron 6mg IV daily x 10 days   Start 5 day course of IV Remdisivir   Procalcitonin is normal -> no antibiotics indicated.    Check a full set of inflammatory markers including ferritin CRP LDH lactate   Gentle hydration for a short period of time for the sake of the kidneys -> but careful to aim for a more conservative fluid management approach given the COVID.    Spoke to ED physician personally and agree with admission.     History of Present Illness     Patient is an 80 y.o. female.       I personally interviewed patient, reviewed chart, and reviewed emergency room resident history and agree with it in its following entirety unless otherwise noted below.  "Patient is a 80 y.o. woman with a history of dementia, HTN, HLD, CKD stage III, hyperparathyroidism, GERD, who reports the emergency department with shortness of breath.  Patient coming from SNF via EMS, is reportedly COVID-19 positive.  This morning was found to be complaining of worsened shortness of breath, found to have room air saturations in the 70 percentile.  Placed on 1 L nasal cannula with improvement to 95%, sent to ED for evaluation and care. Patient currently reports shortness of breath, nonproductive cough. Denies any chest pain, nausea/vomiting, diarrhea, myalgias, headache.    Has received 1 dose of the Pfizer vaccine.   80 y.o. woman with a history of dementia, HTN, HLD, CKD stage III, hyperparathyroidism, GERD, who reports the ED via EMS from SNF with shortness of breath and hypoxia in the setting of COVID19 infection.  HPI as per below.  Afebrile, tachypneic in the mid 20s with an SPO2 95% on 3 L nasal cannula, hemodynamically stable.  Physical exam shows well-appearing elderly woman in NAD, heart regular no M/R/G, lungs with faint crackles in all lung fields, abdomen soft and ND/NT, mucous membranes are moist, no significant lower extremity edema.  Differential diagnosis includes likely worsening COVID-19 infection, possible superimposed bacterial pneumonia, lower concern for PE or ACS given lack of chest pain or other significant symptoms.  Will obtain CBC, CMP, lactate, Covid inflammatory markers, RVP, EKG, CXR.  Will give 6 mg Decadron IV for hypoxia in the setting of COVID-19.  Anticipate hospitalization given degree of hypoxia and new supplemental O2 requirement.   Per POLST, patient is FULL CODE."   On my bedside evaluation she is resting on 3 L nasal cannula and is relatively comfortable appearing but she is a very poor historian.  Does not note any pain or edema in her legs.  No belly or chest pain.  She does feel like she is getting enough air at this time
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin normal, White blood cell count decreased
Clinical narrative: ED to Hosp-Admission  to Current  10/10/2021 - present (4 days) Hospital  COVID-19 Principal problem   Plan     Chief Complaint Patient presents with ? Shortness of Breath     1. COVID 19 2. Acute hypoxemic respiratory failure 3. CKD stage 3   Plan:   Start decadron 6mg IV daily x 10 days   Start 5 day course of IV Remdisivir   Procalcitonin is normal -> no antibiotics indicated.    Check a full set of inflammatory markers including ferritin CRP LDH lactate   Gentle hydration for a short period of time for the sake of the kidneys -> but careful to aim for a more conservative fluid management approach given the COVID.    Spoke to ED physician personally and agree with admission.     History of Present Illness     Patient is an 80 y.o. female.       I personally interviewed patient, reviewed chart, and reviewed emergency room resident history and agree with it in its following entirety unless otherwise noted below.  "Patient is a 80 y.o. woman with a history of dementia, HTN, HLD, CKD stage III, hyperparathyroidism, GERD, who reports the emergency department with shortness of breath.  Patient coming from SNF via EMS, is reportedly COVID-19 positive.  This morning was found to be complaining of worsened shortness of breath, found to have room air saturations in the 70 percentile.  Placed on 1 L nasal cannula with improvement to 95%, sent to ED for evaluation and care. Patient currently reports shortness of breath, nonproductive cough. Denies any chest pain, nausea/vomiting, diarrhea, myalgias, headache.    Has received 1 dose of the Pfizer vaccine.   80 y.o. woman with a history of dementia, HTN, HLD, CKD stage III, hyperparathyroidism, GERD, who reports the ED via EMS from SNF with shortness of breath and hypoxia in the setting of COVID19 infection.  HPI as per below.  Afebrile, tachypneic in the mid 20s with an SPO2 95% on 3 L nasal cannula, hemodynamically stable.  Physical exam shows well-appearing elderly woman in NAD, heart regular no M/R/G, lungs with faint crackles in all lung fields, abdomen soft and ND/NT, mucous membranes are moist, no significant lower extremity edema.  Differential diagnosis includes likely worsening COVID-19 infection, possible superimposed bacterial pneumonia, lower concern for PE or ACS given lack of chest pain or other significant symptoms.  Will obtain CBC, CMP, lactate, Covid inflammatory markers, RVP, EKG, CXR.  Will give 6 mg Decadron IV for hypoxia in the setting of COVID-19.  Anticipate hospitalization given degree of hypoxia and new supplemental O2 requirement.   Per POLST, patient is FULL CODE."   On my bedside evaluation she is resting on 3 L nasal cannula and is relatively comfortable appearing but she is a very poor historian.  Does not note any pain or edema in her legs.  No belly or chest pain.  She does feel like she is getting enough air at this time
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Erythema, Influenza like illness, Joint swelling, Malaise
Clinical narrative: I received 2nd dose on 5/22/2021 at pharmacy. On Sunday 5/23/2021, I felt sick, had flu like symptoms,  joints in hands were swollen, hot and red.  I was in alot of pain and called my regular doctor. He couldnt  see me until 6/9/2021. It spread to my toes, knee joint, hip joint. On 6/9/2021, doctor said I have Rheumatoid Arthritis and did lab tests to confirm.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Rheumatoid arthritis, Rheumatoid factor positive, Skin warm
Clinical narrative: I received 2nd dose on 5/22/2021 at pharmacy. On Sunday 5/23/2021, I felt sick, had flu like symptoms,  joints in hands were swollen, hot and red.  I was in alot of pain and called my regular doctor. He couldnt  see me until 6/9/2021. It spread to my toes, knee joint, hip joint. On 6/9/2021, doctor said I have Rheumatoid Arthritis and did lab tests to confirm.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fall, Head injury, Headache, Loss of consciousness
Clinical narrative: Patient collapsed within minutes if receiving vaccine. She stated started feeling dizzy, was unconscious for a few minutes. She hit her head during the fall and had pain and a headache. Rescue was called and she was taken to ER for further evaluation.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Patient collapsed within minutes if receiving vaccine. She stated started feeling dizzy, was unconscious for a few minutes. She hit her head during the fall and had pain and a headache. Rescue was called and she was taken to ER for further evaluation.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Back pain, Bladder disorder, Blood test, Fatigue
Clinical narrative: Day of just sore arm .  The next day I felt like I got hit by a bus . I called out of work Over the next couple weeks I felt weak ( couldn't pick up boxes at work etc I felt run down and tired.  By mid May I was having numbness and tingling in my arms and legs . Sometimes pins and needles like . Muscle twitches . Vision blurriness . Back pain .... Bladder control issues
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Hypoaesthesia, Impaired work ability, Laboratory test, Magnetic resonance imaging
Clinical narrative: Day of just sore arm .  The next day I felt like I got hit by a bus . I called out of work Over the next couple weeks I felt weak ( couldn't pick up boxes at work etc I felt run down and tired.  By mid May I was having numbness and tingling in my arms and legs . Sometimes pins and needles like . Muscle twitches . Vision blurriness . Back pain .... Bladder control issues
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle twitching, Pain in extremity, Paraesthesia, Reflex test, Vision blurred
Clinical narrative: Day of just sore arm .  The next day I felt like I got hit by a bus . I called out of work Over the next couple weeks I felt weak ( couldn't pick up boxes at work etc I felt run down and tired.  By mid May I was having numbness and tingling in my arms and legs . Sometimes pins and needles like . Muscle twitches . Vision blurriness . Back pain .... Bladder control issues
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Burning sensation, Chills, Fatigue, Headache
Clinical narrative: 10/11/21 shot recieved at 315pm it burned as it went in and burned into my shoulder and into my neck. 10/12/21 quarter size red circle at injection site around noon . Arm sore and hot. Started feeling weak and tired ,headache, arm shoulder  and neck hurt very sore. 10/12-10/13/21 fever 100-101 all day with other pain/fever medicine, chills / sweats, pain, redness on arm bigger knot on arm, swelling in arm  and very hot , numbness in arm down to fingers.10/14/21 pain in arm still swollen,  very hot redness area enlarged more, numbness in arm to fingers and sore throat.  Hoping to get in to see doctor tomorrow.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Hypoaesthesia, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 10/11/21 shot recieved at 315pm it burned as it went in and burned into my shoulder and into my neck. 10/12/21 quarter size red circle at injection site around noon . Arm sore and hot. Started feeling weak and tired ,headache, arm shoulder  and neck hurt very sore. 10/12-10/13/21 fever 100-101 all day with other pain/fever medicine, chills / sweats, pain, redness on arm bigger knot on arm, swelling in arm  and very hot , numbness in arm down to fingers.10/14/21 pain in arm still swollen,  very hot redness area enlarged more, numbness in arm to fingers and sore throat.  Hoping to get in to see doctor tomorrow.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: 10/11/21 shot recieved at 315pm it burned as it went in and burned into my shoulder and into my neck. 10/12/21 quarter size red circle at injection site around noon . Arm sore and hot. Started feeling weak and tired ,headache, arm shoulder  and neck hurt very sore. 10/12-10/13/21 fever 100-101 all day with other pain/fever medicine, chills / sweats, pain, redness on arm bigger knot on arm, swelling in arm  and very hot , numbness in arm down to fingers.10/14/21 pain in arm still swollen,  very hot redness area enlarged more, numbness in arm to fingers and sore throat.  Hoping to get in to see doctor tomorrow.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time shortened, Alanine aminotransferase normal, Anal incontinence, Angiopathy, Aspartate aminotransferase increased
Clinical narrative: ED to Hosp-Admission  Current  10/2/2021 - present (12 days) Pneumonia  Principal problem Patient is a 86 y.o. male on hospital day number 0   Principal Problem:   Pneumonia Altered mental state Atrial fibrillation with slow ventricular response Prostate cancer with metastasis Troponin elevation Mild rhabdomyolysis Hypokalemia Generalized weakness    Plan      Chief Complaint Patient presents with ? Altered Mental Status ? Fall     1. Pneumonia?patient has a cough.  X-ray is concerning for possible pneumonia.  I will place him on community-acquired pneumonia.  He was apparently recently started on Vantin which may have been for recently diagnosed community-acquired pneumonia as well. 2. Atrial fibrillation/flutter with slow ventricular response?he had EKG demonstrating atrial fibrillation in January of this year.  He is not on any anticoagulant.  Will consult cardiology as he also now has a slow ventricular response.  He is not on any negative chronotropic medications. 3. Altered mental state?patient has no recollection of what been transpiring recently.  His long-term memory seems fairly intact.  CT scan of the head was unremarkable.  Confusion may be secondary to underlying pneumonia.  We will continue to monitor.  He does not have any focal motor deficits currently. 4. Prostate cancer with bony metastasis?continue with Zytiga. 5. Troponin elevation?likely demand ischemia in the setting of having been down for a day or so as well as having pneumonia.  Will obtain echo in the morning and continue to trend enzymes. 6. Mild rhabdomyolysis?secondary to have been down.  We will continue to trend.  Levels are now very high. 7. Hypokalemia?replete. 8. Generalized weakness-patient has a baseline gait dysfunction.  The family has been contemplating placement.  Will order physical and Occupational Therapy and consult case management.    History of Present Illness     Patient is an 86 y.o. male.    Comes in today after being found down.  Patient lives by himself.  He has metastatic prostate cancer.  Family has spoke with him yesterday but not since.  Today he was found on the floor covered in feces with traumatic skin tears.  He was unable to get up.  Patient was brought into the emergency room where work-up was notable for possible pneumonia on x-rays.  He was very confused and not able to provide any history and has no recollection of what transpired recently.  Patient's functional capacity has been poor recently with a gait dysfunction and family has been contemplating sending him for placement.  Patient currently denies any pain.  Not able to provide any additional information.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Atrial fibrillation, Atrial flutter, Blood alkaline phosphatase normal, Blood bilirubin increased
Clinical narrative: ED to Hosp-Admission  Current  10/2/2021 - present (12 days) Pneumonia  Principal problem Patient is a 86 y.o. male on hospital day number 0   Principal Problem:   Pneumonia Altered mental state Atrial fibrillation with slow ventricular response Prostate cancer with metastasis Troponin elevation Mild rhabdomyolysis Hypokalemia Generalized weakness    Plan      Chief Complaint Patient presents with ? Altered Mental Status ? Fall     1. Pneumonia?patient has a cough.  X-ray is concerning for possible pneumonia.  I will place him on community-acquired pneumonia.  He was apparently recently started on Vantin which may have been for recently diagnosed community-acquired pneumonia as well. 2. Atrial fibrillation/flutter with slow ventricular response?he had EKG demonstrating atrial fibrillation in January of this year.  He is not on any anticoagulant.  Will consult cardiology as he also now has a slow ventricular response.  He is not on any negative chronotropic medications. 3. Altered mental state?patient has no recollection of what been transpiring recently.  His long-term memory seems fairly intact.  CT scan of the head was unremarkable.  Confusion may be secondary to underlying pneumonia.  We will continue to monitor.  He does not have any focal motor deficits currently. 4. Prostate cancer with bony metastasis?continue with Zytiga. 5. Troponin elevation?likely demand ischemia in the setting of having been down for a day or so as well as having pneumonia.  Will obtain echo in the morning and continue to trend enzymes. 6. Mild rhabdomyolysis?secondary to have been down.  We will continue to trend.  Levels are now very high. 7. Hypokalemia?replete. 8. Generalized weakness-patient has a baseline gait dysfunction.  The family has been contemplating placement.  Will order physical and Occupational Therapy and consult case management.    History of Present Illness     Patient is an 86 y.o. male.    Comes in today after being found down.  Patient lives by himself.  He has metastatic prostate cancer.  Family has spoke with him yesterday but not since.  Today he was found on the floor covered in feces with traumatic skin tears.  He was unable to get up.  Patient was brought into the emergency room where work-up was notable for possible pneumonia on x-rays.  He was very confused and not able to provide any history and has no recollection of what transpired recently.  Patient's functional capacity has been poor recently with a gait dysfunction and family has been contemplating sending him for placement.  Patient currently denies any pain.  Not able to provide any additional information.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Blood calcium decreased, Blood chloride increased, Blood creatinine decreased, Blood culture negative, Blood potassium decreased
Clinical narrative: ED to Hosp-Admission  Current  10/2/2021 - present (12 days) Pneumonia  Principal problem Patient is a 86 y.o. male on hospital day number 0   Principal Problem:   Pneumonia Altered mental state Atrial fibrillation with slow ventricular response Prostate cancer with metastasis Troponin elevation Mild rhabdomyolysis Hypokalemia Generalized weakness    Plan      Chief Complaint Patient presents with ? Altered Mental Status ? Fall     1. Pneumonia?patient has a cough.  X-ray is concerning for possible pneumonia.  I will place him on community-acquired pneumonia.  He was apparently recently started on Vantin which may have been for recently diagnosed community-acquired pneumonia as well. 2. Atrial fibrillation/flutter with slow ventricular response?he had EKG demonstrating atrial fibrillation in January of this year.  He is not on any anticoagulant.  Will consult cardiology as he also now has a slow ventricular response.  He is not on any negative chronotropic medications. 3. Altered mental state?patient has no recollection of what been transpiring recently.  His long-term memory seems fairly intact.  CT scan of the head was unremarkable.  Confusion may be secondary to underlying pneumonia.  We will continue to monitor.  He does not have any focal motor deficits currently. 4. Prostate cancer with bony metastasis?continue with Zytiga. 5. Troponin elevation?likely demand ischemia in the setting of having been down for a day or so as well as having pneumonia.  Will obtain echo in the morning and continue to trend enzymes. 6. Mild rhabdomyolysis?secondary to have been down.  We will continue to trend.  Levels are now very high. 7. Hypokalemia?replete. 8. Generalized weakness-patient has a baseline gait dysfunction.  The family has been contemplating placement.  Will order physical and Occupational Therapy and consult case management.    History of Present Illness     Patient is an 86 y.o. male.    Comes in today after being found down.  Patient lives by himself.  He has metastatic prostate cancer.  Family has spoke with him yesterday but not since.  Today he was found on the floor covered in feces with traumatic skin tears.  He was unable to get up.  Patient was brought into the emergency room where work-up was notable for possible pneumonia on x-rays.  He was very confused and not able to provide any history and has no recollection of what transpired recently.  Patient's functional capacity has been poor recently with a gait dysfunction and family has been contemplating sending him for placement.  Patient currently denies any pain.  Not able to provide any additional information.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Blood sodium increased, Blood urea normal, Bone lesion, COVID-19, Carbon dioxide increased
Clinical narrative: ED to Hosp-Admission  Current  10/2/2021 - present (12 days) Pneumonia  Principal problem Patient is a 86 y.o. male on hospital day number 0   Principal Problem:   Pneumonia Altered mental state Atrial fibrillation with slow ventricular response Prostate cancer with metastasis Troponin elevation Mild rhabdomyolysis Hypokalemia Generalized weakness    Plan      Chief Complaint Patient presents with ? Altered Mental Status ? Fall     1. Pneumonia?patient has a cough.  X-ray is concerning for possible pneumonia.  I will place him on community-acquired pneumonia.  He was apparently recently started on Vantin which may have been for recently diagnosed community-acquired pneumonia as well. 2. Atrial fibrillation/flutter with slow ventricular response?he had EKG demonstrating atrial fibrillation in January of this year.  He is not on any anticoagulant.  Will consult cardiology as he also now has a slow ventricular response.  He is not on any negative chronotropic medications. 3. Altered mental state?patient has no recollection of what been transpiring recently.  His long-term memory seems fairly intact.  CT scan of the head was unremarkable.  Confusion may be secondary to underlying pneumonia.  We will continue to monitor.  He does not have any focal motor deficits currently. 4. Prostate cancer with bony metastasis?continue with Zytiga. 5. Troponin elevation?likely demand ischemia in the setting of having been down for a day or so as well as having pneumonia.  Will obtain echo in the morning and continue to trend enzymes. 6. Mild rhabdomyolysis?secondary to have been down.  We will continue to trend.  Levels are now very high. 7. Hypokalemia?replete. 8. Generalized weakness-patient has a baseline gait dysfunction.  The family has been contemplating placement.  Will order physical and Occupational Therapy and consult case management.    History of Present Illness     Patient is an 86 y.o. male.    Comes in today after being found down.  Patient lives by himself.  He has metastatic prostate cancer.  Family has spoke with him yesterday but not since.  Today he was found on the floor covered in feces with traumatic skin tears.  He was unable to get up.  Patient was brought into the emergency room where work-up was notable for possible pneumonia on x-rays.  He was very confused and not able to provide any history and has no recollection of what transpired recently.  Patient's functional capacity has been poor recently with a gait dysfunction and family has been contemplating sending him for placement.  Patient currently denies any pain.  Not able to provide any additional information.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiomegaly, Carotid arteriosclerosis, Cerebral small vessel ischaemic disease, Chest X-ray abnormal, Coagulation factor
Clinical narrative: ED to Hosp-Admission  Current  10/2/2021 - present (12 days) Pneumonia  Principal problem Patient is a 86 y.o. male on hospital day number 0   Principal Problem:   Pneumonia Altered mental state Atrial fibrillation with slow ventricular response Prostate cancer with metastasis Troponin elevation Mild rhabdomyolysis Hypokalemia Generalized weakness    Plan      Chief Complaint Patient presents with ? Altered Mental Status ? Fall     1. Pneumonia?patient has a cough.  X-ray is concerning for possible pneumonia.  I will place him on community-acquired pneumonia.  He was apparently recently started on Vantin which may have been for recently diagnosed community-acquired pneumonia as well. 2. Atrial fibrillation/flutter with slow ventricular response?he had EKG demonstrating atrial fibrillation in January of this year.  He is not on any anticoagulant.  Will consult cardiology as he also now has a slow ventricular response.  He is not on any negative chronotropic medications. 3. Altered mental state?patient has no recollection of what been transpiring recently.  His long-term memory seems fairly intact.  CT scan of the head was unremarkable.  Confusion may be secondary to underlying pneumonia.  We will continue to monitor.  He does not have any focal motor deficits currently. 4. Prostate cancer with bony metastasis?continue with Zytiga. 5. Troponin elevation?likely demand ischemia in the setting of having been down for a day or so as well as having pneumonia.  Will obtain echo in the morning and continue to trend enzymes. 6. Mild rhabdomyolysis?secondary to have been down.  We will continue to trend.  Levels are now very high. 7. Hypokalemia?replete. 8. Generalized weakness-patient has a baseline gait dysfunction.  The family has been contemplating placement.  Will order physical and Occupational Therapy and consult case management.    History of Present Illness     Patient is an 86 y.o. male.    Comes in today after being found down.  Patient lives by himself.  He has metastatic prostate cancer.  Family has spoke with him yesterday but not since.  Today he was found on the floor covered in feces with traumatic skin tears.  He was unable to get up.  Patient was brought into the emergency room where work-up was notable for possible pneumonia on x-rays.  He was very confused and not able to provide any history and has no recollection of what transpired recently.  Patient's functional capacity has been poor recently with a gait dysfunction and family has been contemplating sending him for placement.  Patient currently denies any pain.  Not able to provide any additional information.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram head normal, Computerised tomogram spine, Condition aggravated, Confusional state, Cough
Clinical narrative: ED to Hosp-Admission  Current  10/2/2021 - present (12 days) Pneumonia  Principal problem Patient is a 86 y.o. male on hospital day number 0   Principal Problem:   Pneumonia Altered mental state Atrial fibrillation with slow ventricular response Prostate cancer with metastasis Troponin elevation Mild rhabdomyolysis Hypokalemia Generalized weakness    Plan      Chief Complaint Patient presents with ? Altered Mental Status ? Fall     1. Pneumonia?patient has a cough.  X-ray is concerning for possible pneumonia.  I will place him on community-acquired pneumonia.  He was apparently recently started on Vantin which may have been for recently diagnosed community-acquired pneumonia as well. 2. Atrial fibrillation/flutter with slow ventricular response?he had EKG demonstrating atrial fibrillation in January of this year.  He is not on any anticoagulant.  Will consult cardiology as he also now has a slow ventricular response.  He is not on any negative chronotropic medications. 3. Altered mental state?patient has no recollection of what been transpiring recently.  His long-term memory seems fairly intact.  CT scan of the head was unremarkable.  Confusion may be secondary to underlying pneumonia.  We will continue to monitor.  He does not have any focal motor deficits currently. 4. Prostate cancer with bony metastasis?continue with Zytiga. 5. Troponin elevation?likely demand ischemia in the setting of having been down for a day or so as well as having pneumonia.  Will obtain echo in the morning and continue to trend enzymes. 6. Mild rhabdomyolysis?secondary to have been down.  We will continue to trend.  Levels are now very high. 7. Hypokalemia?replete. 8. Generalized weakness-patient has a baseline gait dysfunction.  The family has been contemplating placement.  Will order physical and Occupational Therapy and consult case management.    History of Present Illness     Patient is an 86 y.o. male.    Comes in today after being found down.  Patient lives by himself.  He has metastatic prostate cancer.  Family has spoke with him yesterday but not since.  Today he was found on the floor covered in feces with traumatic skin tears.  He was unable to get up.  Patient was brought into the emergency room where work-up was notable for possible pneumonia on x-rays.  He was very confused and not able to provide any history and has no recollection of what transpired recently.  Patient's functional capacity has been poor recently with a gait dysfunction and family has been contemplating sending him for placement.  Patient currently denies any pain.  Not able to provide any additional information.