chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood urea normal, C-reactive protein decreased, CSF glucose increased, CSF monocyte count increased, CSF protein increased
Clinical narrative: August 11th - J&J covid vaccine  August 25th - not feeling well late evening better next morning, bilateral legs hurt, slight numbness in arms, legs and lips August 26th - not feeling well again late evening, bilateral legs hurt more than on the 25th, numbness in arms, legs and lips. Took 3 Tylenol for pain to sleep  August 27th - continue symptoms from the prior day  August 28th - bilateral leg pain sufficient not to be able to sleep. Went to Emergency room. Doctor ran blood test and ultrasound of bilateral legs. Doctor stated no acute reason for bilateral leg pain  August 29th - felt fair, still have pain and numbness in bilateral legs and arms  August 30th - Called in sick at work. Went to another ER and took Emergency room blood test records. ER doctor performed lower back CT scan, prescribed steroid pills, tramadol, and steroid injection  August 31st - Went to spine doctor, discussed treatments including physical therapy and steroid injection, felt fair, unable to sleep due to continue bilateral leg numbness and pain  September 1st - Went to another ER - ER doctor reviewed medical records, prescribed muscle relaxant Flexeril - medication did not help and did not sleep well September 2nd - went to Medical Center and discussed treatment, had minor back adjustment, started taking steroid pills  September 3rd - Went to Neurologist - saw Dr. and was diagnosed with Guillain-Barre and treatment to follow with findings of impaired walking and left foot drop and ataxia  September 4th - could walk with difficulty  September 5th - went to assigned hospital per Dr. since not able to walk by myself - received first dose of IVIG at 11 pm - plan for IVIG treatment for total of 5 days  September 6th - walking with walker and second round of IVIG at 2137
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: CSF white blood cell count increased, Carbon dioxide decreased, Carbon dioxide normal, Computerised tomogram spine, Differential white blood cell count
Clinical narrative: August 11th - J&J covid vaccine  August 25th - not feeling well late evening better next morning, bilateral legs hurt, slight numbness in arms, legs and lips August 26th - not feeling well again late evening, bilateral legs hurt more than on the 25th, numbness in arms, legs and lips. Took 3 Tylenol for pain to sleep  August 27th - continue symptoms from the prior day  August 28th - bilateral leg pain sufficient not to be able to sleep. Went to Emergency room. Doctor ran blood test and ultrasound of bilateral legs. Doctor stated no acute reason for bilateral leg pain  August 29th - felt fair, still have pain and numbness in bilateral legs and arms  August 30th - Called in sick at work. Went to another ER and took Emergency room blood test records. ER doctor performed lower back CT scan, prescribed steroid pills, tramadol, and steroid injection  August 31st - Went to spine doctor, discussed treatments including physical therapy and steroid injection, felt fair, unable to sleep due to continue bilateral leg numbness and pain  September 1st - Went to another ER - ER doctor reviewed medical records, prescribed muscle relaxant Flexeril - medication did not help and did not sleep well September 2nd - went to Medical Center and discussed treatment, had minor back adjustment, started taking steroid pills  September 3rd - Went to Neurologist - saw Dr. and was diagnosed with Guillain-Barre and treatment to follow with findings of impaired walking and left foot drop and ataxia  September 4th - could walk with difficulty  September 5th - went to assigned hospital per Dr. since not able to walk by myself - received first dose of IVIG at 11 pm - plan for IVIG treatment for total of 5 days  September 6th - walking with walker and second round of IVIG at 2137
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Electromyogram abnormal, Facet joint syndrome, Full blood count, Gait disturbance, Glomerular filtration rate decreased
Clinical narrative: August 11th - J&J covid vaccine  August 25th - not feeling well late evening better next morning, bilateral legs hurt, slight numbness in arms, legs and lips August 26th - not feeling well again late evening, bilateral legs hurt more than on the 25th, numbness in arms, legs and lips. Took 3 Tylenol for pain to sleep  August 27th - continue symptoms from the prior day  August 28th - bilateral leg pain sufficient not to be able to sleep. Went to Emergency room. Doctor ran blood test and ultrasound of bilateral legs. Doctor stated no acute reason for bilateral leg pain  August 29th - felt fair, still have pain and numbness in bilateral legs and arms  August 30th - Called in sick at work. Went to another ER and took Emergency room blood test records. ER doctor performed lower back CT scan, prescribed steroid pills, tramadol, and steroid injection  August 31st - Went to spine doctor, discussed treatments including physical therapy and steroid injection, felt fair, unable to sleep due to continue bilateral leg numbness and pain  September 1st - Went to another ER - ER doctor reviewed medical records, prescribed muscle relaxant Flexeril - medication did not help and did not sleep well September 2nd - went to Medical Center and discussed treatment, had minor back adjustment, started taking steroid pills  September 3rd - Went to Neurologist - saw Dr. and was diagnosed with Guillain-Barre and treatment to follow with findings of impaired walking and left foot drop and ataxia  September 4th - could walk with difficulty  September 5th - went to assigned hospital per Dr. since not able to walk by myself - received first dose of IVIG at 11 pm - plan for IVIG treatment for total of 5 days  September 6th - walking with walker and second round of IVIG at 2137
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Glycosylated haemoglobin increased, Guillain-Barre syndrome, Haematocrit normal, Haemoglobin normal, Hypoaesthesia
Clinical narrative: August 11th - J&J covid vaccine  August 25th - not feeling well late evening better next morning, bilateral legs hurt, slight numbness in arms, legs and lips August 26th - not feeling well again late evening, bilateral legs hurt more than on the 25th, numbness in arms, legs and lips. Took 3 Tylenol for pain to sleep  August 27th - continue symptoms from the prior day  August 28th - bilateral leg pain sufficient not to be able to sleep. Went to Emergency room. Doctor ran blood test and ultrasound of bilateral legs. Doctor stated no acute reason for bilateral leg pain  August 29th - felt fair, still have pain and numbness in bilateral legs and arms  August 30th - Called in sick at work. Went to another ER and took Emergency room blood test records. ER doctor performed lower back CT scan, prescribed steroid pills, tramadol, and steroid injection  August 31st - Went to spine doctor, discussed treatments including physical therapy and steroid injection, felt fair, unable to sleep due to continue bilateral leg numbness and pain  September 1st - Went to another ER - ER doctor reviewed medical records, prescribed muscle relaxant Flexeril - medication did not help and did not sleep well September 2nd - went to Medical Center and discussed treatment, had minor back adjustment, started taking steroid pills  September 3rd - Went to Neurologist - saw Dr. and was diagnosed with Guillain-Barre and treatment to follow with findings of impaired walking and left foot drop and ataxia  September 4th - could walk with difficulty  September 5th - went to assigned hospital per Dr. since not able to walk by myself - received first dose of IVIG at 11 pm - plan for IVIG treatment for total of 5 days  September 6th - walking with walker and second round of IVIG at 2137
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia oral, Immunoglobulin therapy, Impaired work ability, International normalised ratio normal, Intervertebral disc compression
Clinical narrative: August 11th - J&J covid vaccine  August 25th - not feeling well late evening better next morning, bilateral legs hurt, slight numbness in arms, legs and lips August 26th - not feeling well again late evening, bilateral legs hurt more than on the 25th, numbness in arms, legs and lips. Took 3 Tylenol for pain to sleep  August 27th - continue symptoms from the prior day  August 28th - bilateral leg pain sufficient not to be able to sleep. Went to Emergency room. Doctor ran blood test and ultrasound of bilateral legs. Doctor stated no acute reason for bilateral leg pain  August 29th - felt fair, still have pain and numbness in bilateral legs and arms  August 30th - Called in sick at work. Went to another ER and took Emergency room blood test records. ER doctor performed lower back CT scan, prescribed steroid pills, tramadol, and steroid injection  August 31st - Went to spine doctor, discussed treatments including physical therapy and steroid injection, felt fair, unable to sleep due to continue bilateral leg numbness and pain  September 1st - Went to another ER - ER doctor reviewed medical records, prescribed muscle relaxant Flexeril - medication did not help and did not sleep well September 2nd - went to Medical Center and discussed treatment, had minor back adjustment, started taking steroid pills  September 3rd - Went to Neurologist - saw Dr. and was diagnosed with Guillain-Barre and treatment to follow with findings of impaired walking and left foot drop and ataxia  September 4th - could walk with difficulty  September 5th - went to assigned hospital per Dr. since not able to walk by myself - received first dose of IVIG at 11 pm - plan for IVIG treatment for total of 5 days  September 6th - walking with walker and second round of IVIG at 2137
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Intervertebral disc protrusion, Malaise, Mean cell haemoglobin concentration normal, Mean cell haemoglobin decreased, Mean cell haemoglobin increased
Clinical narrative: August 11th - J&J covid vaccine  August 25th - not feeling well late evening better next morning, bilateral legs hurt, slight numbness in arms, legs and lips August 26th - not feeling well again late evening, bilateral legs hurt more than on the 25th, numbness in arms, legs and lips. Took 3 Tylenol for pain to sleep  August 27th - continue symptoms from the prior day  August 28th - bilateral leg pain sufficient not to be able to sleep. Went to Emergency room. Doctor ran blood test and ultrasound of bilateral legs. Doctor stated no acute reason for bilateral leg pain  August 29th - felt fair, still have pain and numbness in bilateral legs and arms  August 30th - Called in sick at work. Went to another ER and took Emergency room blood test records. ER doctor performed lower back CT scan, prescribed steroid pills, tramadol, and steroid injection  August 31st - Went to spine doctor, discussed treatments including physical therapy and steroid injection, felt fair, unable to sleep due to continue bilateral leg numbness and pain  September 1st - Went to another ER - ER doctor reviewed medical records, prescribed muscle relaxant Flexeril - medication did not help and did not sleep well September 2nd - went to Medical Center and discussed treatment, had minor back adjustment, started taking steroid pills  September 3rd - Went to Neurologist - saw Dr. and was diagnosed with Guillain-Barre and treatment to follow with findings of impaired walking and left foot drop and ataxia  September 4th - could walk with difficulty  September 5th - went to assigned hospital per Dr. since not able to walk by myself - received first dose of IVIG at 11 pm - plan for IVIG treatment for total of 5 days  September 6th - walking with walker and second round of IVIG at 2137
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Mean cell volume normal, Metabolic function test, Nerve conduction studies abnormal, Neutrophil count normal, Pain in extremity
Clinical narrative: August 11th - J&J covid vaccine  August 25th - not feeling well late evening better next morning, bilateral legs hurt, slight numbness in arms, legs and lips August 26th - not feeling well again late evening, bilateral legs hurt more than on the 25th, numbness in arms, legs and lips. Took 3 Tylenol for pain to sleep  August 27th - continue symptoms from the prior day  August 28th - bilateral leg pain sufficient not to be able to sleep. Went to Emergency room. Doctor ran blood test and ultrasound of bilateral legs. Doctor stated no acute reason for bilateral leg pain  August 29th - felt fair, still have pain and numbness in bilateral legs and arms  August 30th - Called in sick at work. Went to another ER and took Emergency room blood test records. ER doctor performed lower back CT scan, prescribed steroid pills, tramadol, and steroid injection  August 31st - Went to spine doctor, discussed treatments including physical therapy and steroid injection, felt fair, unable to sleep due to continue bilateral leg numbness and pain  September 1st - Went to another ER - ER doctor reviewed medical records, prescribed muscle relaxant Flexeril - medication did not help and did not sleep well September 2nd - went to Medical Center and discussed treatment, had minor back adjustment, started taking steroid pills  September 3rd - Went to Neurologist - saw Dr. and was diagnosed with Guillain-Barre and treatment to follow with findings of impaired walking and left foot drop and ataxia  September 4th - could walk with difficulty  September 5th - went to assigned hospital per Dr. since not able to walk by myself - received first dose of IVIG at 11 pm - plan for IVIG treatment for total of 5 days  September 6th - walking with walker and second round of IVIG at 2137
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Peroneal nerve palsy, Platelet count normal, Poor quality sleep, Prothrombin time prolonged, Red blood cell count decreased
Clinical narrative: August 11th - J&J covid vaccine  August 25th - not feeling well late evening better next morning, bilateral legs hurt, slight numbness in arms, legs and lips August 26th - not feeling well again late evening, bilateral legs hurt more than on the 25th, numbness in arms, legs and lips. Took 3 Tylenol for pain to sleep  August 27th - continue symptoms from the prior day  August 28th - bilateral leg pain sufficient not to be able to sleep. Went to Emergency room. Doctor ran blood test and ultrasound of bilateral legs. Doctor stated no acute reason for bilateral leg pain  August 29th - felt fair, still have pain and numbness in bilateral legs and arms  August 30th - Called in sick at work. Went to another ER and took Emergency room blood test records. ER doctor performed lower back CT scan, prescribed steroid pills, tramadol, and steroid injection  August 31st - Went to spine doctor, discussed treatments including physical therapy and steroid injection, felt fair, unable to sleep due to continue bilateral leg numbness and pain  September 1st - Went to another ER - ER doctor reviewed medical records, prescribed muscle relaxant Flexeril - medication did not help and did not sleep well September 2nd - went to Medical Center and discussed treatment, had minor back adjustment, started taking steroid pills  September 3rd - Went to Neurologist - saw Dr. and was diagnosed with Guillain-Barre and treatment to follow with findings of impaired walking and left foot drop and ataxia  September 4th - could walk with difficulty  September 5th - went to assigned hospital per Dr. since not able to walk by myself - received first dose of IVIG at 11 pm - plan for IVIG treatment for total of 5 days  September 6th - walking with walker and second round of IVIG at 2137
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Red blood cell sedimentation rate normal, Sleep disorder, Ultrasound Doppler normal, Vertebral foraminal stenosis, Walking aid user
Clinical narrative: August 11th - J&J covid vaccine  August 25th - not feeling well late evening better next morning, bilateral legs hurt, slight numbness in arms, legs and lips August 26th - not feeling well again late evening, bilateral legs hurt more than on the 25th, numbness in arms, legs and lips. Took 3 Tylenol for pain to sleep  August 27th - continue symptoms from the prior day  August 28th - bilateral leg pain sufficient not to be able to sleep. Went to Emergency room. Doctor ran blood test and ultrasound of bilateral legs. Doctor stated no acute reason for bilateral leg pain  August 29th - felt fair, still have pain and numbness in bilateral legs and arms  August 30th - Called in sick at work. Went to another ER and took Emergency room blood test records. ER doctor performed lower back CT scan, prescribed steroid pills, tramadol, and steroid injection  August 31st - Went to spine doctor, discussed treatments including physical therapy and steroid injection, felt fair, unable to sleep due to continue bilateral leg numbness and pain  September 1st - Went to another ER - ER doctor reviewed medical records, prescribed muscle relaxant Flexeril - medication did not help and did not sleep well September 2nd - went to Medical Center and discussed treatment, had minor back adjustment, started taking steroid pills  September 3rd - Went to Neurologist - saw Dr. and was diagnosed with Guillain-Barre and treatment to follow with findings of impaired walking and left foot drop and ataxia  September 4th - could walk with difficulty  September 5th - went to assigned hospital per Dr. since not able to walk by myself - received first dose of IVIG at 11 pm - plan for IVIG treatment for total of 5 days  September 6th - walking with walker and second round of IVIG at 2137
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: White blood cell count increased
Clinical narrative: August 11th - J&J covid vaccine  August 25th - not feeling well late evening better next morning, bilateral legs hurt, slight numbness in arms, legs and lips August 26th - not feeling well again late evening, bilateral legs hurt more than on the 25th, numbness in arms, legs and lips. Took 3 Tylenol for pain to sleep  August 27th - continue symptoms from the prior day  August 28th - bilateral leg pain sufficient not to be able to sleep. Went to Emergency room. Doctor ran blood test and ultrasound of bilateral legs. Doctor stated no acute reason for bilateral leg pain  August 29th - felt fair, still have pain and numbness in bilateral legs and arms  August 30th - Called in sick at work. Went to another ER and took Emergency room blood test records. ER doctor performed lower back CT scan, prescribed steroid pills, tramadol, and steroid injection  August 31st - Went to spine doctor, discussed treatments including physical therapy and steroid injection, felt fair, unable to sleep due to continue bilateral leg numbness and pain  September 1st - Went to another ER - ER doctor reviewed medical records, prescribed muscle relaxant Flexeril - medication did not help and did not sleep well September 2nd - went to Medical Center and discussed treatment, had minor back adjustment, started taking steroid pills  September 3rd - Went to Neurologist - saw Dr. and was diagnosed with Guillain-Barre and treatment to follow with findings of impaired walking and left foot drop and ataxia  September 4th - could walk with difficulty  September 5th - went to assigned hospital per Dr. since not able to walk by myself - received first dose of IVIG at 11 pm - plan for IVIG treatment for total of 5 days  September 6th - walking with walker and second round of IVIG at 2137
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram, Guillain-Barre syndrome, Nerve compression
Clinical narrative: August 11th - J&J covid vaccine  August 25th - not feeling well late evening better next morning, bilateral legs hurt, slight numbness in arms, legs and lips August 26th - not feeling well again late evening, bilateral legs hurt more than on the 25th, numbness in arms, legs and lips. Took 3 Tylenol for pain to sleep  August 27th - continue symptoms from the prior day  August 28th - bilateral leg pain sufficient not to be able to sleep. Went to Emergency room. Doctor ran blood test and ultrasound of bilateral legs. Doctor stated no acute reason for bilateral leg pain  August 29th - felt fair, still have pain and numbness in bilateral legs and arms  August 30th - Called in sick at work. Went to another ER and took Emergency room blood test records. ER doctor performed lower back CT scan, prescribed steroid pills, tramadol, and steroid injection  August 31st - Went to spine doctor, discussed treatments including physical therapy and steroid injection, felt fair, unable to sleep due to continue bilateral leg numbness and pain  September 1st - Went to another ER - ER doctor reviewed medical records, prescribed muscle relaxant Flexeril - medication did not help and did not sleep well September 2nd - went to Medical Center and discussed treatment, had minor back adjustment, started taking steroid pills  September 3rd - Went to Neurologist - saw Dr. and was diagnosed with Guillain-Barre and treatment to follow with findings of impaired walking and left foot drop and ataxia  September 4th - could walk with difficulty  September 5th - went to assigned hospital per Dr. since not able to walk by myself - received first dose of IVIG at 11 pm - plan for IVIG treatment for total of 5 days  September 6th - walking with walker and second round of IVIG at 2137
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Asthenia, Blood creatinine increased, Blood sodium decreased
Clinical narrative: Hospitalized;  COVID-19 positive;  fully vaccinated.  BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: DO Admission Date: 8/29/2021 Discharge Date: 9/5/2021  1:34 PM DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hyponatremia [E87.1] Non-traumatic rhabdomyolysis [M62.82] Pneumonia of left upper lobe due to infectious organism [J18.9] Acute renal failure superimposed on stage 3b chronic kidney disease, unspecified acute renal failure type [N17.9, N18.32] COVID-19 [U07.1] Acute hypoxemic respiratory failure [J96.01]   HOSPITAL COURSE: Patient is an 82 y.o. male with a past medical history significant for chronic atrial fibrillation refractive to aggressive medical therapy status post AV node ablation and biventricular pacemaker placement, currently undergoing outpatient eval for transcatheter MVR, aortic valve replacement, CABG in March 2011, obstructive sleep apnea (on CPAP), hypertension, transitional cell cancer of the bladder (2000), DM 2, COPD, CKD stage IIIA,  throat cancer status post surgery and chemotherapy (1999) who presented to the emergency department 8/29 due to dyspnea and weakness.   The patient lives at home and is a caretaker for his wife who has dementia.  On Friday evening patient tried to get up to go to the bathroom and felt too weak in his legs and lowered himself to the ground.  He was unable to get up.  The patient slept on the floor overnight.  The next day his wife called their daughter who told them to call EMS.  EMS came and assisted the patient to get up.  He thought he was doing better.  Over the last 24 hours patient continued to have weakness with increased dyspnea.  Patient reported increased orthopnea, productive cough with gray phlegm, and shortness of breath.  He reported he has had a chronic cough for the last 2-3 months but it has recently worsened.  However reported that he has been 1-2 lb above his dry weight recently. He was vaccinated with Moderna in March/April.   In the emergency department the patient was febrile and hypoxic. Chest x-ray showed changes consistent with CHF.  Labs otherwise significant for sodium of 129, WBC 7.2, COVID swab obtained was positive.  Patient was given Decadron and 500 mL of IV fluid.   Given worse LUL airspace disease and elevated procalcitonin patient was started on Ceftriaxone and Azithromycin for CAP coverage. He was continued on Dexamethasone for possible COVID pneumonia. He was diuresed with IV Furosemide.  Noted to be hyperglycemic and was on steroids, the diabetes service was consulted. He developed elevation in creatinine. His lasix was help. He was given gentle IV hydration. It improved his AKI. He finished 5 days of antibiotics. His oral lasix was restarted. His kidney function returned to baseline. His oxygen requirement went down to 0.5 liters.  PT evaluated him and recommended discharge to inpatient rehab. PMR consulted. He was discharged to rehab with oral steroids for 2 more days.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cardiac failure congestive, Chest X-ray abnormal, Chronic kidney disease, Condition aggravated
Clinical narrative: Hospitalized;  COVID-19 positive;  fully vaccinated.  BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: DO Admission Date: 8/29/2021 Discharge Date: 9/5/2021  1:34 PM DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hyponatremia [E87.1] Non-traumatic rhabdomyolysis [M62.82] Pneumonia of left upper lobe due to infectious organism [J18.9] Acute renal failure superimposed on stage 3b chronic kidney disease, unspecified acute renal failure type [N17.9, N18.32] COVID-19 [U07.1] Acute hypoxemic respiratory failure [J96.01]   HOSPITAL COURSE: Patient is an 82 y.o. male with a past medical history significant for chronic atrial fibrillation refractive to aggressive medical therapy status post AV node ablation and biventricular pacemaker placement, currently undergoing outpatient eval for transcatheter MVR, aortic valve replacement, CABG in March 2011, obstructive sleep apnea (on CPAP), hypertension, transitional cell cancer of the bladder (2000), DM 2, COPD, CKD stage IIIA,  throat cancer status post surgery and chemotherapy (1999) who presented to the emergency department 8/29 due to dyspnea and weakness.   The patient lives at home and is a caretaker for his wife who has dementia.  On Friday evening patient tried to get up to go to the bathroom and felt too weak in his legs and lowered himself to the ground.  He was unable to get up.  The patient slept on the floor overnight.  The next day his wife called their daughter who told them to call EMS.  EMS came and assisted the patient to get up.  He thought he was doing better.  Over the last 24 hours patient continued to have weakness with increased dyspnea.  Patient reported increased orthopnea, productive cough with gray phlegm, and shortness of breath.  He reported he has had a chronic cough for the last 2-3 months but it has recently worsened.  However reported that he has been 1-2 lb above his dry weight recently. He was vaccinated with Moderna in March/April.   In the emergency department the patient was febrile and hypoxic. Chest x-ray showed changes consistent with CHF.  Labs otherwise significant for sodium of 129, WBC 7.2, COVID swab obtained was positive.  Patient was given Decadron and 500 mL of IV fluid.   Given worse LUL airspace disease and elevated procalcitonin patient was started on Ceftriaxone and Azithromycin for CAP coverage. He was continued on Dexamethasone for possible COVID pneumonia. He was diuresed with IV Furosemide.  Noted to be hyperglycemic and was on steroids, the diabetes service was consulted. He developed elevation in creatinine. His lasix was help. He was given gentle IV hydration. It improved his AKI. He finished 5 days of antibiotics. His oral lasix was restarted. His kidney function returned to baseline. His oxygen requirement went down to 0.5 liters.  PT evaluated him and recommended discharge to inpatient rehab. PMR consulted. He was discharged to rehab with oral steroids for 2 more days.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Diuretic therapy, Dry weight evaluation, Dyspnoea, Dysstasia
Clinical narrative: Hospitalized;  COVID-19 positive;  fully vaccinated.  BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: DO Admission Date: 8/29/2021 Discharge Date: 9/5/2021  1:34 PM DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hyponatremia [E87.1] Non-traumatic rhabdomyolysis [M62.82] Pneumonia of left upper lobe due to infectious organism [J18.9] Acute renal failure superimposed on stage 3b chronic kidney disease, unspecified acute renal failure type [N17.9, N18.32] COVID-19 [U07.1] Acute hypoxemic respiratory failure [J96.01]   HOSPITAL COURSE: Patient is an 82 y.o. male with a past medical history significant for chronic atrial fibrillation refractive to aggressive medical therapy status post AV node ablation and biventricular pacemaker placement, currently undergoing outpatient eval for transcatheter MVR, aortic valve replacement, CABG in March 2011, obstructive sleep apnea (on CPAP), hypertension, transitional cell cancer of the bladder (2000), DM 2, COPD, CKD stage IIIA,  throat cancer status post surgery and chemotherapy (1999) who presented to the emergency department 8/29 due to dyspnea and weakness.   The patient lives at home and is a caretaker for his wife who has dementia.  On Friday evening patient tried to get up to go to the bathroom and felt too weak in his legs and lowered himself to the ground.  He was unable to get up.  The patient slept on the floor overnight.  The next day his wife called their daughter who told them to call EMS.  EMS came and assisted the patient to get up.  He thought he was doing better.  Over the last 24 hours patient continued to have weakness with increased dyspnea.  Patient reported increased orthopnea, productive cough with gray phlegm, and shortness of breath.  He reported he has had a chronic cough for the last 2-3 months but it has recently worsened.  However reported that he has been 1-2 lb above his dry weight recently. He was vaccinated with Moderna in March/April.   In the emergency department the patient was febrile and hypoxic. Chest x-ray showed changes consistent with CHF.  Labs otherwise significant for sodium of 129, WBC 7.2, COVID swab obtained was positive.  Patient was given Decadron and 500 mL of IV fluid.   Given worse LUL airspace disease and elevated procalcitonin patient was started on Ceftriaxone and Azithromycin for CAP coverage. He was continued on Dexamethasone for possible COVID pneumonia. He was diuresed with IV Furosemide.  Noted to be hyperglycemic and was on steroids, the diabetes service was consulted. He developed elevation in creatinine. His lasix was help. He was given gentle IV hydration. It improved his AKI. He finished 5 days of antibiotics. His oral lasix was restarted. His kidney function returned to baseline. His oxygen requirement went down to 0.5 liters.  PT evaluated him and recommended discharge to inpatient rehab. PMR consulted. He was discharged to rehab with oral steroids for 2 more days.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hyperglycaemia, Hyponatraemia, Hypoxia, Lung disorder, Muscular weakness
Clinical narrative: Hospitalized;  COVID-19 positive;  fully vaccinated.  BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: DO Admission Date: 8/29/2021 Discharge Date: 9/5/2021  1:34 PM DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hyponatremia [E87.1] Non-traumatic rhabdomyolysis [M62.82] Pneumonia of left upper lobe due to infectious organism [J18.9] Acute renal failure superimposed on stage 3b chronic kidney disease, unspecified acute renal failure type [N17.9, N18.32] COVID-19 [U07.1] Acute hypoxemic respiratory failure [J96.01]   HOSPITAL COURSE: Patient is an 82 y.o. male with a past medical history significant for chronic atrial fibrillation refractive to aggressive medical therapy status post AV node ablation and biventricular pacemaker placement, currently undergoing outpatient eval for transcatheter MVR, aortic valve replacement, CABG in March 2011, obstructive sleep apnea (on CPAP), hypertension, transitional cell cancer of the bladder (2000), DM 2, COPD, CKD stage IIIA,  throat cancer status post surgery and chemotherapy (1999) who presented to the emergency department 8/29 due to dyspnea and weakness.   The patient lives at home and is a caretaker for his wife who has dementia.  On Friday evening patient tried to get up to go to the bathroom and felt too weak in his legs and lowered himself to the ground.  He was unable to get up.  The patient slept on the floor overnight.  The next day his wife called their daughter who told them to call EMS.  EMS came and assisted the patient to get up.  He thought he was doing better.  Over the last 24 hours patient continued to have weakness with increased dyspnea.  Patient reported increased orthopnea, productive cough with gray phlegm, and shortness of breath.  He reported he has had a chronic cough for the last 2-3 months but it has recently worsened.  However reported that he has been 1-2 lb above his dry weight recently. He was vaccinated with Moderna in March/April.   In the emergency department the patient was febrile and hypoxic. Chest x-ray showed changes consistent with CHF.  Labs otherwise significant for sodium of 129, WBC 7.2, COVID swab obtained was positive.  Patient was given Decadron and 500 mL of IV fluid.   Given worse LUL airspace disease and elevated procalcitonin patient was started on Ceftriaxone and Azithromycin for CAP coverage. He was continued on Dexamethasone for possible COVID pneumonia. He was diuresed with IV Furosemide.  Noted to be hyperglycemic and was on steroids, the diabetes service was consulted. He developed elevation in creatinine. His lasix was help. He was given gentle IV hydration. It improved his AKI. He finished 5 days of antibiotics. His oral lasix was restarted. His kidney function returned to baseline. His oxygen requirement went down to 0.5 liters.  PT evaluated him and recommended discharge to inpatient rehab. PMR consulted. He was discharged to rehab with oral steroids for 2 more days.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Orthopnoea, Pneumonia, Procalcitonin increased, Productive cough, Pyrexia
Clinical narrative: Hospitalized;  COVID-19 positive;  fully vaccinated.  BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: DO Admission Date: 8/29/2021 Discharge Date: 9/5/2021  1:34 PM DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hyponatremia [E87.1] Non-traumatic rhabdomyolysis [M62.82] Pneumonia of left upper lobe due to infectious organism [J18.9] Acute renal failure superimposed on stage 3b chronic kidney disease, unspecified acute renal failure type [N17.9, N18.32] COVID-19 [U07.1] Acute hypoxemic respiratory failure [J96.01]   HOSPITAL COURSE: Patient is an 82 y.o. male with a past medical history significant for chronic atrial fibrillation refractive to aggressive medical therapy status post AV node ablation and biventricular pacemaker placement, currently undergoing outpatient eval for transcatheter MVR, aortic valve replacement, CABG in March 2011, obstructive sleep apnea (on CPAP), hypertension, transitional cell cancer of the bladder (2000), DM 2, COPD, CKD stage IIIA,  throat cancer status post surgery and chemotherapy (1999) who presented to the emergency department 8/29 due to dyspnea and weakness.   The patient lives at home and is a caretaker for his wife who has dementia.  On Friday evening patient tried to get up to go to the bathroom and felt too weak in his legs and lowered himself to the ground.  He was unable to get up.  The patient slept on the floor overnight.  The next day his wife called their daughter who told them to call EMS.  EMS came and assisted the patient to get up.  He thought he was doing better.  Over the last 24 hours patient continued to have weakness with increased dyspnea.  Patient reported increased orthopnea, productive cough with gray phlegm, and shortness of breath.  He reported he has had a chronic cough for the last 2-3 months but it has recently worsened.  However reported that he has been 1-2 lb above his dry weight recently. He was vaccinated with Moderna in March/April.   In the emergency department the patient was febrile and hypoxic. Chest x-ray showed changes consistent with CHF.  Labs otherwise significant for sodium of 129, WBC 7.2, COVID swab obtained was positive.  Patient was given Decadron and 500 mL of IV fluid.   Given worse LUL airspace disease and elevated procalcitonin patient was started on Ceftriaxone and Azithromycin for CAP coverage. He was continued on Dexamethasone for possible COVID pneumonia. He was diuresed with IV Furosemide.  Noted to be hyperglycemic and was on steroids, the diabetes service was consulted. He developed elevation in creatinine. His lasix was help. He was given gentle IV hydration. It improved his AKI. He finished 5 days of antibiotics. His oral lasix was restarted. His kidney function returned to baseline. His oxygen requirement went down to 0.5 liters.  PT evaluated him and recommended discharge to inpatient rehab. PMR consulted. He was discharged to rehab with oral steroids for 2 more days.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Renal impairment, Rhabdomyolysis, SARS-CoV-2 test positive, Sputum discoloured, White blood cell count normal
Clinical narrative: Hospitalized;  COVID-19 positive;  fully vaccinated.  BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: DO Admission Date: 8/29/2021 Discharge Date: 9/5/2021  1:34 PM DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hyponatremia [E87.1] Non-traumatic rhabdomyolysis [M62.82] Pneumonia of left upper lobe due to infectious organism [J18.9] Acute renal failure superimposed on stage 3b chronic kidney disease, unspecified acute renal failure type [N17.9, N18.32] COVID-19 [U07.1] Acute hypoxemic respiratory failure [J96.01]   HOSPITAL COURSE: Patient is an 82 y.o. male with a past medical history significant for chronic atrial fibrillation refractive to aggressive medical therapy status post AV node ablation and biventricular pacemaker placement, currently undergoing outpatient eval for transcatheter MVR, aortic valve replacement, CABG in March 2011, obstructive sleep apnea (on CPAP), hypertension, transitional cell cancer of the bladder (2000), DM 2, COPD, CKD stage IIIA,  throat cancer status post surgery and chemotherapy (1999) who presented to the emergency department 8/29 due to dyspnea and weakness.   The patient lives at home and is a caretaker for his wife who has dementia.  On Friday evening patient tried to get up to go to the bathroom and felt too weak in his legs and lowered himself to the ground.  He was unable to get up.  The patient slept on the floor overnight.  The next day his wife called their daughter who told them to call EMS.  EMS came and assisted the patient to get up.  He thought he was doing better.  Over the last 24 hours patient continued to have weakness with increased dyspnea.  Patient reported increased orthopnea, productive cough with gray phlegm, and shortness of breath.  He reported he has had a chronic cough for the last 2-3 months but it has recently worsened.  However reported that he has been 1-2 lb above his dry weight recently. He was vaccinated with Moderna in March/April.   In the emergency department the patient was febrile and hypoxic. Chest x-ray showed changes consistent with CHF.  Labs otherwise significant for sodium of 129, WBC 7.2, COVID swab obtained was positive.  Patient was given Decadron and 500 mL of IV fluid.   Given worse LUL airspace disease and elevated procalcitonin patient was started on Ceftriaxone and Azithromycin for CAP coverage. He was continued on Dexamethasone for possible COVID pneumonia. He was diuresed with IV Furosemide.  Noted to be hyperglycemic and was on steroids, the diabetes service was consulted. He developed elevation in creatinine. His lasix was help. He was given gentle IV hydration. It improved his AKI. He finished 5 days of antibiotics. His oral lasix was restarted. His kidney function returned to baseline. His oxygen requirement went down to 0.5 liters.  PT evaluated him and recommended discharge to inpatient rehab. PMR consulted. He was discharged to rehab with oral steroids for 2 more days.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Chest pain, Computerised tomogram normal, Dizziness postural, Ultrasound scan normal
Clinical narrative: First covid arm Then serious hives that I never experienced before and are still appearing until today. Abdominal pain that comes and goes Chest pain that comes and goes Some dizziness when standing up
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: First covid arm Then serious hives that I never experienced before and are still appearing until today. Abdominal pain that comes and goes Chest pain that comes and goes Some dizziness when standing up
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough Covid infection
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache, Hyperhidrosis, Pain, Productive cough, Pyrexia
Clinical narrative: Breakthrough Covid infection
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain lower, Asthenia, Back pain, Breast pain, Lymphadenopathy
Clinical narrative: swollen lymph nodes groin and under arm. pain in the right breast and whole right arm tingly feeling in fingers and hand, weak no energy and both legs weak. lower abdominal and lower back pain.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Paraesthesia
Clinical narrative: swollen lymph nodes groin and under arm. pain in the right breast and whole right arm tingly feeling in fingers and hand, weak no energy and both legs weak. lower abdominal and lower back pain.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Paraesthesia, Rash, Rash pruritic
Clinical narrative: Shortness of breath & jawline tingling on the day of the injection, itchy rash on neck and chest, which spread to legs after several days
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Ophthalmic herpes zoster
Clinical narrative: Developed shingles around mid June on left side face, eye and scalp.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Adenovirus infection, Aphasia, Blood test, Cognitive disorder, Communication disorder
Clinical narrative: Seizure like activity at 6:30pm, high fever, unable to speak or communicate, eyes closed. Called 911, taken to hospital via ambulance. Admitted to ER with cognitive deficits, admitted to neuroscience overnight.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Electrocardiogram, Pyrexia, Rhinovirus infection, Seizure like phenomena
Clinical narrative: Seizure like activity at 6:30pm, high fever, unable to speak or communicate, eyes closed. Called 911, taken to hospital via ambulance. Admitted to ER with cognitive deficits, admitted to neuroscience overnight.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Arrhythmia, Confusional state, Crying, Dizziness, Electrocardiogram
Clinical narrative: For the first three days after the shot I felt like I was on an adrenaline high. After that I started have frequent panic attacks where I wouldn't be able to do anything besides shake and cry. As that let up I noticed I would get light headed, my heart would race, I would feel very sick, the world would move around me, I couldn't think at all, and the simplest things like looking at a TV would make me very sick. I went to my doctor who said I was fine and it was just nerves but if I wanted I could get an EKG. So I did and she said that I had arrhythmia and I would need a heart monitor put on. I've had it on for 5 days now and it's to come off after 7. But a lot of things set it off mainly affecting my heart rate. Example I'm a smoker and i smoked about a pack a day. Now if I so much as smoke half a cigarette it shoots my blood pressure up to around 150/100 with a pulse around 120. This makes me feel horribly sick and last for about 20 to 30 mins. Afterwards I feel like I ran a marathon and it's extremely hard for me to stay awake.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram ambulatory, Euphoric mood, Malaise, Palpitations, Panic attack
Clinical narrative: For the first three days after the shot I felt like I was on an adrenaline high. After that I started have frequent panic attacks where I wouldn't be able to do anything besides shake and cry. As that let up I noticed I would get light headed, my heart would race, I would feel very sick, the world would move around me, I couldn't think at all, and the simplest things like looking at a TV would make me very sick. I went to my doctor who said I was fine and it was just nerves but if I wanted I could get an EKG. So I did and she said that I had arrhythmia and I would need a heart monitor put on. I've had it on for 5 days now and it's to come off after 7. But a lot of things set it off mainly affecting my heart rate. Example I'm a smoker and i smoked about a pack a day. Now if I so much as smoke half a cigarette it shoots my blood pressure up to around 150/100 with a pulse around 120. This makes me feel horribly sick and last for about 20 to 30 mins. Afterwards I feel like I ran a marathon and it's extremely hard for me to stay awake.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Somnolence, Tremor
Clinical narrative: For the first three days after the shot I felt like I was on an adrenaline high. After that I started have frequent panic attacks where I wouldn't be able to do anything besides shake and cry. As that let up I noticed I would get light headed, my heart would race, I would feel very sick, the world would move around me, I couldn't think at all, and the simplest things like looking at a TV would make me very sick. I went to my doctor who said I was fine and it was just nerves but if I wanted I could get an EKG. So I did and she said that I had arrhythmia and I would need a heart monitor put on. I've had it on for 5 days now and it's to come off after 7. But a lot of things set it off mainly affecting my heart rate. Example I'm a smoker and i smoked about a pack a day. Now if I so much as smoke half a cigarette it shoots my blood pressure up to around 150/100 with a pulse around 120. This makes me feel horribly sick and last for about 20 to 30 mins. Afterwards I feel like I ran a marathon and it's extremely hard for me to stay awake.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise
Clinical narrative: Patient admitted with COVID symptoms. Had vaccine at another location. unknown dates and vaccine specifics.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: I started exp. itching and had a break out in hives couple hours after dose 1, got Benadryl. I went to urgent care, gave me prednisone and continue Benadryl. I followed up with my PCP she gave me 10 days of prednisone, Zyrtec and continue Benadryl.
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Brain natriuretic peptide normal, Chest pain, Echocardiogram normal, Full blood count normal, Metabolic function test normal
Clinical narrative: Shortly after vaccination, patient began developing low grade fevers, sore throat/throat discomfort, as well as worsening substernal chest pain that was worse with inspiration by post-vaccine day 2.
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Oropharyngeal discomfort, Oropharyngeal pain, Painful respiration, Pyrexia, Troponin increased
Clinical narrative: Shortly after vaccination, patient began developing low grade fevers, sore throat/throat discomfort, as well as worsening substernal chest pain that was worse with inspiration by post-vaccine day 2.
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood creatinine normal, Blood urea normal, Chest pain, Electrocardiogram ST segment elevation, Electrocardiogram T wave inversion
Clinical narrative: Shortly after vaccination, patient began developing low grade fevers, sore throat/throat discomfort, as well as worsening substernal chest pain that was worse with inspiration by post-vaccine day 2.
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Haematocrit normal, Haemoglobin normal, Metabolic function test normal, Myalgia
Clinical narrative: Shortly after vaccination, patient began developing low grade fevers, sore throat/throat discomfort, as well as worsening substernal chest pain that was worse with inspiration by post-vaccine day 2.
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myocarditis, Oropharyngeal pain, Painful respiration, Pyrexia, Respiratory viral panel
Clinical narrative: Shortly after vaccination, patient began developing low grade fevers, sore throat/throat discomfort, as well as worsening substernal chest pain that was worse with inspiration by post-vaccine day 2.