chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Haemodialysis, Hypertensive urgency, Hypoglycaemia, Nausea, SARS-CoV-2 test positive
Clinical narrative: Patient is a 30-year-old female with past medical history of chronic abdominal pain, type 1 diabetes, gastroparesis, end-stage renal disease on dialysis, drug-seeking behavior, hypertension to the ED for 3-day history of nausea vomiting diarrhea ( has dark red stool) and abdominal pain. She responded well with supportive care. She had hypertensive urgency and BPs>201/121 on admission. She required couple doses of IV Hydralazine to bring it down her BPs. She tolerated well to HD and is tolerating to po diet. She also had hypoglycemia on admission and now BS improved once she started to eat. She has chronic nausea and abdominal pain from her gastroparesis. Not sure is she had some narcotic withdrawal component. She didn't have any bowel obstruction of fecal impaction. It's been challenging with multiple hospitalizations with similar issues and other complex medical problems. Mom is trying her best to support her Dtr, patient at home.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: Patient is a 30-year-old female with past medical history of chronic abdominal pain, type 1 diabetes, gastroparesis, end-stage renal disease on dialysis, drug-seeking behavior, hypertension to the ED for 3-day history of nausea vomiting diarrhea ( has dark red stool) and abdominal pain. She responded well with supportive care. She had hypertensive urgency and BPs>201/121 on admission. She required couple doses of IV Hydralazine to bring it down her BPs. She tolerated well to HD and is tolerating to po diet. She also had hypoglycemia on admission and now BS improved once she started to eat. She has chronic nausea and abdominal pain from her gastroparesis. Not sure is she had some narcotic withdrawal component. She didn't have any bowel obstruction of fecal impaction. It's been challenging with multiple hospitalizations with similar issues and other complex medical problems. Mom is trying her best to support her Dtr, patient at home.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal pain, Anticoagulant therapy, Breast feeding, COVID-19, Pleuritic pain
Clinical narrative: 27y.o. female with pre-eclampsia, epilepsy, gestational hypertension, c-section, recent COVID + 2 who presented with acute onset abdominal pain/pleuritic chest pain. Found to have a low risk PE. She was treated with heparin, transition to Lovenox 1.5 mg/kg daily given that she was breast-feeding. She has done well since discharge. She is doing fine, baby is doing fine. Her husband gives her in her Lovenox shot daily, no problems with that. Denies bleeding or bruising. No other new complaints.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 27y.o. female with pre-eclampsia, epilepsy, gestational hypertension, c-section, recent COVID + 2 who presented with acute onset abdominal pain/pleuritic chest pain. Found to have a low risk PE. She was treated with heparin, transition to Lovenox 1.5 mg/kg daily given that she was breast-feeding. She has done well since discharge. She is doing fine, baby is doing fine. Her husband gives her in her Lovenox shot daily, no problems with that. Denies bleeding or bruising. No other new complaints.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal pain, COVID-19, Computerised tomogram abdomen abnormal, Enteritis, Functional gastrointestinal disorder
Clinical narrative: Patient presented with abdominal pain, found to have enteritis on CT. Infectious disease initially consulted as patient was incidentally COVID positive. She was started on a three day course of remdesivir with last dose 10/06/22. Patient's pain improved, she was started on bowel regimen. Diet was advanced, pain was controlled,  with return of bowel function, and patient ambulated. Patient was clinically cleared for discharge. She was instructed to follow a renal diet and follow up with labs on Monday for her hyperkalemia as well as with hepatology on Wednesday.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hyperkalaemia, SARS-CoV-2 test positive
Clinical narrative: Patient presented with abdominal pain, found to have enteritis on CT. Infectious disease initially consulted as patient was incidentally COVID positive. She was started on a three day course of remdesivir with last dose 10/06/22. Patient's pain improved, she was started on bowel regimen. Diet was advanced, pain was controlled,  with return of bowel function, and patient ambulated. Patient was clinically cleared for discharge. She was instructed to follow a renal diet and follow up with labs on Monday for her hyperkalemia as well as with hepatology on Wednesday.
Age: 27.0
Sex: F
Vaccine: JEV1
Symptoms: Incorrect route of product administration
Clinical narrative: vaccine administered subcutaneously rather than intramuscularly. patient complains of pain at site for approximately 20 minutes following injection.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Anaemia, Anticoagulant therapy, Biopsy bone marrow, COVID-19, Fall
Clinical narrative: Pt is 80 y/o female h/o CAD, hypothyroidism, dementia who presented s/p fall. Had COVID 2 weeks prior. In EC imaging showed left IT fracture. Underwent gamma nail on 10/5/22. Pt developed acute on chronic anemia and then pancytopenia. Hem/onc evaluated. She required PRBC transfusions. Ultimately underwent bone marrow BX. Will follow up w Dr. and will get CBC rechecked outpatient. Also TX for UTI during admission. Dc'd on lovenox 40mg daily x1 month per ortho. PT/OT/PMR evaluated. Family decided home w homecare, has 24/7 caregivers. Family in agrement w plan.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Femur fracture, Imaging procedure abnormal, Internal fixation of fracture, Pancytopenia, Red blood cell transfusion
Clinical narrative: Pt is 80 y/o female h/o CAD, hypothyroidism, dementia who presented s/p fall. Had COVID 2 weeks prior. In EC imaging showed left IT fracture. Underwent gamma nail on 10/5/22. Pt developed acute on chronic anemia and then pancytopenia. Hem/onc evaluated. She required PRBC transfusions. Ultimately underwent bone marrow BX. Will follow up w Dr. and will get CBC rechecked outpatient. Also TX for UTI during admission. Dc'd on lovenox 40mg daily x1 month per ortho. PT/OT/PMR evaluated. Family decided home w homecare, has 24/7 caregivers. Family in agrement w plan.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: Pt is 80 y/o female h/o CAD, hypothyroidism, dementia who presented s/p fall. Had COVID 2 weeks prior. In EC imaging showed left IT fracture. Underwent gamma nail on 10/5/22. Pt developed acute on chronic anemia and then pancytopenia. Hem/onc evaluated. She required PRBC transfusions. Ultimately underwent bone marrow BX. Will follow up w Dr. and will get CBC rechecked outpatient. Also TX for UTI during admission. Dc'd on lovenox 40mg daily x1 month per ortho. PT/OT/PMR evaluated. Family decided home w homecare, has 24/7 caregivers. Family in agrement w plan.
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Bladder catheterisation, Blood sodium abnormal, COVID-19, Dehydration, Fall
Clinical narrative: This is a 84y.o. female with a PMH significant for hypertension, CKD stage II, neurogenic bladder and osteoperosis presented to hospital on 10/3/2022 after a mechanical fall. Was found to be hyponatremic. Imaging showed nondisplaced fracture of right sacrum and comminuted right fracture. Patient was seen and evaluated by ortho and no intervention was indicated beside PT/OT. Fall was attributed to hyponatremia, excess fluid intake  escitalopram  and dehydration from recent illness . Pt was put on fluid restriction with improvement in Sodium. She was also given one dose of tolvaptan to bring sodium to higher normal level. Sodium was normal Upon discharge and she will f/u with nephrology.  She also had covid and completed 5 days of paxlovid op that was started 9/30. Urology saw pt due to urinary retention. Pt had 3 days of urinary cath for decompression of the bladder after which TOV was attempted with success. She will follow up with urology for further eval of possible neurogenic bladder  Pt was discharged to sar. She was encouraged to f/u with colorectal surgery for evaluation of fecal incontinence although not observed during admission. Her gabapentin frequency was increased to 4 times daily for pelvic pain. She will follow up with neurosurgery for further eval. She has an mri that she will get outpatient. Patient was discharged in stable condition.
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Fluid intake restriction, Fractured sacrum, Hyponatraemia, Imaging procedure abnormal, SARS-CoV-2 test positive
Clinical narrative: This is a 84y.o. female with a PMH significant for hypertension, CKD stage II, neurogenic bladder and osteoperosis presented to hospital on 10/3/2022 after a mechanical fall. Was found to be hyponatremic. Imaging showed nondisplaced fracture of right sacrum and comminuted right fracture. Patient was seen and evaluated by ortho and no intervention was indicated beside PT/OT. Fall was attributed to hyponatremia, excess fluid intake  escitalopram  and dehydration from recent illness . Pt was put on fluid restriction with improvement in Sodium. She was also given one dose of tolvaptan to bring sodium to higher normal level. Sodium was normal Upon discharge and she will f/u with nephrology.  She also had covid and completed 5 days of paxlovid op that was started 9/30. Urology saw pt due to urinary retention. Pt had 3 days of urinary cath for decompression of the bladder after which TOV was attempted with success. She will follow up with urology for further eval of possible neurogenic bladder  Pt was discharged to sar. She was encouraged to f/u with colorectal surgery for evaluation of fecal incontinence although not observed during admission. Her gabapentin frequency was increased to 4 times daily for pelvic pain. She will follow up with neurosurgery for further eval. She has an mri that she will get outpatient. Patient was discharged in stable condition.
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Urinary retention
Clinical narrative: This is a 84y.o. female with a PMH significant for hypertension, CKD stage II, neurogenic bladder and osteoperosis presented to hospital on 10/3/2022 after a mechanical fall. Was found to be hyponatremic. Imaging showed nondisplaced fracture of right sacrum and comminuted right fracture. Patient was seen and evaluated by ortho and no intervention was indicated beside PT/OT. Fall was attributed to hyponatremia, excess fluid intake  escitalopram  and dehydration from recent illness . Pt was put on fluid restriction with improvement in Sodium. She was also given one dose of tolvaptan to bring sodium to higher normal level. Sodium was normal Upon discharge and she will f/u with nephrology.  She also had covid and completed 5 days of paxlovid op that was started 9/30. Urology saw pt due to urinary retention. Pt had 3 days of urinary cath for decompression of the bladder after which TOV was attempted with success. She will follow up with urology for further eval of possible neurogenic bladder  Pt was discharged to sar. She was encouraged to f/u with colorectal surgery for evaluation of fecal incontinence although not observed during admission. Her gabapentin frequency was increased to 4 times daily for pelvic pain. She will follow up with neurosurgery for further eval. She has an mri that she will get outpatient. Patient was discharged in stable condition.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anaemia, Anal abscess, Blood test abnormal, COVID-19, Computerised tomogram abnormal
Clinical narrative: Patient is a 53-year-old male was admitted on 10/4 with concern for perirectal abscess Patient also has COVID-positive Chronic medical conditions CHF hypertension obesity Blood work reviewed showing leukocytosis and anemia  CT done showing perianal abscess
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Leukocytosis, SARS-CoV-2 test positive
Clinical narrative: Patient is a 53-year-old male was admitted on 10/4 with concern for perirectal abscess Patient also has COVID-positive Chronic medical conditions CHF hypertension obesity Blood work reviewed showing leukocytosis and anemia  CT done showing perianal abscess
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, Aortic valve incompetence, COVID-19, Electrocardiogram abnormal
Clinical narrative: Patient is 80y.o. male who was admitted to the hospital with acute hypoxic respiratory failure. CTA PE protocol was performed without acute PE but did show evidence of volume overload. He was diuresed and his O2 was weaned. His echocardiogram showed a normal EF with moderate AR. Cardiology was consulted in his care during admission.  Facility was consulted for inpatient rehabilitation, but insurance declined coverage. After discussion with family, they elected to take patient home with home care rather than pursue appeal.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hypervolaemia, SARS-CoV-2 test positive
Clinical narrative: Patient is 80y.o. male who was admitted to the hospital with acute hypoxic respiratory failure. CTA PE protocol was performed without acute PE but did show evidence of volume overload. He was diuresed and his O2 was weaned. His echocardiogram showed a normal EF with moderate AR. Cardiology was consulted in his care during admission.  Facility was consulted for inpatient rehabilitation, but insurance declined coverage. After discussion with family, they elected to take patient home with home care rather than pursue appeal.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute kidney injury, COVID-19, Dyspnoea, Fatigue, Hypotension
Clinical narrative: This is a 74y.o. male with a PMH of CAD s/p PCI to LAD, HFrEF 20%, atrial fibrillation on Eliquis, ICD s/p BiV, DM type 2, OSA, CKD stage 3, who presents to WBH-RO for evaluation of two days of shortness of breath and fatigue. Was found to be covid +.  Started on tx by ID for 3 days. Was also hypotensive so we held his entresto and bumex. Pt still hypotensive sometimes. He was also found to be in AKI with creatinine 1.57  (baseline ~1.3-1.5). AKI- resolved upon discharge.  We kept holding his Bumex and Entresto given low BP.  On daily assessment patient was euvolemic.  His urine output was good and daily weight was not concerning for fluid retention.  We decided to discharge him with instruction not to take his
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: This is a 74y.o. male with a PMH of CAD s/p PCI to LAD, HFrEF 20%, atrial fibrillation on Eliquis, ICD s/p BiV, DM type 2, OSA, CKD stage 3, who presents to WBH-RO for evaluation of two days of shortness of breath and fatigue. Was found to be covid +.  Started on tx by ID for 3 days. Was also hypotensive so we held his entresto and bumex. Pt still hypotensive sometimes. He was also found to be in AKI with creatinine 1.57  (baseline ~1.3-1.5). AKI- resolved upon discharge.  We kept holding his Bumex and Entresto given low BP.  On daily assessment patient was euvolemic.  His urine output was good and daily weight was not concerning for fluid retention.  We decided to discharge him with instruction not to take his
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: This is 64 y.o. male who presented for the above procedure. Postoperative course was uncomplicated. Diet was advanced to regular diet and patient was taking sufficient PO intake to maintain hydration. Pain was controlled on PO medications. Patient was ambulating. The patient was deemed stable for discharge on 10/6/22.
Age: 36.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Oropharyngeal pain, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: On 12/07/2022, I started to notice I was getting a sore throat. I tested on 12/09/2022, and the test came back positive. I couldn't get in to see my doctor until 12/12/2022 and that was too late to take Paxlovid. I was prescribed some cough medicine for the dry cough that came about as well. I tested 12/20/2022 and received a negative result.
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Arthralgia, Arthritis, COVID-19, Hip arthroplasty, Pain in extremity
Clinical narrative: 57y.o. with PMH of anxiety disorder, BPH, bipolar disorder, chronic back pain, radiation induced neuropathy s/p spinal stimulator, depression, dyslipidemia, GIB, GERD, IBS, rectal cancer, OSA, panic attacks, Type II DM, Parkinson's Disease, seizure disorder, and TIA presented for elective Right THA (Total hip arthroplasty). Patient with known progressive, severe R hip pain.  He was evaluated as an outpatient and diagnosed with advanced arthritis of the R hip.  Non-operative treatments including activity modification, weight loss, anti-inflammatory use, and PT failed to provide long-term benefit.  He underwent RTHA on 9/26/22 with Dr.    His post operatively he had right surgical site thigh pain and swelling of the right thigh and
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Peripheral swelling, SARS-CoV-2 test positive
Clinical narrative: 57y.o. with PMH of anxiety disorder, BPH, bipolar disorder, chronic back pain, radiation induced neuropathy s/p spinal stimulator, depression, dyslipidemia, GIB, GERD, IBS, rectal cancer, OSA, panic attacks, Type II DM, Parkinson's Disease, seizure disorder, and TIA presented for elective Right THA (Total hip arthroplasty). Patient with known progressive, severe R hip pain.  He was evaluated as an outpatient and diagnosed with advanced arthritis of the R hip.  Non-operative treatments including activity modification, weight loss, anti-inflammatory use, and PT failed to provide long-term benefit.  He underwent RTHA on 9/26/22 with Dr.    His post operatively he had right surgical site thigh pain and swelling of the right thigh and
Age: 21.0
Sex: F
Vaccine: UNK
Symptoms: Erythema, Hyperhidrosis, Nausea, Pyrexia, Skin warm
Clinical narrative: nausa, low grade fever, area 2x2 inch's red warm and swollen
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Anticoagulant therapy, Arthritis, Blood pressure increased, COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospital Course:  1.  COVID-19 positive, given course of Paxlovid. Doubt infectious.  This could be long Covid.  Defer to ID if role of AB indicated.  Doubt superimposed infection.  Will keep in isolation, per epidemiology.  Supportive measures.  IVF. Increase prednsione 40mg/day x 5 days.  Today is day #3.   2. Sinus tachycardia, this was prior to COVID infection.  She had outpatient cardiology evaluation but due to positive COVID could not go. She has been tachy in 130s all night and during my exam.  Continue IVF. She is to see cardiology now, consult pending  On TMS. 3.  Elevated BP, wil give PRN as needed.  No formal HTN in past.  Vitals per floor protocol.  On BB now, improved.  ECHO can be done as outpatient
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Sinus tachycardia, Tachycardia, Therapy change
Clinical narrative: Hospital Course:  1.  COVID-19 positive, given course of Paxlovid. Doubt infectious.  This could be long Covid.  Defer to ID if role of AB indicated.  Doubt superimposed infection.  Will keep in isolation, per epidemiology.  Supportive measures.  IVF. Increase prednsione 40mg/day x 5 days.  Today is day #3.   2. Sinus tachycardia, this was prior to COVID infection.  She had outpatient cardiology evaluation but due to positive COVID could not go. She has been tachy in 130s all night and during my exam.  Continue IVF. She is to see cardiology now, consult pending  On TMS. 3.  Elevated BP, wil give PRN as needed.  No formal HTN in past.  Vitals per floor protocol.  On BB now, improved.  ECHO can be done as outpatient
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cerebrovascular accident, Computerised tomogram head abnormal, Death, Dysarthria
Clinical narrative: This is a 71y.o. female with PMH significant of HTN, type 2 DM, hyperlipidemia, PE, uterine sarcoma with lung metastates, recurrent TIAs, who was brought in by EMS for altered mentation and abnormal uterine bleeding. Admitted for L MCA stroke with slurred speech, facial droop, and RUE weakness. History of multiple strokes since September. Presented with significant AUB with Hb of 6. Received 2 units pRBC in ED. CT head showed findings suggestive of recurrent stroke. Patient and family requesting comfort care only. Hospice consulted, initially not in hospital candidate as symptoms were adequately managed by palliative care. Comfort medications were started and patient was kept comfortable. She was reevaluated by
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Facial paralysis, Haemoglobin decreased, Mental status changes, Muscular weakness, Red blood cell transfusion
Clinical narrative: This is a 71y.o. female with PMH significant of HTN, type 2 DM, hyperlipidemia, PE, uterine sarcoma with lung metastates, recurrent TIAs, who was brought in by EMS for altered mentation and abnormal uterine bleeding. Admitted for L MCA stroke with slurred speech, facial droop, and RUE weakness. History of multiple strokes since September. Presented with significant AUB with Hb of 6. Received 2 units pRBC in ED. CT head showed findings suggestive of recurrent stroke. Patient and family requesting comfort care only. Hospice consulted, initially not in hospital candidate as symptoms were adequately managed by palliative care. Comfort medications were started and patient was kept comfortable. She was reevaluated by
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Uterine haemorrhage
Clinical narrative: This is a 71y.o. female with PMH significant of HTN, type 2 DM, hyperlipidemia, PE, uterine sarcoma with lung metastates, recurrent TIAs, who was brought in by EMS for altered mentation and abnormal uterine bleeding. Admitted for L MCA stroke with slurred speech, facial droop, and RUE weakness. History of multiple strokes since September. Presented with significant AUB with Hb of 6. Received 2 units pRBC in ED. CT head showed findings suggestive of recurrent stroke. Patient and family requesting comfort care only. Hospice consulted, initially not in hospital candidate as symptoms were adequately managed by palliative care. Comfort medications were started and patient was kept comfortable. She was reevaluated by
Age: 18.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: pfizer bivalent booster was expired on 12/5/22. vaccine was given on 12/16/22
Age: 58.0
Sex: F
Vaccine: COVID19-2
Symptoms: Bronchitis, COVID-19, Chest pain, Chills, Cough
Clinical narrative: 12/8/2022 in the evening postnasal drip. 12/9 chills, headache, burning in chest, felling like bronchitis developed. 12/10 tested positive at doc via rapid COVID-19 test. Doctor did not prescribe any medication, merely confirmed the test results. Advised of quarantine, and to treat symptomatically. 12/12 contacted PCP who prescribed PAXLOVID. Fever peaked at 102. 12/14 fever broke and symptoms diminished. Just a lingering sinus congestions and occasional cough with fatigue with occasional headache.
Age: 58.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fatigue, Headache, Pyrexia, SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: 12/8/2022 in the evening postnasal drip. 12/9 chills, headache, burning in chest, felling like bronchitis developed. 12/10 tested positive at doc via rapid COVID-19 test. Doctor did not prescribe any medication, merely confirmed the test results. Advised of quarantine, and to treat symptomatically. 12/12 contacted PCP who prescribed PAXLOVID. Fever peaked at 102. 12/14 fever broke and symptoms diminished. Just a lingering sinus congestions and occasional cough with fatigue with occasional headache.
Age: 58.0
Sex: F
Vaccine: COVID19-2
Symptoms: Upper-airway cough syndrome
Clinical narrative: 12/8/2022 in the evening postnasal drip. 12/9 chills, headache, burning in chest, felling like bronchitis developed. 12/10 tested positive at doc via rapid COVID-19 test. Doctor did not prescribe any medication, merely confirmed the test results. Advised of quarantine, and to treat symptomatically. 12/12 contacted PCP who prescribed PAXLOVID. Fever peaked at 102. 12/14 fever broke and symptoms diminished. Just a lingering sinus congestions and occasional cough with fatigue with occasional headache.
Age: 35.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Underdose
Clinical narrative: Patient who is an adult was given 0.25mL of the Moderna Bivalent COVID booster vaccine, which is less than the authorized dose of 0.50mL.  No adverse events were noted at the time of the administration.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Delivery, Maternal exposure before pregnancy, SARS-CoV-2 test positive
Clinical narrative: Delivery Date: 10/5/2022  Delivery Time: 12:19 AM  Gestational Age(weeks days/7): 39 1/7      Method of Delivery: Vaginal, Spontaneous    Baby: girl
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angiogram pulmonary abnormal, COVID-19, Chest pain, Coronary artery stenosis, Electrocardiogram normal
Clinical narrative: Patient is 58y.o. male who was admitted to the hospital with chest pain at home while wathcing TV --ECG non ischemic , Trop x 3 negative --CTA w > 70 % focal stenosis of LAD --seen by cards --FFR added per cards --patient does not want for echo and was cleared by cardiology for dc home  Seen by ID as he tested covid +--had no symptoms but ID recommended paxlovid due to commorbidities --patient refused
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Refusal of treatment by patient, SARS-CoV-2 test positive, Troponin normal
Clinical narrative: Patient is 58y.o. male who was admitted to the hospital with chest pain at home while wathcing TV --ECG non ischemic , Trop x 3 negative --CTA w > 70 % focal stenosis of LAD --seen by cards --FFR added per cards --patient does not want for echo and was cleared by cardiology for dc home  Seen by ID as he tested covid +--had no symptoms but ID recommended paxlovid due to commorbidities --patient refused
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anticoagulant therapy, Atrial fibrillation, COVID-19, Cardioversion, Imaging procedure abnormal
Clinical narrative: This is a 75y.o. female with history of PAD with difficulty ambulating who presented on 10/5/2022 for surgery. Findings on imaging consistent with left popliteal artery stenosis. Pt underwent procedure listed above which they tolerated well without complication, see operative report for full details. She went into afib with RVR in the PACU requiring ICU admission. She was started on a cardizem gtt and converted to NSR. She was then started on a heparin gtt and transitioned to Eliquis. Patient recovered well. Hospital course significant for afib with RVR.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Intensive care, Peripheral artery stenosis, SARS-CoV-2 test positive, Surgery
Clinical narrative: This is a 75y.o. female with history of PAD with difficulty ambulating who presented on 10/5/2022 for surgery. Findings on imaging consistent with left popliteal artery stenosis. Pt underwent procedure listed above which they tolerated well without complication, see operative report for full details. She went into afib with RVR in the PACU requiring ICU admission. She was started on a cardizem gtt and converted to NSR. She was then started on a heparin gtt and transitioned to Eliquis. Patient recovered well. Hospital course significant for afib with RVR.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, Aortic dissection, Asthenia, COVID-19, Computerised tomogram thorax
Clinical narrative: Pt admitted to Hospital with a dissection of his descending thoracic aorta.  While there he developed acute respiratory insufficiency that required high flow oxygen therapy.  Concomitantly he was also noted to have a infrarenal aneurysm measuring up to 5.7 to 6 cm in diameter.  Radiology measurements were 5.4 cm but not deemed accurate because of the measurement technique.  He states he is now not smoking.  He is fatigued but otherwise slowly regaining strength.  His infrarenal aneurysm was not treated during that admission due to his other acute problems.  His thoracic aortic dissection actually appeared to be improving on subsequent CT imaging.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Ex-tobacco user, Fatigue, Renal aneurysm, SARS-CoV-2 test positive
Clinical narrative: Pt admitted to Hospital with a dissection of his descending thoracic aorta.  While there he developed acute respiratory insufficiency that required high flow oxygen therapy.  Concomitantly he was also noted to have a infrarenal aneurysm measuring up to 5.7 to 6 cm in diameter.  Radiology measurements were 5.4 cm but not deemed accurate because of the measurement technique.  He states he is now not smoking.  He is fatigued but otherwise slowly regaining strength.  His infrarenal aneurysm was not treated during that admission due to his other acute problems.  His thoracic aortic dissection actually appeared to be improving on subsequent CT imaging.
Age: 99.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Atelectasis, Blood creatinine increased, COVID-19, Chest X-ray abnormal, Cough
Clinical narrative: 101y.o. year old female with history of mild asthma, hypertension and dementia.  She lives at home with 24-hour day caregivers.  She is fully vaccinated for COVID. She developed a nonproductive cough and appeared to be more lethargic, slept a lot on 10/3 10/4, she also had a low-grade fever on 10/4. Son, who is a retired pediatrician, did a home COVID test which was positive.  They checked her pulse ox and at some point in time her saturation was 87%, however, the son is not sure if the pulse oximeter was functioning properly, plus the patient has painted nails which may have interfered with the pulse oximeter.  They called her primary care physician and they were advised to come to the hospital. In the emergency department she did not have a fever, her white count was noted to be 14, repeated white count is 9.4.  Initially her creatinine was elevated at 1.2, after hydration it is down to 1.08.  COVID test was positive.  Chest x-ray showed mild basilar atelectasis. Patient also suffered a skin tear on her left forearm, she has a visiting nurse who changes her dressings at home, the wound does not appear to be infected. ID is consulted in regards to COVID. History was obtained from the son at bedside, as the patient has dementia and is unable to provide meaningful information.
Age: 99.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Hypersomnia, Lethargy, Pyrexia, SARS-CoV-2 test positive, Skin laceration
Clinical narrative: 101y.o. year old female with history of mild asthma, hypertension and dementia.  She lives at home with 24-hour day caregivers.  She is fully vaccinated for COVID. She developed a nonproductive cough and appeared to be more lethargic, slept a lot on 10/3 10/4, she also had a low-grade fever on 10/4. Son, who is a retired pediatrician, did a home COVID test which was positive.  They checked her pulse ox and at some point in time her saturation was 87%, however, the son is not sure if the pulse oximeter was functioning properly, plus the patient has painted nails which may have interfered with the pulse oximeter.  They called her primary care physician and they were advised to come to the hospital. In the emergency department she did not have a fever, her white count was noted to be 14, repeated white count is 9.4.  Initially her creatinine was elevated at 1.2, after hydration it is down to 1.08.  COVID test was positive.  Chest x-ray showed mild basilar atelectasis. Patient also suffered a skin tear on her left forearm, she has a visiting nurse who changes her dressings at home, the wound does not appear to be infected. ID is consulted in regards to COVID. History was obtained from the son at bedside, as the patient has dementia and is unable to provide meaningful information.
Age: 99.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: White blood cell count increased
Clinical narrative: 101y.o. year old female with history of mild asthma, hypertension and dementia.  She lives at home with 24-hour day caregivers.  She is fully vaccinated for COVID. She developed a nonproductive cough and appeared to be more lethargic, slept a lot on 10/3 10/4, she also had a low-grade fever on 10/4. Son, who is a retired pediatrician, did a home COVID test which was positive.  They checked her pulse ox and at some point in time her saturation was 87%, however, the son is not sure if the pulse oximeter was functioning properly, plus the patient has painted nails which may have interfered with the pulse oximeter.  They called her primary care physician and they were advised to come to the hospital. In the emergency department she did not have a fever, her white count was noted to be 14, repeated white count is 9.4.  Initially her creatinine was elevated at 1.2, after hydration it is down to 1.08.  COVID test was positive.  Chest x-ray showed mild basilar atelectasis. Patient also suffered a skin tear on her left forearm, she has a visiting nurse who changes her dressings at home, the wound does not appear to be infected. ID is consulted in regards to COVID. History was obtained from the son at bedside, as the patient has dementia and is unable to provide meaningful information.
Age: 5.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal pain, Asthenia, COVID-19, Chest pain, Chills
Clinical narrative: 6y.o. male with no significant PMH presented with progressive worsening of fever, chills, vomiting, myalgias, chest pain, abdominal pain, dizziness, weakness since Saturday. Initial symptoms were cough and congestion. Wet cough not in bouts present throughout the day. Since Monday, started having worsening fatigue, chest pain and vomiting. Vomiting was NBNB, projectile, 3-4 episodes following feeds. Chest pain is intermittent, diffuse, non radiating.  Fever started since tuesday, last Tmax was yesterday morning 102.8 F relieved after giving Tylenol. Patient tested positive for COVID-19 on Sunday. Patient was given ampicillin. He admitted to the floors for definitive management. Initial physical examination on the
Age: 5.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cough, Dizziness, Fatigue, Myalgia, Productive cough
Clinical narrative: 6y.o. male with no significant PMH presented with progressive worsening of fever, chills, vomiting, myalgias, chest pain, abdominal pain, dizziness, weakness since Saturday. Initial symptoms were cough and congestion. Wet cough not in bouts present throughout the day. Since Monday, started having worsening fatigue, chest pain and vomiting. Vomiting was NBNB, projectile, 3-4 episodes following feeds. Chest pain is intermittent, diffuse, non radiating.  Fever started since tuesday, last Tmax was yesterday morning 102.8 F relieved after giving Tylenol. Patient tested positive for COVID-19 on Sunday. Patient was given ampicillin. He admitted to the floors for definitive management. Initial physical examination on the
Age: 5.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive, Vomiting, Vomiting projectile
Clinical narrative: 6y.o. male with no significant PMH presented with progressive worsening of fever, chills, vomiting, myalgias, chest pain, abdominal pain, dizziness, weakness since Saturday. Initial symptoms were cough and congestion. Wet cough not in bouts present throughout the day. Since Monday, started having worsening fatigue, chest pain and vomiting. Vomiting was NBNB, projectile, 3-4 episodes following feeds. Chest pain is intermittent, diffuse, non radiating.  Fever started since tuesday, last Tmax was yesterday morning 102.8 F relieved after giving Tylenol. Patient tested positive for COVID-19 on Sunday. Patient was given ampicillin. He admitted to the floors for definitive management. Initial physical examination on the
Age: 39.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Nausea, SARS-CoV-2 test positive, Vomiting
Clinical narrative: This is a 40y.o. male significant for post-cholecystectomy syndrome, malabsorption, migraines, GERD, androgenic alopecia, and tachycardia who presents with intractable n/v since yesterday. He was found to be COVID+ Monday night. He does have issues with chronic n/v. He denies ETOH of cannabis use. Patient was seen by GI, and cleared for DC. Also seen by ID, no COVID txt needed at this time. Patient feels better after IVF. No further work up per GI. Discharged in a stable condition.
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Agitation, COVID-19, Duodenal ulcer haemorrhage, Fall, Mental status changes
Clinical narrative: This is a 87y.o. male with past medical history of peptic ulcer disease, GERD, cardiac cath placement, hypertension, but hyperlipidemia, CKD, type 2 diabetes who presents to the ED on 10/5/2022 due to an unwitnessed fall.  Patient history limited secondary to dementia.  Per chart review patient had rhabdomyolysis on presentation, as well as elevated troponins and COVID infection.  Patient's admission has been complicated by bleeding duodenal ulcers causing altered mental status and agitation.
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Rhabdomyolysis, SARS-CoV-2 test positive, Troponin increased
Clinical narrative: This is a 87y.o. male with past medical history of peptic ulcer disease, GERD, cardiac cath placement, hypertension, but hyperlipidemia, CKD, type 2 diabetes who presents to the ED on 10/5/2022 due to an unwitnessed fall.  Patient history limited secondary to dementia.  Per chart review patient had rhabdomyolysis on presentation, as well as elevated troponins and COVID infection.  Patient's admission has been complicated by bleeding duodenal ulcers causing altered mental status and agitation.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal distension, COVID-19, Computerised tomogram thorax normal, Peripheral swelling, SARS-CoV-2 test positive
Clinical narrative: 61-year-old male with history of chronic diastolic CHF, chronic lymphedema, hypertension, diabetes, hyperlipidemia, obstructive sleep apnea presented to the ER from his cardiologist office with worsening lower extremity swelling, abdominal swelling, concerns for lower extremity cellulitis.  Patient was admitted and treated with IV diuresis with improvement in his swelling.  Was empirically started on IV Ancef and infectious disease was consulted and evaluated and did not recommend any further antibiotics as lower extremity skin changes likely secondary to chronic lymphedema and improved with IV diuresis.  Patient was found to be COVID-positive but did not have any respiratory symptoms and did not require any oxygen. Decadron was started on the ER but was discontinued.  CT PE was negative for any PE on admission.  On discharge IV Lasix was just continued and was started on oral Lasix 40 mg twice daily.  Imdur 60 mg daily was reduced to 30 mg daily per cardiology recommendations.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Skin disorder
Clinical narrative: 61-year-old male with history of chronic diastolic CHF, chronic lymphedema, hypertension, diabetes, hyperlipidemia, obstructive sleep apnea presented to the ER from his cardiologist office with worsening lower extremity swelling, abdominal swelling, concerns for lower extremity cellulitis.  Patient was admitted and treated with IV diuresis with improvement in his swelling.  Was empirically started on IV Ancef and infectious disease was consulted and evaluated and did not recommend any further antibiotics as lower extremity skin changes likely secondary to chronic lymphedema and improved with IV diuresis.  Patient was found to be COVID-positive but did not have any respiratory symptoms and did not require any oxygen. Decadron was started on the ER but was discontinued.  CT PE was negative for any PE on admission.  On discharge IV Lasix was just continued and was started on oral Lasix 40 mg twice daily.  Imdur 60 mg daily was reduced to 30 mg daily per cardiology recommendations.
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Brain natriuretic peptide increased, COVID-19, Dyspnoea, Fatigue
Clinical narrative: 87 yo female with history of Parkinson's disease, HFmrEF 45%, autoimmune hepatitis, anxiety/depression, TIA, and CAD who presented to Hospital on 10/6/2022 with a chief complaint of generalized weakness and fatigue. She was found to be COVID-19 positive and elevated BNP concerning for acute on chronic HF. Diuresed in the ED with 1 dose of lasix and her kidney function improved. She required oxygen supplementation initially and was started on steroids and Remdisnivir. Hypoxia and SOB resolved. She was deemed stable for transfer to PRIVATE with continued COVID isolation until 10/15, however, COVID PRIVATE was unable to take patient. Family initially accepted home with home care, then started the appeal process. After a few days
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hypoxia, Renal impairment, SARS-CoV-2 test positive
Clinical narrative: 87 yo female with history of Parkinson's disease, HFmrEF 45%, autoimmune hepatitis, anxiety/depression, TIA, and CAD who presented to Hospital on 10/6/2022 with a chief complaint of generalized weakness and fatigue. She was found to be COVID-19 positive and elevated BNP concerning for acute on chronic HF. Diuresed in the ED with 1 dose of lasix and her kidney function improved. She required oxygen supplementation initially and was started on steroids and Remdisnivir. Hypoxia and SOB resolved. She was deemed stable for transfer to PRIVATE with continued COVID isolation until 10/15, however, COVID PRIVATE was unable to take patient. Family initially accepted home with home care, then started the appeal process. After a few days
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Cough, SARS-CoV-2 test positive
Clinical narrative: Acute COVID-19 infection.  Not hypoxic.  Not short of breath.  Has mild cough.  Received 3 days of remdesivir.  Continue contact and isolation precautions. As needed Tessalon Perles for cough. Seen by ID service. ID recommends continue isolation through 10/15/2022.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Blood creatinine increased, Blood sodium decreased, Brain natriuretic peptide increased, COVID-19, Chemotherapy
Clinical narrative: Patient is hypertension, hyperlipidemia, asthma, paroxysmal atrial fibrillation, sleep apnea, obesity who presented to the hospital on 5/6/2022 due to abnormal labs outpatient.  Recently diagnosed with valvular cancer and started chemotherapy recently.  She had labs done outpatient by oncologist which displayed a sodium level of 120.   Denies any chest pain, shortness of breath, fevers or chills, lesions or syncope no extremity edema.  Vital signs in the ER were stable.  Chest x-ray displayed no acute findings. Na 116. Cr 2.4.  BNP 179.  Globin stable.  Tested positive for COVID.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Chest X-ray normal, Haemoglobin normal, Laboratory test abnormal, SARS-CoV-2 test positive, Vulval cancer
Clinical narrative: Patient is hypertension, hyperlipidemia, asthma, paroxysmal atrial fibrillation, sleep apnea, obesity who presented to the hospital on 5/6/2022 due to abnormal labs outpatient.  Recently diagnosed with valvular cancer and started chemotherapy recently.  She had labs done outpatient by oncologist which displayed a sodium level of 120.   Denies any chest pain, shortness of breath, fevers or chills, lesions or syncope no extremity edema.  Vital signs in the ER were stable.  Chest x-ray displayed no acute findings. Na 116. Cr 2.4.  BNP 179.  Globin stable.  Tested positive for COVID.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Atelectasis, COVID-19, Chest X-ray abnormal, Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: A 81y.o. female with history of non-small cell lung cancer diagnosed in 8/20/2021-s/p  radiation therapy, gamma knife on 6/11/2021, completed 5 fractions of palliative radiation therapy on 714 2 right chest wall nodule currently on Keytruda for every 3 weeks, COPD, hyperlipidemia, hypertension.  Patient presented with cough, shortness of breath.Labs showed white count of 24.3.  Chest x-ray showed large area of right upper lobe consolidation likely combination of atelectasis and pneumonia COVID-19 was negative was started on vancomycin and cefepime, azithromycin pulmonary was consulted started on prednisone for COPD exacerbation..patient completed antibiotics, steroids.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cough, Dyspnoea, Gamma radiation therapy to lung, Lung consolidation, Pneumonia
Clinical narrative: A 81y.o. female with history of non-small cell lung cancer diagnosed in 8/20/2021-s/p  radiation therapy, gamma knife on 6/11/2021, completed 5 fractions of palliative radiation therapy on 714 2 right chest wall nodule currently on Keytruda for every 3 weeks, COPD, hyperlipidemia, hypertension.  Patient presented with cough, shortness of breath.Labs showed white count of 24.3.  Chest x-ray showed large area of right upper lobe consolidation likely combination of atelectasis and pneumonia COVID-19 was negative was started on vancomycin and cefepime, azithromycin pulmonary was consulted started on prednisone for COPD exacerbation..patient completed antibiotics, steroids.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, White blood cell count increased
Clinical narrative: A 81y.o. female with history of non-small cell lung cancer diagnosed in 8/20/2021-s/p  radiation therapy, gamma knife on 6/11/2021, completed 5 fractions of palliative radiation therapy on 714 2 right chest wall nodule currently on Keytruda for every 3 weeks, COPD, hyperlipidemia, hypertension.  Patient presented with cough, shortness of breath.Labs showed white count of 24.3.  Chest x-ray showed large area of right upper lobe consolidation likely combination of atelectasis and pneumonia COVID-19 was negative was started on vancomycin and cefepime, azithromycin pulmonary was consulted started on prednisone for COPD exacerbation..patient completed antibiotics, steroids.