chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pH normal, Blood potassium decreased, Blood sodium normal, Blood urea increased, Brain natriuretic peptide increased
Clinical narrative: Admit Date:  6/27/2022   Discharge Date:   7/1/2022   Discharge Diagnosis:  Principal Problem:   COVID-19 virus detected Active Problems:   Acute on chronic respiratory failure with hypoxia and hypercapnia   C. difficile colitis   Morbid obesity   Primary hypertension     Hospital Course:  79 year old female from NH was admitted initially for Covid-19 pneumonia and treatment was started. She started refusing medications soon after admission. She also was found to have C diff colitis. She only received 3 doses of oral vancomycin before she started refusing medications again. She was transferred back to the NH due to this.     Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 98.2 °F (36.8 °C) Heart Rate (Monitor): 60 Pulse: 69 BP: 149/57 Respirations: 17 SpO2: 93 % O2 Flow Rate (l/min): 3 l/min General Appearance: no distress  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: regular rate and rhythm Abdomen: soft, non-tender  Skin: No rashes or lesions  Extremities: no edema Neuro: alert   Consults:  IP CONSULT TO SOCIAL WORK   Significant Diagnostic Studies:   CXR   Operations: none   Disposition:  SNF   Discharge Condition:  Fair
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein increased, COVID-19, COVID-19 pneumonia, Carbon dioxide increased, Chest X-ray abnormal
Clinical narrative: Admit Date:  6/27/2022   Discharge Date:   7/1/2022   Discharge Diagnosis:  Principal Problem:   COVID-19 virus detected Active Problems:   Acute on chronic respiratory failure with hypoxia and hypercapnia   C. difficile colitis   Morbid obesity   Primary hypertension     Hospital Course:  79 year old female from NH was admitted initially for Covid-19 pneumonia and treatment was started. She started refusing medications soon after admission. She also was found to have C diff colitis. She only received 3 doses of oral vancomycin before she started refusing medications again. She was transferred back to the NH due to this.     Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 98.2 °F (36.8 °C) Heart Rate (Monitor): 60 Pulse: 69 BP: 149/57 Respirations: 17 SpO2: 93 % O2 Flow Rate (l/min): 3 l/min General Appearance: no distress  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: regular rate and rhythm Abdomen: soft, non-tender  Skin: No rashes or lesions  Extremities: no edema Neuro: alert   Consults:  IP CONSULT TO SOCIAL WORK   Significant Diagnostic Studies:   CXR   Operations: none   Disposition:  SNF   Discharge Condition:  Fair
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Clostridium difficile colitis, Clostridium test positive, Differential white blood cell count, Electrocardiogram abnormal, Eosinophil count normal
Clinical narrative: Admit Date:  6/27/2022   Discharge Date:   7/1/2022   Discharge Diagnosis:  Principal Problem:   COVID-19 virus detected Active Problems:   Acute on chronic respiratory failure with hypoxia and hypercapnia   C. difficile colitis   Morbid obesity   Primary hypertension     Hospital Course:  79 year old female from NH was admitted initially for Covid-19 pneumonia and treatment was started. She started refusing medications soon after admission. She also was found to have C diff colitis. She only received 3 doses of oral vancomycin before she started refusing medications again. She was transferred back to the NH due to this.     Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 98.2 °F (36.8 °C) Heart Rate (Monitor): 60 Pulse: 69 BP: 149/57 Respirations: 17 SpO2: 93 % O2 Flow Rate (l/min): 3 l/min General Appearance: no distress  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: regular rate and rhythm Abdomen: soft, non-tender  Skin: No rashes or lesions  Extremities: no edema Neuro: alert   Consults:  IP CONSULT TO SOCIAL WORK   Significant Diagnostic Studies:   CXR   Operations: none   Disposition:  SNF   Discharge Condition:  Fair
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Eosinophil percentage, Essential hypertension, Fibrin D dimer normal, Full blood count, Glomerular filtration rate decreased
Clinical narrative: Admit Date:  6/27/2022   Discharge Date:   7/1/2022   Discharge Diagnosis:  Principal Problem:   COVID-19 virus detected Active Problems:   Acute on chronic respiratory failure with hypoxia and hypercapnia   C. difficile colitis   Morbid obesity   Primary hypertension     Hospital Course:  79 year old female from NH was admitted initially for Covid-19 pneumonia and treatment was started. She started refusing medications soon after admission. She also was found to have C diff colitis. She only received 3 doses of oral vancomycin before she started refusing medications again. She was transferred back to the NH due to this.     Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 98.2 °F (36.8 °C) Heart Rate (Monitor): 60 Pulse: 69 BP: 149/57 Respirations: 17 SpO2: 93 % O2 Flow Rate (l/min): 3 l/min General Appearance: no distress  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: regular rate and rhythm Abdomen: soft, non-tender  Skin: No rashes or lesions  Extremities: no edema Neuro: alert   Consults:  IP CONSULT TO SOCIAL WORK   Significant Diagnostic Studies:   CXR   Operations: none   Disposition:  SNF   Discharge Condition:  Fair
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Haematocrit decreased, Haemoglobin decreased, Hypercapnia, Hypoxia, International normalised ratio increased
Clinical narrative: Admit Date:  6/27/2022   Discharge Date:   7/1/2022   Discharge Diagnosis:  Principal Problem:   COVID-19 virus detected Active Problems:   Acute on chronic respiratory failure with hypoxia and hypercapnia   C. difficile colitis   Morbid obesity   Primary hypertension     Hospital Course:  79 year old female from NH was admitted initially for Covid-19 pneumonia and treatment was started. She started refusing medications soon after admission. She also was found to have C diff colitis. She only received 3 doses of oral vancomycin before she started refusing medications again. She was transferred back to the NH due to this.     Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 98.2 °F (36.8 °C) Heart Rate (Monitor): 60 Pulse: 69 BP: 149/57 Respirations: 17 SpO2: 93 % O2 Flow Rate (l/min): 3 l/min General Appearance: no distress  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: regular rate and rhythm Abdomen: soft, non-tender  Skin: No rashes or lesions  Extremities: no edema Neuro: alert   Consults:  IP CONSULT TO SOCIAL WORK   Significant Diagnostic Studies:   CXR   Operations: none   Disposition:  SNF   Discharge Condition:  Fair
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphocyte count normal, Lymphocyte percentage, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal
Clinical narrative: Admit Date:  6/27/2022   Discharge Date:   7/1/2022   Discharge Diagnosis:  Principal Problem:   COVID-19 virus detected Active Problems:   Acute on chronic respiratory failure with hypoxia and hypercapnia   C. difficile colitis   Morbid obesity   Primary hypertension     Hospital Course:  79 year old female from NH was admitted initially for Covid-19 pneumonia and treatment was started. She started refusing medications soon after admission. She also was found to have C diff colitis. She only received 3 doses of oral vancomycin before she started refusing medications again. She was transferred back to the NH due to this.     Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 98.2 °F (36.8 °C) Heart Rate (Monitor): 60 Pulse: 69 BP: 149/57 Respirations: 17 SpO2: 93 % O2 Flow Rate (l/min): 3 l/min General Appearance: no distress  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: regular rate and rhythm Abdomen: soft, non-tender  Skin: No rashes or lesions  Extremities: no edema Neuro: alert   Consults:  IP CONSULT TO SOCIAL WORK   Significant Diagnostic Studies:   CXR   Operations: none   Disposition:  SNF   Discharge Condition:  Fair
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Mean platelet volume decreased, Metabolic function test, Micrococcus test positive, Monocyte count normal, Monocyte percentage increased
Clinical narrative: Admit Date:  6/27/2022   Discharge Date:   7/1/2022   Discharge Diagnosis:  Principal Problem:   COVID-19 virus detected Active Problems:   Acute on chronic respiratory failure with hypoxia and hypercapnia   C. difficile colitis   Morbid obesity   Primary hypertension     Hospital Course:  79 year old female from NH was admitted initially for Covid-19 pneumonia and treatment was started. She started refusing medications soon after admission. She also was found to have C diff colitis. She only received 3 doses of oral vancomycin before she started refusing medications again. She was transferred back to the NH due to this.     Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 98.2 °F (36.8 °C) Heart Rate (Monitor): 60 Pulse: 69 BP: 149/57 Respirations: 17 SpO2: 93 % O2 Flow Rate (l/min): 3 l/min General Appearance: no distress  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: regular rate and rhythm Abdomen: soft, non-tender  Skin: No rashes or lesions  Extremities: no edema Neuro: alert   Consults:  IP CONSULT TO SOCIAL WORK   Significant Diagnostic Studies:   CXR   Operations: none   Disposition:  SNF   Discharge Condition:  Fair
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Neutrophil count normal, Neutrophil percentage decreased, Obesity, Oxygen saturation, PCO2 increased
Clinical narrative: Admit Date:  6/27/2022   Discharge Date:   7/1/2022   Discharge Diagnosis:  Principal Problem:   COVID-19 virus detected Active Problems:   Acute on chronic respiratory failure with hypoxia and hypercapnia   C. difficile colitis   Morbid obesity   Primary hypertension     Hospital Course:  79 year old female from NH was admitted initially for Covid-19 pneumonia and treatment was started. She started refusing medications soon after admission. She also was found to have C diff colitis. She only received 3 doses of oral vancomycin before she started refusing medications again. She was transferred back to the NH due to this.     Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 98.2 °F (36.8 °C) Heart Rate (Monitor): 60 Pulse: 69 BP: 149/57 Respirations: 17 SpO2: 93 % O2 Flow Rate (l/min): 3 l/min General Appearance: no distress  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: regular rate and rhythm Abdomen: soft, non-tender  Skin: No rashes or lesions  Extremities: no edema Neuro: alert   Consults:  IP CONSULT TO SOCIAL WORK   Significant Diagnostic Studies:   CXR   Operations: none   Disposition:  SNF   Discharge Condition:  Fair
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: PO2 increased, Platelet count normal, Procalcitonin, Protein total normal, Prothrombin time prolonged
Clinical narrative: Admit Date:  6/27/2022   Discharge Date:   7/1/2022   Discharge Diagnosis:  Principal Problem:   COVID-19 virus detected Active Problems:   Acute on chronic respiratory failure with hypoxia and hypercapnia   C. difficile colitis   Morbid obesity   Primary hypertension     Hospital Course:  79 year old female from NH was admitted initially for Covid-19 pneumonia and treatment was started. She started refusing medications soon after admission. She also was found to have C diff colitis. She only received 3 doses of oral vancomycin before she started refusing medications again. She was transferred back to the NH due to this.     Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 98.2 °F (36.8 °C) Heart Rate (Monitor): 60 Pulse: 69 BP: 149/57 Respirations: 17 SpO2: 93 % O2 Flow Rate (l/min): 3 l/min General Appearance: no distress  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: regular rate and rhythm Abdomen: soft, non-tender  Skin: No rashes or lesions  Extremities: no edema Neuro: alert   Consults:  IP CONSULT TO SOCIAL WORK   Significant Diagnostic Studies:   CXR   Operations: none   Disposition:  SNF   Discharge Condition:  Fair
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell count normal, Red blood cell sedimentation rate increased, Red cell distribution width increased, SARS-CoV-2 RNA, SARS-CoV-2 test positive
Clinical narrative: Admit Date:  6/27/2022   Discharge Date:   7/1/2022   Discharge Diagnosis:  Principal Problem:   COVID-19 virus detected Active Problems:   Acute on chronic respiratory failure with hypoxia and hypercapnia   C. difficile colitis   Morbid obesity   Primary hypertension     Hospital Course:  79 year old female from NH was admitted initially for Covid-19 pneumonia and treatment was started. She started refusing medications soon after admission. She also was found to have C diff colitis. She only received 3 doses of oral vancomycin before she started refusing medications again. She was transferred back to the NH due to this.     Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 98.2 °F (36.8 °C) Heart Rate (Monitor): 60 Pulse: 69 BP: 149/57 Respirations: 17 SpO2: 93 % O2 Flow Rate (l/min): 3 l/min General Appearance: no distress  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: regular rate and rhythm Abdomen: soft, non-tender  Skin: No rashes or lesions  Extremities: no edema Neuro: alert   Consults:  IP CONSULT TO SOCIAL WORK   Significant Diagnostic Studies:   CXR   Operations: none   Disposition:  SNF   Discharge Condition:  Fair
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Serum ferritin normal, Troponin I normal, Viral infection, White blood cell count normal
Clinical narrative: Admit Date:  6/27/2022   Discharge Date:   7/1/2022   Discharge Diagnosis:  Principal Problem:   COVID-19 virus detected Active Problems:   Acute on chronic respiratory failure with hypoxia and hypercapnia   C. difficile colitis   Morbid obesity   Primary hypertension     Hospital Course:  79 year old female from NH was admitted initially for Covid-19 pneumonia and treatment was started. She started refusing medications soon after admission. She also was found to have C diff colitis. She only received 3 doses of oral vancomycin before she started refusing medications again. She was transferred back to the NH due to this.     Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 98.2 °F (36.8 °C) Heart Rate (Monitor): 60 Pulse: 69 BP: 149/57 Respirations: 17 SpO2: 93 % O2 Flow Rate (l/min): 3 l/min General Appearance: no distress  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: regular rate and rhythm Abdomen: soft, non-tender  Skin: No rashes or lesions  Extremities: no edema Neuro: alert   Consults:  IP CONSULT TO SOCIAL WORK   Significant Diagnostic Studies:   CXR   Operations: none   Disposition:  SNF   Discharge Condition:  Fair
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Computerised tomogram thorax abnormal, Condition aggravated, Cough, Deep vein thrombosis
Clinical narrative: Leg pain in left leg began 08/17/2022 when kneeling, leg discomfort continued through 08/18/2022, sudden shortness of breath on 08/19/2022, diagnosed with blood clot in each lung and three DVTs in left leg, hospitalized overnight 08/19/2022-08/20/2022, Eliquis prescribed at time of discharge on 08/20/2022, shortness of breath and cough continue, as well as swelling in feet and lower legs.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram, Limb discomfort, Pain in extremity, Peripheral swelling
Clinical narrative: Leg pain in left leg began 08/17/2022 when kneeling, leg discomfort continued through 08/18/2022, sudden shortness of breath on 08/19/2022, diagnosed with blood clot in each lung and three DVTs in left leg, hospitalized overnight 08/19/2022-08/20/2022, Eliquis prescribed at time of discharge on 08/20/2022, shortness of breath and cough continue, as well as swelling in feet and lower legs.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary thrombosis, Ultrasound Doppler abnormal
Clinical narrative: Leg pain in left leg began 08/17/2022 when kneeling, leg discomfort continued through 08/18/2022, sudden shortness of breath on 08/19/2022, diagnosed with blood clot in each lung and three DVTs in left leg, hospitalized overnight 08/19/2022-08/20/2022, Eliquis prescribed at time of discharge on 08/20/2022, shortness of breath and cough continue, as well as swelling in feet and lower legs.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated and boosted once.   COVID  breakthrough infection
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Pain in extremity
Clinical narrative: Doses 1 and 2 were previously given  correctly. Dose 2 given on 07/22/2022. Pt. came in for her 3rd dose. This nurse mistakenly understood she was giving the 2nd dose. It was discovered today, 08/26/22,that this was pt's 3rd dose. 3rd dose was given 4 weeks early. Mother reports pt. did fine with the 3rd dose given on 08/19/22 except having a sore arm. Sore arm resolved and pt. is doing fine today, has done fine since 08/19/22.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Albumin globulin ratio, Anion gap, Aspartate aminotransferase normal, Asthenia
Clinical narrative: Patient is a 56 y.o. female with a history of passing out in March this year. Was seen in ED, workup benign, not admitted. Has had a couple episodes since. Has had echo which was benign. Also of note, had COVID a couple weeks ago, had fever, short of breath, she is over this. Weak episode last night brought on by low BP. Nothing makes this better or worse. No fever, no vomiting. Chest pain at times. Urinary sx but culture recently was negative. To ED, BP low here and improved with IVF. Recent increase in cozaar dose?"   Hospital Course:   Patient presented with weakness. She was found to have near syncope related to orthostatic hypotension. She was seen by cardiology and workup was done including echocardiogram and stress test. No cardiac etiology was identified. Cardiology recommended to stop losartan and continue metoprolol. She had no further episodes of near-syncope so wanted to go home. She was recommended follow-up with PCP and cardiology as an outpatient.  Urinary tract infection was ruled out. Patient was started on iron supplementation at discharge.     Unresolved issues requiring follow up (w/ labs or studies): None         Consults:   IP CONSULT TO CARDIOLOGY   Significant Diagnostic Studies:    Iron deficiency   Operations:  Low-risk stress test   Wound care recs: None    Disposition:  home   Discharge Condition:  good
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Bacterial test negative, Basophil count decreased, Basophil percentage decreased, Bilirubin urine, Blood albumin normal
Clinical narrative: Patient is a 56 y.o. female with a history of passing out in March this year. Was seen in ED, workup benign, not admitted. Has had a couple episodes since. Has had echo which was benign. Also of note, had COVID a couple weeks ago, had fever, short of breath, she is over this. Weak episode last night brought on by low BP. Nothing makes this better or worse. No fever, no vomiting. Chest pain at times. Urinary sx but culture recently was negative. To ED, BP low here and improved with IVF. Recent increase in cozaar dose?"   Hospital Course:   Patient presented with weakness. She was found to have near syncope related to orthostatic hypotension. She was seen by cardiology and workup was done including echocardiogram and stress test. No cardiac etiology was identified. Cardiology recommended to stop losartan and continue metoprolol. She had no further episodes of near-syncope so wanted to go home. She was recommended follow-up with PCP and cardiology as an outpatient.  Urinary tract infection was ruled out. Patient was started on iron supplementation at discharge.     Unresolved issues requiring follow up (w/ labs or studies): None         Consults:   IP CONSULT TO CARDIOLOGY   Significant Diagnostic Studies:    Iron deficiency   Operations:  Low-risk stress test   Wound care recs: None    Disposition:  home   Discharge Condition:  good
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Blood alkaline phosphatase normal, Blood bilirubin decreased, Blood calcium decreased, Blood chloride normal, Blood creatinine normal
Clinical narrative: Patient is a 56 y.o. female with a history of passing out in March this year. Was seen in ED, workup benign, not admitted. Has had a couple episodes since. Has had echo which was benign. Also of note, had COVID a couple weeks ago, had fever, short of breath, she is over this. Weak episode last night brought on by low BP. Nothing makes this better or worse. No fever, no vomiting. Chest pain at times. Urinary sx but culture recently was negative. To ED, BP low here and improved with IVF. Recent increase in cozaar dose?"   Hospital Course:   Patient presented with weakness. She was found to have near syncope related to orthostatic hypotension. She was seen by cardiology and workup was done including echocardiogram and stress test. No cardiac etiology was identified. Cardiology recommended to stop losartan and continue metoprolol. She had no further episodes of near-syncope so wanted to go home. She was recommended follow-up with PCP and cardiology as an outpatient.  Urinary tract infection was ruled out. Patient was started on iron supplementation at discharge.     Unresolved issues requiring follow up (w/ labs or studies): None         Consults:   IP CONSULT TO CARDIOLOGY   Significant Diagnostic Studies:    Iron deficiency   Operations:  Low-risk stress test   Wound care recs: None    Disposition:  home   Discharge Condition:  good
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Blood lactic acid normal, Blood magnesium, Blood osmolarity decreased, Blood potassium normal
Clinical narrative: Patient is a 56 y.o. female with a history of passing out in March this year. Was seen in ED, workup benign, not admitted. Has had a couple episodes since. Has had echo which was benign. Also of note, had COVID a couple weeks ago, had fever, short of breath, she is over this. Weak episode last night brought on by low BP. Nothing makes this better or worse. No fever, no vomiting. Chest pain at times. Urinary sx but culture recently was negative. To ED, BP low here and improved with IVF. Recent increase in cozaar dose?"   Hospital Course:   Patient presented with weakness. She was found to have near syncope related to orthostatic hypotension. She was seen by cardiology and workup was done including echocardiogram and stress test. No cardiac etiology was identified. Cardiology recommended to stop losartan and continue metoprolol. She had no further episodes of near-syncope so wanted to go home. She was recommended follow-up with PCP and cardiology as an outpatient.  Urinary tract infection was ruled out. Patient was started on iron supplementation at discharge.     Unresolved issues requiring follow up (w/ labs or studies): None         Consults:   IP CONSULT TO CARDIOLOGY   Significant Diagnostic Studies:    Iron deficiency   Operations:  Low-risk stress test   Wound care recs: None    Disposition:  home   Discharge Condition:  good
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Blood sodium normal, Blood urea normal, Blood urine absent, Brain natriuretic peptide normal, COVID-19
Clinical narrative: Patient is a 56 y.o. female with a history of passing out in March this year. Was seen in ED, workup benign, not admitted. Has had a couple episodes since. Has had echo which was benign. Also of note, had COVID a couple weeks ago, had fever, short of breath, she is over this. Weak episode last night brought on by low BP. Nothing makes this better or worse. No fever, no vomiting. Chest pain at times. Urinary sx but culture recently was negative. To ED, BP low here and improved with IVF. Recent increase in cozaar dose?"   Hospital Course:   Patient presented with weakness. She was found to have near syncope related to orthostatic hypotension. She was seen by cardiology and workup was done including echocardiogram and stress test. No cardiac etiology was identified. Cardiology recommended to stop losartan and continue metoprolol. She had no further episodes of near-syncope so wanted to go home. She was recommended follow-up with PCP and cardiology as an outpatient.  Urinary tract infection was ruled out. Patient was started on iron supplementation at discharge.     Unresolved issues requiring follow up (w/ labs or studies): None         Consults:   IP CONSULT TO CARDIOLOGY   Significant Diagnostic Studies:    Iron deficiency   Operations:  Low-risk stress test   Wound care recs: None    Disposition:  home   Discharge Condition:  good
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Carbon dioxide decreased, Cardiac stress test, Chest X-ray normal, Chest pain, Chromaturia
Clinical narrative: Patient is a 56 y.o. female with a history of passing out in March this year. Was seen in ED, workup benign, not admitted. Has had a couple episodes since. Has had echo which was benign. Also of note, had COVID a couple weeks ago, had fever, short of breath, she is over this. Weak episode last night brought on by low BP. Nothing makes this better or worse. No fever, no vomiting. Chest pain at times. Urinary sx but culture recently was negative. To ED, BP low here and improved with IVF. Recent increase in cozaar dose?"   Hospital Course:   Patient presented with weakness. She was found to have near syncope related to orthostatic hypotension. She was seen by cardiology and workup was done including echocardiogram and stress test. No cardiac etiology was identified. Cardiology recommended to stop losartan and continue metoprolol. She had no further episodes of near-syncope so wanted to go home. She was recommended follow-up with PCP and cardiology as an outpatient.  Urinary tract infection was ruled out. Patient was started on iron supplementation at discharge.     Unresolved issues requiring follow up (w/ labs or studies): None         Consults:   IP CONSULT TO CARDIOLOGY   Significant Diagnostic Studies:    Iron deficiency   Operations:  Low-risk stress test   Wound care recs: None    Disposition:  home   Discharge Condition:  good
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Culture urine, Culture urine negative, Differential white blood cell count, Directional Doppler flow tests abnormal, Dyspnoea
Clinical narrative: Patient is a 56 y.o. female with a history of passing out in March this year. Was seen in ED, workup benign, not admitted. Has had a couple episodes since. Has had echo which was benign. Also of note, had COVID a couple weeks ago, had fever, short of breath, she is over this. Weak episode last night brought on by low BP. Nothing makes this better or worse. No fever, no vomiting. Chest pain at times. Urinary sx but culture recently was negative. To ED, BP low here and improved with IVF. Recent increase in cozaar dose?"   Hospital Course:   Patient presented with weakness. She was found to have near syncope related to orthostatic hypotension. She was seen by cardiology and workup was done including echocardiogram and stress test. No cardiac etiology was identified. Cardiology recommended to stop losartan and continue metoprolol. She had no further episodes of near-syncope so wanted to go home. She was recommended follow-up with PCP and cardiology as an outpatient.  Urinary tract infection was ruled out. Patient was started on iron supplementation at discharge.     Unresolved issues requiring follow up (w/ labs or studies): None         Consults:   IP CONSULT TO CARDIOLOGY   Significant Diagnostic Studies:    Iron deficiency   Operations:  Low-risk stress test   Wound care recs: None    Disposition:  home   Discharge Condition:  good
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram, Ejection fraction, Electrocardiogram QT interval, Electrocardiogram T wave abnormal, Eosinophil count normal
Clinical narrative: Patient is a 56 y.o. female with a history of passing out in March this year. Was seen in ED, workup benign, not admitted. Has had a couple episodes since. Has had echo which was benign. Also of note, had COVID a couple weeks ago, had fever, short of breath, she is over this. Weak episode last night brought on by low BP. Nothing makes this better or worse. No fever, no vomiting. Chest pain at times. Urinary sx but culture recently was negative. To ED, BP low here and improved with IVF. Recent increase in cozaar dose?"   Hospital Course:   Patient presented with weakness. She was found to have near syncope related to orthostatic hypotension. She was seen by cardiology and workup was done including echocardiogram and stress test. No cardiac etiology was identified. Cardiology recommended to stop losartan and continue metoprolol. She had no further episodes of near-syncope so wanted to go home. She was recommended follow-up with PCP and cardiology as an outpatient.  Urinary tract infection was ruled out. Patient was started on iron supplementation at discharge.     Unresolved issues requiring follow up (w/ labs or studies): None         Consults:   IP CONSULT TO CARDIOLOGY   Significant Diagnostic Studies:    Iron deficiency   Operations:  Low-risk stress test   Wound care recs: None    Disposition:  home   Discharge Condition:  good
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Eosinophil percentage, Full blood count, Glomerular filtration rate normal, Glucose urine absent, Haematocrit decreased
Clinical narrative: Patient is a 56 y.o. female with a history of passing out in March this year. Was seen in ED, workup benign, not admitted. Has had a couple episodes since. Has had echo which was benign. Also of note, had COVID a couple weeks ago, had fever, short of breath, she is over this. Weak episode last night brought on by low BP. Nothing makes this better or worse. No fever, no vomiting. Chest pain at times. Urinary sx but culture recently was negative. To ED, BP low here and improved with IVF. Recent increase in cozaar dose?"   Hospital Course:   Patient presented with weakness. She was found to have near syncope related to orthostatic hypotension. She was seen by cardiology and workup was done including echocardiogram and stress test. No cardiac etiology was identified. Cardiology recommended to stop losartan and continue metoprolol. She had no further episodes of near-syncope so wanted to go home. She was recommended follow-up with PCP and cardiology as an outpatient.  Urinary tract infection was ruled out. Patient was started on iron supplementation at discharge.     Unresolved issues requiring follow up (w/ labs or studies): None         Consults:   IP CONSULT TO CARDIOLOGY   Significant Diagnostic Studies:    Iron deficiency   Operations:  Low-risk stress test   Wound care recs: None    Disposition:  home   Discharge Condition:  good
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Hypotension, Iron deficiency, Left ventricular dysfunction, Loss of consciousness
Clinical narrative: Patient is a 56 y.o. female with a history of passing out in March this year. Was seen in ED, workup benign, not admitted. Has had a couple episodes since. Has had echo which was benign. Also of note, had COVID a couple weeks ago, had fever, short of breath, she is over this. Weak episode last night brought on by low BP. Nothing makes this better or worse. No fever, no vomiting. Chest pain at times. Urinary sx but culture recently was negative. To ED, BP low here and improved with IVF. Recent increase in cozaar dose?"   Hospital Course:   Patient presented with weakness. She was found to have near syncope related to orthostatic hypotension. She was seen by cardiology and workup was done including echocardiogram and stress test. No cardiac etiology was identified. Cardiology recommended to stop losartan and continue metoprolol. She had no further episodes of near-syncope so wanted to go home. She was recommended follow-up with PCP and cardiology as an outpatient.  Urinary tract infection was ruled out. Patient was started on iron supplementation at discharge.     Unresolved issues requiring follow up (w/ labs or studies): None         Consults:   IP CONSULT TO CARDIOLOGY   Significant Diagnostic Studies:    Iron deficiency   Operations:  Low-risk stress test   Wound care recs: None    Disposition:  home   Discharge Condition:  good
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Lower urinary tract symptoms, Lymphocyte count, Lymphocyte percentage, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal
Clinical narrative: Patient is a 56 y.o. female with a history of passing out in March this year. Was seen in ED, workup benign, not admitted. Has had a couple episodes since. Has had echo which was benign. Also of note, had COVID a couple weeks ago, had fever, short of breath, she is over this. Weak episode last night brought on by low BP. Nothing makes this better or worse. No fever, no vomiting. Chest pain at times. Urinary sx but culture recently was negative. To ED, BP low here and improved with IVF. Recent increase in cozaar dose?"   Hospital Course:   Patient presented with weakness. She was found to have near syncope related to orthostatic hypotension. She was seen by cardiology and workup was done including echocardiogram and stress test. No cardiac etiology was identified. Cardiology recommended to stop losartan and continue metoprolol. She had no further episodes of near-syncope so wanted to go home. She was recommended follow-up with PCP and cardiology as an outpatient.  Urinary tract infection was ruled out. Patient was started on iron supplementation at discharge.     Unresolved issues requiring follow up (w/ labs or studies): None         Consults:   IP CONSULT TO CARDIOLOGY   Significant Diagnostic Studies:    Iron deficiency   Operations:  Low-risk stress test   Wound care recs: None    Disposition:  home   Discharge Condition:  good
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Mean cell volume normal, Mean platelet volume normal, Metabolic function test, Monocyte count, Monocyte percentage
Clinical narrative: Patient is a 56 y.o. female with a history of passing out in March this year. Was seen in ED, workup benign, not admitted. Has had a couple episodes since. Has had echo which was benign. Also of note, had COVID a couple weeks ago, had fever, short of breath, she is over this. Weak episode last night brought on by low BP. Nothing makes this better or worse. No fever, no vomiting. Chest pain at times. Urinary sx but culture recently was negative. To ED, BP low here and improved with IVF. Recent increase in cozaar dose?"   Hospital Course:   Patient presented with weakness. She was found to have near syncope related to orthostatic hypotension. She was seen by cardiology and workup was done including echocardiogram and stress test. No cardiac etiology was identified. Cardiology recommended to stop losartan and continue metoprolol. She had no further episodes of near-syncope so wanted to go home. She was recommended follow-up with PCP and cardiology as an outpatient.  Urinary tract infection was ruled out. Patient was started on iron supplementation at discharge.     Unresolved issues requiring follow up (w/ labs or studies): None         Consults:   IP CONSULT TO CARDIOLOGY   Significant Diagnostic Studies:    Iron deficiency   Operations:  Low-risk stress test   Wound care recs: None    Disposition:  home   Discharge Condition:  good
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Neutrophil count, Neutrophil percentage, Nitrite urine absent, Orthostatic hypotension, Platelet count normal
Clinical narrative: Patient is a 56 y.o. female with a history of passing out in March this year. Was seen in ED, workup benign, not admitted. Has had a couple episodes since. Has had echo which was benign. Also of note, had COVID a couple weeks ago, had fever, short of breath, she is over this. Weak episode last night brought on by low BP. Nothing makes this better or worse. No fever, no vomiting. Chest pain at times. Urinary sx but culture recently was negative. To ED, BP low here and improved with IVF. Recent increase in cozaar dose?"   Hospital Course:   Patient presented with weakness. She was found to have near syncope related to orthostatic hypotension. She was seen by cardiology and workup was done including echocardiogram and stress test. No cardiac etiology was identified. Cardiology recommended to stop losartan and continue metoprolol. She had no further episodes of near-syncope so wanted to go home. She was recommended follow-up with PCP and cardiology as an outpatient.  Urinary tract infection was ruled out. Patient was started on iron supplementation at discharge.     Unresolved issues requiring follow up (w/ labs or studies): None         Consults:   IP CONSULT TO CARDIOLOGY   Significant Diagnostic Studies:    Iron deficiency   Operations:  Low-risk stress test   Wound care recs: None    Disposition:  home   Discharge Condition:  good
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Presyncope, Procalcitonin, Protein total decreased, Protein urine, Pyrexia
Clinical narrative: Patient is a 56 y.o. female with a history of passing out in March this year. Was seen in ED, workup benign, not admitted. Has had a couple episodes since. Has had echo which was benign. Also of note, had COVID a couple weeks ago, had fever, short of breath, she is over this. Weak episode last night brought on by low BP. Nothing makes this better or worse. No fever, no vomiting. Chest pain at times. Urinary sx but culture recently was negative. To ED, BP low here and improved with IVF. Recent increase in cozaar dose?"   Hospital Course:   Patient presented with weakness. She was found to have near syncope related to orthostatic hypotension. She was seen by cardiology and workup was done including echocardiogram and stress test. No cardiac etiology was identified. Cardiology recommended to stop losartan and continue metoprolol. She had no further episodes of near-syncope so wanted to go home. She was recommended follow-up with PCP and cardiology as an outpatient.  Urinary tract infection was ruled out. Patient was started on iron supplementation at discharge.     Unresolved issues requiring follow up (w/ labs or studies): None         Consults:   IP CONSULT TO CARDIOLOGY   Significant Diagnostic Studies:    Iron deficiency   Operations:  Low-risk stress test   Wound care recs: None    Disposition:  home   Discharge Condition:  good
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: QRS axis, QRS axis abnormal, Red blood cell count decreased, Red blood cells urine positive, Red cell distribution width normal
Clinical narrative: Patient is a 56 y.o. female with a history of passing out in March this year. Was seen in ED, workup benign, not admitted. Has had a couple episodes since. Has had echo which was benign. Also of note, had COVID a couple weeks ago, had fever, short of breath, she is over this. Weak episode last night brought on by low BP. Nothing makes this better or worse. No fever, no vomiting. Chest pain at times. Urinary sx but culture recently was negative. To ED, BP low here and improved with IVF. Recent increase in cozaar dose?"   Hospital Course:   Patient presented with weakness. She was found to have near syncope related to orthostatic hypotension. She was seen by cardiology and workup was done including echocardiogram and stress test. No cardiac etiology was identified. Cardiology recommended to stop losartan and continue metoprolol. She had no further episodes of near-syncope so wanted to go home. She was recommended follow-up with PCP and cardiology as an outpatient.  Urinary tract infection was ruled out. Patient was started on iron supplementation at discharge.     Unresolved issues requiring follow up (w/ labs or studies): None         Consults:   IP CONSULT TO CARDIOLOGY   Significant Diagnostic Studies:    Iron deficiency   Operations:  Low-risk stress test   Wound care recs: None    Disposition:  home   Discharge Condition:  good
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 RNA, SARS-CoV-2 test positive, Sinus rhythm, Specific gravity urine increased, Tricuspid valve incompetence
Clinical narrative: Patient is a 56 y.o. female with a history of passing out in March this year. Was seen in ED, workup benign, not admitted. Has had a couple episodes since. Has had echo which was benign. Also of note, had COVID a couple weeks ago, had fever, short of breath, she is over this. Weak episode last night brought on by low BP. Nothing makes this better or worse. No fever, no vomiting. Chest pain at times. Urinary sx but culture recently was negative. To ED, BP low here and improved with IVF. Recent increase in cozaar dose?"   Hospital Course:   Patient presented with weakness. She was found to have near syncope related to orthostatic hypotension. She was seen by cardiology and workup was done including echocardiogram and stress test. No cardiac etiology was identified. Cardiology recommended to stop losartan and continue metoprolol. She had no further episodes of near-syncope so wanted to go home. She was recommended follow-up with PCP and cardiology as an outpatient.  Urinary tract infection was ruled out. Patient was started on iron supplementation at discharge.     Unresolved issues requiring follow up (w/ labs or studies): None         Consults:   IP CONSULT TO CARDIOLOGY   Significant Diagnostic Studies:    Iron deficiency   Operations:  Low-risk stress test   Wound care recs: None    Disposition:  home   Discharge Condition:  good
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin I normal, Urinary casts, Urinary sediment present, Urine abnormality, Urine analysis
Clinical narrative: Patient is a 56 y.o. female with a history of passing out in March this year. Was seen in ED, workup benign, not admitted. Has had a couple episodes since. Has had echo which was benign. Also of note, had COVID a couple weeks ago, had fever, short of breath, she is over this. Weak episode last night brought on by low BP. Nothing makes this better or worse. No fever, no vomiting. Chest pain at times. Urinary sx but culture recently was negative. To ED, BP low here and improved with IVF. Recent increase in cozaar dose?"   Hospital Course:   Patient presented with weakness. She was found to have near syncope related to orthostatic hypotension. She was seen by cardiology and workup was done including echocardiogram and stress test. No cardiac etiology was identified. Cardiology recommended to stop losartan and continue metoprolol. She had no further episodes of near-syncope so wanted to go home. She was recommended follow-up with PCP and cardiology as an outpatient.  Urinary tract infection was ruled out. Patient was started on iron supplementation at discharge.     Unresolved issues requiring follow up (w/ labs or studies): None         Consults:   IP CONSULT TO CARDIOLOGY   Significant Diagnostic Studies:    Iron deficiency   Operations:  Low-risk stress test   Wound care recs: None    Disposition:  home   Discharge Condition:  good
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Urine ketone body absent, Urine leukocyte esterase positive, Urobilinogen urine, White blood cell count normal, White blood cells urine positive
Clinical narrative: Patient is a 56 y.o. female with a history of passing out in March this year. Was seen in ED, workup benign, not admitted. Has had a couple episodes since. Has had echo which was benign. Also of note, had COVID a couple weeks ago, had fever, short of breath, she is over this. Weak episode last night brought on by low BP. Nothing makes this better or worse. No fever, no vomiting. Chest pain at times. Urinary sx but culture recently was negative. To ED, BP low here and improved with IVF. Recent increase in cozaar dose?"   Hospital Course:   Patient presented with weakness. She was found to have near syncope related to orthostatic hypotension. She was seen by cardiology and workup was done including echocardiogram and stress test. No cardiac etiology was identified. Cardiology recommended to stop losartan and continue metoprolol. She had no further episodes of near-syncope so wanted to go home. She was recommended follow-up with PCP and cardiology as an outpatient.  Urinary tract infection was ruled out. Patient was started on iron supplementation at discharge.     Unresolved issues requiring follow up (w/ labs or studies): None         Consults:   IP CONSULT TO CARDIOLOGY   Significant Diagnostic Studies:    Iron deficiency   Operations:  Low-risk stress test   Wound care recs: None    Disposition:  home   Discharge Condition:  good
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: pH urine normal
Clinical narrative: Patient is a 56 y.o. female with a history of passing out in March this year. Was seen in ED, workup benign, not admitted. Has had a couple episodes since. Has had echo which was benign. Also of note, had COVID a couple weeks ago, had fever, short of breath, she is over this. Weak episode last night brought on by low BP. Nothing makes this better or worse. No fever, no vomiting. Chest pain at times. Urinary sx but culture recently was negative. To ED, BP low here and improved with IVF. Recent increase in cozaar dose?"   Hospital Course:   Patient presented with weakness. She was found to have near syncope related to orthostatic hypotension. She was seen by cardiology and workup was done including echocardiogram and stress test. No cardiac etiology was identified. Cardiology recommended to stop losartan and continue metoprolol. She had no further episodes of near-syncope so wanted to go home. She was recommended follow-up with PCP and cardiology as an outpatient.  Urinary tract infection was ruled out. Patient was started on iron supplementation at discharge.     Unresolved issues requiring follow up (w/ labs or studies): None         Consults:   IP CONSULT TO CARDIOLOGY   Significant Diagnostic Studies:    Iron deficiency   Operations:  Low-risk stress test   Wound care recs: None    Disposition:  home   Discharge Condition:  good
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Agonal respiration, COVID-19, Confusional state, Death, Dyspnoea
Clinical narrative: Pt to ED 8/12 for dyspnea and congestion.  Pt sinus tach upon arrival, rhonchi bilaterally with labored respirations, pt is a/ox2. Pt COVID+ 8/12. 8/13 rx to initiate remdesivir, to continue cefepime and azithromycin. 8/14 pt remains confused oriented x2 name and place only, when asked if in pain says no. 8/15 pt A&OX2, tube feeding started. 8/18 Pt in no apparent distress.  IV infusing and IV site is intact.  Tube feeding infusing without residual. 8/21 pt had spit up all over gown, there was left sided facial drooping noted. Patient was agonal breathing and unresponsive, chest compressions started immediately. The patient was pronounced at 0637.
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Facial paralysis, Gastrointestinal tube insertion, Respiratory tract congestion, Resuscitation, Rhonchi
Clinical narrative: Pt to ED 8/12 for dyspnea and congestion.  Pt sinus tach upon arrival, rhonchi bilaterally with labored respirations, pt is a/ox2. Pt COVID+ 8/12. 8/13 rx to initiate remdesivir, to continue cefepime and azithromycin. 8/14 pt remains confused oriented x2 name and place only, when asked if in pain says no. 8/15 pt A&OX2, tube feeding started. 8/18 Pt in no apparent distress.  IV infusing and IV site is intact.  Tube feeding infusing without residual. 8/21 pt had spit up all over gown, there was left sided facial drooping noted. Patient was agonal breathing and unresponsive, chest compressions started immediately. The patient was pronounced at 0637.