chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 27.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Beta-2 glycoprotein antibody, Blood immunoglobulin G, C-reactive protein increased, Chest pain, Laboratory test abnormal
Clinical narrative: Started with fingertip pain a week or two after getting second shot. A few weeks to a month after that joint pain in the fingers began to develop. 2-4 weeks after that muscle pain in the arms began to develop. During all of this I was seeing my primary care doctor and trying to diagnose these symptoms and was eventually referred to a rheumatologist, which I filled out in the report as the contact doctor. After running lab tests, he diagnosed me with Lupus (SLE). After starting treatment with hydroxychloroquine I have also developed pain around the chest/lungs when taking a deep breath in, which he said could be inflammation of the muscle lining around it but that has not been confirmed.
Age: 27.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myalgia, Pain in extremity, Painful respiration, Pulmonary pain, Red blood cell sedimentation rate increased
Clinical narrative: Started with fingertip pain a week or two after getting second shot. A few weeks to a month after that joint pain in the fingers began to develop. 2-4 weeks after that muscle pain in the arms began to develop. During all of this I was seeing my primary care doctor and trying to diagnose these symptoms and was eventually referred to a rheumatologist, which I filled out in the report as the contact doctor. After running lab tests, he diagnosed me with Lupus (SLE). After starting treatment with hydroxychloroquine I have also developed pain around the chest/lungs when taking a deep breath in, which he said could be inflammation of the muscle lining around it but that has not been confirmed.
Age: 27.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Rheumatoid factor, Systemic lupus erythematosus
Clinical narrative: Started with fingertip pain a week or two after getting second shot. A few weeks to a month after that joint pain in the fingers began to develop. 2-4 weeks after that muscle pain in the arms began to develop. During all of this I was seeing my primary care doctor and trying to diagnose these symptoms and was eventually referred to a rheumatologist, which I filled out in the report as the contact doctor. After running lab tests, he diagnosed me with Lupus (SLE). After starting treatment with hydroxychloroquine I have also developed pain around the chest/lungs when taking a deep breath in, which he said could be inflammation of the muscle lining around it but that has not been confirmed.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: I got the first Covid shot and got tinnitus approximately 2 1/2 after. I?ve never had any issues with tinnitus.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Dyspnoea, Palpitations
Clinical narrative: Chest pain/tightness, short of breath, and feeling like my heart is racing since a couple days after receiving vaccine. Hard to breathe when laying down
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Cerebral small vessel ischaemic disease, Cerebrovascular accident
Clinical narrative: Hospitalized 10/6/2021; COVID-19 positive 10/6/2021; fully vaccinated  Discharge Summary  Health professional (Physician) ? ? Hospitalist BRIEF OVERVIEW: Discharge Provider: Health professional Primary Care Provider: None Physician, MD Admission Date: 10/6/2021 Discharge Date: Oct 14, 2021  Active Hospital Problems  Diagnosis Date Noted POA ? COVID-19 10/06/2021 Yes Resolved Hospital Problems No resolved problems to display. There are no active non-hospital problems to display for this patient. Discharge Disposition:  custodial care facility  Active Issues Requiring Follow-up:  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Confusion  Hypoxia  Conjunctivitis, unspecified conjunctivitis type, unspecified laterality Pneumonia due to COVID-19 virus  COVID-19  HOSPITAL COURSE: Patient is a 74 y.o. male with h/o dementia, left arm tremor, AVM, current COVID infection admitted for CVA/neuro symptoms, CoVID 19 PNA and acute hypoxic respiratory failure.. He had a CC of left sided facial drop that resolved by admission time.  He wast treated with decardron, remdisivir and Lovenox. His acute hypoxic respiratory failure resolved quickly MRI brain found severe chronic small vessel ischemic disease but no acute findings. Neurology recommended outpatient follow. He was cleared from isolation restrictions on 10/13 PT/OT recommended SNF 10/14/2021 Pt S+E. Alert, NAD,RA, Stable at discharge RN provided signout/instructiosn to accepting facility
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Confusional state, Conjunctivitis, Facial paralysis, Hypoxia, Magnetic resonance imaging head abnormal
Clinical narrative: Hospitalized 10/6/2021; COVID-19 positive 10/6/2021; fully vaccinated  Discharge Summary  Health professional (Physician) ? ? Hospitalist BRIEF OVERVIEW: Discharge Provider: Health professional Primary Care Provider: None Physician, MD Admission Date: 10/6/2021 Discharge Date: Oct 14, 2021  Active Hospital Problems  Diagnosis Date Noted POA ? COVID-19 10/06/2021 Yes Resolved Hospital Problems No resolved problems to display. There are no active non-hospital problems to display for this patient. Discharge Disposition:  custodial care facility  Active Issues Requiring Follow-up:  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Confusion  Hypoxia  Conjunctivitis, unspecified conjunctivitis type, unspecified laterality Pneumonia due to COVID-19 virus  COVID-19  HOSPITAL COURSE: Patient is a 74 y.o. male with h/o dementia, left arm tremor, AVM, current COVID infection admitted for CVA/neuro symptoms, CoVID 19 PNA and acute hypoxic respiratory failure.. He had a CC of left sided facial drop that resolved by admission time.  He wast treated with decardron, remdisivir and Lovenox. His acute hypoxic respiratory failure resolved quickly MRI brain found severe chronic small vessel ischemic disease but no acute findings. Neurology recommended outpatient follow. He was cleared from isolation restrictions on 10/13 PT/OT recommended SNF 10/14/2021 Pt S+E. Alert, NAD,RA, Stable at discharge RN provided signout/instructiosn to accepting facility
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Neurological symptom, SARS-CoV-2 test positive
Clinical narrative: Hospitalized 10/6/2021; COVID-19 positive 10/6/2021; fully vaccinated  Discharge Summary  Health professional (Physician) ? ? Hospitalist BRIEF OVERVIEW: Discharge Provider: Health professional Primary Care Provider: None Physician, MD Admission Date: 10/6/2021 Discharge Date: Oct 14, 2021  Active Hospital Problems  Diagnosis Date Noted POA ? COVID-19 10/06/2021 Yes Resolved Hospital Problems No resolved problems to display. There are no active non-hospital problems to display for this patient. Discharge Disposition:  custodial care facility  Active Issues Requiring Follow-up:  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Confusion  Hypoxia  Conjunctivitis, unspecified conjunctivitis type, unspecified laterality Pneumonia due to COVID-19 virus  COVID-19  HOSPITAL COURSE: Patient is a 74 y.o. male with h/o dementia, left arm tremor, AVM, current COVID infection admitted for CVA/neuro symptoms, CoVID 19 PNA and acute hypoxic respiratory failure.. He had a CC of left sided facial drop that resolved by admission time.  He wast treated with decardron, remdisivir and Lovenox. His acute hypoxic respiratory failure resolved quickly MRI brain found severe chronic small vessel ischemic disease but no acute findings. Neurology recommended outpatient follow. He was cleared from isolation restrictions on 10/13 PT/OT recommended SNF 10/14/2021 Pt S+E. Alert, NAD,RA, Stable at discharge RN provided signout/instructiosn to accepting facility
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea
Clinical narrative: Chest pain, need of air.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Severe hives 4 days after. Seem to be getting worse by the hour. Managing with OTC antihistamine oral and it h relief topical skincare.
Age: 24.0
Sex: F
Vaccine: FLU4
Symptoms: Cough, Dyspnoea, Feeling cold, Pharyngeal swelling
Clinical narrative: Pt had trouble breathing, swelling in throat, and coughing. Pt also felt cold. I gave her Epipen shot with her consent. She immediately felt better. We called 911. Her BP was 94/73. EMS came and took her vital signs. She felt better so she did not go to hospital.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Mobility decreased
Clinical narrative: Patient states his left arm became fully numb, with the inability to move or grasp anything with his left hand. This started around 8am the day after his vaccination.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal discomfort, Computerised tomogram head abnormal, Fatigue, Headache, Hypoaesthesia
Clinical narrative: Patient states his left arm became fully numb, with the inability to move or grasp anything with his left hand. This started around 8am the day after his vaccination.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Injected limb mobility decreased, Transient ischaemic attack
Clinical narrative: Patient states his left arm became fully numb, with the inability to move or grasp anything with his left hand. This started around 8am the day after his vaccination.
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Violent shaking, extreme fatigue, inability to sleep, overall pain, joint pain, headache, and fever
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: Sleep disorder, Tremor
Clinical narrative: Violent shaking, extreme fatigue, inability to sleep, overall pain, joint pain, headache, and fever
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Feeding disorder, Headache
Clinical narrative: 6 hours following vaccination : Rigours, fever of 101-102 F (38.4-39C), severe generalized joint pain, nausea, headache, weakness, unable to eat or drink anything but water for 36 hours. As a normally healthy active 67 yo with a high pain threshold I was bed bound for 36 hours. literally.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Nausea, Pyrexia
Clinical narrative: 6 hours following vaccination : Rigours, fever of 101-102 F (38.4-39C), severe generalized joint pain, nausea, headache, weakness, unable to eat or drink anything but water for 36 hours. As a normally healthy active 67 yo with a high pain threshold I was bed bound for 36 hours. literally.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Adenovirus test, Angiogram cerebral normal, Arteriogram carotid, Asthenia, Bordetella test negative
Clinical narrative: ED to Hosp-Admission  to Current 10/9/2021 - present (5 days) Ambulatory dysfunction  Principal problem    Hospital Problem List Early-onset Parkinson's disease  Generalized weakness Ambulatory dysfunction COVID-19  Patient was brought to the hospital due to worsening weakness             -Found to have COVID-19 positive?not hypoxic             -?Cough at home, no fever or chills             -Continue to monitor for any worsening symptoms, oxygen saturation, inflammatory markers   #Parkinson disease             -#Generalized weakness             -We will increase Sinemet to 4 times a day             -PT/OT evaluation?will need placement   #Hypertension             -Currently controlled             -Continue with amlodipine with holding parameters              Benign prostatic hypertrophy: Continue with Flomax   Family is not sure whether patient is on therapeutic anticoagulation or not?stated she gets medication from. I have advised patient's mom to take picture office medications and send the information to RN on the floor tomorrow Will hold off on Xarelto for now?we will keep on heparin for DVT prophylaxis   CTA of the brain did not show any significant blockage shortness signs of stroke.   Discussed with ED attending Discussed with patient's mother at bedside   # VTE Prophylaxis: heparin   DNR (Do Not Resuscitate)   # Disposition: ECF    Primary Emergency Contact: (redacted)   History of Present Illness     Chief Complaint Patient presents with ? Weakness - Generalized ? Altered Mental Status     Patient is presenting with generalized weakness that is worsening over the last couple of days. Patient was diagnosed with Parkinson disease and currently on Sinemet. He is getting home health services twice a day. Family has been noticing his gait is getting more stiff and he has hard time doing activities of daily living. Getting up from sitting position in bathroom is getting challenge. Also his oral intake has been decreasing. He did not had his breakfast or lunch today. Mother had noticed that he has been having cough for the last few days but no fever. No nausea vomiting or diarrhea.   Patient is not able to answer properly whether he is has any change in his food taste--likely causing decrease in oral intake.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cerebral ventricle dilatation, Chest X-ray normal, Chlamydia test negative, Computerised tomogram head abnormal
Clinical narrative: ED to Hosp-Admission  to Current 10/9/2021 - present (5 days) Ambulatory dysfunction  Principal problem    Hospital Problem List Early-onset Parkinson's disease  Generalized weakness Ambulatory dysfunction COVID-19  Patient was brought to the hospital due to worsening weakness             -Found to have COVID-19 positive?not hypoxic             -?Cough at home, no fever or chills             -Continue to monitor for any worsening symptoms, oxygen saturation, inflammatory markers   #Parkinson disease             -#Generalized weakness             -We will increase Sinemet to 4 times a day             -PT/OT evaluation?will need placement   #Hypertension             -Currently controlled             -Continue with amlodipine with holding parameters              Benign prostatic hypertrophy: Continue with Flomax   Family is not sure whether patient is on therapeutic anticoagulation or not?stated she gets medication from. I have advised patient's mom to take picture office medications and send the information to RN on the floor tomorrow Will hold off on Xarelto for now?we will keep on heparin for DVT prophylaxis   CTA of the brain did not show any significant blockage shortness signs of stroke.   Discussed with ED attending Discussed with patient's mother at bedside   # VTE Prophylaxis: heparin   DNR (Do Not Resuscitate)   # Disposition: ECF    Primary Emergency Contact: (redacted)   History of Present Illness     Chief Complaint Patient presents with ? Weakness - Generalized ? Altered Mental Status     Patient is presenting with generalized weakness that is worsening over the last couple of days. Patient was diagnosed with Parkinson disease and currently on Sinemet. He is getting home health services twice a day. Family has been noticing his gait is getting more stiff and he has hard time doing activities of daily living. Getting up from sitting position in bathroom is getting challenge. Also his oral intake has been decreasing. He did not had his breakfast or lunch today. Mother had noticed that he has been having cough for the last few days but no fever. No nausea vomiting or diarrhea.   Patient is not able to answer properly whether he is has any change in his food taste--likely causing decrease in oral intake.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Coronavirus test negative, Cough, Enterovirus test negative, Gait disturbance, Human metapneumovirus test
Clinical narrative: ED to Hosp-Admission  to Current 10/9/2021 - present (5 days) Ambulatory dysfunction  Principal problem    Hospital Problem List Early-onset Parkinson's disease  Generalized weakness Ambulatory dysfunction COVID-19  Patient was brought to the hospital due to worsening weakness             -Found to have COVID-19 positive?not hypoxic             -?Cough at home, no fever or chills             -Continue to monitor for any worsening symptoms, oxygen saturation, inflammatory markers   #Parkinson disease             -#Generalized weakness             -We will increase Sinemet to 4 times a day             -PT/OT evaluation?will need placement   #Hypertension             -Currently controlled             -Continue with amlodipine with holding parameters              Benign prostatic hypertrophy: Continue with Flomax   Family is not sure whether patient is on therapeutic anticoagulation or not?stated she gets medication from. I have advised patient's mom to take picture office medications and send the information to RN on the floor tomorrow Will hold off on Xarelto for now?we will keep on heparin for DVT prophylaxis   CTA of the brain did not show any significant blockage shortness signs of stroke.   Discussed with ED attending Discussed with patient's mother at bedside   # VTE Prophylaxis: heparin   DNR (Do Not Resuscitate)   # Disposition: ECF    Primary Emergency Contact: (redacted)   History of Present Illness     Chief Complaint Patient presents with ? Weakness - Generalized ? Altered Mental Status     Patient is presenting with generalized weakness that is worsening over the last couple of days. Patient was diagnosed with Parkinson disease and currently on Sinemet. He is getting home health services twice a day. Family has been noticing his gait is getting more stiff and he has hard time doing activities of daily living. Getting up from sitting position in bathroom is getting challenge. Also his oral intake has been decreasing. He did not had his breakfast or lunch today. Mother had noticed that he has been having cough for the last few days but no fever. No nausea vomiting or diarrhea.   Patient is not able to answer properly whether he is has any change in his food taste--likely causing decrease in oral intake.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Human rhinovirus test, Hypophagia, Inflammatory marker test, Influenza A virus test negative, Influenza B virus test
Clinical narrative: ED to Hosp-Admission  to Current 10/9/2021 - present (5 days) Ambulatory dysfunction  Principal problem    Hospital Problem List Early-onset Parkinson's disease  Generalized weakness Ambulatory dysfunction COVID-19  Patient was brought to the hospital due to worsening weakness             -Found to have COVID-19 positive?not hypoxic             -?Cough at home, no fever or chills             -Continue to monitor for any worsening symptoms, oxygen saturation, inflammatory markers   #Parkinson disease             -#Generalized weakness             -We will increase Sinemet to 4 times a day             -PT/OT evaluation?will need placement   #Hypertension             -Currently controlled             -Continue with amlodipine with holding parameters              Benign prostatic hypertrophy: Continue with Flomax   Family is not sure whether patient is on therapeutic anticoagulation or not?stated she gets medication from. I have advised patient's mom to take picture office medications and send the information to RN on the floor tomorrow Will hold off on Xarelto for now?we will keep on heparin for DVT prophylaxis   CTA of the brain did not show any significant blockage shortness signs of stroke.   Discussed with ED attending Discussed with patient's mother at bedside   # VTE Prophylaxis: heparin   DNR (Do Not Resuscitate)   # Disposition: ECF    Primary Emergency Contact: (redacted)   History of Present Illness     Chief Complaint Patient presents with ? Weakness - Generalized ? Altered Mental Status     Patient is presenting with generalized weakness that is worsening over the last couple of days. Patient was diagnosed with Parkinson disease and currently on Sinemet. He is getting home health services twice a day. Family has been noticing his gait is getting more stiff and he has hard time doing activities of daily living. Getting up from sitting position in bathroom is getting challenge. Also his oral intake has been decreasing. He did not had his breakfast or lunch today. Mother had noticed that he has been having cough for the last few days but no fever. No nausea vomiting or diarrhea.   Patient is not able to answer properly whether he is has any change in his food taste--likely causing decrease in oral intake.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza virus test negative, Loss of personal independence in daily activities, Mental status changes, Mycoplasma test negative, Perfusion brain scan normal
Clinical narrative: ED to Hosp-Admission  to Current 10/9/2021 - present (5 days) Ambulatory dysfunction  Principal problem    Hospital Problem List Early-onset Parkinson's disease  Generalized weakness Ambulatory dysfunction COVID-19  Patient was brought to the hospital due to worsening weakness             -Found to have COVID-19 positive?not hypoxic             -?Cough at home, no fever or chills             -Continue to monitor for any worsening symptoms, oxygen saturation, inflammatory markers   #Parkinson disease             -#Generalized weakness             -We will increase Sinemet to 4 times a day             -PT/OT evaluation?will need placement   #Hypertension             -Currently controlled             -Continue with amlodipine with holding parameters              Benign prostatic hypertrophy: Continue with Flomax   Family is not sure whether patient is on therapeutic anticoagulation or not?stated she gets medication from. I have advised patient's mom to take picture office medications and send the information to RN on the floor tomorrow Will hold off on Xarelto for now?we will keep on heparin for DVT prophylaxis   CTA of the brain did not show any significant blockage shortness signs of stroke.   Discussed with ED attending Discussed with patient's mother at bedside   # VTE Prophylaxis: heparin   DNR (Do Not Resuscitate)   # Disposition: ECF    Primary Emergency Contact: (redacted)   History of Present Illness     Chief Complaint Patient presents with ? Weakness - Generalized ? Altered Mental Status     Patient is presenting with generalized weakness that is worsening over the last couple of days. Patient was diagnosed with Parkinson disease and currently on Sinemet. He is getting home health services twice a day. Family has been noticing his gait is getting more stiff and he has hard time doing activities of daily living. Getting up from sitting position in bathroom is getting challenge. Also his oral intake has been decreasing. He did not had his breakfast or lunch today. Mother had noticed that he has been having cough for the last few days but no fever. No nausea vomiting or diarrhea.   Patient is not able to answer properly whether he is has any change in his food taste--likely causing decrease in oral intake.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test negative, Respiratory viral panel, SARS-CoV-2 test positive, Scan with contrast, Viral test negative
Clinical narrative: ED to Hosp-Admission  to Current 10/9/2021 - present (5 days) Ambulatory dysfunction  Principal problem    Hospital Problem List Early-onset Parkinson's disease  Generalized weakness Ambulatory dysfunction COVID-19  Patient was brought to the hospital due to worsening weakness             -Found to have COVID-19 positive?not hypoxic             -?Cough at home, no fever or chills             -Continue to monitor for any worsening symptoms, oxygen saturation, inflammatory markers   #Parkinson disease             -#Generalized weakness             -We will increase Sinemet to 4 times a day             -PT/OT evaluation?will need placement   #Hypertension             -Currently controlled             -Continue with amlodipine with holding parameters              Benign prostatic hypertrophy: Continue with Flomax   Family is not sure whether patient is on therapeutic anticoagulation or not?stated she gets medication from. I have advised patient's mom to take picture office medications and send the information to RN on the floor tomorrow Will hold off on Xarelto for now?we will keep on heparin for DVT prophylaxis   CTA of the brain did not show any significant blockage shortness signs of stroke.   Discussed with ED attending Discussed with patient's mother at bedside   # VTE Prophylaxis: heparin   DNR (Do Not Resuscitate)   # Disposition: ECF    Primary Emergency Contact: (redacted)   History of Present Illness     Chief Complaint Patient presents with ? Weakness - Generalized ? Altered Mental Status     Patient is presenting with generalized weakness that is worsening over the last couple of days. Patient was diagnosed with Parkinson disease and currently on Sinemet. He is getting home health services twice a day. Family has been noticing his gait is getting more stiff and he has hard time doing activities of daily living. Getting up from sitting position in bathroom is getting challenge. Also his oral intake has been decreasing. He did not had his breakfast or lunch today. Mother had noticed that he has been having cough for the last few days but no fever. No nausea vomiting or diarrhea.   Patient is not able to answer properly whether he is has any change in his food taste--likely causing decrease in oral intake.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Chest discomfort, Hyperhidrosis, Oropharyngeal pain, Pain, Peripheral swelling
Clinical narrative: Pt had instant swelling on arm. Woke up in the am with hot sweats, body aches, and sore throat. Felt like chest tightening possibly due to asthma and anxiety.  Did not seek medical attention, just used ibuprofen,
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Chest pain
Clinical narrative: Burning chest pain around one hour after injection and continued intermittently for 24 hours
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Hypertension, Rash
Clinical narrative: flushing, high blood pressure, covid rash
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain lower, Adenovirus test, Aortic arteriosclerosis, Bladder catheterisation, Bladder hypertrophy
Clinical narrative: ED to Hosp-Admission  Discharged   10/7/2021 - 10/13/2021 (6 days) COVID-19  Principal problem Hospital Course       Hospital Course:   80-year-old male past medical history significant for type 2 diabetes mellitus BPH stage III CKD was admitted to the hospital because of mild hypoxemia secondary to COVID-19 infection.  He was initially started on Decadron remdesivir however he has been saturating well on room air therefore Decadron remdesivir was discontinued.   He was found to have urinary tract infection present on admission for which she completed a course of antibiotics during this hospitalization.   He came to the hospital with a Foley catheter.  His Foley catheter was discontinued and bladder scans were done.  Patient was able to urinate on his own with the help of finasteride and Flomax.  His Foley catheter has been discontinued.  If he has urinary problems please have him reevaluated by urology on outpatient basis.   He developed confusion and hospital-acquired delirium during his hospitalization which has been resolved.   Physical Occupational Therapy evaluated the patient and recommended home with home health care services.   He is being discharged instruction to follow-up with his family doctor within 1 week.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Bladder trabeculation, Bordetella test negative, COVID-19, Chest X-ray abnormal, Chest pain
Clinical narrative: ED to Hosp-Admission  Discharged   10/7/2021 - 10/13/2021 (6 days) COVID-19  Principal problem Hospital Course       Hospital Course:   80-year-old male past medical history significant for type 2 diabetes mellitus BPH stage III CKD was admitted to the hospital because of mild hypoxemia secondary to COVID-19 infection.  He was initially started on Decadron remdesivir however he has been saturating well on room air therefore Decadron remdesivir was discontinued.   He was found to have urinary tract infection present on admission for which she completed a course of antibiotics during this hospitalization.   He came to the hospital with a Foley catheter.  His Foley catheter was discontinued and bladder scans were done.  Patient was able to urinate on his own with the help of finasteride and Flomax.  His Foley catheter has been discontinued.  If he has urinary problems please have him reevaluated by urology on outpatient basis.   He developed confusion and hospital-acquired delirium during his hospitalization which has been resolved.   Physical Occupational Therapy evaluated the patient and recommended home with home health care services.   He is being discharged instruction to follow-up with his family doctor within 1 week.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Chlamydia test negative, Computerised tomogram abdomen abnormal, Condition aggravated, Confusional state, Constipation
Clinical narrative: ED to Hosp-Admission  Discharged   10/7/2021 - 10/13/2021 (6 days) COVID-19  Principal problem Hospital Course       Hospital Course:   80-year-old male past medical history significant for type 2 diabetes mellitus BPH stage III CKD was admitted to the hospital because of mild hypoxemia secondary to COVID-19 infection.  He was initially started on Decadron remdesivir however he has been saturating well on room air therefore Decadron remdesivir was discontinued.   He was found to have urinary tract infection present on admission for which she completed a course of antibiotics during this hospitalization.   He came to the hospital with a Foley catheter.  His Foley catheter was discontinued and bladder scans were done.  Patient was able to urinate on his own with the help of finasteride and Flomax.  His Foley catheter has been discontinued.  If he has urinary problems please have him reevaluated by urology on outpatient basis.   He developed confusion and hospital-acquired delirium during his hospitalization which has been resolved.   Physical Occupational Therapy evaluated the patient and recommended home with home health care services.   He is being discharged instruction to follow-up with his family doctor within 1 week.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Cystitis, Delirium, Electrocardiogram, Hiatus hernia, Human metapneumovirus test
Clinical narrative: ED to Hosp-Admission  Discharged   10/7/2021 - 10/13/2021 (6 days) COVID-19  Principal problem Hospital Course       Hospital Course:   80-year-old male past medical history significant for type 2 diabetes mellitus BPH stage III CKD was admitted to the hospital because of mild hypoxemia secondary to COVID-19 infection.  He was initially started on Decadron remdesivir however he has been saturating well on room air therefore Decadron remdesivir was discontinued.   He was found to have urinary tract infection present on admission for which she completed a course of antibiotics during this hospitalization.   He came to the hospital with a Foley catheter.  His Foley catheter was discontinued and bladder scans were done.  Patient was able to urinate on his own with the help of finasteride and Flomax.  His Foley catheter has been discontinued.  If he has urinary problems please have him reevaluated by urology on outpatient basis.   He developed confusion and hospital-acquired delirium during his hospitalization which has been resolved.   Physical Occupational Therapy evaluated the patient and recommended home with home health care services.   He is being discharged instruction to follow-up with his family doctor within 1 week.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Influenza B virus test, Influenza virus test negative, Lung hyperinflation, Prostatomegaly
Clinical narrative: ED to Hosp-Admission  Discharged   10/7/2021 - 10/13/2021 (6 days) COVID-19  Principal problem Hospital Course       Hospital Course:   80-year-old male past medical history significant for type 2 diabetes mellitus BPH stage III CKD was admitted to the hospital because of mild hypoxemia secondary to COVID-19 infection.  He was initially started on Decadron remdesivir however he has been saturating well on room air therefore Decadron remdesivir was discontinued.   He was found to have urinary tract infection present on admission for which she completed a course of antibiotics during this hospitalization.   He came to the hospital with a Foley catheter.  His Foley catheter was discontinued and bladder scans were done.  Patient was able to urinate on his own with the help of finasteride and Flomax.  His Foley catheter has been discontinued.  If he has urinary problems please have him reevaluated by urology on outpatient basis.   He developed confusion and hospital-acquired delirium during his hospitalization which has been resolved.   Physical Occupational Therapy evaluated the patient and recommended home with home health care services.   He is being discharged instruction to follow-up with his family doctor within 1 week.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Renal cyst, Renal impairment, Respiratory viral panel, SARS-CoV-2 test positive, Scan with contrast abnormal
Clinical narrative: ED to Hosp-Admission  Discharged   10/7/2021 - 10/13/2021 (6 days) COVID-19  Principal problem Hospital Course       Hospital Course:   80-year-old male past medical history significant for type 2 diabetes mellitus BPH stage III CKD was admitted to the hospital because of mild hypoxemia secondary to COVID-19 infection.  He was initially started on Decadron remdesivir however he has been saturating well on room air therefore Decadron remdesivir was discontinued.   He was found to have urinary tract infection present on admission for which she completed a course of antibiotics during this hospitalization.   He came to the hospital with a Foley catheter.  His Foley catheter was discontinued and bladder scans were done.  Patient was able to urinate on his own with the help of finasteride and Flomax.  His Foley catheter has been discontinued.  If he has urinary problems please have him reevaluated by urology on outpatient basis.   He developed confusion and hospital-acquired delirium during his hospitalization which has been resolved.   Physical Occupational Therapy evaluated the patient and recommended home with home health care services.   He is being discharged instruction to follow-up with his family doctor within 1 week.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Urinary tract infection, Vascular calcification
Clinical narrative: ED to Hosp-Admission  Discharged   10/7/2021 - 10/13/2021 (6 days) COVID-19  Principal problem Hospital Course       Hospital Course:   80-year-old male past medical history significant for type 2 diabetes mellitus BPH stage III CKD was admitted to the hospital because of mild hypoxemia secondary to COVID-19 infection.  He was initially started on Decadron remdesivir however he has been saturating well on room air therefore Decadron remdesivir was discontinued.   He was found to have urinary tract infection present on admission for which she completed a course of antibiotics during this hospitalization.   He came to the hospital with a Foley catheter.  His Foley catheter was discontinued and bladder scans were done.  Patient was able to urinate on his own with the help of finasteride and Flomax.  His Foley catheter has been discontinued.  If he has urinary problems please have him reevaluated by urology on outpatient basis.   He developed confusion and hospital-acquired delirium during his hospitalization which has been resolved.   Physical Occupational Therapy evaluated the patient and recommended home with home health care services.   He is being discharged instruction to follow-up with his family doctor within 1 week.
Age: 11.0
Sex: M
Vaccine: FLUR4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: FLUBLOK ADMINISTERED TO 11 YEAR OLD; APPROVED FOR 18+
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy skin, Culture, Eczema, Heart rate increased, Pruritus
Clinical narrative: Psoriasiform spongiotic dermatitis. Histology consistent with chronic eczetamous dermatitis reacutized. Heavy growth of Staphylococcus aureus. Fast heart beat. Areas affected: primarily right arm and hand. Other areas greatly affected: back and legs. Rest of body also affected in low intensity. Treatment included: Cephalexin 500 mg 4x/day for 8 days followed by Sulfamethoxazole 2x/day for 8 days; Mupirocin ointment 2x/day; Trimcinolone cream on the affected areas when itching (still in use); Chlorhexidine soap on affected areas twice daily; Levocetirizine dihydrochloride 5mg and Hixizine 25mg once daily for 2 weeks, then for another 2 weeks after a month of pause; Diprogenta cream (betamethasone dipropionate, gentamicin sulfate) on affected areas for 2 months.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Culture urine, Dysuria, Extra dose administered, Haematuria, Urinary tract infection
Clinical narrative: unusually severe UTI - with severe symptoms including dysuria and hematuria just 3 hours after initial episode of mild dysuria.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis
Clinical narrative: unusually severe UTI - with severe symptoms including dysuria and hematuria just 3 hours after initial episode of mild dysuria.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Adenovirus test, Alanine aminotransferase normal, Arthralgia, Aspartate aminotransferase normal
Clinical narrative: ED to Hosp-Admission  to Current  10/10/2021 - present (4 days) Hospital  COVID-19 Principal problem   Plan     Chief Complaint Patient presents with ? Shortness of Breath     1. COVID 19 2. Acute hypoxemic respiratory failure 3. CKD stage 3   Plan:   Start decadron 6mg IV daily x 10 days   Start 5 day course of IV Remdisivir   Procalcitonin is normal -> no antibiotics indicated.    Check a full set of inflammatory markers including ferritin CRP LDH lactate   Gentle hydration for a short period of time for the sake of the kidneys -> but careful to aim for a more conservative fluid management approach given the COVID.    Spoke to ED physician personally and agree with admission.     History of Present Illness     Patient is an 80 y.o. female.       I personally interviewed patient, reviewed chart, and reviewed emergency room resident history and agree with it in its following entirety unless otherwise noted below.  "Patient is a 80 y.o. woman with a history of dementia, HTN, HLD, CKD stage III, hyperparathyroidism, GERD, who reports the emergency department with shortness of breath.  Patient coming from SNF via EMS, is reportedly COVID-19 positive.  This morning was found to be complaining of worsened shortness of breath, found to have room air saturations in the 70 percentile.  Placed on 1 L nasal cannula with improvement to 95%, sent to ED for evaluation and care. Patient currently reports shortness of breath, nonproductive cough. Denies any chest pain, nausea/vomiting, diarrhea, myalgias, headache.    Has received 1 dose of the Pfizer vaccine.   80 y.o. woman with a history of dementia, HTN, HLD, CKD stage III, hyperparathyroidism, GERD, who reports the ED via EMS from SNF with shortness of breath and hypoxia in the setting of COVID19 infection.  HPI as per below.  Afebrile, tachypneic in the mid 20s with an SPO2 95% on 3 L nasal cannula, hemodynamically stable.  Physical exam shows well-appearing elderly woman in NAD, heart regular no M/R/G, lungs with faint crackles in all lung fields, abdomen soft and ND/NT, mucous membranes are moist, no significant lower extremity edema.  Differential diagnosis includes likely worsening COVID-19 infection, possible superimposed bacterial pneumonia, lower concern for PE or ACS given lack of chest pain or other significant symptoms.  Will obtain CBC, CMP, lactate, Covid inflammatory markers, RVP, EKG, CXR.  Will give 6 mg Decadron IV for hypoxia in the setting of COVID-19.  Anticipate hospitalization given degree of hypoxia and new supplemental O2 requirement.   Per POLST, patient is FULL CODE."   On my bedside evaluation she is resting on 3 L nasal cannula and is relatively comfortable appearing but she is a very poor historian.  Does not note any pain or edema in her legs.  No belly or chest pain.  She does feel like she is getting enough air at this time
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium, Blood calcium decreased, Blood chloride decreased
Clinical narrative: ED to Hosp-Admission  to Current  10/10/2021 - present (4 days) Hospital  COVID-19 Principal problem   Plan     Chief Complaint Patient presents with ? Shortness of Breath     1. COVID 19 2. Acute hypoxemic respiratory failure 3. CKD stage 3   Plan:   Start decadron 6mg IV daily x 10 days   Start 5 day course of IV Remdisivir   Procalcitonin is normal -> no antibiotics indicated.    Check a full set of inflammatory markers including ferritin CRP LDH lactate   Gentle hydration for a short period of time for the sake of the kidneys -> but careful to aim for a more conservative fluid management approach given the COVID.    Spoke to ED physician personally and agree with admission.     History of Present Illness     Patient is an 80 y.o. female.       I personally interviewed patient, reviewed chart, and reviewed emergency room resident history and agree with it in its following entirety unless otherwise noted below.  "Patient is a 80 y.o. woman with a history of dementia, HTN, HLD, CKD stage III, hyperparathyroidism, GERD, who reports the emergency department with shortness of breath.  Patient coming from SNF via EMS, is reportedly COVID-19 positive.  This morning was found to be complaining of worsened shortness of breath, found to have room air saturations in the 70 percentile.  Placed on 1 L nasal cannula with improvement to 95%, sent to ED for evaluation and care. Patient currently reports shortness of breath, nonproductive cough. Denies any chest pain, nausea/vomiting, diarrhea, myalgias, headache.    Has received 1 dose of the Pfizer vaccine.   80 y.o. woman with a history of dementia, HTN, HLD, CKD stage III, hyperparathyroidism, GERD, who reports the ED via EMS from SNF with shortness of breath and hypoxia in the setting of COVID19 infection.  HPI as per below.  Afebrile, tachypneic in the mid 20s with an SPO2 95% on 3 L nasal cannula, hemodynamically stable.  Physical exam shows well-appearing elderly woman in NAD, heart regular no M/R/G, lungs with faint crackles in all lung fields, abdomen soft and ND/NT, mucous membranes are moist, no significant lower extremity edema.  Differential diagnosis includes likely worsening COVID-19 infection, possible superimposed bacterial pneumonia, lower concern for PE or ACS given lack of chest pain or other significant symptoms.  Will obtain CBC, CMP, lactate, Covid inflammatory markers, RVP, EKG, CXR.  Will give 6 mg Decadron IV for hypoxia in the setting of COVID-19.  Anticipate hospitalization given degree of hypoxia and new supplemental O2 requirement.   Per POLST, patient is FULL CODE."   On my bedside evaluation she is resting on 3 L nasal cannula and is relatively comfortable appearing but she is a very poor historian.  Does not note any pain or edema in her legs.  No belly or chest pain.  She does feel like she is getting enough air at this time
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Blood chloride normal, Blood creatinine increased, Blood magnesium normal, Blood potassium decreased, Blood sodium normal
Clinical narrative: ED to Hosp-Admission  to Current  10/10/2021 - present (4 days) Hospital  COVID-19 Principal problem   Plan     Chief Complaint Patient presents with ? Shortness of Breath     1. COVID 19 2. Acute hypoxemic respiratory failure 3. CKD stage 3   Plan:   Start decadron 6mg IV daily x 10 days   Start 5 day course of IV Remdisivir   Procalcitonin is normal -> no antibiotics indicated.    Check a full set of inflammatory markers including ferritin CRP LDH lactate   Gentle hydration for a short period of time for the sake of the kidneys -> but careful to aim for a more conservative fluid management approach given the COVID.    Spoke to ED physician personally and agree with admission.     History of Present Illness     Patient is an 80 y.o. female.       I personally interviewed patient, reviewed chart, and reviewed emergency room resident history and agree with it in its following entirety unless otherwise noted below.  "Patient is a 80 y.o. woman with a history of dementia, HTN, HLD, CKD stage III, hyperparathyroidism, GERD, who reports the emergency department with shortness of breath.  Patient coming from SNF via EMS, is reportedly COVID-19 positive.  This morning was found to be complaining of worsened shortness of breath, found to have room air saturations in the 70 percentile.  Placed on 1 L nasal cannula with improvement to 95%, sent to ED for evaluation and care. Patient currently reports shortness of breath, nonproductive cough. Denies any chest pain, nausea/vomiting, diarrhea, myalgias, headache.    Has received 1 dose of the Pfizer vaccine.   80 y.o. woman with a history of dementia, HTN, HLD, CKD stage III, hyperparathyroidism, GERD, who reports the ED via EMS from SNF with shortness of breath and hypoxia in the setting of COVID19 infection.  HPI as per below.  Afebrile, tachypneic in the mid 20s with an SPO2 95% on 3 L nasal cannula, hemodynamically stable.  Physical exam shows well-appearing elderly woman in NAD, heart regular no M/R/G, lungs with faint crackles in all lung fields, abdomen soft and ND/NT, mucous membranes are moist, no significant lower extremity edema.  Differential diagnosis includes likely worsening COVID-19 infection, possible superimposed bacterial pneumonia, lower concern for PE or ACS given lack of chest pain or other significant symptoms.  Will obtain CBC, CMP, lactate, Covid inflammatory markers, RVP, EKG, CXR.  Will give 6 mg Decadron IV for hypoxia in the setting of COVID-19.  Anticipate hospitalization given degree of hypoxia and new supplemental O2 requirement.   Per POLST, patient is FULL CODE."   On my bedside evaluation she is resting on 3 L nasal cannula and is relatively comfortable appearing but she is a very poor historian.  Does not note any pain or edema in her legs.  No belly or chest pain.  She does feel like she is getting enough air at this time