chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Aspartate aminotransferase increased, Asthenia, Blood creatinine increased, Blood sodium decreased, Blood urea increased
Clinical narrative: 8/5/2022: Chief Complaint: Shortness of Breath and Cough.  Onset of symptoms Tuesday, 8/2. Symptoms include sneezing, runny nose, sore throat, cough, shortness of breath, myalgias, weakness, fatigue, and decreased appetite. He also reports a fever of 102.7F on 8/3. He presented to urgent care today to see if he qualified for Paxlovid, but was sent to the ED due to low blood pressure and hypoxia. Crackles in his lungs though does not appear dyspneic.  Reports a history of heart attack but did not present for treatment, just knows this because he was told he had damage on an image study. Uses CPAP at bedtime ED Course: Hypoxic (SpO2 88% on RA). He was placed on 2L O2 via NC with improvement. He was given 10 mg PO Decadron and 1L IVF bolus.  COVID 19 Pneumonia - IV Decadron 10 mg x 3 days, then 6 mg x 7 days ? Possible Remdesivir, antioxidant vitamins, trend antiinflammatory markers, continue to wean off oxygen as tolerated Submitter does not have access to further medical records or course of hospitalization. Please contact hospital if further information is needed.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Bundle branch block left, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Cough
Clinical narrative: 8/5/2022: Chief Complaint: Shortness of Breath and Cough.  Onset of symptoms Tuesday, 8/2. Symptoms include sneezing, runny nose, sore throat, cough, shortness of breath, myalgias, weakness, fatigue, and decreased appetite. He also reports a fever of 102.7F on 8/3. He presented to urgent care today to see if he qualified for Paxlovid, but was sent to the ED due to low blood pressure and hypoxia. Crackles in his lungs though does not appear dyspneic.  Reports a history of heart attack but did not present for treatment, just knows this because he was told he had damage on an image study. Uses CPAP at bedtime ED Course: Hypoxic (SpO2 88% on RA). He was placed on 2L O2 via NC with improvement. He was given 10 mg PO Decadron and 1L IVF bolus.  COVID 19 Pneumonia - IV Decadron 10 mg x 3 days, then 6 mg x 7 days ? Possible Remdesivir, antioxidant vitamins, trend antiinflammatory markers, continue to wean off oxygen as tolerated Submitter does not have access to further medical records or course of hospitalization. Please contact hospital if further information is needed.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Dyspnoea, Electrocardiogram abnormal, Fatigue, Hypotension
Clinical narrative: 8/5/2022: Chief Complaint: Shortness of Breath and Cough.  Onset of symptoms Tuesday, 8/2. Symptoms include sneezing, runny nose, sore throat, cough, shortness of breath, myalgias, weakness, fatigue, and decreased appetite. He also reports a fever of 102.7F on 8/3. He presented to urgent care today to see if he qualified for Paxlovid, but was sent to the ED due to low blood pressure and hypoxia. Crackles in his lungs though does not appear dyspneic.  Reports a history of heart attack but did not present for treatment, just knows this because he was told he had damage on an image study. Uses CPAP at bedtime ED Course: Hypoxic (SpO2 88% on RA). He was placed on 2L O2 via NC with improvement. He was given 10 mg PO Decadron and 1L IVF bolus.  COVID 19 Pneumonia - IV Decadron 10 mg x 3 days, then 6 mg x 7 days ? Possible Remdesivir, antioxidant vitamins, trend antiinflammatory markers, continue to wean off oxygen as tolerated Submitter does not have access to further medical records or course of hospitalization. Please contact hospital if further information is needed.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Lung opacity, Myalgia, Oropharyngeal pain, Platelet count decreased
Clinical narrative: 8/5/2022: Chief Complaint: Shortness of Breath and Cough.  Onset of symptoms Tuesday, 8/2. Symptoms include sneezing, runny nose, sore throat, cough, shortness of breath, myalgias, weakness, fatigue, and decreased appetite. He also reports a fever of 102.7F on 8/3. He presented to urgent care today to see if he qualified for Paxlovid, but was sent to the ED due to low blood pressure and hypoxia. Crackles in his lungs though does not appear dyspneic.  Reports a history of heart attack but did not present for treatment, just knows this because he was told he had damage on an image study. Uses CPAP at bedtime ED Course: Hypoxic (SpO2 88% on RA). He was placed on 2L O2 via NC with improvement. He was given 10 mg PO Decadron and 1L IVF bolus.  COVID 19 Pneumonia - IV Decadron 10 mg x 3 days, then 6 mg x 7 days ? Possible Remdesivir, antioxidant vitamins, trend antiinflammatory markers, continue to wean off oxygen as tolerated Submitter does not have access to further medical records or course of hospitalization. Please contact hospital if further information is needed.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Rales, Rhinorrhoea, SARS-CoV-2 test positive, Sneezing
Clinical narrative: 8/5/2022: Chief Complaint: Shortness of Breath and Cough.  Onset of symptoms Tuesday, 8/2. Symptoms include sneezing, runny nose, sore throat, cough, shortness of breath, myalgias, weakness, fatigue, and decreased appetite. He also reports a fever of 102.7F on 8/3. He presented to urgent care today to see if he qualified for Paxlovid, but was sent to the ED due to low blood pressure and hypoxia. Crackles in his lungs though does not appear dyspneic.  Reports a history of heart attack but did not present for treatment, just knows this because he was told he had damage on an image study. Uses CPAP at bedtime ED Course: Hypoxic (SpO2 88% on RA). He was placed on 2L O2 via NC with improvement. He was given 10 mg PO Decadron and 1L IVF bolus.  COVID 19 Pneumonia - IV Decadron 10 mg x 3 days, then 6 mg x 7 days ? Possible Remdesivir, antioxidant vitamins, trend antiinflammatory markers, continue to wean off oxygen as tolerated Submitter does not have access to further medical records or course of hospitalization. Please contact hospital if further information is needed.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Supraventricular extrasystoles, Troponin
Clinical narrative: 8/5/2022: Chief Complaint: Shortness of Breath and Cough.  Onset of symptoms Tuesday, 8/2. Symptoms include sneezing, runny nose, sore throat, cough, shortness of breath, myalgias, weakness, fatigue, and decreased appetite. He also reports a fever of 102.7F on 8/3. He presented to urgent care today to see if he qualified for Paxlovid, but was sent to the ED due to low blood pressure and hypoxia. Crackles in his lungs though does not appear dyspneic.  Reports a history of heart attack but did not present for treatment, just knows this because he was told he had damage on an image study. Uses CPAP at bedtime ED Course: Hypoxic (SpO2 88% on RA). He was placed on 2L O2 via NC with improvement. He was given 10 mg PO Decadron and 1L IVF bolus.  COVID 19 Pneumonia - IV Decadron 10 mg x 3 days, then 6 mg x 7 days ? Possible Remdesivir, antioxidant vitamins, trend antiinflammatory markers, continue to wean off oxygen as tolerated Submitter does not have access to further medical records or course of hospitalization. Please contact hospital if further information is needed.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Blood lactic acid increased, Blood test, Computerised tomogram normal, Condition aggravated
Clinical narrative: On 09/17/2021, 3 days after receiving my third dose of Moderna, I had a sinus infection. I went to my family doctor who referred me to an allergy specialist who I saw on October 5th. I had x-rays done October 11th. I was then referred to a neurologist. On October 26th, I saw a doctor for back pain. I had x-rays done in the beginning of November. They found some degenerative issues and diagnosed degenerative disc disease. November 16th, I received dose 2 of my Shingles vaccine, which triggered a severe headache. On November 20th, I went to an urgent care clinic at my local hospital because my headaches had gotten so bad and was given prednisone. December 16th, I was finally able to see a neurologist who diagnosed me with multiple forms of chronic headaches: Migraines, Occipital Neuralgia, and sinus headaches. I'm taking magnesium, riboflavin, and baclofen for the headaches. The headaches have subsided with the medication. The Occipital headache is still there constantly but has gotten better with the medication. On 01/03/2022, I went to see a dermatologist for the psoriasis and seborrheic dermatitis which I already suffer from but had gotten worse. I didn't have it on my face before and at that point it had spread to my face. The dermatologist prescribed ketoconazole shampoo and cream which has helped the issue. 02/02/2022 I saw my rheumatologist due to increased joint pain and fatigue and ended up doubling my dosage of HUMIRA which I now take weekly as opposed to biweekly. On 02/14/2022, I received my fourth dose of Moderna. Things, health wise, were quiet until 06/24/2022 when I ended up in the emergency room for severe vomiting where they discovered that my platelets had been increasing severely over time and were at over 700,000 per micro liter of blood. They referred me to a hematologist who I saw 08/08/2022. I am scheduled for blood tests tomorrow on 08/17/2022.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Intervertebral disc degeneration, Migraine, Occipital neuralgia, Psoriasis
Clinical narrative: On 09/17/2021, 3 days after receiving my third dose of Moderna, I had a sinus infection. I went to my family doctor who referred me to an allergy specialist who I saw on October 5th. I had x-rays done October 11th. I was then referred to a neurologist. On October 26th, I saw a doctor for back pain. I had x-rays done in the beginning of November. They found some degenerative issues and diagnosed degenerative disc disease. November 16th, I received dose 2 of my Shingles vaccine, which triggered a severe headache. On November 20th, I went to an urgent care clinic at my local hospital because my headaches had gotten so bad and was given prednisone. December 16th, I was finally able to see a neurologist who diagnosed me with multiple forms of chronic headaches: Migraines, Occipital Neuralgia, and sinus headaches. I'm taking magnesium, riboflavin, and baclofen for the headaches. The headaches have subsided with the medication. The Occipital headache is still there constantly but has gotten better with the medication. On 01/03/2022, I went to see a dermatologist for the psoriasis and seborrheic dermatitis which I already suffer from but had gotten worse. I didn't have it on my face before and at that point it had spread to my face. The dermatologist prescribed ketoconazole shampoo and cream which has helped the issue. 02/02/2022 I saw my rheumatologist due to increased joint pain and fatigue and ended up doubling my dosage of HUMIRA which I now take weekly as opposed to biweekly. On 02/14/2022, I received my fourth dose of Moderna. Things, health wise, were quiet until 06/24/2022 when I ended up in the emergency room for severe vomiting where they discovered that my platelets had been increasing severely over time and were at over 700,000 per micro liter of blood. They referred me to a hematologist who I saw 08/08/2022. I am scheduled for blood tests tomorrow on 08/17/2022.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Seborrhoeic dermatitis, Sinus headache, Sinusitis, Spinal X-ray abnormal, White blood cell count increased
Clinical narrative: On 09/17/2021, 3 days after receiving my third dose of Moderna, I had a sinus infection. I went to my family doctor who referred me to an allergy specialist who I saw on October 5th. I had x-rays done October 11th. I was then referred to a neurologist. On October 26th, I saw a doctor for back pain. I had x-rays done in the beginning of November. They found some degenerative issues and diagnosed degenerative disc disease. November 16th, I received dose 2 of my Shingles vaccine, which triggered a severe headache. On November 20th, I went to an urgent care clinic at my local hospital because my headaches had gotten so bad and was given prednisone. December 16th, I was finally able to see a neurologist who diagnosed me with multiple forms of chronic headaches: Migraines, Occipital Neuralgia, and sinus headaches. I'm taking magnesium, riboflavin, and baclofen for the headaches. The headaches have subsided with the medication. The Occipital headache is still there constantly but has gotten better with the medication. On 01/03/2022, I went to see a dermatologist for the psoriasis and seborrheic dermatitis which I already suffer from but had gotten worse. I didn't have it on my face before and at that point it had spread to my face. The dermatologist prescribed ketoconazole shampoo and cream which has helped the issue. 02/02/2022 I saw my rheumatologist due to increased joint pain and fatigue and ended up doubling my dosage of HUMIRA which I now take weekly as opposed to biweekly. On 02/14/2022, I received my fourth dose of Moderna. Things, health wise, were quiet until 06/24/2022 when I ended up in the emergency room for severe vomiting where they discovered that my platelets had been increasing severely over time and were at over 700,000 per micro liter of blood. They referred me to a hematologist who I saw 08/08/2022. I am scheduled for blood tests tomorrow on 08/17/2022.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray abnormal
Clinical narrative: On 09/17/2021, 3 days after receiving my third dose of Moderna, I had a sinus infection. I went to my family doctor who referred me to an allergy specialist who I saw on October 5th. I had x-rays done October 11th. I was then referred to a neurologist. On October 26th, I saw a doctor for back pain. I had x-rays done in the beginning of November. They found some degenerative issues and diagnosed degenerative disc disease. November 16th, I received dose 2 of my Shingles vaccine, which triggered a severe headache. On November 20th, I went to an urgent care clinic at my local hospital because my headaches had gotten so bad and was given prednisone. December 16th, I was finally able to see a neurologist who diagnosed me with multiple forms of chronic headaches: Migraines, Occipital Neuralgia, and sinus headaches. I'm taking magnesium, riboflavin, and baclofen for the headaches. The headaches have subsided with the medication. The Occipital headache is still there constantly but has gotten better with the medication. On 01/03/2022, I went to see a dermatologist for the psoriasis and seborrheic dermatitis which I already suffer from but had gotten worse. I didn't have it on my face before and at that point it had spread to my face. The dermatologist prescribed ketoconazole shampoo and cream which has helped the issue. 02/02/2022 I saw my rheumatologist due to increased joint pain and fatigue and ended up doubling my dosage of HUMIRA which I now take weekly as opposed to biweekly. On 02/14/2022, I received my fourth dose of Moderna. Things, health wise, were quiet until 06/24/2022 when I ended up in the emergency room for severe vomiting where they discovered that my platelets had been increasing severely over time and were at over 700,000 per micro liter of blood. They referred me to a hematologist who I saw 08/08/2022. I am scheduled for blood tests tomorrow on 08/17/2022.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: Admitted to the hospital with COVID-19
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Insomnia, Musculoskeletal stiffness, Myalgia
Clinical narrative: Extremely sore and stiff muscles below clavicle across upper back--I believe it is the middle trapezius muscles. This is making it difficult to sleep. It has persisted over a month but seems to be finally lessening with time and/or going out of my way to minimize the use of these muscles.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray normal, Cough, Dysstasia
Clinical narrative: Discharge Provider: Private MD Primary Care Provider at Discharge: Private MD  Admission Date: 8/13/2022 Discharge Date:  8/15/2022 PRESENTING PROBLEM: COVID-19 [U07.1]; COVID-19 virus infection [U07.1] HOSPITAL COURSE: The patient is a 76-year-old female with a history of essential hypertension, hypothyroidism, history of microadenoma as well as advanced dementia, who currently lives with her husband who cares for her.  Patient's husband developed a COVID infection approximately 1 week prior to admission. The patient developed a slight cough with increasing weakness 2 days prior to admission. The patient's husband noted that she was too weak to stand, and he brought her to the ER on 07/13/2022. The patient's mental status was noted to be at baseline, being oriented to only her 1st name. The patient was found to be positive for COVID although chest x-ray was negative for infiltrate, the patient was afebrile with stable O2 saturations on room air. Patient was admitted for further observation given her increasing weakness. For her COVID infection she was treated with cough suppressants, and supportive care, with no indication for remdesivir or dexamethasone. The patient was seen by PT/OT who recommended discharge to home with assistance. The patient was seen by care management, and at discharge was set up with home nursing, PT, and OT. As patient was clinically stable, she was discharged 8/15/2022.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Mental status changes, SARS-CoV-2 test positive
Clinical narrative: Discharge Provider: Private MD Primary Care Provider at Discharge: Private MD  Admission Date: 8/13/2022 Discharge Date:  8/15/2022 PRESENTING PROBLEM: COVID-19 [U07.1]; COVID-19 virus infection [U07.1] HOSPITAL COURSE: The patient is a 76-year-old female with a history of essential hypertension, hypothyroidism, history of microadenoma as well as advanced dementia, who currently lives with her husband who cares for her.  Patient's husband developed a COVID infection approximately 1 week prior to admission. The patient developed a slight cough with increasing weakness 2 days prior to admission. The patient's husband noted that she was too weak to stand, and he brought her to the ER on 07/13/2022. The patient's mental status was noted to be at baseline, being oriented to only her 1st name. The patient was found to be positive for COVID although chest x-ray was negative for infiltrate, the patient was afebrile with stable O2 saturations on room air. Patient was admitted for further observation given her increasing weakness. For her COVID infection she was treated with cough suppressants, and supportive care, with no indication for remdesivir or dexamethasone. The patient was seen by PT/OT who recommended discharge to home with assistance. The patient was seen by care management, and at discharge was set up with home nursing, PT, and OT. As patient was clinically stable, she was discharged 8/15/2022.
Age: 1.33
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Vomiting
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Fall, Hypoxia, Pneumonia bacterial
Clinical narrative: Patient seen in the ED on 7/12 after a fall at her assisted living facility. At times in the ED she was hypoxic, and COVID-19 PCR swab was done which came back positive. Ultimately patient was admitted from 7/12-7/25 with COVID-19 pneumonia with concurrent bacterial pneumonia. She was placed on 1-2L supplemental O2 during admission. At time of discharge she was off oxygen.  She has been vaccinated against COVID-19. This meets criteria for vaccine breakthrough case review.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient seen in the ED on 7/12 after a fall at her assisted living facility. At times in the ED she was hypoxic, and COVID-19 PCR swab was done which came back positive. Ultimately patient was admitted from 7/12-7/25 with COVID-19 pneumonia with concurrent bacterial pneumonia. She was placed on 1-2L supplemental O2 during admission. At time of discharge she was off oxygen.  She has been vaccinated against COVID-19. This meets criteria for vaccine breakthrough case review.
Age: 64.0
Sex: F
Vaccine: COVID19, FLU4, VARZOS
Symptoms: Blood potassium decreased, COVID-19, Condition aggravated, Diarrhoea, Hypokalaemia
Clinical narrative: Discharge Provider: Private MD Primary Care Provider at Discharge: Private MD Admission Date: 8/13/2022 Discharge Date: 8/13/2022 DETAILS OF HOSPITAL STAY: HOSPITAL COURSE: Patient is a 65 y.o. female who presented to local Hospital as a transfer from ED for hypokalemia. Patient initially presented to emergency department for nausea, vomiting, diarrhea, and palpitations. Symptoms began 08/09/2022, and she took a home COVID test which was positive on 08/11/2022. Patient has history of low potassium and experiencing palpitations. In the emergency department she was found to have hypokalemia at 2.8, and intractable nausea. She was given potassium replacement, Zofran, IV fluids and sent to hospital for observation. On the general floor, patient had full resolution of nausea, vomiting, and diarrhea. She tolerated normal breakfast without difficulty. She did not have return of palpitations and repeat lab work showed resolution of hypokalemia. Patient was considered medically and vitally stable for discharge home.
Age: 64.0
Sex: F
Vaccine: COVID19, FLU4, VARZOS
Symptoms: Laboratory test, Nausea, Palpitations, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Discharge Provider: Private MD Primary Care Provider at Discharge: Private MD Admission Date: 8/13/2022 Discharge Date: 8/13/2022 DETAILS OF HOSPITAL STAY: HOSPITAL COURSE: Patient is a 65 y.o. female who presented to local Hospital as a transfer from ED for hypokalemia. Patient initially presented to emergency department for nausea, vomiting, diarrhea, and palpitations. Symptoms began 08/09/2022, and she took a home COVID test which was positive on 08/11/2022. Patient has history of low potassium and experiencing palpitations. In the emergency department she was found to have hypokalemia at 2.8, and intractable nausea. She was given potassium replacement, Zofran, IV fluids and sent to hospital for observation. On the general floor, patient had full resolution of nausea, vomiting, and diarrhea. She tolerated normal breakfast without difficulty. She did not have return of palpitations and repeat lab work showed resolution of hypokalemia. Patient was considered medically and vitally stable for discharge home.
Age: 4.0
Sex: F
Vaccine: COVID19, DTAPIPV, MMRV
Symptoms: Unevaluable event
Clinical narrative: None.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: Admitted to the hospital with Covid-19
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray normal, Confusional state, Crepitations
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: MD  Admission Date: 8/12/2022 Discharge Date: 8/15/2022   PRESENTING PROBLEM: Weakness [R53.1] COVID-19 [U07.1]   HOSPITAL COURSE:  Patient is a 90 y.o. male who presents today with COVID weakness.  Patient evidently started becoming weak today and unable to ambulate independently, as is baseline.  He was brought to the emergency room from his  facility because there is no nursing to assist with his decline in activity.  He was supposedly hypoxic at facility down to 86% on room air, but he has maintained 95% in the emergency room.  In the emergency room he was felt to have edema and crackles was given 40 mg of IV Lasix.  His chest x-ray was pending at the time.  His proBNP was found to be 475. He also has apparently confused from his baseline. His CXR was negative   During hospitalization he was addressed by Physical therapy and Case Management.  He slowly improved in his strength.  I did have a conversation with the family on August 14th in the evening and they were concerned about him possibly needing to go to SAR.  I discussed this on the morning of August 15th with the case manager and according to physical therapy is at his baseline willing to go back to his previous facility.  There he will get home care with physical therapy.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased activity, Gait inability, Hypoxia, Oedema, Prohormone brain natriuretic peptide increased
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: MD  Admission Date: 8/12/2022 Discharge Date: 8/15/2022   PRESENTING PROBLEM: Weakness [R53.1] COVID-19 [U07.1]   HOSPITAL COURSE:  Patient is a 90 y.o. male who presents today with COVID weakness.  Patient evidently started becoming weak today and unable to ambulate independently, as is baseline.  He was brought to the emergency room from his  facility because there is no nursing to assist with his decline in activity.  He was supposedly hypoxic at facility down to 86% on room air, but he has maintained 95% in the emergency room.  In the emergency room he was felt to have edema and crackles was given 40 mg of IV Lasix.  His chest x-ray was pending at the time.  His proBNP was found to be 475. He also has apparently confused from his baseline. His CXR was negative   During hospitalization he was addressed by Physical therapy and Case Management.  He slowly improved in his strength.  I did have a conversation with the family on August 14th in the evening and they were concerned about him possibly needing to go to SAR.  I discussed this on the morning of August 15th with the case manager and according to physical therapy is at his baseline willing to go back to his previous facility.  There he will get home care with physical therapy.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Antinuclear antibody negative, Blood thyroid stimulating hormone normal, Vitiligo
Clinical narrative: Rapidly progressive vitiligo
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Admitted to the hospital with COVID-19
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Bacterial test positive, Blood creatinine increased, Chest X-ray abnormal, Cough
Clinical narrative: Admission Date: 8/12/2022 Discharge Date: Aug 14, 2022  PRESENTING PROBLEM: Acute COVID-19 [U07.1] COVID [U07.1] Urinary tract infection [N39.0]   HOSPITAL COURSE:   79-year-old female with past medical history significant for after another leukodystrophy, chronic recurrent urinary tract infections, urinary incontinence with bladder stimulator, CKD, hyperthyroidism, hypertension, depression and chronic pain of presented to emergency department on 08/12 with fever, fatigue, dry cough and nausea.  He was also having dysuria which she reports is chronic.  She is wheelchair-bound at baseline.   On arrival to emergency department patient is hemodynamically stable.  Labs were notable for stable white blood cell count, mildly elevated creatinine, urinalysis with large leukocytes, many bacteria concerning for urinary tract infection.  COVID-19 PCR was positive as well.  Chest x-ray was showing a patchy opacity in the right lung base.  Patient was given Tylenol and a dose of cefepime and admitted to medicine service for further evaluation and management.   As far as COVID goes, patient did not seem to be very symptomatic from this at all.  Her symptoms had largely resolved by the time she arrived to floors.  She was without chest pain, shortness a breath or cough.  She was afebrile.  She remained on room air therefore no role for Decadron either.  Monitored and treated supportively with subsequent improvement.   As far as acute on chronic recurrent urinary tract infection, patient has known prior urine infection with aerococcus resistant bacteria.  She was treated with cefepime. Urine cultures were obtained but pending at time of discharge. Patient was significantly improved in the hospital setting.  Prior microbiology data shows good susceptibility to ciprofloxacin so she was discharged on this oral antibiotic to complete an additional 5 days. Recommended follow up with PCP and review final culture data if symptoms recur.   Patient discharged home in stable and improved condition.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Culture urine, Dysuria, Fatigue, Lung opacity, Nausea
Clinical narrative: Admission Date: 8/12/2022 Discharge Date: Aug 14, 2022  PRESENTING PROBLEM: Acute COVID-19 [U07.1] COVID [U07.1] Urinary tract infection [N39.0]   HOSPITAL COURSE:   79-year-old female with past medical history significant for after another leukodystrophy, chronic recurrent urinary tract infections, urinary incontinence with bladder stimulator, CKD, hyperthyroidism, hypertension, depression and chronic pain of presented to emergency department on 08/12 with fever, fatigue, dry cough and nausea.  He was also having dysuria which she reports is chronic.  She is wheelchair-bound at baseline.   On arrival to emergency department patient is hemodynamically stable.  Labs were notable for stable white blood cell count, mildly elevated creatinine, urinalysis with large leukocytes, many bacteria concerning for urinary tract infection.  COVID-19 PCR was positive as well.  Chest x-ray was showing a patchy opacity in the right lung base.  Patient was given Tylenol and a dose of cefepime and admitted to medicine service for further evaluation and management.   As far as COVID goes, patient did not seem to be very symptomatic from this at all.  Her symptoms had largely resolved by the time she arrived to floors.  She was without chest pain, shortness a breath or cough.  She was afebrile.  She remained on room air therefore no role for Decadron either.  Monitored and treated supportively with subsequent improvement.   As far as acute on chronic recurrent urinary tract infection, patient has known prior urine infection with aerococcus resistant bacteria.  She was treated with cefepime. Urine cultures were obtained but pending at time of discharge. Patient was significantly improved in the hospital setting.  Prior microbiology data shows good susceptibility to ciprofloxacin so she was discharged on this oral antibiotic to complete an additional 5 days. Recommended follow up with PCP and review final culture data if symptoms recur.   Patient discharged home in stable and improved condition.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Urinary tract infection, Urine analysis abnormal, Urine leukocyte esterase positive
Clinical narrative: Admission Date: 8/12/2022 Discharge Date: Aug 14, 2022  PRESENTING PROBLEM: Acute COVID-19 [U07.1] COVID [U07.1] Urinary tract infection [N39.0]   HOSPITAL COURSE:   79-year-old female with past medical history significant for after another leukodystrophy, chronic recurrent urinary tract infections, urinary incontinence with bladder stimulator, CKD, hyperthyroidism, hypertension, depression and chronic pain of presented to emergency department on 08/12 with fever, fatigue, dry cough and nausea.  He was also having dysuria which she reports is chronic.  She is wheelchair-bound at baseline.   On arrival to emergency department patient is hemodynamically stable.  Labs were notable for stable white blood cell count, mildly elevated creatinine, urinalysis with large leukocytes, many bacteria concerning for urinary tract infection.  COVID-19 PCR was positive as well.  Chest x-ray was showing a patchy opacity in the right lung base.  Patient was given Tylenol and a dose of cefepime and admitted to medicine service for further evaluation and management.   As far as COVID goes, patient did not seem to be very symptomatic from this at all.  Her symptoms had largely resolved by the time she arrived to floors.  She was without chest pain, shortness a breath or cough.  She was afebrile.  She remained on room air therefore no role for Decadron either.  Monitored and treated supportively with subsequent improvement.   As far as acute on chronic recurrent urinary tract infection, patient has known prior urine infection with aerococcus resistant bacteria.  She was treated with cefepime. Urine cultures were obtained but pending at time of discharge. Patient was significantly improved in the hospital setting.  Prior microbiology data shows good susceptibility to ciprofloxacin so she was discharged on this oral antibiotic to complete an additional 5 days. Recommended follow up with PCP and review final culture data if symptoms recur.   Patient discharged home in stable and improved condition.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count normal
Clinical narrative: Admission Date: 8/12/2022 Discharge Date: Aug 14, 2022  PRESENTING PROBLEM: Acute COVID-19 [U07.1] COVID [U07.1] Urinary tract infection [N39.0]   HOSPITAL COURSE:   79-year-old female with past medical history significant for after another leukodystrophy, chronic recurrent urinary tract infections, urinary incontinence with bladder stimulator, CKD, hyperthyroidism, hypertension, depression and chronic pain of presented to emergency department on 08/12 with fever, fatigue, dry cough and nausea.  He was also having dysuria which she reports is chronic.  She is wheelchair-bound at baseline.   On arrival to emergency department patient is hemodynamically stable.  Labs were notable for stable white blood cell count, mildly elevated creatinine, urinalysis with large leukocytes, many bacteria concerning for urinary tract infection.  COVID-19 PCR was positive as well.  Chest x-ray was showing a patchy opacity in the right lung base.  Patient was given Tylenol and a dose of cefepime and admitted to medicine service for further evaluation and management.   As far as COVID goes, patient did not seem to be very symptomatic from this at all.  Her symptoms had largely resolved by the time she arrived to floors.  She was without chest pain, shortness a breath or cough.  She was afebrile.  She remained on room air therefore no role for Decadron either.  Monitored and treated supportively with subsequent improvement.   As far as acute on chronic recurrent urinary tract infection, patient has known prior urine infection with aerococcus resistant bacteria.  She was treated with cefepime. Urine cultures were obtained but pending at time of discharge. Patient was significantly improved in the hospital setting.  Prior microbiology data shows good susceptibility to ciprofloxacin so she was discharged on this oral antibiotic to complete an additional 5 days. Recommended follow up with PCP and review final culture data if symptoms recur.   Patient discharged home in stable and improved condition.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram abdomen normal, Computerised tomogram neck, Condition aggravated, Extra dose administered
Clinical narrative: I had gotten sick with strep throat before receiving my fourth dose of Moderna. I still had antibiotics in my system from the strep at the time of the vaccine, but I was feeling well. On 08/10/2022, my strep throat returned, indicating that my antibiotics had basically failed. I received a second course of antibiotics from my doctor and again, they were failing. I was really sick and continued to get sicker as I went through the antibiotics. Around halfway through the second course, I had to go to the emergency room because I was running a fever and was very sick. They put me on a much higher course of antibiotics than is typically used to treat strep throat because the virus was so resistant. They gave me the highest dosage that they could prescribe orally for antibiotics which I am currently still on. If for some reason, this course does not work, they will have to treat me intravenously. I feel that my symptoms are slowly improving. Today is the first day that I have not run a fever so far, so I am hopeful that means that the infection is starting to subside. I still have 7 more days of my antibiotic though.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza virus test negative, Malaise, Pharyngitis streptococcal, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: I had gotten sick with strep throat before receiving my fourth dose of Moderna. I still had antibiotics in my system from the strep at the time of the vaccine, but I was feeling well. On 08/10/2022, my strep throat returned, indicating that my antibiotics had basically failed. I received a second course of antibiotics from my doctor and again, they were failing. I was really sick and continued to get sicker as I went through the antibiotics. Around halfway through the second course, I had to go to the emergency room because I was running a fever and was very sick. They put me on a much higher course of antibiotics than is typically used to treat strep throat because the virus was so resistant. They gave me the highest dosage that they could prescribe orally for antibiotics which I am currently still on. If for some reason, this course does not work, they will have to treat me intravenously. I feel that my symptoms are slowly improving. Today is the first day that I have not run a fever so far, so I am hopeful that means that the infection is starting to subside. I still have 7 more days of my antibiotic though.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Streptococcus test positive, Therapeutic product ineffective
Clinical narrative: I had gotten sick with strep throat before receiving my fourth dose of Moderna. I still had antibiotics in my system from the strep at the time of the vaccine, but I was feeling well. On 08/10/2022, my strep throat returned, indicating that my antibiotics had basically failed. I received a second course of antibiotics from my doctor and again, they were failing. I was really sick and continued to get sicker as I went through the antibiotics. Around halfway through the second course, I had to go to the emergency room because I was running a fever and was very sick. They put me on a much higher course of antibiotics than is typically used to treat strep throat because the virus was so resistant. They gave me the highest dosage that they could prescribe orally for antibiotics which I am currently still on. If for some reason, this course does not work, they will have to treat me intravenously. I feel that my symptoms are slowly improving. Today is the first day that I have not run a fever so far, so I am hopeful that means that the infection is starting to subside. I still have 7 more days of my antibiotic though.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Elian was given the wrong vaccine. He was given the 5 -11 years covid vaccine when he was only 4 years old.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling hot, Vomiting
Clinical narrative: Patient was given a booster dose of Pediatric Pfizer COVID vaccine (PEDS) (0.2mL) in right deltoid and was asked to wait for 15 minutes before leaving for home. Patient was sitting in the car with mother and siblings to wait their 15 minutes. Mom stated "he said he felt hot and then he threw up". Mother and patient came back into the facility where they alerted staff that he had thrown up. Patient was given an orange juice and monitored for another 15 minutes. He did not throw up again while being monitored. Patient stated he was feeling much better after sipping on orange juice and mother felt comfortable taking patient home at that time.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Atelectasis, Blood creatinine abnormal, COVID-19
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 8/10/2022 Discharge Date: Aug 13, 2022  PRESENTING PROBLEM: Acute respiratory failure with hypoxia [J96.01] COVID-19 virus infection [U07.1]   HOSPITAL COURSE:   89-year-old male with past medical history significant for chronic diastolic heart failure, persistent atrial fibrillation, hypertension, type 2 diabetes, CKD who presented to the emergency department with progressive shortness of breath.  On arrival to emergency department patient is hypoxic requiring placement of 2 L nasal cannula for oxygen support.  His COVID test returned positive.  Chest x-ray showed left-sided basilar atelectasis.  Patient was started on Decadron and admitted to the medicine service for further assessment and management.   As far as acute hypoxic respiratory failure in setting of COVID pneumonia, patient improved with steroid treatment.  He was able to wean from 2 L to room air and remained comfortable.  He did receive 3 doses of his vaccine prior to admission.  Patient's symptoms related to COVID were resolved with the time of discharge, he will complete an additional 5 days of Decadron discharge.   As far as recently diagnosed renal hemorrhage/hemorrhagic cystitis from a CT urogram performed on 08/05, patient's hemoglobin was monitored in the hospital.  Eliquis was held.  Urology was consulted and recommended outpatient follow-up with them for eventual ureteroscopy to confirm mass followed by radical nephrectomy in the same setting.   Eliquis to remain on hold until this is performed.   Patient did have a mild AKI.  His home torsemide and losartan were stopped in the hospital.  Treated with IV fluids with improvement in his creatinine.  Recommended outpatient follow-up with primary care physician in 1-2 weeks to monitor BMP and creatinine.  Consider referral to Nephrology if not improving.   Patient discharged home in stable and improved condition.    We discussed he should call his urologist to determine when it would be safe to resume Eliquis again.  From medicine standpoint this could be done over the weekend.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Chest X-ray abnormal, Cystitis haemorrhagic, Dyspnoea, Haemoglobin
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 8/10/2022 Discharge Date: Aug 13, 2022  PRESENTING PROBLEM: Acute respiratory failure with hypoxia [J96.01] COVID-19 virus infection [U07.1]   HOSPITAL COURSE:   89-year-old male with past medical history significant for chronic diastolic heart failure, persistent atrial fibrillation, hypertension, type 2 diabetes, CKD who presented to the emergency department with progressive shortness of breath.  On arrival to emergency department patient is hypoxic requiring placement of 2 L nasal cannula for oxygen support.  His COVID test returned positive.  Chest x-ray showed left-sided basilar atelectasis.  Patient was started on Decadron and admitted to the medicine service for further assessment and management.   As far as acute hypoxic respiratory failure in setting of COVID pneumonia, patient improved with steroid treatment.  He was able to wean from 2 L to room air and remained comfortable.  He did receive 3 doses of his vaccine prior to admission.  Patient's symptoms related to COVID were resolved with the time of discharge, he will complete an additional 5 days of Decadron discharge.   As far as recently diagnosed renal hemorrhage/hemorrhagic cystitis from a CT urogram performed on 08/05, patient's hemoglobin was monitored in the hospital.  Eliquis was held.  Urology was consulted and recommended outpatient follow-up with them for eventual ureteroscopy to confirm mass followed by radical nephrectomy in the same setting.   Eliquis to remain on hold until this is performed.   Patient did have a mild AKI.  His home torsemide and losartan were stopped in the hospital.  Treated with IV fluids with improvement in his creatinine.  Recommended outpatient follow-up with primary care physician in 1-2 weeks to monitor BMP and creatinine.  Consider referral to Nephrology if not improving.   Patient discharged home in stable and improved condition.    We discussed he should call his urologist to determine when it would be safe to resume Eliquis again.  From medicine standpoint this could be done over the weekend.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Malaise, Renal haemorrhage, SARS-CoV-2 test positive, Urogram abnormal
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 8/10/2022 Discharge Date: Aug 13, 2022  PRESENTING PROBLEM: Acute respiratory failure with hypoxia [J96.01] COVID-19 virus infection [U07.1]   HOSPITAL COURSE:   89-year-old male with past medical history significant for chronic diastolic heart failure, persistent atrial fibrillation, hypertension, type 2 diabetes, CKD who presented to the emergency department with progressive shortness of breath.  On arrival to emergency department patient is hypoxic requiring placement of 2 L nasal cannula for oxygen support.  His COVID test returned positive.  Chest x-ray showed left-sided basilar atelectasis.  Patient was started on Decadron and admitted to the medicine service for further assessment and management.   As far as acute hypoxic respiratory failure in setting of COVID pneumonia, patient improved with steroid treatment.  He was able to wean from 2 L to room air and remained comfortable.  He did receive 3 doses of his vaccine prior to admission.  Patient's symptoms related to COVID were resolved with the time of discharge, he will complete an additional 5 days of Decadron discharge.   As far as recently diagnosed renal hemorrhage/hemorrhagic cystitis from a CT urogram performed on 08/05, patient's hemoglobin was monitored in the hospital.  Eliquis was held.  Urology was consulted and recommended outpatient follow-up with them for eventual ureteroscopy to confirm mass followed by radical nephrectomy in the same setting.   Eliquis to remain on hold until this is performed.   Patient did have a mild AKI.  His home torsemide and losartan were stopped in the hospital.  Treated with IV fluids with improvement in his creatinine.  Recommended outpatient follow-up with primary care physician in 1-2 weeks to monitor BMP and creatinine.  Consider referral to Nephrology if not improving.   Patient discharged home in stable and improved condition.    We discussed he should call his urologist to determine when it would be safe to resume Eliquis again.  From medicine standpoint this could be done over the weekend.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Admitted to the hospital with COVID-19
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: BY ERROR, MODERNA  COVID 19  VACCINE BOOSTER DOSE #4 WAS ADMINISTERD IN FULL DOSE (0.5ml)  NO ADVERSE EVENT REPORTED BY PATIENT
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Blood creatinine increased, Blood potassium increased, COVID-19, Condition aggravated
Clinical narrative: Discharge Provider: DO Primary Care Provider at Discharge: MD  Admission Date: 8/3/2022 Discharge Date: 8/5/2022  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hyperkalemia [E87.5] Acute kidney injury [N17.9] Patient is a 55 y.o. female with PMH of HTN and DM who presented to the ED on 8/3 due to AKI and hyperkalemia on outpatient labs. Patient developed sinus pressure, HA, congestion, sore throat and dry cough on 8/1. She then took a home COVID test on 8/2 which was positive. She had a virtual visit with her PCP on 8/2 at which time labs were checked in anticipation of starting Paxlovid and showed Cr 1.89 compared to baseline 0.8. Patient endorses low fluid intake for the past month or so. Diet has been normal but had not eaten prior to arrival in the ED today.   In the ED, VS remained stable. Labs notable for Cr 2.02, K 6.1, eGFR 26. Mild tranaminitis. No imaging obtained. Patient was given IV fluids for her AKI as well as lasix, Ca gluconate and albuterol for her hyperkalemia.   Patient is essentially asymptomatic at discharge