chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Mycoplasma test negative, Respiratory syncytial virus test negative, Respiratory viral panel, SARS-CoV-2 test positive, Viral test negative
Clinical narrative: ED to Hosp-Admission Current  8/26/2021 - present (6 days) Patient presents with ? Shortness of Breath     1. COVID-19 infection.  Patient is severely hypoxic and currently on high flow oxygen at 6 L, 50% FiO2.  Patient is fully vaccinated for COVID-19.  Will obtain ABG on admission due to her mental status changes.  I did discuss about treatment options with the patient as well as her family over the phone.  We will start patient on IV Decadron x10 days, remdesivir and plasma.  We will consult infectious disease due to her rapid progression of respiratory decline.  I have also discussed this patient with the pulmonary team.  Will try proning position.  Consent obtained and given to the bedside RN in the emergency department.  Will obtain D-dimer and trend inflammatory markers.   2. History of COPD with acute exacerbation.  Patient is on steroids.  Scheduled DuoNeb as well as as needed DuoNeb therapy.  Continue home inhalers.   3. History of stroke.  Continue patient on Plavix and atorvastatin.   4. Hypertension.  Continue patient on Coreg.   5. AKI on CKD stage III.  We will hold oral diuretics.  AKI likely prerenal etiology.   6. Hyperlipidemia.  Continue patient on atorvastatin.   7. GERD.  Continue patient on Protonix daily.   Disposition: Pending clinical improvement.  Patient will need OT/PT evaluation for safe hospital discharge.   Total critical care time spent 50 minutes (2:00 pm to 2:50 pm) coordinating patient's care with ED team, ICU team as well as speaking with pulmonary team.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: no adverse effects as of yet, patient received second dose after 15 days instead of 28
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Throat tightness
Clinical narrative: Dose given at 1502. Patient reports "throat tightening/restricting" at 1515. Epi 0.3mg given at 1519. No improvement of symptoms after 5 mins. Pt brought to ER for further evaluation.
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Throat tightness, X-ray normal
Clinical narrative: Dose given at 1502. Patient reports "throat tightening/restricting" at 1515. Epi 0.3mg given at 1519. No improvement of symptoms after 5 mins. Pt brought to ER for further evaluation.
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Throat tightness
Clinical narrative: Three minutes after getting the shit, my throat started closing.
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Throat tightness, X-ray normal
Clinical narrative: Three minutes after getting the shit, my throat started closing.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Presyncope
Clinical narrative: Nausea and Dizziness, post vacc vaso-vagal pre-syncope.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine deemed expired after vaccine was administered.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chills, Headache, Injected limb mobility decreased, Pain
Clinical narrative: fever over 102,  chills, pounding headache,  body aches,  chest tightness, could not move my left arm for two days.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: fever over 102,  chills, pounding headache,  body aches,  chest tightness, could not move my left arm for two days.
Sex: F
Vaccine: COVID19
Symptoms: Presyncope
Clinical narrative: Patient had near syncopal episode post vacc. Treatment with supine positioning, PO fluids, rest. Symp resolved with in 10 minutes.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Urticaria
Clinical narrative: Patient report that she has a high rapid heartbeat, Has hives all over her body that last all day and through the night ...
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Electrocardiogram abnormal, Fatigue, Heart rate decreased
Clinical narrative: Pt. states that after receiving the 1st dose of Moderna 08/25/2021, started experiencing symptoms immediately of heavy chest, shortness of breath, and fatigued. Primary visit 08/27/2021 recommended for follow-up with other Physicians. EKG low heart rate. Still continuing experiencing symptoms.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction
Clinical narrative: Pt. states that after receiving the 1st dose of Moderna 08/25/2021, started experiencing symptoms immediately of heavy chest, shortness of breath, and fatigued. Primary visit 08/27/2021 recommended for follow-up with other Physicians. EKG low heart rate. Still continuing experiencing symptoms.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pain
Clinical narrative: Soreness, and large swollen area in armpit.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis, Blood pressure increased, Blood test normal, Carpal tunnel syndrome, Computerised tomogram normal
Clinical narrative: 15 Feb2021, fiber myalgias, carpel tunnel syndrome, toes purple in ER ray notes diseases, arthritis right up BP 210/114 cat scan, BP 170/180, headaches even at Apr/May 2021. Urgent care 26 Feb for feet and toes. ER 24 Apr for BP and BP 210/114.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Fibromyalgia, Headache, Skin discolouration, Ultrasound scan normal
Clinical narrative: 15 Feb2021, fiber myalgias, carpel tunnel syndrome, toes purple in ER ray notes diseases, arthritis right up BP 210/114 cat scan, BP 170/180, headaches even at Apr/May 2021. Urgent care 26 Feb for feet and toes. ER 24 Apr for BP and BP 210/114.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: 8-27-21 noticed rash around injection site, as of 9-1-21 the rash has expanded to 5" x 5", noticeable swelling, heat and mildly itchy. Treating at home using benadryl and calamine lotion. Ongoing - will continue to monitor
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine deemed expired after vaccine was administered.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Exposure during pregnancy, Haemorrhage
Clinical narrative: Only able to get pregnant through IVF/FET. I received the vaccine at 11 weeks pregnant. And the next day I was bleeding and miscarried.
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Fatigue, Hypoxia, Joint swelling
Clinical narrative: Chief Complaint  92y/o male here for increased SOA, lethargy and fever today.  Dx with pneumonia X2 days ago, placed on ABTs.  Pt hypoxic, mid-80s upon EMS arrival, febrile, with productive cough History of Present Illness  92yo man with h/o parkinsons with dysphagia, HTN, paroxysmal afib, prior CVA and SAH thus not on chronic anticoagulation, presenting from a nursing home with 2-3 days of cough and fatigue.  Reportedly at his baseline, and he denies fevers, chills, nausea, or pain.  Cannot tell me why he is in the ED.  He was vaccinated for COVID earlier this year in the Spring it is believed, and he is today COVID-19 positive.  Does not know his meds, but started on Augmentin 2 days
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lethargy, Pneumonia, Productive cough, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Chief Complaint  92y/o male here for increased SOA, lethargy and fever today.  Dx with pneumonia X2 days ago, placed on ABTs.  Pt hypoxic, mid-80s upon EMS arrival, febrile, with productive cough History of Present Illness  92yo man with h/o parkinsons with dysphagia, HTN, paroxysmal afib, prior CVA and SAH thus not on chronic anticoagulation, presenting from a nursing home with 2-3 days of cough and fatigue.  Reportedly at his baseline, and he denies fevers, chills, nausea, or pain.  Cannot tell me why he is in the ED.  He was vaccinated for COVID earlier this year in the Spring it is believed, and he is today COVID-19 positive.  Does not know his meds, but started on Augmentin 2 days
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Heart rate increased
Clinical narrative: While sleeping my heart rate rose as high as 146 bpm.  My heart beat stayed above 120 bpm for several hours, 24 hours after I received the vaccine.  I was either sleeping, laying down or sitting.  The nurse at my doctor's office advised that I push fluids.  I drank 40 + oz of water and hours later my bpm eventually came down.  By the following morning, resting bpm was back to normal -- 68 average.  Outside of elevated heart rate, I had no symptoms.  No fever.  Only being tired.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Adenovirus test, Benign prostatic hyperplasia, Bordetella test negative, COVID-19, Chest X-ray abnormal
Clinical narrative: ED to Hosp-Admission Discharged  8/27/2021 - 9/1/2021 (5 days) Hospital  Patient presents with ? Shortness of Breath ? Generalized Body Aches     1. COVID-19 viral infection?patient has been having diarrhea, generalized body aches fever and cough.  He is tested positive for COVID-19.  He was actually vaccinated 2 months ago.  Patient's oxygen saturation is fairly normal.  Patient will be admitted and given IV dexamethasone secondary to dyspnea.  He does not need to remdesivir or convalescent plasma at the moment.  His x-ray is somewhat atypical and that he has left basilar infiltrate.  However his procalcitonin level is also quite low.  We will hold off on antibiotics for now. 2. Diabetes mellitus type 2?continue with insulin protocol. 3. BPH?continue with tamsulosin and finasteride. 4. COPD?patient has a significant wheezes.  There is likely been exacerbated by his COVID-19 infection.  He will be on steroids.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Chlamydia test negative, Chronic obstructive pulmonary disease, Condition aggravated, Coronavirus test negative, Cough
Clinical narrative: ED to Hosp-Admission Discharged  8/27/2021 - 9/1/2021 (5 days) Hospital  Patient presents with ? Shortness of Breath ? Generalized Body Aches     1. COVID-19 viral infection?patient has been having diarrhea, generalized body aches fever and cough.  He is tested positive for COVID-19.  He was actually vaccinated 2 months ago.  Patient's oxygen saturation is fairly normal.  Patient will be admitted and given IV dexamethasone secondary to dyspnea.  He does not need to remdesivir or convalescent plasma at the moment.  His x-ray is somewhat atypical and that he has left basilar infiltrate.  However his procalcitonin level is also quite low.  We will hold off on antibiotics for now. 2. Diabetes mellitus type 2?continue with insulin protocol. 3. BPH?continue with tamsulosin and finasteride. 4. COPD?patient has a significant wheezes.  There is likely been exacerbated by his COVID-19 infection.  He will be on steroids.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Dyspnoea, Emphysema, Enterovirus test negative, Human metapneumovirus test
Clinical narrative: ED to Hosp-Admission Discharged  8/27/2021 - 9/1/2021 (5 days) Hospital  Patient presents with ? Shortness of Breath ? Generalized Body Aches     1. COVID-19 viral infection?patient has been having diarrhea, generalized body aches fever and cough.  He is tested positive for COVID-19.  He was actually vaccinated 2 months ago.  Patient's oxygen saturation is fairly normal.  Patient will be admitted and given IV dexamethasone secondary to dyspnea.  He does not need to remdesivir or convalescent plasma at the moment.  His x-ray is somewhat atypical and that he has left basilar infiltrate.  However his procalcitonin level is also quite low.  We will hold off on antibiotics for now. 2. Diabetes mellitus type 2?continue with insulin protocol. 3. BPH?continue with tamsulosin and finasteride. 4. COPD?patient has a significant wheezes.  There is likely been exacerbated by his COVID-19 infection.  He will be on steroids.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Human rhinovirus test, Influenza A virus test negative, Influenza B virus test, Lung infiltration, Mycoplasma test negative
Clinical narrative: ED to Hosp-Admission Discharged  8/27/2021 - 9/1/2021 (5 days) Hospital  Patient presents with ? Shortness of Breath ? Generalized Body Aches     1. COVID-19 viral infection?patient has been having diarrhea, generalized body aches fever and cough.  He is tested positive for COVID-19.  He was actually vaccinated 2 months ago.  Patient's oxygen saturation is fairly normal.  Patient will be admitted and given IV dexamethasone secondary to dyspnea.  He does not need to remdesivir or convalescent plasma at the moment.  His x-ray is somewhat atypical and that he has left basilar infiltrate.  However his procalcitonin level is also quite low.  We will hold off on antibiotics for now. 2. Diabetes mellitus type 2?continue with insulin protocol. 3. BPH?continue with tamsulosin and finasteride. 4. COPD?patient has a significant wheezes.  There is likely been exacerbated by his COVID-19 infection.  He will be on steroids.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Procalcitonin decreased, Pyrexia, Respiratory syncytial virus test negative, Respiratory viral panel
Clinical narrative: ED to Hosp-Admission Discharged  8/27/2021 - 9/1/2021 (5 days) Hospital  Patient presents with ? Shortness of Breath ? Generalized Body Aches     1. COVID-19 viral infection?patient has been having diarrhea, generalized body aches fever and cough.  He is tested positive for COVID-19.  He was actually vaccinated 2 months ago.  Patient's oxygen saturation is fairly normal.  Patient will be admitted and given IV dexamethasone secondary to dyspnea.  He does not need to remdesivir or convalescent plasma at the moment.  His x-ray is somewhat atypical and that he has left basilar infiltrate.  However his procalcitonin level is also quite low.  We will hold off on antibiotics for now. 2. Diabetes mellitus type 2?continue with insulin protocol. 3. BPH?continue with tamsulosin and finasteride. 4. COPD?patient has a significant wheezes.  There is likely been exacerbated by his COVID-19 infection.  He will be on steroids.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Wheezing
Clinical narrative: ED to Hosp-Admission Discharged  8/27/2021 - 9/1/2021 (5 days) Hospital  Patient presents with ? Shortness of Breath ? Generalized Body Aches     1. COVID-19 viral infection?patient has been having diarrhea, generalized body aches fever and cough.  He is tested positive for COVID-19.  He was actually vaccinated 2 months ago.  Patient's oxygen saturation is fairly normal.  Patient will be admitted and given IV dexamethasone secondary to dyspnea.  He does not need to remdesivir or convalescent plasma at the moment.  His x-ray is somewhat atypical and that he has left basilar infiltrate.  However his procalcitonin level is also quite low.  We will hold off on antibiotics for now. 2. Diabetes mellitus type 2?continue with insulin protocol. 3. BPH?continue with tamsulosin and finasteride. 4. COPD?patient has a significant wheezes.  There is likely been exacerbated by his COVID-19 infection.  He will be on steroids.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Blood test, Cardiac monitoring, Cold sweat, Computerised tomogram thorax
Clinical narrative: In July I broke out into a cold sweat and soaking wet while lying down. I was overdoing much more than I ever do on a normal day. I told my grandson to grab me some mints because of the hypoglycemia and I started to feeling better. Then went to get lunch. Around  August 11th I woke up and something just wasn't feeling right, I called the Doctor and couldn't get in so they sent me to the hospital. When I went in they took my BP and it was over 200 and I normally carry a low bp so this was a shocker to me. My heart rate was low below 60. I had gone to an allergist a few days before that and they had asked if I normally have a low heart rate, which was unusual for me.  When I went to the PCP they said the ER was looking for a blood clot. The ER had me stay overnight. ER couldn't get the blood pressure down. I was on observation not a full admission. Doctor said he wished his heart was as strong as mind but they put me on a heart monitor. And BP medicine.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Exercise electrocardiogram, Heart rate decreased, Hypoglycaemia, Scan brain
Clinical narrative: In July I broke out into a cold sweat and soaking wet while lying down. I was overdoing much more than I ever do on a normal day. I told my grandson to grab me some mints because of the hypoglycemia and I started to feeling better. Then went to get lunch. Around  August 11th I woke up and something just wasn't feeling right, I called the Doctor and couldn't get in so they sent me to the hospital. When I went in they took my BP and it was over 200 and I normally carry a low bp so this was a shocker to me. My heart rate was low below 60. I had gone to an allergist a few days before that and they had asked if I normally have a low heart rate, which was unusual for me.  When I went to the PCP they said the ER was looking for a blood clot. The ER had me stay overnight. ER couldn't get the blood pressure down. I was on observation not a full admission. Doctor said he wished his heart was as strong as mind but they put me on a heart monitor. And BP medicine.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound Doppler
Clinical narrative: In July I broke out into a cold sweat and soaking wet while lying down. I was overdoing much more than I ever do on a normal day. I told my grandson to grab me some mints because of the hypoglycemia and I started to feeling better. Then went to get lunch. Around  August 11th I woke up and something just wasn't feeling right, I called the Doctor and couldn't get in so they sent me to the hospital. When I went in they took my BP and it was over 200 and I normally carry a low bp so this was a shocker to me. My heart rate was low below 60. I had gone to an allergist a few days before that and they had asked if I normally have a low heart rate, which was unusual for me.  When I went to the PCP they said the ER was looking for a blood clot. The ER had me stay overnight. ER couldn't get the blood pressure down. I was on observation not a full admission. Doctor said he wished his heart was as strong as mind but they put me on a heart monitor. And BP medicine.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Computerised tomogram thorax normal, Dizziness, Electrocardiogram abnormal, Electrocardiogram ambulatory
Clinical narrative: Numbness, tingling in arms and legs started 3 days after second shot, worsening this will be going on week three with no relief  Tachycardia started during week two, visited my primary and hospital  Lightheaded/Dizziness started three days after the second shot, worsens with activity and sudden standing going on week three with no relief  Had a visit with my primary doctor on 9/1/21 and was told to file a report with VAERS and given a referral to neurology. I will also be taking Claritin and Pepcid to try to curve and give relief to the symptoms I am having, this was recommended by my primary doctor.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count normal, Hypoaesthesia, Metabolic function test, Paraesthesia, Scan with contrast
Clinical narrative: Numbness, tingling in arms and legs started 3 days after second shot, worsening this will be going on week three with no relief  Tachycardia started during week two, visited my primary and hospital  Lightheaded/Dizziness started three days after the second shot, worsens with activity and sudden standing going on week three with no relief  Had a visit with my primary doctor on 9/1/21 and was told to file a report with VAERS and given a referral to neurology. I will also be taking Claritin and Pepcid to try to curve and give relief to the symptoms I am having, this was recommended by my primary doctor.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Troponin normal
Clinical narrative: Numbness, tingling in arms and legs started 3 days after second shot, worsening this will be going on week three with no relief  Tachycardia started during week two, visited my primary and hospital  Lightheaded/Dizziness started three days after the second shot, worsens with activity and sudden standing going on week three with no relief  Had a visit with my primary doctor on 9/1/21 and was told to file a report with VAERS and given a referral to neurology. I will also be taking Claritin and Pepcid to try to curve and give relief to the symptoms I am having, this was recommended by my primary doctor.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Diagnosed with Covid-19 by PCR test on 8/30/21.  Symptoms mild, congestion and cough.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine deemed expired after vaccine was administered.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Pain in extremity
Clinical narrative: Patient was injected with an empty syringe that did not contain vaccine. A second syringe with vaccine was injected, and patient's mother believes he was first injected with a used syringe due to a sore arm that was "hard as a rock"
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Hospitalization due to COVID-19 Reported per Moderna COVID-19 Vaccine EUA
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: pt broke out in hives @ 2 hours after receiving vaccine
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Adenovirus test, Ageusia, Alanine aminotransferase increased, Anxiety
Clinical narrative: Chief Complaint Patient presents with ? Fatigue pt states food just does not taste right, he feels like he has no taste, sx started about 2 - 3 weeks ago, was around positive exposures  ED to Hosp-Admission Current  8/27/2021 - present (5 days) Patient is being admitted to medical surgical unit.   Acute hypoxic respiratory failure. Bilateral pneumonia secondary to coronavirus infection. o Patient's COVID-19 virus testing is positive. o Treatment protocol will be implemented. o Steroids are going to be used orally o Empiric antibiotics are initiated.    Chief Complaint Patient presents with ? Shortness of Breath     Patient is an 83 y.o. male presented to Emergency Care Unit for evaluation of fever, fatigue, decreased taste and cough.  Patient does have a reported exposure to coronavirus about 2 weeks ago.  He had been tested in the past and the test was positive.  He denies having nausea, vomiting or diarrhea.       During the initial stages of evaluation in emergency care unit the following test and imaging were ordered.  I have personally reviewed the results: o Hematology panel is generally unremarkable. o Procalcitonin is mildly elevated 2.41 ng/mL. o Troponin is 0.03 ng/mL. o Comprehensive metabolic panel is revealing depleted sodium to 140 mmol/L. o BUN and creatinine are elevated indicative of the acute renal injury. o Patient does have elevated AST and ALT. o Lactate is within normal range. o Microbiology studies reviewed detected corona virus?COVID-19. o Imaging studies confirm bilateral interstitial changes in both lung bases. o EKG is revealing normal sinus rhythm     Review of Systems  Constitutional: Positive for appetite change, fatigue and fever.  HENT: Positive for congestion and sore throat.   Eyes: Negative.  Negative for discharge.  Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Positive for chest pain and palpitations.  Gastrointestinal: Positive for diarrhea.  Endocrine: Negative.   Genitourinary: Negative.  Negative for difficulty urinating.  Musculoskeletal: Positive for arthralgias and myalgias.  Skin: Negative.  Negative for rash.  Allergic/Immunologic: Negative.   Neurological: Positive for dizziness and weakness.  Hematological: Negative.  Negative for adenopathy.  Psychiatric/Behavioral: The patient is nervous/anxious.   All other systems reviewed and are negative.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Aspartate aminotransferase increased, Asthenia, Blood creatinine increased, Blood lactic acid normal
Clinical narrative: Chief Complaint Patient presents with ? Fatigue pt states food just does not taste right, he feels like he has no taste, sx started about 2 - 3 weeks ago, was around positive exposures  ED to Hosp-Admission Current  8/27/2021 - present (5 days) Patient is being admitted to medical surgical unit.   Acute hypoxic respiratory failure. Bilateral pneumonia secondary to coronavirus infection. o Patient's COVID-19 virus testing is positive. o Treatment protocol will be implemented. o Steroids are going to be used orally o Empiric antibiotics are initiated.    Chief Complaint Patient presents with ? Shortness of Breath     Patient is an 83 y.o. male presented to Emergency Care Unit for evaluation of fever, fatigue, decreased taste and cough.  Patient does have a reported exposure to coronavirus about 2 weeks ago.  He had been tested in the past and the test was positive.  He denies having nausea, vomiting or diarrhea.       During the initial stages of evaluation in emergency care unit the following test and imaging were ordered.  I have personally reviewed the results: o Hematology panel is generally unremarkable. o Procalcitonin is mildly elevated 2.41 ng/mL. o Troponin is 0.03 ng/mL. o Comprehensive metabolic panel is revealing depleted sodium to 140 mmol/L. o BUN and creatinine are elevated indicative of the acute renal injury. o Patient does have elevated AST and ALT. o Lactate is within normal range. o Microbiology studies reviewed detected corona virus?COVID-19. o Imaging studies confirm bilateral interstitial changes in both lung bases. o EKG is revealing normal sinus rhythm     Review of Systems  Constitutional: Positive for appetite change, fatigue and fever.  HENT: Positive for congestion and sore throat.   Eyes: Negative.  Negative for discharge.  Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Positive for chest pain and palpitations.  Gastrointestinal: Positive for diarrhea.  Endocrine: Negative.   Genitourinary: Negative.  Negative for difficulty urinating.  Musculoskeletal: Positive for arthralgias and myalgias.  Skin: Negative.  Negative for rash.  Allergic/Immunologic: Negative.   Neurological: Positive for dizziness and weakness.  Hematological: Negative.  Negative for adenopathy.  Psychiatric/Behavioral: The patient is nervous/anxious.   All other systems reviewed and are negative.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Blood sodium normal, Blood urea increased, Bordetella test negative, COVID-19, COVID-19 pneumonia
Clinical narrative: Chief Complaint Patient presents with ? Fatigue pt states food just does not taste right, he feels like he has no taste, sx started about 2 - 3 weeks ago, was around positive exposures  ED to Hosp-Admission Current  8/27/2021 - present (5 days) Patient is being admitted to medical surgical unit.   Acute hypoxic respiratory failure. Bilateral pneumonia secondary to coronavirus infection. o Patient's COVID-19 virus testing is positive. o Treatment protocol will be implemented. o Steroids are going to be used orally o Empiric antibiotics are initiated.    Chief Complaint Patient presents with ? Shortness of Breath     Patient is an 83 y.o. male presented to Emergency Care Unit for evaluation of fever, fatigue, decreased taste and cough.  Patient does have a reported exposure to coronavirus about 2 weeks ago.  He had been tested in the past and the test was positive.  He denies having nausea, vomiting or diarrhea.       During the initial stages of evaluation in emergency care unit the following test and imaging were ordered.  I have personally reviewed the results: o Hematology panel is generally unremarkable. o Procalcitonin is mildly elevated 2.41 ng/mL. o Troponin is 0.03 ng/mL. o Comprehensive metabolic panel is revealing depleted sodium to 140 mmol/L. o BUN and creatinine are elevated indicative of the acute renal injury. o Patient does have elevated AST and ALT. o Lactate is within normal range. o Microbiology studies reviewed detected corona virus?COVID-19. o Imaging studies confirm bilateral interstitial changes in both lung bases. o EKG is revealing normal sinus rhythm     Review of Systems  Constitutional: Positive for appetite change, fatigue and fever.  HENT: Positive for congestion and sore throat.   Eyes: Negative.  Negative for discharge.  Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Positive for chest pain and palpitations.  Gastrointestinal: Positive for diarrhea.  Endocrine: Negative.   Genitourinary: Negative.  Negative for difficulty urinating.  Musculoskeletal: Positive for arthralgias and myalgias.  Skin: Negative.  Negative for rash.  Allergic/Immunologic: Negative.   Neurological: Positive for dizziness and weakness.  Hematological: Negative.  Negative for adenopathy.  Psychiatric/Behavioral: The patient is nervous/anxious.   All other systems reviewed and are negative.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiomegaly, Chest X-ray abnormal, Chest pain, Chlamydia test negative, Coronavirus test negative
Clinical narrative: Chief Complaint Patient presents with ? Fatigue pt states food just does not taste right, he feels like he has no taste, sx started about 2 - 3 weeks ago, was around positive exposures  ED to Hosp-Admission Current  8/27/2021 - present (5 days) Patient is being admitted to medical surgical unit.   Acute hypoxic respiratory failure. Bilateral pneumonia secondary to coronavirus infection. o Patient's COVID-19 virus testing is positive. o Treatment protocol will be implemented. o Steroids are going to be used orally o Empiric antibiotics are initiated.    Chief Complaint Patient presents with ? Shortness of Breath     Patient is an 83 y.o. male presented to Emergency Care Unit for evaluation of fever, fatigue, decreased taste and cough.  Patient does have a reported exposure to coronavirus about 2 weeks ago.  He had been tested in the past and the test was positive.  He denies having nausea, vomiting or diarrhea.       During the initial stages of evaluation in emergency care unit the following test and imaging were ordered.  I have personally reviewed the results: o Hematology panel is generally unremarkable. o Procalcitonin is mildly elevated 2.41 ng/mL. o Troponin is 0.03 ng/mL. o Comprehensive metabolic panel is revealing depleted sodium to 140 mmol/L. o BUN and creatinine are elevated indicative of the acute renal injury. o Patient does have elevated AST and ALT. o Lactate is within normal range. o Microbiology studies reviewed detected corona virus?COVID-19. o Imaging studies confirm bilateral interstitial changes in both lung bases. o EKG is revealing normal sinus rhythm     Review of Systems  Constitutional: Positive for appetite change, fatigue and fever.  HENT: Positive for congestion and sore throat.   Eyes: Negative.  Negative for discharge.  Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Positive for chest pain and palpitations.  Gastrointestinal: Positive for diarrhea.  Endocrine: Negative.   Genitourinary: Negative.  Negative for difficulty urinating.  Musculoskeletal: Positive for arthralgias and myalgias.  Skin: Negative.  Negative for rash.  Allergic/Immunologic: Negative.   Neurological: Positive for dizziness and weakness.  Hematological: Negative.  Negative for adenopathy.  Psychiatric/Behavioral: The patient is nervous/anxious.   All other systems reviewed and are negative.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Diarrhoea, Dizziness, Dyspnoea, Electrocardiogram normal
Clinical narrative: Chief Complaint Patient presents with ? Fatigue pt states food just does not taste right, he feels like he has no taste, sx started about 2 - 3 weeks ago, was around positive exposures  ED to Hosp-Admission Current  8/27/2021 - present (5 days) Patient is being admitted to medical surgical unit.   Acute hypoxic respiratory failure. Bilateral pneumonia secondary to coronavirus infection. o Patient's COVID-19 virus testing is positive. o Treatment protocol will be implemented. o Steroids are going to be used orally o Empiric antibiotics are initiated.    Chief Complaint Patient presents with ? Shortness of Breath     Patient is an 83 y.o. male presented to Emergency Care Unit for evaluation of fever, fatigue, decreased taste and cough.  Patient does have a reported exposure to coronavirus about 2 weeks ago.  He had been tested in the past and the test was positive.  He denies having nausea, vomiting or diarrhea.       During the initial stages of evaluation in emergency care unit the following test and imaging were ordered.  I have personally reviewed the results: o Hematology panel is generally unremarkable. o Procalcitonin is mildly elevated 2.41 ng/mL. o Troponin is 0.03 ng/mL. o Comprehensive metabolic panel is revealing depleted sodium to 140 mmol/L. o BUN and creatinine are elevated indicative of the acute renal injury. o Patient does have elevated AST and ALT. o Lactate is within normal range. o Microbiology studies reviewed detected corona virus?COVID-19. o Imaging studies confirm bilateral interstitial changes in both lung bases. o EKG is revealing normal sinus rhythm     Review of Systems  Constitutional: Positive for appetite change, fatigue and fever.  HENT: Positive for congestion and sore throat.   Eyes: Negative.  Negative for discharge.  Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Positive for chest pain and palpitations.  Gastrointestinal: Positive for diarrhea.  Endocrine: Negative.   Genitourinary: Negative.  Negative for difficulty urinating.  Musculoskeletal: Positive for arthralgias and myalgias.  Skin: Negative.  Negative for rash.  Allergic/Immunologic: Negative.   Neurological: Positive for dizziness and weakness.  Hematological: Negative.  Negative for adenopathy.  Psychiatric/Behavioral: The patient is nervous/anxious.   All other systems reviewed and are negative.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Enterovirus test negative, Exposure to SARS-CoV-2, Fatigue, Haematology test normal, Human metapneumovirus test
Clinical narrative: Chief Complaint Patient presents with ? Fatigue pt states food just does not taste right, he feels like he has no taste, sx started about 2 - 3 weeks ago, was around positive exposures  ED to Hosp-Admission Current  8/27/2021 - present (5 days) Patient is being admitted to medical surgical unit.   Acute hypoxic respiratory failure. Bilateral pneumonia secondary to coronavirus infection. o Patient's COVID-19 virus testing is positive. o Treatment protocol will be implemented. o Steroids are going to be used orally o Empiric antibiotics are initiated.    Chief Complaint Patient presents with ? Shortness of Breath     Patient is an 83 y.o. male presented to Emergency Care Unit for evaluation of fever, fatigue, decreased taste and cough.  Patient does have a reported exposure to coronavirus about 2 weeks ago.  He had been tested in the past and the test was positive.  He denies having nausea, vomiting or diarrhea.       During the initial stages of evaluation in emergency care unit the following test and imaging were ordered.  I have personally reviewed the results: o Hematology panel is generally unremarkable. o Procalcitonin is mildly elevated 2.41 ng/mL. o Troponin is 0.03 ng/mL. o Comprehensive metabolic panel is revealing depleted sodium to 140 mmol/L. o BUN and creatinine are elevated indicative of the acute renal injury. o Patient does have elevated AST and ALT. o Lactate is within normal range. o Microbiology studies reviewed detected corona virus?COVID-19. o Imaging studies confirm bilateral interstitial changes in both lung bases. o EKG is revealing normal sinus rhythm     Review of Systems  Constitutional: Positive for appetite change, fatigue and fever.  HENT: Positive for congestion and sore throat.   Eyes: Negative.  Negative for discharge.  Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Positive for chest pain and palpitations.  Gastrointestinal: Positive for diarrhea.  Endocrine: Negative.   Genitourinary: Negative.  Negative for difficulty urinating.  Musculoskeletal: Positive for arthralgias and myalgias.  Skin: Negative.  Negative for rash.  Allergic/Immunologic: Negative.   Neurological: Positive for dizziness and weakness.  Hematological: Negative.  Negative for adenopathy.  Psychiatric/Behavioral: The patient is nervous/anxious.   All other systems reviewed and are negative.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Human rhinovirus test, Hypoxia, Influenza A virus test negative, Influenza B virus test, Influenza virus test negative
Clinical narrative: Chief Complaint Patient presents with ? Fatigue pt states food just does not taste right, he feels like he has no taste, sx started about 2 - 3 weeks ago, was around positive exposures  ED to Hosp-Admission Current  8/27/2021 - present (5 days) Patient is being admitted to medical surgical unit.   Acute hypoxic respiratory failure. Bilateral pneumonia secondary to coronavirus infection. o Patient's COVID-19 virus testing is positive. o Treatment protocol will be implemented. o Steroids are going to be used orally o Empiric antibiotics are initiated.    Chief Complaint Patient presents with ? Shortness of Breath     Patient is an 83 y.o. male presented to Emergency Care Unit for evaluation of fever, fatigue, decreased taste and cough.  Patient does have a reported exposure to coronavirus about 2 weeks ago.  He had been tested in the past and the test was positive.  He denies having nausea, vomiting or diarrhea.       During the initial stages of evaluation in emergency care unit the following test and imaging were ordered.  I have personally reviewed the results: o Hematology panel is generally unremarkable. o Procalcitonin is mildly elevated 2.41 ng/mL. o Troponin is 0.03 ng/mL. o Comprehensive metabolic panel is revealing depleted sodium to 140 mmol/L. o BUN and creatinine are elevated indicative of the acute renal injury. o Patient does have elevated AST and ALT. o Lactate is within normal range. o Microbiology studies reviewed detected corona virus?COVID-19. o Imaging studies confirm bilateral interstitial changes in both lung bases. o EKG is revealing normal sinus rhythm     Review of Systems  Constitutional: Positive for appetite change, fatigue and fever.  HENT: Positive for congestion and sore throat.   Eyes: Negative.  Negative for discharge.  Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Positive for chest pain and palpitations.  Gastrointestinal: Positive for diarrhea.  Endocrine: Negative.   Genitourinary: Negative.  Negative for difficulty urinating.  Musculoskeletal: Positive for arthralgias and myalgias.  Skin: Negative.  Negative for rash.  Allergic/Immunologic: Negative.   Neurological: Positive for dizziness and weakness.  Hematological: Negative.  Negative for adenopathy.  Psychiatric/Behavioral: The patient is nervous/anxious.   All other systems reviewed and are negative.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test normal, Lung infiltration, Lung opacity, Metabolic function test, Myalgia
Clinical narrative: Chief Complaint Patient presents with ? Fatigue pt states food just does not taste right, he feels like he has no taste, sx started about 2 - 3 weeks ago, was around positive exposures  ED to Hosp-Admission Current  8/27/2021 - present (5 days) Patient is being admitted to medical surgical unit.   Acute hypoxic respiratory failure. Bilateral pneumonia secondary to coronavirus infection. o Patient's COVID-19 virus testing is positive. o Treatment protocol will be implemented. o Steroids are going to be used orally o Empiric antibiotics are initiated.    Chief Complaint Patient presents with ? Shortness of Breath     Patient is an 83 y.o. male presented to Emergency Care Unit for evaluation of fever, fatigue, decreased taste and cough.  Patient does have a reported exposure to coronavirus about 2 weeks ago.  He had been tested in the past and the test was positive.  He denies having nausea, vomiting or diarrhea.       During the initial stages of evaluation in emergency care unit the following test and imaging were ordered.  I have personally reviewed the results: o Hematology panel is generally unremarkable. o Procalcitonin is mildly elevated 2.41 ng/mL. o Troponin is 0.03 ng/mL. o Comprehensive metabolic panel is revealing depleted sodium to 140 mmol/L. o BUN and creatinine are elevated indicative of the acute renal injury. o Patient does have elevated AST and ALT. o Lactate is within normal range. o Microbiology studies reviewed detected corona virus?COVID-19. o Imaging studies confirm bilateral interstitial changes in both lung bases. o EKG is revealing normal sinus rhythm     Review of Systems  Constitutional: Positive for appetite change, fatigue and fever.  HENT: Positive for congestion and sore throat.   Eyes: Negative.  Negative for discharge.  Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Positive for chest pain and palpitations.  Gastrointestinal: Positive for diarrhea.  Endocrine: Negative.   Genitourinary: Negative.  Negative for difficulty urinating.  Musculoskeletal: Positive for arthralgias and myalgias.  Skin: Negative.  Negative for rash.  Allergic/Immunologic: Negative.   Neurological: Positive for dizziness and weakness.  Hematological: Negative.  Negative for adenopathy.  Psychiatric/Behavioral: The patient is nervous/anxious.   All other systems reviewed and are negative.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Mycoplasma test negative, Nervousness, Oropharyngeal pain, Palpitations, Procalcitonin increased
Clinical narrative: Chief Complaint Patient presents with ? Fatigue pt states food just does not taste right, he feels like he has no taste, sx started about 2 - 3 weeks ago, was around positive exposures  ED to Hosp-Admission Current  8/27/2021 - present (5 days) Patient is being admitted to medical surgical unit.   Acute hypoxic respiratory failure. Bilateral pneumonia secondary to coronavirus infection. o Patient's COVID-19 virus testing is positive. o Treatment protocol will be implemented. o Steroids are going to be used orally o Empiric antibiotics are initiated.    Chief Complaint Patient presents with ? Shortness of Breath     Patient is an 83 y.o. male presented to Emergency Care Unit for evaluation of fever, fatigue, decreased taste and cough.  Patient does have a reported exposure to coronavirus about 2 weeks ago.  He had been tested in the past and the test was positive.  He denies having nausea, vomiting or diarrhea.       During the initial stages of evaluation in emergency care unit the following test and imaging were ordered.  I have personally reviewed the results: o Hematology panel is generally unremarkable. o Procalcitonin is mildly elevated 2.41 ng/mL. o Troponin is 0.03 ng/mL. o Comprehensive metabolic panel is revealing depleted sodium to 140 mmol/L. o BUN and creatinine are elevated indicative of the acute renal injury. o Patient does have elevated AST and ALT. o Lactate is within normal range. o Microbiology studies reviewed detected corona virus?COVID-19. o Imaging studies confirm bilateral interstitial changes in both lung bases. o EKG is revealing normal sinus rhythm     Review of Systems  Constitutional: Positive for appetite change, fatigue and fever.  HENT: Positive for congestion and sore throat.   Eyes: Negative.  Negative for discharge.  Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Positive for chest pain and palpitations.  Gastrointestinal: Positive for diarrhea.  Endocrine: Negative.   Genitourinary: Negative.  Negative for difficulty urinating.  Musculoskeletal: Positive for arthralgias and myalgias.  Skin: Negative.  Negative for rash.  Allergic/Immunologic: Negative.   Neurological: Positive for dizziness and weakness.  Hematological: Negative.  Negative for adenopathy.  Psychiatric/Behavioral: The patient is nervous/anxious.   All other systems reviewed and are negative.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory failure, Respiratory syncytial virus test negative, Respiratory tract congestion, Respiratory viral panel
Clinical narrative: Chief Complaint Patient presents with ? Fatigue pt states food just does not taste right, he feels like he has no taste, sx started about 2 - 3 weeks ago, was around positive exposures  ED to Hosp-Admission Current  8/27/2021 - present (5 days) Patient is being admitted to medical surgical unit.   Acute hypoxic respiratory failure. Bilateral pneumonia secondary to coronavirus infection. o Patient's COVID-19 virus testing is positive. o Treatment protocol will be implemented. o Steroids are going to be used orally o Empiric antibiotics are initiated.    Chief Complaint Patient presents with ? Shortness of Breath     Patient is an 83 y.o. male presented to Emergency Care Unit for evaluation of fever, fatigue, decreased taste and cough.  Patient does have a reported exposure to coronavirus about 2 weeks ago.  He had been tested in the past and the test was positive.  He denies having nausea, vomiting or diarrhea.       During the initial stages of evaluation in emergency care unit the following test and imaging were ordered.  I have personally reviewed the results: o Hematology panel is generally unremarkable. o Procalcitonin is mildly elevated 2.41 ng/mL. o Troponin is 0.03 ng/mL. o Comprehensive metabolic panel is revealing depleted sodium to 140 mmol/L. o BUN and creatinine are elevated indicative of the acute renal injury. o Patient does have elevated AST and ALT. o Lactate is within normal range. o Microbiology studies reviewed detected corona virus?COVID-19. o Imaging studies confirm bilateral interstitial changes in both lung bases. o EKG is revealing normal sinus rhythm     Review of Systems  Constitutional: Positive for appetite change, fatigue and fever.  HENT: Positive for congestion and sore throat.   Eyes: Negative.  Negative for discharge.  Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Positive for chest pain and palpitations.  Gastrointestinal: Positive for diarrhea.  Endocrine: Negative.   Genitourinary: Negative.  Negative for difficulty urinating.  Musculoskeletal: Positive for arthralgias and myalgias.  Skin: Negative.  Negative for rash.  Allergic/Immunologic: Negative.   Neurological: Positive for dizziness and weakness.  Hematological: Negative.  Negative for adenopathy.  Psychiatric/Behavioral: The patient is nervous/anxious.   All other systems reviewed and are negative.