chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 14.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: 14 year old patient rec'd Fluzone High Dose, no treatment necessary, no adverse reaction.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received 2nd dose of Moderna vaccine 14 days after 1st dose
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine was given to patient and was expired by 1 day past the 10 week fridge expiration
Age: 9.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was given an expired PCV23. Patient held in office for approximately 10 minutes. No adverse reaction noted.
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine administered after expiration  date.
Age: 14.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Pfizer Covid 12+ bivalent vaccination was administered to patient instead of second dose of Covid 12+ primary series vaccine as incorrect vial was pulled for MA.
Age: 38.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Autonomic nervous system imbalance, COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: I had my vaccination on 10/26/2021. I started to not feel well on 09/07/2022.  I called my doctor who ordered a PCR test at urgent care. The COVID-19 test was positive on 09/07/2022. I was prescribed Molnupiravir. I was diagnosed dysautonomia since having COVID-19.  I was referred to a COVID clinic and referred to physical therapy to resync my nervous system with my body. I do have a follow up with the COVID-19 clinic 02/2023.
Age: 48.0
Sex: F
Vaccine: FLU4
Symptoms: Hypoaesthesia oral, Paraesthesia oral
Clinical narrative: routine flu shot was administered today, pt was advised to premedicate w/ Benadryl (of which she took 75mg ~1hr prior to flu vaccine administration).  20min after flu shot she began feeling tingling and numbness in soft palate, tongue and lips; when sx progressed I administered patient self supplied epi-pen in left thigh, w/in 2min sx lessened. after about 20min into epi she started feeling paresthesia in mouth again, so I administer solumedrol 125mg IM into right deltoid. sx remained but did not progress, so no further epi was given. vitals remained stable and no further sx developed. pt was observed for 1.5 hours and remained stable, so was released home w/ husband for close monitoring.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine administered after expiration date.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site mass, Injection site rash, Injection site warmth
Clinical narrative: Second time patient came by to report adverse reaction to pharmacy, but nothing was filed during first encounter, so submitting a report now as this is first, I am hearing of it...Patient reported to me on 1/24 that she experienced an adverse reaction to her shingles vaccine she received on 1/4/23. She had a large, red rash around the site of injection that appeared a day or so after administration and persisted for a week or so. She stated the rash was warm to the touch. She still has a lump under her skin around the site of injection that has not gone away yet. She did have her PCP look at it and PCP did not seem too concerned. Advised that this is a common reaction and that it may take some time to fully go away.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cerebral ischaemia, Cerebrovascular accident, Magnetic resonance imaging head abnormal
Clinical narrative: Patient experienced acute ischemic left CVA 3 months after receiving vaccine
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine administered after expiration date.
Age: 59.0
Sex: F
Vaccine: FLUA4
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse event occured. Storage/handling concern resulted in manufacturer and department of health recommending revaccination due to inconsistent temperature monitoring of the refrigerator used to store vaccine.
Age: 82.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine administered after expiration date.
Age: 53.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine administered after expiration date.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Computerised tomogram normal, Dizziness, Dysarthria, Magnetic resonance imaging
Clinical narrative: approximately 2 hours after the patient received the vaccine  she became dizzy, experienced slurred speech....symptoms similar to mini-stroke. She went to the hospital and was given test that ruled out clogged arteries, blockage. The CT scan did not reveal anything abnormal. After about 2 hours at the hospital, she began to feel better. She received MRI today, January 24,2023 and awaiting results.
Age: 45.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine administered after expiration date.
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood pressure increased
Clinical narrative: Blood pressure, which is normally low, rose to the point of needing medication for 4 weeks
Age: 24.0
Sex: M
Vaccine: FLUC4
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse event occured. Storage/handling concern resulted in manufacturer and department of health recommending revaccination due to inconsistent temperature monitoring of the refrigerator used to store vaccine.
Age: 87.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine administered after expiration date.
Age: 64.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine administered after expiration date.
Age: 16.0
Sex: F
Vaccine: FLU4, MNQ
Symptoms: Pharyngeal swelling, Urticaria
Clinical narrative: Mom reported in the afternoon after vaccines patient splotchy hives and minor throat swelling. Mom gave benadryl and improved quickly.
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine administered after expiration date.
Age: 23.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine administered after expiration date.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Periarthritis
Clinical narrative: acute adhesive capsulitis of the R shoulder Narrative: Employee seeing shoulder surgeon, starting physical therapy soon, recs are for at least 1 year.
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Diarrhoea, Fatigue, Influenza A virus test negative
Clinical narrative: Started feeling body aches, loss of appetite, chills no fever.  Chills and body aches lasted 24 hours.  3 negative covid test in 24 hours.  Symptoms subsided began soon after.  4 days after I developed fatigue; diarrhea; loss of appetite and nausea  .
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza virus test negative, Nausea, Pain, SARS-CoV-2 test negative
Clinical narrative: Started feeling body aches, loss of appetite, chills no fever.  Chills and body aches lasted 24 hours.  3 negative covid test in 24 hours.  Symptoms subsided began soon after.  4 days after I developed fatigue; diarrhea; loss of appetite and nausea  .
Age: 54.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Fatigue, SARS-CoV-2 test positive, Upper-airway cough syndrome
Clinical narrative: My COVID-19 infection symptoms started on 12/31/2022 in the evening at 06:00pm. I had a dry cough, post nasal drip and fatigue. I did 2 COVID-19 home  tests on 12/30/2022 and 12/31/2022 which were negative. On 01/01/2023 I took another COVID-19 home test this time I tested positive.  On Wednesday/ Thursday I called my doctor and ask for cough medication. He prescribe me with a cough medication.   I received the  cough medication  after 1 week since because they ran out of it.   When I got the medication I only used it 1 time. I used   over the counter  medication such as  Dextromethorphan and a nasal spray. I still have  cough and the worst nasal dip which I can't get rid off.
Age: 55.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine administered after expiration date.
Age: 17.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: This vaccine (bivalent) was given as the patient's 2nd dose. The patient should have received the 2nd monovalent vaccine today.
Age: 50.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine administered after expiration date.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine administered after expiration date.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Tinnitus
Clinical narrative: Ringing of the ears
Age: 61.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Feeling abnormal, Headache, Paranasal sinus discomfort, Pyrexia
Clinical narrative: I started to feel bad on 12/10/2022. I had a headache, sinus pressure, scratchy throat, and fever of 100. I took an at home test and tested positive for COVID-19. I took some aspirin and on Monday and I sent a message to my doctor. He prescribed me PAXLOVID, MUCINEX, and nasal spray. I felt better within 24 hours. I tested negative for COVID-19 on 12/20/2022. On 12/23/2022 I tested positive for COVID-19 and I had some sinus pain. I was prescribed PAXLOVID again by my doctor.
Age: 61.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: SARS-CoV-2 test positive, Sinus pain, Throat irritation
Clinical narrative: I started to feel bad on 12/10/2022. I had a headache, sinus pressure, scratchy throat, and fever of 100. I took an at home test and tested positive for COVID-19. I took some aspirin and on Monday and I sent a message to my doctor. He prescribed me PAXLOVID, MUCINEX, and nasal spray. I felt better within 24 hours. I tested negative for COVID-19 on 12/20/2022. On 12/23/2022 I tested positive for COVID-19 and I had some sinus pain. I was prescribed PAXLOVID again by my doctor.
Age: 3.0
Sex: F
Vaccine: COVID19-2
Symptoms: Unevaluable event
Clinical narrative: none
Age: 36.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: This vaccine (bivalent) was given as the patient's 2nd dose. The patient should have received the 2nd monovalent vaccine today.
Age: 14.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: This vaccine (bivalent) was given as the patient's 2nd dose. The patient should have received the 2nd monovalent vaccine today.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram, Electroencephalogram, Laboratory test, Scan brain, Vertigo
Clinical narrative: vertigo
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Balance disorder, Blood test, Dizziness, Ear disorder, Electroencephalogram
Clinical narrative: vertigo
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Gait disturbance, Magnetic resonance imaging head, Nausea, Scan brain, Strabismus
Clinical narrative: vertigo
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vertigo, Vestibular neuronitis, Vision blurred, Visual acuity reduced, Visual impairment
Clinical narrative: vertigo
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Discomfort, Dyspnoea
Clinical narrative: On December 20, 2022, I woke up sore like I had been run over. I tested negative for COVID-19 on my home. I had body aches, headache, congested, chills, and sore throat. These symptoms lasted about three days. I consulted with my doctor on the next day, Wednesday. It was confirmed positive for COVID-19, and I was prescribed PAXLOVID. I took it as prescribed. I still have a lingering cough. Last week I do remember noticing I had trouble breathing, even when at rest. It felt like a little pressure, but this did not last long.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Oropharyngeal pain, Pain, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: On December 20, 2022, I woke up sore like I had been run over. I tested negative for COVID-19 on my home. I had body aches, headache, congested, chills, and sore throat. These symptoms lasted about three days. I consulted with my doctor on the next day, Wednesday. It was confirmed positive for COVID-19, and I was prescribed PAXLOVID. I took it as prescribed. I still have a lingering cough. Last week I do remember noticing I had trouble breathing, even when at rest. It felt like a little pressure, but this did not last long.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Client was given a third Primary Dose.
Age: 45.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product contamination
Clinical narrative: Patient vaccinated with Pfizer Bivalent Booster vial that was considered contaminated. Vial was considered contaminated because it was previously punctured with a used needle. Used/contaminated needle was from vaccine given to affected patient's wife.
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Chills, Deep vein thrombosis, Headache, Muscle spasms, Pain
Clinical narrative: 4 hours after injection felt very sleepy, following day had chills, fever, and headache. 18th had severe charley horses in leg. 21st went to urgent care, md thought gout and was given steroid injection. 24th still in severe pain, went to hospital and diagnosed with dvt.
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pyrexia, Somnolence
Clinical narrative: 4 hours after injection felt very sleepy, following day had chills, fever, and headache. 18th had severe charley horses in leg. 21st went to urgent care, md thought gout and was given steroid injection. 24th still in severe pain, went to hospital and diagnosed with dvt.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Injection site rash, Injection site reaction, Nasopharyngitis
Clinical narrative: Pt reported having a painful and itchy rash formed in a circle around the injection site with a nickel sized diameter 2 weeks after the shot.  She reported also having a fatigue, headache and some cold-like symptoms for 2 days after the shots.  Per pt, her medical adviser thought that the rash was associated with shingle.  However, it has not yet been confirmed by a MD.  Pt is not being treated for the rash but has been monitored by her health care provider.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Rash pruritic
Clinical narrative: Pt reported having a painful and itchy rash formed in a circle around the injection site with a nickel sized diameter 2 weeks after the shot.  She reported also having a fatigue, headache and some cold-like symptoms for 2 days after the shots.  Per pt, her medical adviser thought that the rash was associated with shingle.  However, it has not yet been confirmed by a MD.  Pt is not being treated for the rash but has been monitored by her health care provider.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Endotracheal intubation, Leukocytosis, Pneumomediastinum, Pyrexia
Clinical narrative: ADMITTED TO HOSPITAL ON 9/3/2021 FOR HYPOXEMIC RESPIRATORY FAILURE WITH PROGRESSIVELY INCREASING OXYGEN REQUIREMENTS. INTUBATED ON 9/12/2021 AND DEVELOPED PNEUMOADIASTINUM. FEVER AND LEUKOCYTOSIS ON 9/18/2021.  AFTER 11 DAYS, FAMILY DISCUSSED COMFORT MEASURES DUE TO FAILURE TO IMPROVE.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: ADMITTED TO HOSPITAL ON 9/3/2021 FOR HYPOXEMIC RESPIRATORY FAILURE WITH PROGRESSIVELY INCREASING OXYGEN REQUIREMENTS. INTUBATED ON 9/12/2021 AND DEVELOPED PNEUMOADIASTINUM. FEVER AND LEUKOCYTOSIS ON 9/18/2021.  AFTER 11 DAYS, FAMILY DISCUSSED COMFORT MEASURES DUE TO FAILURE TO IMPROVE.
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: PERSON HAD BEEN AT LTCF PRIOR AND AT TIME OF DEATH; LIMITED NOTES AVAILABLE.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Large red swollen upper arm
Age: 85.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain in extremity
Clinical narrative: pt claimed her arm is still hurting from the vaccine
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, Atrial fibrillation, COVID-19, Dyspnoea, Pneumonia
Clinical narrative: PERSON WAS ADMITTED TO HOSPITAL ON 12/5/2021 WITH COMPLAINT OF SHORTNESS OF BREATH. DURING HOSPITALIZATION, PERSON HAD ACUTE HYPOXEMIC RESPIRATORY FAILURE WITH PNEUMONIA AS WELL AS NEW ATRIAL FIBRILLATION WITH RVR, SEPTIC SHOCK.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Septic shock
Clinical narrative: PERSON WAS ADMITTED TO HOSPITAL ON 12/5/2021 WITH COMPLAINT OF SHORTNESS OF BREATH. DURING HOSPITALIZATION, PERSON HAD ACUTE HYPOXEMIC RESPIRATORY FAILURE WITH PNEUMONIA AS WELL AS NEW ATRIAL FIBRILLATION WITH RVR, SEPTIC SHOCK.
Age: 51.0
Sex: F
Vaccine: COVID19-2
Symptoms: Aneurysm, Cerebrovascular accident
Clinical narrative: Stroke, aneurysm, currently hospitalized  PS your form will not accept accurate information. I put in vaccination date in 2023 but for some reason the form kicks it back and says that vaccine was "not available in Aug. of 2022" but I did not put Aug. 22 in for date!
Age: 74.0
Sex: M
Vaccine: COVID19-2
Symptoms: Asthenia, Back pain, Chest discomfort, Cough, Dyspnoea
Clinical narrative: For about a month my lungs felt a bit "heavy", as if I was bogged down by some asthma (I rode my bicycle on 10/5 for about 16 miles. Normal mileage. Lungs "felt heavy" all week.  Rode again (16 miles) on 10/13).  On 10/14 I was hurting. Starting coughing.  During this time I felt I had bronchitis. Late in this cycle breathing became more difficult. I had a "vertical" back pain (parallel to my spine) on the right side that hurt when I breathed.  Thought it was due to too much coughing; a muscle spasm.  When I finally checked myself into ER, I could only inhale about 1/3 of normal before the pain stopped the inhalation.  Couldn't draw a full breath, was exhausted and very weak.
Age: 74.0
Sex: M
Vaccine: COVID19-2
Symptoms: Fatigue, Muscle spasms, Pain, Pulmonary embolism, SARS-CoV-2 test negative
Clinical narrative: For about a month my lungs felt a bit "heavy", as if I was bogged down by some asthma (I rode my bicycle on 10/5 for about 16 miles. Normal mileage. Lungs "felt heavy" all week.  Rode again (16 miles) on 10/13).  On 10/14 I was hurting. Starting coughing.  During this time I felt I had bronchitis. Late in this cycle breathing became more difficult. I had a "vertical" back pain (parallel to my spine) on the right side that hurt when I breathed.  Thought it was due to too much coughing; a muscle spasm.  When I finally checked myself into ER, I could only inhale about 1/3 of normal before the pain stopped the inhalation.  Couldn't draw a full breath, was exhausted and very weak.
Age: 74.0
Sex: M
Vaccine: COVID19-2
Symptoms: Viral test negative
Clinical narrative: For about a month my lungs felt a bit "heavy", as if I was bogged down by some asthma (I rode my bicycle on 10/5 for about 16 miles. Normal mileage. Lungs "felt heavy" all week.  Rode again (16 miles) on 10/13).  On 10/14 I was hurting. Starting coughing.  During this time I felt I had bronchitis. Late in this cycle breathing became more difficult. I had a "vertical" back pain (parallel to my spine) on the right side that hurt when I breathed.  Thought it was due to too much coughing; a muscle spasm.  When I finally checked myself into ER, I could only inhale about 1/3 of normal before the pain stopped the inhalation.  Couldn't draw a full breath, was exhausted and very weak.
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Extra dose administered
Clinical narrative: ADMINISTERED 2ND PFIZER BIVALENT BOOSTER. PATIENT ALREADY RECEIVED THE BIVALENT BOOSTER ON 09/20/2022.  PATIENT STATED HER PROVIDER RECOMMENDED ANOTHER BIVALENT BOOSTER BEFORE GOING ON HER TRIP.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardiac dysfunction, Cardiac failure congestive, Cardioversion, Condition aggravated
Clinical narrative: Atrial fibrillation (first time in three years) 48 hrs. post vaccine. Required cardioversion and increased medication dosages. Onset of pulmonary edema/congestive heart failure 10 days later. Responded within 36 hrs. to high dose corticosteroids (prednisone; 60mg. - 50 - 40 - 30 -20 - 10mg. taper). Improving heart function/exercise tolerance over next month. Fully recovered at this time.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Exercise tolerance decreased, Pulmonary oedema
Clinical narrative: Atrial fibrillation (first time in three years) 48 hrs. post vaccine. Required cardioversion and increased medication dosages. Onset of pulmonary edema/congestive heart failure 10 days later. Responded within 36 hrs. to high dose corticosteroids (prednisone; 60mg. - 50 - 40 - 30 -20 - 10mg. taper). Improving heart function/exercise tolerance over next month. Fully recovered at this time.
Age: 83.0
Sex: F
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: soreness in left arm at the start and now 1-24-23 having trouble lifting the arm
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Atrial flutter, Cardiac ablation, Cardiac failure, Cardioversion
Clinical narrative: On or about February 28, 2022 I went in to see my family Doctor for a bad headache. Turned out I was in heart failure with A-flutter, high blood pressure and heart rate of over 150 bpm and numerous PVC?s and very shortness of breath, can?t do stairs, no strength to bend or lift.  I then was admitted for 8 days in ICU to get my BP and rate under control.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Catheterisation cardiac, Dyspnoea, Echocardiogram, Gait disturbance, Headache
Clinical narrative: On or about February 28, 2022 I went in to see my family Doctor for a bad headache. Turned out I was in heart failure with A-flutter, high blood pressure and heart rate of over 150 bpm and numerous PVC?s and very shortness of breath, can?t do stairs, no strength to bend or lift.  I then was admitted for 8 days in ICU to get my BP and rate under control.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertension, Intensive care, Magnetic resonance imaging heart, Scan myocardial perfusion, Scan with contrast
Clinical narrative: On or about February 28, 2022 I went in to see my family Doctor for a bad headache. Turned out I was in heart failure with A-flutter, high blood pressure and heart rate of over 150 bpm and numerous PVC?s and very shortness of breath, can?t do stairs, no strength to bend or lift.  I then was admitted for 8 days in ICU to get my BP and rate under control.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Ventricular extrasystoles
Clinical narrative: On or about February 28, 2022 I went in to see my family Doctor for a bad headache. Turned out I was in heart failure with A-flutter, high blood pressure and heart rate of over 150 bpm and numerous PVC?s and very shortness of breath, can?t do stairs, no strength to bend or lift.  I then was admitted for 8 days in ICU to get my BP and rate under control.
Age: 57.0
Sex: M
Vaccine: COVID19-2
Symptoms: Rash, Skin discolouration
Clinical narrative: Rash like discoloration entire body.  Not itching, but some places looks like bruising.
Age: 61.0
Sex: F
Vaccine: UNK
Symptoms: Blood glucose increased, Chills, Erythema, Fatigue, Headache
Clinical narrative: Swollen all around  upper arm,[{Itching,reddish  and painful. Headache Chiil  and tired ,Unable to sleep for more tha three days in a row, My blood sugar was elevated.i ended up to ER Clinic .
Age: 61.0
Sex: F
Vaccine: UNK
Symptoms: Insomnia, Pain, Peripheral swelling, Pruritus
Clinical narrative: Swollen all around  upper arm,[{Itching,reddish  and painful. Headache Chiil  and tired ,Unable to sleep for more tha three days in a row, My blood sugar was elevated.i ended up to ER Clinic .
Age: 29.0
Sex: F
Vaccine: COVID19-2
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Swelling, Redness, Soreness
Age: 1.25
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Per mother states it's a size of a quarter as well as redness and warmth on the R thigh where the Prevnar 13 was given mother stated now the bump has improved and it's no longer there.
Age: 57.0
Sex: M
Vaccine: COVID19-2
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Alanine aminotransferase normal, Anion gap, Anticoagulant therapy, Aspartate aminotransferase normal
Clinical narrative: Narrative: 1/12/23 - Pt presented to ED with c/o feeling rough. Pt has cough, chest pain (pt BIBA for chest pain rated 5/10), and SOB. Pt also reported 5 episodes of diarrhea within 3 days, weakness, n/v, poor appetite, and intermittent numbness in chest. Pt reported low grade temp last night. Pt diagnosed with COVID x 1 week. Cardiac stents placed 4 months ago. Pt given 324mg ASA in ambulance with some relief of chest pain = 3/10. EMS placed on 2L oxygen via nasal cannula for comfort. Pt was diagnosed with COVID while at facility 5 days ago. Pt admitted to hospital on 1/12/23 with Primary Diagnosis: Covid 19 Dehydration Acute kidney injury chest pain HOSPITAL COURSE: Patient presented with nausea, vomiting and dehydration. He was found to have AKI which resolved with IV Fluid hydration. He was COVID (+) and because of multiple co-morbidities, he received 3 days of Remdesivir treatment. He was severe weak. He underwent Physical Therapy and it was recommended for STR vs LTC. It is most likely his high dose of Metformin 2gm bid also contributed to his weakness. He was d/c'ed off of Metformin and started on Lantus 20 units qhs. His electrolytes were replaced (Low K and Low Mg). He is stable and will be transported to skilled nursing facility today. Weakness/Decondition: - Continue PT/OT evaluation. -PT RECOMMENDATIONS: STR- to LTC at this time. - Skilled nursing facility today Covid 19 infection - on room air with oxygen saturations 96-100% - continue supportive care - Remdesivir day #3 (Completed) AKI (baseline creat ~ 1.2): Resolved - monitor renal function Hyperkalemia: Resolved - Patiromer x 1 - K 4.8 -> 4.4 -> 4.1 -> 4.4(today) Hypomagnesemia: - Mg 1.3 -> 1.6 -> 1.5 - Supplement w/Mg 1 gm IV today. Chronic Medical Problems: Seizure Disorder - continue with home Keppra (dose adjusted for renal function) T2DM/w/Hyperglycemia: - D/C'ed home metformin - Started Lantus 20 units qhs - carb controlled diet COPD - not in exacerbation HTN - continue with carvedilol, amlodipine HLP - holding home atorvastatin due to weakness - resume if weakness improves CAD - continue with aspirin, plavix, carvedilol, imdur - continue home ralonazine RA - home hydroxychloroquine - continue with home prednisone Dementia POA pressure injury Stage 2 left ischium with friction component too POA right lateral ankle Stage 3 Hypomagnesemia: Resolved DVT prophylaxis - sq heparin
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Basophil count decreased, Basophil percentage, Bilirubin conjugated, Blood albumin decreased
Clinical narrative: Narrative: 1/12/23 - Pt presented to ED with c/o feeling rough. Pt has cough, chest pain (pt BIBA for chest pain rated 5/10), and SOB. Pt also reported 5 episodes of diarrhea within 3 days, weakness, n/v, poor appetite, and intermittent numbness in chest. Pt reported low grade temp last night. Pt diagnosed with COVID x 1 week. Cardiac stents placed 4 months ago. Pt given 324mg ASA in ambulance with some relief of chest pain = 3/10. EMS placed on 2L oxygen via nasal cannula for comfort. Pt was diagnosed with COVID while at facility 5 days ago. Pt admitted to hospital on 1/12/23 with Primary Diagnosis: Covid 19 Dehydration Acute kidney injury chest pain HOSPITAL COURSE: Patient presented with nausea, vomiting and dehydration. He was found to have AKI which resolved with IV Fluid hydration. He was COVID (+) and because of multiple co-morbidities, he received 3 days of Remdesivir treatment. He was severe weak. He underwent Physical Therapy and it was recommended for STR vs LTC. It is most likely his high dose of Metformin 2gm bid also contributed to his weakness. He was d/c'ed off of Metformin and started on Lantus 20 units qhs. His electrolytes were replaced (Low K and Low Mg). He is stable and will be transported to skilled nursing facility today. Weakness/Decondition: - Continue PT/OT evaluation. -PT RECOMMENDATIONS: STR- to LTC at this time. - Skilled nursing facility today Covid 19 infection - on room air with oxygen saturations 96-100% - continue supportive care - Remdesivir day #3 (Completed) AKI (baseline creat ~ 1.2): Resolved - monitor renal function Hyperkalemia: Resolved - Patiromer x 1 - K 4.8 -> 4.4 -> 4.1 -> 4.4(today) Hypomagnesemia: - Mg 1.3 -> 1.6 -> 1.5 - Supplement w/Mg 1 gm IV today. Chronic Medical Problems: Seizure Disorder - continue with home Keppra (dose adjusted for renal function) T2DM/w/Hyperglycemia: - D/C'ed home metformin - Started Lantus 20 units qhs - carb controlled diet COPD - not in exacerbation HTN - continue with carvedilol, amlodipine HLP - holding home atorvastatin due to weakness - resume if weakness improves CAD - continue with aspirin, plavix, carvedilol, imdur - continue home ralonazine RA - home hydroxychloroquine - continue with home prednisone Dementia POA pressure injury Stage 2 left ischium with friction component too POA right lateral ankle Stage 3 Hypomagnesemia: Resolved DVT prophylaxis - sq heparin
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium normal, Blood chloride increased, Blood creatinine increased
Clinical narrative: Narrative: 1/12/23 - Pt presented to ED with c/o feeling rough. Pt has cough, chest pain (pt BIBA for chest pain rated 5/10), and SOB. Pt also reported 5 episodes of diarrhea within 3 days, weakness, n/v, poor appetite, and intermittent numbness in chest. Pt reported low grade temp last night. Pt diagnosed with COVID x 1 week. Cardiac stents placed 4 months ago. Pt given 324mg ASA in ambulance with some relief of chest pain = 3/10. EMS placed on 2L oxygen via nasal cannula for comfort. Pt was diagnosed with COVID while at facility 5 days ago. Pt admitted to hospital on 1/12/23 with Primary Diagnosis: Covid 19 Dehydration Acute kidney injury chest pain HOSPITAL COURSE: Patient presented with nausea, vomiting and dehydration. He was found to have AKI which resolved with IV Fluid hydration. He was COVID (+) and because of multiple co-morbidities, he received 3 days of Remdesivir treatment. He was severe weak. He underwent Physical Therapy and it was recommended for STR vs LTC. It is most likely his high dose of Metformin 2gm bid also contributed to his weakness. He was d/c'ed off of Metformin and started on Lantus 20 units qhs. His electrolytes were replaced (Low K and Low Mg). He is stable and will be transported to skilled nursing facility today. Weakness/Decondition: - Continue PT/OT evaluation. -PT RECOMMENDATIONS: STR- to LTC at this time. - Skilled nursing facility today Covid 19 infection - on room air with oxygen saturations 96-100% - continue supportive care - Remdesivir day #3 (Completed) AKI (baseline creat ~ 1.2): Resolved - monitor renal function Hyperkalemia: Resolved - Patiromer x 1 - K 4.8 -> 4.4 -> 4.1 -> 4.4(today) Hypomagnesemia: - Mg 1.3 -> 1.6 -> 1.5 - Supplement w/Mg 1 gm IV today. Chronic Medical Problems: Seizure Disorder - continue with home Keppra (dose adjusted for renal function) T2DM/w/Hyperglycemia: - D/C'ed home metformin - Started Lantus 20 units qhs - carb controlled diet COPD - not in exacerbation HTN - continue with carvedilol, amlodipine HLP - holding home atorvastatin due to weakness - resume if weakness improves CAD - continue with aspirin, plavix, carvedilol, imdur - continue home ralonazine RA - home hydroxychloroquine - continue with home prednisone Dementia POA pressure injury Stage 2 left ischium with friction component too POA right lateral ankle Stage 3 Hypomagnesemia: Resolved DVT prophylaxis - sq heparin
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Blood magnesium normal, Blood potassium decreased, Blood potassium increased, Blood sodium normal
Clinical narrative: Narrative: 1/12/23 - Pt presented to ED with c/o feeling rough. Pt has cough, chest pain (pt BIBA for chest pain rated 5/10), and SOB. Pt also reported 5 episodes of diarrhea within 3 days, weakness, n/v, poor appetite, and intermittent numbness in chest. Pt reported low grade temp last night. Pt diagnosed with COVID x 1 week. Cardiac stents placed 4 months ago. Pt given 324mg ASA in ambulance with some relief of chest pain = 3/10. EMS placed on 2L oxygen via nasal cannula for comfort. Pt was diagnosed with COVID while at facility 5 days ago. Pt admitted to hospital on 1/12/23 with Primary Diagnosis: Covid 19 Dehydration Acute kidney injury chest pain HOSPITAL COURSE: Patient presented with nausea, vomiting and dehydration. He was found to have AKI which resolved with IV Fluid hydration. He was COVID (+) and because of multiple co-morbidities, he received 3 days of Remdesivir treatment. He was severe weak. He underwent Physical Therapy and it was recommended for STR vs LTC. It is most likely his high dose of Metformin 2gm bid also contributed to his weakness. He was d/c'ed off of Metformin and started on Lantus 20 units qhs. His electrolytes were replaced (Low K and Low Mg). He is stable and will be transported to skilled nursing facility today. Weakness/Decondition: - Continue PT/OT evaluation. -PT RECOMMENDATIONS: STR- to LTC at this time. - Skilled nursing facility today Covid 19 infection - on room air with oxygen saturations 96-100% - continue supportive care - Remdesivir day #3 (Completed) AKI (baseline creat ~ 1.2): Resolved - monitor renal function Hyperkalemia: Resolved - Patiromer x 1 - K 4.8 -> 4.4 -> 4.1 -> 4.4(today) Hypomagnesemia: - Mg 1.3 -> 1.6 -> 1.5 - Supplement w/Mg 1 gm IV today. Chronic Medical Problems: Seizure Disorder - continue with home Keppra (dose adjusted for renal function) T2DM/w/Hyperglycemia: - D/C'ed home metformin - Started Lantus 20 units qhs - carb controlled diet COPD - not in exacerbation HTN - continue with carvedilol, amlodipine HLP - holding home atorvastatin due to weakness - resume if weakness improves CAD - continue with aspirin, plavix, carvedilol, imdur - continue home ralonazine RA - home hydroxychloroquine - continue with home prednisone Dementia POA pressure injury Stage 2 left ischium with friction component too POA right lateral ankle Stage 3 Hypomagnesemia: Resolved DVT prophylaxis - sq heparin
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urea increased, Body temperature increased, Brain natriuretic peptide normal, COVID-19, Carbon dioxide decreased
Clinical narrative: Narrative: 1/12/23 - Pt presented to ED with c/o feeling rough. Pt has cough, chest pain (pt BIBA for chest pain rated 5/10), and SOB. Pt also reported 5 episodes of diarrhea within 3 days, weakness, n/v, poor appetite, and intermittent numbness in chest. Pt reported low grade temp last night. Pt diagnosed with COVID x 1 week. Cardiac stents placed 4 months ago. Pt given 324mg ASA in ambulance with some relief of chest pain = 3/10. EMS placed on 2L oxygen via nasal cannula for comfort. Pt was diagnosed with COVID while at facility 5 days ago. Pt admitted to hospital on 1/12/23 with Primary Diagnosis: Covid 19 Dehydration Acute kidney injury chest pain HOSPITAL COURSE: Patient presented with nausea, vomiting and dehydration. He was found to have AKI which resolved with IV Fluid hydration. He was COVID (+) and because of multiple co-morbidities, he received 3 days of Remdesivir treatment. He was severe weak. He underwent Physical Therapy and it was recommended for STR vs LTC. It is most likely his high dose of Metformin 2gm bid also contributed to his weakness. He was d/c'ed off of Metformin and started on Lantus 20 units qhs. His electrolytes were replaced (Low K and Low Mg). He is stable and will be transported to skilled nursing facility today. Weakness/Decondition: - Continue PT/OT evaluation. -PT RECOMMENDATIONS: STR- to LTC at this time. - Skilled nursing facility today Covid 19 infection - on room air with oxygen saturations 96-100% - continue supportive care - Remdesivir day #3 (Completed) AKI (baseline creat ~ 1.2): Resolved - monitor renal function Hyperkalemia: Resolved - Patiromer x 1 - K 4.8 -> 4.4 -> 4.1 -> 4.4(today) Hypomagnesemia: - Mg 1.3 -> 1.6 -> 1.5 - Supplement w/Mg 1 gm IV today. Chronic Medical Problems: Seizure Disorder - continue with home Keppra (dose adjusted for renal function) T2DM/w/Hyperglycemia: - D/C'ed home metformin - Started Lantus 20 units qhs - carb controlled diet COPD - not in exacerbation HTN - continue with carvedilol, amlodipine HLP - holding home atorvastatin due to weakness - resume if weakness improves CAD - continue with aspirin, plavix, carvedilol, imdur - continue home ralonazine RA - home hydroxychloroquine - continue with home prednisone Dementia POA pressure injury Stage 2 left ischium with friction component too POA right lateral ankle Stage 3 Hypomagnesemia: Resolved DVT prophylaxis - sq heparin
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray normal, Chest pain, Coronary arterial stent insertion, Cough, Decreased appetite
Clinical narrative: Narrative: 1/12/23 - Pt presented to ED with c/o feeling rough. Pt has cough, chest pain (pt BIBA for chest pain rated 5/10), and SOB. Pt also reported 5 episodes of diarrhea within 3 days, weakness, n/v, poor appetite, and intermittent numbness in chest. Pt reported low grade temp last night. Pt diagnosed with COVID x 1 week. Cardiac stents placed 4 months ago. Pt given 324mg ASA in ambulance with some relief of chest pain = 3/10. EMS placed on 2L oxygen via nasal cannula for comfort. Pt was diagnosed with COVID while at facility 5 days ago. Pt admitted to hospital on 1/12/23 with Primary Diagnosis: Covid 19 Dehydration Acute kidney injury chest pain HOSPITAL COURSE: Patient presented with nausea, vomiting and dehydration. He was found to have AKI which resolved with IV Fluid hydration. He was COVID (+) and because of multiple co-morbidities, he received 3 days of Remdesivir treatment. He was severe weak. He underwent Physical Therapy and it was recommended for STR vs LTC. It is most likely his high dose of Metformin 2gm bid also contributed to his weakness. He was d/c'ed off of Metformin and started on Lantus 20 units qhs. His electrolytes were replaced (Low K and Low Mg). He is stable and will be transported to skilled nursing facility today. Weakness/Decondition: - Continue PT/OT evaluation. -PT RECOMMENDATIONS: STR- to LTC at this time. - Skilled nursing facility today Covid 19 infection - on room air with oxygen saturations 96-100% - continue supportive care - Remdesivir day #3 (Completed) AKI (baseline creat ~ 1.2): Resolved - monitor renal function Hyperkalemia: Resolved - Patiromer x 1 - K 4.8 -> 4.4 -> 4.1 -> 4.4(today) Hypomagnesemia: - Mg 1.3 -> 1.6 -> 1.5 - Supplement w/Mg 1 gm IV today. Chronic Medical Problems: Seizure Disorder - continue with home Keppra (dose adjusted for renal function) T2DM/w/Hyperglycemia: - D/C'ed home metformin - Started Lantus 20 units qhs - carb controlled diet COPD - not in exacerbation HTN - continue with carvedilol, amlodipine HLP - holding home atorvastatin due to weakness - resume if weakness improves CAD - continue with aspirin, plavix, carvedilol, imdur - continue home ralonazine RA - home hydroxychloroquine - continue with home prednisone Dementia POA pressure injury Stage 2 left ischium with friction component too POA right lateral ankle Stage 3 Hypomagnesemia: Resolved DVT prophylaxis - sq heparin
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Decubitus ulcer, Dehydration, Diarrhoea, Dyspnoea, Electrocardiogram
Clinical narrative: Narrative: 1/12/23 - Pt presented to ED with c/o feeling rough. Pt has cough, chest pain (pt BIBA for chest pain rated 5/10), and SOB. Pt also reported 5 episodes of diarrhea within 3 days, weakness, n/v, poor appetite, and intermittent numbness in chest. Pt reported low grade temp last night. Pt diagnosed with COVID x 1 week. Cardiac stents placed 4 months ago. Pt given 324mg ASA in ambulance with some relief of chest pain = 3/10. EMS placed on 2L oxygen via nasal cannula for comfort. Pt was diagnosed with COVID while at facility 5 days ago. Pt admitted to hospital on 1/12/23 with Primary Diagnosis: Covid 19 Dehydration Acute kidney injury chest pain HOSPITAL COURSE: Patient presented with nausea, vomiting and dehydration. He was found to have AKI which resolved with IV Fluid hydration. He was COVID (+) and because of multiple co-morbidities, he received 3 days of Remdesivir treatment. He was severe weak. He underwent Physical Therapy and it was recommended for STR vs LTC. It is most likely his high dose of Metformin 2gm bid also contributed to his weakness. He was d/c'ed off of Metformin and started on Lantus 20 units qhs. His electrolytes were replaced (Low K and Low Mg). He is stable and will be transported to skilled nursing facility today. Weakness/Decondition: - Continue PT/OT evaluation. -PT RECOMMENDATIONS: STR- to LTC at this time. - Skilled nursing facility today Covid 19 infection - on room air with oxygen saturations 96-100% - continue supportive care - Remdesivir day #3 (Completed) AKI (baseline creat ~ 1.2): Resolved - monitor renal function Hyperkalemia: Resolved - Patiromer x 1 - K 4.8 -> 4.4 -> 4.1 -> 4.4(today) Hypomagnesemia: - Mg 1.3 -> 1.6 -> 1.5 - Supplement w/Mg 1 gm IV today. Chronic Medical Problems: Seizure Disorder - continue with home Keppra (dose adjusted for renal function) T2DM/w/Hyperglycemia: - D/C'ed home metformin - Started Lantus 20 units qhs - carb controlled diet COPD - not in exacerbation HTN - continue with carvedilol, amlodipine HLP - holding home atorvastatin due to weakness - resume if weakness improves CAD - continue with aspirin, plavix, carvedilol, imdur - continue home ralonazine RA - home hydroxychloroquine - continue with home prednisone Dementia POA pressure injury Stage 2 left ischium with friction component too POA right lateral ankle Stage 3 Hypomagnesemia: Resolved DVT prophylaxis - sq heparin
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Electrolyte substitution therapy, Eosinophil count decreased, Eosinophil percentage decreased, Feeling abnormal, General symptom
Clinical narrative: Narrative: 1/12/23 - Pt presented to ED with c/o feeling rough. Pt has cough, chest pain (pt BIBA for chest pain rated 5/10), and SOB. Pt also reported 5 episodes of diarrhea within 3 days, weakness, n/v, poor appetite, and intermittent numbness in chest. Pt reported low grade temp last night. Pt diagnosed with COVID x 1 week. Cardiac stents placed 4 months ago. Pt given 324mg ASA in ambulance with some relief of chest pain = 3/10. EMS placed on 2L oxygen via nasal cannula for comfort. Pt was diagnosed with COVID while at facility 5 days ago. Pt admitted to hospital on 1/12/23 with Primary Diagnosis: Covid 19 Dehydration Acute kidney injury chest pain HOSPITAL COURSE: Patient presented with nausea, vomiting and dehydration. He was found to have AKI which resolved with IV Fluid hydration. He was COVID (+) and because of multiple co-morbidities, he received 3 days of Remdesivir treatment. He was severe weak. He underwent Physical Therapy and it was recommended for STR vs LTC. It is most likely his high dose of Metformin 2gm bid also contributed to his weakness. He was d/c'ed off of Metformin and started on Lantus 20 units qhs. His electrolytes were replaced (Low K and Low Mg). He is stable and will be transported to skilled nursing facility today. Weakness/Decondition: - Continue PT/OT evaluation. -PT RECOMMENDATIONS: STR- to LTC at this time. - Skilled nursing facility today Covid 19 infection - on room air with oxygen saturations 96-100% - continue supportive care - Remdesivir day #3 (Completed) AKI (baseline creat ~ 1.2): Resolved - monitor renal function Hyperkalemia: Resolved - Patiromer x 1 - K 4.8 -> 4.4 -> 4.1 -> 4.4(today) Hypomagnesemia: - Mg 1.3 -> 1.6 -> 1.5 - Supplement w/Mg 1 gm IV today. Chronic Medical Problems: Seizure Disorder - continue with home Keppra (dose adjusted for renal function) T2DM/w/Hyperglycemia: - D/C'ed home metformin - Started Lantus 20 units qhs - carb controlled diet COPD - not in exacerbation HTN - continue with carvedilol, amlodipine HLP - holding home atorvastatin due to weakness - resume if weakness improves CAD - continue with aspirin, plavix, carvedilol, imdur - continue home ralonazine RA - home hydroxychloroquine - continue with home prednisone Dementia POA pressure injury Stage 2 left ischium with friction component too POA right lateral ankle Stage 3 Hypomagnesemia: Resolved DVT prophylaxis - sq heparin
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Glomerular filtration rate decreased, Granulocyte count, Granulocyte percentage, Haematocrit decreased, Haemoglobin decreased
Clinical narrative: Narrative: 1/12/23 - Pt presented to ED with c/o feeling rough. Pt has cough, chest pain (pt BIBA for chest pain rated 5/10), and SOB. Pt also reported 5 episodes of diarrhea within 3 days, weakness, n/v, poor appetite, and intermittent numbness in chest. Pt reported low grade temp last night. Pt diagnosed with COVID x 1 week. Cardiac stents placed 4 months ago. Pt given 324mg ASA in ambulance with some relief of chest pain = 3/10. EMS placed on 2L oxygen via nasal cannula for comfort. Pt was diagnosed with COVID while at facility 5 days ago. Pt admitted to hospital on 1/12/23 with Primary Diagnosis: Covid 19 Dehydration Acute kidney injury chest pain HOSPITAL COURSE: Patient presented with nausea, vomiting and dehydration. He was found to have AKI which resolved with IV Fluid hydration. He was COVID (+) and because of multiple co-morbidities, he received 3 days of Remdesivir treatment. He was severe weak. He underwent Physical Therapy and it was recommended for STR vs LTC. It is most likely his high dose of Metformin 2gm bid also contributed to his weakness. He was d/c'ed off of Metformin and started on Lantus 20 units qhs. His electrolytes were replaced (Low K and Low Mg). He is stable and will be transported to skilled nursing facility today. Weakness/Decondition: - Continue PT/OT evaluation. -PT RECOMMENDATIONS: STR- to LTC at this time. - Skilled nursing facility today Covid 19 infection - on room air with oxygen saturations 96-100% - continue supportive care - Remdesivir day #3 (Completed) AKI (baseline creat ~ 1.2): Resolved - monitor renal function Hyperkalemia: Resolved - Patiromer x 1 - K 4.8 -> 4.4 -> 4.1 -> 4.4(today) Hypomagnesemia: - Mg 1.3 -> 1.6 -> 1.5 - Supplement w/Mg 1 gm IV today. Chronic Medical Problems: Seizure Disorder - continue with home Keppra (dose adjusted for renal function) T2DM/w/Hyperglycemia: - D/C'ed home metformin - Started Lantus 20 units qhs - carb controlled diet COPD - not in exacerbation HTN - continue with carvedilol, amlodipine HLP - holding home atorvastatin due to weakness - resume if weakness improves CAD - continue with aspirin, plavix, carvedilol, imdur - continue home ralonazine RA - home hydroxychloroquine - continue with home prednisone Dementia POA pressure injury Stage 2 left ischium with friction component too POA right lateral ankle Stage 3 Hypomagnesemia: Resolved DVT prophylaxis - sq heparin