chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: My daughter developed Covid nearly immediately after getting the vaccine. The first day after the vac she had a 102 F fever; we thought it was a side effect. The next day my wife started feeling bad and got a PCR and a home test; she was positive; the pcr confirmed it a day later. I tested my daughter and myself the next morning. My daughter was positive; I was negative; three days after that I was positive. We talked to the very few people we had contacted with the weeks preceding that; nobody was sick. For two and a half years we avoided Covid; we have taken ever possible precaution; it?s too much coincidence to for us to get sick exactly when we vaccinated my child. Either the mobile facility was impregnated with the virus, or the vaccine induces the decease even though that?s not what ?experts? say possible.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: I had two vaccines and two boosters and then tested positive for COVID
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia, SARS-CoV-2 test
Clinical narrative: DEVELOPED FEVER,MYALGIAS- RESOLVED AFTER 4 DAYS- TOOK PAXLOVID
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Abdominal discomfort, COVID-19, Diarrhoea, Dysphagia, Nausea
Clinical narrative: With each Moderna vaccination experienced throat tightness and transcient difficulty swallowing lasting 30-90 minutes. No stridor or respiratory distress. No adverse reaction to Pfizer vaccines. Had breakthrough  COVID starting  6-28-2022, tested positive on  6-29-2022. Started Paxlovid on 6-28-2022. Had GI upset with nausea and diarrhea while on Paxlovid. Took last dose 7-4-2022, GI symptoms have resolved tonight, 36 hrs after final dose of Paxlovid. I spoke with a representative from VSafe today and I agreed to complete this online survey. She was aware we do not feel that Patient had any severe adverse reaction to the vaccines. I was with Patient during 3rd dose of Moderna vaccine, she took Benedryl 25 MG before vaccination without improvement. No residual effects beyond 90 minute episode.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Throat tightness, Vaccine breakthrough infection
Clinical narrative: With each Moderna vaccination experienced throat tightness and transcient difficulty swallowing lasting 30-90 minutes. No stridor or respiratory distress. No adverse reaction to Pfizer vaccines. Had breakthrough  COVID starting  6-28-2022, tested positive on  6-29-2022. Started Paxlovid on 6-28-2022. Had GI upset with nausea and diarrhea while on Paxlovid. Took last dose 7-4-2022, GI symptoms have resolved tonight, 36 hrs after final dose of Paxlovid. I spoke with a representative from VSafe today and I agreed to complete this online survey. She was aware we do not feel that Patient had any severe adverse reaction to the vaccines. I was with Patient during 3rd dose of Moderna vaccine, she took Benedryl 25 MG before vaccination without improvement. No residual effects beyond 90 minute episode.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Insomnia, Myalgia, Pain
Clinical narrative: Tested positive for COVID 12 days after second booster, on 6/29/2022, though symptoms began one day prior. Do not know if infection related to vaccine or not. Symptoms were body aches, chills, heavy congestion, and sleeplessness for about 3 days. Sore muscles have persisted through now, 7/5/2022 (although hard to tell whether soreness simply due to being isolated and sedentary for extended period).
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID 12 days after second booster, on 6/29/2022, though symptoms began one day prior. Do not know if infection related to vaccine or not. Symptoms were body aches, chills, heavy congestion, and sleeplessness for about 3 days. Sore muscles have persisted through now, 7/5/2022 (although hard to tell whether soreness simply due to being isolated and sedentary for extended period).
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Neck pain, Pain in extremity
Clinical narrative: extreme pain in arm has not gone away. has been made worse by booster I had to get for my union and has spread to my entire shoulder neck and down my arm. have had this pain since april 2021 with first shot.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchitis
Clinical narrative: Bronchitis
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Pt was given pediatric dose (0.2mL) instead of adult dose (0.3mL) for the booster (3rd) dose.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: 10 year old patient was given undiluted pediatric pfizer vaccine.
Age: 52.0
Sex: F
Vaccine: UNK
Symptoms: Arthralgia, Blood glucose, Chills, Dizziness, Electrocardiogram
Clinical narrative: Chills for close to a couple hours, light-headed, heart beating fast and past out. Same day of vaccine: sore shoulder, bump and tender around injection area and difficulty lifting arm above head. Vaccine was in left shoulder.
Age: 52.0
Sex: F
Vaccine: UNK
Symptoms: Heart rate increased, Influenza virus test, Injected limb mobility decreased, Injection site pain, Injection site swelling
Clinical narrative: Chills for close to a couple hours, light-headed, heart beating fast and past out. Same day of vaccine: sore shoulder, bump and tender around injection area and difficulty lifting arm above head. Vaccine was in left shoulder.
Age: 52.0
Sex: F
Vaccine: UNK
Symptoms: Loss of consciousness, SARS-CoV-2 test
Clinical narrative: Chills for close to a couple hours, light-headed, heart beating fast and past out. Same day of vaccine: sore shoulder, bump and tender around injection area and difficulty lifting arm above head. Vaccine was in left shoulder.
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: Eye discharge, Eye swelling, Fatigue, Gait disturbance, Mucosal discolouration
Clinical narrative: Right leg pain and limping, fever, swollen eyes with green discharge, runny nose, fatigue.
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Rhinorrhoea
Clinical narrative: Right leg pain and limping, fever, swollen eyes with green discharge, runny nose, fatigue.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, COVID-19, Cough, Fatigue, Oropharyngeal pain
Clinical narrative: I tolerated the vaccine well?apart from localized soreness, I did not have the fatigue or fever that I felt after my primary vaccine series and the first booster. On June 18, I felt unusually tired and, the following morning, performed an at-home antigen test; it was positive. I felt fatigue, cough, and sore throat. That day, I began a five-day course of Paxlovid, and the symptoms abated on day 6.  On days 7?9, I tested negative, before testing positive again on day 11, with renewed symptoms of fatigue, runny nose, cough, loss of taste, and fever of 101 degrees F. The symptoms abated on day 14, but as of today (day 17), I still feel somewhat fatigue and am still testing positive.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I tolerated the vaccine well?apart from localized soreness, I did not have the fatigue or fever that I felt after my primary vaccine series and the first booster. On June 18, I felt unusually tired and, the following morning, performed an at-home antigen test; it was positive. I felt fatigue, cough, and sore throat. That day, I began a five-day course of Paxlovid, and the symptoms abated on day 6.  On days 7?9, I tested negative, before testing positive again on day 11, with renewed symptoms of fatigue, runny nose, cough, loss of taste, and fever of 101 degrees F. The symptoms abated on day 14, but as of today (day 17), I still feel somewhat fatigue and am still testing positive.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine administered was past BUD, no adverse symptoms reported
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Blood test, COVID-19, Chest pain, Computerised tomogram abnormal
Clinical narrative: None stated.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Liver scan abnormal, Pain, Pulmonary thrombosis, SARS-CoV-2 test positive
Clinical narrative: None stated.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Thrombosis
Clinical narrative: None stated.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine administered was past BUD, no adverse symptoms reported
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine administered was past BUD, no adverse symptoms reported
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine administered was past BUD, no adverse symptoms reported
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine administered was past BUD, no adverse symptoms reported
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine administered was past BUD, no adverse symptoms reported
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine administered was past BUD, no adverse symptoms reported
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine administered was past BUD, no adverse symptoms reported
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine administered was past BUD, no adverse symptoms reported
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Loss of consciousness, Syncope
Clinical narrative: Patient fainted when received vaccine.  She was unconscious for about a minute. We placed patient on the floor and patient parent lifted patient legs. We called EMS and they were there within 5 minutes. They evaluated her and suggested to the parent that she either speak with her primary care immediately or go to the ER since her blood pressure was low. Patient parent decided to just go home and contact her primary care after the evaluation. Patient left about 45minutes after receiving the vaccine. Called to follow up with patient tonight, however no answer on the phone.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine administered was past BUD, no adverse symptoms reported
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine administered was past BUD, no adverse symptoms reported
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine administered was past BUD, no adverse symptoms reported
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine administered was past BUD, no adverse symptoms reported
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine administered was past BUD, no adverse symptoms reported
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine administered was past BUD, no adverse symptoms reported
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine administered was past BUD, no adverse symptoms reported
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine administered was past BUD, no adverse symptoms reported
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine administered was past BUD, no adverse symptoms reported
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Breast disorder female, Laboratory test
Clinical narrative: Breast changes; Remission since 2000 Medical Oncology needed Surgical Oncology needed Hospitalization Pharmaceuticals Transportation (medical) Other/ Radiology Oncology
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Received 0.2 mL of non-Diluted COVID-19 Pfizer 5-11yr solution; vaccine was not Diluted in advance. No symptoms reported or adverse effects.
Sex: U
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Diarrhoea, Headache, Influenza, Malaise
Clinical narrative: My story: On Friday, April 8, 2022, at 4 p.m. I received my second booster shot for COVID. (The first vaccination did not affect me, not even a sore arm. The second vaccination, I had all the flu symptoms and spent three days in bed. The first booster, the flu symptoms returned, just a little worse.) By early a.m. Saturday morning, I had all the flu symptoms, but it was much worse than before-even my arm was sore. I had diarrhea all day and a terrible headache. I was unable to make it to my kitchen to take my blood pressure medicine and other medications-I could barely make to the bathroom in my suite. The only medicine for a headache in my home was a baby aspirin and in the late afternoon I took one. Not only did I then have diarrhea, but I began to gagging like I was going to vomit. Later in the evening, I was sill quite sick and decided I needed to go to the emergency room. I arrived by ambulance about 8 p.m. at hospital. I waited in the hallway about six hours maybe more before being placed in a room. No one would give me anything for the headache nor even a sip of water nor did they explain why not. I began vomiting in the hallway and finally a nurse put me in a room. I was then connected to two or three machines including one checking my oxygen level (still no doctor). The bright lights were turned down to see if it would help my headache. They tell my I fell asleep. (If I slept it was only for a minute or two.) I heard these loud alarms going off-I thought it was in another room. I could not see the machines. All of a sudden three medical personnel ran into the room very excited. They said my oxygen level dropped very low when I fell asleep. I was placed on oxygen. The doctor arrived shortly thereafter and ordered a lung x-ray, and medicine for my headache. Later two doctors told me that I had pneumonia in the upper portion of one of my lungs. I was told that my oxygen level had dropped down to 50 or 55 when I fell asleep. So, stayed in the Emergency Room or in Emergency Observation until I was given a hospital bed around 3 or 3:30 p.m. on Sunday. I received intravenous medication for the headache and pneumonia. Also, I was given pills for the pneumonia. On Monday afternoon another x-ray was ordered and I received it between 9:30 and 10 p.m. On Tuesday afternoon, I was told that I did not have pneumonia by two doctors and I was not expanding my lungs enough when I breathe. Also, a suggestion was made that I see my primary care physician and take the sleep apnea tests because of the sudden oxygen level drop. I will make arrangements for the sleep apnea tests this week. (In case you are wondering, I do not have any type of medicine in my home for a headache. I do not normally have headaches. Years ago, a doctor told me to throw away any of this type of medicine because of my allergy situation and because it could interfere with blood pressure medicines.) If you want more information, please let me know.
Sex: U
Vaccine: COVID19
Symptoms: Mobility decreased, Oxygen saturation decreased, Pain in extremity, Pneumonia, Retching
Clinical narrative: My story: On Friday, April 8, 2022, at 4 p.m. I received my second booster shot for COVID. (The first vaccination did not affect me, not even a sore arm. The second vaccination, I had all the flu symptoms and spent three days in bed. The first booster, the flu symptoms returned, just a little worse.) By early a.m. Saturday morning, I had all the flu symptoms, but it was much worse than before-even my arm was sore. I had diarrhea all day and a terrible headache. I was unable to make it to my kitchen to take my blood pressure medicine and other medications-I could barely make to the bathroom in my suite. The only medicine for a headache in my home was a baby aspirin and in the late afternoon I took one. Not only did I then have diarrhea, but I began to gagging like I was going to vomit. Later in the evening, I was sill quite sick and decided I needed to go to the emergency room. I arrived by ambulance about 8 p.m. at hospital. I waited in the hallway about six hours maybe more before being placed in a room. No one would give me anything for the headache nor even a sip of water nor did they explain why not. I began vomiting in the hallway and finally a nurse put me in a room. I was then connected to two or three machines including one checking my oxygen level (still no doctor). The bright lights were turned down to see if it would help my headache. They tell my I fell asleep. (If I slept it was only for a minute or two.) I heard these loud alarms going off-I thought it was in another room. I could not see the machines. All of a sudden three medical personnel ran into the room very excited. They said my oxygen level dropped very low when I fell asleep. I was placed on oxygen. The doctor arrived shortly thereafter and ordered a lung x-ray, and medicine for my headache. Later two doctors told me that I had pneumonia in the upper portion of one of my lungs. I was told that my oxygen level had dropped down to 50 or 55 when I fell asleep. So, stayed in the Emergency Room or in Emergency Observation until I was given a hospital bed around 3 or 3:30 p.m. on Sunday. I received intravenous medication for the headache and pneumonia. Also, I was given pills for the pneumonia. On Monday afternoon another x-ray was ordered and I received it between 9:30 and 10 p.m. On Tuesday afternoon, I was told that I did not have pneumonia by two doctors and I was not expanding my lungs enough when I breathe. Also, a suggestion was made that I see my primary care physician and take the sleep apnea tests because of the sudden oxygen level drop. I will make arrangements for the sleep apnea tests this week. (In case you are wondering, I do not have any type of medicine in my home for a headache. I do not normally have headaches. Years ago, a doctor told me to throw away any of this type of medicine because of my allergy situation and because it could interfere with blood pressure medicines.) If you want more information, please let me know.
Sex: U
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: My story: On Friday, April 8, 2022, at 4 p.m. I received my second booster shot for COVID. (The first vaccination did not affect me, not even a sore arm. The second vaccination, I had all the flu symptoms and spent three days in bed. The first booster, the flu symptoms returned, just a little worse.) By early a.m. Saturday morning, I had all the flu symptoms, but it was much worse than before-even my arm was sore. I had diarrhea all day and a terrible headache. I was unable to make it to my kitchen to take my blood pressure medicine and other medications-I could barely make to the bathroom in my suite. The only medicine for a headache in my home was a baby aspirin and in the late afternoon I took one. Not only did I then have diarrhea, but I began to gagging like I was going to vomit. Later in the evening, I was sill quite sick and decided I needed to go to the emergency room. I arrived by ambulance about 8 p.m. at hospital. I waited in the hallway about six hours maybe more before being placed in a room. No one would give me anything for the headache nor even a sip of water nor did they explain why not. I began vomiting in the hallway and finally a nurse put me in a room. I was then connected to two or three machines including one checking my oxygen level (still no doctor). The bright lights were turned down to see if it would help my headache. They tell my I fell asleep. (If I slept it was only for a minute or two.) I heard these loud alarms going off-I thought it was in another room. I could not see the machines. All of a sudden three medical personnel ran into the room very excited. They said my oxygen level dropped very low when I fell asleep. I was placed on oxygen. The doctor arrived shortly thereafter and ordered a lung x-ray, and medicine for my headache. Later two doctors told me that I had pneumonia in the upper portion of one of my lungs. I was told that my oxygen level had dropped down to 50 or 55 when I fell asleep. So, stayed in the Emergency Room or in Emergency Observation until I was given a hospital bed around 3 or 3:30 p.m. on Sunday. I received intravenous medication for the headache and pneumonia. Also, I was given pills for the pneumonia. On Monday afternoon another x-ray was ordered and I received it between 9:30 and 10 p.m. On Tuesday afternoon, I was told that I did not have pneumonia by two doctors and I was not expanding my lungs enough when I breathe. Also, a suggestion was made that I see my primary care physician and take the sleep apnea tests because of the sudden oxygen level drop. I will make arrangements for the sleep apnea tests this week. (In case you are wondering, I do not have any type of medicine in my home for a headache. I do not normally have headaches. Years ago, a doctor told me to throw away any of this type of medicine because of my allergy situation and because it could interfere with blood pressure medicines.) If you want more information, please let me know.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abnormal behaviour, Acute left ventricular failure, Blood potassium decreased, Cardiac failure congestive, Computerised tomogram head
Clinical narrative: Systemic: Confusion-Severe, Systemic: Patients daughter states that her cognitive and neuro functions have decline since receiving the vaccine. The vaccine is  causing her to do things out of the ordinary, which isn't like her. Started happening after the vaccine.-Severe, Additional Details: Patient's daughter wanted to report that after receiving the shot the patient's cognitive and  neuro functions have decline. She states that the patient is "not all there" and the patient is doing things out of the ordinary.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Food craving, Hallucination, auditory, Hallucination, visual, Hypertension
Clinical narrative: Systemic: Confusion-Severe, Systemic: Patients daughter states that her cognitive and neuro functions have decline since receiving the vaccine. The vaccine is  causing her to do things out of the ordinary, which isn't like her. Started happening after the vaccine.-Severe, Additional Details: Patient's daughter wanted to report that after receiving the shot the patient's cognitive and  neuro functions have decline. She states that the patient is "not all there" and the patient is doing things out of the ordinary.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Inappropriate schedule of product administration, Incontinence, Insomnia, Lymphadenopathy, Muscle twitching
Clinical narrative: Systemic: Confusion-Severe, Systemic: Patients daughter states that her cognitive and neuro functions have decline since receiving the vaccine. The vaccine is  causing her to do things out of the ordinary, which isn't like her. Started happening after the vaccine.-Severe, Additional Details: Patient's daughter wanted to report that after receiving the shot the patient's cognitive and  neuro functions have decline. She states that the patient is "not all there" and the patient is doing things out of the ordinary.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Oedema, Pain of skin, Photopsia, Pruritus
Clinical narrative: Systemic: Confusion-Severe, Systemic: Patients daughter states that her cognitive and neuro functions have decline since receiving the vaccine. The vaccine is  causing her to do things out of the ordinary, which isn't like her. Started happening after the vaccine.-Severe, Additional Details: Patient's daughter wanted to report that after receiving the shot the patient's cognitive and  neuro functions have decline. She states that the patient is "not all there" and the patient is doing things out of the ordinary.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Psychotic disorder, SARS-CoV-2 test negative, Sensory disturbance, Thirst
Clinical narrative: Systemic: Confusion-Severe, Systemic: Patients daughter states that her cognitive and neuro functions have decline since receiving the vaccine. The vaccine is  causing her to do things out of the ordinary, which isn't like her. Started happening after the vaccine.-Severe, Additional Details: Patient's daughter wanted to report that after receiving the shot the patient's cognitive and  neuro functions have decline. She states that the patient is "not all there" and the patient is doing things out of the ordinary.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abnormal behaviour, Cognitive disorder, Confusional state, Neurological symptom
Clinical narrative: Systemic: Confusion-Severe, Systemic: Patients daughter states that her cognitive and neuro functions have decline since receiving the vaccine. The vaccine is  causing her to do things out of the ordinary, which isn't like her. Started happening after the vaccine.-Severe, Additional Details: Patient's daughter wanted to report that after receiving the shot the patient's cognitive and  neuro functions have decline. She states that the patient is "not all there" and the patient is doing things out of the ordinary.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bacterial test positive, Bladder catheter replacement, Blood alkaline phosphatase increased, Blood lactic acid, Blood sodium decreased
Clinical narrative: Pfizer Dose 1 1/25/21 (lot NA) Pfizer Dose 2 2/15/21 (lot NA) Pfizer Dose 3 11/2/21 (301308A) COVID Positive 2/21/22  2/21/22: Patient is a 63 year old female with PMH multiple sclerosis, anemia, chronic osteomyelitis of the pelvis, GERD, heart failure with preserved ejection fraction, neurogenic bladder with chronic suprapubic urinary catheter, chronic G-tube, ileostomy, legally blind who presented to the ED today due to fever and altered mental status.   In the ED she presented with pulse 126, respiratory rate 35 saturating 91% on room air, temperature 99.3°, with BP 128/37.  Labs notable for Na 130, ALP 124, proBNP 718, WBC 18.43, with negative troponin, and normal lactate and lipase.  Urine turbid with large blood, leuk esterase, and positive nitrates with loaded bacteria, many amorphous crystal, and moderate yeast.  Patient was given vancomycin, Zosyn, and 1 L NS.   Upon evaluation patient does not understand why she is in the hospital.  Due to MS limited history was obtained from patient.  Mental status similar from previous admissions. She agrees to fevers, however denies chills.  She notes chronic pain, however no increased pain in her abdomen or at the site of her suprapubic catheter.  She otherwise denies of chest pain, shortness of breath.  Surgical history:  Ileostomy, chronic G-tube, chronic suprapubic catheter  Social history:   FH: Noncontributory  2/26/22: Patient is a 63 year old female with PMH multiple sclerosis, anemia, chronic osteomyelitis of the pelvis, GERD, heart failure with preserved ejection fraction, neurogenic bladder with chronic suprapubic urinary catheter, chronic G-tube, ileostomy, legally blind who had presented to the ER due to fever and altered mental status. Pt was tachycardic with leukocytosis and signs of possible UTI. Pt was admitted for concerns of possible urosepsis. However, blood cultures were negative. Imaging studies showed stable known staghorn calculus of L kidney with inflammatory changes. Urology was consulted and are considering PCNL outpatient, otherwise no procedure while hospitalized. She received several days of ceftriaxone for therapy until urine cultures resulted. These eventually showed MRSA and Enterococcus faecalis, both sensitive to Macrobid. Pt was stabilized during the hospital and had no repeat fevers. Today feeling well with no concerns. She was discharged to complete a full 7 days of Macrobid for treatment of possible UTI. Pt stable and discharged. She has a scheduled f/u with urology in April, but FMC will work to move up this appointment per urology's recommendation.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Confusional state, Dry mouth, Hypotension, Laboratory test
Clinical narrative: Pfizer Dose 1 1/25/21 (lot NA) Pfizer Dose 2 2/15/21 (lot NA) Pfizer Dose 3 11/2/21 (301308A) COVID Positive 2/21/22  2/21/22: Patient is a 63 year old female with PMH multiple sclerosis, anemia, chronic osteomyelitis of the pelvis, GERD, heart failure with preserved ejection fraction, neurogenic bladder with chronic suprapubic urinary catheter, chronic G-tube, ileostomy, legally blind who presented to the ED today due to fever and altered mental status.   In the ED she presented with pulse 126, respiratory rate 35 saturating 91% on room air, temperature 99.3°, with BP 128/37.  Labs notable for Na 130, ALP 124, proBNP 718, WBC 18.43, with negative troponin, and normal lactate and lipase.  Urine turbid with large blood, leuk esterase, and positive nitrates with loaded bacteria, many amorphous crystal, and moderate yeast.  Patient was given vancomycin, Zosyn, and 1 L NS.   Upon evaluation patient does not understand why she is in the hospital.  Due to MS limited history was obtained from patient.  Mental status similar from previous admissions. She agrees to fevers, however denies chills.  She notes chronic pain, however no increased pain in her abdomen or at the site of her suprapubic catheter.  She otherwise denies of chest pain, shortness of breath.  Surgical history:  Ileostomy, chronic G-tube, chronic suprapubic catheter  Social history:   FH: Noncontributory  2/26/22: Patient is a 63 year old female with PMH multiple sclerosis, anemia, chronic osteomyelitis of the pelvis, GERD, heart failure with preserved ejection fraction, neurogenic bladder with chronic suprapubic urinary catheter, chronic G-tube, ileostomy, legally blind who had presented to the ER due to fever and altered mental status. Pt was tachycardic with leukocytosis and signs of possible UTI. Pt was admitted for concerns of possible urosepsis. However, blood cultures were negative. Imaging studies showed stable known staghorn calculus of L kidney with inflammatory changes. Urology was consulted and are considering PCNL outpatient, otherwise no procedure while hospitalized. She received several days of ceftriaxone for therapy until urine cultures resulted. These eventually showed MRSA and Enterococcus faecalis, both sensitive to Macrobid. Pt was stabilized during the hospital and had no repeat fevers. Today feeling well with no concerns. She was discharged to complete a full 7 days of Macrobid for treatment of possible UTI. Pt stable and discharged. She has a scheduled f/u with urology in April, but FMC will work to move up this appointment per urology's recommendation.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mental status changes, Nephrolithiasis, Pain, Red blood cells urine negative, SARS-CoV-2 test positive
Clinical narrative: Pfizer Dose 1 1/25/21 (lot NA) Pfizer Dose 2 2/15/21 (lot NA) Pfizer Dose 3 11/2/21 (301308A) COVID Positive 2/21/22  2/21/22: Patient is a 63 year old female with PMH multiple sclerosis, anemia, chronic osteomyelitis of the pelvis, GERD, heart failure with preserved ejection fraction, neurogenic bladder with chronic suprapubic urinary catheter, chronic G-tube, ileostomy, legally blind who presented to the ED today due to fever and altered mental status.   In the ED she presented with pulse 126, respiratory rate 35 saturating 91% on room air, temperature 99.3°, with BP 128/37.  Labs notable for Na 130, ALP 124, proBNP 718, WBC 18.43, with negative troponin, and normal lactate and lipase.  Urine turbid with large blood, leuk esterase, and positive nitrates with loaded bacteria, many amorphous crystal, and moderate yeast.  Patient was given vancomycin, Zosyn, and 1 L NS.   Upon evaluation patient does not understand why she is in the hospital.  Due to MS limited history was obtained from patient.  Mental status similar from previous admissions. She agrees to fevers, however denies chills.  She notes chronic pain, however no increased pain in her abdomen or at the site of her suprapubic catheter.  She otherwise denies of chest pain, shortness of breath.  Surgical history:  Ileostomy, chronic G-tube, chronic suprapubic catheter  Social history:   FH: Noncontributory  2/26/22: Patient is a 63 year old female with PMH multiple sclerosis, anemia, chronic osteomyelitis of the pelvis, GERD, heart failure with preserved ejection fraction, neurogenic bladder with chronic suprapubic urinary catheter, chronic G-tube, ileostomy, legally blind who had presented to the ER due to fever and altered mental status. Pt was tachycardic with leukocytosis and signs of possible UTI. Pt was admitted for concerns of possible urosepsis. However, blood cultures were negative. Imaging studies showed stable known staghorn calculus of L kidney with inflammatory changes. Urology was consulted and are considering PCNL outpatient, otherwise no procedure while hospitalized. She received several days of ceftriaxone for therapy until urine cultures resulted. These eventually showed MRSA and Enterococcus faecalis, both sensitive to Macrobid. Pt was stabilized during the hospital and had no repeat fevers. Today feeling well with no concerns. She was discharged to complete a full 7 days of Macrobid for treatment of possible UTI. Pt stable and discharged. She has a scheduled f/u with urology in April, but FMC will work to move up this appointment per urology's recommendation.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sensation of foreign body, Sepsis, Urinary tract infection, Urine analysis abnormal, Urine leukocyte esterase positive
Clinical narrative: Pfizer Dose 1 1/25/21 (lot NA) Pfizer Dose 2 2/15/21 (lot NA) Pfizer Dose 3 11/2/21 (301308A) COVID Positive 2/21/22  2/21/22: Patient is a 63 year old female with PMH multiple sclerosis, anemia, chronic osteomyelitis of the pelvis, GERD, heart failure with preserved ejection fraction, neurogenic bladder with chronic suprapubic urinary catheter, chronic G-tube, ileostomy, legally blind who presented to the ED today due to fever and altered mental status.   In the ED she presented with pulse 126, respiratory rate 35 saturating 91% on room air, temperature 99.3°, with BP 128/37.  Labs notable for Na 130, ALP 124, proBNP 718, WBC 18.43, with negative troponin, and normal lactate and lipase.  Urine turbid with large blood, leuk esterase, and positive nitrates with loaded bacteria, many amorphous crystal, and moderate yeast.  Patient was given vancomycin, Zosyn, and 1 L NS.   Upon evaluation patient does not understand why she is in the hospital.  Due to MS limited history was obtained from patient.  Mental status similar from previous admissions. She agrees to fevers, however denies chills.  She notes chronic pain, however no increased pain in her abdomen or at the site of her suprapubic catheter.  She otherwise denies of chest pain, shortness of breath.  Surgical history:  Ileostomy, chronic G-tube, chronic suprapubic catheter  Social history:   FH: Noncontributory  2/26/22: Patient is a 63 year old female with PMH multiple sclerosis, anemia, chronic osteomyelitis of the pelvis, GERD, heart failure with preserved ejection fraction, neurogenic bladder with chronic suprapubic urinary catheter, chronic G-tube, ileostomy, legally blind who had presented to the ER due to fever and altered mental status. Pt was tachycardic with leukocytosis and signs of possible UTI. Pt was admitted for concerns of possible urosepsis. However, blood cultures were negative. Imaging studies showed stable known staghorn calculus of L kidney with inflammatory changes. Urology was consulted and are considering PCNL outpatient, otherwise no procedure while hospitalized. She received several days of ceftriaxone for therapy until urine cultures resulted. These eventually showed MRSA and Enterococcus faecalis, both sensitive to Macrobid. Pt was stabilized during the hospital and had no repeat fevers. Today feeling well with no concerns. She was discharged to complete a full 7 days of Macrobid for treatment of possible UTI. Pt stable and discharged. She has a scheduled f/u with urology in April, but FMC will work to move up this appointment per urology's recommendation.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaccine breakthrough infection, White blood cell count increased
Clinical narrative: Pfizer Dose 1 1/25/21 (lot NA) Pfizer Dose 2 2/15/21 (lot NA) Pfizer Dose 3 11/2/21 (301308A) COVID Positive 2/21/22  2/21/22: Patient is a 63 year old female with PMH multiple sclerosis, anemia, chronic osteomyelitis of the pelvis, GERD, heart failure with preserved ejection fraction, neurogenic bladder with chronic suprapubic urinary catheter, chronic G-tube, ileostomy, legally blind who presented to the ED today due to fever and altered mental status.   In the ED she presented with pulse 126, respiratory rate 35 saturating 91% on room air, temperature 99.3°, with BP 128/37.  Labs notable for Na 130, ALP 124, proBNP 718, WBC 18.43, with negative troponin, and normal lactate and lipase.  Urine turbid with large blood, leuk esterase, and positive nitrates with loaded bacteria, many amorphous crystal, and moderate yeast.  Patient was given vancomycin, Zosyn, and 1 L NS.   Upon evaluation patient does not understand why she is in the hospital.  Due to MS limited history was obtained from patient.  Mental status similar from previous admissions. She agrees to fevers, however denies chills.  She notes chronic pain, however no increased pain in her abdomen or at the site of her suprapubic catheter.  She otherwise denies of chest pain, shortness of breath.  Surgical history:  Ileostomy, chronic G-tube, chronic suprapubic catheter  Social history:   FH: Noncontributory  2/26/22: Patient is a 63 year old female with PMH multiple sclerosis, anemia, chronic osteomyelitis of the pelvis, GERD, heart failure with preserved ejection fraction, neurogenic bladder with chronic suprapubic urinary catheter, chronic G-tube, ileostomy, legally blind who had presented to the ER due to fever and altered mental status. Pt was tachycardic with leukocytosis and signs of possible UTI. Pt was admitted for concerns of possible urosepsis. However, blood cultures were negative. Imaging studies showed stable known staghorn calculus of L kidney with inflammatory changes. Urology was consulted and are considering PCNL outpatient, otherwise no procedure while hospitalized. She received several days of ceftriaxone for therapy until urine cultures resulted. These eventually showed MRSA and Enterococcus faecalis, both sensitive to Macrobid. Pt was stabilized during the hospital and had no repeat fevers. Today feeling well with no concerns. She was discharged to complete a full 7 days of Macrobid for treatment of possible UTI. Pt stable and discharged. She has a scheduled f/u with urology in April, but FMC will work to move up this appointment per urology's recommendation.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bacterial test positive, Bladder catheterisation, Blood alkaline phosphatase increased, Blood culture negative, Blood lactic acid normal
Clinical narrative: Pfizer Dose 1 1/25/21 (lot NA) Pfizer Dose 2 2/15/21 (lot NA) Pfizer Dose 3 11/2/21 (301308A) COVID Positive 2/21/22  2/21/22: Patient is a 63 year old female with PMH multiple sclerosis, anemia, chronic osteomyelitis of the pelvis, GERD, heart failure with preserved ejection fraction, neurogenic bladder with chronic suprapubic urinary catheter, chronic G-tube, ileostomy, legally blind who presented to the ED today due to fever and altered mental status.   In the ED she presented with pulse 126, respiratory rate 35 saturating 91% on room air, temperature 99.3°, with BP 128/37.  Labs notable for Na 130, ALP 124, proBNP 718, WBC 18.43, with negative troponin, and normal lactate and lipase.  Urine turbid with large blood, leuk esterase, and positive nitrates with loaded bacteria, many amorphous crystal, and moderate yeast.  Patient was given vancomycin, Zosyn, and 1 L NS.   Upon evaluation patient does not understand why she is in the hospital.  Due to MS limited history was obtained from patient.  Mental status similar from previous admissions. She agrees to fevers, however denies chills.  She notes chronic pain, however no increased pain in her abdomen or at the site of her suprapubic catheter.  She otherwise denies of chest pain, shortness of breath.  Surgical history:  Ileostomy, chronic G-tube, chronic suprapubic catheter  Social history:   FH: Noncontributory  2/26/22: Patient is a 63 year old female with PMH multiple sclerosis, anemia, chronic osteomyelitis of the pelvis, GERD, heart failure with preserved ejection fraction, neurogenic bladder with chronic suprapubic urinary catheter, chronic G-tube, ileostomy, legally blind who had presented to the ER due to fever and altered mental status. Pt was tachycardic with leukocytosis and signs of possible UTI. Pt was admitted for concerns of possible urosepsis. However, blood cultures were negative. Imaging studies showed stable known staghorn calculus of L kidney with inflammatory changes. Urology was consulted and are considering PCNL outpatient, otherwise no procedure while hospitalized. She received several days of ceftriaxone for therapy until urine cultures resulted. These eventually showed MRSA and Enterococcus faecalis, both sensitive to Macrobid. Pt was stabilized during the hospital and had no repeat fevers. Today feeling well with no concerns. She was discharged to complete a full 7 days of Macrobid for treatment of possible UTI. Pt stable and discharged. She has a scheduled f/u with urology in April, but FMC will work to move up this appointment per urology's recommendation.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood sodium decreased, Blood urine, COVID-19, Crystal urine present, Culture urine positive
Clinical narrative: Pfizer Dose 1 1/25/21 (lot NA) Pfizer Dose 2 2/15/21 (lot NA) Pfizer Dose 3 11/2/21 (301308A) COVID Positive 2/21/22  2/21/22: Patient is a 63 year old female with PMH multiple sclerosis, anemia, chronic osteomyelitis of the pelvis, GERD, heart failure with preserved ejection fraction, neurogenic bladder with chronic suprapubic urinary catheter, chronic G-tube, ileostomy, legally blind who presented to the ED today due to fever and altered mental status.   In the ED she presented with pulse 126, respiratory rate 35 saturating 91% on room air, temperature 99.3°, with BP 128/37.  Labs notable for Na 130, ALP 124, proBNP 718, WBC 18.43, with negative troponin, and normal lactate and lipase.  Urine turbid with large blood, leuk esterase, and positive nitrates with loaded bacteria, many amorphous crystal, and moderate yeast.  Patient was given vancomycin, Zosyn, and 1 L NS.   Upon evaluation patient does not understand why she is in the hospital.  Due to MS limited history was obtained from patient.  Mental status similar from previous admissions. She agrees to fevers, however denies chills.  She notes chronic pain, however no increased pain in her abdomen or at the site of her suprapubic catheter.  She otherwise denies of chest pain, shortness of breath.  Surgical history:  Ileostomy, chronic G-tube, chronic suprapubic catheter  Social history:   FH: Noncontributory  2/26/22: Patient is a 63 year old female with PMH multiple sclerosis, anemia, chronic osteomyelitis of the pelvis, GERD, heart failure with preserved ejection fraction, neurogenic bladder with chronic suprapubic urinary catheter, chronic G-tube, ileostomy, legally blind who had presented to the ER due to fever and altered mental status. Pt was tachycardic with leukocytosis and signs of possible UTI. Pt was admitted for concerns of possible urosepsis. However, blood cultures were negative. Imaging studies showed stable known staghorn calculus of L kidney with inflammatory changes. Urology was consulted and are considering PCNL outpatient, otherwise no procedure while hospitalized. She received several days of ceftriaxone for therapy until urine cultures resulted. These eventually showed MRSA and Enterococcus faecalis, both sensitive to Macrobid. Pt was stabilized during the hospital and had no repeat fevers. Today feeling well with no concerns. She was discharged to complete a full 7 days of Macrobid for treatment of possible UTI. Pt stable and discharged. She has a scheduled f/u with urology in April, but FMC will work to move up this appointment per urology's recommendation.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Enterococcus test positive, Imaging procedure abnormal, Inflammation, Leukocytosis, Lipase normal
Clinical narrative: Pfizer Dose 1 1/25/21 (lot NA) Pfizer Dose 2 2/15/21 (lot NA) Pfizer Dose 3 11/2/21 (301308A) COVID Positive 2/21/22  2/21/22: Patient is a 63 year old female with PMH multiple sclerosis, anemia, chronic osteomyelitis of the pelvis, GERD, heart failure with preserved ejection fraction, neurogenic bladder with chronic suprapubic urinary catheter, chronic G-tube, ileostomy, legally blind who presented to the ED today due to fever and altered mental status.   In the ED she presented with pulse 126, respiratory rate 35 saturating 91% on room air, temperature 99.3°, with BP 128/37.  Labs notable for Na 130, ALP 124, proBNP 718, WBC 18.43, with negative troponin, and normal lactate and lipase.  Urine turbid with large blood, leuk esterase, and positive nitrates with loaded bacteria, many amorphous crystal, and moderate yeast.  Patient was given vancomycin, Zosyn, and 1 L NS.   Upon evaluation patient does not understand why she is in the hospital.  Due to MS limited history was obtained from patient.  Mental status similar from previous admissions. She agrees to fevers, however denies chills.  She notes chronic pain, however no increased pain in her abdomen or at the site of her suprapubic catheter.  She otherwise denies of chest pain, shortness of breath.  Surgical history:  Ileostomy, chronic G-tube, chronic suprapubic catheter  Social history:   FH: Noncontributory  2/26/22: Patient is a 63 year old female with PMH multiple sclerosis, anemia, chronic osteomyelitis of the pelvis, GERD, heart failure with preserved ejection fraction, neurogenic bladder with chronic suprapubic urinary catheter, chronic G-tube, ileostomy, legally blind who had presented to the ER due to fever and altered mental status. Pt was tachycardic with leukocytosis and signs of possible UTI. Pt was admitted for concerns of possible urosepsis. However, blood cultures were negative. Imaging studies showed stable known staghorn calculus of L kidney with inflammatory changes. Urology was consulted and are considering PCNL outpatient, otherwise no procedure while hospitalized. She received several days of ceftriaxone for therapy until urine cultures resulted. These eventually showed MRSA and Enterococcus faecalis, both sensitive to Macrobid. Pt was stabilized during the hospital and had no repeat fevers. Today feeling well with no concerns. She was discharged to complete a full 7 days of Macrobid for treatment of possible UTI. Pt stable and discharged. She has a scheduled f/u with urology in April, but FMC will work to move up this appointment per urology's recommendation.