chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Glomerular filtration rate, Haemoptysis, Hypoxia, Interstitial lung disease, Lung disorder
Clinical narrative: Narrative:  Admission Date: AUG 29,2021 Discharge Date: AUG 30,2021 Admit Diagnosis: COVID PNEUMONIA, PULMONARY EMBOLI 76yoM with PMH significant for spontaneous pneumothroaces in his 20s s/p pleurodesis, ex smoker now with COPD, psoriasis, T2DM, NTM lung infection following with ID, and vascular dementia presented with COVID PNA 8/29/2021 despite being fully vaccinated with Pfizer's COVID vaccine on 01/22/2021 and 02/12/2021. Patient recently presented 8/26/21 with cough, congestion, and a positive COVID PCR. He was not hypoxic on room air at that time, and was discharged home after administration of Regeneron mAb. Three days later, 8/29/2021, patient presented with worsening cough, dyspnea. He reported that for the past two months, he has had intermittent hemoptysis as well. Denies NVDC, diaphoresis, fever, chills, abd pain, chest pain, numbness/tingling, further or progressive hemoptysis, changes in urinary or bowel habits. In the ED, patient is normotensive with all VSS, satting 98% ORA. Labs are significant for COVID +, D-Dimer 0.92. VBG significant for mild hypoxemia 7.4/41/18(L)/25.6. CT chest demonstrated acute pulmonary emboli to segmental branches of the right upper lobe, multifocal GGOs c/w COVID, stable RUL cavitary lung lesion with possible superimposed atypical/fungal infection. He was admitted. - Lovenox 80mg BID and then transitioned to apixaban 10mg twice daily for 7 days followed by 5mg twice daily for 6 months (planned). - Deferred Dexamethasone therapy as not on supplemental O2 - Deferred Remdesevir therapy as not on supplemental O2 The patient was discharged in stable condition on 8/30/2021.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lung infiltration, Lung opacity, Pulmonary embolism, Pulmonary fibrosis, Respiratory tract congestion
Clinical narrative: Narrative:  Admission Date: AUG 29,2021 Discharge Date: AUG 30,2021 Admit Diagnosis: COVID PNEUMONIA, PULMONARY EMBOLI 76yoM with PMH significant for spontaneous pneumothroaces in his 20s s/p pleurodesis, ex smoker now with COPD, psoriasis, T2DM, NTM lung infection following with ID, and vascular dementia presented with COVID PNA 8/29/2021 despite being fully vaccinated with Pfizer's COVID vaccine on 01/22/2021 and 02/12/2021. Patient recently presented 8/26/21 with cough, congestion, and a positive COVID PCR. He was not hypoxic on room air at that time, and was discharged home after administration of Regeneron mAb. Three days later, 8/29/2021, patient presented with worsening cough, dyspnea. He reported that for the past two months, he has had intermittent hemoptysis as well. Denies NVDC, diaphoresis, fever, chills, abd pain, chest pain, numbness/tingling, further or progressive hemoptysis, changes in urinary or bowel habits. In the ED, patient is normotensive with all VSS, satting 98% ORA. Labs are significant for COVID +, D-Dimer 0.92. VBG significant for mild hypoxemia 7.4/41/18(L)/25.6. CT chest demonstrated acute pulmonary emboli to segmental branches of the right upper lobe, multifocal GGOs c/w COVID, stable RUL cavitary lung lesion with possible superimposed atypical/fungal infection. He was admitted. - Lovenox 80mg BID and then transitioned to apixaban 10mg twice daily for 7 days followed by 5mg twice daily for 6 months (planned). - Deferred Dexamethasone therapy as not on supplemental O2 - Deferred Remdesevir therapy as not on supplemental O2 The patient was discharged in stable condition on 8/30/2021.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Scan with contrast
Clinical narrative: Narrative:  Admission Date: AUG 29,2021 Discharge Date: AUG 30,2021 Admit Diagnosis: COVID PNEUMONIA, PULMONARY EMBOLI 76yoM with PMH significant for spontaneous pneumothroaces in his 20s s/p pleurodesis, ex smoker now with COPD, psoriasis, T2DM, NTM lung infection following with ID, and vascular dementia presented with COVID PNA 8/29/2021 despite being fully vaccinated with Pfizer's COVID vaccine on 01/22/2021 and 02/12/2021. Patient recently presented 8/26/21 with cough, congestion, and a positive COVID PCR. He was not hypoxic on room air at that time, and was discharged home after administration of Regeneron mAb. Three days later, 8/29/2021, patient presented with worsening cough, dyspnea. He reported that for the past two months, he has had intermittent hemoptysis as well. Denies NVDC, diaphoresis, fever, chills, abd pain, chest pain, numbness/tingling, further or progressive hemoptysis, changes in urinary or bowel habits. In the ED, patient is normotensive with all VSS, satting 98% ORA. Labs are significant for COVID +, D-Dimer 0.92. VBG significant for mild hypoxemia 7.4/41/18(L)/25.6. CT chest demonstrated acute pulmonary emboli to segmental branches of the right upper lobe, multifocal GGOs c/w COVID, stable RUL cavitary lung lesion with possible superimposed atypical/fungal infection. He was admitted. - Lovenox 80mg BID and then transitioned to apixaban 10mg twice daily for 7 days followed by 5mg twice daily for 6 months (planned). - Deferred Dexamethasone therapy as not on supplemental O2 - Deferred Remdesevir therapy as not on supplemental O2 The patient was discharged in stable condition on 8/30/2021.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Atypical pneumonia, COVID-19, COVID-19 pneumonia, Chest pain, Chronic obstructive pulmonary disease
Clinical narrative: Narrative: Admission Date: Aug 28,2021 Discharge Date: Aug 31,2021 Condition of patient at discharge: Stable Primary Diagnosis during Admission/Treatment: Acute on Chronic Hypoxic Respiratory Failure, COVID pneumonia 71 yo M w a past medical history of HIV (inconsistent HAART use), latent TB previously treated, pulmonary embolism not on anticoagulation, prostate cancer, pHTN, T2DM, EtOH abuse, and COPD with severe emphysema on CT, on 2L home O2 presenting with SOB. He was recently seen in the ED on 8/23/21 with complaints of abdominal pain and COPD exacerbation. At the time he was found to have new alveolar and interstitial infiltrates in the LLL and RLL c/f multifocal pneumonia. He was prescribed Augmentin suspension, but admits he only took 2 doses of it since discharge. He also admits that he does not take most of his medications due to difficulty swallowing. He was not COVID tested at the time. He was diagnosed with COVID in 11/2020. He also received both doses of Pfizer vaccine on 2/2/21 and 2/23/21. On presentation to the ED he was afebrile. He had increased oxygen demand and required 3L NC (vs home O2 of 2L NC). He had no significant lab abnormalities. He was COVID positive and admitted for recurring COVID pneumonia in the setting of atypical pneumonia and COPD. His hospital course was uneventful and he was discharged in stable condition 3 days later.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Dyspnoea, Lung opacity, Pleural effusion, SARS-CoV-2 test positive
Clinical narrative: Narrative: Admission Date: Aug 28,2021 Discharge Date: Aug 31,2021 Condition of patient at discharge: Stable Primary Diagnosis during Admission/Treatment: Acute on Chronic Hypoxic Respiratory Failure, COVID pneumonia 71 yo M w a past medical history of HIV (inconsistent HAART use), latent TB previously treated, pulmonary embolism not on anticoagulation, prostate cancer, pHTN, T2DM, EtOH abuse, and COPD with severe emphysema on CT, on 2L home O2 presenting with SOB. He was recently seen in the ED on 8/23/21 with complaints of abdominal pain and COPD exacerbation. At the time he was found to have new alveolar and interstitial infiltrates in the LLL and RLL c/f multifocal pneumonia. He was prescribed Augmentin suspension, but admits he only took 2 doses of it since discharge. He also admits that he does not take most of his medications due to difficulty swallowing. He was not COVID tested at the time. He was diagnosed with COVID in 11/2020. He also received both doses of Pfizer vaccine on 2/2/21 and 2/23/21. On presentation to the ED he was afebrile. He had increased oxygen demand and required 3L NC (vs home O2 of 2L NC). He had no significant lab abnormalities. He was COVID positive and admitted for recurring COVID pneumonia in the setting of atypical pneumonia and COPD. His hospital course was uneventful and he was discharged in stable condition 3 days later.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Acute respiratory distress syndrome, COVID-19, Death, Endotracheal intubation
Clinical narrative: Narrative: Patient was diagnosed with COVID-19 on 8/15/2021. He was admitted to the Medical COVID Unit on 8/15/2021 and transferred to COVID ICU on 8/18/2021. He was treated with dexamethasone 6mg IVP daily x 10 days and remdesivir 200mg IV x 1 day, then 100mg IV daily x 9 days. He also received tocilizumab on 8/20/2021. Patient developed severe ARDS and was intubated on 9/2/2021. Prone positioning was initiated on 9/2/2021. Patient continued to clinically decline - developed shock requiring vasopressors and AKI. Family requested withdrawal of care on 9/3/2021. Patient was terminally extubated at 1301 and passed away at 1350.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: General physical health deterioration, Intensive care, Shock
Clinical narrative: Narrative: Patient was diagnosed with COVID-19 on 8/15/2021. He was admitted to the Medical COVID Unit on 8/15/2021 and transferred to COVID ICU on 8/18/2021. He was treated with dexamethasone 6mg IVP daily x 10 days and remdesivir 200mg IV x 1 day, then 100mg IV daily x 9 days. He also received tocilizumab on 8/20/2021. Patient developed severe ARDS and was intubated on 9/2/2021. Prone positioning was initiated on 9/2/2021. Patient continued to clinically decline - developed shock requiring vasopressors and AKI. Family requested withdrawal of care on 9/3/2021. Patient was terminally extubated at 1301 and passed away at 1350.
Age: 98.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  97yo male with Past Medical Hx: htn psoriasis bhp gerd barretts syndrome 1995 - cauterization of lesions by EGD - at medical facility. spinal stenosis - lumbar 4-5; 3-4; GERD cts benign polyps aortic stenosis died on 08/09/2021. Pt with no information or notes regarding pt's death nor any recent medical notes. Pt had received covid vaccinations on 1/11/21 and 2/8/2021. Likely pt's death is not related to vaccines given pt's advanced age.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Janus kinase 2 mutation, Polycythaemia vera
Clinical narrative: Narrative:  64yo male pt with the following info taken from most recent MD note (8/12/21). "Diagnosis: 1. Polycythemia vera, JAK2+ 2. H/o Left common and proximal femoral vein DVT in Feb 2020 HPI: Patient is a 64 year old MALE with past medical history significant for ESRD on dialysis, HIV on HAART, HCV, and hypertension..." Pt dies on 8/27/2021. No information given in regard to his death, no info in pt's chart. Pt had received covid vaccines on 4/6/21 & 5/6/2021. Likely death is not related to the vaccinations given pt's medical history.
Age: 75.0
Sex: M
Vaccine: PPV
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Acquired diaphragmatic eventration, Acute respiratory failure, Alanine aminotransferase increased, Angiogram pulmonary abnormal, Anion gap
Clinical narrative: Narrative: ADMISSION DATE: 08/09/2021 DISCHARGE DATE: 08/14/2021 DISCHARGE TYPE: regular PRINCIPAL DIAGNOSIS (Reason for admission after study): Acute hypoxic respiratory failure. ADDITIONAL DIAGNOSES: Acute SARS-CoV-2 viral pneumonia Sore throat Pleuric chest pain Asthma HLD Obesity HISTORY OF PRESENT ILLNESS: Per HPI: "Patient is a 55 year old with a PMH notable for asthma admitted via ED for Covid positive with hypoxia. Patient who was seen in the ER on August 2 at which time Covid test was negative returned today with complaints of sore throat that started last night and cough, shortness of breath, generalized weakness that started today. Repeat Covid test was positive. Denies any chest pain. Patient reports two family members tested positive for Covid on Friday. Of note, patient was immunized with both doses Covid Pfizer vaccine in May." HOSPITAL COURSE: Patient was admitted for reasons mentioned above. Patient was treated with a 5 day course of remdesivir ,fluids and oxygen and improved with intervention. Upon discharge patient was able to tolerate activity without shortness of breath or becoming hypoxic. Presenting symptoms of sore throat was determined to partially due to oral thrush for which patient was treated with nystatin. Patient is to continue his outpatient maintanence inhalers for underlying asthma and to follow up with his pcp 7-10 days after discharge. Patient will be discharged home today to complete a 10 day self quarantine in his home. PROCEDURES/OPERATIONS: n/a PERTINENT ROS: ROS: Otherwise unremarkable PERTINENT PAST MEDICAL HISTORY: asthma HLD obesity PERTINENT PHYSICAL EXAM FINDINGS: Gen- WDWN MALE in NAD/NTA, A&O x3 HEENT- NC/AT Neck-supple CV- RRR Lungs- CTAB Abd- S/NT/ND Ext- no edema Neuro- Nonfocal
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Aspartate aminotransferase normal, Asthenia, Asthma, Atelectasis, Basophil count normal
Clinical narrative: Narrative: ADMISSION DATE: 08/09/2021 DISCHARGE DATE: 08/14/2021 DISCHARGE TYPE: regular PRINCIPAL DIAGNOSIS (Reason for admission after study): Acute hypoxic respiratory failure. ADDITIONAL DIAGNOSES: Acute SARS-CoV-2 viral pneumonia Sore throat Pleuric chest pain Asthma HLD Obesity HISTORY OF PRESENT ILLNESS: Per HPI: "Patient is a 55 year old with a PMH notable for asthma admitted via ED for Covid positive with hypoxia. Patient who was seen in the ER on August 2 at which time Covid test was negative returned today with complaints of sore throat that started last night and cough, shortness of breath, generalized weakness that started today. Repeat Covid test was positive. Denies any chest pain. Patient reports two family members tested positive for Covid on Friday. Of note, patient was immunized with both doses Covid Pfizer vaccine in May." HOSPITAL COURSE: Patient was admitted for reasons mentioned above. Patient was treated with a 5 day course of remdesivir ,fluids and oxygen and improved with intervention. Upon discharge patient was able to tolerate activity without shortness of breath or becoming hypoxic. Presenting symptoms of sore throat was determined to partially due to oral thrush for which patient was treated with nystatin. Patient is to continue his outpatient maintanence inhalers for underlying asthma and to follow up with his pcp 7-10 days after discharge. Patient will be discharged home today to complete a 10 day self quarantine in his home. PROCEDURES/OPERATIONS: n/a PERTINENT ROS: ROS: Otherwise unremarkable PERTINENT PAST MEDICAL HISTORY: asthma HLD obesity PERTINENT PHYSICAL EXAM FINDINGS: Gen- WDWN MALE in NAD/NTA, A&O x3 HEENT- NC/AT Neck-supple CV- RRR Lungs- CTAB Abd- S/NT/ND Ext- no edema Neuro- Nonfocal
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Basophil percentage, Bilirubin conjugated, Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin normal
Clinical narrative: Narrative: ADMISSION DATE: 08/09/2021 DISCHARGE DATE: 08/14/2021 DISCHARGE TYPE: regular PRINCIPAL DIAGNOSIS (Reason for admission after study): Acute hypoxic respiratory failure. ADDITIONAL DIAGNOSES: Acute SARS-CoV-2 viral pneumonia Sore throat Pleuric chest pain Asthma HLD Obesity HISTORY OF PRESENT ILLNESS: Per HPI: "Patient is a 55 year old with a PMH notable for asthma admitted via ED for Covid positive with hypoxia. Patient who was seen in the ER on August 2 at which time Covid test was negative returned today with complaints of sore throat that started last night and cough, shortness of breath, generalized weakness that started today. Repeat Covid test was positive. Denies any chest pain. Patient reports two family members tested positive for Covid on Friday. Of note, patient was immunized with both doses Covid Pfizer vaccine in May." HOSPITAL COURSE: Patient was admitted for reasons mentioned above. Patient was treated with a 5 day course of remdesivir ,fluids and oxygen and improved with intervention. Upon discharge patient was able to tolerate activity without shortness of breath or becoming hypoxic. Presenting symptoms of sore throat was determined to partially due to oral thrush for which patient was treated with nystatin. Patient is to continue his outpatient maintanence inhalers for underlying asthma and to follow up with his pcp 7-10 days after discharge. Patient will be discharged home today to complete a 10 day self quarantine in his home. PROCEDURES/OPERATIONS: n/a PERTINENT ROS: ROS: Otherwise unremarkable PERTINENT PAST MEDICAL HISTORY: asthma HLD obesity PERTINENT PHYSICAL EXAM FINDINGS: Gen- WDWN MALE in NAD/NTA, A&O x3 HEENT- NC/AT Neck-supple CV- RRR Lungs- CTAB Abd- S/NT/ND Ext- no edema Neuro- Nonfocal
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Blood calcium normal, Blood chloride normal, Blood creatinine normal, Blood glucose normal, Blood potassium normal
Clinical narrative: Narrative: ADMISSION DATE: 08/09/2021 DISCHARGE DATE: 08/14/2021 DISCHARGE TYPE: regular PRINCIPAL DIAGNOSIS (Reason for admission after study): Acute hypoxic respiratory failure. ADDITIONAL DIAGNOSES: Acute SARS-CoV-2 viral pneumonia Sore throat Pleuric chest pain Asthma HLD Obesity HISTORY OF PRESENT ILLNESS: Per HPI: "Patient is a 55 year old with a PMH notable for asthma admitted via ED for Covid positive with hypoxia. Patient who was seen in the ER on August 2 at which time Covid test was negative returned today with complaints of sore throat that started last night and cough, shortness of breath, generalized weakness that started today. Repeat Covid test was positive. Denies any chest pain. Patient reports two family members tested positive for Covid on Friday. Of note, patient was immunized with both doses Covid Pfizer vaccine in May." HOSPITAL COURSE: Patient was admitted for reasons mentioned above. Patient was treated with a 5 day course of remdesivir ,fluids and oxygen and improved with intervention. Upon discharge patient was able to tolerate activity without shortness of breath or becoming hypoxic. Presenting symptoms of sore throat was determined to partially due to oral thrush for which patient was treated with nystatin. Patient is to continue his outpatient maintanence inhalers for underlying asthma and to follow up with his pcp 7-10 days after discharge. Patient will be discharged home today to complete a 10 day self quarantine in his home. PROCEDURES/OPERATIONS: n/a PERTINENT ROS: ROS: Otherwise unremarkable PERTINENT PAST MEDICAL HISTORY: asthma HLD obesity PERTINENT PHYSICAL EXAM FINDINGS: Gen- WDWN MALE in NAD/NTA, A&O x3 HEENT- NC/AT Neck-supple CV- RRR Lungs- CTAB Abd- S/NT/ND Ext- no edema Neuro- Nonfocal
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Blood sodium increased, Blood urea normal, COVID-19, COVID-19 pneumonia, Carbon dioxide normal
Clinical narrative: Narrative: ADMISSION DATE: 08/09/2021 DISCHARGE DATE: 08/14/2021 DISCHARGE TYPE: regular PRINCIPAL DIAGNOSIS (Reason for admission after study): Acute hypoxic respiratory failure. ADDITIONAL DIAGNOSES: Acute SARS-CoV-2 viral pneumonia Sore throat Pleuric chest pain Asthma HLD Obesity HISTORY OF PRESENT ILLNESS: Per HPI: "Patient is a 55 year old with a PMH notable for asthma admitted via ED for Covid positive with hypoxia. Patient who was seen in the ER on August 2 at which time Covid test was negative returned today with complaints of sore throat that started last night and cough, shortness of breath, generalized weakness that started today. Repeat Covid test was positive. Denies any chest pain. Patient reports two family members tested positive for Covid on Friday. Of note, patient was immunized with both doses Covid Pfizer vaccine in May." HOSPITAL COURSE: Patient was admitted for reasons mentioned above. Patient was treated with a 5 day course of remdesivir ,fluids and oxygen and improved with intervention. Upon discharge patient was able to tolerate activity without shortness of breath or becoming hypoxic. Presenting symptoms of sore throat was determined to partially due to oral thrush for which patient was treated with nystatin. Patient is to continue his outpatient maintanence inhalers for underlying asthma and to follow up with his pcp 7-10 days after discharge. Patient will be discharged home today to complete a 10 day self quarantine in his home. PROCEDURES/OPERATIONS: n/a PERTINENT ROS: ROS: Otherwise unremarkable PERTINENT PAST MEDICAL HISTORY: asthma HLD obesity PERTINENT PHYSICAL EXAM FINDINGS: Gen- WDWN MALE in NAD/NTA, A&O x3 HEENT- NC/AT Neck-supple CV- RRR Lungs- CTAB Abd- S/NT/ND Ext- no edema Neuro- Nonfocal
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chest pain, Condition aggravated, Cough, Dyspnoea
Clinical narrative: Narrative: ADMISSION DATE: 08/09/2021 DISCHARGE DATE: 08/14/2021 DISCHARGE TYPE: regular PRINCIPAL DIAGNOSIS (Reason for admission after study): Acute hypoxic respiratory failure. ADDITIONAL DIAGNOSES: Acute SARS-CoV-2 viral pneumonia Sore throat Pleuric chest pain Asthma HLD Obesity HISTORY OF PRESENT ILLNESS: Per HPI: "Patient is a 55 year old with a PMH notable for asthma admitted via ED for Covid positive with hypoxia. Patient who was seen in the ER on August 2 at which time Covid test was negative returned today with complaints of sore throat that started last night and cough, shortness of breath, generalized weakness that started today. Repeat Covid test was positive. Denies any chest pain. Patient reports two family members tested positive for Covid on Friday. Of note, patient was immunized with both doses Covid Pfizer vaccine in May." HOSPITAL COURSE: Patient was admitted for reasons mentioned above. Patient was treated with a 5 day course of remdesivir ,fluids and oxygen and improved with intervention. Upon discharge patient was able to tolerate activity without shortness of breath or becoming hypoxic. Presenting symptoms of sore throat was determined to partially due to oral thrush for which patient was treated with nystatin. Patient is to continue his outpatient maintanence inhalers for underlying asthma and to follow up with his pcp 7-10 days after discharge. Patient will be discharged home today to complete a 10 day self quarantine in his home. PROCEDURES/OPERATIONS: n/a PERTINENT ROS: ROS: Otherwise unremarkable PERTINENT PAST MEDICAL HISTORY: asthma HLD obesity PERTINENT PHYSICAL EXAM FINDINGS: Gen- WDWN MALE in NAD/NTA, A&O x3 HEENT- NC/AT Neck-supple CV- RRR Lungs- CTAB Abd- S/NT/ND Ext- no edema Neuro- Nonfocal
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Eosinophil count decreased, Eosinophil percentage, Glomerular filtration rate normal, Granulocyte count, Granulocyte percentage
Clinical narrative: Narrative: ADMISSION DATE: 08/09/2021 DISCHARGE DATE: 08/14/2021 DISCHARGE TYPE: regular PRINCIPAL DIAGNOSIS (Reason for admission after study): Acute hypoxic respiratory failure. ADDITIONAL DIAGNOSES: Acute SARS-CoV-2 viral pneumonia Sore throat Pleuric chest pain Asthma HLD Obesity HISTORY OF PRESENT ILLNESS: Per HPI: "Patient is a 55 year old with a PMH notable for asthma admitted via ED for Covid positive with hypoxia. Patient who was seen in the ER on August 2 at which time Covid test was negative returned today with complaints of sore throat that started last night and cough, shortness of breath, generalized weakness that started today. Repeat Covid test was positive. Denies any chest pain. Patient reports two family members tested positive for Covid on Friday. Of note, patient was immunized with both doses Covid Pfizer vaccine in May." HOSPITAL COURSE: Patient was admitted for reasons mentioned above. Patient was treated with a 5 day course of remdesivir ,fluids and oxygen and improved with intervention. Upon discharge patient was able to tolerate activity without shortness of breath or becoming hypoxic. Presenting symptoms of sore throat was determined to partially due to oral thrush for which patient was treated with nystatin. Patient is to continue his outpatient maintanence inhalers for underlying asthma and to follow up with his pcp 7-10 days after discharge. Patient will be discharged home today to complete a 10 day self quarantine in his home. PROCEDURES/OPERATIONS: n/a PERTINENT ROS: ROS: Otherwise unremarkable PERTINENT PAST MEDICAL HISTORY: asthma HLD obesity PERTINENT PHYSICAL EXAM FINDINGS: Gen- WDWN MALE in NAD/NTA, A&O x3 HEENT- NC/AT Neck-supple CV- RRR Lungs- CTAB Abd- S/NT/ND Ext- no edema Neuro- Nonfocal
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Haematocrit normal, Haemoglobin normal, Hyperlipidaemia, Hypoxia, Laboratory test
Clinical narrative: Narrative: ADMISSION DATE: 08/09/2021 DISCHARGE DATE: 08/14/2021 DISCHARGE TYPE: regular PRINCIPAL DIAGNOSIS (Reason for admission after study): Acute hypoxic respiratory failure. ADDITIONAL DIAGNOSES: Acute SARS-CoV-2 viral pneumonia Sore throat Pleuric chest pain Asthma HLD Obesity HISTORY OF PRESENT ILLNESS: Per HPI: "Patient is a 55 year old with a PMH notable for asthma admitted via ED for Covid positive with hypoxia. Patient who was seen in the ER on August 2 at which time Covid test was negative returned today with complaints of sore throat that started last night and cough, shortness of breath, generalized weakness that started today. Repeat Covid test was positive. Denies any chest pain. Patient reports two family members tested positive for Covid on Friday. Of note, patient was immunized with both doses Covid Pfizer vaccine in May." HOSPITAL COURSE: Patient was admitted for reasons mentioned above. Patient was treated with a 5 day course of remdesivir ,fluids and oxygen and improved with intervention. Upon discharge patient was able to tolerate activity without shortness of breath or becoming hypoxic. Presenting symptoms of sore throat was determined to partially due to oral thrush for which patient was treated with nystatin. Patient is to continue his outpatient maintanence inhalers for underlying asthma and to follow up with his pcp 7-10 days after discharge. Patient will be discharged home today to complete a 10 day self quarantine in his home. PROCEDURES/OPERATIONS: n/a PERTINENT ROS: ROS: Otherwise unremarkable PERTINENT PAST MEDICAL HISTORY: asthma HLD obesity PERTINENT PHYSICAL EXAM FINDINGS: Gen- WDWN MALE in NAD/NTA, A&O x3 HEENT- NC/AT Neck-supple CV- RRR Lungs- CTAB Abd- S/NT/ND Ext- no edema Neuro- Nonfocal
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphocyte count normal, Lymphocyte percentage decreased, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal
Clinical narrative: Narrative: ADMISSION DATE: 08/09/2021 DISCHARGE DATE: 08/14/2021 DISCHARGE TYPE: regular PRINCIPAL DIAGNOSIS (Reason for admission after study): Acute hypoxic respiratory failure. ADDITIONAL DIAGNOSES: Acute SARS-CoV-2 viral pneumonia Sore throat Pleuric chest pain Asthma HLD Obesity HISTORY OF PRESENT ILLNESS: Per HPI: "Patient is a 55 year old with a PMH notable for asthma admitted via ED for Covid positive with hypoxia. Patient who was seen in the ER on August 2 at which time Covid test was negative returned today with complaints of sore throat that started last night and cough, shortness of breath, generalized weakness that started today. Repeat Covid test was positive. Denies any chest pain. Patient reports two family members tested positive for Covid on Friday. Of note, patient was immunized with both doses Covid Pfizer vaccine in May." HOSPITAL COURSE: Patient was admitted for reasons mentioned above. Patient was treated with a 5 day course of remdesivir ,fluids and oxygen and improved with intervention. Upon discharge patient was able to tolerate activity without shortness of breath or becoming hypoxic. Presenting symptoms of sore throat was determined to partially due to oral thrush for which patient was treated with nystatin. Patient is to continue his outpatient maintanence inhalers for underlying asthma and to follow up with his pcp 7-10 days after discharge. Patient will be discharged home today to complete a 10 day self quarantine in his home. PROCEDURES/OPERATIONS: n/a PERTINENT ROS: ROS: Otherwise unremarkable PERTINENT PAST MEDICAL HISTORY: asthma HLD obesity PERTINENT PHYSICAL EXAM FINDINGS: Gen- WDWN MALE in NAD/NTA, A&O x3 HEENT- NC/AT Neck-supple CV- RRR Lungs- CTAB Abd- S/NT/ND Ext- no edema Neuro- Nonfocal
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Mean platelet volume normal, Monocyte count increased, Monocyte percentage, Obesity, Oral candidiasis
Clinical narrative: Narrative: ADMISSION DATE: 08/09/2021 DISCHARGE DATE: 08/14/2021 DISCHARGE TYPE: regular PRINCIPAL DIAGNOSIS (Reason for admission after study): Acute hypoxic respiratory failure. ADDITIONAL DIAGNOSES: Acute SARS-CoV-2 viral pneumonia Sore throat Pleuric chest pain Asthma HLD Obesity HISTORY OF PRESENT ILLNESS: Per HPI: "Patient is a 55 year old with a PMH notable for asthma admitted via ED for Covid positive with hypoxia. Patient who was seen in the ER on August 2 at which time Covid test was negative returned today with complaints of sore throat that started last night and cough, shortness of breath, generalized weakness that started today. Repeat Covid test was positive. Denies any chest pain. Patient reports two family members tested positive for Covid on Friday. Of note, patient was immunized with both doses Covid Pfizer vaccine in May." HOSPITAL COURSE: Patient was admitted for reasons mentioned above. Patient was treated with a 5 day course of remdesivir ,fluids and oxygen and improved with intervention. Upon discharge patient was able to tolerate activity without shortness of breath or becoming hypoxic. Presenting symptoms of sore throat was determined to partially due to oral thrush for which patient was treated with nystatin. Patient is to continue his outpatient maintanence inhalers for underlying asthma and to follow up with his pcp 7-10 days after discharge. Patient will be discharged home today to complete a 10 day self quarantine in his home. PROCEDURES/OPERATIONS: n/a PERTINENT ROS: ROS: Otherwise unremarkable PERTINENT PAST MEDICAL HISTORY: asthma HLD obesity PERTINENT PHYSICAL EXAM FINDINGS: Gen- WDWN MALE in NAD/NTA, A&O x3 HEENT- NC/AT Neck-supple CV- RRR Lungs- CTAB Abd- S/NT/ND Ext- no edema Neuro- Nonfocal
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Platelet count normal, Pleuritic pain, Pneumonia viral, Protein total normal
Clinical narrative: Narrative: ADMISSION DATE: 08/09/2021 DISCHARGE DATE: 08/14/2021 DISCHARGE TYPE: regular PRINCIPAL DIAGNOSIS (Reason for admission after study): Acute hypoxic respiratory failure. ADDITIONAL DIAGNOSES: Acute SARS-CoV-2 viral pneumonia Sore throat Pleuric chest pain Asthma HLD Obesity HISTORY OF PRESENT ILLNESS: Per HPI: "Patient is a 55 year old with a PMH notable for asthma admitted via ED for Covid positive with hypoxia. Patient who was seen in the ER on August 2 at which time Covid test was negative returned today with complaints of sore throat that started last night and cough, shortness of breath, generalized weakness that started today. Repeat Covid test was positive. Denies any chest pain. Patient reports two family members tested positive for Covid on Friday. Of note, patient was immunized with both doses Covid Pfizer vaccine in May." HOSPITAL COURSE: Patient was admitted for reasons mentioned above. Patient was treated with a 5 day course of remdesivir ,fluids and oxygen and improved with intervention. Upon discharge patient was able to tolerate activity without shortness of breath or becoming hypoxic. Presenting symptoms of sore throat was determined to partially due to oral thrush for which patient was treated with nystatin. Patient is to continue his outpatient maintanence inhalers for underlying asthma and to follow up with his pcp 7-10 days after discharge. Patient will be discharged home today to complete a 10 day self quarantine in his home. PROCEDURES/OPERATIONS: n/a PERTINENT ROS: ROS: Otherwise unremarkable PERTINENT PAST MEDICAL HISTORY: asthma HLD obesity PERTINENT PHYSICAL EXAM FINDINGS: Gen- WDWN MALE in NAD/NTA, A&O x3 HEENT- NC/AT Neck-supple CV- RRR Lungs- CTAB Abd- S/NT/ND Ext- no edema Neuro- Nonfocal
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary fibrosis, Red blood cell count normal, Red cell distribution width normal, SARS-CoV-2 test positive, White blood cell count increased
Clinical narrative: Narrative: ADMISSION DATE: 08/09/2021 DISCHARGE DATE: 08/14/2021 DISCHARGE TYPE: regular PRINCIPAL DIAGNOSIS (Reason for admission after study): Acute hypoxic respiratory failure. ADDITIONAL DIAGNOSES: Acute SARS-CoV-2 viral pneumonia Sore throat Pleuric chest pain Asthma HLD Obesity HISTORY OF PRESENT ILLNESS: Per HPI: "Patient is a 55 year old with a PMH notable for asthma admitted via ED for Covid positive with hypoxia. Patient who was seen in the ER on August 2 at which time Covid test was negative returned today with complaints of sore throat that started last night and cough, shortness of breath, generalized weakness that started today. Repeat Covid test was positive. Denies any chest pain. Patient reports two family members tested positive for Covid on Friday. Of note, patient was immunized with both doses Covid Pfizer vaccine in May." HOSPITAL COURSE: Patient was admitted for reasons mentioned above. Patient was treated with a 5 day course of remdesivir ,fluids and oxygen and improved with intervention. Upon discharge patient was able to tolerate activity without shortness of breath or becoming hypoxic. Presenting symptoms of sore throat was determined to partially due to oral thrush for which patient was treated with nystatin. Patient is to continue his outpatient maintanence inhalers for underlying asthma and to follow up with his pcp 7-10 days after discharge. Patient will be discharged home today to complete a 10 day self quarantine in his home. PROCEDURES/OPERATIONS: n/a PERTINENT ROS: ROS: Otherwise unremarkable PERTINENT PAST MEDICAL HISTORY: asthma HLD obesity PERTINENT PHYSICAL EXAM FINDINGS: Gen- WDWN MALE in NAD/NTA, A&O x3 HEENT- NC/AT Neck-supple CV- RRR Lungs- CTAB Abd- S/NT/ND Ext- no edema Neuro- Nonfocal
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, Atrial fibrillation, Atrial flutter, Blood creatinine
Clinical narrative: Narrative: ADMISSION DATE: 8/13/21 DISCHARGE DATE: 8/23/21 DISCHARGE TYPE: Regular PRINCIPAL DIAGNOSIS (Reason for admission after study): Acute hypoxic respiratory failure due to Covid ADDITIONAL DIAGNOSES: A-fib, Hypertension, DM Type 2, Chronic DVT on apixaban, prostate cancer HISTORY OF PRESENT ILLNESS: 86yo M admitted from the ER to hospital for further care management for chest pain with heart jumping , COVID-19 PNA,and Myoclonic Jerks. Patient reports he has been feeling ill with bodyaches for past 5 days but the heart jumping and myoclonic jerks of the face and hands started 2 days ago. Jerking sensations were worse last night while chair. Significant PMHX: AFib, HTN, DMT2, Chronic DVT on Apixiban and Prostate Cancer. ROS: + Decrease in appetite x 5d, denies any history of seizure, syncope, CVA or muscle twitching to this severity, no numbness, +nervous feeling, + Chest pain fleeting, + HOH and degree of difficulty hearing, no visual defects, Per ER chart - in 2014 he had a report of involuntary twitching. , no n/v/d/f/c +SOB with +DOE sometimes , no dysphagia, decrease appetite over past week, moving bowels and urinating wnl, no dysuria, no headache/vertigo or dizziness, no coughing, +shakes with cold intolerence and no skin rash/lesions/swelling or pruritus. HOSPITAL COURSE: 1. Acute COVID 19 pneumonia - S/P Decadron and Remdesivir x 5 days. 2.Acute hypoxic respiratory failure -this was all due to Covid and unfortunately we were unable to wean the patient completely off so will be discharged on home oxygen 3. Bradycardia -due to Amiodarone -last Amiodarone dose on 08/16/2021 morning. 4. Atrial flutter -normal sinus rhythm this morning -continue Eliquis -Amiodarone discontinued due to bradycardia 5. Muscle twitches -resolved 6. Primary hypertension -continued Hydrochlorothiazide, Losartan and Norvasc 7. Diabetes mellitus type 2 -blood sugar uncontrolled (216-222), A1c = 8.0% -okay to resume home insulin 8. CKD, stage IIIA -creatinine remained right around patient's baseline on the inpatient setting. 9. Chronic obstructive pulmonary disease -no acute exacerbation - continued inhaled steroids, bronchodilators and oxygen suuplement 10. Dyslipidemia -continued Lipitor 11. GERD -continued Omeprazole 12. Constipation -resolved
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose increased, COVID-19, COVID-19 pneumonia, Cardiac disorder, Chest pain
Clinical narrative: Narrative: ADMISSION DATE: 8/13/21 DISCHARGE DATE: 8/23/21 DISCHARGE TYPE: Regular PRINCIPAL DIAGNOSIS (Reason for admission after study): Acute hypoxic respiratory failure due to Covid ADDITIONAL DIAGNOSES: A-fib, Hypertension, DM Type 2, Chronic DVT on apixaban, prostate cancer HISTORY OF PRESENT ILLNESS: 86yo M admitted from the ER to hospital for further care management for chest pain with heart jumping , COVID-19 PNA,and Myoclonic Jerks. Patient reports he has been feeling ill with bodyaches for past 5 days but the heart jumping and myoclonic jerks of the face and hands started 2 days ago. Jerking sensations were worse last night while chair. Significant PMHX: AFib, HTN, DMT2, Chronic DVT on Apixiban and Prostate Cancer. ROS: + Decrease in appetite x 5d, denies any history of seizure, syncope, CVA or muscle twitching to this severity, no numbness, +nervous feeling, + Chest pain fleeting, + HOH and degree of difficulty hearing, no visual defects, Per ER chart - in 2014 he had a report of involuntary twitching. , no n/v/d/f/c +SOB with +DOE sometimes , no dysphagia, decrease appetite over past week, moving bowels and urinating wnl, no dysuria, no headache/vertigo or dizziness, no coughing, +shakes with cold intolerence and no skin rash/lesions/swelling or pruritus. HOSPITAL COURSE: 1. Acute COVID 19 pneumonia - S/P Decadron and Remdesivir x 5 days. 2.Acute hypoxic respiratory failure -this was all due to Covid and unfortunately we were unable to wean the patient completely off so will be discharged on home oxygen 3. Bradycardia -due to Amiodarone -last Amiodarone dose on 08/16/2021 morning. 4. Atrial flutter -normal sinus rhythm this morning -continue Eliquis -Amiodarone discontinued due to bradycardia 5. Muscle twitches -resolved 6. Primary hypertension -continued Hydrochlorothiazide, Losartan and Norvasc 7. Diabetes mellitus type 2 -blood sugar uncontrolled (216-222), A1c = 8.0% -okay to resume home insulin 8. CKD, stage IIIA -creatinine remained right around patient's baseline on the inpatient setting. 9. Chronic obstructive pulmonary disease -no acute exacerbation - continued inhaled steroids, bronchodilators and oxygen suuplement 10. Dyslipidemia -continued Lipitor 11. GERD -continued Omeprazole 12. Constipation -resolved
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Chronic obstructive pulmonary disease, Condition aggravated, Constipation, Decreased appetite, Deep vein thrombosis
Clinical narrative: Narrative: ADMISSION DATE: 8/13/21 DISCHARGE DATE: 8/23/21 DISCHARGE TYPE: Regular PRINCIPAL DIAGNOSIS (Reason for admission after study): Acute hypoxic respiratory failure due to Covid ADDITIONAL DIAGNOSES: A-fib, Hypertension, DM Type 2, Chronic DVT on apixaban, prostate cancer HISTORY OF PRESENT ILLNESS: 86yo M admitted from the ER to hospital for further care management for chest pain with heart jumping , COVID-19 PNA,and Myoclonic Jerks. Patient reports he has been feeling ill with bodyaches for past 5 days but the heart jumping and myoclonic jerks of the face and hands started 2 days ago. Jerking sensations were worse last night while chair. Significant PMHX: AFib, HTN, DMT2, Chronic DVT on Apixiban and Prostate Cancer. ROS: + Decrease in appetite x 5d, denies any history of seizure, syncope, CVA or muscle twitching to this severity, no numbness, +nervous feeling, + Chest pain fleeting, + HOH and degree of difficulty hearing, no visual defects, Per ER chart - in 2014 he had a report of involuntary twitching. , no n/v/d/f/c +SOB with +DOE sometimes , no dysphagia, decrease appetite over past week, moving bowels and urinating wnl, no dysuria, no headache/vertigo or dizziness, no coughing, +shakes with cold intolerence and no skin rash/lesions/swelling or pruritus. HOSPITAL COURSE: 1. Acute COVID 19 pneumonia - S/P Decadron and Remdesivir x 5 days. 2.Acute hypoxic respiratory failure -this was all due to Covid and unfortunately we were unable to wean the patient completely off so will be discharged on home oxygen 3. Bradycardia -due to Amiodarone -last Amiodarone dose on 08/16/2021 morning. 4. Atrial flutter -normal sinus rhythm this morning -continue Eliquis -Amiodarone discontinued due to bradycardia 5. Muscle twitches -resolved 6. Primary hypertension -continued Hydrochlorothiazide, Losartan and Norvasc 7. Diabetes mellitus type 2 -blood sugar uncontrolled (216-222), A1c = 8.0% -okay to resume home insulin 8. CKD, stage IIIA -creatinine remained right around patient's baseline on the inpatient setting. 9. Chronic obstructive pulmonary disease -no acute exacerbation - continued inhaled steroids, bronchodilators and oxygen suuplement 10. Dyslipidemia -continued Lipitor 11. GERD -continued Omeprazole 12. Constipation -resolved
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Diabetes mellitus inadequate control, Dyslipidaemia, Dyspnoea, Dyspnoea exertional, Essential hypertension
Clinical narrative: Narrative: ADMISSION DATE: 8/13/21 DISCHARGE DATE: 8/23/21 DISCHARGE TYPE: Regular PRINCIPAL DIAGNOSIS (Reason for admission after study): Acute hypoxic respiratory failure due to Covid ADDITIONAL DIAGNOSES: A-fib, Hypertension, DM Type 2, Chronic DVT on apixaban, prostate cancer HISTORY OF PRESENT ILLNESS: 86yo M admitted from the ER to hospital for further care management for chest pain with heart jumping , COVID-19 PNA,and Myoclonic Jerks. Patient reports he has been feeling ill with bodyaches for past 5 days but the heart jumping and myoclonic jerks of the face and hands started 2 days ago. Jerking sensations were worse last night while chair. Significant PMHX: AFib, HTN, DMT2, Chronic DVT on Apixiban and Prostate Cancer. ROS: + Decrease in appetite x 5d, denies any history of seizure, syncope, CVA or muscle twitching to this severity, no numbness, +nervous feeling, + Chest pain fleeting, + HOH and degree of difficulty hearing, no visual defects, Per ER chart - in 2014 he had a report of involuntary twitching. , no n/v/d/f/c +SOB with +DOE sometimes , no dysphagia, decrease appetite over past week, moving bowels and urinating wnl, no dysuria, no headache/vertigo or dizziness, no coughing, +shakes with cold intolerence and no skin rash/lesions/swelling or pruritus. HOSPITAL COURSE: 1. Acute COVID 19 pneumonia - S/P Decadron and Remdesivir x 5 days. 2.Acute hypoxic respiratory failure -this was all due to Covid and unfortunately we were unable to wean the patient completely off so will be discharged on home oxygen 3. Bradycardia -due to Amiodarone -last Amiodarone dose on 08/16/2021 morning. 4. Atrial flutter -normal sinus rhythm this morning -continue Eliquis -Amiodarone discontinued due to bradycardia 5. Muscle twitches -resolved 6. Primary hypertension -continued Hydrochlorothiazide, Losartan and Norvasc 7. Diabetes mellitus type 2 -blood sugar uncontrolled (216-222), A1c = 8.0% -okay to resume home insulin 8. CKD, stage IIIA -creatinine remained right around patient's baseline on the inpatient setting. 9. Chronic obstructive pulmonary disease -no acute exacerbation - continued inhaled steroids, bronchodilators and oxygen suuplement 10. Dyslipidemia -continued Lipitor 11. GERD -continued Omeprazole 12. Constipation -resolved
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Gastrooesophageal reflux disease, Glycosylated haemoglobin increased, Hypertension, Hypoacusis, Malaise
Clinical narrative: Narrative: ADMISSION DATE: 8/13/21 DISCHARGE DATE: 8/23/21 DISCHARGE TYPE: Regular PRINCIPAL DIAGNOSIS (Reason for admission after study): Acute hypoxic respiratory failure due to Covid ADDITIONAL DIAGNOSES: A-fib, Hypertension, DM Type 2, Chronic DVT on apixaban, prostate cancer HISTORY OF PRESENT ILLNESS: 86yo M admitted from the ER to hospital for further care management for chest pain with heart jumping , COVID-19 PNA,and Myoclonic Jerks. Patient reports he has been feeling ill with bodyaches for past 5 days but the heart jumping and myoclonic jerks of the face and hands started 2 days ago. Jerking sensations were worse last night while chair. Significant PMHX: AFib, HTN, DMT2, Chronic DVT on Apixiban and Prostate Cancer. ROS: + Decrease in appetite x 5d, denies any history of seizure, syncope, CVA or muscle twitching to this severity, no numbness, +nervous feeling, + Chest pain fleeting, + HOH and degree of difficulty hearing, no visual defects, Per ER chart - in 2014 he had a report of involuntary twitching. , no n/v/d/f/c +SOB with +DOE sometimes , no dysphagia, decrease appetite over past week, moving bowels and urinating wnl, no dysuria, no headache/vertigo or dizziness, no coughing, +shakes with cold intolerence and no skin rash/lesions/swelling or pruritus. HOSPITAL COURSE: 1. Acute COVID 19 pneumonia - S/P Decadron and Remdesivir x 5 days. 2.Acute hypoxic respiratory failure -this was all due to Covid and unfortunately we were unable to wean the patient completely off so will be discharged on home oxygen 3. Bradycardia -due to Amiodarone -last Amiodarone dose on 08/16/2021 morning. 4. Atrial flutter -normal sinus rhythm this morning -continue Eliquis -Amiodarone discontinued due to bradycardia 5. Muscle twitches -resolved 6. Primary hypertension -continued Hydrochlorothiazide, Losartan and Norvasc 7. Diabetes mellitus type 2 -blood sugar uncontrolled (216-222), A1c = 8.0% -okay to resume home insulin 8. CKD, stage IIIA -creatinine remained right around patient's baseline on the inpatient setting. 9. Chronic obstructive pulmonary disease -no acute exacerbation - continued inhaled steroids, bronchodilators and oxygen suuplement 10. Dyslipidemia -continued Lipitor 11. GERD -continued Omeprazole 12. Constipation -resolved