chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Blood bilirubin normal, Blood calcium decreased, Blood chloride increased, Blood creatinine increased, Blood lactic acid
Clinical narrative: 82 Y male with h/o prior covid infection (Dec 2020, no hospitalization) in setting of full vaccination, emphysema, CKD (baseline Cr 1.1), hx tobacco use (quit 1999), preDM (last A1C 5.9% 9/19), HTN, was admitted to the ICU from the ED for COVID PNA. Symptom onset sometime 1/2-1/6, presented to ED w/ progressive dyspnea, dehydration, weakness. Found to have new Afib w/ RVR. Developed AKI on admission in setting of severe sepsis, improved over admission. Admitted to ICU 1/12, initially required Bipap but now intubated. PNA suspected during admission given resp culture with chryseobacterium gleum. Continued to have intubation requirement without ability to be weaned off. Discussed GOC and prognosis with the family, who opted for compassionate extubation on 1/25.      Complications:  Delirium Acute respiratory failure AFib
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Blood magnesium normal, Blood phosphorus normal, Blood potassium normal, Blood sodium increased, Blood urea increased
Clinical narrative: 82 Y male with h/o prior covid infection (Dec 2020, no hospitalization) in setting of full vaccination, emphysema, CKD (baseline Cr 1.1), hx tobacco use (quit 1999), preDM (last A1C 5.9% 9/19), HTN, was admitted to the ICU from the ED for COVID PNA. Symptom onset sometime 1/2-1/6, presented to ED w/ progressive dyspnea, dehydration, weakness. Found to have new Afib w/ RVR. Developed AKI on admission in setting of severe sepsis, improved over admission. Admitted to ICU 1/12, initially required Bipap but now intubated. PNA suspected during admission given resp culture with chryseobacterium gleum. Continued to have intubation requirement without ability to be weaned off. Discussed GOC and prognosis with the family, who opted for compassionate extubation on 1/25.      Complications:  Delirium Acute respiratory failure AFib
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Brain natriuretic peptide increased, COVID-19, COVID-19 pneumonia, Carbon dioxide decreased, Chest X-ray abnormal
Clinical narrative: 82 Y male with h/o prior covid infection (Dec 2020, no hospitalization) in setting of full vaccination, emphysema, CKD (baseline Cr 1.1), hx tobacco use (quit 1999), preDM (last A1C 5.9% 9/19), HTN, was admitted to the ICU from the ED for COVID PNA. Symptom onset sometime 1/2-1/6, presented to ED w/ progressive dyspnea, dehydration, weakness. Found to have new Afib w/ RVR. Developed AKI on admission in setting of severe sepsis, improved over admission. Admitted to ICU 1/12, initially required Bipap but now intubated. PNA suspected during admission given resp culture with chryseobacterium gleum. Continued to have intubation requirement without ability to be weaned off. Discussed GOC and prognosis with the family, who opted for compassionate extubation on 1/25.      Complications:  Delirium Acute respiratory failure AFib
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Dehydration, Delirium, Dyspnoea, Endotracheal intubation, Haematocrit normal
Clinical narrative: 82 Y male with h/o prior covid infection (Dec 2020, no hospitalization) in setting of full vaccination, emphysema, CKD (baseline Cr 1.1), hx tobacco use (quit 1999), preDM (last A1C 5.9% 9/19), HTN, was admitted to the ICU from the ED for COVID PNA. Symptom onset sometime 1/2-1/6, presented to ED w/ progressive dyspnea, dehydration, weakness. Found to have new Afib w/ RVR. Developed AKI on admission in setting of severe sepsis, improved over admission. Admitted to ICU 1/12, initially required Bipap but now intubated. PNA suspected during admission given resp culture with chryseobacterium gleum. Continued to have intubation requirement without ability to be weaned off. Discussed GOC and prognosis with the family, who opted for compassionate extubation on 1/25.      Complications:  Delirium Acute respiratory failure AFib
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoglobin normal, Intensive care, Lipase normal, Neutrophil percentage increased, Platelet count normal
Clinical narrative: 82 Y male with h/o prior covid infection (Dec 2020, no hospitalization) in setting of full vaccination, emphysema, CKD (baseline Cr 1.1), hx tobacco use (quit 1999), preDM (last A1C 5.9% 9/19), HTN, was admitted to the ICU from the ED for COVID PNA. Symptom onset sometime 1/2-1/6, presented to ED w/ progressive dyspnea, dehydration, weakness. Found to have new Afib w/ RVR. Developed AKI on admission in setting of severe sepsis, improved over admission. Admitted to ICU 1/12, initially required Bipap but now intubated. PNA suspected during admission given resp culture with chryseobacterium gleum. Continued to have intubation requirement without ability to be weaned off. Discussed GOC and prognosis with the family, who opted for compassionate extubation on 1/25.      Complications:  Delirium Acute respiratory failure AFib
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Positive airway pressure therapy, SARS-CoV-2 test positive, Sepsis, Sputum culture positive
Clinical narrative: 82 Y male with h/o prior covid infection (Dec 2020, no hospitalization) in setting of full vaccination, emphysema, CKD (baseline Cr 1.1), hx tobacco use (quit 1999), preDM (last A1C 5.9% 9/19), HTN, was admitted to the ICU from the ED for COVID PNA. Symptom onset sometime 1/2-1/6, presented to ED w/ progressive dyspnea, dehydration, weakness. Found to have new Afib w/ RVR. Developed AKI on admission in setting of severe sepsis, improved over admission. Admitted to ICU 1/12, initially required Bipap but now intubated. PNA suspected during admission given resp culture with chryseobacterium gleum. Continued to have intubation requirement without ability to be weaned off. Discussed GOC and prognosis with the family, who opted for compassionate extubation on 1/25.      Complications:  Delirium Acute respiratory failure AFib
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count increased
Clinical narrative: 82 Y male with h/o prior covid infection (Dec 2020, no hospitalization) in setting of full vaccination, emphysema, CKD (baseline Cr 1.1), hx tobacco use (quit 1999), preDM (last A1C 5.9% 9/19), HTN, was admitted to the ICU from the ED for COVID PNA. Symptom onset sometime 1/2-1/6, presented to ED w/ progressive dyspnea, dehydration, weakness. Found to have new Afib w/ RVR. Developed AKI on admission in setting of severe sepsis, improved over admission. Admitted to ICU 1/12, initially required Bipap but now intubated. PNA suspected during admission given resp culture with chryseobacterium gleum. Continued to have intubation requirement without ability to be weaned off. Discussed GOC and prognosis with the family, who opted for compassionate extubation on 1/25.      Complications:  Delirium Acute respiratory failure AFib
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient is 10 years old, was given Pfizer COVID vaccine for ages 12 and up. No adverse effects reported.
Age: 4.0
Sex: M
Vaccine: MMR
Symptoms: Erythema, Mass, Rash papular, Skin warm
Clinical narrative: Large swollen baseball size rash and lump with extreme redness and hot skin
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Disturbance in attention, Dizziness, Ear discomfort
Clinical narrative: Headache, muscle aches, fever, chills, sore throat, fatigue, dizziness, pain in both ears, ringing in both ears, tinnitus, sleeplessness, inability to sleep due to loud ringing in both ears, head pain, neck pain, shoulder pain, flu-like symptoms, pressure in both ears, pressure in head, severe neck pain, inability to concentrate, brain fog, multiple myalgias  THE LOUD RINGING IN MY EARS IS SO LOUD I CANNOT SLEEP AND I CANNOT CONCENTRATE
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pain, Fatigue, Feeling abnormal, Head discomfort, Headache
Clinical narrative: Headache, muscle aches, fever, chills, sore throat, fatigue, dizziness, pain in both ears, ringing in both ears, tinnitus, sleeplessness, inability to sleep due to loud ringing in both ears, head pain, neck pain, shoulder pain, flu-like symptoms, pressure in both ears, pressure in head, severe neck pain, inability to concentrate, brain fog, multiple myalgias  THE LOUD RINGING IN MY EARS IS SO LOUD I CANNOT SLEEP AND I CANNOT CONCENTRATE
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Insomnia, Myalgia, Neck pain, Oropharyngeal pain
Clinical narrative: Headache, muscle aches, fever, chills, sore throat, fatigue, dizziness, pain in both ears, ringing in both ears, tinnitus, sleeplessness, inability to sleep due to loud ringing in both ears, head pain, neck pain, shoulder pain, flu-like symptoms, pressure in both ears, pressure in head, severe neck pain, inability to concentrate, brain fog, multiple myalgias  THE LOUD RINGING IN MY EARS IS SO LOUD I CANNOT SLEEP AND I CANNOT CONCENTRATE
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tinnitus
Clinical narrative: Headache, muscle aches, fever, chills, sore throat, fatigue, dizziness, pain in both ears, ringing in both ears, tinnitus, sleeplessness, inability to sleep due to loud ringing in both ears, head pain, neck pain, shoulder pain, flu-like symptoms, pressure in both ears, pressure in head, severe neck pain, inability to concentrate, brain fog, multiple myalgias  THE LOUD RINGING IN MY EARS IS SO LOUD I CANNOT SLEEP AND I CANNOT CONCENTRATE
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient was administered 4th dose on 1/20/22. Pt. did not inform us it was 4th dose. Contacted pt. on 1//28/22 and she stated she was unaware it was 4th dose. States no issues post vaccine.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Magnetic resonance imaging, Muscle disorder, Nerve conduction studies
Clinical narrative: Muscle issue numbness
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Mass, Skin warm, Swelling
Clinical narrative: swelling, large lump, hot to touch
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Event occurred after 2nd dose. Patient was diagnosed with COVID Remdesivir, Tylenol Discharged home
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient was administered 4th dose. Pt. did not inform staff this was 4th dose. Pt. was contacted on 1/28/22 and stated unaware it was 4th dose. Stated no issues post vaccine.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Rash, Skin warm, Swelling
Clinical narrative: Swollen, red, hot with rash. Lasted from Mon to sat
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: No adverse reactions at the time
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Syringe issue
Clinical narrative: While administering 2nd dose Pedi Pfizer,  syringe malfunctioned vaccine would not dispense.  Vaccine was wasted and new dose was administered.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Chest X-ray, Fatigue, Hypoaesthesia, Laboratory test
Clinical narrative: pt felt tired and unwell later in the day after receiving injection. body aches started  the next day. she was hospitalized 11/21/21-11/29/21 at hospital for covid pneumonia. she was given remdesivir and dx'd with kidney damage and symptoms worsened with treatment. she was discharged and returned to same ER 12/14/21 for facial and neck swelling.  went to ER 12/27/21 arm pain and numbness.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Pain, Pain in extremity, Renal disorder, Spinal X-ray
Clinical narrative: pt felt tired and unwell later in the day after receiving injection. body aches started  the next day. she was hospitalized 11/21/21-11/29/21 at hospital for covid pneumonia. she was given remdesivir and dx'd with kidney damage and symptoms worsened with treatment. she was discharged and returned to same ER 12/14/21 for facial and neck swelling.  went to ER 12/27/21 arm pain and numbness.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling, Swelling face
Clinical narrative: pt felt tired and unwell later in the day after receiving injection. body aches started  the next day. she was hospitalized 11/21/21-11/29/21 at hospital for covid pneumonia. she was given remdesivir and dx'd with kidney damage and symptoms worsened with treatment. she was discharged and returned to same ER 12/14/21 for facial and neck swelling.  went to ER 12/27/21 arm pain and numbness.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Received 2nd dose before the prescribed timeframe of 28 days. (1st dose given 11/07/2021)
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: General symptom
Clinical narrative: Symptom onset 1/5/22
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Acne, Asthma, Blood test normal, Dysmenorrhoea
Clinical narrative: I have had significant changes to my menstrual cycle since the first menstruation following the 2nd dose of the vaccine.  All other reasons like perimenopause, hormone changes, inflammatory illness, thyroid, pregnancy etc have been ruled out via blood work by my doctor December of 2021 that were all normal.  My usually very regular cycle has been very inconsistent and even skipped since the vaccine.  I have also had very painful periods with a very heavy clotted flow since the vaccine.  All of this continues to be happening to date. I have also had generalized extreme fatigue, new onset acne, mood changes, weight gain, inflammation in my body, increased asthma episodes, GI bloating that also continue to date.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Heavy menstrual bleeding, Inflammation, Menstrual disorder, Menstruation irregular
Clinical narrative: I have had significant changes to my menstrual cycle since the first menstruation following the 2nd dose of the vaccine.  All other reasons like perimenopause, hormone changes, inflammatory illness, thyroid, pregnancy etc have been ruled out via blood work by my doctor December of 2021 that were all normal.  My usually very regular cycle has been very inconsistent and even skipped since the vaccine.  I have also had very painful periods with a very heavy clotted flow since the vaccine.  All of this continues to be happening to date. I have also had generalized extreme fatigue, new onset acne, mood changes, weight gain, inflammation in my body, increased asthma episodes, GI bloating that also continue to date.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Mood altered, Pregnancy test negative, Weight increased
Clinical narrative: I have had significant changes to my menstrual cycle since the first menstruation following the 2nd dose of the vaccine.  All other reasons like perimenopause, hormone changes, inflammatory illness, thyroid, pregnancy etc have been ruled out via blood work by my doctor December of 2021 that were all normal.  My usually very regular cycle has been very inconsistent and even skipped since the vaccine.  I have also had very painful periods with a very heavy clotted flow since the vaccine.  All of this continues to be happening to date. I have also had generalized extreme fatigue, new onset acne, mood changes, weight gain, inflammation in my body, increased asthma episodes, GI bloating that also continue to date.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, X-ray
Clinical narrative: After receiving the vaccine, I started having a cough that I can't get rid of. My doctor prescribed me with benzo pills for the coughing and an antibiotic for 5 days. I have been coughing since November 2021. Even when taking the prescribed medications I still have the same cough.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, SARS-CoV-2 test positive
Clinical narrative: Patient was admitted to local Hospital on 1/30/22 for COVID-19 pneumonia. This is considered a breakthrough case.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Condition aggravated, Headache, Hypoaesthesia, Palpitations
Clinical narrative: Heart Palpitation, Numbness (Left Side arm and leg), Elevated blood pressure, Headache. Symptoms stated above was severe for approximately 2 weeks except for the numbness which went away 3 days after it happened. I went to the urgent care and they prescribed me with Propranolol (10mg). Up to this day 02/02/2022 I am still experiencing on and off symptoms such as heart palpitation, headache, and high blood pressure.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Exposure during pregnancy
Clinical narrative: The patient was disclosed of an event related to receiving their Moderna COVID-19 vaccine 4 days beyond the recommended expiration date. Per Moderna, the vaccine will maintain the necessary effectiveness against COVID-19. There is no further follow up needed with the patient. The patient's estimated due date is 04/03/2022.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Asthenia, COVID-19, Cerebrovascular accident, Chest X-ray abnormal
Clinical narrative: Received Pfizer vaccine on 3/10/21, 4/7/21 and 10/15/21. Presented to ER on 1/27/22 and found to be COVID positive. presented with generalized weakness suspected CVA. CT head & MRI-brain -negative for stroke.              COVID positive 01/27/2022 , patient was vaccinated. initially was requiring 2 L NC oxygen  Dexamethasone, remdesivir was started.  Clinically improved.  Now on room air.  Medication discontinued.             AKI- hydrochlorothiazide -triamterene on hold.  AKI improved with hydration. Dischaged to home health care on 2/1/22
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram head normal, Inappropriate schedule of product administration, Interstitial lung disease, Magnetic resonance imaging head normal, Pneumonitis
Clinical narrative: Received Pfizer vaccine on 3/10/21, 4/7/21 and 10/15/21. Presented to ER on 1/27/22 and found to be COVID positive. presented with generalized weakness suspected CVA. CT head & MRI-brain -negative for stroke.              COVID positive 01/27/2022 , patient was vaccinated. initially was requiring 2 L NC oxygen  Dexamethasone, remdesivir was started.  Clinically improved.  Now on room air.  Medication discontinued.             AKI- hydrochlorothiazide -triamterene on hold.  AKI improved with hydration. Dischaged to home health care on 2/1/22
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary oedema, SARS-CoV-2 test positive
Clinical narrative: Received Pfizer vaccine on 3/10/21, 4/7/21 and 10/15/21. Presented to ER on 1/27/22 and found to be COVID positive. presented with generalized weakness suspected CVA. CT head & MRI-brain -negative for stroke.              COVID positive 01/27/2022 , patient was vaccinated. initially was requiring 2 L NC oxygen  Dexamethasone, remdesivir was started.  Clinically improved.  Now on room air.  Medication discontinued.             AKI- hydrochlorothiazide -triamterene on hold.  AKI improved with hydration. Dischaged to home health care on 2/1/22
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Event occurred after 2nd dose. Patient was diagnosed with COVID Tylenol Discharged home
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: General symptom
Clinical narrative: Symptom onset 1/8/22
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Interchange of vaccine products, No adverse event
Clinical narrative: Patient was given a Pfizer booster one week after receiving an initial Johnson and Johnson vaccine.  There were no adverse symptoms noted.  Patient was observed in the office for 30 minutes.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Syncope
Clinical narrative: syncope 5 min post vaccine administration
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Arrhythmia, Cardiac failure, Cardiomegaly, Chest X-ray abnormal, Dyspnoea
Clinical narrative: PATIENT RECEIVED DOSE 1.  ON 3/3/2021 IN THE LEFT UPPER ARM, PFIZER, LOT NUMBER EN 6202. DOSE 2 GIVEN 3/24/2021, LEFT UPPER ARM, PFIZER, LOT NUMBER ER 8733 DOSE 3. 12/14/2021 LEFT DELTOID, PFIZER, LOT NUMBER FJ 1620  HAD ONSET OF UPPER RESPIRATORY SYMPTOMS IN JULY 2021 WITH STUFFY NOSE, HEAD CONGESTION, WHEEZING AND SHORTNESS OF BREATH.  PROGRESSIVE SYMPTOMS, SEEN IN URGENT CARE OCTOBER 2021.  AT THAT TIME, CHEST X-RAY SHOWED CARDIOMEGALY AND PULMONARY EDEMA CONSISTENT WITH HEART FAILURE.  STARTED ON MEDICAL THERAPY.  DUE TO PROGRESSIVE, SEVERE SYMPTOMS, HAD TO QUIT HER JOB.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram abnormal, Ejection fraction decreased, Ejection fraction normal, Haemangioma, Hepatic cyst
Clinical narrative: PATIENT RECEIVED DOSE 1.  ON 3/3/2021 IN THE LEFT UPPER ARM, PFIZER, LOT NUMBER EN 6202. DOSE 2 GIVEN 3/24/2021, LEFT UPPER ARM, PFIZER, LOT NUMBER ER 8733 DOSE 3. 12/14/2021 LEFT DELTOID, PFIZER, LOT NUMBER FJ 1620  HAD ONSET OF UPPER RESPIRATORY SYMPTOMS IN JULY 2021 WITH STUFFY NOSE, HEAD CONGESTION, WHEEZING AND SHORTNESS OF BREATH.  PROGRESSIVE SYMPTOMS, SEEN IN URGENT CARE OCTOBER 2021.  AT THAT TIME, CHEST X-RAY SHOWED CARDIOMEGALY AND PULMONARY EDEMA CONSISTENT WITH HEART FAILURE.  STARTED ON MEDICAL THERAPY.  DUE TO PROGRESSIVE, SEVERE SYMPTOMS, HAD TO QUIT HER JOB.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Hiatus hernia, Impaired work ability, Left atrial enlargement, Left ventricular end-diastolic pressure increased, Left ventricular enlargement
Clinical narrative: PATIENT RECEIVED DOSE 1.  ON 3/3/2021 IN THE LEFT UPPER ARM, PFIZER, LOT NUMBER EN 6202. DOSE 2 GIVEN 3/24/2021, LEFT UPPER ARM, PFIZER, LOT NUMBER ER 8733 DOSE 3. 12/14/2021 LEFT DELTOID, PFIZER, LOT NUMBER FJ 1620  HAD ONSET OF UPPER RESPIRATORY SYMPTOMS IN JULY 2021 WITH STUFFY NOSE, HEAD CONGESTION, WHEEZING AND SHORTNESS OF BREATH.  PROGRESSIVE SYMPTOMS, SEEN IN URGENT CARE OCTOBER 2021.  AT THAT TIME, CHEST X-RAY SHOWED CARDIOMEGALY AND PULMONARY EDEMA CONSISTENT WITH HEART FAILURE.  STARTED ON MEDICAL THERAPY.  DUE TO PROGRESSIVE, SEVERE SYMPTOMS, HAD TO QUIT HER JOB.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Mitral valve incompetence, Myocarditis, Nasal congestion, Pulmonary oedema, Respiratory symptom
Clinical narrative: PATIENT RECEIVED DOSE 1.  ON 3/3/2021 IN THE LEFT UPPER ARM, PFIZER, LOT NUMBER EN 6202. DOSE 2 GIVEN 3/24/2021, LEFT UPPER ARM, PFIZER, LOT NUMBER ER 8733 DOSE 3. 12/14/2021 LEFT DELTOID, PFIZER, LOT NUMBER FJ 1620  HAD ONSET OF UPPER RESPIRATORY SYMPTOMS IN JULY 2021 WITH STUFFY NOSE, HEAD CONGESTION, WHEEZING AND SHORTNESS OF BREATH.  PROGRESSIVE SYMPTOMS, SEEN IN URGENT CARE OCTOBER 2021.  AT THAT TIME, CHEST X-RAY SHOWED CARDIOMEGALY AND PULMONARY EDEMA CONSISTENT WITH HEART FAILURE.  STARTED ON MEDICAL THERAPY.  DUE TO PROGRESSIVE, SEVERE SYMPTOMS, HAD TO QUIT HER JOB.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Sarcoidosis, Sinus congestion, Stroke volume, Systolic dysfunction, Ventricular hypokinesia
Clinical narrative: PATIENT RECEIVED DOSE 1.  ON 3/3/2021 IN THE LEFT UPPER ARM, PFIZER, LOT NUMBER EN 6202. DOSE 2 GIVEN 3/24/2021, LEFT UPPER ARM, PFIZER, LOT NUMBER ER 8733 DOSE 3. 12/14/2021 LEFT DELTOID, PFIZER, LOT NUMBER FJ 1620  HAD ONSET OF UPPER RESPIRATORY SYMPTOMS IN JULY 2021 WITH STUFFY NOSE, HEAD CONGESTION, WHEEZING AND SHORTNESS OF BREATH.  PROGRESSIVE SYMPTOMS, SEEN IN URGENT CARE OCTOBER 2021.  AT THAT TIME, CHEST X-RAY SHOWED CARDIOMEGALY AND PULMONARY EDEMA CONSISTENT WITH HEART FAILURE.  STARTED ON MEDICAL THERAPY.  DUE TO PROGRESSIVE, SEVERE SYMPTOMS, HAD TO QUIT HER JOB.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Ventricular internal diameter abnormal, Wheezing
Clinical narrative: PATIENT RECEIVED DOSE 1.  ON 3/3/2021 IN THE LEFT UPPER ARM, PFIZER, LOT NUMBER EN 6202. DOSE 2 GIVEN 3/24/2021, LEFT UPPER ARM, PFIZER, LOT NUMBER ER 8733 DOSE 3. 12/14/2021 LEFT DELTOID, PFIZER, LOT NUMBER FJ 1620  HAD ONSET OF UPPER RESPIRATORY SYMPTOMS IN JULY 2021 WITH STUFFY NOSE, HEAD CONGESTION, WHEEZING AND SHORTNESS OF BREATH.  PROGRESSIVE SYMPTOMS, SEEN IN URGENT CARE OCTOBER 2021.  AT THAT TIME, CHEST X-RAY SHOWED CARDIOMEGALY AND PULMONARY EDEMA CONSISTENT WITH HEART FAILURE.  STARTED ON MEDICAL THERAPY.  DUE TO PROGRESSIVE, SEVERE SYMPTOMS, HAD TO QUIT HER JOB.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Myocarditis
Clinical narrative: Myopericarditis
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: General symptom
Clinical narrative: symptom onset 01/9/22
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Dehydration, Impaired driving ability, Malaise, Syncope, Vomiting
Clinical narrative: Fainted in chair right after the booster.   Threw up several times within minutes of the vaccine.  Was held at facility for several hours and got sick several times after.   Husband picked me up as I could not drive.   Was sick for several days, contacted my physician and she recommended I go to the ER on 11/25/2021 as I could not hold down water and was dehydrated - directly attributable to being sick from the Booster shot.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chronic spontaneous urticaria
Clinical narrative: Hives - diagnosed as chronic spontaneous urticaria.  Still has not subsided as of today (02/02/2022).
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Received full dose of Moderna booster I/O half dose
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: unknown
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Autopsy, Death
Clinical narrative: Found deceased - died between 9pm 1/22/22 and 830am 1/23/2022. Was not sick prior to this, no signs.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Colitis ulcerative, Condition aggravated
Clinical narrative: ULCERATIVE  colitis came out of 20y remission
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Patient was admitted 01/31/22 due to acute hypoxemic respiratory failure due to COVID-19. This is considered a breakthrough case
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Event occurred after 2nd dose. Patient was diagnosed with COVID INpatient
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Product administered to patient of inappropriate age
Clinical narrative: Moderna 1st dose given to 16 year old.  No treatment needed.  Only adverse event patient could report was a very sore arm which hurt for a few days.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary pain, Blood test, Chest X-ray, Lymphadenitis, Pleurisy
Clinical narrative: Pleurisy Pain in left arm pit  inflamed lymph node
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Sleep disorder, Urticaria
Clinical narrative: Received Moderna Covid19 booster on 01/07/2022 (1st Moderna on 04/14/2021, 2nd Moderna on 05/14/2021). Approximately one week later (noticeable on 1/14/2021), I experienced hives (acute urticaria) on the majority of my torso. The hives were first concentrated on my chest, abdomen, and back. In the following days, hives also appeared on my neck, arms, buttocks, and legs; covering the majority of my body. Little to no hives appeared on the face, hands, or feet. Symptoms started to subside on 01/29/2022. My skin has steadily improved (as of 02/02/2022), but some minor itching subsists. Treatment information on Continuation Page below. The itching, and subsequent disruption to sleep, was treated as needed with oral Diphenhydramine HCI (25 mg), Cetirizine (10 mg), Loratadine (10 mg) and Ibuprofen 200 mg); and topically with Hydrocortisone 1% and Triamcinolone Acetonide 0.1%.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, Back pain, Gait inability, Headache
Clinical narrative: Aside from the ongoing heart palpitation and headache and high blood pressure from the 2nd dose adverse event  -- 3 days after my booster shot I experienced pain in my Right side hip area. I couldn't walk, and I had to wear a back brace. I went to the doctor and they did an X-Ray and was prescribed with Meloxicam (5mg). Up to this day I am still experiencing  the same symptoms such as heart palpitations, tolerable headache and the lower back pain which transferred towards my stomach.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Palpitations, X-ray
Clinical narrative: Aside from the ongoing heart palpitation and headache and high blood pressure from the 2nd dose adverse event  -- 3 days after my booster shot I experienced pain in my Right side hip area. I couldn't walk, and I had to wear a back brace. I went to the doctor and they did an X-Ray and was prescribed with Meloxicam (5mg). Up to this day I am still experiencing  the same symptoms such as heart palpitations, tolerable headache and the lower back pain which transferred towards my stomach.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: The patient was disclosed of an event related to receiving their Moderna COVID-19 vaccine 4 days beyond the recommended expiration date. Per Moderna, the vaccine will maintain the necessary effectiveness against COVID-19. There is no further follow up needed with the patient.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cardiac flutter, Chest pain, Cold sweat, Dizziness
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA Racing heart. She described a pain and fluttering feeling in her chest and feeling weak and faint. Her skin was clamy feeling and no fever. I  could feel her little heart pounding. I  had her lay back down again and did some slow breathing with her and gave her children's ibuprofen The episode lasted about an hour then her heart slowed down and she fell asleep. She was sluggish and fatigued the next day and felt fine by day 4. I did not take her to the doctor because it eventually stopped. I  don't know what it was or if it caused any damage. She seems ok.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Palpitations, Sluggishness
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA Racing heart. She described a pain and fluttering feeling in her chest and feeling weak and faint. Her skin was clamy feeling and no fever. I  could feel her little heart pounding. I  had her lay back down again and did some slow breathing with her and gave her children's ibuprofen The episode lasted about an hour then her heart slowed down and she fell asleep. She was sluggish and fatigued the next day and felt fine by day 4. I did not take her to the doctor because it eventually stopped. I  don't know what it was or if it caused any damage. She seems ok.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No findings on these shots.
Age: 32.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: COVID
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Lymphadenopathy
Clinical narrative: Patient called today (2/2/22) to state that she has very swollen lymph nodes in her right arm after getting her vaccine on 1/29/22. She states that she experienced a very sore armpit in her right arm the evening of the 29th and then the next morning experienced "a lot" of swelling in her lymph nodes. She states that the swelling is still present today and has not gone down since then.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: General symptom
Clinical narrative: symptom onset 1/11/22
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Pallor, Syncope
Clinical narrative: APPROXIMATELY 5 MINUTES AFTER VACCINATION PATIENT FAINTED.  PT RECOVERED WITHIN 30 SECONDS. PT WAS CLAMMY AND PALE FOR ABOUT 10 MINUTES.  PT RECOVERED AND FELT WELL AFTER ABOUT 30 MINUTES.  HER FATHER REQUESTED PARAMEDICS TO BE CALLED.  PARAMEDICS CAME AND CHECKED HER OUT.  PARAMEDICS CLEARED HER TO LEAVE IN JUST A COUPLE OF MINUTES.  PT WAS FEELING WELL WHEN SHE LEFT THE PHARMACY AREA.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Vaccination complication
Clinical narrative: Mother report approx 4hr after 1st pfizer covid vaccination patient started with red spots around bilat eyes, she took patient to ER and was diagnosed with adverse reaction to covid 19 vaccination. ER chart notes not present during the visit,  Discharge paperwork indicated patient was dc'd home on cetirizine
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Received full dose of Moderna booster I/O half dose
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was disclosed of an event related to receiving their Moderna COVID-19 vaccine 4 days beyond the recommended expiration date. Per Moderna, the vaccine will maintain the necessary effectiveness against COVID-19. There is no further follow up needed with the patient.
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: COVID
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Not appropriate age for booster.
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Gait disturbance, Hypoaesthesia, Laboratory test abnormal, Muscular weakness, Thrombosis
Clinical narrative: AFTER THE SECOND DOSE ON SEPTEMBER 27, 2021, ABOUT A WEEK LATER I BEGAN HAVING TROUBLE WALKING, THEN MY LEGS  BEGAN GIVING OUT ON ME, I COULD NO LONGER WALK AS I DID PRIOR TO THE VACCINE. ABOUT 2 WEEKS AFTER THE SECOND DOSE, I COULD NOT FEEL MY FEET ANYMORE! i WENT TO A DOCTOR AND SHE TOLD ME THAT I HAD BLOOD CLOTS IN MY LEGS AND THAT WAS THE REASON I WAS HAVING PROBLEMS. SHE ALSO TOLD ME THAT THOSE WERE SOME OF THE SIDE EFFECTS CAUSED BY THE MODERNA VACCINE.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus
Clinical narrative: Patient developed red skin and started to itch. I provider her with 50mg Benadryl
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Event occurred after 2nd dose. Patient was diagnosed with COVID Remdesivir Discharged home
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abortion spontaneous, Exposure during pregnancy, Impaired work ability, Menstrual disorder, Menstruation irregular
Clinical narrative: After the second dose of Moderna my first menstrual cycle irregular in March, the length of my cycle was 37 days which is abnormal for me.  The second menstrual cycle menses was missed completely, and the cycle was a total of 47 days. Which brings the date to July which again the cycle was irregular and menses started on day 38 again very late and irregular for my cycle. I then had a pregnancy and learned at 13 weeks that I was going to have a miscarriage, there was no heartbeat at the 13 week ultrasound. I then two weeks later underwent a D&C procedure which came with excessive bleeding complications requiring hospitalization as well as extended time off from work. This entire experience has caused not only physical distress but immense mental distress as well. The D&C procedure was in October. It is now February and my menstrual cycles are still irregular.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Uterine dilation and curettage
Clinical narrative: After the second dose of Moderna my first menstrual cycle irregular in March, the length of my cycle was 37 days which is abnormal for me.  The second menstrual cycle menses was missed completely, and the cycle was a total of 47 days. Which brings the date to July which again the cycle was irregular and menses started on day 38 again very late and irregular for my cycle. I then had a pregnancy and learned at 13 weeks that I was going to have a miscarriage, there was no heartbeat at the 13 week ultrasound. I then two weeks later underwent a D&C procedure which came with excessive bleeding complications requiring hospitalization as well as extended time off from work. This entire experience has caused not only physical distress but immense mental distress as well. The D&C procedure was in October. It is now February and my menstrual cycles are still irregular.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Aspiration pleural cavity, Asthenia, Atelectasis, Atrial fibrillation, Blood alkaline phosphatase normal
Clinical narrative: 49 Y male with history of HTN, HLD, DM2, ESRD (recent transition from PD to HD, T/Th/Sat), paroxysmal Afib (on warfarin), gout, ACD, recent admission 12/16 - 12/20 for hypervolemia (new start HD at that time) who presented 1/11/22 from home (ALF) with weakness SOB, chills, no fevers. He was found to have acute hypoxemic respiratory failure, Covid positive 1/11/22, abnormal troponin. Normal lactate.  CT chest with large left pleural effusion with atelectasis. Not short of breath at rest.  Started on antibiotics for possible parapneumonic effusion and Decadron for covid pna. No Remdesivir given ESRD. Thoracentesis 1/14/22, removal of 1.3 L of fluid.  Cultures so far negative.  Clinically improved, weaned to room air. Ambulatory on RA with O2 sats greater than 92%. Eating well.  CRP 1.6  from 8.9 on admission. D-dimer 2.71 from 3.30.    1) COVID Pneumonia, Acute hypoxemic Respiratory failure (resolved), PNA, L effusion- Symptom onset on 1/10. COVID positive on 1/11. Last fever unknown.  Vanco 1/11-15.  Zosyn in house 1/11-1/16. BCX neg.              - Vantin to complete 7 days total 1/17/22.               - consider CXR in 2 weeks to f/u L effusion             - Decadron 6mg PO qday for up to 10 days (1/11-1/19 ) given high risks for complications.              - Remdesivir not given as pt is ESRD              - Protonix for GI prophylaxis             - s/p Thoracentesis 1/14/22. GS no organisms. F/u pleural fluid cytology, and culture so far negative.              - continue isolation per Regional/Local ID guidance. Until 01/31/22.     2)  Non ischemic myocardial injury from Covid infection, pna. Trop  0.12 x 2.    3) HTN, HLD - PTA Metoprolol. Amlodipine increased to 5mg bid.  Added Hydralazine 25mg TID for HTN. Continue to adjust medication as outpt as appropriate.     4) AFib:  - on Warfarin. F/u with AC clinic, next INR on Tuesday on HD 1/18/22                 - PTA BB     5) DM: Last hgba1c 7.2. Pt states no longer takes NPH or regular insulin as his AM sugars are usually < 100. BG on admission was 71             - Here on low dose NPH and regular insulin (as he is on steroids) to tirate as outpt once off steroids.              - Low ISS   6) ESRD on HD             - Continue T,Th,Sat HD sessions at Covid center. After finish isolation he can go back to HD  MWF.              - Continue nephrovite              - Pt also taking Phoslo and Renvela .   -  ANEMIA: Suspect AOCD. Baseline hgb 8-9. No e/o bleeding             - iron tabs    - Gout:     - Continue PTA allopurinol   - Undiagnosed OSA: pt desaturates occasionally when sleeping requiring on and off oxygen. He has been told he needs sleep study and CPAP.              - e consult to home sleep study for CPAP sent.    -  Followed by derm for rash. Acne vs. Kyrle's disease.             - PTA Doxycycline 100mg Q12h resume.              - PTA Atarax 10mg daily PRN itching   Diet: DIET, RENAL DVT prophylaxis: As above Code Status: Full Code Reason for Hospital Admission (Admitting Diagnosis):  Covid infection
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Blood electrolytes, Blood gases, Blood glucose normal, Blood lactic acid decreased, Blood magnesium normal
Clinical narrative: 49 Y male with history of HTN, HLD, DM2, ESRD (recent transition from PD to HD, T/Th/Sat), paroxysmal Afib (on warfarin), gout, ACD, recent admission 12/16 - 12/20 for hypervolemia (new start HD at that time) who presented 1/11/22 from home (ALF) with weakness SOB, chills, no fevers. He was found to have acute hypoxemic respiratory failure, Covid positive 1/11/22, abnormal troponin. Normal lactate.  CT chest with large left pleural effusion with atelectasis. Not short of breath at rest.  Started on antibiotics for possible parapneumonic effusion and Decadron for covid pna. No Remdesivir given ESRD. Thoracentesis 1/14/22, removal of 1.3 L of fluid.  Cultures so far negative.  Clinically improved, weaned to room air. Ambulatory on RA with O2 sats greater than 92%. Eating well.  CRP 1.6  from 8.9 on admission. D-dimer 2.71 from 3.30.    1) COVID Pneumonia, Acute hypoxemic Respiratory failure (resolved), PNA, L effusion- Symptom onset on 1/10. COVID positive on 1/11. Last fever unknown.  Vanco 1/11-15.  Zosyn in house 1/11-1/16. BCX neg.              - Vantin to complete 7 days total 1/17/22.               - consider CXR in 2 weeks to f/u L effusion             - Decadron 6mg PO qday for up to 10 days (1/11-1/19 ) given high risks for complications.              - Remdesivir not given as pt is ESRD              - Protonix for GI prophylaxis             - s/p Thoracentesis 1/14/22. GS no organisms. F/u pleural fluid cytology, and culture so far negative.              - continue isolation per Regional/Local ID guidance. Until 01/31/22.     2)  Non ischemic myocardial injury from Covid infection, pna. Trop  0.12 x 2.    3) HTN, HLD - PTA Metoprolol. Amlodipine increased to 5mg bid.  Added Hydralazine 25mg TID for HTN. Continue to adjust medication as outpt as appropriate.     4) AFib:  - on Warfarin. F/u with AC clinic, next INR on Tuesday on HD 1/18/22                 - PTA BB     5) DM: Last hgba1c 7.2. Pt states no longer takes NPH or regular insulin as his AM sugars are usually < 100. BG on admission was 71             - Here on low dose NPH and regular insulin (as he is on steroids) to tirate as outpt once off steroids.              - Low ISS   6) ESRD on HD             - Continue T,Th,Sat HD sessions at Covid center. After finish isolation he can go back to HD  MWF.              - Continue nephrovite              - Pt also taking Phoslo and Renvela .   -  ANEMIA: Suspect AOCD. Baseline hgb 8-9. No e/o bleeding             - iron tabs    - Gout:     - Continue PTA allopurinol   - Undiagnosed OSA: pt desaturates occasionally when sleeping requiring on and off oxygen. He has been told he needs sleep study and CPAP.              - e consult to home sleep study for CPAP sent.    -  Followed by derm for rash. Acne vs. Kyrle's disease.             - PTA Doxycycline 100mg Q12h resume.              - PTA Atarax 10mg daily PRN itching   Diet: DIET, RENAL DVT prophylaxis: As above Code Status: Full Code Reason for Hospital Admission (Admitting Diagnosis):  Covid infection
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pH normal, Blood phosphorus normal, Blood potassium normal, Blood sodium decreased, Blood urea increased
Clinical narrative: 49 Y male with history of HTN, HLD, DM2, ESRD (recent transition from PD to HD, T/Th/Sat), paroxysmal Afib (on warfarin), gout, ACD, recent admission 12/16 - 12/20 for hypervolemia (new start HD at that time) who presented 1/11/22 from home (ALF) with weakness SOB, chills, no fevers. He was found to have acute hypoxemic respiratory failure, Covid positive 1/11/22, abnormal troponin. Normal lactate.  CT chest with large left pleural effusion with atelectasis. Not short of breath at rest.  Started on antibiotics for possible parapneumonic effusion and Decadron for covid pna. No Remdesivir given ESRD. Thoracentesis 1/14/22, removal of 1.3 L of fluid.  Cultures so far negative.  Clinically improved, weaned to room air. Ambulatory on RA with O2 sats greater than 92%. Eating well.  CRP 1.6  from 8.9 on admission. D-dimer 2.71 from 3.30.    1) COVID Pneumonia, Acute hypoxemic Respiratory failure (resolved), PNA, L effusion- Symptom onset on 1/10. COVID positive on 1/11. Last fever unknown.  Vanco 1/11-15.  Zosyn in house 1/11-1/16. BCX neg.              - Vantin to complete 7 days total 1/17/22.               - consider CXR in 2 weeks to f/u L effusion             - Decadron 6mg PO qday for up to 10 days (1/11-1/19 ) given high risks for complications.              - Remdesivir not given as pt is ESRD              - Protonix for GI prophylaxis             - s/p Thoracentesis 1/14/22. GS no organisms. F/u pleural fluid cytology, and culture so far negative.              - continue isolation per Regional/Local ID guidance. Until 01/31/22.     2)  Non ischemic myocardial injury from Covid infection, pna. Trop  0.12 x 2.    3) HTN, HLD - PTA Metoprolol. Amlodipine increased to 5mg bid.  Added Hydralazine 25mg TID for HTN. Continue to adjust medication as outpt as appropriate.     4) AFib:  - on Warfarin. F/u with AC clinic, next INR on Tuesday on HD 1/18/22                 - PTA BB     5) DM: Last hgba1c 7.2. Pt states no longer takes NPH or regular insulin as his AM sugars are usually < 100. BG on admission was 71             - Here on low dose NPH and regular insulin (as he is on steroids) to tirate as outpt once off steroids.              - Low ISS   6) ESRD on HD             - Continue T,Th,Sat HD sessions at Covid center. After finish isolation he can go back to HD  MWF.              - Continue nephrovite              - Pt also taking Phoslo and Renvela .   -  ANEMIA: Suspect AOCD. Baseline hgb 8-9. No e/o bleeding             - iron tabs    - Gout:     - Continue PTA allopurinol   - Undiagnosed OSA: pt desaturates occasionally when sleeping requiring on and off oxygen. He has been told he needs sleep study and CPAP.              - e consult to home sleep study for CPAP sent.    -  Followed by derm for rash. Acne vs. Kyrle's disease.             - PTA Doxycycline 100mg Q12h resume.              - PTA Atarax 10mg daily PRN itching   Diet: DIET, RENAL DVT prophylaxis: As above Code Status: Full Code Reason for Hospital Admission (Admitting Diagnosis):  Covid infection