chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood pressure inadequately controlled, Brain natriuretic peptide normal, COVID-19, COVID-19 pneumonia
Clinical narrative: BREAKTHROUGH COVID: FULLY VACCINATED WITH BOOSTER. Pt states he tested positive for COVID 3 wks ago, since than pt has had a cough, and increase SOB at night. DX post COVID pneumonia. PT REQUIRED 2L OF OXYGEN. Patient was given nebulizers, ceftriaxone, azithromycin, Decadron for presumed post viral pneumonia. Patient is being admitted for further evaluation.  Upon further evaluation, patient states that he ha5-year-old gentleman who presented with complaint of shortness of breath, cough and dyspnea on exertion. Chest imaging revealed evidence of likely edema.  Patient responded well to IV Lasix. Echocardiogram revealed decreased ejection fraction roughly 35-40% EF.s noticed that his heart rate had been elevated since COVID a and his blood pressure has been uncontrolled.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Cough, Dyspnoea, Dyspnoea exertional, Echocardiogram abnormal
Clinical narrative: BREAKTHROUGH COVID: FULLY VACCINATED WITH BOOSTER. Pt states he tested positive for COVID 3 wks ago, since than pt has had a cough, and increase SOB at night. DX post COVID pneumonia. PT REQUIRED 2L OF OXYGEN. Patient was given nebulizers, ceftriaxone, azithromycin, Decadron for presumed post viral pneumonia. Patient is being admitted for further evaluation.  Upon further evaluation, patient states that he ha5-year-old gentleman who presented with complaint of shortness of breath, cough and dyspnea on exertion. Chest imaging revealed evidence of likely edema.  Patient responded well to IV Lasix. Echocardiogram revealed decreased ejection fraction roughly 35-40% EF.s noticed that his heart rate had been elevated since COVID a and his blood pressure has been uncontrolled.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Ejection fraction decreased, Electrocardiogram abnormal, Heart rate increased, Imaging procedure abnormal, Oedema
Clinical narrative: BREAKTHROUGH COVID: FULLY VACCINATED WITH BOOSTER. Pt states he tested positive for COVID 3 wks ago, since than pt has had a cough, and increase SOB at night. DX post COVID pneumonia. PT REQUIRED 2L OF OXYGEN. Patient was given nebulizers, ceftriaxone, azithromycin, Decadron for presumed post viral pneumonia. Patient is being admitted for further evaluation.  Upon further evaluation, patient states that he ha5-year-old gentleman who presented with complaint of shortness of breath, cough and dyspnea on exertion. Chest imaging revealed evidence of likely edema.  Patient responded well to IV Lasix. Echocardiogram revealed decreased ejection fraction roughly 35-40% EF.s noticed that his heart rate had been elevated since COVID a and his blood pressure has been uncontrolled.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia viral, Pulmonary congestion, SARS-CoV-2 test positive, Troponin normal, Vaccine breakthrough infection
Clinical narrative: BREAKTHROUGH COVID: FULLY VACCINATED WITH BOOSTER. Pt states he tested positive for COVID 3 wks ago, since than pt has had a cough, and increase SOB at night. DX post COVID pneumonia. PT REQUIRED 2L OF OXYGEN. Patient was given nebulizers, ceftriaxone, azithromycin, Decadron for presumed post viral pneumonia. Patient is being admitted for further evaluation.  Upon further evaluation, patient states that he ha5-year-old gentleman who presented with complaint of shortness of breath, cough and dyspnea on exertion. Chest imaging revealed evidence of likely edema.  Patient responded well to IV Lasix. Echocardiogram revealed decreased ejection fraction roughly 35-40% EF.s noticed that his heart rate had been elevated since COVID a and his blood pressure has been uncontrolled.
Age: 16.0
Sex: F
Vaccine: HPV9, MENB, MNQ
Symptoms: Loss of consciousness
Clinical narrative: Patient lost consciousness for approximately 4 minutes. Patient was monitored for the duration and providers responded appropriately and quickly.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Pfizer 3/2/21 lot# EN6200;  Pfizer 3/23/21 lot# EN6207
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Exposure to SARS-CoV-2, Fatigue, Pain in extremity, SARS-CoV-2 test positive
Clinical narrative: I had a sore arm and fatigue after receiving Dose 5 Moderna vaccine. I was exposed to COVID-19 while on vacation. I tested positive for COVID-19 on 04/20/2023. I had a virtual visit with my provider and got a prescription for Paxlovid. I tolerated the medication without any complications. As of today, I get fatigued easier than before.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Moderna 2/23/21 lot# 023M20A;  Moderna 3/23/21 lot# 030A21A
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction
Clinical narrative: ACUTE NON ST ELEVATION MI
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary embolism, Symptom recurrence
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE ACUTE PULMONARY EMBOLISM 10/26/2022  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines ; Moderna 4/29/21 lot# 303a21A;  Moderna 5/26/21 lot# 030A21A
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Interchange of vaccine products, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Janssen 4/7/21 lot# 041A;  MOderna 12/15/21 lot# 067H21A
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines Moderan 2/5/21 lot# 038K20A;  Moderna 3/5/21 lot# 030A21A;  Moderna 12/4/21 lot# 939909;  Moderna 6/2/22 Lot# 056M21A
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Moderna 1/4/21 lot# 025J20A;  Moderna 2/1/21 lot# 011L20A
Age: 58.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Arthralgia, Exercise tolerance decreased, Incorrect route of product administration, Pain, Soft tissue injury
Clinical narrative: The two injections were given in the left arm. Due to either one of the shots being too high, it missed the muscle and caused severe pain similar to a soft-tissue shoulder injury. This was not injection site pain, this was shoulder pain. It caused me to discontinue my workout routine for my upper body. I started doing shoulder PT exercises daily. Finally, as of this past week (May) the pain is about 90% gone. This was a chronic pain which turned acute during certain movements like reaching forward, reaching backward and putting my arm up over my head.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood creatinine, Blood iron decreased, COVID-19, Chest X-ray abnormal, Clostridium test negative
Clinical narrative: BREAKTHROUGH COVID: FULLY VACCINATED WITH PFISER, COVID test positive. 87-year-old male with history of NSTEMI, decompensated heart failure, presenting with shortness of breath x 1 week and diarrhea, with   Continues to have bothersome diarrhea on scheduled Immodium. GRANDSON WAS NOTED TO HAVE COVID 2 WEEKS AGO, COUGHING WAS NOTED AT ADMISSION. PT INIALLY REFUSED COVID TESTING. PT WAS TREATED FOR KNOWN SXS.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Diarrhoea, Diastolic dysfunction, Dyspnoea, Echocardiogram abnormal
Clinical narrative: BREAKTHROUGH COVID: FULLY VACCINATED WITH PFISER, COVID test positive. 87-year-old male with history of NSTEMI, decompensated heart failure, presenting with shortness of breath x 1 week and diarrhea, with   Continues to have bothersome diarrhea on scheduled Immodium. GRANDSON WAS NOTED TO HAVE COVID 2 WEEKS AGO, COUGHING WAS NOTED AT ADMISSION. PT INIALLY REFUSED COVID TESTING. PT WAS TREATED FOR KNOWN SXS.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ejection fraction decreased, Hypervolaemia, Iron binding capacity total decreased, Prohormone brain natriuretic peptide increased, SARS-CoV-2 test positive
Clinical narrative: BREAKTHROUGH COVID: FULLY VACCINATED WITH PFISER, COVID test positive. 87-year-old male with history of NSTEMI, decompensated heart failure, presenting with shortness of breath x 1 week and diarrhea, with   Continues to have bothersome diarrhea on scheduled Immodium. GRANDSON WAS NOTED TO HAVE COVID 2 WEEKS AGO, COUGHING WAS NOTED AT ADMISSION. PT INIALLY REFUSED COVID TESTING. PT WAS TREATED FOR KNOWN SXS.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Stool analysis normal, Transferrin saturation decreased, Troponin, Vaccine breakthrough infection
Clinical narrative: BREAKTHROUGH COVID: FULLY VACCINATED WITH PFISER, COVID test positive. 87-year-old male with history of NSTEMI, decompensated heart failure, presenting with shortness of breath x 1 week and diarrhea, with   Continues to have bothersome diarrhea on scheduled Immodium. GRANDSON WAS NOTED TO HAVE COVID 2 WEEKS AGO, COUGHING WAS NOTED AT ADMISSION. PT INIALLY REFUSED COVID TESTING. PT WAS TREATED FOR KNOWN SXS.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Cardiac failure congestive, Cardiogenic shock, Cor pulmonale acute, Hypotension
Clinical narrative: I26.09 ACUTE COR PULMONALE 12/13/2022 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED I95.9 HYPOTENSION 12/13/2022 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED J96.21 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 12/13/2022 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED R57.0 CARDIOGENIC SHOCK 1/10/2023 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory failure
Clinical narrative: I26.09 ACUTE COR PULMONALE 12/13/2022 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED I95.9 HYPOTENSION 12/13/2022 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED J96.21 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 12/13/2022 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED R57.0 CARDIOGENIC SHOCK 1/10/2023 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Cor pulmonale acute, Hypotension
Clinical narrative: ACUTE COR PULMONALE HYPOTENSION ACUTE HYPOXEMIC RESPIRATORY FAILURE
Age: 85.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 5 vaccines  Pfizer 3/5/21 lot# EN6199;  Pfizer 3/25/21 lot# ER8732;  Pfizer 10/13/21 lot# FE3590;  Pfizer 5/20/22 lot# FM7553;  Pfizer 10/11/22 lot# GH9693
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Cough, Decreased appetite, Injection site reaction, Pain, Pyrexia
Clinical narrative: She got the vaccine, could feel where they gave her the vaccine, but nothing.  The next morning she woke up with fever of 100.5, cough starting and a runny nose that was clear to begin with.  Then it started to turn yellow/green and she continued with a very bad cough that got worse.  She took Tylenol for the aches and fever.  She had loss of appetite and continued to drink a lot of water and fluids.  By Friday she no longer had the fever, but still had the intense mucus production.  She saw her doctor on 5/22/23 and mentioned that she had symptoms from the vaccine, but he said OK.  She finally started feeling better and completely back to normal just a few days ago.  The symptoms lasted for about 3 1/2 weeks.    When she went to the doctor and mentioned it and asked if it was the rain or maybe mold that could have caused the symptoms.  He asked if it was gone already and asked if she had reported it, she had lost the paper and he told her that it could be the mold as they are allergic to it.  There was no mold at that time, and she never went outside during the rain.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Rhinorrhoea
Clinical narrative: She got the vaccine, could feel where they gave her the vaccine, but nothing.  The next morning she woke up with fever of 100.5, cough starting and a runny nose that was clear to begin with.  Then it started to turn yellow/green and she continued with a very bad cough that got worse.  She took Tylenol for the aches and fever.  She had loss of appetite and continued to drink a lot of water and fluids.  By Friday she no longer had the fever, but still had the intense mucus production.  She saw her doctor on 5/22/23 and mentioned that she had symptoms from the vaccine, but he said OK.  She finally started feeling better and completely back to normal just a few days ago.  The symptoms lasted for about 3 1/2 weeks.    When she went to the doctor and mentioned it and asked if it was the rain or maybe mold that could have caused the symptoms.  He asked if it was gone already and asked if she had reported it, she had lost the paper and he told her that it could be the mold as they are allergic to it.  There was no mold at that time, and she never went outside during the rain.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Aortic arteriosclerosis
Clinical narrative: ACUTE RESPIRATORY FAILURE 11/18/2022 ATHEROSCLEROSIS OF AORTA ACUTE HYPOXEMIC RESPIRATORY FAILURE 12/13/2022 ATHEROSCLEROSIS OF AORTA ACUTE RESPIRATORY FAILURE 11/18/2022 ACUTE RESPIRATORY FAILURE ACUTE HYPOXEMIC RESPIRATORY FAILURE 12/13/2022 ACUTE RESPIRATORY FAILURE
Age: 79.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 5 vaccines Moderna 2/25/21 lot# 023M20A;  Moderna 3/25/21 lot# 007B21A;  Moderna 11/12/21 lot# 013F21A;  Moderna 5/10/22 Lot# 056A22A;  Moderna 12/1/22 lot# 017H22A
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Symptom recurrence
Clinical narrative: HYPOTENSION 8/3/2022 &  8/8/2022  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines Moderna 3/6/21 lot# 029A21A;  Moderna 4/3/21 lot# 028A21A;  Moderna 9/4/21 Lot# 028A21A ; Moderna 11/7/22 lot# 013H22A
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal sleep-related event, Acute respiratory failure, Hypoventilation, Neuropathy peripheral, Obstructive airways disorder
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE SLEEP RELATED HYPOVENTILATION DUE TO LOWER AIRWAYS OBSTRUCTION NEUROPATHY ACUTE RESPIRATORY FAILURE ACUTE HYPOXEMIC RESPIRATORY FAILURE
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory failure
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE SLEEP RELATED HYPOVENTILATION DUE TO LOWER AIRWAYS OBSTRUCTION NEUROPATHY ACUTE RESPIRATORY FAILURE ACUTE HYPOXEMIC RESPIRATORY FAILURE
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Cough, Ear infection, Influenza like illness, Influenza virus test negative
Clinical narrative: 18JAN2023 I could not stop coughing and I was feeling achy and flu like symptoms, I had no temperature or fever. I had head congestion, chest pains when I would cough, coughing became worse especially when laying down. I went to the local clinic and was tested for COVID-19 an influenza both were negative. I was wheezing so the nurse prescribed cough medicine and to follow up with my PCP, with the stormy weather it was February 2023 before I saw my PCP. I was still coughing, wheezing and I was diagnosed with sinus and ear infections once I saw my PCP. I was tested for COVID-19 and bronchitis both were negative. This lasted for three or four weeks total.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test normal, Pain, Respiratory tract congestion, SARS-CoV-2 test negative, Sinusitis
Clinical narrative: 18JAN2023 I could not stop coughing and I was feeling achy and flu like symptoms, I had no temperature or fever. I had head congestion, chest pains when I would cough, coughing became worse especially when laying down. I went to the local clinic and was tested for COVID-19 an influenza both were negative. I was wheezing so the nurse prescribed cough medicine and to follow up with my PCP, with the stormy weather it was February 2023 before I saw my PCP. I was still coughing, wheezing and I was diagnosed with sinus and ear infections once I saw my PCP. I was tested for COVID-19 and bronchitis both were negative. This lasted for three or four weeks total.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Wheezing
Clinical narrative: 18JAN2023 I could not stop coughing and I was feeling achy and flu like symptoms, I had no temperature or fever. I had head congestion, chest pains when I would cough, coughing became worse especially when laying down. I went to the local clinic and was tested for COVID-19 an influenza both were negative. I was wheezing so the nurse prescribed cough medicine and to follow up with my PCP, with the stormy weather it was February 2023 before I saw my PCP. I was still coughing, wheezing and I was diagnosed with sinus and ear infections once I saw my PCP. I was tested for COVID-19 and bronchitis both were negative. This lasted for three or four weeks total.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis
Clinical narrative: ACUTE DVT OF LEFT LEG, UNSPECIFIED VEIN
Age: 22.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Fall, Feeling hot, Loss of consciousness
Clinical narrative: Patient received MMR and Varivax vaccines. Patient was seated and asked for proof of vaccination. Pharmacist stepped away to grab and heard a thump. Ran out, patient was on the floor. Patient lost consciousness briefly (10 seconds) about 2 minutes after receiving vaccine and immediately after standing. Patient regained consciousness upon pharmacist speaking to her. Patient said she was warm, remained on floor and given water until EMS arrived. All vitals clear, EMS approved her to leave without being seen.
Age: 19.0
Sex: M
Vaccine: MENB
Symptoms: Angina pectoris, Cardiac dysfunction, Catheterisation cardiac abnormal, Chest pain, Echocardiogram abnormal
Clinical narrative: myocarditis documented by laboratory (elevated troponins,) abnormal ECG, abnormal echocardiogram. treated with anti-inflammatories , beta blocker, colchicine .  presented with chest pain . angina , diaphoresis, decreased heart function .
Age: 19.0
Sex: M
Vaccine: MENB
Symptoms: Electrocardiogram abnormal, Hyperhidrosis, Myocarditis, Troponin increased
Clinical narrative: myocarditis documented by laboratory (elevated troponins,) abnormal ECG, abnormal echocardiogram. treated with anti-inflammatories , beta blocker, colchicine .  presented with chest pain . angina , diaphoresis, decreased heart function .
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Vertigo
Clinical narrative: In May of 2023 I woke up with a wave of dizziness when I tried to get out of bed.  I tried again and I still had it but this time I was able to get out of bed.  I had the dizziness throughout the morning.  I also had nausea throughout the week.  The next several days I still had it.  On day 6, May 14th, I was unable to shake the dizziness and went urgent care. After running some tests, I was diagnosed with vertigo.
Age: 38.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Arthralgia, Bursal fluid accumulation, Bursitis, Injection site discomfort, Injection site pain
Clinical narrative: Received the Flu shot and Covid vaccine on left arm on the same day (12/08/2022). Had a constant pain, discomfort, stiffness and aching in the arm and shoulder since day one after the injection. Besides the pain, developed issues with limited range of motions in the arm and occasional pins and needles in the fingers after a few weeks. The pain got worse especially at nights, so I saw an orthopedic surgeon on 03/17/2023. Was diagnosed with post vaccine rotator cuff tendinopathy and subacromial bursitis. On the same day I did X-ray imaging of my shoulder and neck (finding: down sloping lateral acromion may contribute to rotator cuff impingement syndrome). My doctor ordered 8 weeks of physical therapy, for twice a week. Started my PT from 03/21/2023 for twice a week. I still had a lot of pain and limited range of motions. I couldn?t sleep at nights due to having lots of pain, so my doctor ordered an MRI. I did the MRI on 05/04/2023. The result came back with three findings: mild tendinopathy of the supraspinatus and subscapularis tendons, synovitis in the rotator interval which can be seen in frozen shoulder syndrome, a trace amount of fluid in the subacromial subdeltoid bursa. I had a follow up appointment with my doctor on 05/17/2023. Based on the current situation and persistent pain she suggested to do a Cortisone shot on the same day. She also suggested to continue with the physical therapy sessions. Since the injection, my constant pain got better specially at nights. But I still have a lot of pain when doing specific motions with my hand during physical therapy and also during normal routine, specifically raising my hand or reaching to some positions is with a lot of pain and in some cases impossible.  I am still doing my physical therapy sessions. My follow up appointment with my doctor is on 07/19/2023 (I?m seeing her every other month).
Age: 38.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Injection site reaction, Joint range of motion decreased, Limb discomfort, Magnetic resonance imaging abnormal, Musculoskeletal discomfort
Clinical narrative: Received the Flu shot and Covid vaccine on left arm on the same day (12/08/2022). Had a constant pain, discomfort, stiffness and aching in the arm and shoulder since day one after the injection. Besides the pain, developed issues with limited range of motions in the arm and occasional pins and needles in the fingers after a few weeks. The pain got worse especially at nights, so I saw an orthopedic surgeon on 03/17/2023. Was diagnosed with post vaccine rotator cuff tendinopathy and subacromial bursitis. On the same day I did X-ray imaging of my shoulder and neck (finding: down sloping lateral acromion may contribute to rotator cuff impingement syndrome). My doctor ordered 8 weeks of physical therapy, for twice a week. Started my PT from 03/21/2023 for twice a week. I still had a lot of pain and limited range of motions. I couldn?t sleep at nights due to having lots of pain, so my doctor ordered an MRI. I did the MRI on 05/04/2023. The result came back with three findings: mild tendinopathy of the supraspinatus and subscapularis tendons, synovitis in the rotator interval which can be seen in frozen shoulder syndrome, a trace amount of fluid in the subacromial subdeltoid bursa. I had a follow up appointment with my doctor on 05/17/2023. Based on the current situation and persistent pain she suggested to do a Cortisone shot on the same day. She also suggested to continue with the physical therapy sessions. Since the injection, my constant pain got better specially at nights. But I still have a lot of pain when doing specific motions with my hand during physical therapy and also during normal routine, specifically raising my hand or reaching to some positions is with a lot of pain and in some cases impossible.  I am still doing my physical therapy sessions. My follow up appointment with my doctor is on 07/19/2023 (I?m seeing her every other month).
Age: 38.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Musculoskeletal stiffness, Pain, Pain in extremity, Paraesthesia, Rotator cuff syndrome
Clinical narrative: Received the Flu shot and Covid vaccine on left arm on the same day (12/08/2022). Had a constant pain, discomfort, stiffness and aching in the arm and shoulder since day one after the injection. Besides the pain, developed issues with limited range of motions in the arm and occasional pins and needles in the fingers after a few weeks. The pain got worse especially at nights, so I saw an orthopedic surgeon on 03/17/2023. Was diagnosed with post vaccine rotator cuff tendinopathy and subacromial bursitis. On the same day I did X-ray imaging of my shoulder and neck (finding: down sloping lateral acromion may contribute to rotator cuff impingement syndrome). My doctor ordered 8 weeks of physical therapy, for twice a week. Started my PT from 03/21/2023 for twice a week. I still had a lot of pain and limited range of motions. I couldn?t sleep at nights due to having lots of pain, so my doctor ordered an MRI. I did the MRI on 05/04/2023. The result came back with three findings: mild tendinopathy of the supraspinatus and subscapularis tendons, synovitis in the rotator interval which can be seen in frozen shoulder syndrome, a trace amount of fluid in the subacromial subdeltoid bursa. I had a follow up appointment with my doctor on 05/17/2023. Based on the current situation and persistent pain she suggested to do a Cortisone shot on the same day. She also suggested to continue with the physical therapy sessions. Since the injection, my constant pain got better specially at nights. But I still have a lot of pain when doing specific motions with my hand during physical therapy and also during normal routine, specifically raising my hand or reaching to some positions is with a lot of pain and in some cases impossible.  I am still doing my physical therapy sessions. My follow up appointment with my doctor is on 07/19/2023 (I?m seeing her every other month).
Age: 38.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Sleep disorder, Synovitis, Tendon disorder, X-ray abnormal, X-ray limb
Clinical narrative: Received the Flu shot and Covid vaccine on left arm on the same day (12/08/2022). Had a constant pain, discomfort, stiffness and aching in the arm and shoulder since day one after the injection. Besides the pain, developed issues with limited range of motions in the arm and occasional pins and needles in the fingers after a few weeks. The pain got worse especially at nights, so I saw an orthopedic surgeon on 03/17/2023. Was diagnosed with post vaccine rotator cuff tendinopathy and subacromial bursitis. On the same day I did X-ray imaging of my shoulder and neck (finding: down sloping lateral acromion may contribute to rotator cuff impingement syndrome). My doctor ordered 8 weeks of physical therapy, for twice a week. Started my PT from 03/21/2023 for twice a week. I still had a lot of pain and limited range of motions. I couldn?t sleep at nights due to having lots of pain, so my doctor ordered an MRI. I did the MRI on 05/04/2023. The result came back with three findings: mild tendinopathy of the supraspinatus and subscapularis tendons, synovitis in the rotator interval which can be seen in frozen shoulder syndrome, a trace amount of fluid in the subacromial subdeltoid bursa. I had a follow up appointment with my doctor on 05/17/2023. Based on the current situation and persistent pain she suggested to do a Cortisone shot on the same day. She also suggested to continue with the physical therapy sessions. Since the injection, my constant pain got better specially at nights. But I still have a lot of pain when doing specific motions with my hand during physical therapy and also during normal routine, specifically raising my hand or reaching to some positions is with a lot of pain and in some cases impossible.  I am still doing my physical therapy sessions. My follow up appointment with my doctor is on 07/19/2023 (I?m seeing her every other month).
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitinus started in April. Beating on right side of head, Followed up by ringing in ear
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Chills, Cough, Dysphagia, Ear pain
Clinical narrative: My COVID-19 infection symptoms started on 12/16/2022 in the morning. I had ear pain, difficulty swallowing, cough, chills and low grade. On Saturday I did a home test which was negative. On 12/16/2022 in the late afternoon I went to the urgent care and they Strep test which was negative. On 12/17/2022 I went back in the urgent care and they did COVID-19 test and Flu. I was positive for COVID-19. They prescribed me PAXLOVID for 5 days. They next day on 12/18/2022 I called again and they send albuterol and prednisone. I recovered within 2 weeks but I still have the lingering cough which is not going away. I even went to my doctor's office he prescribed TYLENOL with codeine but still it's not helping with the cough.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Influenza virus test, Malaise, SARS-CoV-2 test positive, Streptococcus test negative
Clinical narrative: My COVID-19 infection symptoms started on 12/16/2022 in the morning. I had ear pain, difficulty swallowing, cough, chills and low grade. On Saturday I did a home test which was negative. On 12/16/2022 in the late afternoon I went to the urgent care and they Strep test which was negative. On 12/17/2022 I went back in the urgent care and they did COVID-19 test and Flu. I was positive for COVID-19. They prescribed me PAXLOVID for 5 days. They next day on 12/18/2022 I called again and they send albuterol and prednisone. I recovered within 2 weeks but I still have the lingering cough which is not going away. I even went to my doctor's office he prescribed TYLENOL with codeine but still it's not helping with the cough.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Anti-aquaporin-4 antibody positive, Magnetic resonance imaging, Myelitis transverse, Neuromyelitis optica spectrum disorder
Clinical narrative: Onset of longitudinally extensive transverse myelitis and subsequent diagnosis of anti-AQP4 neuromyelitis optica approximately 2 months after the bivalent pfizer vaccine
Age: 12.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Headache, Hypoacusis, Immunisation reaction, Nausea, Pallor
Clinical narrative: PATIENT RECEIVED VACCINES AT 1251PM AND AFTER SHE SAT DOWN FOR OBSERVATION, PATIENT HAD A REACTION. PT STATED SHE BEGAN TO SEE BLACK SPOTS, AND WAS NOT ABLE TO HEAR CLEARLY. DESCRIBED IT AS BEING UNDERWATER. PT STATED SHE  STARTED TO FEEL NAUSEATED, WITH PAIN BEHIND HER HEAD. VITALS WAS TAKEN DURING REACTION WITH DIFFICULTY GETTING BP READING. P-64, O2SATS @100, LIPS PALE WITH SKIN WARM TO TOUCH,AT 1306 PM BLOOD PRESSURE READING AT 116/64, P-88, O2 SATS @98%. COLOR TO FACE AND LIPS VISIBLE (NO PALOR). PT. MONITORED FOR 30 MINUTES AND IS HEARING AND SEEING WELL, NO MRE PAIN TO HEAD. MOTHER ASKED IF DAUGHTER HAD EAEN THIS MORNING AND SHE SAID NO AND NO FLUIDS. ADVISED MOTHER TO GIVE FOOD THAT SHE CAN TOLERATE AND TO HYDRATE. ADVISED MOTHER IF SYMPTOMS RETURN CALL PEDIATRICIANOR NEAREST ER FOR FURTHER EVALUATION. MOTHER VERBALIZED UNDERSTANDING. BEFORE PATIENT WAS RELEASED THE NURSE HAD HER TO AMBULAABOUT 6 5FT UP AND BACK. NO UNSTABLENESS AND NO SYMPTOMS. PAT STATED SHE FELT GOOD. ADVISED MOTHER TO INFORM PEDIATRICIAN OF POST REACTION TO VACCINES. PATIEN AMBULATED OUT THE DOOR ON HER OWN @ 1335PM.
Age: 12.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Skin warm, Visual impairment
Clinical narrative: PATIENT RECEIVED VACCINES AT 1251PM AND AFTER SHE SAT DOWN FOR OBSERVATION, PATIENT HAD A REACTION. PT STATED SHE BEGAN TO SEE BLACK SPOTS, AND WAS NOT ABLE TO HEAR CLEARLY. DESCRIBED IT AS BEING UNDERWATER. PT STATED SHE  STARTED TO FEEL NAUSEATED, WITH PAIN BEHIND HER HEAD. VITALS WAS TAKEN DURING REACTION WITH DIFFICULTY GETTING BP READING. P-64, O2SATS @100, LIPS PALE WITH SKIN WARM TO TOUCH,AT 1306 PM BLOOD PRESSURE READING AT 116/64, P-88, O2 SATS @98%. COLOR TO FACE AND LIPS VISIBLE (NO PALOR). PT. MONITORED FOR 30 MINUTES AND IS HEARING AND SEEING WELL, NO MRE PAIN TO HEAD. MOTHER ASKED IF DAUGHTER HAD EAEN THIS MORNING AND SHE SAID NO AND NO FLUIDS. ADVISED MOTHER TO GIVE FOOD THAT SHE CAN TOLERATE AND TO HYDRATE. ADVISED MOTHER IF SYMPTOMS RETURN CALL PEDIATRICIANOR NEAREST ER FOR FURTHER EVALUATION. MOTHER VERBALIZED UNDERSTANDING. BEFORE PATIENT WAS RELEASED THE NURSE HAD HER TO AMBULAABOUT 6 5FT UP AND BACK. NO UNSTABLENESS AND NO SYMPTOMS. PAT STATED SHE FELT GOOD. ADVISED MOTHER TO INFORM PEDIATRICIAN OF POST REACTION TO VACCINES. PATIEN AMBULATED OUT THE DOOR ON HER OWN @ 1335PM.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction
Clinical narrative: ACUTE NON ST ELEVATION MI ACUTE MI
Age: 2.0
Sex: M
Vaccine: DTAPIPV, HEPA, UNK
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Kinrix vaccine given to 30mth old patient. Kinrix given to a child younger than 4 years as DTaP and IPV doses 1, 2, or 3: Count as valid if all minimum intervals met. Dept of Health contacted. Dept of Health state the Kinrix given will count as valid vaccine through system. No harm, no foul.
Age: 40.0
Sex: M
Vaccine: COVID19-2
Symptoms: Unevaluable event
Clinical narrative: None at this time.  Patient reports feeling fine.  Will follow up with patient.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Lacunar stroke
Clinical narrative: ACUTE LACUNAR STROKE, UNSPECIFIED TYPE AND ARTERY
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Urticaria
Clinical narrative: I had a rough day after receiving the Pfizer vaccine for Dose 4. In 05/2023, I developed unexplained hives on my arms and legs. I have some on the trunk but mainly on my arms and legs. I have seen my dermatologist and I take a daily antihistamine to control my symptoms. I have labs and a routine physical scheduled next week to follow up on the hives.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Symptom recurrence
Clinical narrative: HYPOTENSION 6/30/2022 &  1/6/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Communication disorder, Somnolence, Speech disorder, Tremor
Clinical narrative: Approximately 1 minute after vaccination patients left arm began shaking and patient lost ability to communicate and control wheel chair. Still sat in chair but non-communicative, non directive/directable.  After about 45 sec patient arm movement stopped and patient able to respond.  Somnolent after event. No loss of continence. No memory of event.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Wheelchair user
Clinical narrative: Approximately 1 minute after vaccination patients left arm began shaking and patient lost ability to communicate and control wheel chair. Still sat in chair but non-communicative, non directive/directable.  After about 45 sec patient arm movement stopped and patient able to respond.  Somnolent after event. No loss of continence. No memory of event.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Hypoxia
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE ACUTE RESPIRATORY FAILURE HYPOXIA
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Atrial fibrillation, Breath sounds abnormal, COVID-19, Electrocardiogram ST segment abnormal
Clinical narrative: BREAKTHROUGH COVID: 71-year-old female, admitted with acute viral pneumonia, COVID-19 infection, associated with acute respiratory failure hypoxemic type, necessitating oxygen supplementations which were delivered 3L by nasal cannula during this hospitalization. AT THE TIME OF ADMISSION TO THE HOSPITAL ADMINISTERED; Atrovent 0.5 mg/2.5 mL neb solution: 0.5 mg, 2.5 mL, NEB, Once, Decadron: 10 mg. Treatment involved IV remdesivir as well as IV systemic steroids.  After 3 days of IV remdesivir including a charging dose at the time of admission, the lungs sounds improved, the oxygen supplementation was discontinued, and the patient was able to perform the activity of daily living without need of oxygen supplementations. OTHER MEDICATIONS DISCHARGE INSTRUCTIONS The systemic steroids dose has been decreased from 10 mg q.12 hours for the dexamethasone, to 4 mg p.o. b.i.d. for 5 more days and then can be discontinued.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram T wave abnormal, Pneumonia, Pneumonia viral, Respiratory failure, Vaccine breakthrough infection
Clinical narrative: BREAKTHROUGH COVID: 71-year-old female, admitted with acute viral pneumonia, COVID-19 infection, associated with acute respiratory failure hypoxemic type, necessitating oxygen supplementations which were delivered 3L by nasal cannula during this hospitalization. AT THE TIME OF ADMISSION TO THE HOSPITAL ADMINISTERED; Atrovent 0.5 mg/2.5 mL neb solution: 0.5 mg, 2.5 mL, NEB, Once, Decadron: 10 mg. Treatment involved IV remdesivir as well as IV systemic steroids.  After 3 days of IV remdesivir including a charging dose at the time of admission, the lungs sounds improved, the oxygen supplementation was discontinued, and the patient was able to perform the activity of daily living without need of oxygen supplementations. OTHER MEDICATIONS DISCHARGE INSTRUCTIONS The systemic steroids dose has been decreased from 10 mg q.12 hours for the dexamethasone, to 4 mg p.o. b.i.d. for 5 more days and then can be discontinued.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Malignant pleural effusion
Clinical narrative: J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 12/9/2022 MALIGNANT PLEURAL EFFUSION
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Cough, Dyspnoea
Clinical narrative: At night, Pt started coughing non stop and had some difficulty breathing. on the next day, she went and bought some OTC dextromethorphan and tylenol.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Atrial fibrillation, Hip fracture, Lactic acidosis, Osteoporotic fracture
Clinical narrative: I26.94 MULTIPLE SUBSEGMENTAL PULMONARY EMBOLI WITHOUT ACUTE COR PULMONALE 12/10/2022 LACTIC ACIDOSIS, UNSPECIFIED I26.99 ACUTE PULMONARY EMBOLISM 12/10/2022 LACTIC ACIDOSIS, UNSPECIFIED J96.00 ACUTE RESPIRATORY FAILURE 12/29/2022 LACTIC ACIDOSIS, UNSPECIFIED I26.94 MULTIPLE SUBSEGMENTAL PULMONARY EMBOLI WITHOUT ACUTE COR PULMONALE 12/10/2022 LEFT HIP OSTEOPOROTIC FX, INIT I26.99 ACUTE PULMONARY EMBOLISM 12/10/2022 LEFT HIP OSTEOPOROTIC FX, INIT J96.00 ACUTE RESPIRATORY FAILURE 12/29/2022 LEFT HIP OSTEOPOROTIC FX, INIT I26.94 MULTIPLE SUBSEGMENTAL PULMONARY EMBOLI WITHOUT ACUTE COR PULMONALE 12/10/2022 ATRIAL FIBRILLATION W RAPID VENTRICULAR RESPONSE I26.99 ACUTE PULMONARY EMBOLISM 12/10/2022 ATRIAL FIBRILLATION W RAPID VENTRICULAR RESPONSE J96.00 ACUTE RESPIRATORY FAILURE 12/29/2022 ATRIAL FIBRILLATION W RAPID VENTRICULAR RESPONSE
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary embolism
Clinical narrative: I26.94 MULTIPLE SUBSEGMENTAL PULMONARY EMBOLI WITHOUT ACUTE COR PULMONALE 12/10/2022 LACTIC ACIDOSIS, UNSPECIFIED I26.99 ACUTE PULMONARY EMBOLISM 12/10/2022 LACTIC ACIDOSIS, UNSPECIFIED J96.00 ACUTE RESPIRATORY FAILURE 12/29/2022 LACTIC ACIDOSIS, UNSPECIFIED I26.94 MULTIPLE SUBSEGMENTAL PULMONARY EMBOLI WITHOUT ACUTE COR PULMONALE 12/10/2022 LEFT HIP OSTEOPOROTIC FX, INIT I26.99 ACUTE PULMONARY EMBOLISM 12/10/2022 LEFT HIP OSTEOPOROTIC FX, INIT J96.00 ACUTE RESPIRATORY FAILURE 12/29/2022 LEFT HIP OSTEOPOROTIC FX, INIT I26.94 MULTIPLE SUBSEGMENTAL PULMONARY EMBOLI WITHOUT ACUTE COR PULMONALE 12/10/2022 ATRIAL FIBRILLATION W RAPID VENTRICULAR RESPONSE I26.99 ACUTE PULMONARY EMBOLISM 12/10/2022 ATRIAL FIBRILLATION W RAPID VENTRICULAR RESPONSE J96.00 ACUTE RESPIRATORY FAILURE 12/29/2022 ATRIAL FIBRILLATION W RAPID VENTRICULAR RESPONSE
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Pleural effusion
Clinical narrative: I95.9 HYPOTENSION 1/27/2023 PLEURAL EFFUSION
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Metastases to bone, Neoplasm malignant, Neuropathy peripheral
Clinical narrative: G62.9 NEUROPATHY 11/7/2022 BACK PAIN G62.9 NEUROPATHY 11/7/2022 CANCER METASTATIC TO BONE G62.9 NEUROPATHY 11/7/2022 CANCER METASTATIC TO BONE
Age: 96.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Asthenia, Atelectasis, C-reactive protein, COVID-19
Clinical narrative: BREAKTHROUGH COVID: FULLY VACCINATED WITH JANSSEN BOOSTER. 97 YO FEMALE WITH COVID-19 infection, COPD exacerbation , Acute on chronic hypoxic respiratory failure. Coronavirus disease 2019 pneumonia in this patient. PT On Rocephin and Zithromax procalcitonin level slightly abnormal, discontinue antibiotics at discharge.  Continue dexamethasone. Pt is here for weakness, her family is at bedside and provides most of the history.   Pt admitted with Pulmonary fibrosis, ELEVATED TROPONIN, CKD. Severe Pulmonary HTN on Echo ,Hyperglycemia. She was treated with antibiotics, steroids, albuterol. She has been on oxygen for several years now.  She has decreased exercise tolerance.  She had echo on 02/15/2022 with normal ejection fraction, there is pulmonary artery pressure was approximately 77 mmHg, mild-to-moderate MR.  Moderate to severe TR.  She was not able to perform lung function test in the office, invasive testing was deferred secondary to risk vs benefits. CXR here with bilateral airspace/interstitial opacity which may represent pneumonitis, pulmonary vascular congestion and/or chronic changes.
Age: 96.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardiomegaly, Chest X-ray abnormal, Chronic kidney disease, Chronic obstructive pulmonary disease, Computerised tomogram thorax abnormal
Clinical narrative: BREAKTHROUGH COVID: FULLY VACCINATED WITH JANSSEN BOOSTER. 97 YO FEMALE WITH COVID-19 infection, COPD exacerbation , Acute on chronic hypoxic respiratory failure. Coronavirus disease 2019 pneumonia in this patient. PT On Rocephin and Zithromax procalcitonin level slightly abnormal, discontinue antibiotics at discharge.  Continue dexamethasone. Pt is here for weakness, her family is at bedside and provides most of the history.   Pt admitted with Pulmonary fibrosis, ELEVATED TROPONIN, CKD. Severe Pulmonary HTN on Echo ,Hyperglycemia. She was treated with antibiotics, steroids, albuterol. She has been on oxygen for several years now.  She has decreased exercise tolerance.  She had echo on 02/15/2022 with normal ejection fraction, there is pulmonary artery pressure was approximately 77 mmHg, mild-to-moderate MR.  Moderate to severe TR.  She was not able to perform lung function test in the office, invasive testing was deferred secondary to risk vs benefits. CXR here with bilateral airspace/interstitial opacity which may represent pneumonitis, pulmonary vascular congestion and/or chronic changes.
Age: 96.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Coronary artery disease, Coronavirus pneumonia, Echocardiogram abnormal, Ejection fraction normal
Clinical narrative: BREAKTHROUGH COVID: FULLY VACCINATED WITH JANSSEN BOOSTER. 97 YO FEMALE WITH COVID-19 infection, COPD exacerbation , Acute on chronic hypoxic respiratory failure. Coronavirus disease 2019 pneumonia in this patient. PT On Rocephin and Zithromax procalcitonin level slightly abnormal, discontinue antibiotics at discharge.  Continue dexamethasone. Pt is here for weakness, her family is at bedside and provides most of the history.   Pt admitted with Pulmonary fibrosis, ELEVATED TROPONIN, CKD. Severe Pulmonary HTN on Echo ,Hyperglycemia. She was treated with antibiotics, steroids, albuterol. She has been on oxygen for several years now.  She has decreased exercise tolerance.  She had echo on 02/15/2022 with normal ejection fraction, there is pulmonary artery pressure was approximately 77 mmHg, mild-to-moderate MR.  Moderate to severe TR.  She was not able to perform lung function test in the office, invasive testing was deferred secondary to risk vs benefits. CXR here with bilateral airspace/interstitial opacity which may represent pneumonitis, pulmonary vascular congestion and/or chronic changes.
Age: 96.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Exercise tolerance decreased, Fibrin D dimer increased, Hiatus hernia, Hyperglycaemia, Interstitial lung disease
Clinical narrative: BREAKTHROUGH COVID: FULLY VACCINATED WITH JANSSEN BOOSTER. 97 YO FEMALE WITH COVID-19 infection, COPD exacerbation , Acute on chronic hypoxic respiratory failure. Coronavirus disease 2019 pneumonia in this patient. PT On Rocephin and Zithromax procalcitonin level slightly abnormal, discontinue antibiotics at discharge.  Continue dexamethasone. Pt is here for weakness, her family is at bedside and provides most of the history.   Pt admitted with Pulmonary fibrosis, ELEVATED TROPONIN, CKD. Severe Pulmonary HTN on Echo ,Hyperglycemia. She was treated with antibiotics, steroids, albuterol. She has been on oxygen for several years now.  She has decreased exercise tolerance.  She had echo on 02/15/2022 with normal ejection fraction, there is pulmonary artery pressure was approximately 77 mmHg, mild-to-moderate MR.  Moderate to severe TR.  She was not able to perform lung function test in the office, invasive testing was deferred secondary to risk vs benefits. CXR here with bilateral airspace/interstitial opacity which may represent pneumonitis, pulmonary vascular congestion and/or chronic changes.
Age: 96.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lung opacity, Mitral valve incompetence, Myocardial haemorrhage, Pleural effusion, Pneumonitis
Clinical narrative: BREAKTHROUGH COVID: FULLY VACCINATED WITH JANSSEN BOOSTER. 97 YO FEMALE WITH COVID-19 infection, COPD exacerbation , Acute on chronic hypoxic respiratory failure. Coronavirus disease 2019 pneumonia in this patient. PT On Rocephin and Zithromax procalcitonin level slightly abnormal, discontinue antibiotics at discharge.  Continue dexamethasone. Pt is here for weakness, her family is at bedside and provides most of the history.   Pt admitted with Pulmonary fibrosis, ELEVATED TROPONIN, CKD. Severe Pulmonary HTN on Echo ,Hyperglycemia. She was treated with antibiotics, steroids, albuterol. She has been on oxygen for several years now.  She has decreased exercise tolerance.  She had echo on 02/15/2022 with normal ejection fraction, there is pulmonary artery pressure was approximately 77 mmHg, mild-to-moderate MR.  Moderate to severe TR.  She was not able to perform lung function test in the office, invasive testing was deferred secondary to risk vs benefits. CXR here with bilateral airspace/interstitial opacity which may represent pneumonitis, pulmonary vascular congestion and/or chronic changes.
Age: 96.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Procalcitonin abnormal, Pulmonary arterial pressure, Pulmonary fibrosis, Pulmonary hypertension, Respiratory failure
Clinical narrative: BREAKTHROUGH COVID: FULLY VACCINATED WITH JANSSEN BOOSTER. 97 YO FEMALE WITH COVID-19 infection, COPD exacerbation , Acute on chronic hypoxic respiratory failure. Coronavirus disease 2019 pneumonia in this patient. PT On Rocephin and Zithromax procalcitonin level slightly abnormal, discontinue antibiotics at discharge.  Continue dexamethasone. Pt is here for weakness, her family is at bedside and provides most of the history.   Pt admitted with Pulmonary fibrosis, ELEVATED TROPONIN, CKD. Severe Pulmonary HTN on Echo ,Hyperglycemia. She was treated with antibiotics, steroids, albuterol. She has been on oxygen for several years now.  She has decreased exercise tolerance.  She had echo on 02/15/2022 with normal ejection fraction, there is pulmonary artery pressure was approximately 77 mmHg, mild-to-moderate MR.  Moderate to severe TR.  She was not able to perform lung function test in the office, invasive testing was deferred secondary to risk vs benefits. CXR here with bilateral airspace/interstitial opacity which may represent pneumonitis, pulmonary vascular congestion and/or chronic changes.
Age: 96.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tricuspid valve incompetence, Troponin T, Troponin increased, Vaccine breakthrough infection
Clinical narrative: BREAKTHROUGH COVID: FULLY VACCINATED WITH JANSSEN BOOSTER. 97 YO FEMALE WITH COVID-19 infection, COPD exacerbation , Acute on chronic hypoxic respiratory failure. Coronavirus disease 2019 pneumonia in this patient. PT On Rocephin and Zithromax procalcitonin level slightly abnormal, discontinue antibiotics at discharge.  Continue dexamethasone. Pt is here for weakness, her family is at bedside and provides most of the history.   Pt admitted with Pulmonary fibrosis, ELEVATED TROPONIN, CKD. Severe Pulmonary HTN on Echo ,Hyperglycemia. She was treated with antibiotics, steroids, albuterol. She has been on oxygen for several years now.  She has decreased exercise tolerance.  She had echo on 02/15/2022 with normal ejection fraction, there is pulmonary artery pressure was approximately 77 mmHg, mild-to-moderate MR.  Moderate to severe TR.  She was not able to perform lung function test in the office, invasive testing was deferred secondary to risk vs benefits. CXR here with bilateral airspace/interstitial opacity which may represent pneumonitis, pulmonary vascular congestion and/or chronic changes.