chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count normal, Gastrointestinal disorder, Hunger, Hypoalbuminaemia, Hyponatraemia
Clinical narrative: Patient still hospitalized.  is a 72 y.o. female with h/o COPD, ANCA-associated vasculitis, microscopic polyangiitis, chronic quadriparesis and depression, presenting to the ER on 1/12 with c/o increased weakness over the past two weeks.  She is chronically bedbound but has been feeling weaker than her baseline over this interval.  Symptoms reportedly began around 1/1/22 and have been associated with transient fever, occasional dry cough, sore throat and nasal congestion.  Over the past 24 hours, she has begun having loose, non-bloody stools and nausea with dry heaves without associated abdominal pain.  Her gastrointestinal symptoms have thankfully resolved now, but have resolved in diminished oral intake.  She has received her initial COVID vaccination series and her booster.  She denies any other complaints or concerns, is feeling better than she was on arrival, but is very hungry.   In the ER, she was afebrile, normotensive, with normal HR and elevated RR, hypoxic into the 80?s on baseline RA.  She has been started on 6L via NC and is maintaining SpO2 in mid-90?s now.  Initial labs are notable for mild AKI, hyponatremia, hypoalbuminemia, transaminitis, normal CBC, normal procal, normal lactate, and UA with pyuria and bacteriuria.  COVID screen was positive.  EKG with SR and PVC?s, non-specific ST changes.  CXR with bilateral pneumonia (R>L).  She was treated with CAP coverage (Rocephin + Zithromax), Decadron, and IV fluids.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Hypophagia, Hypoxia, Influenza A virus test negative, Influenza B virus test, Klebsiella test positive
Clinical narrative: Patient still hospitalized.  is a 72 y.o. female with h/o COPD, ANCA-associated vasculitis, microscopic polyangiitis, chronic quadriparesis and depression, presenting to the ER on 1/12 with c/o increased weakness over the past two weeks.  She is chronically bedbound but has been feeling weaker than her baseline over this interval.  Symptoms reportedly began around 1/1/22 and have been associated with transient fever, occasional dry cough, sore throat and nasal congestion.  Over the past 24 hours, she has begun having loose, non-bloody stools and nausea with dry heaves without associated abdominal pain.  Her gastrointestinal symptoms have thankfully resolved now, but have resolved in diminished oral intake.  She has received her initial COVID vaccination series and her booster.  She denies any other complaints or concerns, is feeling better than she was on arrival, but is very hungry.   In the ER, she was afebrile, normotensive, with normal HR and elevated RR, hypoxic into the 80?s on baseline RA.  She has been started on 6L via NC and is maintaining SpO2 in mid-90?s now.  Initial labs are notable for mild AKI, hyponatremia, hypoalbuminemia, transaminitis, normal CBC, normal procal, normal lactate, and UA with pyuria and bacteriuria.  COVID screen was positive.  EKG with SR and PVC?s, non-specific ST changes.  CXR with bilateral pneumonia (R>L).  She was treated with CAP coverage (Rocephin + Zithromax), Decadron, and IV fluids.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Lung opacity, Nasal congestion, Nausea, Oropharyngeal pain, Pneumonia
Clinical narrative: Patient still hospitalized.  is a 72 y.o. female with h/o COPD, ANCA-associated vasculitis, microscopic polyangiitis, chronic quadriparesis and depression, presenting to the ER on 1/12 with c/o increased weakness over the past two weeks.  She is chronically bedbound but has been feeling weaker than her baseline over this interval.  Symptoms reportedly began around 1/1/22 and have been associated with transient fever, occasional dry cough, sore throat and nasal congestion.  Over the past 24 hours, she has begun having loose, non-bloody stools and nausea with dry heaves without associated abdominal pain.  Her gastrointestinal symptoms have thankfully resolved now, but have resolved in diminished oral intake.  She has received her initial COVID vaccination series and her booster.  She denies any other complaints or concerns, is feeling better than she was on arrival, but is very hungry.   In the ER, she was afebrile, normotensive, with normal HR and elevated RR, hypoxic into the 80?s on baseline RA.  She has been started on 6L via NC and is maintaining SpO2 in mid-90?s now.  Initial labs are notable for mild AKI, hyponatremia, hypoalbuminemia, transaminitis, normal CBC, normal procal, normal lactate, and UA with pyuria and bacteriuria.  COVID screen was positive.  EKG with SR and PVC?s, non-specific ST changes.  CXR with bilateral pneumonia (R>L).  She was treated with CAP coverage (Rocephin + Zithromax), Decadron, and IV fluids.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Procalcitonin normal, Pyrexia, Pyuria, Respiratory rate increased, Respiratory syncytial virus test negative
Clinical narrative: Patient still hospitalized.  is a 72 y.o. female with h/o COPD, ANCA-associated vasculitis, microscopic polyangiitis, chronic quadriparesis and depression, presenting to the ER on 1/12 with c/o increased weakness over the past two weeks.  She is chronically bedbound but has been feeling weaker than her baseline over this interval.  Symptoms reportedly began around 1/1/22 and have been associated with transient fever, occasional dry cough, sore throat and nasal congestion.  Over the past 24 hours, she has begun having loose, non-bloody stools and nausea with dry heaves without associated abdominal pain.  Her gastrointestinal symptoms have thankfully resolved now, but have resolved in diminished oral intake.  She has received her initial COVID vaccination series and her booster.  She denies any other complaints or concerns, is feeling better than she was on arrival, but is very hungry.   In the ER, she was afebrile, normotensive, with normal HR and elevated RR, hypoxic into the 80?s on baseline RA.  She has been started on 6L via NC and is maintaining SpO2 in mid-90?s now.  Initial labs are notable for mild AKI, hyponatremia, hypoalbuminemia, transaminitis, normal CBC, normal procal, normal lactate, and UA with pyuria and bacteriuria.  COVID screen was positive.  EKG with SR and PVC?s, non-specific ST changes.  CXR with bilateral pneumonia (R>L).  She was treated with CAP coverage (Rocephin + Zithromax), Decadron, and IV fluids.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Retching, SARS-CoV-2 test positive, Transaminases increased, Urine analysis abnormal, Ventricular extrasystoles
Clinical narrative: Patient still hospitalized.  is a 72 y.o. female with h/o COPD, ANCA-associated vasculitis, microscopic polyangiitis, chronic quadriparesis and depression, presenting to the ER on 1/12 with c/o increased weakness over the past two weeks.  She is chronically bedbound but has been feeling weaker than her baseline over this interval.  Symptoms reportedly began around 1/1/22 and have been associated with transient fever, occasional dry cough, sore throat and nasal congestion.  Over the past 24 hours, she has begun having loose, non-bloody stools and nausea with dry heaves without associated abdominal pain.  Her gastrointestinal symptoms have thankfully resolved now, but have resolved in diminished oral intake.  She has received her initial COVID vaccination series and her booster.  She denies any other complaints or concerns, is feeling better than she was on arrival, but is very hungry.   In the ER, she was afebrile, normotensive, with normal HR and elevated RR, hypoxic into the 80?s on baseline RA.  She has been started on 6L via NC and is maintaining SpO2 in mid-90?s now.  Initial labs are notable for mild AKI, hyponatremia, hypoalbuminemia, transaminitis, normal CBC, normal procal, normal lactate, and UA with pyuria and bacteriuria.  COVID screen was positive.  EKG with SR and PVC?s, non-specific ST changes.  CXR with bilateral pneumonia (R>L).  She was treated with CAP coverage (Rocephin + Zithromax), Decadron, and IV fluids.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt tested for COVID 19 at end of hospitalization for admit into HCF, found positive and asymptomatic
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Sensory loss
Clinical narrative: I got my booster shot yesterday (01/20/2022) and I experienced some symptoms which I remembered to have also experienced with the first and probably also the second doses of the vaccine. Soon after I received the vaccine on 02/15/2021 (in the car going home), I was experiencing some loss of feeling in my left forearm. I started moving and rotating my wrist and probably also gently slapping the forearm to maintain feeling. The same thing happened to me some maybe 10 minutes after my booster shot, though I recall it being more severe after the first dose. When I experienced this yesterday it lasted a few minutes or maybe a little bit more. When I was in bed last night, I felt that I was very slightly loosing feeling in part of my face. After moving my jaw around and some gentle slapping the sensation seemed to have gone away. This morning I awoke with a slight sensation of loss of feeling in part of my left cheek. I did the same thing and I also put some cream on my face; apparently it went away. Later on, I felt some pain on the right mid side of my body. I'm pretty sure it's pain in my liver but I can't say 100%. I remembered to have experienced the same thing after my first dose and/or second dose. I'm still slightly in pain there as I write this. I'm sure all of this will go away very soon. Maybe a month ago, I had extreme severely dry skin on my hands. My skin was so dry that its texture was hard and it was about to crack (usually happens to me in the wintertime because I forget to hydrate my skin). I felt loss of feeling in my left hand where I had the extremely dry skin. This was very uncomfortable and worrying. It went away. I don't know if it's related, but I'm mentioning it in case. I will list below my three Covid-19 vaccines that I received. All of them were manufactured by Moderna. 02/15/2021 Lot no. 039K20A (full dose) Left arm, 03/15/2021 Lot no. 044A21A (full dose) Left arm, 01/20/2022 Lot no. 066H21A (booster/ half dose) Left arm. Thank you so much for your time and consideration! Have a great day!!!). I don't want to waste the CDC's time  I was conflicted about whether to send in this report or not, but as I'm in doubt, I don't want to miss saying something that could've been important. Thank you for your understanding. Best wishes. I am a U.S. citizen but I have an electronic signature from the EU because I had a student resident permit in Spain. It's the only verified electronic signature I have.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Dyspepsia, Dysphagia, Urticaria
Clinical narrative: I have never really had any type of health issues and rarely get sick.  I am having severe hives.  Nothing new changed in my diet, products or anything else. Heartburn is extreme and it's not like my typical heartburn.  It's a very sharp stabbing pain. I am taking Singulair, Allegra and Pepcid and that keeps the hives away for the most part.  I do not like taking medication every day so I stop here and there to see if the hives come back and they do, but they are not as bad as they were before.   When they first came on, I felt like I could not swallow and felt like something was just stuck in my chest area.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Dizziness, Eye pain, Fatigue
Clinical narrative: Within a few hours i developed severe flu like symptoms and it lasted a week.  Within 10 days from vaccine i developed severe debilitating symptoms that wasted for 2.5 months. Symptoms : Sharp and sudden stab like pains in my extremities, severe eye balls pain that didn`t allow me to read or watch tv for longer than 10 minutes, constant and debilitating extreme fatigue that would even wake me up in the middle of my sleep feeling faint, faint spells, severe joint pain that made it impossible to walk without being on pain killers. Was tested for several autoimmune disease considering the symptoms. All came back negative! Nothing wrong with me other than getting vaccinated!
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Laboratory test, Syncope, Thyroid function test, X-ray of pelvis and hip
Clinical narrative: Within a few hours i developed severe flu like symptoms and it lasted a week.  Within 10 days from vaccine i developed severe debilitating symptoms that wasted for 2.5 months. Symptoms : Sharp and sudden stab like pains in my extremities, severe eye balls pain that didn`t allow me to read or watch tv for longer than 10 minutes, constant and debilitating extreme fatigue that would even wake me up in the middle of my sleep feeling faint, faint spells, severe joint pain that made it impossible to walk without being on pain killers. Was tested for several autoimmune disease considering the symptoms. All came back negative! Nothing wrong with me other than getting vaccinated!
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient received Pfizer Covid Vaccine 5-11 on 01/19/22, patient is not 5 years old. Patient is healthy and had no reactions. Parents are aware of the incidents.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Depression, SARS-CoV-2 test positive
Clinical narrative: Hospitalized with severe depression found COVID + tested positive on 1/12/2022, he is asymptomatic at this time
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Hypoxia, SARS-CoV-2 test positive
Clinical narrative: short of breath, dry cough, hypoxia
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Guillain-Barre syndrome, Hypoaesthesia, Immunoglobulin therapy, Paraesthesia
Clinical narrative: Sudden onset of numbness in the lower extremities with tingling. Hospitalized on January 11, 2022 per ER visit per Dr. instruction. Diagnosed with Guillain barre syndrome due to Covid-19 booster. Treatment in hospital was IVIG and prednisone. Sent home January 13, 2022. Symptoms have not changed.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dysphonia, Headache, Influenza virus test negative, Respiratory tract congestion
Clinical narrative: I woke up hoarse, I went to doctor next day. I was on voice rest and I kept waking up the days feeling like I had strep, then congestion like a sinus infection and headaches. I quarantined for more then ten days. The day I got my test results, January 1st I went and received monoclonal antibodies at the ER, which was 6 days after my symptoms started.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sinusitis
Clinical narrative: I woke up hoarse, I went to doctor next day. I was on voice rest and I kept waking up the days feeling like I had strep, then congestion like a sinus infection and headaches. I quarantined for more then ten days. The day I got my test results, January 1st I went and received monoclonal antibodies at the ER, which was 6 days after my symptoms started.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Lethargy, Mental status changes, Musculoskeletal stiffness, Pneumonia
Clinical narrative: CHIEF COMPLAINT:   pt. sent in for AMS. recently diagnosed with covid. and PNA.  hx. of CVA, DM, non-verbal, arrives with snoring respirations with PEG tube in place. all four extremiteis stiff, pt. responds to painful stimuli which is in WNL, pt. lethargic per caregiver.             PROBLEM LIST/PAST MEDICAL HISTORY:   Ongoing  Anemia  Diabetes mellitus  Diabetes mellitus type 2 in obese  Gastrostomy tube dysfunction  H/O: stroke  Hyperlipidemia  Hypertension  Left-sided weakness  Paralysis  Pressure sore of hip  Right hemiplegia  S/P percutaneous endoscopic gastrostomy (PEG) tube placement  Stool incontinence  Urine incontinence  Historical  No qualifying data
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Snoring
Clinical narrative: CHIEF COMPLAINT:   pt. sent in for AMS. recently diagnosed with covid. and PNA.  hx. of CVA, DM, non-verbal, arrives with snoring respirations with PEG tube in place. all four extremiteis stiff, pt. responds to painful stimuli which is in WNL, pt. lethargic per caregiver.             PROBLEM LIST/PAST MEDICAL HISTORY:   Ongoing  Anemia  Diabetes mellitus  Diabetes mellitus type 2 in obese  Gastrostomy tube dysfunction  H/O: stroke  Hyperlipidemia  Hypertension  Left-sided weakness  Paralysis  Pressure sore of hip  Right hemiplegia  S/P percutaneous endoscopic gastrostomy (PEG) tube placement  Stool incontinence  Urine incontinence  Historical  No qualifying data
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal pain upper, Asthenia, Atrial fibrillation, COVID-19
Clinical narrative: Patient discharged. Per HPI: " The patinet is a 70 y.o. female who presented to ED after falling out of bed while dreaming. She was discharged home from the hospital 1/11/22 after being treated decompensated heart failure and diagnosed with new onset afib. No injuries reported to ED as it relates to fall. CXR was obtained by ED due to reported dyspnea and unremarkable. Patient did test positive for COVID-19 but without hypoxia. Patient was transferred for PT/OT re-evaluation for possible SAR.   Patient seen upon arrival to medical unit. She denies any head trauma and denies any pain from fall. She reports being on the floor for about 2 hours and was able to get up indenpendtly with the assistance of furinture. She does reports of some exertional dyspnea and an unchanged chronic non-productive cough. She denies ever using tobacco and denies any alcohol use. She does state that she has some abdominal pressure, but not pain, across her abdomen that radiates to her esophgagus on occasion but none currently. "   Interim hospital course:  Lysed for generalized weakness, orthostatic hypotension as well as incidental finding of COVID-19 positive PCR.  Patient did not qualify for any treatment regards to her COVID-19 was not hypoxic did not have any chest x-ray findings consistent with COVID pneumonia.  PT OT recommending Sar placement.  Prior to discharge with positive orthostatic lightheadedness on standing was given small fluid bolus and resuscitation with improvement in her symptoms.  Will titrate Lasix down to 20 mg per day, reports that her lower extremity edema as primary concern for her, discussed role of nutrition as well.  Encouraged patient and family to send in ZIO patch however did not observe any arrhythmias on telemetry or EKG during her stay, denies any chest pain or anginal symptoms.  Patient's other chronic medical conditions stable.  Stable for discharge on 01/15 to subacute rehab facility with follow-up recommended for PCP in the next 1-2 weeks as well as Cardiology in the next 2-4 weeks.  Per previous Endocrine consult on recent discharge will continue Januvia with close follow-up as an outpatient to monitor renal function.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac failure acute, Cardiac failure congestive, Cardiac telemetry normal, Chest X-ray normal, Cholelithiasis
Clinical narrative: Patient discharged. Per HPI: " The patinet is a 70 y.o. female who presented to ED after falling out of bed while dreaming. She was discharged home from the hospital 1/11/22 after being treated decompensated heart failure and diagnosed with new onset afib. No injuries reported to ED as it relates to fall. CXR was obtained by ED due to reported dyspnea and unremarkable. Patient did test positive for COVID-19 but without hypoxia. Patient was transferred for PT/OT re-evaluation for possible SAR.   Patient seen upon arrival to medical unit. She denies any head trauma and denies any pain from fall. She reports being on the floor for about 2 hours and was able to get up indenpendtly with the assistance of furinture. She does reports of some exertional dyspnea and an unchanged chronic non-productive cough. She denies ever using tobacco and denies any alcohol use. She does state that she has some abdominal pressure, but not pain, across her abdomen that radiates to her esophgagus on occasion but none currently. "   Interim hospital course:  Lysed for generalized weakness, orthostatic hypotension as well as incidental finding of COVID-19 positive PCR.  Patient did not qualify for any treatment regards to her COVID-19 was not hypoxic did not have any chest x-ray findings consistent with COVID pneumonia.  PT OT recommending Sar placement.  Prior to discharge with positive orthostatic lightheadedness on standing was given small fluid bolus and resuscitation with improvement in her symptoms.  Will titrate Lasix down to 20 mg per day, reports that her lower extremity edema as primary concern for her, discussed role of nutrition as well.  Encouraged patient and family to send in ZIO patch however did not observe any arrhythmias on telemetry or EKG during her stay, denies any chest pain or anginal symptoms.  Patient's other chronic medical conditions stable.  Stable for discharge on 01/15 to subacute rehab facility with follow-up recommended for PCP in the next 1-2 weeks as well as Cardiology in the next 2-4 weeks.  Per previous Endocrine consult on recent discharge will continue Januvia with close follow-up as an outpatient to monitor renal function.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Discomfort, Dizziness, Dyspnoea exertional, Electrocardiogram normal
Clinical narrative: Patient discharged. Per HPI: " The patinet is a 70 y.o. female who presented to ED after falling out of bed while dreaming. She was discharged home from the hospital 1/11/22 after being treated decompensated heart failure and diagnosed with new onset afib. No injuries reported to ED as it relates to fall. CXR was obtained by ED due to reported dyspnea and unremarkable. Patient did test positive for COVID-19 but without hypoxia. Patient was transferred for PT/OT re-evaluation for possible SAR.   Patient seen upon arrival to medical unit. She denies any head trauma and denies any pain from fall. She reports being on the floor for about 2 hours and was able to get up indenpendtly with the assistance of furinture. She does reports of some exertional dyspnea and an unchanged chronic non-productive cough. She denies ever using tobacco and denies any alcohol use. She does state that she has some abdominal pressure, but not pain, across her abdomen that radiates to her esophgagus on occasion but none currently. "   Interim hospital course:  Lysed for generalized weakness, orthostatic hypotension as well as incidental finding of COVID-19 positive PCR.  Patient did not qualify for any treatment regards to her COVID-19 was not hypoxic did not have any chest x-ray findings consistent with COVID pneumonia.  PT OT recommending Sar placement.  Prior to discharge with positive orthostatic lightheadedness on standing was given small fluid bolus and resuscitation with improvement in her symptoms.  Will titrate Lasix down to 20 mg per day, reports that her lower extremity edema as primary concern for her, discussed role of nutrition as well.  Encouraged patient and family to send in ZIO patch however did not observe any arrhythmias on telemetry or EKG during her stay, denies any chest pain or anginal symptoms.  Patient's other chronic medical conditions stable.  Stable for discharge on 01/15 to subacute rehab facility with follow-up recommended for PCP in the next 1-2 weeks as well as Cardiology in the next 2-4 weeks.  Per previous Endocrine consult on recent discharge will continue Januvia with close follow-up as an outpatient to monitor renal function.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Hepatomegaly, Influenza A virus test negative, Influenza B virus test, Nausea
Clinical narrative: Patient discharged. Per HPI: " The patinet is a 70 y.o. female who presented to ED after falling out of bed while dreaming. She was discharged home from the hospital 1/11/22 after being treated decompensated heart failure and diagnosed with new onset afib. No injuries reported to ED as it relates to fall. CXR was obtained by ED due to reported dyspnea and unremarkable. Patient did test positive for COVID-19 but without hypoxia. Patient was transferred for PT/OT re-evaluation for possible SAR.   Patient seen upon arrival to medical unit. She denies any head trauma and denies any pain from fall. She reports being on the floor for about 2 hours and was able to get up indenpendtly with the assistance of furinture. She does reports of some exertional dyspnea and an unchanged chronic non-productive cough. She denies ever using tobacco and denies any alcohol use. She does state that she has some abdominal pressure, but not pain, across her abdomen that radiates to her esophgagus on occasion but none currently. "   Interim hospital course:  Lysed for generalized weakness, orthostatic hypotension as well as incidental finding of COVID-19 positive PCR.  Patient did not qualify for any treatment regards to her COVID-19 was not hypoxic did not have any chest x-ray findings consistent with COVID pneumonia.  PT OT recommending Sar placement.  Prior to discharge with positive orthostatic lightheadedness on standing was given small fluid bolus and resuscitation with improvement in her symptoms.  Will titrate Lasix down to 20 mg per day, reports that her lower extremity edema as primary concern for her, discussed role of nutrition as well.  Encouraged patient and family to send in ZIO patch however did not observe any arrhythmias on telemetry or EKG during her stay, denies any chest pain or anginal symptoms.  Patient's other chronic medical conditions stable.  Stable for discharge on 01/15 to subacute rehab facility with follow-up recommended for PCP in the next 1-2 weeks as well as Cardiology in the next 2-4 weeks.  Per previous Endocrine consult on recent discharge will continue Januvia with close follow-up as an outpatient to monitor renal function.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Oedema peripheral, Orthostatic hypotension, Pancreatic duct dilatation, Respiratory syncytial virus test negative, Resuscitation
Clinical narrative: Patient discharged. Per HPI: " The patinet is a 70 y.o. female who presented to ED after falling out of bed while dreaming. She was discharged home from the hospital 1/11/22 after being treated decompensated heart failure and diagnosed with new onset afib. No injuries reported to ED as it relates to fall. CXR was obtained by ED due to reported dyspnea and unremarkable. Patient did test positive for COVID-19 but without hypoxia. Patient was transferred for PT/OT re-evaluation for possible SAR.   Patient seen upon arrival to medical unit. She denies any head trauma and denies any pain from fall. She reports being on the floor for about 2 hours and was able to get up indenpendtly with the assistance of furinture. She does reports of some exertional dyspnea and an unchanged chronic non-productive cough. She denies ever using tobacco and denies any alcohol use. She does state that she has some abdominal pressure, but not pain, across her abdomen that radiates to her esophgagus on occasion but none currently. "   Interim hospital course:  Lysed for generalized weakness, orthostatic hypotension as well as incidental finding of COVID-19 positive PCR.  Patient did not qualify for any treatment regards to her COVID-19 was not hypoxic did not have any chest x-ray findings consistent with COVID pneumonia.  PT OT recommending Sar placement.  Prior to discharge with positive orthostatic lightheadedness on standing was given small fluid bolus and resuscitation with improvement in her symptoms.  Will titrate Lasix down to 20 mg per day, reports that her lower extremity edema as primary concern for her, discussed role of nutrition as well.  Encouraged patient and family to send in ZIO patch however did not observe any arrhythmias on telemetry or EKG during her stay, denies any chest pain or anginal symptoms.  Patient's other chronic medical conditions stable.  Stable for discharge on 01/15 to subacute rehab facility with follow-up recommended for PCP in the next 1-2 weeks as well as Cardiology in the next 2-4 weeks.  Per previous Endocrine consult on recent discharge will continue Januvia with close follow-up as an outpatient to monitor renal function.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Ultrasound abdomen abnormal
Clinical narrative: Patient discharged. Per HPI: " The patinet is a 70 y.o. female who presented to ED after falling out of bed while dreaming. She was discharged home from the hospital 1/11/22 after being treated decompensated heart failure and diagnosed with new onset afib. No injuries reported to ED as it relates to fall. CXR was obtained by ED due to reported dyspnea and unremarkable. Patient did test positive for COVID-19 but without hypoxia. Patient was transferred for PT/OT re-evaluation for possible SAR.   Patient seen upon arrival to medical unit. She denies any head trauma and denies any pain from fall. She reports being on the floor for about 2 hours and was able to get up indenpendtly with the assistance of furinture. She does reports of some exertional dyspnea and an unchanged chronic non-productive cough. She denies ever using tobacco and denies any alcohol use. She does state that she has some abdominal pressure, but not pain, across her abdomen that radiates to her esophgagus on occasion but none currently. "   Interim hospital course:  Lysed for generalized weakness, orthostatic hypotension as well as incidental finding of COVID-19 positive PCR.  Patient did not qualify for any treatment regards to her COVID-19 was not hypoxic did not have any chest x-ray findings consistent with COVID pneumonia.  PT OT recommending Sar placement.  Prior to discharge with positive orthostatic lightheadedness on standing was given small fluid bolus and resuscitation with improvement in her symptoms.  Will titrate Lasix down to 20 mg per day, reports that her lower extremity edema as primary concern for her, discussed role of nutrition as well.  Encouraged patient and family to send in ZIO patch however did not observe any arrhythmias on telemetry or EKG during her stay, denies any chest pain or anginal symptoms.  Patient's other chronic medical conditions stable.  Stable for discharge on 01/15 to subacute rehab facility with follow-up recommended for PCP in the next 1-2 weeks as well as Cardiology in the next 2-4 weeks.  Per previous Endocrine consult on recent discharge will continue Januvia with close follow-up as an outpatient to monitor renal function.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Decreased appetite, Headache, Malaise
Clinical narrative: 12/31/2021- Covid symptoms started with runny nose, sneezing, coughing, not much of an appetite, generally not feeling great, and maybe a headache but no fever or shortness of breath. Symptoms lasted about 5-7 days. Tested positive on 01/03/2022. I still have sinus issues but it's normal for me, and I took another test just incase and it was negative.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive, Sinus disorder, Sneezing
Clinical narrative: 12/31/2021- Covid symptoms started with runny nose, sneezing, coughing, not much of an appetite, generally not feeling great, and maybe a headache but no fever or shortness of breath. Symptoms lasted about 5-7 days. Tested positive on 01/03/2022. I still have sinus issues but it's normal for me, and I took another test just incase and it was negative.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Myalgia, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: sore throat, cough, myalgias,
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Coma, Dyspnoea
Clinical narrative: Dyspnea, coma 01/17/2022 2:40 am.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Knee arthroplasty
Clinical narrative: S/P revision of total knee. Surgery and hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dizziness, Rash pruritic, Swelling
Clinical narrative: Itchy rash on much of the body, especially where clothing touches the skin. Joint pain and swelling. Dizzy spell.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Fatigue, SARS-CoV-2 test positive
Clinical narrative: fatigue, cough, short of breath
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chest discomfort, Chest pain, Decreased appetite
Clinical narrative: CHIEF COMPLAINT:   presents to ED with complaints of increased sob. states covid + a week ago.   HISTORY OF PRESENT ILLNESS:     72-year-old male with a history of hypertension and prior CVA presenting for evaluation of shortness of breath and chest pain.  Patient states that he received his COVID booster shots last Tuesday.  Last Thursday, he does positive for COVID-19.  He reports shortness of breath, generalized weakness, poor appetite, and chest tightness.  He denies fevers or chills.  He reports poor p.o. intake.  Denies leg swelling.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Hypophagia, SARS-CoV-2 test positive
Clinical narrative: CHIEF COMPLAINT:   presents to ED with complaints of increased sob. states covid + a week ago.   HISTORY OF PRESENT ILLNESS:     72-year-old male with a history of hypertension and prior CVA presenting for evaluation of shortness of breath and chest pain.  Patient states that he received his COVID booster shots last Tuesday.  Last Thursday, he does positive for COVID-19.  He reports shortness of breath, generalized weakness, poor appetite, and chest tightness.  He denies fevers or chills.  He reports poor p.o. intake.  Denies leg swelling.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Diarrhoea, Dyspnoea, Fatigue
Clinical narrative: fatigue, cough, short of breath, diarrhea
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: fatigue, cough, short of breath, diarrhea
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cardiac failure acute, Dyspnoea, Left ventricular failure
Clinical narrative: Acute on chronic combined systolic and diastolic heart failure, weakness, shortness of breath. Multiple ED visits and hospital admission within 6 weeks of receiving COVID vaccine.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19 pneumonia, Cough, Death
Clinical narrative: 6/30/21 pt to hospital with acute respiratory failure and COVID pneumonia; (previous hospitalization at another hospital on 6/25/21 for COVID pneumonia); c/o severe SOB, weakness, cough; treated with steroids, remdesivir, Actemra, Decadron, pt transferred to ICU when O2 requirements increased; pt's condition worsened and he decided to stop aggressive therapy including O2 therapy; DNR; comfort measures; pt died in the hospital
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Intensive care
Clinical narrative: 6/30/21 pt to hospital with acute respiratory failure and COVID pneumonia; (previous hospitalization at another hospital on 6/25/21 for COVID pneumonia); c/o severe SOB, weakness, cough; treated with steroids, remdesivir, Actemra, Decadron, pt transferred to ICU when O2 requirements increased; pt's condition worsened and he decided to stop aggressive therapy including O2 therapy; DNR; comfort measures; pt died in the hospital
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood pressure increased, Blood test, Feeling abnormal, Heart rate increased
Clinical narrative: Typical aches and weakness 48 hours after. Then was feeling like my head was in a fog for the next month or so. On December 5th, 5 days after the booster, after working out at work my heart rate and blood pressure would not go down. I went to the ER and doctor gave me cyproheptadine to lower my heart rate. It worked for my heart but my blood pressure remained high. Over the next weeks my blood pressure was staying on adversary around 150/100. I went to my primary doctor where they placed me and blood pressure medicine and to this day I?m still trying to adjust my blood pressure. The head fog seems to have dissipated but can come back on occasion.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Typical aches and weakness 48 hours after. Then was feeling like my head was in a fog for the next month or so. On December 5th, 5 days after the booster, after working out at work my heart rate and blood pressure would not go down. I went to the ER and doctor gave me cyproheptadine to lower my heart rate. It worked for my heart but my blood pressure remained high. Over the next weeks my blood pressure was staying on adversary around 150/100. I went to my primary doctor where they placed me and blood pressure medicine and to this day I?m still trying to adjust my blood pressure. The head fog seems to have dissipated but can come back on occasion.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Lymphadenopathy, Pruritus, Pyrexia, Rash
Clinical narrative: For the three days right after the vaccination, had a fever and extreme fatigue.  Two weeks after this vaccination, developed lymphadenopathy and then on 1/11/22 developed a significant rash over her trunk and back that is in a Christmas tree pattern along with severe itching.    Itching and rash have not subsided, lymphadenopathy has lessened.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Headache, Illness, Laboratory test normal
Clinical narrative: The next morning after my shot you weren't as sick as with the first dose with 2nd dose. I had a cough and headache. I was sick for week and had to use inhaler. I went to the  doctor and not sure of date but they called in z-pack. I still have a cough and sometimes I get shortness of breath. I still have to use an inhaler.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray normal
Clinical narrative: The next morning after my shot you weren't as sick as with the first dose with 2nd dose. I had a cough and headache. I was sick for week and had to use inhaler. I went to the  doctor and not sure of date but they called in z-pack. I still have a cough and sometimes I get shortness of breath. I still have to use an inhaler.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Drainage, SARS-CoV-2 test positive
Clinical narrative: Sinus drainage. Positive COVID -19 test  preformed at workplace (healthcare facility) Treatment done at home with OTC medication Quarantined at home for 5 days per regulations - mask continued for subsequent 5 days.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: cough, short of breath
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Adenovirus test, Asthenia, Blood bicarbonate normal, Blood chloride normal, Blood creatinine normal
Clinical narrative: Patient discharged. 90yo admitted with covid 19 infection, no breathing issues but generalized weakness. Her husband is ill with the same symptoms. She was placed in observation and PT/OT worked with her and recommended SAR. She was placed on keflex for questionable cellulitis of LLE and chronic wound that "got better then came back in the same spot." CRP trended and improved. Her potassium was replaced and given fluids for dehydration. Her appetite improved. CM gave her places for SAR but then pt changed her mind and did not want to go to SAR. She wanted to go home with husband also admitted. She was discharged with her husband in the same Non-Emergency Medical Transit to home with home health care. Referral for wound clinic placed at discharge. She will continue keflex to finish her course and follow up with PCP.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Blood potassium normal, Blood sodium decreased, Blood urea increased, Bordetella test negative
Clinical narrative: Patient discharged. 90yo admitted with covid 19 infection, no breathing issues but generalized weakness. Her husband is ill with the same symptoms. She was placed in observation and PT/OT worked with her and recommended SAR. She was placed on keflex for questionable cellulitis of LLE and chronic wound that "got better then came back in the same spot." CRP trended and improved. Her potassium was replaced and given fluids for dehydration. Her appetite improved. CM gave her places for SAR but then pt changed her mind and did not want to go to SAR. She wanted to go home with husband also admitted. She was discharged with her husband in the same Non-Emergency Medical Transit to home with home health care. Referral for wound clinic placed at discharge. She will continue keflex to finish her course and follow up with PCP.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein abnormal, COVID-19, Chest X-ray normal, Chlamydia test negative, Coronavirus test negative
Clinical narrative: Patient discharged. 90yo admitted with covid 19 infection, no breathing issues but generalized weakness. Her husband is ill with the same symptoms. She was placed in observation and PT/OT worked with her and recommended SAR. She was placed on keflex for questionable cellulitis of LLE and chronic wound that "got better then came back in the same spot." CRP trended and improved. Her potassium was replaced and given fluids for dehydration. Her appetite improved. CM gave her places for SAR but then pt changed her mind and did not want to go to SAR. She wanted to go home with husband also admitted. She was discharged with her husband in the same Non-Emergency Medical Transit to home with home health care. Referral for wound clinic placed at discharge. She will continue keflex to finish her course and follow up with PCP.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Dehydration, Enterovirus test negative, Erythema, Haematocrit decreased
Clinical narrative: Patient discharged. 90yo admitted with covid 19 infection, no breathing issues but generalized weakness. Her husband is ill with the same symptoms. She was placed in observation and PT/OT worked with her and recommended SAR. She was placed on keflex for questionable cellulitis of LLE and chronic wound that "got better then came back in the same spot." CRP trended and improved. Her potassium was replaced and given fluids for dehydration. Her appetite improved. CM gave her places for SAR but then pt changed her mind and did not want to go to SAR. She wanted to go home with husband also admitted. She was discharged with her husband in the same Non-Emergency Medical Transit to home with home health care. Referral for wound clinic placed at discharge. She will continue keflex to finish her course and follow up with PCP.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Human metapneumovirus test, Human rhinovirus test, Influenza A virus test negative, Influenza B virus test
Clinical narrative: Patient discharged. 90yo admitted with covid 19 infection, no breathing issues but generalized weakness. Her husband is ill with the same symptoms. She was placed in observation and PT/OT worked with her and recommended SAR. She was placed on keflex for questionable cellulitis of LLE and chronic wound that "got better then came back in the same spot." CRP trended and improved. Her potassium was replaced and given fluids for dehydration. Her appetite improved. CM gave her places for SAR but then pt changed her mind and did not want to go to SAR. She wanted to go home with husband also admitted. She was discharged with her husband in the same Non-Emergency Medical Transit to home with home health care. Referral for wound clinic placed at discharge. She will continue keflex to finish her course and follow up with PCP.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza virus test negative, Multipathogen PCR test, Mycoplasma test negative, Peripheral swelling, Platelet count normal
Clinical narrative: Patient discharged. 90yo admitted with covid 19 infection, no breathing issues but generalized weakness. Her husband is ill with the same symptoms. She was placed in observation and PT/OT worked with her and recommended SAR. She was placed on keflex for questionable cellulitis of LLE and chronic wound that "got better then came back in the same spot." CRP trended and improved. Her potassium was replaced and given fluids for dehydration. Her appetite improved. CM gave her places for SAR but then pt changed her mind and did not want to go to SAR. She wanted to go home with husband also admitted. She was discharged with her husband in the same Non-Emergency Medical Transit to home with home health care. Referral for wound clinic placed at discharge. She will continue keflex to finish her course and follow up with PCP.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test negative, Respiratory viral panel, SARS-CoV-2 test positive, Ultrasound Doppler normal, White blood cell count normal
Clinical narrative: Patient discharged. 90yo admitted with covid 19 infection, no breathing issues but generalized weakness. Her husband is ill with the same symptoms. She was placed in observation and PT/OT worked with her and recommended SAR. She was placed on keflex for questionable cellulitis of LLE and chronic wound that "got better then came back in the same spot." CRP trended and improved. Her potassium was replaced and given fluids for dehydration. Her appetite improved. CM gave her places for SAR but then pt changed her mind and did not want to go to SAR. She wanted to go home with husband also admitted. She was discharged with her husband in the same Non-Emergency Medical Transit to home with home health care. Referral for wound clinic placed at discharge. She will continue keflex to finish her course and follow up with PCP.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Wound
Clinical narrative: Patient discharged. 90yo admitted with covid 19 infection, no breathing issues but generalized weakness. Her husband is ill with the same symptoms. She was placed in observation and PT/OT worked with her and recommended SAR. She was placed on keflex for questionable cellulitis of LLE and chronic wound that "got better then came back in the same spot." CRP trended and improved. Her potassium was replaced and given fluids for dehydration. Her appetite improved. CM gave her places for SAR but then pt changed her mind and did not want to go to SAR. She wanted to go home with husband also admitted. She was discharged with her husband in the same Non-Emergency Medical Transit to home with home health care. Referral for wound clinic placed at discharge. She will continue keflex to finish her course and follow up with PCP.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Oropharyngeal pain, Respiratory tract congestion
Clinical narrative: fatigue, congestion, sore throat, cough
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: fatigue, congestion, sore throat, cough