chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angioedema, Inflammation, Urticaria, Urticaria chronic
Clinical narrative: Hives, angioedma, inflammation, chronic urticaria
Age: 56.0
Sex: F
Vaccine: FLUC4
Symptoms: Laboratory test
Clinical narrative: pt had seen primary md who sent out lab work
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: Severe joint pain
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Chest discomfort, Cough, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: I had the vaccination on 09/13/2022. I started to experience congestion coughing and runny nose on 10/29/2022. I tested COVID-19 Positive on 10/29/2022. I went to the emergency room because I felt weight on my chest. The Physician prescribed a steroid for breathing and antibiotics. I feel better as of 11/22/2022 with a slight lingering cough.
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I had the vaccination on 09/13/2022. I started to experience congestion coughing and runny nose on 10/29/2022. I tested COVID-19 Positive on 10/29/2022. I went to the emergency room because I felt weight on my chest. The Physician prescribed a steroid for breathing and antibiotics. I feel better as of 11/22/2022 with a slight lingering cough.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: pt presented with covid vaccination card indicating he had only received first dose monovalent Moderna vaccine given 9/23/2022, pt received second dose monovalent Moderna vaccine on 11/18/2022 at our health department.  After vaccine was given, it was discovered, that pt had also obtained a Johnson and Johnson Janssen vaccine on 7/28/2021. Pt failed to report having the J&J vaccine to HCP.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Guillain-Barre syndrome, Neuropathy peripheral
Clinical narrative: Neuropathy, severe joint pain, fatigue, Guillain Barre
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Malaise, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I did not have a reaction to the vaccine. I started not feeling well on 09/20/2022 with a runny nose and a little cough. On 09/22/2022, I tested positive with a home test for COVID-19. I contacted my doctor and was prescribed Paxlovid. I was better within five days. I tested negative in seven days of starting Paxlovid. No rebound COVID-19.
Age: 84.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Neck pain, Pain, Pain in extremity
Clinical narrative: Patient has experienced very intense pain in her left arm since receiving both vaccines in the same arm. She reports it being sharp and constant, radiating up her neck and down the back of her arm.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cellulitis, Debridement, Gait disturbance
Clinical narrative: Patient is a 53 y.o. male with a past medical history that includes NIDDM2, chronic lymphedema and LE wounds, HFpEF, HTN, CKD, and CAD.  He presented on 10/4/2022 with generalized weakness, unsteady gait, and worsening BLE edema. Home health had found him to be hypotensive and he was brought to the ED and admitted to the ICU requiring pressors and broad spectrum antibiotics for sepsis related to LE cellulitis. He underwent wound debridement with podiatry. He was transitioned to oral antibiotics and transferred out of the ICU 10/15, but found to be COVID-19 positive 10/15 leading to delay in disposition.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Intensive care, Oedema peripheral, SARS-CoV-2 test positive, Sepsis
Clinical narrative: Patient is a 53 y.o. male with a past medical history that includes NIDDM2, chronic lymphedema and LE wounds, HFpEF, HTN, CKD, and CAD.  He presented on 10/4/2022 with generalized weakness, unsteady gait, and worsening BLE edema. Home health had found him to be hypotensive and he was brought to the ED and admitted to the ICU requiring pressors and broad spectrum antibiotics for sepsis related to LE cellulitis. He underwent wound debridement with podiatry. He was transitioned to oral antibiotics and transferred out of the ICU 10/15, but found to be COVID-19 positive 10/15 leading to delay in disposition.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Blood test, Cellulitis, Inflammation, Pain in extremity, Peripheral swelling
Clinical narrative: The evening of the date the vaccine was administered, I slight soreness and swelling. This became more pronounced the following day (11/12) with the addition of inflammation. On 11/13 the arm was even more swollen, sore and inflamed. I went to an urgent care site and was told to go immediately to an Emergency Department. I did as instructed and was diagnosed with cellulitis. I was given an oral antibiotic and discharged withe caveat that if it became worse to return to the ED.  The swelling and inflammation continued to spread and I returned to the ED where I was given 4 doses of different antibiotics over the course of 19 hours.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: X-ray limb
Clinical narrative: The evening of the date the vaccine was administered, I slight soreness and swelling. This became more pronounced the following day (11/12) with the addition of inflammation. On 11/13 the arm was even more swollen, sore and inflamed. I went to an urgent care site and was told to go immediately to an Emergency Department. I did as instructed and was diagnosed with cellulitis. I was given an oral antibiotic and discharged withe caveat that if it became worse to return to the ED.  The swelling and inflammation continued to spread and I returned to the ED where I was given 4 doses of different antibiotics over the course of 19 hours.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: I was prescribed PAXLOVID for 5 days symptoms subsided after second day.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, Liquid product physical issue
Clinical narrative: Pt came in to receive Moderna Bivalent but was given Moderna Monovalent. A 0.5 ml dose of Moderna Bivalent was drawn and found to be cloudy. The color of solution was questioned to pharmacist, who checked guidelines and stated solution could be cloudy. 0.5 ml of Moderna was administered to left deltoid. After reviewing vaccine count a discrepancy was found with Moderna Monovalent administered instead of Moderna Bivalent. Pod manager, aware and called and spoke with pt to alert him that he received the wrong Moderna and that he will have to wait 2 months before receiving a Bivalent booster.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Cough
Clinical narrative: Cough
Age: 32.0
Sex: F
Vaccine: COVID19-2
Symptoms: Syncope
Clinical narrative: Pt fainted, was out for 2 minutes then came to was able to verbally express how she felt.  Then fainted 2 more times.  Advised to seek medical attention
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Arthralgia, Back pain, Balance disorder, Blood test abnormal
Clinical narrative: I received my first Pfizer booster for COVID-19 on 11/5/2021. On the morning of 2/2/2022, as I was walking towards my car in the driveway, I lost my balance and fell. I went down on the concrete and scuffed up my leg and knee. I didn't suffer any major injuries, but I felt shaky from the fall, and a neighbor came to help me up. I then cleaned up myself up and put bandages on my wounds on the knee and leg. I then came in and rested and went about my day afterwards. Two months later, I walked into the sharp edge of the garage doorframe as I was going to my car one day. I ended up with a "goose egg" on my forehead above the left eyebrow and two black eyes. I went to the urgent care right away to make sure everything was okay. I was checked out and told that I was fine. Over the following several months, I began to experience hair loss, nervousness, extreme fatigue, sciatica, unsteady gait, poor balance, and hand tremors. Towards the middle or end of August 2022, I began to feel really bad. My first symptom was sciatica in the right leg. After it did not improve after a week to 10 days, I went to my PCP, who prescribed 5mg of cyclobenzaprine, which did not help at all with the sciatica. She recommended that I go to a pain management center. Even though they would not be able to prescribe me medication, they could interview me. However, I did not go, as I would have had to make an appointment and wait longer to be seen. About 10 days after the visit with the PCP, my sciatica had still not improved, so I went to an urgent care. They took X-rays, in which they were able to detect sciatica, scoliosis, spinal arthritis, and lumbago. They prescribed me an anti-inflammatory medication whose name I don't remember. I was also injected in the left arm with an anti-inflammatory. Neither the pills nor the injection helped with the sciatica pain. I then went to my PCP a short time later and had blood work done. I returned about a week later to get the results of the blood work, and I was diagnosed with pernicious anemia. I was told that I would have to receive regular vitamin B12 injections and take daily sublingual B12 drops for the rest of my life. The reason why I mentioned the falling episodes at the beginning is because I now suspect that they were caused by unsteadiness that was symptomatic of the B12 deficiency, of which I was then not aware. After taking the B12 injections and daily drops, I rapidly experienced improvement in symptoms. The sciatica gradually went away within a week, the tremors went away, my mood changed, and I had an increased sense of well-being. I am due to have blood work done again in December 2022 for a follow-up. At the time of this writing, I would say that I am now 90% better. Any residual effects that I have now are psychological. It was a traumatic experience, and even though I have now been diagnosed and treated for my physical symptoms, I am still afraid that I may fall again or have other physical issues in the future.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Eye contusion, Fall, Fatigue, Fear, Feeling abnormal
Clinical narrative: I received my first Pfizer booster for COVID-19 on 11/5/2021. On the morning of 2/2/2022, as I was walking towards my car in the driveway, I lost my balance and fell. I went down on the concrete and scuffed up my leg and knee. I didn't suffer any major injuries, but I felt shaky from the fall, and a neighbor came to help me up. I then cleaned up myself up and put bandages on my wounds on the knee and leg. I then came in and rested and went about my day afterwards. Two months later, I walked into the sharp edge of the garage doorframe as I was going to my car one day. I ended up with a "goose egg" on my forehead above the left eyebrow and two black eyes. I went to the urgent care right away to make sure everything was okay. I was checked out and told that I was fine. Over the following several months, I began to experience hair loss, nervousness, extreme fatigue, sciatica, unsteady gait, poor balance, and hand tremors. Towards the middle or end of August 2022, I began to feel really bad. My first symptom was sciatica in the right leg. After it did not improve after a week to 10 days, I went to my PCP, who prescribed 5mg of cyclobenzaprine, which did not help at all with the sciatica. She recommended that I go to a pain management center. Even though they would not be able to prescribe me medication, they could interview me. However, I did not go, as I would have had to make an appointment and wait longer to be seen. About 10 days after the visit with the PCP, my sciatica had still not improved, so I went to an urgent care. They took X-rays, in which they were able to detect sciatica, scoliosis, spinal arthritis, and lumbago. They prescribed me an anti-inflammatory medication whose name I don't remember. I was also injected in the left arm with an anti-inflammatory. Neither the pills nor the injection helped with the sciatica pain. I then went to my PCP a short time later and had blood work done. I returned about a week later to get the results of the blood work, and I was diagnosed with pernicious anemia. I was told that I would have to receive regular vitamin B12 injections and take daily sublingual B12 drops for the rest of my life. The reason why I mentioned the falling episodes at the beginning is because I now suspect that they were caused by unsteadiness that was symptomatic of the B12 deficiency, of which I was then not aware. After taking the B12 injections and daily drops, I rapidly experienced improvement in symptoms. The sciatica gradually went away within a week, the tremors went away, my mood changed, and I had an increased sense of well-being. I am due to have blood work done again in December 2022 for a follow-up. At the time of this writing, I would say that I am now 90% better. Any residual effects that I have now are psychological. It was a traumatic experience, and even though I have now been diagnosed and treated for my physical symptoms, I am still afraid that I may fall again or have other physical issues in the future.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Injury, Joint injury, Limb injury, Mood altered
Clinical narrative: I received my first Pfizer booster for COVID-19 on 11/5/2021. On the morning of 2/2/2022, as I was walking towards my car in the driveway, I lost my balance and fell. I went down on the concrete and scuffed up my leg and knee. I didn't suffer any major injuries, but I felt shaky from the fall, and a neighbor came to help me up. I then cleaned up myself up and put bandages on my wounds on the knee and leg. I then came in and rested and went about my day afterwards. Two months later, I walked into the sharp edge of the garage doorframe as I was going to my car one day. I ended up with a "goose egg" on my forehead above the left eyebrow and two black eyes. I went to the urgent care right away to make sure everything was okay. I was checked out and told that I was fine. Over the following several months, I began to experience hair loss, nervousness, extreme fatigue, sciatica, unsteady gait, poor balance, and hand tremors. Towards the middle or end of August 2022, I began to feel really bad. My first symptom was sciatica in the right leg. After it did not improve after a week to 10 days, I went to my PCP, who prescribed 5mg of cyclobenzaprine, which did not help at all with the sciatica. She recommended that I go to a pain management center. Even though they would not be able to prescribe me medication, they could interview me. However, I did not go, as I would have had to make an appointment and wait longer to be seen. About 10 days after the visit with the PCP, my sciatica had still not improved, so I went to an urgent care. They took X-rays, in which they were able to detect sciatica, scoliosis, spinal arthritis, and lumbago. They prescribed me an anti-inflammatory medication whose name I don't remember. I was also injected in the left arm with an anti-inflammatory. Neither the pills nor the injection helped with the sciatica pain. I then went to my PCP a short time later and had blood work done. I returned about a week later to get the results of the blood work, and I was diagnosed with pernicious anemia. I was told that I would have to receive regular vitamin B12 injections and take daily sublingual B12 drops for the rest of my life. The reason why I mentioned the falling episodes at the beginning is because I now suspect that they were caused by unsteadiness that was symptomatic of the B12 deficiency, of which I was then not aware. After taking the B12 injections and daily drops, I rapidly experienced improvement in symptoms. The sciatica gradually went away within a week, the tremors went away, my mood changed, and I had an increased sense of well-being. I am due to have blood work done again in December 2022 for a follow-up. At the time of this writing, I would say that I am now 90% better. Any residual effects that I have now are psychological. It was a traumatic experience, and even though I have now been diagnosed and treated for my physical symptoms, I am still afraid that I may fall again or have other physical issues in the future.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Nervousness, Pernicious anaemia, Sciatica, Scoliosis, Swelling face
Clinical narrative: I received my first Pfizer booster for COVID-19 on 11/5/2021. On the morning of 2/2/2022, as I was walking towards my car in the driveway, I lost my balance and fell. I went down on the concrete and scuffed up my leg and knee. I didn't suffer any major injuries, but I felt shaky from the fall, and a neighbor came to help me up. I then cleaned up myself up and put bandages on my wounds on the knee and leg. I then came in and rested and went about my day afterwards. Two months later, I walked into the sharp edge of the garage doorframe as I was going to my car one day. I ended up with a "goose egg" on my forehead above the left eyebrow and two black eyes. I went to the urgent care right away to make sure everything was okay. I was checked out and told that I was fine. Over the following several months, I began to experience hair loss, nervousness, extreme fatigue, sciatica, unsteady gait, poor balance, and hand tremors. Towards the middle or end of August 2022, I began to feel really bad. My first symptom was sciatica in the right leg. After it did not improve after a week to 10 days, I went to my PCP, who prescribed 5mg of cyclobenzaprine, which did not help at all with the sciatica. She recommended that I go to a pain management center. Even though they would not be able to prescribe me medication, they could interview me. However, I did not go, as I would have had to make an appointment and wait longer to be seen. About 10 days after the visit with the PCP, my sciatica had still not improved, so I went to an urgent care. They took X-rays, in which they were able to detect sciatica, scoliosis, spinal arthritis, and lumbago. They prescribed me an anti-inflammatory medication whose name I don't remember. I was also injected in the left arm with an anti-inflammatory. Neither the pills nor the injection helped with the sciatica pain. I then went to my PCP a short time later and had blood work done. I returned about a week later to get the results of the blood work, and I was diagnosed with pernicious anemia. I was told that I would have to receive regular vitamin B12 injections and take daily sublingual B12 drops for the rest of my life. The reason why I mentioned the falling episodes at the beginning is because I now suspect that they were caused by unsteadiness that was symptomatic of the B12 deficiency, of which I was then not aware. After taking the B12 injections and daily drops, I rapidly experienced improvement in symptoms. The sciatica gradually went away within a week, the tremors went away, my mood changed, and I had an increased sense of well-being. I am due to have blood work done again in December 2022 for a follow-up. At the time of this writing, I would say that I am now 90% better. Any residual effects that I have now are psychological. It was a traumatic experience, and even though I have now been diagnosed and treated for my physical symptoms, I am still afraid that I may fall again or have other physical issues in the future.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor, Vitamin B12 deficiency, X-ray abnormal
Clinical narrative: I received my first Pfizer booster for COVID-19 on 11/5/2021. On the morning of 2/2/2022, as I was walking towards my car in the driveway, I lost my balance and fell. I went down on the concrete and scuffed up my leg and knee. I didn't suffer any major injuries, but I felt shaky from the fall, and a neighbor came to help me up. I then cleaned up myself up and put bandages on my wounds on the knee and leg. I then came in and rested and went about my day afterwards. Two months later, I walked into the sharp edge of the garage doorframe as I was going to my car one day. I ended up with a "goose egg" on my forehead above the left eyebrow and two black eyes. I went to the urgent care right away to make sure everything was okay. I was checked out and told that I was fine. Over the following several months, I began to experience hair loss, nervousness, extreme fatigue, sciatica, unsteady gait, poor balance, and hand tremors. Towards the middle or end of August 2022, I began to feel really bad. My first symptom was sciatica in the right leg. After it did not improve after a week to 10 days, I went to my PCP, who prescribed 5mg of cyclobenzaprine, which did not help at all with the sciatica. She recommended that I go to a pain management center. Even though they would not be able to prescribe me medication, they could interview me. However, I did not go, as I would have had to make an appointment and wait longer to be seen. About 10 days after the visit with the PCP, my sciatica had still not improved, so I went to an urgent care. They took X-rays, in which they were able to detect sciatica, scoliosis, spinal arthritis, and lumbago. They prescribed me an anti-inflammatory medication whose name I don't remember. I was also injected in the left arm with an anti-inflammatory. Neither the pills nor the injection helped with the sciatica pain. I then went to my PCP a short time later and had blood work done. I returned about a week later to get the results of the blood work, and I was diagnosed with pernicious anemia. I was told that I would have to receive regular vitamin B12 injections and take daily sublingual B12 drops for the rest of my life. The reason why I mentioned the falling episodes at the beginning is because I now suspect that they were caused by unsteadiness that was symptomatic of the B12 deficiency, of which I was then not aware. After taking the B12 injections and daily drops, I rapidly experienced improvement in symptoms. The sciatica gradually went away within a week, the tremors went away, my mood changed, and I had an increased sense of well-being. I am due to have blood work done again in December 2022 for a follow-up. At the time of this writing, I would say that I am now 90% better. Any residual effects that I have now are psychological. It was a traumatic experience, and even though I have now been diagnosed and treated for my physical symptoms, I am still afraid that I may fall again or have other physical issues in the future.
Age: 27.0
Sex: F
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Injection site pain, Injection site swelling, Loss of personal independence in daily activities, Magnetic resonance imaging
Clinical narrative: She received a flu vaccine in her right deltoid on 10/19/2022, when she established care.  Since that time she has had pain, decreased range of motion, swelling in her right shoulder.  She has been unable to lift her right arm to get dressed, perform ADL's.  She initially thought pain was due to getting the vaccine.  She has tried ice, heat and taken acetaminophen and ibuprofen without relief of pain.
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: Wrong product administered
Clinical narrative: Patient was given the wrong vaccination. Patient was to receive a season flu shot but the covid booster instead.
Age: 5.0
Sex: F
Vaccine: COVID19-2, DTAPIPV, FLU4
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received the Covid Pfizer 5-11 Bivalent vaccine for her first dose of her primary series, instead of the Monovalent COVID vaccine as part of the primary series.
Age: 46.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient given Pfizer vaccine bivalent instead of the second dose of the primary series.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Diarrhoea, Fatigue, Nausea
Clinical narrative: It started with a cough, bad shakes, fever, fatigue, aches, pains, diarrhea, and nausea. I tested positive for COVID-19 at home on day four. I called my doctor the next day and they prescribed me PAXLOVID. I got better by the end of the week. But then the second week I had nothing but fatigue.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test positive, Tremor
Clinical narrative: It started with a cough, bad shakes, fever, fatigue, aches, pains, diarrhea, and nausea. I tested positive for COVID-19 at home on day four. I called my doctor the next day and they prescribed me PAXLOVID. I got better by the end of the week. But then the second week I had nothing but fatigue.
Age: 82.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Extra dose administered
Clinical narrative: While clerk was going thru billing it was found that this patient had received 2 High Dose Flu Vaccines. One dose of the high dose flu vaccine was given at off site location during flu out reach on 09/20/2022 and the other dose was given in the clinic on 11/07/2022.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, Product administered to patient of inappropriate age
Clinical narrative: Patient inadvertently given the Moderna 6-11 year formulation instead of the bivalent booster.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Incorrect product formulation administered
Clinical narrative: Patient inadvertently administered the 6-11 year formulation of Moderna rather than the bivalent booster.
Age: 91.0
Sex: M
Vaccine: COVID19-2
Symptoms: Abdominal pain, Acute respiratory failure, Angiogram pulmonary normal, Asthenia, Biliary dilatation
Clinical narrative: Clinical Summary Patient is a 91 y.o. male with a history of HTN, HFpEF, HTN and PE who presented to hospital 11/6/2022 with abdominal pain n/v shortness of breath and weakness for about 4 days found to be septic with CT ABD pelvis concerning for acute cholecystitis.    1. Acute cholecystitis: Present on admit, complicated by sepsis. CT AP 11/6/22 with dilated diffusely thickened GB and mild ileus.  Continued Zosyn 11/12/2022..  S/p PCT?11/8/2022.  OR cultures showed Clostridium perfringens and viridans.  IV Zosyn transitioned to Augmentin until 11/17/2022.  Surgery and infectious disease followed.  2. COVID-19: + 11/9/2022.  Was also positive in February 2022.  Vaccinated and boosted.  Unclear if he is having respiratory distress secondary to COVID or if this is a new infection versus old.  Inflammatory markers elevated.  D-dimer also elevated.  CTA did not show PE.  Continued steroids until 11/15/2022.  S/p monoclonal antibody infusion 11/11/2022.  Also procalcitonin elevated no further need of antibiotics per ID?followed..   3. Acute hypoxic respiratory failure: Likely combination of heart failure exacerbation versus pneumonia as below.  Weaned to room air. 4. Acute on chronic diastolic congestive heart failure: BNP significantly elevated 1645.  Mostly euvolemic on exam.  Chest x-ray also does not show signs of fluid overload.  Echocardiogram 7/2019 with ejection fraction of 60 to 65% with diastolic heart failure.  Repeat echo 11/10/2022 with ejection fraction of 65%..  Continued home Lasix?BP dose decreased as  BP allows.  Cardiology followed 5. SinusTachycardia: Prior history.  Now exacerbated due to sepsis.  Improved after increasing to prior dose of 50 mg.  Dose decreased back to 25 mg as per cardiology.   6. Dysuria: Complains of burning urination with hesitancy.  UA negative?11/9 /2022.  Symptoms improved.   7. Thrombocytopenia: Baseline 122 130- ?90 11/7/2022.  No signs of active bleeding.  Monitored.   8. PE: Hx 2012, no longer on any anticoagulation.  9. HTN: Held amlodipine due to low blood pressure.
Age: 91.0
Sex: M
Vaccine: COVID19-2
Symptoms: Brain natriuretic peptide increased, COVID-19, Cardiac failure, Cardiac failure congestive, Chest X-ray normal
Clinical narrative: Clinical Summary Patient is a 91 y.o. male with a history of HTN, HFpEF, HTN and PE who presented to hospital 11/6/2022 with abdominal pain n/v shortness of breath and weakness for about 4 days found to be septic with CT ABD pelvis concerning for acute cholecystitis.    1. Acute cholecystitis: Present on admit, complicated by sepsis. CT AP 11/6/22 with dilated diffusely thickened GB and mild ileus.  Continued Zosyn 11/12/2022..  S/p PCT?11/8/2022.  OR cultures showed Clostridium perfringens and viridans.  IV Zosyn transitioned to Augmentin until 11/17/2022.  Surgery and infectious disease followed.  2. COVID-19: + 11/9/2022.  Was also positive in February 2022.  Vaccinated and boosted.  Unclear if he is having respiratory distress secondary to COVID or if this is a new infection versus old.  Inflammatory markers elevated.  D-dimer also elevated.  CTA did not show PE.  Continued steroids until 11/15/2022.  S/p monoclonal antibody infusion 11/11/2022.  Also procalcitonin elevated no further need of antibiotics per ID?followed..   3. Acute hypoxic respiratory failure: Likely combination of heart failure exacerbation versus pneumonia as below.  Weaned to room air. 4. Acute on chronic diastolic congestive heart failure: BNP significantly elevated 1645.  Mostly euvolemic on exam.  Chest x-ray also does not show signs of fluid overload.  Echocardiogram 7/2019 with ejection fraction of 60 to 65% with diastolic heart failure.  Repeat echo 11/10/2022 with ejection fraction of 65%..  Continued home Lasix?BP dose decreased as  BP allows.  Cardiology followed 5. SinusTachycardia: Prior history.  Now exacerbated due to sepsis.  Improved after increasing to prior dose of 50 mg.  Dose decreased back to 25 mg as per cardiology.   6. Dysuria: Complains of burning urination with hesitancy.  UA negative?11/9 /2022.  Symptoms improved.   7. Thrombocytopenia: Baseline 122 130- ?90 11/7/2022.  No signs of active bleeding.  Monitored.   8. PE: Hx 2012, no longer on any anticoagulation.  9. HTN: Held amlodipine due to low blood pressure.
Age: 91.0
Sex: M
Vaccine: COVID19-2
Symptoms: Cholecystitis acute, Clostridium test positive, Computerised tomogram abdomen abnormal, Condition aggravated, Culture positive
Clinical narrative: Clinical Summary Patient is a 91 y.o. male with a history of HTN, HFpEF, HTN and PE who presented to hospital 11/6/2022 with abdominal pain n/v shortness of breath and weakness for about 4 days found to be septic with CT ABD pelvis concerning for acute cholecystitis.    1. Acute cholecystitis: Present on admit, complicated by sepsis. CT AP 11/6/22 with dilated diffusely thickened GB and mild ileus.  Continued Zosyn 11/12/2022..  S/p PCT?11/8/2022.  OR cultures showed Clostridium perfringens and viridans.  IV Zosyn transitioned to Augmentin until 11/17/2022.  Surgery and infectious disease followed.  2. COVID-19: + 11/9/2022.  Was also positive in February 2022.  Vaccinated and boosted.  Unclear if he is having respiratory distress secondary to COVID or if this is a new infection versus old.  Inflammatory markers elevated.  D-dimer also elevated.  CTA did not show PE.  Continued steroids until 11/15/2022.  S/p monoclonal antibody infusion 11/11/2022.  Also procalcitonin elevated no further need of antibiotics per ID?followed..   3. Acute hypoxic respiratory failure: Likely combination of heart failure exacerbation versus pneumonia as below.  Weaned to room air. 4. Acute on chronic diastolic congestive heart failure: BNP significantly elevated 1645.  Mostly euvolemic on exam.  Chest x-ray also does not show signs of fluid overload.  Echocardiogram 7/2019 with ejection fraction of 60 to 65% with diastolic heart failure.  Repeat echo 11/10/2022 with ejection fraction of 65%..  Continued home Lasix?BP dose decreased as  BP allows.  Cardiology followed 5. SinusTachycardia: Prior history.  Now exacerbated due to sepsis.  Improved after increasing to prior dose of 50 mg.  Dose decreased back to 25 mg as per cardiology.   6. Dysuria: Complains of burning urination with hesitancy.  UA negative?11/9 /2022.  Symptoms improved.   7. Thrombocytopenia: Baseline 122 130- ?90 11/7/2022.  No signs of active bleeding.  Monitored.   8. PE: Hx 2012, no longer on any anticoagulation.  9. HTN: Held amlodipine due to low blood pressure.
Age: 91.0
Sex: M
Vaccine: COVID19-2
Symptoms: Dyspnoea, Dysuria, Echocardiogram abnormal, Ejection fraction normal, Fibrin D dimer increased
Clinical narrative: Clinical Summary Patient is a 91 y.o. male with a history of HTN, HFpEF, HTN and PE who presented to hospital 11/6/2022 with abdominal pain n/v shortness of breath and weakness for about 4 days found to be septic with CT ABD pelvis concerning for acute cholecystitis.    1. Acute cholecystitis: Present on admit, complicated by sepsis. CT AP 11/6/22 with dilated diffusely thickened GB and mild ileus.  Continued Zosyn 11/12/2022..  S/p PCT?11/8/2022.  OR cultures showed Clostridium perfringens and viridans.  IV Zosyn transitioned to Augmentin until 11/17/2022.  Surgery and infectious disease followed.  2. COVID-19: + 11/9/2022.  Was also positive in February 2022.  Vaccinated and boosted.  Unclear if he is having respiratory distress secondary to COVID or if this is a new infection versus old.  Inflammatory markers elevated.  D-dimer also elevated.  CTA did not show PE.  Continued steroids until 11/15/2022.  S/p monoclonal antibody infusion 11/11/2022.  Also procalcitonin elevated no further need of antibiotics per ID?followed..   3. Acute hypoxic respiratory failure: Likely combination of heart failure exacerbation versus pneumonia as below.  Weaned to room air. 4. Acute on chronic diastolic congestive heart failure: BNP significantly elevated 1645.  Mostly euvolemic on exam.  Chest x-ray also does not show signs of fluid overload.  Echocardiogram 7/2019 with ejection fraction of 60 to 65% with diastolic heart failure.  Repeat echo 11/10/2022 with ejection fraction of 65%..  Continued home Lasix?BP dose decreased as  BP allows.  Cardiology followed 5. SinusTachycardia: Prior history.  Now exacerbated due to sepsis.  Improved after increasing to prior dose of 50 mg.  Dose decreased back to 25 mg as per cardiology.   6. Dysuria: Complains of burning urination with hesitancy.  UA negative?11/9 /2022.  Symptoms improved.   7. Thrombocytopenia: Baseline 122 130- ?90 11/7/2022.  No signs of active bleeding.  Monitored.   8. PE: Hx 2012, no longer on any anticoagulation.  9. HTN: Held amlodipine due to low blood pressure.
Age: 91.0
Sex: M
Vaccine: COVID19-2
Symptoms: Gallbladder enlargement, Hypotension, Ileus, Inflammatory marker increased, Left ventricular failure
Clinical narrative: Clinical Summary Patient is a 91 y.o. male with a history of HTN, HFpEF, HTN and PE who presented to hospital 11/6/2022 with abdominal pain n/v shortness of breath and weakness for about 4 days found to be septic with CT ABD pelvis concerning for acute cholecystitis.    1. Acute cholecystitis: Present on admit, complicated by sepsis. CT AP 11/6/22 with dilated diffusely thickened GB and mild ileus.  Continued Zosyn 11/12/2022..  S/p PCT?11/8/2022.  OR cultures showed Clostridium perfringens and viridans.  IV Zosyn transitioned to Augmentin until 11/17/2022.  Surgery and infectious disease followed.  2. COVID-19: + 11/9/2022.  Was also positive in February 2022.  Vaccinated and boosted.  Unclear if he is having respiratory distress secondary to COVID or if this is a new infection versus old.  Inflammatory markers elevated.  D-dimer also elevated.  CTA did not show PE.  Continued steroids until 11/15/2022.  S/p monoclonal antibody infusion 11/11/2022.  Also procalcitonin elevated no further need of antibiotics per ID?followed..   3. Acute hypoxic respiratory failure: Likely combination of heart failure exacerbation versus pneumonia as below.  Weaned to room air. 4. Acute on chronic diastolic congestive heart failure: BNP significantly elevated 1645.  Mostly euvolemic on exam.  Chest x-ray also does not show signs of fluid overload.  Echocardiogram 7/2019 with ejection fraction of 60 to 65% with diastolic heart failure.  Repeat echo 11/10/2022 with ejection fraction of 65%..  Continued home Lasix?BP dose decreased as  BP allows.  Cardiology followed 5. SinusTachycardia: Prior history.  Now exacerbated due to sepsis.  Improved after increasing to prior dose of 50 mg.  Dose decreased back to 25 mg as per cardiology.   6. Dysuria: Complains of burning urination with hesitancy.  UA negative?11/9 /2022.  Symptoms improved.   7. Thrombocytopenia: Baseline 122 130- ?90 11/7/2022.  No signs of active bleeding.  Monitored.   8. PE: Hx 2012, no longer on any anticoagulation.  9. HTN: Held amlodipine due to low blood pressure.
Age: 91.0
Sex: M
Vaccine: COVID19-2
Symptoms: Nausea, Platelet count decreased, Pneumonia, Procalcitonin increased, SARS-CoV-2 test positive
Clinical narrative: Clinical Summary Patient is a 91 y.o. male with a history of HTN, HFpEF, HTN and PE who presented to hospital 11/6/2022 with abdominal pain n/v shortness of breath and weakness for about 4 days found to be septic with CT ABD pelvis concerning for acute cholecystitis.    1. Acute cholecystitis: Present on admit, complicated by sepsis. CT AP 11/6/22 with dilated diffusely thickened GB and mild ileus.  Continued Zosyn 11/12/2022..  S/p PCT?11/8/2022.  OR cultures showed Clostridium perfringens and viridans.  IV Zosyn transitioned to Augmentin until 11/17/2022.  Surgery and infectious disease followed.  2. COVID-19: + 11/9/2022.  Was also positive in February 2022.  Vaccinated and boosted.  Unclear if he is having respiratory distress secondary to COVID or if this is a new infection versus old.  Inflammatory markers elevated.  D-dimer also elevated.  CTA did not show PE.  Continued steroids until 11/15/2022.  S/p monoclonal antibody infusion 11/11/2022.  Also procalcitonin elevated no further need of antibiotics per ID?followed..   3. Acute hypoxic respiratory failure: Likely combination of heart failure exacerbation versus pneumonia as below.  Weaned to room air. 4. Acute on chronic diastolic congestive heart failure: BNP significantly elevated 1645.  Mostly euvolemic on exam.  Chest x-ray also does not show signs of fluid overload.  Echocardiogram 7/2019 with ejection fraction of 60 to 65% with diastolic heart failure.  Repeat echo 11/10/2022 with ejection fraction of 65%..  Continued home Lasix?BP dose decreased as  BP allows.  Cardiology followed 5. SinusTachycardia: Prior history.  Now exacerbated due to sepsis.  Improved after increasing to prior dose of 50 mg.  Dose decreased back to 25 mg as per cardiology.   6. Dysuria: Complains of burning urination with hesitancy.  UA negative?11/9 /2022.  Symptoms improved.   7. Thrombocytopenia: Baseline 122 130- ?90 11/7/2022.  No signs of active bleeding.  Monitored.   8. PE: Hx 2012, no longer on any anticoagulation.  9. HTN: Held amlodipine due to low blood pressure.
Age: 91.0
Sex: M
Vaccine: COVID19-2
Symptoms: Sepsis, Sinus tachycardia, Streptococcus test positive, Thrombocytopenia, Urinary hesitation
Clinical narrative: Clinical Summary Patient is a 91 y.o. male with a history of HTN, HFpEF, HTN and PE who presented to hospital 11/6/2022 with abdominal pain n/v shortness of breath and weakness for about 4 days found to be septic with CT ABD pelvis concerning for acute cholecystitis.    1. Acute cholecystitis: Present on admit, complicated by sepsis. CT AP 11/6/22 with dilated diffusely thickened GB and mild ileus.  Continued Zosyn 11/12/2022..  S/p PCT?11/8/2022.  OR cultures showed Clostridium perfringens and viridans.  IV Zosyn transitioned to Augmentin until 11/17/2022.  Surgery and infectious disease followed.  2. COVID-19: + 11/9/2022.  Was also positive in February 2022.  Vaccinated and boosted.  Unclear if he is having respiratory distress secondary to COVID or if this is a new infection versus old.  Inflammatory markers elevated.  D-dimer also elevated.  CTA did not show PE.  Continued steroids until 11/15/2022.  S/p monoclonal antibody infusion 11/11/2022.  Also procalcitonin elevated no further need of antibiotics per ID?followed..   3. Acute hypoxic respiratory failure: Likely combination of heart failure exacerbation versus pneumonia as below.  Weaned to room air. 4. Acute on chronic diastolic congestive heart failure: BNP significantly elevated 1645.  Mostly euvolemic on exam.  Chest x-ray also does not show signs of fluid overload.  Echocardiogram 7/2019 with ejection fraction of 60 to 65% with diastolic heart failure.  Repeat echo 11/10/2022 with ejection fraction of 65%..  Continued home Lasix?BP dose decreased as  BP allows.  Cardiology followed 5. SinusTachycardia: Prior history.  Now exacerbated due to sepsis.  Improved after increasing to prior dose of 50 mg.  Dose decreased back to 25 mg as per cardiology.   6. Dysuria: Complains of burning urination with hesitancy.  UA negative?11/9 /2022.  Symptoms improved.   7. Thrombocytopenia: Baseline 122 130- ?90 11/7/2022.  No signs of active bleeding.  Monitored.   8. PE: Hx 2012, no longer on any anticoagulation.  9. HTN: Held amlodipine due to low blood pressure.
Age: 91.0
Sex: M
Vaccine: COVID19-2
Symptoms: Urine analysis normal, Vomiting
Clinical narrative: Clinical Summary Patient is a 91 y.o. male with a history of HTN, HFpEF, HTN and PE who presented to hospital 11/6/2022 with abdominal pain n/v shortness of breath and weakness for about 4 days found to be septic with CT ABD pelvis concerning for acute cholecystitis.    1. Acute cholecystitis: Present on admit, complicated by sepsis. CT AP 11/6/22 with dilated diffusely thickened GB and mild ileus.  Continued Zosyn 11/12/2022..  S/p PCT?11/8/2022.  OR cultures showed Clostridium perfringens and viridans.  IV Zosyn transitioned to Augmentin until 11/17/2022.  Surgery and infectious disease followed.  2. COVID-19: + 11/9/2022.  Was also positive in February 2022.  Vaccinated and boosted.  Unclear if he is having respiratory distress secondary to COVID or if this is a new infection versus old.  Inflammatory markers elevated.  D-dimer also elevated.  CTA did not show PE.  Continued steroids until 11/15/2022.  S/p monoclonal antibody infusion 11/11/2022.  Also procalcitonin elevated no further need of antibiotics per ID?followed..   3. Acute hypoxic respiratory failure: Likely combination of heart failure exacerbation versus pneumonia as below.  Weaned to room air. 4. Acute on chronic diastolic congestive heart failure: BNP significantly elevated 1645.  Mostly euvolemic on exam.  Chest x-ray also does not show signs of fluid overload.  Echocardiogram 7/2019 with ejection fraction of 60 to 65% with diastolic heart failure.  Repeat echo 11/10/2022 with ejection fraction of 65%..  Continued home Lasix?BP dose decreased as  BP allows.  Cardiology followed 5. SinusTachycardia: Prior history.  Now exacerbated due to sepsis.  Improved after increasing to prior dose of 50 mg.  Dose decreased back to 25 mg as per cardiology.   6. Dysuria: Complains of burning urination with hesitancy.  UA negative?11/9 /2022.  Symptoms improved.   7. Thrombocytopenia: Baseline 122 130- ?90 11/7/2022.  No signs of active bleeding.  Monitored.   8. PE: Hx 2012, no longer on any anticoagulation.  9. HTN: Held amlodipine due to low blood pressure.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, Chills, Cough, Diarrhoea
Clinical narrative: I was completely healthy and went from 100% fine to spiking a fever at 12:45PM on Thursday, November 3, 2022. It was followed by a fever, chills, congestion, vomiting, severe headache. I called my primary care's office. The nurse called me and she noted that the doctor would like me to get a COVID-19 test and it came back positive. The doctor called in a prescription for PAXLOVID and cough pearls and ZOFRAN. I had started having diarrhea as well. I did 5 days of PAXLOVID and I had a fever that ranged from 103.4 to low grade 102 that persisted. I talked to the doctor the 5th day on Tuesday when I finished the PAXLOVID and told him I still had symptoms. He noted that if I took another test, it would still be positive. The vomiting and diarrhea had slowed down and I still had a fever and what seemed to be a bad head cold. My head didn't hurt as badly, and I was coughing with no production. I couldn't get a deep breath all the way. The doctor had me do a Z-PAK as well for 1 a day for 5 days. He did that in the hopes that if there was secondary infection of any kind, it would be taken care of. I talked to the nurse about every other day as I still had a low grade fever, fatigue, and trouble with deep breathing. On Wednesday 11/16/2022 when I talked to my doctor, he suggested that I go to urgent care and get a chest x-ray and let him talk to the doctor for the results. The results showed no pneumonia or bronchitis. They suspected inflammation and listened to me breathe. They also tested me for flu and I was negative. I talked to my doctor again and he noted that I was one of those people where after effects were still present, but I was not contagious. He noted there was no other treatments and recommended I stay inside due to the weather. On Friday 11/18 was the first time that I noted no fever at all. The doctor noted to just monitor the progression and he noted that I could be vulnerable. He suggested to be careful and to wear a mask for protection. I am definitely not 100%. I still have the head cold feeling, but it's not as strong. I am still fatigued and my voice is not back to normal.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphonia, Dyspnoea, Fatigue, Headache, Inflammation
Clinical narrative: I was completely healthy and went from 100% fine to spiking a fever at 12:45PM on Thursday, November 3, 2022. It was followed by a fever, chills, congestion, vomiting, severe headache. I called my primary care's office. The nurse called me and she noted that the doctor would like me to get a COVID-19 test and it came back positive. The doctor called in a prescription for PAXLOVID and cough pearls and ZOFRAN. I had started having diarrhea as well. I did 5 days of PAXLOVID and I had a fever that ranged from 103.4 to low grade 102 that persisted. I talked to the doctor the 5th day on Tuesday when I finished the PAXLOVID and told him I still had symptoms. He noted that if I took another test, it would still be positive. The vomiting and diarrhea had slowed down and I still had a fever and what seemed to be a bad head cold. My head didn't hurt as badly, and I was coughing with no production. I couldn't get a deep breath all the way. The doctor had me do a Z-PAK as well for 1 a day for 5 days. He did that in the hopes that if there was secondary infection of any kind, it would be taken care of. I talked to the nurse about every other day as I still had a low grade fever, fatigue, and trouble with deep breathing. On Wednesday 11/16/2022 when I talked to my doctor, he suggested that I go to urgent care and get a chest x-ray and let him talk to the doctor for the results. The results showed no pneumonia or bronchitis. They suspected inflammation and listened to me breathe. They also tested me for flu and I was negative. I talked to my doctor again and he noted that I was one of those people where after effects were still present, but I was not contagious. He noted there was no other treatments and recommended I stay inside due to the weather. On Friday 11/18 was the first time that I noted no fever at all. The doctor noted to just monitor the progression and he noted that I could be vulnerable. He suggested to be careful and to wear a mask for protection. I am definitely not 100%. I still have the head cold feeling, but it's not as strong. I am still fatigued and my voice is not back to normal.