chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray abnormal, Chills, Confusional state
Clinical narrative: Admission Date: 7/7/2022 Discharge Date: Jul 10, 2022  PRESENTING PROBLEM: Severe sepsis [A41.9, R65.20] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 93-year-old male who presented due to acute confusion at home.  He has a past medical history of atrial fibrillation, pacemaker placement, essential hypertension, diabetes mellitus type 2 and dementia.  Patient was noted to have an increased cough the day prior to admission.  He was able to get out of bed and use a walker initially without difficulty.  The morning of admission he continued to have a cough and was noted to have nasal congestion.  He was afebrile.  He had episodes of chills.  Family noted he was making statements that were paranoid or confused.  He was brought to the emergency department.  He did not have any sick contacts or known COVID exposures.  In the emergency department, patient was found to be hypotensive.  He was given 3 L of fluid.  There was initial concern for sepsis so he was given Rocephin and azithromycin for possible community-acquired pneumonia.  COVID came back positive.  Chest x-ray was unremarkable.  He likely had generalized weakness due to dehydration and COVID-19 infection.  He was started on remdesivir during his stay.  His blood pressure improved with hydration and holding his blood pressure medications and Lasix.  His weakness improved.  He was able to ambulate independently and be discharged home with family on 07/10/2022.  He never required oxygen during his stay.
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dehydration, Hypotension, Nasal congestion, Paranoia
Clinical narrative: Admission Date: 7/7/2022 Discharge Date: Jul 10, 2022  PRESENTING PROBLEM: Severe sepsis [A41.9, R65.20] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 93-year-old male who presented due to acute confusion at home.  He has a past medical history of atrial fibrillation, pacemaker placement, essential hypertension, diabetes mellitus type 2 and dementia.  Patient was noted to have an increased cough the day prior to admission.  He was able to get out of bed and use a walker initially without difficulty.  The morning of admission he continued to have a cough and was noted to have nasal congestion.  He was afebrile.  He had episodes of chills.  Family noted he was making statements that were paranoid or confused.  He was brought to the emergency department.  He did not have any sick contacts or known COVID exposures.  In the emergency department, patient was found to be hypotensive.  He was given 3 L of fluid.  There was initial concern for sepsis so he was given Rocephin and azithromycin for possible community-acquired pneumonia.  COVID came back positive.  Chest x-ray was unremarkable.  He likely had generalized weakness due to dehydration and COVID-19 infection.  He was started on remdesivir during his stay.  His blood pressure improved with hydration and holding his blood pressure medications and Lasix.  His weakness improved.  He was able to ambulate independently and be discharged home with family on 07/10/2022.  He never required oxygen during his stay.
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sepsis, Walking aid user
Clinical narrative: Admission Date: 7/7/2022 Discharge Date: Jul 10, 2022  PRESENTING PROBLEM: Severe sepsis [A41.9, R65.20] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 93-year-old male who presented due to acute confusion at home.  He has a past medical history of atrial fibrillation, pacemaker placement, essential hypertension, diabetes mellitus type 2 and dementia.  Patient was noted to have an increased cough the day prior to admission.  He was able to get out of bed and use a walker initially without difficulty.  The morning of admission he continued to have a cough and was noted to have nasal congestion.  He was afebrile.  He had episodes of chills.  Family noted he was making statements that were paranoid or confused.  He was brought to the emergency department.  He did not have any sick contacts or known COVID exposures.  In the emergency department, patient was found to be hypotensive.  He was given 3 L of fluid.  There was initial concern for sepsis so he was given Rocephin and azithromycin for possible community-acquired pneumonia.  COVID came back positive.  Chest x-ray was unremarkable.  He likely had generalized weakness due to dehydration and COVID-19 infection.  He was started on remdesivir during his stay.  His blood pressure improved with hydration and holding his blood pressure medications and Lasix.  His weakness improved.  He was able to ambulate independently and be discharged home with family on 07/10/2022.  He never required oxygen during his stay.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test, Vaccine breakthrough infection
Clinical narrative: I had a breakthrough case of COVID-19 confirmed by a home test on July 4, 2022.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, COVID-19, Cough, Fatigue, Malaise
Clinical narrative: 12/01/2021 I had my vaccination 03/23/2022 I started to have cold like symptoms, burning in the sinuses. Developed into cough and fatigue.  04/06/2022 I tested COVID-19 NEGATIVE. I was sick for about 10 days.  04/07/2022 I went to see family.  04/09/2022 We traveled out of town to attend family function w/ about 20 people.  04/11/2022 COVID-19 POSITIVE  I had the lingering cough for 6-8 weeks.  Lots of fatigue and was unsure if it was related to COVID-19.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Nasopharyngitis, SARS-CoV-2 test positive
Clinical narrative: 12/01/2021 I had my vaccination 03/23/2022 I started to have cold like symptoms, burning in the sinuses. Developed into cough and fatigue.  04/06/2022 I tested COVID-19 NEGATIVE. I was sick for about 10 days.  04/07/2022 I went to see family.  04/09/2022 We traveled out of town to attend family function w/ about 20 people.  04/11/2022 COVID-19 POSITIVE  I had the lingering cough for 6-8 weeks.  Lots of fatigue and was unsure if it was related to COVID-19.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccination site nodule
Clinical narrative: Pt developed a raised knot where the vaccine was given. NO rash, NO itchiness associated.
Age: 26.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Adenovirus test, Bordetella test negative, Chills, Chlamydia test negative, Coronavirus test negative
Clinical narrative: 3 days of high fever, body aches, chills, sweats, sore throat, swollen lymph nodes + tonsils, headache, fatigue. Day 3 given 10 mg dexamethasone. Most symptoms began resolving day 4 but chills and sweats persist.
Age: 26.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Enterovirus test negative, Fatigue, Headache, Human rhinovirus test, Hyperhidrosis
Clinical narrative: 3 days of high fever, body aches, chills, sweats, sore throat, swollen lymph nodes + tonsils, headache, fatigue. Day 3 given 10 mg dexamethasone. Most symptoms began resolving day 4 but chills and sweats persist.
Age: 26.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Influenza A virus test negative, Influenza B virus test, Lymphadenopathy, Mycoplasma test negative, Oropharyngeal pain
Clinical narrative: 3 days of high fever, body aches, chills, sweats, sore throat, swollen lymph nodes + tonsils, headache, fatigue. Day 3 given 10 mg dexamethasone. Most symptoms began resolving day 4 but chills and sweats persist.
Age: 26.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Pain, Pyrexia, Respiratory syncytial virus test negative, Respiratory viral panel, SARS-CoV-2 test negative
Clinical narrative: 3 days of high fever, body aches, chills, sweats, sore throat, swollen lymph nodes + tonsils, headache, fatigue. Day 3 given 10 mg dexamethasone. Most symptoms began resolving day 4 but chills and sweats persist.
Age: 26.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Streptococcus test negative, Tonsillar hypertrophy
Clinical narrative: 3 days of high fever, body aches, chills, sweats, sore throat, swollen lymph nodes + tonsils, headache, fatigue. Day 3 given 10 mg dexamethasone. Most symptoms began resolving day 4 but chills and sweats persist.
Age: 1.58
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Irritability, Pyrexia, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: She had a breakthrough of COVID after first dose. She had wheezing, mild fever, very fussy.
Age: 1.58
Sex: F
Vaccine: COVID19
Symptoms: Wheezing
Clinical narrative: She had a breakthrough of COVID after first dose. She had wheezing, mild fever, very fussy.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, Body temperature increased, Bradycardia, Chest pain, Cough
Clinical narrative: I had a bad headache the first night. The next morning, I woke up with a sore throat. That afternoon, I started running 101 or 102 temp. I was coughing and would bring up mucus a few times a day. It was mostly a dry cough. I had extreme fatigue. I was very dizzy. My sore throat progressed. On Friday the 27th, I couldn't drink anything. My throat was sore it was almost closed. I was really dehydrated. I had a telehealth appointment with urgent care that morning. They told me to go to the emergency room. I was still running high temperatures that day. I was there for 13 hours. They ended up giving me an IV, steroids, and lidocaine gel for my throat. I called my doctor on Wednesday and had a telehealth visit. They prescribed Paxlovid so I had already started that. I was better on Saturday. I went back to urgent care on Monday because I was so dizzy, I couldn't walk across the room. My heart rate was in the 50s. They did an EKG. My heart rate was bradycardic. I had a telehealth appointment a few days later, and my heart rate was much better. It took a couple of weeks to a month to feel better. I'm still not 100%. I get tired easily. I had to use my albuterol inhaler when I was sick. I was having chest pains when I went to the ER, too. They did cardiac enzymes.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Dehydration, Dizziness, Electrocardiogram abnormal, Fatigue, Headache
Clinical narrative: I had a bad headache the first night. The next morning, I woke up with a sore throat. That afternoon, I started running 101 or 102 temp. I was coughing and would bring up mucus a few times a day. It was mostly a dry cough. I had extreme fatigue. I was very dizzy. My sore throat progressed. On Friday the 27th, I couldn't drink anything. My throat was sore it was almost closed. I was really dehydrated. I had a telehealth appointment with urgent care that morning. They told me to go to the emergency room. I was still running high temperatures that day. I was there for 13 hours. They ended up giving me an IV, steroids, and lidocaine gel for my throat. I called my doctor on Wednesday and had a telehealth visit. They prescribed Paxlovid so I had already started that. I was better on Saturday. I went back to urgent care on Monday because I was so dizzy, I couldn't walk across the room. My heart rate was in the 50s. They did an EKG. My heart rate was bradycardic. I had a telehealth appointment a few days later, and my heart rate was much better. It took a couple of weeks to a month to feel better. I'm still not 100%. I get tired easily. I had to use my albuterol inhaler when I was sick. I was having chest pains when I went to the ER, too. They did cardiac enzymes.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate abnormal, Mobility decreased, Myocardial necrosis marker, Oropharyngeal pain, Productive cough
Clinical narrative: I had a bad headache the first night. The next morning, I woke up with a sore throat. That afternoon, I started running 101 or 102 temp. I was coughing and would bring up mucus a few times a day. It was mostly a dry cough. I had extreme fatigue. I was very dizzy. My sore throat progressed. On Friday the 27th, I couldn't drink anything. My throat was sore it was almost closed. I was really dehydrated. I had a telehealth appointment with urgent care that morning. They told me to go to the emergency room. I was still running high temperatures that day. I was there for 13 hours. They ended up giving me an IV, steroids, and lidocaine gel for my throat. I called my doctor on Wednesday and had a telehealth visit. They prescribed Paxlovid so I had already started that. I was better on Saturday. I went back to urgent care on Monday because I was so dizzy, I couldn't walk across the room. My heart rate was in the 50s. They did an EKG. My heart rate was bradycardic. I had a telehealth appointment a few days later, and my heart rate was much better. It took a couple of weeks to a month to feel better. I'm still not 100%. I get tired easily. I had to use my albuterol inhaler when I was sick. I was having chest pains when I went to the ER, too. They did cardiac enzymes.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness, Urine analysis normal
Clinical narrative: I had a bad headache the first night. The next morning, I woke up with a sore throat. That afternoon, I started running 101 or 102 temp. I was coughing and would bring up mucus a few times a day. It was mostly a dry cough. I had extreme fatigue. I was very dizzy. My sore throat progressed. On Friday the 27th, I couldn't drink anything. My throat was sore it was almost closed. I was really dehydrated. I had a telehealth appointment with urgent care that morning. They told me to go to the emergency room. I was still running high temperatures that day. I was there for 13 hours. They ended up giving me an IV, steroids, and lidocaine gel for my throat. I called my doctor on Wednesday and had a telehealth visit. They prescribed Paxlovid so I had already started that. I was better on Saturday. I went back to urgent care on Monday because I was so dizzy, I couldn't walk across the room. My heart rate was in the 50s. They did an EKG. My heart rate was bradycardic. I had a telehealth appointment a few days later, and my heart rate was much better. It took a couple of weeks to a month to feel better. I'm still not 100%. I get tired easily. I had to use my albuterol inhaler when I was sick. I was having chest pains when I went to the ER, too. They did cardiac enzymes.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Impaired work ability, Malaise, Perfume sensitivity, SARS-CoV-2 test positive
Clinical narrative: COVID-19. I started getting sick on June 21st and on the 25th I was really sick. I didn't realize that I had COVID. It started with sinus issues and I kind of ignored the symptoms due to my other issues. By the 25th I moved away from the house I was sitting at and I realized that I was a lot sicker than just the fragrance sensitives I thought I was having. At the 10 day mark I still couldn't go back to work. And after COVID I then got a sinus infection that I'm still sick from. I got steroids and cough syrup. I found out Oct 2020 until March 2022 the home I was in was moldy.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus disorder, Sinusitis
Clinical narrative: COVID-19. I started getting sick on June 21st and on the 25th I was really sick. I didn't realize that I had COVID. It started with sinus issues and I kind of ignored the symptoms due to my other issues. By the 25th I moved away from the house I was sitting at and I realized that I was a lot sicker than just the fragrance sensitives I thought I was having. At the 10 day mark I still couldn't go back to work. And after COVID I then got a sinus infection that I'm still sick from. I got steroids and cough syrup. I found out Oct 2020 until March 2022 the home I was in was moldy.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: 12 year old received 5-11 year old Pfizer dose (0.2 ml) instead of adult Pfizer (0.3 ml)
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Pain, Pain in extremity
Clinical narrative: lower back pain that radiated down the legs. occured the next day around 7:30am and lasted until the next day. Treatment: heat and layed in bed.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Injection site rash, Oropharyngeal pain, Pyrexia
Clinical narrative: I woke up with a really bad sore throat, congestion, mild fever. I took a home COVID-19 test that came back positive, I called and had a telehealth visit. I was prescribed Benzonatate for the cough, recommended some different cough medications, Molnupiravir (I did not take it) and an antibiotic (I did not take it). I did have a slight rash at the injection site but it only lasted for a day.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I woke up with a really bad sore throat, congestion, mild fever. I took a home COVID-19 test that came back positive, I called and had a telehealth visit. I was prescribed Benzonatate for the cough, recommended some different cough medications, Molnupiravir (I did not take it) and an antibiotic (I did not take it). I did have a slight rash at the injection site but it only lasted for a day.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Computerised tomogram head normal, Death, Diarrhoea, Echocardiogram abnormal
Clinical narrative: pt to ED via EMS after a fall at home; found supine; family guessing she has been there x 3 days; no evidence of fx; CT of brain showed no intracranial hemorrhage; pt had a sore throat and diarrhea earlier in the week; found to be positive for COVID; no O2 supplementation needed; echocardiogram shows 20% Ejection Fraction; cardiology consulted but cardiac catherization not done due to COVID positive; DNR/Comfort Care; pt passed away in the hospital
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Ejection fraction decreased, Fall, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: pt to ED via EMS after a fall at home; found supine; family guessing she has been there x 3 days; no evidence of fx; CT of brain showed no intracranial hemorrhage; pt had a sore throat and diarrhea earlier in the week; found to be positive for COVID; no O2 supplementation needed; echocardiogram shows 20% Ejection Fraction; cardiology consulted but cardiac catherization not done due to COVID positive; DNR/Comfort Care; pt passed away in the hospital
Age: 89.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Concussion, Head injury, Loss of consciousness, Nausea
Clinical narrative: Patient said she was having severe side effects including nausea, chills, throwing up, shaking, fever.  She said she then passed out which caused a concussion, head wound requiring stitches, and a back fracture.
Age: 89.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia, Spinal fracture, Suture insertion, Tremor, Vomiting
Clinical narrative: Patient said she was having severe side effects including nausea, chills, throwing up, shaking, fever.  She said she then passed out which caused a concussion, head wound requiring stitches, and a back fracture.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Constipation, Diarrhoea, Fatigue, Feeling abnormal, Full blood count normal
Clinical narrative: After my first covid shot, my periods became immediately irregular. My periods have been extremely regular since starting at age 13. After the second covid shot, they continued to be irregular. After the third covid shot they became increasingly spaced apart, with the added symptoms of extreme fatigue, muscle weakness, nausea, constipation/diarrhea, headache, "brain fog", and weight loss in the 1-2 weeks leading up to my period. I have never had PMS symptoms like these before my booster shot.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Headache, Menstruation irregular, Muscular weakness, Nausea, Premenstrual syndrome
Clinical narrative: After my first covid shot, my periods became immediately irregular. My periods have been extremely regular since starting at age 13. After the second covid shot, they continued to be irregular. After the third covid shot they became increasingly spaced apart, with the added symptoms of extreme fatigue, muscle weakness, nausea, constipation/diarrhea, headache, "brain fog", and weight loss in the 1-2 weeks leading up to my period. I have never had PMS symptoms like these before my booster shot.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Weight decreased
Clinical narrative: After my first covid shot, my periods became immediately irregular. My periods have been extremely regular since starting at age 13. After the second covid shot, they continued to be irregular. After the third covid shot they became increasingly spaced apart, with the added symptoms of extreme fatigue, muscle weakness, nausea, constipation/diarrhea, headache, "brain fog", and weight loss in the 1-2 weeks leading up to my period. I have never had PMS symptoms like these before my booster shot.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis
Clinical narrative: Cellulitis
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Headache, Lacrimation increased
Clinical narrative: I contracted COVID-19 on 07/14/2022 with symptoms of cough, runny nose, sore throat, congestion, headache, fatigue, and watery eyes. I was prescribed PAXLOVID on 07/15/2022. My sore throat, watery eyes, and congestion began to improve after taking PAXLOVID. I am not fully recovered yet, but my symptoms are improving.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I contracted COVID-19 on 07/14/2022 with symptoms of cough, runny nose, sore throat, congestion, headache, fatigue, and watery eyes. I was prescribed PAXLOVID on 07/15/2022. My sore throat, watery eyes, and congestion began to improve after taking PAXLOVID. I am not fully recovered yet, but my symptoms are improving.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Heart rate increased, Immunisation reaction, Pain
Clinical narrative: MODERNA 7/18/22 PT CAME IN AND STATED SHE HAD REACTION TO MODERNA SHOT THAT SHE RECEIVED ON 7/13/2022.  LATER IN THE EVENING AFTER SHE RECEIVED THE SHOT, SHE HAD A PAIN IN HER LOWER BACK THAT RADIATED UP HER LEFT SIDE AND MADE HER HEART BEAT EXTREMELY RAPIDLY.  PT STATES THE SYMPTOMS WENT AWAY THE FOLLOWING DAY.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Oropharyngeal pain, Productive cough
Clinical narrative: Breakthrough case of COVID-19; I felt a really bad sore throat, a lot of coughing and very very tired, and a lot of phlegm.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case of COVID-19; I felt a really bad sore throat, a lot of coughing and very very tired, and a lot of phlegm.
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Extra dose administered, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case. Had dose 4 in 04/2022, the tested positive for COVID-19 on 06/28/2022. Took Home test and tested Positive. Called Dr for a Telemedicine appt, and was prescribed Paxlovid, but didn't want to take it if I didn't have to. and decided not to take it. Finally tested negative 07/18/2022.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Blood magnesium decreased, Blood test normal, Condition aggravated, Gait disturbance, Insomnia
Clinical narrative: 05/31/2022 I had been waking up with cramps in my legs much more than normal. I was out to lunch that day and when I walked to the car, my left leg had a major cramp and I had to walk the parking lot for 35 minutes, but it never eased up. It eased up enough after that where I could ride home. For the next two weeks, my legs were sore, heavy and it was hard for me to walk and sleep. I contacted my doctor on 06/07/2022 and was able to get an appointment that day.  He took me off my cholesterol medication. That seemed to help. He had me take magnesium, but that did not help.  Bloodwork was done, but was normal. He stated my magnesium might be a little low, so he increased my dosage. I went back to my  PCP on 7/05/2022 and he prescribed muscle relaxers and told me to go back to my exercise classes. I slept better after that. I took a 4-hour trip in the car which was very painful. I went to see my doctor again who referred me to an orthopedist. He took x-rays and has ordered an EMG and an MRI to see if it is nerve or muscle related. He did not comment on x-ray results.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Limb discomfort, Muscle spasms, Pain in extremity, X-ray
Clinical narrative: 05/31/2022 I had been waking up with cramps in my legs much more than normal. I was out to lunch that day and when I walked to the car, my left leg had a major cramp and I had to walk the parking lot for 35 minutes, but it never eased up. It eased up enough after that where I could ride home. For the next two weeks, my legs were sore, heavy and it was hard for me to walk and sleep. I contacted my doctor on 06/07/2022 and was able to get an appointment that day.  He took me off my cholesterol medication. That seemed to help. He had me take magnesium, but that did not help.  Bloodwork was done, but was normal. He stated my magnesium might be a little low, so he increased my dosage. I went back to my  PCP on 7/05/2022 and he prescribed muscle relaxers and told me to go back to my exercise classes. I slept better after that. I took a 4-hour trip in the car which was very painful. I went to see my doctor again who referred me to an orthopedist. He took x-rays and has ordered an EMG and an MRI to see if it is nerve or muscle related. He did not comment on x-ray results.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Anaemia, Atelectasis, Blood culture positive, Bradycardia
Clinical narrative: Admission Date: 7/7/2022 Discharge Date: Jul 12, 2022  PRESENTING PROBLEM: Sepsis (HCC) [A41.9]   HOSPITAL COURSE: per ICU transfer summary:  85 year old female with hx of dementia on Aricept, RA on Arava and prednisone 5 mg.daily, HTN, chronic anemia who presented to ED with fatigue.  Found to have urinary tract infection and AKI as well as acute on chronic anemia with Hemoccult-positive stool, HGB 5.9. Additionally was COVID positive with a normal chest x-ray but 2 L oxygen requirement. CT scan of the abdomen and pelvis showed a punctate nonobstructing right renal stone but no ureteral calculi or hydronephrosis. Also showed bronchiectasis and chronic airspace disease RML and mild atelectasis.  She was given IV fluids (1250 ml)  however remained hypotensive therefore was started on nor epinephrine for ongoing hypotension.  Ultimately transferred to Blodgett intensive care unit for further care.  Received 1 unit packed red blood cells en route to ICU. On arrival to ICU received second unit of blood. Did not require pressors in ICU. One of two blood cultures positive for GNR. Rocephin changed to 2 grams Q24, new cultures sent. Awaiting urine culture. Bradycardia noted, patient with history of the same. Holter completed 6/21 no evidence of high grade av block or symptoms with bradycardia. Patient improved this Am 7/8. Off nasal canula eating a diet and actually hypertensive. AKI contiues to improve. Will hold home triamterene with HCTZ additional day and hopefully kidney function returns to baseline 7/9. Plan to transfer to GMB today.    Hospitalist Summary:  Patient was continued on IV Rocephin. Repeat Blood Cx were negative at 4 days. Urine Cx grew E. Coli - resistant to Ampicillin, and intermediate to Cipro. GI did not feel patient had a bleed so they signed off (Admission hgb was 5.9 and went up above 12 after two units (and stayed there) suggesting first value was lab error. Other workup included Chest X ray which showed small bilateral pleural effusions. Patient continued to improve - transitioned to Ceftin (per discussion with ID pharmacy) to complete a total of 10 days of antibiotic therapy. Her home Dyazide was discontinued and she was started on Norvasc 5 mg daily. Her renal function had normalized prior to discharge. COVID Precautions information provided.   I discussed with patient, husband and daughter at bedside the following on 7/11: - Close BP monitoring - Lasix as needed for leg swelling - Outpatient PCP followup for labs within 1 week (CBC and CMP) - Outpatient Colonoscopy/EGD consideration with GI.   Patient was otherwise back to baseline and discharged home in stable condition on 07/12/2022. Epic message sent to PCP For follow up labs.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchiectasis, COVID-19, Chest X-ray normal, Computerised tomogram abdomen abnormal, Condition aggravated
Clinical narrative: Admission Date: 7/7/2022 Discharge Date: Jul 12, 2022  PRESENTING PROBLEM: Sepsis (HCC) [A41.9]   HOSPITAL COURSE: per ICU transfer summary:  85 year old female with hx of dementia on Aricept, RA on Arava and prednisone 5 mg.daily, HTN, chronic anemia who presented to ED with fatigue.  Found to have urinary tract infection and AKI as well as acute on chronic anemia with Hemoccult-positive stool, HGB 5.9. Additionally was COVID positive with a normal chest x-ray but 2 L oxygen requirement. CT scan of the abdomen and pelvis showed a punctate nonobstructing right renal stone but no ureteral calculi or hydronephrosis. Also showed bronchiectasis and chronic airspace disease RML and mild atelectasis.  She was given IV fluids (1250 ml)  however remained hypotensive therefore was started on nor epinephrine for ongoing hypotension.  Ultimately transferred to Blodgett intensive care unit for further care.  Received 1 unit packed red blood cells en route to ICU. On arrival to ICU received second unit of blood. Did not require pressors in ICU. One of two blood cultures positive for GNR. Rocephin changed to 2 grams Q24, new cultures sent. Awaiting urine culture. Bradycardia noted, patient with history of the same. Holter completed 6/21 no evidence of high grade av block or symptoms with bradycardia. Patient improved this Am 7/8. Off nasal canula eating a diet and actually hypertensive. AKI contiues to improve. Will hold home triamterene with HCTZ additional day and hopefully kidney function returns to baseline 7/9. Plan to transfer to GMB today.    Hospitalist Summary:  Patient was continued on IV Rocephin. Repeat Blood Cx were negative at 4 days. Urine Cx grew E. Coli - resistant to Ampicillin, and intermediate to Cipro. GI did not feel patient had a bleed so they signed off (Admission hgb was 5.9 and went up above 12 after two units (and stayed there) suggesting first value was lab error. Other workup included Chest X ray which showed small bilateral pleural effusions. Patient continued to improve - transitioned to Ceftin (per discussion with ID pharmacy) to complete a total of 10 days of antibiotic therapy. Her home Dyazide was discontinued and she was started on Norvasc 5 mg daily. Her renal function had normalized prior to discharge. COVID Precautions information provided.   I discussed with patient, husband and daughter at bedside the following on 7/11: - Close BP monitoring - Lasix as needed for leg swelling - Outpatient PCP followup for labs within 1 week (CBC and CMP) - Outpatient Colonoscopy/EGD consideration with GI.   Patient was otherwise back to baseline and discharged home in stable condition on 07/12/2022. Epic message sent to PCP For follow up labs.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Culture urine positive, Electrocardiogram ambulatory abnormal, Escherichia test positive, Fatigue, Gram stain positive
Clinical narrative: Admission Date: 7/7/2022 Discharge Date: Jul 12, 2022  PRESENTING PROBLEM: Sepsis (HCC) [A41.9]   HOSPITAL COURSE: per ICU transfer summary:  85 year old female with hx of dementia on Aricept, RA on Arava and prednisone 5 mg.daily, HTN, chronic anemia who presented to ED with fatigue.  Found to have urinary tract infection and AKI as well as acute on chronic anemia with Hemoccult-positive stool, HGB 5.9. Additionally was COVID positive with a normal chest x-ray but 2 L oxygen requirement. CT scan of the abdomen and pelvis showed a punctate nonobstructing right renal stone but no ureteral calculi or hydronephrosis. Also showed bronchiectasis and chronic airspace disease RML and mild atelectasis.  She was given IV fluids (1250 ml)  however remained hypotensive therefore was started on nor epinephrine for ongoing hypotension.  Ultimately transferred to Blodgett intensive care unit for further care.  Received 1 unit packed red blood cells en route to ICU. On arrival to ICU received second unit of blood. Did not require pressors in ICU. One of two blood cultures positive for GNR. Rocephin changed to 2 grams Q24, new cultures sent. Awaiting urine culture. Bradycardia noted, patient with history of the same. Holter completed 6/21 no evidence of high grade av block or symptoms with bradycardia. Patient improved this Am 7/8. Off nasal canula eating a diet and actually hypertensive. AKI contiues to improve. Will hold home triamterene with HCTZ additional day and hopefully kidney function returns to baseline 7/9. Plan to transfer to GMB today.    Hospitalist Summary:  Patient was continued on IV Rocephin. Repeat Blood Cx were negative at 4 days. Urine Cx grew E. Coli - resistant to Ampicillin, and intermediate to Cipro. GI did not feel patient had a bleed so they signed off (Admission hgb was 5.9 and went up above 12 after two units (and stayed there) suggesting first value was lab error. Other workup included Chest X ray which showed small bilateral pleural effusions. Patient continued to improve - transitioned to Ceftin (per discussion with ID pharmacy) to complete a total of 10 days of antibiotic therapy. Her home Dyazide was discontinued and she was started on Norvasc 5 mg daily. Her renal function had normalized prior to discharge. COVID Precautions information provided.   I discussed with patient, husband and daughter at bedside the following on 7/11: - Close BP monitoring - Lasix as needed for leg swelling - Outpatient PCP followup for labs within 1 week (CBC and CMP) - Outpatient Colonoscopy/EGD consideration with GI.   Patient was otherwise back to baseline and discharged home in stable condition on 07/12/2022. Epic message sent to PCP For follow up labs.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Hypotension, Intensive care, Lung disorder, Nephrolithiasis
Clinical narrative: Admission Date: 7/7/2022 Discharge Date: Jul 12, 2022  PRESENTING PROBLEM: Sepsis (HCC) [A41.9]   HOSPITAL COURSE: per ICU transfer summary:  85 year old female with hx of dementia on Aricept, RA on Arava and prednisone 5 mg.daily, HTN, chronic anemia who presented to ED with fatigue.  Found to have urinary tract infection and AKI as well as acute on chronic anemia with Hemoccult-positive stool, HGB 5.9. Additionally was COVID positive with a normal chest x-ray but 2 L oxygen requirement. CT scan of the abdomen and pelvis showed a punctate nonobstructing right renal stone but no ureteral calculi or hydronephrosis. Also showed bronchiectasis and chronic airspace disease RML and mild atelectasis.  She was given IV fluids (1250 ml)  however remained hypotensive therefore was started on nor epinephrine for ongoing hypotension.  Ultimately transferred to Blodgett intensive care unit for further care.  Received 1 unit packed red blood cells en route to ICU. On arrival to ICU received second unit of blood. Did not require pressors in ICU. One of two blood cultures positive for GNR. Rocephin changed to 2 grams Q24, new cultures sent. Awaiting urine culture. Bradycardia noted, patient with history of the same. Holter completed 6/21 no evidence of high grade av block or symptoms with bradycardia. Patient improved this Am 7/8. Off nasal canula eating a diet and actually hypertensive. AKI contiues to improve. Will hold home triamterene with HCTZ additional day and hopefully kidney function returns to baseline 7/9. Plan to transfer to GMB today.    Hospitalist Summary:  Patient was continued on IV Rocephin. Repeat Blood Cx were negative at 4 days. Urine Cx grew E. Coli - resistant to Ampicillin, and intermediate to Cipro. GI did not feel patient had a bleed so they signed off (Admission hgb was 5.9 and went up above 12 after two units (and stayed there) suggesting first value was lab error. Other workup included Chest X ray which showed small bilateral pleural effusions. Patient continued to improve - transitioned to Ceftin (per discussion with ID pharmacy) to complete a total of 10 days of antibiotic therapy. Her home Dyazide was discontinued and she was started on Norvasc 5 mg daily. Her renal function had normalized prior to discharge. COVID Precautions information provided.   I discussed with patient, husband and daughter at bedside the following on 7/11: - Close BP monitoring - Lasix as needed for leg swelling - Outpatient PCP followup for labs within 1 week (CBC and CMP) - Outpatient Colonoscopy/EGD consideration with GI.   Patient was otherwise back to baseline and discharged home in stable condition on 07/12/2022. Epic message sent to PCP For follow up labs.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Occult blood positive, Peripheral swelling, Pleural effusion, Red blood cell transfusion, SARS-CoV-2 test positive
Clinical narrative: Admission Date: 7/7/2022 Discharge Date: Jul 12, 2022  PRESENTING PROBLEM: Sepsis (HCC) [A41.9]   HOSPITAL COURSE: per ICU transfer summary:  85 year old female with hx of dementia on Aricept, RA on Arava and prednisone 5 mg.daily, HTN, chronic anemia who presented to ED with fatigue.  Found to have urinary tract infection and AKI as well as acute on chronic anemia with Hemoccult-positive stool, HGB 5.9. Additionally was COVID positive with a normal chest x-ray but 2 L oxygen requirement. CT scan of the abdomen and pelvis showed a punctate nonobstructing right renal stone but no ureteral calculi or hydronephrosis. Also showed bronchiectasis and chronic airspace disease RML and mild atelectasis.  She was given IV fluids (1250 ml)  however remained hypotensive therefore was started on nor epinephrine for ongoing hypotension.  Ultimately transferred to Blodgett intensive care unit for further care.  Received 1 unit packed red blood cells en route to ICU. On arrival to ICU received second unit of blood. Did not require pressors in ICU. One of two blood cultures positive for GNR. Rocephin changed to 2 grams Q24, new cultures sent. Awaiting urine culture. Bradycardia noted, patient with history of the same. Holter completed 6/21 no evidence of high grade av block or symptoms with bradycardia. Patient improved this Am 7/8. Off nasal canula eating a diet and actually hypertensive. AKI contiues to improve. Will hold home triamterene with HCTZ additional day and hopefully kidney function returns to baseline 7/9. Plan to transfer to GMB today.    Hospitalist Summary:  Patient was continued on IV Rocephin. Repeat Blood Cx were negative at 4 days. Urine Cx grew E. Coli - resistant to Ampicillin, and intermediate to Cipro. GI did not feel patient had a bleed so they signed off (Admission hgb was 5.9 and went up above 12 after two units (and stayed there) suggesting first value was lab error. Other workup included Chest X ray which showed small bilateral pleural effusions. Patient continued to improve - transitioned to Ceftin (per discussion with ID pharmacy) to complete a total of 10 days of antibiotic therapy. Her home Dyazide was discontinued and she was started on Norvasc 5 mg daily. Her renal function had normalized prior to discharge. COVID Precautions information provided.   I discussed with patient, husband and daughter at bedside the following on 7/11: - Close BP monitoring - Lasix as needed for leg swelling - Outpatient PCP followup for labs within 1 week (CBC and CMP) - Outpatient Colonoscopy/EGD consideration with GI.   Patient was otherwise back to baseline and discharged home in stable condition on 07/12/2022. Epic message sent to PCP For follow up labs.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Sepsis, Urinary tract infection
Clinical narrative: Admission Date: 7/7/2022 Discharge Date: Jul 12, 2022  PRESENTING PROBLEM: Sepsis (HCC) [A41.9]   HOSPITAL COURSE: per ICU transfer summary:  85 year old female with hx of dementia on Aricept, RA on Arava and prednisone 5 mg.daily, HTN, chronic anemia who presented to ED with fatigue.  Found to have urinary tract infection and AKI as well as acute on chronic anemia with Hemoccult-positive stool, HGB 5.9. Additionally was COVID positive with a normal chest x-ray but 2 L oxygen requirement. CT scan of the abdomen and pelvis showed a punctate nonobstructing right renal stone but no ureteral calculi or hydronephrosis. Also showed bronchiectasis and chronic airspace disease RML and mild atelectasis.  She was given IV fluids (1250 ml)  however remained hypotensive therefore was started on nor epinephrine for ongoing hypotension.  Ultimately transferred to Blodgett intensive care unit for further care.  Received 1 unit packed red blood cells en route to ICU. On arrival to ICU received second unit of blood. Did not require pressors in ICU. One of two blood cultures positive for GNR. Rocephin changed to 2 grams Q24, new cultures sent. Awaiting urine culture. Bradycardia noted, patient with history of the same. Holter completed 6/21 no evidence of high grade av block or symptoms with bradycardia. Patient improved this Am 7/8. Off nasal canula eating a diet and actually hypertensive. AKI contiues to improve. Will hold home triamterene with HCTZ additional day and hopefully kidney function returns to baseline 7/9. Plan to transfer to GMB today.    Hospitalist Summary:  Patient was continued on IV Rocephin. Repeat Blood Cx were negative at 4 days. Urine Cx grew E. Coli - resistant to Ampicillin, and intermediate to Cipro. GI did not feel patient had a bleed so they signed off (Admission hgb was 5.9 and went up above 12 after two units (and stayed there) suggesting first value was lab error. Other workup included Chest X ray which showed small bilateral pleural effusions. Patient continued to improve - transitioned to Ceftin (per discussion with ID pharmacy) to complete a total of 10 days of antibiotic therapy. Her home Dyazide was discontinued and she was started on Norvasc 5 mg daily. Her renal function had normalized prior to discharge. COVID Precautions information provided.   I discussed with patient, husband and daughter at bedside the following on 7/11: - Close BP monitoring - Lasix as needed for leg swelling - Outpatient PCP followup for labs within 1 week (CBC and CMP) - Outpatient Colonoscopy/EGD consideration with GI.   Patient was otherwise back to baseline and discharged home in stable condition on 07/12/2022. Epic message sent to PCP For follow up labs.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Discomfort, Hypoaesthesia, Neuropathy peripheral, Pain
Clinical narrative: I experienced peripheral neuropathy about 3 weeks after my first vaccine. The neuropathy discomfort was in an area where I previously had shingles. I experienced sharp pain, aching and nerve pain for approximately three months before I went to my PC physician. My physician prescribed Gabapentin. The medication alleviated the pain but I still have numbness in the general area. I just received my second dose of the shingles vaccine and am hoping I won?t experience the painful neuropathy discomfort.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Headache, Malaise, Myalgia
Clinical narrative: It was mild symptoms. I had headache, nasal congestion, sore throat, fatigue and muscle aches. They lasted 7 days and I still have fatigue. I was prescribed Paxlovid.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: It was mild symptoms. I had headache, nasal congestion, sore throat, fatigue and muscle aches. They lasted 7 days and I still have fatigue. I was prescribed Paxlovid.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: covid
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Myalgia, Pain in extremity, SARS-CoV-2 test positive
Clinical narrative: I had very minor reaction to the vaccine with a sore arm and fatique. On 07/07/22, I tested positive for COVID-19 with a home test. Symptoms: - really tired and sore muscles. I contacted my doctor through the patient portal and scheduled a telehealth. I was prescribed Paxlovid. It has helped with my symptoms. I continue to have the cough as of today.
Age: 1.25
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: She had a reaction in about 5 minutes of receiving. She began to have hives form on both of her arms that looked like burns. I went to the nurse and they took a look. They did call a medical emergency, gave her a shot of Benadryl in her other leg and the hives did go away very quickly within about 30 minutes. She did not have any other issues that came up and her oxygen levels were fine. She did get some hives developing on her knee however they just kept her for about an hour after the vaccine. The hives have not come back since.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: 12 yo patient given 5-11 dose of Pfizer
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Confusional state, Fall, Hypophagia, SARS-CoV-2 test positive
Clinical narrative: Tested positive on 7/5/22 and has had poor oral intake, a fall, and increased confusion since. Treatment includes antiviral, decadron, and albuterol.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, Nausea, SARS-CoV-2 test positive, Sepsis
Clinical narrative: Pt to ED 6/29 with SOB and NV x 3 days. COVID+ 6/30, rx Bebtelovimab infusion, not requiring oxygen. 7/2 Pt denies any pain or sob, pt oriented x4. 7/7 Pt A+Ox4, denies any discomfort, denies pain or sob. 7/10 Patient is ambulating to bathroom, denies any trouble urinating, denies pain, denies chest pain/SOB, no S/S of acute distress noted, A&O X 4. 7/11 Patient is A&O x 4, VSS and no S/S of acute distress noted. 7/13 Patients sepsis bpa fired a 5, not concerned with sepsis at time. 7/14 Patient slept throughout the night. Denies pain. No SOB noted. 7/15 pt A & Ox4, cooperative and pleasant. pt discharged 7/16.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: Pt to ED 6/29 with SOB and NV x 3 days. COVID+ 6/30, rx Bebtelovimab infusion, not requiring oxygen. 7/2 Pt denies any pain or sob, pt oriented x4. 7/7 Pt A+Ox4, denies any discomfort, denies pain or sob. 7/10 Patient is ambulating to bathroom, denies any trouble urinating, denies pain, denies chest pain/SOB, no S/S of acute distress noted, A&O X 4. 7/11 Patient is A&O x 4, VSS and no S/S of acute distress noted. 7/13 Patients sepsis bpa fired a 5, not concerned with sepsis at time. 7/14 Patient slept throughout the night. Denies pain. No SOB noted. 7/15 pt A & Ox4, cooperative and pleasant. pt discharged 7/16.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Asymptomatic COVID-19, Blood sodium decreased, Condition aggravated, Hyponatraemia
Clinical narrative: Admission Date: 7/7/2022 Discharge Date: Jul 13, 2022  PRESENTING PROBLEM: Hyponatremia [E87.1] COVID-19 [U07.1]   HOSPITAL COURSE: Pt. is a 78 year old male with PMH of hyponatremia secondary to SIADH, HTN, AAA, HLD, CHF, A-fib. Pt. presented to the ED with generalized weakness. He was found to have a sodium level of 119 and admitted to the hospital. COVID was found to be positive, but patient sating well on room air. Due to the patients complicated history of hyponatremia nephrology was consulted.  Picture consistent with SIADH possibly secondary to COVID 19. Patient was placed on fluid restriction and sodium trended up slowly.  Ultimately Lasix 20 mg daily was added with improvement in his sodium up to 129.  Patient was otherwise asymptomatic with his COVID-19 and did not require any further medical treatment for this.  He remained on room air throughout his hospital stay.  Patient's amlodipine was held based on blood pressure trend with starting Lasix.  Recommend for patient to have repeat BMP in 3-5 days to monitor sodium level.  PT/OT recommended discharging home with home health care and home PT and OT which was set up by care management.  Discharge instructions reviewed with patient and wife at bedside, all questions answered, voiced understanding.  Recommend patient follow-up with PCP in 1 week.  Patient discharged home in stable condition.