chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: NO ADVERSE EVENTS . I AM REPORTING BECAUSE HE WAS 5 DAYS AWAY FROM HIS 18TH BIRTHDAY. HE GOT MODERNA .25ML IM ON 4-17-22
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site paraesthesia, Paraesthesia
Clinical narrative: Following my second dose, about 1x per week, I would get a sensation in my upper left arm at the shot site. It wasn't pain, but tingling and it permeated from the shot site. This occurred repeatedly about 1x per week for several months. I thought it was part of the healing process and let it go. It seems to have subsided approx. 6 months after the booster.  Now, over a year later, the sensation reappeared and now occurs more frequently. I'm aware of it almost daily and it hasn't subsided.
Age: 9.0
Sex: F
Vaccine: FLUN4
Symptoms: Ear pain, Headache, Influenza A virus test positive, Influenza B virus test positive, Oropharyngeal pain
Clinical narrative: Daughter tested positive for influenza A and B today.  She was administered vaccine 10/21/21 at clinic.  1st time ever receiving FluMist.  She tested positive for both A and B 4/18/22 at Urgent Care.  Symptoms include sore throat, ear pain and headache.  She was prescribed liquid tamiflu.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia
Clinical narrative: Hair loss thinning on crown on head, doctor saw and said that it triggered alopecia doesn't know if its temporary or hereditary and was told to use topical 5 % Rogaine once a day as well as an oral medication spironolactone 100 MIL once a day.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pityriasis rosea, Rash
Clinical narrative: About ten days after, I noticed a rash on my lower left torso. I went to doctor and she diagnosed me with pityriasis rosea, and prescribed Prednisone 10mg tablet and Triamcinolone 0.1%  for 10 days. It cleared up before I reached the 10 days.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory distress syndrome, Acute respiratory failure, Blood bicarbonate decreased, Blood creatinine increased
Clinical narrative: Diagnosis of COVID-19 who presents with dehydration and COVID pneumonia. She developed cough and runny nose a about a week ago. She had several home COVID tests that were negative. On 9/22 she had a test at Pharmacy that came back with results of "indecisive" on 9/25. She was taken to a clinic that same day where COVID-19 PCR was positive and CXR reportedly with "mild pneumonia". She was seen in our ED yesterday (9/26) for a COVID antibody infusion. Mother reports that patient has previously received a similar infusion when she was sick with coronavirus this past winter. She has had nausea and some vomiting of mucus. She has had decreased appetite. Reports mild sore throat. Denies any headache or abdominal pain. She was taken back to the ED  today due to persistent cough, some shortness of breath, and decreased drinking over the past 2 days. Repeat CXR showed stable findings of mild to moderate b/I opacities. Labs at ED include CMP (HC03 14, BUN 36, Cr 2.43, otherwise wnl), CBC (WBC 10k, H/H 11.5/35, pits 72), LA (20-49 WBC, spec grav 1.020). She received a total of 2L of NS and a dose of ceftriaxone. Patient became critically ill with acute respiratory failure requiring invasive mechanical ventilation secondary to acute COVID pneumonia/ARDS and AKI. Intubated and on mechanical ventilation with improving lung function, however severe critical illness neuromyopathy prevented mechanical ventilation liberation.  On day of death patient developed rapidly (minutes) progressive refractory hypotension and bradycardia. Resuscitative efforts started with chest compressions and meds (CPR form).  Copious amounts of fresh blood noted from ETT unable to be controlled despite continuous suction. This prevented from adequate gas exchange. All resuscitative efforts stopped at 10:34 and patient pronounced dead.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Blood urea increased, Bradycardia, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Diagnosis of COVID-19 who presents with dehydration and COVID pneumonia. She developed cough and runny nose a about a week ago. She had several home COVID tests that were negative. On 9/22 she had a test at Pharmacy that came back with results of "indecisive" on 9/25. She was taken to a clinic that same day where COVID-19 PCR was positive and CXR reportedly with "mild pneumonia". She was seen in our ED yesterday (9/26) for a COVID antibody infusion. Mother reports that patient has previously received a similar infusion when she was sick with coronavirus this past winter. She has had nausea and some vomiting of mucus. She has had decreased appetite. Reports mild sore throat. Denies any headache or abdominal pain. She was taken back to the ED  today due to persistent cough, some shortness of breath, and decreased drinking over the past 2 days. Repeat CXR showed stable findings of mild to moderate b/I opacities. Labs at ED include CMP (HC03 14, BUN 36, Cr 2.43, otherwise wnl), CBC (WBC 10k, H/H 11.5/35, pits 72), LA (20-49 WBC, spec grav 1.020). She received a total of 2L of NS and a dose of ceftriaxone. Patient became critically ill with acute respiratory failure requiring invasive mechanical ventilation secondary to acute COVID pneumonia/ARDS and AKI. Intubated and on mechanical ventilation with improving lung function, however severe critical illness neuromyopathy prevented mechanical ventilation liberation.  On day of death patient developed rapidly (minutes) progressive refractory hypotension and bradycardia. Resuscitative efforts started with chest compressions and meds (CPR form).  Copious amounts of fresh blood noted from ETT unable to be controlled despite continuous suction. This prevented from adequate gas exchange. All resuscitative efforts stopped at 10:34 and patient pronounced dead.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Critical illness, Death, Decreased appetite, Dehydration
Clinical narrative: Diagnosis of COVID-19 who presents with dehydration and COVID pneumonia. She developed cough and runny nose a about a week ago. She had several home COVID tests that were negative. On 9/22 she had a test at Pharmacy that came back with results of "indecisive" on 9/25. She was taken to a clinic that same day where COVID-19 PCR was positive and CXR reportedly with "mild pneumonia". She was seen in our ED yesterday (9/26) for a COVID antibody infusion. Mother reports that patient has previously received a similar infusion when she was sick with coronavirus this past winter. She has had nausea and some vomiting of mucus. She has had decreased appetite. Reports mild sore throat. Denies any headache or abdominal pain. She was taken back to the ED  today due to persistent cough, some shortness of breath, and decreased drinking over the past 2 days. Repeat CXR showed stable findings of mild to moderate b/I opacities. Labs at ED include CMP (HC03 14, BUN 36, Cr 2.43, otherwise wnl), CBC (WBC 10k, H/H 11.5/35, pits 72), LA (20-49 WBC, spec grav 1.020). She received a total of 2L of NS and a dose of ceftriaxone. Patient became critically ill with acute respiratory failure requiring invasive mechanical ventilation secondary to acute COVID pneumonia/ARDS and AKI. Intubated and on mechanical ventilation with improving lung function, however severe critical illness neuromyopathy prevented mechanical ventilation liberation.  On day of death patient developed rapidly (minutes) progressive refractory hypotension and bradycardia. Resuscitative efforts started with chest compressions and meds (CPR form).  Copious amounts of fresh blood noted from ETT unable to be controlled despite continuous suction. This prevented from adequate gas exchange. All resuscitative efforts stopped at 10:34 and patient pronounced dead.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Endotracheal intubation, Fluid intake reduced, Full blood count, Haematocrit normal
Clinical narrative: Diagnosis of COVID-19 who presents with dehydration and COVID pneumonia. She developed cough and runny nose a about a week ago. She had several home COVID tests that were negative. On 9/22 she had a test at Pharmacy that came back with results of "indecisive" on 9/25. She was taken to a clinic that same day where COVID-19 PCR was positive and CXR reportedly with "mild pneumonia". She was seen in our ED yesterday (9/26) for a COVID antibody infusion. Mother reports that patient has previously received a similar infusion when she was sick with coronavirus this past winter. She has had nausea and some vomiting of mucus. She has had decreased appetite. Reports mild sore throat. Denies any headache or abdominal pain. She was taken back to the ED  today due to persistent cough, some shortness of breath, and decreased drinking over the past 2 days. Repeat CXR showed stable findings of mild to moderate b/I opacities. Labs at ED include CMP (HC03 14, BUN 36, Cr 2.43, otherwise wnl), CBC (WBC 10k, H/H 11.5/35, pits 72), LA (20-49 WBC, spec grav 1.020). She received a total of 2L of NS and a dose of ceftriaxone. Patient became critically ill with acute respiratory failure requiring invasive mechanical ventilation secondary to acute COVID pneumonia/ARDS and AKI. Intubated and on mechanical ventilation with improving lung function, however severe critical illness neuromyopathy prevented mechanical ventilation liberation.  On day of death patient developed rapidly (minutes) progressive refractory hypotension and bradycardia. Resuscitative efforts started with chest compressions and meds (CPR form).  Copious amounts of fresh blood noted from ETT unable to be controlled despite continuous suction. This prevented from adequate gas exchange. All resuscitative efforts stopped at 10:34 and patient pronounced dead.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin normal, Haemorrhage, Hypotension, Laboratory test, Lung opacity
Clinical narrative: Diagnosis of COVID-19 who presents with dehydration and COVID pneumonia. She developed cough and runny nose a about a week ago. She had several home COVID tests that were negative. On 9/22 she had a test at Pharmacy that came back with results of "indecisive" on 9/25. She was taken to a clinic that same day where COVID-19 PCR was positive and CXR reportedly with "mild pneumonia". She was seen in our ED yesterday (9/26) for a COVID antibody infusion. Mother reports that patient has previously received a similar infusion when she was sick with coronavirus this past winter. She has had nausea and some vomiting of mucus. She has had decreased appetite. Reports mild sore throat. Denies any headache or abdominal pain. She was taken back to the ED  today due to persistent cough, some shortness of breath, and decreased drinking over the past 2 days. Repeat CXR showed stable findings of mild to moderate b/I opacities. Labs at ED include CMP (HC03 14, BUN 36, Cr 2.43, otherwise wnl), CBC (WBC 10k, H/H 11.5/35, pits 72), LA (20-49 WBC, spec grav 1.020). She received a total of 2L of NS and a dose of ceftriaxone. Patient became critically ill with acute respiratory failure requiring invasive mechanical ventilation secondary to acute COVID pneumonia/ARDS and AKI. Intubated and on mechanical ventilation with improving lung function, however severe critical illness neuromyopathy prevented mechanical ventilation liberation.  On day of death patient developed rapidly (minutes) progressive refractory hypotension and bradycardia. Resuscitative efforts started with chest compressions and meds (CPR form).  Copious amounts of fresh blood noted from ETT unable to be controlled despite continuous suction. This prevented from adequate gas exchange. All resuscitative efforts stopped at 10:34 and patient pronounced dead.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Mechanical ventilation, Metabolic function test, Nausea, Neuromyopathy, Oropharyngeal pain
Clinical narrative: Diagnosis of COVID-19 who presents with dehydration and COVID pneumonia. She developed cough and runny nose a about a week ago. She had several home COVID tests that were negative. On 9/22 she had a test at Pharmacy that came back with results of "indecisive" on 9/25. She was taken to a clinic that same day where COVID-19 PCR was positive and CXR reportedly with "mild pneumonia". She was seen in our ED yesterday (9/26) for a COVID antibody infusion. Mother reports that patient has previously received a similar infusion when she was sick with coronavirus this past winter. She has had nausea and some vomiting of mucus. She has had decreased appetite. Reports mild sore throat. Denies any headache or abdominal pain. She was taken back to the ED  today due to persistent cough, some shortness of breath, and decreased drinking over the past 2 days. Repeat CXR showed stable findings of mild to moderate b/I opacities. Labs at ED include CMP (HC03 14, BUN 36, Cr 2.43, otherwise wnl), CBC (WBC 10k, H/H 11.5/35, pits 72), LA (20-49 WBC, spec grav 1.020). She received a total of 2L of NS and a dose of ceftriaxone. Patient became critically ill with acute respiratory failure requiring invasive mechanical ventilation secondary to acute COVID pneumonia/ARDS and AKI. Intubated and on mechanical ventilation with improving lung function, however severe critical illness neuromyopathy prevented mechanical ventilation liberation.  On day of death patient developed rapidly (minutes) progressive refractory hypotension and bradycardia. Resuscitative efforts started with chest compressions and meds (CPR form).  Copious amounts of fresh blood noted from ETT unable to be controlled despite continuous suction. This prevented from adequate gas exchange. All resuscitative efforts stopped at 10:34 and patient pronounced dead.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Resuscitation, Rhinorrhoea, SARS-CoV-2 test positive, Vomiting, White blood cell count normal
Clinical narrative: Diagnosis of COVID-19 who presents with dehydration and COVID pneumonia. She developed cough and runny nose a about a week ago. She had several home COVID tests that were negative. On 9/22 she had a test at Pharmacy that came back with results of "indecisive" on 9/25. She was taken to a clinic that same day where COVID-19 PCR was positive and CXR reportedly with "mild pneumonia". She was seen in our ED yesterday (9/26) for a COVID antibody infusion. Mother reports that patient has previously received a similar infusion when she was sick with coronavirus this past winter. She has had nausea and some vomiting of mucus. She has had decreased appetite. Reports mild sore throat. Denies any headache or abdominal pain. She was taken back to the ED  today due to persistent cough, some shortness of breath, and decreased drinking over the past 2 days. Repeat CXR showed stable findings of mild to moderate b/I opacities. Labs at ED include CMP (HC03 14, BUN 36, Cr 2.43, otherwise wnl), CBC (WBC 10k, H/H 11.5/35, pits 72), LA (20-49 WBC, spec grav 1.020). She received a total of 2L of NS and a dose of ceftriaxone. Patient became critically ill with acute respiratory failure requiring invasive mechanical ventilation secondary to acute COVID pneumonia/ARDS and AKI. Intubated and on mechanical ventilation with improving lung function, however severe critical illness neuromyopathy prevented mechanical ventilation liberation.  On day of death patient developed rapidly (minutes) progressive refractory hypotension and bradycardia. Resuscitative efforts started with chest compressions and meds (CPR form).  Copious amounts of fresh blood noted from ETT unable to be controlled despite continuous suction. This prevented from adequate gas exchange. All resuscitative efforts stopped at 10:34 and patient pronounced dead.
Age: 5.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was administered the full 12+ dose (30 micrograms) rather than the 5-11 dose (10 micrograms)
Age: 5.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Incorrect dose administered, Wrong product administered
Clinical narrative: Patient was administered the full 12+ dose (30 micrograms) rather than the 5-11 dose (10 micrograms)
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: lymph node under left arm swells up repeatedly
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Ageusia, SARS-CoV-2 test negative
Clinical narrative: Since completing the original 2 dose vaccine, I started to experience a significant loss of taste.  I never have tested positive for the virus either in Rapid, PCR or home tests, nor did I ever experience any symptoms of COVID.  I have tested regularly since the tests began because my father resides in a nursing home along with having a new grandchild.  At least once a week and as a few months ago I test twice a week.  AFter my third dose of the Moderna vaccine, the loss of taste has become even more evident.  My senseof smell has not been affected only my sense of taste.  Salt helps but it has been severely compromised
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Joint range of motion decreased
Clinical narrative: Lose of range of motion in right shoulder.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Lymphadenopathy, Nausea
Clinical narrative: Chills, body aches, fever, nausea, headache, fatigue, arm soreness & swollen lymph nodes under left-armpit
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: Chills, body aches, fever, nausea, headache, fatigue, arm soreness & swollen lymph nodes under left-armpit
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: On 4/14/22, patient was given first dose of Pfizer without being diluted prior to injection. 0.2ml of Cominarty vaccine was drawn by RN and administered by MA. At the time this report is being submitted, we have been unable to contact patient guardian for follow up on any adverse reactions. No adverse reaction occured at time of injection or during the 15 minute wait period.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Insomnia, Pain, Pyrexia
Clinical narrative: On the same day that I received vaccine I had a 102.9 fever for 5 days, I couldn't sleep felt like I got hit by a bus with aches and pains and all that stuff and that went on for longer than 5 days.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Vocal cord paralysis
Clinical narrative: The patient annotated "Parlayed left Vocal chord" Patient was seen at another clinic and is getting care. Patient did no give any specification on treatment nor where he was seen as a result of the reaction.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test, COVID-19, Computerised tomogram, Cough
Clinical narrative: I was running a low grade fever and I had a pretty bad cough. Due to the 1st stage emphysema, my family members encouraged me to go to the hospital. Later that night, my fever really spiked and I ended up with 3rd stage sepsis. I was treated with antibiotics around the clock via IV which I remained on the entire time I was hospitalized. I was pretty out of it due to the fever which lasted for 2 or 3 days. I am unable to recall any of the events of those 2 to 3 days. I was released from the hospital and still recovering and then found out I was positive for COVID. My doctor gave me a medication for high risk patients. I am unable to recall the name of it. I am currently still experiencing extreme exhaustion and low energy. I have to stop walking frequently to catch my breath. My doctor completed paperwork for a handicapped decal.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Fatigue, Feeling abnormal, Memory impairment, Pyrexia
Clinical narrative: I was running a low grade fever and I had a pretty bad cough. Due to the 1st stage emphysema, my family members encouraged me to go to the hospital. Later that night, my fever really spiked and I ended up with 3rd stage sepsis. I was treated with antibiotics around the clock via IV which I remained on the entire time I was hospitalized. I was pretty out of it due to the fever which lasted for 2 or 3 days. I am unable to recall any of the events of those 2 to 3 days. I was released from the hospital and still recovering and then found out I was positive for COVID. My doctor gave me a medication for high risk patients. I am unable to recall the name of it. I am currently still experiencing extreme exhaustion and low energy. I have to stop walking frequently to catch my breath. My doctor completed paperwork for a handicapped decal.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Scan with contrast, Sepsis
Clinical narrative: I was running a low grade fever and I had a pretty bad cough. Due to the 1st stage emphysema, my family members encouraged me to go to the hospital. Later that night, my fever really spiked and I ended up with 3rd stage sepsis. I was treated with antibiotics around the clock via IV which I remained on the entire time I was hospitalized. I was pretty out of it due to the fever which lasted for 2 or 3 days. I am unable to recall any of the events of those 2 to 3 days. I was released from the hospital and still recovering and then found out I was positive for COVID. My doctor gave me a medication for high risk patients. I am unable to recall the name of it. I am currently still experiencing extreme exhaustion and low energy. I have to stop walking frequently to catch my breath. My doctor completed paperwork for a handicapped decal.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Thaw date: 4/5/2022; given on 4/15/2022.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Amputation, C-reactive protein, COVID-19, Cardiac failure congestive, Chronic kidney disease
Clinical narrative: Breakthrough case of covid on 4/8/2022. Patient hospitalized at Hospital for 3 days and transferred to Hospital for higher level of care. Patient with Left diabetic foot infection post amputation, CHF, CKD stage 4, PVD and coronary artery disease status post CABG; needs further vascular workup.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Coronary artery bypass, Coronary artery disease, Diabetic foot infection, Full blood count
Clinical narrative: Breakthrough case of covid on 4/8/2022. Patient hospitalized at Hospital for 3 days and transferred to Hospital for higher level of care. Patient with Left diabetic foot infection post amputation, CHF, CKD stage 4, PVD and coronary artery disease status post CABG; needs further vascular workup.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Peripheral vascular disorder, Red blood cell sedimentation rate, Sputum culture, Vaccine breakthrough infection
Clinical narrative: Breakthrough case of covid on 4/8/2022. Patient hospitalized at Hospital for 3 days and transferred to Hospital for higher level of care. Patient with Left diabetic foot infection post amputation, CHF, CKD stage 4, PVD and coronary artery disease status post CABG; needs further vascular workup.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: The lymph node in the left side of neck swelled up and stayed swollen for about 6 weeks.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Activated partial thromboplastin time normal, Acute kidney injury, Alanine aminotransferase increased, Aspartate aminotransferase increased
Clinical narrative: Patient presented to the emergency department with nausea vomiting and diarrhea, shivering, with back pain in with sensation that she cannot stay warm. Patient states the symptoms started 2 days ago with generalized malaise. Upon presentation to the ED patient's blood pressure was 154/80, pulse 141, P of 100.4 and 02 sat 96%. Within 2 hours patient's blood pressures documented 60/40 rate of 1 04 and respiratory rate of 30 with an 02 sat of 94%. The patient's lab work revealed the following abnormalities: mild hyponatremia and hypokalemia (133, 3.4) with hypomagnesemia of 1.3, AKI with BUN 36, creatinine 2.5, GFR 20, bicarb of 13, transaminitis with an AST of 256, and ALT of 417, total bili of 1.2, alk-phos 163 Lactic 9.9, UA with 25 leukocyte esterase, 6-10 wbc's, 2 + bacteria, troponin 136, CRP 28. 1, CBC: WBCs of 1.6, and COVID positive, INR 1.4, APTT 37.9, PT 14.6. Patient had a CT of the chest abdomen and pelvis without contrast which revealed: 5 x 6 mm stone in the proximal LEFT ureter just beyond the UPJ with hydronephrosis on the LEFT and asymmetric perinephric stranding. Diverticulosis with no evidence of diverticulitis . No evidence of significant cardiopulmonary abnormality. No significant alveolar opacity. Low lung volumes. Chest x-ray revealed:No evidence of acute cardiopulmonary abnormality. After the patient became hypotensive, after being given 2 L of normal saline, magnesium, Zosyn, and Levophed IV, and after the patient's mentation started to decrease, Dr.  was called for assistance soft placed a triple-lumen central venous catheter the patient's left femoral vein. Patient was then placed on vasopressin.  Urology was called and the patient was taken to surgery for cystoscopy and ureteroscopy and stent placement.  Urine was collected for culture and patient was given intraoperative gentamicin in the Foley was placed.  When she returned from the OR she appeared much more comfortable and stated that her abdominal pain had resolved. She remained however on high-dose pressers. Later in the night she developed a return of lower abdominal pain that radiated into her back. She got out of bed and was standing at the side of her bed stating that she was in pain and was not feeling well. She was returned to bed and her blood pressure abruptly dropped and she was found to be in PEA arrest. She was coded until daughter was reached over the phone and they instructed the team to stop CPR
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Bacterial test, Bladder catheterisation, Blood alkaline phosphatase increased, Blood bicarbonate decreased
Clinical narrative: Patient presented to the emergency department with nausea vomiting and diarrhea, shivering, with back pain in with sensation that she cannot stay warm. Patient states the symptoms started 2 days ago with generalized malaise. Upon presentation to the ED patient's blood pressure was 154/80, pulse 141, P of 100.4 and 02 sat 96%. Within 2 hours patient's blood pressures documented 60/40 rate of 1 04 and respiratory rate of 30 with an 02 sat of 94%. The patient's lab work revealed the following abnormalities: mild hyponatremia and hypokalemia (133, 3.4) with hypomagnesemia of 1.3, AKI with BUN 36, creatinine 2.5, GFR 20, bicarb of 13, transaminitis with an AST of 256, and ALT of 417, total bili of 1.2, alk-phos 163 Lactic 9.9, UA with 25 leukocyte esterase, 6-10 wbc's, 2 + bacteria, troponin 136, CRP 28. 1, CBC: WBCs of 1.6, and COVID positive, INR 1.4, APTT 37.9, PT 14.6. Patient had a CT of the chest abdomen and pelvis without contrast which revealed: 5 x 6 mm stone in the proximal LEFT ureter just beyond the UPJ with hydronephrosis on the LEFT and asymmetric perinephric stranding. Diverticulosis with no evidence of diverticulitis . No evidence of significant cardiopulmonary abnormality. No significant alveolar opacity. Low lung volumes. Chest x-ray revealed:No evidence of acute cardiopulmonary abnormality. After the patient became hypotensive, after being given 2 L of normal saline, magnesium, Zosyn, and Levophed IV, and after the patient's mentation started to decrease, Dr.  was called for assistance soft placed a triple-lumen central venous catheter the patient's left femoral vein. Patient was then placed on vasopressin.  Urology was called and the patient was taken to surgery for cystoscopy and ureteroscopy and stent placement.  Urine was collected for culture and patient was given intraoperative gentamicin in the Foley was placed.  When she returned from the OR she appeared much more comfortable and stated that her abdominal pain had resolved. She remained however on high-dose pressers. Later in the night she developed a return of lower abdominal pain that radiated into her back. She got out of bed and was standing at the side of her bed stating that she was in pain and was not feeling well. She was returned to bed and her blood pressure abruptly dropped and she was found to be in PEA arrest. She was coded until daughter was reached over the phone and they instructed the team to stop CPR
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Blood bilirubin increased, Blood creatinine increased, Blood pressure decreased, Blood urea increased, C-reactive protein increased
Clinical narrative: Patient presented to the emergency department with nausea vomiting and diarrhea, shivering, with back pain in with sensation that she cannot stay warm. Patient states the symptoms started 2 days ago with generalized malaise. Upon presentation to the ED patient's blood pressure was 154/80, pulse 141, P of 100.4 and 02 sat 96%. Within 2 hours patient's blood pressures documented 60/40 rate of 1 04 and respiratory rate of 30 with an 02 sat of 94%. The patient's lab work revealed the following abnormalities: mild hyponatremia and hypokalemia (133, 3.4) with hypomagnesemia of 1.3, AKI with BUN 36, creatinine 2.5, GFR 20, bicarb of 13, transaminitis with an AST of 256, and ALT of 417, total bili of 1.2, alk-phos 163 Lactic 9.9, UA with 25 leukocyte esterase, 6-10 wbc's, 2 + bacteria, troponin 136, CRP 28. 1, CBC: WBCs of 1.6, and COVID positive, INR 1.4, APTT 37.9, PT 14.6. Patient had a CT of the chest abdomen and pelvis without contrast which revealed: 5 x 6 mm stone in the proximal LEFT ureter just beyond the UPJ with hydronephrosis on the LEFT and asymmetric perinephric stranding. Diverticulosis with no evidence of diverticulitis . No evidence of significant cardiopulmonary abnormality. No significant alveolar opacity. Low lung volumes. Chest x-ray revealed:No evidence of acute cardiopulmonary abnormality. After the patient became hypotensive, after being given 2 L of normal saline, magnesium, Zosyn, and Levophed IV, and after the patient's mentation started to decrease, Dr.  was called for assistance soft placed a triple-lumen central venous catheter the patient's left femoral vein. Patient was then placed on vasopressin.  Urology was called and the patient was taken to surgery for cystoscopy and ureteroscopy and stent placement.  Urine was collected for culture and patient was given intraoperative gentamicin in the Foley was placed.  When she returned from the OR she appeared much more comfortable and stated that her abdominal pain had resolved. She remained however on high-dose pressers. Later in the night she developed a return of lower abdominal pain that radiated into her back. She got out of bed and was standing at the side of her bed stating that she was in pain and was not feeling well. She was returned to bed and her blood pressure abruptly dropped and she was found to be in PEA arrest. She was coded until daughter was reached over the phone and they instructed the team to stop CPR
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Calculus urinary, Cardio-respiratory arrest, Central venous catheterisation, Chest X-ray normal
Clinical narrative: Patient presented to the emergency department with nausea vomiting and diarrhea, shivering, with back pain in with sensation that she cannot stay warm. Patient states the symptoms started 2 days ago with generalized malaise. Upon presentation to the ED patient's blood pressure was 154/80, pulse 141, P of 100.4 and 02 sat 96%. Within 2 hours patient's blood pressures documented 60/40 rate of 1 04 and respiratory rate of 30 with an 02 sat of 94%. The patient's lab work revealed the following abnormalities: mild hyponatremia and hypokalemia (133, 3.4) with hypomagnesemia of 1.3, AKI with BUN 36, creatinine 2.5, GFR 20, bicarb of 13, transaminitis with an AST of 256, and ALT of 417, total bili of 1.2, alk-phos 163 Lactic 9.9, UA with 25 leukocyte esterase, 6-10 wbc's, 2 + bacteria, troponin 136, CRP 28. 1, CBC: WBCs of 1.6, and COVID positive, INR 1.4, APTT 37.9, PT 14.6. Patient had a CT of the chest abdomen and pelvis without contrast which revealed: 5 x 6 mm stone in the proximal LEFT ureter just beyond the UPJ with hydronephrosis on the LEFT and asymmetric perinephric stranding. Diverticulosis with no evidence of diverticulitis . No evidence of significant cardiopulmonary abnormality. No significant alveolar opacity. Low lung volumes. Chest x-ray revealed:No evidence of acute cardiopulmonary abnormality. After the patient became hypotensive, after being given 2 L of normal saline, magnesium, Zosyn, and Levophed IV, and after the patient's mentation started to decrease, Dr.  was called for assistance soft placed a triple-lumen central venous catheter the patient's left femoral vein. Patient was then placed on vasopressin.  Urology was called and the patient was taken to surgery for cystoscopy and ureteroscopy and stent placement.  Urine was collected for culture and patient was given intraoperative gentamicin in the Foley was placed.  When she returned from the OR she appeared much more comfortable and stated that her abdominal pain had resolved. She remained however on high-dose pressers. Later in the night she developed a return of lower abdominal pain that radiated into her back. She got out of bed and was standing at the side of her bed stating that she was in pain and was not feeling well. She was returned to bed and her blood pressure abruptly dropped and she was found to be in PEA arrest. She was coded until daughter was reached over the phone and they instructed the team to stop CPR
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Computerised tomogram abdomen abnormal, Computerised tomogram thorax abnormal, Culture urine, Cystoscopy
Clinical narrative: Patient presented to the emergency department with nausea vomiting and diarrhea, shivering, with back pain in with sensation that she cannot stay warm. Patient states the symptoms started 2 days ago with generalized malaise. Upon presentation to the ED patient's blood pressure was 154/80, pulse 141, P of 100.4 and 02 sat 96%. Within 2 hours patient's blood pressures documented 60/40 rate of 1 04 and respiratory rate of 30 with an 02 sat of 94%. The patient's lab work revealed the following abnormalities: mild hyponatremia and hypokalemia (133, 3.4) with hypomagnesemia of 1.3, AKI with BUN 36, creatinine 2.5, GFR 20, bicarb of 13, transaminitis with an AST of 256, and ALT of 417, total bili of 1.2, alk-phos 163 Lactic 9.9, UA with 25 leukocyte esterase, 6-10 wbc's, 2 + bacteria, troponin 136, CRP 28. 1, CBC: WBCs of 1.6, and COVID positive, INR 1.4, APTT 37.9, PT 14.6. Patient had a CT of the chest abdomen and pelvis without contrast which revealed: 5 x 6 mm stone in the proximal LEFT ureter just beyond the UPJ with hydronephrosis on the LEFT and asymmetric perinephric stranding. Diverticulosis with no evidence of diverticulitis . No evidence of significant cardiopulmonary abnormality. No significant alveolar opacity. Low lung volumes. Chest x-ray revealed:No evidence of acute cardiopulmonary abnormality. After the patient became hypotensive, after being given 2 L of normal saline, magnesium, Zosyn, and Levophed IV, and after the patient's mentation started to decrease, Dr.  was called for assistance soft placed a triple-lumen central venous catheter the patient's left femoral vein. Patient was then placed on vasopressin.  Urology was called and the patient was taken to surgery for cystoscopy and ureteroscopy and stent placement.  Urine was collected for culture and patient was given intraoperative gentamicin in the Foley was placed.  When she returned from the OR she appeared much more comfortable and stated that her abdominal pain had resolved. She remained however on high-dose pressers. Later in the night she developed a return of lower abdominal pain that radiated into her back. She got out of bed and was standing at the side of her bed stating that she was in pain and was not feeling well. She was returned to bed and her blood pressure abruptly dropped and she was found to be in PEA arrest. She was coded until daughter was reached over the phone and they instructed the team to stop CPR
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Diverticulum, Feeling cold, Full blood count, Glomerular filtration rate decreased
Clinical narrative: Patient presented to the emergency department with nausea vomiting and diarrhea, shivering, with back pain in with sensation that she cannot stay warm. Patient states the symptoms started 2 days ago with generalized malaise. Upon presentation to the ED patient's blood pressure was 154/80, pulse 141, P of 100.4 and 02 sat 96%. Within 2 hours patient's blood pressures documented 60/40 rate of 1 04 and respiratory rate of 30 with an 02 sat of 94%. The patient's lab work revealed the following abnormalities: mild hyponatremia and hypokalemia (133, 3.4) with hypomagnesemia of 1.3, AKI with BUN 36, creatinine 2.5, GFR 20, bicarb of 13, transaminitis with an AST of 256, and ALT of 417, total bili of 1.2, alk-phos 163 Lactic 9.9, UA with 25 leukocyte esterase, 6-10 wbc's, 2 + bacteria, troponin 136, CRP 28. 1, CBC: WBCs of 1.6, and COVID positive, INR 1.4, APTT 37.9, PT 14.6. Patient had a CT of the chest abdomen and pelvis without contrast which revealed: 5 x 6 mm stone in the proximal LEFT ureter just beyond the UPJ with hydronephrosis on the LEFT and asymmetric perinephric stranding. Diverticulosis with no evidence of diverticulitis . No evidence of significant cardiopulmonary abnormality. No significant alveolar opacity. Low lung volumes. Chest x-ray revealed:No evidence of acute cardiopulmonary abnormality. After the patient became hypotensive, after being given 2 L of normal saline, magnesium, Zosyn, and Levophed IV, and after the patient's mentation started to decrease, Dr.  was called for assistance soft placed a triple-lumen central venous catheter the patient's left femoral vein. Patient was then placed on vasopressin.  Urology was called and the patient was taken to surgery for cystoscopy and ureteroscopy and stent placement.  Urine was collected for culture and patient was given intraoperative gentamicin in the Foley was placed.  When she returned from the OR she appeared much more comfortable and stated that her abdominal pain had resolved. She remained however on high-dose pressers. Later in the night she developed a return of lower abdominal pain that radiated into her back. She got out of bed and was standing at the side of her bed stating that she was in pain and was not feeling well. She was returned to bed and her blood pressure abruptly dropped and she was found to be in PEA arrest. She was coded until daughter was reached over the phone and they instructed the team to stop CPR
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Hydronephrosis, Hypertransaminasaemia, Hypokalaemia, Hypomagnesaemia, Hyponatraemia
Clinical narrative: Patient presented to the emergency department with nausea vomiting and diarrhea, shivering, with back pain in with sensation that she cannot stay warm. Patient states the symptoms started 2 days ago with generalized malaise. Upon presentation to the ED patient's blood pressure was 154/80, pulse 141, P of 100.4 and 02 sat 96%. Within 2 hours patient's blood pressures documented 60/40 rate of 1 04 and respiratory rate of 30 with an 02 sat of 94%. The patient's lab work revealed the following abnormalities: mild hyponatremia and hypokalemia (133, 3.4) with hypomagnesemia of 1.3, AKI with BUN 36, creatinine 2.5, GFR 20, bicarb of 13, transaminitis with an AST of 256, and ALT of 417, total bili of 1.2, alk-phos 163 Lactic 9.9, UA with 25 leukocyte esterase, 6-10 wbc's, 2 + bacteria, troponin 136, CRP 28. 1, CBC: WBCs of 1.6, and COVID positive, INR 1.4, APTT 37.9, PT 14.6. Patient had a CT of the chest abdomen and pelvis without contrast which revealed: 5 x 6 mm stone in the proximal LEFT ureter just beyond the UPJ with hydronephrosis on the LEFT and asymmetric perinephric stranding. Diverticulosis with no evidence of diverticulitis . No evidence of significant cardiopulmonary abnormality. No significant alveolar opacity. Low lung volumes. Chest x-ray revealed:No evidence of acute cardiopulmonary abnormality. After the patient became hypotensive, after being given 2 L of normal saline, magnesium, Zosyn, and Levophed IV, and after the patient's mentation started to decrease, Dr.  was called for assistance soft placed a triple-lumen central venous catheter the patient's left femoral vein. Patient was then placed on vasopressin.  Urology was called and the patient was taken to surgery for cystoscopy and ureteroscopy and stent placement.  Urine was collected for culture and patient was given intraoperative gentamicin in the Foley was placed.  When she returned from the OR she appeared much more comfortable and stated that her abdominal pain had resolved. She remained however on high-dose pressers. Later in the night she developed a return of lower abdominal pain that radiated into her back. She got out of bed and was standing at the side of her bed stating that she was in pain and was not feeling well. She was returned to bed and her blood pressure abruptly dropped and she was found to be in PEA arrest. She was coded until daughter was reached over the phone and they instructed the team to stop CPR
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Inspiratory capacity abnormal, International normalised ratio decreased, Laboratory test abnormal, Malaise
Clinical narrative: Patient presented to the emergency department with nausea vomiting and diarrhea, shivering, with back pain in with sensation that she cannot stay warm. Patient states the symptoms started 2 days ago with generalized malaise. Upon presentation to the ED patient's blood pressure was 154/80, pulse 141, P of 100.4 and 02 sat 96%. Within 2 hours patient's blood pressures documented 60/40 rate of 1 04 and respiratory rate of 30 with an 02 sat of 94%. The patient's lab work revealed the following abnormalities: mild hyponatremia and hypokalemia (133, 3.4) with hypomagnesemia of 1.3, AKI with BUN 36, creatinine 2.5, GFR 20, bicarb of 13, transaminitis with an AST of 256, and ALT of 417, total bili of 1.2, alk-phos 163 Lactic 9.9, UA with 25 leukocyte esterase, 6-10 wbc's, 2 + bacteria, troponin 136, CRP 28. 1, CBC: WBCs of 1.6, and COVID positive, INR 1.4, APTT 37.9, PT 14.6. Patient had a CT of the chest abdomen and pelvis without contrast which revealed: 5 x 6 mm stone in the proximal LEFT ureter just beyond the UPJ with hydronephrosis on the LEFT and asymmetric perinephric stranding. Diverticulosis with no evidence of diverticulitis . No evidence of significant cardiopulmonary abnormality. No significant alveolar opacity. Low lung volumes. Chest x-ray revealed:No evidence of acute cardiopulmonary abnormality. After the patient became hypotensive, after being given 2 L of normal saline, magnesium, Zosyn, and Levophed IV, and after the patient's mentation started to decrease, Dr.  was called for assistance soft placed a triple-lumen central venous catheter the patient's left femoral vein. Patient was then placed on vasopressin.  Urology was called and the patient was taken to surgery for cystoscopy and ureteroscopy and stent placement.  Urine was collected for culture and patient was given intraoperative gentamicin in the Foley was placed.  When she returned from the OR she appeared much more comfortable and stated that her abdominal pain had resolved. She remained however on high-dose pressers. Later in the night she developed a return of lower abdominal pain that radiated into her back. She got out of bed and was standing at the side of her bed stating that she was in pain and was not feeling well. She was returned to bed and her blood pressure abruptly dropped and she was found to be in PEA arrest. She was coded until daughter was reached over the phone and they instructed the team to stop CPR
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Mental status changes, Nausea, Pain, Prothrombin time shortened, Pulseless electrical activity
Clinical narrative: Patient presented to the emergency department with nausea vomiting and diarrhea, shivering, with back pain in with sensation that she cannot stay warm. Patient states the symptoms started 2 days ago with generalized malaise. Upon presentation to the ED patient's blood pressure was 154/80, pulse 141, P of 100.4 and 02 sat 96%. Within 2 hours patient's blood pressures documented 60/40 rate of 1 04 and respiratory rate of 30 with an 02 sat of 94%. The patient's lab work revealed the following abnormalities: mild hyponatremia and hypokalemia (133, 3.4) with hypomagnesemia of 1.3, AKI with BUN 36, creatinine 2.5, GFR 20, bicarb of 13, transaminitis with an AST of 256, and ALT of 417, total bili of 1.2, alk-phos 163 Lactic 9.9, UA with 25 leukocyte esterase, 6-10 wbc's, 2 + bacteria, troponin 136, CRP 28. 1, CBC: WBCs of 1.6, and COVID positive, INR 1.4, APTT 37.9, PT 14.6. Patient had a CT of the chest abdomen and pelvis without contrast which revealed: 5 x 6 mm stone in the proximal LEFT ureter just beyond the UPJ with hydronephrosis on the LEFT and asymmetric perinephric stranding. Diverticulosis with no evidence of diverticulitis . No evidence of significant cardiopulmonary abnormality. No significant alveolar opacity. Low lung volumes. Chest x-ray revealed:No evidence of acute cardiopulmonary abnormality. After the patient became hypotensive, after being given 2 L of normal saline, magnesium, Zosyn, and Levophed IV, and after the patient's mentation started to decrease, Dr.  was called for assistance soft placed a triple-lumen central venous catheter the patient's left femoral vein. Patient was then placed on vasopressin.  Urology was called and the patient was taken to surgery for cystoscopy and ureteroscopy and stent placement.  Urine was collected for culture and patient was given intraoperative gentamicin in the Foley was placed.  When she returned from the OR she appeared much more comfortable and stated that her abdominal pain had resolved. She remained however on high-dose pressers. Later in the night she developed a return of lower abdominal pain that radiated into her back. She got out of bed and was standing at the side of her bed stating that she was in pain and was not feeling well. She was returned to bed and her blood pressure abruptly dropped and she was found to be in PEA arrest. She was coded until daughter was reached over the phone and they instructed the team to stop CPR