chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 11.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Clients parent put down the incorrect date of birth and age on consent form, making her eligible for the Pfizer vaccine .  09/20/2021 spoke with clients mother, she reports no known adverse events after either doese
Age: 11.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Clients parent put down the incorrect date of birth and age on consent form, making her eligible for the Pfizer vaccine .  09/20/2021 spoke with clients mother, she reports no known adverse events after either doese
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chills, Fatigue, Feeling cold, Muscle spasms
Clinical narrative: fatigue, soreness, cold chills, cold symptoms, chest tight, fever, severe muscle spasms
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Nasopharyngitis, Pain, Pyrexia
Clinical narrative: fatigue, soreness, cold chills, cold symptoms, chest tight, fever, severe muscle spasms
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt received Pfizer x2. Pt tested COVID + on 8/11/21 and admitted to hospital for COVID on 8/11/2021, but did not require COVID treatments.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: Fully vaccinated for COVID patient who tested positive COVID test on 09/03/21 during routine screening for admission.  Patient asymptomatic.  Repeat testing on 09/03/21, 09/07/21, 09/09/21, and 09/10/21 all resulted as "Not Detected."  No symptoms of COVID during admission.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Memory impairment
Clinical narrative: After approximately a month after 2nd dose, have been having memory issues  that have persisted to this day.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Fatigue, Heart rate irregular, Hypoaesthesia, Impaired driving ability
Clinical narrative: I had a variety of symptoms after receiving the first dose of the Pfizer vaccine.  In total, these lasted for three weeks, and I was unable to work for one week.  Most seriously, I felt a very irregular heartbeat the evening after the vaccine injection.  This started about four hours after the injection, and lasted two hours.  Although I fortunately did not need to go to the hospital, I was considering it and I would have had to do so urgently if it had become any worse.    The other symptoms included:    Numb and tingling feet, which started almost immediately after the injection and lasted for three days.    Mental confusion, which made driving difficult and somewhat dangerous.  This started about 30 minutes after the injection, and it lasted on and off for two weeks.  It became somewhat difficult to get food, because I was avoiding driving.  Fatigue.  This lasted about three weeks, and it was especially bad for the first 10 days.  On two days, I was so tired that I had to stay in bed most of the day and slept.  In conclusion, before having the Pfizer vaccine, I felt fine and I had no illnesses.  I am in otherwise good health and I do not take any prescriptions.  After the vaccine, I was really quite sick for two weeks.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Impaired work ability, Paraesthesia
Clinical narrative: I had a variety of symptoms after receiving the first dose of the Pfizer vaccine.  In total, these lasted for three weeks, and I was unable to work for one week.  Most seriously, I felt a very irregular heartbeat the evening after the vaccine injection.  This started about four hours after the injection, and lasted two hours.  Although I fortunately did not need to go to the hospital, I was considering it and I would have had to do so urgently if it had become any worse.    The other symptoms included:    Numb and tingling feet, which started almost immediately after the injection and lasted for three days.    Mental confusion, which made driving difficult and somewhat dangerous.  This started about 30 minutes after the injection, and it lasted on and off for two weeks.  It became somewhat difficult to get food, because I was avoiding driving.  Fatigue.  This lasted about three weeks, and it was especially bad for the first 10 days.  On two days, I was so tired that I had to stay in bed most of the day and slept.  In conclusion, before having the Pfizer vaccine, I felt fine and I had no illnesses.  I am in otherwise good health and I do not take any prescriptions.  After the vaccine, I was really quite sick for two weeks.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Menstruation delayed, Menstruation irregular
Clinical narrative: Irregular menses for 5 months now (as of 9/20/21). Menses were regular, every 28-30 days, until 4/24/21. Periods are now intermittently two weeks late (roughly 3/4 of menstrual cycles).  IUD had been in place for 5 years and is still in place. Menses are carefully tracked monthly.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Headache, Nasal congestion
Clinical narrative: 9/9/2021 Sore throat, headache, nasal congestion, loss of smell & taste. Used over the counter cold liquid and ibuprofen. Symptoms subsided about 6 days later
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: 9/9/2021 Sore throat, headache, nasal congestion, loss of smell & taste. Used over the counter cold liquid and ibuprofen. Symptoms subsided about 6 days later
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Seizure
Clinical narrative: Received shot at 10:15am, the following morning at 3:30am I had a seizure.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Pyrexia, Seizure
Clinical narrative: Received shot at 10:15am, the following morning at 3:30am I had a seizure.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Cough, Dizziness, Headache, Pain in extremity
Clinical narrative: Since the day after the shot I woke with a headache that as of this date has yet to go away, I have severe dizzy spells, I have had an episode where I have seen different color floating dots when I close my eyes and silver what looks likes glitter was thrown up in front of me, upset stomach, pain on and off in the lower left leg above my ankle bone, running nose and slight cough.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test, Vitreous floaters
Clinical narrative: Since the day after the shot I woke with a headache that as of this date has yet to go away, I have severe dizzy spells, I have had an episode where I have seen different color floating dots when I close my eyes and silver what looks likes glitter was thrown up in front of me, upset stomach, pain on and off in the lower left leg above my ankle bone, running nose and slight cough.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site erythema, Injection site swelling, Pain, Pain in extremity
Clinical narrative: Approximately 7:30 pm started noticing a large red, swollen, warm bump at injection site. Painful to touch and move arm. Persisted over the next 3 days. Still painful to touch and large bruise noted at injection site a week later.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Not age approved for Moderna emergency use vaccine. Patient is 16 years of age
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Thrombosis
Clinical narrative: two weeks post vaccine pt had heavy menstral bleeding and clotting
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Swelling face
Clinical narrative: Patient developed a head to toe body rash and facial swelling approximately 48-72 hrs after she received the vaccine. Began on bilateral legs on 15 Sep and progressed to full body by 16 Sep along with facial swelling.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased
Clinical narrative: PT CAME IN FOR 2ND DOSE ON 9/20/21. DURING SCREENIGN QUESTIONS, PATIENT STATED HE HAD INCREASE IN HEART RATE AND HEART RATE WAS CONTINOUSLY FAST POST VACCINATION.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Laboratory test
Clinical narrative: Fluids and monitoring
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram head, Computerised tomogram neck, Dizziness, Dysstasia
Clinical narrative: Severe dizziness could not stand or walk, went to ER and tested for stroke MRI of the Brain, CAT Scan of the head and neck admitted into the hospital for observation was perfectly in good health until after receiving the vaccine
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Magnetic resonance imaging head
Clinical narrative: Severe dizziness could not stand or walk, went to ER and tested for stroke MRI of the Brain, CAT Scan of the head and neck admitted into the hospital for observation was perfectly in good health until after receiving the vaccine
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Neuralgia, Pyrexia, Sinus congestion, Sinus pain
Clinical narrative: within 48 hours developed sinus congestion and pain, fever 100.5 and severe flare on neuralgia in her LUE
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Feeling hot, Immediate post-injection reaction, Nausea
Clinical narrative: I felt lightheaded and my arm was immediately very sore. I stayed on site for 1/2 an hour and then drove home. While driving, I had a very strong sensation of intense heat internally, mostly in my chest area and a tingling sensation down my left arm. I flagged down a driver who called an ambulance to my location. I stayed in the ambulance about 20 minutes till my family came. During that time, I felt slightly nauseous but the sensation of internal heat ceased. I had no further discomfort.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Paraesthesia
Clinical narrative: I felt lightheaded and my arm was immediately very sore. I stayed on site for 1/2 an hour and then drove home. While driving, I had a very strong sensation of intense heat internally, mostly in my chest area and a tingling sensation down my left arm. I flagged down a driver who called an ambulance to my location. I stayed in the ambulance about 20 minutes till my family came. During that time, I felt slightly nauseous but the sensation of internal heat ceased. I had no further discomfort.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: patient acquired COVID after immunization
Age: 91.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, Hypoxia, Oxygen saturation decreased, SARS-CoV-2 test positive
Clinical narrative: Patient fully vaccinated for COVID admitted inpatient with original COVID positive test on 08/19/21.  Patient with hypoxia (80's) and shortness of breath on 09/07/21 and presented to ED, she admitted to receive remdesivir, O2, dexamethasone.   Respiratory needs maintained in mid to high 90's on 1L O2.  Discharged home on 09/09/2021 with Homecare support and O2 at 1L/NC.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse event noted.  Patient too young to receive Janssen and RN administered in error.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Influenza like illness, Myalgia
Clinical narrative: I have muscle aches, headaches, it felt like i had the flu
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chills, Diarrhoea, Electrocardiogram, Fatigue
Clinical narrative: fever, chills, tiredness. fatigue, nausea, diarrhea, headaches, blood pressure became high
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypertension, Nausea, Pyrexia
Clinical narrative: fever, chills, tiredness. fatigue, nausea, diarrhea, headaches, blood pressure became high
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Fatigue, Headache, Hypersomnia, Influenza like illness
Clinical narrative: I got the injection in upper left sholder.  The next day I had a bit of pain. The second day the pain was down my arm. At the same time the second day I had a feeling of Fatigue and a bad headache.  I felt like I had the flu.    The forth and fifth day I was feeling very Lethargic and slept a bunch.   I also had pain in my somach.  I started to feel better about day 6.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Lethargy, Pain, Pain in extremity
Clinical narrative: I got the injection in upper left sholder.  The next day I had a bit of pain. The second day the pain was down my arm. At the same time the second day I had a feeling of Fatigue and a bad headache.  I felt like I had the flu.    The forth and fifth day I was feeling very Lethargic and slept a bunch.   I also had pain in my somach.  I started to feel better about day 6.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Headache, Oropharyngeal pain, Respiratory tract congestion
Clinical narrative: I have been congestive, headache, sore throat, fatigue, and a cough at night. No fever. Went to a clinic, they did a COVID-19 test. It came back negative.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: I have been congestive, headache, sore throat, fatigue, and a cough at night. No fever. Went to a clinic, they did a COVID-19 test. It came back negative.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Pallor
Clinical narrative: After giving Covid-19 vaccine, patient lost  consciousness shortly later and lasted less than  1 minute, then patient gained his consciousness quickly.  His face looked pale.  He wanted to lie down and went with his mother to their car to rest while waiting ambulance to come.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Alanine aminotransferase normal, Angiogram, Angiogram normal
Clinical narrative: 69 Y male w PMHx DM2 (insulin dep, last A1c 6.6 8/2021), hypertension, hyperlipidemia, osteoarthritis, severe obesity, benign prostatic hypertrophy, chronic kidney disease (baseline creatinine 1.3-1.7) p/w SOB/cough and found to be COVID positive. Prolonged hospitalization for Hypoxic Respiratory failure from COVID PNA.    COVID Pneumonia, Acute hypoxemic Respiratory failure complicated by Pneumonia - Symptom onset on 8/29/21. COVID positive on 8/30/21. Last fever 102.6 on 9/5. Pt at facility from 9/4 to 9/18/21. He received 10 days of Decadron and Remdesivir daily for 4 days (9/5 - 9/8). It was stopped 1 day early due to new generalized itchy rash. CTA chest obtained on 9/10 and no PE seen. Given his prolonged cough, persistent infiltrates and elevated wbc and yellow sputum 9/14 started Levaquin to treat bacterial superimposed PNA. CXR from 9/12 with retrocardiac opacity. After starting this his cough and sputum production improved and he was weaned off of 2-3L O2 - satting 94% on RA since 9/17. 0-2L at rest and 2L with exertion. Goal O2 sat >92%   Weakness- Likely deconditioning + weak from long course of steroids and being a COVID LONGHAULER. TTE done prior to discharge, which was normal. TSH normal  - HH PT   Mild Hyponatremia due to SIADH - cw free water restriction to 1L and NaCL 1g bid   Maculopapular Rash.  Looked like a drug rash, on the trunk and extremities.  Started rather suddenly on night of 9/8.  Very itchy.  No desquamation or blisters.  Rashes related to remdesivir are uncommon but it is a new medication him and more likely to cause rash than dexamethasone so stopped Remdesivir one day early. - resolved   Acute on chronic kidney disease with proteinuria: suspected volume depletion from dehydration, decr po intake and diarrhea. Baseline is 1.3-1.7. On admission 1.96. Improved with gentle hydration - Cr worse than usual after resuming Jardiance? Will hold and defer to PCP if he should resume   DM2: prior to admission on insulin (NPH 35 U every morning), jardiance, and metformin. Hold metformin. Blood Sugars running high at times.   - Increased NPH to 35u qam, started 5 U NPH in the evening.   - resume home metformin - pt instructed to check bg 3-4 times a day   Hypertension/hyperlipidemia:  Stable. Prior to admission on lisinopril, cardura and atorvastatin.  - Continue doxazosin 8 qhs and Atorvastatin -.Holding Lisinopril    Benign prostatic hypertrophy: Continue pta doxazosin.     Constipation - bowel regimen- colace, senna and miralax.    Lower back pain- hx of LBP. 2/2021MRi normal- likely MSK as it was reproducible - lidoderm patch - p rn tylenol   Subjective:  Says he felt better! Cough continues to improve on antibiotics. Still suctioning out clear and some opaque secretions but feels better. Still SOB and exhausted with exertion, but this is better
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Anion gap, Aortic arteriosclerosis, Aspartate aminotransferase increased, Asthenia, Blood albumin decreased
Clinical narrative: 69 Y male w PMHx DM2 (insulin dep, last A1c 6.6 8/2021), hypertension, hyperlipidemia, osteoarthritis, severe obesity, benign prostatic hypertrophy, chronic kidney disease (baseline creatinine 1.3-1.7) p/w SOB/cough and found to be COVID positive. Prolonged hospitalization for Hypoxic Respiratory failure from COVID PNA.    COVID Pneumonia, Acute hypoxemic Respiratory failure complicated by Pneumonia - Symptom onset on 8/29/21. COVID positive on 8/30/21. Last fever 102.6 on 9/5. Pt at facility from 9/4 to 9/18/21. He received 10 days of Decadron and Remdesivir daily for 4 days (9/5 - 9/8). It was stopped 1 day early due to new generalized itchy rash. CTA chest obtained on 9/10 and no PE seen. Given his prolonged cough, persistent infiltrates and elevated wbc and yellow sputum 9/14 started Levaquin to treat bacterial superimposed PNA. CXR from 9/12 with retrocardiac opacity. After starting this his cough and sputum production improved and he was weaned off of 2-3L O2 - satting 94% on RA since 9/17. 0-2L at rest and 2L with exertion. Goal O2 sat >92%   Weakness- Likely deconditioning + weak from long course of steroids and being a COVID LONGHAULER. TTE done prior to discharge, which was normal. TSH normal  - HH PT   Mild Hyponatremia due to SIADH - cw free water restriction to 1L and NaCL 1g bid   Maculopapular Rash.  Looked like a drug rash, on the trunk and extremities.  Started rather suddenly on night of 9/8.  Very itchy.  No desquamation or blisters.  Rashes related to remdesivir are uncommon but it is a new medication him and more likely to cause rash than dexamethasone so stopped Remdesivir one day early. - resolved   Acute on chronic kidney disease with proteinuria: suspected volume depletion from dehydration, decr po intake and diarrhea. Baseline is 1.3-1.7. On admission 1.96. Improved with gentle hydration - Cr worse than usual after resuming Jardiance? Will hold and defer to PCP if he should resume   DM2: prior to admission on insulin (NPH 35 U every morning), jardiance, and metformin. Hold metformin. Blood Sugars running high at times.   - Increased NPH to 35u qam, started 5 U NPH in the evening.   - resume home metformin - pt instructed to check bg 3-4 times a day   Hypertension/hyperlipidemia:  Stable. Prior to admission on lisinopril, cardura and atorvastatin.  - Continue doxazosin 8 qhs and Atorvastatin -.Holding Lisinopril    Benign prostatic hypertrophy: Continue pta doxazosin.     Constipation - bowel regimen- colace, senna and miralax.    Lower back pain- hx of LBP. 2/2021MRi normal- likely MSK as it was reproducible - lidoderm patch - p rn tylenol   Subjective:  Says he felt better! Cough continues to improve on antibiotics. Still suctioning out clear and some opaque secretions but feels better. Still SOB and exhausted with exertion, but this is better
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Blood alkaline phosphatase increased, Blood bilirubin normal, Blood chloride normal, Blood creatinine increased, Blood glucose normal
Clinical narrative: 69 Y male w PMHx DM2 (insulin dep, last A1c 6.6 8/2021), hypertension, hyperlipidemia, osteoarthritis, severe obesity, benign prostatic hypertrophy, chronic kidney disease (baseline creatinine 1.3-1.7) p/w SOB/cough and found to be COVID positive. Prolonged hospitalization for Hypoxic Respiratory failure from COVID PNA.    COVID Pneumonia, Acute hypoxemic Respiratory failure complicated by Pneumonia - Symptom onset on 8/29/21. COVID positive on 8/30/21. Last fever 102.6 on 9/5. Pt at facility from 9/4 to 9/18/21. He received 10 days of Decadron and Remdesivir daily for 4 days (9/5 - 9/8). It was stopped 1 day early due to new generalized itchy rash. CTA chest obtained on 9/10 and no PE seen. Given his prolonged cough, persistent infiltrates and elevated wbc and yellow sputum 9/14 started Levaquin to treat bacterial superimposed PNA. CXR from 9/12 with retrocardiac opacity. After starting this his cough and sputum production improved and he was weaned off of 2-3L O2 - satting 94% on RA since 9/17. 0-2L at rest and 2L with exertion. Goal O2 sat >92%   Weakness- Likely deconditioning + weak from long course of steroids and being a COVID LONGHAULER. TTE done prior to discharge, which was normal. TSH normal  - HH PT   Mild Hyponatremia due to SIADH - cw free water restriction to 1L and NaCL 1g bid   Maculopapular Rash.  Looked like a drug rash, on the trunk and extremities.  Started rather suddenly on night of 9/8.  Very itchy.  No desquamation or blisters.  Rashes related to remdesivir are uncommon but it is a new medication him and more likely to cause rash than dexamethasone so stopped Remdesivir one day early. - resolved   Acute on chronic kidney disease with proteinuria: suspected volume depletion from dehydration, decr po intake and diarrhea. Baseline is 1.3-1.7. On admission 1.96. Improved with gentle hydration - Cr worse than usual after resuming Jardiance? Will hold and defer to PCP if he should resume   DM2: prior to admission on insulin (NPH 35 U every morning), jardiance, and metformin. Hold metformin. Blood Sugars running high at times.   - Increased NPH to 35u qam, started 5 U NPH in the evening.   - resume home metformin - pt instructed to check bg 3-4 times a day   Hypertension/hyperlipidemia:  Stable. Prior to admission on lisinopril, cardura and atorvastatin.  - Continue doxazosin 8 qhs and Atorvastatin -.Holding Lisinopril    Benign prostatic hypertrophy: Continue pta doxazosin.     Constipation - bowel regimen- colace, senna and miralax.    Lower back pain- hx of LBP. 2/2021MRi normal- likely MSK as it was reproducible - lidoderm patch - p rn tylenol   Subjective:  Says he felt better! Cough continues to improve on antibiotics. Still suctioning out clear and some opaque secretions but feels better. Still SOB and exhausted with exertion, but this is better
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Blood lactate dehydrogenase increased, Blood lactic acid, Blood potassium normal, Blood sodium decreased, Blood thyroid stimulating hormone normal
Clinical narrative: 69 Y male w PMHx DM2 (insulin dep, last A1c 6.6 8/2021), hypertension, hyperlipidemia, osteoarthritis, severe obesity, benign prostatic hypertrophy, chronic kidney disease (baseline creatinine 1.3-1.7) p/w SOB/cough and found to be COVID positive. Prolonged hospitalization for Hypoxic Respiratory failure from COVID PNA.    COVID Pneumonia, Acute hypoxemic Respiratory failure complicated by Pneumonia - Symptom onset on 8/29/21. COVID positive on 8/30/21. Last fever 102.6 on 9/5. Pt at facility from 9/4 to 9/18/21. He received 10 days of Decadron and Remdesivir daily for 4 days (9/5 - 9/8). It was stopped 1 day early due to new generalized itchy rash. CTA chest obtained on 9/10 and no PE seen. Given his prolonged cough, persistent infiltrates and elevated wbc and yellow sputum 9/14 started Levaquin to treat bacterial superimposed PNA. CXR from 9/12 with retrocardiac opacity. After starting this his cough and sputum production improved and he was weaned off of 2-3L O2 - satting 94% on RA since 9/17. 0-2L at rest and 2L with exertion. Goal O2 sat >92%   Weakness- Likely deconditioning + weak from long course of steroids and being a COVID LONGHAULER. TTE done prior to discharge, which was normal. TSH normal  - HH PT   Mild Hyponatremia due to SIADH - cw free water restriction to 1L and NaCL 1g bid   Maculopapular Rash.  Looked like a drug rash, on the trunk and extremities.  Started rather suddenly on night of 9/8.  Very itchy.  No desquamation or blisters.  Rashes related to remdesivir are uncommon but it is a new medication him and more likely to cause rash than dexamethasone so stopped Remdesivir one day early. - resolved   Acute on chronic kidney disease with proteinuria: suspected volume depletion from dehydration, decr po intake and diarrhea. Baseline is 1.3-1.7. On admission 1.96. Improved with gentle hydration - Cr worse than usual after resuming Jardiance? Will hold and defer to PCP if he should resume   DM2: prior to admission on insulin (NPH 35 U every morning), jardiance, and metformin. Hold metformin. Blood Sugars running high at times.   - Increased NPH to 35u qam, started 5 U NPH in the evening.   - resume home metformin - pt instructed to check bg 3-4 times a day   Hypertension/hyperlipidemia:  Stable. Prior to admission on lisinopril, cardura and atorvastatin.  - Continue doxazosin 8 qhs and Atorvastatin -.Holding Lisinopril    Benign prostatic hypertrophy: Continue pta doxazosin.     Constipation - bowel regimen- colace, senna and miralax.    Lower back pain- hx of LBP. 2/2021MRi normal- likely MSK as it was reproducible - lidoderm patch - p rn tylenol   Subjective:  Says he felt better! Cough continues to improve on antibiotics. Still suctioning out clear and some opaque secretions but feels better. Still SOB and exhausted with exertion, but this is better
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urea increased, Brain natriuretic peptide increased, C-reactive protein increased, COVID-19, COVID-19 pneumonia
Clinical narrative: 69 Y male w PMHx DM2 (insulin dep, last A1c 6.6 8/2021), hypertension, hyperlipidemia, osteoarthritis, severe obesity, benign prostatic hypertrophy, chronic kidney disease (baseline creatinine 1.3-1.7) p/w SOB/cough and found to be COVID positive. Prolonged hospitalization for Hypoxic Respiratory failure from COVID PNA.    COVID Pneumonia, Acute hypoxemic Respiratory failure complicated by Pneumonia - Symptom onset on 8/29/21. COVID positive on 8/30/21. Last fever 102.6 on 9/5. Pt at facility from 9/4 to 9/18/21. He received 10 days of Decadron and Remdesivir daily for 4 days (9/5 - 9/8). It was stopped 1 day early due to new generalized itchy rash. CTA chest obtained on 9/10 and no PE seen. Given his prolonged cough, persistent infiltrates and elevated wbc and yellow sputum 9/14 started Levaquin to treat bacterial superimposed PNA. CXR from 9/12 with retrocardiac opacity. After starting this his cough and sputum production improved and he was weaned off of 2-3L O2 - satting 94% on RA since 9/17. 0-2L at rest and 2L with exertion. Goal O2 sat >92%   Weakness- Likely deconditioning + weak from long course of steroids and being a COVID LONGHAULER. TTE done prior to discharge, which was normal. TSH normal  - HH PT   Mild Hyponatremia due to SIADH - cw free water restriction to 1L and NaCL 1g bid   Maculopapular Rash.  Looked like a drug rash, on the trunk and extremities.  Started rather suddenly on night of 9/8.  Very itchy.  No desquamation or blisters.  Rashes related to remdesivir are uncommon but it is a new medication him and more likely to cause rash than dexamethasone so stopped Remdesivir one day early. - resolved   Acute on chronic kidney disease with proteinuria: suspected volume depletion from dehydration, decr po intake and diarrhea. Baseline is 1.3-1.7. On admission 1.96. Improved with gentle hydration - Cr worse than usual after resuming Jardiance? Will hold and defer to PCP if he should resume   DM2: prior to admission on insulin (NPH 35 U every morning), jardiance, and metformin. Hold metformin. Blood Sugars running high at times.   - Increased NPH to 35u qam, started 5 U NPH in the evening.   - resume home metformin - pt instructed to check bg 3-4 times a day   Hypertension/hyperlipidemia:  Stable. Prior to admission on lisinopril, cardura and atorvastatin.  - Continue doxazosin 8 qhs and Atorvastatin -.Holding Lisinopril    Benign prostatic hypertrophy: Continue pta doxazosin.     Constipation - bowel regimen- colace, senna and miralax.    Lower back pain- hx of LBP. 2/2021MRi normal- likely MSK as it was reproducible - lidoderm patch - p rn tylenol   Subjective:  Says he felt better! Cough continues to improve on antibiotics. Still suctioning out clear and some opaque secretions but feels better. Still SOB and exhausted with exertion, but this is better
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Carbon dioxide decreased, Chest X-ray, Chest X-ray abnormal, Constipation, Cough
Clinical narrative: 69 Y male w PMHx DM2 (insulin dep, last A1c 6.6 8/2021), hypertension, hyperlipidemia, osteoarthritis, severe obesity, benign prostatic hypertrophy, chronic kidney disease (baseline creatinine 1.3-1.7) p/w SOB/cough and found to be COVID positive. Prolonged hospitalization for Hypoxic Respiratory failure from COVID PNA.    COVID Pneumonia, Acute hypoxemic Respiratory failure complicated by Pneumonia - Symptom onset on 8/29/21. COVID positive on 8/30/21. Last fever 102.6 on 9/5. Pt at facility from 9/4 to 9/18/21. He received 10 days of Decadron and Remdesivir daily for 4 days (9/5 - 9/8). It was stopped 1 day early due to new generalized itchy rash. CTA chest obtained on 9/10 and no PE seen. Given his prolonged cough, persistent infiltrates and elevated wbc and yellow sputum 9/14 started Levaquin to treat bacterial superimposed PNA. CXR from 9/12 with retrocardiac opacity. After starting this his cough and sputum production improved and he was weaned off of 2-3L O2 - satting 94% on RA since 9/17. 0-2L at rest and 2L with exertion. Goal O2 sat >92%   Weakness- Likely deconditioning + weak from long course of steroids and being a COVID LONGHAULER. TTE done prior to discharge, which was normal. TSH normal  - HH PT   Mild Hyponatremia due to SIADH - cw free water restriction to 1L and NaCL 1g bid   Maculopapular Rash.  Looked like a drug rash, on the trunk and extremities.  Started rather suddenly on night of 9/8.  Very itchy.  No desquamation or blisters.  Rashes related to remdesivir are uncommon but it is a new medication him and more likely to cause rash than dexamethasone so stopped Remdesivir one day early. - resolved   Acute on chronic kidney disease with proteinuria: suspected volume depletion from dehydration, decr po intake and diarrhea. Baseline is 1.3-1.7. On admission 1.96. Improved with gentle hydration - Cr worse than usual after resuming Jardiance? Will hold and defer to PCP if he should resume   DM2: prior to admission on insulin (NPH 35 U every morning), jardiance, and metformin. Hold metformin. Blood Sugars running high at times.   - Increased NPH to 35u qam, started 5 U NPH in the evening.   - resume home metformin - pt instructed to check bg 3-4 times a day   Hypertension/hyperlipidemia:  Stable. Prior to admission on lisinopril, cardura and atorvastatin.  - Continue doxazosin 8 qhs and Atorvastatin -.Holding Lisinopril    Benign prostatic hypertrophy: Continue pta doxazosin.     Constipation - bowel regimen- colace, senna and miralax.    Lower back pain- hx of LBP. 2/2021MRi normal- likely MSK as it was reproducible - lidoderm patch - p rn tylenol   Subjective:  Says he felt better! Cough continues to improve on antibiotics. Still suctioning out clear and some opaque secretions but feels better. Still SOB and exhausted with exertion, but this is better
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Dehydration, Diarrhoea, Dyspnoea, Echocardiogram, Glomerular filtration rate decreased
Clinical narrative: 69 Y male w PMHx DM2 (insulin dep, last A1c 6.6 8/2021), hypertension, hyperlipidemia, osteoarthritis, severe obesity, benign prostatic hypertrophy, chronic kidney disease (baseline creatinine 1.3-1.7) p/w SOB/cough and found to be COVID positive. Prolonged hospitalization for Hypoxic Respiratory failure from COVID PNA.    COVID Pneumonia, Acute hypoxemic Respiratory failure complicated by Pneumonia - Symptom onset on 8/29/21. COVID positive on 8/30/21. Last fever 102.6 on 9/5. Pt at facility from 9/4 to 9/18/21. He received 10 days of Decadron and Remdesivir daily for 4 days (9/5 - 9/8). It was stopped 1 day early due to new generalized itchy rash. CTA chest obtained on 9/10 and no PE seen. Given his prolonged cough, persistent infiltrates and elevated wbc and yellow sputum 9/14 started Levaquin to treat bacterial superimposed PNA. CXR from 9/12 with retrocardiac opacity. After starting this his cough and sputum production improved and he was weaned off of 2-3L O2 - satting 94% on RA since 9/17. 0-2L at rest and 2L with exertion. Goal O2 sat >92%   Weakness- Likely deconditioning + weak from long course of steroids and being a COVID LONGHAULER. TTE done prior to discharge, which was normal. TSH normal  - HH PT   Mild Hyponatremia due to SIADH - cw free water restriction to 1L and NaCL 1g bid   Maculopapular Rash.  Looked like a drug rash, on the trunk and extremities.  Started rather suddenly on night of 9/8.  Very itchy.  No desquamation or blisters.  Rashes related to remdesivir are uncommon but it is a new medication him and more likely to cause rash than dexamethasone so stopped Remdesivir one day early. - resolved   Acute on chronic kidney disease with proteinuria: suspected volume depletion from dehydration, decr po intake and diarrhea. Baseline is 1.3-1.7. On admission 1.96. Improved with gentle hydration - Cr worse than usual after resuming Jardiance? Will hold and defer to PCP if he should resume   DM2: prior to admission on insulin (NPH 35 U every morning), jardiance, and metformin. Hold metformin. Blood Sugars running high at times.   - Increased NPH to 35u qam, started 5 U NPH in the evening.   - resume home metformin - pt instructed to check bg 3-4 times a day   Hypertension/hyperlipidemia:  Stable. Prior to admission on lisinopril, cardura and atorvastatin.  - Continue doxazosin 8 qhs and Atorvastatin -.Holding Lisinopril    Benign prostatic hypertrophy: Continue pta doxazosin.     Constipation - bowel regimen- colace, senna and miralax.    Lower back pain- hx of LBP. 2/2021MRi normal- likely MSK as it was reproducible - lidoderm patch - p rn tylenol   Subjective:  Says he felt better! Cough continues to improve on antibiotics. Still suctioning out clear and some opaque secretions but feels better. Still SOB and exhausted with exertion, but this is better
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Glycosylated haemoglobin, Hyponatraemia, Hypophagia, Hypovolaemia, Hypoxia
Clinical narrative: 69 Y male w PMHx DM2 (insulin dep, last A1c 6.6 8/2021), hypertension, hyperlipidemia, osteoarthritis, severe obesity, benign prostatic hypertrophy, chronic kidney disease (baseline creatinine 1.3-1.7) p/w SOB/cough and found to be COVID positive. Prolonged hospitalization for Hypoxic Respiratory failure from COVID PNA.    COVID Pneumonia, Acute hypoxemic Respiratory failure complicated by Pneumonia - Symptom onset on 8/29/21. COVID positive on 8/30/21. Last fever 102.6 on 9/5. Pt at facility from 9/4 to 9/18/21. He received 10 days of Decadron and Remdesivir daily for 4 days (9/5 - 9/8). It was stopped 1 day early due to new generalized itchy rash. CTA chest obtained on 9/10 and no PE seen. Given his prolonged cough, persistent infiltrates and elevated wbc and yellow sputum 9/14 started Levaquin to treat bacterial superimposed PNA. CXR from 9/12 with retrocardiac opacity. After starting this his cough and sputum production improved and he was weaned off of 2-3L O2 - satting 94% on RA since 9/17. 0-2L at rest and 2L with exertion. Goal O2 sat >92%   Weakness- Likely deconditioning + weak from long course of steroids and being a COVID LONGHAULER. TTE done prior to discharge, which was normal. TSH normal  - HH PT   Mild Hyponatremia due to SIADH - cw free water restriction to 1L and NaCL 1g bid   Maculopapular Rash.  Looked like a drug rash, on the trunk and extremities.  Started rather suddenly on night of 9/8.  Very itchy.  No desquamation or blisters.  Rashes related to remdesivir are uncommon but it is a new medication him and more likely to cause rash than dexamethasone so stopped Remdesivir one day early. - resolved   Acute on chronic kidney disease with proteinuria: suspected volume depletion from dehydration, decr po intake and diarrhea. Baseline is 1.3-1.7. On admission 1.96. Improved with gentle hydration - Cr worse than usual after resuming Jardiance? Will hold and defer to PCP if he should resume   DM2: prior to admission on insulin (NPH 35 U every morning), jardiance, and metformin. Hold metformin. Blood Sugars running high at times.   - Increased NPH to 35u qam, started 5 U NPH in the evening.   - resume home metformin - pt instructed to check bg 3-4 times a day   Hypertension/hyperlipidemia:  Stable. Prior to admission on lisinopril, cardura and atorvastatin.  - Continue doxazosin 8 qhs and Atorvastatin -.Holding Lisinopril    Benign prostatic hypertrophy: Continue pta doxazosin.     Constipation - bowel regimen- colace, senna and miralax.    Lower back pain- hx of LBP. 2/2021MRi normal- likely MSK as it was reproducible - lidoderm patch - p rn tylenol   Subjective:  Says he felt better! Cough continues to improve on antibiotics. Still suctioning out clear and some opaque secretions but feels better. Still SOB and exhausted with exertion, but this is better
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate antidiuretic hormone secretion, Lung infiltration, Lung opacity, Lymphadenopathy, Physical deconditioning
Clinical narrative: 69 Y male w PMHx DM2 (insulin dep, last A1c 6.6 8/2021), hypertension, hyperlipidemia, osteoarthritis, severe obesity, benign prostatic hypertrophy, chronic kidney disease (baseline creatinine 1.3-1.7) p/w SOB/cough and found to be COVID positive. Prolonged hospitalization for Hypoxic Respiratory failure from COVID PNA.    COVID Pneumonia, Acute hypoxemic Respiratory failure complicated by Pneumonia - Symptom onset on 8/29/21. COVID positive on 8/30/21. Last fever 102.6 on 9/5. Pt at facility from 9/4 to 9/18/21. He received 10 days of Decadron and Remdesivir daily for 4 days (9/5 - 9/8). It was stopped 1 day early due to new generalized itchy rash. CTA chest obtained on 9/10 and no PE seen. Given his prolonged cough, persistent infiltrates and elevated wbc and yellow sputum 9/14 started Levaquin to treat bacterial superimposed PNA. CXR from 9/12 with retrocardiac opacity. After starting this his cough and sputum production improved and he was weaned off of 2-3L O2 - satting 94% on RA since 9/17. 0-2L at rest and 2L with exertion. Goal O2 sat >92%   Weakness- Likely deconditioning + weak from long course of steroids and being a COVID LONGHAULER. TTE done prior to discharge, which was normal. TSH normal  - HH PT   Mild Hyponatremia due to SIADH - cw free water restriction to 1L and NaCL 1g bid   Maculopapular Rash.  Looked like a drug rash, on the trunk and extremities.  Started rather suddenly on night of 9/8.  Very itchy.  No desquamation or blisters.  Rashes related to remdesivir are uncommon but it is a new medication him and more likely to cause rash than dexamethasone so stopped Remdesivir one day early. - resolved   Acute on chronic kidney disease with proteinuria: suspected volume depletion from dehydration, decr po intake and diarrhea. Baseline is 1.3-1.7. On admission 1.96. Improved with gentle hydration - Cr worse than usual after resuming Jardiance? Will hold and defer to PCP if he should resume   DM2: prior to admission on insulin (NPH 35 U every morning), jardiance, and metformin. Hold metformin. Blood Sugars running high at times.   - Increased NPH to 35u qam, started 5 U NPH in the evening.   - resume home metformin - pt instructed to check bg 3-4 times a day   Hypertension/hyperlipidemia:  Stable. Prior to admission on lisinopril, cardura and atorvastatin.  - Continue doxazosin 8 qhs and Atorvastatin -.Holding Lisinopril    Benign prostatic hypertrophy: Continue pta doxazosin.     Constipation - bowel regimen- colace, senna and miralax.    Lower back pain- hx of LBP. 2/2021MRi normal- likely MSK as it was reproducible - lidoderm patch - p rn tylenol   Subjective:  Says he felt better! Cough continues to improve on antibiotics. Still suctioning out clear and some opaque secretions but feels better. Still SOB and exhausted with exertion, but this is better
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia bacterial, Post-acute COVID-19 syndrome, Proteinuria, Pyrexia, Rash
Clinical narrative: 69 Y male w PMHx DM2 (insulin dep, last A1c 6.6 8/2021), hypertension, hyperlipidemia, osteoarthritis, severe obesity, benign prostatic hypertrophy, chronic kidney disease (baseline creatinine 1.3-1.7) p/w SOB/cough and found to be COVID positive. Prolonged hospitalization for Hypoxic Respiratory failure from COVID PNA.    COVID Pneumonia, Acute hypoxemic Respiratory failure complicated by Pneumonia - Symptom onset on 8/29/21. COVID positive on 8/30/21. Last fever 102.6 on 9/5. Pt at facility from 9/4 to 9/18/21. He received 10 days of Decadron and Remdesivir daily for 4 days (9/5 - 9/8). It was stopped 1 day early due to new generalized itchy rash. CTA chest obtained on 9/10 and no PE seen. Given his prolonged cough, persistent infiltrates and elevated wbc and yellow sputum 9/14 started Levaquin to treat bacterial superimposed PNA. CXR from 9/12 with retrocardiac opacity. After starting this his cough and sputum production improved and he was weaned off of 2-3L O2 - satting 94% on RA since 9/17. 0-2L at rest and 2L with exertion. Goal O2 sat >92%   Weakness- Likely deconditioning + weak from long course of steroids and being a COVID LONGHAULER. TTE done prior to discharge, which was normal. TSH normal  - HH PT   Mild Hyponatremia due to SIADH - cw free water restriction to 1L and NaCL 1g bid   Maculopapular Rash.  Looked like a drug rash, on the trunk and extremities.  Started rather suddenly on night of 9/8.  Very itchy.  No desquamation or blisters.  Rashes related to remdesivir are uncommon but it is a new medication him and more likely to cause rash than dexamethasone so stopped Remdesivir one day early. - resolved   Acute on chronic kidney disease with proteinuria: suspected volume depletion from dehydration, decr po intake and diarrhea. Baseline is 1.3-1.7. On admission 1.96. Improved with gentle hydration - Cr worse than usual after resuming Jardiance? Will hold and defer to PCP if he should resume   DM2: prior to admission on insulin (NPH 35 U every morning), jardiance, and metformin. Hold metformin. Blood Sugars running high at times.   - Increased NPH to 35u qam, started 5 U NPH in the evening.   - resume home metformin - pt instructed to check bg 3-4 times a day   Hypertension/hyperlipidemia:  Stable. Prior to admission on lisinopril, cardura and atorvastatin.  - Continue doxazosin 8 qhs and Atorvastatin -.Holding Lisinopril    Benign prostatic hypertrophy: Continue pta doxazosin.     Constipation - bowel regimen- colace, senna and miralax.    Lower back pain- hx of LBP. 2/2021MRi normal- likely MSK as it was reproducible - lidoderm patch - p rn tylenol   Subjective:  Says he felt better! Cough continues to improve on antibiotics. Still suctioning out clear and some opaque secretions but feels better. Still SOB and exhausted with exertion, but this is better
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Rash maculo-papular, Rash pruritic, SARS-CoV-2 test positive, Spinal osteoarthritis, Sputum discoloured
Clinical narrative: 69 Y male w PMHx DM2 (insulin dep, last A1c 6.6 8/2021), hypertension, hyperlipidemia, osteoarthritis, severe obesity, benign prostatic hypertrophy, chronic kidney disease (baseline creatinine 1.3-1.7) p/w SOB/cough and found to be COVID positive. Prolonged hospitalization for Hypoxic Respiratory failure from COVID PNA.    COVID Pneumonia, Acute hypoxemic Respiratory failure complicated by Pneumonia - Symptom onset on 8/29/21. COVID positive on 8/30/21. Last fever 102.6 on 9/5. Pt at facility from 9/4 to 9/18/21. He received 10 days of Decadron and Remdesivir daily for 4 days (9/5 - 9/8). It was stopped 1 day early due to new generalized itchy rash. CTA chest obtained on 9/10 and no PE seen. Given his prolonged cough, persistent infiltrates and elevated wbc and yellow sputum 9/14 started Levaquin to treat bacterial superimposed PNA. CXR from 9/12 with retrocardiac opacity. After starting this his cough and sputum production improved and he was weaned off of 2-3L O2 - satting 94% on RA since 9/17. 0-2L at rest and 2L with exertion. Goal O2 sat >92%   Weakness- Likely deconditioning + weak from long course of steroids and being a COVID LONGHAULER. TTE done prior to discharge, which was normal. TSH normal  - HH PT   Mild Hyponatremia due to SIADH - cw free water restriction to 1L and NaCL 1g bid   Maculopapular Rash.  Looked like a drug rash, on the trunk and extremities.  Started rather suddenly on night of 9/8.  Very itchy.  No desquamation or blisters.  Rashes related to remdesivir are uncommon but it is a new medication him and more likely to cause rash than dexamethasone so stopped Remdesivir one day early. - resolved   Acute on chronic kidney disease with proteinuria: suspected volume depletion from dehydration, decr po intake and diarrhea. Baseline is 1.3-1.7. On admission 1.96. Improved with gentle hydration - Cr worse than usual after resuming Jardiance? Will hold and defer to PCP if he should resume   DM2: prior to admission on insulin (NPH 35 U every morning), jardiance, and metformin. Hold metformin. Blood Sugars running high at times.   - Increased NPH to 35u qam, started 5 U NPH in the evening.   - resume home metformin - pt instructed to check bg 3-4 times a day   Hypertension/hyperlipidemia:  Stable. Prior to admission on lisinopril, cardura and atorvastatin.  - Continue doxazosin 8 qhs and Atorvastatin -.Holding Lisinopril    Benign prostatic hypertrophy: Continue pta doxazosin.     Constipation - bowel regimen- colace, senna and miralax.    Lower back pain- hx of LBP. 2/2021MRi normal- likely MSK as it was reproducible - lidoderm patch - p rn tylenol   Subjective:  Says he felt better! Cough continues to improve on antibiotics. Still suctioning out clear and some opaque secretions but feels better. Still SOB and exhausted with exertion, but this is better