chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urinary tract infection
Clinical narrative: Moderna vaccinated x2 patient - last dose 05/1/21 - who admitted to hospital inpatient with COVID pneumonia and subsequently died.  Discharge note below:  "63 YO female w/ history of persistent asthma, prior cardiac arrest, depression, seizure disorder, polypharmacy presented to ER due to worsening confusion. She was found to be COVID 19 positive with pulmonary infiltrates on CXR. She was subsequently admitted to inpatient hospital but later transferred to another hospital due to increasing oxygen requirements.    Due to worsening respiratory status, she was transferred to ICU where she was subsequently intubated. Her hospitalization stay was further complicated by VRE UTI where he was started on Unasyn. She underwent tracheostomy and PEG placement 01/18/22 and then transferred to regular inpatient floor. She remained critically ill with ongoing encephalopathy therefore Palliative care met with family members who then elected DNR/DNI with care limitation code status (transition to comfort care if she is to deteriorate.  She remained critically ill and subsequently passed early morning of 01/27."
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: Bell?s palsy
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Oedema peripheral, Swelling
Clinical narrative: Edema to left arm and hand- resident stated that the swelling was noted overnight, CRNP notified-
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Chest discomfort, Chest pain, Computerised tomogram normal, Condition aggravated
Clinical narrative: Sept 7, 2021 - Had a hive on my neck thought it was a bug bite, went away the next day. Dec. 11, 2021 - had a severe pain in my chest, tight feeling, throat lump feeling, went to ER, ran bloodwork, CT, urine, I was told I was fine. Dec. 19, 2021 - Hives, welts, rashes on various body parts, contacted the doctor ; Dec. 23, 2021. Dec. 23, 2021 - Swelling of tounge, tickle in throat, was taken to ER and give Bendryl, Predazone, Pepcid AC.  Present - Continues - typically once a week have a hive or rash in various locations. Went on a low histamine diet, take Benadryl and/or Pepcid AC when needed. I have photos of each rash/hive from Sept.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Sensation of foreign body, Swollen tongue, Throat irritation, Urine analysis normal
Clinical narrative: Sept 7, 2021 - Had a hive on my neck thought it was a bug bite, went away the next day. Dec. 11, 2021 - had a severe pain in my chest, tight feeling, throat lump feeling, went to ER, ran bloodwork, CT, urine, I was told I was fine. Dec. 19, 2021 - Hives, welts, rashes on various body parts, contacted the doctor ; Dec. 23, 2021. Dec. 23, 2021 - Swelling of tounge, tickle in throat, was taken to ER and give Bendryl, Predazone, Pepcid AC.  Present - Continues - typically once a week have a hive or rash in various locations. Went on a low histamine diet, take Benadryl and/or Pepcid AC when needed. I have photos of each rash/hive from Sept.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Sept 7, 2021 - Had a hive on my neck thought it was a bug bite, went away the next day. Dec. 11, 2021 - had a severe pain in my chest, tight feeling, throat lump feeling, went to ER, ran bloodwork, CT, urine, I was told I was fine. Dec. 19, 2021 - Hives, welts, rashes on various body parts, contacted the doctor ; Dec. 23, 2021. Dec. 23, 2021 - Swelling of tounge, tickle in throat, was taken to ER and give Bendryl, Predazone, Pepcid AC.  Present - Continues - typically once a week have a hive or rash in various locations. Went on a low histamine diet, take Benadryl and/or Pepcid AC when needed. I have photos of each rash/hive from Sept.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pt received 1 Moderna at age 17.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, Chest X-ray normal, Diarrhoea, Impaired self-care
Clinical narrative: Covid-19 Breakthrough. 1st vaccine received on 07/30/2021. 54 y/o PMHx ETOH abuse, Back pain, GERD, Kidney stone, Gastric ulcers and smoking presents to ED Acted by police with primary complaint of inability to care for herself, abdominal pain, nausea, vomiting and diarrhea. Per patient, boyfriend passed away 4 days ago and she has been isolating herself in her room drinking alcohol. Of note, patient tested Covid-19 + 2 weeks prior and symptoms resolved after 5 days. Patient afebrile, room air sat 97% and CXR -no acute findings.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, SARS-CoV-2 test positive, Vaccine breakthrough infection, Vomiting
Clinical narrative: Covid-19 Breakthrough. 1st vaccine received on 07/30/2021. 54 y/o PMHx ETOH abuse, Back pain, GERD, Kidney stone, Gastric ulcers and smoking presents to ED Acted by police with primary complaint of inability to care for herself, abdominal pain, nausea, vomiting and diarrhea. Per patient, boyfriend passed away 4 days ago and she has been isolating herself in her room drinking alcohol. Of note, patient tested Covid-19 + 2 weeks prior and symptoms resolved after 5 days. Patient afebrile, room air sat 97% and CXR -no acute findings.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Migraine, Vaginal haemorrhage
Clinical narrative: The day following vaccination, pt experienced vaginal spotting which over a period of days increased to the point she sought medical care of her OB/GYN. Bleeding progressed to the point that she was saturating menstrual pads and bleeding through clothes. This continued for 12 days which then began to taper off for another 3 days. This occurred simultaneously with progressive migraines that increased in frequency, severity, and duration. Pt reports being prescribed Fioricet by Dr. to control migraine pain.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Diagnosed and hospitalized with Covid while vaccinated.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Rash erythematous, Salivary hypersecretion, Vomiting
Clinical narrative: Pt received vaccine @8:45 am, at 10:05am pt became nauseous, Increased salivation, vomiting, red rash on chest hands and arms. Pt left work at 10:30 am and went home and took Zofran and Benedryl. Pt began feeling better and symptoms eased up at 2:30 pm.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Acute respiratory failure, Blood loss anaemia, COVID-19, COVID-19 pneumonia
Clinical narrative: Patient is fully vaccinated.  COVID positive on 12/30/2021 at hospitalization. D dimer elevated (1,291).74-year-old female who presented to the hospital with shortness of breath and acute mental status changes.  Patient had a prolonged hospital stay with multiple complications and ICU admission.Patient presented with acute hypoxic respiratory failure in the setting of COVID-19 pneumonia as well as superimposed bacterial pneumonia.  She was intubated and transferred to the ICU.  Where she developed multiple complications, including a non-STEMI, and worsening renal failure which required hemodialysis.  She also developed severe sepsis in the setting of bacterial pneumonia, received IV antibiotics.  She also had acute blood loss anemia, in which she received multiple units of PRBCs transfused.  Patient became ventilator dependent and was unable to be weaned off of the ventilator. She is medically stable for discharge to an LTAC facility. Treatment:  Decadron, breo inhaler, albuterol. Completed remdesivir.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Endotracheal intubation, Fibrin D dimer increased, Haemodialysis, Intensive care
Clinical narrative: Patient is fully vaccinated.  COVID positive on 12/30/2021 at hospitalization. D dimer elevated (1,291).74-year-old female who presented to the hospital with shortness of breath and acute mental status changes.  Patient had a prolonged hospital stay with multiple complications and ICU admission.Patient presented with acute hypoxic respiratory failure in the setting of COVID-19 pneumonia as well as superimposed bacterial pneumonia.  She was intubated and transferred to the ICU.  Where she developed multiple complications, including a non-STEMI, and worsening renal failure which required hemodialysis.  She also developed severe sepsis in the setting of bacterial pneumonia, received IV antibiotics.  She also had acute blood loss anemia, in which she received multiple units of PRBCs transfused.  Patient became ventilator dependent and was unable to be weaned off of the ventilator. She is medically stable for discharge to an LTAC facility. Treatment:  Decadron, breo inhaler, albuterol. Completed remdesivir.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Mechanical ventilation, Mental status changes, Packed red blood cell transfusion, Pneumonia bacterial, Renal failure
Clinical narrative: Patient is fully vaccinated.  COVID positive on 12/30/2021 at hospitalization. D dimer elevated (1,291).74-year-old female who presented to the hospital with shortness of breath and acute mental status changes.  Patient had a prolonged hospital stay with multiple complications and ICU admission.Patient presented with acute hypoxic respiratory failure in the setting of COVID-19 pneumonia as well as superimposed bacterial pneumonia.  She was intubated and transferred to the ICU.  Where she developed multiple complications, including a non-STEMI, and worsening renal failure which required hemodialysis.  She also developed severe sepsis in the setting of bacterial pneumonia, received IV antibiotics.  She also had acute blood loss anemia, in which she received multiple units of PRBCs transfused.  Patient became ventilator dependent and was unable to be weaned off of the ventilator. She is medically stable for discharge to an LTAC facility. Treatment:  Decadron, breo inhaler, albuterol. Completed remdesivir.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sepsis
Clinical narrative: Patient is fully vaccinated.  COVID positive on 12/30/2021 at hospitalization. D dimer elevated (1,291).74-year-old female who presented to the hospital with shortness of breath and acute mental status changes.  Patient had a prolonged hospital stay with multiple complications and ICU admission.Patient presented with acute hypoxic respiratory failure in the setting of COVID-19 pneumonia as well as superimposed bacterial pneumonia.  She was intubated and transferred to the ICU.  Where she developed multiple complications, including a non-STEMI, and worsening renal failure which required hemodialysis.  She also developed severe sepsis in the setting of bacterial pneumonia, received IV antibiotics.  She also had acute blood loss anemia, in which she received multiple units of PRBCs transfused.  Patient became ventilator dependent and was unable to be weaned off of the ventilator. She is medically stable for discharge to an LTAC facility. Treatment:  Decadron, breo inhaler, albuterol. Completed remdesivir.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling hot, Headache
Clinical narrative: Severe Headache and exhaustion.  Feeling very Hot all over.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Diagnosed and hospitalized with Covid while vaccinated.
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood culture negative, COVID-19, Culture urine positive, Mental status changes, SARS-CoV-2 test positive
Clinical narrative: Patient up to date on vaccinations with last vaccination on 10/01/21 who admitted to hospital with altered mental status.  Patient with no respiratory distress or hypoxia during stay but did test detected for COVID upon admission.  "Pt presented to hospital with AMS. In the ED: T max of 100.5 HR 128 R 20. Labs: WBC 25.3. UA showed UTI. Pt started initially on Zosyn in the ED and transitioned to Rocephin. Urine Cx later revealed e.coli, blood cx negative. On antibiotics pt turned around very quickly with a rapid return to baseline for cognition, as per her grand-daughter who was with her throughout her stay. WBC improved, and VSS with pt afebrile. It is is felt that she had a toxic metabolic encephalopathy with sepsis 2/2 UTI with incidental co-infection of COVID. Not hypoxic during her stay. PT cleared her for discharge to home with continued home tehrapy. Pt medically stable for discharge, will prescribe her oral antibiotics for continued treatment of her UTI, and she would benefit from Home Care for rehab services. DME provided for wheelchair for home"
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Sepsis, Toxic encephalopathy, Urinary tract infection, Urine analysis abnormal, White blood cell count increased
Clinical narrative: Patient up to date on vaccinations with last vaccination on 10/01/21 who admitted to hospital with altered mental status.  Patient with no respiratory distress or hypoxia during stay but did test detected for COVID upon admission.  "Pt presented to hospital with AMS. In the ED: T max of 100.5 HR 128 R 20. Labs: WBC 25.3. UA showed UTI. Pt started initially on Zosyn in the ED and transitioned to Rocephin. Urine Cx later revealed e.coli, blood cx negative. On antibiotics pt turned around very quickly with a rapid return to baseline for cognition, as per her grand-daughter who was with her throughout her stay. WBC improved, and VSS with pt afebrile. It is is felt that she had a toxic metabolic encephalopathy with sepsis 2/2 UTI with incidental co-infection of COVID. Not hypoxic during her stay. PT cleared her for discharge to home with continued home tehrapy. Pt medically stable for discharge, will prescribe her oral antibiotics for continued treatment of her UTI, and she would benefit from Home Care for rehab services. DME provided for wheelchair for home"
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Incorrect dose administered
Clinical narrative: Patient 2 (PT2) inadvertently received an age-inappropriate vaccine dose due to mistaken identity on behalf of the patient's mother and sister. EMT, alongside Patient Registrar (PR), confirmed the identity of (PT1) when screening with the mother and (PT1). After vaccinating PT2, PT1 stated they were suppose to receive a vaccine as well and EMT asked PT2 her name, questioned who was PT1 then since they confirmed that PT1 was indeed her name. PT2 stated that it was her sister. EMT asked for PT2 DOB where she discovered was 10 years old and not 14. EMT reached out for guidance immediately. Dr. spoke with the mother of the patient and had translate via teleconference. Dr. informed the mother that, due to mistaken identity, PT2 had inadvertently received an age-inappropriate vaccine dose. In accordance with CDC guidelines, and previous guidelines, advice was given for PT2 to be monitored regularly for any adverse reactions that may occur in the next 21 days, and that a second dose should be an age appropriate pediatric dose. PT2 was asymptotic at the time of the call.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, COVID-19, Chest pain, Chills, Cough
Clinical narrative: Patient is fully vaccinate. 76-year-old female with history of stage IV lung cancer presents to the ED complaining of cough. Patient states that she has been experiencing generalized body aches, chills, dyspnea on exertion since Wednesday. She states that she tested positive for Covid 19 today was instructed to come to the emergency department for evaluation. Patient states that she has been experiencing intermittent substernal chest pain when she goes outside since October. Positive for arthralgias and myalgias.BP 147/74  | Pulse 80  | Temp 98 °F (36.7 °C) (Oral)  | Resp 16  | Ht 165.1 cm (5' 5")  | Wt 102 kg (225 lb)  | LMP  (LMP Unknown)  | SpO2 96%  | BMI 37.44 kg/m² no labs, no EKG, no cxr.  Stable and discharged to home.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Myalgia, Pain, SARS-CoV-2 test positive
Clinical narrative: Patient is fully vaccinate. 76-year-old female with history of stage IV lung cancer presents to the ED complaining of cough. Patient states that she has been experiencing generalized body aches, chills, dyspnea on exertion since Wednesday. She states that she tested positive for Covid 19 today was instructed to come to the emergency department for evaluation. Patient states that she has been experiencing intermittent substernal chest pain when she goes outside since October. Positive for arthralgias and myalgias.BP 147/74  | Pulse 80  | Temp 98 °F (36.7 °C) (Oral)  | Resp 16  | Ht 165.1 cm (5' 5")  | Wt 102 kg (225 lb)  | LMP  (LMP Unknown)  | SpO2 96%  | BMI 37.44 kg/m² no labs, no EKG, no cxr.  Stable and discharged to home.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Chills, Dysmenorrhoea, Feeling abnormal, Headache
Clinical narrative: 12 hours after 2nd dose, 103 fever, body aches, chills, headache for 48 hours. 24 hours-2 weeks after 2nd dose: Tachycardia/irregular heart beat/heart palpitations and extreme vertigo/brain fog. I work at an OBGYN and spoke with one of the NP's who gave me xanax for anxiety. States am having true heart palpitations but marked it off as anxiety.  ~1 month post vaccine: Still having issues with my heart beat. Headache and brain fog has not gone away since the vaccine. Now having a menstrual period 2 weeks early with extremely heavy cramping. Am currently saving money to try to see cardiologist. Have a referral for a neurologist.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Heart rate irregular, Menstruation irregular, Pain, Palpitations, Pyrexia
Clinical narrative: 12 hours after 2nd dose, 103 fever, body aches, chills, headache for 48 hours. 24 hours-2 weeks after 2nd dose: Tachycardia/irregular heart beat/heart palpitations and extreme vertigo/brain fog. I work at an OBGYN and spoke with one of the NP's who gave me xanax for anxiety. States am having true heart palpitations but marked it off as anxiety.  ~1 month post vaccine: Still having issues with my heart beat. Headache and brain fog has not gone away since the vaccine. Now having a menstrual period 2 weeks early with extremely heavy cramping. Am currently saving money to try to see cardiologist. Have a referral for a neurologist.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tachycardia, Vertigo
Clinical narrative: 12 hours after 2nd dose, 103 fever, body aches, chills, headache for 48 hours. 24 hours-2 weeks after 2nd dose: Tachycardia/irregular heart beat/heart palpitations and extreme vertigo/brain fog. I work at an OBGYN and spoke with one of the NP's who gave me xanax for anxiety. States am having true heart palpitations but marked it off as anxiety.  ~1 month post vaccine: Still having issues with my heart beat. Headache and brain fog has not gone away since the vaccine. Now having a menstrual period 2 weeks early with extremely heavy cramping. Am currently saving money to try to see cardiologist. Have a referral for a neurologist.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, COVID-19
Clinical narrative: CLINICAL IMPRESSION 1. COVID-19  2. Acute respiratory failure with hypoxia  3. AKI (acute kidney injury)
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea
Clinical narrative: PT HAD DIFFICULTY BREATHING, CHEST TIGHTNESS AFTER INJECTION. PT TRANSPORTED TO EMERGENCY DEPARTMENT
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dizziness, Immediate post-injection reaction, Pain
Clinical narrative: Light Headed immediately after vaccination, within a few hours afterward joint pain, body aches, chills and low grade fever
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Light Headed immediately after vaccination, within a few hours afterward joint pain, body aches, chills and low grade fever
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anticoagulant therapy, Arthralgia, Arthrotomy, Aspiration joint, Asymptomatic COVID-19
Clinical narrative: Patient up to date on vaccinations with last COVID vaccine on 10/22/21 who admitted to hospital for infected hardware found to have COVID detected test.  Asymptomatic for COVID throughout stay.  Provider discharging note below:  "69-year-old woman who had PMHx of T2DM on Metformin, Morbid obesity s/p sleeve gastrectomy, Permanent A-fib, HTN, HFpEF, underwent a right total knee arthroplasty In 2014.  The patient did very well with both her right and left total knee arthroplasty until several days ago when she experienced some fevers and chills and then began to notice severe right knee pain.  She was sent for laboratory studies that showed a dramatic rise in d-dimer, C-reactive protein, and sed rate.  Arthrocentesis of the right knee demonstrated A streptococcal pathogen and she is taken to the operating room for right knee arthrotomy liner exchange and thorough irrigation debridement of the right knee. Patient found positive with COVID, however, asymptomatic. After surgery, metformin held and add SSI, A1c returned unremarkable. ID consulted for antibiotics recommendations. D-Dimer trending down. Patient SBP on the soft side and her Losartan held. Bcx return negative. Eliquis resumed after surgery. PICC line placed   Patient is seen and evaluated at bedside. Patient AOx4, good mentation. Pain of the right knee is tolerable. Patient is able to passing urine freely.Breath comfortably in RA. Patient is otherwise no other complaints. Patient will be discharged home with home PT/OT and home infusions for 8 days and transferred to infusion clinic after COVID isolation terminated. Patient will need to have ceftriaxone infused until 3/1/21 and amoxicillin thereafter for bacterial suppression. Patient will need to follow up with ID, orthopedics and PCP regarding the right knee, Losartan use. "
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood culture negative, C-reactive protein increased, Central venous catheterisation, Chills, Device related infection
Clinical narrative: Patient up to date on vaccinations with last COVID vaccine on 10/22/21 who admitted to hospital for infected hardware found to have COVID detected test.  Asymptomatic for COVID throughout stay.  Provider discharging note below:  "69-year-old woman who had PMHx of T2DM on Metformin, Morbid obesity s/p sleeve gastrectomy, Permanent A-fib, HTN, HFpEF, underwent a right total knee arthroplasty In 2014.  The patient did very well with both her right and left total knee arthroplasty until several days ago when she experienced some fevers and chills and then began to notice severe right knee pain.  She was sent for laboratory studies that showed a dramatic rise in d-dimer, C-reactive protein, and sed rate.  Arthrocentesis of the right knee demonstrated A streptococcal pathogen and she is taken to the operating room for right knee arthrotomy liner exchange and thorough irrigation debridement of the right knee. Patient found positive with COVID, however, asymptomatic. After surgery, metformin held and add SSI, A1c returned unremarkable. ID consulted for antibiotics recommendations. D-Dimer trending down. Patient SBP on the soft side and her Losartan held. Bcx return negative. Eliquis resumed after surgery. PICC line placed   Patient is seen and evaluated at bedside. Patient AOx4, good mentation. Pain of the right knee is tolerable. Patient is able to passing urine freely.Breath comfortably in RA. Patient is otherwise no other complaints. Patient will be discharged home with home PT/OT and home infusions for 8 days and transferred to infusion clinic after COVID isolation terminated. Patient will need to have ceftriaxone infused until 3/1/21 and amoxicillin thereafter for bacterial suppression. Patient will need to follow up with ID, orthopedics and PCP regarding the right knee, Losartan use. "
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fibrin D dimer increased, Glycosylated haemoglobin normal, Joint debridement, Pyrexia, Red blood cell sedimentation rate increased
Clinical narrative: Patient up to date on vaccinations with last COVID vaccine on 10/22/21 who admitted to hospital for infected hardware found to have COVID detected test.  Asymptomatic for COVID throughout stay.  Provider discharging note below:  "69-year-old woman who had PMHx of T2DM on Metformin, Morbid obesity s/p sleeve gastrectomy, Permanent A-fib, HTN, HFpEF, underwent a right total knee arthroplasty In 2014.  The patient did very well with both her right and left total knee arthroplasty until several days ago when she experienced some fevers and chills and then began to notice severe right knee pain.  She was sent for laboratory studies that showed a dramatic rise in d-dimer, C-reactive protein, and sed rate.  Arthrocentesis of the right knee demonstrated A streptococcal pathogen and she is taken to the operating room for right knee arthrotomy liner exchange and thorough irrigation debridement of the right knee. Patient found positive with COVID, however, asymptomatic. After surgery, metformin held and add SSI, A1c returned unremarkable. ID consulted for antibiotics recommendations. D-Dimer trending down. Patient SBP on the soft side and her Losartan held. Bcx return negative. Eliquis resumed after surgery. PICC line placed   Patient is seen and evaluated at bedside. Patient AOx4, good mentation. Pain of the right knee is tolerable. Patient is able to passing urine freely.Breath comfortably in RA. Patient is otherwise no other complaints. Patient will be discharged home with home PT/OT and home infusions for 8 days and transferred to infusion clinic after COVID isolation terminated. Patient will need to have ceftriaxone infused until 3/1/21 and amoxicillin thereafter for bacterial suppression. Patient will need to follow up with ID, orthopedics and PCP regarding the right knee, Losartan use. "
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Streptococcal infection
Clinical narrative: Patient up to date on vaccinations with last COVID vaccine on 10/22/21 who admitted to hospital for infected hardware found to have COVID detected test.  Asymptomatic for COVID throughout stay.  Provider discharging note below:  "69-year-old woman who had PMHx of T2DM on Metformin, Morbid obesity s/p sleeve gastrectomy, Permanent A-fib, HTN, HFpEF, underwent a right total knee arthroplasty In 2014.  The patient did very well with both her right and left total knee arthroplasty until several days ago when she experienced some fevers and chills and then began to notice severe right knee pain.  She was sent for laboratory studies that showed a dramatic rise in d-dimer, C-reactive protein, and sed rate.  Arthrocentesis of the right knee demonstrated A streptococcal pathogen and she is taken to the operating room for right knee arthrotomy liner exchange and thorough irrigation debridement of the right knee. Patient found positive with COVID, however, asymptomatic. After surgery, metformin held and add SSI, A1c returned unremarkable. ID consulted for antibiotics recommendations. D-Dimer trending down. Patient SBP on the soft side and her Losartan held. Bcx return negative. Eliquis resumed after surgery. PICC line placed   Patient is seen and evaluated at bedside. Patient AOx4, good mentation. Pain of the right knee is tolerable. Patient is able to passing urine freely.Breath comfortably in RA. Patient is otherwise no other complaints. Patient will be discharged home with home PT/OT and home infusions for 8 days and transferred to infusion clinic after COVID isolation terminated. Patient will need to have ceftriaxone infused until 3/1/21 and amoxicillin thereafter for bacterial suppression. Patient will need to follow up with ID, orthopedics and PCP regarding the right knee, Losartan use. "
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray, Chest discomfort, Chest pain
Clinical narrative: Patient is fully vaccinated. COVID positive 12/31/2021 at ED visit.  Patient complaining of intermittent chest pain. Patient presents to the ED secondary to reported 2 day history of dry nonproductive cough, shortness of breath, intermittent chest discomfort. Denies any nausea or vomiting. No diarrhea. Reporting fatigue, weakness and general malaise. Positive for headaches and congestion.BP 140/77  | Pulse 86  | Temp 98.2 °F (36.8 °C)  | Resp 16  | Ht 175.3 cm (5' 9")  | Wt 102 kg (225 lb)  | SpO2 100%  | BMI 33.23 kg/m² EKG normal SR, no infaction, no arrythmia.  CXR: no evidence of an acute process. Labs good.Discharged home.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Electrocardiogram normal, Fatigue, Headache
Clinical narrative: Patient is fully vaccinated. COVID positive 12/31/2021 at ED visit.  Patient complaining of intermittent chest pain. Patient presents to the ED secondary to reported 2 day history of dry nonproductive cough, shortness of breath, intermittent chest discomfort. Denies any nausea or vomiting. No diarrhea. Reporting fatigue, weakness and general malaise. Positive for headaches and congestion.BP 140/77  | Pulse 86  | Temp 98.2 °F (36.8 °C)  | Resp 16  | Ht 175.3 cm (5' 9")  | Wt 102 kg (225 lb)  | SpO2 100%  | BMI 33.23 kg/m² EKG normal SR, no infaction, no arrythmia.  CXR: no evidence of an acute process. Labs good.Discharged home.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Malaise, Respiratory tract congestion
Clinical narrative: Patient is fully vaccinated. COVID positive 12/31/2021 at ED visit.  Patient complaining of intermittent chest pain. Patient presents to the ED secondary to reported 2 day history of dry nonproductive cough, shortness of breath, intermittent chest discomfort. Denies any nausea or vomiting. No diarrhea. Reporting fatigue, weakness and general malaise. Positive for headaches and congestion.BP 140/77  | Pulse 86  | Temp 98.2 °F (36.8 °C)  | Resp 16  | Ht 175.3 cm (5' 9")  | Wt 102 kg (225 lb)  | SpO2 100%  | BMI 33.23 kg/m² EKG normal SR, no infaction, no arrythmia.  CXR: no evidence of an acute process. Labs good.Discharged home.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody, Blood creatine phosphokinase, Blood test, Chest pain, Dyspnoea
Clinical narrative: Started itching on the neck, spreading all over belly, lower belly, fore arms, wrists, back and lower back and all face. All areas became very swollen, red and hot. My wrists were very swollen and painful to the touch and a swollen nodule on the neck. Started having Benadryl and Atarax at home. After 4 days no improvement started with chest pain and short breath. Went to the ER. Had solumedrol, Benadryl and Pepcid IV. EKG, CBC, BMP, CK and Troponin done.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Erythema, Full blood count, Joint swelling, Metabolic function test
Clinical narrative: Started itching on the neck, spreading all over belly, lower belly, fore arms, wrists, back and lower back and all face. All areas became very swollen, red and hot. My wrists were very swollen and painful to the touch and a swollen nodule on the neck. Started having Benadryl and Atarax at home. After 4 days no improvement started with chest pain and short breath. Went to the ER. Had solumedrol, Benadryl and Pepcid IV. EKG, CBC, BMP, CK and Troponin done.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Nodule, Pruritus, Skin warm, Swelling, Tenderness
Clinical narrative: Started itching on the neck, spreading all over belly, lower belly, fore arms, wrists, back and lower back and all face. All areas became very swollen, red and hot. My wrists were very swollen and painful to the touch and a swollen nodule on the neck. Started having Benadryl and Atarax at home. After 4 days no improvement started with chest pain and short breath. Went to the ER. Had solumedrol, Benadryl and Pepcid IV. EKG, CBC, BMP, CK and Troponin done.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin
Clinical narrative: Started itching on the neck, spreading all over belly, lower belly, fore arms, wrists, back and lower back and all face. All areas became very swollen, red and hot. My wrists were very swollen and painful to the touch and a swollen nodule on the neck. Started having Benadryl and Atarax at home. After 4 days no improvement started with chest pain and short breath. Went to the ER. Had solumedrol, Benadryl and Pepcid IV. EKG, CBC, BMP, CK and Troponin done.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstrual disorder, Mobility decreased, Nausea, Pyrexia
Clinical narrative: 1/26, day after the shot [ within 24 hours} Wiped and noticed a blood clot 1/27 Bleeding Heavier, not like normal menstrual discharge. Have not had any significant discharge during menstruation due to being on the pill, however, bleeding come on within 24 hours of getting booster shot. Also bedridden with fever, nausea and vomiting at this stage, which lasted one day. Smell and consistency of blood NOT like normal menstrual blood.  1/28 Bleeding stopped
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: 1/26, day after the shot [ within 24 hours} Wiped and noticed a blood clot 1/27 Bleeding Heavier, not like normal menstrual discharge. Have not had any significant discharge during menstruation due to being on the pill, however, bleeding come on within 24 hours of getting booster shot. Also bedridden with fever, nausea and vomiting at this stage, which lasted one day. Smell and consistency of blood NOT like normal menstrual blood.  1/28 Bleeding stopped
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Diagnosed and hospitalized with Covid while vaccinated.
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated, not boosted.   COVID infection breakthrough
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Skin burning sensation, Urticaria
Clinical narrative: redness and hives with burning and itching with contact to skin;
Age: 9.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood creatine phosphokinase, Blood thyroid stimulating hormone, C-reactive protein, Full blood count, Gait disturbance
Clinical narrative: Monday afternoon he manifests foot pain especially on the left one and difficulty at walk. On Tuesday morning he manifest throat discomfort continues with legs pain, inflammation and difficulty to walk. He has two red bumps on the bottom of the left foot and was painful to the touch. Take him to urgency room on the afternoon they take left foot radiography, make a COVID-19 test and injected him with Toradol. Still with foot and legs pain and difficulty to walk but the Dr. send him to see the pediatrician. On Wednesday he had the leg pain, difficulty to walk and hands and arm pain. He can?t raise his arms due to pain. Also present itching on foots and what looks like skin rash. Take him to Emergency room on the afternoon were they run laboratories and administrate anti-inflammatory medication by vein we reflect a skin rash on chest and the administer Benadryl too. He manifest improvement and lest pain in approximately 4.5 hours later.
Age: 9.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Inflammation, International normalised ratio, Metabolic function test, Mobility decreased, Oropharyngeal discomfort
Clinical narrative: Monday afternoon he manifests foot pain especially on the left one and difficulty at walk. On Tuesday morning he manifest throat discomfort continues with legs pain, inflammation and difficulty to walk. He has two red bumps on the bottom of the left foot and was painful to the touch. Take him to urgency room on the afternoon they take left foot radiography, make a COVID-19 test and injected him with Toradol. Still with foot and legs pain and difficulty to walk but the Dr. send him to see the pediatrician. On Wednesday he had the leg pain, difficulty to walk and hands and arm pain. He can?t raise his arms due to pain. Also present itching on foots and what looks like skin rash. Take him to Emergency room on the afternoon were they run laboratories and administrate anti-inflammatory medication by vein we reflect a skin rash on chest and the administer Benadryl too. He manifest improvement and lest pain in approximately 4.5 hours later.
Age: 9.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain, Pain in extremity, Prothrombin time, Pruritus, Rash
Clinical narrative: Monday afternoon he manifests foot pain especially on the left one and difficulty at walk. On Tuesday morning he manifest throat discomfort continues with legs pain, inflammation and difficulty to walk. He has two red bumps on the bottom of the left foot and was painful to the touch. Take him to urgency room on the afternoon they take left foot radiography, make a COVID-19 test and injected him with Toradol. Still with foot and legs pain and difficulty to walk but the Dr. send him to see the pediatrician. On Wednesday he had the leg pain, difficulty to walk and hands and arm pain. He can?t raise his arms due to pain. Also present itching on foots and what looks like skin rash. Take him to Emergency room on the afternoon were they run laboratories and administrate anti-inflammatory medication by vein we reflect a skin rash on chest and the administer Benadryl too. He manifest improvement and lest pain in approximately 4.5 hours later.
Age: 9.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Red blood cell sedimentation rate increased, SARS-CoV-2 test negative, Tenderness, Urine analysis, X-ray normal
Clinical narrative: Monday afternoon he manifests foot pain especially on the left one and difficulty at walk. On Tuesday morning he manifest throat discomfort continues with legs pain, inflammation and difficulty to walk. He has two red bumps on the bottom of the left foot and was painful to the touch. Take him to urgency room on the afternoon they take left foot radiography, make a COVID-19 test and injected him with Toradol. Still with foot and legs pain and difficulty to walk but the Dr. send him to see the pediatrician. On Wednesday he had the leg pain, difficulty to walk and hands and arm pain. He can?t raise his arms due to pain. Also present itching on foots and what looks like skin rash. Take him to Emergency room on the afternoon were they run laboratories and administrate anti-inflammatory medication by vein we reflect a skin rash on chest and the administer Benadryl too. He manifest improvement and lest pain in approximately 4.5 hours later.
Age: 9.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Inflammation, Pain, Rash
Clinical narrative: Monday afternoon he manifests foot pain especially on the left one and difficulty at walk. On Tuesday morning he manifest throat discomfort continues with legs pain, inflammation and difficulty to walk. He has two red bumps on the bottom of the left foot and was painful to the touch. Take him to urgency room on the afternoon they take left foot radiography, make a COVID-19 test and injected him with Toradol. Still with foot and legs pain and difficulty to walk but the Dr. send him to see the pediatrician. On Wednesday he had the leg pain, difficulty to walk and hands and arm pain. He can?t raise his arms due to pain. Also present itching on foots and what looks like skin rash. Take him to Emergency room on the afternoon were they run laboratories and administrate anti-inflammatory medication by vein we reflect a skin rash on chest and the administer Benadryl too. He manifest improvement and lest pain in approximately 4.5 hours later.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Diagnosed and hospitalized with Covid while vaccinated.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Capillary disorder, Erythema
Clinical narrative: c/o redness over legs and arms and decreased capillary refills
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Back pain, COVID-19, COVID-19 pneumonia, Carbohydrate antigen 19-9
Clinical narrative: Patient with 2 doses of COVID vaccine, last dose 03/21/21 who admitted through ED for chest/back pain. Not hypoxic during her stay, has pancreatic cancer with metastasis. Discharged from hospital with hospice due to cancer progression and died on 12/19/2021. Provider discharge note (from hospital) below: "Reason for Admission: Patient came in the the emergency department by EMS stating she has unbearable back and chest pain for "a couple weeks". Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)- These were her acute medical issue addressed this hospitalization: Chest pain--probably from COVID pneumonia. EKG looked OK. Pneumonia due to COVID-19 virus, mild disease, diagnosed 12/3. NOT hypoxic. Pancreatic tumor with METS to Liver, SMA, spleen, this is significant, and likely the cause of her symptoms. CA 19-9 was WNL. Very poor performance status at this time. Oncology seen on 12/13. Dr. recommends a Hospice approach only at this time. Her daughters have agreed to a Hospice care approach as recommended. Papers signed with Hospice 12/13/21. Type 2 diabetes mellitus, without long-term current use of insulin. A1c was 6.5, Acute low back pain--resolved, Leukocytosis-- No clinical infection apparent. May be from malignancy. Severe protein-calorie malnutrition (*)- encourage PO. Chronic bilateral low back pain with left-sided sciatica. Anxiety, Gout, Chronic kidney disease (CKD), stage III (moderate), Nausea vomiting and diarrhea - resolved. Elevated troponin, Normocytic anemia, 5 mm nodule apical right upper lobe. Remained very weak and debilitated. Very high risk for DVT given COVID and likely Pancreatic CA. DC today with "Hospice Care".
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Death, Diarrhoea, Electrocardiogram normal, Glycosylated haemoglobin normal
Clinical narrative: Patient with 2 doses of COVID vaccine, last dose 03/21/21 who admitted through ED for chest/back pain. Not hypoxic during her stay, has pancreatic cancer with metastasis. Discharged from hospital with hospice due to cancer progression and died on 12/19/2021. Provider discharge note (from hospital) below: "Reason for Admission: Patient came in the the emergency department by EMS stating she has unbearable back and chest pain for "a couple weeks". Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)- These were her acute medical issue addressed this hospitalization: Chest pain--probably from COVID pneumonia. EKG looked OK. Pneumonia due to COVID-19 virus, mild disease, diagnosed 12/3. NOT hypoxic. Pancreatic tumor with METS to Liver, SMA, spleen, this is significant, and likely the cause of her symptoms. CA 19-9 was WNL. Very poor performance status at this time. Oncology seen on 12/13. Dr. recommends a Hospice approach only at this time. Her daughters have agreed to a Hospice care approach as recommended. Papers signed with Hospice 12/13/21. Type 2 diabetes mellitus, without long-term current use of insulin. A1c was 6.5, Acute low back pain--resolved, Leukocytosis-- No clinical infection apparent. May be from malignancy. Severe protein-calorie malnutrition (*)- encourage PO. Chronic bilateral low back pain with left-sided sciatica. Anxiety, Gout, Chronic kidney disease (CKD), stage III (moderate), Nausea vomiting and diarrhea - resolved. Elevated troponin, Normocytic anemia, 5 mm nodule apical right upper lobe. Remained very weak and debilitated. Very high risk for DVT given COVID and likely Pancreatic CA. DC today with "Hospice Care".
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Leukocytosis, Malignant neoplasm progression, Nausea, Pulmonary mass, SARS-CoV-2 test positive
Clinical narrative: Patient with 2 doses of COVID vaccine, last dose 03/21/21 who admitted through ED for chest/back pain. Not hypoxic during her stay, has pancreatic cancer with metastasis. Discharged from hospital with hospice due to cancer progression and died on 12/19/2021. Provider discharge note (from hospital) below: "Reason for Admission: Patient came in the the emergency department by EMS stating she has unbearable back and chest pain for "a couple weeks". Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)- These were her acute medical issue addressed this hospitalization: Chest pain--probably from COVID pneumonia. EKG looked OK. Pneumonia due to COVID-19 virus, mild disease, diagnosed 12/3. NOT hypoxic. Pancreatic tumor with METS to Liver, SMA, spleen, this is significant, and likely the cause of her symptoms. CA 19-9 was WNL. Very poor performance status at this time. Oncology seen on 12/13. Dr. recommends a Hospice approach only at this time. Her daughters have agreed to a Hospice care approach as recommended. Papers signed with Hospice 12/13/21. Type 2 diabetes mellitus, without long-term current use of insulin. A1c was 6.5, Acute low back pain--resolved, Leukocytosis-- No clinical infection apparent. May be from malignancy. Severe protein-calorie malnutrition (*)- encourage PO. Chronic bilateral low back pain with left-sided sciatica. Anxiety, Gout, Chronic kidney disease (CKD), stage III (moderate), Nausea vomiting and diarrhea - resolved. Elevated troponin, Normocytic anemia, 5 mm nodule apical right upper lobe. Remained very weak and debilitated. Very high risk for DVT given COVID and likely Pancreatic CA. DC today with "Hospice Care".
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Troponin increased, Vomiting
Clinical narrative: Patient with 2 doses of COVID vaccine, last dose 03/21/21 who admitted through ED for chest/back pain. Not hypoxic during her stay, has pancreatic cancer with metastasis. Discharged from hospital with hospice due to cancer progression and died on 12/19/2021. Provider discharge note (from hospital) below: "Reason for Admission: Patient came in the the emergency department by EMS stating she has unbearable back and chest pain for "a couple weeks". Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)- These were her acute medical issue addressed this hospitalization: Chest pain--probably from COVID pneumonia. EKG looked OK. Pneumonia due to COVID-19 virus, mild disease, diagnosed 12/3. NOT hypoxic. Pancreatic tumor with METS to Liver, SMA, spleen, this is significant, and likely the cause of her symptoms. CA 19-9 was WNL. Very poor performance status at this time. Oncology seen on 12/13. Dr. recommends a Hospice approach only at this time. Her daughters have agreed to a Hospice care approach as recommended. Papers signed with Hospice 12/13/21. Type 2 diabetes mellitus, without long-term current use of insulin. A1c was 6.5, Acute low back pain--resolved, Leukocytosis-- No clinical infection apparent. May be from malignancy. Severe protein-calorie malnutrition (*)- encourage PO. Chronic bilateral low back pain with left-sided sciatica. Anxiety, Gout, Chronic kidney disease (CKD), stage III (moderate), Nausea vomiting and diarrhea - resolved. Elevated troponin, Normocytic anemia, 5 mm nodule apical right upper lobe. Remained very weak and debilitated. Very high risk for DVT given COVID and likely Pancreatic CA. DC today with "Hospice Care".
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Patient came back to the pharmacy for her second shot, she said that she had a rash all over (chest area) and itching after getting the first shot of Moderna
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated, not boosted.   COVID breakthrough infection
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Oral pruritus, Throat irritation, Tongue pruritus, Vaccine positive rechallenge
Clinical narrative: Itching in the throat/mouth/tongue