chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Acute kidney injury, Atrial enlargement, Blood culture positive, Blood glucose increased
Clinical narrative: Patient was vaccinated with her second Moderna covid19 vaccine on 5/21/21. She had no prior history of infections or hospitalizations and is a controlled type 1 diabetic since her 30's.  She was admitted to the hospital after being evaluated in the  emergency room on 7/27/2021 with her husband due to complaints of fevers and temps of 101-105 since  7/25/2021.   She started having chills, abdominal pain, decreased appetite, dysuria, nausea, vomiting, and confusion and memory issues and has been taking ibuprofen and Tylenol without relief.  She saw her PCP and her urine was positive for a UTI and she was started on Cipro however her medications were sent to the wrong pharmacy and she was not able to pick these up and due to continued worsening symptoms she came into the ER for evaluation.  Patient reported she has always considered herself healthy  and her hemoglobin A1c has been around 7 for quite some time.  She reported lately over the last 2 months  since her covid 19 vaccines she has been having recurrent sinus infections and is also been having a problem with her Dexcom  implant sensor suffering infections and rashes due to it.  In the ER she was febrile with a temperature of 102.3 heart rate of 106 leukocytosis with lactic acidosis, hyponatremia and acute kidney injury as well as a urinalysis positive for UTI.  Chest x-ray showed moderate nonspecific patchy linear density in the left lung base she was noted to be confused blood and urine cultures were obtained she was given sepsis fluids Tylenol and ceftriaxone 1 g and subsequently admitted to the hospitalist service for severe sepsis, urinary tract infection, acute metabolic encephalopathy, hyponatremia, L sided pneumonia and acute kidney injury.  She was continued on IV fluids as well as ceftriaxone pending cultures.  Patient's blood blood cultures were positive for E. coli.  Patient's urine culture ended up growing a mixed flora and UTI was ruled out. The source for the e coli bacteremia was unclear but her hospital course was complicated by severe, protracted diarrhea, abdominal pain, poor appetite and nausea/vomiting.  stool cx was negative and c diff PCR x 2 was negative.     The cause for the patient's diarrhea was unclear and a colitis was suggested.  Surgical consult was obtained and the surgical team followed her throughout her hospital course.  They did not feel that the gallbladder was causing acute pathology or issues given her negative exam and normal liver function test. CT chest revealed b/l axillary adenopathy of unclear cause. She was discharged home on 7/31/21 after her fever, appetite and diarrhea improved to complete her antibiotic course. She was still having temperatures of 99.9 on discharge and some diarrhea. her white blood cell count was 11.8 with no neutrophilia. She has never had covid 19 infection. Her spouse needed to take a leave from work after discharge to help her while she recovered at home.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardiac steatosis, Chest X-ray abnormal, Chills, Clostridium test negative, Colitis
Clinical narrative: Patient was vaccinated with her second Moderna covid19 vaccine on 5/21/21. She had no prior history of infections or hospitalizations and is a controlled type 1 diabetic since her 30's.  She was admitted to the hospital after being evaluated in the  emergency room on 7/27/2021 with her husband due to complaints of fevers and temps of 101-105 since  7/25/2021.   She started having chills, abdominal pain, decreased appetite, dysuria, nausea, vomiting, and confusion and memory issues and has been taking ibuprofen and Tylenol without relief.  She saw her PCP and her urine was positive for a UTI and she was started on Cipro however her medications were sent to the wrong pharmacy and she was not able to pick these up and due to continued worsening symptoms she came into the ER for evaluation.  Patient reported she has always considered herself healthy  and her hemoglobin A1c has been around 7 for quite some time.  She reported lately over the last 2 months  since her covid 19 vaccines she has been having recurrent sinus infections and is also been having a problem with her Dexcom  implant sensor suffering infections and rashes due to it.  In the ER she was febrile with a temperature of 102.3 heart rate of 106 leukocytosis with lactic acidosis, hyponatremia and acute kidney injury as well as a urinalysis positive for UTI.  Chest x-ray showed moderate nonspecific patchy linear density in the left lung base she was noted to be confused blood and urine cultures were obtained she was given sepsis fluids Tylenol and ceftriaxone 1 g and subsequently admitted to the hospitalist service for severe sepsis, urinary tract infection, acute metabolic encephalopathy, hyponatremia, L sided pneumonia and acute kidney injury.  She was continued on IV fluids as well as ceftriaxone pending cultures.  Patient's blood blood cultures were positive for E. coli.  Patient's urine culture ended up growing a mixed flora and UTI was ruled out. The source for the e coli bacteremia was unclear but her hospital course was complicated by severe, protracted diarrhea, abdominal pain, poor appetite and nausea/vomiting.  stool cx was negative and c diff PCR x 2 was negative.     The cause for the patient's diarrhea was unclear and a colitis was suggested.  Surgical consult was obtained and the surgical team followed her throughout her hospital course.  They did not feel that the gallbladder was causing acute pathology or issues given her negative exam and normal liver function test. CT chest revealed b/l axillary adenopathy of unclear cause. She was discharged home on 7/31/21 after her fever, appetite and diarrhea improved to complete her antibiotic course. She was still having temperatures of 99.9 on discharge and some diarrhea. her white blood cell count was 11.8 with no neutrophilia. She has never had covid 19 infection. Her spouse needed to take a leave from work after discharge to help her while she recovered at home.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram thorax abnormal, Confusional state, Culture stool negative, Culture urine, Decreased appetite
Clinical narrative: Patient was vaccinated with her second Moderna covid19 vaccine on 5/21/21. She had no prior history of infections or hospitalizations and is a controlled type 1 diabetic since her 30's.  She was admitted to the hospital after being evaluated in the  emergency room on 7/27/2021 with her husband due to complaints of fevers and temps of 101-105 since  7/25/2021.   She started having chills, abdominal pain, decreased appetite, dysuria, nausea, vomiting, and confusion and memory issues and has been taking ibuprofen and Tylenol without relief.  She saw her PCP and her urine was positive for a UTI and she was started on Cipro however her medications were sent to the wrong pharmacy and she was not able to pick these up and due to continued worsening symptoms she came into the ER for evaluation.  Patient reported she has always considered herself healthy  and her hemoglobin A1c has been around 7 for quite some time.  She reported lately over the last 2 months  since her covid 19 vaccines she has been having recurrent sinus infections and is also been having a problem with her Dexcom  implant sensor suffering infections and rashes due to it.  In the ER she was febrile with a temperature of 102.3 heart rate of 106 leukocytosis with lactic acidosis, hyponatremia and acute kidney injury as well as a urinalysis positive for UTI.  Chest x-ray showed moderate nonspecific patchy linear density in the left lung base she was noted to be confused blood and urine cultures were obtained she was given sepsis fluids Tylenol and ceftriaxone 1 g and subsequently admitted to the hospitalist service for severe sepsis, urinary tract infection, acute metabolic encephalopathy, hyponatremia, L sided pneumonia and acute kidney injury.  She was continued on IV fluids as well as ceftriaxone pending cultures.  Patient's blood blood cultures were positive for E. coli.  Patient's urine culture ended up growing a mixed flora and UTI was ruled out. The source for the e coli bacteremia was unclear but her hospital course was complicated by severe, protracted diarrhea, abdominal pain, poor appetite and nausea/vomiting.  stool cx was negative and c diff PCR x 2 was negative.     The cause for the patient's diarrhea was unclear and a colitis was suggested.  Surgical consult was obtained and the surgical team followed her throughout her hospital course.  They did not feel that the gallbladder was causing acute pathology or issues given her negative exam and normal liver function test. CT chest revealed b/l axillary adenopathy of unclear cause. She was discharged home on 7/31/21 after her fever, appetite and diarrhea improved to complete her antibiotic course. She was still having temperatures of 99.9 on discharge and some diarrhea. her white blood cell count was 11.8 with no neutrophilia. She has never had covid 19 infection. Her spouse needed to take a leave from work after discharge to help her while she recovered at home.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Dysuria, Echocardiogram abnormal, Ejection fraction normal, Escherichia bacteraemia
Clinical narrative: Patient was vaccinated with her second Moderna covid19 vaccine on 5/21/21. She had no prior history of infections or hospitalizations and is a controlled type 1 diabetic since her 30's.  She was admitted to the hospital after being evaluated in the  emergency room on 7/27/2021 with her husband due to complaints of fevers and temps of 101-105 since  7/25/2021.   She started having chills, abdominal pain, decreased appetite, dysuria, nausea, vomiting, and confusion and memory issues and has been taking ibuprofen and Tylenol without relief.  She saw her PCP and her urine was positive for a UTI and she was started on Cipro however her medications were sent to the wrong pharmacy and she was not able to pick these up and due to continued worsening symptoms she came into the ER for evaluation.  Patient reported she has always considered herself healthy  and her hemoglobin A1c has been around 7 for quite some time.  She reported lately over the last 2 months  since her covid 19 vaccines she has been having recurrent sinus infections and is also been having a problem with her Dexcom  implant sensor suffering infections and rashes due to it.  In the ER she was febrile with a temperature of 102.3 heart rate of 106 leukocytosis with lactic acidosis, hyponatremia and acute kidney injury as well as a urinalysis positive for UTI.  Chest x-ray showed moderate nonspecific patchy linear density in the left lung base she was noted to be confused blood and urine cultures were obtained she was given sepsis fluids Tylenol and ceftriaxone 1 g and subsequently admitted to the hospitalist service for severe sepsis, urinary tract infection, acute metabolic encephalopathy, hyponatremia, L sided pneumonia and acute kidney injury.  She was continued on IV fluids as well as ceftriaxone pending cultures.  Patient's blood blood cultures were positive for E. coli.  Patient's urine culture ended up growing a mixed flora and UTI was ruled out. The source for the e coli bacteremia was unclear but her hospital course was complicated by severe, protracted diarrhea, abdominal pain, poor appetite and nausea/vomiting.  stool cx was negative and c diff PCR x 2 was negative.     The cause for the patient's diarrhea was unclear and a colitis was suggested.  Surgical consult was obtained and the surgical team followed her throughout her hospital course.  They did not feel that the gallbladder was causing acute pathology or issues given her negative exam and normal liver function test. CT chest revealed b/l axillary adenopathy of unclear cause. She was discharged home on 7/31/21 after her fever, appetite and diarrhea improved to complete her antibiotic course. She was still having temperatures of 99.9 on discharge and some diarrhea. her white blood cell count was 11.8 with no neutrophilia. She has never had covid 19 infection. Her spouse needed to take a leave from work after discharge to help her while she recovered at home.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Gallbladder enlargement, Gallbladder oedema, Hyponatraemia, Infection, Laboratory test normal
Clinical narrative: Patient was vaccinated with her second Moderna covid19 vaccine on 5/21/21. She had no prior history of infections or hospitalizations and is a controlled type 1 diabetic since her 30's.  She was admitted to the hospital after being evaluated in the  emergency room on 7/27/2021 with her husband due to complaints of fevers and temps of 101-105 since  7/25/2021.   She started having chills, abdominal pain, decreased appetite, dysuria, nausea, vomiting, and confusion and memory issues and has been taking ibuprofen and Tylenol without relief.  She saw her PCP and her urine was positive for a UTI and she was started on Cipro however her medications were sent to the wrong pharmacy and she was not able to pick these up and due to continued worsening symptoms she came into the ER for evaluation.  Patient reported she has always considered herself healthy  and her hemoglobin A1c has been around 7 for quite some time.  She reported lately over the last 2 months  since her covid 19 vaccines she has been having recurrent sinus infections and is also been having a problem with her Dexcom  implant sensor suffering infections and rashes due to it.  In the ER she was febrile with a temperature of 102.3 heart rate of 106 leukocytosis with lactic acidosis, hyponatremia and acute kidney injury as well as a urinalysis positive for UTI.  Chest x-ray showed moderate nonspecific patchy linear density in the left lung base she was noted to be confused blood and urine cultures were obtained she was given sepsis fluids Tylenol and ceftriaxone 1 g and subsequently admitted to the hospitalist service for severe sepsis, urinary tract infection, acute metabolic encephalopathy, hyponatremia, L sided pneumonia and acute kidney injury.  She was continued on IV fluids as well as ceftriaxone pending cultures.  Patient's blood blood cultures were positive for E. coli.  Patient's urine culture ended up growing a mixed flora and UTI was ruled out. The source for the e coli bacteremia was unclear but her hospital course was complicated by severe, protracted diarrhea, abdominal pain, poor appetite and nausea/vomiting.  stool cx was negative and c diff PCR x 2 was negative.     The cause for the patient's diarrhea was unclear and a colitis was suggested.  Surgical consult was obtained and the surgical team followed her throughout her hospital course.  They did not feel that the gallbladder was causing acute pathology or issues given her negative exam and normal liver function test. CT chest revealed b/l axillary adenopathy of unclear cause. She was discharged home on 7/31/21 after her fever, appetite and diarrhea improved to complete her antibiotic course. She was still having temperatures of 99.9 on discharge and some diarrhea. her white blood cell count was 11.8 with no neutrophilia. She has never had covid 19 infection. Her spouse needed to take a leave from work after discharge to help her while she recovered at home.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lactic acidosis, Left ventricular dysfunction, Leukocytosis, Liver function test normal, Lung opacity
Clinical narrative: Patient was vaccinated with her second Moderna covid19 vaccine on 5/21/21. She had no prior history of infections or hospitalizations and is a controlled type 1 diabetic since her 30's.  She was admitted to the hospital after being evaluated in the  emergency room on 7/27/2021 with her husband due to complaints of fevers and temps of 101-105 since  7/25/2021.   She started having chills, abdominal pain, decreased appetite, dysuria, nausea, vomiting, and confusion and memory issues and has been taking ibuprofen and Tylenol without relief.  She saw her PCP and her urine was positive for a UTI and she was started on Cipro however her medications were sent to the wrong pharmacy and she was not able to pick these up and due to continued worsening symptoms she came into the ER for evaluation.  Patient reported she has always considered herself healthy  and her hemoglobin A1c has been around 7 for quite some time.  She reported lately over the last 2 months  since her covid 19 vaccines she has been having recurrent sinus infections and is also been having a problem with her Dexcom  implant sensor suffering infections and rashes due to it.  In the ER she was febrile with a temperature of 102.3 heart rate of 106 leukocytosis with lactic acidosis, hyponatremia and acute kidney injury as well as a urinalysis positive for UTI.  Chest x-ray showed moderate nonspecific patchy linear density in the left lung base she was noted to be confused blood and urine cultures were obtained she was given sepsis fluids Tylenol and ceftriaxone 1 g and subsequently admitted to the hospitalist service for severe sepsis, urinary tract infection, acute metabolic encephalopathy, hyponatremia, L sided pneumonia and acute kidney injury.  She was continued on IV fluids as well as ceftriaxone pending cultures.  Patient's blood blood cultures were positive for E. coli.  Patient's urine culture ended up growing a mixed flora and UTI was ruled out. The source for the e coli bacteremia was unclear but her hospital course was complicated by severe, protracted diarrhea, abdominal pain, poor appetite and nausea/vomiting.  stool cx was negative and c diff PCR x 2 was negative.     The cause for the patient's diarrhea was unclear and a colitis was suggested.  Surgical consult was obtained and the surgical team followed her throughout her hospital course.  They did not feel that the gallbladder was causing acute pathology or issues given her negative exam and normal liver function test. CT chest revealed b/l axillary adenopathy of unclear cause. She was discharged home on 7/31/21 after her fever, appetite and diarrhea improved to complete her antibiotic course. She was still having temperatures of 99.9 on discharge and some diarrhea. her white blood cell count was 11.8 with no neutrophilia. She has never had covid 19 infection. Her spouse needed to take a leave from work after discharge to help her while she recovered at home.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lymphadenopathy, Memory impairment, Metabolic encephalopathy, Nausea, Pneumonia
Clinical narrative: Patient was vaccinated with her second Moderna covid19 vaccine on 5/21/21. She had no prior history of infections or hospitalizations and is a controlled type 1 diabetic since her 30's.  She was admitted to the hospital after being evaluated in the  emergency room on 7/27/2021 with her husband due to complaints of fevers and temps of 101-105 since  7/25/2021.   She started having chills, abdominal pain, decreased appetite, dysuria, nausea, vomiting, and confusion and memory issues and has been taking ibuprofen and Tylenol without relief.  She saw her PCP and her urine was positive for a UTI and she was started on Cipro however her medications were sent to the wrong pharmacy and she was not able to pick these up and due to continued worsening symptoms she came into the ER for evaluation.  Patient reported she has always considered herself healthy  and her hemoglobin A1c has been around 7 for quite some time.  She reported lately over the last 2 months  since her covid 19 vaccines she has been having recurrent sinus infections and is also been having a problem with her Dexcom  implant sensor suffering infections and rashes due to it.  In the ER she was febrile with a temperature of 102.3 heart rate of 106 leukocytosis with lactic acidosis, hyponatremia and acute kidney injury as well as a urinalysis positive for UTI.  Chest x-ray showed moderate nonspecific patchy linear density in the left lung base she was noted to be confused blood and urine cultures were obtained she was given sepsis fluids Tylenol and ceftriaxone 1 g and subsequently admitted to the hospitalist service for severe sepsis, urinary tract infection, acute metabolic encephalopathy, hyponatremia, L sided pneumonia and acute kidney injury.  She was continued on IV fluids as well as ceftriaxone pending cultures.  Patient's blood blood cultures were positive for E. coli.  Patient's urine culture ended up growing a mixed flora and UTI was ruled out. The source for the e coli bacteremia was unclear but her hospital course was complicated by severe, protracted diarrhea, abdominal pain, poor appetite and nausea/vomiting.  stool cx was negative and c diff PCR x 2 was negative.     The cause for the patient's diarrhea was unclear and a colitis was suggested.  Surgical consult was obtained and the surgical team followed her throughout her hospital course.  They did not feel that the gallbladder was causing acute pathology or issues given her negative exam and normal liver function test. CT chest revealed b/l axillary adenopathy of unclear cause. She was discharged home on 7/31/21 after her fever, appetite and diarrhea improved to complete her antibiotic course. She was still having temperatures of 99.9 on discharge and some diarrhea. her white blood cell count was 11.8 with no neutrophilia. She has never had covid 19 infection. Her spouse needed to take a leave from work after discharge to help her while she recovered at home.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Rash, SARS-CoV-2 test negative, Sepsis, Sinusitis
Clinical narrative: Patient was vaccinated with her second Moderna covid19 vaccine on 5/21/21. She had no prior history of infections or hospitalizations and is a controlled type 1 diabetic since her 30's.  She was admitted to the hospital after being evaluated in the  emergency room on 7/27/2021 with her husband due to complaints of fevers and temps of 101-105 since  7/25/2021.   She started having chills, abdominal pain, decreased appetite, dysuria, nausea, vomiting, and confusion and memory issues and has been taking ibuprofen and Tylenol without relief.  She saw her PCP and her urine was positive for a UTI and she was started on Cipro however her medications were sent to the wrong pharmacy and she was not able to pick these up and due to continued worsening symptoms she came into the ER for evaluation.  Patient reported she has always considered herself healthy  and her hemoglobin A1c has been around 7 for quite some time.  She reported lately over the last 2 months  since her covid 19 vaccines she has been having recurrent sinus infections and is also been having a problem with her Dexcom  implant sensor suffering infections and rashes due to it.  In the ER she was febrile with a temperature of 102.3 heart rate of 106 leukocytosis with lactic acidosis, hyponatremia and acute kidney injury as well as a urinalysis positive for UTI.  Chest x-ray showed moderate nonspecific patchy linear density in the left lung base she was noted to be confused blood and urine cultures were obtained she was given sepsis fluids Tylenol and ceftriaxone 1 g and subsequently admitted to the hospitalist service for severe sepsis, urinary tract infection, acute metabolic encephalopathy, hyponatremia, L sided pneumonia and acute kidney injury.  She was continued on IV fluids as well as ceftriaxone pending cultures.  Patient's blood blood cultures were positive for E. coli.  Patient's urine culture ended up growing a mixed flora and UTI was ruled out. The source for the e coli bacteremia was unclear but her hospital course was complicated by severe, protracted diarrhea, abdominal pain, poor appetite and nausea/vomiting.  stool cx was negative and c diff PCR x 2 was negative.     The cause for the patient's diarrhea was unclear and a colitis was suggested.  Surgical consult was obtained and the surgical team followed her throughout her hospital course.  They did not feel that the gallbladder was causing acute pathology or issues given her negative exam and normal liver function test. CT chest revealed b/l axillary adenopathy of unclear cause. She was discharged home on 7/31/21 after her fever, appetite and diarrhea improved to complete her antibiotic course. She was still having temperatures of 99.9 on discharge and some diarrhea. her white blood cell count was 11.8 with no neutrophilia. She has never had covid 19 infection. Her spouse needed to take a leave from work after discharge to help her while she recovered at home.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Staphylococcus test negative, Ultrasound abdomen abnormal, Urinary tract infection, Urine analysis abnormal, Vomiting
Clinical narrative: Patient was vaccinated with her second Moderna covid19 vaccine on 5/21/21. She had no prior history of infections or hospitalizations and is a controlled type 1 diabetic since her 30's.  She was admitted to the hospital after being evaluated in the  emergency room on 7/27/2021 with her husband due to complaints of fevers and temps of 101-105 since  7/25/2021.   She started having chills, abdominal pain, decreased appetite, dysuria, nausea, vomiting, and confusion and memory issues and has been taking ibuprofen and Tylenol without relief.  She saw her PCP and her urine was positive for a UTI and she was started on Cipro however her medications were sent to the wrong pharmacy and she was not able to pick these up and due to continued worsening symptoms she came into the ER for evaluation.  Patient reported she has always considered herself healthy  and her hemoglobin A1c has been around 7 for quite some time.  She reported lately over the last 2 months  since her covid 19 vaccines she has been having recurrent sinus infections and is also been having a problem with her Dexcom  implant sensor suffering infections and rashes due to it.  In the ER she was febrile with a temperature of 102.3 heart rate of 106 leukocytosis with lactic acidosis, hyponatremia and acute kidney injury as well as a urinalysis positive for UTI.  Chest x-ray showed moderate nonspecific patchy linear density in the left lung base she was noted to be confused blood and urine cultures were obtained she was given sepsis fluids Tylenol and ceftriaxone 1 g and subsequently admitted to the hospitalist service for severe sepsis, urinary tract infection, acute metabolic encephalopathy, hyponatremia, L sided pneumonia and acute kidney injury.  She was continued on IV fluids as well as ceftriaxone pending cultures.  Patient's blood blood cultures were positive for E. coli.  Patient's urine culture ended up growing a mixed flora and UTI was ruled out. The source for the e coli bacteremia was unclear but her hospital course was complicated by severe, protracted diarrhea, abdominal pain, poor appetite and nausea/vomiting.  stool cx was negative and c diff PCR x 2 was negative.     The cause for the patient's diarrhea was unclear and a colitis was suggested.  Surgical consult was obtained and the surgical team followed her throughout her hospital course.  They did not feel that the gallbladder was causing acute pathology or issues given her negative exam and normal liver function test. CT chest revealed b/l axillary adenopathy of unclear cause. She was discharged home on 7/31/21 after her fever, appetite and diarrhea improved to complete her antibiotic course. She was still having temperatures of 99.9 on discharge and some diarrhea. her white blood cell count was 11.8 with no neutrophilia. She has never had covid 19 infection. Her spouse needed to take a leave from work after discharge to help her while she recovered at home.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: White blood cell count increased
Clinical narrative: Patient was vaccinated with her second Moderna covid19 vaccine on 5/21/21. She had no prior history of infections or hospitalizations and is a controlled type 1 diabetic since her 30's.  She was admitted to the hospital after being evaluated in the  emergency room on 7/27/2021 with her husband due to complaints of fevers and temps of 101-105 since  7/25/2021.   She started having chills, abdominal pain, decreased appetite, dysuria, nausea, vomiting, and confusion and memory issues and has been taking ibuprofen and Tylenol without relief.  She saw her PCP and her urine was positive for a UTI and she was started on Cipro however her medications were sent to the wrong pharmacy and she was not able to pick these up and due to continued worsening symptoms she came into the ER for evaluation.  Patient reported she has always considered herself healthy  and her hemoglobin A1c has been around 7 for quite some time.  She reported lately over the last 2 months  since her covid 19 vaccines she has been having recurrent sinus infections and is also been having a problem with her Dexcom  implant sensor suffering infections and rashes due to it.  In the ER she was febrile with a temperature of 102.3 heart rate of 106 leukocytosis with lactic acidosis, hyponatremia and acute kidney injury as well as a urinalysis positive for UTI.  Chest x-ray showed moderate nonspecific patchy linear density in the left lung base she was noted to be confused blood and urine cultures were obtained she was given sepsis fluids Tylenol and ceftriaxone 1 g and subsequently admitted to the hospitalist service for severe sepsis, urinary tract infection, acute metabolic encephalopathy, hyponatremia, L sided pneumonia and acute kidney injury.  She was continued on IV fluids as well as ceftriaxone pending cultures.  Patient's blood blood cultures were positive for E. coli.  Patient's urine culture ended up growing a mixed flora and UTI was ruled out. The source for the e coli bacteremia was unclear but her hospital course was complicated by severe, protracted diarrhea, abdominal pain, poor appetite and nausea/vomiting.  stool cx was negative and c diff PCR x 2 was negative.     The cause for the patient's diarrhea was unclear and a colitis was suggested.  Surgical consult was obtained and the surgical team followed her throughout her hospital course.  They did not feel that the gallbladder was causing acute pathology or issues given her negative exam and normal liver function test. CT chest revealed b/l axillary adenopathy of unclear cause. She was discharged home on 7/31/21 after her fever, appetite and diarrhea improved to complete her antibiotic course. She was still having temperatures of 99.9 on discharge and some diarrhea. her white blood cell count was 11.8 with no neutrophilia. She has never had covid 19 infection. Her spouse needed to take a leave from work after discharge to help her while she recovered at home.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal distension, Abdominal pain, Ageusia, Amnesia, Aptyalism
Clinical narrative: Patient was vaccinated with her second Moderna covid19 vaccine on 5/21/21. She had no prior history of infections or hospitalizations and is a controlled type 1 diabetic since her 30's.  She was admitted to the hospital after being evaluated in the  emergency room on 7/27/2021 with her husband due to complaints of fevers and temps of 101-105 since  7/25/2021.   She started having chills, abdominal pain, decreased appetite, dysuria, nausea, vomiting, and confusion and memory issues and has been taking ibuprofen and Tylenol without relief.  She saw her PCP and her urine was positive for a UTI and she was started on Cipro however her medications were sent to the wrong pharmacy and she was not able to pick these up and due to continued worsening symptoms she came into the ER for evaluation.  Patient reported she has always considered herself healthy  and her hemoglobin A1c has been around 7 for quite some time.  She reported lately over the last 2 months  since her covid 19 vaccines she has been having recurrent sinus infections and is also been having a problem with her Dexcom  implant sensor suffering infections and rashes due to it.  In the ER she was febrile with a temperature of 102.3 heart rate of 106 leukocytosis with lactic acidosis, hyponatremia and acute kidney injury as well as a urinalysis positive for UTI.  Chest x-ray showed moderate nonspecific patchy linear density in the left lung base she was noted to be confused blood and urine cultures were obtained she was given sepsis fluids Tylenol and ceftriaxone 1 g and subsequently admitted to the hospitalist service for severe sepsis, urinary tract infection, acute metabolic encephalopathy, hyponatremia, L sided pneumonia and acute kidney injury.  She was continued on IV fluids as well as ceftriaxone pending cultures.  Patient's blood blood cultures were positive for E. coli.  Patient's urine culture ended up growing a mixed flora and UTI was ruled out. The source for the e coli bacteremia was unclear but her hospital course was complicated by severe, protracted diarrhea, abdominal pain, poor appetite and nausea/vomiting.  stool cx was negative and c diff PCR x 2 was negative.     The cause for the patient's diarrhea was unclear and a colitis was suggested.  Surgical consult was obtained and the surgical team followed her throughout her hospital course.  They did not feel that the gallbladder was causing acute pathology or issues given her negative exam and normal liver function test. CT chest revealed b/l axillary adenopathy of unclear cause. She was discharged home on 7/31/21 after her fever, appetite and diarrhea improved to complete her antibiotic course. She was still having temperatures of 99.9 on discharge and some diarrhea. her white blood cell count was 11.8 with no neutrophilia. She has never had covid 19 infection. Her spouse needed to take a leave from work after discharge to help her while she recovered at home.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Blood magnesium decreased, Blood sodium decreased, Body temperature increased, Dehydration
Clinical narrative: Patient was vaccinated with her second Moderna covid19 vaccine on 5/21/21. She had no prior history of infections or hospitalizations and is a controlled type 1 diabetic since her 30's.  She was admitted to the hospital after being evaluated in the  emergency room on 7/27/2021 with her husband due to complaints of fevers and temps of 101-105 since  7/25/2021.   She started having chills, abdominal pain, decreased appetite, dysuria, nausea, vomiting, and confusion and memory issues and has been taking ibuprofen and Tylenol without relief.  She saw her PCP and her urine was positive for a UTI and she was started on Cipro however her medications were sent to the wrong pharmacy and she was not able to pick these up and due to continued worsening symptoms she came into the ER for evaluation.  Patient reported she has always considered herself healthy  and her hemoglobin A1c has been around 7 for quite some time.  She reported lately over the last 2 months  since her covid 19 vaccines she has been having recurrent sinus infections and is also been having a problem with her Dexcom  implant sensor suffering infections and rashes due to it.  In the ER she was febrile with a temperature of 102.3 heart rate of 106 leukocytosis with lactic acidosis, hyponatremia and acute kidney injury as well as a urinalysis positive for UTI.  Chest x-ray showed moderate nonspecific patchy linear density in the left lung base she was noted to be confused blood and urine cultures were obtained she was given sepsis fluids Tylenol and ceftriaxone 1 g and subsequently admitted to the hospitalist service for severe sepsis, urinary tract infection, acute metabolic encephalopathy, hyponatremia, L sided pneumonia and acute kidney injury.  She was continued on IV fluids as well as ceftriaxone pending cultures.  Patient's blood blood cultures were positive for E. coli.  Patient's urine culture ended up growing a mixed flora and UTI was ruled out. The source for the e coli bacteremia was unclear but her hospital course was complicated by severe, protracted diarrhea, abdominal pain, poor appetite and nausea/vomiting.  stool cx was negative and c diff PCR x 2 was negative.     The cause for the patient's diarrhea was unclear and a colitis was suggested.  Surgical consult was obtained and the surgical team followed her throughout her hospital course.  They did not feel that the gallbladder was causing acute pathology or issues given her negative exam and normal liver function test. CT chest revealed b/l axillary adenopathy of unclear cause. She was discharged home on 7/31/21 after her fever, appetite and diarrhea improved to complete her antibiotic course. She was still having temperatures of 99.9 on discharge and some diarrhea. her white blood cell count was 11.8 with no neutrophilia. She has never had covid 19 infection. Her spouse needed to take a leave from work after discharge to help her while she recovered at home.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Dizziness, Escherichia infection, Fatigue, Influenza like illness
Clinical narrative: Patient was vaccinated with her second Moderna covid19 vaccine on 5/21/21. She had no prior history of infections or hospitalizations and is a controlled type 1 diabetic since her 30's.  She was admitted to the hospital after being evaluated in the  emergency room on 7/27/2021 with her husband due to complaints of fevers and temps of 101-105 since  7/25/2021.   She started having chills, abdominal pain, decreased appetite, dysuria, nausea, vomiting, and confusion and memory issues and has been taking ibuprofen and Tylenol without relief.  She saw her PCP and her urine was positive for a UTI and she was started on Cipro however her medications were sent to the wrong pharmacy and she was not able to pick these up and due to continued worsening symptoms she came into the ER for evaluation.  Patient reported she has always considered herself healthy  and her hemoglobin A1c has been around 7 for quite some time.  She reported lately over the last 2 months  since her covid 19 vaccines she has been having recurrent sinus infections and is also been having a problem with her Dexcom  implant sensor suffering infections and rashes due to it.  In the ER she was febrile with a temperature of 102.3 heart rate of 106 leukocytosis with lactic acidosis, hyponatremia and acute kidney injury as well as a urinalysis positive for UTI.  Chest x-ray showed moderate nonspecific patchy linear density in the left lung base she was noted to be confused blood and urine cultures were obtained she was given sepsis fluids Tylenol and ceftriaxone 1 g and subsequently admitted to the hospitalist service for severe sepsis, urinary tract infection, acute metabolic encephalopathy, hyponatremia, L sided pneumonia and acute kidney injury.  She was continued on IV fluids as well as ceftriaxone pending cultures.  Patient's blood blood cultures were positive for E. coli.  Patient's urine culture ended up growing a mixed flora and UTI was ruled out. The source for the e coli bacteremia was unclear but her hospital course was complicated by severe, protracted diarrhea, abdominal pain, poor appetite and nausea/vomiting.  stool cx was negative and c diff PCR x 2 was negative.     The cause for the patient's diarrhea was unclear and a colitis was suggested.  Surgical consult was obtained and the surgical team followed her throughout her hospital course.  They did not feel that the gallbladder was causing acute pathology or issues given her negative exam and normal liver function test. CT chest revealed b/l axillary adenopathy of unclear cause. She was discharged home on 7/31/21 after her fever, appetite and diarrhea improved to complete her antibiotic course. She was still having temperatures of 99.9 on discharge and some diarrhea. her white blood cell count was 11.8 with no neutrophilia. She has never had covid 19 infection. Her spouse needed to take a leave from work after discharge to help her while she recovered at home.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pneumonia, Sepsis, Tremor, Vision blurred
Clinical narrative: Patient was vaccinated with her second Moderna covid19 vaccine on 5/21/21. She had no prior history of infections or hospitalizations and is a controlled type 1 diabetic since her 30's.  She was admitted to the hospital after being evaluated in the  emergency room on 7/27/2021 with her husband due to complaints of fevers and temps of 101-105 since  7/25/2021.   She started having chills, abdominal pain, decreased appetite, dysuria, nausea, vomiting, and confusion and memory issues and has been taking ibuprofen and Tylenol without relief.  She saw her PCP and her urine was positive for a UTI and she was started on Cipro however her medications were sent to the wrong pharmacy and she was not able to pick these up and due to continued worsening symptoms she came into the ER for evaluation.  Patient reported she has always considered herself healthy  and her hemoglobin A1c has been around 7 for quite some time.  She reported lately over the last 2 months  since her covid 19 vaccines she has been having recurrent sinus infections and is also been having a problem with her Dexcom  implant sensor suffering infections and rashes due to it.  In the ER she was febrile with a temperature of 102.3 heart rate of 106 leukocytosis with lactic acidosis, hyponatremia and acute kidney injury as well as a urinalysis positive for UTI.  Chest x-ray showed moderate nonspecific patchy linear density in the left lung base she was noted to be confused blood and urine cultures were obtained she was given sepsis fluids Tylenol and ceftriaxone 1 g and subsequently admitted to the hospitalist service for severe sepsis, urinary tract infection, acute metabolic encephalopathy, hyponatremia, L sided pneumonia and acute kidney injury.  She was continued on IV fluids as well as ceftriaxone pending cultures.  Patient's blood blood cultures were positive for E. coli.  Patient's urine culture ended up growing a mixed flora and UTI was ruled out. The source for the e coli bacteremia was unclear but her hospital course was complicated by severe, protracted diarrhea, abdominal pain, poor appetite and nausea/vomiting.  stool cx was negative and c diff PCR x 2 was negative.     The cause for the patient's diarrhea was unclear and a colitis was suggested.  Surgical consult was obtained and the surgical team followed her throughout her hospital course.  They did not feel that the gallbladder was causing acute pathology or issues given her negative exam and normal liver function test. CT chest revealed b/l axillary adenopathy of unclear cause. She was discharged home on 7/31/21 after her fever, appetite and diarrhea improved to complete her antibiotic course. She was still having temperatures of 99.9 on discharge and some diarrhea. her white blood cell count was 11.8 with no neutrophilia. She has never had covid 19 infection. Her spouse needed to take a leave from work after discharge to help her while she recovered at home.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Insomnia, Paranasal sinus discomfort, Respiratory tract congestion
Clinical narrative: Slight sinus headache with congestion, tiredness.  Following morning woke up with a mild sinus headache with congestion and pressure.  Headache and congestion got gradually better in the evening.  Second morning after vaccination, woke up around 3am EST with slight dizziness and congestion.  Could not go back to sleep.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Sinus headache
Clinical narrative: Slight sinus headache with congestion, tiredness.  Following morning woke up with a mild sinus headache with congestion and pressure.  Headache and congestion got gradually better in the evening.  Second morning after vaccination, woke up around 3am EST with slight dizziness and congestion.  Could not go back to sleep.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Blood donation, HLA marker study positive
Clinical narrative: I am a consistent blood donor. HLA antibodies have never been detected in my blood.  I donated January 2021 and my blood was accepted for transfusion, I donated next in May 2021 post covid vaccination and my blood is no longer tranfusable due to high HLA antibody circulation. I have not been pregnant in this time or had any contact with another?s blood.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Abnormal loss of weight, Acute kidney injury, Biopsy colon abnormal, Biopsy rectum abnormal
Clinical narrative: Pt received her first moderna covid 19 vaccine on 3/2/2021. She never went for her second dose as she feels she went downhill since. Pt has no significant medical problems  other than chronic, mild normocytic anemia, alopecia and vit D deficiency and was on no medications prior other than vitamin D prior to admission. She considered herself active and healthy. After her vaccination she was diagnosed with 2 urinary tract infections and  she also began having poor appetite and abdominal complaints which continued to progress to the point she presented to our emergency room  on 7/25/21 after sustaining an over 20lb weight loss with complaints of poor appetite, abdominal pain, significant nausea, shaking chills, fever, blood in her stool and severe fatigue. She was also recently diagnosed with 2 urinary tract infections of which she has never had before in her life recently treated with bactrim and then ciprofloxacin antibiotics. She was admitted to the hospital with severe sepsis with wbc of 27,000 with left shift, thrombocytosis with platelets of 616,000, colitis, dehydration, metabolic encephalopathy, malnutrtition and acute kidney injury. CT of the abdomen and pelvis revealed colitis of the proximal and mid sigmoid colon. Her hospital course was protracted with initially persistent fever and sign nausea and severe fatigue. she ultimately underwent sigmoidoscopy with gastroenterology which revealed ulcerative colitis.  She was started on iv steroids and ultimately discharged home on oral steroids and rectal steroids and antibiotics to follow up with GI as out pt. she was seen throughout her hospital course by GI, general surgery and infectious disease. she denies prior hx of covid 19. she was discharged home on 8/1/21. her wbc on discharge was 10..1 but she continues to have neutrophilia and lymphopenia.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Blood culture negative, C-reactive protein increased, Chills, Colitis, Colitis ulcerative
Clinical narrative: Pt received her first moderna covid 19 vaccine on 3/2/2021. She never went for her second dose as she feels she went downhill since. Pt has no significant medical problems  other than chronic, mild normocytic anemia, alopecia and vit D deficiency and was on no medications prior other than vitamin D prior to admission. She considered herself active and healthy. After her vaccination she was diagnosed with 2 urinary tract infections and  she also began having poor appetite and abdominal complaints which continued to progress to the point she presented to our emergency room  on 7/25/21 after sustaining an over 20lb weight loss with complaints of poor appetite, abdominal pain, significant nausea, shaking chills, fever, blood in her stool and severe fatigue. She was also recently diagnosed with 2 urinary tract infections of which she has never had before in her life recently treated with bactrim and then ciprofloxacin antibiotics. She was admitted to the hospital with severe sepsis with wbc of 27,000 with left shift, thrombocytosis with platelets of 616,000, colitis, dehydration, metabolic encephalopathy, malnutrtition and acute kidney injury. CT of the abdomen and pelvis revealed colitis of the proximal and mid sigmoid colon. Her hospital course was protracted with initially persistent fever and sign nausea and severe fatigue. she ultimately underwent sigmoidoscopy with gastroenterology which revealed ulcerative colitis.  She was started on iv steroids and ultimately discharged home on oral steroids and rectal steroids and antibiotics to follow up with GI as out pt. she was seen throughout her hospital course by GI, general surgery and infectious disease. she denies prior hx of covid 19. she was discharged home on 8/1/21. her wbc on discharge was 10..1 but she continues to have neutrophilia and lymphopenia.