chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: U
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature, Injection site erythema, Myalgia, Pyrexia
Clinical narrative: Mild injection site swelling; Mild injection site pain and no interference with activity/Mild injection site tenderness (tender to touch); Mild injection site redness; Mild fever (100.4 to 101.2 °F); Mild muscle pain and no interference with activity; Joint pain and no interference with activity; This spontaneous case was reported by a non-healthcare professional and describes the occurrence of VACCINATION SITE SWELLING (Mild injection site swelling), VACCINATION SITE PAIN (Mild injection site pain and no interference with activity/Mild injection site tenderness (tender to touch)), INJECTION SITE ERYTHEMA (Mild injection site redness), PYREXIA (Mild fever (100.4 to 101.2 °F)) and MYALGIA (Mild muscle pain and no interference with activity) in a patient of an unknown age and gender who received mRNA-1273.815 (SPIKEVAX 2023-2024) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.    In December 2023, the patient received dose of mRNA-1273.815 (SPIKEVAX 2023-2024) (unknown route) 1 dosage form. In December 2023, the patient experienced VACCINATION SITE SWELLING (Mild injection site swelling), VACCINATION SITE PAIN (Mild injection site pain and no interference with activity/Mild injection site tenderness (tender to touch)), INJECTION SITE ERYTHEMA (Mild injection site redness), PYREXIA (Mild fever (100.4 to 101.2 °F)), MYALGIA (Mild muscle pain and no interference with activity) and ARTHRALGIA (Joint pain and no interference with activity). At the time of the report, VACCINATION SITE SWELLING (Mild injection site swelling), VACCINATION SITE PAIN (Mild injection site pain and no interference with activity/Mild injection site tenderness (tender to touch)), INJECTION SITE ERYTHEMA (Mild injection site redness), PYREXIA (Mild fever (100.4 to 101.2 °F)), MYALGIA (Mild muscle pain and no interference with activity) and ARTHRALGIA (Joint pain and no interference with activity) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In December 2023, Body temperature: fever (100.4 to 101.2 °F).         Concomitant medications were not reported. Regulatory Authority Subject ID was reported as 11911-22852 Database Subject ID was reported as 5472539.  The patient experienced events anytime during the 2 days after COVID-19 vaccination, which occurred on Sunday, Dec  17, 2023 and Monday, Dec 18, 2023.   No treatment information was provided.   This case was linked to US-MODERNATX, INC.-MOD-2024-756177 (E2B Linked Report).; Sender's Comments:  US-MODERNATX, INC.-MOD-2024-756177:Patient no 41
Sex: U
Vaccine: COVID19
Symptoms: Vaccination site pain, Vaccination site swelling
Clinical narrative: Mild injection site swelling; Mild injection site pain and no interference with activity/Mild injection site tenderness (tender to touch); Mild injection site redness; Mild fever (100.4 to 101.2 °F); Mild muscle pain and no interference with activity; Joint pain and no interference with activity; This spontaneous case was reported by a non-healthcare professional and describes the occurrence of VACCINATION SITE SWELLING (Mild injection site swelling), VACCINATION SITE PAIN (Mild injection site pain and no interference with activity/Mild injection site tenderness (tender to touch)), INJECTION SITE ERYTHEMA (Mild injection site redness), PYREXIA (Mild fever (100.4 to 101.2 °F)) and MYALGIA (Mild muscle pain and no interference with activity) in a patient of an unknown age and gender who received mRNA-1273.815 (SPIKEVAX 2023-2024) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.    In December 2023, the patient received dose of mRNA-1273.815 (SPIKEVAX 2023-2024) (unknown route) 1 dosage form. In December 2023, the patient experienced VACCINATION SITE SWELLING (Mild injection site swelling), VACCINATION SITE PAIN (Mild injection site pain and no interference with activity/Mild injection site tenderness (tender to touch)), INJECTION SITE ERYTHEMA (Mild injection site redness), PYREXIA (Mild fever (100.4 to 101.2 °F)), MYALGIA (Mild muscle pain and no interference with activity) and ARTHRALGIA (Joint pain and no interference with activity). At the time of the report, VACCINATION SITE SWELLING (Mild injection site swelling), VACCINATION SITE PAIN (Mild injection site pain and no interference with activity/Mild injection site tenderness (tender to touch)), INJECTION SITE ERYTHEMA (Mild injection site redness), PYREXIA (Mild fever (100.4 to 101.2 °F)), MYALGIA (Mild muscle pain and no interference with activity) and ARTHRALGIA (Joint pain and no interference with activity) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In December 2023, Body temperature: fever (100.4 to 101.2 °F).         Concomitant medications were not reported. Regulatory Authority Subject ID was reported as 11911-22852 Database Subject ID was reported as 5472539.  The patient experienced events anytime during the 2 days after COVID-19 vaccination, which occurred on Sunday, Dec  17, 2023 and Monday, Dec 18, 2023.   No treatment information was provided.   This case was linked to US-MODERNATX, INC.-MOD-2024-756177 (E2B Linked Report).; Sender's Comments:  US-MODERNATX, INC.-MOD-2024-756177:Patient no 41
Sex: U
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature, Headache, Injection site erythema, Malaise
Clinical narrative: Mild malaise/feeling sick and no interference with activity; Mild injection site pain and no interference with activityMild injection site tenderness (tender to touch; Mild injection site redness; Mild fever (100.4 to 101.2 °F); Joint pain and no interference with activity; Headache and no interference with activity; This spontaneous case was reported by a non-healthcare professional and describes the occurrence of MALAISE (Mild malaise/feeling sick and no interference with activity), VACCINATION SITE PAIN (Mild injection site pain and no interference with activityMild injection site tenderness (tender to touch), INJECTION SITE ERYTHEMA (Mild injection site redness), PYREXIA (Mild fever (100.4 to 101.2 °F)) and ARTHRALGIA (Joint pain and no interference with activity) in a patient of an unknown age and gender who received mRNA-1273.815 (SPIKEVAX 2023-2024) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.    In December 2023, the patient received dose of mRNA-1273.815 (SPIKEVAX 2023-2024) (unknown route) 1 dosage form. In December 2023, the patient experienced MALAISE (Mild malaise/feeling sick and no interference with activity), VACCINATION SITE PAIN (Mild injection site pain and no interference with activityMild injection site tenderness (tender to touch), INJECTION SITE ERYTHEMA (Mild injection site redness), PYREXIA (Mild fever (100.4 to 101.2 °F)), ARTHRALGIA (Joint pain and no interference with activity) and HEADACHE (Headache and no interference with activity). At the time of the report, MALAISE (Mild malaise/feeling sick and no interference with activity), VACCINATION SITE PAIN (Mild injection site pain and no interference with activityMild injection site tenderness (tender to touch), INJECTION SITE ERYTHEMA (Mild injection site redness), PYREXIA (Mild fever (100.4 to 101.2 °F)), ARTHRALGIA (Joint pain and no interference with activity) and HEADACHE (Headache and no interference with activity) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In December 2023, Body temperature: fever (100.4 to 101.2 °F).         Concomitant medications were not reported. No treatment information was provided. The patient experienced evets anytime during the 2 days after vaccination which were Sunday, Dec 17, 2023 and  Monday, Dec 18, 2023. Subject ID was reported as 61513-36254 Agency Subject ID was reported as 5470886   This case was linked to US-MODERNATX, INC.-MOD-2024-756177 (Linked Report).; Sender's Comments:  US-MODERNATX, INC.-MOD-2024-756177:Patient 24 out of 49
Sex: U
Vaccine: COVID19
Symptoms: Pyrexia, Vaccination site pain
Clinical narrative: Mild malaise/feeling sick and no interference with activity; Mild injection site pain and no interference with activityMild injection site tenderness (tender to touch; Mild injection site redness; Mild fever (100.4 to 101.2 °F); Joint pain and no interference with activity; Headache and no interference with activity; This spontaneous case was reported by a non-healthcare professional and describes the occurrence of MALAISE (Mild malaise/feeling sick and no interference with activity), VACCINATION SITE PAIN (Mild injection site pain and no interference with activityMild injection site tenderness (tender to touch), INJECTION SITE ERYTHEMA (Mild injection site redness), PYREXIA (Mild fever (100.4 to 101.2 °F)) and ARTHRALGIA (Joint pain and no interference with activity) in a patient of an unknown age and gender who received mRNA-1273.815 (SPIKEVAX 2023-2024) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.    In December 2023, the patient received dose of mRNA-1273.815 (SPIKEVAX 2023-2024) (unknown route) 1 dosage form. In December 2023, the patient experienced MALAISE (Mild malaise/feeling sick and no interference with activity), VACCINATION SITE PAIN (Mild injection site pain and no interference with activityMild injection site tenderness (tender to touch), INJECTION SITE ERYTHEMA (Mild injection site redness), PYREXIA (Mild fever (100.4 to 101.2 °F)), ARTHRALGIA (Joint pain and no interference with activity) and HEADACHE (Headache and no interference with activity). At the time of the report, MALAISE (Mild malaise/feeling sick and no interference with activity), VACCINATION SITE PAIN (Mild injection site pain and no interference with activityMild injection site tenderness (tender to touch), INJECTION SITE ERYTHEMA (Mild injection site redness), PYREXIA (Mild fever (100.4 to 101.2 °F)), ARTHRALGIA (Joint pain and no interference with activity) and HEADACHE (Headache and no interference with activity) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In December 2023, Body temperature: fever (100.4 to 101.2 °F).         Concomitant medications were not reported. No treatment information was provided. The patient experienced evets anytime during the 2 days after vaccination which were Sunday, Dec 17, 2023 and  Monday, Dec 18, 2023. Subject ID was reported as 61513-36254 Agency Subject ID was reported as 5470886   This case was linked to US-MODERNATX, INC.-MOD-2024-756177 (Linked Report).; Sender's Comments:  US-MODERNATX, INC.-MOD-2024-756177:Patient 24 out of 49
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dermatitis, Rash, Urticaria
Clinical narrative: Severe rash and then acute dermatitis on scalp. Hives on body and face for years after. Weekly and sometimes daily hives.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cyanosis, Erythema, Heart rate decreased, Joint swelling
Clinical narrative: I can barely read the writing on my Vaccine card so the letters might be wrong.  Symptoms were sudden swelling of feet and legs. I went to a clinic and the doctor told me to go to ER. There they tested me for covid and it was negative. my heart rate was as low as 40. I wasn't short of breath. they ran tests but didn't admit me. they told me  to go to my Primary care doctor. I did, and she referred me to specialists. Not one doctor could find anything wrong with me but the swelling continued. when i wore shoes my legs would swell from knees down and feet turn blue/red  Still today, there are times my feet turns color and my stamina hasn't returned to what it was prior to vaccine.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Peripheral swelling, SARS-CoV-2 test negative
Clinical narrative: I can barely read the writing on my Vaccine card so the letters might be wrong.  Symptoms were sudden swelling of feet and legs. I went to a clinic and the doctor told me to go to ER. There they tested me for covid and it was negative. my heart rate was as low as 40. I wasn't short of breath. they ran tests but didn't admit me. they told me  to go to my Primary care doctor. I did, and she referred me to specialists. Not one doctor could find anything wrong with me but the swelling continued. when i wore shoes my legs would swell from knees down and feet turn blue/red  Still today, there are times my feet turns color and my stamina hasn't returned to what it was prior to vaccine.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test, Aphasia, Arthralgia, Balance disorder, Blood cortisol
Clinical narrative: I went to the local pharmacy for a Pfizer Covid booster and became quite ill after that which continues to this day - Jan. 11th. My symptoms after getting the vaccine included fever, achy joints, insomnia, loss of vocabulary, slowed thinking and brain fog. I can no longer walk more than a block and have to sit rather than stand in all my activities. My balance continues to be off as well as muscle spasms. I had Lyme disease in 2019 and Covid itself in March 2020. My Lyme had been taken care of but similar symptoms came back after the vaccine. My immune system had been compromised, but I thought wrongly that the booster may even help decrease the virus and bacteria that were present in my body. I only got worse - much worse since the vaccine. I did note that pharmacy is one of the largest donor to our decision-makers in govt for whatever that is worth. I assume Pfizer is even higher up on the list of donors than is the pharmacy. Such is my life when money comes first and public health second. i will spend thousands of dollars to private doctors to try to get my health back and wind my way through the medical system as it is. My 15 minute visits with the PCP get me nowhere with Log Covid, Post-Lyme syndrome, permanent Epstein-Barr, or chronic fatigue syndrome - whatever it is that I have - still undiagnosed. Is there such a thing as post-vaccine syndrome? My retirement has turned into endless medical visits and trying to keep up with the bills and insurance bureaucracy. It is important for FDA - CDC - or any other public health entity to realize that each body is different. There are some people like myself in which the vaccine is devastating and life-altering. We should not have the option to risk our lifelong health if we are immunocompromised - or have any of the diseases that are still so misunderstood as those I listed earlier. We should be banned from being able to play roulette with Pfizer - take away my freedom and choice in the risk and do the science research that indicates there are indeed some individuals for which the vaccine is a horrible mistake. Thanks and let me know where to go from here or what the outcome of my time is. I paid $6K for many tests to determine how to get my life back. Spectracell Nutrient panel, EFA omegas, Epstein-Barr panel, DA Lyme Test connexion, GI FX comprehensive stool analysis, MRT allergy rest, Pre Metals, Post Metals, mycotoxin test, salivary cortisol x 4, urine hormone testing, toxic chemical profile. I am waiting six weeks to hear the results of the tests. All of the tests were taken four weeks ago and I await results.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Borrelia test, Bradyphrenia, Brain fog, Dysstasia, Fungal test
Clinical narrative: I went to the local pharmacy for a Pfizer Covid booster and became quite ill after that which continues to this day - Jan. 11th. My symptoms after getting the vaccine included fever, achy joints, insomnia, loss of vocabulary, slowed thinking and brain fog. I can no longer walk more than a block and have to sit rather than stand in all my activities. My balance continues to be off as well as muscle spasms. I had Lyme disease in 2019 and Covid itself in March 2020. My Lyme had been taken care of but similar symptoms came back after the vaccine. My immune system had been compromised, but I thought wrongly that the booster may even help decrease the virus and bacteria that were present in my body. I only got worse - much worse since the vaccine. I did note that pharmacy is one of the largest donor to our decision-makers in govt for whatever that is worth. I assume Pfizer is even higher up on the list of donors than is the pharmacy. Such is my life when money comes first and public health second. i will spend thousands of dollars to private doctors to try to get my health back and wind my way through the medical system as it is. My 15 minute visits with the PCP get me nowhere with Log Covid, Post-Lyme syndrome, permanent Epstein-Barr, or chronic fatigue syndrome - whatever it is that I have - still undiagnosed. Is there such a thing as post-vaccine syndrome? My retirement has turned into endless medical visits and trying to keep up with the bills and insurance bureaucracy. It is important for FDA - CDC - or any other public health entity to realize that each body is different. There are some people like myself in which the vaccine is devastating and life-altering. We should not have the option to risk our lifelong health if we are immunocompromised - or have any of the diseases that are still so misunderstood as those I listed earlier. We should be banned from being able to play roulette with Pfizer - take away my freedom and choice in the risk and do the science research that indicates there are indeed some individuals for which the vaccine is a horrible mistake. Thanks and let me know where to go from here or what the outcome of my time is. I paid $6K for many tests to determine how to get my life back. Spectracell Nutrient panel, EFA omegas, Epstein-Barr panel, DA Lyme Test connexion, GI FX comprehensive stool analysis, MRT allergy rest, Pre Metals, Post Metals, mycotoxin test, salivary cortisol x 4, urine hormone testing, toxic chemical profile. I am waiting six weeks to hear the results of the tests. All of the tests were taken four weeks ago and I await results.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, General physical health deterioration, Heavy metal test, Hormone analysis, Insomnia
Clinical narrative: I went to the local pharmacy for a Pfizer Covid booster and became quite ill after that which continues to this day - Jan. 11th. My symptoms after getting the vaccine included fever, achy joints, insomnia, loss of vocabulary, slowed thinking and brain fog. I can no longer walk more than a block and have to sit rather than stand in all my activities. My balance continues to be off as well as muscle spasms. I had Lyme disease in 2019 and Covid itself in March 2020. My Lyme had been taken care of but similar symptoms came back after the vaccine. My immune system had been compromised, but I thought wrongly that the booster may even help decrease the virus and bacteria that were present in my body. I only got worse - much worse since the vaccine. I did note that pharmacy is one of the largest donor to our decision-makers in govt for whatever that is worth. I assume Pfizer is even higher up on the list of donors than is the pharmacy. Such is my life when money comes first and public health second. i will spend thousands of dollars to private doctors to try to get my health back and wind my way through the medical system as it is. My 15 minute visits with the PCP get me nowhere with Log Covid, Post-Lyme syndrome, permanent Epstein-Barr, or chronic fatigue syndrome - whatever it is that I have - still undiagnosed. Is there such a thing as post-vaccine syndrome? My retirement has turned into endless medical visits and trying to keep up with the bills and insurance bureaucracy. It is important for FDA - CDC - or any other public health entity to realize that each body is different. There are some people like myself in which the vaccine is devastating and life-altering. We should not have the option to risk our lifelong health if we are immunocompromised - or have any of the diseases that are still so misunderstood as those I listed earlier. We should be banned from being able to play roulette with Pfizer - take away my freedom and choice in the risk and do the science research that indicates there are indeed some individuals for which the vaccine is a horrible mistake. Thanks and let me know where to go from here or what the outcome of my time is. I paid $6K for many tests to determine how to get my life back. Spectracell Nutrient panel, EFA omegas, Epstein-Barr panel, DA Lyme Test connexion, GI FX comprehensive stool analysis, MRT allergy rest, Pre Metals, Post Metals, mycotoxin test, salivary cortisol x 4, urine hormone testing, toxic chemical profile. I am waiting six weeks to hear the results of the tests. All of the tests were taken four weeks ago and I await results.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Loss of personal independence in daily activities, Malaise, Muscle spasms, Pyrexia
Clinical narrative: I went to the local pharmacy for a Pfizer Covid booster and became quite ill after that which continues to this day - Jan. 11th. My symptoms after getting the vaccine included fever, achy joints, insomnia, loss of vocabulary, slowed thinking and brain fog. I can no longer walk more than a block and have to sit rather than stand in all my activities. My balance continues to be off as well as muscle spasms. I had Lyme disease in 2019 and Covid itself in March 2020. My Lyme had been taken care of but similar symptoms came back after the vaccine. My immune system had been compromised, but I thought wrongly that the booster may even help decrease the virus and bacteria that were present in my body. I only got worse - much worse since the vaccine. I did note that pharmacy is one of the largest donor to our decision-makers in govt for whatever that is worth. I assume Pfizer is even higher up on the list of donors than is the pharmacy. Such is my life when money comes first and public health second. i will spend thousands of dollars to private doctors to try to get my health back and wind my way through the medical system as it is. My 15 minute visits with the PCP get me nowhere with Log Covid, Post-Lyme syndrome, permanent Epstein-Barr, or chronic fatigue syndrome - whatever it is that I have - still undiagnosed. Is there such a thing as post-vaccine syndrome? My retirement has turned into endless medical visits and trying to keep up with the bills and insurance bureaucracy. It is important for FDA - CDC - or any other public health entity to realize that each body is different. There are some people like myself in which the vaccine is devastating and life-altering. We should not have the option to risk our lifelong health if we are immunocompromised - or have any of the diseases that are still so misunderstood as those I listed earlier. We should be banned from being able to play roulette with Pfizer - take away my freedom and choice in the risk and do the science research that indicates there are indeed some individuals for which the vaccine is a horrible mistake. Thanks and let me know where to go from here or what the outcome of my time is. I paid $6K for many tests to determine how to get my life back. Spectracell Nutrient panel, EFA omegas, Epstein-Barr panel, DA Lyme Test connexion, GI FX comprehensive stool analysis, MRT allergy rest, Pre Metals, Post Metals, mycotoxin test, salivary cortisol x 4, urine hormone testing, toxic chemical profile. I am waiting six weeks to hear the results of the tests. All of the tests were taken four weeks ago and I await results.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Stool analysis, Toxicologic test, Urine analysis
Clinical narrative: I went to the local pharmacy for a Pfizer Covid booster and became quite ill after that which continues to this day - Jan. 11th. My symptoms after getting the vaccine included fever, achy joints, insomnia, loss of vocabulary, slowed thinking and brain fog. I can no longer walk more than a block and have to sit rather than stand in all my activities. My balance continues to be off as well as muscle spasms. I had Lyme disease in 2019 and Covid itself in March 2020. My Lyme had been taken care of but similar symptoms came back after the vaccine. My immune system had been compromised, but I thought wrongly that the booster may even help decrease the virus and bacteria that were present in my body. I only got worse - much worse since the vaccine. I did note that pharmacy is one of the largest donor to our decision-makers in govt for whatever that is worth. I assume Pfizer is even higher up on the list of donors than is the pharmacy. Such is my life when money comes first and public health second. i will spend thousands of dollars to private doctors to try to get my health back and wind my way through the medical system as it is. My 15 minute visits with the PCP get me nowhere with Log Covid, Post-Lyme syndrome, permanent Epstein-Barr, or chronic fatigue syndrome - whatever it is that I have - still undiagnosed. Is there such a thing as post-vaccine syndrome? My retirement has turned into endless medical visits and trying to keep up with the bills and insurance bureaucracy. It is important for FDA - CDC - or any other public health entity to realize that each body is different. There are some people like myself in which the vaccine is devastating and life-altering. We should not have the option to risk our lifelong health if we are immunocompromised - or have any of the diseases that are still so misunderstood as those I listed earlier. We should be banned from being able to play roulette with Pfizer - take away my freedom and choice in the risk and do the science research that indicates there are indeed some individuals for which the vaccine is a horrible mistake. Thanks and let me know where to go from here or what the outcome of my time is. I paid $6K for many tests to determine how to get my life back. Spectracell Nutrient panel, EFA omegas, Epstein-Barr panel, DA Lyme Test connexion, GI FX comprehensive stool analysis, MRT allergy rest, Pre Metals, Post Metals, mycotoxin test, salivary cortisol x 4, urine hormone testing, toxic chemical profile. I am waiting six weeks to hear the results of the tests. All of the tests were taken four weeks ago and I await results.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram cerebral normal, Arteriogram carotid normal, Asthenia, COVID-19, Chest X-ray abnormal
Clinical narrative: Admit date: 1/9/2024  Discharge date: 1/11/24  Admitting Physician: MD   Attending Physician at the Time of Discharge: MD  Reason for Admission: This is a 77 YO male with h/o Agent orange exposure with chronic pain, RCC s/p L nephrectomy, DM2, HTN, CKD, who presenting to the ED for evaluation of weakness and syncope.   Patient is in and out of sleep.  Wife provides most of the history.  Sounds like he woke up yesterday morning with generalized weakness and fatigue.  Went to bed early last night.  Patient states he was having more pain than usual and took and Norco at night which he typically does not do.  Initially they woke up together and he was feeling too tired to get out of bed.  A couple hours later his wife heard something dropped to the floor.  Called up stairs and he said he was okay so she did not go upstairs immediately.  About 45 minutes later she found him on the bathroom floor.  He was semiconscious at the time and not really able to tell her what happened.  The patient says he actually fell twice this morning but otherwise is not able to describe these events.  Endorses a cough that is nonproductive.  On arrival to the emergency room he was found to be febrile to 39.5, tachycardic in the 120s.  COVID-19 test is positive.  Labs are otherwise fairly unremarkable.  Mild leukopenia consistent with COVID.  Chest x-ray is read as pulmonary vascular congestion however patient responded well to IV fluid boluses.  He was apparently quite altered on arrival sips stroke workup was initially pursued CT head and CT angiogram of the head and neck were unremarkable.  Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  Active Problems: COVID with viral sepsis. Fever resolved.  No sig cough now and CXR is unremarkable. AMS is likely from covid and not a stroke. Will cancel MRI (he does not want his spinal stim turned off). No focal neuro deficits. Continue decadron, Procal was low and Doxy was stopped on DC. . Not needing O2.  Discharged to Home.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram head normal, Condition aggravated, Cough, Depressed level of consciousness, Fall
Clinical narrative: Admit date: 1/9/2024  Discharge date: 1/11/24  Admitting Physician: MD   Attending Physician at the Time of Discharge: MD  Reason for Admission: This is a 77 YO male with h/o Agent orange exposure with chronic pain, RCC s/p L nephrectomy, DM2, HTN, CKD, who presenting to the ED for evaluation of weakness and syncope.   Patient is in and out of sleep.  Wife provides most of the history.  Sounds like he woke up yesterday morning with generalized weakness and fatigue.  Went to bed early last night.  Patient states he was having more pain than usual and took and Norco at night which he typically does not do.  Initially they woke up together and he was feeling too tired to get out of bed.  A couple hours later his wife heard something dropped to the floor.  Called up stairs and he said he was okay so she did not go upstairs immediately.  About 45 minutes later she found him on the bathroom floor.  He was semiconscious at the time and not really able to tell her what happened.  The patient says he actually fell twice this morning but otherwise is not able to describe these events.  Endorses a cough that is nonproductive.  On arrival to the emergency room he was found to be febrile to 39.5, tachycardic in the 120s.  COVID-19 test is positive.  Labs are otherwise fairly unremarkable.  Mild leukopenia consistent with COVID.  Chest x-ray is read as pulmonary vascular congestion however patient responded well to IV fluid boluses.  He was apparently quite altered on arrival sips stroke workup was initially pursued CT head and CT angiogram of the head and neck were unremarkable.  Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  Active Problems: COVID with viral sepsis. Fever resolved.  No sig cough now and CXR is unremarkable. AMS is likely from covid and not a stroke. Will cancel MRI (he does not want his spinal stim turned off). No focal neuro deficits. Continue decadron, Procal was low and Doxy was stopped on DC. . Not needing O2.  Discharged to Home.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Laboratory test abnormal, Leukopenia, Mental status changes, Mobility decreased
Clinical narrative: Admit date: 1/9/2024  Discharge date: 1/11/24  Admitting Physician: MD   Attending Physician at the Time of Discharge: MD  Reason for Admission: This is a 77 YO male with h/o Agent orange exposure with chronic pain, RCC s/p L nephrectomy, DM2, HTN, CKD, who presenting to the ED for evaluation of weakness and syncope.   Patient is in and out of sleep.  Wife provides most of the history.  Sounds like he woke up yesterday morning with generalized weakness and fatigue.  Went to bed early last night.  Patient states he was having more pain than usual and took and Norco at night which he typically does not do.  Initially they woke up together and he was feeling too tired to get out of bed.  A couple hours later his wife heard something dropped to the floor.  Called up stairs and he said he was okay so she did not go upstairs immediately.  About 45 minutes later she found him on the bathroom floor.  He was semiconscious at the time and not really able to tell her what happened.  The patient says he actually fell twice this morning but otherwise is not able to describe these events.  Endorses a cough that is nonproductive.  On arrival to the emergency room he was found to be febrile to 39.5, tachycardic in the 120s.  COVID-19 test is positive.  Labs are otherwise fairly unremarkable.  Mild leukopenia consistent with COVID.  Chest x-ray is read as pulmonary vascular congestion however patient responded well to IV fluid boluses.  He was apparently quite altered on arrival sips stroke workup was initially pursued CT head and CT angiogram of the head and neck were unremarkable.  Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  Active Problems: COVID with viral sepsis. Fever resolved.  No sig cough now and CXR is unremarkable. AMS is likely from covid and not a stroke. Will cancel MRI (he does not want his spinal stim turned off). No focal neuro deficits. Continue decadron, Procal was low and Doxy was stopped on DC. . Not needing O2.  Discharged to Home.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pulmonary congestion, Pyrexia, SARS-CoV-2 test positive, Sleep disorder
Clinical narrative: Admit date: 1/9/2024  Discharge date: 1/11/24  Admitting Physician: MD   Attending Physician at the Time of Discharge: MD  Reason for Admission: This is a 77 YO male with h/o Agent orange exposure with chronic pain, RCC s/p L nephrectomy, DM2, HTN, CKD, who presenting to the ED for evaluation of weakness and syncope.   Patient is in and out of sleep.  Wife provides most of the history.  Sounds like he woke up yesterday morning with generalized weakness and fatigue.  Went to bed early last night.  Patient states he was having more pain than usual and took and Norco at night which he typically does not do.  Initially they woke up together and he was feeling too tired to get out of bed.  A couple hours later his wife heard something dropped to the floor.  Called up stairs and he said he was okay so she did not go upstairs immediately.  About 45 minutes later she found him on the bathroom floor.  He was semiconscious at the time and not really able to tell her what happened.  The patient says he actually fell twice this morning but otherwise is not able to describe these events.  Endorses a cough that is nonproductive.  On arrival to the emergency room he was found to be febrile to 39.5, tachycardic in the 120s.  COVID-19 test is positive.  Labs are otherwise fairly unremarkable.  Mild leukopenia consistent with COVID.  Chest x-ray is read as pulmonary vascular congestion however patient responded well to IV fluid boluses.  He was apparently quite altered on arrival sips stroke workup was initially pursued CT head and CT angiogram of the head and neck were unremarkable.  Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  Active Problems: COVID with viral sepsis. Fever resolved.  No sig cough now and CXR is unremarkable. AMS is likely from covid and not a stroke. Will cancel MRI (he does not want his spinal stim turned off). No focal neuro deficits. Continue decadron, Procal was low and Doxy was stopped on DC. . Not needing O2.  Discharged to Home.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope, Tachycardia, Viral sepsis
Clinical narrative: Admit date: 1/9/2024  Discharge date: 1/11/24  Admitting Physician: MD   Attending Physician at the Time of Discharge: MD  Reason for Admission: This is a 77 YO male with h/o Agent orange exposure with chronic pain, RCC s/p L nephrectomy, DM2, HTN, CKD, who presenting to the ED for evaluation of weakness and syncope.   Patient is in and out of sleep.  Wife provides most of the history.  Sounds like he woke up yesterday morning with generalized weakness and fatigue.  Went to bed early last night.  Patient states he was having more pain than usual and took and Norco at night which he typically does not do.  Initially they woke up together and he was feeling too tired to get out of bed.  A couple hours later his wife heard something dropped to the floor.  Called up stairs and he said he was okay so she did not go upstairs immediately.  About 45 minutes later she found him on the bathroom floor.  He was semiconscious at the time and not really able to tell her what happened.  The patient says he actually fell twice this morning but otherwise is not able to describe these events.  Endorses a cough that is nonproductive.  On arrival to the emergency room he was found to be febrile to 39.5, tachycardic in the 120s.  COVID-19 test is positive.  Labs are otherwise fairly unremarkable.  Mild leukopenia consistent with COVID.  Chest x-ray is read as pulmonary vascular congestion however patient responded well to IV fluid boluses.  He was apparently quite altered on arrival sips stroke workup was initially pursued CT head and CT angiogram of the head and neck were unremarkable.  Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  Active Problems: COVID with viral sepsis. Fever resolved.  No sig cough now and CXR is unremarkable. AMS is likely from covid and not a stroke. Will cancel MRI (he does not want his spinal stim turned off). No focal neuro deficits. Continue decadron, Procal was low and Doxy was stopped on DC. . Not needing O2.  Discharged to Home.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Fatigue, Pain, Pyrexia
Clinical narrative: Chest pain, fatigue, fever to 103, general aches and pains. Self medicating with Tylenol, rest and rehydration
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain lower, Alcohol use, Anxiety, Blood loss anaemia, Condition aggravated
Clinical narrative: Admit date: 1/9/2024  Discharge AMA date: 01/11/2024  Admitting Physician: DO   Attending Physician at the Time of Discharge: No att. providers found  Primary Care Physician: MD  Reason for Admission: Acute blood loss anemia, concern for upper and lower GI bleed   Brief Summary of Hospital Stay:As per H&P Patient is a 35 YO male with h/o alcoholic cirrhosis, portal hypertensive gastropathy, coagulopathy, recurrent pancreatitis, macrocytic anemia, tobacco use disorder, anxiety, and mild intermittent asthma presenting with bright red blood per rectum and gum bleeding that began this morning. Patient report once episode of bleeding during BM. Rectal exam in the ED significant for maroon colored stool and melena. Patient denies any trauma to his mouth. Denies any history of lower GI bleeding and has never had a colonoscopy.   Patient admits last drink was 2 days ago. He has cut back use from a fifth per day to 1/2 a pint. Patient has required ICU level care for complicated alcohol withdrawal in the past. He currently admits to anxiety, lightheadedness, headache, nausea without vomiting, lower abdominal pain, low urine output and tremors. He denies hematemesis, epigastric pain, abdominal distention/swelling, or lower extremity swelling.   Patient reports he tried celexa for a month, but stopped due to increased anxiety. Reports compliance with other home medications.  On arrival to the ED, patient was tachycardic in the 120s. BP has remained stable.  Hospital Course: Patient was placed on octreotide and pantoprazole continuous infusion. He received 2 U PRBC, with improvement in H/H GI was consulted , Potential risks of endoscopic evaluation outweigh potential benefits at this time, EGD deferred. Diet was advanced to CLD.  On 1/11/24, was called to patient's bedside to address request to leave AMA. I had a detailed discussion with the patient involving the risks/benefits and alternatives to signing out AMA. The patient verbalized understanding of the presenting medical illness, treatment options, the risks, benefits and alternatives to treatment, admission and further  workup, including death or worsening of current condition causing permanent lifestyle changes and has decided to sign out AMA, regardless of above mentioned.   I advised the patient to return at any time for worsening symptoms and encouraged follow up with primary care doctor as soon as possible.  Patient is alert and oriented to person, place and time, with no suicidal or homicidal ideations. Patient has verbalized understanding of all risks including the risk of death and agreed to take full responsibility for the decision. Code Status: Current Code Status: Full Code Disposition:  Discharge against medical advice.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Faeces discoloured, Gingival bleeding, Haematochezia, Haematocrit abnormal
Clinical narrative: Admit date: 1/9/2024  Discharge AMA date: 01/11/2024  Admitting Physician: DO   Attending Physician at the Time of Discharge: No att. providers found  Primary Care Physician: MD  Reason for Admission: Acute blood loss anemia, concern for upper and lower GI bleed   Brief Summary of Hospital Stay:As per H&P Patient is a 35 YO male with h/o alcoholic cirrhosis, portal hypertensive gastropathy, coagulopathy, recurrent pancreatitis, macrocytic anemia, tobacco use disorder, anxiety, and mild intermittent asthma presenting with bright red blood per rectum and gum bleeding that began this morning. Patient report once episode of bleeding during BM. Rectal exam in the ED significant for maroon colored stool and melena. Patient denies any trauma to his mouth. Denies any history of lower GI bleeding and has never had a colonoscopy.   Patient admits last drink was 2 days ago. He has cut back use from a fifth per day to 1/2 a pint. Patient has required ICU level care for complicated alcohol withdrawal in the past. He currently admits to anxiety, lightheadedness, headache, nausea without vomiting, lower abdominal pain, low urine output and tremors. He denies hematemesis, epigastric pain, abdominal distention/swelling, or lower extremity swelling.   Patient reports he tried celexa for a month, but stopped due to increased anxiety. Reports compliance with other home medications.  On arrival to the ED, patient was tachycardic in the 120s. BP has remained stable.  Hospital Course: Patient was placed on octreotide and pantoprazole continuous infusion. He received 2 U PRBC, with improvement in H/H GI was consulted , Potential risks of endoscopic evaluation outweigh potential benefits at this time, EGD deferred. Diet was advanced to CLD.  On 1/11/24, was called to patient's bedside to address request to leave AMA. I had a detailed discussion with the patient involving the risks/benefits and alternatives to signing out AMA. The patient verbalized understanding of the presenting medical illness, treatment options, the risks, benefits and alternatives to treatment, admission and further  workup, including death or worsening of current condition causing permanent lifestyle changes and has decided to sign out AMA, regardless of above mentioned.   I advised the patient to return at any time for worsening symptoms and encouraged follow up with primary care doctor as soon as possible.  Patient is alert and oriented to person, place and time, with no suicidal or homicidal ideations. Patient has verbalized understanding of all risks including the risk of death and agreed to take full responsibility for the decision. Code Status: Current Code Status: Full Code Disposition:  Discharge against medical advice.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoglobin abnormal, Headache, Illness, Infusion, Melaena
Clinical narrative: Admit date: 1/9/2024  Discharge AMA date: 01/11/2024  Admitting Physician: DO   Attending Physician at the Time of Discharge: No att. providers found  Primary Care Physician: MD  Reason for Admission: Acute blood loss anemia, concern for upper and lower GI bleed   Brief Summary of Hospital Stay:As per H&P Patient is a 35 YO male with h/o alcoholic cirrhosis, portal hypertensive gastropathy, coagulopathy, recurrent pancreatitis, macrocytic anemia, tobacco use disorder, anxiety, and mild intermittent asthma presenting with bright red blood per rectum and gum bleeding that began this morning. Patient report once episode of bleeding during BM. Rectal exam in the ED significant for maroon colored stool and melena. Patient denies any trauma to his mouth. Denies any history of lower GI bleeding and has never had a colonoscopy.   Patient admits last drink was 2 days ago. He has cut back use from a fifth per day to 1/2 a pint. Patient has required ICU level care for complicated alcohol withdrawal in the past. He currently admits to anxiety, lightheadedness, headache, nausea without vomiting, lower abdominal pain, low urine output and tremors. He denies hematemesis, epigastric pain, abdominal distention/swelling, or lower extremity swelling.   Patient reports he tried celexa for a month, but stopped due to increased anxiety. Reports compliance with other home medications.  On arrival to the ED, patient was tachycardic in the 120s. BP has remained stable.  Hospital Course: Patient was placed on octreotide and pantoprazole continuous infusion. He received 2 U PRBC, with improvement in H/H GI was consulted , Potential risks of endoscopic evaluation outweigh potential benefits at this time, EGD deferred. Diet was advanced to CLD.  On 1/11/24, was called to patient's bedside to address request to leave AMA. I had a detailed discussion with the patient involving the risks/benefits and alternatives to signing out AMA. The patient verbalized understanding of the presenting medical illness, treatment options, the risks, benefits and alternatives to treatment, admission and further  workup, including death or worsening of current condition causing permanent lifestyle changes and has decided to sign out AMA, regardless of above mentioned.   I advised the patient to return at any time for worsening symptoms and encouraged follow up with primary care doctor as soon as possible.  Patient is alert and oriented to person, place and time, with no suicidal or homicidal ideations. Patient has verbalized understanding of all risks including the risk of death and agreed to take full responsibility for the decision. Code Status: Current Code Status: Full Code Disposition:  Discharge against medical advice.