chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood gases, Blood glucose normal, Blood lactic acid, Blood pH increased, Blood potassium normal
Clinical narrative: 1/21/22  78 yr old female, presented to the ED  with altered mental status, ill appearance , lethargy, smelling of urine, fever, tachycardic, redness and wounds on both lower extremity, pressure sore on coccyx.  Hypoxic Patient is a lethargic, nonverbal, open her eyes is slightly to the verbal stimuli.  Unable to get any detailed history from the patient. Patient was evaluated at the ER, BP was low 80 x 50, high fever 103.3, heart rate 210.  Presently sao2 92 on 4 L. patient received IV fluids 2 L at the ER.  Patient blood pressure is not improved after the IV fluids.  COVID swab was taken at the ER. Review of Systems: Constitutional:   fever and chills Eyes:  Denies change in visual acuity  HENT:  Denies nasal congestion or sore throat  Respiratory:  ?cough and exertional shortness of breath.  Tachypnea Cardiovascular:  Denies chest pain, palpitations.  Swelling on both lower extremities GI:  Denies abdominal pain, nausea, vomiting, bloody stools or diarrhea  GU:  Denies dysuria  Musculoskeletal:  Denies back pain or joint pain  Integument: Redness swelling on lower extremity, pressure sore on coccyx Neurologic:  Denies headache, focal weakness or sensory changes  Endocrine:  Denies polyuria or polydipsia  Lymphatic:  Denies swollen glands  Psychiatric: Lethargy, advanced dementia  Plan: Septic shock , severe sepsis, complicated UTI, metabolic encephalopathy, lactic acidosis hypotension, nonverbal, lethargy,  -Admitted to ICU -ICU core measures -Suspected sepsis standing orders -IV fluid received at the ER - Patient is heart failurehistory -Pressors to start for low blood pressure, norepinephrine -Consulted to the intensivist for ICU management -IV Zosyn - Procalcitonin - creactive protein - vanco dosing   1/23/22 Hospital Course: She is a 78 year old that was admitted for septic shock secondary to UTI, LLE cellulitis and found to be covid positive. She was started on IV antibiotics and pulmonary was consulted. Her BP did not improve with IVF and she ultimately required 3 vasopressors. She was intubated secondary to respiratory failure. She had acute renal failure requiring nephrology consultation. Family did not want to do dialysis. Her condition overall continued to worsen with a very poor prognosis. Palliative care was consulted and family decided to proceed with comfort measures. Time of death 1830.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood sodium decreased, Blood thyroid stimulating hormone decreased, Blood urea increased, Brain natriuretic peptide normal, COVID-19
Clinical narrative: 1/21/22  78 yr old female, presented to the ED  with altered mental status, ill appearance , lethargy, smelling of urine, fever, tachycardic, redness and wounds on both lower extremity, pressure sore on coccyx.  Hypoxic Patient is a lethargic, nonverbal, open her eyes is slightly to the verbal stimuli.  Unable to get any detailed history from the patient. Patient was evaluated at the ER, BP was low 80 x 50, high fever 103.3, heart rate 210.  Presently sao2 92 on 4 L. patient received IV fluids 2 L at the ER.  Patient blood pressure is not improved after the IV fluids.  COVID swab was taken at the ER. Review of Systems: Constitutional:   fever and chills Eyes:  Denies change in visual acuity  HENT:  Denies nasal congestion or sore throat  Respiratory:  ?cough and exertional shortness of breath.  Tachypnea Cardiovascular:  Denies chest pain, palpitations.  Swelling on both lower extremities GI:  Denies abdominal pain, nausea, vomiting, bloody stools or diarrhea  GU:  Denies dysuria  Musculoskeletal:  Denies back pain or joint pain  Integument: Redness swelling on lower extremity, pressure sore on coccyx Neurologic:  Denies headache, focal weakness or sensory changes  Endocrine:  Denies polyuria or polydipsia  Lymphatic:  Denies swollen glands  Psychiatric: Lethargy, advanced dementia  Plan: Septic shock , severe sepsis, complicated UTI, metabolic encephalopathy, lactic acidosis hypotension, nonverbal, lethargy,  -Admitted to ICU -ICU core measures -Suspected sepsis standing orders -IV fluid received at the ER - Patient is heart failurehistory -Pressors to start for low blood pressure, norepinephrine -Consulted to the intensivist for ICU management -IV Zosyn - Procalcitonin - creactive protein - vanco dosing   1/23/22 Hospital Course: She is a 78 year old that was admitted for septic shock secondary to UTI, LLE cellulitis and found to be covid positive. She was started on IV antibiotics and pulmonary was consulted. Her BP did not improve with IVF and she ultimately required 3 vasopressors. She was intubated secondary to respiratory failure. She had acute renal failure requiring nephrology consultation. Family did not want to do dialysis. Her condition overall continued to worsen with a very poor prognosis. Palliative care was consulted and family decided to proceed with comfort measures. Time of death 1830.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Carbon dioxide normal, Chest X-ray abnormal, Chills, Computerised tomogram head normal, Cough
Clinical narrative: 1/21/22  78 yr old female, presented to the ED  with altered mental status, ill appearance , lethargy, smelling of urine, fever, tachycardic, redness and wounds on both lower extremity, pressure sore on coccyx.  Hypoxic Patient is a lethargic, nonverbal, open her eyes is slightly to the verbal stimuli.  Unable to get any detailed history from the patient. Patient was evaluated at the ER, BP was low 80 x 50, high fever 103.3, heart rate 210.  Presently sao2 92 on 4 L. patient received IV fluids 2 L at the ER.  Patient blood pressure is not improved after the IV fluids.  COVID swab was taken at the ER. Review of Systems: Constitutional:   fever and chills Eyes:  Denies change in visual acuity  HENT:  Denies nasal congestion or sore throat  Respiratory:  ?cough and exertional shortness of breath.  Tachypnea Cardiovascular:  Denies chest pain, palpitations.  Swelling on both lower extremities GI:  Denies abdominal pain, nausea, vomiting, bloody stools or diarrhea  GU:  Denies dysuria  Musculoskeletal:  Denies back pain or joint pain  Integument: Redness swelling on lower extremity, pressure sore on coccyx Neurologic:  Denies headache, focal weakness or sensory changes  Endocrine:  Denies polyuria or polydipsia  Lymphatic:  Denies swollen glands  Psychiatric: Lethargy, advanced dementia  Plan: Septic shock , severe sepsis, complicated UTI, metabolic encephalopathy, lactic acidosis hypotension, nonverbal, lethargy,  -Admitted to ICU -ICU core measures -Suspected sepsis standing orders -IV fluid received at the ER - Patient is heart failurehistory -Pressors to start for low blood pressure, norepinephrine -Consulted to the intensivist for ICU management -IV Zosyn - Procalcitonin - creactive protein - vanco dosing   1/23/22 Hospital Course: She is a 78 year old that was admitted for septic shock secondary to UTI, LLE cellulitis and found to be covid positive. She was started on IV antibiotics and pulmonary was consulted. Her BP did not improve with IVF and she ultimately required 3 vasopressors. She was intubated secondary to respiratory failure. She had acute renal failure requiring nephrology consultation. Family did not want to do dialysis. Her condition overall continued to worsen with a very poor prognosis. Palliative care was consulted and family decided to proceed with comfort measures. Time of death 1830.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death, Decubitus ulcer, Dementia, Differential white blood cell count, Dyspnoea exertional
Clinical narrative: 1/21/22  78 yr old female, presented to the ED  with altered mental status, ill appearance , lethargy, smelling of urine, fever, tachycardic, redness and wounds on both lower extremity, pressure sore on coccyx.  Hypoxic Patient is a lethargic, nonverbal, open her eyes is slightly to the verbal stimuli.  Unable to get any detailed history from the patient. Patient was evaluated at the ER, BP was low 80 x 50, high fever 103.3, heart rate 210.  Presently sao2 92 on 4 L. patient received IV fluids 2 L at the ER.  Patient blood pressure is not improved after the IV fluids.  COVID swab was taken at the ER. Review of Systems: Constitutional:   fever and chills Eyes:  Denies change in visual acuity  HENT:  Denies nasal congestion or sore throat  Respiratory:  ?cough and exertional shortness of breath.  Tachypnea Cardiovascular:  Denies chest pain, palpitations.  Swelling on both lower extremities GI:  Denies abdominal pain, nausea, vomiting, bloody stools or diarrhea  GU:  Denies dysuria  Musculoskeletal:  Denies back pain or joint pain  Integument: Redness swelling on lower extremity, pressure sore on coccyx Neurologic:  Denies headache, focal weakness or sensory changes  Endocrine:  Denies polyuria or polydipsia  Lymphatic:  Denies swollen glands  Psychiatric: Lethargy, advanced dementia  Plan: Septic shock , severe sepsis, complicated UTI, metabolic encephalopathy, lactic acidosis hypotension, nonverbal, lethargy,  -Admitted to ICU -ICU core measures -Suspected sepsis standing orders -IV fluid received at the ER - Patient is heart failurehistory -Pressors to start for low blood pressure, norepinephrine -Consulted to the intensivist for ICU management -IV Zosyn - Procalcitonin - creactive protein - vanco dosing   1/23/22 Hospital Course: She is a 78 year old that was admitted for septic shock secondary to UTI, LLE cellulitis and found to be covid positive. She was started on IV antibiotics and pulmonary was consulted. Her BP did not improve with IVF and she ultimately required 3 vasopressors. She was intubated secondary to respiratory failure. She had acute renal failure requiring nephrology consultation. Family did not want to do dialysis. Her condition overall continued to worsen with a very poor prognosis. Palliative care was consulted and family decided to proceed with comfort measures. Time of death 1830.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Endotracheal intubation, Eosinophil count, Eosinophil percentage, Erythema, Full blood count
Clinical narrative: 1/21/22  78 yr old female, presented to the ED  with altered mental status, ill appearance , lethargy, smelling of urine, fever, tachycardic, redness and wounds on both lower extremity, pressure sore on coccyx.  Hypoxic Patient is a lethargic, nonverbal, open her eyes is slightly to the verbal stimuli.  Unable to get any detailed history from the patient. Patient was evaluated at the ER, BP was low 80 x 50, high fever 103.3, heart rate 210.  Presently sao2 92 on 4 L. patient received IV fluids 2 L at the ER.  Patient blood pressure is not improved after the IV fluids.  COVID swab was taken at the ER. Review of Systems: Constitutional:   fever and chills Eyes:  Denies change in visual acuity  HENT:  Denies nasal congestion or sore throat  Respiratory:  ?cough and exertional shortness of breath.  Tachypnea Cardiovascular:  Denies chest pain, palpitations.  Swelling on both lower extremities GI:  Denies abdominal pain, nausea, vomiting, bloody stools or diarrhea  GU:  Denies dysuria  Musculoskeletal:  Denies back pain or joint pain  Integument: Redness swelling on lower extremity, pressure sore on coccyx Neurologic:  Denies headache, focal weakness or sensory changes  Endocrine:  Denies polyuria or polydipsia  Lymphatic:  Denies swollen glands  Psychiatric: Lethargy, advanced dementia  Plan: Septic shock , severe sepsis, complicated UTI, metabolic encephalopathy, lactic acidosis hypotension, nonverbal, lethargy,  -Admitted to ICU -ICU core measures -Suspected sepsis standing orders -IV fluid received at the ER - Patient is heart failurehistory -Pressors to start for low blood pressure, norepinephrine -Consulted to the intensivist for ICU management -IV Zosyn - Procalcitonin - creactive protein - vanco dosing   1/23/22 Hospital Course: She is a 78 year old that was admitted for septic shock secondary to UTI, LLE cellulitis and found to be covid positive. She was started on IV antibiotics and pulmonary was consulted. Her BP did not improve with IVF and she ultimately required 3 vasopressors. She was intubated secondary to respiratory failure. She had acute renal failure requiring nephrology consultation. Family did not want to do dialysis. Her condition overall continued to worsen with a very poor prognosis. Palliative care was consulted and family decided to proceed with comfort measures. Time of death 1830.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: General physical condition abnormal, Glomerular filtration rate decreased, Glucose urine absent, Granulocyte percentage, Haematocrit decreased
Clinical narrative: 1/21/22  78 yr old female, presented to the ED  with altered mental status, ill appearance , lethargy, smelling of urine, fever, tachycardic, redness and wounds on both lower extremity, pressure sore on coccyx.  Hypoxic Patient is a lethargic, nonverbal, open her eyes is slightly to the verbal stimuli.  Unable to get any detailed history from the patient. Patient was evaluated at the ER, BP was low 80 x 50, high fever 103.3, heart rate 210.  Presently sao2 92 on 4 L. patient received IV fluids 2 L at the ER.  Patient blood pressure is not improved after the IV fluids.  COVID swab was taken at the ER. Review of Systems: Constitutional:   fever and chills Eyes:  Denies change in visual acuity  HENT:  Denies nasal congestion or sore throat  Respiratory:  ?cough and exertional shortness of breath.  Tachypnea Cardiovascular:  Denies chest pain, palpitations.  Swelling on both lower extremities GI:  Denies abdominal pain, nausea, vomiting, bloody stools or diarrhea  GU:  Denies dysuria  Musculoskeletal:  Denies back pain or joint pain  Integument: Redness swelling on lower extremity, pressure sore on coccyx Neurologic:  Denies headache, focal weakness or sensory changes  Endocrine:  Denies polyuria or polydipsia  Lymphatic:  Denies swollen glands  Psychiatric: Lethargy, advanced dementia  Plan: Septic shock , severe sepsis, complicated UTI, metabolic encephalopathy, lactic acidosis hypotension, nonverbal, lethargy,  -Admitted to ICU -ICU core measures -Suspected sepsis standing orders -IV fluid received at the ER - Patient is heart failurehistory -Pressors to start for low blood pressure, norepinephrine -Consulted to the intensivist for ICU management -IV Zosyn - Procalcitonin - creactive protein - vanco dosing   1/23/22 Hospital Course: She is a 78 year old that was admitted for septic shock secondary to UTI, LLE cellulitis and found to be covid positive. She was started on IV antibiotics and pulmonary was consulted. Her BP did not improve with IVF and she ultimately required 3 vasopressors. She was intubated secondary to respiratory failure. She had acute renal failure requiring nephrology consultation. Family did not want to do dialysis. Her condition overall continued to worsen with a very poor prognosis. Palliative care was consulted and family decided to proceed with comfort measures. Time of death 1830.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Haemoglobin decreased, Hypotension, Hypoxia, Lethargy, Limb injury
Clinical narrative: 1/21/22  78 yr old female, presented to the ED  with altered mental status, ill appearance , lethargy, smelling of urine, fever, tachycardic, redness and wounds on both lower extremity, pressure sore on coccyx.  Hypoxic Patient is a lethargic, nonverbal, open her eyes is slightly to the verbal stimuli.  Unable to get any detailed history from the patient. Patient was evaluated at the ER, BP was low 80 x 50, high fever 103.3, heart rate 210.  Presently sao2 92 on 4 L. patient received IV fluids 2 L at the ER.  Patient blood pressure is not improved after the IV fluids.  COVID swab was taken at the ER. Review of Systems: Constitutional:   fever and chills Eyes:  Denies change in visual acuity  HENT:  Denies nasal congestion or sore throat  Respiratory:  ?cough and exertional shortness of breath.  Tachypnea Cardiovascular:  Denies chest pain, palpitations.  Swelling on both lower extremities GI:  Denies abdominal pain, nausea, vomiting, bloody stools or diarrhea  GU:  Denies dysuria  Musculoskeletal:  Denies back pain or joint pain  Integument: Redness swelling on lower extremity, pressure sore on coccyx Neurologic:  Denies headache, focal weakness or sensory changes  Endocrine:  Denies polyuria or polydipsia  Lymphatic:  Denies swollen glands  Psychiatric: Lethargy, advanced dementia  Plan: Septic shock , severe sepsis, complicated UTI, metabolic encephalopathy, lactic acidosis hypotension, nonverbal, lethargy,  -Admitted to ICU -ICU core measures -Suspected sepsis standing orders -IV fluid received at the ER - Patient is heart failurehistory -Pressors to start for low blood pressure, norepinephrine -Consulted to the intensivist for ICU management -IV Zosyn - Procalcitonin - creactive protein - vanco dosing   1/23/22 Hospital Course: She is a 78 year old that was admitted for septic shock secondary to UTI, LLE cellulitis and found to be covid positive. She was started on IV antibiotics and pulmonary was consulted. Her BP did not improve with IVF and she ultimately required 3 vasopressors. She was intubated secondary to respiratory failure. She had acute renal failure requiring nephrology consultation. Family did not want to do dialysis. Her condition overall continued to worsen with a very poor prognosis. Palliative care was consulted and family decided to proceed with comfort measures. Time of death 1830.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lung opacity, Lymphocyte count decreased, Lymphocyte percentage decreased, Mean cell haemoglobin concentration, Mean cell haemoglobin decreased
Clinical narrative: 1/21/22  78 yr old female, presented to the ED  with altered mental status, ill appearance , lethargy, smelling of urine, fever, tachycardic, redness and wounds on both lower extremity, pressure sore on coccyx.  Hypoxic Patient is a lethargic, nonverbal, open her eyes is slightly to the verbal stimuli.  Unable to get any detailed history from the patient. Patient was evaluated at the ER, BP was low 80 x 50, high fever 103.3, heart rate 210.  Presently sao2 92 on 4 L. patient received IV fluids 2 L at the ER.  Patient blood pressure is not improved after the IV fluids.  COVID swab was taken at the ER. Review of Systems: Constitutional:   fever and chills Eyes:  Denies change in visual acuity  HENT:  Denies nasal congestion or sore throat  Respiratory:  ?cough and exertional shortness of breath.  Tachypnea Cardiovascular:  Denies chest pain, palpitations.  Swelling on both lower extremities GI:  Denies abdominal pain, nausea, vomiting, bloody stools or diarrhea  GU:  Denies dysuria  Musculoskeletal:  Denies back pain or joint pain  Integument: Redness swelling on lower extremity, pressure sore on coccyx Neurologic:  Denies headache, focal weakness or sensory changes  Endocrine:  Denies polyuria or polydipsia  Lymphatic:  Denies swollen glands  Psychiatric: Lethargy, advanced dementia  Plan: Septic shock , severe sepsis, complicated UTI, metabolic encephalopathy, lactic acidosis hypotension, nonverbal, lethargy,  -Admitted to ICU -ICU core measures -Suspected sepsis standing orders -IV fluid received at the ER - Patient is heart failurehistory -Pressors to start for low blood pressure, norepinephrine -Consulted to the intensivist for ICU management -IV Zosyn - Procalcitonin - creactive protein - vanco dosing   1/23/22 Hospital Course: She is a 78 year old that was admitted for septic shock secondary to UTI, LLE cellulitis and found to be covid positive. She was started on IV antibiotics and pulmonary was consulted. Her BP did not improve with IVF and she ultimately required 3 vasopressors. She was intubated secondary to respiratory failure. She had acute renal failure requiring nephrology consultation. Family did not want to do dialysis. Her condition overall continued to worsen with a very poor prognosis. Palliative care was consulted and family decided to proceed with comfort measures. Time of death 1830.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mean cell volume normal, Mental status changes, Metabolic function test, Monocyte count, Monocyte percentage
Clinical narrative: 1/21/22  78 yr old female, presented to the ED  with altered mental status, ill appearance , lethargy, smelling of urine, fever, tachycardic, redness and wounds on both lower extremity, pressure sore on coccyx.  Hypoxic Patient is a lethargic, nonverbal, open her eyes is slightly to the verbal stimuli.  Unable to get any detailed history from the patient. Patient was evaluated at the ER, BP was low 80 x 50, high fever 103.3, heart rate 210.  Presently sao2 92 on 4 L. patient received IV fluids 2 L at the ER.  Patient blood pressure is not improved after the IV fluids.  COVID swab was taken at the ER. Review of Systems: Constitutional:   fever and chills Eyes:  Denies change in visual acuity  HENT:  Denies nasal congestion or sore throat  Respiratory:  ?cough and exertional shortness of breath.  Tachypnea Cardiovascular:  Denies chest pain, palpitations.  Swelling on both lower extremities GI:  Denies abdominal pain, nausea, vomiting, bloody stools or diarrhea  GU:  Denies dysuria  Musculoskeletal:  Denies back pain or joint pain  Integument: Redness swelling on lower extremity, pressure sore on coccyx Neurologic:  Denies headache, focal weakness or sensory changes  Endocrine:  Denies polyuria or polydipsia  Lymphatic:  Denies swollen glands  Psychiatric: Lethargy, advanced dementia  Plan: Septic shock , severe sepsis, complicated UTI, metabolic encephalopathy, lactic acidosis hypotension, nonverbal, lethargy,  -Admitted to ICU -ICU core measures -Suspected sepsis standing orders -IV fluid received at the ER - Patient is heart failurehistory -Pressors to start for low blood pressure, norepinephrine -Consulted to the intensivist for ICU management -IV Zosyn - Procalcitonin - creactive protein - vanco dosing   1/23/22 Hospital Course: She is a 78 year old that was admitted for septic shock secondary to UTI, LLE cellulitis and found to be covid positive. She was started on IV antibiotics and pulmonary was consulted. Her BP did not improve with IVF and she ultimately required 3 vasopressors. She was intubated secondary to respiratory failure. She had acute renal failure requiring nephrology consultation. Family did not want to do dialysis. Her condition overall continued to worsen with a very poor prognosis. Palliative care was consulted and family decided to proceed with comfort measures. Time of death 1830.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Neutrophil percentage increased, Nitrite urine present, Oxygen saturation decreased, PCO2 decreased, PO2 decreased
Clinical narrative: 1/21/22  78 yr old female, presented to the ED  with altered mental status, ill appearance , lethargy, smelling of urine, fever, tachycardic, redness and wounds on both lower extremity, pressure sore on coccyx.  Hypoxic Patient is a lethargic, nonverbal, open her eyes is slightly to the verbal stimuli.  Unable to get any detailed history from the patient. Patient was evaluated at the ER, BP was low 80 x 50, high fever 103.3, heart rate 210.  Presently sao2 92 on 4 L. patient received IV fluids 2 L at the ER.  Patient blood pressure is not improved after the IV fluids.  COVID swab was taken at the ER. Review of Systems: Constitutional:   fever and chills Eyes:  Denies change in visual acuity  HENT:  Denies nasal congestion or sore throat  Respiratory:  ?cough and exertional shortness of breath.  Tachypnea Cardiovascular:  Denies chest pain, palpitations.  Swelling on both lower extremities GI:  Denies abdominal pain, nausea, vomiting, bloody stools or diarrhea  GU:  Denies dysuria  Musculoskeletal:  Denies back pain or joint pain  Integument: Redness swelling on lower extremity, pressure sore on coccyx Neurologic:  Denies headache, focal weakness or sensory changes  Endocrine:  Denies polyuria or polydipsia  Lymphatic:  Denies swollen glands  Psychiatric: Lethargy, advanced dementia  Plan: Septic shock , severe sepsis, complicated UTI, metabolic encephalopathy, lactic acidosis hypotension, nonverbal, lethargy,  -Admitted to ICU -ICU core measures -Suspected sepsis standing orders -IV fluid received at the ER - Patient is heart failurehistory -Pressors to start for low blood pressure, norepinephrine -Consulted to the intensivist for ICU management -IV Zosyn - Procalcitonin - creactive protein - vanco dosing   1/23/22 Hospital Course: She is a 78 year old that was admitted for septic shock secondary to UTI, LLE cellulitis and found to be covid positive. She was started on IV antibiotics and pulmonary was consulted. Her BP did not improve with IVF and she ultimately required 3 vasopressors. She was intubated secondary to respiratory failure. She had acute renal failure requiring nephrology consultation. Family did not want to do dialysis. Her condition overall continued to worsen with a very poor prognosis. Palliative care was consulted and family decided to proceed with comfort measures. Time of death 1830.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Peripheral swelling, Protein total decreased, Protein urine, Pyrexia, Red blood cell count decreased
Clinical narrative: 1/21/22  78 yr old female, presented to the ED  with altered mental status, ill appearance , lethargy, smelling of urine, fever, tachycardic, redness and wounds on both lower extremity, pressure sore on coccyx.  Hypoxic Patient is a lethargic, nonverbal, open her eyes is slightly to the verbal stimuli.  Unable to get any detailed history from the patient. Patient was evaluated at the ER, BP was low 80 x 50, high fever 103.3, heart rate 210.  Presently sao2 92 on 4 L. patient received IV fluids 2 L at the ER.  Patient blood pressure is not improved after the IV fluids.  COVID swab was taken at the ER. Review of Systems: Constitutional:   fever and chills Eyes:  Denies change in visual acuity  HENT:  Denies nasal congestion or sore throat  Respiratory:  ?cough and exertional shortness of breath.  Tachypnea Cardiovascular:  Denies chest pain, palpitations.  Swelling on both lower extremities GI:  Denies abdominal pain, nausea, vomiting, bloody stools or diarrhea  GU:  Denies dysuria  Musculoskeletal:  Denies back pain or joint pain  Integument: Redness swelling on lower extremity, pressure sore on coccyx Neurologic:  Denies headache, focal weakness or sensory changes  Endocrine:  Denies polyuria or polydipsia  Lymphatic:  Denies swollen glands  Psychiatric: Lethargy, advanced dementia  Plan: Septic shock , severe sepsis, complicated UTI, metabolic encephalopathy, lactic acidosis hypotension, nonverbal, lethargy,  -Admitted to ICU -ICU core measures -Suspected sepsis standing orders -IV fluid received at the ER - Patient is heart failurehistory -Pressors to start for low blood pressure, norepinephrine -Consulted to the intensivist for ICU management -IV Zosyn - Procalcitonin - creactive protein - vanco dosing   1/23/22 Hospital Course: She is a 78 year old that was admitted for septic shock secondary to UTI, LLE cellulitis and found to be covid positive. She was started on IV antibiotics and pulmonary was consulted. Her BP did not improve with IVF and she ultimately required 3 vasopressors. She was intubated secondary to respiratory failure. She had acute renal failure requiring nephrology consultation. Family did not want to do dialysis. Her condition overall continued to worsen with a very poor prognosis. Palliative care was consulted and family decided to proceed with comfort measures. Time of death 1830.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Red blood cells urine positive, Red cell distribution width normal, Respiratory failure, SARS-CoV-2 test positive, Septic shock
Clinical narrative: 1/21/22  78 yr old female, presented to the ED  with altered mental status, ill appearance , lethargy, smelling of urine, fever, tachycardic, redness and wounds on both lower extremity, pressure sore on coccyx.  Hypoxic Patient is a lethargic, nonverbal, open her eyes is slightly to the verbal stimuli.  Unable to get any detailed history from the patient. Patient was evaluated at the ER, BP was low 80 x 50, high fever 103.3, heart rate 210.  Presently sao2 92 on 4 L. patient received IV fluids 2 L at the ER.  Patient blood pressure is not improved after the IV fluids.  COVID swab was taken at the ER. Review of Systems: Constitutional:   fever and chills Eyes:  Denies change in visual acuity  HENT:  Denies nasal congestion or sore throat  Respiratory:  ?cough and exertional shortness of breath.  Tachypnea Cardiovascular:  Denies chest pain, palpitations.  Swelling on both lower extremities GI:  Denies abdominal pain, nausea, vomiting, bloody stools or diarrhea  GU:  Denies dysuria  Musculoskeletal:  Denies back pain or joint pain  Integument: Redness swelling on lower extremity, pressure sore on coccyx Neurologic:  Denies headache, focal weakness or sensory changes  Endocrine:  Denies polyuria or polydipsia  Lymphatic:  Denies swollen glands  Psychiatric: Lethargy, advanced dementia  Plan: Septic shock , severe sepsis, complicated UTI, metabolic encephalopathy, lactic acidosis hypotension, nonverbal, lethargy,  -Admitted to ICU -ICU core measures -Suspected sepsis standing orders -IV fluid received at the ER - Patient is heart failurehistory -Pressors to start for low blood pressure, norepinephrine -Consulted to the intensivist for ICU management -IV Zosyn - Procalcitonin - creactive protein - vanco dosing   1/23/22 Hospital Course: She is a 78 year old that was admitted for septic shock secondary to UTI, LLE cellulitis and found to be covid positive. She was started on IV antibiotics and pulmonary was consulted. Her BP did not improve with IVF and she ultimately required 3 vasopressors. She was intubated secondary to respiratory failure. She had acute renal failure requiring nephrology consultation. Family did not want to do dialysis. Her condition overall continued to worsen with a very poor prognosis. Palliative care was consulted and family decided to proceed with comfort measures. Time of death 1830.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Skin odour abnormal, Specific gravity urine normal, Speech disorder, Tachycardia, Tachypnoea
Clinical narrative: 1/21/22  78 yr old female, presented to the ED  with altered mental status, ill appearance , lethargy, smelling of urine, fever, tachycardic, redness and wounds on both lower extremity, pressure sore on coccyx.  Hypoxic Patient is a lethargic, nonverbal, open her eyes is slightly to the verbal stimuli.  Unable to get any detailed history from the patient. Patient was evaluated at the ER, BP was low 80 x 50, high fever 103.3, heart rate 210.  Presently sao2 92 on 4 L. patient received IV fluids 2 L at the ER.  Patient blood pressure is not improved after the IV fluids.  COVID swab was taken at the ER. Review of Systems: Constitutional:   fever and chills Eyes:  Denies change in visual acuity  HENT:  Denies nasal congestion or sore throat  Respiratory:  ?cough and exertional shortness of breath.  Tachypnea Cardiovascular:  Denies chest pain, palpitations.  Swelling on both lower extremities GI:  Denies abdominal pain, nausea, vomiting, bloody stools or diarrhea  GU:  Denies dysuria  Musculoskeletal:  Denies back pain or joint pain  Integument: Redness swelling on lower extremity, pressure sore on coccyx Neurologic:  Denies headache, focal weakness or sensory changes  Endocrine:  Denies polyuria or polydipsia  Lymphatic:  Denies swollen glands  Psychiatric: Lethargy, advanced dementia  Plan: Septic shock , severe sepsis, complicated UTI, metabolic encephalopathy, lactic acidosis hypotension, nonverbal, lethargy,  -Admitted to ICU -ICU core measures -Suspected sepsis standing orders -IV fluid received at the ER - Patient is heart failurehistory -Pressors to start for low blood pressure, norepinephrine -Consulted to the intensivist for ICU management -IV Zosyn - Procalcitonin - creactive protein - vanco dosing   1/23/22 Hospital Course: She is a 78 year old that was admitted for septic shock secondary to UTI, LLE cellulitis and found to be covid positive. She was started on IV antibiotics and pulmonary was consulted. Her BP did not improve with IVF and she ultimately required 3 vasopressors. She was intubated secondary to respiratory failure. She had acute renal failure requiring nephrology consultation. Family did not want to do dialysis. Her condition overall continued to worsen with a very poor prognosis. Palliative care was consulted and family decided to proceed with comfort measures. Time of death 1830.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Troponin, Urinary occult blood negative, Urinary tract infection, Urine analysis, Urine leukocyte esterase
Clinical narrative: 1/21/22  78 yr old female, presented to the ED  with altered mental status, ill appearance , lethargy, smelling of urine, fever, tachycardic, redness and wounds on both lower extremity, pressure sore on coccyx.  Hypoxic Patient is a lethargic, nonverbal, open her eyes is slightly to the verbal stimuli.  Unable to get any detailed history from the patient. Patient was evaluated at the ER, BP was low 80 x 50, high fever 103.3, heart rate 210.  Presently sao2 92 on 4 L. patient received IV fluids 2 L at the ER.  Patient blood pressure is not improved after the IV fluids.  COVID swab was taken at the ER. Review of Systems: Constitutional:   fever and chills Eyes:  Denies change in visual acuity  HENT:  Denies nasal congestion or sore throat  Respiratory:  ?cough and exertional shortness of breath.  Tachypnea Cardiovascular:  Denies chest pain, palpitations.  Swelling on both lower extremities GI:  Denies abdominal pain, nausea, vomiting, bloody stools or diarrhea  GU:  Denies dysuria  Musculoskeletal:  Denies back pain or joint pain  Integument: Redness swelling on lower extremity, pressure sore on coccyx Neurologic:  Denies headache, focal weakness or sensory changes  Endocrine:  Denies polyuria or polydipsia  Lymphatic:  Denies swollen glands  Psychiatric: Lethargy, advanced dementia  Plan: Septic shock , severe sepsis, complicated UTI, metabolic encephalopathy, lactic acidosis hypotension, nonverbal, lethargy,  -Admitted to ICU -ICU core measures -Suspected sepsis standing orders -IV fluid received at the ER - Patient is heart failurehistory -Pressors to start for low blood pressure, norepinephrine -Consulted to the intensivist for ICU management -IV Zosyn - Procalcitonin - creactive protein - vanco dosing   1/23/22 Hospital Course: She is a 78 year old that was admitted for septic shock secondary to UTI, LLE cellulitis and found to be covid positive. She was started on IV antibiotics and pulmonary was consulted. Her BP did not improve with IVF and she ultimately required 3 vasopressors. She was intubated secondary to respiratory failure. She had acute renal failure requiring nephrology consultation. Family did not want to do dialysis. Her condition overall continued to worsen with a very poor prognosis. Palliative care was consulted and family decided to proceed with comfort measures. Time of death 1830.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urobilinogen urine, White blood cell count increased, White blood cells urine positive, pH urine
Clinical narrative: 1/21/22  78 yr old female, presented to the ED  with altered mental status, ill appearance , lethargy, smelling of urine, fever, tachycardic, redness and wounds on both lower extremity, pressure sore on coccyx.  Hypoxic Patient is a lethargic, nonverbal, open her eyes is slightly to the verbal stimuli.  Unable to get any detailed history from the patient. Patient was evaluated at the ER, BP was low 80 x 50, high fever 103.3, heart rate 210.  Presently sao2 92 on 4 L. patient received IV fluids 2 L at the ER.  Patient blood pressure is not improved after the IV fluids.  COVID swab was taken at the ER. Review of Systems: Constitutional:   fever and chills Eyes:  Denies change in visual acuity  HENT:  Denies nasal congestion or sore throat  Respiratory:  ?cough and exertional shortness of breath.  Tachypnea Cardiovascular:  Denies chest pain, palpitations.  Swelling on both lower extremities GI:  Denies abdominal pain, nausea, vomiting, bloody stools or diarrhea  GU:  Denies dysuria  Musculoskeletal:  Denies back pain or joint pain  Integument: Redness swelling on lower extremity, pressure sore on coccyx Neurologic:  Denies headache, focal weakness or sensory changes  Endocrine:  Denies polyuria or polydipsia  Lymphatic:  Denies swollen glands  Psychiatric: Lethargy, advanced dementia  Plan: Septic shock , severe sepsis, complicated UTI, metabolic encephalopathy, lactic acidosis hypotension, nonverbal, lethargy,  -Admitted to ICU -ICU core measures -Suspected sepsis standing orders -IV fluid received at the ER - Patient is heart failurehistory -Pressors to start for low blood pressure, norepinephrine -Consulted to the intensivist for ICU management -IV Zosyn - Procalcitonin - creactive protein - vanco dosing   1/23/22 Hospital Course: She is a 78 year old that was admitted for septic shock secondary to UTI, LLE cellulitis and found to be covid positive. She was started on IV antibiotics and pulmonary was consulted. Her BP did not improve with IVF and she ultimately required 3 vasopressors. She was intubated secondary to respiratory failure. She had acute renal failure requiring nephrology consultation. Family did not want to do dialysis. Her condition overall continued to worsen with a very poor prognosis. Palliative care was consulted and family decided to proceed with comfort measures. Time of death 1830.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Tinnitus
Clinical narrative: Patient reported lightheadedness, ringing of the ear and dizziness. Vitals: 14:03; 124/75, 82, 21, 100%; 14:12 sitting; 130/24, 88, 20 and 100%. Administered ammonia inhalants. Patient stable and released from the vaccination site at 14:18; accompanied to exit.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Chest pain, Electrocardiogram, Fatigue
Clinical narrative: Tachycardia, chest pains, acid reflux, tiredness,
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Gastrooesophageal reflux disease, Tachycardia
Clinical narrative: Tachycardia, chest pains, acid reflux, tiredness,
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient administered Moderna vaccine that has been at room temperature greater than 12 hrs
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia
Clinical narrative: Overall weakness
Age: 58.0
Sex: M
Vaccine: VARZOS
Symptoms: Photopsia, Vitreous detachment, Vitreous floaters
Clinical narrative: Flashes of light and floaters in right eye. Diagnosed as posterior vitreous separation.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Lacrimation increased, Oropharyngeal pain, Throat irritation
Clinical narrative: Throat pain, itchy throat, watery eyes, redness.
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Fall, Loss of consciousness
Clinical narrative: Child received vaccines and sat for a minute or so then stood up and passed out, falling to the floor. Child assisted to a sitting position as soon as she came around. sat for 10 minutes before attempting to get up. No known injuries at this time
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Seizure, Syncope
Clinical narrative: Pt had dizziness, a syncopal event, and a SZ. Vitals: 98/66, 53, 12, 100% -- > 110/50, 75, 18 No hx of SZ disorder.  Symptoms self resolved.  Pt was observed for an additional 15mins.  Father instructed to notify the pt's pediatrician.  Pt stable and released from the vaccination site.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia
Clinical narrative: weird taste in mouth, salty taste
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Client presented to the vaccination site on 1/20/2022. The client reported that he received a 1st dose of Moderna COVID vaccine on 12/23/2021. It was discovered at approximately 18:00 by lead RN that client received Moderna COVID vaccine booster dose 0.25 mL (lot# 084J21A) given by RN. Lead RN attempted to contact the client via phone three times, unable to leave a voicemail, and via email. Client did not respond. Lead RN notified Clinical Project Coordinator via text message on 1/26/2022.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Pyrexia, Syncope
Clinical narrative: 4/23 Fainted in the lobby about 5 min after shot. When I came to I was surrounded by paramedics and completely dizzy  with fever and sweaty. Declined to go to hospital ER and went home. Bed for about 36hrs but after kept having severe issues until 4/26. Kept my NP updated but nothing was worsening or ongoing and I recovered from this instance.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeding disorder, Headache, Nausea, Pain in extremity
Clinical narrative: Headache, arm ache, leg ache, nausea, dizziness  all lasting 3 days Unable to eat anything or else it comes right out of my body this has  started 2 days after getting vaccine and has lasted 4 days and still ongoing
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: PATIENT RECEIVED  VACCINATION WHILE SITTING IN CONSULTATION ROOM.  SHE STOOD UP AND WALKED OUT TO WAIT IN CHAIRS AND FAINTED.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Anion gap, Back pain, Basophil count decreased, Basophil percentage decreased
Clinical narrative: 1/18/22  50 y/o female with PMH significant for IDA, asthma who complains of CP, SOA.    Pt reports her symptoms began yesterday. Her CP is pleuritic, left sided, radiates into her back. For several days before this developed she had been having chills, myalgias, HA, nausea, left ear pain. Admits chronic cough unchanged from baseline, nonsmoker. Denies fever, vomiting, bloody stools. She is vaccinated against COVID but not boostered. ER work up was significant for hemoglobin of 6.1. She had required blood transfusion a few years ago and was at one point prescribed iron pills but she never had these refilled. Admits irregular menses and post coital bleeding. LMP 12/9 - 12/12/21. Active Problems:   Severe symptomatic
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Blood calcium normal, Blood chloride increased, Blood creatinine normal, Blood gases abnormal, Blood glucose normal
Clinical narrative: 1/18/22  50 y/o female with PMH significant for IDA, asthma who complains of CP, SOA.    Pt reports her symptoms began yesterday. Her CP is pleuritic, left sided, radiates into her back. For several days before this developed she had been having chills, myalgias, HA, nausea, left ear pain. Admits chronic cough unchanged from baseline, nonsmoker. Denies fever, vomiting, bloody stools. She is vaccinated against COVID but not boostered. ER work up was significant for hemoglobin of 6.1. She had required blood transfusion a few years ago and was at one point prescribed iron pills but she never had these refilled. Admits irregular menses and post coital bleeding. LMP 12/9 - 12/12/21. Active Problems:   Severe symptomatic
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pH decreased, Blood potassium normal, Blood sodium normal, Blood urea decreased, Blood urea nitrogen/creatinine ratio
Clinical narrative: 1/18/22  50 y/o female with PMH significant for IDA, asthma who complains of CP, SOA.    Pt reports her symptoms began yesterday. Her CP is pleuritic, left sided, radiates into her back. For several days before this developed she had been having chills, myalgias, HA, nausea, left ear pain. Admits chronic cough unchanged from baseline, nonsmoker. Denies fever, vomiting, bloody stools. She is vaccinated against COVID but not boostered. ER work up was significant for hemoglobin of 6.1. She had required blood transfusion a few years ago and was at one point prescribed iron pills but she never had these refilled. Admits irregular menses and post coital bleeding. LMP 12/9 - 12/12/21. Active Problems:   Severe symptomatic
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchiectasis, COVID-19, Carbon dioxide decreased, Cardiac function test, Chest X-ray normal
Clinical narrative: 1/18/22  50 y/o female with PMH significant for IDA, asthma who complains of CP, SOA.    Pt reports her symptoms began yesterday. Her CP is pleuritic, left sided, radiates into her back. For several days before this developed she had been having chills, myalgias, HA, nausea, left ear pain. Admits chronic cough unchanged from baseline, nonsmoker. Denies fever, vomiting, bloody stools. She is vaccinated against COVID but not boostered. ER work up was significant for hemoglobin of 6.1. She had required blood transfusion a few years ago and was at one point prescribed iron pills but she never had these refilled. Admits irregular menses and post coital bleeding. LMP 12/9 - 12/12/21. Active Problems:   Severe symptomatic
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Coital bleeding, Condition aggravated, Cough
Clinical narrative: 1/18/22  50 y/o female with PMH significant for IDA, asthma who complains of CP, SOA.    Pt reports her symptoms began yesterday. Her CP is pleuritic, left sided, radiates into her back. For several days before this developed she had been having chills, myalgias, HA, nausea, left ear pain. Admits chronic cough unchanged from baseline, nonsmoker. Denies fever, vomiting, bloody stools. She is vaccinated against COVID but not boostered. ER work up was significant for hemoglobin of 6.1. She had required blood transfusion a few years ago and was at one point prescribed iron pills but she never had these refilled. Admits irregular menses and post coital bleeding. LMP 12/9 - 12/12/21. Active Problems:   Severe symptomatic
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Differential white blood cell count, Dyspnoea, Ear pain, Endometrial neoplasm, Eosinophil count decreased
Clinical narrative: 1/18/22  50 y/o female with PMH significant for IDA, asthma who complains of CP, SOA.    Pt reports her symptoms began yesterday. Her CP is pleuritic, left sided, radiates into her back. For several days before this developed she had been having chills, myalgias, HA, nausea, left ear pain. Admits chronic cough unchanged from baseline, nonsmoker. Denies fever, vomiting, bloody stools. She is vaccinated against COVID but not boostered. ER work up was significant for hemoglobin of 6.1. She had required blood transfusion a few years ago and was at one point prescribed iron pills but she never had these refilled. Admits irregular menses and post coital bleeding. LMP 12/9 - 12/12/21. Active Problems:   Severe symptomatic
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Eosinophil percentage decreased, Full blood count, Glomerular filtration rate normal, Haematocrit decreased, Haemoglobin decreased
Clinical narrative: 1/18/22  50 y/o female with PMH significant for IDA, asthma who complains of CP, SOA.    Pt reports her symptoms began yesterday. Her CP is pleuritic, left sided, radiates into her back. For several days before this developed she had been having chills, myalgias, HA, nausea, left ear pain. Admits chronic cough unchanged from baseline, nonsmoker. Denies fever, vomiting, bloody stools. She is vaccinated against COVID but not boostered. ER work up was significant for hemoglobin of 6.1. She had required blood transfusion a few years ago and was at one point prescribed iron pills but she never had these refilled. Admits irregular menses and post coital bleeding. LMP 12/9 - 12/12/21. Active Problems:   Severe symptomatic
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Immature granulocyte count, Iron deficiency anaemia, Lymphocyte count, Lymphocyte percentage
Clinical narrative: 1/18/22  50 y/o female with PMH significant for IDA, asthma who complains of CP, SOA.    Pt reports her symptoms began yesterday. Her CP is pleuritic, left sided, radiates into her back. For several days before this developed she had been having chills, myalgias, HA, nausea, left ear pain. Admits chronic cough unchanged from baseline, nonsmoker. Denies fever, vomiting, bloody stools. She is vaccinated against COVID but not boostered. ER work up was significant for hemoglobin of 6.1. She had required blood transfusion a few years ago and was at one point prescribed iron pills but she never had these refilled. Admits irregular menses and post coital bleeding. LMP 12/9 - 12/12/21. Active Problems:   Severe symptomatic