chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Feeling hot, Hypotension, Ischaemia, Livedo reticularis
Clinical narrative: Presented to the ER via EMS with dyspnea.  Patient reports waking to a smothering sensation without chest pain.  Felt extremely short of breath even with his home 2 L oxygen.  He called EMS.  He was found to be satting 82% on his home O2 by EMS.  He was noted to be cyanotic with mottling and tripoding.  EMS brought him in emergently on their positive pressure ventilation.  In the ER rapid Covid test is positive.  Chest x-ray with findings of right basilar pulmonary infiltrate.  He is dyspneic with minimal conversation.  He is alert and oriented x3.  He reports a several day history of progressive shortness of breath.  He was seen by his primary pulmonologist last week and was started on a NEW medication, although he is unable to recall name of the medication.  He states he was unable to afford the prescription and has never started on the medication.  Patient reports a several day history of feeling "hot."  He did not take his temperature.  He reports a new productive cough of yellow sputum.  He reports having Covid-19 last year, and following infection he  received 2 doses of Pfizer COVID-19 vaccine. Patient is in A. fib with RVR.  Heart rates ranging 110-124. He denies any CP.  He received bolus of IV Cardizem in the ER.  Initiated Cardizem drip at 10MG/h and vancomycin.   Assessment:  Acute on chronic hypoxic/hypercapnic respiratory failure, on 2 L nasal cannula at home with history of astral use Right-sided PNA/pulmonary infiltrate A. fib with RVR Hypotension COVID-19 pneumonia Elevated lactate Elevated troponin, likely type II MI 2/2 demand ischemia in setting of acute respiratory failure, A. fib with RVR, and pneumonia Mild AKI  COVID-19: Steroids, remdesevir started. Supplemental O2 given. convalescent plasma given. empiric antibiotics for pneumonia.  9/7/2021: O2 titrated down to 3LPM and cardizem drip stopped and transitioned to oral cardizem Patient still admitted at time of report.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Myocardial infarction, Pneumonia, Positive airway pressure therapy, Posture abnormal, Productive cough
Clinical narrative: Presented to the ER via EMS with dyspnea.  Patient reports waking to a smothering sensation without chest pain.  Felt extremely short of breath even with his home 2 L oxygen.  He called EMS.  He was found to be satting 82% on his home O2 by EMS.  He was noted to be cyanotic with mottling and tripoding.  EMS brought him in emergently on their positive pressure ventilation.  In the ER rapid Covid test is positive.  Chest x-ray with findings of right basilar pulmonary infiltrate.  He is dyspneic with minimal conversation.  He is alert and oriented x3.  He reports a several day history of progressive shortness of breath.  He was seen by his primary pulmonologist last week and was started on a NEW medication, although he is unable to recall name of the medication.  He states he was unable to afford the prescription and has never started on the medication.  Patient reports a several day history of feeling "hot."  He did not take his temperature.  He reports a new productive cough of yellow sputum.  He reports having Covid-19 last year, and following infection he  received 2 doses of Pfizer COVID-19 vaccine. Patient is in A. fib with RVR.  Heart rates ranging 110-124. He denies any CP.  He received bolus of IV Cardizem in the ER.  Initiated Cardizem drip at 10MG/h and vancomycin.   Assessment:  Acute on chronic hypoxic/hypercapnic respiratory failure, on 2 L nasal cannula at home with history of astral use Right-sided PNA/pulmonary infiltrate A. fib with RVR Hypotension COVID-19 pneumonia Elevated lactate Elevated troponin, likely type II MI 2/2 demand ischemia in setting of acute respiratory failure, A. fib with RVR, and pneumonia Mild AKI  COVID-19: Steroids, remdesevir started. Supplemental O2 given. convalescent plasma given. empiric antibiotics for pneumonia.  9/7/2021: O2 titrated down to 3LPM and cardizem drip stopped and transitioned to oral cardizem Patient still admitted at time of report.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory failure, SARS-CoV-2 test positive, Sputum discoloured, Suffocation feeling, Troponin increased
Clinical narrative: Presented to the ER via EMS with dyspnea.  Patient reports waking to a smothering sensation without chest pain.  Felt extremely short of breath even with his home 2 L oxygen.  He called EMS.  He was found to be satting 82% on his home O2 by EMS.  He was noted to be cyanotic with mottling and tripoding.  EMS brought him in emergently on their positive pressure ventilation.  In the ER rapid Covid test is positive.  Chest x-ray with findings of right basilar pulmonary infiltrate.  He is dyspneic with minimal conversation.  He is alert and oriented x3.  He reports a several day history of progressive shortness of breath.  He was seen by his primary pulmonologist last week and was started on a NEW medication, although he is unable to recall name of the medication.  He states he was unable to afford the prescription and has never started on the medication.  Patient reports a several day history of feeling "hot."  He did not take his temperature.  He reports a new productive cough of yellow sputum.  He reports having Covid-19 last year, and following infection he  received 2 doses of Pfizer COVID-19 vaccine. Patient is in A. fib with RVR.  Heart rates ranging 110-124. He denies any CP.  He received bolus of IV Cardizem in the ER.  Initiated Cardizem drip at 10MG/h and vancomycin.   Assessment:  Acute on chronic hypoxic/hypercapnic respiratory failure, on 2 L nasal cannula at home with history of astral use Right-sided PNA/pulmonary infiltrate A. fib with RVR Hypotension COVID-19 pneumonia Elevated lactate Elevated troponin, likely type II MI 2/2 demand ischemia in setting of acute respiratory failure, A. fib with RVR, and pneumonia Mild AKI  COVID-19: Steroids, remdesevir started. Supplemental O2 given. convalescent plasma given. empiric antibiotics for pneumonia.  9/7/2021: O2 titrated down to 3LPM and cardizem drip stopped and transitioned to oral cardizem Patient still admitted at time of report.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Breakthrough case
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: vaccine breakthrough case
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Atrioventricular block, Blood test abnormal, Cardiac assistance device user, Coronary arterial stent insertion, Dyspnoea
Clinical narrative: On 7/16/2021, I woke up with heavy breathing,  My BP was 190/103.   My breathing continued to worsen and my BP did not change.  I decided to go to the ER. They took blood work and EKG . The blood work indicated blockage and I was admitted for sugery and they placed 5 stents. I was in the hospital for 4 days and discharged with instructions to follow up with cardiologist, lifestyle changes,  new medications. , and I am wearing a life vest.   I will be starting therapy soon  and I have not been back to work yet.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Impaired work ability, Surgery
Clinical narrative: On 7/16/2021, I woke up with heavy breathing,  My BP was 190/103.   My breathing continued to worsen and my BP did not change.  I decided to go to the ER. They took blood work and EKG . The blood work indicated blockage and I was admitted for sugery and they placed 5 stents. I was in the hospital for 4 days and discharged with instructions to follow up with cardiologist, lifestyle changes,  new medications. , and I am wearing a life vest.   I will be starting therapy soon  and I have not been back to work yet.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Bradycardia, Chills, Diarrhoea, Dizziness, Myalgia
Clinical narrative: dizzy/lightheaded with associated  bradycardia within 5 minutes of injection - rest, elevate legs, water, monitor symptoms.  Resolved after 30 minutes diarrhea within 1 hour of injection - resolved on its own after 2 initial episodes sore arm, muscle aches, chills and low grade temperature began within 12 hours - took Tylenol extra strength, drank fluids and rested.  Resolved after 48 hours
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: dizzy/lightheaded with associated  bradycardia within 5 minutes of injection - rest, elevate legs, water, monitor symptoms.  Resolved after 30 minutes diarrhea within 1 hour of injection - resolved on its own after 2 initial episodes sore arm, muscle aches, chills and low grade temperature began within 12 hours - took Tylenol extra strength, drank fluids and rested.  Resolved after 48 hours
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Fall, SARS-CoV-2 test positive
Clinical narrative: Patient presented from an assisted living facility to the emergency department on 9/3/2021 following a fall from a chair. He was found to be COVID-19 positive and was administered monoclonal antibodies on 9/5/2021. He remained asymptomatic during admission. He was discharged to skilled nursing facility on 9/7/2021.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Adenovirus test, Aortic arteriosclerosis, Asthenia, Bordetella test negative, COVID-19
Clinical narrative: ED to Hosp-Admission Current   9/2/2021 - present (6 days)  Essential hypertension, Hypothyroid, Hyponatremia,  COVID-19, Diarrhea  Chief Complaint Patient presents with ? Weakness - Generalized     History of Present Illness   Patient is a remarkable 86-year-old female in excellent health, past medical history significant for hypothyroidism and hypertension, active and independent in activities of daily living, works and engages in social activities. Patient has been generally unwell for 1 week's time.  Her closest dance partner had upper respiratory symptoms 1 week ago.  She is fully vaccinated against COVID-19.  She does not routinely mask in public or in dance halls.  She has had 1 week of lethargy, malaise, nausea, poor appetite, poor p.o. intake, early satiety, and diffuse watery diarrhea.  She has had no upper respiratory symptoms, has not been short of breath or coughing, no fevers.  She is generally weak and lightheaded.  She saw her primary care physician on 830, had a rapid Covid test in the office which was negative, and in her vaccination status this was thought to be accurate.  Repeat Covid is positive today.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Chlamydia test negative, Condition aggravated, Decreased appetite, Diarrhoea
Clinical narrative: ED to Hosp-Admission Current   9/2/2021 - present (6 days)  Essential hypertension, Hypothyroid, Hyponatremia,  COVID-19, Diarrhea  Chief Complaint Patient presents with ? Weakness - Generalized     History of Present Illness   Patient is a remarkable 86-year-old female in excellent health, past medical history significant for hypothyroidism and hypertension, active and independent in activities of daily living, works and engages in social activities. Patient has been generally unwell for 1 week's time.  Her closest dance partner had upper respiratory symptoms 1 week ago.  She is fully vaccinated against COVID-19.  She does not routinely mask in public or in dance halls.  She has had 1 week of lethargy, malaise, nausea, poor appetite, poor p.o. intake, early satiety, and diffuse watery diarrhea.  She has had no upper respiratory symptoms, has not been short of breath or coughing, no fevers.  She is generally weak and lightheaded.  She saw her primary care physician on 830, had a rapid Covid test in the office which was negative, and in her vaccination status this was thought to be accurate.  Repeat Covid is positive today.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Early satiety, Enterovirus test negative, Essential hypertension, Human metapneumovirus test
Clinical narrative: ED to Hosp-Admission Current   9/2/2021 - present (6 days)  Essential hypertension, Hypothyroid, Hyponatremia,  COVID-19, Diarrhea  Chief Complaint Patient presents with ? Weakness - Generalized     History of Present Illness   Patient is a remarkable 86-year-old female in excellent health, past medical history significant for hypothyroidism and hypertension, active and independent in activities of daily living, works and engages in social activities. Patient has been generally unwell for 1 week's time.  Her closest dance partner had upper respiratory symptoms 1 week ago.  She is fully vaccinated against COVID-19.  She does not routinely mask in public or in dance halls.  She has had 1 week of lethargy, malaise, nausea, poor appetite, poor p.o. intake, early satiety, and diffuse watery diarrhea.  She has had no upper respiratory symptoms, has not been short of breath or coughing, no fevers.  She is generally weak and lightheaded.  She saw her primary care physician on 830, had a rapid Covid test in the office which was negative, and in her vaccination status this was thought to be accurate.  Repeat Covid is positive today.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Human rhinovirus test, Hyponatraemia, Hypophagia, Hypothyroidism, Influenza A virus test negative
Clinical narrative: ED to Hosp-Admission Current   9/2/2021 - present (6 days)  Essential hypertension, Hypothyroid, Hyponatremia,  COVID-19, Diarrhea  Chief Complaint Patient presents with ? Weakness - Generalized     History of Present Illness   Patient is a remarkable 86-year-old female in excellent health, past medical history significant for hypothyroidism and hypertension, active and independent in activities of daily living, works and engages in social activities. Patient has been generally unwell for 1 week's time.  Her closest dance partner had upper respiratory symptoms 1 week ago.  She is fully vaccinated against COVID-19.  She does not routinely mask in public or in dance halls.  She has had 1 week of lethargy, malaise, nausea, poor appetite, poor p.o. intake, early satiety, and diffuse watery diarrhea.  She has had no upper respiratory symptoms, has not been short of breath or coughing, no fevers.  She is generally weak and lightheaded.  She saw her primary care physician on 830, had a rapid Covid test in the office which was negative, and in her vaccination status this was thought to be accurate.  Repeat Covid is positive today.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza B virus test, Lethargy, Malaise, Mycoplasma test negative, Nausea
Clinical narrative: ED to Hosp-Admission Current   9/2/2021 - present (6 days)  Essential hypertension, Hypothyroid, Hyponatremia,  COVID-19, Diarrhea  Chief Complaint Patient presents with ? Weakness - Generalized     History of Present Illness   Patient is a remarkable 86-year-old female in excellent health, past medical history significant for hypothyroidism and hypertension, active and independent in activities of daily living, works and engages in social activities. Patient has been generally unwell for 1 week's time.  Her closest dance partner had upper respiratory symptoms 1 week ago.  She is fully vaccinated against COVID-19.  She does not routinely mask in public or in dance halls.  She has had 1 week of lethargy, malaise, nausea, poor appetite, poor p.o. intake, early satiety, and diffuse watery diarrhea.  She has had no upper respiratory symptoms, has not been short of breath or coughing, no fevers.  She is generally weak and lightheaded.  She saw her primary care physician on 830, had a rapid Covid test in the office which was negative, and in her vaccination status this was thought to be accurate.  Repeat Covid is positive today.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test negative, Respirovirus test, SARS-CoV-2 test positive, Scoliosis
Clinical narrative: ED to Hosp-Admission Current   9/2/2021 - present (6 days)  Essential hypertension, Hypothyroid, Hyponatremia,  COVID-19, Diarrhea  Chief Complaint Patient presents with ? Weakness - Generalized     History of Present Illness   Patient is a remarkable 86-year-old female in excellent health, past medical history significant for hypothyroidism and hypertension, active and independent in activities of daily living, works and engages in social activities. Patient has been generally unwell for 1 week's time.  Her closest dance partner had upper respiratory symptoms 1 week ago.  She is fully vaccinated against COVID-19.  She does not routinely mask in public or in dance halls.  She has had 1 week of lethargy, malaise, nausea, poor appetite, poor p.o. intake, early satiety, and diffuse watery diarrhea.  She has had no upper respiratory symptoms, has not been short of breath or coughing, no fevers.  She is generally weak and lightheaded.  She saw her primary care physician on 830, had a rapid Covid test in the office which was negative, and in her vaccination status this was thought to be accurate.  Repeat Covid is positive today.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Erythema, Gait disturbance, Impaired work ability
Clinical narrative: Persistent inflammation of both knee joints resulting in erythema, swelling, and pain. Significant limitations in mobility where previously there were no limitations. Symptoms are still persisting 4 months later. Patient now sometimes requires assistance to walk. Concerned that she may need to apply for disability as this has impaired her ability to work.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Joint swelling, Mobility decreased
Clinical narrative: Persistent inflammation of both knee joints resulting in erythema, swelling, and pain. Significant limitations in mobility where previously there were no limitations. Symptoms are still persisting 4 months later. Patient now sometimes requires assistance to walk. Concerned that she may need to apply for disability as this has impaired her ability to work.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Antinuclear antibody, Catheterisation cardiac, Chest discomfort, Chest pain, Cough
Clinical narrative: Fatigue, chest pressure, cough when lay flat, chest pain worse when flat and also exercise.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram, Fatigue, Full blood count, Metabolic function test
Clinical narrative: Fatigue, chest pressure, cough when lay flat, chest pain worse when flat and also exercise.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram thorax, Costochondritis
Clinical narrative: About a week after receiving the vaccine, I went to the ER and was diagnosed with costochondritis, inflammation of cartilage in chest. It hadn't subsided a week later, so I contacted my rheumatologist. I was put on prednisone for a month and methotrexate. The methotrexate affected my kidneys and liver, so I had to stop taking it. I am now barely able to get out of bed due to the inflammation being so severe. I have been trying to avoid going back on steroids.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Contusion, Laboratory test normal, Platelet count decreased
Clinical narrative: Not 100% certain when adverse event started.  had noticed bruising over last month, but was setting appointment for a routine colonoscopy, and they wanted check blood.  my platelets came back at 45 (on 4 sept).  they thought could be incorrect in test.  tested again (6 sept) and platelets came back at 24.  they told me go to hospital immediately.  a bunch of more tests showed negative for many things.  most everything else in blood within range.   they took blood 6:30 am on 7 september.  platelets came back at 39.  so they let me out of the hospital, but have no understanding of why this happened
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Adenovirus test, Blood lactate dehydrogenase increased, Bordetella test negative, C-reactive protein increased, COVID-19 pneumonia
Clinical narrative: ED to Hosp-Admission Discharged 8/31/2021 - 9/2/2021 (2 days) - DECEASED 09/02/2021 Presenting Problem/History of Present Illness/Reason for Admission Thrombocytopenia [D69.6] History of myelodysplastic syndrome [Z86.2] Pneumonia due to COVID-19 virus [U07.1, J12.82]   Hospital Course Patient is an 86 yo gentleman with past medical history of MDS, on IV chemotherapy with Vidaza.  Most recent chemo was given 8/9/2021 through 8/17/2021. He also has past medical history of GERD, HTN, BPH, asthma, thrombocytopenia, COPD, HLD, CAD, PVD, AAA, TIA, Mobitz type II AV block, LVH.  He presented to ED from infusion center on 08/31/2021.  He was there for a platelet transfusion.  He was found to have a temperature and shaking chills.  For approximately 3 days prior to admission he had been having increasing cough productive of yellow sputum.   Pt lives at nursing facility where he was possible exposed to COVID.  In the ED he was found positive for COVID 19 pneumonia.     Initially on admission pt had fever and no hypoxia.  He was not initially started on dexamethasone.  Overnight he developed fevers which steadily climbed during the day.   Blood work in the morning showed a normal ferritin, elevated crp/LDH/trop and procalcitonin, normal LFT's  Mid afternoon pt became tachypnic and per nursing pt was more confused.  He was oriented to person, place and time when I examined him.  His temp increased and did not respond to tylenol.  Antibiotics were initiated due to concerns of possible bacterial pneumonia.  Repeat lab work was ordered.     I was contacted again around 6 pm that pt's temp was 106.  The call provider was contacted to see the pt at bedside. She was already aware of the situation. ICU was called and made aware of the pt.  They indicated that pt's condition was dire and family was updated on the pt's current status.  PT's sister who is POA was contacted and pt was made DNR/DNI.     Pt continued to decline overnight. Pt's sister, who is also his POA was contacted that and updated that he was actively dying.  Due to COVID she declined to come into the hospital.  Patient expired at 0758 09/02/2021
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chills, Chlamydia test negative, Condition aggravated, Confusional state
Clinical narrative: ED to Hosp-Admission Discharged 8/31/2021 - 9/2/2021 (2 days) - DECEASED 09/02/2021 Presenting Problem/History of Present Illness/Reason for Admission Thrombocytopenia [D69.6] History of myelodysplastic syndrome [Z86.2] Pneumonia due to COVID-19 virus [U07.1, J12.82]   Hospital Course Patient is an 86 yo gentleman with past medical history of MDS, on IV chemotherapy with Vidaza.  Most recent chemo was given 8/9/2021 through 8/17/2021. He also has past medical history of GERD, HTN, BPH, asthma, thrombocytopenia, COPD, HLD, CAD, PVD, AAA, TIA, Mobitz type II AV block, LVH.  He presented to ED from infusion center on 08/31/2021.  He was there for a platelet transfusion.  He was found to have a temperature and shaking chills.  For approximately 3 days prior to admission he had been having increasing cough productive of yellow sputum.   Pt lives at nursing facility where he was possible exposed to COVID.  In the ED he was found positive for COVID 19 pneumonia.     Initially on admission pt had fever and no hypoxia.  He was not initially started on dexamethasone.  Overnight he developed fevers which steadily climbed during the day.   Blood work in the morning showed a normal ferritin, elevated crp/LDH/trop and procalcitonin, normal LFT's  Mid afternoon pt became tachypnic and per nursing pt was more confused.  He was oriented to person, place and time when I examined him.  His temp increased and did not respond to tylenol.  Antibiotics were initiated due to concerns of possible bacterial pneumonia.  Repeat lab work was ordered.     I was contacted again around 6 pm that pt's temp was 106.  The call provider was contacted to see the pt at bedside. She was already aware of the situation. ICU was called and made aware of the pt.  They indicated that pt's condition was dire and family was updated on the pt's current status.  PT's sister who is POA was contacted and pt was made DNR/DNI.     Pt continued to decline overnight. Pt's sister, who is also his POA was contacted that and updated that he was actively dying.  Due to COVID she declined to come into the hospital.  Patient expired at 0758 09/02/2021
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Coronavirus test negative, Death, Enterovirus test negative, General physical health deterioration, Human metapneumovirus test
Clinical narrative: ED to Hosp-Admission Discharged 8/31/2021 - 9/2/2021 (2 days) - DECEASED 09/02/2021 Presenting Problem/History of Present Illness/Reason for Admission Thrombocytopenia [D69.6] History of myelodysplastic syndrome [Z86.2] Pneumonia due to COVID-19 virus [U07.1, J12.82]   Hospital Course Patient is an 86 yo gentleman with past medical history of MDS, on IV chemotherapy with Vidaza.  Most recent chemo was given 8/9/2021 through 8/17/2021. He also has past medical history of GERD, HTN, BPH, asthma, thrombocytopenia, COPD, HLD, CAD, PVD, AAA, TIA, Mobitz type II AV block, LVH.  He presented to ED from infusion center on 08/31/2021.  He was there for a platelet transfusion.  He was found to have a temperature and shaking chills.  For approximately 3 days prior to admission he had been having increasing cough productive of yellow sputum.   Pt lives at nursing facility where he was possible exposed to COVID.  In the ED he was found positive for COVID 19 pneumonia.     Initially on admission pt had fever and no hypoxia.  He was not initially started on dexamethasone.  Overnight he developed fevers which steadily climbed during the day.   Blood work in the morning showed a normal ferritin, elevated crp/LDH/trop and procalcitonin, normal LFT's  Mid afternoon pt became tachypnic and per nursing pt was more confused.  He was oriented to person, place and time when I examined him.  His temp increased and did not respond to tylenol.  Antibiotics were initiated due to concerns of possible bacterial pneumonia.  Repeat lab work was ordered.     I was contacted again around 6 pm that pt's temp was 106.  The call provider was contacted to see the pt at bedside. She was already aware of the situation. ICU was called and made aware of the pt.  They indicated that pt's condition was dire and family was updated on the pt's current status.  PT's sister who is POA was contacted and pt was made DNR/DNI.     Pt continued to decline overnight. Pt's sister, who is also his POA was contacted that and updated that he was actively dying.  Due to COVID she declined to come into the hospital.  Patient expired at 0758 09/02/2021
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Human rhinovirus test, Influenza A virus test negative, Influenza B virus test, Influenza virus test negative, Liver function test normal
Clinical narrative: ED to Hosp-Admission Discharged 8/31/2021 - 9/2/2021 (2 days) - DECEASED 09/02/2021 Presenting Problem/History of Present Illness/Reason for Admission Thrombocytopenia [D69.6] History of myelodysplastic syndrome [Z86.2] Pneumonia due to COVID-19 virus [U07.1, J12.82]   Hospital Course Patient is an 86 yo gentleman with past medical history of MDS, on IV chemotherapy with Vidaza.  Most recent chemo was given 8/9/2021 through 8/17/2021. He also has past medical history of GERD, HTN, BPH, asthma, thrombocytopenia, COPD, HLD, CAD, PVD, AAA, TIA, Mobitz type II AV block, LVH.  He presented to ED from infusion center on 08/31/2021.  He was there for a platelet transfusion.  He was found to have a temperature and shaking chills.  For approximately 3 days prior to admission he had been having increasing cough productive of yellow sputum.   Pt lives at nursing facility where he was possible exposed to COVID.  In the ED he was found positive for COVID 19 pneumonia.     Initially on admission pt had fever and no hypoxia.  He was not initially started on dexamethasone.  Overnight he developed fevers which steadily climbed during the day.   Blood work in the morning showed a normal ferritin, elevated crp/LDH/trop and procalcitonin, normal LFT's  Mid afternoon pt became tachypnic and per nursing pt was more confused.  He was oriented to person, place and time when I examined him.  His temp increased and did not respond to tylenol.  Antibiotics were initiated due to concerns of possible bacterial pneumonia.  Repeat lab work was ordered.     I was contacted again around 6 pm that pt's temp was 106.  The call provider was contacted to see the pt at bedside. She was already aware of the situation. ICU was called and made aware of the pt.  They indicated that pt's condition was dire and family was updated on the pt's current status.  PT's sister who is POA was contacted and pt was made DNR/DNI.     Pt continued to decline overnight. Pt's sister, who is also his POA was contacted that and updated that he was actively dying.  Due to COVID she declined to come into the hospital.  Patient expired at 0758 09/02/2021
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Lung opacity, Mycoplasma test negative, Platelet transfusion, Procalcitonin increased, Productive cough
Clinical narrative: ED to Hosp-Admission Discharged 8/31/2021 - 9/2/2021 (2 days) - DECEASED 09/02/2021 Presenting Problem/History of Present Illness/Reason for Admission Thrombocytopenia [D69.6] History of myelodysplastic syndrome [Z86.2] Pneumonia due to COVID-19 virus [U07.1, J12.82]   Hospital Course Patient is an 86 yo gentleman with past medical history of MDS, on IV chemotherapy with Vidaza.  Most recent chemo was given 8/9/2021 through 8/17/2021. He also has past medical history of GERD, HTN, BPH, asthma, thrombocytopenia, COPD, HLD, CAD, PVD, AAA, TIA, Mobitz type II AV block, LVH.  He presented to ED from infusion center on 08/31/2021.  He was there for a platelet transfusion.  He was found to have a temperature and shaking chills.  For approximately 3 days prior to admission he had been having increasing cough productive of yellow sputum.   Pt lives at nursing facility where he was possible exposed to COVID.  In the ED he was found positive for COVID 19 pneumonia.     Initially on admission pt had fever and no hypoxia.  He was not initially started on dexamethasone.  Overnight he developed fevers which steadily climbed during the day.   Blood work in the morning showed a normal ferritin, elevated crp/LDH/trop and procalcitonin, normal LFT's  Mid afternoon pt became tachypnic and per nursing pt was more confused.  He was oriented to person, place and time when I examined him.  His temp increased and did not respond to tylenol.  Antibiotics were initiated due to concerns of possible bacterial pneumonia.  Repeat lab work was ordered.     I was contacted again around 6 pm that pt's temp was 106.  The call provider was contacted to see the pt at bedside. She was already aware of the situation. ICU was called and made aware of the pt.  They indicated that pt's condition was dire and family was updated on the pt's current status.  PT's sister who is POA was contacted and pt was made DNR/DNI.     Pt continued to decline overnight. Pt's sister, who is also his POA was contacted that and updated that he was actively dying.  Due to COVID she declined to come into the hospital.  Patient expired at 0758 09/02/2021
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory syncytial virus test negative, Respiratory viral panel, Rhonchi, SARS-CoV-2 test positive
Clinical narrative: ED to Hosp-Admission Discharged 8/31/2021 - 9/2/2021 (2 days) - DECEASED 09/02/2021 Presenting Problem/History of Present Illness/Reason for Admission Thrombocytopenia [D69.6] History of myelodysplastic syndrome [Z86.2] Pneumonia due to COVID-19 virus [U07.1, J12.82]   Hospital Course Patient is an 86 yo gentleman with past medical history of MDS, on IV chemotherapy with Vidaza.  Most recent chemo was given 8/9/2021 through 8/17/2021. He also has past medical history of GERD, HTN, BPH, asthma, thrombocytopenia, COPD, HLD, CAD, PVD, AAA, TIA, Mobitz type II AV block, LVH.  He presented to ED from infusion center on 08/31/2021.  He was there for a platelet transfusion.  He was found to have a temperature and shaking chills.  For approximately 3 days prior to admission he had been having increasing cough productive of yellow sputum.   Pt lives at nursing facility where he was possible exposed to COVID.  In the ED he was found positive for COVID 19 pneumonia.     Initially on admission pt had fever and no hypoxia.  He was not initially started on dexamethasone.  Overnight he developed fevers which steadily climbed during the day.   Blood work in the morning showed a normal ferritin, elevated crp/LDH/trop and procalcitonin, normal LFT's  Mid afternoon pt became tachypnic and per nursing pt was more confused.  He was oriented to person, place and time when I examined him.  His temp increased and did not respond to tylenol.  Antibiotics were initiated due to concerns of possible bacterial pneumonia.  Repeat lab work was ordered.     I was contacted again around 6 pm that pt's temp was 106.  The call provider was contacted to see the pt at bedside. She was already aware of the situation. ICU was called and made aware of the pt.  They indicated that pt's condition was dire and family was updated on the pt's current status.  PT's sister who is POA was contacted and pt was made DNR/DNI.     Pt continued to decline overnight. Pt's sister, who is also his POA was contacted that and updated that he was actively dying.  Due to COVID she declined to come into the hospital.  Patient expired at 0758 09/02/2021
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Serum ferritin normal, Sputum discoloured, Tachypnoea, Thrombocytopenia, Troponin increased
Clinical narrative: ED to Hosp-Admission Discharged 8/31/2021 - 9/2/2021 (2 days) - DECEASED 09/02/2021 Presenting Problem/History of Present Illness/Reason for Admission Thrombocytopenia [D69.6] History of myelodysplastic syndrome [Z86.2] Pneumonia due to COVID-19 virus [U07.1, J12.82]   Hospital Course Patient is an 86 yo gentleman with past medical history of MDS, on IV chemotherapy with Vidaza.  Most recent chemo was given 8/9/2021 through 8/17/2021. He also has past medical history of GERD, HTN, BPH, asthma, thrombocytopenia, COPD, HLD, CAD, PVD, AAA, TIA, Mobitz type II AV block, LVH.  He presented to ED from infusion center on 08/31/2021.  He was there for a platelet transfusion.  He was found to have a temperature and shaking chills.  For approximately 3 days prior to admission he had been having increasing cough productive of yellow sputum.   Pt lives at nursing facility where he was possible exposed to COVID.  In the ED he was found positive for COVID 19 pneumonia.     Initially on admission pt had fever and no hypoxia.  He was not initially started on dexamethasone.  Overnight he developed fevers which steadily climbed during the day.   Blood work in the morning showed a normal ferritin, elevated crp/LDH/trop and procalcitonin, normal LFT's  Mid afternoon pt became tachypnic and per nursing pt was more confused.  He was oriented to person, place and time when I examined him.  His temp increased and did not respond to tylenol.  Antibiotics were initiated due to concerns of possible bacterial pneumonia.  Repeat lab work was ordered.     I was contacted again around 6 pm that pt's temp was 106.  The call provider was contacted to see the pt at bedside. She was already aware of the situation. ICU was called and made aware of the pt.  They indicated that pt's condition was dire and family was updated on the pt's current status.  PT's sister who is POA was contacted and pt was made DNR/DNI.     Pt continued to decline overnight. Pt's sister, who is also his POA was contacted that and updated that he was actively dying.  Due to COVID she declined to come into the hospital.  Patient expired at 0758 09/02/2021
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Viral test negative, Wheezing
Clinical narrative: ED to Hosp-Admission Discharged 8/31/2021 - 9/2/2021 (2 days) - DECEASED 09/02/2021 Presenting Problem/History of Present Illness/Reason for Admission Thrombocytopenia [D69.6] History of myelodysplastic syndrome [Z86.2] Pneumonia due to COVID-19 virus [U07.1, J12.82]   Hospital Course Patient is an 86 yo gentleman with past medical history of MDS, on IV chemotherapy with Vidaza.  Most recent chemo was given 8/9/2021 through 8/17/2021. He also has past medical history of GERD, HTN, BPH, asthma, thrombocytopenia, COPD, HLD, CAD, PVD, AAA, TIA, Mobitz type II AV block, LVH.  He presented to ED from infusion center on 08/31/2021.  He was there for a platelet transfusion.  He was found to have a temperature and shaking chills.  For approximately 3 days prior to admission he had been having increasing cough productive of yellow sputum.   Pt lives at nursing facility where he was possible exposed to COVID.  In the ED he was found positive for COVID 19 pneumonia.     Initially on admission pt had fever and no hypoxia.  He was not initially started on dexamethasone.  Overnight he developed fevers which steadily climbed during the day.   Blood work in the morning showed a normal ferritin, elevated crp/LDH/trop and procalcitonin, normal LFT's  Mid afternoon pt became tachypnic and per nursing pt was more confused.  He was oriented to person, place and time when I examined him.  His temp increased and did not respond to tylenol.  Antibiotics were initiated due to concerns of possible bacterial pneumonia.  Repeat lab work was ordered.     I was contacted again around 6 pm that pt's temp was 106.  The call provider was contacted to see the pt at bedside. She was already aware of the situation. ICU was called and made aware of the pt.  They indicated that pt's condition was dire and family was updated on the pt's current status.  PT's sister who is POA was contacted and pt was made DNR/DNI.     Pt continued to decline overnight. Pt's sister, who is also his POA was contacted that and updated that he was actively dying.  Due to COVID she declined to come into the hospital.  Patient expired at 0758 09/02/2021
Age: 19.0
Sex: M
Vaccine: ADEN_4_7, COVID19, HEP, MNQ, TDAP, VARCEL
Symptoms: Urticaria
Clinical narrative: 15 minutes following immunizations patient experienced hives
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Oligomenorrhoea, Vaccine positive rechallenge
Clinical narrative: I had not had a menstrual cycle in 6 months. Two days after both my first and second shots, I got one. I have not had one since.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Skin warm, Urticaria
Clinical narrative: Frequent and recurring hives, appearing throughout body, not just at injection site. They come and go rapidly and seem to be more frequent at night and early morning, but do come less severely throughout the day. Intensely itchy and warm when an outbreak occurs. Appearing on neck, arms, trunk, legs. Had a doctors appointment the night before filling out this form, and will attempt high dose antihistamines and pepcid, per doctor's recommendation, and if not improved after a few weeks, will start on steroids. Doctor thinks hives could have been triggered by vaccine, as no other changes in environment have occurred. No history of allergies other than occasional mild seasonal allergies.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder
Clinical narrative: Was very sporadic with my periods for the last year prior the the vaccine due to impending menopause.  Since the vaccine I have experienced consistent periods every 28 days approx.
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive COVID test
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Anaemia, Asthenia, Beta haemolytic streptococcal infection, Blood glucose increased
Clinical narrative: Patient hospitalized;  COVID-19 positive (8.29.21);  fully vaccinated  Admission Date: 8/29/2021 Discharge Date: 09/01/2021 DISCHARGE INSTRUCTIONS Discharge Disposition: Home with services - Nursing Discharge Recommendations:  1. Covid-19: Will complete 3 days of decadron treatment outpatient.  2. UTI: Will complete 3 days of Omnicef treatment outpatient. 3. Follow up with PCP within 1-2 weeks regarding Covid-19, UTI, and CHF DETAILS OF HOSPITAL STAY Hospital Course: Patient is a 80 y.o. male with PMHx of DM2, CHF, CKD and multiple co-morbidities who presented with 2 days of fatigue, weakness, fevers, and cough with slight mucus production.    In the ED, he had elevated RR, hypoxic requiring 2L NC. Covid testing was positive. He was slightly anemic with thrombocytopenia and absolute lymphopenia. His blood sugars were 219, UA was concerning for infection, BNP elevated, CXR consistent with CHF. He was given fluids and started on Rocephin. He was admitted for Severe Covid-19 infection with acute hypoxic respiratory failure, abnormal UA, and acute on chronic CHF exacerbation.   On the unit, he was started on decadron and remdesivir. He initially required 2L NC. We continued rocephin for his abnormal UA and followed cultures. We started him on Lasix 40mg for Acute on Chronic CHF exacerbation.    Patient respiratory status improved during hospital stay, weaned to room air. Urine cultures grew Group G B-hemolytic Streptococci and he continued treatment with rocephin. Toward the end of his hospital stay, he had a significantly elevated d-dimer, though he was asymptomatic. Subsequent bilateral doppler USV of UE and LE was negative for DVT. Patient was able to be discharged and placed on 3 days of decadron and 3 days of Omnicef. Length of Hospital Stay: 3  Condition on Discharge: Stable and improved.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Brain natriuretic peptide increased, COVID-19, Cardiac failure congestive, Chest X-ray abnormal, Condition aggravated
Clinical narrative: Patient hospitalized;  COVID-19 positive (8.29.21);  fully vaccinated  Admission Date: 8/29/2021 Discharge Date: 09/01/2021 DISCHARGE INSTRUCTIONS Discharge Disposition: Home with services - Nursing Discharge Recommendations:  1. Covid-19: Will complete 3 days of decadron treatment outpatient.  2. UTI: Will complete 3 days of Omnicef treatment outpatient. 3. Follow up with PCP within 1-2 weeks regarding Covid-19, UTI, and CHF DETAILS OF HOSPITAL STAY Hospital Course: Patient is a 80 y.o. male with PMHx of DM2, CHF, CKD and multiple co-morbidities who presented with 2 days of fatigue, weakness, fevers, and cough with slight mucus production.    In the ED, he had elevated RR, hypoxic requiring 2L NC. Covid testing was positive. He was slightly anemic with thrombocytopenia and absolute lymphopenia. His blood sugars were 219, UA was concerning for infection, BNP elevated, CXR consistent with CHF. He was given fluids and started on Rocephin. He was admitted for Severe Covid-19 infection with acute hypoxic respiratory failure, abnormal UA, and acute on chronic CHF exacerbation.   On the unit, he was started on decadron and remdesivir. He initially required 2L NC. We continued rocephin for his abnormal UA and followed cultures. We started him on Lasix 40mg for Acute on Chronic CHF exacerbation.    Patient respiratory status improved during hospital stay, weaned to room air. Urine cultures grew Group G B-hemolytic Streptococci and he continued treatment with rocephin. Toward the end of his hospital stay, he had a significantly elevated d-dimer, though he was asymptomatic. Subsequent bilateral doppler USV of UE and LE was negative for DVT. Patient was able to be discharged and placed on 3 days of decadron and 3 days of Omnicef. Length of Hospital Stay: 3  Condition on Discharge: Stable and improved.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Culture urine positive, Fatigue, Fibrin D dimer increased, Heart rate increased
Clinical narrative: Patient hospitalized;  COVID-19 positive (8.29.21);  fully vaccinated  Admission Date: 8/29/2021 Discharge Date: 09/01/2021 DISCHARGE INSTRUCTIONS Discharge Disposition: Home with services - Nursing Discharge Recommendations:  1. Covid-19: Will complete 3 days of decadron treatment outpatient.  2. UTI: Will complete 3 days of Omnicef treatment outpatient. 3. Follow up with PCP within 1-2 weeks regarding Covid-19, UTI, and CHF DETAILS OF HOSPITAL STAY Hospital Course: Patient is a 80 y.o. male with PMHx of DM2, CHF, CKD and multiple co-morbidities who presented with 2 days of fatigue, weakness, fevers, and cough with slight mucus production.    In the ED, he had elevated RR, hypoxic requiring 2L NC. Covid testing was positive. He was slightly anemic with thrombocytopenia and absolute lymphopenia. His blood sugars were 219, UA was concerning for infection, BNP elevated, CXR consistent with CHF. He was given fluids and started on Rocephin. He was admitted for Severe Covid-19 infection with acute hypoxic respiratory failure, abnormal UA, and acute on chronic CHF exacerbation.   On the unit, he was started on decadron and remdesivir. He initially required 2L NC. We continued rocephin for his abnormal UA and followed cultures. We started him on Lasix 40mg for Acute on Chronic CHF exacerbation.    Patient respiratory status improved during hospital stay, weaned to room air. Urine cultures grew Group G B-hemolytic Streptococci and he continued treatment with rocephin. Toward the end of his hospital stay, he had a significantly elevated d-dimer, though he was asymptomatic. Subsequent bilateral doppler USV of UE and LE was negative for DVT. Patient was able to be discharged and placed on 3 days of decadron and 3 days of Omnicef. Length of Hospital Stay: 3  Condition on Discharge: Stable and improved.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypoxia, Lymphopenia, Pyrexia, SARS-CoV-2 test positive, Secretion discharge
Clinical narrative: Patient hospitalized;  COVID-19 positive (8.29.21);  fully vaccinated  Admission Date: 8/29/2021 Discharge Date: 09/01/2021 DISCHARGE INSTRUCTIONS Discharge Disposition: Home with services - Nursing Discharge Recommendations:  1. Covid-19: Will complete 3 days of decadron treatment outpatient.  2. UTI: Will complete 3 days of Omnicef treatment outpatient. 3. Follow up with PCP within 1-2 weeks regarding Covid-19, UTI, and CHF DETAILS OF HOSPITAL STAY Hospital Course: Patient is a 80 y.o. male with PMHx of DM2, CHF, CKD and multiple co-morbidities who presented with 2 days of fatigue, weakness, fevers, and cough with slight mucus production.    In the ED, he had elevated RR, hypoxic requiring 2L NC. Covid testing was positive. He was slightly anemic with thrombocytopenia and absolute lymphopenia. His blood sugars were 219, UA was concerning for infection, BNP elevated, CXR consistent with CHF. He was given fluids and started on Rocephin. He was admitted for Severe Covid-19 infection with acute hypoxic respiratory failure, abnormal UA, and acute on chronic CHF exacerbation.   On the unit, he was started on decadron and remdesivir. He initially required 2L NC. We continued rocephin for his abnormal UA and followed cultures. We started him on Lasix 40mg for Acute on Chronic CHF exacerbation.    Patient respiratory status improved during hospital stay, weaned to room air. Urine cultures grew Group G B-hemolytic Streptococci and he continued treatment with rocephin. Toward the end of his hospital stay, he had a significantly elevated d-dimer, though he was asymptomatic. Subsequent bilateral doppler USV of UE and LE was negative for DVT. Patient was able to be discharged and placed on 3 days of decadron and 3 days of Omnicef. Length of Hospital Stay: 3  Condition on Discharge: Stable and improved.