chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, SARS-CoV-2 test positive
Clinical narrative: Narrative:  Fully vaccinated, admitted for chest pain, incidentally COVID positive
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chronic kidney disease, Hyperkalaemia
Clinical narrative: 81 y.o. 7/14/1941   Admit Date:  8/11/2022   Discharge Date:   8/14/2022   Discharge Diagnosis:  Principal Problem:   COVID-19 virus infection Active Problems:   Hyperkalemia   Stage 3b chronic kidney disease     Hospital Course:  81 year old vaccinated male was admitted forCovid-19 infection and hyperkalemia. He has been on Remdesivir. Hyperkalemia resolved with treatment. He will be discharged home today in stable condition after receiving the 3rd dose of Remdesivir. Patient educated on appropriate level of care post-discharge. Follow up with Primary Care Doctor in 5-7 days.   Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 98.3 °F (36.8 °C) Heart Rate (Monitor): 68 Pulse: 56 BP: 132/56 Respirations: 18 SpO2: 98 % O2 Flow Rate (l/min): 2 l/min General Appearance: no distress  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: regular rate and rhythm Abdomen: soft, non-tender  Skin: No rashes or lesions  Extremities: full ROM Neuro: alert, normal strength and tone    Consults:  IP CONSULT TO SOCIAL WORK   Significant Diagnostic Studies:   CXR   Operations: none   Disposition:  Home    Discharge Condition:  Fair
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: 81 y.o. 7/14/1941   Admit Date:  8/11/2022   Discharge Date:   8/14/2022   Discharge Diagnosis:  Principal Problem:   COVID-19 virus infection Active Problems:   Hyperkalemia   Stage 3b chronic kidney disease     Hospital Course:  81 year old vaccinated male was admitted forCovid-19 infection and hyperkalemia. He has been on Remdesivir. Hyperkalemia resolved with treatment. He will be discharged home today in stable condition after receiving the 3rd dose of Remdesivir. Patient educated on appropriate level of care post-discharge. Follow up with Primary Care Doctor in 5-7 days.   Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 98.3 °F (36.8 °C) Heart Rate (Monitor): 68 Pulse: 56 BP: 132/56 Respirations: 18 SpO2: 98 % O2 Flow Rate (l/min): 2 l/min General Appearance: no distress  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: regular rate and rhythm Abdomen: soft, non-tender  Skin: No rashes or lesions  Extremities: full ROM Neuro: alert, normal strength and tone    Consults:  IP CONSULT TO SOCIAL WORK   Significant Diagnostic Studies:   CXR   Operations: none   Disposition:  Home    Discharge Condition:  Fair
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Bile duct stone, Bradycardia, COVID-19 pneumonia, Cardiac telemetry
Clinical narrative: Patient ID: MRN:  Name:  Age: 71 y.o. Admit Date: 8/11/2022  4:24 PM Discharge Date: 8/16/2022 Unit:  Admitting Physician:  Discharge Physician: M.D.   Discharge Diagnosis: Principal Problem:   Obstructive jaundice Active Problems:   Bradycardia   Pneumonia due to COVID-19 virus   HTN (hypertension)   Chronic kidney disease, stage II (mild)       HPI: "Patient is a 71 y.o. male with a history of recurrent DVT's, is on eliquis. Patient had labs done per PCP and LFT's were up thus sent to ED. Timing of this uncertain as no sx. Nothing noted to make this better or worse. No present associated sx, no fever, no abdominal pain, no nausea. "   Hospital Course:  The patient was admitted to the hospital and was evaluated and treated per below.      * Obstructive jaundice o Obstructive Jaundice. S/P ERCP and lap chole this morning. A stone was extracted during ERCP. Swollen GB with stone in the cystic duct was found during surgery. Will continue monitor liver function with daily labs. WBC's trending up initially then down. Remains free of abdominal pain, fever or any other symptoms of infection. Procal trended down. Transitioned IV Zosyn to PO Augmentin. Follow up outpatient.  o Pneumonia due to COVID-19 virus. Remains asymptomatic from respiratory stand point.  Not on any treatment for COVID. Continue to monitor.  o Bradycardia. Improved and remains asymptomatic. Continue to monitor on telemetry.  o Hypertension. Controlled. Continue same treatment. Follow up daily labs.  o CKD stage 2. Remains at baseline. Monitor with daily labs.        Physical Exam on the Date of Discharge: Stable and improved      Consults:   IP CONSULT TO GASTROENTEROLOGY IP CONSULT TO GENERAL SURGERY IP CONSULT TO SOCIAL WORK IP CONSULT TO SOCIAL WORK IP CONSULT TO CARDIOLOGY IP CONSULT TO CARDIOLOGY   Significant Diagnostic Studies:    labs, microbiology, radiology, and cardiac graphics: per chart.     Disposition:  home   Discharge Condition:  good
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Choledocholithotomy, Chronic kidney disease, Endoscopic retrograde cholangiopancreatography, Hypertension, Jaundice cholestatic
Clinical narrative: Patient ID: MRN:  Name:  Age: 71 y.o. Admit Date: 8/11/2022  4:24 PM Discharge Date: 8/16/2022 Unit:  Admitting Physician:  Discharge Physician: M.D.   Discharge Diagnosis: Principal Problem:   Obstructive jaundice Active Problems:   Bradycardia   Pneumonia due to COVID-19 virus   HTN (hypertension)   Chronic kidney disease, stage II (mild)       HPI: "Patient is a 71 y.o. male with a history of recurrent DVT's, is on eliquis. Patient had labs done per PCP and LFT's were up thus sent to ED. Timing of this uncertain as no sx. Nothing noted to make this better or worse. No present associated sx, no fever, no abdominal pain, no nausea. "   Hospital Course:  The patient was admitted to the hospital and was evaluated and treated per below.      * Obstructive jaundice o Obstructive Jaundice. S/P ERCP and lap chole this morning. A stone was extracted during ERCP. Swollen GB with stone in the cystic duct was found during surgery. Will continue monitor liver function with daily labs. WBC's trending up initially then down. Remains free of abdominal pain, fever or any other symptoms of infection. Procal trended down. Transitioned IV Zosyn to PO Augmentin. Follow up outpatient.  o Pneumonia due to COVID-19 virus. Remains asymptomatic from respiratory stand point.  Not on any treatment for COVID. Continue to monitor.  o Bradycardia. Improved and remains asymptomatic. Continue to monitor on telemetry.  o Hypertension. Controlled. Continue same treatment. Follow up daily labs.  o CKD stage 2. Remains at baseline. Monitor with daily labs.        Physical Exam on the Date of Discharge: Stable and improved      Consults:   IP CONSULT TO GASTROENTEROLOGY IP CONSULT TO GENERAL SURGERY IP CONSULT TO SOCIAL WORK IP CONSULT TO SOCIAL WORK IP CONSULT TO CARDIOLOGY IP CONSULT TO CARDIOLOGY   Significant Diagnostic Studies:    labs, microbiology, radiology, and cardiac graphics: per chart.     Disposition:  home   Discharge Condition:  good
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Laparoscopic surgery, Liver function test increased, Procalcitonin increased, White blood cell count increased
Clinical narrative: Patient ID: MRN:  Name:  Age: 71 y.o. Admit Date: 8/11/2022  4:24 PM Discharge Date: 8/16/2022 Unit:  Admitting Physician:  Discharge Physician: M.D.   Discharge Diagnosis: Principal Problem:   Obstructive jaundice Active Problems:   Bradycardia   Pneumonia due to COVID-19 virus   HTN (hypertension)   Chronic kidney disease, stage II (mild)       HPI: "Patient is a 71 y.o. male with a history of recurrent DVT's, is on eliquis. Patient had labs done per PCP and LFT's were up thus sent to ED. Timing of this uncertain as no sx. Nothing noted to make this better or worse. No present associated sx, no fever, no abdominal pain, no nausea. "   Hospital Course:  The patient was admitted to the hospital and was evaluated and treated per below.      * Obstructive jaundice o Obstructive Jaundice. S/P ERCP and lap chole this morning. A stone was extracted during ERCP. Swollen GB with stone in the cystic duct was found during surgery. Will continue monitor liver function with daily labs. WBC's trending up initially then down. Remains free of abdominal pain, fever or any other symptoms of infection. Procal trended down. Transitioned IV Zosyn to PO Augmentin. Follow up outpatient.  o Pneumonia due to COVID-19 virus. Remains asymptomatic from respiratory stand point.  Not on any treatment for COVID. Continue to monitor.  o Bradycardia. Improved and remains asymptomatic. Continue to monitor on telemetry.  o Hypertension. Controlled. Continue same treatment. Follow up daily labs.  o CKD stage 2. Remains at baseline. Monitor with daily labs.        Physical Exam on the Date of Discharge: Stable and improved      Consults:   IP CONSULT TO GASTROENTEROLOGY IP CONSULT TO GENERAL SURGERY IP CONSULT TO SOCIAL WORK IP CONSULT TO SOCIAL WORK IP CONSULT TO CARDIOLOGY IP CONSULT TO CARDIOLOGY   Significant Diagnostic Studies:    labs, microbiology, radiology, and cardiac graphics: per chart.     Disposition:  home   Discharge Condition:  good
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Blood sodium decreased, COVID-19, Computerised tomogram head, Fibrin D dimer increased
Clinical narrative: Patient ID: 44 y.o.    Admit Date:  8/12/2022   Discharge Date:   8/14/2022   Discharge Diagnosis:  Principal Problem:   Acute hypoxemic respiratory failure due to COVID-19 Active Problems:   Hypokalemia   Hyponatremia     Hospital Course:  44 year old vaccinated female was admitted for Covid-19 infection and hyponatremia. She was treated with Remdesivir and IV fluids. Na has improved to 129 from 120. She will be discharged home today in stable condition. D dimer remains elevated and she will be on ASA. Patient educated on appropriate level of care post-discharge. Follow up with Primary Care Doctor in 5-7 days.   Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 98.2 °F (36.8 °C) Heart Rate (Monitor): 88 Pulse: 82 BP: 108/70 Respirations: 18 SpO2: 100 % O2 Flow Rate (l/min): 2 l/min General Appearance: no distress  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: regular rate and rhythm Abdomen: soft, non-tender  Skin: No rashes or lesions  Extremities: full ROM Neuro: alert, normal strength and tone    Consults:  IP CONSULT TO NEPHROLOGY   Significant Diagnostic Studies:   CT head   Operations: none   Disposition:  Home    Discharge Condition:  Fair
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Hypokalaemia, Hyponatraemia
Clinical narrative: Patient ID: 44 y.o.    Admit Date:  8/12/2022   Discharge Date:   8/14/2022   Discharge Diagnosis:  Principal Problem:   Acute hypoxemic respiratory failure due to COVID-19 Active Problems:   Hypokalemia   Hyponatremia     Hospital Course:  44 year old vaccinated female was admitted for Covid-19 infection and hyponatremia. She was treated with Remdesivir and IV fluids. Na has improved to 129 from 120. She will be discharged home today in stable condition. D dimer remains elevated and she will be on ASA. Patient educated on appropriate level of care post-discharge. Follow up with Primary Care Doctor in 5-7 days.   Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 98.2 °F (36.8 °C) Heart Rate (Monitor): 88 Pulse: 82 BP: 108/70 Respirations: 18 SpO2: 100 % O2 Flow Rate (l/min): 2 l/min General Appearance: no distress  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: regular rate and rhythm Abdomen: soft, non-tender  Skin: No rashes or lesions  Extremities: full ROM Neuro: alert, normal strength and tone    Consults:  IP CONSULT TO NEPHROLOGY   Significant Diagnostic Studies:   CT head   Operations: none   Disposition:  Home    Discharge Condition:  Fair
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Blood sodium decreased, COVID-19, Chest X-ray, Emphysema, Hypertension
Clinical narrative: Patient ID:   Admit Date:  8/12/2022   Discharge Date:   8/14/2022   Discharge Diagnosis:  Principal Problem:   Hyponatremia Active Problems:   COVID-19 virus infection   Pulmonary emphysema   HTN (hypertension)     Hospital Course:  78 year old vaccinated female was admitted for hyponatremia and Covid-19 infection. She received 3 doses of Remdesivir during the hospital stay. Hyzaar was switched to Cozaar. Na has improve to 134 from 120. She is discharged home today in stable condition. Patient educated on appropriate level of care post-discharge. Follow up with Primary Care Doctor in 5-7 days.   Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 98.2 °F (36.8 °C) Heart Rate (Monitor): 78 Pulse: 84 BP: 110/61 Respirations: 18 SpO2: 96 % O2 Flow Rate (l/min): 2 l/min General Appearance: no distress  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: regular rate and rhythm Abdomen: soft, non-tender  Skin: No rashes or lesions  Extremities: full ROM Neuro: alert, normal strength and tone    Consults:  IP CONSULT TO NEPHROLOGY IP CONSULT TO SOCIAL WORK   Significant Diagnostic Studies:   CXR   Operations: none   Disposition:  Home    Discharge Condition:  Fair
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Hyponatraemia
Clinical narrative: Patient ID:   Admit Date:  8/12/2022   Discharge Date:   8/14/2022   Discharge Diagnosis:  Principal Problem:   Hyponatremia Active Problems:   COVID-19 virus infection   Pulmonary emphysema   HTN (hypertension)     Hospital Course:  78 year old vaccinated female was admitted for hyponatremia and Covid-19 infection. She received 3 doses of Remdesivir during the hospital stay. Hyzaar was switched to Cozaar. Na has improve to 134 from 120. She is discharged home today in stable condition. Patient educated on appropriate level of care post-discharge. Follow up with Primary Care Doctor in 5-7 days.   Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 98.2 °F (36.8 °C) Heart Rate (Monitor): 78 Pulse: 84 BP: 110/61 Respirations: 18 SpO2: 96 % O2 Flow Rate (l/min): 2 l/min General Appearance: no distress  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: regular rate and rhythm Abdomen: soft, non-tender  Skin: No rashes or lesions  Extremities: full ROM Neuro: alert, normal strength and tone    Consults:  IP CONSULT TO NEPHROLOGY IP CONSULT TO SOCIAL WORK   Significant Diagnostic Studies:   CXR   Operations: none   Disposition:  Home    Discharge Condition:  Fair
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Patient ID:  72 y.o.    Admit Date:  8/12/2022   Discharge Date:   8/14/2022   Discharge Diagnosis:  Principal Problem:   Acute hypoxemic respiratory failure due to COVID-19 Active Problems:   DM (diabetes mellitus)   Long-term (current) use of anticoagulants   Essential hypertension   H/O mitral valve replacement with mechanical valve     Hospital Course:  72 year old vaccinated male was admitted for respiratory failure from Covid-19 pneumonia. He has been on Remdesivir with steroids and has improved. He will be discharged home today after receiving the 3rd dose of Remdesivir. Patient educated on appropriate level of care post-discharge. Follow up with Primary Care Doctor in 5-7 days.   Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 98.1 °F (36.7 °C) Heart Rate (Monitor): 60 Pulse: 63 BP: 119/61 Respirations: 18 SpO2: 99 % O2 Flow Rate (l/min): 3 l/min General Appearance: no distress  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: regular rate and rhythm Abdomen: soft, non-tender  Skin: No rashes or lesions  Extremities: full ROM Neuro: alert   Consults:  None   Significant Diagnostic Studies:   CXR   Operations: nonr   Disposition:  Home    Discharge Condition:  Fair
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Diabetes mellitus, Essential hypertension, Respiratory failure
Clinical narrative: Patient ID:  72 y.o.    Admit Date:  8/12/2022   Discharge Date:   8/14/2022   Discharge Diagnosis:  Principal Problem:   Acute hypoxemic respiratory failure due to COVID-19 Active Problems:   DM (diabetes mellitus)   Long-term (current) use of anticoagulants   Essential hypertension   H/O mitral valve replacement with mechanical valve     Hospital Course:  72 year old vaccinated male was admitted for respiratory failure from Covid-19 pneumonia. He has been on Remdesivir with steroids and has improved. He will be discharged home today after receiving the 3rd dose of Remdesivir. Patient educated on appropriate level of care post-discharge. Follow up with Primary Care Doctor in 5-7 days.   Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 98.1 °F (36.7 °C) Heart Rate (Monitor): 60 Pulse: 63 BP: 119/61 Respirations: 18 SpO2: 99 % O2 Flow Rate (l/min): 3 l/min General Appearance: no distress  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: regular rate and rhythm Abdomen: soft, non-tender  Skin: No rashes or lesions  Extremities: full ROM Neuro: alert   Consults:  None   Significant Diagnostic Studies:   CXR   Operations: nonr   Disposition:  Home    Discharge Condition:  Fair
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Asthma, COVID-19, Cough, Diarrhoea
Clinical narrative: Patient ID: 21 y.o.    Admit Date:  8/12/2022 Discharge Date:    8/14/2022   Final Diagnoses:   Patient Active Problem List Diagnosis ? Asthmatic bronchitis ? COVID-19   Problem Respiratory Distress (Resolved)     Review of hospital course:  See H&P for HPI.   Started on ivf,iv rocephin,iv solumedrol,albuteorl neb and bromfed dm.has improved remarkably well since meds were started.sob and bad frequent congested cough has resolved,no fever,occ body aches and abdominal cramping and occ diarrhea.resting,eating and drinking fair after saline bolus on the second HD,with good urine output.feeling a lot better.   Condition at discharge: Patient is resting comfortably ,has not vomited.,decreased but adequate po intake.    Exam: Wt Readings from Last 1 Encounters: 08/12/22 (!) 143.3 kg (316 lb)   Recorded Vitals   08/13/22 1533 08/13/22 1836 08/13/22 2000 08/14/22 0000 BP:     144/89 137/82 Pulse: 88 86 96 99 Resp: 16 16 18 18 Temp:     97.5 °F (36.4 °C) 98.5 °F (36.9 °C) TempSrc:     Oral Oral SpO2: 98%   98% 100%   General:well-appearing, well-hydrated, in no apparent distress  Heart: S1, S2 normal, no murmur, click, rub or gallop, regular rate and rhythm Lungs: occ rhonchi and exp wheezes over both lung fields,no retractions,good a/e Abdomen:Normal bowel sounds, soft, nondistended, no mass, no organomegaly. Skin no rashes,good cap refill HEENT tm/tp normal,moist oral mucosa,no sunken eyeballs,no alar flare, Watery nasal d/c,suppleneck,no supraclavicular retracitons  Labs: CBC:  Lab Results Component Value Date/Time   WBC 9.5 08/12/2022 2101   RBC 4.80 08/12/2022 2101   HGB 11.7 08/12/2022 2101   HCT 36.0 08/12/2022 2101   MCV 75.0 08/12/2022 2101   MCH 24.3 08/12/2022 2101   MCHC 32.5 08/12/2022 2101   RDW 15.1 08/12/2022 2101   MPV 8.0 08/12/2022 2101   PLATELETCNT 382 08/12/2022 2101     Consults:  None Significant Diagnostic Studies:   labs:   Unresulted Labs:   Disposition:  Home,f/up in 2 days,albuterol neb qid,bromfed dm 1 tsp q 6 hr,cont zpak,prednisone 40 mg bid Discharge Condition:  good
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Full blood count, Haematocrit decreased, Haemoglobin decreased, Hypophagia
Clinical narrative: Patient ID: 21 y.o.    Admit Date:  8/12/2022 Discharge Date:    8/14/2022   Final Diagnoses:   Patient Active Problem List Diagnosis ? Asthmatic bronchitis ? COVID-19   Problem Respiratory Distress (Resolved)     Review of hospital course:  See H&P for HPI.   Started on ivf,iv rocephin,iv solumedrol,albuteorl neb and bromfed dm.has improved remarkably well since meds were started.sob and bad frequent congested cough has resolved,no fever,occ body aches and abdominal cramping and occ diarrhea.resting,eating and drinking fair after saline bolus on the second HD,with good urine output.feeling a lot better.   Condition at discharge: Patient is resting comfortably ,has not vomited.,decreased but adequate po intake.    Exam: Wt Readings from Last 1 Encounters: 08/12/22 (!) 143.3 kg (316 lb)   Recorded Vitals   08/13/22 1533 08/13/22 1836 08/13/22 2000 08/14/22 0000 BP:     144/89 137/82 Pulse: 88 86 96 99 Resp: 16 16 18 18 Temp:     97.5 °F (36.4 °C) 98.5 °F (36.9 °C) TempSrc:     Oral Oral SpO2: 98%   98% 100%   General:well-appearing, well-hydrated, in no apparent distress  Heart: S1, S2 normal, no murmur, click, rub or gallop, regular rate and rhythm Lungs: occ rhonchi and exp wheezes over both lung fields,no retractions,good a/e Abdomen:Normal bowel sounds, soft, nondistended, no mass, no organomegaly. Skin no rashes,good cap refill HEENT tm/tp normal,moist oral mucosa,no sunken eyeballs,no alar flare, Watery nasal d/c,suppleneck,no supraclavicular retracitons  Labs: CBC:  Lab Results Component Value Date/Time   WBC 9.5 08/12/2022 2101   RBC 4.80 08/12/2022 2101   HGB 11.7 08/12/2022 2101   HCT 36.0 08/12/2022 2101   MCV 75.0 08/12/2022 2101   MCH 24.3 08/12/2022 2101   MCHC 32.5 08/12/2022 2101   RDW 15.1 08/12/2022 2101   MPV 8.0 08/12/2022 2101   PLATELETCNT 382 08/12/2022 2101     Consults:  None Significant Diagnostic Studies:   labs:   Unresulted Labs:   Disposition:  Home,f/up in 2 days,albuterol neb qid,bromfed dm 1 tsp q 6 hr,cont zpak,prednisone 40 mg bid Discharge Condition:  good
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Mean cell haemoglobin concentration normal, Mean cell haemoglobin decreased, Mean cell volume decreased, Mean platelet volume normal, Pain
Clinical narrative: Patient ID: 21 y.o.    Admit Date:  8/12/2022 Discharge Date:    8/14/2022   Final Diagnoses:   Patient Active Problem List Diagnosis ? Asthmatic bronchitis ? COVID-19   Problem Respiratory Distress (Resolved)     Review of hospital course:  See H&P for HPI.   Started on ivf,iv rocephin,iv solumedrol,albuteorl neb and bromfed dm.has improved remarkably well since meds were started.sob and bad frequent congested cough has resolved,no fever,occ body aches and abdominal cramping and occ diarrhea.resting,eating and drinking fair after saline bolus on the second HD,with good urine output.feeling a lot better.   Condition at discharge: Patient is resting comfortably ,has not vomited.,decreased but adequate po intake.    Exam: Wt Readings from Last 1 Encounters: 08/12/22 (!) 143.3 kg (316 lb)   Recorded Vitals   08/13/22 1533 08/13/22 1836 08/13/22 2000 08/14/22 0000 BP:     144/89 137/82 Pulse: 88 86 96 99 Resp: 16 16 18 18 Temp:     97.5 °F (36.4 °C) 98.5 °F (36.9 °C) TempSrc:     Oral Oral SpO2: 98%   98% 100%   General:well-appearing, well-hydrated, in no apparent distress  Heart: S1, S2 normal, no murmur, click, rub or gallop, regular rate and rhythm Lungs: occ rhonchi and exp wheezes over both lung fields,no retractions,good a/e Abdomen:Normal bowel sounds, soft, nondistended, no mass, no organomegaly. Skin no rashes,good cap refill HEENT tm/tp normal,moist oral mucosa,no sunken eyeballs,no alar flare, Watery nasal d/c,suppleneck,no supraclavicular retracitons  Labs: CBC:  Lab Results Component Value Date/Time   WBC 9.5 08/12/2022 2101   RBC 4.80 08/12/2022 2101   HGB 11.7 08/12/2022 2101   HCT 36.0 08/12/2022 2101   MCV 75.0 08/12/2022 2101   MCH 24.3 08/12/2022 2101   MCHC 32.5 08/12/2022 2101   RDW 15.1 08/12/2022 2101   MPV 8.0 08/12/2022 2101   PLATELETCNT 382 08/12/2022 2101     Consults:  None Significant Diagnostic Studies:   labs:   Unresulted Labs:   Disposition:  Home,f/up in 2 days,albuterol neb qid,bromfed dm 1 tsp q 6 hr,cont zpak,prednisone 40 mg bid Discharge Condition:  good
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Platelet count normal, Red blood cell count normal, Red cell distribution width increased, Respiratory distress, Respiratory tract congestion
Clinical narrative: Patient ID: 21 y.o.    Admit Date:  8/12/2022 Discharge Date:    8/14/2022   Final Diagnoses:   Patient Active Problem List Diagnosis ? Asthmatic bronchitis ? COVID-19   Problem Respiratory Distress (Resolved)     Review of hospital course:  See H&P for HPI.   Started on ivf,iv rocephin,iv solumedrol,albuteorl neb and bromfed dm.has improved remarkably well since meds were started.sob and bad frequent congested cough has resolved,no fever,occ body aches and abdominal cramping and occ diarrhea.resting,eating and drinking fair after saline bolus on the second HD,with good urine output.feeling a lot better.   Condition at discharge: Patient is resting comfortably ,has not vomited.,decreased but adequate po intake.    Exam: Wt Readings from Last 1 Encounters: 08/12/22 (!) 143.3 kg (316 lb)   Recorded Vitals   08/13/22 1533 08/13/22 1836 08/13/22 2000 08/14/22 0000 BP:     144/89 137/82 Pulse: 88 86 96 99 Resp: 16 16 18 18 Temp:     97.5 °F (36.4 °C) 98.5 °F (36.9 °C) TempSrc:     Oral Oral SpO2: 98%   98% 100%   General:well-appearing, well-hydrated, in no apparent distress  Heart: S1, S2 normal, no murmur, click, rub or gallop, regular rate and rhythm Lungs: occ rhonchi and exp wheezes over both lung fields,no retractions,good a/e Abdomen:Normal bowel sounds, soft, nondistended, no mass, no organomegaly. Skin no rashes,good cap refill HEENT tm/tp normal,moist oral mucosa,no sunken eyeballs,no alar flare, Watery nasal d/c,suppleneck,no supraclavicular retracitons  Labs: CBC:  Lab Results Component Value Date/Time   WBC 9.5 08/12/2022 2101   RBC 4.80 08/12/2022 2101   HGB 11.7 08/12/2022 2101   HCT 36.0 08/12/2022 2101   MCV 75.0 08/12/2022 2101   MCH 24.3 08/12/2022 2101   MCHC 32.5 08/12/2022 2101   RDW 15.1 08/12/2022 2101   MPV 8.0 08/12/2022 2101   PLATELETCNT 382 08/12/2022 2101     Consults:  None Significant Diagnostic Studies:   labs:   Unresulted Labs:   Disposition:  Home,f/up in 2 days,albuterol neb qid,bromfed dm 1 tsp q 6 hr,cont zpak,prednisone 40 mg bid Discharge Condition:  good
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Rhonchi, Wheezing, White blood cell count normal
Clinical narrative: Patient ID: 21 y.o.    Admit Date:  8/12/2022 Discharge Date:    8/14/2022   Final Diagnoses:   Patient Active Problem List Diagnosis ? Asthmatic bronchitis ? COVID-19   Problem Respiratory Distress (Resolved)     Review of hospital course:  See H&P for HPI.   Started on ivf,iv rocephin,iv solumedrol,albuteorl neb and bromfed dm.has improved remarkably well since meds were started.sob and bad frequent congested cough has resolved,no fever,occ body aches and abdominal cramping and occ diarrhea.resting,eating and drinking fair after saline bolus on the second HD,with good urine output.feeling a lot better.   Condition at discharge: Patient is resting comfortably ,has not vomited.,decreased but adequate po intake.    Exam: Wt Readings from Last 1 Encounters: 08/12/22 (!) 143.3 kg (316 lb)   Recorded Vitals   08/13/22 1533 08/13/22 1836 08/13/22 2000 08/14/22 0000 BP:     144/89 137/82 Pulse: 88 86 96 99 Resp: 16 16 18 18 Temp:     97.5 °F (36.4 °C) 98.5 °F (36.9 °C) TempSrc:     Oral Oral SpO2: 98%   98% 100%   General:well-appearing, well-hydrated, in no apparent distress  Heart: S1, S2 normal, no murmur, click, rub or gallop, regular rate and rhythm Lungs: occ rhonchi and exp wheezes over both lung fields,no retractions,good a/e Abdomen:Normal bowel sounds, soft, nondistended, no mass, no organomegaly. Skin no rashes,good cap refill HEENT tm/tp normal,moist oral mucosa,no sunken eyeballs,no alar flare, Watery nasal d/c,suppleneck,no supraclavicular retracitons  Labs: CBC:  Lab Results Component Value Date/Time   WBC 9.5 08/12/2022 2101   RBC 4.80 08/12/2022 2101   HGB 11.7 08/12/2022 2101   HCT 36.0 08/12/2022 2101   MCV 75.0 08/12/2022 2101   MCH 24.3 08/12/2022 2101   MCHC 32.5 08/12/2022 2101   RDW 15.1 08/12/2022 2101   MPV 8.0 08/12/2022 2101   PLATELETCNT 382 08/12/2022 2101     Consults:  None Significant Diagnostic Studies:   labs:   Unresulted Labs:   Disposition:  Home,f/up in 2 days,albuterol neb qid,bromfed dm 1 tsp q 6 hr,cont zpak,prednisone 40 mg bid Discharge Condition:  good
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Cardiac discomfort, Dyspnoea, Fatigue, Musculoskeletal stiffness
Clinical narrative: I was rushed to hospital . Needed to be operated on, I had pericarditis. They drained 1 litre of water from around my heart. I am still suffering on a daily basis.  Heart feels squeezed all the time. No breath, no energy. Exhausted. Very stiff neck and lower back.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pericardial drainage, Pericarditis
Clinical narrative: I was rushed to hospital . Needed to be operated on, I had pericarditis. They drained 1 litre of water from around my heart. I am still suffering on a daily basis.  Heart feels squeezed all the time. No breath, no energy. Exhausted. Very stiff neck and lower back.
Age: 75.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site swelling, Swelling, Swelling face
Clinical narrative: Site: Swelling at Injection Site-Mild, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium, Systemic: SWELLING AROUND THE NECK-Medium
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Dry throat, Fatigue, Flushing, Hyperhidrosis, Lethargy
Clinical narrative: Systemic: Exhaustion / Lethargy-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: pt said his throat felt dry, but had no issues swallowing or breathing.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Additional Details: Patient felt okay no symptoms but injection site swole up and had a bubble around it. the injection site was red and swollen. Patient waited 15 min and was given an ice pack. the swelling was reduced but still a bump at injection site. patient felt fine no different then before and went home after 15 minutes.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Error: Wrong Age for Vaccine Given-
Age: 80.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pruritus, Injection site swelling
Clinical narrative: Site: Itching at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: Patient states has been applying benadryl 2% cream to the injection site and will try hydrocortisone 1% cream as well for the itching.  She will take benadryl once she gets home.
Age: 11.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Error: Expired Product Administered.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: ADMINISTERED EXPIRED VACCINE.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Dehydration, Diarrhoea, Dizziness, Hallucination
Clinical narrative: 58y.o. female who presented to Hospital on 8/9/22 N/V & Diarrhea. She was seen at Facility 8/8, given fluids, dx with dehydration, subsequently discharged home. Pt states PCP sent her To EC for further evaluation due to chronic N/V x two years. Pt states she had a fundoplication Feb 2022. Pt was recently COVID+ at end of July.The patient is complaining of headache for couple months. The headache describe as pressure/throbbing in type and located across the R temporal head region and base of the head and graded 10/10. The past week, the headache comes lasts all day. The headache is associate with neck stiffness, photo-phonophobia, tinnitus, nausea, vomiting, and dizziness. At home, patient stated that rest and Tylenol help the headache. Fioricet helps bring the headache to +2-3 out of 10. There was no history of head injury, fall, trauma, nasal or ear discharge, blurring vision, diplopia, dysarthria, facial or extremities numbness or weakness. The patient is also complaining of hands tremor for 1 month.  The patient stated that the tremor has been progressively worsening and gets worse with moving the hands include holding the phone. The hand resting tremor is worse over the left hand.  The pt states she has hallucinations. There is family hx of Parkinsons (sister).
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Head discomfort, Headache, Musculoskeletal stiffness, Nausea, Oesophagogastric fundoplasty
Clinical narrative: 58y.o. female who presented to Hospital on 8/9/22 N/V & Diarrhea. She was seen at Facility 8/8, given fluids, dx with dehydration, subsequently discharged home. Pt states PCP sent her To EC for further evaluation due to chronic N/V x two years. Pt states she had a fundoplication Feb 2022. Pt was recently COVID+ at end of July.The patient is complaining of headache for couple months. The headache describe as pressure/throbbing in type and located across the R temporal head region and base of the head and graded 10/10. The past week, the headache comes lasts all day. The headache is associate with neck stiffness, photo-phonophobia, tinnitus, nausea, vomiting, and dizziness. At home, patient stated that rest and Tylenol help the headache. Fioricet helps bring the headache to +2-3 out of 10. There was no history of head injury, fall, trauma, nasal or ear discharge, blurring vision, diplopia, dysarthria, facial or extremities numbness or weakness. The patient is also complaining of hands tremor for 1 month.  The patient stated that the tremor has been progressively worsening and gets worse with moving the hands include holding the phone. The hand resting tremor is worse over the left hand.  The pt states she has hallucinations. There is family hx of Parkinsons (sister).
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Phonophobia, Photophobia, Resting tremor, SARS-CoV-2 test positive, Tinnitus
Clinical narrative: 58y.o. female who presented to Hospital on 8/9/22 N/V & Diarrhea. She was seen at Facility 8/8, given fluids, dx with dehydration, subsequently discharged home. Pt states PCP sent her To EC for further evaluation due to chronic N/V x two years. Pt states she had a fundoplication Feb 2022. Pt was recently COVID+ at end of July.The patient is complaining of headache for couple months. The headache describe as pressure/throbbing in type and located across the R temporal head region and base of the head and graded 10/10. The past week, the headache comes lasts all day. The headache is associate with neck stiffness, photo-phonophobia, tinnitus, nausea, vomiting, and dizziness. At home, patient stated that rest and Tylenol help the headache. Fioricet helps bring the headache to +2-3 out of 10. There was no history of head injury, fall, trauma, nasal or ear discharge, blurring vision, diplopia, dysarthria, facial or extremities numbness or weakness. The patient is also complaining of hands tremor for 1 month.  The patient stated that the tremor has been progressively worsening and gets worse with moving the hands include holding the phone. The hand resting tremor is worse over the left hand.  The pt states she has hallucinations. There is family hx of Parkinsons (sister).
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Tremor, Vomiting
Clinical narrative: 58y.o. female who presented to Hospital on 8/9/22 N/V & Diarrhea. She was seen at Facility 8/8, given fluids, dx with dehydration, subsequently discharged home. Pt states PCP sent her To EC for further evaluation due to chronic N/V x two years. Pt states she had a fundoplication Feb 2022. Pt was recently COVID+ at end of July.The patient is complaining of headache for couple months. The headache describe as pressure/throbbing in type and located across the R temporal head region and base of the head and graded 10/10. The past week, the headache comes lasts all day. The headache is associate with neck stiffness, photo-phonophobia, tinnitus, nausea, vomiting, and dizziness. At home, patient stated that rest and Tylenol help the headache. Fioricet helps bring the headache to +2-3 out of 10. There was no history of head injury, fall, trauma, nasal or ear discharge, blurring vision, diplopia, dysarthria, facial or extremities numbness or weakness. The patient is also complaining of hands tremor for 1 month.  The patient stated that the tremor has been progressively worsening and gets worse with moving the hands include holding the phone. The hand resting tremor is worse over the left hand.  The pt states she has hallucinations. There is family hx of Parkinsons (sister).
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered expired vaccine.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Anisocoria, Atrial fibrillation, Blood pressure abnormal, Bradycardia, COVID-19
Clinical narrative: 74y.o. male patient with PMH of COPD/asthma, A. fib not on AC, and possible CHF who presented with SOB and A. fib with RVR with rates to 180 and SBP in 70s. In the ED the patient received IV fluids with a recovery of his blood pressure.  5 mg IV metoprolol was given for rate control in addition to home metoprolol.  The patient quickly became bradycardic and went into PEA.  CPR was started and ROSC was achieved after 3 rounds of epi. The patient was intubated and sedated and started on 4 pressors, broad-spectrum antibiotics.  Echo revealed EF 15%, pan scan demonstrating findings concerning for pneumonia, cholecystitis, shock bowel, small punctate hemorrhage versus calcification in the periventricular white matter. General surgery, cardiology, neurosurgery were consulted.  The patient had anisocoria on 8/10 prompting stat neurosurgery consult.  A CT scan was ordered but given the patient's hemodynamic instability, the patient was not transferred for completion of the scan.  Family was called and the situation was explained.  Family expressed that patient would not have wanted to be on life support and changed the patient's CODE STATUS to DNR/DNI.  The family then came to the hospital for compassionate extubation, which was performed on 8/10 at 1400.  The patient expired with family at the bedside.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Condition aggravated, Death, Dyspnoea, Echocardiogram abnormal, Ejection fraction decreased
Clinical narrative: 74y.o. male patient with PMH of COPD/asthma, A. fib not on AC, and possible CHF who presented with SOB and A. fib with RVR with rates to 180 and SBP in 70s. In the ED the patient received IV fluids with a recovery of his blood pressure.  5 mg IV metoprolol was given for rate control in addition to home metoprolol.  The patient quickly became bradycardic and went into PEA.  CPR was started and ROSC was achieved after 3 rounds of epi. The patient was intubated and sedated and started on 4 pressors, broad-spectrum antibiotics.  Echo revealed EF 15%, pan scan demonstrating findings concerning for pneumonia, cholecystitis, shock bowel, small punctate hemorrhage versus calcification in the periventricular white matter. General surgery, cardiology, neurosurgery were consulted.  The patient had anisocoria on 8/10 prompting stat neurosurgery consult.  A CT scan was ordered but given the patient's hemodynamic instability, the patient was not transferred for completion of the scan.  Family was called and the situation was explained.  Family expressed that patient would not have wanted to be on life support and changed the patient's CODE STATUS to DNR/DNI.  The family then came to the hospital for compassionate extubation, which was performed on 8/10 at 1400.  The patient expired with family at the bedside.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Endotracheal intubation, Haemodynamic instability, Pulseless electrical activity, Resuscitation, SARS-CoV-2 test positive
Clinical narrative: 74y.o. male patient with PMH of COPD/asthma, A. fib not on AC, and possible CHF who presented with SOB and A. fib with RVR with rates to 180 and SBP in 70s. In the ED the patient received IV fluids with a recovery of his blood pressure.  5 mg IV metoprolol was given for rate control in addition to home metoprolol.  The patient quickly became bradycardic and went into PEA.  CPR was started and ROSC was achieved after 3 rounds of epi. The patient was intubated and sedated and started on 4 pressors, broad-spectrum antibiotics.  Echo revealed EF 15%, pan scan demonstrating findings concerning for pneumonia, cholecystitis, shock bowel, small punctate hemorrhage versus calcification in the periventricular white matter. General surgery, cardiology, neurosurgery were consulted.  The patient had anisocoria on 8/10 prompting stat neurosurgery consult.  A CT scan was ordered but given the patient's hemodynamic instability, the patient was not transferred for completion of the scan.  Family was called and the situation was explained.  Family expressed that patient would not have wanted to be on life support and changed the patient's CODE STATUS to DNR/DNI.  The family then came to the hospital for compassionate extubation, which was performed on 8/10 at 1400.  The patient expired with family at the bedside.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Whole body scan
Clinical narrative: 74y.o. male patient with PMH of COPD/asthma, A. fib not on AC, and possible CHF who presented with SOB and A. fib with RVR with rates to 180 and SBP in 70s. In the ED the patient received IV fluids with a recovery of his blood pressure.  5 mg IV metoprolol was given for rate control in addition to home metoprolol.  The patient quickly became bradycardic and went into PEA.  CPR was started and ROSC was achieved after 3 rounds of epi. The patient was intubated and sedated and started on 4 pressors, broad-spectrum antibiotics.  Echo revealed EF 15%, pan scan demonstrating findings concerning for pneumonia, cholecystitis, shock bowel, small punctate hemorrhage versus calcification in the periventricular white matter. General surgery, cardiology, neurosurgery were consulted.  The patient had anisocoria on 8/10 prompting stat neurosurgery consult.  A CT scan was ordered but given the patient's hemodynamic instability, the patient was not transferred for completion of the scan.  Family was called and the situation was explained.  Family expressed that patient would not have wanted to be on life support and changed the patient's CODE STATUS to DNR/DNI.  The family then came to the hospital for compassionate extubation, which was performed on 8/10 at 1400.  The patient expired with family at the bedside.
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood creatinine abnormal, COVID-19, Diarrhoea, Fatigue, Gastrointestinal disorder
Clinical narrative: 54y.o. male presenting with COVID-19. Fortunately, he did not have hypoxia or viral pneumonia. He did have approximately 4-day history of fever, diarrhea, myalgia, fatigue. Notably, he is a renal transplant patient on immunosuppression. He was seen by, transplant nephrology. He was begun on Paxlovid. Mycophenolate was decreased as was Procardia to avoid interaction with Paxlovid. Tacrolimus was held. His creatinine improved with IV hydration, was actually the best creatinine he has had all year. The following day, he was feeling much improved, GI symptoms had resolved and he was able to maintain hydration by mouth. He wished to go home. He was then discharged to complete course of Paxlovid. He will follow-up expediently with nephrology for medication check as well as resumption of tacrolimu
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myalgia, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 54y.o. male presenting with COVID-19. Fortunately, he did not have hypoxia or viral pneumonia. He did have approximately 4-day history of fever, diarrhea, myalgia, fatigue. Notably, he is a renal transplant patient on immunosuppression. He was seen by, transplant nephrology. He was begun on Paxlovid. Mycophenolate was decreased as was Procardia to avoid interaction with Paxlovid. Tacrolimus was held. His creatinine improved with IV hydration, was actually the best creatinine he has had all year. The following day, he was feeling much improved, GI symptoms had resolved and he was able to maintain hydration by mouth. He wished to go home. He was then discharged to complete course of Paxlovid. He will follow-up expediently with nephrology for medication check as well as resumption of tacrolimu
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Bell's palsy, Caesarean section, Foetal growth restriction, Maternal exposure before pregnancy
Clinical narrative: Pt was admitted to Antepartum Unit on 8/9/122 for DCDA twins, Newly Dx IUGR both twins,  Pre Eclampsia w/o SF, Thrombocytopenia. Pt also had Dx of Bell's Palsy, Pyogenic granuloma, Dx with Asy positive Covid on admission  Pt developed Pre Eclampsia with SF on 8/13/22.  Primary LT C-Section done.  S/P Postpartum Hemorrhage S/P Magnesium Sulfate 24 hour postpartum. Started on Labetalol 200mg BID Discharge from hospital on 8/17/22.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Postpartum haemorrhage, Pre-eclampsia, Pyogenic granuloma, SARS-CoV-2 test positive, Thrombocytopenia
Clinical narrative: Pt was admitted to Antepartum Unit on 8/9/122 for DCDA twins, Newly Dx IUGR both twins,  Pre Eclampsia w/o SF, Thrombocytopenia. Pt also had Dx of Bell's Palsy, Pyogenic granuloma, Dx with Asy positive Covid on admission  Pt developed Pre Eclampsia with SF on 8/13/22.  Primary LT C-Section done.  S/P Postpartum Hemorrhage S/P Magnesium Sulfate 24 hour postpartum. Started on Labetalol 200mg BID Discharge from hospital on 8/17/22.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Twin pregnancy
Clinical narrative: Pt was admitted to Antepartum Unit on 8/9/122 for DCDA twins, Newly Dx IUGR both twins,  Pre Eclampsia w/o SF, Thrombocytopenia. Pt also had Dx of Bell's Palsy, Pyogenic granuloma, Dx with Asy positive Covid on admission  Pt developed Pre Eclampsia with SF on 8/13/22.  Primary LT C-Section done.  S/P Postpartum Hemorrhage S/P Magnesium Sulfate 24 hour postpartum. Started on Labetalol 200mg BID Discharge from hospital on 8/17/22.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Chest pain, Computerised tomogram thorax abnormal, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: 71y.o. female who lives with husband. She had exposure to COVID. She had been vaccinated.  She developed chest pain on R side.  She came to EC and found to be COVID positive and she had PE. She is asymptomatic.  Discussed role of isolation going forward. PE, seen on CT, will arrange AC on dc. Minimum 3-6 months. Discussed risk of bleeding. Discharged to home.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Abdominal pain upper, Autism spectrum disorder, Biopsy, COVID-19
Clinical narrative: Hospital Course: 1. Acute, recurrent abdominal pain. Lipase was just under twice the upper limit of normal. He was having epigastric area pain, which was worse with eating. Ordered for IV fluids, anti-emetics, and pain control. GI service consulted and acute pancreatitis was considered doubtful.  Pain resolved on follow-up today. Underwent EGD which noted duodenitis signs. Biopsies were taken. He is stable for discharge home with outpatient GI follow-up regarding biopsy results and further care plan. 2. Acute hypoglycemia. Resolved. Monitored labs. Encouraged PO intake. 3. Recent covid-19 infection. Had headache on 7-31 followed by runny nose and cough. These symptoms resolved. He tested positive at home on 8-1.Discussed with epidemiology and released from covid isolation. No specific treatment is currently needed.  4. Autistic spectrum disorder. He is to have outpatient follow-up. 5. DVT prophylaxis. He is low risk and ambulatory. Disposition: He is stable for discharge home with outpatient follow-up. Discussed management plan with patient at bedside and mother earlier today.