chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cardiac arrest, Dyspnoea, Heart rate decreased, Hypotension
Clinical narrative: 11/23   Pt to Er vis EMS from senior center for SOB, lethargy , hypotension.Upon arrival patient is not responsive to physcial touch. Pt is 85% on 15L nonrebreather.Pt had COVID a month ago. Pt is tachycardiac. Pt is febrile. Pt has history of dementia, unknown baseline. Pt is on 2L NC @ home 11/24 Pt resting on bed, with eyes open but not alert or oriented. Respirations regular, unlabored.  O2 in place. Recent episode of moaning so dilaudid was increased to 1.5mg/hr.  11/25 Prognosis grave 11/26 DNR comfort status for patient.  Patient is discharged back to Senior Living Facility and Hospice will be taking over her care 11/27 Pt is still running a 99 low grade temp and facility will not accept patient with a low grade temp. Per their facility policy, patient must be without an elevated temp for 24 hours.  11/28 On dilaudid drip at 0.5/hr.Looking comfortable.  Mouth care being done. 11/29 Noted HR on the monitor was dropping until pt was asystole Went to check on pt, warm to touch, no respiration, no pulse. Verified by another RN. Pt was pronounced   At 0708.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lethargy, Moaning, Pulse absent, Pyrexia, Respiration abnormal
Clinical narrative: 11/23   Pt to Er vis EMS from senior center for SOB, lethargy , hypotension.Upon arrival patient is not responsive to physcial touch. Pt is 85% on 15L nonrebreather.Pt had COVID a month ago. Pt is tachycardiac. Pt is febrile. Pt has history of dementia, unknown baseline. Pt is on 2L NC @ home 11/24 Pt resting on bed, with eyes open but not alert or oriented. Respirations regular, unlabored.  O2 in place. Recent episode of moaning so dilaudid was increased to 1.5mg/hr.  11/25 Prognosis grave 11/26 DNR comfort status for patient.  Patient is discharged back to Senior Living Facility and Hospice will be taking over her care 11/27 Pt is still running a 99 low grade temp and facility will not accept patient with a low grade temp. Per their facility policy, patient must be without an elevated temp for 24 hours.  11/28 On dilaudid drip at 0.5/hr.Looking comfortable.  Mouth care being done. 11/29 Noted HR on the monitor was dropping until pt was asystole Went to check on pt, warm to touch, no respiration, no pulse. Verified by another RN. Pt was pronounced   At 0708.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Skin warm, Tachycardia, Unresponsive to stimuli
Clinical narrative: 11/23   Pt to Er vis EMS from senior center for SOB, lethargy , hypotension.Upon arrival patient is not responsive to physcial touch. Pt is 85% on 15L nonrebreather.Pt had COVID a month ago. Pt is tachycardiac. Pt is febrile. Pt has history of dementia, unknown baseline. Pt is on 2L NC @ home 11/24 Pt resting on bed, with eyes open but not alert or oriented. Respirations regular, unlabored.  O2 in place. Recent episode of moaning so dilaudid was increased to 1.5mg/hr.  11/25 Prognosis grave 11/26 DNR comfort status for patient.  Patient is discharged back to Senior Living Facility and Hospice will be taking over her care 11/27 Pt is still running a 99 low grade temp and facility will not accept patient with a low grade temp. Per their facility policy, patient must be without an elevated temp for 24 hours.  11/28 On dilaudid drip at 0.5/hr.Looking comfortable.  Mouth care being done. 11/29 Noted HR on the monitor was dropping until pt was asystole Went to check on pt, warm to touch, no respiration, no pulse. Verified by another RN. Pt was pronounced   At 0708.
Age: 79.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Agitation, Anaemia, Anaemia of chronic disease, Bladder catheterisation, Bradycardia
Clinical narrative: 11/30 79-year-old male with a history of asthma, atrial fibrillation, CHF, COPD, CAD, diabetes mellitus, inflammatory bowel syndrome, kidney stones, reports she's been short of breath with cough and congestion over the last week. He denies any chest pain. His cough is productive of thick yellow sputum. No fever. Denies any leg swelling or pain. He is immunized against Covid 19. EMS was called. His SPO2 is 85% on room air. He does not use oxygen at home. He was placed on 6 L and his SPO2 is 93% here. No distress on arrival 12/1 COVID-19 pneumonia, on hiflo O2. Vaccinated earlier this year. Cont decadron, Start remdesivir & baricitinib 12/3 Patient complaining of pain, requested several pain meds, including high dose Patient complaining of pain, requested several pain meds, including high dose of Neurontin, Norco, dilaudid.  12/4 discontinue all antidiabetic oral medication.    We will adjust meds as needed.   - Resume home dose of Creon.  - Hyponatremia likely due to hypovolemic hyponatremia.   Fluid management per Nephro.  - We will avoid nephrotoxic medication, adjust meds per GFR.  Consult to Nephrology.  - Patient has suprapubic catheter - Anemia likely secondary to chronic disease anemia.  - The patient is currently on PPI.  - PT/OT.  12/6 Patient once again was asking for more pain medication, asking for Dilaudid. Patient was informed we will try to get pain specialist 12/7 O2 supplement to maintain SPO2 > 92%,  with weaning attempts as tolerate... Patient recently transferred down to ICU for intubation for failure to maintain saturations on BiPAP. See RRT note for details. Cardiac arrest occurred post-intubation  Initial Rhythm: PEA after patient was noted to brady down. 1 round of CPR with 1 mg of epinephrine before achieving ROSC. Details in code sheet.  Intubation : yes Person responsible for intubation: CRNA Verification of Correct Placement:  End tidal CO2  12/8 Last night RRT was called due to hypoxia and agitation, the patient was intubated and sent to the ICU, the patient did have cardiac arrest, and after one round of CPR and epinephrine, the patient's ROSC was obtained, the patient did have another code, and discussion was held with the family. Ultimately, family made the patient DNR and patient passed just after midnight at 0011.
Age: 79.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: COVID-19 pneumonia, Cardiac arrest, Cardio-respiratory arrest, Death, Dyspnoea
Clinical narrative: 11/30 79-year-old male with a history of asthma, atrial fibrillation, CHF, COPD, CAD, diabetes mellitus, inflammatory bowel syndrome, kidney stones, reports she's been short of breath with cough and congestion over the last week. He denies any chest pain. His cough is productive of thick yellow sputum. No fever. Denies any leg swelling or pain. He is immunized against Covid 19. EMS was called. His SPO2 is 85% on room air. He does not use oxygen at home. He was placed on 6 L and his SPO2 is 93% here. No distress on arrival 12/1 COVID-19 pneumonia, on hiflo O2. Vaccinated earlier this year. Cont decadron, Start remdesivir & baricitinib 12/3 Patient complaining of pain, requested several pain meds, including high dose Patient complaining of pain, requested several pain meds, including high dose of Neurontin, Norco, dilaudid.  12/4 discontinue all antidiabetic oral medication.    We will adjust meds as needed.   - Resume home dose of Creon.  - Hyponatremia likely due to hypovolemic hyponatremia.   Fluid management per Nephro.  - We will avoid nephrotoxic medication, adjust meds per GFR.  Consult to Nephrology.  - Patient has suprapubic catheter - Anemia likely secondary to chronic disease anemia.  - The patient is currently on PPI.  - PT/OT.  12/6 Patient once again was asking for more pain medication, asking for Dilaudid. Patient was informed we will try to get pain specialist 12/7 O2 supplement to maintain SPO2 > 92%,  with weaning attempts as tolerate... Patient recently transferred down to ICU for intubation for failure to maintain saturations on BiPAP. See RRT note for details. Cardiac arrest occurred post-intubation  Initial Rhythm: PEA after patient was noted to brady down. 1 round of CPR with 1 mg of epinephrine before achieving ROSC. Details in code sheet.  Intubation : yes Person responsible for intubation: CRNA Verification of Correct Placement:  End tidal CO2  12/8 Last night RRT was called due to hypoxia and agitation, the patient was intubated and sent to the ICU, the patient did have cardiac arrest, and after one round of CPR and epinephrine, the patient's ROSC was obtained, the patient did have another code, and discussion was held with the family. Ultimately, family made the patient DNR and patient passed just after midnight at 0011.
Age: 79.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Endotracheal intubation, Hyponatraemia, Hypovolaemia, Hypoxia, Intensive care
Clinical narrative: 11/30 79-year-old male with a history of asthma, atrial fibrillation, CHF, COPD, CAD, diabetes mellitus, inflammatory bowel syndrome, kidney stones, reports she's been short of breath with cough and congestion over the last week. He denies any chest pain. His cough is productive of thick yellow sputum. No fever. Denies any leg swelling or pain. He is immunized against Covid 19. EMS was called. His SPO2 is 85% on room air. He does not use oxygen at home. He was placed on 6 L and his SPO2 is 93% here. No distress on arrival 12/1 COVID-19 pneumonia, on hiflo O2. Vaccinated earlier this year. Cont decadron, Start remdesivir & baricitinib 12/3 Patient complaining of pain, requested several pain meds, including high dose Patient complaining of pain, requested several pain meds, including high dose of Neurontin, Norco, dilaudid.  12/4 discontinue all antidiabetic oral medication.    We will adjust meds as needed.   - Resume home dose of Creon.  - Hyponatremia likely due to hypovolemic hyponatremia.   Fluid management per Nephro.  - We will avoid nephrotoxic medication, adjust meds per GFR.  Consult to Nephrology.  - Patient has suprapubic catheter - Anemia likely secondary to chronic disease anemia.  - The patient is currently on PPI.  - PT/OT.  12/6 Patient once again was asking for more pain medication, asking for Dilaudid. Patient was informed we will try to get pain specialist 12/7 O2 supplement to maintain SPO2 > 92%,  with weaning attempts as tolerate... Patient recently transferred down to ICU for intubation for failure to maintain saturations on BiPAP. See RRT note for details. Cardiac arrest occurred post-intubation  Initial Rhythm: PEA after patient was noted to brady down. 1 round of CPR with 1 mg of epinephrine before achieving ROSC. Details in code sheet.  Intubation : yes Person responsible for intubation: CRNA Verification of Correct Placement:  End tidal CO2  12/8 Last night RRT was called due to hypoxia and agitation, the patient was intubated and sent to the ICU, the patient did have cardiac arrest, and after one round of CPR and epinephrine, the patient's ROSC was obtained, the patient did have another code, and discussion was held with the family. Ultimately, family made the patient DNR and patient passed just after midnight at 0011.
Age: 79.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Pain, Positive airway pressure therapy, Productive cough, Pulseless electrical activity, Respiratory tract congestion
Clinical narrative: 11/30 79-year-old male with a history of asthma, atrial fibrillation, CHF, COPD, CAD, diabetes mellitus, inflammatory bowel syndrome, kidney stones, reports she's been short of breath with cough and congestion over the last week. He denies any chest pain. His cough is productive of thick yellow sputum. No fever. Denies any leg swelling or pain. He is immunized against Covid 19. EMS was called. His SPO2 is 85% on room air. He does not use oxygen at home. He was placed on 6 L and his SPO2 is 93% here. No distress on arrival 12/1 COVID-19 pneumonia, on hiflo O2. Vaccinated earlier this year. Cont decadron, Start remdesivir & baricitinib 12/3 Patient complaining of pain, requested several pain meds, including high dose Patient complaining of pain, requested several pain meds, including high dose of Neurontin, Norco, dilaudid.  12/4 discontinue all antidiabetic oral medication.    We will adjust meds as needed.   - Resume home dose of Creon.  - Hyponatremia likely due to hypovolemic hyponatremia.   Fluid management per Nephro.  - We will avoid nephrotoxic medication, adjust meds per GFR.  Consult to Nephrology.  - Patient has suprapubic catheter - Anemia likely secondary to chronic disease anemia.  - The patient is currently on PPI.  - PT/OT.  12/6 Patient once again was asking for more pain medication, asking for Dilaudid. Patient was informed we will try to get pain specialist 12/7 O2 supplement to maintain SPO2 > 92%,  with weaning attempts as tolerate... Patient recently transferred down to ICU for intubation for failure to maintain saturations on BiPAP. See RRT note for details. Cardiac arrest occurred post-intubation  Initial Rhythm: PEA after patient was noted to brady down. 1 round of CPR with 1 mg of epinephrine before achieving ROSC. Details in code sheet.  Intubation : yes Person responsible for intubation: CRNA Verification of Correct Placement:  End tidal CO2  12/8 Last night RRT was called due to hypoxia and agitation, the patient was intubated and sent to the ICU, the patient did have cardiac arrest, and after one round of CPR and epinephrine, the patient's ROSC was obtained, the patient did have another code, and discussion was held with the family. Ultimately, family made the patient DNR and patient passed just after midnight at 0011.
Age: 79.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Resuscitation, Sputum discoloured
Clinical narrative: 11/30 79-year-old male with a history of asthma, atrial fibrillation, CHF, COPD, CAD, diabetes mellitus, inflammatory bowel syndrome, kidney stones, reports she's been short of breath with cough and congestion over the last week. He denies any chest pain. His cough is productive of thick yellow sputum. No fever. Denies any leg swelling or pain. He is immunized against Covid 19. EMS was called. His SPO2 is 85% on room air. He does not use oxygen at home. He was placed on 6 L and his SPO2 is 93% here. No distress on arrival 12/1 COVID-19 pneumonia, on hiflo O2. Vaccinated earlier this year. Cont decadron, Start remdesivir & baricitinib 12/3 Patient complaining of pain, requested several pain meds, including high dose Patient complaining of pain, requested several pain meds, including high dose of Neurontin, Norco, dilaudid.  12/4 discontinue all antidiabetic oral medication.    We will adjust meds as needed.   - Resume home dose of Creon.  - Hyponatremia likely due to hypovolemic hyponatremia.   Fluid management per Nephro.  - We will avoid nephrotoxic medication, adjust meds per GFR.  Consult to Nephrology.  - Patient has suprapubic catheter - Anemia likely secondary to chronic disease anemia.  - The patient is currently on PPI.  - PT/OT.  12/6 Patient once again was asking for more pain medication, asking for Dilaudid. Patient was informed we will try to get pain specialist 12/7 O2 supplement to maintain SPO2 > 92%,  with weaning attempts as tolerate... Patient recently transferred down to ICU for intubation for failure to maintain saturations on BiPAP. See RRT note for details. Cardiac arrest occurred post-intubation  Initial Rhythm: PEA after patient was noted to brady down. 1 round of CPR with 1 mg of epinephrine before achieving ROSC. Details in code sheet.  Intubation : yes Person responsible for intubation: CRNA Verification of Correct Placement:  End tidal CO2  12/8 Last night RRT was called due to hypoxia and agitation, the patient was intubated and sent to the ICU, the patient did have cardiac arrest, and after one round of CPR and epinephrine, the patient's ROSC was obtained, the patient did have another code, and discussion was held with the family. Ultimately, family made the patient DNR and patient passed just after midnight at 0011.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Myocardial infarction
Clinical narrative: Heart Attack
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Asymptomatic COVID-19, Biopsy, COVID-19, Cardiomegaly
Clinical narrative: 12/9 Pt to ED  from home for increasing fatigue and black, looses stools. Pt is very pale with hypotension. Pt is A&O x 4 at this time. Patient states that for the last 2 weeks she has been having dark, black-colored stools. States that she has been feeling progressively more weak and fatigued, and that she feels dehydrated. No abdominal pain or vomiting. No fever or chills. No cough or URI symptoms. No chest pain shortness of breath. No acute focal neurologic complaint. Pt tested + for COVID 12/10 Currently seems to be asymptomatic for COVID. 12/11 The patient is currently maintained on room air saturating around 99%.  The patient's chest x-ray from admission showed mild cardiomegaly with no ... radiographic evidence of acute intrathoracic process. CT of abdomen and pelvis done, showed no evidence of acute process or cholelithiasis or renal cyst.  The patient is currently in the ER.  Her white blood cell count is elevated at 14.4, and she is on Remeron.   12/13 Esophagogastroduodenoscopy: Small gastric prepyloric ulcer without active bleeding.  Antral Biopsies were obtained. Proximal erosive duodenitis 12/15 The patient remains on room air.  The patient is stable.  So for now, doctor will continue watching patient off COVID treatment. Pt discharged.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray abnormal, Computerised tomogram abdomen normal, Dehydration, Diarrhoea, Erosive duodenitis
Clinical narrative: 12/9 Pt to ED  from home for increasing fatigue and black, looses stools. Pt is very pale with hypotension. Pt is A&O x 4 at this time. Patient states that for the last 2 weeks she has been having dark, black-colored stools. States that she has been feeling progressively more weak and fatigued, and that she feels dehydrated. No abdominal pain or vomiting. No fever or chills. No cough or URI symptoms. No chest pain shortness of breath. No acute focal neurologic complaint. Pt tested + for COVID 12/10 Currently seems to be asymptomatic for COVID. 12/11 The patient is currently maintained on room air saturating around 99%.  The patient's chest x-ray from admission showed mild cardiomegaly with no ... radiographic evidence of acute intrathoracic process. CT of abdomen and pelvis done, showed no evidence of acute process or cholelithiasis or renal cyst.  The patient is currently in the ER.  Her white blood cell count is elevated at 14.4, and she is on Remeron.   12/13 Esophagogastroduodenoscopy: Small gastric prepyloric ulcer without active bleeding.  Antral Biopsies were obtained. Proximal erosive duodenitis 12/15 The patient remains on room air.  The patient is stable.  So for now, doctor will continue watching patient off COVID treatment. Pt discharged.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Faeces discoloured, Fatigue, Gastric ulcer, Hypotension, Oesophagogastroduodenoscopy abnormal
Clinical narrative: 12/9 Pt to ED  from home for increasing fatigue and black, looses stools. Pt is very pale with hypotension. Pt is A&O x 4 at this time. Patient states that for the last 2 weeks she has been having dark, black-colored stools. States that she has been feeling progressively more weak and fatigued, and that she feels dehydrated. No abdominal pain or vomiting. No fever or chills. No cough or URI symptoms. No chest pain shortness of breath. No acute focal neurologic complaint. Pt tested + for COVID 12/10 Currently seems to be asymptomatic for COVID. 12/11 The patient is currently maintained on room air saturating around 99%.  The patient's chest x-ray from admission showed mild cardiomegaly with no ... radiographic evidence of acute intrathoracic process. CT of abdomen and pelvis done, showed no evidence of acute process or cholelithiasis or renal cyst.  The patient is currently in the ER.  Her white blood cell count is elevated at 14.4, and she is on Remeron.   12/13 Esophagogastroduodenoscopy: Small gastric prepyloric ulcer without active bleeding.  Antral Biopsies were obtained. Proximal erosive duodenitis 12/15 The patient remains on room air.  The patient is stable.  So for now, doctor will continue watching patient off COVID treatment. Pt discharged.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pallor, SARS-CoV-2 test positive, White blood cell count increased
Clinical narrative: 12/9 Pt to ED  from home for increasing fatigue and black, looses stools. Pt is very pale with hypotension. Pt is A&O x 4 at this time. Patient states that for the last 2 weeks she has been having dark, black-colored stools. States that she has been feeling progressively more weak and fatigued, and that she feels dehydrated. No abdominal pain or vomiting. No fever or chills. No cough or URI symptoms. No chest pain shortness of breath. No acute focal neurologic complaint. Pt tested + for COVID 12/10 Currently seems to be asymptomatic for COVID. 12/11 The patient is currently maintained on room air saturating around 99%.  The patient's chest x-ray from admission showed mild cardiomegaly with no ... radiographic evidence of acute intrathoracic process. CT of abdomen and pelvis done, showed no evidence of acute process or cholelithiasis or renal cyst.  The patient is currently in the ER.  Her white blood cell count is elevated at 14.4, and she is on Remeron.   12/13 Esophagogastroduodenoscopy: Small gastric prepyloric ulcer without active bleeding.  Antral Biopsies were obtained. Proximal erosive duodenitis 12/15 The patient remains on room air.  The patient is stable.  So for now, doctor will continue watching patient off COVID treatment. Pt discharged.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test, Blood test, Full blood count, Laboratory test, Mechanical urticaria
Clinical narrative: On 11/19 I started with a patchy rash. It is transient, showing up in different parts of my body and each latch disappearing after a couple hours. It is intensely itchy, flat, red. If I scratch, it swells. I was seen by walk-in care twice and prescribed prednisone which reduced but didn't resolve symptoms. Then I saw an allergist who determined it to be dermatographia urticaria. He had me start Zyrtec four times daily, famotidine 40mg twice daily, hydroxyzine 25mg. Symptoms improved but did not stop. I had follow up three weeks later. He said that blood testing did not indicate a specific allergen factor and could not determine etiology of continued rash. He continued the prior regimen of meds and added singulair once daily on 1/6/22. Symptoms have improved but not completely resolved. Now as each dose of Zyrtec wears off I start to have small red, itchy areas but much less intense itching and no swelling.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Pruritus, Rash, SARS-CoV-2 test negative, Swelling
Clinical narrative: On 11/19 I started with a patchy rash. It is transient, showing up in different parts of my body and each latch disappearing after a couple hours. It is intensely itchy, flat, red. If I scratch, it swells. I was seen by walk-in care twice and prescribed prednisone which reduced but didn't resolve symptoms. Then I saw an allergist who determined it to be dermatographia urticaria. He had me start Zyrtec four times daily, famotidine 40mg twice daily, hydroxyzine 25mg. Symptoms improved but did not stop. I had follow up three weeks later. He said that blood testing did not indicate a specific allergen factor and could not determine etiology of continued rash. He continued the prior regimen of meds and added singulair once daily on 1/6/22. Symptoms have improved but not completely resolved. Now as each dose of Zyrtec wears off I start to have small red, itchy areas but much less intense itching and no swelling.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death
Clinical narrative: Death related to complications of COVID-19
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory distress syndrome, Asthenia, COVID-19, Cough, Dyspnoea
Clinical narrative: 12/11 Pt to ED from home with fatigue and SOB. Pt states she tested positive for covid 2-3 days ago. EMS reports pt was satting 89% on ra. Pt 92% on ra in triage. Pt denies pain. History of COVID + from 12/13/2021  Acute respiratory distress, most likely with cough, fatigue, weakness, most likely secondary to COVID-19 infection.  CONTINUE on isolation per protocol for COVID-19 infection/ breathing treatment oxygen and steroid/ZREMDESIVIR IV  12/15 Continue remdesivir for 5 days.  Monitor LFTs while patient is on remdesivir.  12/17 Completed remdesivir 5 days, Completed cefepime 5 days, Not a candidate for baricitinib 12/20 Pt discharged in stable condition. Need for stage renal disease management noted.
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, SARS-CoV-2 test positive
Clinical narrative: 12/11 Pt to ED from home with fatigue and SOB. Pt states she tested positive for covid 2-3 days ago. EMS reports pt was satting 89% on ra. Pt 92% on ra in triage. Pt denies pain. History of COVID + from 12/13/2021  Acute respiratory distress, most likely with cough, fatigue, weakness, most likely secondary to COVID-19 infection.  CONTINUE on isolation per protocol for COVID-19 infection/ breathing treatment oxygen and steroid/ZREMDESIVIR IV  12/15 Continue remdesivir for 5 days.  Monitor LFTs while patient is on remdesivir.  12/17 Completed remdesivir 5 days, Completed cefepime 5 days, Not a candidate for baricitinib 12/20 Pt discharged in stable condition. Need for stage renal disease management noted.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bone pain, Pyrexia
Clinical narrative: low grade fever, joints, bone pain for over a week at random times of the days
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Acute respiratory failure, Atelectasis, COVID-19, COVID-19 pneumonia
Clinical narrative: 12/13 generalized malaise and fatigue. She was recently diagnosed covid+. She complains of a productive cough of yellow sputum. She's had chest pain and shortness of breath. She endorses Abdominal pain. She denies vomiting or diarrhea. She reports normal urination with no dysuria. EMS reported patient 100% on 2 L nasal cannula home. That is her normal oxygen flow rate. 12/16 COVID 19 Pneumonia & Acute hypoxic Resp Failure, start Remdesivir 12/17 The patient is currently maintained on 2 L nasal cannula.  Started her today on Decadron, remdesivir, and the rest of the treatment.  When seen, the patient complained cough and shortness of breath. 12/19 The patient is currently maintained on remdesivir and Rocephin, this is day #4 of the Rocephin.  The patient's white count is slightly elevated, however, this is likely related to her Decadron.  The patient is also maintained on Epzicom and Isentress as for her HIV treatment.  She is also on Decadron 12/20 Chest Xray: Bibasilar subsegmental atelectasis and patchy left basilar infiltrate with slightly improved aeration.  12/21 Discharged: COMPLETED  REDESIVIRE IV TODAY, ON STEROID/BT/O2
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray abnormal, Chest pain, Cough, Dyspnoea, Fatigue
Clinical narrative: 12/13 generalized malaise and fatigue. She was recently diagnosed covid+. She complains of a productive cough of yellow sputum. She's had chest pain and shortness of breath. She endorses Abdominal pain. She denies vomiting or diarrhea. She reports normal urination with no dysuria. EMS reported patient 100% on 2 L nasal cannula home. That is her normal oxygen flow rate. 12/16 COVID 19 Pneumonia & Acute hypoxic Resp Failure, start Remdesivir 12/17 The patient is currently maintained on 2 L nasal cannula.  Started her today on Decadron, remdesivir, and the rest of the treatment.  When seen, the patient complained cough and shortness of breath. 12/19 The patient is currently maintained on remdesivir and Rocephin, this is day #4 of the Rocephin.  The patient's white count is slightly elevated, however, this is likely related to her Decadron.  The patient is also maintained on Epzicom and Isentress as for her HIV treatment.  She is also on Decadron 12/20 Chest Xray: Bibasilar subsegmental atelectasis and patchy left basilar infiltrate with slightly improved aeration.  12/21 Discharged: COMPLETED  REDESIVIRE IV TODAY, ON STEROID/BT/O2
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lung infiltration, Malaise, Productive cough, SARS-CoV-2 test positive, Sputum discoloured
Clinical narrative: 12/13 generalized malaise and fatigue. She was recently diagnosed covid+. She complains of a productive cough of yellow sputum. She's had chest pain and shortness of breath. She endorses Abdominal pain. She denies vomiting or diarrhea. She reports normal urination with no dysuria. EMS reported patient 100% on 2 L nasal cannula home. That is her normal oxygen flow rate. 12/16 COVID 19 Pneumonia & Acute hypoxic Resp Failure, start Remdesivir 12/17 The patient is currently maintained on 2 L nasal cannula.  Started her today on Decadron, remdesivir, and the rest of the treatment.  When seen, the patient complained cough and shortness of breath. 12/19 The patient is currently maintained on remdesivir and Rocephin, this is day #4 of the Rocephin.  The patient's white count is slightly elevated, however, this is likely related to her Decadron.  The patient is also maintained on Epzicom and Isentress as for her HIV treatment.  She is also on Decadron 12/20 Chest Xray: Bibasilar subsegmental atelectasis and patchy left basilar infiltrate with slightly improved aeration.  12/21 Discharged: COMPLETED  REDESIVIRE IV TODAY, ON STEROID/BT/O2
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: White blood cell count increased
Clinical narrative: 12/13 generalized malaise and fatigue. She was recently diagnosed covid+. She complains of a productive cough of yellow sputum. She's had chest pain and shortness of breath. She endorses Abdominal pain. She denies vomiting or diarrhea. She reports normal urination with no dysuria. EMS reported patient 100% on 2 L nasal cannula home. That is her normal oxygen flow rate. 12/16 COVID 19 Pneumonia & Acute hypoxic Resp Failure, start Remdesivir 12/17 The patient is currently maintained on 2 L nasal cannula.  Started her today on Decadron, remdesivir, and the rest of the treatment.  When seen, the patient complained cough and shortness of breath. 12/19 The patient is currently maintained on remdesivir and Rocephin, this is day #4 of the Rocephin.  The patient's white count is slightly elevated, however, this is likely related to her Decadron.  The patient is also maintained on Epzicom and Isentress as for her HIV treatment.  She is also on Decadron 12/20 Chest Xray: Bibasilar subsegmental atelectasis and patchy left basilar infiltrate with slightly improved aeration.  12/21 Discharged: COMPLETED  REDESIVIRE IV TODAY, ON STEROID/BT/O2
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Developed pins-and-needles and numbness of bilateral upper and lower extremities day after receiving booster vaccine.  Pins-and-needles resolved after few weeks but now chronic numbness of bilateral upper extremities with occasional pins-and-needles involving bilateral hands/wrists, worse at night.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary, Asthenia, COVID-19, Chest X-ray abnormal, Condition aggravated
Clinical narrative: On 12/14/2021 63-year-old male patient with a past medical history significant for end-stage renal disease, on hemodialysis, who was admitted on 12/14/2021 with a complaint of weakness and falling. On admission, he had a chest x-ray taken, which showed patchy right lower lobe consolidation. The patient also had a CTA PE protocol done, which currently is pending. The patient was admitted and he was started on Decadron and also continued on rest of his medication. When seen, the patient complained of some dizziness and shortness of breath with mild cough. Denied any fever or any chills. No chest pain. No nausea. No vomiting. No frequency, urgency, or dysuria. No hematochezia, hematemesis.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dizziness, Dyspnoea, Fall, Lung consolidation
Clinical narrative: On 12/14/2021 63-year-old male patient with a past medical history significant for end-stage renal disease, on hemodialysis, who was admitted on 12/14/2021 with a complaint of weakness and falling. On admission, he had a chest x-ray taken, which showed patchy right lower lobe consolidation. The patient also had a CTA PE protocol done, which currently is pending. The patient was admitted and he was started on Decadron and also continued on rest of his medication. When seen, the patient complained of some dizziness and shortness of breath with mild cough. Denied any fever or any chills. No chest pain. No nausea. No vomiting. No frequency, urgency, or dysuria. No hematochezia, hematemesis.
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Asthenia, COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: On 12/20/2021 Chief Complaint Patient presents with o Shortness of Breath     Covid+ x1 week, reports trouble breathing since this morning. Lives with daughters at home.   89-year-old female with history COPD, diabetes mellitus, reflux disease, hyperlipidemia, hypertension and thyroid disease reports that she was diagnosed with Covid 19 about a week ago. She's felt weak. She's had shortness of breath. She has lost her sense of taste. No diarrhea. No chest pain. She is vaccinated. Her SPO2 was 87% on arrival. She is not on home O2.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Death, Dyspnoea, General physical health deterioration
Clinical narrative: Patient was brought in from the nursing home with shortness of breath, and found to have COVID-19. She was treated with all appropriate medications, but her respiration status did not improve. She continued to deteriorate. She was seen by infectious disease, cardiology, and palliative care. Due to comorbidities, family elected to make patient DNR comfort. The patient was placed on comfort measures, and expired on December 28 due to acute respiratory failure from COVID-19. All questions and concerns were answered and addressed prior to discharge with patient/family. Prescriptions were provided.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Respiration abnormal
Clinical narrative: Patient was brought in from the nursing home with shortness of breath, and found to have COVID-19. She was treated with all appropriate medications, but her respiration status did not improve. She continued to deteriorate. She was seen by infectious disease, cardiology, and palliative care. Due to comorbidities, family elected to make patient DNR comfort. The patient was placed on comfort measures, and expired on December 28 due to acute respiratory failure from COVID-19. All questions and concerns were answered and addressed prior to discharge with patient/family. Prescriptions were provided.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Fatigue, Inappropriate schedule of product administration, Tinnitus
Clinical narrative: I started having extreme fatigue and brain fog about 2 hours after receiving the first dose of the vaccine. I began having problems concentrating and finding words when speaking some days after that. I started having muscle aches and a weird ringing in my ears two days after the vaccine, 03/25/2021. The second dose was pretty similar with heavy fatigue. I began having tinnitus in between the first and second doses. The ringing in my ears began disrupting my balance and I couldn't ignore it anymore. I called my PCP who referred me to an ENT afterwards that I've been seeing since last March. It hasn't subsided and I was suggested to begin blood pressure medicine that could aid the ringing and buzzing in my ear; but because the medicine could drop my blood pressure, I wasn't prescribed the medication. Now, I go to an acupuncturist regularly to aid the tinnitus. Still until this day, I still have constant ringing in my ears.
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, COVID-19, Depressed level of consciousness, SARS-CoV-2 test positive
Clinical narrative: 12/22 Pt to ED via EMS from a hotel parking lot . Per EMS pt's friend was with him and states he has hx of substance abuse, heroin use. Pt was given 6 mg total of narcan PTA with minimal response. Pt respirations are regular and maintaining spo2 >97%. Arousable to vigorous stimuli.  COVID-19 positive test result. Asymptomatic.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Patient got hives that covered nearly all of body with intense itching.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Mental status changes, SARS-CoV-2 test positive
Clinical narrative: Sent in for changes in mental status
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest discomfort, Cough, Fatigue, Headache
Clinical narrative: Breakthrough case after vaccination. Tested positive for COVID on 01/11/2022. C/O cough, chest congestion, headache, and fatigue, onset 1/7/2022
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Infection, SARS-CoV-2 test positive
Clinical narrative: Breakthrough case after vaccination. Tested positive for COVID on 01/11/2022. C/O cough, chest congestion, headache, and fatigue, onset 1/7/2022
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Flank pain, Pyrexia, Renal abscess
Clinical narrative: 12/20 Pt to the ED with complaint of right side pain, cough, fever, x 3 days, found to have renal abcesses 12/22 COVID resulted Positive  12/30 Removed from Iso Precautions 1/6 Patient discharged to facility
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 12/20 Pt to the ED with complaint of right side pain, cough, fever, x 3 days, found to have renal abcesses 12/22 COVID resulted Positive  12/30 Removed from Iso Precautions 1/6 Patient discharged to facility
Age: 55.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Acute kidney injury, Blood creatinine increased, Blood urea increased, COVID-19, Carbon dioxide decreased
Clinical narrative: Pt admitted on 12/28/2021 and is being treated for covid, acute renal failure and DKA.   Continued to worse until because sedated and on ventilator support. Pts chest x-ray showed worsening airspace disease, congestive heart failure and bilateral pneumonias. -Pt is on IV Sublimze, Levophed, diprivan -Pt has abnormal labs - WBC 10.9, Hgb 13.4 CO2 19, BUN 81, creatinine 2.24  Pt expired 1/3/22
Age: 55.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Cardiac failure congestive, Chest X-ray abnormal, Condition aggravated, Death, Diabetic ketoacidosis
Clinical narrative: Pt admitted on 12/28/2021 and is being treated for covid, acute renal failure and DKA.   Continued to worse until because sedated and on ventilator support. Pts chest x-ray showed worsening airspace disease, congestive heart failure and bilateral pneumonias. -Pt is on IV Sublimze, Levophed, diprivan -Pt has abnormal labs - WBC 10.9, Hgb 13.4 CO2 19, BUN 81, creatinine 2.24  Pt expired 1/3/22
Age: 55.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: General physical health deterioration, Haemoglobin decreased, Laboratory test abnormal, Lung disorder, Mechanical ventilation
Clinical narrative: Pt admitted on 12/28/2021 and is being treated for covid, acute renal failure and DKA.   Continued to worse until because sedated and on ventilator support. Pts chest x-ray showed worsening airspace disease, congestive heart failure and bilateral pneumonias. -Pt is on IV Sublimze, Levophed, diprivan -Pt has abnormal labs - WBC 10.9, Hgb 13.4 CO2 19, BUN 81, creatinine 2.24  Pt expired 1/3/22
Age: 55.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Pneumonia, White blood cell count increased
Clinical narrative: Pt admitted on 12/28/2021 and is being treated for covid, acute renal failure and DKA.   Continued to worse until because sedated and on ventilator support. Pts chest x-ray showed worsening airspace disease, congestive heart failure and bilateral pneumonias. -Pt is on IV Sublimze, Levophed, diprivan -Pt has abnormal labs - WBC 10.9, Hgb 13.4 CO2 19, BUN 81, creatinine 2.24  Pt expired 1/3/22
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal mass, COVID-19, Death, Haemoglobin decreased, Mental status changes
Clinical narrative: 12/25 Pt to ED from extended care facility with reports of altered mental status and fever.  COVID-19 infection, tolerating very well. no anti-COVID rx needed. Previous dx of diagnosed with stage 4 gastric cancer. Pt with poor prognosis from Cancer.  religious and refuses blood products as well.  12/29 Large infiltrative necrotic mass in the left upper quadrant with direct invasion of the proximal gastric body, pancreatic tail and splenic flexure of the colon as well as the anterior aspect of the spleen.  12/31 Hgb 5.6 1/5 Pt expired
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Refusal of treatment by patient
Clinical narrative: 12/25 Pt to ED from extended care facility with reports of altered mental status and fever.  COVID-19 infection, tolerating very well. no anti-COVID rx needed. Previous dx of diagnosed with stage 4 gastric cancer. Pt with poor prognosis from Cancer.  religious and refuses blood products as well.  12/29 Large infiltrative necrotic mass in the left upper quadrant with direct invasion of the proximal gastric body, pancreatic tail and splenic flexure of the colon as well as the anterior aspect of the spleen.  12/31 Hgb 5.6 1/5 Pt expired
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Bradycardia, Cardiac arrest, Death, Encephalopathy, Pulseless electrical activity
Clinical narrative: Pt expired at Select Specialty Hospital. Pt was encephalopathic. On 1/16/2022, he developed  bradycardia and  became unresponsive, then developed asystole.  ACLS protocols were followed and 4 rounds of quality chest compressions was completed without the result of any electrical activity on the monitor. All other options were considered and determined to be futile in this situation with a poor outcome.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Resuscitation, Unresponsive to stimuli
Clinical narrative: Pt expired at Select Specialty Hospital. Pt was encephalopathic. On 1/16/2022, he developed  bradycardia and  became unresponsive, then developed asystole.  ACLS protocols were followed and 4 rounds of quality chest compressions was completed without the result of any electrical activity on the monitor. All other options were considered and determined to be futile in this situation with a poor outcome.
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea
Clinical narrative: TO ED and admitted for shortness of breath, found have COVID 19. He was started on steroids, as well as Remdesivir, and did improve. He did not require any supplemental oxygen. Continuous blood pressure, adjustments were made to his blood pressure medications. He states his blood pressures always difficult to control. Is likely provoked by the Decadron. He will follow-up with his primary care physician within one week for medication adjustment. He was clear for discharge home
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19 pneumonia, Extra dose administered, Inappropriate schedule of product administration
Clinical narrative: Patient had 3 doses of Moderna vaccine on 12/20/21, 2/17/21, and 1/20/21, and was hospitalized for COVID pneumonia on 1/19/22.  Patient is still hospitalized today, 1/20/22, and will likely be hospitalized for several days.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, COVID-19, Cardiac dysfunction, Echocardiogram abnormal, Ejection fraction decreased
Clinical narrative: Bought to the hospital for respiratory failure, found have COVID 19. She required increase in oxygenation, and seen by infectious disease. She completed a course Remdesivir, Decadron, and anticoagulation, with improvement. The patient returned to her baseline, did not require oxygen upon discharge. The patient did have a 2-D echo showed ejection fraction 25%, which is decreased from 45% roughly 6 months prior. The patient was seen by cardiology, and LifeVest was approved fourth short-term coverage since checked for heart function recovery. The patient was agreeable. She will follow-up with cardiology as an outpatient, and will likely need ICD after 3 months if no improvement in heart function
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Oxygen saturation decreased, Respiratory failure
Clinical narrative: Bought to the hospital for respiratory failure, found have COVID 19. She required increase in oxygenation, and seen by infectious disease. She completed a course Remdesivir, Decadron, and anticoagulation, with improvement. The patient returned to her baseline, did not require oxygen upon discharge. The patient did have a 2-D echo showed ejection fraction 25%, which is decreased from 45% roughly 6 months prior. The patient was seen by cardiology, and LifeVest was approved fourth short-term coverage since checked for heart function recovery. The patient was agreeable. She will follow-up with cardiology as an outpatient, and will likely need ICD after 3 months if no improvement in heart function
Age: 89.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Bacteraemia, Brain injury, Cardiac arrest, Death, Urinary tract infection
Clinical narrative: Brought in by the family for an unknown amt of time and was also diagnosed w bacteremia and uti, likely urosepsis causing cardiac arrest that led to anoxic brain injury due to unknown down time, the family made the pt comfort care and she passed away
Age: 89.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Urosepsis
Clinical narrative: Brought in by the family for an unknown amt of time and was also diagnosed w bacteremia and uti, likely urosepsis causing cardiac arrest that led to anoxic brain injury due to unknown down time, the family made the pt comfort care and she passed away
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Ischaemic stroke, Magnetic resonance imaging, Vaccine positive rechallenge
Clinical narrative: Ischemic stroke
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Echocardiogram, Electrocardiogram, Enzyme level test
Clinical narrative: Severe chest pain and difficulty breathing. Pericarditis and myocarditis
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Myocarditis, Pericarditis, Troponin increased
Clinical narrative: Severe chest pain and difficulty breathing. Pericarditis and myocarditis
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia, Dyspnoea, Dyspnoea exertional, Panic attack
Clinical narrative: 12.27  Pt to ED reports he's had exertional shortness of breath over the last 2 weeks. Starting yesterday he developed severe difficulty breathing 12/28 Dx COVID-19 Pneumonia treating w/ decadron  12/30 episodes of panic attacks this morning. pt is being followed by Pulmonary Medicine and now he is on oxygen 4L by nasal cannula.  He is still on Decadron 6 mg once a day and he continued to be on remdesivir plus baricitinib 1/3 Pt left with home O2 that was delivered to bedside and medications from pharmacy. Pt left in stable condition
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiocardiogram, COVID-19, Cardiac pacemaker insertion, Catheterisation cardiac, Cough
Clinical narrative: 12/27 She came in for evaluation of shortness of breath and cough and was found to be covid positive. She had a single episode of torsades de pointes. 12/28 stable at this time on nasal cannula oxygen 12/31 Sinus bradycardia in the setting of are COVID-19 and one dose of remdesivir.  Heart rate in the 40s.  Blood pressure stable 1/2 Pt seeing Rapid resolution, due to immunized status 1/3 Op: LEFT HEART CATH, CORONARY ANGIOGRAPHY  Procedure 1/4 Pt recovering well 1/7 Pt discharged ...
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Device malfunction, Dyspnoea, Implantable defibrillator insertion, SARS-CoV-2 test positive, Sinus bradycardia
Clinical narrative: 12/27 She came in for evaluation of shortness of breath and cough and was found to be covid positive. She had a single episode of torsades de pointes. 12/28 stable at this time on nasal cannula oxygen 12/31 Sinus bradycardia in the setting of are COVID-19 and one dose of remdesivir.  Heart rate in the 40s.  Blood pressure stable 1/2 Pt seeing Rapid resolution, due to immunized status 1/3 Op: LEFT HEART CATH, CORONARY ANGIOGRAPHY  Procedure 1/4 Pt recovering well 1/7 Pt discharged ...