chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Cough, Death, Dizziness, Dyspnoea
Clinical narrative: pt c/o 4 days before he started having a cough, SOB, weakness, fatigue and dizziness; went to urgent care; diagnosed with pneumonia; given breathing treatments; found to be hypoxic on RA, given O2 and pt comes to ED with 3LO2 via NC (O2 sats  98%); pt's condition worsened requiring ICU; on 100% FiO2 on Vapotherm with addition of NRB mask; given remdesivir, dexamethasone; O2 requirements continued to increase; DNR/DNI; pt transitioned to comfort care with worsening condition, and he died in the hosp
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, General physical health deterioration, Hypoxia, Intensive care, Pneumonia
Clinical narrative: pt c/o 4 days before he started having a cough, SOB, weakness, fatigue and dizziness; went to urgent care; diagnosed with pneumonia; given breathing treatments; found to be hypoxic on RA, given O2 and pt comes to ED with 3LO2 via NC (O2 sats  98%); pt's condition worsened requiring ICU; on 100% FiO2 on Vapotherm with addition of NRB mask; given remdesivir, dexamethasone; O2 requirements continued to increase; DNR/DNI; pt transitioned to comfort care with worsening condition, and he died in the hosp
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Atelectasis, COVID-19, Chest X-ray abnormal, Diabetic ketoacidosis
Clinical narrative: 74 y/o female, PMHx of DM, Lupus, and atherosclerosis of abdominal aorta, admitted with SOB on 11/3/21. Chest x-ray shows minimal left lingular subsegmental atelectasis, otherwise, unremarkable. Pt presents to ER with DKA, possible MI, and Covid (diagnosed at PCP on 11/1/21). DKA treated with IV hydration and insulin. MI treated with heparin drip. Covid treated with Regeneron and supportive care. Pt was transferred to another Hospital for higher level of care for vascular surgery evaluation on 11/6/21.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: 74 y/o female, PMHx of DM, Lupus, and atherosclerosis of abdominal aorta, admitted with SOB on 11/3/21. Chest x-ray shows minimal left lingular subsegmental atelectasis, otherwise, unremarkable. Pt presents to ER with DKA, possible MI, and Covid (diagnosed at PCP on 11/1/21). DKA treated with IV hydration and insulin. MI treated with heparin drip. Covid treated with Regeneron and supportive care. Pt was transferred to another Hospital for higher level of care for vascular surgery evaluation on 11/6/21.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Patient became sick within an hour of receiving her 2nd dose of the phiser  vaccine & never recovered she died a couple of days later on 11/25/2021 after being found unconsious at home she was rushed by ambulance to doctors hospital where she was pronounced dead
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death, Loss of consciousness, Malaise
Clinical narrative: Patient became sick within an hour of receiving her 2nd dose of the phiser  vaccine & never recovered she died a couple of days later on 11/25/2021 after being found unconsious at home she was rushed by ambulance to doctors hospital where she was pronounced dead
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Cerebrovascular accident, SARS-CoV-2 test positive, Therapeutic procedure, Thrombectomy
Clinical narrative: Received Pfizer vaccines on 3/23, 4/13, 12/15/21 COVID-19 positive by PCR on  1/17/22 admitted to hospital on 1/17/22 after being found down after large MCA stroke underlying morbid obesity, HTN, DM2 expired 1/29/22 d/t complications of stroke
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Cerebrovascular accident, SARS-CoV-2 test positive
Clinical narrative: Received Pfizer vaccines on 3/23, 4/13, 12/15/21 COVID-19 positive by PCR on  1/17/22 admitted to hospital on 1/17/22 after being found down after large MCA stroke underlying morbid obesity, HTN, DM2 expired 1/29/22 d/t complications of stroke
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Received Pfizer vaccines on 1/27, 2/17/21 COVID-19 positive by PCR on  1/20/22 hospitalized 1/20-1/31/22 Expired 1/31/22 d/t COVID-19 infection, acute hypoxic respiratory failure Underlying COPD, lung cancer, pulmonary arterial HTN Previous VAERS report ID 780938
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Received Pfizer vaccines on 1/27, 2/17/21 COVID-19 positive by PCR on  1/20/22 hospitalized 1/20-1/31/22 Expired 1/31/22 d/t COVID-19 infection, acute hypoxic respiratory failure Underlying COPD, lung cancer, pulmonary arterial HTN Previous VAERS report ID 780938
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest X-ray, Full blood count, Metabolic function test, Pain in extremity, Ultrasound Doppler
Clinical narrative: calf pain starting the next day, has eased up a little, but still unable to attend school, no energy, constant pain in calves of both legs 24 hours a day.
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Blood test, Pain in extremity, Ultrasound scan
Clinical narrative: calf pain starting the next day, has eased up a little, but still unable to attend school, no energy, constant pain in calves of both legs 24 hours a day.
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fatigue, Pain in extremity
Clinical narrative: calf pain starting the next day, has eased up a little, but still unable to attend school, no energy, constant pain in calves of both legs 24 hours a day.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Heart rate irregular
Clinical narrative: Patient reported having heart palpitations and was seen in the ED.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Palpitations
Clinical narrative: Patient reported having heart palpitations and was seen in the ED.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Diabetic ketoacidosis, Hyperglycaemia, Nausea, Vomiting
Clinical narrative: 41 y/o male, PMHx of bipolar 1 disorder, DM, HTN, Schizophrenia, seizures, spina bifida, Tourette's disease, arthropathy, admitted for high blood sugar,N/V on 1/15/22. Pt tests positive for Covid19 in the ER. Diabetic ketoacidosis with hyperkalemia is treated with IV fluid hydration, insulin, and DKA protocol. Pt was discharged home on 1/17/22.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood glucose increased, COVID-19, Diabetic ketoacidosis, Hyperkalaemia, Nausea
Clinical narrative: 41 y/o male, PMHx of bipolar 1 disorder, DM, HTN, Schizophrenia, seizures, spina bifida, Tourette's disease, arthropathy, admitted for high blood sugar,N/V on 1/15/22. Pt tests positive for Covid19 in the ER. Diabetic ketoacidosis with hyperkalemia is treated with IV fluid hydration, insulin, and DKA protocol. Pt was discharged home on 1/17/22.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Vomiting
Clinical narrative: 41 y/o male, PMHx of bipolar 1 disorder, DM, HTN, Schizophrenia, seizures, spina bifida, Tourette's disease, arthropathy, admitted for high blood sugar,N/V on 1/15/22. Pt tests positive for Covid19 in the ER. Diabetic ketoacidosis with hyperkalemia is treated with IV fluid hydration, insulin, and DKA protocol. Pt was discharged home on 1/17/22.
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: AST/ALT ratio, Adenovirus test, Alanine aminotransferase normal, Anion gap, Aspartate aminotransferase normal
Clinical narrative: Pt had acute onset of intermittent chest pain 01/19/2022 2 days after covid booster. 01/20/2022 EKG abnormal, troponin levels elevated, LFT's elevated, was admitted to the hospital for treatment of myocarditis most likely post COVID 19 vaccine. He in his course had abnormal heart beats was started on Nodalol. His troponin levels downtrended during his stay. For the myocarditis received IVIG and started a course of steroids that he will continue at home. Pt continues to be followed on outpatient basis by Cardiology team for ongoing care.
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bilirubin conjugated normal, Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium decreased
Clinical narrative: Pt had acute onset of intermittent chest pain 01/19/2022 2 days after covid booster. 01/20/2022 EKG abnormal, troponin levels elevated, LFT's elevated, was admitted to the hospital for treatment of myocarditis most likely post COVID 19 vaccine. He in his course had abnormal heart beats was started on Nodalol. His troponin levels downtrended during his stay. For the myocarditis received IVIG and started a course of steroids that he will continue at home. Pt continues to be followed on outpatient basis by Cardiology team for ongoing care.
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood chloride normal, Blood creatinine, Blood glucose normal, Blood magnesium, Blood phosphorus normal
Clinical narrative: Pt had acute onset of intermittent chest pain 01/19/2022 2 days after covid booster. 01/20/2022 EKG abnormal, troponin levels elevated, LFT's elevated, was admitted to the hospital for treatment of myocarditis most likely post COVID 19 vaccine. He in his course had abnormal heart beats was started on Nodalol. His troponin levels downtrended during his stay. For the myocarditis received IVIG and started a course of steroids that he will continue at home. Pt continues to be followed on outpatient basis by Cardiology team for ongoing care.
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood potassium normal, Blood sodium decreased, Blood test, Blood urea normal, Borrelia test
Clinical narrative: Pt had acute onset of intermittent chest pain 01/19/2022 2 days after covid booster. 01/20/2022 EKG abnormal, troponin levels elevated, LFT's elevated, was admitted to the hospital for treatment of myocarditis most likely post COVID 19 vaccine. He in his course had abnormal heart beats was started on Nodalol. His troponin levels downtrended during his stay. For the myocarditis received IVIG and started a course of steroids that he will continue at home. Pt continues to be followed on outpatient basis by Cardiology team for ongoing care.
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: C-reactive protein increased, C-reactive protein normal, Carbon dioxide normal, Cardiac function test normal, Chest X-ray normal
Clinical narrative: Pt had acute onset of intermittent chest pain 01/19/2022 2 days after covid booster. 01/20/2022 EKG abnormal, troponin levels elevated, LFT's elevated, was admitted to the hospital for treatment of myocarditis most likely post COVID 19 vaccine. He in his course had abnormal heart beats was started on Nodalol. His troponin levels downtrended during his stay. For the myocarditis received IVIG and started a course of steroids that he will continue at home. Pt continues to be followed on outpatient basis by Cardiology team for ongoing care.
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Chills, Cytomegalovirus test, Dizziness, Echocardiogram
Clinical narrative: Pt had acute onset of intermittent chest pain 01/19/2022 2 days after covid booster. 01/20/2022 EKG abnormal, troponin levels elevated, LFT's elevated, was admitted to the hospital for treatment of myocarditis most likely post COVID 19 vaccine. He in his course had abnormal heart beats was started on Nodalol. His troponin levels downtrended during his stay. For the myocarditis received IVIG and started a course of steroids that he will continue at home. Pt continues to be followed on outpatient basis by Cardiology team for ongoing care.
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram normal, Electrocardiogram ST segment elevation, Electrocardiogram abnormal, Epstein-Barr virus test, Fibrin D dimer normal
Clinical narrative: Pt had acute onset of intermittent chest pain 01/19/2022 2 days after covid booster. 01/20/2022 EKG abnormal, troponin levels elevated, LFT's elevated, was admitted to the hospital for treatment of myocarditis most likely post COVID 19 vaccine. He in his course had abnormal heart beats was started on Nodalol. His troponin levels downtrended during his stay. For the myocarditis received IVIG and started a course of steroids that he will continue at home. Pt continues to be followed on outpatient basis by Cardiology team for ongoing care.
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Haemoglobin normal, Headache, Herpes simplex test negative, Hypoaesthesia, Immunoglobulin therapy
Clinical narrative: Pt had acute onset of intermittent chest pain 01/19/2022 2 days after covid booster. 01/20/2022 EKG abnormal, troponin levels elevated, LFT's elevated, was admitted to the hospital for treatment of myocarditis most likely post COVID 19 vaccine. He in his course had abnormal heart beats was started on Nodalol. His troponin levels downtrended during his stay. For the myocarditis received IVIG and started a course of steroids that he will continue at home. Pt continues to be followed on outpatient basis by Cardiology team for ongoing care.
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Laboratory test, Laboratory test normal, Myocarditis, Platelet count normal, Protein total increased
Clinical narrative: Pt had acute onset of intermittent chest pain 01/19/2022 2 days after covid booster. 01/20/2022 EKG abnormal, troponin levels elevated, LFT's elevated, was admitted to the hospital for treatment of myocarditis most likely post COVID 19 vaccine. He in his course had abnormal heart beats was started on Nodalol. His troponin levels downtrended during his stay. For the myocarditis received IVIG and started a course of steroids that he will continue at home. Pt continues to be followed on outpatient basis by Cardiology team for ongoing care.
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test negative, Sleep disorder, Transaminases increased, Treponema test, Troponin
Clinical narrative: Pt had acute onset of intermittent chest pain 01/19/2022 2 days after covid booster. 01/20/2022 EKG abnormal, troponin levels elevated, LFT's elevated, was admitted to the hospital for treatment of myocarditis most likely post COVID 19 vaccine. He in his course had abnormal heart beats was started on Nodalol. His troponin levels downtrended during his stay. For the myocarditis received IVIG and started a course of steroids that he will continue at home. Pt continues to be followed on outpatient basis by Cardiology team for ongoing care.
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Troponin T increased, Ventricular tachycardia, Viral test
Clinical narrative: Pt had acute onset of intermittent chest pain 01/19/2022 2 days after covid booster. 01/20/2022 EKG abnormal, troponin levels elevated, LFT's elevated, was admitted to the hospital for treatment of myocarditis most likely post COVID 19 vaccine. He in his course had abnormal heart beats was started on Nodalol. His troponin levels downtrended during his stay. For the myocarditis received IVIG and started a course of steroids that he will continue at home. Pt continues to be followed on outpatient basis by Cardiology team for ongoing care.
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Electrocardiogram normal, Heart rate irregular, Immunoglobulin therapy, Liver function test increased
Clinical narrative: Pt had acute onset of intermittent chest pain 01/19/2022 2 days after covid booster. 01/20/2022 EKG abnormal, troponin levels elevated, LFT's elevated, was admitted to the hospital for treatment of myocarditis most likely post COVID 19 vaccine. He in his course had abnormal heart beats was started on Nodalol. His troponin levels downtrended during his stay. For the myocarditis received IVIG and started a course of steroids that he will continue at home. Pt continues to be followed on outpatient basis by Cardiology team for ongoing care.
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myocarditis, Troponin increased, Ventricular tachycardia
Clinical narrative: Pt had acute onset of intermittent chest pain 01/19/2022 2 days after covid booster. 01/20/2022 EKG abnormal, troponin levels elevated, LFT's elevated, was admitted to the hospital for treatment of myocarditis most likely post COVID 19 vaccine. He in his course had abnormal heart beats was started on Nodalol. His troponin levels downtrended during his stay. For the myocarditis received IVIG and started a course of steroids that he will continue at home. Pt continues to be followed on outpatient basis by Cardiology team for ongoing care.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Burns second degree, Injection site erythema, Injection site reaction, Injection site warmth, Skin exfoliation
Clinical narrative: skin peeling/oozing right arm
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Skin exfoliation, Skin weeping
Clinical narrative: skin peeling/oozing right arm
Age: 68.0
Sex: F
Vaccine: UNK
Symptoms: Arthralgia
Clinical narrative: joint pain in knees persists to this day, over a month now, after receiving my third COVID vaccine.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation delayed
Clinical narrative: I had signifigant delays in my period after the second vaccine shot. I track my period every month. It is typically between 22-27 days. For the two months following my shot, it was 44 or 45 days between periods. It was long enough of a delay where I took a pregnancy test each month. I also spoke to my doctor about it. She said it was typical to have an immune reaction after a shot like this. I still wanted to share it.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Arrhythmia, Blood test, Electrocardiogram, Laboratory test, Palpitations
Clinical narrative: Heart palpitations, arrhythmia
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pruritus, Tachycardia
Clinical narrative: Itchy at site.  Tachycardia appeared @36 hour after booster dose.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Hypersomnia
Clinical narrative: ON 1-25-22  TUESDAY AT 4:30PM PATEINT CALLED AND SAID SHE WAS COUGHING HAD SOME BREATHNG PROBLEMS AND SLEPT IN TILL  3PM.  SHE TOOK 4 PUFFS OF ALBUTEROL INHALER WITH LITTLE RELIEF. HER 02 LEVEL WAS 97% AND SHE WAS WAITING FOR HER DOCTOR TO REFILL HER NEBULIZER MEDICATION. I ADVISED TO GO TO THE HOSPITAL IF CONDTION PERSISTS. I FOLLOWED UP WITH HER ON  1/27/22 AND SHE WAS DOING GREAT. SHE GOT HER MEDICATION THAT NIGHT AND WAS FEELING GOOD THE NEXT DAY .
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Haemoglobin, Urticaria
Clinical narrative: Hives
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Blood test, Computerised tomogram head, Culture urine, Facial paralysis
Clinical narrative: The first 24 hours up to 48 hours following vaccine booster, left arm soreness, fatigue. Approx 10 days later on 1/25, left sided altered sensation of tongue, 24 to 30 hours later on 1/26, left sided numbness and tingling along with altered taste/sensation with left side tongue. An additional 24 hours later on 1/27, left sided facial muscle paralysis began in addition to above mentioned taste and numbness of tongue and face. Unable to make facial expressions on left side only
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hypoaesthesia oral, Pain in extremity, Paraesthesia oral, Taste disorder
Clinical narrative: The first 24 hours up to 48 hours following vaccine booster, left arm soreness, fatigue. Approx 10 days later on 1/25, left sided altered sensation of tongue, 24 to 30 hours later on 1/26, left sided numbness and tingling along with altered taste/sensation with left side tongue. An additional 24 hours later on 1/27, left sided facial muscle paralysis began in addition to above mentioned taste and numbness of tongue and face. Unable to make facial expressions on left side only
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received Pfizer 5-11 year old dose 1 day past BUD of 10 weeks.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus, bilateral
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received Pfizer 5-11 year old dose 1 day past BUD of 10 weeks.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received Pfizer 5-11 year old dose 1 day past BUD of 10 weeks.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Amenorrhoea, Menstrual disorder
Clinical narrative: The month following my second dose on  04/08/2021 I skipped my menstrual cycle (May). Then it returned in June, then I skipped July and August. It returned once again in September, then I haven?t had it again since and it is now February but I am not pregnant.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Swollen tongue, Urticaria
Clinical narrative: My reaction was within 15mins with hives , itching  and redness over my body. And tongue swelling. I took Benadryl as soon as I started itching  do to I was familiar of my reactions  of latex and keFlix. Then I follow up with my primary doctor  as well as the Pharmacy.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Suspected COVID-19, Vaccine breakthrough infection
Clinical narrative: Suspect COVID breakthrough case
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Suspected COVID-19, Vaccine breakthrough infection
Clinical narrative: Suspect COVID breakthrough case
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Infection, Suspected COVID-19
Clinical narrative: Suspect COVID breakthrough case
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Systemic: Numbness (specify: facial area, extremities)-Medium, Systemic: Tingling (specify: facial area, extemities)-Medium
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Fatigue, Feeling abnormal
Clinical narrative: Extreme sudden onset fatigue, fever of 101.2, chills, joint and muscle pain throughout, nausea, headache, sensation of heart pounding, HR elevated from my baseline of low to mid 80s bpm, although still wnl (93-97bpm and regular).  My baseline HR of 80s is due to being 30lbs overweight at this time.  When at my normal weight, HR is in 60s-70s.  Sensation of being in a fog, difficulty retaining simple self-test at home Covid-19 antigen rapid test instructions, needing to go back to instructions over and over. O2 saturation is 99%  according to my home pulse oximetry.   Rapid test was negative.   I also feel like my BP might be low, but can't seem to get the cuff on due to the severe fatigue and weakness.  No one available to do it for me.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Heart rate increased, Hypotension, Myalgia, Nausea
Clinical narrative: Extreme sudden onset fatigue, fever of 101.2, chills, joint and muscle pain throughout, nausea, headache, sensation of heart pounding, HR elevated from my baseline of low to mid 80s bpm, although still wnl (93-97bpm and regular).  My baseline HR of 80s is due to being 30lbs overweight at this time.  When at my normal weight, HR is in 60s-70s.  Sensation of being in a fog, difficulty retaining simple self-test at home Covid-19 antigen rapid test instructions, needing to go back to instructions over and over. O2 saturation is 99%  according to my home pulse oximetry.   Rapid test was negative.   I also feel like my BP might be low, but can't seem to get the cuff on due to the severe fatigue and weakness.  No one available to do it for me.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Pyrexia
Clinical narrative: Extreme sudden onset fatigue, fever of 101.2, chills, joint and muscle pain throughout, nausea, headache, sensation of heart pounding, HR elevated from my baseline of low to mid 80s bpm, although still wnl (93-97bpm and regular).  My baseline HR of 80s is due to being 30lbs overweight at this time.  When at my normal weight, HR is in 60s-70s.  Sensation of being in a fog, difficulty retaining simple self-test at home Covid-19 antigen rapid test instructions, needing to go back to instructions over and over. O2 saturation is 99%  according to my home pulse oximetry.   Rapid test was negative.   I also feel like my BP might be low, but can't seem to get the cuff on due to the severe fatigue and weakness.  No one available to do it for me.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Hypoglycaemia, SARS-CoV-2 test positive
Clinical narrative: Hospitalized 1/18/2022; COVID-19 positive 01/19/2022; fully vaccinated   Admission Date: 1/18/2022 Discharge Date: 01/20/2022  Discharge Disposition: Home PRESENTING PROBLEM: Weakness   HOSPITAL COURSE: Patient is an 82-year-old male who was admitted on 01/18/2022 for observation due to generalized weakness secondary to COVID-19 infection.  Patient has not become hypoxic and required no remdesivir, steroids, or MAB given.  He has worked well with PT/OT or recommending home health care.   DM type 2 He has been noted to have hypoglycemic events his Lantus has been reduced down from home 74 units to 50 units recommending this be reduced even further to 40 at discharge.  Patient states he uses a sliding scale at home and not the 28 units 3 times a day.  Reiterated that he continue to use the sliding scale and appropriate scaling chart given to him at discharge.   Patient is ready to go home, family are able to take care of him and give 24 hours supervision, PT/OT feel he is safe for home health care.  Vitals are stable medically clear for discharge.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Ileostomy, Portal vein thrombosis, Small intestinal obstruction, Stenosis, Suspected COVID-19
Clinical narrative: Suspect COVID breakthrough case Admitted for portal vein thrombosis as well as small bowel obstruction secondary to ileostomy stenosis  Incidental COVID finding
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Suspect COVID breakthrough case Admitted for portal vein thrombosis as well as small bowel obstruction secondary to ileostomy stenosis  Incidental COVID finding
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Hyperhidrosis, Illness, Nausea
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Severe, Systemic: Shakiness-Medium, Additional Details: Gave flu shot left arm, pt stood up and turned around tom receive Pfizer COVID vaccine, but became very ill. Nausea, dizziness, sweating, lightheaded.  I waited and did not give the COVID shot. I gave her a little water and had a fan blow on her.  Shortly thereafter the pt vomited into the trash can. I took her BP, with the automated machine and it was 97/71.   I sat with her for about 50 minutes until it passed. Her boyfriend arrived to drive her home.  I told him to take her to the hospital if
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor, Vomiting
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Severe, Systemic: Shakiness-Medium, Additional Details: Gave flu shot left arm, pt stood up and turned around tom receive Pfizer COVID vaccine, but became very ill. Nausea, dizziness, sweating, lightheaded.  I waited and did not give the COVID shot. I gave her a little water and had a fan blow on her.  Shortly thereafter the pt vomited into the trash can. I took her BP, with the automated machine and it was 97/71.   I sat with her for about 50 minutes until it passed. Her boyfriend arrived to drive her home.  I told him to take her to the hospital if
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Fatigue, Flushing, Hyperhidrosis
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Swelling at Injection Site-Mild, Systemic: Body Aches Generalized-Medium, Systemic: Chills-Mild, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fever-Mild, Systemic: Flushed / Sweating-Medium, Systemic: Weakness-Mild
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Lethargy, Pain, Pyrexia
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Swelling at Injection Site-Mild, Systemic: Body Aches Generalized-Medium, Systemic: Chills-Mild, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fever-Mild, Systemic: Flushed / Sweating-Medium, Systemic: Weakness-Mild
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Injection site pain, Injection site swelling, Pain in extremity
Clinical narrative: In addition to pain and swelling at the injection side (upper left arm), pain experienced in the under arm and arm pit of left arm.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site erythema, Injection site pain, Injection site swelling, Peripheral swelling
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Severe, Additional Details: Patient had swelling and redness of arm, chest and neck. The symptoms are getting better over time. Patient called MD and nurse told her to alternate naproxen and tylenol and monitor.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Severe, Additional Details: Patient had swelling and redness of arm, chest and neck. The symptoms are getting better over time. Patient called MD and nurse told her to alternate naproxen and tylenol and monitor.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Suspected COVID-19, Vaccine breakthrough infection
Clinical narrative: Suspect COVID breakthrough case
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Site: Pain at Injection Site-Medium
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: Systemic: Seizure-Mild
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Tachycardia
Clinical narrative: From 5pm on the date of vaccination through the following two full days (01/13 and 01/14) I had an elevated resting heart rate from 20-40 beats higher than my usual resting heart rate. I had one instance of tachycardia (up to 130 beats per minute) on 01/13 that was not caused by activity - it resolved within 30 minutes.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Blood culture negative, COVID-19, COVID-19 pneumonia, Cardiac failure acute
Clinical narrative: Hospitalized 01/20/2022-still currently admitted; COVID-19 positive 01/21/22; fully vaccinated  ASSESSMENT / PLAN: Principal Problem:   Cardiogenic shock (HCC) Active Problems:   SVT (supraventricular tachycardia) (HCC)   Lactic acidosis   Single subsegmental pulmonary embolism without acute cor pulmonale (HCC)   Ischemic cardiomyopathy   Coronary artery disease without angina pectoris Patient is a 60 y.o. male with a past medical history of ischemic cardiomyopathy, left bundle blanch block/left fascicular block, alcohol abuse, coronary artery disease s/p angioplasty and stenting of the LAD & right PDA 2018, type 2 diabetes, hyperlipidemia who was admitted to the intensive care unit for cardiogenic shock. COVID-19 pneumonia without hypoxia Developed symptoms last Friday on 14th of January including fatigue, diarrhea and muscle aches.  Patient was exposed to coworkers who were COVID positive.  Has been isolating since then.  Is vaccinated with the Johnson Johnson.    Plan - not a candidate for steroid therapy as the patient is not hypoxic - not a candidate for remdesivir as the patient has AKI and shock liver (elevated LFTs)  01/24/2022 notes: COVID-19 Pneumonia Symptom onset 12/24. Tested positive at home 1/4. Vaccinated with J+J. PCR positive 1/21. Currently on 2L nasal cannula, likely secondary to cardiogenic shock rather than acute covid infection  Plan: - Holding steroids as patient's oxygen needs are unlikely from covid  Concern for Bacterial Pneumonia Febrile with leukocytosis and worsening bibasilar opacities on CXR 1/22. Blood cultures NGTD, strep/legionella Ag negative. Antibiotics stopped yesterday. Afebrile with down-trending leukocytosis. Plan: - Continue holding antibiotics 01/31/2022 notes: Combined Cardiogenic and septic shock (due to COVID) -status post milrinone and epi gtts -status post vasopressin gtt  -eventual GDMT  Acute on chronic combined systolic and diastolic heart failure -will add low dose diuretic- lasix 20 mg po bid -fluid and Na+ restricted diet, daily wts., I&Os COVID pneumonia -not requiring oxygen -continue zosyn x 5 day total course per MICU-> 2/1
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiogenic shock, Chest X-ray abnormal, Condition aggravated, Diarrhoea, Diuretic therapy
Clinical narrative: Hospitalized 01/20/2022-still currently admitted; COVID-19 positive 01/21/22; fully vaccinated  ASSESSMENT / PLAN: Principal Problem:   Cardiogenic shock (HCC) Active Problems:   SVT (supraventricular tachycardia) (HCC)   Lactic acidosis   Single subsegmental pulmonary embolism without acute cor pulmonale (HCC)   Ischemic cardiomyopathy   Coronary artery disease without angina pectoris Patient is a 60 y.o. male with a past medical history of ischemic cardiomyopathy, left bundle blanch block/left fascicular block, alcohol abuse, coronary artery disease s/p angioplasty and stenting of the LAD & right PDA 2018, type 2 diabetes, hyperlipidemia who was admitted to the intensive care unit for cardiogenic shock. COVID-19 pneumonia without hypoxia Developed symptoms last Friday on 14th of January including fatigue, diarrhea and muscle aches.  Patient was exposed to coworkers who were COVID positive.  Has been isolating since then.  Is vaccinated with the Johnson Johnson.    Plan - not a candidate for steroid therapy as the patient is not hypoxic - not a candidate for remdesivir as the patient has AKI and shock liver (elevated LFTs)  01/24/2022 notes: COVID-19 Pneumonia Symptom onset 12/24. Tested positive at home 1/4. Vaccinated with J+J. PCR positive 1/21. Currently on 2L nasal cannula, likely secondary to cardiogenic shock rather than acute covid infection  Plan: - Holding steroids as patient's oxygen needs are unlikely from covid  Concern for Bacterial Pneumonia Febrile with leukocytosis and worsening bibasilar opacities on CXR 1/22. Blood cultures NGTD, strep/legionella Ag negative. Antibiotics stopped yesterday. Afebrile with down-trending leukocytosis. Plan: - Continue holding antibiotics 01/31/2022 notes: Combined Cardiogenic and septic shock (due to COVID) -status post milrinone and epi gtts -status post vasopressin gtt  -eventual GDMT  Acute on chronic combined systolic and diastolic heart failure -will add low dose diuretic- lasix 20 mg po bid -fluid and Na+ restricted diet, daily wts., I&Os COVID pneumonia -not requiring oxygen -continue zosyn x 5 day total course per MICU-> 2/1
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Fatigue, Fluid intake restriction, Intensive care, Ischaemic hepatitis
Clinical narrative: Hospitalized 01/20/2022-still currently admitted; COVID-19 positive 01/21/22; fully vaccinated  ASSESSMENT / PLAN: Principal Problem:   Cardiogenic shock (HCC) Active Problems:   SVT (supraventricular tachycardia) (HCC)   Lactic acidosis   Single subsegmental pulmonary embolism without acute cor pulmonale (HCC)   Ischemic cardiomyopathy   Coronary artery disease without angina pectoris Patient is a 60 y.o. male with a past medical history of ischemic cardiomyopathy, left bundle blanch block/left fascicular block, alcohol abuse, coronary artery disease s/p angioplasty and stenting of the LAD & right PDA 2018, type 2 diabetes, hyperlipidemia who was admitted to the intensive care unit for cardiogenic shock. COVID-19 pneumonia without hypoxia Developed symptoms last Friday on 14th of January including fatigue, diarrhea and muscle aches.  Patient was exposed to coworkers who were COVID positive.  Has been isolating since then.  Is vaccinated with the Johnson Johnson.    Plan - not a candidate for steroid therapy as the patient is not hypoxic - not a candidate for remdesivir as the patient has AKI and shock liver (elevated LFTs)  01/24/2022 notes: COVID-19 Pneumonia Symptom onset 12/24. Tested positive at home 1/4. Vaccinated with J+J. PCR positive 1/21. Currently on 2L nasal cannula, likely secondary to cardiogenic shock rather than acute covid infection  Plan: - Holding steroids as patient's oxygen needs are unlikely from covid  Concern for Bacterial Pneumonia Febrile with leukocytosis and worsening bibasilar opacities on CXR 1/22. Blood cultures NGTD, strep/legionella Ag negative. Antibiotics stopped yesterday. Afebrile with down-trending leukocytosis. Plan: - Continue holding antibiotics 01/31/2022 notes: Combined Cardiogenic and septic shock (due to COVID) -status post milrinone and epi gtts -status post vasopressin gtt  -eventual GDMT  Acute on chronic combined systolic and diastolic heart failure -will add low dose diuretic- lasix 20 mg po bid -fluid and Na+ restricted diet, daily wts., I&Os COVID pneumonia -not requiring oxygen -continue zosyn x 5 day total course per MICU-> 2/1
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Left ventricular failure, Legionella test, Leukocytosis, Liver function test increased, Lung opacity
Clinical narrative: Hospitalized 01/20/2022-still currently admitted; COVID-19 positive 01/21/22; fully vaccinated  ASSESSMENT / PLAN: Principal Problem:   Cardiogenic shock (HCC) Active Problems:   SVT (supraventricular tachycardia) (HCC)   Lactic acidosis   Single subsegmental pulmonary embolism without acute cor pulmonale (HCC)   Ischemic cardiomyopathy   Coronary artery disease without angina pectoris Patient is a 60 y.o. male with a past medical history of ischemic cardiomyopathy, left bundle blanch block/left fascicular block, alcohol abuse, coronary artery disease s/p angioplasty and stenting of the LAD & right PDA 2018, type 2 diabetes, hyperlipidemia who was admitted to the intensive care unit for cardiogenic shock. COVID-19 pneumonia without hypoxia Developed symptoms last Friday on 14th of January including fatigue, diarrhea and muscle aches.  Patient was exposed to coworkers who were COVID positive.  Has been isolating since then.  Is vaccinated with the Johnson Johnson.    Plan - not a candidate for steroid therapy as the patient is not hypoxic - not a candidate for remdesivir as the patient has AKI and shock liver (elevated LFTs)  01/24/2022 notes: COVID-19 Pneumonia Symptom onset 12/24. Tested positive at home 1/4. Vaccinated with J+J. PCR positive 1/21. Currently on 2L nasal cannula, likely secondary to cardiogenic shock rather than acute covid infection  Plan: - Holding steroids as patient's oxygen needs are unlikely from covid  Concern for Bacterial Pneumonia Febrile with leukocytosis and worsening bibasilar opacities on CXR 1/22. Blood cultures NGTD, strep/legionella Ag negative. Antibiotics stopped yesterday. Afebrile with down-trending leukocytosis. Plan: - Continue holding antibiotics 01/31/2022 notes: Combined Cardiogenic and septic shock (due to COVID) -status post milrinone and epi gtts -status post vasopressin gtt  -eventual GDMT  Acute on chronic combined systolic and diastolic heart failure -will add low dose diuretic- lasix 20 mg po bid -fluid and Na+ restricted diet, daily wts., I&Os COVID pneumonia -not requiring oxygen -continue zosyn x 5 day total course per MICU-> 2/1
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Medical diet, Myalgia, Pyrexia, SARS-CoV-2 test positive, Septic shock
Clinical narrative: Hospitalized 01/20/2022-still currently admitted; COVID-19 positive 01/21/22; fully vaccinated  ASSESSMENT / PLAN: Principal Problem:   Cardiogenic shock (HCC) Active Problems:   SVT (supraventricular tachycardia) (HCC)   Lactic acidosis   Single subsegmental pulmonary embolism without acute cor pulmonale (HCC)   Ischemic cardiomyopathy   Coronary artery disease without angina pectoris Patient is a 60 y.o. male with a past medical history of ischemic cardiomyopathy, left bundle blanch block/left fascicular block, alcohol abuse, coronary artery disease s/p angioplasty and stenting of the LAD & right PDA 2018, type 2 diabetes, hyperlipidemia who was admitted to the intensive care unit for cardiogenic shock. COVID-19 pneumonia without hypoxia Developed symptoms last Friday on 14th of January including fatigue, diarrhea and muscle aches.  Patient was exposed to coworkers who were COVID positive.  Has been isolating since then.  Is vaccinated with the Johnson Johnson.    Plan - not a candidate for steroid therapy as the patient is not hypoxic - not a candidate for remdesivir as the patient has AKI and shock liver (elevated LFTs)  01/24/2022 notes: COVID-19 Pneumonia Symptom onset 12/24. Tested positive at home 1/4. Vaccinated with J+J. PCR positive 1/21. Currently on 2L nasal cannula, likely secondary to cardiogenic shock rather than acute covid infection  Plan: - Holding steroids as patient's oxygen needs are unlikely from covid  Concern for Bacterial Pneumonia Febrile with leukocytosis and worsening bibasilar opacities on CXR 1/22. Blood cultures NGTD, strep/legionella Ag negative. Antibiotics stopped yesterday. Afebrile with down-trending leukocytosis. Plan: - Continue holding antibiotics 01/31/2022 notes: Combined Cardiogenic and septic shock (due to COVID) -status post milrinone and epi gtts -status post vasopressin gtt  -eventual GDMT  Acute on chronic combined systolic and diastolic heart failure -will add low dose diuretic- lasix 20 mg po bid -fluid and Na+ restricted diet, daily wts., I&Os COVID pneumonia -not requiring oxygen -continue zosyn x 5 day total course per MICU-> 2/1
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Streptococcus test negative
Clinical narrative: Hospitalized 01/20/2022-still currently admitted; COVID-19 positive 01/21/22; fully vaccinated  ASSESSMENT / PLAN: Principal Problem:   Cardiogenic shock (HCC) Active Problems:   SVT (supraventricular tachycardia) (HCC)   Lactic acidosis   Single subsegmental pulmonary embolism without acute cor pulmonale (HCC)   Ischemic cardiomyopathy   Coronary artery disease without angina pectoris Patient is a 60 y.o. male with a past medical history of ischemic cardiomyopathy, left bundle blanch block/left fascicular block, alcohol abuse, coronary artery disease s/p angioplasty and stenting of the LAD & right PDA 2018, type 2 diabetes, hyperlipidemia who was admitted to the intensive care unit for cardiogenic shock. COVID-19 pneumonia without hypoxia Developed symptoms last Friday on 14th of January including fatigue, diarrhea and muscle aches.  Patient was exposed to coworkers who were COVID positive.  Has been isolating since then.  Is vaccinated with the Johnson Johnson.    Plan - not a candidate for steroid therapy as the patient is not hypoxic - not a candidate for remdesivir as the patient has AKI and shock liver (elevated LFTs)  01/24/2022 notes: COVID-19 Pneumonia Symptom onset 12/24. Tested positive at home 1/4. Vaccinated with J+J. PCR positive 1/21. Currently on 2L nasal cannula, likely secondary to cardiogenic shock rather than acute covid infection  Plan: - Holding steroids as patient's oxygen needs are unlikely from covid  Concern for Bacterial Pneumonia Febrile with leukocytosis and worsening bibasilar opacities on CXR 1/22. Blood cultures NGTD, strep/legionella Ag negative. Antibiotics stopped yesterday. Afebrile with down-trending leukocytosis. Plan: - Continue holding antibiotics 01/31/2022 notes: Combined Cardiogenic and septic shock (due to COVID) -status post milrinone and epi gtts -status post vasopressin gtt  -eventual GDMT  Acute on chronic combined systolic and diastolic heart failure -will add low dose diuretic- lasix 20 mg po bid -fluid and Na+ restricted diet, daily wts., I&Os COVID pneumonia -not requiring oxygen -continue zosyn x 5 day total course per MICU-> 2/1
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Injection site bruising, Injection site pain, Injection site swelling, Limb injury
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Overdose, Suspected COVID-19, Vaccine breakthrough infection
Clinical narrative: Suspect COVID breakthrough case  Presents after a Tylenol overdose- incidental COVID finding (asymptomatic)
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: A patient received her booster dose at 4 months instead of five. She had had Pfizer as her primary series and received Moderna as the booster dose. The patient has been informed of the situation and knows to contact us if there are any problems. Patient did not report any side affects when she left observation.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Dermatologic examination, Mechanical urticaria, Pruritus, Urticaria
Clinical narrative: Contact urticaria/hives all over the body with intense itching that lasted for 10 days. Following the itching and full body hives, dermatographia has been a lasting issue that has not subsided (and still persists over 2 months post-vaccination)
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, Anaemia, Angioplasty, Anticoagulant therapy, Asymptomatic COVID-19
Clinical narrative: Hospitalized 01/19/2022-still currently admitted; COVID-19 positive 01/19/2022; fully vaccinated plus booster  ASSESSMENT / PLAN: COVID Acute hypoxic respiratory failure secondary to above              COVID positive 1/19              Asymptomatic; per facility have not noted any symptoms either              CT thorax does not show findings of COVID              Decadron 6mg daily              Remdesivir contraindicated due to renal function              Supplemental O2 PRN; currently on 3L, wean as able Admitted with COVID-19 pneumonia and acute hypoxic respiratory failure.  On 3 L by nasal cannula.  Started on Decadron.  Unlikely to benefit from Remdesivir.  Wean off O2 as able.  CT thorax does not show findings of COVID however the patient is wheezing and hypoxic.  He also has right lower extremity cellulitis and nonhealing 2nd toe amputation.  Had a recent angioplasty of the right lower extremity with vascular surgery.  Will start the patient on vancomycin and Zosyn. Heparin drip in place of Xarelto for now. MRI to rule out osteomyelitis.  Vascular surgery consult.  Consider podiatry consult pending MRI findings.  The patient also has acute encephalopathy likely toxic metabolic in the setting of cellulitis and COVID.  Monitor for now.  Patient has acute on chronic anemia.   01/23/22 notes: COVID pnuemonia. Acute hypoxic respiratory failure secondary to above -resolved              COVID positive 1/19              Asymptomatic; per facility have not noted any symptoms either              CT thorax does not show findings of COVID              on room air now. Will stop decadron in case that is causing agitation.   01/31/2022 notes: Acute hypoxic respiratory failure resolved COVID-19 pneumonia resolved Currently on room air  Disposition:  awaiting placement to skilled nursing facility